question,answer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for contacting chatbot. swelling in the legs and feet can come from many causes, one of them being general circulation or ineffectiveness of the kidneys to rid the body of excess water. most times, people with lower extremity swelling will be placed on diuretics (\""water pills\"") to see if that helps reduce the swelling. if the veins are not working as properly as they were, there may be a need for compression stockings, assuming the arteries are normal. it would be good to get the situation evaluated being that there are so many causes. i hope this answers your question, if you have any further questions, i am here to help. thanks."
Please summerize the given abstract to a title,"Hydroxychloroquine vs. Azithromycin for Hospitalized Patients with COVID-19 (HAHPS): Results of a Randomized, Active Comparator Trial"
Please summerize the given abstract to a title,Playing the harmonica with chronic obstructive pulmonary disease. A qualitative study
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the history suggest a painless lump in forearm - if it is at the joint place the possible cause will be ganglia which are seen after a mild trauma or inflammatory reaction.  2. which needs to monitor, if symptomatic needs a small incision and chatbot. 3. if the lump seen in the middle of the arm in the muscle area - it could be lipoma - fat containing lesion.4. needs to confirm with ultrasound in both case and a needle sample will be taken if necessary.5. excision is treatment of choice if symptomatic. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, skin color changes, discoloration etc. are due to melanin problems and that is quite normal throughout your body. in your case, you are experiencing the lighter spot for many years and there are no other symptoms. you should worry if the lighter spot itches or burns. please consult a doctor for physical investigation. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Chronic insomnia is a sleep disorder that is defined as difficulty initiating/maintaining sleep or early-morning awakening with inability to return to sleep that occurs at least 3 days a week for at least 3 months.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello rearward welcome to chatbot.come have evaluated your query in depth.* these symptoms do not indicate the lung cancer.* there are assembly of lot many features than this to get suspicious regarding the lung cancer.* advisable to get once doctor check up with x-ray evaluation to find out the root cause and get treated accordingly.* gentle suggestion to stop smoking hookah from this very moment. hope this clears your query. regards.
Please summerize the given abstract to a title,Shared social identity and perceived social support among stroke groups during the COVID‐19 pandemic: Relationship with psychosocial health
Please summerize the given abstract to a title,PATTERN-BASED AUGMENTED REALITY APPLICATION for the DISSEMINATION of CULTURAL HERITAGE
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your triglycerides level is slightly high.  however, your hdl cholesterol level is very low. hdl is a good cholesterol.  it is protective in heart disease. low hdl is an independent risk factor for coronary heart disease. you should take low fat diet with high amount of polyunsaturated fatty acids. repeat your cholesterol level after a month. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there... gum infections occur because of various factors... herpes infection being one amongst them.... people with herpes infection have a decreased immunity.... acyclovir given would further compromise the status... that is when the infections set in... apart from the immunity, local factors also play an important role in the gum hygiene... people with oral sexual behavior (multiple partners) tend to have more of these infections.... you require oral prophylaxis with appropriate antibiotics... please use betadine rinses (5ml) 3-4 times daily to prevent further bacterial growth.... consult you dental surgeon for further clinical evaluation and management...."
Answer this question truthfully,Ceftriaxone is the drug of choice (DOC) for ampicillin-resistant H. influenzae.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Chapter 2 Viral Channel-Forming Proteins
Answer this question truthfully,"Yes, an abdominal X-ray can be used to diagnose intestinal atresia. Intestinal atresia is a congenital condition in which a portion of the intestine is missing or blocked. An abdominal X-ray can show signs of intestinal obstruction, such as the presence of gas and fluid in the intestine, which can suggest the presence of intestinal atresia. However, in some cases, additional imaging studies, such as an ultrasound or CT scan, may be needed to confirm the diagnosis and determine the extent of the obstruction. Additionally, other tests, such as blood tests and stool tests, may be performed to evaluate for signs of infection or inflammation. The specific diagnostic approach will depend on the individual case and the suspected cause of the intestinal obstruction."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i don't really think you even need an organ, if you try a few things at home religiously and experience an improvement. so here's what you can do"
Please answer with one of the option in the bracket,A: Digoxin
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have hematoma formation due to trauma.  you should go for x-ray to rule out minor bone injury.  furthermore, you should take anti-inflammatory plus analgesic chatbot.  choral forte can help you to reduce edema. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as per your query i don't think that multiple surgeries have impact on the memory. since the orthopedic surgery is only skeletal and no side effects on memory except if the person has some euro physiological problems which can be ruled out with clinical tests prior to surgery there will be no impact on memory due to orthopedic surgery, so you can calmly get it done. regards. jay in chatbot."
Please answer with one of the option in the bracket,C: 0.17
Please summerize the given abstract to a title,The influence of immune individuals in disease spread evaluated by cellular automaton and genetic algorithm
Answer this question truthfully,The likely diagnosis for the patient's condition is De Quervain tenosynovitis.
Answer this question truthfully,"The biggest issue is the child's mental health.
The outcome depends on:
Family and social support The child's personality The length of time the child was abused and the type of abuse Therapy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. cough and chest tightness probable causes could be 1)respiratory infection"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read your query. since your daughter had back surgery previously. you should get x-ray of affected area of back in ap and lateral view done, send us report or discuss it with your doctor. only then further management can be advised. - avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - you can take medicine like painkillers + muscle relaxants by discussing it with your doctor. you may need stronger painkillers which are available on prescription only. you can try ibuprofen or naproxen till you see your doctor. - apply hot packs for 30 min in morning and evening. i hope it helps. you are welcome to ask further health related queries. thanks.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, benefit of build"
Answer this question truthfully,"Tetralogy of Fallot is a congenital heart disease that is characterized by several clinical features, including a systolic ejection murmur at the left upper sternal border and a single S2 heart sound. Other common symptoms include cyanosis (a blue tint to the skin), shortness of breath, and poor growth in infants and children. These features are caused by four specific defects in the heart, including pulmonary infundibular stenosis, right ventricular hypertrophy, overriding aorta, and ventricular septal defect (VSD). Treatment for Tetralogy of Fallot typically involves surgery to repair the defects and improve blood flow through the heart."
Answer this question truthfully,Common infectious causes of acute prostatitis in older adults include E. coli and Pseudomonas.
Please summerize the given abstract to a title,"Detection of Novel Coronavirus by RT-PCR in Stool Specimen from Asymptomatic Child, China"
Please summerize the given abstract to a title,Factor Analysis Approach to Classify COVID-19 Datasets in Several Regions
Answer this question truthfully,CT scan and MRI
Please answer with one of the option in the bracket,A: Inpatient nutritional rehabilitation
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. your urinary tract infection is most likely due to existing kidney stones. antibiotics should be started after routine urine examination and culture and sensitivity should be sent and change antibiotic if necessary after culture report. if you wait for culture report to start antibiotics infection and pain will become worse than happened in your case. i also advise in such conditions with urine alkalinizes like sodium citrate or potassium citrate and urinary antispasmodics like favorite. i also recommend them to take barley water or cranberry juice which are also good urine alkalinizes. hope this may help you. let me know if you have any further query.
Please summerize the given abstract to a title,Clinical factors associated with composition of lung microbiota and important taxa predicting clinical prognosis in patients with severe community-acquired pneumonia
Please answer with one of the option in the bracket,D: Respiratory failure
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. thanks for sharing your concern. do you still have infection? any signs like pain, pus etc.? if not then need not worry. you have already taken antibiotic and analgesics. now you can take supplemental multivitamins and good healthy and nutritious diet. this helps in speedy recovery. as far as numbness is concerned it could be due to damage to any of the peripheral nerve endings. it will take around three weeks to recover.therefore, if none other symptoms than numbness persists then you can wait and watch. but if there are other symptoms too, please go back and meet your dentist for clinical evaluation. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned your age as 75, it seems to me more of an aging factor. why don't you try out some exercises which will help you built up some strength. make a note here that the exercise will help to improve the metabolism and the immune system as well. you should even focus on your proper and healthy diet as well.  chatbot.  your problem will be solved for 100% sure. i have dealt with many aged people and all does well with exercise and good diet."
Answer this question truthfully,"The symptoms of magnesium toxicity include somnolence, respiratory depression, and hypo-reflexia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, semen analysis report appears fine except for little high pus cells. kindly get semen culture sensitivity done if not already done. normally these pus cells are due to infection of accessory glands which require prolonged treatment with antibiotics (e.g. 6 weeks or so). if culture is sterile, you can go for culture of prostatic massage fluid. if that also is sterile, you need no antibiotics. kindly continue antioxidant tablets (carnality fort) to counter the bad effects of pus cells. regards."
Please summerize the given abstract to a title,Sleep apnoea is a risk factor for severe COVID-19
Please summerize the given abstract to a title,Genome-wide association study and transcriptome of olecranon-type traits in peach (Prunus persica L.) germplasm
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. this looks to be post-traumatic, meaning after a trauma. dark purple bruise with a lump is suggestive of a hematoma. it is possible that she does not remember how it occurred as it would have been mild because of the typical fat distribution in this area, it was not noticed easily. if this is bruise, the treatment is conservative. anti-inflammatory medicines would help if given in a proper dosages. if it is not painful, if the local temperature is not raised you can have a wait and watch policy. keep it under observation and will settle in one to 3 seeks time. if you are suspicious of an infection, you have to start her on an antibiotic and anti-inflammatory medicines. yes, you should be concerned about this."
what is copd,"COPD, or chronic obstructive pulmonary disease, is a progressive disease that makes it hard to breathe. COPD can cause coughing that produces large amounts of a slimy substance called mucus, wheezing, shortness of breath, chest tightness, and other symptoms. Cigarette smoking is the leading cause of COPD. COPD develops slowly. Symptoms often worsen over time and can limit your ability to do routine activities. Severe COPD may prevent you from doing even basic activities like walking, cooking, or taking care of yourself. Most of the time, COPD is diagnosed in middle-aged or older adults. The disease is not contagious, meaning it cannot be passed from person to person. COPD has no cure yet, and doctors do not know how to reverse the damage to the lungs. However, treatments and lifestyle changes can help you feel better, stay more active, and slow the progress of the disease."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. dopamine depletion is a part if the problem in parkinson's disease. the problem with giving external dopamine is that it does not fully go to the brain, it remains in the blood and goes to other organs as well, leading to various side effects. also, the natural dopamine is available round the clock, which can not be achieved with external dopamine supplements. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","earle understand your concerns went through your details. i suggest you not to worry much. i sincerely opine that these could be signs of anxiety and apprehension. these could arise out of obsession also. you had that disturbing sensation once. you expected it to happen again and tried. then you started experiencing it as you were expecting it. then your body brought the familiar symptom because you are expecting it. then you started worrying that the symptom is coming again and again and expect it. body brings it again as you are expecting it. you become worried and so on. that is obsession in simple terms. ignore it and the problem vanishes. i sincerely think, you need expert medical / psychological advise. please consult a psychologist. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Please summerize the given abstract to a title,Interleukin 17 antagonist netakimab is effective and safe in the new coronavirus infection (COVID-19)
Please summerize the given abstract to a title,Coronavirus: la emergencia geriátrica de 2020. Documento conjunto de la Sección de Cardiología Geriátrica de la Sociedad Española de Cardiología y la Sociedad Española de Geriatría y Gerontología./ [Coronavirus: the geriatric emergency of 2020. Joint document of the Geriatric Cardiology Section of the Spanish Society of Cardiology and the Spanish Society of Geriatrics and Gerontology]
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should definitely consult cardiologist for your chest pain because heart diseases can cause similar kind of symptoms. so consult cardiologist and get done 1. blood pressure monitoring 2. ecg 3. 2d echo 4. coronary angiography (if required). you may need cardiac supportive chatbot.  so don't wait at home. first diagnose yourself and then start appropriate treatment. without treatment, it can be fatal. don't worry, with proper treatment, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Vitamin D deficiency can cause rickets in children and osteomalacia in adults. Rickets is a condition that affects the bone development in children, while osteomalacia is a condition that causes softening of bones in adults. Both of these conditions are caused by a lack of Vitamin D, which is necessary for the proper absorption of calcium and phosphorus in the body. Vitamin D deficiency can also lead to other health problems, such as an increased risk of osteoporosis, autoimmune disorders, certain types of cancer, and cardiovascular disease. It is important for people of all ages to maintain adequate levels of Vitamin D through a combination of sun exposure, dietary sources, and supplementation if necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear parent, i understand your concerns, but the color of blood should give a clue on the site of bleeding.  if bright red blood then the cause is in rectum if dark brown then the cause is in the intestines.  the most common cause is a tiny crack of the anus due to straining and passing hard stools. this is treated by avoiding constipation. another common causes include 1) milk allergy 2) swallowing blood from cracked mothers' nipple 3) lactose intolerance 4) infection"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,D: Hippocampus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello really appreciate your concernlooking at your description this could be suggestive of sti, other infection or an allergic reaction or may be penile cancer (very rare)i would like further information to help you better relevant medical history like diabetes or history of unprotected sex? are you having any kind of dischargesince how long you have this problem in my opinion you should keep it clean and apply antiseptic ointment if it gets worsen or doesn't improve than you should consult your doctor for physical check up and detailed evaluationmaintain good hygiene use condoms during sex until it heals completely hope this answers your question if you have any more doubts please feel free to write back to me, i will be happy to help you best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your mother has peripheral neuropathy responsible for the pain. start taking gabapentin, whicchatdoctores in various brands like zee gap, lyrics for relief of the symptoms.  syn dopa is given for parkinson's disease, so i don't understand why the doctor gave her that medication, but currently she definitely needs these chatbot.  also, some vitamin b12 supplements like erosion injections are advisable. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should definitely consult pulmonologist and rule out lung infection and bronchitis for your symptoms. pleurisy (inflammation of pleura) can complicate in lung infection (pneumonia) and bronchitis (inflammation of airways). both of them can cause cough and breathing difficulty. so get done chest x-ray and pft (pulmonary function test). you may need antibiotic and inhaled bronchodilators (formoterol or albuterol) based on reports.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks and welcome to chatbot.excessive vomiting may cause abrasion of the throat and give rise to blood tinged vomiting. but yellow colored vomiting may be due to obstruction beyond duodenum (bile stained vomiting).hence, it is better to consult pediatric surgeon for confirmation of diagnosis and further treatment. hope this answer serves your purpose. please feel free to ask further queries if any. chatbot. v. subrahmanyam."
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, as your problem came only because of your working nature.santa curved didn't have any product for neck pain in the form of tablet and oil. general ayurvedic preparation- narayana tail am and linda tail am fermentation in neck and surrounding area will give a relief. most of ayurvedic chatbot. whatever oil or oral medication will give you a temporary relief unless you change your mode of working pattern.don't keep your attention towards the system for a prolonged time. have neck movements like (forward bending, backward,neck rotation clock and anti clock wise)frequently every 20 to 30 minutes.for every 40 to 60 minutes have a gentle walk which will relax your spinal bone and muscle. prolonged neck posture in a particular direction will lead to neck muscle pain. this type of exercise will keep you away from neck pain. thank you hope i answered your query."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is a hammertoe. it is the toe middle joint related deformity and morton's neuroma is disease is the thickening of tissue around the nerve of leading to one of toe, both the condition is related with the toe, but they are distinct from each other and not interrelated, likewise the disk disease of cervical spine is also not related with both of them. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the kind of pain and swelling you are describing looks like it is arising from wisdom tooth infection(peritonitis or periodontal abscess leading to cellulitis). consult an oral physician and get yourself examined completely and take a radiograph like opg to rule out the tooth infection or any pathology.meanwhile, you can continue the same course of antibiotics take only 600\u00a0mg in a day means 300\u00a0mg two times daily. do saline gargling. consult the oral physician as soon as possible. i hope my answer will help you, take care."
Answer this question truthfully,"Transthoracic echocardiography Contrast-enhanced transthoracic echocardiography with agitated saline is the most practical method to detect pulmonary vascular dilation.   
The agitated saline is administered in a peripheral vein in the patient’s arm, exceed the normal pulmonary capillary diameter and should be trapped normally. In normal physiologic states, particles greater than 20 microns in diameter, (normal range of pulmonary capillary diameter is less than 8 to 15 microns) are trapped and filtered by the pulmonary capillary bed and do not appear in the left side of the heart and general circulation. However, in the presence of an intrapulmonary or intracardiac right-to-left shunt, those particles may be detected either in the left heart chambers or in the other organs such as brain or kidneys.  Contrast-enhanced transthoracic echocardiography could distinguish between intracardiac and intrapulmonary shunt. The timing of the appearance of the left-sided bubbles after injection can determine the source of the shunt. In intracardiac shunting: three cardiac cycles after the appearance of the bubbles in the right heart chambers. In intrapulmonary shunting: four to six cardiac cycles after the appearance of the bubbles in the right heart chambers.
More sensitive than technetium 99m-labeled macroaggregated albumin test less invasive than pulmonary angiography. and transesophageal echocardiography (TTE)
{{#ev:youtube|mmxFgZMutQg}} {{#ev:youtube|sYM1HYFpyXA}} Transesophageal echocardiography
Findings on transesophageal echocardiography suggestive of hepatopulmonary syndrome include:
Transesophageal echocardiography (TTE) is also helpful in the diagnosis of hepatopulmonary syndrome. TTE can detect intrapulmonary vascular dilations with greater specificity compared to transthoracic echocardiography since the examiner can directly observe microbubbles in the pulmonary veins as they enter the left atrium. Additionally, cardiac function, and pulmonary artery pressures can also be evaluated.
Limitations
More invasive compared to transthoracic echocardiography"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot.come have evaluated your query thoroughly.* this seems in relation with bronchial irritation via bacterial or viral infection giving cough.* stomach issues are due to certain medications of cough, stress.* suggestions for better recovery - chatbot. - gargles with salted lukewarm water added peppermint oil 3 times a day-continue your current medications .- avoid exposure to dust / pollen , if required use, triple layered mask-addition of proton pump inhibitor as omeprazole , decongestant cough syrup with the antibiotic will relieve faster.- no smoking, alcohol if using. hope this will help you for sure. regards."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. lymph nodal enlargement is most commonly seen in that region.2. other possibilities are brachial cleft cyst which is lately noticed.3. lipomas, and bony lesions are other causes.4. to characterize the lesion you need to get an ultrasound scan of the lesion done.5. it will exactly help what content, where it is arising from and how it is involving the adjacent structures.6.don't worry every thing will be good, be happy. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, look all these are symptoms suggesting of infection. he might be having pharyngitis/tonsillitis?  you can do the following things"
Please summerize the given abstract to a title,Sustained seroprevalence of SARS-CoV-2 antibodies 1 year after infection: One of the first COVID-19 cluster cases in Bosnia and Herzegovina
Please summerize the given abstract to a title,Perbandingan harga saham perusahaan farmasi BUMN sebelum dan sesudah pengembangan vaksin virus Corona (COVID-19)
Please summerize the given abstract to a title,"A model to predict COVID-19 epidemics with applications to South Korea, Italy, and Spain"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, when there is some hormonal imbalance then you may have early or delayed periods even if you are on microliter. yes, you can get clinically assessed & examined by a gone. other medical conditions like thyroid issues, pcs, anemia, cervical cyst, fibroid, polyps, etc. can be detected & treated at the earliest. you can change your bc pills if you so desire.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,Suvorexant is contraindicated in patients with narcolepsy.
Answer this question truthfully,"The prognosis for patients with spinocerebellar ataxia type-6 is grim. Symptoms tend to progress over 20-30 years leaving the patient wheelchair bound. In some cases the disease leads directly to death. It should be noted however, that the average age of onset is ~45 years, so many patients die from other causes."
Please summerize the given abstract to a title,Analyzing a community worker’s stress during the COVID-19 pandemic in China
Answer this question truthfully,"Dermatitis herpetiformis is usually extremely itchy. The bumps or blisters usually appear on the elbows, knees, back, and buttocks. In most cases, the rash is the same size and shape on both sides. Symptoms of dermatitis herpetiformis tend to come and go."
"If you are a doctor, please answer the medical questions based on the patient's description.","here it can be related with frozen shoulder or shoulder joint soft tissue damage, as well you also have mention protrusion over the shoulder joint. i want to know this protrusion is recently started or it's there from birth as well is it present even when your hand is down resting and there is no movement in shoulder joint. or it comes only while moving your hand up with shoulder movement. if it is there from birth and even at resting position then its normal but if it comes only while moving hand up along with shoulder then its biomechanics of joint which is affected and so that you are feeling it as shoulder protrusion. here one more symptoms you have given is bone tightness at shoulder. it can be due to less movement also. so the surrounding soft tissues have become tight. i suggest visiting or tho or physio doctor get it examine properly if needed they may ask for mri scan. and based on diagnosis if there is mild to moderate issue that will get over with physio treatment and exercises suggestion. if there is major damage to soft tissue or joint capsule then you may need surgical correction and then again physiotherapy treatment for further healing and rehabilitation. you can also use hot and cold pack over your shoulder painful area for further pain relief. i am sure you will recover soon if you follow all above given steps. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, filial lymphedema is a curable condition and occurs due to parasitic infection. if untreated it can lead to complications in the vascular supply and also lead to easy infection.  since it's curable by the medical treatment you can contact the vascular surgeon for the same. post having a clinical examination he can be treated with medication for the same. using lower limb stocking can help reduce the swelling and keeping it elevated over a pillow.  manage the water intake and output so the swelling doesn't occur much and also avoid the cardiac overload. simple ankle toe movements with straight leg raise will even be helpful to rescue the swelling. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",naturopathy helps as i have treated many patients like this by diet change similar to naturopathy but in scientific way get blood tests ie blood serum for specific antibodies for daily godlike milk wheat egg potato china rice nuts and other common food of daily usage in test one or 3 food products are likely to come and after eliminating them from diet you will also e better in 3 wk completely treated in 3 monthsstart with wi chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot fluid overload can cause symptoms such as swelling in the arms, legs, abdomen. it can also result in the accumulation of fluid in the lungs which would cause shortness of breath. fluid overload would not cause fibromyalgia or contribute to the development of autoimmune diseases such as lupus. blood tests would be able to determine if lupus, ra or any of the other autoimmune diseases is contributing to her symptoms. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","ur baby may be crying due to infantile colic, common cold, earache, but more probably due to infantile colic. are u give burping to your baby after every feed. in bottle-feed baby more chance of aerophobia & more chance of infantile colic. to prevent this keep bottle vertically during feeding & remove bottle whenever slightly milk remain in it & the hole of nipple not much small or not much large. start burping practice after each feed. apply been (assafoitida) paste on abdomen. give chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. the back pain which you are experiencing is mainly due to spasm of the uterine muscles the pain of which is being referred to the back. it is a common phenomenon and some females experience it even in the normal course of the menstrual cycle. ........although the pain is of much lower intensity. treatment
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i understand your concern, and would explain that it seems that your olfactory nerve has been damaged during surgery or the tumor. i don't think that the damage is related to the spray. anyway, there is no chatbot.  i would just recommend you to be patient and wait for a spontaneous regeneration of the nerve. consulting with an ent specialist would help exclude other possible causes of the burning sensation. an antiepileptic"
Answer this question truthfully,Patients with COPD have an increased work of breathing due to a flattened diaphragm.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. since you had breast cancer and pneumonia, following are the possible causes for your symptoms. 1. post infectious bronchitis 2. pulmonary metastases. so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. ct thorax 3. put (pulmonary function test). ct thorax is needed to rule out lung metastasis. pft is needed to rule out bronchitis. so better to first diagnose yourself and then start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. the causes of the bloating and pain in abdomen with all the other problems you have told can be due to
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"In order to check for changes associated with hypertensive heart disease, it is recommended that all newly diagnosed hypertensive patients undergo an electrocardiogram (ECG) test. An ECG is a non-invasive test that measures the electrical activity of the heart and can detect any abnormalities or changes that may be indicative of hypertensive heart disease. This test is important because hypertensive heart disease can lead to serious complications such as heart failure, stroke, and heart attack, so early detection and treatment is crucial for managing the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for writing in. first thing to do is check if her thyroid problem is under control. thyroid disorders sometimes present with depression. once the thyroid disorder is treated, the depression might get cured. another thing you can do is tell her to do regular exercise 5 days a week, as exercise releases endorphins in the body which might make her feel good. also tell her to sign up for yoga or relaxation classes which will help her to relax, and might relieve her from depression. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, usually it is not harmful. falafel contains l-methylfolate, methylcobalamin and pyridoxine phosphate which are water-soluble vitamins commonly prescribed to treat their deficiency states causing anemia including during pregnancy. since these are water-soluble vitamins so even if they are taken in larger doses they are eliminated from the body without causing any harmful effects. it will not affect your pregnancy. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","it would have helped to know the initial stage of your cancer and the time that has elapsed since you finished treatment. that would have helped me assess the risk of recurrence of your cancer. that is my only concern at the moment. your weight loss is the concerning feature for recurrence. what recurrence doesn't explain is your raised heart beat. as an oncologist i would have ordered a pet scan rather than a ct scan as that would have scanned your entire body. anyway, now that you have gotten a ct scan done it is prudent to wait for the results. normally, the results take a day to a week depending upon the center."
Answer this question truthfully,"The majority of patients with symptomatic, first-episode genital HSV-2 infection subsequently experience recurrent episodes of genital lesions.  All patients who develop recurrent genital herpes require antimicrobial therapy using either suppressive therapy (less frequency of recurrence) or episodic therapy (less duration of lesions). Treatment aims to manage present lesions but not cure the disease or prevent future occurrences.  Patients with severe disease often require IV antmicrobial therapy.
The advantage of suppressive therapy is the reduction of frequency of recurrences.  Suppressive therapy reduces the risk of recurrence by approximately 70% to 80%. The duration of therapy is prolonged. The optimal duration of therapy is not well-established:
Suppressive therapy using acyclovir has been studied for up to 6 years Suppressive therapy using either valacyclovir or famciclovir has been studied for up to 1 year
1. Recurrent genital herpes therapy 
1.1 Suppressive therapy Preferred regimen: Acyclovir 400 mg PO bid OR Famciclovir 250 mg PO bid OR Valacyclovir 1000 mg PO qd for 7–10 days Alternative regimen: Valacyclovir 500 mg PO qd for 7–10 days Note (1): Famciclovir is equally effective for episodic treatment of genital herpes but is less effective for suppression of viral shedding Note (2): Valacyclovir 500 mg regimen (alternative regimen) may be less effective among patients with ≥ 10 episodes per year
1. Recurrent genital herpes therapy 
1.2 Episodic therapy Preferred regimen: Acyclovir 400 mg PO tid for 5 days OR Acyclovir 800 mg PO bid a day for 5 days OR Acyclovir 800 mg PO tid for 2 days OR Famciclovir 125 mg PO bid for 5 days OR Famciclovir 1000 mg PO bid for 1 day OR Famciclovir 500 mg PO once, followed by 250 mg PO bid for 2 days OR Valacyclovir 1000 mg PO qd for 5 days Alternative regimen: Valacyclovir 500 mg PO bid for 3 days Note: Valacyclovir 500 mg regimen (alternative regimen) may be less effective among patients with ≥ 10 episodes per year"
Please summerize the given abstract to a title,Understanding the Spread of COVID-19 Epidemic: A Spatio-Temporal Point Process View
Please summerize the given abstract to a title,Analysis of whole exome sequencing in severe mental illness hints at selection of brain development and immune related genes
Answer this question truthfully,Cervical cancers Uterine sarcomas
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are already having blood pressure and other cardiac problems along with high cholesterol. having pain in left arm is not a symptom that you should ignore. pain in heart is sometimes referred to left arm and even on the left side of jaw. you should see a cardiologist and go for ecg as soon as possible. the disappearance of pain while you rest and increase when you are active are all typical symptoms of angina pain. the doctor might need to change the doses of some medicines or add/change some after ecg. i hope this information helps you. thank you for choosing chatbot. take care. best,"
Please summerize the given abstract to a title,Association between telomere length in human umbilical cord tissues and polychlorinated biphenyls in maternal and cord serum
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. sudden onset chest discomfort at midnight should always be evaluated for heart diseases. so first get done ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes pulled muscle during sleeping because of awkward position of sleep can also cause similar kind of pain which continue in morning also. so avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. apply warm water pad on affected areas. take simple painkiller like paracetamol or ibuprofen.don't worry, you will be alright but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Severe Aplastic Anemia After Receiving SARS-CoV-2 Moderna mRNA Vaccination
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"A partial hydatidiform mole is a rare type of gestational trophoblastic disease that occurs during pregnancy when the fertilized egg develops into an abnormal mass of cells instead of a normal embryo. The most common genetic composition of a partial hydatidiform mole is 2 sperm with 1 egg, which results in an abnormal number of chromosomes in the developing placenta. This can lead to a variety of complications during pregnancy, including vaginal bleeding, excessive nausea and vomiting, and the development of a molar pregnancy. Treatment for a partial hydatidiform mole typically involves surgical removal of the abnormal tissue and close monitoring for any signs of persistent disease or recurrence."
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. heart racing, palpitations, headache, dizziness all are can be due to anxiety. but need to control blood pressure is must. elevated blood pressure can also lead to all these symptoms. so go for regular check up and take medicines for blood pressure. for anxiety mild dose of mizoram or lorazepam will beneficial. do physically fit, exercise, meditations etc. take proper food and sleep. thank you. take care."
Please summerize the given abstract to a title,Home epinephrine-treated reactions in food allergy oral immunotherapy: Lessons from the coronavirus disease 2019 lockdown
Please summerize the given abstract to a title,COVID-19 Pandemic and Role of Human Saliva as a Testing Biofluid in Point-of-Care Technology
Please answer with one of the option in the bracket,A: Reduced ergosterol content in cell membrane
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Home working and cyber security – an outbreak of unpreparedness?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely consult your doctor. pneumonia spread by coughing. so you might have bought infection from your boyfriend s grandmother. you are also a diabetic, so lung infections are very easy to affect you. so better to consult your doctor and get done clinical examination of respiratory system and chest x-ray. if chest x-ray is normal then no need to worry about pneumonia, take simple painkiller like paracetamol for your chest pain. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as a rule, the sweet foods are to be avoided .and no sweet food should be eaten in large quantity and not shared with any another sweet food as far as fruits are concerned eating whole fruit is much better than taking juice. if you google for foods which are safe and which are bad for diabetics, you will get complete info on google, take foods with low glycemic index. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Central Diabetes Insipidus in the Setting of Anoxic Brain Injury
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, given the history of lupus, your knee pain can be attributed to damage done by lupus to your knee joint. kindly do hot pack twice a day and do low level impact exercises for your knees. quadriceps isometrics exercises and heel slides, rotation of ankle. pulling and pushing of ankles will strengthen the muscles of leg and will help you out in decreasing pain, you can also contact physiotherapy clinic where machines like (tens, it) can receive you of your pain. stretching exercises of qua chatbot.  go swimming, cycling and steam bath twice a week will surely help. hope you find the answer useful. let me know if i can assist you further."
Answer this question truthfully,The spinothalamic tract is a neural pathway that carries information about pain and temperature sensation from the body to the brain. Lesions in the brain stem that affect the spinothalamic tract can cause contra-lateral alterations in pain and temperature sensation in the arm and leg.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases, it doesn't require any specific treatment.  if this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required. also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. you need to check your viral markers and do a liver biopsy if necessary. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Doświadczając hojności. Autoetnograficzny szkic z procesu koordynacji badań życia teatralnego w pandemii
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make following suggestions for you
I have no help its about 4 years now I have ingrown toenail i have a problem of ingrown toenail its about 4 years now I have this problem i need help,You might have surgery that removes part or all of your toenail to relieve pain and discomfort due to an ingrown toenail.
Please summerize the given abstract to a title,Sodium‐glucose‐co‐transporter‐2 inhibitors and susceptibility to COVID‐19: a population‐based retrospective cohort study
Answer this question truthfully,"While diffuse large B-cell lymphoma is usually seen in older adults, 20% of cases occur in children."
"If you are a doctor, please answer the medical questions based on the patient's description.","recent increase in the size of the spot on the scalp which you mentioned is something to be worried about. is the any pain, itching or redness over the spot, and how are the borders of the spot is it - regular and well-defined or irregular and ill defined? how was it progressing - gradual or sudden? sometimes a spot like melanotic spot may have serious consequences and your suffering from chronic migrant that is dull aching pain. so it is always advisable to consult a neurologist and a dermatologist for physical examination. you may require a ct scan brain and a skin biopsy from that spot over the scalp."
Answer this question truthfully,"A masticator space mass that is a cavernous hemangioma may exhibit certain characteristics such as being a vascular mass and containing phleboliths (calcified thrombi). Cavernous hemangiomas are benign tumors that develop from blood vessels and can occur in various parts of the body, including the masticator space. When a cavernous hemangioma is present in the masticator space, it can cause symptoms such as pain, swelling, and difficulty chewing. Imaging studies such as CT (computed tomography) or MRI (magnetic resonance imaging) can be used to confirm the diagnosis of a cavernous hemangioma and to evaluate the extent of the mass. Treatment for a masticator space mass that is a cavernous hemangioma may involve surgical removal or embolization to block blood flow to the tumor."
Answer this question truthfully,"Yes, patients with preferred provider organization (PPO) insurance plans can see medical providers outside of their network. PPO plans typically offer more flexibility than health maintenance organization (HMO) plans, which require patients to see providers within their network. However, patients who choose to see providers outside of their PPO network may have to pay higher out-of-pocket costs, such as higher deductibles, copayments, or coinsurance. Additionally, some services may not be covered at all if they are received from out-of-network providers. Therefore, it is important for patients with PPO plans to check with their insurance company to determine the costs and coverage associated with receiving medical care from providers outside of their network."
Answer this question truthfully,"Sickle cell disease can lead to a variety of medical complications, including priapism (a prolonged, painful erection), acute chest syndrome (a condition similar to pneumonia), and stroke. In some cases, these complications may require exchange transfusion, a medical procedure in which a person's blood is partially or completely replaced with donor blood or blood products. Exchange transfusion can help to reduce the number of sickle-shaped red blood cells in a person's circulation, which can help to alleviate symptoms and prevent further complications. However, exchange transfusion is a complex and potentially risky procedure, and is generally only used in cases where other treatments have been ineffective."
Please summerize the given abstract to a title,Estimation of Tipping Points for Critical and Transitional Regimes in the Evolution of Complex Interbank Network
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. there is possibility of elbow synovitis. till time, you can do physiotherapy. if you can send your x-ray and clinical photograph i can help you better for management. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"abetalipoproteimemia hi, I would like to know if there is any support for those suffering with abetalipoproteinemia? I am not diagnosed but have had many test that indicate I am suffering with this, keen to learn how to get it diagnosed and how to manage, many thanks","Abetalipoproteimemia, also known as Bassen-Kornzweig syndrome, is diagnosed using blood tests for Apolipoprotein B, vitamin deficiencies, malformation of red blood cels, complete blood count and cholesterol. Other tests include  electromyography, eye exams, nerve conduction velocity, stool sample analysis, and  genetic testing  for mutations in the MTP gene."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). i would like to advise
Answer this question truthfully,"The immunodeficiency that may be diagnosed with the nitroblue tetrazolium (NBT) test is chronic granulomatous disease (CGD). CGD is a rare genetic disorder that affects the immune system and makes individuals more susceptible to infections caused by certain types of bacteria and fungi. The NBT test is a diagnostic test that measures the ability of white blood cells to produce a chemical called superoxide, which is important for killing bacteria and fungi. Individuals with CGD have a defect in the production of superoxide, which can be detected by the NBT test. CGD is caused by mutations in genes that provide instructions for making proteins involved in the immune system's response to infections. Treatment options for CGD include antibiotics to treat infections, as well as medications to boost the immune system and bone marrow transplantation in severe cases."
Answer this question truthfully,"The condition that a young boy may have if he presents with intellectual disabilities, dystonia, gout, and self-mutilating behavior is called Lesch-Nyhan syndrome. This is a rare genetic disorder that affects the metabolism of purines, leading to the accumulation of uric acid in the body and causing gout. It also affects the nervous system, leading to intellectual disability and dystonia, a movement disorder characterized by involuntary muscle contractions. The self-mutilating behavior is a hallmark of the disorder and is thought to be related to a dysfunction in the brain's reward system. Lesch-Nyhan syndrome is a lifelong condition that requires ongoing management and support."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear,1. you had fingered her vagina. fingers never ejaculate semen. so there is no possibility of pregnancy due to fingering. 2. she had handled your penis which had some pre-cum on it. however, she had washed her hands after that. so there is no possibility of pregnancy due to that also. 3. you had wiped off your fingers which had some amount of pre-cum on it. then after about half an hour you fingered her. again, there is no possibility of pregnancy due to this act. so rest assured. she will not be pregnant due to any of these acts. i hope this gives you peace of mind."
"If you are a doctor, please answer the medical questions based on the patient's description.","leveling helps to relieve the bronchospasm and shortness of breath. it can be given whenever the child has breathing difficulty (bronchospasm), generally for not longer than 2 weeks ata stretch. no it does not relieve run or blocked nose. these problems generally improve as the child grows older, but no definite age can be predicted. this is treatable condition and with proper treatment the problem can be well controlled."
Please summerize the given abstract to a title,Update on viral community-acquired pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i do not think these are the symptoms. there should be more to it. the bizarre behavior pattern is associated with hebephrenia. a category of schizophrenia. a mental disorder which needs immediate psychiatric treatment. please consult a psychiatrist immediately for proper diagnosis and treatment. in case if you need more explanation in this regard, please post a direct query to me in this website. i am happy to explain. hope this answers your concerns. good luck."
Please answer with one of the option in the bracket,E: Reassure the mother
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query.  it seems like there may be some problem in clotting of blood. i advise you to get these tests and revert to me. serum pt.apt.inr and ultrasound abdomen pelvis.  the pain abdomen may be related to clotting problem that might have lead to bleeding inside abdomen, or it might be unrelated.  kindly get the test done and revert. also upload the test reports that have been done now."
"If you are a doctor, please answer the medical questions based on the patient's description.","more often than not, your scar will be a result of poor muscle approximation in the lip. this leads to a puckered scar or a wide scar. this will most probably need a scar revision, muscle reapproximation and very good post op care for a period of not less than 6 months. i would advise scar massage, which is the most neglected part of scar care. it is very difficult to imagine what you speak of. a photograph would help. regarding costs, depends on where you are located. should be a straightforward, day care procedure with fairly decent results."
Please summerize the given abstract to a title,A Message from the Human Placenta: Structural and Immunomodulatory Defense against SARS-CoV-2
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there would be many causes for shoulder blade pain, but if it occurs specifically after eating it indicates more towards radiating pain rather than musculoskeletal pain. radiating pain may emanates from visceral organs' pathology like lung pathology including pleuritic, heart pathology like infarction or myocarditispancreatitis, pancreatic duct lithuania, herd or involvement of diaphragm or spleen. but since it occurs specifically after eating diagnosis goes more in favor of stomach or pancreatic pathology. you need to have an ultrasonography whole abdomen done along with a chest x-ray pa view. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, horsefly bites are nasty and the local swelling and redness you are experiencing is quite normal. the venom between horsefly, bees and wasps do differ and therefore not everyone gets anaphylaxis to horsefly stings even if they are allergic to bees and wasps. antihistamines (cetirizine 10\u00a0mg twice daily) for a week and local application of a mild steroid cream will help. if the area is infected, you will need a course of antibiotics something like flucloxacillin. thanks."
Please summerize the given abstract to a title,HYPON: Embedding biomedical ontology with entity sets
"If you are a doctor, please answer the medical questions based on the patient's description.","hi . thanks for choosing us for your health query. your father recovering from minor stroke. but if you had mentioned the co morbid conditions it should have helped us to guide you more accurately. any way with an assumption that he has diabetes, hypertension and stroke i will guide for a healthy diet and lifestyle. you need to calculate the calories in your father food limit his calorie intake to 1800 because is a sedentary male. of the calories you need to give 800 calories in morning and 500 for noon and night. if his kidneys are fine we need not restrict on the protein give 1gm/ kg body weight. control his oil intake to 4 teaspoons per day because he had stroke high lipids are basic cause. take care of hidden fat also that present in groundnut, coconut etc. if kidneys are fine we do not need to cut his veggie intake. if he is a diabetic and is under control you can give two portions of cut fruits 100gm each. hope our suggestion helps. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanx for the query. in your question you have mentioned that your baby earlier used to be potty-trained, but now she is having accidents. you have not mentioned her urinary habits. aslo i want to know apart from you who all are involved in taking care of your baby. do you also leave you baby with other people? i would suggest you to get a urine test done for your baby and also i would like to tell you about a sensitive issue of child abuse which you should keep in your mind. i hope this is helpful."
Answer this question truthfully,"Atherosclerotic emboli are a type of blood clot that can form when a plaque ruptures in the arteries due to atherosclerosis. These emboli are made up of cholesterol and other fatty substances that can break off from the plaque and travel through the bloodstream to other parts of the body. Atherosclerotic emboli are characterized by the presence of cholesterol clefts, which are small, needle-like crystals that form when cholesterol is released from the embolus. These crystals can cause damage to the blood vessels and tissues they come into contact with, leading to a variety of health problems depending on where the embolus travels."
Answer this question truthfully,"Myotonic dystrophy is inherited in an autosomal dominant pattern, which means that a person needs to inherit only one copy of the mutated gene from one parent to develop the disorder. If a parent has the mutated gene, there is a 50% chance that their offspring will inherit the disorder. The disease affects the muscles and can cause muscle weakness, myotonia (prolonged muscle contractions), and other symptoms."
Please summerize the given abstract to a title,Human Factors: the Pharmaceutical Supply Chain as a Complex Sociotechnical System
Please summerize the given abstract to a title,The aftermath of SARS-CoV-2 in NICU: saving or checking accounts? Projected cost-effectiveness analysis
Answer this question truthfully,"Your doctor may tell you to eat more foods containing vitamin B6, especially whole-grain cereals, fish, vegetables, beans, and liver and other organ meat."
Answer this question truthfully,The J point on ECG is the junction between the end of QRS complex and start of ST segment.
Answer this question truthfully,"As per the information provided, atrial flutter is most commonly caused by a re-entrant circuit around the tricuspid annulus."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for quarry, yeah one reading too high indicate hypertension you must check you blood pressure and it's still on higher side for at least 3 occasions than you should start medication. some patient have high blood pressure in hospital setting so ambulatory blood pressure monitoring is best to diagnose it mean when you are at home and relax. in younger age group ace like enalapril or april is a chatbot. calcium channel blocker is a second choice like amlodipine.lifestyle modification also help like exercise, diet,reduce salt and fat, reduce smoking alcohol and anxiety and stress. hope the answer will help you. wish you a good health."
Please summerize the given abstract to a title,The hyperlipidaemic drug fenofibrate significantly reduces infection by SARS-CoV-2 in cell culture models
Answer this question truthfully,The likely diagnosis for the patient's condition is granulosa cell tumor.
Please summerize the given abstract to a title,Molecular cloning of complementary DNA from a pneumopathic strain of bovine viral diarrhea virus and its diagnostic application.
Answer this question truthfully,"Pericardial effusion occurs commonly in fourth or fifth decade of life. However, it can occur in all age groups. Patients with AIDS are at higher risk of developing effusion earlier when compared to general population. 
There is no sexual predilection observed in occurrence of pericardial effusion.
Malignant pericardial effusion is seen in approximately 50-60% of patients presenting with pericardial effusion who have history of malignancy.   Among patients presenting with pericarditis or pericardial effusion with no history of malignancy, undiagnosed underlying malignancy was detected in 4-7%.    Viral infection of the pericardium is another leading cause of pericardial effusion.    Pericarditis most often affects men aged 20 - 50. It usually follows respiratory infections, most commonly echovirus or coxsackie virus. In children, it is most commonly caused by adenovirus or coxsackie virus. The incidence and prevalence of viral pericardial effusion varies with season and region.
Pericardial effusion secondary to HIV and tuberculosis is one of the major cause of acute pericarditis in developing countries.  Tuberculous pericarditis, caused by mycobacterium tuberculosis, is found in approximately 1% of all autopsied cases of TB and in 1% to 2% of instances of pulmonary TB.  It accounted for 69.5% (162 of 233) of cases referred for diagnostic pericardiocentesis in a study in Western Cape Province of South Africa  while the same accounts for 4% of cases in developed countries.  The incidence of pericardial effusion in patients with asymptomatic AIDS was 11% per year before the introduction of effective highly active antiretroviral therapy (HAART). The 6 month survival rate of AIDS patients with effusion was significantly shorter (36%) than the survival rate without effusions (93%). This shortened survival rate remained statistically significant after adjustment for lead-time bias and was independent of CD4 count and albumin level."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  your husband may have gynecomastia. he should go for biopsy or fine needle aspiration cytology of that lump. it will give you exact diagnosis. then he should take treatment accordingly. mental upset is mostly not related to lump.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","ayurveda management for lupus is quite effective at my clinic in jamnagar i am getting the good number of lupus cases she, lupus bronchitis, lupus nephritis, thyroiditis, scleroderma patient are getting good relief. as the condition is autoimmune ones psychological conditioning diet habits also have the effect. good compensation can be given to patient more than 60% of patient gets promising relief with ayurvedic treatment. regular medication for at least 2 years are necessary for better results followed by proper care"
Answer this question truthfully,"Routine laboratory testing includes traditional chemistry, hematology, and other laboratory testing used to support and treat patients. Recommendations to offer appropriate protection for healthcare personnel performing laboratory testing on specimens from patients with suspected infection with Ebola virus are:
Recommendations for risk assessment to staff: Risk assessments should be conducted by each laboratory director, biosafety officer, or other responsible personnel to determine the potential for sprays, splashes, or aerosols generated from laboratory procedures. They should adjust, as needed, PPE requirements, practices, and safety equipment controls to protect the laboratorian’s skin, eyes, and mucous membranes.
Recommendations for specimen collection by staff: Any person collecting specimens from a patient with a case of suspected Ebola virus disease should wear gloves, water-resistant gowns, full face shield or goggles, and masks to cover all of nose and mouth Additional PPE may be required in certain situations.
Recommendations for laboratory testing by staff: Any person testing specimens from a patient with a suspected case of Ebola virus disease should wear gloves, water-resistant gowns, full face shield or goggles, and masks to cover all of nose and mouth, and as an added precaution use a certified class II Biosafety cabinet or Plexiglass splash guard with PPE to protect skin and mucous membranes. All manufacturer-installed safety features for laboratory instruments should be used.
Waste generated during laboratory testing should be placed in leak-proof containment and discarded as regulated medical waste. To minimize contamination of the exterior of the waste bag, place this bag in a rigid waste container designed for this use. If available, steam sterilization (autoclave) or incineration as a waste treatment process can inactivate the virus and reduces waste volume. For equipment that drains directly into the sewer system, the United States sanitary sewer system handling processes (e.g., anaerobic digestion, composting, disinfection) are designed to safely inactivate infectious agents. However, check with your state's regulated medical waste program for more guidance and coordinate your waste management activities for the laboratory area with your medical waste contractor.
Specimens should be placed in a durable, leak-proof secondary container for transport within a facility. To reduce the risk of breakage or leaks, do not use any pneumatic tube system for transporting suspected EVD specimens.
Ebola virus is detected in blood only after the onset of symptoms, usually fever. It may take up to 3 days after symptoms appear for the virus to reach detectable levels. Virus is generally detectable by real-time RT-PCR from 3-10 days after symptoms appear.
Specimens ideally should be taken when a symptomatic patient reports to a healthcare facility and is suspected of having an Ebola exposure. However, if the onset of symptoms is <3 days, a later specimen may be needed to completely rule-out Ebola virus, if the first specimen tests negative.
A minimum volume of 4mL whole blood in plastic collection tubes can be used to submit specimens for testing for Ebola virus. Do not submit specimens to CDC in glass containers or in heparinized tubes. Whole blood preserved with EDTA is preferred but whole blood preserved with; sodium polyanethol sulfonate (SPS), citrate, or with clot activator is acceptable. It is not necessary to separate and remove serum or plasma from the primary collection container. Specimens should be immediately stored or transported at 2-8°C or frozen on cold-packs to the CDC. Specimens other than blood may be submitted upon consult with the CDC by calling the Emergency Operations Center at 770-488-7100.
Standard labeling should be applied for each specimen. The requested test only needs to be identified on the requisition and CDC specimen submission forms.
Short-term storage of specimens prior to shipping to CDC should be at 4°C or frozen.
Several diagnostic tests are available for detection of EVD. Acute infections will be confirmed using a real-time RT- PCR assay (CDC test directory code CDC -10309 Ebola Identification) in a CLIA-certified laboratory. Virus isolation may also be attempted. Serologic testing for IgM and IgG antibodies will be completed for certain specimens and to monitor the immune response in confirmed EVD patients.
Lassa fever is also endemic in certain areas of West Africa and may show symptoms similar to early EVD. Diagnostic tests available at CDC include but are not limited to RT-PCR, antigen detection, and IgM serology all of which may be utilized to rule out Lassa fever in EVD-negative patients.
Specimens collected for EVD testing should be packaged and shipped without attempting to open collection tubes or aliquot specimens.
Shown below is an image depicting a diagram on packaging and shipping clinical specimens of patients suspected to have EVD."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,LoVE in a time of CoVID: Clinician and patient experience using telemedicine for chronic epilepsy management.
Please summerize the given abstract to a title,The Potential Role of Cytokine Storm Pathway in the Clinical Course of Viral Respiratory Pandemic
Please summerize the given abstract to a title,Symptom Analysis Using Fuzzy Logic for Detection and Monitoring of COVID-19 Patients
Please summerize the given abstract to a title,Assessing Psychological Impact of COVID-19 among Parents of Children Returning to K-12 Schools: A U.S. Based Cross-Sectional Survey
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ziggy, thanks for writing in.  acne is caused by hormonal imbalance. blockage of sebaceous glands causes pa pules and pustule and cystic acne. hormonal work up is essential for proper treatment.  acne is treatable now. with correct treatment all your pimples, scars and dark spots can be treated.  to start with you have to apply brevity cream twice daily. also, you can use anti acne face wash like brevity face wash.  cryotherapy and chemical peeling can give you fast and long-lasting results. they are available at dermatology clinics.  discuss the option of isotretinoin with your dermatologist. it will have rapid effect.  hope this helps.  regards.  chatbot.  md dermatology."
Please summerize the given abstract to a title,"Angiotensin converting enzyme 2 (ACE2) and COVID-19: using antihypertensive medications, pharmacogenetic considerations"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is the site where a small boil or a sebaceous is a common occurrence. hidden area, very difficult to see what it is for the patient.i'd here are no symptoms of pain, redness you can wait and watch-may resolve on its own in time to come. keep the area clean and chatbot.  you can use soap and water. apply liquid provide iodine to avoid secondary infection. try avoiding scratching as it may lead to an infection by virtue of small injuries associated with scratching"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have enlarged inguinal lymph node. it can be due to reactive hyperplasia, tuberculosis or lymphoma.  your masturbation has no relation with it.  but any kind of infection can cause reactive hyperplasia.  you should go for examination.  if needed go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...fever with burning sensation could be a symptom of viral illness. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. but if there is any rash or redness over the area of burning which you are quoting - i suggest you get him checked by a doctor. regards -"
Answer this question truthfully,"The FLAIR (Fluid-Attenuated Inversion Recovery) imaging sequence is considered the most sensitive for detecting subarachnoid hemorrhage. Subarachnoid hemorrhage is a type of bleeding that occurs in the space between the brain and the tissues that cover it. It is most commonly caused by trauma, such as a head injury, but can also be caused by other factors such as an aneurysm or arteriovenous malformation. FLAIR imaging is a specialized MRI sequence that is used to suppress the signal from fluids in the body, allowing for better visualization of the brain tissue. This can help detect even small amounts of blood in the subarachnoid space, which may not be visible on other imaging sequences. If you are experiencing symptoms of subarachnoid hemorrhage, such as a sudden severe headache, nausea, vomiting, or loss of consciousness, it is important to seek immediate medical attention."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcomei am have read your concern carefully. the history you have presented me with is not sufficient for me to understand what exactly happened and when it happens. red dots as history is inconclusive of any condition. skin peeling is a natural phenomenon, however in some cases is very significant. for pain, you can give him diclofenac sodium once daily till the pain persists and then stop its intake and apply voting spray whenever it hurts. and i kindly request you to please post another query with more specific details. we are always here for your help. take care"
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your daughters symptoms. at present, her main symptoms seem to be behavioral changes and aggression. seizures seem to be under good control. since she seems to be having side effects from emilia (sodium valproate), we can stop it altogether. tremors are also side effects of emilia. she can be started on oxcarbazepine instead of emilia. this would take care of seizures as well as mood disorder. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the itchiness and bumps near the corner of the mouth is because of the herpetic virus infection. consult an oral physician and get it ruled out. meanwhile, you can take topical antiviral chatbot.  for the pain you can apply topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for your query. the reacted 5000 is chatbot which is generally given around ovulation to trigger ovulation second shot might be required if the follicle did not rupture with the first one, and more dose is needed. it is also given in the luteal phase (after ovulation) to provide support to the growing embryo in case conception does occurutrogest is progesterone which is also given as luteal phase support for the embryo. so, please follow the instructions of your infertility specialist all the best for your cycle"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for posting your question in chatdoctorgoing through your query it appears that you were due to have your periods by end of february. assuming you had a normal period in january it is not unusual to have some spotting and a bit of imbalance in your periods after taking morning after pill. but having said that it is better to have it checked by your gynecologist to rule out miscarriage. hope this helps. would be happy to clarify any further doubts. thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern for the itchy rash on back of neck and fingers. i can make a possibility of allergic dermatitis. in allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days. the only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. you can apply medium potency steroid cream application of fluticasone cream. you can additionally take antihistamine ben chatbot.  go for your routine blood test and check for any abnormality in hemoglobin level and thyroid statuscake care."
Please summerize the given abstract to a title,Family Relations and Socio-Ecological Resilience within Locally-Based Tourism: The Case of El Castillo (Nicaragua)
Answer this question truthfully,"Uveitis is associated with HLA B27 disorders. HLA stands for human leukocyte antigen, which is a protein that helps the immune system distinguish between self and non-self cells. HLA B27 is a specific subtype of HLA that is associated with an increased risk of developing certain inflammatory conditions, including uveitis. People who have HLA B27 are more likely to develop uveitis than those who do not have this subtype of HLA. However, not everyone who has HLA B27 will develop uveitis, and the exact mechanisms by which this protein contributes to the development of uveitis are not fully understood. If you have HLA B27 and are experiencing symptoms of uveitis, it is important to see an eye doctor or other healthcare provider for evaluation and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi abu! want to ask this pimple are dark when you itch they leak with fluid, and then they burn like hell. if yes ! that is fungal infection. in some case of fungal infection there are white hair like structure are coming out.  any way ! we come to you. take antifungal fluconazole tab, apply antifungal cream, don't rub. then anti allergy cetirizine tab. and in a week infection gone.  do wear fresh underwear and wash old in hot water. take care. bye."
Answer this question truthfully,"A pannus is inflamed granulation tissue inside the joint capsule, and it may be present in cases of osteoarthritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. you can clearly interpret your problem and take treatment accordingly. from the given symptoms you have schizophrenia. hearing voices inside the brain or head is clearly an indication of this. only psychiatric treatment can be of help to you in managing the mental illness. please consult your psychiatrist and trust him fully and work with him. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,Shown below is an algorithm summarizing the treatment of thyroid dysfunctions during pregnancy according the 2017 Guidelines of the American Thyroid Association.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Teacher Competences for Active Learning in Engineering Education
"If you are a doctor, please answer the medical questions based on the patient's description.",hello . thanks for your query to chatbot ... i read your query and i would suggest her to get treatment for another 2 days and could get discharged if platelet count shows improvement. the main treatment of dengue is by intravenous fluids and antibiotics and medications to reduce symptomatic fever. do not try to scratch the areas of itching as bleeding is complication in dengue. doctors will provide you antiallergic medications to reduce itching. i would recommend staying for another two days and get checked for platelet count if it decreases without improvement then more care and attention has to be provided to prevent further worsening of dengue. hope this information is useful. thanks & take care.
Answer this question truthfully,How are exudative pleural effusions characterized? Exudative pleural effusions are characterized by a high pleural/serum LDH ratio (> 0.6).
Answer this question truthfully,"Patients with type IV familial dyslipidemia often have triglyceride levels around 200 to 500 mg/dL, which typically is not enough to cause pancreatitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has some soft tissue tumor like lipoma or neurofibroma.  he should go for fine needle aspiration cytology. it will give perfect idea about cause then he should take treatment accordingly. most of the soft tissue tumor require excision. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have been prescribed clopidogrel which is an antiplatelet medication to reduce the risk of heart attack and stroke. since you are having repetition of angina like chest pains, you are suggested to visit er and get all lft (lipid function tests), cbc, ecg, echocardiography, stress test and other investigations done to rule out any developing coronary artery disease. get treated. in the meantime avoid alcohol and addictions, avoid stress/strain or any anxiety. take homemade food cooked in minimum oil. lead a healthy lifestyle. take care. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... i sympathize with the kid and understand your concern.  the trick of the management is keeping the skin moist and never allowing it to be chatbot.  for this oil massage and lotions like hiatus will help. regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. but usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. oral anti-allergic medications are shown to be very effective in this. the swollen lymph nodes could be due to eczema and scratching. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, breathing difficulty since childhood should be evaluated for asthma. so better to consult a pulmonologist, and get done a clinical examination of the respiratory system and pulmonary function test (pft). pft will not only diagnose asthma, but it will also tell you about the severity of the disease, and treatment is based on severity only. you may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). don't worry, you will be alright with all these. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first dust allergy is very common among people, almost 1 out of 2 people would have same problem like u bcu of dust. so only treatment is symptomatic and try to avoid allergen as far as possible. second your giddiness since 1 year needs to be diagnosed by physician, but it has no relation with dust allergy. take giddiness seriously and consult doctor although in 90% cases cause remains unknown."
Please summerize the given abstract to a title,Successful Anesthesia Management in a Patient With Type A Aortic Dissection Complicated by Renal Failure and Suspected Coronavirus Disease
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you user for your query. well so far as your lbbb is concerned you need to see a cardiologist as he has to rule out the causes of left bundle branch. the cause can be aortic stenosis, dilated cardiomyopathy, acute myocardial infarction, any coronary heart disease etc. as far as your diabetes is concerned well it's not clear that blood sugar is fasting or random. kindly mention this clearly. as a matter of fact blood sugar is highly raised. she should immediately start insulin homolog 10 units before breakfast along with 1000\u00a0mg metformin. if you don't want to start insulin then you can start linagleptin 5 mg once a day and 1000\u00a0mg metformin at dinner. kindly take due precautions on diet. low carboy chatbot. for more query you can contact me anytime. god bless"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Naringenin Nano-Delivery Systems and Their Therapeutic Applications
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, particular bone forms important joint in middle of foot and play a very vital role in mid-movements of foot. once it is damaged and ?avascular, it has to collapse and lead to painful restriction of movements. after very detailed assessment by your expert orthopaedician, may suggest the extent of damage and residual movements at that joint. if still acceptable range is there but painful, some nonsurgical treatment may be helpful failing with surgical fusion of joint may b the answer.thanks.you're most welcome for any further query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for posting your query in chatbot.sgpt and got are liver enzymes, indicators of liver cell injury and helps in recognizing liver problems. sgpt is mainly found in liver. got is found in liver, kidneys, pancreas,muscle, lungs. my opinion is that you should not worry much as your sgpt is slightly elevated. further increase in the levels will definitely lead to liver cell damage, hepatitis.i would suggest you to avoid alcohol, quit from smoking, have a balanced and healthy diet, reduce fat intake foods, increase physical activity. get a regular check up from your doctor. this will help you to lower sgpt levels and prevent your liver from diseases."
Answer this question truthfully,"Call your doctor to schedule and appointment if:
Joint pain significantly interferes with your daily activities Joint pain lasts over two weeks Joint is extremely swollen Joint is red or bruised, or there is a rash on the joint You experience piercing pain when you partake in physical activity You develop a fever"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The following factors increase your chance of developing an anal fistula. If you have any of these risk factors, discuss them with your doctor:
Colitis or other inflammatory bowel disease, for example Crohn's disease Passage of hard stool Chronic diarrhea"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! your symptoms could be related to a sleep disorder or anxiety. epilepsy seizures can not be excluded either. for this reason, i would recommend consulting with a neurologist for a careful physical check up and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have lipoma or neurofibroma or other soft tissue tumor. you should go for fine needle aspiration cytology. most of the benign tumor need excision.  so you should go for excision. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read your query & understand your concern.  a foul smelling discharge in pregnancy indicates infection. it can be bacterial vaginitis / fungal infection. both suggest carelessness in vaginal hygiene/ use of bubble bat hot vaginal sprays . which alter vaginal ph & facilitate infection & foul smell.  - visit to a gynecologist. & get specific treatment, ( metronidazole/ clindamycin) - use of vaginal pills with lac to bacilli (to normalize vaginal flora & ph - utmost care to maintain vaginal cleanliness (no use of cosmetics please) use plain clean water for washes & mop it chatbot.  thanks."
Please summerize the given abstract to a title,The Patient Perspective of Telemedicine in the Context of COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,that dog is not the disease. due to present days of easily available porn literature and seeing sex videos on computer there is sexual excitement, reflact on mind resulting night discharge or having habit of masturbation. do not see these type of movies or videos. do physical work whole day and relax at night. go for reading of good books or see light entertainment tv cereals before going to bed. prey the god and go for sound sleep. ok and bye."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that it is important performing a comprehensive differential diagnosis between different causes that may lead to this clinical scenario"
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for asking in chatdoctoryou explain that for lung problems you have done the lung ct and the bronchoscopy which were negative for lung disease. this is good news for you. there are others causative agents extra pulmonary that can cause sputum with blood. some of them might be hematologic pathologies. so the g. i specialist combine with the hematologist maybe, will discuss together for further examination. thank you chatbot."
Answer this question truthfully,"The name of the helminth is Loa loa, and the unique characteristic of the adult form of this helminth that gives it the name 'African eye worm' is its ability to migrate across the conjunctiva."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, blisters in the mouth can be due to various reasons it can be due to ulcerations, allergic reactions, bacterial and viral infections. i would suggest you to approach a dentist for clinical examination and evaluation which helps in exact diagnosis and treatment. apply metro oral ointment topically over the affected area, go for symptomatic treatment at home by maintaining good oral hygiene to prevent super infection, use antiseptic mouth rinse, topical analgesic, antioxidant supplements. hope this helps out. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i don't think you need to change your profession. you are doing well. naturally this is a case of anxiety disorder. you are apprehensive and obsessive about the weather change, and naturally you become anxious about it. do not worry about what happens, make sure that you are there at your forecast office when the climate changes. never avoid such happenings. then your anxiety should go off. we call it desensitization therapy. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the small white matter loci could be related to migraine headaches. it is also important to closely monitor her blood pressure values.  in the meantime, i would recommend discussing with her doctor on the possibility of starting daily baby aspirin to prevent future strokes.  it is also important starting preventive therapy for migraine (topiramate, valproate, verapamil, etc.).  hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. fluttering sensations in chest in young patient should be evaluated for arrhythmia (rhythm disturbances in heart). so consult cardiologist and get done ecg, 2d echo and holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about arrhythmia and other cardiac diseases. sometimes undiagnosed stress and anxiety can also cause fluttering sensations. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot. don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Is there an association between flow diverter fish mouthing and delayed-type hypersensitivity to metals?-a case-control study.
Answer this question truthfully,What is the association between fibromyalgia and serum levels of CRP and ESR? Fibromyalgia is associated with normal serum levels of CRP and ESR.
Please summerize the given abstract to a title,Towards decent work in the digital age: introducing the fairwork project in Germany
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for writing. i can understand your concern and would try to help you in the best possible way. fever causes the body to produce a number of chemicals that could excite the heart which leads to atrial flutter. you should take care of your fever first as in most cases when fever is treated the flutter goes away. however, if it is still present then you may consult a doctor for an evaluation of the cause of flutter. atrial flutters are in most cases benign and do not cause any significant hemodynamic problems and hence as such do not require any treatment. however, it is only true after you have undergone thorough evaluation and no cause of flutter could be found. so i suggest you consult a doctor if you are having persistent flutter even after fever resolution."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. bruising should not occur as this is not normal to have bruises on abdominal wall after hysterectomy at all. this indicates that the hemostasis (control of bleeding) was not proper, or it occurred as a result of reactionary hemorrhage, meaning blood vessels can open up after the blood pressure shoots up during the post-operative period. clearing up of the bruises was a good indication, but re-appearance of darker bruises indicates that there is bleeding under the skin. yes, you should be concerned and consult the operating surgeon immediately to see whether you need a conservative medical approach or surgical exploration for ligating the offending blood vessels."
Answer this question truthfully,"A cause for HELLP syndrome has not been found.
HELLP syndrome occurs in about 1 to 2 out of 1,000 pregnancies, and in 10-20% of pregnant women with severe preeclampsia or eclampsia.
Most often HELLP develops before the pregnancy is 37 weeks along. Sometimes it can develop in the week after the baby is born.
Many women have high blood pressure and are diagnosed with preeclampsia before they develop HELLP syndrome.
However, in some cases, HELLP symptoms are the first warning of preeclampsia and the condition is misdiagnosed as:
Flu or other viral illness Gallbladder disease Hepatitis Idiopathic thrombocytopenic purpura (ITP) Lupus flare Thrombotic thrombocytopenic purpura"
Please summerize the given abstract to a title,Clinical features and risk factors for mortality among long-term care facility residents hospitalized due to COVID-19 in Spain
Please summerize the given abstract to a title,The Impact of the COVID-19 Quarantine on Sexual Life in Italy
"If you are a doctor, please answer the medical questions based on the patient's description.","dear prince, thanks for choosing chatdoctorthe causes of dark circles are different from other pigmentations on face. the common causes are stress, lake of sleep, excessive sun exposure, uses of glasses etc. so to overcome from this problem, you have followed some common instructions along with medications1. sleep cycle shd be proper 2. change lifestyle - exercise, stress free life3. comic acid application at night4. morning sunscreen hope this will help u"
Please summerize the given abstract to a title,IL-6 and other biomarkers as predictors of severity in COVID-19
Please summerize the given abstract to a title,Use of Food Services by Consumers in the SARS-CoV-2 Pandemic. How the Eating Habits of Consumers Changed in View of the New Disease Risk Factors?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in.1. masturbation is a safe practice, but it should be done within limit.2. the average masturbation is 2 to 3 times a week, and it should never be done more than once daily.3. if you are masturbating 2 times every day then it is to be controlled and probably that is the reason for your pain in penis and leg.4. masturbation should be done slowly and gently and doing it roughly will damage the soft tissues of penis.5. right now you do not require any medicine, and you should try and stop getting masturbation thoughts regularly.6. please meet your friends, do study and keep your mind in work to avoid sexual thoughts.7. try and avoid pornography and when you get sexual thoughts then read a book and listen to music or go for walks. do not touch your penis except during urination. please do not worry."
Please summerize the given abstract to a title,Constipation in the period of limited isolation during COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. it is natural to have headache and depression due to negative thoughts. these are called obsessive thoughts. brain (mind) is made for its own functions and its duty is to think. from childhood, we learn to think negatively, which shows its colors. you should know that these problems are not mental diseases, but are mental disorders. many researches and researchers confirm that medicines alone cannot cure mental disorders. exercise, lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Surviving from shocks of the COVID-19: adaptation strategies of the Sama Bajo Tiworo small scale fishers as a response to the crisis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. usually superficial burn as in your case are very painful and require time to heal. regular cleaning as you are doing is required and medications to reduce pain and inflammation is essential. antibiotics are necessary to prevent secondary bacterial infection. any signs of showing worsening of wound requires inspection by doctor to rule out infection of wound. signs like pus dischargeregards"
Please summerize the given abstract to a title,Single-cell RNA sequencing reveals the sustained immune cell dysfunction in the pathogenesis of sepsis secondary to bacterial pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... tietz syn chatbot. ... as your symptom of chest pain and upper back pain stable since 3 month cardiac cause less like.... here you might have muscle inflammation or myositis like condition... sometime muscle tendon might tear and producing pain ... so history of trauma ruled out. for detail grading of muscle tear or tendon rupture ct scan helpful... your detail history and examination needed and accordingly investigated . if history suggestive connective tissue disorder then ruled out by molecular diagnosis. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that the mucus and the abscess are related to an infection. that is why, they have made lab tests for these biological materials in order to find out the possible infectious agent and the proper antibiotic therapy. seizures are related to the inflammation of the brain covering layers and the brain cortex (the most outer layer of the brain), which can cause abnormal electric discharges through the brain cells, leading to seizures. the recovering period may be long, depending on the type of infection and the affected region of the brain. antiepileptic chatbot.  physiotherapy may be needed if he has also motor deficits in his limbs, depending on the affected area of his brain. hope to have clarified some of your uncertainties! kind regards,"
Please summerize the given abstract to a title,"Positive rate of RT-PCR detection of SARS-CoV-2 infection in 4880 cases from one hospital in Wuhan, China, from Jan to Feb 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. your symptoms seem to be related to rheumatoid arthritis. i suggest doing a rheumatoid factor level and ers level. meanwhile, i suggest using anti-inflammatory medications such as ibuprofen to relieve the symptoms. i also suggest using cold compresses for local application. if the symptoms continue, i suggest consulting a rheumatologist. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Answer this question truthfully,"Polycistronic mRNA is a type of messenger RNA that codes for multiple proteins. This means that a single mRNA molecule can carry the genetic information for more than one protein. Polycistronic mRNA is commonly found in bacteria, where it allows for the coordinated expression of genes that are involved in related functions. Because bacteria have a relatively small genome compared to eukaryotic organisms, the use of polycistronic mRNA allows them to maximize the efficiency of their genetic material and produce multiple proteins from a single transcript. In contrast, eukaryotic mRNA is typically monocistronic, meaning that each mRNA molecule codes for only one protein."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, paroxysmal supraventricular tachycardia (psvt) occurs due to the presence of an aberrant pathway in the electrical system of the heart and triggered by premature atrial contractions (re-entry mechanism). if the episodes become frequent, it's better to go for an electrophysiologist study and then radiofrequency ablation finally to cure it permanently. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Bevacizumab, which is an antitumor monoclonal antibody, targets VEGF. VEGF stands for vascular endothelial growth factor, which is a protein that helps to promote the growth of new blood vessels. In cancer, VEGF can be overproduced, leading to the growth of new blood vessels that supply tumors with the nutrients and oxygen they need to grow and spread. Bevacizumab works by binding to VEGF and preventing it from promoting the growth of new blood vessels, which can help to slow or stop the growth of tumors. The drug is used to treat a variety of different types of cancer, including colorectal cancer, lung cancer, and ovarian cancer."
Please summerize the given abstract to a title,492. Canadian consensus of COVID-19 policy and management aspects
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is usual to have fatigue after being ventilated, and also she is suffering from both kidney and liver failure. it is not, not necessary to search for other cause as she already has kidney failure and liver failure. my advice is to get the proper treatment for kidney as well as liver problem. as she was in bed and ventilated, she may have some muscle weakness and respiratory difficulty. this may need physiotherapy and respiratory exercise therapy. thus please consult a physiotherapist. hope this helps. please write back for further queries. wishing you good health."
Please summerize the given abstract to a title,Sustainability of Coronavirus on different surfaces
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. bruise like patches are seen in bleeding disorders which are called as petechial rashes. those disorders can be confirmed by bleeding time and clotting time. but such patches are usually not tender. i am suspecting allergic reaction in your daughter most probably to food, or any contact allergy. i suggest you get those bruises examined by a doctor nearby you. deep vein thrombosis usually presents with severe pain and numbness of the limb rather than bruises. if they are itchy, tab atari 25\u00a0mg twice daily for three days will help. thanks."
Please answer with one of the option in the bracket,B: Increase the dose of pyridostigmine
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thereafter going through your query i understand your concern for your daughter. i would like to tell you that the most common cause of chest pain in child chatbot.  it happens generally in viral illness or frequent coughing.it's advisable for you to personally consult a pediatrician and get her evaluation done. also get her ecg and echocardiography to rule out if any structural heart disease is present as she has strong cardiac family history. hopefully this has answered your query. kind regards
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for using chatbot i read your query about pain in lower abdomen and back at right side. there is nothing to worry about unusual appearance of swelling like symptoms. gas in abdomen can cause symptoms like swelling and abdomen pain. i advise you to take medications to relieve gaseous abdomen pain syrup genus mps will surely relieve your abdomen discomfort. ultrasound abdomen is necessary only if pain doesn't get resolved in two days. wish you a speedy recovery... thank you. chatbot.
Please summerize the given abstract to a title,Role of Neutrophils and NETs in Animal Models of Thrombosis
Answer this question truthfully,"Clinical data has suggested that the development of vulvar cancer is related to several factors.
Human papilloma virus (HPV): Clinical survey shows HPV infection is thought to be responsible for up to half of vulvar cancers overall, and most of the cases that occur in younger women. Human immunodeficiency virus (HIV): Scientists found that HIV can damage the body's immune system and make women more susceptible to persistent HPV infections. Vulvar intraepithelial neoplasia (VIN): Clinical data suggest that women with VIN have an increased risk of developing invasive vulvar cancer. Lichen sclerosus (LS): Epidemiological data show about 4% of women with LS develope vulvar cancer later. Melanoma or atypical moles: Epidemiological data have verified that melanoma or atypical moles increase the risk of developing vulvar cancer. Smoking: Smoking can further increases the risk of developing vulvar cancer. Age: The risk of vulvar cancer goes up with age and the average age of women diagnosed with invasive vulvar cancer is 70."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your symptoms are suggestive of pre-syncope.  in this condition, the above-mentioned symptoms happen due to transient lack of blood flow to brain. this in turn can happen because of strain, exhaustion, fatigue, low sugar, infection, etc. if all above are normal, then a cardiac evaluation may be useful. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"Although there is still no specific antiviral treatment for measles, attending to the considerable decrease in morbidity and mortality of measles in the United States, with the introduction of measles vaccine, it may be considered that prevention of measles by vaccination shows cost-effectiveness."
Answer this question truthfully,Breast feeding jaundice is a type of jaundice that appears in the first week of life due to lack of enteral feeding. This leads to slow bile excretion and causes an unconjugated (indirect) hyperbilirubinemia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... noted your all test comes normal... so here two causes seems according to your history.....-referred pain from acid reflux or-musculoskeletal pain.... continue treatment for reflux with chatbot. head elevated while sleeping... avoud excess spicy and fatty food... chocolates, coffee avoided in excess. avoid heavy meal at night. second pain could be musculoskeletal. resolve by its own within few days. rest needed. hot pads can be applied.... avoid heavyweight lift ...and strenuous exercise .... take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... it seems that you may be having a condition known as halogen effluvium. i would like to say few things about halogen effluvium. it is a condition in which the hairs fall in halogen stage of hair cycle. the causes may be many like. ...tension, anxiety, thyroid diseases, endocrine diseases, hormonal diseases, diseases like typhoid, malaria, viral diseases, surgery,trauma, chatbot. .methotrexate, internal diseases, anaemia, nutritional deficiencies..... etc. might precipitate the disease. excessive sun exposure may be responsible for the disease. dan"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, during menopause the female reproductive organs undergo a lot of changes physiological and biochemical (ph) making it more prone for infections. a biopsy will help diagnose the condition. before the biopsy reports come it is very early to comment whether it is normal or not.also, kindly get pap smears regularly very 5 years for the screening of cervical cancer as a preventive measure. chatbot."
Answer this question truthfully,Type 1 diabetes mellitus is due to autoimmune destruction of pancreatic β cells by anti-glutamic acid decarboxylase antibodies.
Answer this question truthfully,"Fungal meningitis, such as cryptococcal meningitis, is treated with long courses of high dose antifungals. In addition, frequent lumbar puncture s are recommended in order to relieve the increased intracranial pressure ."
Please answer with one of the option in the bracket,D: Lansoprazole
"If you are a doctor, please answer the medical questions based on the patient's description.","\""hi! welcome to chatbot. com. i have read your query in detail and do understand your concern. excessive hair fall in your case is due to hormonal imbalance caused by pod. treatment of pod will help gradually in regaining healthy heritage a nutritious and protein rich diet(pulses, milk products, eggs). avoid routine application of gels or frequent blow chatbot.  use a sulfate free shampoo for your hair twice a week. biotin containing hair supplements can be taken for 3-6 months. hope this helps! good luck!\"
Please summerize the given abstract to a title,The Influence of Environmental Pollution and Drought on the Satisfaction With Life of Entrepreneurs in Zambia’s Mining Sector
Answer this question truthfully,"A ""blood and thunder"" appearance on funduscopy is associated with central retinal vein occlusion."
Please summerize the given abstract to a title,PPP Renegotiation Flight Simulator: A System Dynamics Model for Renegotiating PPPs after Pandemic Crisis
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of arrhythmia (rhythm disturbances in heart) is more likely for her fast heart rate. resting heart rate of 148 is also very high. so immediately consult cardiologist and get done 1. ecg 2. 2d echo 3. holder monitoring (24 hours continuous recording of ecg). she will need anti arrhythmia chatbot.  don't worry, with treatment she will be alright. hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have not mentioned your age in your query. you had to rush to er for acute retention of urine and was catheterized to empty the bladder. the cause of retention of urine may be either due bladder outlet obstruction due to enlarged prostate which is common in elderly people. the white fleck and blood clots that are seen in tube are due to two factors 1) inflammation of bladder mucosa (catheter cystitis) due to foreign body reaction of bladder mucosa .2) infection secondary to obstructed urine out flow. urologist will carry out following basic test to confirm the cause of retention 1) ultrasound scanning of abdomen and pelvis 2) urine culture that will help to take appropriate antibiotic to control infection. further treatment will depend upon result of these tests and final diagnosis. chatbot.
Please summerize the given abstract to a title,Time management during corona virus era
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for consulting with chatdoctori understand your concern but you real don't have to worry about your bp there are mild fluctuations seen in automated bp machines and regarding your concern about timing of the dose there are no guidelines about it but i prefer to give them to my patients at bed time.you may however take it once a day after every 24hrshope i answered your query. you can message me for any further concerns"
Answer this question truthfully,Patient suffering from any of the conditions mentioned above are at risk of renal tubular acidosis.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. you were having hemoptysis (blood in sputum). and pneumonia is the most common cause for this. best treatment for atypical pneumonia is azithromycin (z pack). so you were taking appropriate treatment. and stoppage of hemoptysis is favorable sign in pneumonia. so no need to worry of fear about anything. your hemoptysis stopped means your pneumonia is cured. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
Answer this question truthfully,"IV regular insulin is useful in the management of diabetic ketoacidosis, a complication associated with type 1 diabetes mellitus. Diabetic ketoacidosis is a serious complication that can occur when the body produces high levels of blood acids called ketones. This can happen when there is not enough insulin in the body to break down glucose for energy, so the body starts to break down fat instead. The resulting buildup of ketones can lead to a variety of symptoms, including nausea, vomiting, and abdominal pain. IV regular insulin is often used in the management of diabetic ketoacidosis to help lower blood glucose levels and reduce the production of ketones. However, the use of IV insulin in the management of diabetic ketoacidosis must be carefully monitored, as it can also cause a decrease in blood potassium levels and other complications."
"If you are a doctor, please answer the medical questions based on the patient's description.",hii have gone through your complaints. ya its true that having a baby before 30yrs of mother age is important. pregnancy after 30yrs increases occurrence of high blood pressure and diabetes in mother during pregnancy that in turn increases occurrences of anomalies in babies and risk to mother during pregnancy and delivery. more ever your fianc\u00e9 is having polycystic ovaries best is plan for one baby first. its receives so much anxiety in you and thus avoiding so many problems.  consult the chatbot. thank regards
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your babies history and would like to make suggestions as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.",you have not mentioned your age which is very important in case of back pain. but as history suggests you are an active working women i will advise you to take painkiller like kilos or biozobid-plus 8-12 hourly for your back pain only when it is worse enough or disturbing your daily work. apart from this you can take some calcium supplement like tab shall once daily preferably in afternoon. you can do some physiotherapy exercises after an expert opinion of physiotherapist. i will also advise you to sleep on plain surface for some time as it is very helpful in case of back pain. thank you
Answer this question truthfully,The alpha granules of platelets contain von Willebrand factor (vWF) and fibrinogen.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, first, high bp is most probably an age related change in you because pacemaker adjustment will not lead to this. secondly, high pulse rate is most probably a part of sick sinus syn chatbot.  we need one ecg to confirm the type of high heart rate. if normal we may need holder as well.  also, you should get one hemoglobin level and thyroid test done.  you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. if bp remains high more than 140/90 then you should be started on bp medicine.  regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. get your lipid profile and sugars tested once."
Please summerize the given abstract to a title,[The first experience of using a single-layer intra-abdominal collagen plate].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears that he might be having allergy to something, like food, clothes, woolen, cosmetics, or soap, etc. the other causes may be the fungal infection.  i advise you to consult a dermatologist for diagnosis and treatment.  i usually prescribe to my patient with such symptoms levocitrizine, montelukast, grisofulvin, and mixed steroid ointment.  wishing for a quick and complete recovery. thank you."
Answer this question truthfully,"Cyde, my apologies for putting words in your mouth. I obviously misunderstood your comment, and I'm sorry for that. I do understand, and respect, your opinion that the sig I was using could present unexpected difficulties. I thank you for raising your concern about it. Pastordavid 22:02, 10 May 2007 (UTC)
Heh, I'm an American. If I was offended every time I saw a crucifix I wouldn't be able to live here. I'm glad that you now understand that people may legitimately object to religious symbolism for reasons other than that they are personally offended. -- Cyde Weys 22:07, 10 May 2007 (UTC)"
Answer this question truthfully,The genitofemoral nerve is commonly injured during laparoscopic surgeries for inguinal hernias or by retractor blades used in abdominal surgery.
Answer this question truthfully,"You may not have symptoms if the anemia is mild. If the problem develops slowly, symptoms that may occur first include:
Feeling grumpy Feeling weak or tired more often than usual, or with exercise Headaches Problems concentrating or thinking
If the anemia gets worse, symptoms may include:
Blue color to the whites of the eyes Brittle nails Light-headedness when you stand up Pale skin color (pallor) Shortness of breath Sore tongue"
Please answer the letter of option truthfully,D
Answer this question truthfully,"Verruca (Warts) are the soft, flesh-colored, cauliflower-like papules that appear on the skin due to HPV infection of keratinocytes."
Answer this question truthfully,"Call your health care provider if you have symptoms of West Nile virus infection, especially if you may have had contact with mosquitoes. If you are severely ill, go to an emergency room.
If you have been bitten by an infected mosquito, there is no treatment to avoid getting West Nile virus infection. People in good general health generally do not develop a serious illness, even if they are bitten by an infected mosquito."
Please summerize the given abstract to a title,Impact of SARS-CoV-2 Mutations on PCR Assay Sequence Alignment
Please summerize the given abstract to a title,"The Controversial Roles of ADP-Ribosyl Hydrolases MACROD1, MACROD2 and TARG1 in Carcinogenesis"
Answer this question truthfully,"Deferoxamine, deferasirox, and deferiprone are iron chelators."
Answer this question truthfully,"Prostatitis is usually caused by a bacterial infection of the prostate gland. Any bacteria that can cause a urinary tract infection can cause acute bacterial prostatitis.
Some sexually transmitted diseases (STDs) can cause bacterial prostatitis, including chlamydia and gonorrhea. STDs are more likely to occur from:
Certain sexual practices, such as having anal sex without wearing a condom Having many sexual partners
In men over age 35, E. coli and other common bacteria usually cause prostatitis. This type of prostatitis may occur after:
Epididymitis Urethritis Urinary tract infections"
Please answer with one of the option in the bracket,D: Jugular venous distention on inspiration
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, having night discharge at this age is common and nothing to worry. at this age hormone is at its maximum level causing sexual excitement. during daytime thinking of sex, seeing some sex exciting things and seeing some porn or sex pertaining mobile talk will lead at night to night discharge. no medicine is available for this matter. remain busy at your work or study during daytime. avoid thoughts of sex. during night wear loose clothes. before going to bed read good books, see some entertaining tv serials, pray the god and go to sleep. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting your query on chatbot. i appreciate your concern for your mother. food allergy is an immune system reaction that occurs soon after eating a certain food. even a tiny amount of the allergy-causing food can trigger signs and symptoms. the most common food allergy signs and symptoms include"
Please summerize the given abstract to a title,Safe Perinatal Management of Neonates Born to SARS-CoV-2 Positive Mothers at the Epicenter of the Italian Epidemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting! i have gone through your query and i understand your concerns. according to your symptoms, i think that you suffer from lumbar arthritis. the diagnosis can be determined by the results of the following tests"
Answer this question truthfully,"Uterine fibroids are noncancerous growths that can develop in the uterus and affect pregnancy. When a woman has uterine fibroids during pregnancy, they can cause size date discrepancy, which means that the size of the uterus does not match the expected size for the gestational age of the fetus. This discrepancy can occur because the fibroids can distort the shape of the uterus or cause it to grow more slowly than expected. Size date discrepancy can be detected through ultrasound measurements and may require additional monitoring or intervention during pregnancy. In some cases, uterine fibroids can also increase the risk of complications during pregnancy, such as preterm labor, fetal growth restriction, or placental abruption. Treatment options for uterine fibroids during pregnancy may include watchful waiting, medication, or surgery, depending on the severity of the symptoms and the stage of pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. iron supplement does not cause black vomiting. she may have some bleeding in your gi tract. she may have varietal bleeding. she should for ultrasound abdomen. consult your doctor and take treatment accordingly.  hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, at your age it is not unusual to find a reduction in libido and strength of erection, and it is not likely to be only due to bp medication. you can try getting your serum (total) testosterone levels estimated at around 8 am, and if that is on the lower side, supplementation with injection or transdermal testosterone could boost your libido, and if your erections are still not good enough, you can try tablets like calls which should be helpful in the majority of patients."
Please summerize the given abstract to a title,An expert opinion regarding the management of lower gastrointestinal cancers during COVID-19 outbreak in iran: A brief report
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, there is no point in giving tetanus injection after a period of three weeks, for this patient you can give tetanus immunoglobulin, which is a ready made antibodies which helps to combat the tetanus spores from releasing the toxins like tetanospasmin and tetanolysin.these patients symptoms look like having cellulitis of the finger and requires broad spectrum antibiotics like tab augmenting, twice daily for 5 days, which will act on the staph and strep infection and control the symptoms. thank you."
Answer this question truthfully,A common treatment for seborrheic dermatitis is selenium shampoo.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",montelukast is a kind of new medication as prevention for allergy asthma disorders and it's recommended for child chatbot.  this tablet must be swallowed as a whole and should not be crushed. there are no known side effects for the dose you are giving to your kid. i feel you should avoid giving astoria to your child as oral medications for asthma is not a very effective way of treating it because of its lack of efficacy.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your mri and x-ray is normal, no need to worry about major musculoskeletal cause for your hand pain. sometimes, calcium, vitamin d3 and vitamin b12 deficiency can also cause similar kind of hand pain. so get done blood reports for calcium, vitamin d3 and vitamin b12 level. if there is deficiency then you have to start supplements. application of warm water pad and ice packs alternatively will also give you symptomatic benefit. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Listeria monocytogenes is known to commonly contaminate unpasteurized dairy products, such as milk and cheese, as well as cold deli meats. These products are particularly susceptible to Listeria contamination because they are often consumed without being cooked, which can kill the bacteria, and because they are often stored at refrigeration temperatures, which can allow Listeria to survive and even multiply."
Answer this question truthfully,Therapeutic hyperventilation may be used to treat acute cerebral edema that is unresponsive to other interventions.
Answer this question truthfully,Transitional cell carcinoma of the bladder is associated with older adults.
Please summerize the given abstract to a title,Public health risks threatening health of people participating in mass gatherings: A qualitative study
Please summerize the given abstract to a title,Viral dynamics in asymptomatic patients with COVID-19
Answer this question truthfully,"In flow cytometry, cells are tagged with antibodies that are specific to surface or intracellular proteins."
Please summerize the given abstract to a title,Early outcomes of implanting larger-sized grafts in deceased donor liver transplantation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dearwelcome to chatbot. the treatment of acne depends on the extent and type of acne. for this purpose i guess you need to see a doctor. a doctor would recommend antibiotics, vitamin supplements, retinoids. combination of these will successfully treat acne. to remove the scars caused due to acne, treatment with retinoids can help. if you can find it working, you can opt for laser treatment, which is quite effective. take care."
Answer this question truthfully,"The symptoms of roseola infection typically appear with fever first, followed by the development of a rash."
Answer this question truthfully,"Pheochromocytoma can be transmitted in a sporadic(60-65%) or familial pattern.  
Genes involved in the pathogenesis of pheochromocytoma include: RET gene (MEN 2A, MEN 2B syndromes) NF1 gene VHL gene (VHL disease) SDHD, SDHB, and SDHC genes of the mitochondrial complex  SDHA, SDHAF2, TMEM127 (transmembrane protein 127), MAX (myc-associated factor X), FH (fumarate hydratase), PDH1, PDH2 (pyruvate dehydrogenase), HIF1alpha (hypoxia-inducible factor), MDH2 (malate dehydrogenase), and KIF1Bß (kinesin family member) genes. 
Pheochromocytoma and paragangliomas (PPGL) susceptibility genes can be classified into the following clusters-   
Cluster 1 Mutations involving in overexpression of vascular endothelial growth factor (VEGF) as a result of pseudohypoxia Impaired DNA methylation leading to increased vascularization Cluster 2 Activating mutations of Wnt-signaling pathway including Wnt receptor signaling and Hedgehog signaling. Mutations of CSDE1 (Cold shock domain containing E1) and MAML3 (Mastermind like transcriptional coactivator 3) genes7. Cluster 3 Abnormal activation of kinase signaling pathways like PI3Kinase/ AKT, RAS /RAF/ERK, and mTOR pathways."
Answer this question truthfully,Acute leukemia is defined as a neoplastic proliferation of blasts greater than 25% on bone marrow biopsy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, the pain in the lest lumbar region along with finding of a calculus in the left kidney is more suggestive of renal colic (renal pain) rather than endometriosis. an internal ultrasound will further potentiate the presence of calculi in the kidney and its location. endometriosis is characterized by painful menstruation (amenorrhea) and polymenorrhea (excessive bleeding). the internal ultrasonography will identify the loci of endometriosis if present. the management of renal calculi depends on the size of the calculi, and its location. endometriosis can be managed conservatively. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. sorry to know about your aunt who is suffering from stage 4 cancer. colon cancer might be violent at times and even after surgery about half the patients develop spread to liver, lung and brain. the expected survival of a stage 4 cancer patient is up to 2 years from the date the cancer detection was confirmed in the liver. the maximum survival depends on many factors like age of patient, response to treatment, progress of disease, general health condition and mental outlook. in case of your aunt, it is important to know if the liver and kidneys are functioning normally. swelling in legs indicates a problem in liver, kidney or heart. if there is a complication in the liver or kidneys then survival is reduced to 6 months. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for using chatbot. as per the scan report you are having features of portal hypertension. i would advise you to get a doppler scan of the portal venous system and an upper gi endoscopy done to confirm portal hypertension. this might be due to cirrhosis of liver. you might be having early cirrhosis. a fibrosis or a liver biopsy may be done to see whether you are having cirrhosis. liver panel may be done which may show numbers indicating liver damage and chronic liver disease. alcohol intake, nonalcoholic fatty liver disease, hepatitis b and c infection are some causes for chronic liver disease. you can consult a gastroenterologist for the above-mentioned tests. is this answer helpful?"
Answer this question truthfully,Hepatocellular carcinoma typically spreads hematogenously.
Please summerize the given abstract to a title,"Compliance of the COVID-19 prevention protocols on daily activities among adolescents in the period of early adapting new habits, South Sulawesi Province, Indonesia()"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have pain even after root canal treatment then it can be due to periapical pathology or due to you have periodontal pocket in fixed prosthesis (capping) . for this you should consult dentist and go for investigations iowa x-ray if won't get relief then go for extraction and then fix prosthesis. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, there was medical belief few years ago that i-pill like emergency contraception can be taken only once in a month. however, now there are evidences that such pills can be repeated any number of times after each unprotected intercourse if taken within 72 hours of the intercourse. these pills have typical after effects"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your question does nt clarity the location of the lump. but by the story it appears that you have some obsession and fear-of the inflamed vein at the base of the penile-shaft mostly due to the suspected general infection. in my view a physical examination by the surgeon would resolve your issue. but by the details of the query, in my opinion-it is engorged penile vein- and not an inflamed lump-as it is painless, which clarifies that it is not inflamed lump. still you get checked by the local surgeon. hope you are satisfied with the advice given. wellcome again if any query to the chatbot. thks for the query to the chatbot forum."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using the chatbot. i am happy to ad chatbot.  they're caused most commonly by tobacco products and tea and with some antibiotics. these stains adhere readily to tartar left behind. you probably see it behind your front bottom teeth because that's where we humans get the most tartar build-up (due to salivary glands down there depositing minerals). so, since they're on the outside, and nice little scraping and polishing at your next appointment from your dentist will clean them right off. to prevent them, limit the tobacco/dark"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you should first consult pulmonologist and get done1.  put (pulmonary function test)2. chest x-ray. bilateral lung pain can be seen in bronchitis and infection. so pft is needed to rule out bronchitis and asthma. chest x-ray is needed to rule out lung infection. and don't give inhalers. for symptomatic relief you can give painkiller and muscle relaxant.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. there is need for an evaluation by a neurologist for two probable causes of your symptoms and these include carpal tunnel syn chatbot. there is also for nerve conduction study (emg) in order to achieve a correct diagnosis. treatment depends on diagnosis. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
more information in relation to Ellis van creveld syndrome Specifically in later life can they have children has it ever been reported any researchcarried out and just as much information as possible to help my understanding of what I have Many thanks,There is no cure for Ellis-van Creveld syndrome. The treatments for complications  depend on which body system is affected and the severity of the problem.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking to chatbot, in subjects with dementia undergoing a surgery on most cases deteriorates the condition. the main reason is blood hypoperfusion during any kind of surgery. then having in consideration your father past medical history of cerebral aneurysm this is another negative factor. i would advise you to have an appointment with your doctor to thoroughly discuss the possibility of other options for treatment or other ways how to levitate this problem. hope this will help with the solution of your problem, feel free for any other information."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the acidity and reduced appetite might be normal in pregnancy. the acidity or gastritis is due to influence of progesterone hormone. take antacids and avoid spicy and oily diet. take food in small quantities every 2 hourly. acidity itself might cause decreased appetite. so when acidity gets corrected it gets back to normal. appetite increasing syrups can be tried. nothing to worry. irrespective of appetite take food on time. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sometimes antibiotics produces loose motion with greenish color. so get in blood for serum bilirubin level. while your son is having viral fever. cal pol is the best chatbot.  only cal pol (paracetamol) 10 mg / kg body weight 3-4 times is sufficient. if high fever present, ice massage will suffix. ors is another useful therapy. usually viral fever remains for 7-10 days, so don't take tension. if fever persist >7 days then consult a pediatrician and get his opinion."
Please summerize the given abstract to a title,Community social capital implementation model for covid-19 disaster risk management
Please summerize the given abstract to a title,Risk factors for wheezing in a subtropical environment(): Role of respiratory viruses and allergen sensitization
Please summerize the given abstract to a title,"Synthesis under microwaves irradiation, structure elucidation, docking study for inhibiting COVID-19 and DFT calculations of novel azoles incorporated indole moiety"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. shadow on the chest x-ray is very tricky and needs ct thorax if1. patient is past heavy smoker2. age more than 50 years ct scan is must. depending on ct findings we can plan further lone of management. if shadow is 1. irregular in shape and having irregular margins2. absence of calcification3. enlarged lymph nodes in mediastinum etc. than possibility of malignant nodule is more. and we need to get done biopsy from the lesion to rule out cancer and reach to final diagnosis. so ct thorax is must in his case.
Answer this question truthfully,"Gas emboli are bubbles of gas that can enter the bloodstream and cause a range of health problems. One of the most common symptoms associated with gas emboli is joint and muscle pain, which is often referred to as the ""bends."" This pain is caused by the formation of nitrogen bubbles in the body's tissues, which can occur when a person ascends too quickly from a deep dive. Gas emboli can also cause respiratory symptoms, which are often referred to as the ""chokes."" These symptoms can include shortness of breath, coughing, and chest pain, and are caused by the presence of gas bubbles in the lungs. Other symptoms of gas emboli can include confusion, dizziness, and visual disturbances."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if such loss of sensation is continued to there without any improvement in feeling then it is a matter of concern. with passing of time without improvement there are increase chances of having permanent damage to nerve. i shall advise you to consult to your neuro-physician for this. meanwhile, you should do rest and keep your limb elevated on a pillow. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"Carmustine belongs to the class of drugs known as nitrosoureas, which are alkylating agents."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis is more. bronchitis can precipitate in certain weather conditions. and your symptoms liked breathlessness, chest pain etc. are more suggestive of bronchitis. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ics) (budesonide or fluticasone). don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","bellflower abdominal pain may be due to many reasons like liver problem, kidney problem, pelvic causes, colitis etc. you may need clinical correlation and few investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine and stool re/me, ultrasound of abdomen. ultrasound of abdomen is very important in your case, and it can exclude many causes. proper treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot. you are hepatitis b carrier. usually it is remained for lifetime. but with good lifestyle measures you can live healthy life. as far as diabetes concerned you can do your glucose estimation 2 hours after meal. if it is above 200 then you have diabetes. take low fat diet. regular exercise done. use very less oil in diet. sunflower, peanut oil like good oil can be taken for cooking. avoid junk food. cheese, butter, meat like food taken less. fruits and green leafy veg useful. cumin seed in milk useful herbal remedy.(one teaspoon mixture). if you develop hepatitis induce jaundice consult doctor. avoid smoking and alcohol. take care. chatbot."
Please answer with one of the option in the bracket,A: Defective beta-2 integrin
Please summerize the given abstract to a title,Infection and transmission of ancestral SARS-CoV-2 and its alpha variant in pregnant white-tailed deer
Answer this question truthfully,Osteomyelitis in children arises with transient bacteremia that seeds the metaphysis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i would recommend you to consult a gynecologist to properly evaluate the concern. it is difficult to understand why did you undergo an ivf if you had genital tb. this is a costly procedure and apart from that it is a traumatic experience to have a failed ivf. please consult an actual expert to rule out all possible obstacles to a successful ivf. however, you should understand that ivf success rates are not very encouraging."
Answer this question truthfully,"The transmission of Loa loa, a parasitic worm that causes loiasis in humans, is primarily carried out by the bite of infected deer flies. These flies are typically found in rainforest regions of Central and West Africa, where the disease is most prevalent. When an infected fly bites a human, it injects the larvae of the worm into the skin, where they can migrate to various parts of the body and cause symptoms such as itching, swelling, and inflammation. In rare cases, the worm can also migrate to the eye, leading to visual impairment or blindness."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. pubo vaginal mesh bladder sling surgery as you had 1 year back may not be reason for your blood in urine. this surgery can result in blood in urine if there were any damage to bladder during operation. but this will be associated with other acute symptoms. your symptoms are not suggestive of bladder injury. blood in urine needs to be evaluated for its cause. renal infection, stones or malignant lesions could result in blood in urine. if you are on blood thinning medication they can also cause blood in urine. as you have already got ultrasound done, better to get cystoscopy done for bladder lesions and biopsy from suspicious area. any symptom should not be overlooked, needs evaluation and management. hope this helps regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome to chatbot ! your symptoms could be related to different possible causes
Answer this question truthfully,"Aortic stenosis must be differentiated from other cardiac or pulmonary causes of dyspnea, weakness, and dizziness. Furthermore, if there is left ventricular outflow tract obstruction, it is critical to identify whether the obstruction is subvalvular, valvular or supravalvular or due to hypertrophic cardiomyopathy (HOCM)."
Answer this question truthfully,Pinworm infection is fully treatable.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, contraceptive medicines are hormones containing estrogen and/or progesterone. these pills can prevent the pregnancy if taken regularly throughout the cycle. some high dosage emergency contraceptive pills may help to prevent the pregnancy if taken within 72 hours of the unprotected intercourse. however, these sorts of pills cannot terminate the pregnancy once the conception has occurred. primal n is progestational medicine and will not be useful to avoid pregnancy if conception has already occurred. if you have missed your period, please get pregnancy test done on the overnight morning first urine sample after about a week of the missed period. alternatively, you may opt for beta chatbot test on the blood to detect the pregnancy. if you are not pregnant, some progestational medicine like prom ult n or every for 5 days will help you get the with chatbot.  however, if you are pregnant, medical termination of pregnancy will help you terminate the pregnancy safely and effectively and within legal frame up to 7 weeks of pregnancy (if you are in india). after the results of the pregnancy test(s), please report to your gynecologist without wasting time. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. your symptoms seem to be related to rheumatoid arthritis. i suggest checking the rheumatoid factor level for further evaluation. meanwhile, i suggest using anti-inflammatory medications such as acetaminophen to relieve the inflammation. i also suggest using magnesium supplement for muscle relaxation. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",your child had hearing problem since the birth and seems to senseri-nerual type of hearing loss.your child should have undergone era - hearing test and ct scan your child can be benefited by cochlear implant surgery which you need to consult hearing your child speech can be trained by speech therapist need to give some more time to child for the development of speech and speech therapist will help you a lot
Please summerize the given abstract to a title,Perceptions of the Importance of Advance Care Planning During the COVID-19 Pandemic Among Older Adults Living With HIV
Answer this question truthfully,"The LAD typically supplies 45-55% of the left ventricle (LV). The LAD supplies the anterolateral myocardium, apex, and interventricular septum.
The septal arteries supply the intraventricular septum. The diagonal arteries supply the antero-lateral wall of the left ventricle."
Please summerize the given abstract to a title,A rational roadmap for SARS-CoV-2/COVID-19 pharmacotherapeutic research and development: IUPHAR Review 29
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. alcohol is not advisable during low platelet count as any fall can lead to severe bleeding episodes - both internal and external.2. increased c-reactive protein along with band cells indicate acute infection with inflammation. the viral could be turning to bacterial infection.3. you need to take rest, antibiotics and antipyretic. avoid alcohol as it could lead to injuries and also possibly react with medications. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot.1-i have stewed your query in depth.2-in my opinion, this small bumpy vein under your rt breast is only the coincidental finding, with a fibroadenomas in the rt lower breast--which matches to the non-smooth bumpy finding noted by you. the vein is the engorged vein superficial to the bump and is due to the hormonal changes in the breast tissue and nothing to worry much on its presence.3-dear, cause of this lump is cyclical hormonal changes, and you need not worry.4-still it worries i would advise fnac at the expert hands of surgeon in your area.5-hope this would solve you query to your satisfaction.6-wellcome for more queries to me on chatbot. thnks once again for your inquisitive query. good day.!!"
Answer this question truthfully,The likely diagnosis for the patient's condition is diabetic ketoacidosis.
Please summerize the given abstract to a title,Screen Time beyond Gaming and Social Media: Excessive and Problematic Use of Over the Top (OTT) Platforms among College Students during COVID-19 Pandemic.
Please answer with one of the option in the bracket,D: Jejunal atresia
Answer this question truthfully,Hepatitis A virus (HAV) and hepatitis B virus (HBV) vaccinations.
Please summerize the given abstract to a title,A novel strategy for efficient production of anti-V3 human scFvs against HIV-1 clade C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for posting your query here. most likely your pain seems musculoskeletal for which you should not worry much. but still you must see your doctor and get an ecg done and take some muscle relaxants. now coming to your lifestyle, you are having good active lifestyle but your alcohol binges are not at all good, so you try to cut down it as binge chatbot.  and of course, smoking is the worst part of your lifestyle which you should completely quit without any delay even if you smoke only occasionally. hope this would help you and all the best for your more healthy lifestyle."
Please summerize the given abstract to a title,Exercise Training in Elderly People Undergoing Hemodialysis: A Systematic Review and Meta-analysis.
Please summerize the given abstract to a title,Pembelajaran sastra di sekolah: Sebelum selama dan sesudah pandemi (Literature learning in school: Before during and after pandemic)
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that there is no need to worry continue your antibacterial ointment if you find any pus or discharge than start oral treatment with antibiotics. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have prostatitis. you should take a course of antibiotics like levofloxacine or norfolxacine. furthermore, you should also go for ultra sound prostate to check volume and size. furthermore, you may also have benign prostatic hyperplasia. consult your doctor and investigate for that and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health"
Answer this question truthfully,"In myopia (nearsightedness), light is focused in front of the retina."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion from your given history i think you may have a kind of gouty arthritis due to increased serum uric acid, that is the main cause of your painful urination and joint pains. for my patients i may suggest further lab investigation like urinalysis, sua (serum uric acid) for proper evaluation and management.  you may increase your fluid intake, decrease high protein meals, painkillers when needed till your lab investigation results come. please click and consider a 5-star rating with some positive feedback if the information was helpful. wish you good health, any further clarifications feel free to ask."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir/madam, thanks for your question on chatbot.allergic cold and cough can be treated best in ayurveda.i will tell you some diets to be followed"
Please summerize the given abstract to a title,The impact of the COVID-19 pandemic on the incidence and mortality of zoonotic diseases in China
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your baby is suffering from chronic constipation. in hard stool or impacted in the lower bowel, it needs to give a repeated enema. also, a higher dose of laxative for impaction of stool required. after treatment of current condition, baby needs to revise diet plan, also some investigations as for celiac disease, thyroid profile, ultrasound abdomen. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Effective measures for the secondary prevention of pneumoconiosis include:    
Avoiding further exposure Vaccination for influenza Vaccination for pneumococcus Health surveillance for workers Stop smoking Treat respiratory infections quickly"
Please summerize the given abstract to a title,Licorice extract inhibits growth of non-small cell lung cancer by down-regulating CDK4-Cyclin D1 complex and increasing CD8+ T cell infiltration.
Answer this question truthfully,Rett syndrome is almost exclusively seen in females.
Answer this question truthfully,"What are some of the key diagnostic criteria for binge-eating disorder, such as the presence of regular episodes of excessive, uncontrollable eating without compensatory behaviors, and how do these symptoms compare and contrast with other eating disorders, such as bulimia nervosa or anorexia nervosa? Additionally, what are some of the physical and psychological consequences of binge-eating disorder, and how can these effects impact a person's quality of life and overall health and well-being?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi their have read the details provided by you and i would like to tell you that as you have a very strong family history of multiple medical illnesses, so you need to be very vigilant. first i would like to tell you that a fast heart rate is neither an indicative of diabetes nor of high bp. now i want to tell you that during pregnancy lot of hemodynamic changes happens throughout the body, as you are in your first trimester during this time there is a significant increase in blood volume due to which tachycardia(fast heart rate) occurs and also another important reason of unusual tachycardia is anemia during pregnancy, if you have not started your iron folic acid tablets you better start them and start your antenatal clinic visits. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... all your kids symptoms fit into a common problem which is most probably vasculitis. this could also be a connective tissue disorder like juvenile rheumatoid arthritis or she.  i suggest that you work up the kid in the line of juvenile rheumatoid arthritis as the pain abdomen along with rash and joint pains are definitely fitting into this diagnosis. this requires further evaluation and long-term follow-up.  i suggest you consult a pediatric rheumatologist. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","sore throat could also be caused by a virus called epstein barr virus. irrespective of whether it is due to viral or bacterial cause, no antibiotics are recommended as the condition gradually resolves on its own in around 5 days irrespective of the use of antibiotics. give him gurgling with lukewarm water. give odem md (ondansetron mouth dissolving) tablet to reduce vomiting. give paracetamol for fever and body ache including leg ache. you will have to be a bit patient. still, i would insist you to get a routine blood count done just to be sure."
Please summerize the given abstract to a title,Assessing the Outcome of Rehabilitation after Hip Fracture with a Wearable Device—A Study Protocol for a Randomized Control Trial in Community Healthcare
"If you are a doctor, please answer the medical questions based on the patient's description.",greetings. first its unfortunate that you are suffering from such a rare condition.\u2192as of your problem is concerned follow instructions as below
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of musculoskeletal pain is more in your case. but better to rule out causes pleurisy (inflammation of pleura) first. common causes for pleurisy are pneumonia, pleural effusion, pulmonary contusions etc. so get done chest x-ray. if chest x-ray is normal than no need to worry about these causes. forceful nose blowing causes contraction of intercostal muscles. and this can be painful sometimes. so musculoskeletal pain is more likely. apply warm water pad on affected areas. start painkiller and muscle relaxant chatbot.  avoid movements causing pain. avoid strenuous exercise and heavyweight lifting. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",helllooo....numbness is due to the infection at the root surface of the tooth .it is pressing your nerve to the lower lip.actually nothing much to worry in this.take amoxicillin and metronidazole diclofenac ...for 5 days...go to dentist ...and get the root canal done....pain and numbness will be reduced within few days time...and don't wait for long.sometimes it can spread to your neck n all below the tongue etc...meet dentist and get it done...don't get panic .be cool and have a nice day!!!
Please summerize the given abstract to a title,Respiratory Syncytial Virus Uses CX3CR1 as a Receptor on Primary Human Airway Epithelial Cultures
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. in my opinion, hy chatbot.  your nutrition supplements does not contain this molecule. i would advise you to start neurons (over-the-counter available vitamin b12 supplement) tablet once a day for at least a month. it may take up to 15 days to achieve desired level of this vitamin in body to stop the flickering, so you may have to wait for 2 weeks. if it does not improve, then you may need to see a neurologist for examination and further investigations. i hope this information helps you. thank you for choosing chatbot. let me know if you have further questions. best,"
Answer this question truthfully,"Irbesartan is used alone or in combination with other medications to treat high blood pressure. It is also used to treat kidney disease caused by diabetes in patients with type 2 (formerly'adult onset') diabetes and high blood pressure. Irbesartan is in a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain chemicals that tighten the blood vessels, so blood flows more smoothly."
Please answer with one of the option in the bracket,B: Recurrent variceal hemorrhage
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i just read through your question. though allergy is probably a big component of what is going on, the 102.3 fever indicates it's not the only component. this is too high a fever to attribute to allergy alone. the most likely diagnosis is a harmless viral illness that will ultimately pass on its own. however, if the fever lasts more than 2-3 days, it could indicate a bacterial infection requiring antibiotics. in this case, i recommend consulting with your doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. these disturbances are due to changes in autonomic, mainly the sympathetic nervous system. on coughing or with other activities as described by you, there is release of sympatho-mimetic amines, which can cause shaking and eyelid twitches. there is no need to worry about them. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"Acute subdural hematoma is a serious condition that occurs when blood accumulates between the brain and the dura mater, which is the outermost layer of the brain. Prompt diagnosis and management of this condition is critical, as it can quickly lead to increased intracranial pressure, brain damage, and even death. In addition to CT imaging, which is typically used to diagnose acute subdural hematoma, management of intracranial pressure is an important aspect of treatment. This may involve measures such as elevating the head of the bed, administering medications to reduce swelling, and in some cases, performing surgery to remove the hematoma and relieve pressure on the brain. The goal of managing intracranial pressure in cases of acute subdural hematoma is to prevent further damage to the brain and improve the patient's chances of recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","permethrin is a great option but as it is not available there- alternatives are-1.30 grams of cream of lineage, applied from the neck down and washed off after approximately eight hours.2. ivermectin, an oral medication, is an antiparasitic medication that has also been shown to be an effective suicide. 200 micrograms per kilogram body weight as a single dose, followed by a repeat dose two weeks later.3. crotamiton lotion 10% and cream 10% (eur ax, cretan) is another chatbot."
Answer this question truthfully,"Multiple endocrine neoplasia type 2 has a variable natural history. Life threatening complications of multiple endocrine neoplasia type 2 include malignant hypertension, megacolon, and metastasis. Prognosis of multiple endocrine neoplasia type 2 is mainly related to the stage-dependent prognosis of medullary thyroid cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the red color of your urine is likely due to the high intake of beets. if the fruits that you are using are acidic then it is possible that they are contributing to the acid feeling in your abdomen. a urinary tract infection would present with burning or discomfort on urination, urinary frequency, urinary urgency (the need to go the bathroom), change in the color or odor of the urine. in some cases there may also be fever, vomiting. if you are experience any of the above symptoms then it is possible that you do have a urinary tract infection. this would be treated with copious fluids and antibiotics. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. welcome to chatbot.  yes after having unwanted 72 your friend can experience pain in abdomen it may last for few days.  taking those pills are having some side effects on our body because these are artificial hormones.that's why it is always better to avoid taking unnecessary hormones.  hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health."
Please answer with one of the option in the bracket,A: Superior rectal vein
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, the reports of the scan at this stage do not indicate any risk or impending danger to your baby or pregnancy. the growth of the baby and the heart sounds are well within normal limits. had you mentioned the events of your previous miscarriage, i would have been better informed about the probable cause of miscarriage. you can continue this discussion further by asking me a direct question. i do not know why you feel that miscarriage is happening again. are you having any other symptoms? please get back to me with more detailed information so that i can guide you further. till that i hope this information is sufficient to encourage you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it can be taken with careful monitoring of liver function tests. monteagle is a combination anti-histamine chatbot.  montelukast is known to cause liver injury in patients with underlying liver disease such as hepatitis or those who consume alcohol. however, no dosage adjustment is required in patients with mild-to-moderate liver disease. monek-lc can be taken with careful monitoring of liver function tests and any early signs of liver injury like fever, abdominal pain, vomiting or jaundice should be reported to your treating doctor after stopping the treatment. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot. the symptoms you have described could be due to 1. acm 2. anemia 3. neuropathy due to diabetes all of which are easily treatable and curable i need few clarifications from you 1. when was the last time, blood sugar was checked 2. whether an mri of cv junction or cervical spine has been done please clarify these, and we would be happy to help you you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. well, bad smell concentrated in throat can be due to causes like acid reflux, post nasal chatbot. . treatment medical or surgical will depend on the cause. as the problem is in throat, so my suggestion is to consult an otorhinolaryngologist and get evaluated. he can do a laryngoscopy and if needed upper g. i endoscopy and even advise sinus x-ray to rule out the exact cause. treatment can only be decided then. as of now chew sugar-free chewing gum that are mint or menthol flavored to mask bad smell. you can also do steam inhalation with adding eucalyptus oil in boiling water. you can chew cardamom to mask bad smell."
Please summerize the given abstract to a title,Limitar la exposición de las personas más vulnerables como estrategia para minimizar los fallecimientos por COVID-19 (preprint)/ pt
Please summerize the given abstract to a title,Andrographolide exerts anti-inflammatory effects in Mycobacterium tuberculosis-infected macrophages by regulating the Notch1/Akt/NF-κB axis.
Answer this question truthfully,"Achalasia-addisonian syndrome  is a rare autosomal recessive congenital disorder. In most cases, there is no family history of it.  Triple A stands for achalasia-addisonianism-alacrima syndrome."
Answer this question truthfully,"Holt-Oram syndrome is estimated to affect 1 in 100,000 individuals."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. he is diabetic and hypertensive, so better to avoid sweet, sweetener, rice, potato, fruits like banana, apple etc. also avoid high salt diet. prepare his food in sunflower or olive oil. both are good for diabetes and hypertension. regarding prostate cancer, food is not an issue. but maintaining good immunity is important in cancer patients. so give him high protein diet like eggs, beans, legumes, pulses etc. multivitamin tablet containing folic acid, niacin, riboflavin, pyridoxine, vitamin b12 etc. is also important for immunity. zinc, selenium, vitamin c etc. are good antioxidants and helpful in immunity, so antioxidants' tablet is also recommended in his case. hope i have solved your query. wishing good health to your father. thanks."
Answer this question truthfully,"Aortitis may be classified according to the cause into 2 groups:  
Ankylosing spondylitis Behçet's disease Cogan syndrome Giant cell arteritis Idiopathic aortitis Juvenile rheumatoid arthritis Kawasaki disease Microscopic polyangiitis Ormond disease Polyarteritis nodosa Psoriatic arthritis Reiter's syndrome Relapsing polychondritis Rheumatoid arthritis Sarcoidosis Systemic lupus erythematosus Takayasu arteritis Wegener granulomatosis
Aspergillus Candida Escherichia coli Mycobacterium Proteus Salmonella Staphylococcus aureus Streptococcus pneumoniae Syphilis"
Answer this question truthfully,"As per the information provided, the causes of ATN include prolonged ischemia, toxins (drugs, myoglobin, Ig), and contrast-induced injury."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for the query.gfr is calculated by a formula which uses serum creatinine as one of the parameters. the other parameters are age, sex, race, body weight.thus, it is quite unusual for gfr to decrease if the serum creatinine is the same, unless you have lost some weight. the reason for gfr decline can be natural progression of the disease or some new disease process. your nephrologist is the best person to evaluate this. hope this helps good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i carefully passed through your question and would explain that your blood pressure values are really high. it seems that your actual therapy is not effective in controlling your blood pressure. from the other hand, i would not recommend taking both lisinopril and atacama as they are of similar pharmacological classes and can cause severe adverse effects when used concomitantly. i would recommend going to the er for a physical exam and some blood lab tests (complete blood count, blood electrolytes, kidney and liver function tests). i would recommend discuss with your doctor on making some changes to your actual therapy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the report of your semen analysis that you have posted you seem to have what is called as asthenospermia meaning there by that the percentage of active grade one motile sperms moving in forward direction is zero. normally it is the sperms with grade one motility those can move forward in uterus and towards female egg for fertilization to result in pregnancy. the said count in your case being zero there is no chance of effecting conception. unfortunately there are no medications that can help to increase motility of sperms however following measure will help you to improve and increase motility of sperms. 1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc 3)take anti oxidants like almonds 5-6 everyday4) avoid alcohol and smoking. repeat semen analysis after three months of trial. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your question. the symptoms you have described may be indicative of infective condition like meningitis. headache, fuzzy vision, disorientation are features of this type of condition. you should see a neurologist on an urgent basis to have this diagnosed. lumbar puncture is done to obtain samples for identification of bacteria. appropriately selected antibiotics will treat the infection. wish him the best."
Please answer with one of the option in the bracket,D: Temporal lobe
Answer this question truthfully,"ARBs are used to treat hypertension, proteinuria, heart failure, or diabetic nephropathy, particularly in patients who are intolerant to ACE inhibitors."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion since your cardiac work up is normal, we need to rule out pulmonary causes for your breathlessness. so consult pulmonologist and get done1. chest x ray2. put (pulmonary function test)if both of these are normal, i advise you to get done cbc and s.tsh to rule out anemia and thyroid problems. as anemia and thyroid problems can also give breathlessness. so consult pulmonologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.from your history it appears that the impacted wisdom tooth may be the culprit.it is better to get an opg and iowa x-ray done to analyze the position of 3rd molar. sometimes there can be inflammation around the erupting wisdom tooth which is known as peritonitis.peritonitis may create discomfort in the 3rd molar region and throat region. start with antibiotics and analgesics and do warm saline gargle and consult ur nearby oral surgeon. wish u good health
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The special findings associated with a median nerve injury are ""Median Claw"" (distal lesion) and ""Pope's blessing"" (proximal lesion)."
Answer this question truthfully,Buffered Charcoal Yeast Extract (BCYE) Agar is used to identify Legionella.
Answer this question truthfully,"Laboratory findings consistent with the diagnosis of insulinoma include serum glucose < 55 mg/dL; serum insulin > 5-10 μU/mL; serum C-Peptide > 200 pmol/L and serum proinsulin ≥ 22 pmol/L. Patients with insulinoma may have elevated insulin to glucose ratio > 0.4, which is usually suggestive of insulinoma after a 72-hour fast test as a gold standard test. One-thirds or 33% patients have clinical symptoms within 12 hours of fasting, 80% develop within 24 hours, 90% develop within 48 hours and 100% develop within 72 hours."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello & welcome to chatbot forum mohave not mentioned any symptomsregarding liver disease
Please summerize the given abstract to a title,Engaging Europe’s employees: a complex problem with a simple solution
Please summerize the given abstract to a title,A Virtual Standardized Patient–Based Assessment Tool to Evaluate Psychiatric Residents’ Psychopharmacology Proficiency
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i have gone through your question. both tablets are nutritional supplementary. you didn't mentioned your semen analysis reports. count, motility or liquefaction time. although i would suggest doing ultrasound color doppler of scrotum to rule out any pathology like varicocele and to see vascularity of testes as in infection vascularity increases. so consult a urologist and taker his advice for further management. hope i answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you may have enlarged axillary lymph node due to tuberculosis or reactive enlarged or malignancy.  you should go for fine needle aspiration cytology for exact diagnosis. then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Congenital long QT syndrome is typically caused by ion channel defects, which are inherited and affect myocardial repolarization."
Answer this question truthfully,"The cause of Nasopharyngeal angiofibroma has not been identified, but it may be caused by hormonal effect. 
Nasopharyngeal angiofibroma express higher levels of vascular endothelial growth factor (VEGF) and hormone receptors."
Answer this question truthfully,"Sciatica occurs when there is pressure or damage to the sciatic nerve. This nerve starts in the spine and runs down the back of each leg. This nerve controls the muscles of the back of the knee and lower leg and provides sensation to the back of the thigh, part of the lower leg, and the sole of the foot.
Common causes of sciatica include:
Piriformis syndrome (a pain disorder involving the narrow piriformis muscle in the buttocks) Slipped disk Degenerative disk disease Spinal stenosis Pelvic injury or fracture Tumors"
Please summerize the given abstract to a title,Designing a critical care solution using in-person and telemedicine approaches in the US-Mexico border area during COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. first, you should understand anxiety is bodies defense mechanism, and it will come up whenever you are stressed (fear). secondly, cbt is a procedure which you should continue doing, especially techniques like log keeping, imagery, relaxation etc. you don't need to visit the therapist regularly, but you should do the exercises without fail.  chatbot.  if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow mrs away, if you do not want to continue this pregnancy, you can terminate it by medicines. tab. mifepristone followed by tab. bisoprolol terminates the pregnancy safely up to 9 weeks of gestation. however, these medicines are not over the counter medicines and should be taken by obstetricians prescription and under supervision to avoid complications. these medicines are known to cause developmental abnormalities in the baby. hence, once the tablets are consumed, the decision should not be reverted to continuation of pregnancy. also, if the tablets fail to abort, the pregnancy should be terminated by surgical evacuation of uterus by mva aspiration or any other suitable method. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. i conclude that probably you are asking whether to go for the triple screen test. all screening tests are done to come to a probable diagnosis. and only 1 or 2 tests cannot do this job, so we need sometimes more tests to be on sure side. so with that i mean its advisable to do the triple screen test. hope this helps you. thanks. if you have any more queries i am happy to answer them. else, please rate this answer and close the discussion"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Depression, risk factors, and coping strategies in the context of social dislocations resulting from the second wave of COVID-19 in Japan"
"If you are a doctor, please answer the medical questions based on the patient's description.",psoriasis in the latest studies is shown as chronic inflammation of one or more common foods we use dali increases when immunity go down due to any reason you need to get blood serum tests for specific antibodies for milk wheat potato chaney rice nuts egg and other food you take daily and eliminate according to results and after few wk of with chatbot. 5 mg tab twice a week tab basting 10 mg at night liquid antacid apply calamine lotion mixed with salicylic acid ointment on affected area apply beclomethasone lotion at night in whole scalp and wash in morning with ketoconazole shampoo in morning need to apply twice a week no toxic shampoo oils soaps and body application materials
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. noted the history about your fianc\u00e9 and understood the concerns. the hard lump of three days in armpit with brown pus is suggestive of an infected sebaceous cyst or a boil. i would advise him the following in such a situation. consult a doctor to get a clinical examination and a valid prescription of an antibiotic, anti-inflammatory medicine with a painkiller property. get a reference for a general surgeon to see if incision and chatbot. apply liquid provide iodine locally."
Answer this question truthfully,"The condition that is characterized by the presence of Mallory bodies on histological examination is alcoholic hepatitis, and these intracytoplasmic eosinophilic inclusions are composed of damaged keratin (intermediate) filaments."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. as per your complaint bad smell from the mouth of a 1-year-old infant is most commonly due to poor oral hygiene leading to bacterial overgrowth and causing bad smell. it can also be due to any decaying tooth/teeth or gum infection. persisting cold and sinus infections can be a cause. as you have not started brushing her teeth, poor oral hygiene is appearing to be the culprit. i would suggest you to consult a periodontist and get evaluated and a thorough clinical evaluation done. in case if there is any infection then it has to be treated accordingly. in case if there is nothing ruled out then maintaining a good oral hygiene by cleaning teeth after feeding, giving plenty of water can help. start brushing her teeth daily... hope this helps."
Answer this question truthfully,Patients with Nutcracker syndrome may develop a left-sided varicocele.
Answer this question truthfully,"Itching in groin, thigh skin folds, or anus Red, raised, scaly patches that may blister and ooze -- The patches often have sharply-defined edges and are often redder around the outside with normal skin tone in the center Abnormally dark or light skin"
Answer this question truthfully,"Neonatal respiratory distress syndrome is a common complication in premature infants, which can be life-threatening. However, the risk of this condition can be reduced by administering maternal antenatal glucocorticoids. These are medications that are given to pregnant women who are at risk of preterm delivery, typically between 24 and 34 weeks of gestation. The glucocorticoids help to mature the baby's lungs, which can reduce the risk of respiratory distress syndrome and other complications. It is important for healthcare providers to identify women who are at risk of preterm delivery and to administer antenatal glucocorticoids as appropriate to improve the outcomes for both the mother and the baby."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from your prescription, i believe you suffer from some cardiac arrhythmia. you are on 3 different chatbot.  (beach, bystolic and maxine). you are probably sensitive to max tide as a result your blood pressure is showing evidence of excess fall.  you clearly need a ratification of prescription, for which you should consult your doctor who would possibly reduce the doses. do not attempt to self modify them as the consequences can be bad. all the best."
Answer this question truthfully,A duplex collecting system is associated with an increased risk for urinary tract infection.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,REM sleep behavior disorder is highly associated with underlying neurodegenerative disorders.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i suggest you go with your gp. you might be having bp. of course, you are also right. excess stress can cause anxiety as well as hypertension. this hypertension, if due to stress, could last for around 6 months to one year, if you keep it in check. exercising, controlling weight and flabbiness, eating food rich in potassium and minerals, fruits, not engaging in trifles and living a peaceful life shall definitely help you bring your bp down. till then please go with your gp's advise. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,"Design, synthesis, molecular modeling and DNA-binding studies of new barbituric acid derivatives"
Please summerize the given abstract to a title,SARS-CoV-2 innate effector associations and viral load in early nasopharyngeal infection
Answer this question truthfully,Glucocorticoids increase hepatic glycogen storage.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. as you yourself have rightly pointed out, you need to consult a doctor who can listen to you for all that you have to say. you have small problems in many spheres of life which need to be tackled one by one under supervision of a psychologist. for some problems few tests may have to be done like for example thyroid function testing. you probably need to look life in a whole new perspective and differently. do consult a psychologist. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctoryour symptoms are suggestive of viral fever. it will take its own course. it takes about 1-2 weeks to completely develop immunity against the infective organism by the body. so no need to worry. you will feel little weakness and dizzy for about 15 days. you follow these measures to boost up your immunity.1. eat lots of fruits and vegetables .2. eat fully cooked and hot soups.3. chatbot. 4. have a good and sound sleep. hope i have answered your query. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear... oily food tend to increase sebum production & may cause acne. although this has not been proved, but there are evidences to support this.it's good that you have decreased your oil intake.but just this is not enough. you need to apply some oil control face wash & creams. i would suggest you to use tea tree oil face wash & acne lac soap. this will certainly help you. thanks & take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking via chatbot, you might be suffering from scabies as it aggravates in night.  scabies is an itchy, highly contagious skin disease caused by an infestation by the itch mite scopes scabies. symptoms of scabies include a skin raschatdoctorposed of small red bumps and blisters and affects specific areas of the body. other symptoms can include tiny red burrows on the skin and relentless itching. the itch leads to frequent scratching, which may predispose the skin to secondary infections. consult your dermatologist for proper diagnosis. vozet is a safe chatbot. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot after going through your query i concluded that you have collapse of l 3 vertebrae. but if it was due to injury then it is likely to cause no problem after healing. healing probably will take place in 3 months. if it is due other reason then it requires diagnosis, may be required mri scan and treatment according. its treatment assuming injury is rest for nearly 1.5 months and analgesic such as ibuprofen for pain relief. you can discuss with your doctor about it. if you have any clarification then please don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
Please summerize the given abstract to a title,Perception of Web-Based Didactic Activities During the COVID-19 Pandemic Among Anesthesia Residents: Pilot Questionnaire Study
"If you are a doctor, please answer the medical questions based on the patient's description.","you mentioned your csf pressure be 8. i want to know the units of pressure here. few report in cmh2o, few report in mmhg, few report in paid i consider it be mm hg, 8 is mildly high pressure. was the pressure 8 at time of diagnosis? or later? keeping diagnosis of pseudotumor cerebra be correct, there are other medicines available to reduce icp- acetazolamide, prednisolone is also effective. if csf pressure still remain his, vp shunt also can be considered. if vision in impaired because of pseudotumor cerebra, fenestration surgery of optic nerve is effective to save vision"
Answer this question truthfully,Fava beans are a food that may be a source of oxidative stress in patients with G6PD deficiency.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,C: Secure the patient’s airway and administer 100% oxygen and rapid transport for recompression in a hyperbaric chamber.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the symptoms you have been describing are classical of an external hemorrhoid. you need to consult with a general surgeon and get it looked at. there are a few preventive measures you need to take meanwhile like increasing more fiber in your diet. the more fiber you take the lesser will the inflammation in the bowel be, and it is also known to decrease the itching in the perineal area. also, you can have site baths more frequently. there are commercially available tubs for that purpose which will help in alleviating the pain. hope this has answered your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear , good evening. thanks for your query to chatbot. this is chatbot.  i studied your query in-depth and understood your health concerns.-in my opinion the cause and treatment --for painful red pimple sized lump of areola-is mostly pimple due to the montgomery glands-(sebaceous glands of the areola) infection of the areola. treatment-is by-a-antibiotics / anti-inflammatory creams locally-for 2-3 days -only if the lump on areola doesn't reduce after the following local applications of b-olive oil, c-aloe vera-gel / lubricants locally to reduce the"
Please answer with one of the option in the bracket,C: Oral griseofulvin
Please summerize the given abstract to a title,"Impacts of Early Interventions on the Age-Specific Incidence of COVID-19 in New York, Los Angeles, Daegu and Nairobi"
Please summerize the given abstract to a title,The first familial cluster of the B.1.1.7 variant of SARS-CoV-2 in the northeast of Italy
Answer this question truthfully,"Patients infected with bacterial pneumonia present with a high leukocyte count as well as elevated inflammatory biomarkers, including ESR and C-RP. Red blood cell and platelet count can also be affected presenting as anemia and thrombocytopenia. Arterial blood gasses will often show changes in pH leading to a respiratory acidosis. Other tests routinely done include electrolyte assessment, renal function tests, pulse oximetry, gram staining and sputum samples. Blood cultures and PCR tests are sensitive tests that can provide a definitive diagnosis and aid in the selection of antibiotics."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, it looks like you are having a gastrointestinal infection. this is a serious matter in pregnancy and it's best to get checked by a doctor immediately. any fever, diarrhea, deny chatbot. so, it's best to checked to see that you do not have any infection, if need be done not hesitate to take antibiotics, as the maternal wellbeing is very important for fetal wellbeing. also get a fetal heart rate tracing done. hope this helps. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Parathyroid hormone (PTH) is a hormone that inhibits Na+-phosphate cotransport in the proximal tubule of the kidney. This means that PTH can decrease the reabsorption of phosphate from the urine, leading to increased excretion of phosphate in the urine. This can have important implications for the regulation of calcium and phosphate levels in the body, as well as for the development and management of certain kidney disorders."
Answer this question truthfully,"After instructing the laboring patient to breathe and not push, management of shoulder dystocia includes flexing the hips toward the abdomen (McRoberts maneuver) and application of suprapubic pressure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you have severe pain in tongue and have undergone extraction of wisdom tooth this white patches on tongue can be due to some reasons it might be due to oral candidiasis, geographic tongue, oral leukoplakia, oral submucous fibrosis, decapitation of papillae on tongue, oral lichen plans, or median rhomboid glossies. for this i will suggest you to consult dentist and go for visual examination of tongue and rule of the cause of white patch formation, in meantime you can apply ointment like candid gel on your tongue you will get relief, maintain proper oral hygiene, use tongue scraper to clean your tongue. hope it will help you. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i understand your concern. i suppose you are talking about interferon injections. they are given subcutaneously usually. but you should get him injections only under experts' guidance as reactions are common with the injections. also, blood counts have to be monitored accordingly. this is my personal opinion for you based on available details. if you have any further query please ask me. stay healthychatdoctor, md"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for putting up your query at chatbot. i understand the cause of your concern, but you have not mentioned the age of the child and that would have been important. the dietary changes for lactose intolerance should initially include the exclusion of those foods rich in lactose. if the symptoms resolve then small amounts of lactose containing foods may be reintroduced, and symptoms monitored. most people will be able to determine their tolerance level for lactose. very rarely people may be so sensitive that they will need to exclude foods with lower levels of lactose including biscuits, cakes and other processed foods. it is important to find a suitable replacement if important foods are excluded from the diet. the lactose content of dairy foods varies widely, as do the serving sizes consumed. breastfeeding need not be stopped unless the baby has severe problems with it. being lactose intolerant is not the same as having milk allergy, which is a more serious problem affecting a much smaller portion of the population. had i known the age of the child, i could have commented better, but the following food can be given if age appropriate"
Answer this question truthfully,"Opioid withdrawal is associated with symptoms such as nausea, stomach cramps, and diarrhea."
Please summerize the given abstract to a title,"Decline in the incidence of healthcare-associated methicillin-resistant Staphylococcus aureus (HA-MRSA) correlates with deceased antimicrobial consumption at a tertiary care hospital in Taiwan, 2001–2009"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. pus and swelling in the last molar suggests chronic abscess in the tooth. i would advise you to visit your oral and maxilla facial surgeon and have a radiograph. if the tooth is impacted and infected, please have it extracted. for pain ibuprofen can be taken (if not allergic to any medicine). antibiotics like amoxicillin 500\u00a0mg and metro lag 400 mg for infection on prescription. do salt water gargling. do not apply hot bag externally. hope this was useful. thanks and regards."
Answer this question truthfully,"Diagnoses by primary care physicians may be inaccurate  and can be improved with consultation by a dermatologist . Common causes of pseudocellulitis are eczematous dermatitis, stasis dermatitis, and erythema chronicum migrans.  

Redness, warmth, and swelling of the skin may be present Possible drainage, if there is an infection Swollen glands (lymph nodes) near the affected area A health care provider may mark the edges of the redness with a pen, to see if the redness goes past the marked border over the next several days."
Answer this question truthfully,"Amenorrhea, or the absence of menstrual periods, is a common side effect of IUDs that contain levonorgestrel."
Answer this question truthfully,The inferior sagittal sinus joins with the great cerebral vein of Galen to form the straight sinus.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient your symptoms indicate diagnosis of cervical disc pathology with resultant nerve compression.  pain in the right shoulder to elbow and tingling are due to nerve compression. this needs to be investigated with mri of cervical spine to confirm diagnosis. please get it done from radiology center nearby you. meanwhile, start tab regain x 75 mg one at bedtime. also take tab attract twice a day for pain relief. you need to consult spine surgeon with report."
Answer this question truthfully,"If your infant has any blistering shortly after birth, call your health care provider. If you have a family history of epidermolysis bullosa and plan to have children, you may want to have genetic counseling."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. blood in semen is known as hematospermia. it is common for a man to experience blood in semen in lifetime. it usually goes away of its own. since you are having fever along with it, infection can be suspected like prostatitis, epididymitis or urethritis and prostate cancer in men above 40 years. i advise you to see a doctor for prostate examination and investigations like semen analysis and urine test for the source of blood. do consider positive feedback as a credit to my work. let me know if you have any further questions. you can contact me on my page http"
Answer this question truthfully,Hyperplasia is the cellular change that is characterized by an increased number of cells.
Please answer with one of the option in the bracket,C: t(8;14)
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. the possible causes for your problem are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. cause of numbness could be due to nerve compression or deficiency of it b12. through clinical evaluation is required to reach the diagnosis. taking methylcobalamin supplements will be helpful. to exactly diagnose this problem, you need an mri scan. momentarily, take daily supplementation of it b2,b6 & b12 to suppress the symptoms of numbness in hands. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. noted she has weight loss with anorexia. so she has been referred to pulmonologist for rule out first tuberculosis .... for that chest x-ray and sputum examination done.... pulmonary function test can be done to rule out respiratory insufficiency. test for hiv also done which also present with such symptoms...lft profile done for detecting any chronic liver affection... control diabetes with less sugar diet... take care...
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this recurrent bladder cancer. i am pretty sure resection has never been completely successful with all the edges of the cancerous cells remove. this allows some cells to stay back, grow again and cause symptoms of cancer again. i believe he should be more meticulous at doing the resection again. if it is so widespread that he cannot completely, then he may want to see into the feasibility of doing a greater resection of the bladder to avoid spreading yto other parts of the body. if you want a female urologist, please ask your primary care doctor to refer you to one. there should be one where you can be referred to. but note that it is the management and not the doctor which makes the difference. i hope you find this helpful. thank you for using our services, and please feel free to request for more information if need be. i wish you well good health."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot.come have evaluated your query thoroughly.* this seems in relation with intercostal muscle or ligament related issue.* guidelines for better recovery-local application of heating pad followed by analgesic spray or ointment 3 times a day.- lavender oil gives excellent relief.- deep breathing gradual exercises, yoga, walking in fresh air helps.- mri work up is mandatory later on if required. hope this clears your query. wishing you fine recovery. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. high d-dimer levels signifies increased fibrinolysis.2. malignancy needs to be evaluated, as along with increased d-dimer levels, night sweats also signifies malignancy. autoimmune disorders like rheumatoid arthritis also require evaluation.3. x-ray of neck and ct scan of brain could be helpful.4. take more fluids to improve blood pressure. avoid sudden change in position as postural hypotension additionally can increase risk of fall. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Re: Can the summer temperature drop COVID-19 cases?
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make following suggestions
Please summerize the given abstract to a title,Vaccinia virus-based vaccines confer protective immunity against SARS-CoV-2 virus in Syrian hamsters
Answer this question truthfully,"Hu, S; Ma, F; Collado-Mesa, F; Kirsner, R. S. (2004), ""UV radiation, latitude, and melanoma in US Hispanics and blacks"", Arch. Dermatol., 140 (7): 819–824, doi: 10.1001/archderm.140.7.819 Unknown parameter |month= ignored (help) Hockberger, Philip E. (2002), ""A History of Ultraviolet Photobiology for Humans, Animals and Microorganisms"" (PDF), Photochemisty and Photobiology, 76 (6): 561–569, Error: Bad DOI specified! Allen, Jeannie (2001-09-06), Ultraviolet Radiation: How it Affects Life on Earth, Earth Observatory, NASA, USA"
Psoriasis for past 7-8 years I had psoriasis on my scalp for nearly 10 years. Please give suggestions and medications.,Some people may benefit from a psoriasis support group. The National Psoriasis Foundation is a good resource: www.psoriasis.org.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, at the moment, the swelling along with lower back pain make me think of colonial abscess. however, a detailed examination by a physician will help to distinguish that pain from the one that happens after a pinched nerve or a sprained muscle. to help with the pain you can also use over-the-counter tylenol provided there are no contraindications or allergy to it. you also will need to avoid bending forward excessively or carrying heavy weights."
Please summerize the given abstract to a title,Hours and income dynamics during the Covid-19 pandemic: The case of the Netherlands.()
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query regarding your fissure problem. constipation is a boon of faulty lifestyle and wrong dietary pattern. causes like unbalanced food habits, irregular sleeping pattern, low physical exercise are few of them. in elderly population, about 70% people are affecting or complaining about constipation. constipation is mother of all illnesses. fissure, piles are part of it. if you are severely constipated, the hard stools and strain during bowel movements will cause further harm to your condition by tearing - you may even bleed as the tear gets rubbed by the hard stools. you may feel an urge to itch the affected area.  first thing you should keep in mind , prevention is better than cure so try to eat a high-fiber & a low-carb chatbot.  eat food rich in natural fibers to avoid this condition. whole grains, beans, green leafy vegetables, carrots, figs, raisins and dates, prunes, papaya etc. are some of the best foods you can include in your daily diet. fiber helps to increase volume and soften the stools, thus preventing constipation. soft stools will put less pressure.- avoid sour spicy foods, refined flours foods, as fried, fast foods cakes, pastries, white bread and biscuits. white rice and sugary food items tea, coffee alcohol corn, tortilla chips, and peanuts should also be avoided as they can cause constipation. milk and milk products can cause diarrhea in some people, can also aggravate the pain in the anal fissures. a gentle instillation of olive oil into the rectum is an effective home remedy to treat anal fissures. you need to use around 50 ml of olive oil at a time. repeat it daily whenever required, help to soften the hard stools. this prevents aggravation injury and helps heal the fissure quickly. use of fresh aloe vera jelly compress on the anus will provide comfort from the painful symptoms and help heal the injury fast. keep the affected area clean and"
"If you are a doctor, please answer the medical questions based on the patient's description.","the simple answer to your question is yes. all amphetamines can significantly increase blood pressure which can cause damage to blood vessels and the heart. in addition, the activation of that fight or flight feeling can case muscle spasms/pain. given your current symptoms you need to be evaluated to rule out anything like a heart attack or an abdominal aneurysm. in addition, given your persistent use for 1 week, you likely need medical attention to help you wean yourself from this chatbot.  i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","if your case is a case of absence of sperms or azoospermia where there is absolutely no sperm in body, you may try for donor insemination where only good sperms collected and prepared scientifically from a reliable donor/semen bank is inseminated inside females' uterus for a successful pregnancy. its easy and cheap with a good success rate.it's not a surgery and not that very painful too.chances of transmission of diseases are very, very less."
I have no help its about 4 years now I have ingrown toenail i have a problem of ingrown toenail its about 4 years now I have this problem i need help,"If your ingrown toenail is not healing, call your doctor"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. the progestin is a natural micronized progesterone and is prescribed in cases of threatened miscarriage or past history of miscarriage or any dull pain in pregnancy etc. it can be taken by two routes orally or vaginally. usually it is said that the absorption will be better and side effects will be less with vaginal route. but studies done with progestin has similar effectiveness with both oral and vaginal route. but nothing like it's going to harm the baby by taking through oral route. so relax. avoid stress. avoid physical strain and intercourse. take good rest and healthy nutritional diet. nothing to worry. hope this helps. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting query gall bladder is on the right side. so it's not related.gas/boating maybe the cause.-otc dimethicone tablets and probiotics maybe used to combat bloating.-chew food well and try not to talk/zip mouth while chewing food as it causes -more air to enter stomach and may lead to bloating.- avoid broccoli, beans, cauliflower, and beverage swish you good n sound health regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"In restrictive lung disease, the FEV1/FVC is normal or increased."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, looks like you need a metabolic evaluation for urinary stone disease. this includes a blood chemistry with calcium, creatinine, phosphorus, uric acid, urea, and a complete urine examination. serum pth might be needed if calcium is higher. occasionally we do recommend 24 hour urine tests for these salts and also citrate and oxalate. following this we will be in a position to recommend precautionary measures. regards."
Answer this question truthfully,"From its origin, the subclavian artery travels laterally, passing between anterior and middle scalene muscles, with the anterior scalene (scalenus anterior) on its anterior side and the middle scalene (scalenus medius) on its posterior. This is in contrast to the subclavian vein, which travels anterior to the scalenus anterior. As the subclavian artery crosses the border of the first rib, it becomes the axillary artery."
Please summerize the given abstract to a title,Control of an Outbreak of Human Parainfluenza Virus 3 in Hematopoietic Stem Cell Transplant Recipients
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain that his symptoms could be related to different possible causes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, i am sorry to hear about your child. the symptoms you mentioned in your child can be a medical abnormality but considering the age of your child and the description you gave, it could be something other than a seizure. before even diagnosing what the problem is, she should be taken to a pediatrician and also a neurologist to rule out medical problems which might need an eeg and a ct scan of brain. at your end, i would suggest you try to talk to her and fins out that something which is scaring her and what exactly your child feels is trying to kill her. a lot of talking in private with your daughter might make things clearer. happy to clear any further doubts. take care."
Answer this question truthfully,Integrase inhibitors are the class of drugs that inhibit HIV DNA integration into host cell genomes.
Please summerize the given abstract to a title,A Public Website for the Automated Assessment and Validation of SARS-CoV-2 Diagnostic PCR Assays
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms. i assume you are referring to trigeminal neuralgia (tn). carbamazepine is the chatbot.  the dose can be 10-20 mg per kg body weight. so, assuming that your weight is 60 kg, you can safely take 600-1200 mg of carbamazepine per day in two divided doses. regarding erosion forte, it is a safe vitamin. you can also take methycobal tablets, which have vitamin b12 supplement. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health,"
Please answer with one of the option in the bracket,B: Positron emission tomography
Answer this question truthfully,"The recommended approach for managing a pregnant woman at 37 weeks gestation who presents with placenta previa is cesarean delivery.

Placenta previa is a condition where the placenta covers part or all of the cervix, which can cause bleeding and other complications during pregnancy and delivery. If a pregnant woman is diagnosed with placenta previa at 37 weeks gestation, the recommended approach is cesarean delivery. This is because vaginal delivery can cause significant bleeding and other complications for both the mother and the baby. Cesarean delivery is a surgical procedure where the baby is delivered through an incision in the mother's abdomen and uterus. This approach helps to minimize the risk of bleeding and other complications associated with placenta previa. It is important for pregnant women with placenta previa to receive appropriate management and follow-up care to help ensure the best possible outcomes for both the mother and the baby."
Please summerize the given abstract to a title,Generative Adversarial U-Net for Domain-free Medical Image Augmentation
Answer this question truthfully,"The incubation period of paratyphoid infections is 6–30 days. The onset of illness is insidious, with gradually increasing fatigue and a fever that increases daily from low-grade to as high as 102°F–104°F (38°C–40°C) by the third to fourth day of illness. Headache, malaise, and anorexia are nearly universal. Liver and spleen enlargement can be seen. A transient, macular rash of rose-colored spots can occasionally be seen on the trunk. Fever is commonly lowest in the morning, reaching a peak in late afternoon or evening. Untreated, the disease can last for a month. The serious complications of paratyphoid fever generally occur after 2–3 weeks of illness and may include intestinal hemorrhage or perforation, which can be life threatening."
Answer this question truthfully,"The arachnoid mater has its origin in the mesoderm, which is one of the three primary germ layers. Specifically, it arises from the mesodermal cells that migrate into the meninx primitiva, a layer of embryonic tissue that gives rise to the meninges, which are the three protective membranes that surround the brain and spinal cord. The arachnoid mater is the middle layer of the meninges, located between the dura mater (which is derived from mesoderm) and the pia mater (which is derived from neural crest cells). The development of the arachnoid mater, like that of other tissues, is regulated by a complex interplay of genes and signaling pathways that ultimately determine the fate of the cells and tissues that arise from the mesoderm."
Answer this question truthfully,"Some patients have no symptoms. They may not even realize they have the condition until it is found during a routine medical exam. Chest pain, Dizziness, Fainting, especially during exercise Heart failure (in some patients) High blood pressure (hypertension) Light-headedness, especially with or after activity or exercise Sensation of feeling the heartbeat (palpitations) Shortness of breath Other symptoms that may occur are:
Fatigue, Reduced activity tolerance, Shortness of breath when lying down (orthopnea)."
"If you are a doctor, please answer the medical questions based on the patient's description.","high sedimentation rates may be caused by autoimmune diseases, such as systemic lupus erythematous or rheumatoid arthritis. cancer, such as lymphoma or multiple myeloma. chronic kidney disease. infection, such as pneumonia, pelvic inflammatory disease, or appendicitis. inflammation of joints (such as polymyalgia rheumatic) and blood vessels (such as giant cell arthritis) can also high esr. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i will answer to your question according to ayurveda. firstly, you should do abdominal sonography first to rule out your fear. if the report is ok, then don't worry, its a physiological problem that you have. now what ayurveda thinks regarding this problem? as you are also suffering from urticaria (sheet pitta) along with yellow skin. this is called tirykgamitva of dos has. my experience says if this is not due to gall bladder stone then it's related with blood(rasta) +nasa(lymph) +mama(muscle) that. this is called samtajaneet pitta/kaphavrurtta pitta doha in ayurveda. the best medicines for this are navajos lola/punarnava manure/shank ha plasma/naval pistil etc. along with dhanvantar friar/mahatiktak friar/adimad friar. i got excellent results with these medicines in my ayurvedic practice at my clinic.also, maximum intake of ginger/thing/spinach/yam/beet root/turmeric/coriander seeds/black cardamom/oregano/mangosteen peel/jagger/green gram deal is also recommended. besides do various test like lft, ast gg pt, ap,urinalysis, bul,esr, bsl etc. if any problems occurs the above written treatment is also effective in gall bladder stone +in any liver diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your husbands symptoms are suggestive of syncope or seizure. in syncope, the blood supply to brain is temporarily reduced leading to brief loss of consciousness, seizure is a type of fits. you should a consult a neurologist for proper evaluation, and diagnosis, appropriate treatment can reduce the chances of recurrence of these events. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. blood in the urine can be the first symptom of bladder cancer indeed. especially if no sign of infection. but most probable reason of it are stones. please note that stones can recur. and even if no evidence of stones in the ultrasound, some small stones can be present. i suggest you to consult urologist in that matter. cystoscopy to rule out cancer should be done. hope this will help. regards."
Please answer with one of the option in the bracket,D: Destruction of parathyroid glands
Please summerize the given abstract to a title,Extended Lifetime of Respiratory Droplets in a Turbulent Vapor Puff and Its Implications on Airborne Disease Transmission.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. i think your kid is having habitual constipation. i have certain questions and suggestions for you. questions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sir, i really appreciate your lifestyle modifications in combating hypertension. if your blood pressure measurements are around 120/80 on multiple occasions, then medications can be avoided. only other lifestyle modification that i can advise you are to include mediation or any other stress busting exercise into your schedule.let's see after this, of blood pressure is around 120/80, then we can definitely avoid medications. all the best. thanks."
how much ibuprofen is too much,"Prescription ibuprofen that comes as a tablet should be taken three or four times per day for arthritis, or every 4 to 6 hours as needed for pain relief. Nonprescription ibuprofen may come in a tablet, liquid, or drops. Adults and children over 12 may take nonprescription ibuprofen every 4 to 6 hours as needed for pain or fever. Children less than 12, as well as infants, may usually be given nonprescription ibuprofen every 6 to 8 hours and should not be given more than 4 doses in 24 hours."
Please summerize the given abstract to a title,"TLR4 antagonist FP7 inhibits LPS-induced cytokine production and glycolytic reprogramming in dendritic cells, and protects mice from lethal influenza infection"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. swelling the gum and decayed tooth suggests abscess formation in relation to that tooth. i would advise you to visit your local dentist and get it evaluated with a radiograph after which the root canal treatment can be confirmed. if the tooth is split, it will be removed. for sensitive gums, get your teeth cleaned professionally and then use a desensitizing toothpaste like sensory for a while and do chlorhexidine mouth wash gargling. hope this was beneficial. thanks and regards."
Answer this question truthfully,Aortic dissection may result in cardiac tamponade as a potential complication due to backflow into the pericardium.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. if there is pain in spite of gabapentin and tramadol you are taking for leg pain, the cause of the pain in abdomen has to be searched on. there can be a mild infection due to diabetes or a chronic problem. i would suggest going for a clinical examination for pain in abdomen and go for ultrasonography/ ct scan of abdomen to confirm or rule out specific infections. as also go for blood, urine and stool tests as there is a possibility of a complication due to diabetes."
Please summerize the given abstract to a title,Multidimensional in silico strategy for identification of natural polyphenols-based SARS-CoV-2 main protease (M(pro)) inhibitors to unveil a hope against COVID-19
Answer this question truthfully,Amantadine and rimantadine are the two anti-influenza drugs that have a high rate of resistance and are no longer recommended.
Answer this question truthfully,"Ischemic stroke is a type of stroke caused by a blockage in a blood vessel supplying the brain. MRI (magnetic resonance imaging) is a more sensitive imaging technique for detecting ischemic stroke compared to other imaging techniques such as CT (computed tomography) scan. MRI can detect smaller areas of ischemia and can provide more detailed information about the location and extent of the stroke. MRI can also be used to identify other conditions that may mimic stroke symptoms, such as brain tumors or infections. Treatment for ischemic stroke may involve medications to dissolve the blood clot, surgery to remove the clot, or other supportive measures depending on the severity of the stroke."
Answer this question truthfully,"The presence of discrete areas of functional ""hot"" nodules after radioactive iodine (I-131) uptake is suggestive of toxic multinodular goiter. This is a condition in which the thyroid gland develops multiple nodules that produce excessive amounts of thyroid hormone, leading to hyperthyroidism. The nodules may be visible or palpable in the neck, and symptoms may include weight loss, rapid heartbeat, nervousness, and sweating. Treatment for toxic multinodular goiter may involve medications to control the production of thyroid hormone, radioactive iodine therapy to shrink the nodules, or surgery to remove part or all of the thyroid gland."
Answer this question truthfully,"Most symptoms of rhinitis can be treated. For some people, the symptoms resolve as they grow older."
Please answer with one of the option in the bracket,D: Hypopituitarism
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. i read your query and i understand your concerns. following is my reply"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mr bhatpara unfortunately there is no cure for the mnd as of today.  symptomatic and supportive treatment can be of help for maintaining quality of life.  rissole is the only chatbot.  recently stem cell therapy is being tried as a research modality. physical and rehabilitation improve posture, muscle weakness and atrophy, and swallowing difficulties.  proper nutrition and balanced diet are essential. good luck and hope for the best protein"
Answer this question truthfully,"The anterior drawer test and lachman test are both orthopedic tests that are used to evaluate the stability of the knee joint. These tests are commonly used to assess for injury to the anterior cruciate ligament (ACL), which is a key stabilizing ligament in the knee. The anterior drawer test involves the examiner pulling the tibia forward while stabilizing the femur, while the lachman test involves the examiner pulling the tibia forward while stabilizing the femur with one hand and applying a slight upward pressure on the tibia with the other hand. These tests are useful in diagnosing ACL injuries, which can cause pain, swelling, and instability in the knee joint."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. polycythemia vera is a condition characterized by increased hemoglobin levels due to increased production. it's a chronic condition.2. patient can survive for a longtime with appropriate treatment for polycythemia vera like hy chatbot. 3. further change into an acute myeloid leukemia is the major risk and needs to be watched closely. 4. not to worry, keep a close watch always and any"
Answer this question truthfully,Bronchogenic cyst is a rare benign congenital malformation in which there is a fluid filled mass in the lungs.
how to prevent schizophrenia,Schizophrenia cannot be prevented. Symptoms may be prevented by taking medicine exactly as the doctor instructed. Symptoms are likely to return if medicine is stopped. Changing or stopping medicines should only be done by the doctor who prescribed them.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, only your doctor can advise you to take or not to take any medication because they are the ones who know your case best as opposed anybody reading a few lines of your problem from afar, make sense? it would appear at first glance that your blood pressure has certainly improved from what it was and that is very good.  however, side effects that may be coming from the medication are potentially bad and if you haven't gotten used to them by now it is definitely worth speaking to your doctor first before making any decisions to continue or not.  that is the way any patient should handle any prescription medication that doesn't appear to agree with them. give your doctor the final word on what to do with the prescription..., not someone who's less informed about your case and your body than he/she. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,A: Type III hypersensitivity
Answer this question truthfully,"Spontaneous, unilateral serosanguinous nipple discharge is typically followed up with mammography, ultrasound, and biopsy."
Answer this question truthfully,Increased levels of cholesterol inside the hepatocyte leads to decreased activity of the enzyme HMG-CoA reductase.
Please summerize the given abstract to a title,Rethinking early years: how the neoliberal agenda fails children
Answer this question truthfully,Individuals with Turner Syndrome may experience scoliosis as a potential skeletal manifestation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your sgpt and got level is high. it can be due to viral infection, alcohol, chatbot.  you should go for ultrasound abdomen and complete liver function test. it will help you to fine the cause. then you should take treatment accordingly. you should take low fat diet with high amount of protein and sugar. avoid alcohol. consult your doctor and start treatment according to cause. hope i have answered your question, if you have any doubts then contact me at bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. i just want to ask a few questions.1. did you get the vaccines on time?2. were the wounds washed with soap and water? do not worry. i would suggest you to - apply mupirocin ointment locally.- take warm compress over the area- i would start tablet diclofenac along with tablet sanitizing to relieve the pain. visit a surgeon. he/she can examine the wound and correlate clinically. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
Please summerize the given abstract to a title,Environmental sustainable mathematically processed UV spectroscopic methods for quality control analysis of remogliflozin and teneligliptin: Evaluation of greenness and whiteness
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your health concern with team chatbot! in the present case of painful dark thigh swelling or lump, if i were your consulting physician, i would consider two or three possibilities like"
how to prevent atherosclerosis,"treatments have reduced the number of deaths from atherosclerosis-related diseases. These treatments also have improved the quality of life for people who have these diseases. Follow your treatment plan and take all of your medicines as your doctor prescribes. Your doctor will let you know how often you should schedule office visits or blood tests. If you're very depressed, your doctor may recommend medicines or other treatments that can improve your quality of life."
Answer this question truthfully,Probenecid belongs to the class of sulfa drugs and is used for the treatment of chronic gout.
Answer this question truthfully,The Obturator nerve arises from L2-L4 nerve roots and provides sensory innervation to the distal medial thigh and motor innervation to the thigh adductor muscles.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Mea Culpa and what is humanity to do? Adler's understanding of and approaches to pandemics
Answer this question truthfully,"Incidence of type 1 diabetes mellitus varies with geography, age, race, and genetic susceptibility. Epidemiology and demographics of type 1 diabetes mellitus among children:          
At a rate of 3-5% each year since 1960, the incidence of type 1 diabetes mellitus is increasing among children for not fully understood etiologies.  Although it can be interpreted that environmental factors could be at least partially responsible, since genetic factors can not intervene in such a short time.  In one study, incidence of type 1 diabetes mellitus in youth of the United States reported 24.3 (95% confidence interval CI, 23.3-25.3).  Another study done in Belgium reported an average of 9.9 new cases of diabetes mellitus type 1 per 100,000 individuals per year. 
Factors affecting the incidence of type 1 diabetes mellitus Relationship between factors and incidence of type 1 diabetes mellitus Epidemiology Geography Incidence elevates with increased distance from equator Incidence of type 1 diabetes mellitus per 100,000 persons a year 0.1 to 0.5 per 100,000 persons in Venezula and parts of China 37 to 65 in Finland and Sardinia 23.6 per 100,000 per year in non-Hispanic white children and adolescents 36 per 100,000 per year in Newfoundland, Canada Gender Gender doesn't affect the overall incidence of childhood type 1 diabetes mellitus The prevalence and incidence of type 1 diabetes mellitus doesn't vary with gender. Genetic susceptibility There is an increased risk of developing type 1 diabetes mellitus in close relatives of a patient with type 1 diabetes mellitus Lifetime risk of developing Type 1 DM ●No family history – 0.4 percent ●Offspring of an affected mother – 1 to 4 percent ●Offspring of an affected father – 3 to 8 percent ●Offspring with both parents affected – reported as high as 30 percent ●Non-twin sibling of affected patient – 3 to 6 percent ● Dizygotic twin – 8 percent ● Monozygotic twin – 30 percent within 10 years of diagnosis of the first twin, and 65 percent concordance by age 60 years Race Incidence of type 1 diabetes mellitus varies from race to race Non-Hispanic white youth-2.55 ases per 1,000 children 0 to 19 years old African American- 1.62 cases per 1,000 children 0 to 19 years old Hispanic-1.29 cases per 1,000 children 0 to 19 years old Asian-Pacific Islanders-0.6 cases per 1,000 children 0 to 19 years old American Indians-0.35 cases per 1,000 children 0 to 19 years old, respectively)
Type 1 diabetes affects ~15-30 million people globally.  In 2012, Ada estimated the prevalence of type 1 diabetes mellitus in american children and adults at 1.25 million.  5.6% of american adults diagnosed with diabetes mellitus have type 1 diabetes mellitus. 
The mortality rate among type 1 diabetes mellitus patients was 2.2/1000, based on a study done on Norwegian patients who were diagnosed between 1973 and 1982. 
Bimodal distribution, with one peak at four to six years of age and a second between 10 to 14 years of age. More than 85% of patients with type 1 diabetes mellitus are younger than 20 years old.  A study done on European population demonstrated that recent incidence of type 1 diabetes mellitus was highest among individuals younger than 4 years old.  Nevertheless, type 1 diabetes mellitus incidence wanes after puberty.  Even though the overall incidence of type 1 diabetes mellitus decreases after puberty, one fourth of individuals with type 1 diabetes mellitus are diagnosed as adults. 
In one study done on young population of the united states, type 1 diabetes mellitus were reported more frequent among non-Hispanic white, Hispanic and African Americans.  The following table is a summary of association between different races and diabetes mellitus type 1 incidence based on various age intervals: 

Some studies suggest that males are more commonly affected by type 1 diabetes mellitus than females, although non- immunologic subtype of type 1 diabetes mellitus is more common in females.  #cite_note-Blohm�Nystr�m1992-21|  On the other hand, another study suggests that both genders are equally affected.  A study of Caucasian population demonstrated male to female ratio of 1.7 among HLA-DR3 associated patients, whereas male to female ratio have been reported 1.0 among HLA-DR4 associated patients. 
Finland has the highest incidence of type 1 diabetes mellitus in the world.  The following is the list of regions which had an increased incidence of type 1 diabetes mellitus from 1990–1999:  Asia Europe North America The following is the list of regions which had a decreased incidence of type 1 diabetes mellitus from 1990-1999:  Central American The West Indies A study done on Gomel city population with radiation exposure after the Chernobyl incident demonstrated increased incidence of type 1 diabetes mellitus."
Answer this question truthfully,"G6PD deficiency is a genetic condition that affects the activity of the enzyme glucose-6-phosphate dehydrogenase (G6PD). There are several different variants of G6PD deficiency, each with different characteristics and effects. The African variant of G6PD deficiency is one of the most common variants and is found primarily in people of African descent. This variant is associated with a mildly reduced half-life of G6PD, which means that the enzyme is broken down more quickly than normal. This can lead to a deficiency of G6PD in the body, which can cause a variety of health problems, including hemolytic anemia. The severity of the symptoms can vary depending on the individual and other factors, such as diet and lifestyle."
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for query. the natural color of skin is the best.it is better not to alter it for whitening. cosmetics do more harm than good. so stop all cosmetics. you can use antioxidant and vitamin tablets. then advise your child to not lick the lips too much or cause irritation to it which can cause darkening. treat if any infections or deficiencies are present. you can get back directly to me for any clarifications with the photos. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi madam.thanks for contacting us...mrsa is type of bacteria that resist some species of antibiotics...u must know that there is mrsa infected patient and mrsa carrier personnel...mrsa infected patient have symptoms and signs of the disease .but carrier state have no symptoms or signs ...if u had done 3 specimen culture on different times that means it was eradicated .and no fear of it....u may be the carrier state and the carrier is not infectious to others....so briefly after treatment you are not infectious to others...my advice is u do specimen culture on 3 different times to be complete assured.....and don't carry madam about that.i thank u because of your concern about be contagious to others ...that's great....finally take care of your health .thank u
Please summerize the given abstract to a title,Planning and Implementing the Protocol for Psychosocial Interventions by Social Workers in Iranian Healthcare Centers against COVID-19.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have mole and it gets damaged.  no need to worry.  just damage if mole is not a risk for cancer.  if you not recent changes in the size, number, color or texture of moles then you should consult your doctor and go for biopsy.  it can give rise to skin malignancy called malignant melanoma.  you should not worry about cancer.  just be relaxed. avoid soda because anything in excess is harmful to body. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! i understood your problem, no, just burning pain in back, dizziness and balance problem do not indicate scoliosis. by your statement that you have noticed a lot of curves it's not clear which curves you are talking about. we normally have curves in spine. if you have noticed something not usual like c- shaped curve, s -shaped curve, you need to get x-ray done for1.lumbar spine2.thoracic spine-rayed can easily diagnose whether you have scoliosis or not, at which level and its severity.regarding your balance problem you need to tell me your age. do you have any family history of balance problem ??? did you have any ear infections recently ?? balance impairments can be due to ear problems or due to something abnormal in brain, but don't panic at all, go for x-ray first."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the organs in the area of right lower abdomen where you have pain is end of small intestine, starting of colon, the large intestine, appendix, lymph nodes, ureter. get an ultrasonography and a course of antibiotics and metronidazole with probiotic for 5 days. if no effects, consult a general surgeon, do ct scan and relevant blood, urine and stool test. you will get a proper diagnosis and proper treatment. go for surgery if necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. from the description of the symptoms it looks like your child has most likely had a relapse. this will be confirmed if the urine protein is 3+ on 3 days. childhood nephrotic syn chatbot.  dietary modifications usually do not work and in fact as the child is growing he needs a nutritious diet. the appropriate thing at this stage would be to consult your pediatric nephrologist who will most likely restart the medications. the good news is that this disease often quietens down as the child grows older. i wish your son good luck.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, masturbation is a normal phenomenon, and does not have any side effect on body or mind, unless you get addicted to it. since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello this is chatbot.  but as per your own description of \""slight\"" i can consider it as with in the range of normalcy. your erectile dysfunction may be due to hypertension but seems to be more of psychogenic, as its normal sometimes too without any reason. ecg is also found to be normal. so, i can consider as performance anxiety as you are also having some features of mild depression. idealy you should consult to your nearby psychiatrist for that. i can advise you tab- next(escitalopram) 10\u00a0mg one tablet bedtime. it will surely benefit you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, asmita tablet is an anticoagulant and is used to help reduce the formation of blood clots. as it is a blood thinner, it works by preventing the formation of blood clots in arteries or veins, thus reducing the risk of heart attack, stroke, or other serious conditions. chroming a is a mineral supplement, and it can cause itching, headache, weakness, gastrointestinal disorders, nausea, vomiting, constipation, loss of appetite, chatbot.  vaginal irritation has not been reported with these"
Please summerize the given abstract to a title,Sspopular perception on COVID-19 about being a bioengineered weapon- a survey
Please summerize the given abstract to a title,Effect of different forms of N fertilizers on the hyperaccumulator Solanum nigrum L. and maize in intercropping mode under Cd stress
Please summerize the given abstract to a title,Barriers to Dissemination of Local Health Data Faced by US State Agencies: Survey Study of Behavioral Risk Factor Surveillance System Coordinators
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum looks like your grandson has developed a lesion of vector dermatitis.also known as panders dermatitis. panders dermatitis is a peculiar, irritant contact dermatitis characterized by a sudden onset of red lesions on exposed areas of the body. the disease is provoked by an insect belonging to the genus panders. you need to apply an antibiotic/steroid combination cream over the lesion (something like flutist, unibet) twice a day. take oral antihistamine like levocetrizine once a day to decrease the swelling (dosage according to age of the patient) do not use any moisturizer or oil over the lesion do not cover the affected hardware cotton clothes hope it helps to wish your grandson speedy recovery chatbot."
Please answer with one of the option in the bracket,D: Antigen detection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. raised bumps at the back of tongue appears to be swollen circumvallate papillae that can be due to throat infection, oral infection, burning with hot foods or chemicals, acid reflux etc. in case if she has white coating on her tongue then it can be probably oral thrush, and it can also be a potent cause for inflamed papillae. do not worry, she should start gargling with warm saline solution. if there is pain she can gargle with numbing mouth wash containing lidocaine. use specialized mouthwash like magic mouthwash to gargle. if there is no improvement in a week consult an oral physician and get evaluated. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, cannot say in your particular case, but generally, localizing pain to what is painful is the first step. a classic way to differentiate heart from muscle pain is if the muscles are sore to touch or movement then not the heart.  we generally are not aware of stresses that cause pain later on in tendons and joints. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i can understand your emotions. i think the issue is more complicated. your second wife is not satisfied with your son or for that matter even you. also, your child is not satisfied with the step mum attitude. first, you know that it takes time for people to adjust with the situation. your son will be able to adjust with stepmom provided she behaves and provides love. asking an 11-year child according to her is cruelty. she definitely needs counseling. but before that you need to take some concrete decisions with which she understands, you are not too lenient towards her and the family life with her. talk to her, cajole her, press her, trigger her, etc. in any case, she should live to have family peace. i think, you can do it. please do. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot hi i am chatbot and i will help you with your query have gone through your question. it appears to be contact dermatitis, because of ornaments you wearing on hand like watches, jewelry etch chatbot.  it further aggravates it, as it is a strong irritant to skin and tissues. you need to avoid any type of wrist ornaments. any renovate ointment (steroid formulation), take antihistamines tablets and keep the area clean to avoid any secondary infection. you will be better in few days. i hope it will help you. do rate my answer if you like it. regards"
Answer this question truthfully,Aldosterone upregulates the Na+-K+ ATPase pump on the basolateral membrane of the principal cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, and thanks for your query. scar tissue is always considered a weak area even though it has fully healed. the description fits with an incisional hernia with intestinal protrusion through the scar. early medical advice is recommended. the doctor will examine and if need be performed a surgical procedure to put back the intestines into the abdomen and fix a mesh to strengthen the area. regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","i appreciate your query on chatbot. the medicine you mentioned is probably escitalopram which is an antidepressant and a selective serotonin reuptake inhibitor. ideally they should be started in consultation with a psychiatrist. if you are having the symptoms of low mood, weeping spells, poor concentration, decreased interest in life and sleep/ appetite disturbances you can restart the medicines but continue for 6 months when you feel absolutely fine (not total 6 months) and then gradually off them. i hope you find this helpful."
Answer this question truthfully,Pituitary tumor Carcinoid tumors
Please summerize the given abstract to a title,[CT Characteristics of Consolidation Type of Pulmonary Cryptococcosis in Immunocompetent Patients].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi swat, welcome to chatbot. ovulation means release of ovum from a follicle after it has matured and ruptured, which usually occurs approx. on the 14th day of menstrual cycle. fallopian tubes are the extensions of the uterus which transport the ovum nearer to the uterine cavity. fertilization occurs in the tube and the fertilized egg is transported into the uterine cavity where it gets embedded, and the baby grows over there. i think that now it must be clear to you that ovulation and tubes are different things. ovulation can occur even if the tubes are blocked, but the transportation will not be successful if the tubes are blocked. if both the tubes are completely blocked then ovum and sperm cannot unite and hence pregnancy is not possible in natural way. artificial techniques will be necessary in such cases. wish you all the best."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The HCO3- that is produced from H2CO3 in the PCT cells is transported into the interstitium of the PCT. This occurs through the action of the enzyme carbonic anhydrase, which converts H2CO3 into HCO3- and H+. The HCO3- is then transported out of the PCT cells and into the interstitium, where it can be reabsorbed into the bloodstream. This process is important for maintaining the acid-base balance in the body, as it helps to reabsorb HCO3- that would otherwise be lost in the urine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. first, it is good to note that your mother-in-law is recovering well after a brain stroke. tasteless tongue is unlikely to be related to blood clot in brain. however, if you can upload the ct or mri brain report, it would be helpful. taste involvement can also be due to side effects of certain medications, such as antibiotics (metronidazole), iron, etc. so, if you can send a list of medications your mother-in-law is taking currently, it would help. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query to chatbot.  gallstones can explain back and right side pain but not shortness of breath, dizziness. there is something else which is causing the problem. i need more information like, does the shortness of breath occurs even at rest or only on exertion ? is there any chest pain ? is there any cough ?  it could be infection of the lungs, anemia (low hemoglobin) , allergy (bronchitis) or problem in the heart. i advise you to get certain test done to know the cause of your problems. these tests are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have gone through the ct scan report provided by you. these findings are suggestive of small areas of blood clots, where the blood supply is less. these are most likely related to your high blood pressure. in addition, you need to get screened for high blood sugar, cholesterol and homocysteine. if any of them are elevated, then, appropriate medicines may be required. in addition, you should also take aspirin tablets to make sure that the ischemia (lack of blood flow) of brain does not increase. i hope it helps. please get back if you require any further information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,Why we stopped using the term 'aftercare'.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have undergone surgery for large inguinal hernia repair 10 back and have noticed hard swelling running across the scrotum this is due to an inflamed spermatic cord resulting from the handling of spermatic cord during surgery while dissecting hernial sac from the cord. this is known and normal complication of hernia surgery which gradually gets resolved over a period of one month. take antibiotics like augmenting and anti-inflammatory medication like diclofenac twice daily.  chatbot.
Answer this question truthfully,"The initial treatment for hypovolemic shock is intravenous (IV) fluids. Hypovolemic shock is a medical emergency that occurs when the body loses a significant amount of blood or fluids, causing a decrease in blood volume and blood pressure. IV fluids are given to help restore blood volume and improve blood pressure. The type and amount of IV fluids given will depend on the severity of the hypovolemia and the underlying cause. In some cases, additional treatments such as blood transfusions or surgery may be necessary to address the underlying cause of the hypovolemia. Prompt recognition and treatment of hypovolemic shock is critical to prevent organ damage and improve outcomes."
Answer this question truthfully,"Diaper rash is a common skin irritation that occurs in the diaper area of babies. Candida albicans, a type of fungus that is normally present in the body, can overgrow in the warm and moist environment of a baby's diaper and cause a rash. This is why Candida albicans is often implicated in cases of diaper rash."
Answer this question truthfully,Safer drugs have a higher therapeutic index value.
Answer this question truthfully,"Liver biopsy
The diagnosis of hepatocellular carcinoma is confirmed by percutaneous biopsy and histopathologic analysis. Percutaneous biopsy should only be performed when diagnostic imaging results are uncertain.
Percutaneous core liver biopsy is the gold standard test for the diagnosis of hepatocellular carcinoma. In addition to the percutaneous approach, there are various other approaches to obtain a sample of the hepatic tissue, such as:    Transjugular approach Laparoscopic radiographically guided fine-needle approach Endoscopic ultrasound (EUS)-guided fine-needle biopsy (EUS - FNA) Percutaneous biopsy of focal lesions may be performed in combination with either ultrasound or CT imaging.  Percutaneous liver biopsy remains the cornerstone of diagnosis. It is a quick and simple to perform liver biopsy in a patient with normal platelet count and INR.  Surgical resection Two out of the following three positive stains upon liver biopsy confirm HCC:   Glypican 3 Heat shock protein 70 Glutamine synthetase
Hep Par 1 Antibody Stain
Tissue microarray technology is uses to test Hep Par 1 antibody stain which is showing promising results in differential diagnosis of HCC. 
A biopsy is not necessary if the clinical, laboratory, and radiologic data suggest hepatocellular carcinoma. Liver biopsy may be suggestive of etiology as the following: Alcoholic liver disease: Liver biopsy may show hepatocyte necrosis, presence of mallory bodies, neutrophilic infiltration and perivenular inflammation. Primary biliary cirrhosis: Gold standard diagnostic modality is the detection of antimitochondrial antibodies along with liver biopsy as confirmation of florid bile duct lesions. There is a small but significant risk associated with liver biopsy, and the underlying cirrhosis in the patients with HCC itself predisposes to complications due to liver biopsy.  There is a 3% risk of tumor spread in the percutaneous needle path, risks of liver biopsy include: 
Hemorrhage Biliary peritonitis Hematoma Perforation of other viscera Mortality rates of between 0.01% and 0.1%
Patients with moderate coagulopathy: Plugged liver biopsy: Injection of gelatin sponges or metal coils down the tract after biopsy Laparoscopic liver biopsy performed on a sedated patient with moderate coagulopathy Advantage: Allows direct visualization of the liver
Transjugular liver biopsy:
Used in patients with severe clotting disorders Advantage: Risk of intraperitoneal bleed is less Disadvantages: Biopsies are small Multiple biopsies required Taken'blindly'
The core needle biopsy should be performed when: 
A positive hepatic leision is detected in the patient on imaging studies. The patient has underlying risk factors i.e HBV infection, HCV infection or liver cirrhosis.
Hepatocellular carcinoma may be diagnosed at any time if the following criteria is met: Two out of the following three positive stains upon liver biopsy confirm HCC:   Glypican 3 Heat shock protein 70 Glutamine synthetase
According to the TNM staging system, there are four stages of hepatocellular carcinoma based on the tumor size, lymph node involvement, and distant metastasis.Although the TNM staging system is widely used for the staging of hepatocellular carcinoma, the Cancer of the Liver Italian Program (CLIP) system is used widely because it is adopted from the original Okuda classification system that involves cirrhosis into account. 
Cancer of the Liver Italian Program (CLIP) system is used widely because it is adopted from the original Okuda classification system that involves cirrhosis into account. 
CLIP Classification
Points Variable 0 1 2 i.Tumor number (%) Single Multiple – Hepatic replacement by tumor <50 <50 >50 ii. Child-Pugh score A B C iii. α Fetoprotein level (ng/mL) <400 ≥400 – iv. Portal vein thrombosis (CT) No Yes – CLIP stages (score = sum of points): CLIP 0, 0 points; CLIP 1, 1 point; CLIP 2, 2 points; CLIP 3, more than 3 points.
OKUDA Classification"
Please summerize the given abstract to a title,Self-efficacy as a mediator of the relationship between parental closeness and suicidal ideation among Malaysian adolescents
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for providing the brief history of you. a thorough neuromuscular clinical assessment is advised along with mri of cervical spine. as the pain travels from neck to the palms, this is more of a neuropathic pain, occurs due to pinching of nerves. after a thorough clinical neuromuscular assessment, an mri will be suggested to check the level of nerve pinching. post which, with simple physical therapy like, therapeutic ultrasound therapy and tens therapy the pain will subside. post which you may need exercises to strengthen the muscles of the neck and also the upper limb as whole for future safety. usually, in my clinical practice, the majority of patients respond well to physical therapy. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. the cage your doctor said should be most likely rib cage. in case of degenerative disc disease can be managed with analgesics muscle relaxants and physiotherapy. most of the people get improvement on these. if all these not helping then a surgical correction can be preferred. hope this may help outlet me know if you have any further query.
Please answer with one of the option in the bracket,C: Quadriceps strengthening
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thanks for posting your query.  back pain you have seems to be mechanical in nature. i would also like to give some advice to make the life better and to fight with these pains-do regular physiotherapy of back and joints not sit for prolonged period of time in stressful postures not lift heavy weights on head or back i suggest you to consult an orthopaedician nearby for a detailed examination. you may get the x-ray of the spine under his/her guidance to look for arthritis or other changes in your spine. your doctor after diagnosing the condition may refer you for physical therapy. the physical therapist will help you reduce your pain using stretches. the therapist will show you how to do exercises that make your neck and back muscles stronger.  you can take analgesic and muscle relaxant after discussing with your doctor. wishing you good healthregards.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. greetings from chennai. by what you quote i feel what your kid could be having viral associated wheeze or multi triggered wheeze. i have a few questions for you -questions
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your husbands situation and problem. right sided lower chest and upper abdominal pain is commonly due to liver and lung pathology. liver pathology like hepatitis and lung pathology like pleural effusion, pneumonia etc. cause similar kind of pain. so better to get done chest x-ray and ultrasound examination of abdomen to rule out these causes. he is also having indigestion. so start proton pump inhibitors and prokinetic chatbot.  ask him to avoid stress and tension, hot and spicy food, large meals etc. ask him to quit smoking and alcohol if he is having these habits. don't worry, he will be alright. but first diagnose himself and then start appropriate treatment. hope i have solved your query. wishing good health to your husband. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. physiotherapy neck exercises and short term analgesics are main elements of conservative treatment in cervical spondylosis. majority of patients get improvement if they do physiotherapy and exercise regularly. but it takes some time. you should maintain normal posture while sitting standing or lying down. you can use a rolled towel to put under your neck while sleeping instead of pillow. a cervical home traction devise also can be used. hope this may help you. let me know if you have any further query.
Answer this question truthfully,"Lower limb DVT may be associated with calf pain upon dorsiflexion of the foot, known as the Homan sign. The Homan sign is a clinical test used to evaluate for the presence of deep vein thrombosis (DVT) in the lower leg. It involves dorsiflexion of the foot, which can cause pain in the calf if a DVT is present. However, the Homan sign is not a reliable indicator of DVT and should be used in conjunction with other diagnostic tests, such as ultrasound. DVT is a serious condition that can lead to complications such as pulmonary embolism, so prompt diagnosis and treatment are important."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. i understand your concerns. the diagnosis is some recent or present infectious process in organism and this is in most cases caused by epstein bar virus, or so-called mononucleosis. hepatitis is less possible cause in his age. at this point there is no need to be concerned and there is no need for specific treatment. he should do follow-up liver ultrasound in 4 weeks and check liver markers in 2 weeks. i hope i have answered you querykindly regards. wish you a good health."
Please answer with one of the option in the bracket,"E: Reassurance and monitoring
"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. since the tooth has broken few months back, i would advise you to get a thorough clinical examination done by a dentist. chances of periapical infection is very high in this case. tooth has to be either root canal treated or extracted depending on severity of lesion. core-build up or crown has to be placed to correct the tooth fracture. take complete course of amoxicillin to relieve underlying infection. take care."
Answer this question truthfully,"The Charcot triad is a set of three classic symptoms that include jaundice, fever, and pain in the right upper quadrant of the abdomen (RUQ). This triad of symptoms is commonly associated with ascending cholangitis, a medical condition that involves inflammation and infection of the bile ducts. When a patient presents with these symptoms, it may be indicative of ascending cholangitis and further diagnostic testing and treatment may be necessary."
Please answer with one of the option in the bracket,B: Endoscopic therapy
Please summerize the given abstract to a title,The office of the future: Operational energy consumption in the post-pandemic era
Please summerize the given abstract to a title,Central Nervous System Manifestations in COVID-19 Patients: A Systematic Review and Meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i have gone through your question. i can understand your concern. you have enlarged lymph node in abdomen. you should go for ct scan abdomen to rule out any cancer or major pathology.  lymph node more than 1 cm in size is significant.  so go for ct scan and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having bronchitis. viral infection is the most common cause for this. and you might be contacted this infection from your daughter or son. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). chest x-ray is needed to rule out other pulmonary causes. pft is must for the diagnosis of bronchitis. it will also tell you about severity of the disease. and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid. you will mostly improve in 1-2 weeks. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"The APC gene is a type of tumor suppressor gene, which helps to prevent the development of cancer by controlling cell growth and division."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what you have is atrial septal defect osmium second type, so i will enumerate my recommendation.  1) no ayurvedic treatment will help. 2) as the right heart dimensions are normal, and you are asymptomatic, you may consider not closing the hole at present. it can be easily closed with a device, and it is a procedure without any significant risk. generally a tee is done before device closure to determine the exact size of defect and select an appropriate device for closure. i would suggest you should get it closed as the procedure is non-invasive safe and can prevent any future complications. the best doctor in chennai and probably india for the same is"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, well, both these creams or ointments advised to you will definitely help in reducing rashes and redness.  as far as side effects are concerned it is not always seen by everyone and is just a list that is given on the internet from a mild to the severe outcome and not everything happens to everyone.  so do not worry about it. you should use these creams/ ointments for the confined time as advised to you by your skin specialist and be under his supervision. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"During an active Shingles infection (herpes zoster), valacyclovir and famciclovir are most effective if given within 3 days of symptom onset."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! the stomach pain could be related to the stress of the surgery. for this reason, i recommend taking an antacid or ppi (omeprazole, pantoprazole, etc.). regarding the difficulty in moving your leg, it could be related to a nerve damage during the spinal surgery. for this reason, i recommend performing a nerve conduction study. a careful physical check up by a neurologist is necessary too. hope you will find this answer helpful! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, avn stage 2 is middle of stages and is likely to progress further. it does not spread to other joints as such. hip replacement is the only answer but wait for it, until you are not able to do your activities of daily living. physiotherapy will strengthen your muscle and keep them in good shape for future. there are no statistics to suggest how and when will avn progress further. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. if you send the picture of bitten area it will be more helpful. is there any red circle mark? if yes then it can be a tick bite. tick bite can cause lyme disease. swollen lymph node also can be specific for this. ant bites or other insect bites can cause allergic reactions only and using calamine lotion locally will be helpful and taking out the sting if possible will be good also. in case of tick bite doxycycline prophylaxis should be taken. better to consult a physician or dermatologist to rule out and manage the condition. hope this may help you. let me know if anything is not clear. thanks.
Please summerize the given abstract to a title,Global Health Programming: The Pandemic's Accelerating Effects on Curriculum Development and Building New Relationships
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question completely understand your problem first thing is continued your treatment, have a follow-up visit with your treating physician, maybe he'll increase the dose or add any other medication. as ecg is normal no need to panic, but there are other options like you can have a 2 d echo done to rule out any of the cardiac issues that can be decided by your treating doctor. and if you have burning in the chest, you should stop having oily, spicy foods. if you smoke quit smoking as the first step to get treated for panic disorder. you can try a proton pump inhibitor like pantoprazole for burning in chest.thanks/ regards feel free to ask more questions may god bless you with good health"
Answer this question truthfully,"Femoral neck fractures typically present with an abducted and externally rotated leg with shortening. Diagnosis is typically made with imaging studies such as X-ray or MRI, and management may involve surgical intervention such as internal fixation or hip replacement. Complications of femoral neck fractures may include avascular necrosis of the femoral head, nonunion or malunion of the fracture, or development of osteoarthritis. These complications differ from other types of hip fractures, which may be associated with different risk factors and patterns of injury."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms could be related to arthritis or any other metabolic disorder. for this reason, i would recommend consulting with your attending physician for a physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern. i will suggest you the best possible treatment options. 1. first do not panic. 2. i am sorry to hear about your previous pregnancy loss. i will suggest you to opt for a healthy diet and regular exercise regimen. include more portions of fruits, salads and vegetables in daily diet. avoid deep-fried foods, bakery products and refined sugars. use of vitamin b 12 and folic acid, omega 3 supplements at least 3 months before you plan to get pregnant. this helps to prevent many problems during pregnancy and delivery. 3. also, ensure patency of the fallopian tubes by doing post menstrual hsg, hysterosalpingography. if semen analysis reports are normal, and tubes are patent, you need not worry.  4.  three months after following these changes, you can safely re-try again for ivf. i hope this answer helps you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for consulting at chatbot.it could be due to biting on the tongue,bleeding might have resulted, if not it might be posted to the mouth wash usage, may be resulting in chemical burn, either ways please stop the mouth rinse, gargle with salt saline and check with your oral medicine r oral surgeon at the earliest, since any blood loss is quite alarming ,so don't neglect ,hope it helps,tc"
Answer this question truthfully,Stage N1 of non-REM sleep is typically described as a lighter sleep state.
Please summerize the given abstract to a title,"Introduction: Refugees, Returnees and Internally Displaced Persons in Africa"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, probably you may be having halogen effluvium. it may be due to some cause. most common cause is psychological upsets like anxiety, worries, tension or depression. other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anemia, other internal diseases, chatbot. .etc. and you have thyroid dysfunction which might be responsible in your case. and remember that normal hair fall in adult may be 100 to 150 per day. so, please avoid anxiety related with hair fall. you consult dermatologist for firm diagnosis and treatment. blood tests may be done to rule out internal diseases. you may take biotin containing tablets for long time along with vitamin e cap. you may apply mild steroid lotion like beclomethasone lotion on scalp at night. mild herbal shampoo and almond oil may be used. have patience for the result. you discuss with your doctor for treatment methods. i hope you got my answer. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot this seems like a fungal infection/ tina courts; patches of tina usually start as bumps which tend to expand and coalesce to form a peripheral raised margin with central clearing. itching is common in fungal infections. the location too seems to suggest that it is most likely a fungal infection; fungal infections are common at sites such as waist and pubic region. i would suggest you to use an otc topical antifungal clotrimazole 1% cream, twice daily for 4-6 weeks, regularly. oral antifungals may be avoided during pregnancy. an oral antihistamine e.g. hy chatbot. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for consulting at chatbot,jaw pain could be due to referred pain from maxillary sinus,since you have history of sinusitis and headaches,and also due to teeth being symptom free i, e no deep dental caries, and calculus,so either ways you need a consult with an oral physician for a check-up,you may need x-rays like iowa radiograph, paranasal sinus view-- to check for opacification of maxillary sinus, you take steam inhalation, it gives relief, also chatbot. .take care"
Please summerize the given abstract to a title,"Clinical characteristics and risk factors of patients with severe COVID-19 in Jiangsu province, China: a retrospective multicentre cohort study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. your chest pain is of non-cardiac origin. it may be due to muscular pain or acidity.  you should take analgesic and antacids accordingly. you lump may be due to lymph node or some cystic lesion. furthermore, you should go for fine needle aspiration cytology.  take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,"Abrupt Subsidence of Seasonal Influenza after COVID-19 Outbreak, Hong Kong, China"
Please summerize the given abstract to a title,How Challenge Stress Affects Mental Health among College Students during the COVID-19 Pandemic: The Moderating Role of Self-Efficacy
"If you are a doctor, please answer the medical questions based on the patient's description.","dear vivian, it seems that your uterine lining (endometrium) has been grossly damaged due to d & c complications and hence you are not getting sufficient bleeding during your menstruation. paucity of the endometrium is not allowing successful implantation of the fertilized ovum. 1. first ensure by ultrasonography that you release the eggs regularly. 2. you will have to take steps for developing your endometrium. one way is to get intrauterine device inserted which will prevent the fusion of the uterine walls and will facilitate the endometrial growth. 3. along with take estrogen preparations continuously for 3 months (thus you will not have menses for 3 months). after three months, discontinue the pills to have menstruation, which may be good in amount. you have to take this therapy only with the advice of a gynecologist. please report to a gynecologist. i hope this gives you some guidelines."
Please answer with one of the option in the bracket,C: Liquefactive necrosis
Answer this question truthfully,Recurrent late and variable decelerations are fetal heart rate category III patterns.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. cough from 4 weeks, right ear blocked, asthma, as eustachian tube (in ear have direct connection with throat so any infection of allergy first block this tube) has direct link with throat, so blockage is very common in this area due to allergy. prednisolone is the most potent steroid, and it should be used only in emergency cases. anyhow, i suggest you please consult a physician and get his opinion regarding cough, which is from 1 month. may be due to, tuberculosis, allergy,lung infection with allergy. x-ray chest pa view is necessary. hope i have answered your question. if further any question i will help. good luck."
Please summerize the given abstract to a title,T Cell Metabolism in Infection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms. these are suggestive of sciatica, or nerve compression in the lower back region due to slipped disc in that location. disc prolapse leads to compression of the nerves, resulting in low back pain, leg pain and tingling. symptoms may increase on walking. the diagnosis can be confirmed by doing mri scan of the lumbosacral spine. good medical treatments are available for this condition. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please summerize the given abstract to a title,Transfer of Patients with ST Elevation Myocardial Infarction for Primary Percutaneous Coronary Intervention During Ordinary & Pandemic Times Position statement of the Saudi Arabian Cardiac Intervention Society
Please summerize the given abstract to a title,Impact of sensory interventions on the quality of life of long-term care residents: a scoping review.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i have gone through your question. you don't have enough sperms, but you didn't mention report here. as you have problem with count or motility? if not done then go for semen analysis and ultrasound color doppler to rule out varicocele. then consult urologist with these reports. he will advise you further. hope i answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. after going through your query i came to know that you are probably suffering from lumbar disc prolapse. it can be confirmed by mri scan. treatment of it is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (diclofenac three times a day after meals is effective). sometimes strong analgesic(such as tramadol three times a day after meals) is required. omeprazole before meals prevent acidity caused by analgesics. second possibility is muscular pain. treatment of it is rest and analgesics for nearly one week. urinary problem may not be related to backache. you have not mentioned your age. you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
Please summerize the given abstract to a title,Improving Nasopharyngeal Swab Technique via Simulation for Frontline Workers
Please answer with one of the option in the bracket,E: Spelunking
Please summerize the given abstract to a title,Coronavirus (COVID-19)-Associated Psychological Distress Among Medical Students in Iran
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. you are already 69, and i suggest you should not worry much about sex or related problems. as long as you are healthy, you will be having mental and physical vigor regarding sex and sexual intercourse. once your body ages and slowly deteriorate in its health, sex becomes lesser and lesser a priority for the body and mind. that is actually a blessing because body will be able to concentrate its available energy somewhere useful. please work with your doctor. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellowell it's really a high time to take care of your oral hygiene. there are certain things you need to look on...go for complete oral prophylaxis start using 0.2% chlorhexidine mouthwash once daily half an hour after brushing. warm saline rinses 3-4 times a day go for message of gums with a gum paint. which is must as will increase the blood supply to the gums.flossing should be done for interdental cleaning. start taking tab metrogyl-400 twice a day if you have bleeding gums' problem. multivitamin capsule. most important start developing brushing habit because it's never late...go for complete dental check-up. take care regards
Answer this question truthfully,Stress fractures are more commonly found in underweight individuals than shin splints.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. noted gallbladder stone on ultrasound result. if your symptom is recurring, persistent, progressing - it is best if you consult with a doctor, preferably a general surgeon, so you can discuss with him the plan of management for your case (conservative or clinical monitoring of your gallstone vs surgical intervention). definitive treatment is cholecystectomy (removal of your gallbladder along with the stone), which can be done laparoscopically (gold standard) or through open technique. it is not an emergent case, but there must be a sense of urgency in managing your case especially if you're already experiencing symptoms. low fat diet is also recommended as intake of fatty meal triggers/aggravates biliary colic. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.based from your description, it could be any of the following lesions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. treatment depends on type of ovarian cancer. if you have unilateral ovarian cancer then you should go for surgery first. if you want to preserve your uterus then at least go for oophorectomy. other treatment options are radiotherapy that you don't want, so only options remain radiotherapy. however according to my opinion you should go for surgery. your cancer is in initial stage and easily control by surgery. once it goes on spreading then no treatment will help you. so consult your doctor and plan accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting! i have gone through your query and i understand your concerns. your symptoms are suggestive of lumbar arthritis. in these cases i recommend physical exercises and massage.non-steroidal anti-inflammatory medications such as meloxicam are used to treat arthritis. a lumbar x-ray, a fibrinogen test and a complete blood count are necessary for the diagnosis. an electrocardiogram is recommended in order to rule out cardiac problems. i also recommend an abdominal ultrasound to rule out a renal pathology. please contact your neurologist for the treatment. all the best."
Please summerize the given abstract to a title,Temporal proteomic changes induced by nicotine in human cells: A quantitative proteomics approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hithank-you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as you had a foot surgery and just out of the cast there will be a little pain in the calf muscles. also, formation of the clot is a rare chance so nothing to worry. besides, using a quick icing technique should help reduce the pain. after which physical therapy might be needed as per the advice of the surgeon later-on. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello it is not necessary that pain in kidney area is always originating from that of kidney, this can also be associated with other conditions like muscle sprain, degenerative disease of lumber spine, fracture/ infection of lumber spine. some conditions that cause pain are stone impaction in ureter, pyelonephritis, bleeding de to trauma, polycystic kidney disease, interstitial nephritis. you should undergo through some investigations like x ray usg of flank area, nuclear scan of kidney. consult a surgeon for further evaluation. thank you for consulting chatbot."
Please summerize the given abstract to a title,"Pathophysiology of Psychiatric Symptoms in COVID-19 and Biomarkers (IL-6, Platelets, Ferritin, Lymphopenia and Urea)"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Helping Children Hurt Themselves: Why Pediatricians Ought to Support Adolescent Football Players in Their Athletic Goals.
Please summerize the given abstract to a title,Evaluation of the nutritional status in patients with COVID-19
Answer this question truthfully,"Late-onset neonatal conjunctivitis is an ocular infection that occurs in neonates between 1-2 weeks of age. It is caused by a variety of bacterial, viral, and fungal pathogens, but one common cause is Chlamydia trachomatis serotypes D-K infection during childbirth. This type of conjunctivitis can lead to conjunctival scarring, corneal opacification, and other complications if left untreated. Treatment typically involves topical or systemic antibiotics, and prompt diagnosis and treatment are important to prevent long-term damage to the eyes. Other preventative measures, such as screening and treating pregnant women for sexually transmitted infections, can also help to reduce the incidence of late-onset neonatal conjunctivitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, it seems that you have got some infection on scalp giving rise to painful enlarge lymph nodes on both sides of neck. treat the scalp lesion with oral antibiotic medicine, and you will be alright. apply antibiotic cream on sore part after proper cleaning with antiseptic lotion. go for treatment of underlying infection on scalp like fungal infection, dermatitis, dan chatbot. ok and bye."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. when a boy grows passes through puberty (about 12 or 13 years of age) the body changes start, and he transforms into an adult. at this time there is semen production in the testis, and it is ejected as nightfall. due to social pressures and exploration of sexuality a boy learns masturbation and this causes the semen to be ejected regularly. doing masturbation alone is not bad as long you do it 2 or 3 times in a week and not more than once a day. since you have stopped masturbation therefore the semen is getting collected in the testis. this has to be ejected out of the body at regular intervals as new semen is generated regularly. this ejection occurs as night fall and is normal in those men or boys who do not do masturbation regularly. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. from what you have stated it appears that your wife is having a depressive episode. depression can occur with regular stress, and it can also occur biologically without any stress as well. she needs proper treatment for the same. there are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram, and they are all very effective and mostly safe. you may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  if you are averse to the chatbot.  this therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (thoughts) and try to correct them. they are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. if it is severe then she needs to be hospitalized. she can be admitted in any general hospital or a nursing home having a psychiatrist attached to it. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"Renal papillary necrosis is a form of nephropathy involving the ischemic necrosis of the renal papilla, which is supplied by the vasa recta. Renal papillary necrosis is a significant kidney disorder, which is associated with chronic conditions such as diabetes, sickle cell disease, urinary tract obstruction, urinary tract infection and long term use of analgesics containing phenacetin.
MRI can be used as a helpful alternative imaging test in children suspected renal papillary necrosis. On Magnetic resonance urography, renal papillary necrosis is characterized by sloughed papillary tissue in the major and minor calyces leading to the classic signs of papillary necrosis including  : candle-flame appearance Golf ball on a tee sign lobster claw sign clubbing of calyces"
Answer this question truthfully,"Cephalocele refers to the herniation of CNS meninges through a midline defect in the skull. Frontal cephaloceles have a better prognosis compared to other locations. Meningoencephalocele, or encephalocele, occurs when the brain and meninges herniate out through an osseous defect in the cranium. Most (75%) occur in the occipital region, while frontal and parietal locations constitute the remaining 25%. Meningoencephalocele occurs in approximately 1 in 10,000 pregnancies, and the mortality rate is estimated at 50%, with 75% of survivors experiencing mental retardation. Meningocele refers to the herniation of only the meninges, or CSF fluid, without the brain tissue."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"The outlook for patients with gallbladder carcinoma is generally poor.

Gallbladder carcinoma is a rare form of cancer that starts in the gallbladder, a small organ that stores bile. The cancer can be difficult to detect in its early stages and can spread quickly to other parts of the body.

The prognosis for gallbladder carcinoma is generally poor, as the cancer is often diagnosed at an advanced stage when it has already spread to other organs. Treatment for gallbladder carcinoma may involve surgery, chemotherapy, or a combination of these treatments, but the cancer can be difficult to manage.

The prognosis for gallbladder carcinoma can vary depending on the age of the patient, the stage of the cancer, and the response to treatment. In some cases, early diagnosis and aggressive treatment may improve the outlook for patients with gallbladder carcinoma.

It is important for patients with gallbladder carcinoma to work closely with their healthcare team to manage the condition and explore all available treatment options. Regular follow-up appointments and imaging tests can help monitor the cancer and detect any changes in its progression."
Please summerize the given abstract to a title,"House by Daniel MacIvor, and: Last, An Extinction Comedy by Rudy Ramirez (review)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, having a low-normal blood pressure is not a bad thing. any systolic blood pressure above 90mmhg is considered normal and is not supposed to cause faintness. faintness may occur as a result of various conditions. the low-normal blood pressure makes him more prone to it but an inciting factor is still needed. since many conditions may lead to faintness i cannot guess what was the cause in his case, but the removed tumor does not seem relevant. an electrocardiogram and blood tests may exclude most of the serious causes. having mentioned that he's an athlete, i have to also emphasize the fact that benign conditions may cause faintness, like deny chatbot.  if deny"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you had been indulged in masturbation since many years and now facing problems related to general health.first there is myth in a mind of common man that excessive masturbation is the reason of all problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety. following measure will help you to boost up your confidence and getting good erection and delay ejaculation.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion it is mostly due to acidity. as levocetrizine can not cause breathing problem. yawning problem can be due to levocetrizine as it is having mild sedative action and patient can feel lazy and yawns a lot after it. but mild breathing difficulty is mostly due to acidity. so better to avoid stress and tension. avoid hot and spicy food. avoid large meals, instead take frequent small meals. start your antacid before meals.don't worry, you will be alright. if you are not improving after 1 week then consult pulmonologist and get done pft (pulmonary function test) for the diagnosis."
Please summerize the given abstract to a title,Surveillance of respiratory viruses among children attending a primary school in rural coastal Kenya.
Answer this question truthfully,What is the potential complication of maternal gestational diabetes mellitus that can result in fetal organomegaly? Fetal hyperinsulinemia is a potential complication of maternal gestational diabetes mellitus that can result in fetal organomegaly.
Please summerize the given abstract to a title,"Targeting nucleotide metabolism as the nexus of viral infections, cancer, and the immune response"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
Please summerize the given abstract to a title,Severity Quantification and Lesion Localization of COVID-19 on CXR using Vision Transformer
Please summerize the given abstract to a title,Effects of the psychoactive compounds in green tea on risky decision-making.
Please summerize the given abstract to a title,Is It Possible to Be Happy during the COVID-19 Lockdown? A Longitudinal Study of the Role of Emotional Regulation Strategies and Pleasant Activities in Happiness
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot. i have read your question and understand your concerns. once end stage kidney disease occurs there are only 2 options available to the patients.1. regular maintenance dialysis for lifetime.2. kidney transplantation. my advice to you is-1. if you can find a suitable donor for kidney transplantation then it will be the best treatment available.meanwhile, maintain regular dialysis is essential for continuation of life. we can't stop dialysis of a failing kidney otherwise person cant survive more than few weeks.2. the symptoms you have mentioned are all due to kidney failure. just ask your doc about in.erythropoietin to increase his he levels. avoid excessive salt and water use. avoid any type of painkillers and excessive protein diet.3. do his kidney profile every monthly and keep in regular followup of your nephrologist. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","already you are suffering from acne for 4 years. three regions of your body already has acne. so it calls for strong treatment. simple measures may not give you good and long-lasting results. there is good news for you.  some tablets are available which when taken for about 6 months will reduce the acne permanently. but you need to meet a nearby dermatologist for that, as the doctor should personally assess the severity of acne and your general health. any form of treatment for acne will make your skin chatbot."
Please summerize the given abstract to a title,Fear of COVID-19 Effects on University Student’s Health Behaviours: The FRESH Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if your doctor did not prescribe statin, i suggest not to take it anymore without prescription. harms you will get at this young age will be more than benefits. next, please be patient. it will take up to 3 months after you apply changes in your lifestyle and diet to see improvement. so, i advise waiting for other 3 months before taking the tests again, then, you will see the difference. always consult your doctor! all the best! chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! your symptoms seem to be related to loss of smell. this is a common complication of flue infection, caused by the dysfunction of smell receptor cells. the lack of taste, may be related to the smell dysfunction (smelling plays a big role in the taste of food). another diagnosis to consider would be chronic sinus infection. a sinus x-ray study would help to exclude that. this may be just a temporary dysfunction. i would recommend you to consult with a neurologist for a careful physical exam. some vitamins would be helpful. best wishes,"
Please summerize the given abstract to a title,A novel visual sputum suctioning system is useful for endotracheal suctioning in a dog model.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thnaks for choosing chatbot. ovary at the time of ovulation release follicle and degenerates into athletic follicle.in case of non rupture it persists as cyst wherein it is called simple /follicular cyst. another is after rupture it becomes filled with blood and is called corpus luteum cyst. there is no way of preventing ovarian cyst, you can diagnose it yearly by pelvic exam and also ultrasound check-ups. take care."
Please summerize the given abstract to a title,Alpha-1 adrenergic receptor antagonists to prevent hyperinflammation and death from lower respiratory tract infection
Please summerize the given abstract to a title,"Effects of the COVID-19 pandemic on reperfusion therapy for acute ischemic stroke patients in Huizhou City, China"
Please summerize the given abstract to a title,[Current Topics of Cancer and HIV].
Please summerize the given abstract to a title,Departmental preparedness for pandemic readiness in anesthesia: A practical departmental readiness checklist
Answer this question truthfully,"The ""rule of 1/3s"" is a term used to describe the characteristics of carcinoid tumors and their associated syndrome. It refers to the fact that approximately one-third of carcinoid tumors are located in the bronchial tree, one-third are located in the gastrointestinal tract, and one-third are located in other parts of the body. Similarly, approximately one-third of patients with carcinoid syndrome experience flushing of the skin, one-third experience diarrhea, and one-third experience other symptoms such as wheezing or heart palpitations. The ""rule of 1/3s"" can be helpful in guiding the diagnosis and treatment of carcinoid syndrome, as it highlights the need for a comprehensive evaluation of the patient's symptoms and medical history, as well as imaging studies and laboratory tests to identify the location and extent of the tumor. Treatment options may include surgical resection of the tumor, the use of somatostatin analogs or other medications to manage symptoms, and ongoing monitoring to detect any recurrence or progression of the disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is unfortunate to note that you are in severe pain due to a compressed lumbar nerve in the lower back. it is possible that you may require surgery. this would be decided once your neurosurgeon has seen you and the mri reports. as of now, you should be on bed rest. for relief of pain, you can take pregabalin capsules. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,"Extrakorporale Herz- und Lungenersatzverfahren: „Extracorporeal membrane oxygenation“, „extracorporeal life support“ und „pumpless extracorporeal lung assist“"
Answer this question truthfully,"""B"" symptoms are a set of systemic symptoms that can occur in patients with lymphoma. These symptoms include weight loss, fever, and night sweats. Both non-Hodgkin and Hodgkin lymphoma can present with ""B"" symptoms, although they are more commonly associated with Hodgkin lymphoma. The presence of ""B"" symptoms can be an indication of more advanced disease and may affect the prognosis and treatment options for the patient."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear! thanks for consulting the physicians at chatbot. i have worked through your case thoroughly, and i can easily realize your health worries. being your physician, i reassure you not to worry as things will settle down very soon. mostly, a person can only get herpes type 2 infection during sexual contact with someone who has a genital hsv-2 infection even if he doesn't have the genital sores. don't panic and go to the doctor for proper treatment. also get your baby checked for hsv-2 infection. may you get very well soon and have a wonderful time ahead. please don't forget to give your valuable starred feedback to help me assist you in a better way. go to my profile to write a review regarding your experience with me here at my virtual clinic. regards! chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot! the normal total leukocyte (white blood cells) count ranges from 4000 to 11,000 per microliter in an adult. white blood cells help protect the body against diseases and fight infections. there are numerous causes for increases in neutrophils, lymphocytes etc. but the most common cause of leukocytosis is secondary to infection (localized or generalized)or tissue necrosis due to any cause, in your case it can be due to infection in your teeth. the degree of leukocytosis depends upon several factors like its cause, severity of the infection, resistance of the body, localization of the inflammatory process (greater neutrophil leukocytosis is produced by a localized disease process rather than a generalized one) and modification by treatment. your wbc count is only slightly raised so don't worry. a course of antibiotics will bring it down. take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is my pleasure to help you, as you had generalized urticaria your doctor has prescribed the medicines to control your symptoms. the symptoms will improve witchatdoctorpleteness of the course prescribed your doctor. the hiccups what you are having will resolve by itself in a short period of time and are rarely a medical emergency. if the hiccups are disturbing your eating or sleeping habits then you have to approach your doctor. to control these hiccups you can follow some home remedies 1. holding your breath2. chatbot. pulling hard on your tongue4. biting on a lemon, gargling with water. a physician may prescribe medications such as chlorpromazine haloperidol and metoclopramide for severe, persistent hiccups. hope your query is answered. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to the chatdoctorhypochromic and microcytic rbc in blood report can indicate low hemoglobin in red cells. low hemoglobin in red cells can be because of low iron or genetic disorder of hemoglobin structure. neutrophilia in blood report indicate that raised neutrophils(white blood cells) and can occur in bacterial infection. since bacterial infection can be treated with antibiotic course prescribed by doctor. to rule out cause of low hemoglobin you may get he electrophoresis and serum ferritin tests done to diagnose whether it because of low hemoglobin or structural disorder. chatbot."
Answer this question truthfully,"Ether and other organic solvents can disrupt the envelope of a virus, resulting in loss of infectivity."
Answer this question truthfully,The class of drugs that should be administered within 24 hours of an MI to limit ventricular remodeling is ACE inhibitors.
Answer this question truthfully,The health care proxy is in effect only if the patient is deemed to have insufficient capacity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. most excess sweating is due to excess sweat glands or their hyper-stimulation. here are some tips to stop this sweating or its odors.1) if you have eczema or dermatitis or allergy then first take proper antibiotics or antifungal as per your dermatologist opinion.2) always take balanced diet and chatbot.  3) avoid tight-fitting clothes rather wear loose clothes.4) wear cotton material clothes and avoid synthetic silk.5) bath with antibacterial soap like detail,savlon6) always clean groins, twice or thrice with brush during bathing.7) use antiperspirants and deodorants together like aluminum chloral"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear member, thanks for writing to chatbot. a diagnostic laparoscopy with dye test will tell whether the tubes have been damaged. laparoscopic. recalculation can be done if tubal damage is minimal. otherwise i v f(invited fertilization) is recommended. as you are 41 it is also recommended that detailed investigation have to be done to check whether your body is fit for future pregnancy. thanks. chatbot."
Please summerize the given abstract to a title,Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hihope this msg finds u in good health. i have gone through your complaints and understand your concern. u seem to have injured some tendon around d wrist which generally occurs after playing a long time. take rest. analgesics and anti-inflammatory tablets. hot fomentation. initially do warm up and muscle strengthening exercises and then play tennis. nothing to worry about. hope your question has been answered. if u have any follow-up queries, feel free to consult me anytime. thanks take care god bless"
Answer this question truthfully,"The recommended next step in management for a male patient who presents with a painless, hard mass in his testicle and ultrasound imaging consistent with a testicular tumor is radical orchiectomy. This involves surgical removal of the affected testicle and is the standard treatment for testicular cancer. Before the surgery, blood tests and imaging studies may be performed to determine the extent of the cancer and whether it has spread to other parts of the body. After the surgery, further treatment such as chemotherapy or radiation therapy may be necessary depending on the stage and type of the cancer. Regular follow-up appointments and surveillance imaging are also important to monitor for any recurrence or spread of the cancer."
Answer this question truthfully,"The recommended next step in management for a patient who develops fatigue, insomnia, and myalgias after abruptly discontinuing paroxetine due to undesirable side effects is to restart paroxetine and taper gradually over several weeks. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, anxiety, and other psychiatric disorders. Abruptly discontinuing paroxetine can lead to withdrawal symptoms, which may include fatigue, insomnia, myalgias, and other physical and psychological symptoms. To minimize the risk of withdrawal symptoms, paroxetine should be tapered gradually over several weeks or months under the supervision of a healthcare provider. Other supportive measures, such as rest, hydration, and over-the-counter pain relievers, may also be helpful in managing withdrawal symptoms."
Please answer with one of the option in the bracket,B: Endometrial biopsy
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for your query. based on your query, my opinion is1. you are having two complaints which is probably not related.2. first being lump in the breast, which bleeds are of concern as a bleeding lesion from breast can be a tumor, may be a duct papilloma or a malignancy. this needs to be evaluated further 3. lump in the inguinal area is often secondary to infection in the genital area. if you have any lesions on genitalia, do get it examined and treated accordingly.4. if there are no lesions elsewhere and groin ulcer is the sole problem then it is probably primary lesion in groin like necrotizing lesion which is causing ulcer. get a cytology as well as biopsy examination of the ulcer.5. besides the lesion needs chatbot. hope this helpsregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query.first get your self thoroughly examined. your both kidneys must be properly functioning. stem cell us an upcoming thing, but at present there are very few centers in world does this. the best thing is talk to your doctor and discuss this at length. there are no problems to the donor in future if his other kidney is doing well. you are asking about transplant at ahmedabad kidney institute, which is one of the premier institute for this, there is no need to worry about this. still if you have some queries in your mind, please write me a pragneshmv@gmail.com, i practice in ahmadabad only.bye."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. death phobia is not morbid, and it just categorized under anxiety disorders. i think you also should be having health anxiety disorder. your doctor is almost correct. it takes time for a cure provided you are doing what he advises. you also should be trying to get yourself right. psychotherapy techniques, meditation and exercise are of immense help. a good psychologist should be able to provide you the necessary treatment. you should combine these three treatment methods with the medicine. talk to your psychiatrist about this option. if you still need my assistance in this regard, please use this link. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through the data you have posted kindly not clear 10 mg is an antihypertensive and not for chest infection or allergy. cilacar contains cilnidepine, a calcium channel blocker can be taken for blood pressure even during the times of chest infection. it doesn't have any side effects. cold and cough since few months and sudden onset of breathlessness may be because of increase in chest infection. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-? fracture ribs after chest punch.? costo-chon chatbot. hope this would help you to solve your health issues in the best way possible. welcome for any further query in this regard. good day!!"
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Sensitive immunodetection of SARS-CoV-2 variants-of-concern 501Y.V2 and 501Y.V1
"If you are a doctor, please answer the medical questions based on the patient's description.","hi morgan, i can understand that the spray has caused an allergic reaction in and around your eyes. since it has not come down with the creams for a week, i think you are still in contact with the irritant. 1. change all your pillow covers and the bedding sheets.2. try cold water compresses for about 5-7 mins twice a day.3. continue your topical creams as suggested and a dose of oral antihistamines [for 2-3 days] should help you relieve itching.4. review with your ophthalmologist who can wash your eyes thoroughly by syringing and remove any remnants deep inside your eyes. he can also guide you whether your swelling is due to allergy or any other cause.  i hope this helps and have a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  your uncle has stomach cancer. if cancer cells spread to the liver then it becomes stage 4 cancer.  it is difficult to treat.  he should take chemotherapy like explain amd other chatbot.  he should regularly check cea level to check cancer cells.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Brain abscesses that are larger than 2.5 cm or those that show signs of increased intracranial pressure are typically managed with biopsy and surgical drainage.
"If you are a doctor, please answer the medical questions based on the patient's description.","i will advise u to increase your sperm count through ayurvedic and natural treatment. follow healthy diet plan includes nuts (almond, cashew etc.) steamed food in your daily food intake. avoid junk, fried foods, caffeinated chatbot. take a pomegranate daily and add more vegetables and fruits daily. - gives u antioxidant property. do walk for 3 to 5 kilometers daily. avoid stress and have a sound sleep. oil bath once in a week. sesaem oil. medication"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it may be due to peripheral neuropathy. for further assessment you may require complete hologram, vitamin levels, mri neck and back, nerve conduction studies after spine surgeon consultation. further treatment mainly depends upon the underlying condition. you may require detailed evaluation to rule out any other possibilities for vitamin deficiency, nerve compression. you may require tablet pregabalin and multivitamin after consultation. continue physical therapy hope i have answered your query... let me know if i can assist you further. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post can be attributed to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello chris;welcome to chatbot if your son had a fall landing on his neck he may get pain due to a possible internal injury and to get relief it may be that he is stretching his neck because keeping it in a particular position may be helping him so to avoid the pain he is doing it. normally it happens that when any person tries to take a particular position to avoid pain or excess pain he may land up doing it involuntarily as a reflex to the pain. please do not worry and keep giving him painkiller when required and by the time 7th july appointment comes you can get an x-ray of the cervical spine (neck) done, and you will get the report and also come to know whether there is any injury or fracture which is bothering him. with the x-ray you may consult the doctor. thanks"
Answer this question truthfully,"The CENTOR criteria is a diagnostic tool used for the diagnosis of sore throat and differentiating between viral and strep infections. It is based on the presence or absence of five clinical features: C (absent cough), E (tonsillar exudates), N (anterior cervical lymphadenopathy or node), T (fever or temperature), and OR (age). The age criterion is either under 15 years (+1) or over 44 years (-1). If a patient has three or more of these criteria, then they are more likely to have a strep infection and may require further testing or treatment. However, if the patient has fewer than three criteria, then a viral infection is more likely and antibiotics may not be necessary. The CENTOR criteria can help clinicians make a more accurate diagnosis and avoid unnecessary antibiotic use."
Answer this question truthfully,"Isoproterenol is a medication that acts as a beta-adrenergic receptor agonist, meaning that it stimulates the sympathetic nervous system. One of the effects of isoproterenol is a decrease in diastolic pressure. This is because isoproterenol causes vasodilation of the blood vessels in skeletal muscle, liver, and adipose tissue, which reduces peripheral resistance and leads to a decrease in diastolic pressure. However, this effect can be offset by the increase in cardiac output caused by isoproterenol, which can lead to an increase in systolic blood pressure. Overall, the effect of isoproterenol on diastolic pressure depends on the balance between its vasodilatory and inotropic effects."
Please answer with one of the option in the bracket,A: Decreased erythropoietin production
"If you are a doctor, please answer the medical questions based on the patient's description.","hide generative disc with canal stenosis occurs as a result of degenerative process of aging in the spine. in addition to back pain it causes numbness and heaviness in legs on walking. the treatment depends upon the amount of stenosis and your symptoms.  in some, symptoms improve with medication and activity modification. in others if it does not work, surgery can give relief.  but your spine doctor can tell you better after examining you and seeing your scans. bye"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i understand your concern and would explain that your symptoms seem to be related to anxiety. anyway, i would recommend consulting with your doctor for a physical exam and some tests to exclude other possible causes that may mimic this clinical scenario"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should immediately take her to the hospital. saturation of 88%is very low for 8-month-old child. same way respiratory rate of 70 per minute with fever are also abnormal. all these are commonly seen with lung infection and bronchitis and both of them are common after upper respiratory tract infection like croup. so don't wait at home. take her to pediatrician immediately and get done clinical examination of respiratory system, blood reports and chest x-ray. she may need antibiotics, inhaled bronchodilator and inhaled corticosteroids (ics). hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make following suggestions to you
Please summerize the given abstract to a title,Validation of a new automated chemiluminescent anti-SARS-CoV-2 IgM and IgG antibody assay system detecting both N and S proteins in Japan
"If you are a doctor, please answer the medical questions based on the patient's description.","clot in vain of brain can be either cortical vein thrombosis or rural venous sinus thrombosis. in both of these conditions, need to try to find the cause of such clot in vain. also need to ask some history regarding any hormonal preparation by your daughter. i advise these tests for your daughter"
"Treatment for optic nerve atrophy.    Hello Name's case : Sex : Male  Date of Birth : 1964 Nationality : X Diagnosis :  optic nerve atrophy .  i am suffering from optic atrophy, which led to loss of vision and inability to see, I suffer from this case from 1998 saluting suffered a fall on the head, which led to began this case even lost look, and have been performed process surgery in  in 1998-1999 .  And then in 2009 cured by reactive optic nerve by Russian Professor .   i want know you hospital have treatment for optic nerve atrophy , and what this treatment  i need more information about treatment of optic nerve because now  16 years old I can not vision, and I wish  could belive hope for treatment of my case. And i want know the cost of treatment . Thank you  Regards /","Damage from optic nerve atrophy cannot be reversed. The underlying disease must be found and treated. Otherwise, vision loss will continue. Rarely, conditions that lead to optic atrophy may be treatable."
Please answer with one of the option in the bracket,B: C-peptide level
Answer this question truthfully,"Giant cell myocarditis is a rare but often fatal inflammatory process involving the myocardium. Other than cardiac transplantation, there is no known effective treatment for giant cell mycoarditis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the pain what you are telling is mostly either because of inadequate food at improper timings, so try to eat on time. if you are punctual and proper in timings about food intake, then it is costco chatbot. well in either of the cases, please take this course for duration of 10 days"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i will suggest you the best possible treatment options. i will suggest you to consult with an orthopedic or spine surgeon first. take medical treatment and proper physiotherapy, once the things are under control then plan for pregnancy. as pregnancy is condition associated with weight gain, calcium consumption and laxity of joints and ligaments, please be sure of getting your present condition treated before you plan to get pregnant. as such, your present condition will not have any effect on the baby. so do not worry about it. please start with preconception doses of vitamin b 12 and folic acid supplementation. this will help to prevent various complications during pregnancy and delivery. i hope this answer helps you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. it is not common to have back pain at this age. i would recommend you to not take it lightly and get some investigations done to make sure that you are not having ankylosing spondylitis. for this you need to get"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint black discoloration of tongue can be due to a condition known as black hairy tongue and can be due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc. i would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids. it can take a few days to resolve and in case if it does not resolve consult a periodontist and get evaluated. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. at the age of 13 years, most common cause for heart failure is valvular heart disease. and with surgical valvular replacement, patient can live normal life. so first find out the cause for her heart failure and if it is valvular heart disease then consult cardiothoracic surgeon and discuss surgical repair for better life expectancy. if she is having other cause for heart failure then with treatment and lifestyle modifications, she can live normal life. she is very young at present, so she can live for at least 30-40 years more if she follows lifestyle modifications. hope i have solved your query. i will be happy to help you further. wishing good health to your girlfriend. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern. if the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. do not lift heavy weightspossibility of musculoskeletal pain is more. ibuprofen is anti-inflammatory. you will definitely improve witchatdoctorbination of painkiller and muscle relaxant chatbot.  also apply warm water pad on affected areas. avoid movements causing pain. don't worry, you will be alright in 1-2 weeks. but better to first rule out lung infection.don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i just read through your question. this is a very common problem in this age group. most of the time it is caused by a virus. these viruses can last 7-10 days before resolving. there is no medicine to make it go away, so the recommendation is for fluids, rest, and fever reducer when needed, until it runs its course. however, this can sometimes be due to a bacterial infection (i.e."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on your statement i would say that your husband has three prominent superficial veins on scrotal sac, these are dilated, prominent superficial veins over scrotal skin and nothing to be worried about it . he should use soft inner wares or soft pads over scrotal sac before putting on inner wares. these are harmless and there is nothing to be worried about it. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your urticaria may have been triggered by a urinary tract infection, but if the symptoms of smelly urine has happened after the urticaria eruption it is generally due to either long acting antihistamines or steroids (occasionally given for bad urticaria) that tends to concentrate urine. have plenty of water, get a urine dipstick or c/s studies and if there is evidence of an uti, get antibiotics but continue the antihistamines until 4 weeks or at least a week after the infection has cleared as well as the itchy rash. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of this head lump, i would come up with only one and one possibility that is a sebaceous cyst! nothing to worry about this and try not to get infected there, and it has nothing to do with your headache! headache is related to nerves, brain, blood pressure, emotion, coughs and migraine... i suggest you to go for an fnac test of the lump for confirmation and to relieve your concerns! hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
My cousin she is leber amaurosis she need help I don't know where to start from,"Leber congenital amaurosis is associated with severe visual impairment beginning in infancy, increased sensitivity to light (photophobia), involuntary movements of the eyes (nystagmus), and extreme farsightedness (hyperopia). The visual impairment tends to be stable, although it may worsen very slowly over time."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. all the findings of ultrasonography and your passage of a clot is indicative of missed abortion / miscarriage. get a repeat ultrasonography done, if the sac is not there nothing to worry, otherwise you may require suction and curettage. after everything is settled you have to undergo a battery of tests to see why did miscarriage occur. these include, hormones, torch and others under the guidance of the gynecologist and get treated for the ones which are treatable. you should avoid pregnancy for 6 more months and start multivitamins and folic acid- polite a few months before you want to take a second chance."
Please summerize the given abstract to a title,Peran tenaga kesejahteraan sosial kecamatan dalam penanganan dampak pandemi COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are a number of questions i want to ask. i would like to gather the week-long history. was there any injury or illness at the onset? has the fever continued? how high was it? is he limping? when he complained of leg pain, was it localized? has pain been in both legs? has his activity been altered? has his general health been good? if your sons pain returns, or he continues not to walk normally, you need to take him to his doctor right away. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,E: Increased blood lactate
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Yes, research suggests that glucocorticoids can lead to an increase or neutrophilia in blood neutrophil levels."
Please summerize the given abstract to a title,First case of concomitant cytomegalovirus (CMV) viremia in non-immunocompromised COVID 19 patient and ICU management strategy in Qatar with literature review
Answer this question truthfully,TXA2 causes vasoconstriction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, we need to know the birth weight in this child and the present weight, followed by the number of times the baby passes urine, stools.  there might be an inborn error of metabolism which needs further investigation.  plus feeding technique needs to be assessed. monitor the weight gain daily. and please get me back with positive weight gain. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","! i have read your question carefully and see that you are concerned about your girlfriends' health. from the symptoms you have mentioned she definitely has some psychiatric problem, it may include personality disorder as well. to make a complete diagnosis one needs to sit and interview her. her symptoms of seeing devil and god may be just her imagination, or due to something called schizophrenia or psychotic disorder, but it is too early to pinpoint it with the details provided here. as you said that the family atmosphere is disturbed and there is marital discord between parents, you must help her by taking an early appointment with a doctor. it is almost sure that without treatment things will not improve but may actually worsen. you said that she tried to kill herself ten times, which is quite a big number, and indicates a cry for help.... please help her by convincing her to meet a psychiatrist. this will be very useful. hope the reply gives you a direction, please feel free to ask more queries"
"Hello,   I have a scoliosis problem plz help me I want its treatment I can send my x.ray also","Most people with idiopathic scoliosis do not need treatment. But you should still be checked by a doctor about every 6 months. For people with scoliosis of unknown causes and who are still growing, doctors may recommend  a back brace to prevent further curving. People with mild scoliosis do well with braces. They usually do not have long-term problems. If the spine curve is severe or progresses quickly, your doctor may suggest  surgery to correct the curve. Some children my need emotional support. Physical therapists and other specialists could explain the treatments and make sure the brace fits correctly."
Answer this question truthfully,The immunoglobulin heavy chain (IgH) sits on chromosome 14.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern and will give a resolution over it. if i am your doctor i advise you that shingles or herpes simplex infection spreads over dermatomes or nerve distribution. it has burning pain and vesicles at the distribution of infected nerves. so as per your query it is unlikely to be shingles. i will be happy to answer any of your concern, kindly contact me for further informationchatdoctorinfectious disease specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your mom is showing signs of peripheral neuropathy. in this condition, the nerves of the arms and legs get damaged. diabetes is the commonest cause of neuropathy.  other causes include vitamin b12 deficiency and thyroid disease. once the cause is identified, it can be treated with proper medications.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your symptoms seem to be related to herpes zoster infection. i recommend performing serology for herpes zoster infection. an electroneurography coupled with a spine mri study would be necessary to exclude nerve and medullary affection. you may need to start gabapentin or pregabalin for the pain. based on the physical exam and serology you may need to start antiviral therapy. hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you didn't have a fracture that's all great to hear about. for the pain in the gluteus and groin, i feel you have a ligament sprain. need some simple hip muscle strengthening exercises along with adductors strengthening exercises. this will help the hip joint being stable in the socket and avoid any strain over the ligament. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,Severe and irreversible pulmonary artery hypertension Eisenmenger's syndrome.
Answer this question truthfully,"Patients with atypical back pain should undergo an ECG to rule out or investigate life threatening causes of back pain such as thoracic aortic dissection, myocardial ischemia."
Answer this question truthfully,"Call for an appointment with your health care provider if symptoms of Meniere's disease, such as hearing loss, ringing in the ears, or dizziness, occur or worsen."
Answer this question truthfully,Pseudo-aneurysm is more likely to rupture than true ventricular aneurysm.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, diet restrictions was advised during the era of nerve tissue vaccine (ntv) but after banning of ntv way back in 2006 there is no food restriction. the newer antirabies are very effective and they doesn't requires any food restrictions. during the treatment you can have the normal diet what you are having regularly and also there is no restriction of non veg food. only thing is if you are an alcoholic and smoker you need to avoid them because it may interfere with the production of protective antibody titles to fight against the rabies virus. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote i feel that your kid might be having a viral sore throat or a streptococcal infection. i suggest you see your pediatrician and get a rapid streptococcal antigen test done. if it is positive then she will require antibiotics. if it is negative then it might be viral illness and doesn't require antibiotics at all. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
Please summerize the given abstract to a title,National Assessment of Bicycle Friendliness Using a Spatial Approach: Focus on Universities and Communities
"If you are a doctor, please answer the medical questions based on the patient's description.","hello nicole. welcome to chatbot .  wel from your above depicted symptoms. itz quite clear that the pains which you are having is not due to ovarian cyst because the pains from ovarian cyst may be radiated to back, hip and groin but not up to the calf area... it will radiated only, only above the knee... and as u said bulging discs and sciatica runs in your family it's quite likely that u may be having the same too. i suggest you to go soon to a nearby orthopaedician and get it examined, on examination it will be clear and confirmed by proper radiological investigations... till then don't lift heavy objects esp while beijing forward and take rest.  i hope i solved your query.  i wish u get well soon."
Please summerize the given abstract to a title,The #Path2Path Virtual Landscape During the COVID-19 Pandemic: Preparing for the 2020 Pathology Residency Recruitment Season
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. these symptoms definitely seem to be related to your gus which can invade your bone marrow and cause severe depletion of red cells, white cells and platelets. i definitely think you should get yourself evaluated by your oncologist. he would have to run several tests including a complete blood count, a bone marrow biopsy and a ct scan of the abdomen. depending upon the extent of your disease, further treatment can be decided. regards"
Answer this question truthfully,The definitive diagnostic method for diagnosing a pulmonary embolism (PE) involves performing a CT angiogram.
"If you are a doctor, please answer the medical questions based on the patient's description.",greetings! thank you for your question and welcome to chatbot. i understand your concern. i am going to try to ad chatbot.  normal blood pressure figures standardized for the worldwide population are as follows
"If you are a doctor, please answer the medical questions based on the patient's description.","i guess the dose of medicine is not enough for you. i wonder why your doctor did not increase the dose. also i prefer using escitalopram and clonazepam as separate medicine not as combination like you are taking. escitalopram is the main medicine which will help you to get rid of all depressive symptoms including decreased sleep, fatigue,low mood etc. clonazepam should be used for only initial phase of treatment when restoration of sleep and decreasing anxiety are preferred goals. onces escitalopram starts showing its effect. clonazepam should be tapered and stopped. as long term use of clonazepam may decrease your thought process. hope this would help you"
Answer this question truthfully,"Somatic symptom disorder is a medical condition that is characterized by excessive anxiety and preoccupation with one or more unexplained symptoms. These symptoms may be physical in nature, such as pain, fatigue, or gastrointestinal problems, or may involve sensory disturbances, such as tingling or numbness. People with somatic symptom disorder may become excessively worried about their symptoms, and may engage in behaviors such as frequent doctor visits or medical tests in an attempt to find a physical explanation for their symptoms. Despite these efforts, the symptoms cannot be fully explained by a physical illness or medical condition. Treatment for somatic symptom disorder may involve a combination of psychological therapies, such as cognitive-behavioral therapy or mindfulness-based stress reduction, as well as medications to manage symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for the query. you are suffering from recurrent authors ulcer which is causing you the eruption of canker sores in mouth. it can be caused due to a number of reasons like stress, nutritional deficiency [iron, vitamin b12 and folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, side effects of medication etc. you need to consult an oral physician or a general dentist in this regard to get evaluated and treated. for authors ulcer you can do warm saline garglesgargles with 1"
Answer this question truthfully,"A single cell expresses six different classes of MHC class I molecules. MHC class I molecules are cell surface proteins that present peptides derived from intracellular proteins to CD8+ T cells. These peptides are generated by the cell's own proteasome and are transported into the endoplasmic reticulum, where they bind to MHC class I molecules. The MHC class I-peptide complex is then transported to the cell surface, where it is recognized by CD8+ T cells. The diversity of MHC class I molecules allows a cell to present a wide range of peptides to CD8+ T cells, enabling the immune system to detect and eliminate infected or abnormal cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","what is your age? your sperm count is low, and it shows infection as also very poor motility of the sperms. you should get a semen culture done at the earliest and take a month-long course of antibiotics as suggested by the culture report. then the semen analysis should be repeated so that a true report without infection can be assessed and then your chances of having a child will improve, if that's what you are looking for. take care and feel free to ask more in detail. take care, chatbot."
Answer this question truthfully,The Gram Positive Algorithm identifies Streptococcus bovis when observing gamma-hemolysis with bile growth only.
"If you are a doctor, please answer the medical questions based on the patient's description.","the best thing you can do for your friend right now is to be really open, honest and frank with her in talking about this issue.  she is going to find that everyone around her will do everything they can to avoid talking to her - not out of meanness, but because they simply don't know what to say and feel awful about this fact.  people also sometimes feel guilty because they're fine and the other persons not. i would sit down with her during recess or lunch or whatever and just talk to her ... don't be afraid to ask her questions about her illness, how she found out, what her treatment options are, etc. she is probably really wanting to share all her thoughts and fears about this with someone her own age who won't react badly to it - you need to be that person, if you can. offer her a listening ear, a shoulder to cry on if she needs it and a helping hand in any way you can (like making sure if she misses something at school, that you'll help her to pick it up later, etc.).  try to be as positive as you can about her prospects, and try to help her to not get really down (which she inevitably will at varying stages of her treatment, which can be really harsh). remember too, many people survive cancer, and she could well be one of them. i will pray for you both - her for surviving her illness and you for maintaining the strength of character to continue supporting her throughout her ordeal. for even thinking about this, you must already be a perfect friend."
Please summerize the given abstract to a title,"Association between suicide behaviours in children and adolescents and the COVID-19 lockdown in Paris, France: a retrospective observational study"
Please answer with one of the option in the bracket,D: Head computed tomography (CT)
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever such as this and when spiking needs a thorough investigation especially given the history of a procedure done 48 hours before. endocarditis is a possibility and must be excluded given the serious consequences this can have. a full clinical check, bloods such as hologram, lots, infection screen with blood c/s, crp, chest x-ray, ecg, 2d-echo are minimum investigations to start with. control the temperature with plain paracetamol 1g up to twice daily 12 hrs apart and wait for the infection screen results. costochon chatbot. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi madam...first you should know that painful lymph node swollen with fever doe snot mean accurate infectious mononucleosis...mononucleosis is caused by virus called abv ...its symptoms is fever headache blanche, fatigue, sore throat, painful swollen lymph node ....my advice to you to do investigation for that...test monospot test and abv hydrophilic abs test, and you must know that abs test not appear except after 3rd week.....investigations is required to be assured for diagnosis as these symptoms may be caused by bacterial infection also.....don't worry about that and take plenty of fluids bed rest and follow investigative test.....take care of your health...thanks for contacting us"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot your concern is understandable. cancer of the throat is associated with difficulty swallowing, change in voice, sore throat, unexplained weight loss, bleeding through the mouth or nose, chronic cough and swelling of the eyes, jaw, throat or neck. if the swollen gland that you are referring to is a lymph node then there are different possible causes for an increased size. lymph node enlargement can occur due to any infectious or inflammatory process. it can also enlarge in more serious conditions such as cancer. it is possible that your symptoms are related to an infection of the throat or ear but when you visit the ent you would be able to get more information. in terms of prognosis of throat cancer, it depends on the stage of the disease. if it is caught at an early stage then the survival chances are higher. it would be best to stop smoking as it is associated with a wide range of possible complications. i hope this helps"
Please answer with one of the option in the bracket,C: Guillain-Barré syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the rash on forehead and spreading to elsewhere would be purity simplex. multiple factors can cause. stress, mental upsets, sun rays, dust, soap , clothes...etc. may be responsible. you consult dermatologist for perfect diagnosis. antihistaminics like levocetirizine may be taken. if it is severe, steroids in tapering dose may improve. apply mild steroids with antibiotics. avoid soap bath. have patience and be cool...reduce anxiety and stress. i think, you may be benefitted. i hope you got my answer. thanks."
Please summerize the given abstract to a title,One-year effectiveness and safety of vedolizumab therapy for inflammatory bowel disease: a prospective multicentre cohort study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. diazepam will certainly reduce your anxiety, but you need to inform your treating doctor before you take it as them may need to register the a chatbot.  hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","unfortunately due to your mothers weak immune system (due to the chemotherapy), fungal infections can run rampant in the lungs and cause bad pneumonia. most of these fungi are present everywhere around us in the environment. while it is unlikely that the cpap machine was the source of this infection, it should be regularly cleaned. you should refer to the manual that came with her specific cpap machine for further instructions on how to clean the mask and tubing."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for your questions, what you are describing is classical polyarthritis. this could mist of the time be of hematologic origin. autoimmune diseases like rheumatoid arthritis, systemic lupus erythematous are generally implicated. conditions like polymyalgia rheumatic must also be excluded. laboratory exams including the rheumatoid factor, erythrocyte sedimentation rate, c reactive protein, anti-nuclear antibody measure, canca and panda are usually of diagnostic importance. x-rays at times could be important too. consult a rheumatologist for a comprehensive and appropriate care. thanks and best regards, luchuo, md."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  i don't feel that your cysts are causing your back pain. you might be having some disc problem which is causing your back pain.  for diagnosis, it better you get mri lumbar spine and kindly let me know the report.  i don't think your high cholesterol or bp is related but its better you do aerobic exercise as much as you can do. any clarification feel free to answer."
Please summerize the given abstract to a title,DNAm-based signatures of accelerated aging and mortality in blood are associated with low renal function
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the diagnosis of aspergilli depends on the clinical symptoms of the patient like fever, cough, chest pain, skin test for a fumigates, level of ige and egg, chest x-ray and ct-scan findings. culture of saliva or pulmonary aspirates for aspergillus pneumonia also help to confirm the diagnosis.in regard to the treatment, systemic antifungal therapy is prescribed depending on the severity of the symptoms. you can take tab intraconazole, twice daily for 14 days. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello share your concernpopulation of healthy sperms can be increased by adopting healthy way of living and certain lifestyle modifications incomplete abstinence of smoking and alcoholizing good balanced nutritious food with multivitamin and minerals supplementsexercise regularlyavoid stress and anxiety stay happy and cheerfulyoga and meditation will definitely help him it doesn't improve, you need not worry you can go for artificial reproductive techniques like artificial insemination or embryo transfer. hope this answers your question wish you both good health and happiness regards"
Please summerize the given abstract to a title,Telemedicine Technologies for Confronting COVID-19 Pandemic: A Review
Answer this question truthfully,"Meigs syndrome must be differentiated from other diseases that cause bloating, fatigue, and shortness of breath such as: 
Ovarian cancer Cirrhosis Colon cancer Tuberculosis Milroy's disease"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome, your history says you have developed an abscess on the gums which can either be a gingival abscess that is related to gums or it can be a periodontal abscess that is tooth related, infection from the tooth may chatbot.  this can be confirmed only after clinical examination and by taking an x ray. if it is gingival abscess, you need deep curettage of the gums to remove the irritants from the gum pocket and excise the lesion followed by a course of antibiotics. if it is a periodontal abscess, the underlying tooth needs to be treated and abscess"
Answer this question truthfully,"A medical condition that may be suggested by a patient who presents with symptoms such as a blowing diastolic heart murmur with bounding pulses, widened pulse pressure, head bobbing, and eponym parade is aortic regurgitation. Aortic regurgitation is a heart valve disorder that occurs when the aortic valve doesn't close properly, allowing blood to flow back into the left ventricle of the heart. This can cause symptoms such as a diastolic murmur, bounding pulses, and widened pulse pressure. Other symptoms may include shortness of breath, fatigue, and chest pain. Treatment for aortic regurgitation may involve medications to manage symptoms, as well as surgery to repair or replace the damaged valve. It is important to seek medical attention if you experience any persistent symptoms, especially if they affect your ability to perform daily activities."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, endometriosis is a progressive disease, so earlier she conceives, better . decapeptyl would have cleared all the minute, invisible deposits of endometriosis. but once she gets periods these deposits will restart, so the best way is stop periods & best way for this is pregnancy (no periods for 10 myths!) i would advise you to go ahead with ovulation tablets ccq etc. with hormone injections which confirm good eggs & timely ovulation. you can combine with gui if needed to further increase pregnancy chances (up to 20-25 %), if gui fail 3 times go ahead with ivf (pregnancy chances 40-45%)endometriosis will cause adhesions / scarring around ovaries & may not allow egg to come out- mutinied unruptured follicle (luf syn chatbot. all the best"
Answer this question truthfully,Crohn's disease appears grossly with strictures (lumen size) and bowel wall thickening.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having pin and needle sensation. it is common in anemia (low hemoglobin) and vitamin b 12 deficiencies. so better to get done blood reports like complete blood count and vitamin b 12 level. if any of these is deficient than you need supplements. sometimes stress and anxiety can also cause similar kind of needle pricking sensation. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,Cities under pressure: strategies and tools to face climate change and pandemic
Please summerize the given abstract to a title,Covid-19: perspectives and initiatives in older adults health context in Brazil
Please answer with one of the option in the bracket,B: Add fenofibrate
Answer this question truthfully,"Zellweger syndrome
The original version of this list is from the NIH public domain 
Template:Psychiatry"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query. yes please, see her doctor immediately. this sounds like a spinal malformation. i would like to rule out spina bifida (spine fails to form completely and nerves are unprotected) she will need an mri of her spine and a complete neurological assessment please avoid any impact or pressure on her spine till she has been seen by a neurologist. tylenol based on her weight can be given for pain. hope this helps. please let me know if there is anything else i can help you with. wish you all good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. you can help yourself by vitamin supplements such as vitamin b, c and d. you can help yourself by exercises. but weakness due to polio is likely to remain as such. you can discuss with your treating doctor about it. hope i have answered your query. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i would like to inform you that from the information that you have provided here states that swollen lymph nodes and pain was from an infected tooth which is now pulled out by your dentist. as the causative factor is now no longer present therefore a course of antibiotics for a week and tylenol 3 if you have pain will resolve all the symptoms. i will advise you to continue with your dentists prescription and see him after a week.also, you can perform warm saline rinses, or apply ice packs to reduce swelling. i hope i answered your query. i wish you good health. thank youtube care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you may have enlarged axillary lymph node. it can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  or you may have lipoma cyst.  you shshould go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. any oral contraceptive can help with endometriosis, as long as it reduces the length and amount of your menstrual cycle.  if you like the formulation of or tho tri cycle lo, north tri cycle lo is no longer made by the manufacturer.  however, the active ingredient norgestimate is present in many generic pill formulations.  there is a generic of north tri cycle lo, called tri lo sprinter, which may be covered under your plan. in addition, or tho cycle, which is the monophasic regimen (same dose all month) has a generic.  the name can vary, but some brands available in the us are called sprinter, fondness, or estrella.  your pharmacist could recommend an alternative for your doctor to prescribe. i hope i was able to adequately answer your question today and that this information was helpful. best wishes,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Carvedilol, metoprolol succinate, and bisoprolol have been shown to provide a survival benefit for patients with heart failure (HF) and left ventricular ejection fraction (LVEF) less than 40%. These medications belong to a class of drugs known as beta-blockers, which work by blocking the effects of adrenaline on the heart and blood vessels. In patients with HF and reduced LVEF, beta-blockers have been shown to improve symptoms, reduce hospitalizations, and prolong survival. However, it is important to note that not all beta-blockers have been shown to provide the same benefits in this patient population, and individual patient factors should be considered when selecting a medication. Additionally, careful monitoring and dose titration are important to ensure that the medication is well-tolerated and effective."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. most fever encountered in general practice are viral, self limiting and require only symptomatic treatment, but as you have already consulted a doctor, he might have look for pallor, jaundice, neck stiffness [since fever and vomiting is there to rule out meningitis], abdomen for liver & spleen and auscultate the chest to find the cause of the fever by evaluating the associated symptoms.2. semi-solid or liquid diet. [soft rice with milk, boiled vegetables, coconut water or electoral water]. avoid exposure to wind, avoid bath-only sponging. avoid oily-fried foods, cold chatbot. . have bread butter, toast-jam, corn flakes, fruits like"
Answer this question truthfully,"An infant who presents with hypoglycemia, hepatomegaly, and high levels of TGs, uric acid, and lactate is likely suffering from von Gierke disease, which is due to a deficiency of glucose-6-phosphatase."
"If you are a doctor, please answer the medical questions based on the patient's description.","fatty liver and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. there is certain liver or gallbladder disorder definitely and the right cause should be found. it may be more or less series disease and most common this is about hepatitis, stones or fatty liver, so these should be ruled out first. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health. chatbot."
Answer this question truthfully,Glucose is transported from the bloodstream into pancreatic β-cells via a specific type of transporter called GLUT2. This transporter is responsible for facilitating glucose uptake in the liver and pancreas.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the symptoms are more likely to suggest the possibility of spine-related conditions like disc prolapse. as a first line management, you can take analgesics like diclofenac or tramadol for pain relief. if symptoms persist you can consult an orthopedic and get evaluated. an mri scan will be required for further assessment. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...nothing to worry about. the soft lump you are noticing is a boggy swelling due to localized edema in the hit area. i will suggest you danger signs of head injury -1. vomiting continuously2. seizures3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. if none of them are present, i don't think you should worry about his trivial head injury. for pain, you can give oral paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly.  regards -"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Unilateral Atraumatic Femoral Neck Fracture in the Peripartum Period: Case Report and Literature Review
Answer this question truthfully,"The Ocular and renal anomalies are the most important diagnostic findings representing in patients with characteristic signs and symptoms. Mutation in PAX2 Gene causes optic disc dysplasia and coloboma seen in most of the cases is due to the failure of the choroidal fissure to close. Despite the similarities with coloboma and morning glory anomaly, significant differences exist such that optic disc dysplasia cannot be classified as either one entity. Optic disc dysplasia is noted by an ill-defined inferior excavation, the convoluted origin of the superior retinal vessels, an excessive number of vessels, Infrapapillary pigmentary disturbance, and slight band of retinal elevation adjacent to the disk. Some patients have the normal or near-normal vision, but others have visual impairment associated with the disease, though it is not certain if this is due only to the dysplastic optic nerves, or a possible contribution from macular and retinal malformations. The most common malformation in patients with the syndrome is kidney hypoplasia, which is small and underdeveloped kidneys, often leading to end-stage renal disease (ESRD). Estimates show approximately 10% of children with hypoplastic kidneys are linked to the disease. Many different histological abnormalities have been noted, including a decrease in nephron number associated with hypertrophy, focal segmental glomerulosclerosis, interstitial fibrosis, and tubular atrophy, Multicystic dysplastic kidney.
In most of the patients, the symptoms will differ depending upon a case by case basis. People with a similar disease might have a variable presentation and may not have all the mentioned symptoms. This valuable information is usually collected from the database of Human phenotype Ontology (HPO). The HPO usually collects the symptoms is usually described or mentioned in the various publications and medical resources. The most common manifestations are Enlargement of the optic disc with blood vessels seen coming out from the periphery. Retinal vessels observed in patients with Renal-coloboma syndrome are more in number and tortuosity as compared to see in normal individuals. Less commonly seen anomalies are Scleral staphyloma, Optic nerve cyst, Microphthalmia, Reduced corneal diameters, Foveal hypoplasia, and macular anomalies. The most common renal abnormalities are Renal hypoplasia / hypo dysplasia kidneys that have a malformed function with a small number of functional glomeruli and can develop ESRD at any point in the disease. Somewhere around 10% of the patients with these kidneys found to have PAX2 gene mutation. Oligomeganephronia Condition seen in some of the patients with Renal-coloboma syndrome and this usually refers to the marked reduction in the number of functionally intact nephrons Compensatory glomerular hypertrophy seen. Glomerulosclerosis and meningeal fibrous deposits are the most common findings seen on histopathology. Multicystic dysplastic kidneys - These are commonly seen in around 10% of the patients reported with RCS. ESRD - End-stage renal disease can happen anytime during the course of the disease.
Lab Findings
The diagnosis of Renal coloboma syndrome is mainly limited to renal and optical anomalies along with the presence of PAX2 gene mutation. So there is not many roles studied in terms of lab findings except doing the genetic workup for PAX2 Gene mutation. Some rare and variant cases of PAX2 gene may also have the Renal histological findings similar to FSGS and that can be further studied and explored in lab conditions.
Other diagnostic studies
The exact criteria for Renal-coloboma syndrome have not been established so far however by seeing the patients clinically the findings of optic nerve coloboma and hypo dysplasia of kidneys are the characteristic abnormalities seen in patients with Renal coloboma syndrome. and out of that nearly half of the patients have a mutation in PAX2 Gene. It was first observed and concluded by Bower and Schimmenti."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for expressing your query at chatbot. i have gone through the details provided by you and understand the cause of your concern. let me first explain what happens normally. acid is secreted continually by our stomach and is meant to be helpful for digestion. but if the gap between meals is more, more acid gets accumulated and this can now cause ulcer. the solution would be to put small amount of meals at frequent intervals so that the acid does not need to sit idle and can act rather fruitfully. the bowel movements are supposed to move the food downward up to the anus as the digestion proceeds on the way. the acid also comes down in same manner and does not accumulate if the bowel habits are regular. regular activity/play and fiber rich foods enhance the stool formation and bowel movements. give your daughter small but frequent meals and include isabel husk in her diet (at dinner) along with more green leafy vegetables. in the evening give her some solid food containing both carboy chatbot.  i hope that will take care of the situation. although many doctors advise serpentine, i would not insist on giving serpentine to her as it is broken down by gastric acid and is not quite effective in assisting digestion. hope that the above information would be helpful. feel free to revert in case of further queries if any."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the query. urinary tract infection is a common ailment, specially in young females (due to poor personal hygiene and use of unclean washrooms). urinary tract infections are commonly diagnosed by symptoms (high grade fever, increased frequency of urination, burning during urination, pain in the loin or lower abdomen etc.). urine for routine examination can be used for diagnosis, which reveals increased pus cells or sometimes red blood cells. however, urine culture may not be positive always. this occurs when the individual has already been exposed to an antibiotic before the culture sample was collected. responding to antibiotics may not always be a criterion for this and resistant strains are very common. blood investigations have probably been advised to check the infection parameters or maybe for blood culture. in the meantime i would advise her to chatbot.  urinary alkalinize may help. acetaminophen may be taken for fever (but not >3gm per day). since she has anemia (deficiency of blood) she can take oral iron and folic acid supplementation. please do consult your physician for further advise. hope this helps you out."
Please summerize the given abstract to a title,The Effect of the COVID-19 Pandemic on Orthopedic Practices in New York
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for quarry, as you mentioned your symptoms if such patient came to me history and examination of the ulcer is important. ulcer edges, its base, duration and location important. difficulty of urination may be due to fibrosis a condition on which foreskin cant be retracted properly. foreskin cancer formation in such ulcers, uti or fibrosis is common.i suggest circumcision to progress it further. hope the answer will help you. feel free to contact me regarding your health issues. wish you a good health."
Please summerize the given abstract to a title,Mapping the Spatiotemporal Patterns of COVID-19 Risk in the United States
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned not worry. your ig g is high, but it does not suggest active infection. high ig g suggest you have developed antibody against the rubella, cytomegalo and herpes virus infection. it does not cause any damage to baby and does not interfere with conceiving. take proper treatment of the thyroid and kept your thyroid hormone level in the normal range. do alternate day sex in the fertile phase of the period. avoid stress, take healthy diet, chatbot. hope this may help you best regards"
Please summerize the given abstract to a title,Potential Effects of COVID-19 on Cytochrome P450-Mediated Drug Metabolism and Disposition in Infected Patients
Please answer the letter of option truthfully,C
Answer this question truthfully,"The criteria for AIDS is a CD4 count less than 200, or confirmed HIV positivity with AIDS-defining opportunistic infections such as Pneumocystis pneumonia (PCP) or Candida esophagitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if she is suffering from end stage of renal disease means dialysis is compulsory at least once in 3 days. if not lead to fluid accumulation and hyper uremia lead to complications. these patients won't have appetite due to uric acid accumulation. possibility to develop pulmonary edema and dyspnea. please consult with your nephrologist he will examine and treat her accordingly. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to chatdoctoryou didn't mentioned your age. you need proper clinical examination and full investigations. investigation includes routine hologram, rbs,lipid profile, lft,ft, ggt, ultrasound of abdomen, viral markers, ct scan of abdomen can be done if needed. you need proper history taking like alcohol history etc. treatment depend upon reports. probably you need medicines other than submarine. get well soon. take care chatbot."
Please summerize the given abstract to a title,Reading Race: AI Recognises Patient's Racial Identity In Medical Images
Answer this question truthfully,"Eosinophilic granulomatosis with polyangiitis must be differentiated from other diseases that cause purpura, alveolar hemorrhage, necrotizing extra-capillary glomerulonephritis, such as granulomatosis with polyangiitis and Microscopic polyangiitis. 
Eosinophilic granulomatosis with polyangiitis must be differentiated from other diseases that cause pulmonary eosinophilia and perinuclear anti-neutrophil cytoplasmic antibodies (ANCA) such as: 
Parasitic infections Drugs Allergic bronchopulmonary aspergillosis
Cystic Fibrosis Bronchogenic carcinoma Inflammatory bowel disease Sclerosing cholangitis Myeloproliferative disorders Systemic lupus erythematosis Rheumatoid arthritis
Abbreviations: ABG= Arterial blood gas, ANA= Antinuclear antibody, ANP= Atrial natriuretic peptide, ASO= Antistreptolysin O antibody, BNP= Brain natriuretic peptide, CBC= Complete blood count, COPD= Chronic obstructive pulmonary disease, CRP= C-reactive protein, CT= Computed tomography, CXR= Chest X-ray, DVT= Deep vein thrombosis, ESR= Erythrocyte sedimentation rate, HRCT= High Resolution CT, IgE= Immunoglobulin E, LDH= Lactate dehydrogenase, PCWP= Pulmonary capillary wedge pressure, PCR= Polymerase chain reaction, PFT= Pulmonary function test.
Diseases Clinical manifestations Para-clinical findings Gold standard Additional findings Symptoms Physical examination Lab Findings Imaging Histopathology Headache Fever Weight loss Arthralgia Claudication Bruit HTN Focal neurological disorder Biomarker CBC ESR Other CT scan Angiography Ultrasound/ Echocardiography Other Large-Vessel Vasculitis Takayasu arteritis  + +/- + - + + +/- +/- MMP-3 and MMP-9 Leukocytosis, Anemia ↑ ↑ CRP Aneurysmal dilatation of the aorta Blood vessel stenosis Circumferential thickening of the arterial wall (Macaroni sign) PET-scan, Cardiac CT Granulomatous inflammation of arteries Arteriography Coronary aneurysm Giant cell arteritis  + - + +/- - - - +/- Pentraxin 3 (PTX3) Normal ↑ ↑ CRP Stenosis, Occlusion, Dilatation Aneurysm - Mural inflammation in MRA Granulomatous inflammation of arteries Biopsy Jaw pain and claudication Neurological disease Cerebral aneurysm  + - - - - - +/- + - Normal Normal - Well-defined round, slightly hyperattenuating lesion Bulging out of the main lumen - Heterogeneous signal intensity in MRA Layers of smooth muscle cells, Intact endothelium Digital subtraction angiography (DSA) Nausea, Vomiting Neurofibromatosis type 1  +/- - +/- - - - + + NF1 mutated gene Normal Normal Neurofibromin gene Bone abnormalities Optical coherence tomography angiography (OCTA) - Optic nerve gliomas in MRI Elongated spindle-shaped cells in neurofibromas NIH diagnostic criteria Cafe au Lait spot Neurofibromatosis type 2  +/- - +/- - +/- - - + NF2 mutated gene Normal Normal Schwannomin Meningioma, Schwannoma, Ependymoma Fluorescein angiography showed retinal hamartoma Localized schwannomas in nerve ultrasound Schwannoma in MRI Encapsulated biphasic nerve sheath tumor NIH diagnostic criteria Hearing loss, Vision loss Systemic disease Fibromuscular dysplasia  + - +/- + + + + +/- Transforming growth factor β (TGF-β) Normal ↑ ↑ Cr or BUN Alternating stenosis and dilatations in CT angiography Stenosis in the renal arteries Luminal narrowing alternating with dilatation (Beads sign) Focal concentric, long-segment tubular stenosis or outpouching in MRA Fibrodysplastic changes, Collagen deposition Digital subtraction angiography (DSA) Spontaneous coronary artery dissection (SCAD) Ehlers-Danlos syndrome  - - - + +/- +/- - +/- TGF-β Normal Normal Cultured skin fibroblasts Multiple vascular segments with aneurysms and dissections Dissection of the posterolateral branch of the left circumflex coronary artery (LCx) Visceral arteries abnormality Vascular abnormalities in MRA Thin and rare collagen bundles in the dermis History and physical examination Bleeding, Bruisability, Heart murmur Polymyalgia rheumatica (PMR)  + - +/- + - - - - Plasma fibrinogen Normocytic, normochromic anemia ↑ CRP Periodontoid localization of calcification Vessel wall thickening, Increased mural contrast enhancement Subacromial or subdeltoid bursitis High F-FDG accumulation around the joints in FDG PET-CT Small angular fibers, Pyknotic nuclear clumps, or target-targetoid fibers - Joint stiffness, Fatigue Amyloidosis  +/- - - +/- +/- - + + Immunoglobulin light chain (Amyloid) Anemia Normal ↑ Cr or BUN, ↑ ALT or AST Diffusely hypoattenuating and enlarged liver Amyloid deposition in the media and adventitia of small arteries Solid organs increased echogenicity Tc-DPD for cardiac amyloid deposits Extracellular deposition of fibrillar proteins Biopsy Cardiomegaly, Dyspnea Diseases Headache Fever Weight loss Arthralgia Claudication Bruit HTN Focal neurological disorder Biomarker CBC ESR Other CT scan Angiography Ultrasound/ Echocardiography Other Histopathology Gold standard Additional findings Medium-Vessel Vasculitis Polyarteritis nodosa  + + + + + + +/- +/- LAMP-2 protein autoantibodies Leukocytosis, Normochromic anemia, Thrombocytosis ↑ ↑ Cr or BUN, ↑ ALT or AST, Proteinuria Focal regions of infarction or hemorrhage Multiple microaneurysms, Hemorrhage due to focal rupture, Occlusion Aneurysms and renal arteriovenous fistula in color Doppler sonography - Necrotizing inflammatory lesions Angiography Sudden weight loss, Abdominal pain Hepatitis B virus -associated polyarteritis nodosa  +/- +/- + + +/- +/- + - HBsAg Leukocytosis, Normochromic anemia, Thrombocytosis ↑ ↑ ALT or AST Focal regions of infarction or hemorrhage Microaneurysms in mesenteric artery Aneurysms and renal arteriovenous fistula in color Doppler sonography - Necrotizing inflammatory lesions Angiography Peripheral neuropathy, Livedo reticularis Kawasaki disease  - + +/- + + - +/- - NT-proBNP, Meprin A, Filamin C Normochromic anemia, ↑ WBC with a left shift, Thrombocytosis ↑ Acute-phase reactants, ↓ Cholesterol, ↓ HDL, ↓ ApolipoA Coronary artery calcifications Coronary artery aneurysms, stenosis or occlusion Coronary artery anomaly in echocardiography Electron beam CT (EBCT) Acute destruction of the media by neutrophils, with loss of elastic fibers History and physical examination Diarrhea, Vomiting Infectious disease Parvovirus B19 infection  + + + + - - - +/- B19 DNA, ↓ Reticulocyte count Anemia ↑ anti– parvovirus B19 IgM - - Hydrops in fetal ultrasonography - - B19 DNA Purpuric rash, Erythema multiforme Scarlet fever  + + +/- + - - - - Antistreptolysin-O (ASO) titers Leukocytosis ↑ ↑ CRP Thickened pulmonary markings if pneumonia - - - Sparse neutrophilic perivascular infiltrate History and physical examination Sand-paper rashes, Sore throat Toxic shock syndrome  + + + + - - - +/- Procalcitonin Leukocytosis with left shift ↑ Myoglobinuria, Sterile pyuria Acute respiratory distress syndrome - - - Necrolysis of keratinocytes in epidermis, Perivascular lymphocytic infiltrate Clinical criteria Peeling or rashes, Organ dysfunction Mononucleosis  + + + + - - - - EBV DNA Atypical lymphocyte ↑ Heterophile antibodies CNS involvement - Splenomegaly Encephalitis in MRI Lymphoproliferative response in oropharynx, Lymphocytic infiltration in spleen Heterophile antibody test Splenomegaly, Palatal petechiae Leptospirosis  + + + + +/- - - - IL-6, IL-8 and IL-10 Anemia - ↑ Cr or BUN, ↑ ALT or AST, Proteinuria Diffuse alveolar hemorrhage - - - Toxin -mediated break down of endothelial cell membranes of capillaries Culture and the microscopic agglutination test Red eyes, Skin rash Lyme Disease  +/- + +/- + +/- - - - CXCL9 (MIG), CXCL10 (IP-10) and CCL19 (MIP3B) Leukopenia, Thrombocytopenia - Microscopic hematuria, Proteinuria, ↑ ALT or AST Punctate lesions in periventricular white matter in brain SPECT - - - Acrodermatitis chronica atrophicans Serologic tests Erythema migrans Measles  +/- + +/- + - - - - Measles IgM Leukopenia, Lymphocytosis, Thrombocytopenia - ↑ ALT or AST Pneumonia - - CXR Spongiosis and vesiculation in the epidermis with scattered dyskeratotic keratinocytes PCR Generalized rash, Cough, Coryza, or Conjunctivitis Rocky Mountain Spotted Fever  + + + + - - - - R rickettsii serology Thrombocytopenia, Anemia - ↑ ALT or AST, Hyponatremia Infarction, edema, and meningeal enhancement - Myocardial or conduction abnormalities in echocardiography - Immunofluorescent or immunoperoxidase staining of R rickettsii Clinical criteria and tick exposure Rash on the palms and soles Staphylococcal Scalded Skin Syndrome  + + + + - - +/- +/- Anti exfoliatin and anti alpha-toxin antibodies Leukocytosis with left shift ↑ Blood culture Pneumonia - - - Intraepidermal blister, dense superficial perivascular lymphohistiocytic infiltrate Blood culture and clinical findings Widespread skin erythema, fluid-filled blisters Toxic Epidermal Necrolysis  - + + - - - - +/- MicroRNA-124 Normochromic normocytic anemia, Eosinophilia ↑ Fluid loss and electrolyte abnormalities Tracheobronchial inflammation - - - Necrotic keratinocytes with full-thickness epithelial necrosis Histopathology and clinical findings Erythematous macular rash with purpuric centers Cardiovascular disease Atrial Myxoma  - - +/- - - - - +/- Calretinin Mild anemia, Leukocytosis ↑ ↑ IL-6 Atrial filling defect larger than a thrombus - Tumor location, size, attachment, and mobility in echocardiography Size, shape, and surface characteristics in MRI Lipidic cells embedded in a vascular myxoid stroma Echocardiography Dyspnea on exertion, Syncope Cholesterol Embolism  +/- +/- - - + - - + IL-5 Eosinophilia, Leukocytosis ↑ Eosinophiluria Thoracic and abdominal aortic sources of embolism Atheroembolism in abdominal aorta and the lower extremity arteries Excluding an intracardiac source of embolism with echocardiography - Birefringent crystals or biconvex needle-shaped ghostly clefts within the arterial lumen Angiography Livedo reticularis, Ischemic patches Segmental arterial mediolysis  + - - - + + + +/- - Leukocytosis - - Visceral artery aneurysm in CT angiography Alternating aneurysms and stenoses (beading) Retroperitoneal hematoma - Disruption of the smooth muscle in the media Angiography Hematuria, Ischemic colitis Systemic disease Antiphospholipid Syndrome  + + - - - - - +/- Antiphospholipid antibodies Thrombocytopenia, Hemolytic anemia - Lupus anticoagulant (LA) Stroke, Pulmonary embolism, Budd-Chiari syndrome Thrombus in major vessels Valve thickening, vegetations, or insufficiency in echocardiography - Noninflammatory bland thrombosis without perivascular inflammation Hx of thrombosis and antiphospholipid antibodies Miscarriage, Pulmonary hypertension Juvenile Idiopathic Arthritis  - - - + +/- - - - Rheumatoid factor (RF), S100A12 Lymphocytosis, Thrombocytopenia ↑ Myeloid-related proteins 8/14 (MRP8/14) Synovial hypertrophy, Joint effusions Cerebral vasculitis Inflamed synovium Bone scanning Vascular congestion, RBC extravasation, Venular lumen occlusion Conventional radiography Evanescent rash, Dactylitis Diseases Headache Fever Weight loss Arthralgia Claudication Bruit HTN Focal neurological disorder Biomarker CBC ESR Other CT scan Angiography Ultrasound/ Echocardiography Other Histopathology Gold standard Additional findings Small-Vessel Vasculitis ANCA-associated vasculitis Microscopic polyangiitis  + - - +/- - - - + Anti-PR3 antibody (C-ANCA) (40%), Anti-MPO antibody (P-ANCA) (60%) Leukocytosis, Normocytic anemia ↑ Proteinuria, Erythrocyte casts Suspected pancreatitis Mesenteric angiography for differentiating from polyarteritis nodosa - Bilateral nodular, and patchy opacities in CXR Glomerulonephritis with focal necrosis, crescent formation, and lack or paucity of immunoglobulin deposits Histological confirmation Rash, Hemoptysis Granulomatosis with polyangiitis (Wegener’s)  + +/- +/- - - - - + Anti-PR3 antibody (C-ANCA) (90%), Anti-MPO antibody (P-ANCA) (10%) Leukocytosis, Normochromic normocytic anemia ↑ ↑ Cr or BUN, Hypoalbuminemia Consolidation, Patchy or diffuse ground-glass opacities Occlusion or stenosis of LAD and RCA in coronary angiography - Single or multiple nodules and masses with cavitation in CXR Parenchymal necrosis, Granulomatous inflammation Histological confirmation Conjunctivitis, Episcleritis, Uveitis, Optic nerve vasculitis Eosinophilic granulomatosis with polyangiitis (Churg-Strauss)  +/- - - + - - - + Anti-MPO antibody (P-ANCA) (40%), Eotaxin-3 Eosinophilia, Anemia ↑ ↑ Cr or BUN, Proteinuria, Erythrocyte casts, ↑ IgE levels Significant enlargement of peripheral pulmonary arteries Myocardial ischemia and infarction in coronary angiography Congestive heart failure (CHF) in echocardiography Extensive air-space opacities in CXR Small necrotizing granulomas with eosinophilic core surrounded by macrophages and epithelioid giant cells Histological confirmation Allergic rhinitis, Asthma, Urticarial rash Hydralazine -associated ANCA-associated vasculitis  - - - + - - - +/- Anti-MPO antibody (P-ANCA), Anti-histone antibodies Anemia - ↑ Cr or BUN, Hypoalbuminemia Bilateral pulmonary infiltrates Aneurysms or occlusions of the visceral arteries - - Pauci-immune necrotizing and crescentic glomerulonephritis Histological confirmation Sinusitis, Hemoptysis Immune complex small-vessel vasculitis Anti-glomerular basement membrane disease  + +/- - - - - + - Anti-GBM antibodies Hypochromic microcytic anemia, Thrombocytopenia - ↓ C3 level Pulmonary hemorrhage - Normal kidneys Alveolar infiltrates spreading from the hilum in CXR Cellular crescents in the glomeruli, Intra-alveolar hemorrhages Anti-GBM antibodies Hemoptysis, Hematuria Cryoglobulinemic vasculitis  +/- +/- - + +/- - - - C4 component Leukocytosis, Anemia ↑ ANA, hypocomplementemia R/O underlying malignancy Stenosis or occlusions of the visceral arteries Bacterial endocarditis in echocardiography Interstitial involvement or pleural effusions in CXR HCV -associated proteins in vasculitic skin, Intraluminal cryoglobulin deposits Histological confirmation Acrocyanosis, Retinal hemorrhage, Purpura Hepatitis C virus -associated cryoglobulinemic vasculitis  +/- +/- + + - - + +/- HCV RNA, Cryoglobulins Leukocytosis, Anemia ↑ ↓ Serum C4, Positive RF Increased hepatic echogenicity - Hepatomegaly, Splenomegaly Increased hepatic echogenicity in MRI Vasculitic skin, Antigen infilteration in lesions HCV RNA, Histological confirmation Palpable purpura, Microscopic hematuria IgA vasculitis (Henoch-Schönlein purpura)  - - + + - - - - IgA Normochromic anemia, Leukocytosis ↑ Stool OB, ↓ C3, ↓ C4 - - Increased bowel wall thickness, hematomas, peritoneal fluid, and intussusception Dilated loops of bowel consistent in abdominal X-ray Leukocytoclastic vasculitis in postcapillary venules with IgA deposition History and physical examination Hematuria, Palpable purpura Hypocomplementemic urticarial vasculitis (anti-C1q vasculitis)  - - +/- + - - - - C1q Mild anemia ↑ ANA, ↓ C1q, ↓ C3, ↓ C4 - - Hepatomegaly, Splenomegaly - Deposits of immunoglobulins, complement, or fibrin around blood vessels Urticaria, Histological confirmation Urticaria, Hematuria Gastrointestinal disease Acute mesenteric ischemia  - +/- - - - - - - I-FABP, Alpha-GST, Ischemia-modified albumin (IMA) Leukocytosis, ↑ HCT - ↑ Amylase Bowel wall thickening, Intestinal pneumatosis, Portomesenteric thrombosis Mesenteric venous thrombosis Arterial stenosis or occlusion of the celiac or superior mesenteric arteries in duplex ultrasound Ileus with distended loops of bowel, Bowel wall thickening in abdominal X-ray Superficial mucosal hemorrhage, edema and necrosis History and physical examination Abdominal pain, Distension, Absent bowel sounds Cardiovascular disease Infective Endocarditis  + + + - - - - + NT-proBNP Normochromic-normocytic anemia ↑ Hyperglobulinemia, Cryoglobulinemia Metastatic infections, such as splenic infarct, renal infarcts, or psoas abscess - Vegetation, abscess, or new dehiscence of a prosthetic valve in echocardiography Vertebral osteomyelitis in MRI Vegetation or intracardiac abscess demonstrating active endocarditis Echocardiography (TTE) Janeway lesions, Osler nodes, Roth spots, Vertebral osteomyelitis Leukocytoclastic Vasculitis  + - - + - - - + IgM, IgA, IgG Leukocytosis, Anemia ↑ Hypocomplementemia - Vascular stenosis and obstruction in visceral angiography - - Perivascular inflammatory infiltrate of neutrophils with leukocytoclasia (releasing nuclear debris) Histological confirmation Palpable purpura, Petechiae Pulmonary disease Langerhans Cell Histiocytosis  +/- - - + - - - - CD1a, CD207, BRAF-V600E Anemia ↑ Hypercalcemia Pulmonary cysts and nodules, Bone lytic lesions - Hepatomegaly, Splenomegaly Cerebellum and pons hyperintensity in MRI Birbeck granules by electron microscopy Histological confirmation Brown to purplish papules, Eczematous rash Non-Small Cell Lung Cancer  - +/- + - - - - +/- EGFR, ROS1, EML4- ALK, PD-L1 Leukocytosis, Anemia ↑ Hypercalcemia, Hyponatremia Pulmonary lesion or mass - Pulmonary marginal lesions Staging and response to treatment in PET-CT Adenocarcinoma, Squamous cell carcinoma High resolution CT-scan Cough, Hemoptysis Small Cell Lung Cancer  - +/- + - - - - +/- p53, Thyroid transcription factor-1 (TTF1) Anemia ↑ Hyponatremia Large hilar mass with bulky mediastinal adenopathy - Endobronchial ultrasound (EBUS) Standard staging Spindled cells with dark nuclei, scant cytoplasm, and fine, granular nuclear chromatin High resolution CT-scan Cough, Hemoptysis Pulmonary Infarction  +/- - - - - - + - D-dimer Mild leukocytosis, Mild anemia - Hypoxemia, Hypocarbia or Hypercarbia, Respiratory alkalosis Pulmonary embolism Low- density filling defect within the pulmonary artery Pericardial effusion in echocardiography Pulmonary infiltrates, atelectasis, and pleural effusions in CXR Infarct induced apoptosis Pulmonary artery angiography Cough, Hemoptysis Renal disease Acute Poststreptococcal Glomerulonephritis  - - - + - - + +/- Antistreptolysin-O (ASO) titers Leukocytosis ↑ Hypocomplementemia - - Normal to slightly enlarged kidneys Central venous congestion in a hilar pattern in CXR Hypercellularity of endothelial and mesangial cells, Infiltration of the glomerular tuft with polymorphonuclear cells Histological confirmation Hematuria Hematologic disease Hemolytic-Uremic Syndrome  + + - + - - + + C5b-9, ADAMTS13 Anemia, Thrombocytopenia, Reticulocytosis ↑ ↑ Lactate dehydrogenase (LDH), Hypercalcemia Thalami, brainstem, or cerebellum abnormality Cerebral microangiopathy or hypertension Hypoechoic kidney Abnormal hyperintensity in the brain cisterns in MRI Microthromboses include fibrin thrombi that may occlude the glomerular tuft Clinical findings coupled with laboratory abnormalities Hematuria, Proteinuria Chronic Lymphocytic Leukemia (CLL)  + + + + +/- - - +/- CD5, CD19, CD20, IgV H Absolute lymphocytosis, Smudge cells ↑ Flow cytometry Staging - - - Large atypical cells, cleaved cells, and prolymphocytes Chromosomal and genetic testing Easy bruising Multiple Myeloma  + - + + + + +/- +/- Ig light chain Anemia, Thrombocytopenia, Leukopenia ↑ Bone marrow aspiration and biopsy, ↑ Cr Osseous involvement and lytic lesions Peripheral zone of increased vascularity in lesions - Punched-out lesion in skull X-ray Clonal proliferation of plasma cells Protein electrophoresis plus conventional X-rays Constipation Hypereosinophilic Syndrome  +/- +/- - - - - - - IgE, CD117 with CD2 Eosinophilia - ↑Serum tryptase Lymphadenopathy and splenomegaly - Intracardiac thrombi in echocardiography - Reticulin stain for myelofibrosis and tryptase staining for mast cells Clinical findings coupled with laboratory abnormalities Splinter hemorrhages, Raynaud phenomenon Non-Hodgkin Lymphoma  + + + + +/- +/- +/- +/- MYC, BCL2, BCL6, and TP53 Lymphocytosis, Anemia, Thrombocytopenia ↑ ↑ Lactate dehydrogenase (LDH), Hypercalcemia Enlarged lymph nodes, Hepatosplenomegaly, Filling defects in the liver and spleen - Hepatosplenomegaly Mediastinal lymphadenopathy Small cleaved or noncleaved, intermediate, or large cell with a follicular or diffuse pattern Surgically excised tissue biopsy Easy bruising, Testicular mass, Skin lesion Serum Sickness  + + - +/- +/- - - +/- IL-1, IL-6, TNF Leukopenia ↑ Polyclonal gammopathy, ↑ Cr, Cryoglobulinemia - - - - Arteritic lesions are focal, necrotizing, and inflammatory involving all layers of the artery Clinical findings coupled with laboratory abnormalities Hematuria, Skin rash Disseminated Intravascular Coagulation  +/- + - +/- - - + + Fibrin degradation product (FDP) Thrombocytopenia, Schistocytes ↑ ↑ D-dimer, aPTT and PT Intracranial hemorrhage - - - Ischemia and necrosis due to fibrin deposition in small and medium-sized vessels Clinical findings coupled with laboratory abnormalities Acral cyanosis, Hemorrhagic skin infarctions Idiopathic Thrombocytopenic Purpura  + +/- - + - - - + FC gamma receptors (FCGR) IIb Anemia, Thrombocytopenia - HIV, ANA R/O other causes - R/O splenomegaly - Increased number of normal morphologic megakaryocytes Clinical findings coupled with thrombocytopenia Easy bruising, Purpura Systemic disease Sarcoidosis  + + + + - - - +/- IL-2 and IFN-γ Mild anemia ↑ ↑ ACE, ↑ 1, 25-dihydroxyvitamin D Active alveolitis or fibrosis - Hepatosplenomegaly Bilateral hilar adenopathy Noncaseating granulomas (NCGs) Histological confirmation Heart block, Ocular lesion Legionella Infection  + + + + - - - +/- Inflammatory cytokines Leukocytosis with left shift, Thrombocytosis ↑ ↑ D-dimer, FDP, Hyponatremia Pleural effusion - - Nonspecific and indistinguishable CXR Intra- alveolar inflammation, Microabscesses in the parenchyma Sputum culture Cough, Diarrhea Systemic lupus erythematosus  + + + + - - + + Anti dsDNA, ANA Leukopenia, Lymphopenia, Anemia, Thrombocytopenia ↑ ↑ Cr or BUN, ↑ ALT or AST, Proteinuria Interstitial lung disease, Pneumonitis, Pulmonary emboli, Alveolar hemorrhage Aneurysms Pericardial effusion, pulmonary hypertension, or verrucous Libman-Sacks endocarditis in echocardiography Central nervous system (CNS) lupus white-matter changes in MRI Staging lupus nephritis Anti-dsDNA antibody test Skin rashes or photosensitivity Rheumatoid arthritis  - - + + + + - - RF, Anti-CCP antibody Anemia ↑ ↑ Cr or BUN, ↑ ALT or AST, ANA Microfractures Aneurysms Effusions in joints Basilar invagination with cranial migration of an eroded odontoid peg in MRI Influx of inflammatory cells into the synovial membrane, with angiogenesis, proliferation of chronic inflammatory cells Clinical findings coupled anti-CCP antibody Rheumatoid nodules Relapsing polychondritis  - +/- +/- + + - - - - Leukocytosis, Anemia - Cryoglobulins, ANA, C-ANCA Calcification of cartilaginous structures Aortic root dilatation Aortic root dilatation and degree of aortic regurgitation in echocardiography Tracheal stenosis in CXR Chondrolysis, Chondritis, Perichondritis Clinical findings coupled with imaging Ear pain and redness, Polyarthritis Diseases Headache Fever Weight loss Arthralgia Claudication Bruit HTN Focal neurological disorder Biomarker CBC ESR Other CT scan Angiography Ultrasound/ Echocardiography Other Histopathology Gold standard Additional findings Variable-vessel vasculitis Behçet’s syndrome  - - - + - - +/- - CXCL1 Mild anemia, Neutrophilia ↑ Factor V Leiden Focal CNS lesions Aneurysm formation and thrombosis areas Valve vegetations and ventricular thrombi in echocardiography Meningoencephalitis in MRI Lymphocytic and plasma cell invasion in the prickle cell layer of the epidermis Clinical criteria Genital ulcerations, Oral ulceration Cogan's syndrome  +/- - - +/- - - - + Anti-Hsp70 antibodies Anemia, Thrombocytosis ↑ RF, ANA Thickening and enhancement of both posterior sclera Stenosis, thrombosis or more lesions in aortic root Aortic insufficiency in echocardiography Early interstitial keratitis by slit lamp Muscle necrosis and atrophy resembling myositis - Red eye, Hearing loss, Vertigo Gastrointestinal disease Inflammatory Bowel Disease  +/- + + + + - - - Anti- Saccharomyces cerevisiae antibody (ASCA), P-ANCA Leukocytosis, Anemia ↑ Iron or vitamin deficiency, Stool OB Mesenteric fat stranding, bowel wall enhancement, increased vascularity (comb sign) - Fistulas, Abscesses, Stenosis Grossly denuded mucosa with active bleeding in colonoscopy Crypt abscesses and mucosal ulceration, Granulomas Endoscopy GI bleeding Whipple's disease  + +/- + + + + + + CCR6, Gut-homing marker integrin β7-chain, T whippelii DNA Mild anemia, Neutrophilia ↑ 72-hour fecal fat determination Nonspecific malabsorption - Hepatosplenomegaly - Periodic acid-Schiff –positive macrophages infiltration in lamina propria of the small bowel Broad-spectrum PCR amplifications Cachexia, Glossitis Sjögren's syndrome  - - +/- + - - - - Anti-Ro and Anti-La, Anti-alpha-fodrin antibody Anemia, Leukopenia, Eosinophilia ↑ Hypergammaglobulinemia, Low bicarbonate level, Hypokalemia Salt and pepper or honeycomb appearance in parotid glands - Multicystic or reticular pattern in atrophic salivary gland R/O obstructions or strictures with Sialography Focal aggregates of lymphocytes Schirmer test Keratoconjunctivitis, Gingival inflammation Single-organ vasculitis Primary central nervous system vasculitis  + + + - + - + + von Willebrand factor antigen (vWF) Normal - CSF pleocytosis, predominantly lymphocytes Cerebral infarcts or hemorrhages with mass effect, or hydrocephalus Aneurysm in circle of Willis - Progression of the disease or response to therapy in MRI Chronic granulomatous inflammation and giant cells Histological confirmation Skin rash, Purpura Infectious disease Aspergillosis  + + + - - - - + Aspergillus nucleic acid in blood, Galactomannan Eosinophilia ↑ ↑Serum IgE Aspergilloma mass within a cavity Mass effect stenosis - Aspergilloma mass within the brain in MRI Septate hyphae, branching at acute angles, and tissue necrosis with granulomata and blood vessel invasion Histological confirmation Hemoptysis, Aspergilloma Histoplasmosis  + + + + + - - + - Mild anemia ↑ ↑ ALP, ↑ LDH Cerebral histoplasmosis - Valvular involvement in echocardiography PFT Presence of yeast forms in tissue through hematoxylin and eosin staining Sputum cultures Pneumonia, Mediastinitis Herpes Simplex Encephalitis  + + - - - - - + HSV DNA Mild lymphocytosis ↑ CSF pleocytosis Low-density lesions in the temporal and/or frontal lobe - - Hemorrhagic lesion in white matter Multinuclear giant cells PCR or brain biopsy Seizures, Vomiting Systemic disease Eclampsia  + + - + - - + + VEGF, PlGF, Soluble FLT-1 Anemia, Thrombocytopenia, Schistocytes - ↑ Bilirubin, ↓ Haptoglobin, ↑ LDH, ↑ Cr Cortical hypodense areas in the occipital lobes, Diffuse cerebral edema - Poor fetal growth, Oligohydramnios, Abnormal umbilical artery Increased signal at the gray-white matter junction in MRI - 24-hour urine study Seizure, Edema Fibromuscular dysplasia  + - +/- + + + + +/- Transforming growth factor β (TGF-β) Normal ↑ ↑ Cr or BUN Alternating stenosis and dilatations in CT angiography Stenosis in the renal arteries Luminal narrowing alternating with dilatation (Beads sign) Focal concentric, long-segment tubular stenosis or outpouching in MRA Fibrodysplastic changes, Collagen deposition Digital subtraction angiography (DSA) Spontaneous coronary artery dissection (SCAD)"
Please summerize the given abstract to a title,The Relationship between Anxiety and Depression Levels with Perceived Stress and Coping Strategies in Health Care Workers during the COVID-19 Pandemic
Please summerize the given abstract to a title,"Intracounty modeling of COVID-19 infection with human mobility: Assessing spatial heterogeneity with business traffic, age, and race"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think you are suffering from acute backache may be disc prolapse. treatment of it is rest(in position of relief generally lateral position with both knee bend), and analgesics. diclofenac three times a day after meals is effective. sometimes strong analgesic(such as attract three times a day after meals) is required. omeprazole before meals prevent acidity caused by analgesics. you can discuss with your treating doctor. to further investigate mri of the region is advised. you are advised to see orthopedic. i think your query answered. welcome to any follow-up query."
Please summerize the given abstract to a title,Comparison of the Abbott SARS-CoV-2 IgG and diasorin liason SARSCOV-2 S1/S2 IgG antibody assays
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. the frequent stomach pains can be due to irritable bowel syn chatbot.  another causes should be found out. i would advise you to undergo
Answer this question truthfully,"Regarding the incidence of the three main types of skin cancer in the United States, Basal > Squamous >> Melanoma."
Please summerize the given abstract to a title,"Let’s Not Joke about It Too Much! Exposure to COVID-19 Messaging, Attitudes and Protective Behavioral Intentions"
Answer this question truthfully,β-blockers must be used cautiously in decompensated heart failure and are contraindicated in cardiogenic shock.
Answer this question truthfully,Cerebral arteriovenous malformation Cerebral aneurysm Head injury Polycystic kidney disease Hypertension Smoking Idiopathic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should continue the medication. it is the adverse reaction of the chatbot.  which some people are facing. but it is not the reason to discontinue the treatment. i advise you to start the tablet pantoprazole under your doctors' guidance. it will help you in acidity. also taking lactobacillus spores can help you prevent wash out of the flora. i will be happy to answer your further concern, you can ask me on bit.ly/"
Please summerize the given abstract to a title,Analysis of the dynamic changes of serum IgM and IgG antibodies of the COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for consulting in healthcare, your child has bronchial asthma, mixed, mild form. it's some style of life.1. hypoallergenic diet without oranges, honey, chocolate, strawberries,nuts, seafood, judge, tomato. eat better cucumber, potato, cauliflower, kadu, vegetables soup, apple,banana2. use hypoallergenic child soup-jonson baby3. hypoallergenic environment- pillow without feathers, washing floor every day, buy ionization for cleaning air in his room4. use nebulizer, when he has attack res pirate albuterol, then after 15 min-corticosteroid-pulmicort, flaticon or other. he should receive nebulizer therapy 3 months at least, if he is well, you can decrease dose but don't stop5. give him aerosol 30 mg 1 tab 2 times for making his sputum like as water, and he will easily cough it6. antihistamines-cetirizine 1 tab 1 time 14 days7. absorbent -charcoal 3 tabs for night 5\u00a0days for absorption allergens from git8. hepatoprotector- liv 52 1 tab 2 times after 15\u00a0min before meal for cleaning liver 1 month9. check his stool culture and do bacteriological analysis from rhynofarynx, because usually bad flora, like as st. aureus can cause asthma, then if he has you should give antistaphilococcal bacteriophage 20ml 2 times 10 days10. for improving his intestinal flora you give similar 1 cap 1 months can give this courses gradually recovery soon chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good evening from india. thanks for the query to chatbot. i went through all the details of your query. on the details given by your query, in my opinion you suffer mostly from-on the facts there in-mostly you suffer from-? hodgekins lymphoma-?nhl-as the lump is increasing and is in infra-clavicular region. though i don't have details of your age and your gender, emprically above possibilities are on the facts of the case and the growing tumor which was there for 2 yrs static and the sensitivity of that location for such lymphomas.-i would suggest-consultation with onco-surgeon /physician and would advise -fdp pet scan with fnac biopsy, which would fix the diagnosis. else it could be fibrous/ lipoma/epidermis cyst/sebaceous cyst -which needs to be ruled out as above. consult er doctor for the script of chatbot. hope this would resolve your query. welcome for any more query to chatbot and me, in this regard. wishing you fast recovery. write review asap with strong recommendations for chatbot and for me, for the benefit of other new and old patients. have a good day. with"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. from the nature of your friends complaints i assess that she is suffering from a disc prolapse and all the conventional forms of medications have not done her much good. the kind of injection you have mentioned is most probably an epidural steroid injection which is administered around the nerve. unfortunately it can only be administered by either a neurosurgeon or an orthopedic .......and not by some nurse. take appointment from some other doctor. in the meantime put her on opioid medication like oxycodone a some oral steroid like me chatbot. complete bed rest is must. i hope my advice has helped good luck
Answer this question truthfully,"Yes, even in the absence of 17α-hydroxylase, the zona fasciculata of the adrenal cortex can still produce corticosterone, which has glucocorticoid activity. 17α-hydroxylase is an enzyme that plays a key role in the synthesis of steroid hormones, including glucocorticoids, mineralocorticoids, and androgens. It catalyzes the conversion of pregnenolone to 17α-hydroxypregnenolone, which is a precursor for the synthesis of other steroid hormones. However, if there is an absence of 17α-hydroxylase, the synthesis of these hormones would be impaired. In the absence of 17α-hydroxylase, the adrenal gland would still be able to produce corticosterone, which is a glucocorticoid that is involved in the regulation of metabolism, immune function, and stress response. However, the absence of 17α-hydroxylase would also lead to a buildup of pregnenolone, which can be converted into other steroid hormones by alternative pathways. This can lead to an excess of androgens, which can cause symptoms such as hirsutism, acne, and menstrual irregularities."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. most possible cause is (carbuncle / fur uncle) hair follicular infective causes - bacterial infection.2. the location and symptoms suggest the acute and infective causes.3. i would suggest seeing your gp as soon as possible, depending on the size the treatment varies (starting from a course of antibiotics to a small incision and chatbot. you can not neglect this, as there are definitive possibilities to get complicated (sinus formation / fistula formation)5.take immediate action, maintain local hygiene, do not itch the area. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, you haven't mentioned that for hypertension what type of antihypertensive medications you are on, because it's important to note that certain ace inhibitors and beta blockers can cause or aggravate psoriasis, so better to discuss that with your physician. now there are different types of creams and lotions to treat the psoriasis depending upon the part, severity,type and area of involvement of the body and also the treating dermatologist. for face some dermatologists prescribe a mild steroidal and salicylic acid combination and then turn to tacrolimus or pimecrolimus ointment thereafter. smilarly for scalp there are different topical lotions and shampoos containing tar, salicylic acid an steroid. so i mean it needs to be discussed with your dermatologist and after a thorough examination he'll be able to prescribe you with the best possible therapy for you. i hope this helps. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concernaccording to your history you missed one pill. but if it is just 24 hours after missing pill then take two tablets simultaneously means missed tablet and that day tablet together.  so take birth pills together that prevent the pregnancy but take the remaining tablet regularly. so in this case no need of play b pill. but if 24 hours has been crossed, and you did not take missed pill then you have to take plan b as early as possible or with in 72 hours after sex to prevent the pregnancy. hope this will help you best regards"
Please summerize the given abstract to a title,"""VTT""-domain proteins VMP1 and TMEM41B function in lipid homeostasis globally and locally as ER scramblases."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, your lung disease have worsened because your peak flow reading has been chatbot.  so better to consult pulmonologist and get done pft (pulmonary function test).pft will tell you about severity of the disease and treatment is based on severity only. you may need newer ultra long acting inhaled bronchodilators (indacaterol and glycopyronium). deep breathing exercises and incentive spirometry are also beneficial for lung functions. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Effectiveness of face masks for the population.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you have suffered with choking recently and have pinned and needle sensation which is on your spine and now for cheeks i think the cranial nerve functions are getting disturbed sometimes due to some trouble in the body.  you need to fix up an appointment with a physician and get the physical examination done. cranial nerve testing is easy clinical process and if anything else is their as a differential diagnosis during the clinical examination then tests related to it might be advised. having this numbness, tingling, needles etc. sensation shouldn't be ignored and have to take a wise decision for the same. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please answer with one of the option in the bracket,A: Having a support system
Answer this question truthfully,Individuals with Turner syndrome may have melanocytic nevi as a potential dermatological manifestation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for consulting chatdoctorread your query as you have difficulty in swallowing don't worry this can be due to throat infection, i will suggest you to consult ent surgeon for examination of throat and in meantime for throat infection you can do warm saline rinses 2 - 3 times a day, and you can take medicine like azithromycin if you are not allergic to chatbot. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have yellowish discharge from tip of the penis. this is painless, and you do not have any urinary symptoms like burning, this is a excessive secretion of the mucosal glands located in terminal urethra. there is nothing to be worried about. it will get cured of its own without any treatment. ensure to chatbot. to keep your urine dilute."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have a mild form of arthritis that is enough for your body to cause sever back muscle spasm. since it is from a long time both your deep and superficial back muscles will be involved with multiple trigger points. hot packs with exercises like back press, diaphragmatic breathing, eagles active back movements, walking or jogging, yoga (all exercises should be pain free and all should be done gradually without any strain). also, comfortable sleeping mattress, and following proper work and daily activities ergonomics will help in pain reduction. hope this helps you. let me know if i can assist you further. thanks,"
Please summerize the given abstract to a title,Structural and physiological changes of the human body upon SARS-CoV-2 infection
Please summerize the given abstract to a title,Tactowel: A Subtle Sports Performance Display for Giving Real-Time Performance Feedback in Tennis
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint a painful red spot over the tongue can be an authors ulcer or a canker sore, and it can be due to a number of causes and side effect of any medication can be a potent cause. other causes can be deficiency of iron and vitamin b12, stress, acid reflux, physical trauma etc. i would suggest you to consult an oral physician and get evaluated and a thorough clinical evaluation along with investigations as per suspected cause can help in diagnosis and treatment can be advised accordingly. as of now he can apply a numbing gel containing lidocaine over the painful area. he can do warm saline gargles. cool compresses over the spot and cold water rinses can relieve. tylenol can be taken for reducing pain. take soft and bland foods and avoid spicy and citrus foods. hope this information helps. thanks and regards. chatbot. ."
Please summerize the given abstract to a title,CPAP management of COVID-19 respiratory failure: a first quantitative analysis from an inpatient service evaluation
Answer this question truthfully,"Yes, testicular torsion can lead to an enlarged testis."
Please summerize the given abstract to a title,Human bocavirus infection in hospitalized children in Italy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through your query and understand your concern. if the ct contrast study shows no chatbot. i do not feel personally, that you need a surgery at the moment. intervertebral disc disease can be treated by non-operative means like physiotherapy, lumbar traction laser therapy...etc. i hope this answer was useful. get back to me for any follow-up queries anytime. wish you a speedy recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are still a typhoid fever positive in very low concentration, so need not worry. when such patient visit i prescribe a combination of definite+ oofloxacin, twice in day for 14 days. in your case, this is not a cause of concern. take healthy diet and laziness is a common thing after typhoid, so don't worry. resume your work at once and if you feel tiredness then take tylenol or paracetamol (whenever require). since this is my opinion, so consult your doctor and take a prescription. good luck."
Please answer with one of the option in the bracket,C: Megaloblastic anemia
Please answer with one of the option in the bracket,E: None
Please summerize the given abstract to a title,"Far Away, So Close? The Role of Destructive Leadership in the Job Demands–Resources and Recovery Model in Emergency Telework"
Please summerize the given abstract to a title,Extended Kalman filter based on stochastic epidemiological model for COVID-19 modelling
Please summerize the given abstract to a title,Evaluation online learning of undergraduate students under lockdown amidst COVID-19 pandemic: The online learning experience and students’ satisfaction
Please summerize the given abstract to a title,Using Haptic Feedback in a Virtual Reality Bone Drilling Simulation to Reduce Plunge Distance
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks to chatbot i can understand your severity of disease .in chicken pox most crucial thing is pain pitching don't try to burst the vesicles over the body because it may spread to unaffected parts also please apply calamine lotion for soothing effect . take tab, levocetrizine 5 mg once daily for 5 days along with paracetamol and antivirals please change you chatbot.  ok don't worry it will be relieved shortly once severity of disease reduced, ok"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there can be multiple of possibilities of the recurrent rashes. you have not mentioned your age, sex and occupation in your history so that i would have helped you better. after reading your history i can tentatively make a diagnosis of allergic rash turning into blister. you search for any specific cause before its development. take a course of antibiotics such as ciprofloxacin or cea chatbot.  do not pinch, pop or squeeze the area. give proper rest to the affected leg and keep it raised. for pain part you can take tablet paracetamol or diclofenac two times. if at all it is recurring then can meet specifically a dermatologist for best possible diagnosis. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that such thing in blood donation only happens if you are not fit for the donation. blood donation is the complete safe procedure if proper guidelines are followed. so try to fins out the cause from which you got such a problem and try to mitigate it. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. gardnerella vaginal is causes a condition called as bacterial vaginosis. this is characterized by foul smelling discharge, itchiness and redness. this condition is easily treated by antibiotics. if your daughter has not responded to the prescribed antibiotics, then you should get a culture sensitivity done to know the appropriate antibiotics. metronidazole along with a quinolone antibiotic is more effective in such cases. i suggest you discuss my suggestions with her treating doctor. maintenance of personal hygiene is a must. thanks."
Please summerize the given abstract to a title,Arbitrator-Robot : Is A(I)DR the future?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely press record button whenever you feel chest pain or fluttering sensations. this might be onset of arrhythmia (rhythm disturbances in heart). so don't take this lightly. discuss this with your cardiologist. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer the letter of option truthfully,D
Answer this question truthfully,"Right now, there is no cure for AIDS. It is always fatal if no treatment is provided. In the US, most patients survive many years after diagnosis because of the availability of medicines such as HAART. HAART and medicines like it have dramatically increased the amount of time people with HIV remain alive.
Research continues in the areas of drug treatments and vaccine development. Unfortunately, HIV medications are not always available in the developing world, where the bulk of cases now occur."
Please answer with one of the option in the bracket,D: Chronic lymphocytic leukemia
Answer this question truthfully,Over 50% of human DNA consists of non-coding repetitive sequences.
Answer this question truthfully,"A transverse fracture of the temporal bone, which occurs along the short axis of the bone, is more likely to put the facial nerve at risk compared to a longitudinal fracture of the temporal bone."
"If you are a doctor, please answer the medical questions based on the patient's description.","sounds like this is a blood pressure problem called orthostatic.  this can be diagnosed by taking a blood pressure reading laying down and then one after immediately standing.  if the blood pressure chatbot.  the hard part is then figuring out what is causing it.  there are good treatments for this condition, but she should see a doctor. in the meantime when she starts to feel dizzy tell her to do toe raises or cross her legs to increase blood flow to her heart.  this should help temporarily. hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, pain in back and buttock region with positive hla b-27 is suggestive of ankylosing spondylitis. ankylosing spondylitis is an autoimmune and degenerative disorder characterized by autoantibodies directed against the joints of the backbone. the management of ankylosing spondylitis is primarily with steroids. painkillers can be taken for the backache. during pregnancy there is restriction in type of medications which can be taken, however, after delivery of the child there is no such restriction. thanks and take care chatbot."
Please summerize the given abstract to a title,Identification of potential inhibitors of SARS-CoV-2 S protein–ACE2 interaction by in silico drug repurposing
"If you are a doctor, please answer the medical questions based on the patient's description.",hello.i would advise you to get blood workup and a chest x-ray/ ct chest along with sputum examination.these can give us an idea of what is happening with your body.generally large quantities of sputum and cough is due to infection.but there are a lot of other causes too.take the help of your doctor for the above said tests.with the reports we can plan further management. air purifier is not of much help until the exact cause is identified and treated hoe this helps you.if you have any other doubts i would be happy to answer.
Please summerize the given abstract to a title,Aerosol generation during routine rhinologic surgeries and in‐office procedures
Answer this question truthfully,The likely diagnosis for the patient's condition is Plugged duct.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can completely understand the stress you must be under considering that you are suffering from multiple disorders. pexep (paroxetine) is an effective agent for all the three-ocd, depression and premature ejaculation. if you are not getting any response with 25 mg/day dose, i would certainly consider increasing the dose further. if still there is no response, i would consider some alternative chatbot.  however, you will have to be patient about the response as these"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i am chatbot. hope i have given appropriate guidance to you. if your present urine sample is negative than now for safe side we should investigate what it is the cause of pain. sometimes there is stone or some functional or structural abnormality is there which is not resolve by antibiotic, so we need to correct us. so what i suggest you to visit a urologist and ask him to rule out this suggested abnormalities. by means of usg, x-ray and for some urinary stream analysis. if you have any query you can consult me anytime. give me star rating, helpful vote & thank you according to your satisfaction level. thanking you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about these worries about a possible infection. each tie there is a break in the skin, the chances of having a staph infection are increased. during and after the procedure, enough care should be taken to avoid any possible infection. if these measures fail, then the infection has to be adequately ad chatbot.  if you think it is infected(red, swollen, tender,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, i understand your query and concern. your symptoms are suggestive of acute gastroenteritis. i advise giving him syrup.orin o, tab.domestic for 5 days. avoid spicy foods. give ors sachets, buttermilk,coconut water regularly. maintain adequate hygiene. consult your pediatrician for expert management. hope i have answered your query at the moment, post your further queries if any, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint if you are not advised painkiller after tooth extraction then pain is not an abnormal finding because as the tissues are traumatized and inflamed after extraction of the teeth there will be pain. pain in head is radiating pain from the extraction site. it is not a correct practice as not to advise painkillers, and you need to consult your dentist back and get a script of antibiotics and painkillers. as of now you can take anti-inflammatory painkiller like ibuprofen and also do cool compresses over the cheek. do warm saline gargles. take a soft diet. hope this helps. regards."
Please summerize the given abstract to a title,Use of Continuous Glucose Monitoring to Assess TPN-induced Hyperglycemia in an Adult Patient with Severe COVID-19.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to contact dermatitis. a photo would be very helpful through the diagnosis. meanwhile, i suggest using an antihistamine such as cetirizine daily. i also suggest using a steroid cream for local application such as dexamethasone cream. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. clinical examination of your back and legs is required to arrive at a diagnosis. however, the most likely cause for your back pain could be a pinched nerve in the lower back. this can be confirmed by doing an mri scan of the lumbar spine. as of now, you can take analgesics such as diclofenac or ibuprofen tablets for pain relief. if symptoms persist despite that, then, an mri spine could be done. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","from the description it more likely seems to be satyriasis tricolor infection causing hypopigmented lesion without itching. it usually increased in the sweat causing months (summer). the local applications given by doctor are god but considering the resistance this time you need to change the medication. and she should also have one oral antifungal shot such as fluconazole 400 mg single dose, which is more ideal treatment of the condition. so my opinion is that give her single tablet of fluconazole 400 mg single dose and ask her to apply fluconazole or itraconazole cream twice a day & see the results. it may take 20 -30 days to resolve this type of infection. once cured precautions should be taken so that they won't secure. for that it is advisable to have proper dermatological consultation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot delayed or irregular periods can be due to different causes including physical illness or stress. it is possible that your recent allergy or illness may have caused a slight delay in your period. the other causes of delayed period are"
Please answer the letter of option truthfully,C
Answer this question truthfully,What type of mutation in the IKAP gene can cause Familial dysautonomia? Familial dysautonomia can be caused by a mutation at splice sites for the IKAP gene.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. there is no need to remove such tunnels, because they are harmless. itching sometimes is sign of infection locally. to remove this infection you should clean it through and properly. tunnels after the 7 to 8 days is not the sign of infection and need not worry. there is nothing much action is required, you should wash it while you are bathing with clean water. if you are sexually active than you should wash the part after each act of the sex. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Please summerize the given abstract to a title,Localized Granulomatous with Polyangiitis (GPA): Varied Clinical Presentations and Update on Treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","bellflower back pain may be due to many reasons like musculoskeletal causes, pelvic pathology, genitourinary causes etc. you need proper clinical examination and routine investigations. investigations include routine hologram, renal function test, urine re/me, ultrasound of abdomen. ultrasound of abdomen is important in diagnosis and treatment. proper treatment depend upon findings. get well soon. take care chatbot."
Please summerize the given abstract to a title,The Changing Patterns of Consumers' Behavior in China: A Comparison during and after the COVID-19 Pandemic
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot ! let me explain as follows
Answer this question truthfully,Vasculitis Atherosclerosis Aneurysm Varicose veins Economy class syndrome Diseases of the aorta Coarctation of the aorta Aortic dissection Diseases of the carotid arteries Carotid artery disease Carotid artery dissection
Please summerize the given abstract to a title,Effects of Experimental Interventions to Improve the Biomedical Peer‐Review Process: A Systematic Review and Meta‐Analysis
Please summerize the given abstract to a title,"High Rates of SARS-CoV-2 Family Transmission in Children of Healthcare Workers During the First Pandemic Wave in Madrid, Spain: Serologic Study"
Please summerize the given abstract to a title,Glossary on free trade agreements and health part 2: new trade rules and new urgencies in the context of COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Osteoid osteoma typically presents with bone pain that is worse at night and does resolve with aspirin.
Answer this question truthfully,"The likely causative organism in this case is Nocardia. Nocardia is a type of bacteria that can cause infections in immunocompromised individuals, particularly those with weakened immune systems. The symptoms of multiple lung cavitary lesions and brain abscesses, along with the identification of partially acid-fast, gram-positive, branching rods in sputum cultures, are consistent with a diagnosis of nocardiosis. Nocardia infections can be serious and require prompt treatment with antibiotics. The choice of antibiotics may vary depending on the severity of the infection and the patient's overall health status. In some cases, hospitalization may be necessary for close monitoring and supportive care."
Please answer with one of the option in the bracket,B: Esophageal exposure to gastric acid
Answer this question truthfully,"17 alpha-hydroxylase deficiency was first reported by Dr. Edward G. Biglieri, an American endocrinologist, in 1963-1966 following publication of a case report. 17 alpha-hydroxylase deficiency is an uncommon form of congenital adrenal hyperplasia resulting from a defect in the gene CYP17A1, which encodes for the enzyme 17 alpha-hydroxylase and 17,20-lyase. 17 alpha-hydroxylase deficiency is transmitted in an autosomal recessive pattern. Mineralocorticoid excess and lack of androgens are two main features in this disease. Mutations in the CYP17A1 gene cause 17 alpha-hydroxylase deficiency. This gene is located on chromosome 10. 17 alpha-hydroxylase deficiency is a rare disease and since 2010, only 130 individuals with severe, confirmed disease had been documented. Worldwide incidence of 17 alpha-hydroxylase deficiency is low, especially compared with other forms of CAH. New cases of 17-hydroxylase deficiency continue to be reported. The most potent risk factor in the development of 17 alpha-hydroxylase deficiency is the presence of family history of 17 alpha-hydroxylase. Symptoms of 17 alpha-hydroxylase deficiency include delayed puberty and primary amenorrhea. Patients with 17 alpha-hydroxylase deficiency usually appear normal. Physical examination of patients with 17 alpha-hydroxylase deficiency is usually remarkable for gynaecomastia, hypertension, and sexual infantilism. Laboratory findings consistent with the diagnosis of 17 alpha-hydroxylase deficiency include increased deoxycorticosterone and corticosterone with low cortisol. The mainstay of therapy for 17 alpha-hydroxylase deficiency is glucocorticoid therapy. Spironolactone and estrogen also may be used. Affected 46,XY patients require gonadectomy to prevent malignant degeneration of testes. The reconstruction surgery for ambiguous genitalia in genetically male patients may be considered."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello . welcome to chatbot . friend i read your query and syrup pot rate mb6 is known to help in prevention of kidney stone as kidney stones are more common for recurrence if not in diet and medications . how to use
Is optic atrophy ginetic and what cause it?,"Optic nerve atrophy is damage to the optic nerve. The optic nerve carries images of what the eye sees to the brain. There are many causes of optic atrophy. The most common is poor blood flow. This is called ischemic optic neuropathy. The problem most often affects older adults. The optic nerve can also be damaged by shock, toxins, radiation, and trauma. Eye diseases, such as glaucoma, can also cause a form of optic nerve atrophy. The condition can also be caused by diseases of the brain and central nervous system. These may include: - Brain tumor - Cranial arteritis (sometimes called temporal arteritis) - Multiple sclerosis - Stroke There are also rare forms of hereditary optic nerve atrophy that affect children and young adults."
Please summerize the given abstract to a title,Employment Status and Its Association With Psychological Distress and Alcohol Consumption
Please summerize the given abstract to a title,A manual reduction of hernia under analgesia/sedation (Taxis) in the acute inguinal hernia: a useful technique in COVID-19 times to reduce the need for emergency surgery—a literature review
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for writing your query, your clinical history suggests you have traumatized your tongue during biting, this may lead to numbness due to damage to nerve fibers which is temporary. in few days new nerve fibers will generate, and the tongue sensation will definitely come back to normal. meantime, maintain good oral hygiene.  start with multivitamin supplements for 7 to 10 days and vitamin c lozenges will help in resolving the problem.  avoid alcohol, carbonated chatbot.  apply oral antiseptic, analgesic ointments like denote or mucosal topically over the affected area i hope this helps, take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Most persons with enterovirus 68 infection recover fully without any long-term health problems. In a minority of patients, particularly children, the virus may lead to a severe infection of the lungs (pneumonia) requiring hospitalization, and very rarely leading to death."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). it appears that you have acid peptic disease for which you should take a proton pump inhibitor like omeprazole and a prokinetic agent like risperidone like razed once a day before breakfast hope i have answered your query and this will help you. if you have any further query i will be happy to answer that too. remain in touch and get-well soon.
Answer this question truthfully,The likely diagnosis for the patient's condition is idiopathic precocious puberty.
"CURE FOR PNEUMONIA Dear DR, please i have a friend that has the above illness..I want to find out...since i want to marry her...is it an infectious illness,,and can it be totally cured. And how can i help her to get this cured..Please i really need your reply urgently","To treat pneumonia, you might be prescribed antibiotics, all of which  you should finish, even if you feel better. If you stop taking the antibiotics too soon, the pneumonia may return and be harder to treat. To feel better, you could take drugs that control fever, such as ibuprofen or acetaminophen, drink plenty of fluids and get a lot of rest."
Answer this question truthfully,Primaquine is the antimalarial medication that has activity against Plasmodium hypnozoites.
Answer this question truthfully,"Yes, heroin can be detected in a standard drug screening test. Most drug screening tests, including urine, blood, and saliva tests, are designed to detect the presence of opioids, including heroin. These tests can detect the presence of heroin and its metabolites in the body for a certain period after use, depending on the type of test and the frequency and amount of drug use."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. the best treatment i surgical procedure since it is very routine today, have minor complications and recovery is very quick. also, the cure is permanent and you won't have symptoms right after surgery. other methods are less invasive but also much less efficient. you can always try with dietary changes and ursodeoxycolic acids but as i said it won't be successful as cholecystectomy is. thanks for the query. wish you good health. regards"
Answer this question truthfully,"DIC causes depletion of both pro-coagulant and anti-coagulant components of the coagulation cascade. This can lead to both bleeding and clotting complications, as the balance between these components is disrupted. Additionally, the depletion of anti-coagulant factors can lead to excessive clotting and the formation of microthrombi in small blood vessels."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellhole me explain you something about infertility and follicular study. you only mentioned the size of follicle 14* 11 on 15th, 17th, 19th and 22nd days (follicular study for the size for dominant follicle (which burst or rupture and liberate or release ovum for fertilization). now note down this report.\"" the size of follicle should be around 19 to 20 mm on day 14-15 at least to rupture and endometrium thickness must be around 11 mm to conceive \"". it means in most of the cases ovum release on 14-15th day (count as 1st day of menses first day). in your case the size of follicle was not up to a standard size required for liberation of ovum. as you mentioned that you are taking chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, what kind of pain is this, does it increase on exertion, if yes then it strongly suggests heart disease. you will need evaluation like ecg, tmt and depending upon the results you may need angiography also. you should also get lipid profile and sugars tested. follow lifestyle measures like avoid fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. regular exercises like brisk walking, jogging according your capacity at 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. also monitor bp. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Disrupted Data: Using Longitudinal Assessment Systems to Monitor Test Score Quality
Answer this question truthfully,"Hypertension in pregnancy is associated with a higher risk of preterm delivery. Preterm delivery is defined as giving birth before 37 weeks of pregnancy. Babies born prematurely may have a higher risk of health problems, including respiratory distress syndrome, jaundice, and infections. They may also have developmental delays and long-term disabilities. In addition to preterm delivery, hypertension in pregnancy can also increase the risk of other complications, such as preeclampsia, fetal growth restriction, and stillbirth. Therefore, it is important for pregnant women to monitor their blood pressure and seek medical care if they have concerns about hypertension or other pregnancy-related complications."
Answer this question truthfully,The branchial pouches are derivatives of endoderm.
Please summerize the given abstract to a title,"Aspects of the diagnosis, pathogenesis and epidemiology of canine parvovirus"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. to confirm the diagnosis of pneumonia, an x-ray chest is required. it is not possible to diagnose without clinically examining the patient and looking at the x-ray chest. ear pain, temperature,sometimes discharge from the ears usually exaggerated by upper respiratory tract infection. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good evening, thanks for the query. i studied it in details and understood your health concerns regarding it. lump caused on the back of left and right ear is due to the- seborrhea dermatitis with scalp infection leading to boil and the regional lymphadenitisa. treatement is by -a-surgical chatbot. hope this would help you to plan the treatment with your doctor. wellcome for any further query in this regard. wishing you good health. good night."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. continue the antibiotic zone. if you were my patient then i would suggest broad spectrum antibiotic creams bactrian(mupirocin) ointment also along with this. if there is no improvement then consult your doctor as puss collection should be ruled out and slough should be removed if present. hope this may help you. let me know if anything is not clear. thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot! the duration of treatment for extrapulmonary tb involving lymph nodes should be at least 12 months. since you have noticed improvement in the form of general well-being, healing of the lymph nodes, weight gain, etc. but the fact that you had discontinued treatment in between due the raised liver enzymes. if the liver enzymes are raised using the conventional first line of chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you are trying for pregnancy your serum tsh should be for others up to 5 milliunits / lt is normal. once started on medications, it will take some time for hormone levels to normalize. tsh levels should be rechecked after 1.5 myths. i advise you better wait till you get a normal level. mostly your doctor will have to reduce the dose of thermoform. in the meantime try to reduce weight, will help in better control of hormones. don't worry about the side effects. that medicine is the hormone which your body needs & you will have more problems without it. both high & low levels of thyroid can affect baby, so wait till it is normal. check tsh after 1.5 myths of every dosage change, if normal repeat once in 6 myths- 1 yr. once normal definitely go ahead with pregnancy. all the best chatbot."
Answer this question truthfully,"There is no specific treatment for McCune-Albright syndrome. Drugs that block estrogen production, such as testolactone, have been tried with some success.
Adrenal abnormalities (such as Cushing's syndrome) may be treated with surgery to remove the adrenal glands. Gigantism and pituitary adenoma will need treatment with hormone inhibitors or surgery."
Please answer the letter of option truthfully,D
Answer this question truthfully,"An adult may bring an injured child to an emergency room with a strange explanation of the cause of the injury. The child's injury may not be recent.
Symptoms include:
Black eyes Broken bones that are unusual and unexplained Bruise marks shaped like hands, fingers, or objects (such as a belt) Bruises in areas where normal childhood activities would not usually result in bruising Bulging fontanelle (soft spot) or separated sutures in an infant's skull Burn (scalding) marks, usually seen on the child's hands, arms, or buttocks Choke marks around the neck Cigarette burns on exposed areas or on the genitals Circular marks around the wrists or ankles (signs of twisting or tying up)' Human bite marks Lash marks Unexplained unconsciousness in an infant"
Please summerize the given abstract to a title,[Corona in Children: the Co-Ki Study]./ Corona bei Kindern: Die Co-Ki Studie: Relevanz von SARS-CoV-2 in der ambulanten pädiatrischen Versorgung in Deutschland
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot since there is connection between the mouth and the nasal passages, vomits can sometimes be expelled via the nostrils. it does not mean that she has any abnormality. vomit may be expelled in this way particularly if there are copious amounts. there is no treatment. if she has a history of frequent vomiting then she would need to be assessed for this. i hope this helps"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, barium swallow and sbft are done to look for any obstruction in the gi tract and any filling defect or any other abnormality. since you don't have the full report, nor you have the films of barium study, it is difficult to tell what problem the child might have got. as per your findings, it seems your child has a lower gi tract obstruction. if he is complaining of pain abdomen, vomiting, poor feeding and not passing stools for a long time or difficulty in defecation, then i suggest you consult a doctor to rule out any obstruction. thanks and regards."
Please summerize the given abstract to a title,Healthcare Management and Quality during the First COVID-19 Wave in a Sample of Spanish Healthcare Professionals
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). presence of itching with jaundice is either obstructive jaundice or sometimes in homeostatic jaundice. so i will suggest you to get an ultrasound abdomen also to see for any obstruction of the billiard tract. in present scenario it may be due to isoniazid induced. so stop it. it may take around 4 weeks for bilirubin to be normalized. for itching, i will suggest you take tablet protocol 300\u00a0mg thrice a day and tablet evil twice a day hope i have answered your query and this will help you. if you have any further query i will be happy to answer that too. remain in touch and get-well soon."
Answer this question truthfully,"Bacterial capsular polysaccharides are complex molecules that are found on the surface of many types of bacteria. They play an important role in protecting the bacteria from the host's immune system by preventing the immune cells from recognizing and attacking the bacteria. However, these same polysaccharides can also be used to develop vaccines against bacterial infections. By isolating and purifying the polysaccharides, scientists can create vaccines that stimulate the immune system to produce antibodies against the specific bacteria. These antibodies can then recognize and neutralize the bacteria, preventing infection. Bacterial capsular polysaccharides have been used to develop vaccines against a number of important bacterial pathogens, including Streptococcus pneumoniae, Haemophilus influenzae type b, and Neisseria meningitidis."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. there are many causes for tremors and dizziness in hepatic cell carcinoma (hcc). the common ones are1. progression of disease. hcc can affect liver function and worsen this in end stages. so high urea can cause hepatic encephalopathy.  and this in early phase can cause tremors and dizziness 2. due to chemotherapy. many chemotherapy agents are known to cause tremors and dizziness.3. poor oral intake and generalized debility. tremors and dizziness can be due to this. so better to give him nutrition support and discuss end of life issues.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. when you use hormone contraception, menstrual irregularities are often observed as the body adjusts itself to the new hormone milieu. this takes a couple of cycles. however, prolonged bleeding should be evaluated and managed properly. in the current scenario, you have to take the advice of your health care provider and plan further management. i do not suggest another dose. instead, you may need to manage the bleeding with styptics and if necessary, hormone course. hope this helps."
Please summerize the given abstract to a title,Triage of human papillomavirus infected women by methylation analysis in first-void urine
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, these symptoms can be due to anxiety. but better to rule arrhythmia (rhythm disturbances in heart) because it can also cause chest pain, faster heart beats etc. so consult doctor and get done ecg, 2d echo and holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about arrhythmia or other heart diseases. stress and anxiety can also cause similar symptoms. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  avoid stress and tension, be relaxed and calm. don't worry, you will be alright, but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.post-operative pain or discomfort, resolving spontaneously, is normal in any person who underwent an operation, even years back from his/her time of surgery. you could take in analgesics as needed, and rest yourself if you observed that the symptom is aggravated by a specific activity. a follow-up consult with your surgeon is best for physical examination and clinical evaluation. diagnostics and management will be directed accordingly. hope this helps. good day!!~ chatbot."
Answer this question truthfully,Prazosin may be used to reduce nightmares in patients with PTSD.
Answer this question truthfully,"The likely diagnosis is focal seizure with impairment of consciousness. This type of seizure occurs when abnormal electrical activity in the brain is localized to a specific area, or focus. Focal seizures can cause a variety of symptoms, including staring, head tilting, and mouth chewing, as well as confusion or loss of consciousness. The duration and severity of these symptoms can vary depending on the location and extent of the seizure activity. Treatment for focal seizures may include antiepileptic medications to prevent further seizures, as well as lifestyle modifications to reduce triggers and promote overall health. It is important to seek medical attention if a child is experiencing symptoms of focal seizures in order to manage the condition and prevent potential complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, yes, some chemicals do affect the baby while some affect even the fertility also. however, it all depends on which chemicals she is exposed to. in particular, she should avoid exposure to paints since the paints contain heavy metals and lead. this may affect the cognitive function of the baby. she should avoid volatile and/or irritant fluids as they will diminish the oxygen she is breathing and will lead to improper growth of the fetus. amines are not good. moreover, if the fumes are harmful to the baby, they should be totally avoided. it depends upon to which fluids she is exposed to. the best strategy is better to err on safer side. i hope this provides you some guidelines."
Please summerize the given abstract to a title,High prevalence of gastrointestinal manifestations of COVID-19 infection in hospitalized patients with cancer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query to my chatbot virtual clinic. i studied all details of your query. in my opinion you seem to have problem with blood sugar and with hygiene of the body. there seems to be cross infection of the jawline hard lumps to scrotal sac. treatment--dont transfer the facial / scrotal skins to cross over infection by touch /handling of these lumps, as this cross infects the skin of both area.-consult your gp /family doctor, who would treat it with antibiotics if need be after confirming if any sugar problem is there after fbs and pps blood sugar tests.-if need be you may have to consult dermatologist for second opinion. hope this satisfies your query.don't forget to hit thanks and write excellent review comments to help needy visitors at chatbot. welcome for any further query in this regard. chatbot. n.m.s. genl- cuts. senior surgical specialist."
Please summerize the given abstract to a title,"News Recommender System: A review of recent progress, challenges, and opportunities"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, narcotic normochromic red cells means normal-sized and normal shaped red cells. microcytic hypodermic red cells are small and pale cells commonly due to iron deficiency. mild anisopoikilocytosis means little abnormality in the size and shape of red cells, a feature seen in iron deficiency and thalassemia (uncommon) please check if your child is suffering from worm infestation of gut, which is a fairly common cause of the above features seen in blood film. hope i am clear."
Please summerize the given abstract to a title,The ‘new normal’ in post–COVID‐19 pediatric dental practice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  awareness is considered to be the best and first step towards eradication of any unwanted habit. second step is taking strong decision on that aspect. pencil lead is made of graphite.  in your case, graphite eating habit could be due to lack of some essential nutrients. please get yourself checked by a physician.  if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ashley, when was your last menstrual period? the first week and the last 8 days of your menstrual cycle are safe. if you have missed the pills and had sex in those days then you need not worry. you will not get pregnant. if you have missed on other days then the contraception is no longer effective. your chances of being pregnant are like the couple not using contraception i.e.about 25%. if you don't want to take the risk you may use emergency contraception. since it is already 5 days from the day of unprotected intercourse you cannot use plan b. but you can get copper iud inserted up to 19 day of your cycle provided you have regular 28 day cycle. it has the advantage that you can continue it as contraction"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have pus formation in your gums, when there is access formation, may be toothed is carious, then periapical access is there, or may be there is periodontal problem then it is periodontal access is there so, you should go to dentist then go for proper investigations done iowa (intro oral periapical radiograph) , and go for proper treatment root canal treatment or scaling and root planning properly, do warm saline gargle two - three times a day, you will get relief hope this will help you.  wish you good health."
Please summerize the given abstract to a title,Vitamin D concentrations and COVID-19 infection in UK Biobank
Answer this question truthfully,Phenytoin is an inducer of CYP-450.
Please summerize the given abstract to a title,"CoViD-19, learning from the past: A wavelet and cross-correlation analysis of the epidemic dynamics looking to emergency calls and Twitter trends in Italian Lombardy region"
Answer this question truthfully,"No, it is not possible to distinguish between an adenomatous polyp and a hyperplastic polyp through gross examination alone. Therefore, if any polyps are found during a colonoscopy, they are typically removed and sent for further testing, such as a biopsy or histological examination. This is because adenomatous polyps have the potential to become cancerous, while hyperplastic polyps are generally considered to be benign. However, it is important to note that not all adenomatous polyps will become cancerous, and other factors, such as family history and overall health, may also influence the decision to remove polyps during a colonoscopy."
Answer this question truthfully,Most pulmonary emboli arise via a thromboembolus from the proximal deep veins of the lower extremity.
Please answer with one of the option in the bracket,A: Crescent-shaped hematoma
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.",it is nothing else than viral infection which is quite common among child chatbot.  for this you can give the same medicines as your doctor had prescribed before or in my opinion you can give him syrup ural 100 mg 5 ml once daily or syrup symbiotic-p 125 mg 5 ml three times daily with syrup ivory or syrup no-cold 1 sf three times daily for common cold with syrup ofce or syrup ambrosia 1 sf twice daily. you can also use naso-clear nasal
Answer this question truthfully,"A person may have an aneurysm without having any symptoms. This kind of aneurysm may be found when an MRI or CT scan of the brain is done for another reason.
A cerebral aneurysm may begin to ""leak"" a small amount of blood. This may cause a severe headache that a patient may describe as ""the worst headache of my life."" Another phrase used to describe this is a sentinel headache. This means the headache could be a warning sign of a rupture days or weeks after the headache first happens.
Symptoms may also occur if the aneurysm pushes on nearby structures in the brain or breaks open (ruptures) and causes bleeding into the brain. Symptoms depend on the location of the aneurysm, whether it breaks open, and what part of the brain it is pushing on, but may include:
Double vision Loss of vision Headaches Eye pain Neck pain Stiff neck
A sudden, severe headache is one symptom of an aneurysm that has ruptured. Other symptoms of an aneurysm rupture may include:
Confusion, lethargy, sleepiness, or stupor Eyelid drooping Headaches with nausea or vomiting Muscle weakness or difficulty moving any part of the body Numbness or decreased sensation in any part of the body Seizures Speech impairment Stiff neck (occasionally) Vision changes (double vision, loss of vision)
NOTE: A ruptured aneurysm is a medical emergency. Seek immediate medical help."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking your query completely understand your problem common side effects of vyvanse include anorexia, breathlessness, anxiety, decreased appetite, diarrhea, dizziness, insomnia, nausea, abdominal pain, increased heart rate, constipation, and jittery feeling. you can consult your treating physician to decrease the dose of vyvanse. rest all seems to be alright thanks/regards feel free to ask more queries may god bless you with good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, with history, it appears the pain is localized in the t12 region. that is the junction which gets more muscle weakness due to abnormal posture.  during the time having weak muscles any exercise done for the lower limbs will provide a strain there.  as this is the biomechanics of the spine. leg goes up and spine goes down.  if any weakness present there will be inflammation.  also, while sitting in the wrong posture, usually the relaxed position where the spine bends forward there will be over stretching of the para spinal muscles which over a period of time goes weak and any strain applied to lower limb exercises will lead to pain there. as the x-ray turned out to be normal i do not suspect any kind of bone fracture there. if it was a fracture the symptoms would have been different.  now there is burning sensation which is radiating in nature taking an mri will be on a safer side to know any soft tissue injury.  now coming to the stabilizing part of the spinal column. why don't you try doing spinal extension and core stability exercise initially. using ice packs over the painful area will reduce the pain as well.  having good stability of the spine will consist of the stability and strength of the para spinal muscles along with the posture correction will help with great benefits. in my clinical practice of over 12 years, most cases have been reported with the same complaints.  having doing correction of posture and core stability exercises have provided good outcome score. will recommend you the same. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Cramping and vaginal bleeding that improves after passing tissue is typical of a complete abortion.
Answer this question truthfully,Opiate receptor activation causes opening of K+ channels.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor, preferably a breast or a general surgeon, for clinical evaluation. based from your description, it could be an inflammatory reaction or a mastitis. it could also be a cyst, a fibrous or a fibroadenoma which are all benign breast lesions. other tumor lesions such as malignancy must also be ruled-out. diagnostics such as breast ultrasound and a possible tissue biopsy may also be recommended. management (medical and/or surgical) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the redness and burning sensation over the tongue could be because of the depappillation and fissure tongue. these can occur secondary to nutritional deficiency. the swelling over the cheek could be because of the tooth infection resulting in abscess formation. consult an oral physician and get yourself examined to rule out the above-mentioned conditions. if it is fissure tongue you should maintain the tongue hygiene and use topical analgesic, anesthetic and antifungal chatbot.  if it is tooth infection take a course of antibiotic and treat the tooth."
Please summerize the given abstract to a title,Combined ultrasound–CT approach to monitor acute exacerbation of interstitial lung disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern for your fathers prostate cancer. prostate cancer is having high mortality rate. if you not treat it is will spread to nearby organ and lymph node as well as bone. ultimately widespread metastasis occurs and leads to death. however it all depends on gleason score, stage and grade of cancer that how much time it takes for widespread metastasis. you should consult doctor and also convince your father to take treatment for that. consult your doctor and take treatment according to stage of your cancer. hope i have answered your question, if you have any doubts you can ask me further. i will be happy to answer you. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","midair hrt is associated with increased risk of cardiac problems according to researches your chances of heart attack go up by 20% if you are 60 or older when you start them or if you became menopausal more than 10 years ago. as you have not mentioned from how long have you started hrt post menopause, and you had history of small strokes would suggest you to go for an ecg 2d echo(to rule out any problem to blood supply of heart), a s many times' angina does not present as frank chest pain, but it presents as a chest dis comforts you say it precedes hot flashes again menopause and hrt with chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.*seems severe adenoids with bronchitis.*this much severity is not likely to be controlled by oral medications alone, i recommend getting hospitalized for it & control by intravenous antibiotics, bronchodilators, supportive treatments in form of iv fluids, multivitamins along with general nursing care for faster speedy recovery.*avoid smoking / alcohol / any abuse substances if using. hope this clears your doubts. thanks for using chatbot & giving me an opportunity to assist you. wishing you faster recovery from the same. welcome for any further assistance. regards dear take care."
Please answer with one of the option in the bracket,E: Porphobilinogen deaminase
Answer this question truthfully,"Injuries occur by 3 mechanisms: Direct effect of electrical current on body tissues Conversion of electrical energy to thermal energy Blunt injury from muscle contraction or as a complication of subsequent fall after electrocution.
The primary determinant of injury is the amount of current flowing through the body. Voltage Resistance Amperage Type of current Current pathway Duration of contact all influence the extent of injury.
Voltage is the electrical pressure that causes current to flow. High voltage is defined as >1000V. High voltage tension lines are >100000V, distribution lines 7-8000V, and homes carry 110V (US) or 220V (Europe). In a lightning strike, the voltage commonly is >100,000,000V.
Current is the flow of electrons/sec. Alternating current (AC) accounts for the majority of injures by electricity, while lightning is direct current (DC). DC causes a single muscle contraction and throws the victim from the site. AC causes repetitive contractions, increasing duration of contact. While lightning has a peak DC of 20K-40K Amps, the body is in contact for 1-2 microseconds. By contrast, AC carries 8-22 mA typically but can result in respiratory muscle paralysis and ventricular fibrillation.
Resistance depends on the area of contact, pressure applied, the magnitude and duration of current flow and the presence of moisture. Wet skin has a resistance of 2500 ohms, while dry skin has approximately 100,000 ohms. The result is that current travels on the wet skin surface and discharges to the ground (“flashover’), while dry skin will cause the current to pass slower and through the body, leading to more injury.
A vertical pathway leads to a higher incidence of respiratory arrest and VF as well as CNS complications as compared to the pathways traveling hand-to-hand or below the symphysis pubis.
The longer the duration of contact, the lager the amount of thermal energy that is generated. (E=I2RT)"
Answer this question truthfully,There are no x-ray findings associated with adrenal atrophy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am sorry to hear about these finding and the follow-up reports. i know you have been wondering what this could be. furthermore, i will throw more light on this. incidental findings on ultrasound are not uncommon. follow up is the best way to tell whether we need to be concerned about or not. these nodules are are referred to as incidental. if there is no growth over time and no new symptoms, then just let it be. it most likely doesn't represent any real pathology.  i think you have done enougchatdoctorplementary tests to find out is this is a problem. so far, it is not. i will just encourage that you continue to work with you doctors to make sure nothing new comes up through follow-up visits and tests. i hope these helps and ad chatbot.  if you should have some more questions, please bring them two us. thank you and all the best health wise."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. men can have good sexual power throughout the life. but over the year after sixty years the power of sex that is erection and ejaculation decreases and pose problems. i think you are posing the same problems. some blood pressure medication can affect ejaculation. i think you might be affected by both age and the chatbot. but in your age you should not worry about erection and ejaculation now. it's not the disease process but its aging process and so you should not worry. i will be happy to answer your further concern on bit.ly/"
Answer this question truthfully,Chronic lymphocytic leukemia (CLL) is the type of cancer that may be linked to IgG-mediated immune hemolytic anemia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. abdominal pain (lower left or right) and back pain can be caused by urinary tract infection. such infection can appear after a cystoscopy. you may also have frequent urinating, burning while urinating or blood in urine with an infection. lower left abdominal pain can be also caused by diverticulitis of the large intestine. this condition is caused by constipation. other reasons like ovarian cyst or even pregnancy should be also considered. i suggest you to visit your doctor and start with urinalysis and abdominal ultrasound. hope this will help. regards."
Answer this question truthfully,Diabetes insipidus is caused by a variety of factors. The causes for each subtype of diabetes insipidus is classically different. It is important to identify these underlying causes of the various forms in order to appropriately diagnose and treat each type.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the burning sensation along with the white patches occurs in candida infection and erosive lichen plans. or it can be two separate lesions like leukoplakia(white patch since you are giving history of smoking) and erythematous candidiasis(redness and burning sensation).consult a good oral physician to rule out these two conditions. if it is candidiasis then you have to take topical antifungal like candid mouth paint. if it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene. if it is lichen plans then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. you can also take topical anesthetic and analgesics like anabel gel for the pain. i hope my answer will help you, take care."
Please summerize the given abstract to a title,COVID-19 and the right to education in Chile: An opportunity to revisit our social contract
Answer this question truthfully,"Gonadoblastoma must be differentiated from other diseases that is associated with virilization, and primary amenorrhea and also must be differentiated pathologically from dysgerminoma, Sex-cord stromal tumors, and Sertoli-cell nodules."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you feel of small circle on your gum don't worry this is not mouth cancer it can be inflammation in gum due to localized enlargement of gingival, infection in tooth due to caries secondary to periapical abscess, or localized inflammation of periodontal ligament secondary to periodontal abscess. i will suggest you to consult your dentist for examination and evaluation of gums and rule out the cause of circle in gum, in meanwhile do warm saline rinses, maintain proper oral hygiene, use regularly mouthwash. hope this will help you"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. signs of pneumonia are1. fever with chills.2. chest pain on inspiration or coughing.3. cough with purulent expectations (sputum)4. chest congestion, tightness, breathing difficulties etc. so if you are not getting brief from cough even after antibiotic, chest x-ray is must. possibility of pneumonia should be ruled out first in your case. so better to get done chest x-ray and start treatment accordingly.  get done sputum culture if necessary to guide antibiotic therapy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for asking a question to chatbot. forum.  the pain at the belly button signifies the worms in the intestine. getting to the sides may be due to urine infection, or abnormality in the ureter, or stone in the ureter.  only anti spasmodic will help only to relieve pain for a limited time only. you need to give her antibiotics or antelmenthics for cure of the causative factor.  i advise you to consult a pediatrician for diagnosis and treatment.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for letting us know your health concern. the emergency contraceptive pill provides high protection when used soon after the unprotected intercourse, within 6-12 hours. the effect however, stays until 4-5 days as shown by half-life studies. moreover, presuming she has regular monthly periods, she is in her safe period. ovulation occurs two weeks prior to the onset of the next cycle and this is the fertile phase. so, she did not need the pill in the first place; and another pill is not necessary. in the future, please choose regular contraception as the emergency contraceptive pill can cause hormone imbalances. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, iga nephropathy is associated with protein leak in urine. if protein leak is too much or associated with increase salt and water intake it can lead to rapid increase in swelling. also if patient develops kidney dysfunction with rise in serum creatinine levels it can lead to decrease in urine and sudden increase in swelling. iga nephropathy can be associated with hsp, a condition which can have progressive disease with knee pain. paient on steroids can develop infection which may present with knee pain. all these possibilities are there but a good examination by nephrologist and investigations will give the answer. contact your doctor as soon as possible"
Please answer with one of the option in the bracket,B: Electrocardiogram (ECG)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi your symptoms look like neuralgia parenthetical, where a nerve supplying the lateral aspect of your thigh gets entrapped, the most recommended treatment is 1 wear loose clothes that are not too tight on the waist.2 an injection of long acting steroid can also help relieve inflammation and thus pain, for this you need to consult your doctor.3 in few instances surgery to relieve pressure is needed."
Please summerize the given abstract to a title,Efficacy of Chest CT for COVID-19 Pneumonia in France
"If you are a doctor, please answer the medical questions based on the patient's description.","your have really explained your problem very well, and i appreciate it. the current symptom profile is suggestive of mild generalized anxiety disorder in you. you are always on a tight side, and seem to worry a lot and remain preoccupied with your somatic symptoms. you seem to have an irritable bowl which is common with generalized anxiety, hence your bowl habits tend to be moody. the wet chatbot.  do not worry as there seem to be no symptoms of depression or ocd currently. you may benefit from a course of low does anxiolytic agent (say a low does ssri with pregabalin) along with daily practice of meditation / muscle relaxation exercises. you may need some initial training in learning formal procedure and may consult expert for it or there is enough genuine material on net to learn meditation techniques / relaxation exercises."
Answer this question truthfully,Inhibiting Dihydrofolate Reductase can result in increased levels of DHF.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,A Murine Model of Mycobacterium kansasii Infection Reproducing Necrotic Lung Pathology Reveals Considerable Heterogeneity in Virulence of Clinical Isolates
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there is pain in your filthier is another possibility of costco chatbot. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please summerize the given abstract to a title,An Image Segment-based Classification for Chest X-Ray Image
Please summerize the given abstract to a title,An Antioxidant Enzyme Therapeutic for COVID-19
Please answer with one of the option in the bracket,A: Cognitive-behavior therapy or behavior modification
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the antibiotic being given to your baby for his uti needs to be changed as soon as possible!  continuing to take the medication that the e. coli is resistant to will not sterilize his urine to cure his uti.  and the longer he has the infection, the greater the chance of complications developing.  also, a young infant needs to have his urinary tract studied for any abnormalities when he gets a uti(for example, ultrasound of kidneys, bladder, and urethra).  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Tuning the photoluminescence by engineering surface states/size of S, N co-doped carbon dots for cellular imaging applications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i understand your concern and would explain that her symptoms seem to be related to the brain hemorrhage caused by the aneurysm rupture. you should know that it is needed a long time (months up to a year), to recover from such a disorder. after the first year, the possibility of improvement is too low, and the situation remains the same. this is because during the first months, the blood is being absorbed and the there is inflammation in the surrounding tissues. but after this long period, the deficits which remain are caused by the damaged brain cells, which do not regenerate. the situation, complicated with pneumonia and ulcer bleeds is really concerning and needs a careful treatment in specialized medical centers. they could be related to aspiration and the therapies she has been taking.  hope to have been helpful! best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. most common cause for bronchitis is viral infection. and this kind of infections can also cause pharyngitis (inflammation of throat). so better to take levocetrizine and paracetamol combination twice daily. do warm water gargles 5-6 times a day. avoid oily and spicy food. avoid junk food. avoid hard to chew food.don't worry, you will be alright with all these in 5 days. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. only rising titles of tidal are important. they can rise or can persist for months even after an acute infection or subclinical infection. it is not like that if you have got treatment for typhoid your tidal test would get negative. it might be positive for few months even after you have been successfully treated. so, don't look at them, let us know if you have persisting fever. this is my best advice for you with the available details, if you have any further query, please ask me. stay healthychatdoctor, md"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns..... as per your complaint it seems that the open sore area over the gum behind the newly erupted milk tooth can be most probably due to the other tooth that might be going to erupt in the due course of time and the gum might be tearing to let the tooth erupt. do not worry, you can apply a numbing gel over the sore but be precise to apply a very small quantity that too only on the sore but only after clinically getting her evaluated by a pediatric dentist. you can also do cool compresses over it. feed with cool milk. hope this information helps. thanks and regards. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.","you should get that checked before it gets worse. many things can go wrong in any surgery. i suppose the gall bladder surgery was because of stones and that it was done laparoscopic. if so, the findings of the operation are very important. many small stones could mean that some stones could escape to the common bile duct that could cause cholangitis. that could explain the fever, itchiness, and maybe the redness. if the operation was done in an open method, then it could be a septic wound causing the redness and chills. anyway better be safe than sorry."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concern... as per your complaint reduced mouth opening or erasmus is commonly seen in patients who have undergone wisdom tooth extraction and commonly occurs due to muscle stiffness. nothing to worry as gradually the pain will reduce as well as mouth opening will improve. you should take anti-inflammatory painkillers like ibuprofen three times a day and muscle relaxants containing chlorzoxasone should be taken twice a day. do alternate warm [not hot] and cold compresses over the jaw. massage the muscles on the affected side of the face by using round motions of the fingertips and massage over the side of face. in case of acute pain she can take retool dt too. try to open the mouth only till the limit it does not pain severely. take a soft diet. do not panic as it can take around 2 to 3 weeks for the mouth opening to become normal. if you have further queried you can ask me a direct question by visiting my profile on chatbot and clicking on ask me a question. i am always there to help. hope this information helps. thanks and regards. chatbot.
Please summerize the given abstract to a title,Design of a High-Throughput Real-Time PCR System for Detection of Bovine Respiratory and Enteric Pathogens
Please summerize the given abstract to a title,A Review of COVID-19 Mass Testing in the United Arab Emirates
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. aggressive behavior pattern may not be necessarily autism. there are so many childhood behavioral disorders which highlights aggressiveness. you need to consult a child psychologist who will be able to diagnose the problem properly. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. as you were symptomless after the surgery for some years, the problem you are experiencing now seems like a muscular problem and not bone related. in addition, spasm of muscles that can help in chewing can cause pain in temporomandibular joint with jaw movements, annoyance and headache. i would advise you to take muscle relaxant medication such as dan-mr (paracetamol 500 mg + diclofenac sodium 50 mg + chlorzoxazone 250 mg) twice a day for five days. heat compression over the joint area along with local application of diclofenac gel (voting) will help. try to have soft diet for a few days, less speaking if possible and give rest to the jaw. if the problem does not resolve in five days, then i would recommend a physical examination by a dentist or oral surgeon for ruling out problems with temporomandibular joint. i hope this information helps you. thank you for choosing chatbot. let me know if you have further questions. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics (like cefprozil) at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. mefenamic acid is a nsaid. it carries the risk of gastritis and renal problems in the long run. please do not use metonymic acid. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
asthma Question. What is the consensus of medical doctors as to whether asthma can be cured? And do you have an article discussing whether asthma can be cured?,"You and your doctor should work as a team to manage your asthma. Follow your doctor's instructions on taking medicines, eliminating asthma triggers, and monitoring symptoms.  ...  Know the asthma symptoms to watch for .... Know which triggers make your asthma worse and what to do when this happens. - Know how to care for your asthma when you exercise. Asthma action plans are written documents for managing asthma. An asthma action plan should include: - Instructions for taking asthma medicines when your condition is stable - A list of asthma triggers and how to avoid them - How to recognize when your asthma is getting worse, and when to call your provider"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have folliculitis or cyst or skin adnexal tumor.  you should go examination first.  if needed go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Targeting Autophagy with Natural Products as a Potential Therapeutic Approach for Cancer.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot the cream that you were using contains a super potent steroid. potent steroids such as present in this cream should not be used on face. some of the side effects that you are already experiencing are associated with long term use of potent topical steroids and include sun sensitivity, acne, skin thinning and atrophy, facial hair growth etc. your skin would take some time to get back to normal (maybe 2-3 months). it would be chatbot.  i will suggest you to use a gentle moisturizer, twice or thrice daily to calm down your sensitive skin. use a gentle cleanser e.g. detail cleansing lotion rather than a soap or a face wash. since the skin would be sensitive to sun; a broad spectrum sunscreen throughout the day, is also advisable. my general advice to you would be to always consult a dermatologist before using a cream and use it for the recommended durationregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am in agreement with obtaining an eeg based on the need for us to be able to correlate an electrical record with the actual episodes of physical tremors/shakes/twitches you are experiencing.  in fact, if these episodes are happening frequently enough i would even suggest putting you in a monitored setting for at least 72 hrs. to perform a video eeg recording which would include sleep deprivation and other activating procedures to see if an episode couldn't be provoked.  the eeg is not designed to inform on anything as a test except convulsive or seizure activity in a patient. the detection or testing for the number of other conditions you've listed would have to be done by other methods. hope i have answered your query. let me know if i can assist you further."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hikidney failure is very common in diabetic patient if they have poorly controlled diabetes and in my opinion your father is suffering from diabetic nephropathy.it is very difficult to say anything with this much information, i would like to know your fathers age, his onset of symptoms and his current renal function tests. once kidneys are damaged it is very difficult to get back complete renal function, what can be done ids to prevent further renal damage by medication and once complete renal failure occurs then there is only renal replacement therapy in the form of dialysis or renal transplant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  she may have some high grade tumor.  so she needs surgery.  please send me her reports of brain tumor so that i can help you further.  and if she has suicide thought then consult psychiatrist also for treatment of depression. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Using Timeliness Metrics to Track Progress and Identify Gaps in Disease Surveillance.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please answer with one of the option in the bracket,C: Theca interna cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. after going through your query i came to know that you are suffering from chronic backache. it may be due to vitamin and trace element deficiencies specially vitamin d and vitamin b 12. back exercises, nursing gold once daily and analgesics (diclofenac 100 mg slow release tablets) give relief. sometimes vitamin d deficiency can aggravate this so serum vitamin d test is advised if it is lower than vitamin d supplementation will be required. avoid long continuous standing. sit in a straight posture. eat milk, fruits and green leafy vegetables daily. you need to do mri to rule out other causes. you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the adverse effects of the metronidazole includes metallic taste, white patches, altered taste. if you take metronidazole along with alcohol, it can cause nausea, omitting, and stomach pain. so better avoid both together. if you have developed allergic reaction then better stop using the gel. consult your oral physician and get it replaced with other chatbot.  i hope my answer will help you, take care."
how is congenital heart disease passed down,"Heart defects may be part of genetic and chromosomal syndromes which are passed down through families. These syndromes include DiGeorge syndrome, Down syndrome, Marfan syndrome, Noonan syndrome,Trisomy 13, and Turner syndrome"
Please answer with one of the option in the bracket,D: Triazolam
Answer this question truthfully,"The primary factors that influence prognosis are: Whether the tumor is localized and can be completely resected Whether the tumor has spread to lymph nodes or elsewhere
Staging and TNM (tumour, lymph node, metastasis) classification related to incidence, treatment, and prognosis: 
The percentage of people who live for a minimum of five years after diagnosis is called the 5- year survival rate. Survival rates for exocrine pancreatic cancer: Lifespan is found to be longer in patients treated with surgery, as opposed to other patients. The 5-year survival rate for people at various stages of pancreatic cancer are as follows based on the most recent statistics of the American Cancer Society are as follows:  
Stage IA: 14% Stage IB: 12% Stage IIA 7% Stage IIB 5% Stage III 3% Stage IV 1% Survival rates for neuroendocrine pancreatic tumors (treated with surgery) are as follows: Stage I pancreatic NETs 61% Stage II pancreatic NETs 52% Stage III pancreatic NETs 41% Stage IV pancreatic NETs 16% Five year survival rate of tumors not removed by surgery is 16%"
Please answer with one of the option in the bracket,"E: Normal saline bolus
"""
Answer this question truthfully,The malignant cell of embryonal rhabdomyosarcoma is a rhabdomyoblast.
Answer this question truthfully,There is no primary prevention for mucoepidermoid carcinoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for choosing chatbot. after analyzing your history she is not protected morning after pill needs to be taken when ever there is unprotected intercourse, it is to be taken within 72 hours of unprotected intercourse. i hope this information has been both informative and helpful for you. in case of any doubt, i will be available for follow-ups. if you like my answers kindly rate it, and write a review as well. please do not forget to accept it. thank you, wish you good health. chatbot. chatbot .com/doctors/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you mentioned you had an injury 7 years ago and for which you underwent a surgery. now, since you have a pain in your mid back region, i will suggest you to take some ultrasound therapy via the physical therapist. also, you need to do regular breathing exercises, as breathing exercise is not only going to move the rib cage but also the thoracic vertebrae as well. as your spinal is ok, may be your physician must have told you this, we need to look for the exercise rehabilitation which can help ease the pain. as you should know that the thoracic vertebrae which is your mid back region, these vertebrae do not have many movements except for a few degrees of movement. you must be having a para spinal muscle spasm which can be helped with ultrasound therapy, physical therapist will perform this. post that a rehabilitation plan to be implemented in two formats1. short term goals2. long term goals. short term goals, reduce the pain improve respiration increase strength in upper and lower limbs long term goalsfocus on core stabilityimprove shoulder girdle musclesstrengthen the spinal muscles the long term goals, you need to keep practicing this exercises as you should always safeguard your spine. due to the injury of the past, the physics of the load bearing spine has been modified. so a proper care is always a good way to good health hope to see you cheerful soonregardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, seems you have got a muscle spasm which is causing pain in your neck, shoulder and back. it is advisable to get hot fomentation, physiotherapy, local nsaids gel under guidance of your doctor. if it is frequent you need to re-evaluate your life style habits and posturing. x ray would show if you have any problem with bones like osteophytes, spondylosis. muscle spasm won't be evident. post cholecystectomy that is gall bladder removal, you have to avoid aft in diet. you should take frequent small meals instead of 3 large meals. you may take pantoprazole for a few days in consultation with your doctor. stay healthy"
Please summerize the given abstract to a title,ECOLOGICAL DIVERSITY IN NORTH AMERICAN PINES
Answer this question truthfully,Tetrahydrofolate (THF) serves as a carrier of one carbon in the body.
Please summerize the given abstract to a title,Infectious Diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through all the details posted. elevated wbc count is suggestive of infection and elevated lipase suggests pancreatitis. during gall bladder removal, some small stones might have come out of it and block pancreatic duct that causes pancreatitis which is the most common cause of pancreatitis (gall stone induced) so even after removal the stone which has moved out of gall bladder can obstruct pancreatic duct that causes pancreatitis. hope this helps."
Please summerize the given abstract to a title,The sustainability of ireland’s health care system
"If you are a doctor, please answer the medical questions based on the patient's description.","hello kriscarlowelcome to chatbot anger outburst followed by sudden fall, flaccidity in body etc. are the symptoms that should not be overlooked. as the episode occurred about years back, so there is no need to visit a doctor for that but if such symptoms occur again i advise you to visit a doctor and get your eeg done and to take expert opinion. such episode may be due to excessive stimulation of sympathetic system during anger and sudden hypotension leading to fall. or it may be a sign of seizure disorder as sudden fall, passed out, limping of body etc. are symptoms of seizure disorder. hope i cleared your doubt take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, may be trauma to the spine or motor area of brain may cause spasticity. other possibilities like upper motor neuron lesions or b 12 deficiency or neuromuscular junction problems may present like this. until examination is done it is difficult to say what it is. do regular physiotherapy and good nutritional support she may recover. don't worry, but please consult with your neurophysician he will examine and treat you accordingly. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, so your main concern is suspected panic attack at night. being a long diabetic you must be well aware of sugar control, just check your blood sugar at midnight night or between 3 and 5 am sometimes midnight hypoglycemia causes hyper chatbot.  alcohol may be the other reason. usually causes atrial fibrillation. just be careful whether your high pulse is regular or irregular. apart from above, one of the complications of dm is autonomic neuropathy. it may be the cause of your symptoms. otherwise, sudden episodic cause of high bp and pulse may be pheochromocytoma, an endocrine tumor from supra renal gland or other body organs. do your 24 hours urinary metanephrin level check. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Myofibroblasts are the component of granulation tissue that mediate wound contraction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, it was too early to check for chatbot. the best time to check would be on the day of the missed period. it would have given a better indication if the chatbot was done on 14 august. avoid doing the test early, as it will lead to more anxiety for you. take folic acid and try for pregnancy for a year, 85% couples conceive on their own in a years time. if not then get a complete evaluation of both you and your partner after a year. hope this helps. regards."
Please summerize the given abstract to a title,Helmet Ventilation for Pediatric Patients During the COVID-19 Pandemic: A Narrative Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is true that it is difficult to discriminate the faking and actual reason of pain in abdomen. one history of pain on oily and cheesy food and when she is coming back home is indicative of some organic problem. we have to rule out all the probable reasons like colitis, allergy to particular food, appendicitis, mesenteric lymph nodes -so common in this age group and worms. i would advise you to take her to the general / pediatric surgeon when she is in pain so that a physical examination will help to see if she is faking or not, go for tests of blood, urine, stool, ultrasonography for a probable diagnosis and treatment. i would also advise such a patient to take one course of an antibiotic, metronidazole and anti-worm treatment."
Answer this question truthfully,"The name of the virulence factor that is commonly found in these three bacterial species is IgA protease. This enzyme is capable of cleaving immunoglobulin A (IgA), which is an important component of the body's immune system, and can help these bacteria evade the host's immune response."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","what your diagnosis, you mentioned irregular heartbeat, what your pulse rates. is it high. you must have undergone deck which usually shows heart rate on it. from information, you have provided, i am considering diagnosis of tachycardia called atrial fibrillation or anxiety. i think beta blockers tablets are better option than whatever you are receiving. so you discuss the option of beta blockers like collar la 40 once a day with your physician. also ask about ecg diagnosis, so i can throw more light on it."
Please summerize the given abstract to a title,Effects of nalbuphine on the cardiotoxicity of ropivacaine in rats
Answer this question truthfully,"Desmopressin and imipramine are pharmacologic treatments for night enuresis. Desmopressin is the preferred treatment and works by reducing the amount of urine produced by the kidneys. Imipramine is an alternative treatment that works by relaxing the bladder muscles and increasing the capacity of the bladder. However, as with any medication, it is important to carefully monitor patients who are taking desmopressin or imipramine and to adjust the dosage as needed to minimize the risk of adverse effects, such as headache, nausea, and dizziness. Additionally, it is important to address any underlying causes of night enuresis, such as bladder or kidney problems, and to implement behavioral interventions, such as limiting fluid intake before bedtime and using a bedwetting alarm, in conjunction with pharmacologic treatment."
Answer this question truthfully,"Huntington's disease causes disability that gets worse over time.
Persons with this disease usually die within 15 to 20 years. The cause of death is often infection, although suicide is also common.
It is important to realize that the disease affects everyone differently. The number of CAG repeats may determine the severity of symptoms. Persons with few repeats may have mild abnormal movements later in life and slow disease progression, while those with a large number of repeats may be severely affected at a young age."
Please summerize the given abstract to a title,Untangling Covid-19 Pathophysiology Part I: Oligomeric (Soluble) Fibrin Forming Transient Microclots Enhances the Lethality of Covid-19
Please summerize the given abstract to a title,"The ""trust"" heuristic: arguments from authority in public health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the inquisitive query to chatbot.1-i studied your query in depth.2-in my opinion, this lump behind knee with night sweats is most probably be due to the nhl-of the popliteal lymph nodes, indicating the recurrence of the symptoms indicating uncontrolled nhl.3-i would advise you to consult your doctor ugly, as it indicates that dosage for the control of your nhl needs to be revised, as you had stomach pains with night sweats-indicating systemic disturbances, which could disturb your health to critical levels.4-hope this would solve your query .5-wellcome for more queries to me on chatbot.6-thnks once again for your inquisitive query. have a good day.!!"
Please answer with one of the option in the bracket,C: Hyperplasia of submucosal bicarbonate-secreting glands
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorin my opinion your child is suffering from an allergic episode. ale rid and relent are both fine, but i would recommend you the following measures for better results"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","mood changes are common with contraceptive chatbot. this varies with person to person. some women are depressed and some are anxious or angry. consider meditation and mind relaxing techniques. physical exercise will also be useful in elevating mood.in case of persistent mood change, considering changing to other types of contraception after consulting with your doctor. hope i have answered your query. let me know if i can assist you further. regards"
Please summerize the given abstract to a title,Social Media Used and Teaching Methods Preferred by Generation Z Students in the Nursing Clinical Learning Environment: A Cross-Sectional Research Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. first thing you need to know is dialysis is the best treatment at this stage as her creatinine levels are 7. coming to her stomach swelling the ultrafiltration which she is taking during dialysis need to be more in my opinion to take excess fluid out. if i am her treating doctor i will definitely increase the ultrafiltration if her bp is normal and if she is not tolerating she needs to be kept on weekly thrice dialysis. please talk to your treating doctor about this and of course the final treatment other than dialysis will be the transplantation. please get back if you have any queries. chatbot."
Please summerize the given abstract to a title,Alterations in egg white-related genes expression in response to hormonal stimulation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. in my opinion the way pain on your back, problems with feet and headache may be related to a cervical disc problem. but trouble with memory is not caused by cervical disc. i would recommend a cervical spine ct scan and a head ct scan for the memory problems. a full blood work for inflammation would be helpful in rheumatic pain. hope to have been helpful! thank you for using chatbot! best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.",this is case of allergic cough which got exaggerated by taking hot souping allergies your body resistance is not good and your body donor tolerate sudden change in temperature above 12 and minus 12 degree so when you took hot it exaggerated it might be post nasal chatbot.  take contain fx twice a day zintac150mg before meals[empty stomach]in the morning syrup astoria half tsp t.d.s syrup tossed half tsp at night with warm water do it for three week sin the meantime get x ray pns water view done and post again with results
"If you are a doctor, please answer the medical questions based on the patient's description.","a problem which needs attention from the physiotherapist !!perhaps your mother is about 50 +, and as she fell the whole body weight must have been taken by the shoulder. in such injuries the damage is due to injury to the muscles and nerves. so the movements become painful and restricted. so, at this time a consultation with an or tho / physio would be helpful, as a diagnosis is essential. you are doing well with rest and heat to the part. but gentle exercises must be started such as taking the arm out, small circular movements with the arm hanging in front of the body, taking the hand to the back of the neck, you will agree that these are best demonstrated and taken up in a gradual manner. to help in local repair you may use diclofenac cream massage, three times a day after local fomentation. the cream used should be up to the middle crease of your index finger."
Please summerize the given abstract to a title,Pandemia COVID-19: impacto sobre la tasa de conjuntivitis virales
Please summerize the given abstract to a title,Lipid transfer proteins from Brassica campestris and mung bean surpass mung bean chitinase in exploitability
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i think that you might be having either an infection or some problem with scar site. i do not think that you should take it lightly. it would be better if you go to your operating surgeon and get his opinion. if he says then you may need to take course of antibiotics for some day.  as far as numbness is concern it is due to cut of cutaneous nerves. so soon it will become normal. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Navigating Cancer Care in the COVID-19 Era
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, gui is generally successful in couples with male factor. so, you can go ahead with gui. but success also depends on post-processing count and motility. it will determine the chance of pregnancy.  in one cycle, chance of pregnancy is 10 to 15 percent. you can try gui for 3 to 6 months. also, your husband can take some antioxidant and antibiotics. he can also try camphene for 3 months. discuss with your doctor regarding this.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi deepak, welcome to healthcare magic, and thanks for your question... from your brief description, i understand that you have been suddenly having difficulty in concentration and feeling disinterested in your normally enjoyable activities. since you have mentioned that it has been sudden, it is important to know if there have been any recent changes in your personal circumstances or social environment or if you are in the midst of a stressful situation. excessive stress and difficulty in coping is a common reason to feel disinterested and detached from studies and other pleasurable things. there is also a possibility that you may be going through a depression, in case you have other symptoms like negative thoughts, feeling low, reduced energy, poor sleep / appetite, etc. my advice to you would be to talk to and share your feelings with someone close to you, especially if there is something bothering you. in such situations, it is also important to try not to isolate yourself or spend a lot of time in solitude, as it can worsen your symptoms. if you find that your symptoms are severe or worsening or affecting your day-to-day functioning, then you need to seek professional help, probably from a psychiatrist.  all the best. - chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for trusting chatdoctordear chest tightness and which may relieved by keeping tablet under tongue means it is an angina. you have to consult your cardiologist immediately. cold feet and sweating may be due to hypotension.don't do any exertion, use mild head end elevation, check for blood pressure and blood sugar. if you have ecg facility nearby use it. if symptoms not improved please consult your doctor immediately he will examine and treat you accordingly. take care"
Answer this question truthfully,"Metronidazole is a medication that is frequently used to treat several protozoal infections, including Giardia, Entamoeba Histolytica, and Trichomonas. These infections can cause a variety of symptoms and Metronidazole can be effective in treating these symptoms by targeting the underlying infection."
Please summerize the given abstract to a title,The Covid-19 Pandemic is a Paradoxical Challenge to Our Nervous System: A Polyvagal Perspective
Answer this question truthfully,"The likely diagnosis in a middle-aged man presenting with these symptoms is chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). CP/CPPS is a condition characterized by persistent pain and discomfort in the pelvic region, as well as urinary symptoms such as frequency, urgency, and hesitancy. Pain with ejaculation is also a common symptom. The cause of CP/CPPS is not well understood, but it may be related to inflammation or dysfunction of the prostate gland. Diagnosis may involve ruling out other conditions that can cause similar symptoms, such as urinary tract infections or prostate cancer, as well as a thorough physical exam and possibly imaging studies. Treatment may involve medications to manage pain and inflammation, as well as lifestyle changes, such as dietary modifications and stress management techniques."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Answer this question truthfully,S-1 S-phase fraction safingol salpingo-oophorectomy salvage therapy samarium 153 saponin saquinavir mesylate sarCNU sarcoma sarcosinamide nitrosourea sargramostim satraplatin SC-70935 SCH 54031 SCH 66336 SCH-58500 Schiller test Schwann cell schwannoma scintimammography scleroderma screening mammogram Scutellaria barbata SDX-102 SDX-105 second primary cancer second-line therapy second-look surgery secondary cancer sedoxantrone trihydrochloride segmental cystectomy segmental mastectomy selective estrogen receptor modulator selective serotonin reuptake inhibitor sella turcica semaxanib seminal vesicle biopsy seminoma semiparasitic semustine senile keratosis sentinel lymph node sentinel lymph node biopsy sentinel lymph node mapping seocalcitol SERM serotonin sertraline serum albumin serum glutamate pyruvate transaminase serum glutamic-oxaloacetic transaminase serum tumor marker test sesquiterpene lactone sestamibi breast imaging severe myelosuppression Sézary syndrome SGN-00101 SGN-15 SGOT SGPT sham therapy shave biopsy Sho-saiko-to sialic acid sialyl Tn-KLH side-to-end coloanal anastomosis sideropenic dysphagia sigmoidoscope sigmoidoscopy signal transduction inhibitor signet ring cell carcinoma SIL sildenafil Silybum marianum silymarin simple mastectomy simple nephrectomy single blind study single-photon emission computed tomography siplizumab sirolimus small cell lung cancer small intestine smoldering leukemia SMT-487 SnET2 SNX 111 soblidotin sodium borocaptate sodium salicylate sodium sulfite sodium thiosulfate soft tissue sarcoma solar keratosis solid tumor somatic cell somatic mutation somnolence syndrome sonogram sorivudine specific immune cell SPECT SPF spiculated mass spindle cell cancer spindle cell sarcoma spiral CT scan splenomegaly sputum cytology squalamine lactate squamous cell squamous cell carcinoma squamous intraepithelial lesion SR-29142 SR-45023A SR49059 SSRI staging staurosporine stavudine stellate stem cell stem cell factor stem cell transplantation stent stereotactic biopsy stereotactic body radiation therapy stereotactic external-beam radiation stereotactic injection stereotactic radiation therapy stereotactic radiosurgery stereotaxic radiosurgery stereotaxis steroid therapy STI481 STI571 stoma stomatitis streptavidin streptozocin Stromagen stromal tumor strontium-89 Sturge-Weber syndrome SU011248 SU101 SU5416 SU6668 subcutaneous port subependymal suberoylanilide hydroxamic acid subglottis subset analysis subtenon sucralfate sulfonamide sulindac superior vena cava superior vena cava syndrome supraclavicular lymph node supraglottic laryngectomy supraglottis supratentorial suramin surgical oncologist survival rate symptom management syncytium syngeneic bone marrow transplantation syngeneic stem cell transplantation synovial membrane synovial sarcoma synthetic protegrin analog synthetic retinoid systemic chemotherapy systemic disease systemic lupus erythematosus systemic therapy
Answer this question truthfully,"Cyproheptadine is a medication that belongs to a class of drugs known as 5-HT2 receptor antagonists. It is commonly used to treat serotonin syndrome, a potentially life-threatening condition that occurs when there is an excess of serotonin in the body. Serotonin syndrome can be caused by a range of factors, including the use of certain medications, and can lead to symptoms such as agitation, confusion, high blood pressure, rapid heart rate, and muscle rigidity. Cyproheptadine works by blocking the action of serotonin at the 5-HT2 receptors, which helps to reduce the symptoms of serotonin syndrome and restore normal serotonin levels in the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient thank you for your question. before we begin treatment we have to diagnose your condition. it can be tricky to diagnose back problems such as the ones you have described without imaging so my first and foremost advise to you is to get an x-ray/ct scan done. the condition to me seems to be lumbar spondylosis. therefore, while i cannot treat you online without knowing exactly what you have here been some suggestion which should benefit you.1) take flexion mr 500\u00a0mg thrice a day. it contains a muscle relaxant which will decrease your spasms. it is contraindicated if you have a liver disease2) gels will not have a major effect in this situation, so it is useless to use them. i suggest hot fomentation therapy for your back3) i will stress again it is imperative that you show yourself to the orthopedic surgeon at the earliest as a condition like this could progress and result in complications like loss of bowel and bladder movement and pain down your leg etc. i wish you all the best"
Please summerize the given abstract to a title,Burnout among Portuguese radiographers during the COVID-19 pandemic
Please summerize the given abstract to a title,Evaluation of serum IgM and IgG antibodies in COVID-19 patients by enzyme linked immunosorbent assay.
Please summerize the given abstract to a title,First-Trimester Preterm Preeclampsia Screening in Nulliparous Women: The Great Obstetrical Syndrome (GOS) Study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  the implant stick (explain) is to be inserted within 5 days of menses ideally, if not so 7 days of back up contraceptive. for explain is not active till then.  so your friend did not have contraceptive protection, and she does have risk of conception. in case the day of sex co insides with her ovulation.  at the moment, you should wait till its 8 days deal in menses & then go for urine pregnancy test(in case she does not get her menses.). it will confirm/ exclude pregnancy.  even if she is pregnant, it is advised to get it removed by mtp... as hormone in explain may harm baby.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, and thank you for asking us on chatbot! i read carefully the concerns and your husbands medical history. there are different opinions between doctors about how to be treated gallbladder stones. if they don't cause any problem, might not be necessary to be removed, and they can be followed by ultrasound regularly. but if they cause symptoms like pain, fever, vomits etc., which indicate for gallbladder infection, than the best choice is the surgery for removing the stones or the gallbladder too. i suggest you to do routine check-up to your treating doctor. best regards chatbot."
Answer this question truthfully,IFN-α (interferon-alpha) is the recombinant cytokine that can be used to treat Kaposi sarcoma.
Answer this question truthfully,"Crohn's disease is the type of IBD that is associated with an increased risk for both cholesterol and pigment gallstones.

Crohn's disease is a type of IBD that can affect any part of the digestive tract, from the mouth to the anus. One of the complications of Crohn's disease is an increased risk for gallstones, which are solid deposits that form in the gallbladder. Gallstones can be made up of either cholesterol or pigment, and individuals with Crohn's disease are at an increased risk for both types. This increased risk is thought to be due to factors such as decreased bile acid production, altered gut bacteria, and inflammation in the liver and gallbladder. Treatment for gallstones may involve medications to dissolve the stones or surgery to remove the gallbladder. In individuals with Crohn's disease, treatment may also involve management of the underlying inflammation to help reduce the risk of gallstone formation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i advise you to have a chest x-ray so that the things will be more clear. you might have some kind of allergic cough which takes some time to stop completely. you can continue to use the cough syrup. use apo mometasone if you have nasal problems also like cold or frequent sneezing. better let's have a consult with a respiratory physician to have complete and thorough checkups followed by correct treatment. take care. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. schizoid personality disorder people could show manic behaviors. preoccupation with fantasy and introspection and facing criticism could trigger mood swings and sometimes manic episodes, in very few cases. but, here, your friend may not be even having schizoid personality disorder. in every possibility, he could be bipolar. consult a psychiatrist / clinical psychologist for correct diagnosis and start treatment. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your child was scratched by a cat and should receive anti rabies vaccine. there are 5 doses of vaccine which need to be given over a period of a month. if the cat is under observation and is fine after 10 days then your child need not receive the remaining doses. but you cannot take a risk of observing the cat first and then starting treatment. rabies is a highly deadly disease and once a person is affected with it, there is no definitive cure.  hope that helps. preeti"
Please summerize the given abstract to a title,Knowledge and Behaviors of Adults with Underlying Health Conditions During the Onset of the COVID-19 U.S. Outbreak: The Chicago COVID-19 Comorbidities Survey
Please summerize the given abstract to a title,The effects of online group mindfulness training on stress and sleep quality during the COVID-19 pandemic in Singapore: a retrospective equivalence analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, possibility of either lipoma or sebaceous cyst is high. lipoma is fat containing benign swelling, and it is common on back. same way sebaceous cyst is also common on back. usually these are painless in nature. but if infected than they cause pain. so better to consult doctor and get done clinical examination and ultrasound examination of local part for the diagnosis of this lump. you may need surgical removal if it is infected. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"Iron homeostasis is maintained by a balance of iron absorption and iron loss. Iron absorption is a more active process and is mainly responsible for regulation of iron balance. The absorption of iron is highly regulated by hepcidin, a protein secreted by hepatocytes.
Iron is absorbed in ferrous form (Fe2+) in the small intestine via divalent metal transporter (DMT1). After absorption, depending on iron levels in the body, iron can be sequestered in ferritin or bound to transferrin by ferroportin. Once bound to transferrin, iron is transported to cells that require iron. Iron enters cells when transferrin binds to transferrin receptor (TfR).
Iron deficiency occurs in three stages. In the prelatent stage, ferritin is low but serum iron levels are normal. In the latent stage, transferrin saturation and serum iron are also low in addition to low ferritin. In the last stage, hemoglobin level is below normal along with depletion of iron stores and drop in serum iron and transferrin saturation."
Please summerize the given abstract to a title,"Dengue and COVID-19, overlapping epidemics? An Analysis from Colombia"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thank you for the query. it is hard to say was it necessary to do cystoscopy. because bcg is considered to strengthen immune response and prevent tumor recurrence. this is important even when there are no signs of tumor because there can be micrometastases or tumors which aren't visible. so bcg would be helpful in such circumstances. all in all there is more benefit of bcg than cost. and it isn't so important to establish that there is tumor recurrence. wish you good health. regards
Answer this question truthfully,"Amphetamine intoxication commonly causes symptoms such as agitation, irritability, psychosis, diaphoresis, and mydriasis without nystagmus for several hours."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. as diagnosis is confirmed, so these multiple bumps are due to hepatitis c as these are sequela of this disease. hepatitis c has same laboratory features like hepatitis b, but aminotransferase level fluctuate more and to be lower, especially in patients with long-standing disease. these bumps are violations flat topped pa pules and plaques. in my opinion consult a physician ad get his opinion as this seems to be a case of lichen plans. sexual contact spread the disease (unprotected). good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you need to be concerned about it and see the treatment for this. this is likely an atrial fibrillation, in which heart rate can suddenly go up leading to dizziness, fainting or syncope, shortness of breath. also, it may increase the risk is clot formation in atrium which may be harmful. you will certainly test to evaluate it. in treatment, you'll need medicine to keep heart rate under control and blood thinners. so get back if you have any doubts and if any reports like are available for detailed analysis."
Answer this question truthfully,"No, the decreased bone density seen in anorexia nervosa is typically not reversible without appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. interesting question. you seem to be well-read. however, there seems to be some communication gap. you said that the airways constrict. you mean airways in chest or the nasal passages? i suspect that you mean that your nostrils get blocked (because your spirometry is normal). nostrils normally get congested (swollen) and they do get blocked. however, they do not constrict because there are no smooth muscles in the nasal passages! normally, a virus infection does not last for 3 weeks. so this is post viral reactive airway causing airway (here i mean chest airways) constriction and post nasal chatbot.  if the"
Please summerize the given abstract to a title,"Development of tourist and local research activities in the zaporizhzhia oblast, Ukraine"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, this is not asthma. your cough is mostly due to irritation in the lungs fromm that gut smell. some stringent smell can cause irritation in the airways and this produce cough. cough will cause chest pain due to sudden spasm of intercostal muscles. so no need to worry about asthma or any serious illness. inhale fresh air, take antihistamine and painkiller chatbot.  don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Prostate Cancer is the most common cancer in American men. It is a slow-growing, potentially lethal disease usually found in men over the age of 50. Although cases of the disease have been reported in all age groups, more than 80 percent of all prostate cancers occur in men over the age of 65.
Common symptoms of prostate cancer include:     
Changes in bladder habits
Frequency Nocturia Urinary urgency Hesitancy Incontinence Weak urine stream Urinary retention Dysuria
Hematuria Hematospermia Painful ejaculation
Less common symptoms of prostate cancer include:
Bone pain Fatigue Weakness in the lower limbs Numbness in the lower limbs Loss of bladder or bowel control"
Answer this question truthfully,"Carboxyhemoglobin is a form of hemoglobin that is formed when carbon monoxide (CO) binds to heme groups in red blood cells. When carboxyhemoglobin is present in the blood, it can cause the oxygen (O2)-hemoglobin dissociation curve to shift to the left. This means that at any given partial pressure of oxygen, hemoglobin has a higher affinity for O2 when carboxyhemoglobin is present compared to when it is not. This is because the binding of CO to heme groups in carboxyhemoglobin can alter the conformation of the hemoglobin molecule, making it more likely to bind to O2. As a result, carboxyhemoglobin can impair the release of O2 to tissues, which can have serious implications for tissue oxygenation and can lead to a range of symptoms, including headache, dizziness, shortness of breath, and even death in severe cases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, you have itching problem after taking food it is due to periodontal problem don't worry you do is do warm saline gargle two - three times a day one capsule vitamin b complex once daily for one week application on gum ointment gum paint twice daily for one week. consult dentist and go for scaling and root planning.  hope this will help you. wishing you good health."
Answer this question truthfully,The breakdown of arginine by the enzyme arginase produces ornithine and urea.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatbot i understand your concern but don't worry. most likely reasons for constipation in this age group are poor hy chatbot.  probiotics such as enterogermina helps in replenishing the healthy flora of the gut. but has no direct role in treatment of constipation. so, i would recommend you the following"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
Please summerize the given abstract to a title,Application of the Donabedian Model to Guide Virtual Magnet® Site Visit Preparations During a Pandemic
Please summerize the given abstract to a title,"Pilot Testing of Simulation in the Evaluation of a Novel, Rapidly Deployable Electronic Health Record for use in Disaster Intensive Care"
Please summerize the given abstract to a title,SARS-CoV-2 RNA in serum as predictor of severe outcome in COVID-19: a retrospective cohort study
Answer this question truthfully,Spina bifida occulta is typically observed at lower vertebral levels.
Please summerize the given abstract to a title,Multidisciplinary Simulation Training for Surgical Tracheostomy in Patients Mechanically Ventilated Secondary to Severe Acute Respiratory Syndrome Coronavirus 2.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query in full details updated from you. i understood your health concerns. based on your query data, in my opinion bruise / and bump on vein in forehead needs to be investigated from your surgeon. treatment-depending on one of the following causes evaluated after physical and lab/radiological investigation your doctor would treat as per its need. causes in your case-could be from an accidental unnoticed fall(cold compresses, syr motrin to control traumatic edema), or / could be from mosquito/insect bite(antihistamines syr and steroid cream locally)consult for second opinion with your surgeon or gp doctor. hope this would resolve your query. welcome for any further query in this regard to me. i would love to help you outwriting for any further query. wish you fast recovery from this intriguing health problem. have a good day. chatbot. n.m.s. genl-cvts -senior surgical consultant"
"If you are a doctor, please answer the medical questions based on the patient's description.","his you mentioned the history of that you have pain radiating from hip to thigh, your mri showed labrum tear. with your symptoms it looks like that there is a nerve impingement in your lumbar spine due to which there is the pain from hip to thigh. for which you can take physical therapy as to which the use of tens therapy and strengthening exercises for core and lower limbs will help you recover faster. with the grace of god i wish you a good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your all cardiac reports are normal, we should definitely rule out lung diseases (bronchitis) for your symptoms. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. if pft is showing obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol). if pft is normal then no need too much. sometimes stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Carcinoid syndrome is a rare condition that can occur in patients with carcinoid tumors. It is caused by the release of vasoactive substances such as serotonin and histamine from the tumor cells, which can lead to a variety of symptoms including flushing, diarrhea, wheezing, and heart palpitations. There are several treatment options available for patients with carcinoid syndrome, including surgical resection of the tumor and the use of somatostatin analogs. Surgical resection is often the preferred treatment option, as it can remove the tumor and reduce the release of vasoactive substances. Somatostatin analogs, on the other hand, work by inhibiting the release of these substances and can be used to manage the symptoms of carcinoid syndrome. Other treatment options may include chemotherapy, radiation therapy, and targeted therapy, depending on the specific characteristics of the tumor and the patient's overall health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. all your symptoms are pointing to pseudocyesis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mri findings indicate degenerative changes in lumbar spine. at l3-4 level, there is inter-vertebral disc herniation which is indenting thecal sac, and it is causing central spinal canal stenosis. your neurological symptoms may be related to disc prolapse. majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. though central spinal canal stenosis is significant, i suggest for conservative management first. surgery should be the last option.nowadays, even surgery is done by minimum invasion like endoscopic discectomy. other treatment modalities may be ozone ablation etc. treatment can be planned after consultation with neurosurgeon. get well soon. take care chatbot."
Please summerize the given abstract to a title,The role of TNFR2(+) Tregs in COVID-19: An overview and a potential therapeutic strategy
Please summerize the given abstract to a title,Impact of the COVID-19 Pandemic on Cancer Patient Educators
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, i don't understand why its dirty and watery? the only possibility if she has passed urine or loose watery stools. giving albendazole is not a problem, and you can give it, but that still might not solve the problem. if i were your pediatrician, i would have got a urine and stool test done, just to be sure that there is no infection in urine or stool. if there is none, then just maintaining cleanliness is the only need. make sure she chatbot.  hope my answer is of some help for you. happy to clear any further doubts. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. the type of pain that you are explaining can be either due to any deeply decayed tooth in the left back side of jaw that can cause radiating pain to neck, ear and jaw. other cause can be wisdom tooth related problem like peritonitis.if the pain is along the course of nerve then it can also be due to nerve related pain or trigeminal neuralgia. so my suggestion is to consult an oral physician and get evaluated so that appropriate x-rays can be done for confirmation. for now, you can take higher painkillers like tramadol or motorola and take soft meals. hope this helps. regards. chatbot."
Answer this question truthfully,The cell cycle phase that is characterized by DNA synthesis and replication is called S phase.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to a muscle strain of the neck. i suggest using muscle relaxant such as baclofen three times a day. i also suggest using magnesium supplement for muscle relaxation. warm compresses can also be helpful in pain relieve. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please summerize the given abstract to a title,Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic
Answer this question truthfully,Cyclophosphamide is the chemotherapeutic drug known to cause SIADH.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome to chatbot. it seems you have got local irritation to the wax cream you have used. it called contact irritant dermatitis. nothing to worry as your skin will be fine soon. i would advise you a week course of oral prednisolone in low dose (5-10\u00a0mg). you can use elton ointment which contains mometasone but supplement it with application of antibiotic like juridic acid cream to prevent any secondary bacterial infection. after good quality moisturizer like detail dam twice a day over full face. avoid use of any cosmetics/face wash for few days. avoid direct sun exposure and use water-based sunscreen before stepping out in sun. hope this was useful. take care chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of right sided heart failure and cor pulmonale is more. right sided of heart is supplying blood to both lungs. so any problems in right heart will cause problems in pulmonary arteries and lung. so these patients tend to develop pulmonary hypertension and pulmonary edema. both these conditions will cause hypoxia (low oxygen) and breathlessness. so patient needs oxygen and other chatbot.  so this is the reason for your oxygen prescription. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello snehalchaudhari1.  thanks for visiting chatbot .com.  i am glad that you have had all the test above because that helped to rule out a lot of diseases.  i believe that you are suffering from panic/anxiety attacks.  panic attacks are defined as a period of intense fear or discomfort in which 4 or more of these symptoms develop abruptly and reach a peak within 10 minutes (usually).  1. palpitations, pounding heart, or accelerated heart rate *2. sweating *3. trembling or shaking4. sensation of shortness of breath or smothering *5. feeling of choking6. chest pain or discomfort7. nausea or abdominal issues8. feeling dizzy, unsteady, lightheaded or faint9.  feeling detached from ones self10.  fear of losing control or going crazy *11. fear of dying *12. paresthesia (numbness or tingling sensations) *13. chills or hot flashes i put stars by the symptoms that you mentioned above and put stars by the fear related points because you do not clarify what you are having fear of.  you have at least 4 out of these symptoms above.  this is a medical condition and is well recognized in the mental/behavioral healtchatdoctormunity.  this condition can be treated with antidepressant medications and/or antianxiety medications.  i suggest that you return to your primary physician with this knowledge and perhaps get a referral to a mental health specialist if your doctor feels it is necessary. be well,"
Answer this question truthfully,"Neuropathology showing spongiform degeneration and vacuole formation in grey matter structures (e.g. caudate, putamen) without inflammation is suggestive of Creutzfeldt-Jakob disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. i advise you to consult pulmonologist and get done 1. ct thorax2. bronchoscopy and bad analysis. we need to identify the causative organism and sensitive chatbot. ct gives excellent imaging of lung parenchymal and thus improvement or worsening of previous pneumonia bout can be diagnosed. bad is very sensitive for identification of organism. so antibiotics can be guided. so consult pulmonologist and discuss all these."
Please summerize the given abstract to a title,Parents' Perspectives of Distance Education during Crises: The Benefits and Disadvantages
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. since you said you had just a pain and nothing more than that i will advise you to do hot water fermentation and do simple finger exercises. also, if you have used any metal or such for it, you may have to take tetanus injection. from a personal note i will advise you to not use needles or sharp objects or self-medication. looks easy to get rid of temporary issues but if later on goes wrong than difficult to understand the actual scene. i will advise you to check your footwear also as there are chances for shoe bite as well. keep your both feet in warm water and clean it properly.  avoid keeping long nails for toe as shoe may apply a pressure and get some small soft tissue injury as well. if you find the symptoms to prolong over some more days kindly meet up a physician and get checked once. with the grace of god i wish you a good health"
Please summerize the given abstract to a title,Effects of Cell Proteostasis Network on the Survival of SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... noted you have apical pleural thickening. so this thickening could be by fibrosis ...as a result of chronic infection or inflammation... you have suspected tuberculosis.... if culture report and molecular methods suggesting tuberculosis then akt treatment given for tuberculosis....... witchatdoctorpletion of therapy x-ray will show improvement .... but fibrotic thickening can remain as fibrosis is irreversible condition... take care. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should take him to the doctor and get done repeat chest x-ray to determine whether his chest infection is improving or worsening. chest infection can cause both hypothermia and hyperthermia. and the way you are describing is hypothermia. and this can be the sign of chest infection. so better to be sure by chest x-ray. so take him to the doctor and get done chest x-ray.
Please summerize the given abstract to a title,385. Kawasaki’s Disease and Sars-Cov-2: an Unexpected Pediatric Global Crisis?
Please summerize the given abstract to a title,COVID-19 INFECTION IN KIDNEY TRANSPLANT RECIPIENTS: A SINGLE CENTER EXPERIENCE
Please summerize the given abstract to a title,Impact du SARS-CoV2 sur la structuration de la prise en charge du cancer : exemple de la tenue des RCP de cancérologie en Occitanie./ [COVID-19 impact on the cancer care structuration: Example of the multidisciplinary team meeting dedicated to oncology in Occitanie]
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to know more about you like"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. as an acute pancreatitis patient, you should have abdominal ct scheduled and for sure done in case of symptoms described by you. this disease makes you prone to create abdominal cysts which can get huge. such large cyst can get infected and lead to serious blood infection. it may also be large enough to compress stomach or intestines and cause gastrointestinal symptoms. bile ducts should be checked if there is no obstruction and in case of it, ercp should be done. please visit your doctor and ask about abdominal ct first. hope this will help. regards."
Please answer the letter of option truthfully,D
Answer this question truthfully,The β subunits of the insulin receptor have intrinsic tyrosine kinase activity.
Answer this question truthfully,Juvenile polyposis syndrome is associated with children who are under 5 years old.
Please answer with one of the option in the bracket,A: Decreased murmur in hypertrophic obstructive cardiomyopathy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post suggest that it might be due to musculoskeletal pain. you can apply local painkiller spray like diclofenac and take nsaids with muscle relaxants. other causes of chest pain include"
Answer this question truthfully,
Answer this question truthfully,"The juxtaglomerular apparatus is composed of JG cells, macula densa, and extraglomerular mesangial cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there can be pain in your back and chest. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",for sinus infection you have to take some antibiotic such as cap appoint 500 mg or tab augmenting 625 mg three times daily after meals with tab ivory or tab diominic-dca three times daily after meals for running nose with tab rant ac or tab carotid two times daily empty stomach. if running nose is very severer than you can use origin or nuclear nasal chatbot.  another thing what you have to do is to take steam inhalation at least three to four times daily. it is very important in case of sinus infection. you have to be careful enough because if you are not following the instructions properly it will progress to chronic sinusitis which is somewhat more troublesome and irritation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if your son plays football and gave no complaint, it is already a good sign. but if your doctor called you for echocardiography and holder monitoring, it means he noticed something abnormal, most probably some arrhythmia. sometimes there are slight abnormalities or arrhythmias on ecg without any disease and are not dangerous at all. anyway if we notice something abnormal, we should go further and have some additional examinations done to be sure that there is nothing serious and dangerous. so, you shouldn't worry, just wait for your appointment and results. most probably everything will be take care"
Please summerize the given abstract to a title,Longitudinal Analysis of Short-term Changes in Relationship Conflict During COVID-19: A Risk and Resilience Perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through your complaints and understand your concern. any fracture in a joint can cause the whole area to pain. foot and scaphoid fractures definitely needs attention. if the fractures are minor, undisplaced, plaster immobilization should be enough. if it's displaced, it may require surgical intervention. nothing to worry about. i hope your question has been answered. if you have any follow-up queries, feel free to consult me anytime. thanks, take care, god bless."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. to detect any type of cancer certain biopsies are done and mere glancing at a lesion cannot confirm a lesion to be cancer.therefore, please donor be worried. also give us complete history and symptoms so that we can arrive at a conclusion. does she have any pain, bleeding,tumor like growth in gum or jaw? does she find difficulty eating or swallowing? if any habits, please mention. answer these queries to help you better. thanks. wish you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot ! i have read your question and found that you have a fatty liver with two focal nodular hyperplasia on left lobe. there is recurrent chronic pain in left upper qua chatbot.  from the report you have provided, i can say that your guess is right. the pain in your left shoulder is due to these tumors on the over edge of left lobe +/_ fatty liver. i will try to explain it"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question. the basic reason for neck stiffness is the spasm of muscles which surrounds the neck to protect the spine after a trauma or a spinal injury. ibuprofen is an anti-inflammatory agent and hence will not helpflexon mr 500\u00a0mg thrice a day will relieve your sons pain as it contains paracetamol, a muscle relaxant and an anti-inflammatory. to answer your second question yes you should definitely go see a chatbot.  as you have not provided me with enough history as to how and when the stiffness happened i am afraid i will not be able to help you, although i will say that the commonly it is due to trauma or cervical spondylosis hope your son feels better"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. noted your history and understood your concerns. the presence of a lump at the elbow that vanished completely and occurrence of another nearby after a few days and the itching indicate that this may be due to an insect bite as the most probable reason. another possibility is urticaria meaning an allergic skin eruption. i would advise you the following in such a situation
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Infectious Mononucleosis, specifically the EBV infection, is an infection that when mistakenly treated with Amoxicillin/Ampicillin, is known to very frequently manifest a maculopapular/morbilliform rash."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, actually you don't need to worry if your past acl reconstruction was successful, and you have done your physiotherapy exercises regularly that is common with a lot of my patients. i recommend you use some nsaids like advil, topical muscle relaxants with hot comments or even massages are effective till your muscles regain their strength again. please consider some positive feedback if the information was helpful. hope the above information helps you. any further clarifications feel free to ask."
Please summerize the given abstract to a title,Mechanical Behavior of Bi-Layer and Dispersion Coatings Composed of Several Nanostructures on Ti Substrate
Answer this question truthfully,"Congestive heart failure should be distinguished from other conditions that cause dyspnea, fatigue and edema."
Please summerize the given abstract to a title,Renal Denervation after Symplicity HTN-3: An Update
Please summerize the given abstract to a title,"Echo, Echo Again: Prosthetic Mitral Regurgitation Presenting as B-type Symptoms"
Answer this question truthfully,"The infectious stage of Leishmania is called the promastigote. Leishmania is a genus of parasitic protozoa that is transmitted to humans through the bite of infected sand flies. The parasite has a complex life cycle that involves two main stages: the promastigote stage and the amastigote stage. The promastigote stage is the motile, flagellated form of the parasite that lives and replicates in the midgut of the sand fly vector. When the infected sand fly bites a human host, it injects the promastigotes into the skin. The promastigotes are then phagocytosed by macrophages and transform into the amastigote stage, which is the non-motile, intracellular form of the parasite that replicates within the macrophages."
Please summerize the given abstract to a title,A Unique Presentation of Delirium in a Patient with Otherwise Asymptomatic COVID‐19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, hairball can occur due to a number of causes like an chatbot.  masturbation induced weakness can be a cause. you should consult a trichologist and get evaluated, and he can advise you investigations like hormonal assay to treat you accordingly.  you can be advised to apply 5% minoxidil lotion over the scalp. furthermore, you can be advised to take biotin and multivitamin supplements. furthermore, you can also be advised to take finasteride orally if there is an"
Please summerize the given abstract to a title,The Next Pandemic: Supporting COVID-19 Frontline Doctors Through Film Discussion
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thank you for your query. i have gone through your query, and would like to start of by speaking about your spd (symphysis pubis dysfunction). the only reason why most women are diagnosed with spd during pregnancy is because the pelvis is directly involved with birth. but spd can present in women who are not pregnant as well, this is mainly because spd involves a misalignment of the pelvis, due to which it can put pressure on surrounding structures, especially the spinal cord, which is very sensitive and can easily result in pain (even severe at times). i highly doubt this could be related to cancer. but for your satisfaction, why don't you go ahead with an ultrasound of the pelvis and abdomen and a transvaginal ultrasound (tvs), which will help in superficial suspicion of any such abnormalities. you can also follow this up with an x-ray of the lumbar spine and pelvis, which will ensure that the position of your pelvis is what is causing your presentation. do not worry, i can understand your anxiety, but once spd is confirmed as the cause, wearing lumbar and pelvic support belts will surely help you, along with some help from a physiotherapist. wishing you a symptom-free life. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,1) liver has network of vein which take blood out from liver and some supply blood to liver.2) the hepatic veins take blood from liver toward heart and the portal vein gives blood from intestine and spleen into liver.3) if your report mentioned that size of portal vein increased then it might indicate portal hypertension which has its own consequences, and it requires periodic check-up.4) also you need to perform liver function test periodically to check effect of this dilated liver vein over liver function5) but is it essential to know detailed report about status of different veins of liver before concluding anything."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern about your blood pressure. you have really high blood pressure. however a single time high reading is not enough to start medicine. if i was your treating doctor then i advice you to measure your blood pressure thrice at timely interval. and also start salt restricting diet. after that if your bp is still high then start antihypertensive medicine. you should consult your doctor and go for repeated measurement. if persistent high then start ant hypertensive medicine according to your doctors' advice. hope i have answered your question, if you have any doubts you can ask me further. i will be happy to answer you. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot .com, and thanks for sharing your concern with us. as you mentioned that these red flushes are dependent on which side she's sleeping on so such red flush are just contact reaction due to sleeping position which is not of much clinical significance and will resolve on its own. if any fever, pain, swelling, warmth around area develops then contact your healthcare providers. i wish you good health. best chatbot. omar"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. white bumps on tongue you have mentioned are most probably authors ulcers. there exact cause is unknown, but they are non-contagious, non-infectious and not sexually transmissible. these usually resolve on its own, but medicines can be taken for local application like byte. viscous lidocaine can be applied for pain relief. good oral hygiene is also important to prevent secondary infection of the ulcers. do consider positive feedback as a credit to my work. let me know if you have any further questions. you can contact me on my page http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing a brief history of your mother. well as you mentioned she is 88 we need to see her as more of an ageing degenerative change in her body. i will always recommend to not undergo self-medication as it might not be safe, so for medication take an experts' advice. now talking to her alzheimer's disease and pain you need to look for a physical therapist who will use some therapeutic ultrasound therapy and some gradual slow passive movements which will help muscle move and will get ease of the pain."
Answer this question truthfully,"One of the hallmark features of achalasia in terms of esophageal function is the presence of uncoordinated or absent peristalsis. Peristalsis refers to the coordinated contractions of the esophageal muscles that help to move food and liquid down into the stomach. In achalasia, these contractions are disrupted, which can lead to difficulty swallowing, regurgitation, and other symptoms."
Please summerize the given abstract to a title,Epidemic models with discrete state structures
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot.1. as a urologist, i must assure you, that cycling and red wine isn't restricted after kidney removal. however, you're advised to wait for a month for cycling.2. you start cycling with half hour for two weeks, then increase by half hour every week, till you cycle two hours per day.it's good to keep healthy by exercising daily. it helps to keep your blood pressure and cholesterol in control. if you've any other doubt, you may send it as a direct question. chatbot.  manga."
Please summerize the given abstract to a title,Human Galectin-9 Potently Enhances SARS-CoV-2 Replication and Inflammation in Airway Epithelial Cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. you have had a history of endometriosis till you got your uterus out by hysterectomy. this is the most probable cause of pain on the right side of the abdomen which increases on movements and the cause is not detected in the ct scan, endometriosis is not detected. on ct scan. i would advise you to undergo diagnostic laparoscopy and get needed procedure done so that your symptoms are abated."
Answer this question truthfully,"Class IIa 2. In patients with TAA, regardless of cause and in the absence of contraindications, use of beta blockers to achieve target BP goals is reasonable. (Level of Evidence: C-LD) 3. In patients with TAA, regardless of etiology and in the absence of contraindications, ARB therapy is a reasonable adjunct to beta-blocker therapy to achieve target BP goals. (Level of Evidence: C-EO)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. the pain in the lower chest post paracetamol is due to gastritis which is a common side effect of pain and fever medication. i would suggest you to take tab pantoprazole 40\u00a0mg prior to taking the paracetamol tablet. since you are feeling better now, continue the medications as advised by your doctor. take the tablet taxi o for 5 days. hope i have answered your query. have a nice day"
Answer this question truthfully,"An infected mandibular molar, also known as a dental infection, is the most common source of infection causing Ludwig angina. Ludwig angina is a serious bacterial infection that affects the floor of the mouth and can rapidly spread to the neck and chest. The infection is usually caused by bacteria that originate from a dental infection, such as a tooth abscess or gum disease. Symptoms of Ludwig angina include swelling of the neck and tongue, difficulty breathing and swallowing, and fever. Treatment typically involves antibiotics to fight the infection, as well as drainage of any abscesses or infected tissue. In severe cases, hospitalization and supportive care may be necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have pain in penis after ejaculation. during erection and ejaculation the is increased blood flow to entire penis to the extent of 20 times more than normal that results in congestion of entire penis this is a natural process and the pain is the result of this congestion. which remains for 30 minutes to 1\u00a0hour and gradually gets subsided, please chatbot. this will help to relieve pain."
Please summerize the given abstract to a title,Diagnosis of heart diseases by a secure Internet of Health Things system based on Autoencoder Deep Neural Network
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient if your knee feels unstable and loose after fall possibility of ligament tear is highly likely. since your x-ray is normal i would advise mri of involved knee to confirm diagnosis.  take visit to radiology center nearby you and get it done. if it shows ligaments tear you need to consult expert arthroscopic surgeon nearby you and get yourself examined.  if report is normal you need not worry and wear knee cap for 2 weeks and then start physiotherapy.  all the best.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as she has been crying and holding back of her neck several times and having static tone of her neck while playing then she might be having some stretching or sprain of ligaments of neck or stretching of muscles. you may use medications like paracetamol or ibuprofen for pain relief. but, it would be better to consult orthopedic surgeon. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, after going through your medical query i understand your concern and would like to tell you that this report is indicating significant blockage in heart arteries which need a treatment asap to prevent any unpleasant cardiac event. artery requires to be either by coronary stenting or bypass, so kindly consult a cardiologist personally for timely treatment. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,D: Subdural hematoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hello &, i had gone through the case and found that this is the case of post traumatic stress disorder. do not worry, it is curable. for proper sleep and lowering the anxiety level, start doing yoga and chakra meditation. it helps to reduce the anxiety level and feel you relax, balancing the brain chemical. so learn the yoga and meditation under guidance. by doing the exercise your medicine requirement will reduce. hope my answer will be effective for you. for learning yoga and meditation, you can discuss further with me. thanks, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, phaeton is a progesterone hormone that is commonly prescribed to support early pregnancy and to relax the uterus. it is preferably used to prevent threatened and habitual abortion (associated with proven progesterone deficiency). it is not related to a thyroid problem, it is safe hence can be taken as prescribed by her doctor. hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,"Always take suicide attempts and threats seriously.
About one-third of people who try to commit suicide will try again within 1 year.
About 10% of people who threaten or try to commit suicide will eventually kill themselves.
The person needs mental health care right away. Do not dismiss the person as just trying to get attention."
Answer this question truthfully,"Adenosine deaminase is usually an auxiliary test if tuberculosis is suspected in the patient.  ADA is used for diagnosing tuberculosis in endemic countries where TB diagnostic procedures are expensive. ADA isoenzymes are more accurate. For both pleural TB and TB meningitis, ADA has a high degree of sensitivity.
This is a heterogeneous group of tests that use polymerase chain reaction (PCR) to detect mycobacterial nucleic acid. These test vary in which nucleic acid sequence they detect and vary in their accuracy. The two most common commercially available tests are the amplified mycobacterium tuberculosis direct test (MTD, Gen-Probe) and Amplicor (Roche Diagnostics). The CDC recommends that NAA testing should be performed on a respiratory specimen from each patient with signs and symptoms of active pulmonary TB disease for whom a diagnosis of TB is being considered (i.e., TB suspect), but has not been established. NAA testing does not replace the need for AFB smear and culture. All current guidelines and recommendations for culture-based testing should remain in effect, especially recommended turn around times for culture and DST. A single positive NAA test result can support the diagnosis of TB in a patient for whom there is a reasonable index of suspicion. This result should trigger reporting to public health officials, initiation of treatment if not already started, and intensified efforts to obtain an isolate for drug susceptibility testing. In a patient with little suspicion of having active TB, a single positive NAA test result should be viewed with suspicion (i.e., a possible false-positive result) and interpreted in the same way as a single culture-positive result, i.e., by correlating the results with other diagnostic findings. A single negative NAA test result should never be used as a definitive test to exclude TB, especially in suspects with a moderate to high clinical suspicion of TB. Rather, the negative NAA test result should be used as additional information to aid in making clinical decisions to expedite a work-up for an alternative diagnosis or to prevent unnecessary use of TB treatment in suspects with a low clinical suspicion.. The FDA -approved NAA tests for TB have slightly less sensitivity than culture-isolation methods, and the 15% to 20% of U.S. TB cases that are reported with negative culture results may also have negative NAA test results. Thus, a negative NAA test result does not exclude the diagnosis of TB. Further research is needed before specific recommendations can be made on the use of NAA testing in the diagnosis of TB in children who cannot produce sputum and in the diagnosis of extrapulmonary TB, although there is much anecdotal evidence of the utility of such testing in individual cases."
Please answer with one of the option in the bracket,B: Administer positive pressure ventilation
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot read your query as you have swelling in gums due to infected 2nd molar and partially erupted wisdom tooth this condition is said as peritonitis. for this i will suggest you to consult oral surgeon for examination of oral cavity and iowa x-ray of wisdom tooth. if it is impacted then go for extraction and treatment of 2nd molar. inmeantime do warm saline rinses 2 - 3 times a day, do betadine rinses that will give you relief in pain. consult oral surgeon and go for curettage of gum around wisdom tooth. hope this will help you."
Please summerize the given abstract to a title,Research co-design in health: a rapid overview of reviews.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello ravi whiskey intake is not ok for you since you are diabetic having high cholesterol and high blood pressure with previous history of smoking and presently alcohol you are at the high risk of heart attacking my opinion you should visit a planetologist for prescription of medicines for diabetes continue with medicines for bp and high cholesterol complete abstinence of alcohol is required in your caesar with regular physical exercises and diet control of 1800 cathode this answers your question you can ask me the direst question i will happily answer you wishing you good health
Please summerize the given abstract to a title,Assessment of a Crowdsourcing Open Call for Approaches to University Community Engagement and Strategic Planning During COVID-19
Please summerize the given abstract to a title,Emotional Creativity Improves Posttraumatic Growth and Mental Health During the COVID-19 Pandemic
Answer this question truthfully,"What are some of the most common pathological changes that may be seen on a biopsy of a pilocytic astrocytoma, such as the presence of Rosenthal fibers, which are eosinophilic, corkscrew fibers that stain GFAP (+), and how can these findings be interpreted in the context of other clinical and imaging data to help diagnose and classify the tumor? Additionally, what are some of the treatment options available for managing pilocytic astrocytomas, and how can these interventions be tailored to the specific needs and circumstances of each patient, such as tumor location, size, and grade, as well as the patient's age, overall health, and preferences?"
"If you are a doctor, please answer the medical questions based on the patient's description.","cough is a reflex to help you bring out secretions built up in lungs. it is uncomfortable and painful if it is making you breathless. usually it takes 1- 2 weeks based on immunity of the person to cure oneself of infection. there are cough suppressants to get reliefbenzonatate pearls to take thrice daily for two days and then twice when cough reduced. cough lozenges finger honey lemon flavors, stress also quite helpful. you need to avoid triggers that cause attacks of respiratory infections like dust smoke pollution exposing to infected persons. take precautionary antihistamines to prevent allergens."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question and understand your concerns. let me try to help you question"
Please summerize the given abstract to a title,[Reticular and Golgi glycosylation: Advances and associated diseases].
Answer this question truthfully,"Poliovirus is transmitted through the fecal-oral route. This means that the virus is passed from the feces of an infected person to the mouth of another person. The most common source of infection is contaminated water or food, particularly in areas with poor sanitation and hygiene. When a person consumes food or water that has been contaminated with Poliovirus, the virus can multiply in the intestines, leading to symptoms of polio. These symptoms can range from mild flu-like symptoms to more severe paralysis, and can be life-threatening in some cases. To prevent the spread of Poliovirus, it is important to practice good hygiene, such as washing hands frequently with soap and water, and ensuring that food and water sources are clean and safe. Vaccines are also available to prevent polio, and are recommended for all children as part of routine immunization schedules."
"If you are a doctor, please answer the medical questions based on the patient's description.","here it's good that there is no much issue showing in your mri, ct scan report, as well your blood report is also normal. but since pain is there that means somewhere something in wrong. i get many patient like this kind of problem since i am a physio. and my general observation is most of this are not maintaining good posture while working, as well this all patient they have never done any exercise for spine. and in your case also i suggest you to consult physiotherapist with all your report and take guideline on work related posture, what are the right posture to work in sitting, standing etc. as well take a complete exercise program for improving strength and stamina of your spine. few basic things while sitting and working is"
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for posting your query.  i need to know your age and since how long you are having these problems.  few possible causes are
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mam welcome to chatbot mam you are rh-ve and the 1st baby was rh\u2019ve, and you had taken anti d injection after the birth of 1st baby right,.so no sensitization had taken place with the babies blood.secondly for the second time you have miscarriage,mam for miscarriage this is not the reason,it might be other causes like genetic hormonal or your infections but not due to rh incompatibility no need to panic and no need to check antibody status.you can plan for a pregnancy, no need to worry.hope you will understand my suggestion,if you are still in dilemma consult gynecologist for the cause of miscarriage and take precautionary measures for not getting again miscarriage... no need to worry about anti d status(if you have been given anti d for the first pregnancy). thank you chatbot."
Answer this question truthfully,"The management of acute liver failure involves resuscitation of the patient with adequate nutrition and optimization of fluid balance, monitoring and treating the complications and providing nutritional support. The patient should be treated in an appropriate setting preferably a center with liver transplantation facility. Infections and sepsis are common occurrences of fulminant liver failure. The high standards of infection control should be practiced to minimize the nosocomial sepsis. The diagnosis of hepatic injury in hyperacute cases can be a challenge as jaundice can be minimal during that period and confusion or agitation may be the dominant findings. In acute liver failure, the sedative medications should be used with caution as they may mask the worsening encephalopathy and the hepatic clearance may be decreased which can aggravate the sedative effect. However, the short-acting benzodiazepines in low dose can be used during agitation. In acute liver failure patients, opioids are avoided as they decrease the seizure threshold. H2 receptor blockers and proton pump inhibitors are indicated to prevent and treat stress gastropathy. In stage 3 and 4 encephalopathy, intubation and mechanical ventilation are indicated. Acetylcysteine is used for acetaminophen poisoning for up to 72 hours after ingestion. It can dramatically improve the outcome if administered within eight hours of acetaminophen ingestion. The patients with acute liver failure may not have a clear history of acetaminophen intake. Therefore, the threshold for administering acetylcysteine should be low and can also be administered in an acute liver failure of unknown etiology. Every effort should be made to seek out the specific cause of acute liver failure since specific treatments are available for some causes of acute liver failure. However, inappropriately prolonged investigations may make surgery impossible because of progression of sepsis and multiorgan failure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you are having spontaneous bouts of vertigo followed by nausea and vomiting and this has been chronic for the past 8 years i would be concerned for something on the order of deniers disease or other problem of the inner ear complex.  i think that a neurobiologist would be the perfect specialist for you to see.  if i were ordering an imaging study then, i would want both an mri of the head, an mra of the head and neck.  and a high resolution of the internal auditory canal (iac) with gadolinium contrast. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Caffeic Acid on Metabolic Syndrome: A Review
My daughter has menkes syndrome and would like to know how to go about. Thx,"Researchers have identified more than 150 mutations in the ATP7A gene that cause Menkes syndrome. All of these mutations prevent the production of functional ATP7A protein. As a result, the absorption of copper from food is impaired, and copper is not supplied to certain enzymes. The disrupted activity of the ATP7A protein causes copper to be poorly distributed to cells in the body. Copper accumulates in some tissues, such as the small intestine and kidneys, while the brain and other tissues have unusually low levels. The decreased supply of copper can reduce the activity of numerous copper-containing enzymes, affecting the structure and function of bone, skin, hair, blood vessels, and the nervous system. The signs and symptoms of Menkes syndrome are caused by the reduced activity of these copper-containing enzymes."
Answer this question truthfully,"Sympathetic innervation causes relaxation of the smooth muscle in the conducting airways of the lung. The sympathetic nervous system is one of the three parts of the autonomic nervous system, which regulates involuntary functions such as heart rate, respiration, and digestion. When the sympathetic nervous system is activated, it causes the release of the neurotransmitter norepinephrine, which binds to beta-adrenergic receptors on the smooth muscle cells in the airways. This leads to the activation of cyclic AMP, which causes relaxation of the smooth muscle and dilation of the airways. This response is important for increasing airflow to the lungs during physical activity or in response to stress. However, excessive sympathetic activation can lead to airway hyperresponsiveness and contribute to the development of asthma or other respiratory disorders."
Please summerize the given abstract to a title,Continuance intention to use digital payments in mitigating the spread of COVID-19 virus
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... i suggest you to kindly get your back investigated thoroughly... once the root cause for the radiating pain is pointed out then it will be very easy to treat...nowadays, sciatica can be treated easily.don't worry ... i recommend you keep icing your back and butt area frequently to reduce the pain... wear a lumbar support if you have that will give an external support for you to help reduce spasm... take rest...as irritation gets subsided with proper rest...don't bend forward...don't lift any weights...for some time... once pain permits. gently stretch your low back...glute. hamstrings.calf muscles... once pain intensity comes down then...start core and glute stability program... hope this information help you... do revert in case you need any further clarification...."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking quarry. as for stomach infection zero is good choice. but now you are saying she is having urinary tract infection, and you must treat it. what are the urine reports if any, and also get one usg done if urine reports are suggestive. though augmenting is not good choice for urinary tract infection. start antibiotics only after urine report of microscopy and culture. hope this is helpful."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. it is very common to present with atypical symptoms in this age group. if all your investigations comes out to be normal, and you are able to play well and able to enjoy everything than it is just a somatic complaint which can be ignored. but if your symptoms persist, or you have any change in mood and enjoyment level and have stressors you may need to get evaluated for depression as these can features of depression with somatic complaints is common in this age group. need detailed evaluation by a psychiatrist for mistake care"
Answer this question truthfully,"Aortic aneurysm was first recorded by Antyllus, a Greek surgeon, in the second century AD. In the Renaissaince era, in 1555, Vesalius first diagnosed an abdominal aortic aneurysm. The first publication on the pathology with case studies was published by Lancisi in 1728. Finally, in 1817, Astley Cooper was the first surgeon to ligate the abdominal aorta to treat a ruptured iliac aneurysm. In 1888, Rudoff Matas came up with the concept of endoaneurysmorrhaphy."
Please answer with one of the option in the bracket,E: Methionine
"If you are a doctor, please answer the medical questions based on the patient's description.","odessa is a combined pill for contraception. spotting is a side effect of odessa. your concerns are on spotting, fear of pregnancy and vaginal discharge. if you have been regular with your medications then the chances of pregnancy are practically nil. the vaginal discharge and spotting could be a side effect of odessa. however, it could also be due to a low grade infection in the vagina and the cervix, mouth of the uterus. so, you need to get an examination done and a vaginal smear examination, and then plan the treatment. graves disease chatbot.  so please get a blood count done. depending on the above, if there is no infection then the pill needs to be changed to a higher dosage. lastly please tell the doctor that you are on pills as the blood levels of the thyroid hormones can be affected by the hormones. let me know if this was helpfulthank you j wanda"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that you might be having some hormonal changes at this pre menopausal stage giving this problem. there might be having osteoporosis due to low estrogen level producing generalized body ache, muscle pain and stiffness in the joints. take calcium. vitamin a and d supplements. consult gaec and get examined for requiring hormonal therapy. go for regular walking, swimming exercises. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of coughing up of blood which seems to be due to upper respiratory tract infection leading to bronchitis/ granular pharyngitis. need not worry. i would suggest you to do warm saline gargles and take steam twice a day. avoid use of sharp and spicy food substances. avoid cold carbonated beverages. your symptoms will resolve in 1 week. if symptoms keep son persisting you should consult ent specialist and take proper treatment. you should get x-ray chest done along with pulmonary function tests. doctor may prescribe antibiotics amoxicillin for at least for 5 days along with decongestant. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Future complications include cholangitis and a 2% risk of malignancy, which may develop in any part of the biliary tree."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. well, if this is related to movements and exercise then it is likely to be muscular pain if not or there is nausea, vomit fever or stool changes, then it may indicate intra-abdominal causes such as chronic appendicitis, diverticulosis, ibs or some less common diagnoses. in latter case, you should do colonoscopy or abdominal ct scan to rule it out. i hope i have answered you query. kindly regards. wish you a good health."
Please summerize the given abstract to a title,Democracy and the Covid-19 Pandemic. a Cross-country Perspective within Cultural Context
Please summerize the given abstract to a title,Cytotoxicity evaluation of environmentally friendly synthesis Copper/Zinc bimetallic nanoparticles on MCF-7 cancer cells
"If you are a doctor, please answer the medical questions based on the patient's description.","first clarify if you are forgetting after you do the activities with absolute concentration or is it just that the activities you do habitually that you forget. with age and increase in responsibilities people are mostly preoccupied by higher level activities because of which they fail to focus on simple things that is done habitually. increased stress level further adds to the intensity of the problem. but in rare cases it may be some physiological disorder also. so first consult a clinical psychologist to evaluate your attention and concentration, stress levels and memory quotient using standardized tests. then decide about what intervention should be done to overcome this problem regor. manojclinical psychologistrmanojcp@gmail.com"
Answer this question truthfully,"Phenoxybenzamine is a medication that acts as a non-selective irreversible adrenergic receptor antagonist. Specifically, it blocks the effects of both α1 and α2 adrenergic receptors in the body, which can help to lower blood pressure and manage certain medical conditions. Unlike reversible antagonists, which can be displaced by other molecules, irreversible antagonists like phenoxybenzamine bind permanently to the receptor and cannot be easily removed. This can make them more effective in certain situations, but also means that their effects may be longer-lasting and harder to reverse if necessary. As with any medication, it is important for patients to be aware of the potential risks and benefits of phenoxybenzamine and to follow their doctor's instructions carefully."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome to chatbot. based on the facts of your query, you seem to suffer from-early acne, which is developing and regressing with body defenses over last 24 hrs. your story event is very specific to suggest this. hope this reply would help you to plan further treatment with your doctors. contact with a followup premium question to me. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. suggests good day!!  chatbot. s. genl-cvts"
Please summerize the given abstract to a title,Spezielle ophthalmologische Schutzmaßnahmen in der COVID­19­Pandemie./ [COVID-19 preparedness in ophthalmology]
Please summerize the given abstract to a title,Ocular manifestations of a hospitalised patient with confirmed 2019 novel coronavirus disease
Please summerize the given abstract to a title,New insights on the antiviral effects of chloroquine against coronavirus: what to expect for COVID-19?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. i suppose that your doctors are talking about esophageal or gastric varices bleeding which is late consequence of liver cirrhosis.  this is serious issue and may be fatal in30% of cases. however, in most cases bleeding is stopped with endoscopic procedures but liver problems remains and should be treated with liver transplantation as a permanent cure. quitting alcohol is the most important thing that of course, if the damage isn't to too severe already. but as i said, at this point it is most important to stop bleeding and stabilize her viral function. later, other surgical or endoscopic methods may be considered to prevent internal bleeding and liver failure in the future. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
Answer this question truthfully,"Goiter is a condition characterized by an enlarged thyroid gland, and it can be associated with both hypothyroidism and hyperthyroidism."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...it could be a fungal infection of the scalp. this is a quite common phenomenon. i suggest you get in touch with a pediatric dermatologist or there is another option - skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. she will require oral and topical antifungal medications based on severity. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,"The medical term for this type of second degree AV block is Mobitz type II AV block. In Mobitz type II AV block, some of the electrical impulses that control the heartbeat are blocked between the atria and ventricles, resulting in dropped beats. Unlike Mobitz type I AV block (also known as Wenckebach AV block), which is characterized by a progressive lengthening of the PR interval before a dropped beat, Mobitz type II AV block is not preceded by a change in the PR interval. Mobitz type II AV block is generally considered to be a more serious condition than Mobitz type I, as it can progress to third degree (complete) heart block and may require treatment with a pacemaker."
Please summerize the given abstract to a title,SARS-CoV2 and pregnancy: An invisible enemy?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i appreciate your concern regarding hair fall. hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, chatbot. from your description, it seems you might be having halogen effluvium, which is hairball secondary to stress. if i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like cbc, blood sugar, thyroid function test. some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. i would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(q era etc.). i would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. avoid combing in wet hair and let them"
Answer this question truthfully,The most potent risk factor in the development of multiple endocrine neoplasia is family history of multiple endocrine neoplasia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, increased heart rate & palpitations can have a lot of causes. it can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. for the diagnosis, you need to do ecg at the time of palpitation & tachycardia. if the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ecg monitoring (holder monitor). you also need to do a 2d echo & thyroid function test to see for any associated abnormality if any."
Please summerize the given abstract to a title,"The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there is pain in your back and leg. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,"Laryngeal papillomatosis is caused by the human papillomavirus (HPV) types 6 and 11. Laryngeal papillomatosis is a rare condition in which benign tumors grow on the larynx, or voice box. The condition is caused by the human papillomavirus (HPV), specifically types 6 and 11. HPV is a common virus that can be transmitted through sexual contact, but laryngeal papillomatosis is typically not related to sexual activity. The condition can cause hoarseness, difficulty breathing, and other respiratory problems. Treatment usually involves surgical removal of the tumors, but the condition can recur and require multiple surgeries. Vaccines are available to prevent infection with HPV types 6 and 11, which can help reduce the risk of developing laryngeal papillomatosis."
Answer this question truthfully,"The normal average pH of arterial blood is approximately 7.4. pH is a measure of the acidity or alkalinity of a solution, and arterial blood is slightly alkaline with a pH ranging from 7.35 to 7.45. The body tightly regulates blood pH through various mechanisms, including the respiratory and renal systems, to maintain proper acid-base balance. Abnormal blood pH levels may indicate underlying medical conditions, such as metabolic acidosis or alkalosis, and can have serious health consequences if left untreated. It is important to note that the normal range for arterial blood pH may vary slightly depending on the laboratory and method used to measure the levels."
Answer this question truthfully,"Rentrop classification is helpful to define the collateral circulation of CTO. Rentrop et al. proposed the system below to grade collateral filling of recipient arteries: 
No visible filling of any collateral channels.
Collateral filling of branches of the vessel to be dilated without any dye reaching the epicardial segment of that vessel (ie, right coronary artery injection showing retrograde filling of septal branches to their origin from the left anterior descending artery, without visualization of the latter occluded artery).
Partial collateral filling of the epicardial segment of the vessel being dilated.
Complete collateral filling of the vessel being dilated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello renee, welcome to the forum. you have a very common problem that is faced by many women postpartum. do not worry. it is nice to know that you have already recovered and doing fine. i think it is time for you do start your regular exercises under an expert. you can even perform yoga under the supervision of an expert adviser. take calcium and mineral tablets and food rich in vitamins anti-oxidants, fiber and low in lipids and carboy chatbot.  look to your posture, never lean forward while working or standing. take care of yourself. a hormone called relaxing secreted (in excess) during childbirth may be a cause of your backache. as your hormone balance gets back to normal you will get fine. yes, you need to see your gynecologist and get clinically examined and have all investigations and radiology done to rule out any causative factor which may be responsible for the pain. you need routine blood tests to rule out generalized weakness.  have good day, take care."
Answer this question truthfully,"Yes, with normal aging there is typically an increase in residual volume. This is due to changes in the elasticity of the lungs, which can make it more difficult to fully exhale all of the air in the lungs. This increase in residual volume can lead to a decrease in the amount of air that can be inhaled during each breath, which can result in shortness of breath and a decreased ability to exercise. It is important for older adults to maintain good respiratory health through regular exercise, avoiding exposure to pollutants, and getting recommended vaccinations to prevent respiratory infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern and would explain that your symptoms could be related to trigeminal neuralgia (which would explain the shock like pain in the face). but, trigeminal neuralgia would not explain the pins and needles in both your hands. that is why, i would recommend consulting with a neurologist for a careful neurological exam. some blood lab tests are also needed"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have been diagnosed to have end stage renal disease (esd) with your serum creatinine being 11 which is very higchatdoctorpared to normal value of serum creatinine (1.2).esd is a progressive disease and persistent high levels of creatinine will lead to hypertension and hepatomegaly failure. you should consult qualified nephrologist for assessment and start dialysis at frequent and regular intervals to keep your creatinine levels at acceptable minimum levels. there is no risk involved in dialysis and has to carry on regularly till you are prepared for renal transplant. with creatinine level of 11 you can opt for transplant now itself if matching donor is available. chatbot.
Please summerize the given abstract to a title,Sialic acid-binding immunoglobulin-like lectin 9 as a potential therapeutic target for chronic obstructive pulmonary disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query, you have symptoms of severe hair loss which seems to be due to nutritional deficiencies, systemic conditions, compromised immunity of the body, genetic factor, fungal infection and hormonal changes. need not worry. i would suggest you maintain complete hygiene and take biotin supplements. you should consult a dermatologist for proper examination. the doctor may order skin patch test, blood test and physical examination. wait for biopsy results and start treatment accordingly. keep your scalp chatbot.  take indian gooseberry powder with water once a day and use olive for massage. hope your concern has been resolved. best wishes,"
Please summerize the given abstract to a title,"Comparison of Multisystem Inflammatory Syndrome in Children-Related Myocarditis, Classic Viral Myocarditis, and COVID-19 Vaccine-Related Myocarditis in Children"
Please summerize the given abstract to a title,"Persistence, Impairment, Disability and Unmet Treatment of Lifetime and 12-Month Anxiety Disorders in Black Men and Women, 50 Years of Age and Older"
Answer this question truthfully,"The COEIN mnemonic is used to remember the non-structural causes of vaginal bleeding, which are coagulopathy, ovulatory dysfunction, endometrial problems (endometriosis), iatrogenic (IUD), and not yet classified."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of cholecystectomy, current experience of abdominal pain and cystic findings on ultrasound. may i ask where specifically is the cyst located? is it in the liver area? post-operative pain/discomfort usually occurs, even after several years of surgery, but the pain is tolerable and spontaneously resolving. if your symptom is persistent and getting more frequent, it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. it may be coming from the cyst if it is located in your liver (especially if it is increasing in size). diagnostics (such as ct-scan, tumor markers, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!!~ chatbot."
Answer this question truthfully,"The standard treatment options for a breastfeeding woman with acute mastitis are analgesics, continued breastfeeding, and antibiotics.

Acute mastitis is a common condition that can occur in women who are breastfeeding. It is characterized by inflammation of the breast tissue, which can cause pain, redness, and swelling. The standard treatment for acute mastitis typically involves a combination of analgesics to manage pain, continued breastfeeding to help clear the infection and maintain milk flow, and antibiotics to treat the underlying bacterial infection. It is important for women with acute mastitis to continue breastfeeding, as this can help to prevent the condition from worsening and may also help to reduce the risk of recurrence. In addition to these treatments, women with acute mastitis may also benefit from rest, hydration, and warm compresses to help relieve pain and discomfort."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you can wait for one more week and then do a pregnancy test again.  if you have taken naturalist, it supports the implantation.  so, if you are pregnant it will support this. if you are not pregnant, it will induce the periods.  so, you will get your periods within 1 to 2 weeks if you are not pregnant.  aspirin also helps in implantation and prevents abortions.  you can try 2 more cycles of gui.  the chance of pregnancy in one cycle of gui is 10 to 15 percent only. take some medicines like camphene and some injections also for the growth of your follicles so that 2 or 3 dominant follicles are there in 1 cycle. talk to your doctor regarding this.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. it might have been useful if you had also mentioned the cause of the hematoma. usually it is a head injury, but rarely there can be a vascular malformation, coagulation issues or medications. i'll assume its head injury, the common cause. if your question is for the next few weeks i recommend to wait for a month after surgery before flying again, or at least till control ct scan. if you mean in the long term there is no reason not to fly again once the remaining blood has been absorbed, you can resume your work. i hope to have been of help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you had blunt chest trauma. this can lead to lung contusion, pneumothorax, rib fractures or simple musculoskeletal pain. all these can cause chest pain and breathing difficulty. so better to consult a doctor and get done a clinical examination of the respiratory system and chest x-ray. if the chest x-ray is normal then no need to worry much.  apply warm water pad on affected areas of chest, shoulder and neck. avoid heavyweight lifting and strenuous exercise. avoid sudden jerky movements of neck and shoulder. take simple painkiller and muscle relaxant chatbot.  don't worry, you will be alright with all these.  hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Towards universal health coverage: lessons learnt from the COVID-19 pandemic in Africa
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your husband has anemia. he should go for complete blood count and peripheral smear examination. if needed go for complete anemia profile. first search the cause of anemia and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
could tetanus be a cause of death?,Tetanus is an infection of the nervous system with a type of bacteria that is potentially deadly
"If you are a doctor, please answer the medical questions based on the patient's description.","hithis is post-operative sternal incision scar pain caused due to incomplete injury to the nerves which keep on firing on & off. but then blocking these nerve endings is quite difficult as all the major organs are situated in this area. please apply some local anesthetic gels containing lidocaine(which is quite safe), added with topical painkiller gels(like diclofenac), or simple moisturizing creams will also help sometimes. just try to ignore the pain. all the best take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hii have gone through your problem and i can understand your problem. many a time this kind of patient attend my clinic. as your hiv is -ve and as well as test for syphilis is also -ve.than possibilities are there it may be a bacterial infection or a fungal infection. your urine report will tell the pus cell in urine as well as it will also clear the status of bacterial infection. so you need not worry. whether it is bacterial or fungal both can be treated with antibiotics or antifungals. regards
Answer this question truthfully,Hemangioblastomas have normal capillary architecture.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","seizures are controllable disease and needs proper treatment. death can occur only if seizure is not controlled and causes cardiorespiratory arrest, i mean choking, severe breathlessness. always take fast steps whenever you get the attack. you have not mentioned your type of epilepsy and severity. but if it is not very recurrent and severe then chances of complications and death are very rare. relax and follow your doctors' advice. i hope i answered your query. wish you good health."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  from your given history i recommend less medical treatment for your baby breastfeeding, so you may begin with bed rest, relaxing, avoid heavy lifting, vigorous movements, hot massaging with topical gels, muscle relaxants patches, painkillers only when needed, slabbing or wearing wrist support will receive your pain will be effective if not visit your physician for proper evaluation. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
Answer this question truthfully,"Abdominal pain that is greatest in the upper abdomen (upper left quadrant or upper middle of the abdomen) Is persistent or chronic May be worse lying flat on the back. May spread (radiate) to the back or below the left shoulder blade. May be worse after eating or drinking (occurs within minutes following meals), especially foods with a high fat content. May be worse after drinking alcohol. Anxiety Fever Mild jaundice Nausea and vomiting Sweating
Other symptoms that may occur with this disease:
Indigestion Clay-colored stools Gaseous abdominal fullness Hiccups Skin rash or lesion Swollen abdomen
Diseases with similar symptoms include:
Gallstones Pancreatic cysts Pseudocysts Chronic pancreatitis"
Please summerize the given abstract to a title,Problematic Drug Use Among Outpatients With Schizophrenia and Related Psychoses
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i would recommend you to get x-ray of the hand as soon as possible because i think that you fractured your finger that time and as you have not got it reduced in proper position there is deposition of the calcium in bone leading to these symptoms. other cause can be collection of soft tissue and fluid. if there is only collection of the blood than soon it will dissolve. you need to take hot water fomentation and antibiotics. if there is hard lump and calcium deposition than it may need surgery. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hectare tablets can be used once or twice a day for up to 2 to 3 months. but the following measures should also be done. tablet alone cannot increase milk production. eat at least one serving of leafy green vegetables in a day. include foods like ghee, pomegranate, carrots, barley, cumin seeds, garlic, apricots and oatmeal on your meal. massage the breasts for a while before feeding every time...this is supposed to increase the milk flow. feed your baby well, atleast once every 2 hours. the more you feed more will be the milk produced. feed for longer so that your baby gets enough of fore milk and hind milk which is richer in fat.don't take any stress and tension. sleep when the baby sleeps. eat well and feed your baby well. hope i have answered your query. let me know if i can assist you further. regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Dynamic changes of Chest CT follow-up in Coronavirus Disease-19 (COVID-19) pneumonia: relationship to clinical typing
Please summerize the given abstract to a title,"Effects of Race, Workplace Racism, and COVID Worry on the Emotional Well-Being of Hospital-Based Nurses: A Dual Pandemic."
Answer this question truthfully,"Capacity is a clinical term that refers to an individual's ability to make decisions about their healthcare, finances, and other important matters. It can be assessed by physicians and mental health professionals. Competence, on the other hand, is a legal term that refers to an individual's ability to make decisions in a legal context, such as standing trial or signing a contract. It can only be determined by a judge."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote i feel that they could be spontaneous bruising due to a bleeding disorder or a simple allergy like urticaria. but if he is otherwise active i do not think you should worry about it. i want to tell you one important thing - skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please answer with one of the option in the bracket,A: Partially occlusive dressing
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you are mostly having anxiety related symptoms only. but better to rule out obstructive sleep apnea (osa) first. because osa is having same symptoms like gasping for air in sleep with tachycardia. so get done sleep study first. if it is normal then no need to worry about osa. you are mostly having anxiety related symptoms only. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and work on its solutions. avoid stress and tension. be relax and calm. don't worry, you will be alright. you may need anxiolytic chatbot."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Integrating Praxis Through the Research Process: Caregivers for Older Americans During the COVID‐19 Pandemic
what are autoimmune blood disorders,"An autoimmune disorder occurs when the body's immune system attacks and destroys healthy body tissue by mistake. There are more than 80 types of autoimmune disorders. The blood cells in the body's immune system help protect against harmful substances. These substances contain antigens. The immune system produces antibodies against these antigens that enable it to destroy these harmful substances. When you have an autoimmune disorder, your immune system does not distinguish between healthy tissue and antigens. As a result, the body sets off a reaction that destroys normal tissues."
Answer this question truthfully,"Benzodiazepine use in the elderly may be associated with paradoxical agitation, which is a potential adverse effect that can cause confusion and aggression within one hour of use. This effect is more common in older adults and may be related to changes in the brain's sensitivity to benzodiazepines. Paradoxical agitation can be particularly concerning in elderly patients who are already at risk for falls, injuries, or cognitive impairment. Therefore, benzodiazepines should be used with caution in this population, and alternative treatments for anxiety or insomnia should be considered whenever possible."
Please answer with one of the option in the bracket,C: 11%
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. physical exercise is good for health. there is a variant of asthma known as exercise induced asthma, if you get asthma attack during exercise, in that case you need to take bronchodilator medication before starting exercise, and you can do exercise depending on your strength. consult your physician for dosage adjust me.t of medications during exacerbation of asthma attack. hope this helps you. regards"
Answer this question truthfully,"Pulmonary MDR-TB can cause permanent lung damage if not treated early. Medicines used to treat MDR-TB may cause side effects, including:
Liver damage Changes in vision Orange- or brown-colored tears and urine Rash"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you something. arterial hypertension in divided in two types. what we call essential hypertension and secondary hypertension. secondary hypertension usually happens in young ages. it means that it is a secondary factor that cause hypertension, a renal disease, an endocrinological factor etc. finding and treating this factor might resolve the hypertension. the essential hypertension has not an identifiable factor. it is a chronic disease. it has not a cure that ends, but it should be treated all live. in your case, i think we are dealing with essential hypertension. so, it is mandatory for you to take the tablets in regular way all time. if you stop the medications your blood pressure will be high again. the only thing you can do is to regularly monitor the blood pressure values and discus the doze and type of medication with your doctor, but not stop them. if you have controlled values with your actual treatment you should continue with them. hope i was helpful. wish you good health. best regards."
Answer this question truthfully,"WikiDoc Resources for Diversion colitis Articles Most recent articles on Diversion colitis Most cited articles on Diversion colitis Review articles on Diversion colitis Articles on Diversion colitis in N Eng J Med, Lancet, BMJ Media Powerpoint slides on Diversion colitis Images of Diversion colitis Photos of Diversion colitis Podcasts & MP3s on Diversion colitis Videos on Diversion colitis Evidence Based Medicine Cochrane Collaboration on Diversion colitis Bandolier on Diversion colitis TRIP on Diversion colitis Clinical Trials Ongoing Trials on Diversion colitis at Clinical Trials.gov Trial results on Diversion colitis Clinical Trials on Diversion colitis at Google Guidelines / Policies / Govt US National Guidelines Clearinghouse on Diversion colitis NICE Guidance on Diversion colitis NHS PRODIGY Guidance FDA on Diversion colitis CDC on Diversion colitis Books Books on Diversion colitis News Diversion colitis in the news Be alerted to news on Diversion colitis News trends on Diversion colitis Commentary Blogs on Diversion colitis Definitions Definitions of Diversion colitis Patient Resources / Community Patient resources on Diversion colitis Discussion groups on Diversion colitis Patient Handouts on Diversion colitis Directions to Hospitals Treating Diversion colitis Risk calculators and risk factors for Diversion colitis Healthcare Provider Resources Symptoms of Diversion colitis Causes & Risk Factors for Diversion colitis Diagnostic studies for Diversion colitis Treatment of Diversion colitis Continuing Medical Education (CME) CME Programs on Diversion colitis International Diversion colitis en Espanol Diversion colitis en Francais Business Diversion colitis in the Marketplace Patents on Diversion colitis Experimental / Informatics List of terms related to Diversion colitis
Diversion colitis is an inflammation of the colon which can occur as a complication of ileostomy or colostomy, often occurring within the year following the surgery. It can also occur in a neovagina created by colovaginoplasty, sometimes several years after the original procedure.
In many milder cases after ileostomy or colostomy, diversion colitis is left untreated and disappears naturally. If treatment is required, possible treatments include short-chain fatty acid irigation, steroid enemas and mesalazine.
Template:WH Template:WS"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello !  thank you for the question on chatbot! i understand your concern. in my opinion the troubles you have may be related to a peripheral neuropathy. it usually starts only in the feet but pain and paresthesia occur during rest and movement. i would recommend you to consult a neurologist, have a good neurological examination and a full blood work. an electroneurography would be very helpful for the examination or peripheral nerves. hope to have been helpful! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. that loud sound while swallowing is mostly due to burping and belching office gas from the stomach. this is normal and can be seen in gastritis. but more important thing than this sound is blood in stool. this is known as dysentery and most common cause for this is intestinal infection. other causes anal piles, anal fissures. gastric ulcers etc. so better to consult gastroenterologist and get done 1. upper gis copy for gastritis and gastric ulcer 2. anal and rectal examination for piles and fissures. don't worry, with appropriate treatment, you will be alright. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Calcium.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you feel that it is an urticaria or a simple skin allergy or an eczema. but, skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please answer with one of the option in the bracket,E: Aldosterone
Please answer with one of the option in the bracket,C: Coagulation studies and blood typing/crossmatch
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for posting at chatbot. i have gone through your history. tb infections of the lung even after complete treatment leave scar marks (fibrosis) on the lungs. it is like a wound on the skin which heals with medications but wound scar persist. so wit every tb infection, part of the lung gets scarred or fibrosis. this scarring causes a decrease in the long capacities.  this doesn't cause immediate problems but with age the problems may become apparent. it may cause breathlessness, cough and fast heart rate. fast heart rate is not a direct result but occurs due to breathlessness and cough. i recommend you do a pulmonary function test which requires you to blow forcefully onto a machine which calculates your lung volumes. another cause of tachycardia and chest pain can be angina or heart issues. please do an ecg, 2/d echo and treadmill test to evaluate for a heart problem. please revert with the above tests. wishing you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mrs. uma john warm welcome to chatbot.come have evaluated your query in depth.* this is in relation with age related changes with weak immunity of the lungs.* headache and internal trembling need to be evaluated with certain basic lab tests, eyesight evaluation with or without ct scan of the brain according to the clinical signs.* i personally do not know about holistic medical center in delhi, but if you want i can assist you through my some colleagues settled in delhi for practice, if your desire can contact me at bhagyeshvpatel@yahoo.com for that assistance. hope this will help you for sure. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having blunt chest trauma. and this can cause rib fracture, pulmonary contusions, pneumothorax, musculoskeletal injury etc. all these causes cough. so better to get done chest x-ray first. if chest x-ray is normal than no need to worry much. you are having musculoskeletal injury only. you may need antihistamine chatbot.  start painkiller and muscle relaxant"
Please summerize the given abstract to a title,Anatomy Revisited: Hemodialysis Catheter Malposition in the Left Ascending Lumbar Vein.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you have been regular with your birth control pills in this cycle, your chances of conception are very minimal. your symptoms could mean an impending period. to clarify about your status of being pregnant or not, you can get an assessment of the serum beta-chatdoctor titles now or wait for your next period and go for a hpt 3-7 days later if you miss it. urinary tract infections also can lead to similar symptoms of abdominal cramps and hence urinalysis also is essential in the current scenario. hope this helps."
Answer this question truthfully,"Osteomyeltis must be differentiated from other diseases that cause ostealgia, edema, and erythema, including soft tissue infection (commonly cellulitis or erysipelas), Charcot arthropathy, osteonecrosis, gout, fracture, bursitis, and malignancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the history you seem to be suffering from an inflammatory condition called ankylosing spondylitis for which your doctor has prescribed the treatment. generally, these chatbot.  however, the following side effects may occur"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi asia, looking at your symptoms, i can comment as follows. improvement through nutrition could take minimum of 15-20 days to start and more than a month to show improvement. hemoglobin should be normal during pregnancy and delivery too as blood loss can be seen. instant improvement is only through blood transfusion using packed red cells. i would not advise you now, and wait till delivery. transfusion reactions can occur and complicate pregnancy. discuss with your doctor regarding keeping matched blood ready for transfusion on emergency. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough systemic assessment is advised. as you have cardiac issue, and you are overweight the swelling is because of venous insufficiency. due to lack of blood to flow back from the lower limbs to the heart this kind of swelling is common. also, the urination of more in the night is because of reducing the water content in the body. which is a normal process. i will advise to perform regular exercises under the supervision of a physical therapist as it will help further to reduce the weight and also improve the cardio endurance. swelling will also be controlled as the venous insufficiency will be improved. in my clinical practice i recommend my patients with physical therapy, and they respond well. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot in postmenopausal whenever bleeding occurs, you are right cancer should be evaluated but let me know you for that first pelvic usg examination needs to be done... then endometrial curettage and histopathology examination or pap smear like investigation done..... bleeding might be associated with uterine prolapse as well... for that surgical management can be done. hence, evaluate your mother bleeding by nearby gynecologist and discuss your case hope your concern solved"
Please summerize the given abstract to a title,Challenges with healthcare workers' protection during the COVID-19 pandemic in Iran
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should consult ent doctor and get done nasal endoscopic examination to rule out chronic sinusitis. because greenish, blood mixed mucus suggest possibility of 1. fungal sinusitis 2. nasal polyps 3. early cancer 4. chronic bacterial sinusitis. so nasal endoscopy is must for the diagnosis. you should also get done culture of nasal secretions for the diagnosis of causative organism. so consult ent doctor and first diagnose yourself and then start appropriate treatment steam inhalation 5-6 times a day."
Please summerize the given abstract to a title,Challenges of Using Instant Communication Technology in the Emergency Department during the COVID-19 Pandemic: A Focus Group Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, no, there is no chance of pregnancy if you had sexual intercourse on 1st and 2nd day of your period since it was not your ovulation period. if 30th november is your 1st day of your period then 1st december was your 2nd day of your period right. unwanted 72 can also delay your periods or can cause irregular periods. side effects of pill vary from one person to other, it is not necessary to have side effects of pill."
Answer this question truthfully,"Pre-empt - identify malnourished patients Monitor electrolytes and replace as appropriate. Check levels both before and during feeding as serum levels may be normal despite depletion of total body stores; levels only fall as feeding starts Phosphate Potassium Magnesium Gentle refeeding, starting at 75% of requirements and building up over 3-5 days If symptoms of refeeding syndrome, stop feeding (eg stop TPN) or reduce to 50-75% requirements, and supplement phosphate."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. i advise you to consult oral surgeon and get done clinical examination of oral cavity.you're all symptoms are suggestive of either1. cancer2. bacterial infection. so biopsy from the large swelling and histopathological examination is needed to diagnose and rule out cancer. so consult oral surgeon and discuss all these.
Answer this question truthfully,"Physical exam in TSS patients usually include these findings:   
TSS is presented by its shock symptoms. May be ill appearing in the early stages of the disease, progress to confusion and change in mental status by disease progress.
High grade Fever Hypotension Systolic blood pressure of ≤90 mmHg for adults or less than fifth percentile by age for children <16 years of age, which may be unresponsive to fluid infusion even large amounts of isotonic intravenous fluids Tachycardia As a result of shock and hypotension Tachypnea May be pressent as a result of pulmonary edema secondary to shock
Diffuse pruritic maculopapular rash with palm and soles desquamation Erythroderma Superficial ulcerations Petechiae Vesicles Bullae (specially in Streptococcal TSS) Skin desquamation (apears weeks after disease onset) Non-pitting edema Hair and nail loss
Cyanosis
Ophthalmoscopic exam may be abnormal with findings of conjunctival - scleral hemorrhage Hyperemia of oropharyngeal mucosa
Wet rales due to pulmonary edema complication
Possibly a diastolic gallop (S3) due to pulmonary edema
Non-pitting edema Can develop as a result of increases in interstitial fluid
Patient is usually oriented but if the disease is not diagnosed, it can lead to altered mental status and confusion Hyporeflexia can be seen as a result of associated hypocalcemia / hypophosphatemia Muscle cramps (as a result of hypocalcemia, a contributing complication of renal failure) Seizure"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the fluid of sex organs and tiny glands which are situated in the way of urine tube come out from penis. this is not semen. the smell of the fluid and consistency may be like semen. this comes usually while straining during defecation. this is very common thing and happens to 60 to 70 percent of men. this is not a disease or does not suggest sexual inadequacy. it does not need medicines. so, do not feel disappointed. you may read that syn chatbot.  wish you best health. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"The disease may start quickly and be very serious, or it may stay mild and not need special treatment.
In most people, steroids or splenectomy can totally or partially control anemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, paint fumes can cause acute allergic reaction in airways. so these fumes can cause bronchospasm and this in turn causes chest tightness, breathing difficulty, coughing etc. so better to inhale fresh air and get out from that room and sleep in other room. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","recurrent fever with headache with history of 2 episodes of sore throat suggest your child is probably suffering from sinus infection, otis media, post streptococcal disorder etc. get your child examined by ent specialist who will do detailed examination of hypopharynx and ear along with some blood tests to find exact cause of succhatdoctorplaints. for further queries regarding this disease or its medications you may take my appointment at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi....by what you quote i feel that the kid might be having a bleeding disorder, either congenital or acquired... mostly congenital, considering the age of presentation. the bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. your grandchild needs evaluation and i suggest you take her to the nearest emergency room as soon as possible. this i am suggesting because - if the kid has a spontaneous bleeding like this internally, as she might require emergency blood products. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the itchiness of scalp may be due to seborrhea dermatitis most probably. the lesions in thighs and buttocks may be related with this problem. exact cause is not known. yeast like satyriasis oval may be responsible. stress, worries and anxiety might exacerbate the disease. the hair loss can occur in seborrhea dermatitis. you consult dermatologist for firm diagnosis. he might give antifungal like ketoconazole, antihistaminic like levocetirizine and steroids in tampering dose. and he may advise applying mild steroid lotion on scalp and cream on thigh and buttock lesions. and shampoo the scalp with ketoconazole containing shampoo. avoid stress and worries. have patience for the good result. i hope you got my answer. thanks."
Please answer with one of the option in the bracket,B: Leuprolide
Answer this question truthfully,Proper antibiotic treatment of a patient who has been diagnosed with lyme disease can reduce the probability of acrodermatitis chronica atrophicans.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your quarry. lymphoma is the last thing to think of in your age. your pain in testicles may be caused by hernia. any infection, genital and systematic can cause inguinal lymph nodes swelling. if pain persists you should do ultrasound of this lump with needle aspiration. if you are sexually active you should consider std. all in all, in most cases this is nothing serious. wait few more days and see is there any improvement, if not, do further test.wish you good health."
Answer this question truthfully,"A maculopapular rash is a type of skin rash that is characterized by flat, red spots (macules) and raised, red bumps (papules). This rash is a common symptom of measles, a highly contagious viral infection. The rash typically develops 1-2 days following the prodromal symptoms of measles, which can include fever, cough, runny nose, and red, watery eyes. The rash usually begins on the face and then spreads to the rest of the body over the course of several days. The spots and bumps may merge together to form larger patches of redness and may be accompanied by itching. The rash is a hallmark symptom of measles and is usually one of the last symptoms to appear before the illness resolves."
Please summerize the given abstract to a title,Boots for Achilles: progesterone's reduction of cholesterol is a second-order adaptation.
Please summerize the given abstract to a title,Family member incarceration and coping strategies during the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","if you have an internal infection likely pyelonephritis, sometimes the infecting organism can be found in the blood.  i suspect that this was likely the case for you so whatever bacteria caused the pyelonephritis was also the one found in your blood.  typically, treatment for pyelonephritis with antibiotics would also be sufficient for bacteremia (bacteria in your blood).  far and away, e. coli is the most common bacteria that causes pyelonephritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, it would have been more informative if you had posted the complete hologram report. a high white blood cell count along with loss of weight is suggestive of leukemia however, you have mentioned that the blood reports are not showing up leukemia. increased frequency of flu like symptoms and break out in hives suggests some viral infection.however, it is difficult to diagnose the condition on the basis of history alone. a clinical examination of the hives (skin lesion) and their histopathological examination is required. you need to consult a dermatologist at the first hand to know the nature of skin lesions. thanks and take care chatbot."
Answer this question truthfully,"The law is named after the two physiologists, Otto Frank and Ernest Starling who first described it.
Long before the development of the sliding filament hypothesis and our understanding that active tension depends on the sarcomere's length, in 1914 Ernest Starling hypothesized that ""the mechanical energy set free in the passage from the resting to the active state is a function of the length of the fiber."" Therefore, the initial length of myocardial fibers determines the work done during the cardiac cycle."
Please summerize the given abstract to a title,When a city must be a tree: rethinking the spatial approach to fighting epidemics based on the notion of ‘intermediate confinement’
Please summerize the given abstract to a title,"Advanced nursing practice and interprofessional dementia care (InDePendent): study protocol for a multi-center, cluster-randomized, controlled, interventional trial"
Answer this question truthfully,"Common causes of bladder cancer include:
Chemotherapy
The chemotherapy drug cyclophosphamide may increase the risk of bladder cancer.
Radiation treatment
Women who had radiation therapy to treat cervical cancer have an increased risk of developing bladder cancer.
Bladder infection
A long-term (chronic) bladder infection or irritation may lead to a certain type of bladder cancer."
Please summerize the given abstract to a title,"Anxiety, depression, and related factors in pregnant women during the COVID‐19 pandemic in Turkey: A web‐based cross‐sectional study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. headaches during pregnancy are common and associated with hormonal imbalances, in your case this could be the cause, or it could be a migraine headache. i would think that a hormonal cause is more likely, and if that is the case then we cannot really do much about it until you deliver. i am sure you already know that we cannot really prescribe pain medication for you, and as you are close to your term you should be rid of them really soon. wishing you loads of luck and congratulations in advance. best wishes."
Answer this question truthfully,"Acute rheumatic fever most commonly affects children 2 - 3 weeks after an episode of streptococcal pharyngitis (""strep throat"")."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. acute breathing difficulties can be due to acute bronchitis or asthma. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). you may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). do warm water gargles and steam inhalation 4-5 times a day.don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,The submucosal (Meissner's) plexus of the gut wall primarily controls secretion and blood flow.
Please summerize the given abstract to a title,Antiviral Activity of Peptide-Based Assemblies
Please summerize the given abstract to a title,GASTRO-CADx: a three stages framework for diagnosing gastrointestinal diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for writing to us, there are various patterns of presentation of ms if your symptoms are progressive and repeated then you should consult your doctor again and do require investigation. you can do the spinal tap spinal fluid analysis holds important clues in diagnosis. you can do evoked potential tests for multiple sclerosisthis painless test measures electrical activity in the brain to help diagnose ms. this can also be due to cervical spine disc bulge leading to arm symptoms. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. you probably did right in giving her ben chatbot.  if the kid is having intense pain abdomen or joint pains or strider or breathing difficulty, then you take her to the nearest emergency room. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. . low back pain could be due to spinal anesthesia, heavy lifting, overweight, vigorous movements, bad sleeping postures, sciatica due to nerve compression etc.  i may recommend painkillers like advil tab when needed, hot massages with topical gels, muscle relaxants, b12 vitamin supplementation with some physiotherapy and spinal straightening exercises will be effective for most of the cases. if pain persist i suggest x-ray and mri for proper evaluation and management. please click and consider a 5-star rating with some positive feedback if the information was helpful. wish you good health, any further clarifications feel free to ask."
Answer this question truthfully,"According to the 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea, common risk factors along with causative pathogens of diarrhea include the following: 
Foodborne outbreaks in hotels, cruise ships, resorts, restaurants, catered events  Shigella, Vibrio cholerae, Bacillus cereus, Staphylococcus aureus, nontyphoidal Salmonella, Clostridium perfringens, Campylobacter, ETEC, Listeria, Norovirus, Rotavirus, Cryptosporidium, Cyclospora cayetanensis Consumption of unpasteurized milk or dairy products  Salmonella, Campylobacter, Brucella (goat milk cheese), Coxiella burnetii, Yersinia enterocolitica, S. aureus toxin, Cryptosporidium, Listeria, Mycobacterium bovis Consumption of raw or undercooked meat or poultry  C. perfringens (beef, poultry), EHEC (ground beef), Salmonella (poultry), Calcivirus (oysters), Campylobacter (poultry), Vibrio (oysters), Yersinia (pork, chitterlings), S. aureus (poultry), and Trichinella (pork, wild game meat) Consumption of fruits or unpasteurized fruit juices, vegetables, leafy greens, and sprouts Hepatitis A, Listeria monocytogenes, Nontyphoidal Salmonella, Cyclospora, Cryptosporidium, Norovirus Consumption of undercooked eggs Salmonella, Shigella (egg salad) Consumption of raw shellfish Hepatitis A, Vibrio species, Plesiomonas, Norovirus
Swimming in or drinking untreated fresh water  Giardia, Campylobacter, Cryptosporidium, Salmonella, Shigella, Plesiomonas shigelloides, Aeromonas Swimming in recreational water facility with treated water   Cryptosporidium Exposure to house pets with diarrhea Campylobacter, Yersinia Exposure to pig feces in certain parts of the world Balantidium coli Contact with young poultry or reptiles Nontyphoidal Salmonella Visiting a farm or petting zoo Cryptosporidium, Campylobacter
Age group Birth- 3 months: Nontyphoidal Salmonella 6–18 months: Rotavirus 1–7 years: Shigella Young adults: Campylobacter Adults >50 years with a history of atherosclerosis: Nontyphoidal Salmonella
Immunocompromised individuals Nontyphoidal Salmonella, Yersinia, Shigella, Cryptosporidium, Campylobacter Hemochromatosis or hemoglobinopathy Salmonella, Y. enterocolitica AIDS, immunosuppressive therapies, homosexual men, transplant recipients Cytomegalovirus, Mycobacterium avium–intercellulare complex, Cryptosporidium, Cyclospora, Cystoisospora, Microsporidia, HIV
Drug side effects  Broad spectrum antibiotics Immunosuppressants Antifungals
Recent antimicrobial therapy and hospitalization  C. difficile Multidrug-resistant Salmonella Rotavirus
Anal - genital, oral-anal, or digital-anal contact Shigella, Giardia lamblia, Campylobacter, E. histolytica, Cryptosporidium and sexually transmitted infections, Salmonella Healthcare, long-term care, prison exposure, or employment Norovirus, Clostridium difficile, Shigella, Cryptosporidium, Giardia, Rotavirus Day care Rotavirus, Cryptosporidium, Giardia, Shigella, Norovirus, Calcivirus, Campylobacter Travel to endemic areas, poor sanitation and crowding  Escherichia coli (enteroaggregative, enterotoxigenic, enteroinvasive), Shigella, Typhi and nontyphoidal Salmonella, Campylobacter, Vibrio cholerae, Aeromonas, Plesiomonas, Rotavirus, Norovirus (Cruise ship diarrhea), enteric Adenovirus, Entamoeba histolytica, Cryptosporidium, Blastocystis, Giardia, Cyclospora, Cystoisospora"
Please summerize the given abstract to a title,Tumor necrosis factor and interferon: cytokines in harmony
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this shows a chorionic collection, which has slightly increased since the previous scan of 7 weeks. this usually indicates that there is a slightly 10% increased chances of miscarriage. which is why the above medications have been given to you. do not worry as many of these collections resolve and women generally have a normal pregnancy, with a few having a slight increased chance of preterm delivery. hope this helps. regards."
Please summerize the given abstract to a title,Monoclonal antibodies to the ORF5 product of porcine reproductive and respiratory syndrome virus define linear neutralizing determinants.
Answer this question truthfully,"The following factors increase the risk for pressure ulcers:
Being bedridden or in a wheelchair Being older Being unable to move certain parts of your body without help, such as after a spine or brain injury or if you have a disease like multiple sclerosis Having a chronic condition, such as diabetes or vascular disease, that prevents areas of the body from receiving proper blood flow Having a mental disability from conditions such as Alzheimer's disease Having fragile skin Having urinary incontinence or bowel incontinence Not getting enough nourishment (malnourishment)"
"If you are a doctor, please answer the medical questions based on the patient's description.",nick in intestine means there is peritonitis due to irritation of infective material leaks from intestine. a exploratory laparotomy is needed to correct that. recovery depends on that during surgery what is condition of intestine. if nicked part is healthy they can repair it but if it is not healthier than they need to take it out to abdominal wall and wait till i become healthy. after that need to do 2nd surgery to repair and replace that part
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thank you for using chatbot. i would say that your blood pressure is back to normal, the treatment is doing good. about your triglycerides level we say that's a patient has a high triglycerides level when it's more than 200 mg / dl. the chatbot.  the next step is to check you blood triglyceride after 2 months of treatment. reduce fatty food in the diet, do exercises.lose weight. check the liver every 3-6 month. if the triglycerides levels are high your treating doctor will change the dosage of reflex, or you may start anotheredication like statins."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms could be related to an infected tooth and the spread of an abscess. check for an broken tooth, bubbles along the gum and sensitivity to pressure and hot temperatures. a dentist can take an x-ray to evaluate tooth roots and confirm a diagnosis. take some anti-inflammatory medication such as tylenol or advil. you may need a prescription antibiotic if an abscess is present. you may grind your teeth and cause similar symptoms. a night guard purchased over the counter may help you determine if this is a factor. i recommend a dental exam and fabrication of a professionally made, custom fit night guard if needed. thank you for your inquiry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes it will be possible for her to have a baby. her present blood component levels look normal. opinion of a hematologist should be taken regarding type and dose of chatbot. hematologist will also guide us in regard to dynamics here. aplastic anemia patient can definite ask for dose adjustment of the medicines before pregnancy. also, hematology opinion, which i can't get it checked snd vulnerably"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i have studied your case with diligence. as per your history and injury pattern there can be persistent tear of ankle ligament leading to pain and swelling. instability may increase due to laxity of ligament. i will advise doing mri ankle for soft tissue involvement. till time, you can continue use supportive splint or brace. physiotherapy like ultrasound and tens will help in early healing. persistent pain after ankle injury is common and may take 6 months to heal. if there is complete ligament tear on lateral aspect then arthroscopic ankle ligament repair can be done. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no, you will not make your wife pregnant with pus cells in the semen. pus cells in the semen is suggestive of infection. i advise you to first clear the infection from the semen otherwise you will never become pregnant. infection has some antibodies in the semen this makes the sperm to bound to the antibody. result is stern will not be able to reach the ovum. once your infection is clear sperm becomes motile and will reach to the ovum timely. so you make your wife pregnant. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. the pain and other symptoms suggests acute abscess. if you are not currently pregnant you can take diclofenac(if you are not allergic to any medicine). if you are pregnant now, you can take only paracetamol, any other medicine should be taken only if your dentists prescribes for you. please visit your dentist and get the tooth treated after having a radiograph done. have your teeth cleaned and maintain your oral health well, so you may have no more major issues. hope this was of relevance for you. thanks and regards."
Please answer with one of the option in the bracket,"A: Yes, glargine insulin is a long-acting insulin and should still be given to control his blood glucose over the next 24 hours."
Please summerize the given abstract to a title,Disposition to home or acute rehabilitation is associated with a favorable clinical outcome in the SENTIS trial.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot anxiety symptoms in your case could be due to hyperthyroidism. in that case, you have to consult an endocrinologist or physician to control your thyroid profile. atenolol is antihypertensive and that would help to control blood pressure. in your case, treatment depends upon the cause. if anxiety is due to thyroid, then there is no need to take antidepressant. rest, you can consult your doctor. in case, you need further help, you can ask. thanks"
Answer this question truthfully,"CVID, or Common Variable Immunodeficiency, is a medical condition that affects the immune system and can lead to recurrent infections. It is a primary immunodeficiency disorder, which means that it is caused by a genetic or developmental problem with the immune system. CVID typically presents in adults, although it can also affect children. Symptoms of CVID may include recurrent infections of the respiratory tract, sinuses, and ears, as well as gastrointestinal problems and autoimmune disorders. Treatment for CVID may include immunoglobulin replacement therapy, which involves infusing the patient with antibodies to help boost their immune system, as well as antibiotics and other medications to manage infections and other symptoms."
Answer this question truthfully,"Hypersensitivity pneumonitis is a type of autoimmune reaction that can occur in response to inhaled organic antigens, such as those found in bird droppings or moldy hay. This condition can cause inflammation and damage to the lungs, leading to symptoms such as coughing, shortness of breath, and chest tightness. In some cases, hypersensitivity pneumonitis can also generate granulomas, which are small clusters of immune cells that can form in response to the antigen exposure. Treatment for this condition typically involves avoiding the offending antigen, as well as medications to manage inflammation and other symptoms."
Answer this question truthfully,Eclampsia is seizures (convulsions) in a pregnant woman that are not related to a preexisting brain condition.
Please summerize the given abstract to a title,Diabetic foot and COVID-19. Medical consultation and severity of lesions compared to 2019.
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for using chatbot i think u have a lot of sexual misconception. if you are thinking that your weakness is due to masturbation, then it is wrong. masturbation is just like sex even safer than sex. it would cause any impotency or problems. what you are feeling is due to your misconception about masturbation. all this could be improved if u consult a psychiatrist for proper sex education. if u need our help, u can connect us. thanks"
Please answer with one of the option in the bracket,C: Atrioventricular septal defect
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer the letter of option truthfully,C
Answer this question truthfully,Which organ produces factors of the coagulation cascade in an inactive state? The liver.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatbot i understand your concerns but don't worry. newborns are prone to variations in frequency, consistency and color of stools. this occurs due to immature bowel, castro colic reflux and growing gut flora. so, don't worry. just feed her regularly with exclusive breast milk without any water or other pacifiers. if the stools are not red, black or clay colored and baby is active, alert, feeding well with urination at least 6-8 hours daily, then there is nothing to worry about. hopefully this will be helpful. i would be happy to help you in any further questions. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. from your description, you do not seem to be having psoriasis. it sounds more like an infective etiology which could be fur uncles or an abscess. zyou need to take a course of antibiotics like amoxicillin or cephalexin. you could also try hot compresses for symptomatic relief. psoriasis presents with painless and sometimes itchy scaly patches on the knees, elbows, back and scalp. they are not painful and do not ooze. hope this helps you. take care."
Please summerize the given abstract to a title,"Non-competitive interactions between hydroxychloroquine and azithromycin: systematic density functional, molecular dynamics, and docking calculations"
Please summerize the given abstract to a title,Follicular Dowling-Degos Disease with Hidradenitis Suppurativa: A Case Report and Review of the Literature.
Answer this question truthfully,"Patients with renal osteodystrophy present with calciphylaxis due to high serum phosphate binding with Ca2+, leading to metastatic deposits and lowered serum Ca2+."
"If you are a doctor, please answer the medical questions based on the patient's description.","continue to follow proper brushing and flossing techniques to spotless all parts of your teeth and mouth. use a soft bristled toothbrush. this will result in less toothbrush abrasion to the tooth surface and less irritation to your gums. brush gently and carefully around the gum line, so you do not remove more gum tissue. frequent consumption of highly acid foods can gradually dissolve tooth enamel and lead to dentin exposure. they may also aggravate the sensitivity and start the pain reaction. daily use of a fluoridated mouth rinse can decrease sensitivity. ask your dentist about available products for home use. get professional tooth cleaning, oral hygiene instructions, and fluoride treatments every six months (or sooner depending on your condition)."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you felt like fainting during your walk. that could mean so many problems. please do not self diagnose. if you are sure that these are caused by stress and anxiety, then fine. otherwise, if you are not sure, please consult a physician and let him diagnose. fresh air is always good for health, and it shall calm you. but it happens only when you are not anxious. if you are anxious about going out itself, then such a step shall trigger panic attacks. i am not interested in guiding you. please consult a physician soon. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","the pain is due to the strain of muscles of the back. also, the back pain n body pains may affect u because u feel bad about the act. so think it's a normal thing then u don't feel many pains. and about to stop masturbating, if u feel you're having repeatedthoughts of it and feeling bad about it later den u may be having obsessive compulsive disorder.  it will get controlled by using medications usually ssri."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorrabies is a vaccine-preventable viral disease which occurs in more than 150 countries and territories. infection causes tens of thousands of deaths every year, mostly in asia and africa.40% of people who are bitten by suspect rabid animals are child chatbot. dogs are the source of the vast majority of human rabies deaths. immediate wound cleansing and immunization within a few hours after contact with a suspect rabid animal can prevent the onset of rabies and death. i would strongly suggest you to complete the whole course of anti-rabies injections. if the dog is not rabies infected, then there is nothing to be worried about. it's important to get completely vaccinated because it protects your child completely and also in case he is exposed again later in life the number of injections will reduce to just 2 in number. for any further questions, do contact us."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion it is not a side effect of penicillin. it is likely to be the other lower urinary tract infection. penicillin side effects are very serious side effects, it may be life-threatening. it won't cause simple bleeding streak in urine. you can do grams staining, culture and sensitivity from the urine. once the report is available you can start the treatment accordingly. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Please summerize the given abstract to a title,652 Using implementation science to understand teledermatology during the COVID-19 pandemic
Please summerize the given abstract to a title,Correlation between cytokines and coagulation-related parameters in patients with coronavirus disease 2019 admitted to ICU
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there is no such side effect of humor causing such a symptom. if you are taking certain antidepressants, it can cause ed or painful erection.  sometimes, when there is uti, it can cause painful erections. you are suggested to visit a gp, get physically examined.  you will have to get urinalysis (r/e & c/s) done. furthermore, you may have to get some blood tests done. if sexually active, get std tests done. get assessed & treated at the earliest. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from the symptoms you are telling, problem is in your lower vertebra(lower back). these symptoms usually arise from disc prolapse or compression and usually occur in old age. for the pain you have to take pregabalin and it b12 injections you should start sleeping on hard surface. but if you have come to me, i should have advised you to go for mri lumber spine. because it will show level of nerve compression if any. once there is compression of nerve to level 1 and 2,you have to start physiotherapy along with symptomatic treatment and if its level 3 then treatment of choice will be surgery. do consider positive feedback as a credit to my work let me know if you have any further questions."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. sticking out tongue and blowing spit bubbles in a 3-year-old is not a sign that he has been molested. it is a myth. it has probably originated in old times because at this age, kids are not usually aware of molestation, and they cannot know if they are or have been molested. so when they stick tongue out and make spit bubbles, the myth makes parents to be aware regarding the surroundings of their kids and stay conscious regarding the molestation. age 3 is the age when mouth and teeth grow actively and this produces excessive saliva in kids. the kids tend to make bubbles out of this excess saliva as a game. you can explain the child that these are not good manners and should be stopped. there is really nothing to worry about. i hope this information helps you. thank you for choosing chatbot. take care. best,"
Answer this question truthfully,"Preventive options include: Calcium restriction, reducing the risk for facial trauma by the avoidance of combat sports, avoidance of smoking that may further worsen the cardiovascular pathologies and reduction of hypocoagulable medications that may worsen hemorrhage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of severe pain under the left rib cage, i would come up with three possibilities, these include"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your serum creatinine level is not very high. so it is not a cause of worry. your creatinine level is 1.2. it is normal. you should continue your all medication for lipid control & hypertension. no need to worry about creatinine. it can be slightly increased by many non-specific cause like exercise. so just repeat your creatinine level after a month. just be relaxed. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to this forum. can understand your concerns. it is usually seen that boys speak later than girls. boys who are alone or firstborn child where there is no other child to play with are all so late speakers. there are certain conditions in which the child speaks late like if proper teeth are not present at the age of 2 years. at the age of 2 years, around 16 to 18 teeth are present which are very helpful in speaking. it is also seen that child chatbot.  so, we should provide calcium and multivitamin supplements to this kind of child. it is recommended, to put this kind of child"
Answer this question truthfully,"Chloramphenicol is an antibiotic that is commonly used to treat bacterial infections. It works by inhibiting the enzyme peptidyltransferase, which is responsible for forming peptide bonds during protein synthesis. By blocking this enzyme, chloramphenicol prevents the formation of new proteins in bacterial cells, ultimately leading to their death. This mechanism of action is particularly effective against bacteria that are rapidly dividing and growing, as it disrupts their ability to create the proteins necessary for survival and reproduction. While chloramphenicol can be highly effective in treating bacterial infections, it is important to use it only as directed and to be aware of potential side effects, such as gastrointestinal upset and bone marrow suppression."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your triglycerides level is high.  you should take low fat diet with high amount of polyunsaturated fatty acids. your mcv is slightly higher.  you should go for serum b12 level once. you may have it b12 deficiency. your rest all reports are normal. no need to worry. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. its unlikely that any hormonal issues can lead to this kind of problem. he should better get an mri scan of the brain. if there is any damage to the temporal lobe of the brain, mostly vascular, then it can happen. if the mri is normal then there is a chance that it could be a psychogenic amnesia. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking chatbot. with this presentation, i think the problem is coming from acid secretion in the stomach. it may be gastritis or peptic ulcer. i would advise you try antacids in association with another chatbot.  it would be important to do a certain laboratory test called h. pylori test to be sure that these bacteria is not the cause of this problem. if the test is positive, you would need a special combination of"
Please summerize the given abstract to a title,Estimation of exponential growth rate and basic reproduction number of the coronavirus disease 2019 (COVID-19) in Africa
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your resting heart rate is 40-50 beats /minute, possibility of heart block is more. normal heart rate is 70-90 beats /minute. but when there is problem in conduction of heart, there is delay in impulse transmission and hence, heart rate is low. this is low heart rate will cause less blood ejection infection systemic circulation. and this can will intern cause giddiness, dizziness, breathlessness etc. so better to consult cardiologist and get done clinical examination, blood pressure monitoring, ecg, 2d echo and holder monitoring (24 hours continuous recording of ecg) for the diagnosis of heart block. if you is confirmed heart block then you will need pacemaker insertion. don't worry, you will be alright. but first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"During 1986 to 1997, health departments and other diagnostic laboratories reported over 1200 cases of human ehrlichiosis to CDC. Approximately two-thirds were cases of HME. CDC compiles the number of cases reported by the state health departments. Ehrlichiosis is a nationally notifiable disease; however, not all state health departments have reported cases of ehrlichiosis to CDC (Figure 1). To ensure standardization across the country, a consistent case definition is used by all states when reporting cases to CDC.
Figure 1: Reported Cases of Ehrlichiosis in the United States

The occurrence of these diseases mirrors the geographic distributions and seasonal activities of the tick vectors. Most patients with ehrlichiosis are infected in the spring and summer when they are more commonly exposed to vector ticks. Accordingly, 80% to 90% of all ehrlichiosis cases occur between April and September, and approximately 55% to 70% of all cases occur during May through July (Figure 2). This period is the season for adult Amblyomma americanum and nymphal Ixodes scapularis ticks. A history of tick bite or exposure to tick-infested habitats is reported in 50% to 90% of cases.
Figure 2: Approximate seasonal distribution of HGE in the United States

Ehrlichia chaffeensis infections are most frequently reported from southeastern and midwestern states with abundant lone star tick populations, especially Arkansas, Florida, Georgia, Missouri, North Carolina, Oklahoma, Tennessee, Texas, and Virginia. Cases have been reported from almost every state in the United States, although some of these may have been imported from states where the disease is highly endemic.
The types of ehrlichiosis are distinct from several other well-described tick-transmitted diseases in the United States with respect to age-specific incidence (Figure 3). In general, reported rates of ehrlichiosis increase with age; most patients with disease appear to be older adults (most often >40 years old). This pattern contrasts with age-specific incidences of Lyme disease and Rocky Mountain spotted fever, which occur most frequently in children. Age-associated host factors may account for severity of disease; however, severe and even fatal ehrlichial infections have occurred in otherwise healthy young adults and children.
Figure 3: Average annual reported HGE rate (per 100,000) by age group, in NY and CT, 1995-1997

Most of the recognized HGE cases have originated from states that also have a high incidence of Lyme disease, particularly Connecticut, Minnesota, New York, and Wisconsin. This distribution is consistent with the fact that the vector of HGE, Ixodes scapularis, also transmits Borrelia burgdorferi. A number of other states have also reported HGE cases. In the western United States, the HGE agent is transmitted by the western blacklegged tick, Ixodes pacificus (Figure 4).
Figure 4: Areas where human ehrlichiosis may occur based on approximate distribution of vector tick species

Relatively few population-based investigations have pursued the fundamental question of how many persons become ill after infection with ehrlichiae. A study conducted in southeastern Georgia during 1987-1988 examined the incidence of E. chaffeensis infection among hospitalized patients with fever and determined an incidence of 5.3 cases per 100,000 total population per year. Passive surveillance data for these infections are also sparse, and are collected from relatively few regions of the United States where Ehrlichia species are endemic.
As of 1999, cases of ehrlichiosis must be reported to the state health department in at least 20 states (Alabama, Arkansas, Arizona, California, Connecticut, Delaware, Florida, Georgia, Kentucky, Maine, Michigan, Minnesota, Missouri, Montana, New Jersey, New Hampshire, New York, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, and Utah) (Figure 5).
Figure 5: States where Ehrlichiosis is a notifiable disease

Data from statewide laboratory-based surveillance initiated by New York in 1994 and by Connecticut in 1995 revealed annual reporting rates of ehrlichiosis of 0.4 and 1.8 cases per 100,000 persons, respectively. Foci of disease have been identified in defined geographical regions with reported annual rates as high as 16 cases per 100,000 persons for HGE and 31 cases per 100,000 persons for HME infection.
Ehrlichial pathogens are distributed globally, primarily in temperate regions. Patients with serologic evidence of infection with E. chaffeensis or, more likely, with a species antigenically related to E. chaffeensis have been identified in several other countries, including Argentina, Belgium, Israel, Italy, Mali, Mexico, Portugal, and Thailand. Similarly, human infections with E. phagocytophila have been confirmed in Belgium, Denmark, Hungary, Slovenia, and Sweden, and persons with antibodies reactive to granulocytic ehrlichiae have been identified in Germany, Israel, Italy, Norway, Switzerland, and the United Kingdom."
Please answer with one of the option in the bracket,E: Pick’s disease
"If you are a doctor, please answer the medical questions based on the patient's description.",you're 80 years old ...and there is a decline of renal function in order of 0.5ml/min/m2 /year after 40 years. considering the decline and the co morbid conditions like heart disease u have your kidneys are doing fairly well. so don't worry about ya creatinine levels. to stabilize it 1. eat vegetarian food (u can have egg whites)2. good bp control3.don't take painkillers4.don't use ayurvedic medications that will suffice n forget about creatinine.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi in the future, please avoid using such products on private ares s since they are very sensitive and prone to such harms. ((i would advise gillette - venus razor for woman - for bikini area s)as for the hives the best home remedy is ghee. wash the area with warm water (without using any soap) and pat the area chatbot.  do not rub vigorously. apply liberal amount of ghee (stored in the room temperature) and leave it. repeat procedure 2-3 times a day. you can also purchase-shathadoutha greta (ottawa or arya vienna sheila pharmacy) - which is a preparation made from ghee for varied skin conditions. oryastimadhu tail - a preparation made from oil - usually used for delicate area s. i hope this was helpful. warm regards"
Please summerize the given abstract to a title,"Designing a sustainable closed-loop pharmaceutical supply chain in a competitive market considering demand uncertainty, manufacturer's brand and waste management"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... by what you quote i feel what your kid could be having viral associated wheeze or multi triggered wheeze. i have a few questions for you -questions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, when do you get blackouts, in condition like getting up from sleeping or sitting position, if yes then its occurs in some individuals due to sudden chatbot.  in such case, needs a behavioral change.  if not, then you'll need to undergo some investigation like ecg, holder monitoring, echocardiography. there can be some familial cardiac causes.  get back with more information about the symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no, there is nothing to be related with anemia. but prevalence of infection is more in anemic person than usual ones. i advise you to start treatment with the vancomycin. it is the chatbot. you also have to take care for the anemia. anemia in you is of vitamin b12 origin. so you need to take both vitamin b12, folic acid and iron. please take the tablet of the above medicine under your doctors' guidance. please maintain good lifestyle habit. this can be achieved by good hygiene and exercise. this minimum effort will keep you away from the infections. i will be happy to answer your further concern on bit.ly/"
Answer this question truthfully,"The pathogenesis of hemothorax include     
Three mechanisms of bleeding in haemothorax:
Torn adhesion between the parietal and visceral pleurae. Rupture of neovascularized bullae as a complication of subpleural emphysematous blebs. Torn congenital aberrant vessels branching from the cupola and distributed in and around the bulla in the apex of the lung.
Ehlers-Danlos syndrome (EDS) forms part of a spectrum of genetically based connective tissue disorders that includes osteogenesis imperfecta. Vascular Ehlers-Danlos syndrome (EDS IV) is characterized by an alteration in the COL3A1 gene. This gene encodes type III collagen and The alteration of this type of collagen produces aneurysms and ruptures of vessels and organs that can lead to haemothorax.
Osler–Weber–Rendu disease, also known as hereditary hemorrhagic telangiectasia (HHT), is an autosomal dominant disease characterized by multiple cutaneous, systemic, and/or pulmonary arteriovenous malformations (AVMs). Bleeding from pulmonary lesions usually occur as hemoptysis and rarely as spontaneous haemothorax. There is an association between Osler-Weber-Rendu disease and bilateral heterochronic spontaneous hemothorax.
Coastal exostosis or Osteochondroma is an autosomal dominant hereditary abnormality and the most common benign thoracic bone tumor. It often presents singly or in multiple sites that can cause laceration of the lung and hemothorax.
Hemophilia A is a X-linked hereditary disorder of blood clotting that caused by the development of an inhibitor against coagulation factor VIII (FVIII). Hemophilia A manifests with early muscle and subcutaneous bleeding and rarely with haemothorax.
Glanzmann thromboastenia is an autosomal-recessive bleeding disorder characterized by a lifelong bleeding tendency due to abnormalities of the platelet integrin αΠbβ3 glycoprotein (GP) IIb; CD41/IIIa; CD61. Glanzmann thromboastenia usually presents with mucocutaneous bleeding such as easy bruising, purpura, gingival bleeding, epistaxis, menorrhagia, haemarthrosis, haematuria, intracranial and visceral hemorrhage are rare but even rarer is Spontaneous Haemothorax.
Type I neurofibromatosis (NF-1) or Von Recklinghausen's disease (VRD) is an autosomal dominant disease. This entity can affect any organ system and is characterized by skin tumors and abnormal cutaneous pigmentation. Pathogenetic mechanisms for vasculopathy associated with VRD are: (I) direct vascular invasion from adjacent tumors; and (II) vascular dysplasia with thickening and concomitant reduced the strength of the vessel wall and an aneurysm formation. There are other hereditary entities such as Loeys–Dietz syndrome, familial thoracic aortic aneurysm syndrome, or Shprintzen–Goldberg syndrome that are predisposed to aortic dissection and haemothorax."
Please summerize the given abstract to a title,What Is Laying the Groundwork Today for the Next Big Education Revolution?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. kidney stone can be prevented to considerable extent by simple measures - that are common for all types of stones.1. maintain adequate hy chatbot.  2. salt restriction.3.avoid nonveg protein as much as possible. 4. avoid urine infection5. citrate therapy. do stone analysis to determine type if stone. do basic urine report with culture, s.creatinine, cbc, s.calcium level, s.uric acid and pth level. with above test, we can rule out the common causes' fir stone formation. you can get back to me with these reports, or you can consult nearby nephrologist. i think this would be helpful to you. best wishes. tc."
Please summerize the given abstract to a title,Urban Bias and Learning in the Time of COVID-19: Evidence from Nigeria
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. thinking is a complex mechanism and your minds job is to think. if you allow you to think without having control over it, it will always wander into negative territories. you should train yourself to keep your thoughts under your control. cognitive therapy will help you in this case. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,CO-aVoID: coronavirus outbreak affecting variability of presentations to a local emergency department
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you need to first diagnose yourself before thinking of cancer. bronchitis and lower respiratory tract infection (leti) can also cause similar symptoms. both of these are more common than cancer and easily curable. so better to consult pulmonologist first and get done 1. clinical examination of respiratory system 2. chest x-ray to rule out lung infection (leti) 3. put (pulmonary function test) to rule out bronchitis. chest x-ray will also helpful in rule out cancer. so no need to worry about cancer, first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks."
Please answer the letter of option truthfully,B
what is the cause of the coffin lowry syndrome?,"Mutations in the RPS6KA3 gene cause Coffin-Lowry syndrome. This gene provides instructions for making a protein that is involved in signaling within cells. Researchers believe that this protein helps control the activity of other genes and plays an important role in the brain. The protein is involved in cell signaling pathways that are required for learning, the formation of long-term memories, and the survival of nerve cells. Gene mutations result in the production of little or no RPS6KA3 protein, but it is unclear how a lack of this protein causes the signs and symptoms of Coffin-Lowry syndrome. Some people with the features of Coffin-Lowry syndrome do not have identified mutations in the RPS6KA3 gene. In these cases, the cause of the condition is unknown. This condition is inherited in an X-linked dominant pattern. A condition is considered X-linked if the mutated gene that causes the disorder is located on the X chromosome, one of the two sex chromosomes. The inheritance is dominant if one copy of the altered gene in each cell is sufficient to cause the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot.... see mosquito bite can transmit certain infection like dengue, malaria, chikungunyalike febrile illness..... you feel feverish....so it could be febrile illness, or it could only be congestive symptom by viral infection..... symptomatic treatment done.... i would advise following investigation...-cbc -peripheral smear examination for parasites -liver enzymes estimation take paracetamol for fever... bena chatbot."
Please summerize the given abstract to a title,The outdoors as a contested leisure terrain
Please summerize the given abstract to a title,"Association between absolute eosinopenia and mortality in SARS-COV-2 infection on the 70+, a discussed observation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.welcome to chatbot .1. not to worry, almost every individual come across this phase.2. the thing is, it looks like you have not came across the relationship that's why you feel so.3. this is all in your head/thinking which making you to think this way. you are fit, and you will be fine.4. as long as you have no erectile dysfunction, you will get on. hope helped. anything to ask ? do not hesitate. thank you."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms seem to be related to a muscle or ligament issue. i suggest using anti-inflammatory medications such as acetaminophen to relieve the pain. i also suggest using cold compresses for local application and maintain the foot immobilized. a foot split would be helpful. if the symptoms continue, you should see an orthopedist. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i have gone through your question. your both reports are normal is suggesting \""un explained infertility\"", i would advise doing follicular scan for next 3 cycles starting from 9/10 day of your cycle and see whether clicked are developing or not. if not then take some follicular stimulating medicines after discussion with your gynecologist. hope i answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! you have a condition called a double collecting system. it is where in two passages of urine developed in your kidney instead of one. most of the time it is a normal variant and doesn't cause any symptoms. but since you have post void chatbot.  i suggest doing a program to check the status of your urinary system. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote it should be an urticaria or a simple skin allergy. you can use hy chatbot.  most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. if this happens, you can start using the same medicine, but i suggest you get the kid evaluated with your pediatrician. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,"Metonymies, metaphors and/or language reconsiderations for sustainability during COVID-19"
Answer this question truthfully,"In portal hypertension, the left gastric vein backs up into the esophageal vein, resulting in varices."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms. tongue bite is common with seizures, especially of the grand mal type. however, ear pain is not common. so, you should get examined by an ent doctor to exclude any ear related infection. as of now, you can take ibuprofen or diclofenac tablets for pain relief. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. first, the pus and discomfort you are feeling are because of the infected wisdom tooth. sometimes the food also gets lodged in between the flap and the tooth resulting in infection due to degradation of food there leading to pain and bad odor (halitosis). getting the pus removed again and again may not resolve your problem permanently if the tooth is infected. ideally you need to get the offending tooth extracted and the pus chatbot.  your dentist may take a x-ray of the area to confirm the diagnosis. meanwhile, you can start with antibiotics and anti-inflammatory"
Please answer with one of the option in the bracket,A: Administer 6 liters of intravenous crystalloids over the next 24 hours
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Lichen sclerosus and lichen simplex chronicus are both generally considered to be benign conditions. While they can cause discomfort and affect a person's quality of life, they are not typically associated with an increased risk of cancer or other serious health problems. Lichen sclerosus is a chronic inflammatory skin condition that can cause the skin to become white, thin, and wrinkled, while lichen simplex chronicus is a skin condition that causes thick, scaly patches to develop on the skin. Both conditions are thought to be related to an overactive immune system, although the exact cause is not known. Treatment typically involves the use of topical corticosteroids to reduce inflammation and itching, as well as other medications and lifestyle changes to manage symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you need to go to physician and should set your dosage of antihypertensive. excercise can control your blood pressure, but your blood pressure is too high, at this blood pressure anything can happen it may lead to life threatening complication. so consult your doctor and control your blood pressure first, then go for exercise like walking half an hour, cycling or swimming.etc.thanks for using chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of teething and fever along with that which is a very common occurrence. need not worry. i would suggest you to visit periodontist once and get complete intramural examination done. start treatment after complete examination. you should get soft toys for child to bite as it will relieve frustration. you should keep teeth buds of child clean by applying moist piece of cloth on them. avoid taking any outside food which irritates child. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear concerned., thanks for writing to us. in the first three trimesters and the last three trimesters vigorous movements of any kind affecting the fetus have to be avoided including lifting of weights/long bus/train journey/two-wheeler chatbot. this abnormal movements may dislodge the implanted embryo. in addition, sexual activity involving normal sex to be avoided as the prostaglandins present in the semen may precipitate the adverse effect i.e., abortion. the above precautions which applies for a normal pregnancy applies very well for ivf embryo as well. all the very best for a safe and healthy pregnancy. regards.,"
Answer this question truthfully,"Although a myxoma is not cancer, complications are common. Untreated, a myxoma can lead to an embolism (tumor cells breaking off and traveling with the bloodstream), which can block blood flow or cause the myxoma to grow in another part of the body. Myxoma fragments can move to the brain, eye, or limbs.
If the tumor grows inside the heart, it can block blood flow through the mitral valve and cause symptoms of mitral stenosis. This may require emergency surgery to prevent sudden death."
Answer this question truthfully,"Transcription occurs throughout the interphase of the cell cycle, which includes the G1, S, and G2 phases. During interphase, the cell is actively growing and preparing for cell division, and transcription is an essential process for the synthesis of new proteins and other molecules needed for this growth and division. In the G1 phase, the cell is in a period of growth and metabolic activity, and transcription is occurring at a high rate. During the S phase, DNA replication occurs, and transcription is necessary for the expression of the newly replicated genes. In the G2 phase, the cell continues to grow and prepare for mitosis, and transcription is still occurring to produce the necessary molecules for cell division."
Please summerize the given abstract to a title,"Internet of things for perishable inventory management systems: an application and managerial insights for micro, small and medium enterprises"
Please summerize the given abstract to a title,"The effects of COVID-19 on training within urology: Lessons learned in virtual learning, human factors, non-technical skills and reflective practice"
Please summerize the given abstract to a title,"Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: Update From the GBD 2019 Study"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The typical age at which a child will be able to sit up, transfer objects from hand-to-hand, babble, and experience stranger anxiety is around six months old."
Please summerize the given abstract to a title,Domestic violence in the coronavirus disease 2019 era: Insights from a survivor
Please summerize the given abstract to a title,Barriers to Follow Up Care in the South Asian Immigrant Population at High Risk of Acute Coronary Syndrome at Elmhurst Hospital Center
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. headache in kids need to be considered serious only when the below symptoms are there -1. vomiting continuously2. seizures/ fits3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. without the above red flag symptoms, just feeling low energy levels points out towards migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. i have a few questions for you -1. how long has the headache been there?2. does it always occur on forehead or keeps changing?3. is it associated with blurring of eyes or double vision or giddiness?4. is there any family history of migraine or single side headache?5. is he very angry when he gets headache and does the ache get better after a good sleep?6. does he vomit when there is headache? kindly get back to me with the answers to above questions and also mention his weight so that i can suggest you the formulations which are good. but as of now - you can give oral paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly. you can approach me at the following link. please find the link below -www.yyyyyyyyyyyyy.com/doctors/ chatbot.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thank you for asking question. i had gone through it. i understand your concern. it is post octal confusion. it is occurred with seizure. after convulsion has stopped there is period in which patients become disoriented and hallucinated. this period can range from 30 min to 2 days. but proper treatment of seizure can prevent further convulsion and post octal disorientation. ativan contain lorazepam and only asian can not help. this kind of convulsion can be treated with medicines like phenytoin, valproate, levitracitam, clobazam etc.consult the best neurologist and get help. i hope i have answered your query. happy to help you. thank you."
Please answer with one of the option in the bracket,B: Clostridium tetani
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. if the demo shot is given to you in the first five days of your menstrual cycle, or if you had a negative pregnancy test at the time the shot was given, it is immediately effective in preventing pregnancy. so you do not need to use a condom or other backup method if you are having unprotected sex to prevent pregnancy while using the depo-provera injection. depo-provera in addition causes irregular to absent menstrual cycles. this will continue as long as you use the shot, however you are protected against pregnancy as long as you get your subsequent injections on time. many women enjoy the convenience of not bleeding every month. so to ease your peace of mind, you may perform a urine pregnancy test, but if it is negative you really do not need to be concerned about accidental pregnancy as the shot is nearly 100% effective. you should continue to use condoms, if desired, to protect from stds. i hope that i was able to adequately answer your question today, and that this information was reassuring. best wishes,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i agree with you on the fact that further tests are necessary to investigate for the possible causes underlying your symptoms. for this reason, i would recommend performing these tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query, i have read through your query and can understand your concern, the ideal management of post exposure rabies is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through the query and understood your concern. if your husband has an infection, he needs to get the same treated completely and reanalysis is repeated after 72 days. progressive motility and morphology are the important factors that determine the adequacy of sperm count. your ovulation status also should be regular. please do not worry, patience is very important when trying to conceive. your doctor is going to go for further procedures once you are ready. hope your query has been clarified. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",the losartan you started taking is a safe chatbot.  but as you started taking it too late after prescribing. as you increased the dose from 50\u00a0mg to 75 mg on your own assuming bp as increased is not advisable. since you started its ice 2 weeks you need to wait for the reduction in bp.and you need to decrease th salt content in your food and do exercise for 45 min daily.come back to 50 mg and recheck the bp after 2 weeks.
Please summerize the given abstract to a title,A survey of student perception and feedback during the COVID-19 lockdown
Please summerize the given abstract to a title,"Response to the COVID-19 epidemic: a report from Shenzhen, China."
"If you are a doctor, please answer the medical questions based on the patient's description.","hip lease be more clear on why are you continuously taking macro bid for 6 months?? macro bid is used to treat urinary tract infection for a maximum period of 7-10 days.  the green colored stools you are experiencing may be due to use of macro bid over a long period. it could be due to colitis caused by colostrum difficile. you need stop caroline and take a course of pre-probiotics to improve intestinal flora. as far as nafld is concerned, you need to concentrate on losing weight, exercising and having a healthy diet rich in fruits and veggies"
Please summerize the given abstract to a title,Intention to Screen for Hepatitis C Among University Students: Influence of Different Communicative Scenarios
"If you are a doctor, please answer the medical questions based on the patient's description.","hello didn't mention your age and the side, where you are having pain, but ecg is normal means at present we can rule out heart disease. your doctor prescribed mosapride with methypolysioloxasane as this act as anticoagulants and used in hyper acidity cases. in my opinion all these symptoms may be due to these reasons, these include;1 hyper acidity or chronic gastritis, diagnosis can be confirmed by upper g i endoscopy. try raising the head of your bed about 4 inches with blocks. to control stomach acid avoid eating or chatbot.  it also might help to avoid"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madamgenerally speaking an infection after four years of implantation of pacemaker is uncommon but not unlikely. moreover, your doctor has examined you and reassured you. however, you must consult him again if you have a documented fever, redness or swelling or discharge near pacemaker pocket site or if you have any unacceptable symptoms. for simple dizziness, you can consult your gp. sincerelysukhvinder"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, very pleased to hear from you about the fistula of your sister. fistula is very notorious in recurrence. if it recurred it is very difficult to operate again. it is recurred even after doing with radio surgery. i am afraid that it will recur again and again. if i am your treating doctor i advised you to take proper and hygienic care of your sister. that is the only way you can prevent the recurrence. thx"
Answer this question truthfully,Sulfonamides can cause kidney damage by causing tubulointerstitial nephritis.
Please answer with one of the option in the bracket,E: Splitting
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Hydroxychloroquine in the treatment of outpatients with mildly symptomatic COVID-19: a multi-center observational study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, madam have studied your case. take analgesic like aceproxyvon and add tab methylcobalamine 1500mcg daily. physiotherapy like ultrasound and tens will help, along with knee exercisesviscosupplementation"
Please summerize the given abstract to a title,A novel AR remote collaborative platform for sharing 2.5D gestures and gaze
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not impossible to get pregnant after taking posit nor. the emergency contraceptive pill like posit nor is up to 94% effective in preventing an unwanted pregnancy if it is taken within 72 hours following an unprotected sex. its efficacy would be more if taken as early as possible following an unprotected sex. pregnancy tests are done to tell if your urine or blood contains a hormone called human chorionic gonadotropin (chatbot). this hormone is produced right after a fertilized egg attaches to the wall of a women uterus. blood tests are more sensitive than urine tests and may detect pregnancy from about 6 to 8 days after ovulation. the home pregnancy test using an early morning urine sample can be undertaken about a week after missing a period. hope these answer your query. let me know if i can assist you further. feedback is appreciated."
Answer this question truthfully,"The characteristic shape of a murmur caused by hypertrophic cardiomyopathy is a systolic crescendo-decrescendo, and it is described as ""harsh"". Hypertrophic cardiomyopathy is a condition in which the heart muscle becomes abnormally thick, making it harder for the heart to pump blood effectively. This can cause a variety of symptoms, including chest pain, shortness of breath, and fainting. The distinctive sound of the murmur, which is caused by turbulent blood flow through the thickened heart muscle, can be used to diagnose hypertrophic cardiomyopathy and monitor its progression."
Answer this question truthfully,"Alcohol withdrawal may be suspected in a patient who develops seizures, tremulousness, diaphoresis, and autonomic instability one day after having an emergency surgery. These symptoms are characteristic of alcohol withdrawal syndrome, which can occur when a person who is dependent on alcohol abruptly stops or reduces their alcohol consumption. Surgery and other medical procedures can be a trigger for alcohol withdrawal in patients who have a history of heavy alcohol use. Treatment for alcohol withdrawal typically involves supportive care and medications, such as benzodiazepines, to prevent seizures and manage symptoms. It is important for healthcare providers to be aware of a patient's alcohol use history and to monitor for signs of alcohol withdrawal in the perioperative period."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you said you suffer from premature ejaculation and difficulty in maintaining erection. i think, both the problems are related with anxiety related with performance. sexologists always say that sex is not between the thighs, but it is between the two ears.means in brain. i usually recommend my patients having such problems, to keep the mind relaxed. and let the anxiety be reduced. concentration in sex should be distracted. excessive concentration might lead to premature ejaculation. anxiolytic like fluoxetine 10 mg in morning may be taken. tadanafil 10 mg tab may be taken alternate day at night. you consult nearby physician and have prescription. i hope this would help you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in chatbot. the first issue is which problem is causing symptoms? gallstones or the uterine one. the one which is symptomatic needs to be attended first. allow a gap of at least 12 weeks for full recovery until you consider the second surgery. operating both the conditions at an interval of 3-4 days in a patient with medical problems could cause complications. hence, it is wiser to play self and allow the patient to full tolerate each surgery properly. the place where you get operated does not matter. what matters is the qualifications and expertise of the surgeon. regards"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Assessment of Effectiveness of 1 Dose of BNT162b2 Vaccine for SARS-CoV-2 Infection 13 to 24 Days After Immunization
Answer this question truthfully,Ketoconazole is the antifungal medication that inhibits cortisol production.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you had mire a coil since 12 years, for endometriosis, pelvic inflammation, urinary tract infections. fatigue, hair loss, and mood swings.  any iud should not be left more than 3 years, it may lose potency, and cause infection.  most probably all these symptoms might be caused by the infection due to the coil. i advise you to get it removed and get anew one after some time.  i to my patients with such symptoms prescribe fluconazole, a combination of definite, and ofloxacin. thank you."
Please summerize the given abstract to a title,Higher order solitary solutions to the meta-model of diffusively coupled Lotka–Volterra systems
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in the current scenario, you also need to get tested for other associated hormonal imbalances and also regular ovulation since you have irregular cycles. also, patency of the tubes should be tested for and so is the male factor. a trans-vaginal sonogram to see the condition of the ovaries and the uterus is a must. maintenance of a healthy weight, regular exercise, proper diet and mental status are also essential for conception. once the cause is defined, management would be very easy. you may need ovulation induction or metformin. hope this helps."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Please summerize the given abstract to a title,Dating with a Diagnosis: The Lived Experience of People with Multiple Sclerosis
Please summerize the given abstract to a title,Job Satisfaction as a Driver for Sustainable Development in the Hospitality Industry? Evidence from the Alpine Region
Please answer with one of the option in the bracket,C: Administer vitamin A
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Listeriosis is associated with more than one clinical syndrome. It must be differentiated from other infections that cause fever and systemic/localized symptoms (either CNS disease, gastroenteritis, genitourinary disease, endocarditis, or bacteremia), such as E. coli, Neisseria spp., Streptococcus spp., Staphylococcus spp., Shigella, Salmonella, Campylobacter, Serratia spp., or Haemophilus spp., mononucleosis, or tuberculosis. Listeria monocytogenes must also be differentiated from other organisms that are morphologically similar, such as pneumococci, diphtheroids, or Haemophilus spp. Differential diagnosis of listeriosis additionally includes hematologic malignancies (such as leukemia or lymphoma), thyroid disease, drug fever, vasculitides, or rheumatologic diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, birth control through hormones can create breast masses as a side effect and this is why regular evaluation by a specialist is necessary during treatment. please see a specialist immediately to get the masses assessed through clinical exam and further investigations like mammogram. the implant may have to be removed. please opt for non-hormonal methods of contraception in future or until your consultant pronounces you free to use hormones again. hope you find this information helpful. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it could be either psoriasis or seborrhea dermatitis. i don't think it is shingles. shingles usually present in a stripe or band-like pattern on one side of the body.  i suggest you take an oral antihistamine e.g. cetirizine tablet once a day.  in addition, i suggest you to apply a topical steroid e.g. either triamcinolone acetone or dexamethasone vale rate cream, twice daily.  hope i have answered your query. let me know if i can assist you further. take care chatbot. , dermatologist"
Please summerize the given abstract to a title,Infection spreading and recovery in a square lattice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern.nighttime coughing and breathing difficulty with day time wheezing (whistling sound from lungs) are commonly seen with asthma. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). oral combination of levocetrizine and montelukast at nighttime is also beneficial. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Breastfeeding in Coronavirus Disease 2019 (COVID-19): Position Statement of Indian Academy of Pediatrics and Infant and Young Child Feeding Chapter
Please summerize the given abstract to a title,A Conservative Replacement in the Transmembrane Domain of SARS-CoV-2 ORF7a as a Putative Risk Factor in COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear , thanks for the query to my chatbot virtual online clinic.it's my pleasure to help you. after the in depth study of your query my diagnosis -is -osd with prepatellar bursitis with traumatic-hematoma. treatment-a-tb nsaids, b-shift to er-urgently and consult surgeon urgentlyc-immobilisation of the knee and rest and elevation.don't worry and act fast. this would solve your worrisome query. hope this would solve your query. wellcome to my chatbot clinic once again. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the history and the symptoms suggest me that you are having some fungal infection, because of which you are getting all these symptoms. the fungal infections are common in areas were there is moist and wet which will favors the condition for the growth and development of the fungus. i would suggest you to follow1. ice packs on the itchy area2. topical antifungal cream3. keep the area chatbot. 4. oral antihistamines.this aforementioned treatment will help you to control the symptoms and improve the condition. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, i appreciate you wrote to us, first i would like you to know that due to biting on a hard substance like bone, temporary headache might occur as a referred pain. for headache analgesics will be helpful, whereas for the ulcer, if present on the palate prescribe broad spectrum antibiotics, nsaids and an antibacterial mouth wash(betadine) to avoid secondary infection. keep the patient under observation for a week, also, oral multivitamins/antioxidants(once/day) will promote healing.i hope i answered your query, if you any further queries, kindly post them."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. according to your history and complains yes such kind of pain can due to compression of nerve and muscle sprain. another differential can be rotator cuff injury which may need mri for confirmation. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. you may need to take rest for early healing. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take disregards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Experiences and Beliefs of Low-Income Patients with Hypertension in Louisiana and Mississippi during the COVID-19 Pandemic
Answer this question truthfully,"Acute interstitial nephritis is less commonly secondary to autoimmune diseases (e.g. Sjögren's syndrome, SLE, sarcoidosis)."
Please answer with one of the option in the bracket,B: Scapular protrusion while pressing against a wall
"If you are a doctor, please answer the medical questions based on the patient's description.","wisdom tooth is the last tooth to erupt in the oral cavity and often its eruption is associated with symptoms like pain and discomfort in eating, difficulty in opening mouth, swelling in the jaws and cheek bite.  wisdom teeth are often tilted in position and impacted in the bone, gums overlying the tooth usually undergoes inflammation known as peritonitis.  the tilted position of the tooth leads to entrapment of the cheek mucosa in between the teeth during biting.  due to cheek bite, the mucosa gets inflamed and appear red or white due to trauma.  i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine.  you may need an opg radiograph done for you and accordingly the tooth can be extracted surgically.  i would suggest you to start with antibiotic augmenting 625\u00a0mg along with analgesics like diclofenac two times daily for 3 to 5 days.  i hope this helps. take care."
Answer this question truthfully,"Rett syndrome often presents with verbal regression, intellectual disability, ataxia, and stereotyped hand-wringing."
Please answer with one of the option in the bracket,B: Increase with squatting or handgrip
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have read your message. i would love to see the scan and not just the report. however, having read the report, i think you need to start a medicine like pregabalin. meet your neurologist for a suitable prescription for the same (as per your body weight).if the compression is too severe (for which the scan needs to be reviewed), a neurosurgery/spine surgery consultation may be needed. i hope you get well soon. i would like to help you further if there is any possible way you can upload the scan. best of luck, chatbot."
Please answer with one of the option in the bracket,D: Increased reverse T3 concentration
Answer this question truthfully,"Trichotillomania that begins in younger children (fewer than 6 years old) may go away without treatment. For most, the hair pulling ends within 12 months.
For others, trichotillomania is a lifelong disorder.
Treatment often improves the hair pulling and the feelings of depression, anxiety, or poor self image."
Please summerize the given abstract to a title,"Risk factors associated with an outbreak of COVID-19 in a meat processing plant in southern Germany, April to June 2020"
Please summerize the given abstract to a title,Therapeutic Potential of Nutraceuticals and Dietary Supplements in the Prevention of Viral Diseases: A Review
Please summerize the given abstract to a title,Electrochemical Detection of Ivermectin Used for the Treatment of COVID-19 with Glutardialdehyde-Modified Glassy Carbon Electrode
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. your symptoms are suggesting allergic reaction. it could be from any cause like insect bite, food allergy, dust, etc. if i were your treating doctor then i would have advised following things"
Please summerize the given abstract to a title,Nanotechnological approaches for pentamidine delivery
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i have gone through your question and understand your concerns. pregnancy is associated with increased levels of progesterone hormone. it can cause decreased blood pressure, sudden dizziness and syncope. it is normal if your doctor has examined you and ruled out other causes of dizziness and syncope. i will suggest you to avoid standing for prolonged hours. hope you found the answer helpful. wishing you good health. regards chatbot."
Please summerize the given abstract to a title,Impact of the First Wave of the COVID-19 Pandemic on French Health Students
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand your concern. your dad is suffering from pulmonary tuberculosis affecting his both lungs. this is a serious disease and has very high mortality if left untreated but curable if proper treatment for adequate duration is taken. your dad should receive 4 anti-tuberculosis medicine for 2 months namely, isoniazid, riface, pyrazinamide and ethambutol. this should be followed by 2 chatbot. adherence to the treatment is of utmost importance for complete cure. he should consult a physician or chest specialist as advised and be subjected to sputum examination after 2 months of treatment and as advised later on. hope this will be helpful. do ask if any further question is there. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your wife is having hemoptysis (blood in sputum). most common cause for this is bronchitis. other common causes are tuberculosis and lung infection like pneumonia. since she is having scars on her chest x-ray, no need to worry about tuberculosis or pneumonia. possibility of post infectious bronchitis is more in her case. so better to get done pft (pulmonary function test). pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. she may need inhaled bronchodilator and inhaled corticosteroids (ics). don't worry, you will be alright. first diagnose herself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your wife. thanks."
Answer this question truthfully,"Cryptosporidiosis may be classified according to the affected organ system. In immunocompetent individuals, cryptospyoridiosis primarily affects the gastrointestinal system. Immunocompromised patients infected with cryptosporidiosis often have extragastrointestinal manifestions such as meningitis, encephalitis, pneumonia, or cholecystitis."
Answer this question truthfully,"Vitamin E can enhance the anticoagulant effects of warfarin. Warfarin is a medication commonly used to prevent blood clots, and it works by interfering with the body's ability to use Vitamin K to make clotting factors. Vitamin E is a fat-soluble vitamin that has antioxidant properties and is important for immune function and cell signaling. However, high doses of Vitamin E can interfere with blood clotting and enhance the anticoagulant effects of warfarin, which can increase the risk of bleeding. Therefore, it is important for individuals taking warfarin to monitor their Vitamin E intake and avoid excessive supplementation."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query, the ulcer could be an authors ulcer or herpetic ulcer (since you are giving history of fever) or traumatic ulcer. consult your oral physician to rule out these things and if i am your treating doctor i would have advised you to take topical anesthetic, analgesic and topical steroids (triamcinolone acetone 0.1%). if the ulcer doesn't heal in two weeks then it can be biopsied. i hope my answer will help you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you have loss of appetite, lethargy, nausea, weakness this can be due to side effect of local anesthesia, nutritional deficiency, chatbot.  for this i will suggest you to take proper sleep of 8 to 12 hours, don't take stress, take proper nutritious healthy diet, take soft diet, you can also start with vitamin b12, folic acid supplements by consulting with your doctor.  if your weakness, nausea and itching continues for more than 24 hours you can report back to your doctor to evaluate for hemoglobin, malnutrition. hope this will help you.  wishing you good health."
Answer this question truthfully,"In addition to having repetitive, uncontrollable twitching or spasms of your eyelid (usually the upper lid), you may be very sensitive to light or have blurry vision."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. i do not think you had any heart attack because the symptoms related to heart attack is not what you mention. the mentioned symptoms are just one of several symptoms. if you are already diagnosed with panic disorder, the current symptoms could be related to that. panic disorder is certainly due to underlying anxiety disorder.  i think you have stress related anxiety disorder. anxiety disorder is fear related. whenever your body fears, or becoming anxious, body uses this defense mechanism. this is a natural procedure. you may consult a physician and get your ekg done to be on the safer side. if you still need my assistance in this regard, please use this link. http"
Answer this question truthfully,"If the 95% confidence interval for a mean difference between two variables includes 0, then there is NOT a significant difference between the two groups. The confidence interval is a range of values that is likely to contain the true value of the mean difference with a certain level of confidence. If the confidence interval includes 0, it means that the mean difference is not significantly different from 0, which is the value expected under the null hypothesis. Therefore, it is concluded that there is no evidence of a significant difference between the two groups. However, if the confidence interval does not include 0, it means that the mean difference is significantly different from 0, and it is concluded that there is a significant difference between the two groups."
Answer this question truthfully,The parasympathetic nervous system is characterized by a craniosacral distribution of parasympathetic neurons.
Please summerize the given abstract to a title,Bidirectional virus secretion and nonciliated cell tropism following Andes virus infection of primary airway epithelial cell cultures.
Answer this question truthfully,Saline-resistant metabolic alkalosis is characterized by urine chloride > 20 mEq/L.
Please summerize the given abstract to a title,COVID-19 et troubles du rythme
Please summerize the given abstract to a title,"A 6-month randomized, double-blind, placebo-controlled trial of weekly exenatide in adolescents with obesity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks and welcome to chatbot. oral ulcers, bad breath, swelling of gums, bleeding from gums and bad breath may be due to vitamin deficiency with super added secondary bacterial infection. prolonged antibiotic therapy may also lead to above condition. treat with vitamin b complex and vitamin c in high doses will facilitate healing. listerene mouth gargle as well as local application of byte liquid will lessen the suffering. judicious use of antibiotic may cure this condition. good food and oral hygiene will prevent further infection. hope this answer is ok for you. please feel free to ask further queries if any. chatbot. v. subrahmanyam."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us. pain in lower abdomen could be due to excessive gas, indigestion, constipation, ibs, diverticulosis, lactose intolerance, acute appendicitis, etc. since you are having this pain for past couple of weeks, it needs to be investigated properly with the help of your gastroenterologist. investigations like ultrasound scan and colonoscopy are entailed. i hope this information has been both informative and helpful for you."
Please summerize the given abstract to a title,COVID-19 salivary Raman fingerprint: innovative approach for the detection of current and past SARS-CoV-2 infections
Please summerize the given abstract to a title,Long-term voice outcome after thyroidectomy using energy based devices.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you have hemochromatosis and it leads to diabetes.  your lemon diet or chatbot.  for hemochromatosis, you should take iron cheating agents like desferoxamine or defiperone. all these are prescription based medicine so consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Bi-needle technique versus transforaminal endoscopic spine system technique for percutaneous endoscopic lumbar discectomy in treating intervertebral disc calcification: a propensity score matched cohort analysis.
Answer this question truthfully,The granule cell layer of the cerebellar cortex contains Golgi cells and granule cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling to chatbot. forum.  you often get dizzy, constant diarrhea, and migraines. a couple of months ago you started to feel leg pains, and swollen abdomen. a year ago you had swollen abdomen and leg pains.  it may be an infection, causing infection and related indigestion causing swollen abdomen.  giddiness, constant diarrhea, and migraine may also suggest sinus infection, and indigestion.  rare cause may be lime disease caused by a bug. common in europe.  i advise you to consult a physician for diagnosis and treatment.  wishing for a quick and complete recovery.  best regards."
Answer this question truthfully,"A fiberoptic bronchoscope is a medical instrument that is used to visualize the airway during procedures such as intubation or bronchoscopy. It consists of a flexible tube with a camera and light source that allows the operator to see inside the airway. In cases of subcutaneous emphysema of the neck, where air has leaked into the tissues beneath the skin, a fiberoptic bronchoscope can be used to assess the extent of the emphysema and to identify any associated injuries or obstructions in the airway. This can be important for managing the condition and preventing complications such as respiratory distress or infection. Understanding the uses and limitations of fiberoptic bronchoscopes is an important area of research in respiratory medicine and critical care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your mothers situation and problem. usually after debunking surgery, post-operative chemotherapy and radiotherapy are advised. during surgery, possibility of local spillage of tumor cells is high. this is due to handling of tumor mass. so to prevent local site growth radiotherapy is given. and to prevent distal homogenous spread, chemotherapy is given. besides these, nutritional support and pain management are also important. by all these, we can reduce her sufferings and improve quality of remaining life. psychiatrist counselling regarding end of life issues is also important. so these are treatment options in her case. hope i have solved your query. wishing good health to your mother. thanks."
Answer this question truthfully,Boils (furuncles) may be classified according to the International Classification of Diseases (ICD-10) based on anatomical location.
Answer this question truthfully,"Glucocorticoids increase protein catabolism (proteolysis) and decrease protein synthesis in muscle, thereby providing more amino acids to the liver for gluconeogenesis."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Critical Care in SARS-CoV-2 Infected Pregnant Women: A Prospective Multicenter Study
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i have gone through your question. pcod polycystic ovarian disease should be treated properly to conceive. tge medicines mentioned by you metformin, folic acid, ova care, ginette all are needed to control the pod symptoms and stimulate ovaries to produce follicles which become helpful in fertilization. i would advise that you should do ultrasound scan for follicular study that how much response they are getting from these medicines. hope i answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. you must introspect. do you really have this anti-social behavior pattern with everyone who interacts with you ? or is this behavior selective ? do you become angry with everyone who comes to your room ? or are you selective ? do you scream at ever occasion or scream only when you are stressed ? the answer to these questions helps us to identify whether you are actually anti-social or not. you are a teen. naturally you will have the lot of physical, organic and hormonal changes happening inside you. almost all teens are aggressive towards their parents and teachers. that is natural. provide all the answers to the above questions. let us clear your problem. in the meantime, do not worry. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you have inappropriate shocks while on stall, it means, that its effect is not sufficient. you are right, amiodarone has many side effects, but usually when it is taken for a long time. you can start amiodarone, and maybe after some time your doctor can change amiodarone, when you are in more stable condition. hope i could help nourishing you good health in case of further questions don't hesitate to ask"
Please summerize the given abstract to a title,A Low Aldosterone/Renin Ratio and High Soluble ACE2 Associate with COVID-19 Severity
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. meningiomas of the orbit are benign conditions, but carry the risk of compressing the optic nerve causing decreasing the visual acuity, like in your case. if such eventuality is progressing, then there is a clear indication of surgery to remove the meningioma. maybe the vision in your right eye will not return completely normal, but for sure it will not get worse, which seems a concrete possibility if left untreated. i definitely recommend the surgery at this point. hope this helps, please feel free using mhc for further questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign proliferative breast lesion like fibroadenoma or fibroadenomas. you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. surgical excision is the treatment of choice for most of the benign breast lump. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are a active smoker, possibility of bronchitis is more likely. bronchitis (inflammation of airways) can cause cough, breathlessness, hemoptysis (blood in sputum) and chest pain. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). smoking cessation is must so enroll in dead diction center. avoid stress and tension, be relaxed and calm. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Early low-molecular-weight heparin administration is associated with shorter time to SARS-CoV-2 swab negativity
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question. if you are having unprotected intercourse using the with chatbot.  while it sounds like the chances for pregnancy in her case is extremely low, it is also possible.  she needs to take a pregnancy test now and again in about 1-2 weeks.  if she continues to not get her period, then she needs to see her ob/gun. i hope that this helps and good luck!"
Please summerize the given abstract to a title,Survival benefit of surgical resection after first-line triplet chemotherapy and bevacizumab in patients with initially unresectable metastatic colorectal cancer
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what you describe could very well be a diaper rash. as this is not bothering him, let me suggest you change his diaper frequently (maybe every two hours) to minimize the time his skin is in contact with the urine. also, you might have him sleep without a diaper on and place something absorbent between his body and the sheet. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",the diagnosis can be fungal or other many diseases presents like this lesion is small and only gives irritation when you breathe leading to cough and irritation but we cannot have risk of lying this to spread the idea to clear lungs is to clear obstruction to full blow of lungs and biopsy to diagnosis the cause of lesion so that we may go in right tract instead of imagining and hit and trials there is no worry in these and not likely to come serious disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. the first advice from me to you is to stop eating from outside completely if you do specially the fried, oily and fast food. this might be causing recurrent intestinal infection because of poor cooking hygiene. apart from the hygiene, some food components specially in the fast food from outside may induce sensitivity to the intestinal mucosa, leading to all your symptoms which you just described. this sensitivity could be due to anything like a lactose sensitivity, and gluten sensitivity, the incidence of these disorders being underestimated in most of the places. once intestinal infection is excluded, sensitivity to a particular component of the food can be diagnosed by gradual exclusion of that particular component from your diet. this can be well controlled by a qualified dietician and the moment that particular component is excluded, the person start feeling far better.thus, the treatment varies from one to the other. there has to be a high index of suspicion of these not very uncommon pathology. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Please summerize the given abstract to a title,The Crazy-paving Pattern in Chest CT of Coronavirus Disease 2019 Patients;an Alarming Sign for Hospitalization
Answer this question truthfully,The congenital heart defect that presents with these auscultatory findings is a ventricular septal defect.
Answer this question truthfully,The two causes of prehepatic jaundice are hemolysis and hematomas.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query, eating pan masala is one of the factor to develop cancer. this time you have middle ear infection may be due to infection. this is not cancer. you consult ent .he will examine your ear & if he found any perforation he advised you accordingly for need of tympanplasty or mastectomy. this is not cancer but your habit of eating masala contains solar causes irritation may lead to you towards it. thanks."
Please answer with one of the option in the bracket,B: Bumetanide
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Chaplaincy in a Free-Standing Psychiatric Hospital During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. i appreciate your concern for your mother. from your details it appears as she is suffering from advanced stage of cancer along with other co morbid diseases. so primary aim will be to stabilize her chest and cardiac condition, if she improves then only definite treatment for cancer can be done as it will be extremely difficult for her to tolerate the treatment otherwise. hope that makes it clear. thanks"
Please summerize the given abstract to a title,The management of type 1 diabetes in adults. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
Please summerize the given abstract to a title,"Impact of lockdown due to COVID-19 outbreak on O-3 and its precursor gases, PM and BC over northeast India"
Answer this question truthfully,"Echinocandins, a class of antifungal drugs, can be identified based on the suffix -fungin in their names, such as caspofungin."
Please summerize the given abstract to a title,Ivermectin & COVID-19: let's keep a One Health perspective
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your sons symptoms and the list of current medications. his epilepsy seems to be well controlled on emilia (sodium valproate). he should be compliant on this medication to prevent any recurrence of seizures in the future. regarding his mood disorder, he is on citalopram- an antidepressant and emilia, a mood stabilizer. he needs to continue these two medications to prevent any mood disturbances. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion your brother is having infection in lung either bacterial pneumonia or tuberculosis. because the glass like opacity in lungs on x-ray is known as consolidation. he is also having low grade fever, cough since 3 weeks, so possibility of lung infection is high. so i advise you to consult pulmonologist for your brother and get done1. chest x ray2. sputum examination for afb to rule out tuberculosis.3. sputum culture and sensitivity to rule out bacterial pneumonia. consult pulmonologist and start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting you query to chatbot.herpes produce multiple painful vesicles on skin.herpes zoster produces lesion along nerve segment it could be unilateral or bilateral on the same region of body. these are painful red heal with a crust formation. so if you are having such feature may be possibility of herpes and if not then could be due to other infection as many of skin bacteria can cause infection to skin for which you need to go to local physician for local examination. hope you would be satisfied with my answer.  feel free to communicate if any query.regards, chatbot."
Please summerize the given abstract to a title,Physicochemical susceptibility of SARS‐CoV‐2 to disinfection and physical approach of prophylaxis
Please summerize the given abstract to a title,Lost and found: the academic conference in pandemic and post-pandemic times
Please answer with one of the option in the bracket,B: Ventricular septal defect
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms seem to be related to rheumatoid arthritis. i suggest checking the rheumatoid factor level to help through the diagnosis.  meanwhile, i suggest using anti-inflammatory medications such as acetaminophen to relieve the inflammation. i also suggest maintaining the feet elevated to prevent the swelling.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query and i can understand your concerns. as per your description, your swollen lymph node would be reactive in origin due to inflammation of nearby area. you don't need to worry that much because chances for cancer is very unlikely. post auricular lymph node chatbot. so we have to examine your oral cavity for dental caries and throat infection and enlarged tonsils. we have to do an ent examination to rule out infection in your ear. also check your scalp for dan"
Please summerize the given abstract to a title,Pathogenesis clue from early clinical presentation of 300 hospitalized COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has dengue fever.  it is viral infection and low platelet count is very common.  his platelet count, hemoglobin and hct should be monitored regularly.  no, any specific treatment is available.  just plenty of fluid orally as well intravenous fluid should be given.  antibiotics is given to prevent secondary infection. normally platelet count more than 20000 is not dangerous.  if it decreased below 20000 then platelet concentrate should be given.  otherwise, nothing to worry.  his platelet count will increase automatically within few days.  just give symptomatic treatment only.  he is given perfect treatment.  nothing to worry. just be relaxed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi alok, how did you confirm that you have testosterone deficiency? have you tested your blood for that? facial hair growth has gone to do something with testosterone levels but it's not completely due to it. i have seen many men with less facial hair and still have baby. also, chest hair growth is not always due to testosterone. if you aren't obese, hit the gym. else also do exercise daily, because this will boost up your self-confidence and also testosterone. and girls like guys who present themselves well with confidence. looks become secondary for many. so cheer up!"
Please summerize the given abstract to a title,Protection procedures and preventions against the spread of coronavirus disease 2019 in healthcare settings for nursing personnel: Lessons from Taiwan
Please summerize the given abstract to a title,Managing COVID-19 Pandemic without Destructing the Economy
Answer this question truthfully,"Vitamin B12, also known as cobalamin, is a vitamin that can be stored in the liver for an extended period of time. Specifically, it can be stored for up to 3-4 years. This is because Vitamin B12 is a water-soluble vitamin, which means that it can be stored in the body's tissues for longer periods of time than other water-soluble vitamins like Vitamin C or the B-complex vitamins. However, it is still important to ensure adequate intake through a balanced diet or supplements if necessary, as a deficiency in Vitamin B12 can lead to a range of health problems."
Please answer with one of the option in the bracket,"E: Obstruction of renal tubule
"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. generally yes. there are some other criteria such as san francisco which is extended and involves more patients than milan criteria since even patients with 8\u00a0cm large tumors may be capable for transplantations. however, if there are 7 lesions then the benefit of transplantations is questionable and i would say this would be useless, unfortunately. wish you good health. kindly regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! your father might have a stone in the ureter that is why he has pain and ultrasound shows dilatation. he needs to get a ct sonogram to check the size and location of the stone in the ureter. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
Answer this question truthfully,"One form of congenital heart block occurs in babies whose mothers have autoimmune diseases, such as lupus.  Patients with congenital heart block make proteins called antibodies that attack and damage the body's tissues or cells."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","irritability, loss of interest, loss of focus/attention, negative thinking, emotions & behavior (which is what personality is) and comfort eating (which is what i presume you are doing by over eating....are you eating a lot only when you are stressed/anticipating stress?-if yes, that is comfort eating) all point to depression which needs to be diagnosed only after a full history taking and detailed examination of your problems. but, if you are not getting enough sleep because of working night shifts and doing household work during the days, then it could be simply because of this....it could be the way your body reminding you that it is chronically not getting enough recharge. if this is the case a simple shift in your priorities during daytime or a shift in the working times if this is possible, can help you. please do consult a psychiatrist."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you have done surgeries for l4 l5 s1. i can understand how it will be difficult for you to bend forward or low back pain. as your doctor can't do more, so it's time to do something else like exercises. i think you should not plan your future surgeries if not mandatory. even medicine or painkiller won't help you much. i would like to suggest you to start exercises and yoga. the reason of pain may be due to nerve pinching or muscle spasm. some basic exercises will help you to alleviate your pain. start doing qua chatbot. pelvic bridging exercise and rotate your back on both side with hip and knee bent. hot water bag can be used to relieve some pain. pelvic belt can also be suggested to prevent jerk while walking or bike riding. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient pain between scapula may be due to 1. trapeziums 2. dorsal spine origin. have you suffered trauma? if not then i would advise x-ray of dorsal umber spine anteroposterior and lateral views to rule out bony abnormalities.  if its normal then start tab diclofenac plus thiocolchicoside combination twice a day for 5 days. apply diclofenac gel for local effect. if report shows abnormalities take a visit to orthopedic surgeon.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. viral respiratory tract infections are very common in air conditioned spaces. such viral infection can cause bronchitis. best treatment for bronchitis is inhaled bronchodilators (formoterol or albuterol). since you are not taking these inhaled chatbot. so start inhaled bronchodilators and inhaled corticosteroid (ics) (budesonide or fluticasone) after consulting your doctor.don't worry, you will be alright after starting these"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot almost anything can cause an allergic reaction. this is because persons react differently to plants, animals, environmental stimulants (e.g. dust, pollen, perfume odors), medications, food. what may provoke a reaction in one person may not do so in another. allergic reactions can present in different ways, the most common ways are skin rash, swelling, post nasal chatbot.  in the case of foods some persons may have vomiting or diarrhea, indigestion. excess salivation is not a common presentation of allergies though everyone is different. if you are noting a decrease in symptoms with the use of the medication then it is possible that it was an allergic response. it would be difficult, however, to say what you are allergic to. i hope this helps"
Please summerize the given abstract to a title,"Impact of the COVID-19 pandemic on the health care of >1,000 People living with multiple sclerosis: A cross-sectional study"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Early mesothelioma does not have any symptoms. As the tumor grows larger, people may notice one or more of the symptoms.
Mesothelioma that affects the pleura can cause:
Chest pain Shortness of breath Cough Blood in sputum or hemoptysis Fever Sweating Fatigue Weight loss Trouble swallowing
Mesothelioma that affects the peritoneum can cause:
Abdominal pain Ascites or abdominal distension A mass in the abdomen Problems with bowel function Fatigue Weight loss
Mesothelioma that affects the pericardium can cause:
Palpitation Cough or hemoptysis dizziness or hypotension oedema in legs Fatigue
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mohinderpal, if you have no cough, high fever or no weight loss, then, perhaps you have a re-activation of tuberculosis you first had earlier in life. blood in semen could be related to"
Please summerize the given abstract to a title,Wafer-Scale Production of Transition Metal Dichalcogenides and Alloy Monolayers by Nanocrystal Conversion for Large-Scale Ultrathin Flexible Electronics.
Please summerize the given abstract to a title,Functional role of the type 1 pilus rod structure in mediating host-pathogen interactions
Please summerize the given abstract to a title,Cross the river by feeling the stones: How did nonlocal grassroots nonprofits overcome administrative barriers to provide quick responses to COVID-19?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more likely. but since you are a active smoker and having left sided chest pain, we should definitely rule out heart diseases first. so get done ecg and 2d echo. if both these are normal then no need to worry about heart diseases. quit smoking immediately as it is very bad habit. apply warm water pad on affected areas of chest. yoi can take painkiller like ibuprofen or acetaminophen.don't worry, you will be alright with all these but quit smoking as soon as possible. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i really appreciate our concern about this delicate situation. as you have been advised by your gp and women's hospital you would have to take the blood test suggested to you as soon as possible. i would suggest you to make another appointment and get that blood work done as soon as possible.  as main aim of this blood test (egg, igm liters against arbovirus b19) is to evaluate if you had previous immunity against the disease. if you had immunity you will be fine but if you don't you will need to go under close obstetrical monitoring in following weeks including serial ultrasounds while will keep an eye for any defects in your baby because of this infection.  i hope i have answered your question correctly. i know you might be worried too much, but i would like to tell you to keep calm and reschedule that blood workup appointment and get the results done. feel free to contact for any further queries. have a nice day. chatbot."
Please summerize the given abstract to a title,Impact of Self-Directed Learning and Educational Technology Readiness on Synchronous E-Learning
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. if you could have told us the site of pain. this is very unusual to have a pain after appendectomy. this can be due to uti. simple cyst of ovary 30 mm can not cause pain unless it has ruptured and caused bleeding inside abdomen. please elucidate more on other symptoms. is there fever/ rigors/ distension/ vomiting/ burning micturition ? mild fullness of pcs in kidney can be due to an obstruction caused by a stone or a stricture of ureter. there is a possibility of right ureteric obstruction. i would advise you to go for mvp to know the exact site of obstruction which may find the cause too.
"If you are a doctor, please answer the medical questions based on the patient's description.","if it is cns tuberculosis then continue with medications prescribed. they are in adequate doses. ofloxacin can be withheld. please mention detailed mri (preferably contrast) findings to comment better. also go for csf tb pcr and protein level in csf, chest x-ray, man tour test.  csf picture in this case is not classical of tuberculosis hope my answer will help you.  take care.  don't forget to rate me."
Please summerize the given abstract to a title,Readers’ panel: Should free public parking for nurses remain after COVID-19 restrictions end?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, temazepam and diazepam are both benzodiazepines and both will cause a positive test on any chatbot.  if that will be a problem in getting a new job, then you can see a doctor in the city where you are now and get yourself assessed again. if it is indeed panic attacks that you are suffering from, then taking an ssri (zoloft, pail etc.) would be a better option as it will give you very good control over your symptoms without any risk of testing positive on"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. paralysis occurs due to affection of certain part of the brain due to lack of blood supply to that part either due to a rupture of vessel or blockage. high bp is one of the reasons. in this case accidental injury has affected the area. usually most of the coarse movements return fairly rapidly as collaterals restore the supply. but finer movements may return very slowly or may not come back at all depending upon the extent of damage. there is no permanent cure for this condition. the return of movements and strength is a slow process. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you have pain and bruising with discoloration of the skin in the lateral side of the feet i suspect it to be stress injury. for which a clinical examination is advised followed by an x-ray as you are a dancer having a stress injury is common and have to be treated after a thorough clinical examination. also, there may be a stress fracture or a ligament injury. may be a vascular insufficiency as well. after a thorough clinical examination and an x-ray the next course of action is advised. in my clinical practice such cases respond well to physical therapy. regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",these are allergies and if not treated properly they start increases and the medicines you are taking to control symptom pd are failing and they cause increase it is not the albuterol but the incorrect treatment causing failure of medicine sto affectantibiotics medicines like pcm ibuprofen vitamins and diet supplements also trigger add antallergics montelukast 10 mg tuscan use bronchodilator svp start minimal steroid inhaler instead of oral steroids get blood serum test for specific antibodies for food and pollen allergens in your blood and go for immunotherapy to control galleries
Please summerize the given abstract to a title,Grieving during a pandemic: A psycho-theological response
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the lump is probably related to an enlarged lymph node. the enlarged lymph nodes are related to the presence of an infection in the system. i suggest using anti-inflammatory medications such as acetaminophen in case that the lump is painful. it will go away on its own and there is no need for a specific treatment. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please answer with one of the option in the bracket,D: Hyaline arteriosclerosis
Please summerize the given abstract to a title,Global Data Science Project for COVID-19
Please summerize the given abstract to a title,Brain monitoring with electroencephalography and the electroencephalogram-derived bispectral index during cardiac surgery.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello radar, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i can say is, it's sorry to hear about your father. but to be very much honest it is really difficult for anyone to provide a judgment that what are his survival rates with the short history you have provided. also, we need to see the spo2 levels, pi, ecg, blood pressure, etc. well, i am sure there will some kindness by almighty to help him ease towards either side.  once he is out i think you can ask for a good pulmonary physical therapist, so he gets the ease of the problems. in my 12 years of clinical practice, i have seen asthma cases with asthmatic attacks too. but over a period of 6 months of physical therapy most cope well. please pray for good and the ease of the father. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,"Does ecotourism in a Mangrove area at Klong Kone, Thailand, conform to sustainable tourism? A case study using SWOT and DPSIR"
Answer this question truthfully,"What is the relationship between exclusion criteria and the validity of a study? Exclusion criteria can compromise external validity if too strict, while maximizing internal validity."
Answer this question truthfully,"Pancreatic abscess is often due to E. coli infection. E. coli is a type of bacteria that can cause infections in various parts of the body, including the pancreas. When E. coli infects the pancreas, it can lead to inflammation and the formation of an abscess. Other types of bacteria, such as Klebsiella, Pseudomonas, and Staphylococcus aureus, can also cause pancreatic abscess. In some cases, pancreatic abscess may be caused by a blockage of the pancreatic duct, which can lead to the buildup of bacteria and the development of an infection. If you have concerns about your risk for pancreatic abscess or are experiencing any symptoms, talk to your healthcare provider for guidance and support."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi by the above scenario looks like there was an outbreak of c. kosher in the hospital nursery. now enterobacter kosher belongs to enterobacteriaceae family whose members are normal inhabitants of our intestine. it can be isolated from various environmental sources like soil, sewage and as well as human feces. since according to you environmental sources were negative for it, other possibility is improper hand hygiene practices in the hospital nursery by some staff members. hand hygiene is an essential step in health care to prevent transmission of microorganisms. a breach in such practice can lead to an outbreak or a solitary hospital acquired infection case or many. in the case submitted by your source of infection probably are hands of healthcare staff or any other person attending these infants."
Bad Breath I have very bad breath and at times it can make myself and others sick.  I need some advice as to what I need to do.,"There are many reasons why you might have bad breath. You can get it if you don't brush and floss regularly. Bacteria that build up in your mouth and between your teeth produce the bad odor. Other problems in your mouth, such as gum disease, dry mouth or cavities, may also cause it. Sinusitis or problems with your nose may be to blame. You can also have bad breath if you eat some foods, like raw onions, garlic or cabbage. And of course smoking causes its own bad aroma. Some diseases and medicines are associated with a specific breath odor. Having good dental habits, like brushing and flossing regularly, help fight bad breath. Mouthwashes, mints or chewing gum may make your breath fresher. If you have an underlying disorder, treating it may help eliminate the breath odor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. symptoms of prostate cancer depends on type and stage of cancer.  in early stage only fever and weigh loss occur.  in late stage difficulties in urination, hematuria back pain etc. can occur.  he should go for serum psa level, ultrasound abdomen and prostate biopsy.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, based on your family medical history, which gives you a higher risk for possible cardiac problems, i recommend you to do cardiac sonography and a cardiac stress test to see if everything is ok.  you should keep in contact with a cardiologist. i don't think that an ecg holder monitoring is important from what you are writing. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Should international borders re-open? The impact of travel restrictions on COVID-19 importation risk
Please answer with one of the option in the bracket,A: Atorvastatin
Answer this question truthfully,Blepharospasm is a form of dystonia that is characterized by involuntary contraction of the eyelids.
Please summerize the given abstract to a title,"Genetic diversity of the H5N1 viruses in live bird markets, Indonesia."
Answer this question truthfully,"Takayasu arteritis is a rare autoimmune disease that affects the large blood vessels, particularly the aorta and its branches. This condition can cause inflammation and damage to the blood vessels, leading to a range of symptoms such as fatigue, fever, joint pain, and high blood pressure. In some cases, Takayasu arteritis may also be associated with erythema nodosum, which is a skin condition characterized by painful, red bumps on the legs or other parts of the body. The exact relationship between Takayasu arteritis and erythema nodosum is not well understood, but it is thought to be related to the underlying inflammation and immune system dysfunction that occurs in both conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. yes, it is a yeast infection look like. but if you have lichen sclerosis than yeast infection can arise because of the possible treatment you are taking. you should take antifungal medication and can avoid taking immunosuppressive medication associated with the lichen. instead, you can take this medication which can't affect your immunity status. please avoid sexual exposure until you are cured. or you can do sex with the condom as protection. maintaining good glycemic control can help you to recover from the infection. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Answer this question truthfully,"CT scan of the pelvis, abdomen, and chest can be helpful as one of the evaluating tools of ovarian cancer and its extent and metastasis. CT scan be used for preoperative staging to look for lymphadenopathy, peritoneal, and distant metastases."
Answer this question truthfully,"There are many causes of hallucinations, including:
Being drunk or high, or coming down from such drugs as marijuana, LSD, cocaine (including crack), PCP, amphetamines, heroin, ketamine, and alcohol. Delirium or dementia (visual hallucinations are most common) Epilepsy that involves a part of the brain called the temporal lobe (odor hallucinations are most common) Fever, especially in children and the elderly Narcolepsy Psychiatric disorders, such as schizophrenia and psychotic depression Sensory problem, such as blindness or deafness Severe illness, including liver failure, kidney failure, AIDS, and brain cancer"
Answer this question truthfully,"No, Chlamydia spp. is an obligate intracellular bacterium that lacks the ability to produce its own ATP. Instead, it relies on host cells to provide the necessary energy for its survival and replication. Chlamydia spp. is known to infect a variety of host cells, including epithelial cells in the genital tract and lymphoid cells in the respiratory tract. Once inside a host cell, Chlamydia spp. can manipulate the host cell's metabolic processes to ensure a steady supply of ATP to support its growth and replication."
Answer this question truthfully,The Case Fatality Rate is calculated by dividing the number of individuals who die from a disease during T0->T+1 by the number of individuals with the disease at T0.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to my chatbot clinic. i studied your query in depth. in my opinion-at 22 yrs age, you need not worry about it being cancer, by the facts put by you. it appears to be ?sebaceous cyst -as it's movable and not painful. if you still have worry, edition biopsy-of it-would resolve your worrisome query. i would advise you to report to surgeon for this . hope you have cleared your worry. would welcome you to chatbot for any more queries on it or on other health-problem."
Answer this question truthfully,"No, a branchial cleft cyst is typically immobile and does not move when a person swallows. A branchial cleft cyst is a type of congenital cyst that forms in the neck due to incomplete closure of the embryonic branchial clefts. It is usually located near the front edge of the sternocleidomastoid muscle and can cause swelling, pain, and infection. While a branchial cleft cyst may become more prominent or tender during swallowing or other neck movements, it does not generally move from its fixed location. Diagnosis of a branchial cleft cyst usually involves imaging tests such as ultrasound or CT scan, and treatment may involve surgical removal of the cyst to prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. since you have cough and pain, the possibility goes in favor of plural inflammation. it gives sharp pains. the bruise and the lump may or may not be related. the possibility can be due to strained rib muscles due to act of coughing. i would advise such a patient for x-ray of the abdomen in pa and right lateral position to confirm or rule out. you need to visit a doctor for a clinical examination and investigations and treatment."
Please summerize the given abstract to a title,Inverse Folding of RNA Pseudoknot Structures
Answer this question truthfully,"A Hepatitis B DNA viral load of 2,000IU/mL indicates active infection."
Answer this question truthfully,"Most of the time, this defect occurs spontaneously. Genetic disorders, and teratogens (viruses, metabolic imbalance, and industrial or pharmacological agents) have been associated as possible causes. Up to 50% (varies in studies) of cases are associated with chromosome 22q 11 deletions. The neural crest, specifically a population known as the cardiac neural crest, directly contributes to the aorticopulmonary septum.  
Microablation of the cardiac neural crest in developing chick embryos and genetic anomalies affecting this population of cells in rodents results in persistent truncus arteriosus.   
Numerous perturbations affecting the cardiac neural crest have been associated with persistent truncus arteriosus, some of which include growth factors (fibroblast growth factor 8 and bone morphogenetic protein), transcription factors (T-box, Pax, Nkx2-5, GATA-6, and Forkhead), and gap junction proteins (Connexin). The cardiac neural crest also contributes the smooth muscle of the great arteries."
Please summerize the given abstract to a title,Informe diário de evidências COVID-19: busca realizada em 14 de maio de 2020
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain and give you my opinion. a person that previously had a heart attack means that suffers from coronary artery disease and of course has a bigger risk than the other population to do problems again. this category of patient might feel tired, lethargic for different reasons depending on heart function, blood pressure, cardiac frequency etc. for example a low cardiac function might be responsible for difficulty in breathing deeply, decreased physic tolerance, lethargy. feeling sleepy might be a side effect of medications. feeling tired, nausea might happen even from other pathologies like thyroid gland problems. so, i encourage you to help your friend and convince her to meet the doctor because it might be something treatable, and she will fell better. if i was the treating doctor i will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function, a full blood analyze to exclude anemia, hyperthyroidism or electrolyte imbalance. after this we can better understand what is the problem and m\u00e9nage it. hope i was helpful. wish your friend good health. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the unbearable pain in left lower abdomen after surgery of hip replacement with prior uti is indicative of an infection in the operated site. it is possible that you had an active focus of infection which was not under control in spite of an antibiotic cover. i would suggest you to undergo mri of the operated hip joint along the abdomen to see for the possibility as explained. also, advisable is blood culture and sensitivity, urine culture and sensitivity to get the sensitivity report so that proper antibiotics can be started."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi nancy! good morning. i am chatbot answering your query. getting back to marvel on might not solve your problem of gaining weight and feeling tired. if i were your doctor, i would advise you for a thyroid function test along with a serum lipid profile, a blood sugar, and a complete blood count followed by an ultrasound of the abdomen to see the state of your pelvic organs specially the ovaries. i would decide on starting any medications only after the investigations reports were ready. at the same time, i would advise you to go for a routine aerobic exercise program depending on your medical fitness. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot.  i am chatbot.  elevated liver enzymes has many causes like alcohol intake, viral hepatitis, autoimmune hepatitis, metabolic disorder for which you require evaluation. so i will advise you to visit to your doctor for evaluation and management accordingly i hope i have answered your query. if you have any further query i will be happy to answer that too. wish you a good health"
Please summerize the given abstract to a title,Effects of temporarily suspending low-dose methotrexate treatment for 2 weeks after SARS-CoV-2 vaccine booster on vaccine response in immunosuppressed adults with inflammatory conditions: protocol for a multicentre randomised controlled trial and nested mechanistic substudy (Vaccine Response On/Off Methotrexate (VROOM) study)
Answer this question truthfully,"Findings suggestive of sporotrichosis on chest x-ray include the presence of cavitations, tracheobronchial lymph node enlargement, and presence of nodular lesions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question and understand your concerns. let me try to help you question"
Please summerize the given abstract to a title,A Cross-Sectional Study on the Cross-Talk of the COVID-19-Related Degree of Loneliness and the Etiological Factors Among the Elderly in Central China
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir, welcome to chatbot, i understand your concern.asd closure post operative has a very good prognosis. you can resume with your regular activities after 2-3 months. exercise is not a contraindication but avoid trekking as altitude variations may lead to hemodynamic imbalance. continue your present medication if any, regular followup with an 2 dimensional echo is mandate for every 3 months for first year followed by 6 monthly for 2 years there after annually. consult your cardiologist for expert management. post your further queries if any, thank you."
Answer this question truthfully,"Scientists do not know what causes pterygia to develop. However, since people who have pterygia usually have spent a significant time outdoors, many doctors believe ultraviolet (UV) light from the sun may be a factor."
Please summerize the given abstract to a title,COVID-19 cardiac injury and the use of colchicine
Please summerize the given abstract to a title,Remote Follow-up of Shoulder Arthroplasty Patients During COVID-19 Pandemic - Is This the way Forward?
Answer this question truthfully,Spermatids undergo spermiogenesis to form spermatozoa after they have been formed from secondary spermatocytes.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you're all symptoms are due to hypotension and bradycardia caused by lopressor. lopressor is having metoprolol. it is beta blocker. it acts on reducing blood pressure and heart rate. you have given lopressor just for prophylaxis before aneurysm surgery. so possibility of hypotension is more in your case. so you are cut down the dose to 12.5 mg. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are asking for two different symptoms, ankle sprain and menstrual abnormality. treatment for both of them are different. for ankle sprain, first get done x-ray to rule out fracture. if there is no fracture then avoid weight-bearing, take proper rest. keep that ankle slightly elevated when you are in bed. apply warm water pad on affected ankle ankle. take painkiller and anti-inflammatory chatbot.  wear crap bandage also. for menstrual abnormality, possibility of hormonal imbalance is more. so consult gynecologist and get done clinical examination and hormone levels. you might need hormone pills for regulation of menses. so consult gynecologist and orthopedic doctor and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. sincerely speaking, i am proud of your attitude. people who undergo the hardship like you did, usually go havoc and here you are standing tall among them with your own views. great. i admire you. though i do not have words to you of consolation, but i do have words which should make you proud of yourself. you are not alone. almost half of the world population are nearing old age and almost everyone suffering from physical and mental problems. everyone is coping up. so, that is part of life. you told you are not afraid, but i will say you are brave, confident. you said you are not you, but i say you are definitely you. i think you achieved self actualization, wisdom. now people need you as their wise teacher. there are needy people who want your advice. find them and teach them the life. they will be happy. rather you can only make them happy. god is with you. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Lyophilization and homogenization of biological samples improves reproducibility and reduces standard deviation in molecular biology techniques
Please answer with one of the option in the bracket,C: Vitamin A supplementation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. read and understood your history. you woke up with sharp pain in the upper abdomen, increasing with deep breathing and also vision problem with nausea and vomiting. this is a serious problem, and you should rush to er. the most probable reasons as per you history are"
Answer this question truthfully,"Von Gierke disease is also known as glycogen storage disease type I. This classification is significant because it indicates that the condition is caused by a deficiency of the enzyme glucose-6-phosphatase, which impairs the body's ability to break down stored glycogen into glucose. As a result, individuals with this condition may experience symptoms such as hypoglycemia, enlarged liver, and delayed growth and development."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.welcome to chatbot.thank you for hoping us. you have insect bite dermatitis.my opinion is that,1.apply antibiotic creams like fusiform ointment twice daily on the area for 7 days.2.take analgesics like ibuprofen tablets twice daily for 7 days to control pain.3.take levocetrizine tablets twice daily for 7 days, if you have itching.4.maintain good hygiene around the area. hope my answer will help you.i wish you for your good health."
Answer this question truthfully,"Respiratory alkalosis is the acid-base disturbance that is expected in patients with atelectasis. Atelectasis is a condition in which the lungs do not fully inflate due to the collapse of small air sacs (alveoli). This can lead to a decrease in oxygen levels and an increase in carbon dioxide levels in the blood. To compensate for the decrease in oxygen levels, patients with atelectasis may breathe faster and deeper, leading to a decrease in carbon dioxide levels and an increase in blood pH, resulting in respiratory alkalosis. Treatment of atelectasis typically involves addressing the underlying cause of the condition and may include measures to improve lung function, such as deep breathing exercises, chest physiotherapy, and mechanical ventilation."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Recruitment and engagement in disease self-management programs: Special concerns for rural residents reporting depression and/or anxiety
Please answer with one of the option in the bracket,A: Oral dapsone
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot at present there are no herbal or natural treatment methods available for this condition. some persons may experience a self limited disease, whereas others may have a progressive disease or one that relapse and remits. steroids are the main stay of treatment, with or without the addition of other medications. if your husband is starting to notice returning symptoms of this condition, then he needs to inform his doctors. the dose of the medication may need to be increased. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. herniated disc causes articular pain due to nerve root compression and this is the cause of painful hips. i see similar cases amongst young people who visit my clinic, i advise them to do mri lumbosacral spine to assess the condition well then i advise them to do the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some sebaceous cyst, infected cystic lesion or abscess formation.  you should go for examination.  if needed go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. you should also take antibiotic like cea chatbot.  it is prescription based medicine so consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Methotrexate is the chemotherapeutic drug used in the treatment of a hydatidiform mole.
Please summerize the given abstract to a title,Don't shoot the messenger
Answer this question truthfully,"Smith-Magenis syndrome is a chromosomal condition related to chromosome 17. Most people with SMS have a deletion of genetic material from a specific region of chromosome 17 (17p11.2). Although this region contains multiple genes, researchers believe that the loss of one particular gene, RAI1, is responsible for most of the characteristic features of this condition. The loss of other genes in the deleted region may help explain why the features of Smith-Magenis syndrome vary among affected individuals. A small percentage of people with Smith-Magenis syndrome have a mutation in the RAI1 gene instead of a chromosomal deletion.
These deletions and mutations lead to the production of an abnormal or nonfunctional version of the RAI1 protein. The function of the RAI1 protein is unknown, and researchers are uncertain how a loss of this protein results in the physical, mental, and behavioral problems associated with Smith-Magenis syndrome.
SMS is typically not inherited. This condition usually results from a genetic change that occurs during the formation of reproductive cells (eggs or sperm) or in early fetal development. People with Smith-Magenis syndrome most often have no history of the condition in their family."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...no need to do any further tests. seems like a viral illness by the tests and by what you quote. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,"Estrogen can regulate the breakdown of osteoclasts, which can help maintain bone mineral density."
Please summerize the given abstract to a title,Patient Perspectives on the Effect of the SARS-CoV-2 Pandemic on Patients With Systemic Sclerosis: An International Patient Survey
Please summerize the given abstract to a title,Addressing multiple gastroenterological aspects of COVID-19.
Answer this question truthfully,"Pseudofolliculitis barbae is a disorder that occurs mainly in black men. If curly beard hairs are cut too short, they may curve back into the skin and cause inflammation."
Answer this question truthfully,"The right or left femoral arteries are the most commonly used access sites for coronary arteriography. The common femoral artery courses medially to the femoral head and the bifurcation of the common femoral artery into its branches is generally distal to the middle third of the femoral head, which can be localized by fluoroscopy before arterial puncture. The anterior wall of the common femoral artery should be punctured several centimeters below the inguinal ligament but proximal to the bifurcation of the superficial femoral and profunda arterial branches. If the puncture site is proximal to the inguinal ligament, hemostasis after the procedure may be difficult with manual compression, leading to an increased risk of retroperitoneal hemorrhage. If the puncture site is at or distal to the femoral bifurcation, there is a higher risk of pseudoaneurysm formation after sheath removal. Ipsilateral cannulation of the femoral artery and femoral vein also increases the risk of arteriovenous fistula formation. Calcification of the femoral artery may also be present which may guide in placement of the arterial and venous sheaths.
Although Sones first introduced the cutdown approach to the brachial artery for coronary arteriography, access to the brachial and radial arteries is now most often obtained percutaneously. These approaches are preferred to the femoral approach in the presence of severe peripheral vascular disease and morbid obesity (1, 2), and radial artery access is generally preferred to brachial catheterization due to its ease of catheter entry and removal (3). Systemic anticoagulation with intravenous heparin or bivalirudin is used for both approaches to prevent catheter thrombosis. The radial artery approach allows immediate ambulation after coronary arteriography with lower cost (compared with femoral closure devices) and improved coronary visualization (compared with smaller 4F diameter femoral catheters) (4). The radial approach relies upon the use of smaller guiding catheters. In addition, these approach to the coronary ostium is from the right, rather than from the left via the aortic arch with the femoral approach, and this may present a challenge in cannulating the coronary arteries. Support may be reduced as a result of smaller guiding catheter equipment. Arterial spasm and variable anatomy in the arm and the subclavian arteries may pose obstacles. SVGs can be engaged using either brachial or radial artery, but cannulation of the internal mammary artery (IMA) is best performed from the left brachial or radial artery. Engagement of the left IMA from the right brachial or radial artery is technically challenging but may be performed using a “headhunter” or another shaped catheter for selective entry into the left subclavian artery. A 0.035-inch angled hydrophilic guidewire is the most useful support wire for access to the subclavian artery. Special Considerations Regarding Catheter Selection: The brachial artery easily accommodates an 8F (1 French = 0.33mm in diameter) sheath, whereas the radial artery is smaller and generally limited to 5 to 7F catheters. Before radial artery access is attempted, an Allen test should be carried out to ensure that the ulnar artery is patent in the event of radial artery occlusion (5)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot! h. pylori is a bacterium which resides in the stomach and causes excess secretion of acid in the stomach and may result in ulcers being formed in the stomach or duodenum. the common symptoms of gastric ulcers are extreme pain in the abdomen, soon after eating food. the food irritates the ulcer and causes pain.  it may be accompanied by vomiting and hematemesis. there is weight loss. if you have been experiencing only indigestion and burping, then it is unlikely that an ulcer has developed. there's a standard antibiotic course for treating h. pylori. take the course and make sure you complete it. your treating doctor will give you medicines to relive of ability. they will help in decreasing the symptoms. as such there is no need of endoscopy presently. also, it is a painful procedure. take your medications. if the problem persists even then, then you might consider visiting a gastroenterologist and getting an endoscopy done. hope this information helps. wishing you a speedy recovery. with warm regards,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,D: Medication side effect
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your pain and discomfort is due to multiple biopsies. it is very common problem and no need to big worry.  you can take painkillers like coquitlam or other analgesic chatbot.  take treatment of meningioma accordingly.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,263 UNderstanding EQUity in Crisis Standards of Care (the UNEQUAL Crisis Study)
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having breathlessness on minimal exertion. this is common symptom in cardiac and pulmonary diseases. so better to consult doctor and get done ecg, 2d echo to rule out cardiac diseases. if these are normal than get done chest x-ray and pft (pulmonary function test) to rule out pulmonary causes. so, better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,REM sleep behavior disorder is characterized by a lack of muscle atonia during REM sleep.
Please summerize the given abstract to a title,"Effects of the COVID-19 pandemic on care of melanoma patients in Berlin, Germany: the Mela-COVID survey"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the lump in throat near uvula is enlarged tonsil. the symptoms mentioned in your post suggests that you might be having acute tonsillitis. management consists of"
Answer this question truthfully,"Arterioles of skin, splanchnic, and renal circulation contain α1-adrenergic receptors."
Please summerize the given abstract to a title,Regime and Treatment Effects in Duration Models: Decomposing Expectation and Transplant Effects on the Kidney Waitlist
"Research assignment Hi, I am a grade 12 student who is doing a research assignment on neurological disorders. Do you believe that there will ever be a bonafide cure for Multiple Sclerosis? If so, what kind of time frame would put on this cure?","Currently there is no cure for Multiple Sclerosis. Many individuals do well with no therapy at all, especially since many medications have serious side effects and some carry significant risks.  However, three forms of beta interferon (Avonex, Betaseron, and Rebif) are approved for treatment of relapsing-remitting MS.  Ocrelizumab (brand name Ocrevus) is approved for adults with relapsing forms of MS and primary progressive MS. Beta interferon has been shown to reduce the number of exacerbations, the severity and duration of the attacks,  and may slow the progression of physical disability. A synthetic form of myelin basic protein, called copolymer I (Copaxone), is approved for the treatment of relapsing-remitting MS. Copolymer I has few side effects, and studies indicate that the agent can reduce the relapse rate by almost one third.  Other approved drugs to treat relapsing forms of MS in adults include teriflunomide and dimethyl fumarate.  An immunosuppressant treatment, Novantrone (mitoxantrone), is approved for the treatment of advanced or chronic MS.  Dalfampridine (Ampyra) may improve walking in individuals with MS. One monoclonal antibody, natalizumab (Tysabri), was shown in clinical trials to significantly reduce the frequency of attacks in people with relapsing forms of MS. This drug should be used under strict treatment guidelines involving infusion centers where patients can be monitored by specially trained physicians.  Steroids can reduce the duration and severity of attacks in some patients.  Spasticity, which can occur either as a sustained stiffness caused by increased muscle tone or as spasms that come and go, is usually treated with muscle relaxants and tranquilizers such as baclofen, tizanidine, diazepam, clonazepam, and dantrolene. Physical therapy and exercise can help preserve remaining function, and patients may find that various aids -- such as foot braces, canes, and walkers -- can help them remain independent and mobile.  Avoiding excessive activity and avoiding heat are probably the most important measures patients can take to counter physiological fatigue.  If psychological symptoms of fatigue such as depression or apathy are evident, antidepressant medications may help.  Other drugs that may reduce fatigue in some, but not all, patients include amantadine (Symmetrel), pemoline (Cylert), and aminopyridine. Although improvement of optic symptoms usually occurs even without treatment, a short course of treatment with intravenous methylprednisolone (Solu-Medrol) followed by treatment with oral steroids is sometimes used.  The vast majority of patients are mildly affected, but in the worst cases, MS can render a person unable to write, speak, or walk.  MS is a disease with a natural tendency to remit spontaneously, for which there is no universally effective treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dear sudden chatbot. .,thanks for choosing chatbot., psoriasis.it is autoimmune and papulo-squamous inflammatory disorder...with., genetic predisposition...ok., there is no cure.only control the disorder., first commonly seen in scalp area., called .....scalp psoriasis.,1) apply no surf...on scalp throughout.,night, next morning wash scalp.,2) apply salicylic acid 6% and dexamethasone., cream after 2hrs after bath.,3) tab...noted 2.5 mg 3 times 12 holy ., weekly once.,4) avoid fatty and nonveg items.ok.that."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot with your health concerns and questions. you are concerned that you have very little facial hair. the amount of hair is genetically determined and for you the gene does not allow you to grow much facial hair. there is no treatment to improve the growth of facial hair. i can reassure you that there is nothing here to worry about. this is normal for you. hope this answers your question. please contact us again with your medical concerns and questions
Please summerize the given abstract to a title,Telling lives in medicine: the impact of biography collections in medical education
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, firstly, sorry to hear about your hip surgery. coming to the point, that bone doesn't get discoloration, and also it is difficult to see from outside. it should be the skin which the therapist might be trying to explain you. as to see within the joint and the bone you either need a ct scan or an x-ray.  since surgery is done recently, i feel you should consider meeting the surgeon to get it assessed as he will be the right person to work on this complaint as he is the one to operate too, so he knows what he has done and why this has come. but i strongly feel this will be changes related to the skin and will be a part of the healing process but still rather to ignore it is better to get it checked. there is no harm getting checked right? hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. co amoxiclav is antibiotics, and it is used for the bacterial infections and not for the fungal infections. your symptoms are not related to the infections. it sounds like it has some peripheral vascular disease. peripheral vascular disease can cause bluing, feeling of cold and pain. this is the same symptoms as you have described. so in my advice you should examine your self for the pvd with your nearby doctors. vasodilator chatbot.  you should also take that, this will help the control of the symptoms. avoid cold exposure to the limb. this can cause pain in the limb. warmth feeling of the limb can immediately revert the symptoms to the normal. i will be happy to answer your further concern on bit.ly/"
Answer this question truthfully,"Get urgent medical care if:
You vomit material that is bloody or looks like coffee grounds Your stools are black (like tar) or maroon You have a burning feeling and a squeezing, crushing, or pressure in your chest. Sometimes people who think they have heartburn are having a heart attack
Call your doctor if:
You have heartburn often or it doesn't go away with a few weeks of self-care You lose weight that you didn't want to lose You have trouble swallowing (food feels stuck as it goes down) You have a cough or wheezing that does not go away Your symptoms get worse with antacids or H2 blockers You think one of your medicines may be causing heartburn. DO NOT change or stop taking your medicine on your own, without talking to your doctor first"
Please answer with one of the option in the bracket,E: A single dose of Td vaccine at 18 years of age
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi your systolic blood pressure is very high, you are grade 3 systolic hypertension, this is termed as hypertensive emergency and injectable antihypertensives will be administered in order to cause any end organ image once the blood pressure settles down to normal, you would be switched on to oral medicines. a hypertensive emergency (systolic over 180 or diastolic over 120)(formerly called \""malignant hypertension\"") is hypertension (high blood pressure) with acute impairment of one or more organ systems (especially the central nervous system, cardiovascular system and/or the renal system) that can result in irreversible. in most cases, the administration of an intravenous sodium nitroprusside injection, which has an almost immediate antihypertensive effect, once bp is controlled you would be switched over to oral medication."
Please answer with one of the option in the bracket,E: B6
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms of your son seem to be related to an allergic reaction to cipro. i suggest using a steroid cream for local application such as dexamethasone cream. i also suggest using cetirizine 10 mg daily. if the symptoms continue, or if he has breathing difficulties you should consult your doctor for an alternative treatment. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Answer this question truthfully,"The main differential diagnosis for a newborn with cataracts on the first day of life is TORCH infections. TORCH is an acronym that stands for a group of infections that can be transmitted from the mother to the fetus during pregnancy: Toxoplasmosis, Other (syphilis, varicella-zoster, parvovirus B19), Rubella, Cytomegalovirus, and Herpes simplex virus. These infections can cause a range of congenital abnormalities, including cataracts. Other possible causes of congenital cataracts in newborns include genetic disorders, metabolic disorders, and intrauterine infections. However, given the timing of onset and presentation, TORCH infections are the most likely differential diagnosis in a newborn with cataracts on the first day of life."
Answer this question truthfully,"No, Shigella bacteria are not able to ferment lactose."
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. klatskin tumor is cholangiocarcinoma at the confluence of the hepatic ducts and common hepatic duct above the level of cystic duct. it causes obstructive jaundice. stenting / bypass are palliative options. actually surgical resection is possible only in 5% cases. condition has got 90% mortality in one year. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. regards."
Answer this question truthfully,"The recommended management strategy for preeclampsia with severe features is delivery at or beyond 34 weeks of gestation. This is because preeclampsia with severe features can pose significant risks to both the mother and fetus, and early delivery may be necessary to prevent further complications. However, the timing and method of delivery may depend on a variety of factors, including the severity of the preeclampsia, the health of the mother and fetus, and the preferences of the patient and healthcare provider. As such, it is important for women with preeclampsia to receive ongoing monitoring and care from a qualified healthcare provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern as long as the conception is concern let me clear something, for the pregnancy presence of ovum and sperms with the normal parameters should be presence at the time of coitus, this is the main criteria for the conception and without this pregnancy is not possible, and no other thing would prevent the pregnancy, take care and have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i would like to know a few more details before coming to a conclusion.1. on which day of fever did the rash appear?2. how is he feeding now?3. is he irritable or playful and happy?4. has he taken vaccine shots for measles and rubella? a picture of the rash would be very useful in diagnosing his infection. rhinoviruses produce runny nose and cough, but are not known to produce a rash. do get back with the above information, and we can come to a conclusion."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for providing a brief history of you.to look forward with the shoulder issue, i will say that you need to meet up a physical therapist and get it helped. by using the therapeutic ultrasound therapy and tens therapy you have an ease of pain around the shoulder girdle. also, as on the later stages strengthening the muscles of the shoulder is of due importance to have a quality of movement. next coming to the vertigo and vision issue, i will advise you to take a physician advice on the medical part and a physical therapist for vestibular exercises.no for vision i will recommend you to do head rotation exercises which will increase the visual field of the eye and help improve. if the eye symptoms increase or doesn't reduce you need to take a small consultation as he has the high technology induced assessing device which may help rule out certain factors. with the grace of god i with you a good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. i have gone through your query and can understand your concerns. as per your complaint as you have numbness of mouth and tongue even after 30+. hours it is definitely abnormal as the numbness due to dental anesthesia generally resolves in about 2 to 3 hours at a max. it can be due to needle prick injury to the nerve that is leading to prolonged numbness. many times mild injuries tend to resolve soon, and the numbness may stat subsiding in next 2. to 3 days. but in case if it still does not improve consult a neurophysician and get evaluated. as of now take vitamin b complex supplements and do alternate warm and cool compresses. hope this information helps. thanks and regards. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. noted you have main complaint is of cough. let me know you whether it is chatbot. ... so it can lead cough as by infecting respiratory tract.... let me know you if you have acid reflux disease then also by irritation cough can occur. do you smoking? as here bronchitis like condition might lead cough.chest x-ray useful which show prominent bronchovascular marking... metallic taste here i think need not much concern. maintain oral hygiene for it.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have swollen gums and carious tooth, cancer sore around tooth can be sinus opening, there can be periapical access formation or periodontal access as you have swollen gums, you do warm saline gargle two - three times a day, take one tablet diploma sp twice daily for pain, consult dentist for investigations done iowa x-ray done if carious go for root canal treatment and if periodontal problem go for scaling and root planning properly hope this will help you.  wish you good health"
Please summerize the given abstract to a title,Rebuilding research
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. a proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. this is most important to lead to a proper management/ treatment. you have to consult a gastroenterologist who can perform ercp- remove the stones and pass a stent... this is therapeutic and helps a lot. if he is taking alcohol, he has to stop . continue creon with food. he also has to avoid all foods and beverages, which he must have observed that they increase the problems."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot. if i am your treating doctor i would like to advice that you should think of permethrin for the treatment because scabies is an antiparasitic infection, a kind of skin infestation caused by a tiny microscopic bug known as the human itch mite. it is a common in people living in dense atmosphere like hostels, military houses. all the candidates of the house should be treated simultaneously. i can understand your financial issue but this treatment you should take for the relief of scabies. apply permethrin from below head up to toe. there are other medications also available in market for treatment of scabies like ivermectin and benzyl benzoate etc. but the only thing is the disease should be confirmed by a doctor and proper chatbot. and hence, why you will need to see some local doctor if dermatologist appointment is not feasible for diagnosis confirmation first and his/her prescription. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concernspain in tagus are with swelling is an indication of external infection of ear which need antibiotic after confirmation by ent surgeon or pediatrician. i do not think any reason to panic, your baby needs an ent consultation, till than do not research on net, it will create more confusion. hope this answers your question. if you have additional questions then please do not hesitate in writing to us.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query, based on the report of your semen analysis that you have posted you seem to have problem of low sperm count (oligospermia) the motility and other parameters of semen being normal as compared to who standards. you have been prescribed medications like gene plus to increase sperm count. i would like to state that truly speaking there are no medications that have been proved scientifically effective to increase sperm count. however, following general measures do help to increase sperm count 1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc 3)take anti oxidants like almonds 5-6 everyday4) avoid alcohol and smoking. as regards presence of 10-15 pus cells it is suggestive of infection either in seminal vesicle or prostate and needs to be treated with antibiotic like doxycycline twice daily for 4-6 weeks . it should help you to increase sperm count and eradicate infection and thereby impregnate your wife. repeat your semen analysis after completion of medication chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking. i have gone through your question and i understand your concern.  your son who is 3 years old has suffered with tonsillitis as being treated with penicillin. as you said, and he woke up 3 times in 4 hours with cold sweat and nose bleed, you are worried.  there are no relation between cold sweat and the penicillin sometimes its due to fever which is coming down. in my opinion is no case to worry.continue the treatment, wish you healthy family thank you"
Please summerize the given abstract to a title,Occupational causes of hypersensitivity pneumonitis: a systematic review and compendium.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear uc gupta, warm welcome to chatbot.come have evaluated your query in details .* doctor decided molecule in form of antibiotic according to the clinical severity of the symptoms .* claim has excellent results in respiratory tract infections for fast recovery, you should consume it 2 times a day rather than 3 times.* lupine 10 mg is anti-histaminic molecule cetirizine, so if rhinitis or other allergic symptoms are there, take it, otherwise not necessary. wishing her fine recovery. feel free to ask any further doubts. regards ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  furthermore, i think you need second opinion for your disease. pku should not leave untreated.  at least it management should be done.  and if level is rising then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Acidemia can lead to an increase in free ionized calcium concentration.
Please answer with one of the option in the bracket,B: Human placental lactogen
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatbot i have gone through your question and understand your concerns. i would recommend you a complete neurological evaluation of your child to rule out focal seizures, migraine, space occupying lesion or migraine as cause of his illness. this will help in definitive treatment. the evaluation will include"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, u had a heavy weight which fell on your foot that's y u will have pain for few days. pain is not so severe to prevent u from walking, so fracture is not likely bco in case of fracture there will be severe pain. pain in big toe may be due to slight bleeding under the big toe. it decreases jen all the blood is reabsorbed. and the bruising over the foot is due to bleeding from small vessels below the skin. u need not worry bco it will reduce in few days. if u feel more pain den u may have an x-ray to confirm. get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello madam, i understand you did get most of the common work up for right sided abdominal pain. i am happy that you were cleared of appendicitis and ovarian causes. i hope you got ct scan to get that ruled out. if anything else major causing your problem, that would be shown in the ct scan. also, as you know, the urinary tract information can also cause abdominal pain that should be resolved after it is totally treated. i would recommend you to keep yourself hy chatbot.  the other reasons in a young woman to be considered for abdominal pain are irritable bowel syn"
Please summerize the given abstract to a title,COVID-19 impacts and adaptations in Asia and Africa's aquatic food value chains. (Working Paper: FISH-2021-02.)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from the symptoms you have described and his history of chronic smoking and chatbot.  the other symptoms that can help you diagnose the problem are -a red or white patch on the tongue, that will not go away sore throat that does not go away sore spot on the tongue that does not go waylaid when swallowingnumbness in the mouth that will not go awayunexplained bleeding from the tongue (that is not caused by biting your tongue or other injury)pain in the ear (rare)its advisable to meet your doctor and get a bios done at the earliest. take care"
Please summerize the given abstract to a title,Implementation strategies for improving vitamin D status and increasing vitamin D intake in the UK: current controversies and future perspectives: proceedings of the 2nd Rank Prize Funds Forum on vitamin D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for writing us here. well for what you took the tetanus shot by the way? because of come contaminated injury or something like that? if yes, its most likely to be because of some minor infection which your lymph node chatbot.  it would be alright in 8 to 10 days and for your own satisfaction, you can ask your doctor for ultrasound of your lymph node. there's nothing to be worried about okay? after tt shot to some people develop minor inflammation causing the lymph nodes to swell. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion usually the pregnancy symptoms like nausea, vomitings, increased urination, sore breasts start around 2 weeks of missed period. so it might be too early to feel any pregnancy symptoms. the shorter and lighter bleeding might be your altered period. it can be due to hormonal imbalance. as the pregnancy test is negative the chance of pregnancy is ruled out. in order to double confirm a urine pregnancy test can be repeated after a week. hormonal imbalance can be due to stress also. avoid stress. if repeat test is negative there is no chance of pregnancy and check for the next period. stress regarding pregnancy also makes one to feel the pregnancy symptoms. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellman and blood in urine may be due to many reasons like urinary tract infection(uti), calculus in kidneys or ureters etc. you need clinical correlation and investigations like routine hologram, renal function test, urine re/me, urine culture and sensitivity and ultrasound of abdomen. ultrasound of abdomen and urine re/me is most important in your case. proper treatment depend upon findings. it is important to exclude prostate enlargement in males because enlarged prostate may give rise to sense of incomplete emptying. get well soon. take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, sure you need to see your family physician. fever could be a sign of infection. the anti-biotic given you are prophylactic, if you still develop fever, its worthwhile doing a culture and antibiotic sensitivity tests to ensure what we're treating really works. the fever could also be due to something else, worth checking with your family doc. it is common to have changes in urination frequencies with removal of the stent. thanks"
Answer this question truthfully,"The hypertensive complication is called hypertensive encephalopathy, which is a type of hypertensive emergency."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. chewing tobacco does not affect your seizures, they are related to that lesion in your brain and tobacco doesn't bear any additional influence in their development. you might want to consider quitting tobacco chewing anyway though as it has other negative effects predisposing you to cancer of the oral cavity, esophagus, stomach, nicotine addiction, and other local damages to oral cavity. i hope to have been of help."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient which hip is getting pain, and what is the duration of your complaints? have you suffered from trauma?  if pin is on other sides and no trauma possibility of avascular necrosis of hip or arthritis should be considered. if pain is on single side then infective pathology or arthritis should be considered.  i would advise x-ray of pelvis with both hips anteroposterior and frog leg view to confirm diagnosis.  visit radiology center nearby you and get it done. meanwhile, start tab attract twice a day for pain relief. you need to consult expert orthopedic surgeon with report. all the best."
Please summerize the given abstract to a title,Building a robust interface between public health authorities and medical institutions in a densely populated city: State-of-the-art integrated pandemic and emerging disease preparedness in the Greater Tokyo Area in Japan
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. the lump on your elbow could be due to collection of blood caused by the kick by the horse. this would normally get absorbed in a few days if there is no more active oozing. if i were your doctor, i would advise you for an anti-inflammatory chatbot.  also, a cold compress and rest to the elbow with a supporting sling would add to hastening of the improvement. if it persists or the pain increases, i would then advise you to consult an orthopedic surgeon in your area for a possible radiological investigation and further management. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,Idiopathic intracranial hypertension is associated with vitamin A excess.
Answer this question truthfully,"Histopathology of testes shows atrophic seminiferous tubules containing only sertoli cells, associated to a leydig cells hyperplasia.  The well-limited nodule presents as a circumscribed structure with a thin capsule consisting of atrophic servolian tubes with a very small interstitial tissue with rare leydig cells. This nodule corresponds to a well differentiated tumor with sertoli-leydig cells.  The gonads on histopathological examination show the following: 
Thickened tunica albuginea Seminiferous tubules with primary and secondary spermatogonia and sertoli cells Intertubular leydig cells were seen along with peritubular fibrosis
Testes - Atrophy of the seminiferous tubules - Histopathological aspect, HE staining by Regragui Souhail et al from The Pan African Medical Journal - ISSN 1937-8688. Pan Afr Med J. 2016;25:199. Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0).  Testicular parenchyma of lobulated architecture, made of seminiferous tubes of atrophic appearance; these tubes are lined with Sertolia cells, with no obvious signs of spermatogenesis the interstitium is fibrous with rare clusters of Leydig cells by Boutaina Lachiri et al from the Pan African Medical Journal - ISSN 1937-8688. Pan Afr Med J. 2015;20:400. CC BY-NC 3.0, Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/3.0)."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The goal of treatment is to correct the dehydration. This will improve the blood pressure, urine output, and circulation.
Fluids and potassium will be given through a vein (intravenously). High glucose levels are treated with insulin given through a vein."
Answer this question truthfully,"You are more likely to develop this condition if you:
Are African American Are of Middle Eastern decent, particularly Kurdish or Sephardic Jewish Are male Have a family history of the deficiency"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,first let me suggest you that, to get a proper treatment you should trust on your dentist. or else you can go for second opinion too. usually antibiotics has to be taken in complete course, prior to extraction of wisdom teeth which is inflamed. avoid anxiety and stress as it can worsen the condition. gargle using warm saline and betadine. maintain oral hygiene well. please have an open discussion with your dentist regarding this. hope this helps."
Please summerize the given abstract to a title,Pregnant women with COVID-19: the placental involvement and consequences
Answer this question truthfully,"Hepatitis A is caused by the hepatitis A virus (HAV) infection. Unlike other types of hepatitis, HAV infection is always acute. The virus replicates in the liver and is shed in high concentrations in feces from 2 weeks before to 1 week after the onset of clinical illness. It is primarily spread through fecal-oral transmission, commonly after ingesting food or water that is contaminated with the virus. The infected patients have a peak infectivity during the 2 week period before onset of jaundice or elevation of liver enzymes. 
The likelihood of developing symptoms with HAV infection increases with age. Fewer than 10% of infections among children aged 0-4 years result in jaundice; this percentage increases to 30%-40% among children aged 5-9 years, 60%-80% among youths aged 10-17 years, and 80%-90% among adults aged ≥18 years. 
When signs and symptoms occur, they typically last less than 2 months, although 10-15% of symptomatic persons have prolonged or relapsing disease lasting up to 6 months.  HAV infection is usually acute and self-limited. The rare cases of fulminant hepatitis are more common among patients with previous liver disease, such as chronic hepatitis C. 
The clinical manifestations commonly start after a 30 day incubation period. The disease manifests abruptly, with the following symptoms: 
Fatigue Malaise Nausea Vomiting Anorexia Fever Right upper quadrant pain
One week after symptom onset, patients experience:
Jaundice Pruritus Dark urine Acholic stool
The initial symptoms commonly diminish after the onset of jaundice, which is usually more intense on its second week."
Please summerize the given abstract to a title,Reflections on the role of the professor from the TPACK model perspective during covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you can start taking gonadal and ap cod right away, but these medicines alone will not help in conceiving.  you have irregular periods.  so get yourself evaluated first.  do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  if everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 mm, take injection for rupturing the follicles.  be in contact with your husband for next 2 to 3 days. take progesterone for next 2 weeks. do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months. hope i have answered your question.  if you have any other query i will be happy to help. regards chatbot."
Please summerize the given abstract to a title,Male mortality and the German response: lessons from COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot .... here you are diagnosed with bronchitis infection of lung .... for that chest x-ray done... spirometry also done to assess severity of pulmonary infection and management accordingly ..... if condition sever bronchodilator and steroid given... so you might have high grade of bronchitis .... steam inhalation done two times a day ... if congestive symptom present than pseudocode chatbot. ...
Please summerize the given abstract to a title,"Higher Education in Times of COVID-19: University Students’ Basic Need Satisfaction, Self-Regulated Learning, and Well-Being"
Please summerize the given abstract to a title,"Hand hygiene during facility-based childbirth in Cambodia: a theory-driven, mixed-methods observational study"
Vitelliform Macular Dystrophy Would like to obtain more info on possible treatments.,"Vitelliform macular dystrophy occurs as an early-onset form and an adult-onset form. The early-onset form, known as Best disease usually appears in childhood, and the onset of symptoms and the severity of vision loss can vary widely. The adult-onset form usually begins in mid-adulthood. In this form, vision loss tends to worsen slowly over time. Each of these forms of vitelliform macular dystrophy have characteristic changes that can be detected during an eye examination."
Answer this question truthfully,There are no other diagnostic study findings associated with carcinoma of the penis.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear monyelatj. thanks for sharing your concern. as your history suggests that you are experiencing tongue peeling, it could be due to deficiency of vitamins like vitamin b 12.(the commonest cause) it does not seem to be an allergic reaction because if it was so, it would have stopped when you changed your food habit. also, could you please explain what do you mean by, lost the sharpness of taste?because this shows that you are taking about numbness in tongue?  you can take vitamin b supplements for 15 days and observe the changes. if the symptoms persist even after that, then in this case i would suggest you to visit oral pathologist and get clinical evaluation done. the pathologist might suggest you few biochemical tests, which will give you exact diagnosis of the underlying pathology. hope it helps. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is possible that the pain is related to the ovarian cysts. ovarian cysts can cause pain as a result of different possible causes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query, i understand your problem all these symptoms that you have listed are mostly related to parkinson disease itself. this is the natural history of the disease. the fluctuation that you have mentioned could be related to off period after syn dopa that generally happens in patients with this disease. he would require further dose adjustment of his medications after careful clinical examination. further, i will like you to tell that there is another option for treatment of parkinson disease called as deep brain stimulation. you need to consult a movement disorder specialist (neurologist with advanced training in this disease) for the same. i am sorry that i do not know your location. if you are form india, the centers that will help you are 1. the free chiara tribunal center, driven chatbot.  simians bangalore 3. aims hyderabad etc. best wishes"
Answer this question truthfully,"MRI may be performed to detect the breast cancer associated with Paget's disease of the breast. In the setting of clinically and mammographically occult Paget's disease MRI can be very useful, mainly since mammography and ultrasonography have limitations in the evaluation of patients with Paget's disease. MRI also has a role in the preoperative evaluation of patients and might be helpful in facilitating treatment decisions."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dearwelcome to the platform of chatbot. hyperacidity is the most probable cause which is troubling you. same irritation is also radiating towards your back. gi endoscopy will confirm the diagnosisinvestigation like serum lipase and amylase also to be conducted to rule out any pancreatic problematic bland diet. intake of some antacid gel with local anesthetic agent regularly or when the pain starts will help in reducing the symptoms. ppi like omeprazole regular empty stomach will reduce the acid formation.thus, your symptoms will be alleviated. hope the query is answered. thanks"
Please summerize the given abstract to a title,Working in the dark: Interaction with a sub clinical COVID-19 subject and lessons learned
"If you are a doctor, please answer the medical questions based on the patient's description.",**1. since his age is main concern for not transplanting bone marrow thus two measures left are
Please summerize the given abstract to a title,Deep survival analysis with longitudinal X-rays for COVID-19
Answer this question truthfully,"CA 19-9 is used to monitor recurrence of pancreatic adenocarcinoma. CA 19-9 is a tumor marker that is often elevated in patients with pancreatic cancer. It is used to monitor the progression of the disease and to detect recurrence after treatment. CA 19-9 levels can also be elevated in other conditions, such as pancreatitis and liver disease, so it is not a definitive diagnostic test for pancreatic cancer. However, in combination with other tests, such as imaging studies and biopsies, CA 19-9 can be a useful tool for monitoring the course of pancreatic adenocarcinoma."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this could be related to muscle weakness which is leading postural changes. due to postural changes, there will be joint compression leading to pain. undergoing physiotherapy sessions will be helpful to reduce the pain. exercises like - core stability, hip muscle strengthening exercises and lower limb strengthening exercises will help to regain muscle strength and stability of the spine. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. i can think of more than one possibility for your case. firstly, if we consider more common causes, vitamin b12 deficiency and spasm of the chin muscle can be considered. vitamin b12 level in blood can be determined by a blood test. if deficient, supplements can be taken which will restore the level and help in suppression of the trembling. muscle spasm can be diagnosed by specific muscle tests done by an expert, in your case, an oral and maxillofacial surgeon. if it is found to be the cause, physiotherapy to strengthen the chin muscles and muscle relaxants can help. however, there is a rare disorder that causes chin trembling and is hereditary in origin. it is called \""familial or hereditary trembling of chin\"". an oral surgeon can examine you for that and can help you understand the problem in detail. if this is the cause, then unfortunately, nothing can be done to stop the quivering as the defect is in the gene and cannot be corrected. i hope this information helps you. thank you for choosing chatbot. take care. best,"
Polycystic ovarian syndrome Is it possible for parents to pass this on in the genes to their children - is there any other way this can be acquired?,"The cause of PCOS is unknown, but probably involves a combination of genetic and environmental factors"
"If you are a doctor, please answer the medical questions based on the patient's description.","i am afraid to say this, but your mother is in a very serious condition from what i gather. she has stage 4 gall bladder cancer which as it is a very poor prognosis and a survival ranging from 3-6 months. on top of that she is in kidney failure (no urine) probably as a result of her jaundice (for which she has been scented). this is an acute complication and can be life-threatening unless quickly corrected. even if she comes out of this crisis, she doesn't have long to live."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. thanks for sharing your concern. after reading your history i have come to this conclusion that your tooth requires root canal treatment. for that you can again take a short course of antibiotic for three days. i would also like to explain to you that both the doctors you visited were right in their approach, and they have suggested correct treatment. in my usual practice, if a patient comes with a complaint of toothache, i clean the cavity and seal it off with temporary cement. after that if the decay shows good prognosis then we go for permanent filling else root canal is the final treatment for that tooth.therefore, please do not be worried and go for root canal treatment. you can approach your dentist and start a course of antibiotics and analgesics. hope i have answered your query in detail. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello... as you said that you are suffering from moderately severe copd. in this case, oral prednisolone is helpful to control exacerbation with breathlessness. but diarrhea is uncommon side effect of prednisolone rather than it is more common with amoxicillin. as you mentioned you are also taking amoxicillin along with prednisolone. so my advice to stop amoxicillin and continue your prednisolone. you will feel better. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hithere should be fresh x-ray and mri to know extent of knee joint disease. euflexxa shots once a month for 5 months are also helpful, your doctor may decide when to use it depending on cartilage damage. there are glucosamine tablets, and nsaids pain medicines which can be tried along with physical therapy, hot fomentation, mild knee exercises etc. but first careful evaluation radiologically must be undertaken, whether conservative treatment will suffice or some surgery indicated. for tolerable symptoms and movable joint, conservative treatment as above with medications is enough best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for using chatbot for posting your query. i have gone through your query and i can understand what you are going through.it's a social issue and it can have different perspectives. he is your nephew and hence you will feel bad for him, but you should be ready to hear the other side as well. your nephew is a grown-up and can take his own decisions. he has decided d to stay back and that could be for a reason.they should meet a marriage counselor. thanks and regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. mentle cell lymphoma is one of the most aggressive tumor known till day. it is resistant to chemotherapy and rapidly worsening in days only. in your husbands' case as he is having right sided back and chest pain, i think he is developing malignant effusion. so better to rule out this by chest x-ray. if effusion than pigtail catheter insertion will help him symptomatically. so get done chest x-ray and pigtail chatbot.  also discuss end of life issues with him. this will give him more support."
Please summerize the given abstract to a title,"Prevalence and Time Trend of SARS-CoV-2 Infection in Puducherry, India, August-October 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. lump with redness and discharge - possibility of infective cause, might be hair follicular infection.2. in this case you may need to get a course of antibiotic to treat the process, if quite bigger - a small incision and chatbot. 3.meanwhile as a remedy - do not scratch, press or disturb the area - it will only complicate.4. maintain local hygiene, clean with antiseptic liquid. avoid cloths that cause friction in that area, try soft nature cloths for quick healing.5. get an appointment with your doctor, and let examined and needful treatment. good luck. hope i have answered your query.anything to ask do not hesitate. thank you."
Answer this question truthfully,"You have a higher risk for gangrene if you have:
A serious injury Blood vessel disease (such as arteriosclerosis, also called hardening of the arteries, in your arms or legs) Diabetes Suppressed immune system (for example, from HIV or chemotherapy) Surgery"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.by what you quote i feel that your grandson is having temper tantrums, and it is quite normal in this age group. it may persist till 5 years of age. but what you can do now is avoid giving importance to that behavior when he does that because mostly kids do this for attention seeking and if you give attention they will over do it. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i will advise mri hip/spine to see for any nerve compression leading to back pain. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. if mri shows disc compressing on nerve root then surgical decompression is permanent solution. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for query. i have gone through your brief history and i can understand your concerns. all the symptoms you have mentioned suggestive of pharyngitis(inflammation of your throat) which is commonly called as sore throat or strep throat. it could be followed after an episode common cold. i have seen many similar cases in my clinic, you don't need to worry regarding this since it can be cured completely with timely treatment. i suggest you to consult a nearby general practitioner and get the following things done"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome! let's start with making certain the medication is taken properly. pantoprazole is a proton pump inhibitor and needs to be taken 30-60 minutes before any food is taken. it may decrease absorption of iron, b12, and calcium. long term use may lead to osteoporosis, so calcium supplementation may be advised. avoid ginkgo or st. johns wort. it may also increase glucose. so, i reviewed these things because if you violate any of the above it may cause a greater fluctuation than pantoprazole will cause by itself. source"
Answer this question truthfully,Secondary prevention includes measures to delay the progression of MGUS to active multiple myeloma.
Please summerize the given abstract to a title,Remote Assessment of Veterinary Clinical Skills Courses During the COVID-19 Pandemic
Answer this question truthfully,"To prevent cisplatin-induced nephrotoxicity, measures that can be taken include administering Amifostine or IV Saline diuresis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, sneezing is due to irritation of the nasal mucosa by irritants like dust, mites,infections and chemicals. sneezing due to allergies are certainly the result of both genetic and environmental factors. the release of histamines wills trigger symptoms of allergy. if it is due to environmental factor we can identify the irritants and can prevent exposure to that irritants. you can undergo skin prick test to know the allergen causing these symptoms. thank you."
Answer this question truthfully,The two definitive treatments for subarachnoid hemorrhage are surgical clipping or coiling.
Please summerize the given abstract to a title,A fractional‐order model of coronavirus disease 2019 (COVID‐19) with governmental action and individual reaction
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. recurrent cough and cold in child chatbot.  so better to consult pediatrician and get done clinical examination of respiratory system to rule out asthma. if asthma is there then he needs inhaled bronchodilators and inhaled corticosteroid (ics). another possibility is recurrent influenza infection. so better to give him annual influenza vaccine. this will protect him for 1 year. so better to first consult pediatrician and discuss all these. hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i understand your concern, and you have done right by washing your fingers with soap and water thoroughly beside this no immediate post exposure prophylaxis is required in hepatitis c. i would advise you to consult your physician to check your mothers hcv rna now and if its negative then chances of transmission is negligible, and you should also check your anti hcv, hcv rna and lft now(this tells about your past infection and not from this exposure) and if it is negative then you should repeat same test at one month and at three months and if its negative at three months then you are safe. i feel sorry about this incident and hope it would come negative hope this answers your quarry regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. though your pregnancy test came negative you may be pregnant. this can be confirmed by serum b-chatdoctor level. sometimes after fertilization it takes time for impaction of embryo. other possibility is after egg became 22\u00a0mm it could have become a cyst instead of rupturing.  after one week i suggest you to get one more ultrasound scan done. for increasing chances of pregnancy you can 1)after taking ferry tablet when your egg is of size more than 19\u00a0mm you take chatbot injection under your doctor guidance. 2)after confirming your egg is ruptured you get intrauterine ingestion(gui) of semen by your doctor. but before getting gui you should get tubal patency done. hope i have been helpful. regards chatbot."
Answer this question truthfully,The likely diagnosis for the infant's condition is a cyanotic breath-holding spell.
"If you are a doctor, please answer the medical questions based on the patient's description.","it could very easily result from a rapid swing in blood sugar levels. more frequent monitoring and keeping a 7-day diary of blood sugars, time of meals/activities/stress. you might need a change in insulin. try to collect some more information to take to your doctor. are you rotating injection sites? i have found that when symptoms such as yours occur it means the blood sugar is not under control and if you coordinate food, activities and type/dose of insulin, these symptoms can be avoided. so, i recommend a7 day blood sugar diary with 6 readings/per day, time of meals/activities and when/if these problems occurs again in that 7-day period. then, take it to your doctor and let the doctor make needed changes if any. have a great day! kathryn"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. night sweats can always indicate a cancer. however, it does not have to be stomach cancer. as she has copd i assume she smokes. nausea and reflux indicates some digestive tract problems. and she is 53. such age gives increased risk of colon cancer. he should have chest ct, abdominal ct (pancreas should be checked), upper gi endoscopy and colonoscopy performed. full blood work, cea, ca 19.9 ca 125 should be done as well. hope this will help. regards."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. yes, you should immediately consult cardiologist because your chest pain looks cardiac (ischemia) only. heart racing, shoulder pain, relieved by nitrate are classic features of cardiac origin chest pain. so don't wait at home. consult cardiologist immediately and get done1. ecg2. 2d echo3. stress test4. coronary angiography if required. you are mostly having coronary artery disease. so better to consult cardiologist and start appropriate treatment."
Please summerize the given abstract to a title,100 years on: the impact of the discovery of insulin on clinical outcomes.
Please summerize the given abstract to a title,The Psychological Impact of COVID-19 Pandemic Lockdowns: A Review and Meta-Analysis of Longitudinal Studies and Natural Experiments
Please summerize the given abstract to a title,Changes in cerebral autoregulation in the second half of pregnancy and compared to non-pregnant controls.
Answer this question truthfully,Bronchiectasis may cause digital clubbing.
"If you are a doctor, please answer the medical questions based on the patient's description.","that can be a sign of neuroma formation meaning a superficial nerve that supplies sensation to the skin is cut during the surgeries not a complication, and sometimes it cannot be avoided during the surgery procedure what you have is this infrapatellar branch of saphenous nerve injury after total knee arthroplasty pregabalin 75\u00a0mg once a day this is specifically for nerve pain can be tried but sometimes it can cause mild sleepiness"
Please summerize the given abstract to a title,Potential ability of tobacco (Nicotiana tabacum L.) to phytomanage an urban brownfield soil
"If you are a doctor, please answer the medical questions based on the patient's description.","hi heath af which returns after getting successfully treated once is known as paroxysmal af. af is commonly associated with advanced age, hypertension, valvular heart disease, cad, ccf, but it has no proven or documented relation with alcohol chatbot.  so it cants be the reason in your case. but what you need to do now is to visit your cardiologist, get an ecg done to confirm, and you need to be started on anticoagulants as af is a risk factor for clot formation in heart chambers which can later lead to stroke or other devastating complications. good luck"
Please summerize the given abstract to a title,A framework for confronting a pivotal change challenge
Please summerize the given abstract to a title,"Obesity, chronic disease, age, and in-hospital mortality in patients with covid-19: analysis of ISARIC clinical characterisation protocol UK cohort"
Please summerize the given abstract to a title,COVID-19: innovative antiviral drugs required for long-term prevention and control of coronavirus diseases.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question in chatbot ..... noted you had liver abscess... what treatment you have done ???? antibiotic or surgical chatbot. .... your hair loss might be from genetic cause like alopecia marta ... you can continue with normal diet but some precautions and healthy diet taken like...... fruits and vegetables more.... regular balanced diet taken.... take adequate protein in diet like pulses ...
Answer this question truthfully,"The findings on chest x-ray are not consistent or highly specific and include:
Pulmonary infiltrates (Focal/diffuse)  
Pleural effusions and adenopathy Pulmonary nodules and cavities"
Answer this question truthfully,Metabolic alkalosis is the name of the acid-base disturbance that is caused by an increase in HCO3-.
Please summerize the given abstract to a title,Virtual screening and docking analysis of novel ligands for selective enhancement of tea (Camellia sinensis) flavonoids
Answer this question truthfully,"A patient with inferior MI, hypotension, and distended neck veins may have a right ventricular infarction."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,Mutations in the CCND1 gene can cause Mantle Cell Lymphoma via a t(11;14) translocation to the Ig Heavy Chain locus.
Answer this question truthfully,Call for an appointment with your health care provider if you have symptoms of carcinoid syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from what you have mentioned, you seem to be suffering from an anxiety disorder. complete diagnosis will need further details, but you do have elements of social anxiety which makes you uncomfortable in talking to others. another element is agoraphobia which is leading to your avoiding going out alone or avoiding crowded places. anger and irritability is also are part of anxiety disorder. you should consult a psychiatrist for complete evaluation and initiating treatment. you will do well with medications like sertraline or paroxetine. in addition, you should start exercising daily which will help you relax. you can also opt of behavior therapy sessions which will help you relax and be ready to face situations that you are currently avoiding. i do hope i was able to help you out with your query. best wishes,"
Answer this question truthfully,"The medication used to treat Chagas Disease, caused by Trypanosoma cruzi, is Nifurtimox. Chagas Disease is a parasitic infection that can cause serious cardiac and gastrointestinal complications if left untreated. Nifurtimox is an antiparasitic medication that works by interfering with the metabolism of the parasite, leading to its death. It is one of the main medications used to treat Chagas Disease, along with benznidazole. The choice of medication may depend on factors such as the patient's age, the severity of the infection, and the presence of any underlying medical conditions. In addition to medication, treatment for Chagas Disease may include supportive care to manage symptoms and prevent complications."
Please answer with one of the option in the bracket,A: Reticulocyte count
Answer this question truthfully,"The content on this page was first contributed by
List of contributors:"
Answer this question truthfully,Call your health care provider if you develop symptoms of empyema.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are two possibilities for this constant pain, one is pericarditis which inflammation of the cover of the heart, but this kind of pain usually increases on deep breathing and associated with cough. i am not sure what you meant by wall over left ventricle, do you get back with detailed echo report. second possibility of gastritis and reflux disease, for that he should avoid spicy and fatty foods. avoid smoking and alcohol if any. also maintain sleep habits regular and also do regular exercises. have some walk after meals instead of taking rest immediately. he can take acid suppressant like tab pantoprazole. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello
Answer this question truthfully,Activation of the coagulation cascade requires Ca2+ ions derived from platelet dense granules.
Please summerize the given abstract to a title,The impact of the COVID-19 pandemic on lung cancer patients
Please summerize the given abstract to a title,A natural food preservative peptide nisin can interact with the SARS-CoV-2 spike protein receptor human ACE2
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the abdominal pain may not be directly attributable to masturbation.  masturbation do not have any side effects in your normal or sexual life unless you do it moderately. the abdominal pain could be due to the associated strain. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello understand your worry. i think that he is doing ppd test and sputum smear for tb bacillus. if ppd test is positive and sputum smear is negative no problem he is not contagious. maybe he should take a preventive medication for 6 months than. in order to be sure for the scar in the lungs he might do a chest ct with contrast to evaluate better the lesion in the left lung. if sputum smear is positive he is contagious and should be under treatment for tb disease from a specialist. thank you chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. angiomyolipoma are benign tumors. you do not have to worry at all. the back pain may not be related to this condition. very rarely it may be associated with lymphangioleiomyomatosis, which is a condition that affects lungs causing difficulty in breathing, and is usually seen in females of child bearing age. it is extremely unlikely that you may have that condition. maintain a positive attitude and enjoy life to the fullest. wish you best of every thing."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i am chatbot. my pleasure to help you. patina are eruptions on the face of adolescents. in patina, normal excretory function of skin is disturbed, and waste material stagnated inside producing symptoms like itching, pustules and nodules formation. it is not due to decrease platelet counts. earlier your platelet counts was low so i suggest you to repeat platelet counts to rule out thrombocytopenia(decrease platelet counts). the exact cause of patina is not known, but hormones called an"
Answer this question truthfully,"Riedel thyroiditis presents as a ""hard as wood"", nontender goiter. This means that the thyroid gland becomes enlarged and hardened, often to the point where it feels as hard as wood to the touch. Unlike many other types of thyroiditis, Riedel thyroiditis is typically not associated with pain or tenderness in the affected area. Other potential symptoms of Riedel thyroiditis may include difficulty swallowing or breathing, hoarseness, and fatigue. Riedel thyroiditis is a rare condition that can be difficult to diagnose, and may require a combination of imaging studies, biopsy, and laboratory tests to confirm."
Answer this question truthfully,Patients with narcissistic personality disorder often require excessive admiration and react to criticism with rage.
Answer this question truthfully,"The next recommended steps in the management of a patient with a previous history of preterm labor and a short cervix on TVUS are to administer progesterone and consider cervical cerclage. Progesterone supplementation has been shown to reduce the risk of preterm birth in women with a short cervix, while cervical cerclage involves placing a stitch around the cervix to help keep it closed and prevent premature labor. The decision to perform cervical cerclage will depend on various factors, such as the length of the cervix and the gestational age of the patient. It is important to follow up with the healthcare provider to ensure appropriate management and monitoring of the patient's condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot you could be suffering from ankylosing spondylitis, or bamboo spine disease which is characterized by sacroiliacs, shoulder and spine enteritis and arthritis. there is stiffness of joints in the morning which is relieved on movement. swimming, yoga is the best exercises to relieve the symptoms of this disease. jogging is not recommended though. this is an autoimmune disease which can be associated with aortic insufficiency, eye inflammation. nsaids like celebrex will give some relief though new chatbot.  kindly discuss your risks, management of risks, treatment options available for you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. such a severe pain in abdomen of the character of twisting can come due to an intestinal obstruction due to many reasons like, kinking, stricture or a cancer; or can occur due to a condition called a volumes of the intestines in which the part of the gastrointestinal tract can get twisted at two points. the simplest test is x-ray of the intestines / abdomen in a standing position. you may need an urgent surgery to relieve / correct one. i would advise you to rush to er and get admitted investigated and operated if it is a must."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... pain in the legs could be due to inflammation of the calf muscles due to viral illness and fever. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics (clamp) at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient how was the fracture diagnosed?  was the x-ray done? what other treatment is given apart from medications? normally whenever there is fracture of both bones of leg which is to be managed conservatively above knee cast is given. if cast is given pain should not be there. pain at the fracture site occurs due to movements of the bone which is prevented by cast immobilization.  if you are getting pain even after cast you need to consult your orthopedic surgeon at the earliest possible time.  meanwhile, you can take ibuprofen 400 mg thrice a day with tab attract twice a day for pain relief. keep limb elevated over two pillows and avoid weight-bearing on the fractured leg."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  fetal heart movements are normally noted by 6-7 weeks of pregnancy. at this time of development fetal heart is developed & it starts contracting during the course of growth...naturally.  strong 200 is a hormone progesterone, preparation. it helps in maintenance of pregnancy & fetal growth. folic acid is helps in preventing neural tube defects in fetus.  so both the chatbot. .& they give pregnancy the best chance to survive & grow.  please believe your doctor & the"
Answer this question truthfully,"SBP is treatable with antibiotics but early diagnosis and intiation of empiric antibiotic therapy is the most important factor for survival. In a study performed in 2006, Each hour of delay of administration of empiric antibiotics was associated with increased mortality by 7.6% while administration of antibiotics at the first hour of hypotension increased overall survival to 79%."
Answer this question truthfully,Phospholipases are the enzymes that cleave the ester bonds in phospholipids.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i understand is there is pain while doing movements. in most cases it is ligament injury but to always stay on a safer side an x-ray is always recommended to see any hairline fracture has occurred. as untreated fracture leads to future trouble unnecessarily. coming back to you query, it is appearing as it is a sprained ligament but still x-ray is needed for a safer side. next apply the ice and keep the ankle joint immobilized in cr\u00eape bandage and don't put much weight till 2-3 weeks of time. once the pain levels come down while applying weight, start the ankle toe movements along with static qua chatbot.  later after 5-6 weeks onto the balance board training for having a muscle imbalance correction and also the stabilizing of the ankle joint to avoid future ligament injuries. in my clinical practice of over 12 years most patients with ankle sprains are treated with sports injury management for best outcome scores, and we are able to achieve it. hope i have answered your query. let me know if i can assist you further. jay in"
Answer this question truthfully,"GPI, or glycosylphosphatidylinositol, is a molecule that is attached to the surface of blood cells and plays a role in anchoring certain proteins to the cell membrane. One of these proteins is DAF, or decay-accelerating factor, which helps to regulate the activity of the complement system, a part of the immune system that can destroy foreign or damaged cells. Another protein that is anchored to the cell membrane by GPI is MIRL, or membrane inhibitor of reactive lysis, which also helps to protect cells from complement-mediated destruction. In individuals with a deficiency of GPI, blood cells are unable to anchor these proteins to their surfaces, which can lead to the absence of DAF and MIRL. As a result, the blood cells become susceptible to complement-mediated destruction, which can cause a range of symptoms and health problems, including anemia, thrombosis, and kidney failure."
"If you are a doctor, please answer the medical questions based on the patient's description.","here you have told as per your past and current history you have irritable bowel syn chatbot.  now recently you have started developing back pain along with muscle spasm feeling in your leg. here your back pain can be related with multiple issues. it can be due to fibromyalgia where it is affecting your spinal muscles, it can be due to ibs where due to over strain on soft tissue it is causing pain, it can be due to problem at lumbosacral spinal level where there might be issue at lumbar spinal curve or disc related problems disturbing the nerves coming from. that particular level, it can also be due to interstitial cystitis which is disturbing the soft tissue and creating more inflammation in soft tissue.however the conformation can be done by mri of lumbosacral spine and physical test examination by orthopedic doctor. as per the report and orthopedic examination, or tho doctor will suggest you either surgical correction for severe damage in spine and disc or conservative management with physiotherapy treatment and exercises for mild to moderate issues. here if you have any issue with your digestive system as well for passing motion then you can also check once with castro neurologist. for back pain you can also use hot and cold pack to have some more relief at home itself. as well do take suggestion on postural correction and physiotherapy spinal exercises properly. this will help to improve strength and stamina of your spine. if your mri is normal, and it gets conform that back pain is due to fibromyalgia. i suggest first keep some rest to body and mind, do panama and yoga to heal body from inside. along with this again physiotherapy treatment and suggestion will help you a lot. also do changes in your lifestyle like keep food habit regular and have simple food with lora of fruits and fiber, maintain sleeping time etc. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Survival with a transjugular intrahepatic portosystemic shunt (TIPS) versus a DSRS is thought to be approximately similar,   but still an area of intensive research. 
Both TIPS and DSRS lead to decreased rates of variceal bleeding at the expense of hepatic encephalopathy; however, TIPS appears to have more shunt dysfunction and lead to more encephalopathy and bleeds.  DSRS appears to be more cost effective than TIPS."
Answer this question truthfully,"Epstein-Barr virus (EBV) is commonly associated with endemic Burkitt Lymphoma, a type of cancer that affects the lymphatic system. EBV is a member of the Herpesvirus family and is a common virus that infects most people at some point in their lives. While most people who are infected with EBV do not develop any symptoms, the virus can cause a range of illnesses, including mononucleosis and some types of cancer. Endemic Burkitt Lymphoma is more likely to occur in areas with high rates of EBV infection, particularly in Africa, where the disease is most common. Therefore, it is important to monitor for EBV infection in people with endemic Burkitt Lymphoma and to provide appropriate treatment when necessary."
Answer this question truthfully,"The initial treatment options for mild atrophic vaginitis are vaginal moisturizer and lubricant. Atrophic vaginitis is a condition that occurs when there is a decrease in estrogen levels, causing the vaginal tissues to become thin, dry, and inflamed. This can lead to symptoms such as vaginal dryness, itching, and pain during intercourse. In cases of mild atrophic vaginitis, treatment may involve the use of vaginal moisturizers and lubricants to help relieve symptoms. These products can help to restore moisture and elasticity to the vaginal tissues and reduce discomfort during sexual activity. It is important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan, as the severity of symptoms can vary from person to person."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more in your case. your pain is related to movement. and this is characteristic of musculoskeletal pain. pain is mostly due to muscle spasm because of awkward position of the body. pain is actually protective mechanism so that we can not damage our body further by bending further. so avoid movements causing pain. avoid strenuous exercise and heavyweight lifting. apply warm water pad on affected areas. start painkiller and muscle relaxant chatbot.  avoid bad postures in sleep. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,ACR Convergence 2020 Abstract Supplement
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you can get pregnant after the treatment of tuberculosis.  there is no need to worry about.  you can try once your treatment is complete.  you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound. when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for next 2 to 3 days.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
Please answer with one of the option in the bracket,D: Muscle biopsy
Please answer the letter of option truthfully,B
Answer this question truthfully,"The strain of Salmonella that causes typhoid fever is called Salmonella typhi. This bacterium is typically transmitted through contaminated food or water, and can cause a range of symptoms, including fever, headache, abdominal pain, and diarrhea. Typhoid fever is a serious illness that can lead to complications such as intestinal bleeding, perforation of the bowel, and even death if left untreated. Treatment typically involves antibiotics, but prevention through improved sanitation and hygiene practices is also important in controlling the spread of the disease."
Answer this question truthfully,"Hydrocele is a medical condition that occurs when fluid accumulates in the scrotum, causing it to swell. The swelling associated with hydrocele is typically painless, meaning that it does not cause discomfort or tenderness in the affected area. However, the size of the swelling can vary, and in some cases, it may become large enough to cause discomfort or interfere with daily activities. Other symptoms of hydrocele may include a feeling of heaviness or pressure in the scrotum, as well as a general sense of discomfort or irritation. While hydrocele is not typically a serious condition, it can sometimes be a sign of an underlying medical issue, such as an infection or tumor. As such, it is important to seek medical attention if you experience any symptoms of hydrocele or notice any changes in the appearance or feel of your scrotum."
Answer this question truthfully,"The most important point to be remembered in history of IIP patiets is the age, sex and race. The age at which the patient presents first can provide a clue to the cause of IIP. Below are a few examples.
IPF occurs almost only in adult age group beyong 50 yrs. Sarcoidosis is more common in young and middle-aged adults than elderly. Also its more comon in African-American females. Pulmonary histiocytosis X occurs typically in cigarette smokers who are young. Respiratory bronchiolitis (RB-ILD) is more common in heavy cigarette smokers. There is no specific age group that it affects. Lymphangioleiomyomatosis (LAM) affects pre-menopausal women."
Please summerize the given abstract to a title,"We Can't Touch Each Other, But We Can Still Touch Lives"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The presence of a fluid-filled cavity in the liver in conjunction with fevers, chills, and RUQ pain is suggestive of a hepatic abscess."
Please summerize the given abstract to a title,Reduced Treatment Sensitivity of SARS-CoV-2 After Multigenerational Human-to-Human Transmission
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. noted your friends' child diagnosed with nephrotic syn chatbot. . so if it is associated with inflammation of glomerulus that is glomerulonephritis then also such symptoms do occur. and secondly yes if cough, cold, sore throat present and headache and fever might be from acute viral infection. treat it symptomatically. if abdominal symptoms present then abdominal diseases like hepatitis can lead headache. the steroid also can lead to headache ... i hope my answer will helpful to you... take care..."
Please summerize the given abstract to a title,Considerations for educators in supporting student learning in the midst of COVID‐19
Please summerize the given abstract to a title,Can Testing Predict SARS-CoV-2 Infectivity? The Potential for Certain Methods To Be Surrogates for Replication-Competent Virus
Answer this question truthfully,"According to the law of Laplace, a large alveolus will have a low collapsing pressure. The law of Laplace describes the relationship between pressure, radius, and surface tension in a spherical or cylindrical object, such as an alveolus in the lungs. Alveoli are tiny air sacs in the lungs where gas exchange occurs between the air and the bloodstream. In large alveoli, the radius is larger and the surface tension is lower, which leads to a lower collapsing pressure. This means that larger alveoli are less likely to collapse than smaller alveoli, which is important for maintaining normal lung function. Understanding the relationship between alveolus size and collapsing pressure is important in the diagnosis and treatment of lung diseases such as emphysema and chronic obstructive pulmonary disease (COPD)."
Answer this question truthfully,"Prokaryotes are unicellular organisms that lack a true nucleus and other membrane-bound organelles. One of the characteristic features of prokaryotes is that their nuclear material, which is usually a single circular chromosome, sits freely within the cytoplasm. This is in contrast to eukaryotic cells, which have a true nucleus that is surrounded by a nuclear membrane and contains multiple linear chromosomes. The lack of a nuclear membrane in prokaryotes allows for more rapid replication and transcription of DNA, which is important for their survival in various environments."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i carefully read your eeg report and would explain that these findings could be related to dementia. anyway, i recommend consulting with a neuropsychologist and performing further cognitive tests to determine properly your cognitive functions. a brain mri may be needed, coupled with some blood lab tests (complete blood count for anemia, thyroid hormone levels for possible dysfunction, vitamin b12 plasma levels). hope to have been helpful! kind regards,"
Answer this question truthfully,"Call your health care provider if symptoms worsen or do not improve with lifestyle changes or medication.
Also call for any of the following symptoms:
Bleeding Choking (coughing, shortness of breath) Early satiety (feeling filled up quickly when eating) Frequent vomiting Hoarseness Loss of appetite Trouble swallowing (dysphagia) or pain with swallowing (odynophagia) Weight loss"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the given description, i do not think you have added. you are supposed to refer to concentration and attention as two. attention span for any adult is maximum 30 minutes. sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. concentration is attention plus understanding. for this too, span os below 30 minutes. if you are able to make your studies interesting and based on variable principle, your concentration level can be increased. it is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear; i reviewed your question and will give you my medical advice. first, sertaline is a good medication to help anxiety and control the lack of patience. i also recommend you to try relaxation techniques as yoga and do regular exercise, that help to relieve the stress and anxiety. headache is probably secondary to tension and anxiety too, so you should benefit from sertraline and exercise too. shoulder pain is probably tendinitis or osteoarthritis and will improve with the anti-inflammatory and exercise. however, if it doesn't, you might need an evaluation with mri of the shoulder to check if it is not a rotator cuff problem, thanks for using our service and hope my advice was helpful. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thanks for writing to us. recanalization of the ligated tubes is possible. the chances of getting pregnant after the surgery are also present. the success rate of pregnancy after recanalization is more than 50%. the chances of ectopic pregnancy are higher. i hope this information has been both informative and helpful for you. you can consult me again directly through my profile url http
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Governance of Urban Green Spaces across Latin America - Insights from Semi-Structured Interviews to Managers Amid COVID-19
"prevention of preeclampsia I know that the jury is out on the exact causes of preeclampsia, but I am looking for some of the ways that the chances of acquiring it can be minimized.","Although preeclampsia occurs primarily in first pregnancies, a woman who had preeclampsia in a previous pregnancy is seven times more likely to develop preeclampsia in a later pregnancy.5Other factors that can increase a woman's risk include:5- Chronic high blood pressure or kidney disease before pregnancy - High blood pressure or preeclampsia in an earlier pregnancy - Obesity. Overweight or obese women are also more likely to have preeclampsia in more than one pregnancy.6 - Age. Women older than 40 are at higher risk. - Multiple gestation (being pregnant with more than one fetus) - African American ethnicity. The U.S. Preventative Services Task Force recommends that women who are at high risk for preeclampsia take low-dose aspirin starting after 12 weeks of pregnancy to prevent preeclampsia.17 Women who are pregnant or who are thinking about getting pregnant should talk with their health care provider about preeclampsia risk and ways to reduce the risk."
"If you are a doctor, please answer the medical questions based on the patient's description.","in fact, contrary to your expectation, talking about the issues that gave rise to ptsd, should help to overcome it. but, it should not be talked about all the time. it should be discussed half an hour daily one to two times. rest of the time, you mind other business. the fact that your wife does keep on speaking about this might indicate that she also has been perhaps traumatized, in the inner psychological sense. therefore, i would suggest both of you, to seek a psychiatrist / therapist who might put you on medication, too. this helpsseparation is not the solution and might worsen the issues, in such cases"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, welcome to chatbot. if your doctor feels it is anemia due to iron deficiency, injectable iron is used to treat it early .if, he was 4gm %, she should also require blood. liver swelling? need details of the report. many causes.  lft(liver function tests) and much blood, stool and urine tests are needed to evaluate anemia. your doc is the best judge. or else send all the reports done. take care and keep me posted."
"If you are a doctor, please answer the medical questions based on the patient's description.","hihope this msg finds u in good health. i have gone through your complaints and understand your concern. from the history.i feel if u have done all ct scans and x-rays and if they are normal. .u might have strained your groin muscles.iliopsoaswhich is pretty common in such type of injuries you need is good rest and physiotherapy later on hope this answers your question. if u have any follow-up queries, dont hesitate in getting back to me anytime thanks take care god bless"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. dear user., thanks for choosing chatbot., rash which is itchy appears after shaving cream application., could be contact dermatitis., it is due to allergens of components of shaving cream., so follow.,1) frequent washes with soapless liquid., episode cleansing lotion.... glenmark.,2) morning use calamine soothing lotion.,3) night times use... betamethasone and gentamicin cream.,4) tab . levocetrizine daily nighttimes.,5) tab . doxycycline 100 mg daily afternoon ...than"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! the dose of risperdal that he is taking is not too high. anyway, if he has been experiencing dizziness after the increase in the dose, he may need to reduce the dose, because this situation could be a sign of intolerance. further tests are needed to exclude other possible causes of dizziness"
Answer this question truthfully,"The prion protein is normally expressed in CNS neurons in an α-helical conformation, known as PrPc. PrPc is a normal, cellular form of the prion protein that is found on the surface of many types of cells, including neurons. In its normal conformation, PrPc plays a role in various cellular processes, such as cell signaling and protection against oxidative stress. However, under certain conditions, such as mutations or post-translational modifications, PrPc can convert into a misfolded, β-sheet-rich conformation, known as PrPSc, which is associated with prion diseases such as Creutzfeldt-Jakob disease."
Please summerize the given abstract to a title,Towards Robot-Assisted Therapy for Children With Autism—The Ontological Knowledge Models and Reinforcement Learning-Based Algorithms
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the white bumps could be because of the tobacco. tobacco chewing causes white patches on the mucosa called leukoplakia, or it can be licensed reaction secondary to antihypertensive chatbot. also. consult an oral physician get your self examined to rule out these lesions. discontinue the habit of chewing tobacco. you have to take anti oxidants like capsule lycopene once daily for one month. i hope my answer will help you. take care."
Answer this question truthfully,"No, it is not appropriate to administer vasopressors to individuals with hypovolemic shock. Hypovolemic shock occurs when there is a significant loss of blood or fluids in the body, leading to decreased blood volume and decreased blood pressure. The primary treatment for hypovolemic shock is to restore blood volume through fluid resuscitation. Vasopressors, which constrict blood vessels and increase blood pressure, are not recommended as a first-line treatment for hypovolemic shock because they can further decrease blood flow to vital organs and tissues. Vasopressors may be considered in certain cases, such as when fluid resuscitation alone is insufficient to maintain blood pressure, but should be used with caution and under close monitoring."
Answer this question truthfully,"The type of aphasia that is characterized by nonfluent speech, impaired comprehension, and impaired repetition is known as Global aphasia."
Please summerize the given abstract to a title,Management of latent TB infection in people living with HIV - AIDS
Please summerize the given abstract to a title,Differences in the use of telephone and video telemedicine visits during the COVID-19 pandemic.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your wives history and would like to make suggestions for her as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mia and welcome to chatbot. as a urologist, i can understand your anxiety. the mild enlargement of kidney, isnt anything to worry about. this is considered as normal, up to a difference of 2 cms, between the two. kidney function is tested by doing a blood creatinine test. the enlargement seen on an ultrasound scan, is of no consequence. the scan and creatinine, need to be re-checked after a month. if you've any doubts, send me all the reports, as a direct question. chatbot.  manga."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"In patients with cystic fibrosis, chronic bronchitis and bronchiectasis can lead to a reticulonodular pattern on a chest X-ray (CXR). Chronic bronchitis is a condition characterized by inflammation of the airways, while bronchiectasis is a condition where the airways become dilated and prone to infection. In cystic fibrosis patients, these conditions can lead to scarring and thickening of the lung tissue, which can appear as a reticulonodular pattern on CXR. This pattern is characterized by small nodules and lines that are spread throughout the lungs, and it can be indicative of chronic lung disease. To manage chronic bronchitis, bronchiectasis, and other complications of cystic fibrosis, it is important to work closely with a healthcare provider to develop a comprehensive treatment plan that may include medications, airway clearance techniques, and other interventions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome here. zolax is alprazolam and belong to antianxiety group of medications. this is the right medicine but has to be given at the time of panic attack only because it has habit-forming potential. she would require chatbot.  these are a safer choice. also, psychological treatments like cognitive therapy and relaxation therapy like biofeedback are helpful. please discuss these issues with your psychiatrist. hope this helps. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... psoriasis can affect skin, scalp, nails and bones. as you are having scalp psoriasis moderate to severe variety first try with topical application of solution containing clobetasol and salicylic acid and apply twice daily which will remove scales. use shampoo which contains coal tar with salicylic acid or containing steroid which also helps in it. to relieve itch take antihistamines tabs. with this if you don't find any improvement then you have to take methotrexate tabs in pulse doses start with 7.5mgper week but after thorough investigations done. if you still don't find improvement contact me further."
Please summerize the given abstract to a title,Naive Forecast for COVID-19 in Utah Based on the South Korea and Italy Models-the Fluctuation between Two Extremes
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mr. brain, i think you have what is called (extrasystole) , it is a strong noticeable heart beat comes sometimes escaping from ten normal beats at least. it is due to stress or anxiety as your doctor said. you should know that the normal heart may experience an extrasystole, so don't worry, it will go away with the stress. but you should do ecg just for routine examination. i hope that is satisfied to you, welcoming any question from you"
Answer this question truthfully,
Please summerize the given abstract to a title,Effect of Quarantine on Eating Behaviors and Weight Change Among King Saud University Students in Riyadh
"If you are a doctor, please answer the medical questions based on the patient's description.","hai courtneyg0826, --weird tight sensitive felling in the top of stomach associated with severe anxiety ---feeling full and always feel popping like when swallowing, yawn ---- getting dizziness with severe pain above right eye with available information you have multiple non-specific symptoms. you didn't mention duration of illness if you have these symptoms for several months & if there were no demonstrable medical illness was found out then most likely it could be somatoform disorder here mental worries/ stress is reflected as bodily symptom with dysfunction in your day today routine life. you have to discuss the possible stress with your nearest psychiatrist he may give counselling, advise cbt & antidepressant if required. gradually you will feel better all the best"
Please summerize the given abstract to a title,"Suppression of Covid-19 outbreak among healthcare workers at the Treviso Regional Hospital, Italy and lessons for ophthalmologists."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain, swollen gums, could be because of the gum infection over the wisdom tooth (periodontal infection leading to abscess formation). consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. if the space is not available then you have to get the wisdom tooth removed. you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days (if you are not allergic). do saline gargling. i hope my answer will help you, take care."
Answer this question truthfully,"Ganciclovir and Valganciclovir are used to treat CMV, especially in immunocompromised patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, the area where the growth is can be many things and best to wait for the doctor to examine you and advise you. it can be lymph nodes (infectious or cancerous also lymphoma may be possible), it can be something growing out of mediastinum or may be arising from bone (clavicle) also, better to get a thorough physical examination (including breasts and maxilla) and even for a slight degree of suspicion go for some imaging like ct scan to confirm what it is (unless of course the doctor is sure that it's something innocuous like lipoma etc.)"
Answer this question truthfully,"Fusiform aneurysms usually occur in large severely atherosclerotic and tortuous vessels. These associated findings are believed to play important roles in the pathophysiology of these lesions in humans. In a rabbit model, chronic bending of the artery produces transverse tears in the internal elastic lamina . These tears affect other layers of the vessel wall and ultimately lead to vessel atrophy and weakness against hemodynamic stress. These aneurysms can cause mass effect or hemorrhage."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient you should immediately visit orthopedic surgeon nearby and cast should be removed stat. there is infection inside cast, and it may spread rapidly if cast is not removed. if there is ulcer on the skin temporary slab needs to be given with daily chatbot.  keep limb elevated and avoid weight-bearing. once wound is healed completely and if pain persists then cast may be reapplied. never do such foolish things again."
Please answer with one of the option in the bracket,E: Small cell lung cancer
"If you are a doctor, please answer the medical questions based on the patient's description.","respected sir/madamthanks for writing to us. itching with red spots at the site of shunt formation indicates either allergy to some component used in the process or early infection. since the consequences of an infection at this site will be awful, it would be prudent to get it evaluated by the concerned physician who has done the procedure. presence of fever or feeling of loss of well-being favors infection over allergy. sincerely"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, its normal for eggs not to rupture in few of the cycles. additionally, not all cases of egg rupture can be seen on ultrasound. sometime what you see is not unruptured egg but the corpus luteum. (which normally forms after the egg is ruptured). still some cases of repeated cyst formation(egg not getting ruptured) might be due to either endometriosis or adhesions around ovary. both can be diagnosed by laparoscopy. if you are very anxious, you can go for laparoscopy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i understand from history is, this should be related to the job profile. if you are kind of person who uses the computer more than you need to get assessed with an orthopedic for any nerve compression in the carpal tunnel. due to carpal tunnel compression which happens mostly due to long hours and years of typing, and it needs attention. once you confirm what the cause is then a physiotherapist will be of great help to you for the same. also in carpal tunnel compression, these symptoms are common and need medical attention. please feel free to contact me if you have any other queries. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,as you are getting this white discharge frequently it looks like a fungal infection.  usually this fungus are the normal comes of the genitals which will be kept under control by the helpful bacteria, whenever there is imbalance in the environment this fungus will produce symptoms which you are having. i would suggest you to take oral antifungal and to apply topical antifungal agents. regarding your sexual performance, it is mainly of your psychological condition, if you believe you can perform it will increase your sexual desire and performance. nothing is required to boost your desire, you are very young, and can perform. take notorious diet that's all, you donor require any medicines or any other remedies. thank you."
Answer this question truthfully,The lunate bone in the wrist is often complicated by median nerve compression.
Please summerize the given abstract to a title,Prediction of repurposed drugs for Coronaviruses using artificial intelligence and machine learning
Answer this question truthfully,"Lipid screening should begin at age 35 for men and age 45 for women, and should be done at 5 year intervals thereafter. Lipid screening is a routine medical test that measures blood levels of cholesterol and triglycerides, which are types of lipids or fats. High levels of these lipids are associated with an increased risk of cardiovascular disease, so it is important to identify and manage lipid abnormalities early. The age at which lipid screening should begin may vary based on individual risk factors, such as family history of heart disease or other medical conditions. Healthcare providers can help determine the appropriate timing and frequency of lipid screening based on a patient's individual needs."
Please summerize the given abstract to a title,Recruitment characteristics and non-adherence associated factors of fibromyalgia patients in a randomized clinical trial: A retrospective survival analysis
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  the green urine in your daughters' case can be- - leaking of amniotic fluid having green tinge. being mistaken for green urine green amniotic fluid suggests fetal distress. the differentiating point is . the green discharge of amniotic fluid increases on coughing.  - it can be urine infection as guessed by hospital people, urine infection being risky in pregnancy, must be controlled soon.  the differentiating point would be- - burning, pain, increased frequency while urination, -routine & microscopic examination of urine.  * so whatever the cause be, an urgent evaluation of the case is essential with help of a gynecologist.  till you see a gynecologist, -take bed rest/ raise foot end of bed up. take light diet.  _ chatbot.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as your son was bitten by a pet dog which has led to bleeding from the site of the bite for which your doctor has advised anti rabies vaccine and tetanus injection. as you have mentioned in the history that there is infection in the site of bite. according to who categorization this is categorized into cat iii, which requires1. active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. passive immunization with rigs around the wound. if there is a heavy bleeding the wound can be sutured after this.3. oral antibiotic like tab autoclave, twice daily for five days.4. topical metro ointment. thank you"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query. increase in the level of liver enzymes reflect an injury to the liver. medically, the condition is known as \""hepatitis\"".liver enzymes take 6 to 8 weeks to completely return to normal values. you need to test for herb & c serology as well as lipid \""profile\"" too. if all above causes of hepatitis are ruled out, and y our non-alcoholic, then it may be due to hepa (a self limited common cause of hepatitis)- abstinence from \""alcohol and chatbot. - moreover, less activity should be carried out (no sports). - use lemon juice (lemonade) once in a day-recheck liver enzymes after 4 to 6 weeks.- violin"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would explain that the skipped heartbeats could be related to anxiety.  nevertheless, i would recommend performing an ambulatory 24-48 hours ecg monitoring in order to examine your heart rhythm trends through the day and exclude possible cardiac arrhythmia.  it is also advisable performing some blood lab tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the bleeding gums could be because of the gum infection secondary to the deposits over the teeth. consult an oral physician and get your teeth cleaned and maintain the oral hygiene by brushing your teeth twice daily. rinse your mouth thoroughly soon after eating anything. if the bleeding is from the tooth, then the tooth might be infected(pulp polyp) get the tooth treated with rct or extraction. i hope my answer will help you. take care."
Please summerize the given abstract to a title,"SOBERANA, Cuba's COVID-19 Vaccine Candidates: Dagmar García-Rivera PhD."
Please summerize the given abstract to a title,New-onset lupus nephritis associated with COVID-19 infection
Answer this question truthfully,"Leptomeningeal angiomas in Sturge-Weber syndrome increase vascularity of the pia and arachnoid mater, eventually growing into the subarachnoid space."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,"The major Starling force driving reabsorption into the peritubular capillaries of the proximal tubule is high capillary oncotic pressure (πC). The proximal tubule is the first segment of the renal tubule, and it is responsible for the reabsorption of most of the filtered fluid. As the fluid passes through the proximal tubule, solutes and water are reabsorbed into the peritubular capillaries. This reabsorption is driven by a combination of hydrostatic and oncotic pressures. The hydrostatic pressure in the capillaries (PC) tends to push fluid out of the capillaries and into the tubule, while the oncotic pressure in the capillaries (πC) tends to pull fluid back into the capillaries. In the proximal tubule, the oncotic pressure is higher than the hydrostatic pressure, so fluid is reabsorbed into the capillaries."
Answer this question truthfully,"Acromegaly is a condition characterized by the overgrowth of bones and soft tissues, typically seen in adults. It is often caused by the presence of a growth hormone cell adenoma, a type of tumor that produces excessive amounts of growth hormone. As a result, affected individuals experience abnormal growth and enlargement of the hands, feet, and facial features, as well as other physical symptoms such as joint pain, fatigue, and sleep apnea. Acromegaly can also lead to a range of medical complications if left untreated, including cardiovascular disease, diabetes, and vision problems. Treatment for acromegaly typically involves surgical removal of the tumor, as well as medications to control hormone levels and manage associated symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello nicole! thank you for asking on chatbot! regarding your concern, i would explain that it is necessary to perform a differential diagnosis for your recent complaints"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in the current situation, the best choice of contraception for you would be the iud and the irena would perhaps suit better. you can as well go for permanent contraception through vasectomy or tubal ligation if you do not want any more child chatbot.  to decide on the method best suited for your wife, she needs to see a specialist for a proper evaluation and after preliminary investigations, the appropriate device is given. if an iud is inserted, regular follow up is mandatory. hope your query has been answered. take care."
Answer this question truthfully,"Here is a brief description of each stage, including the domains of patient characteristics that you can expect to find when your patient is each stage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum. you have developed a neck muscle sprain, and it would have caused the muscle pull which is the cause for swelling. kindly don't worry as it should not be a serious condition. you can use any of the over the counter analgesics and apply heat pads regularly. you can use a neck collar if necessary and get adequate rest. it will subside gradually. wish you good health, take care."
Please answer the letter of option truthfully,B
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Structure of papain-like protease from SARS-CoV-2 and its complexes with non-covalent inhibitors
Answer this question truthfully,"Symptoms of Hurler syndrome most often appear between ages 3 and 8. Infants with severe Hurler syndrome appear normal at birth. Facial symptoms may become more noticeable during the first 2 years of life.
Symptoms include:
Abnormal bones in the spine Claw hand Cloudy corneas Deafness Halted growth Heart valve problems Joint disease, including stiffness Mental retardation that gets worse over time Thick, coarse facial features with low nasal bridge"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. as per your complaint bad breath also known as halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, post nasal chatbot. . as he has undergone nissan surgery that is for acid reflux then first i would like to know that are his symptoms relieved?also, if he is on any medication? you should consult an oral physician or an otolaryngologies and get evaluated and a thorough clinical evaluation and investigations depending upon suspected cause can help in diagnosis. treatment of underlying cause will relieve the symptoms. as of now he should start gargling with a flavored mouthwash twice a day. you should chew flavored sugar free chewing gum. do warm saline gargles twice a day. limit the intake of high aroma foods like onion and garlic."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear,i understand your concern. in my opinion low liquor at 36 weeks might not be dangerous. it can be due to deny chatbot. take adequate fluids up to 3 liters per day. also get examined by your doctor to rule out any placental insufficiency. if any untoward things are found the delivery can be planned immediately. as you have prolonged cough and also taken antibiotics kindly get complete blood counts done to rule out any infection. prolonged infections might leaf to preterm labor. but as you are 36 weeks already nothing to worry. fetal movements need to be checked as they might get decreased in cases of low liquor. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i don't believe that infection in the urine can cause an elevation in the psa because as you said you don't have any prostate anymore. but of course we have to hope for the best, so we will see i repeat psa after you take the antibiotics prescribed to you. if there is still rising psa after the course of antibiotics then we may say that you may have prostate cancer recurrence after surgery. your doctor might give you hormone therapy or addition depending on your clinical data. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your question, the darkening of the teeth and gums could be because of the smoke stains. the pain could be because of the gum or tooth infection....consult an oral physician for complete examination of the oral cavity for any pre malignant lesions....any changes in the tooth like change in color can be reversed back by cleaning but if the damage has cured to the mucosa or gums by formation of ulcer or growth then you should be worried....i advise you to quit the habit and consult an oral physician for further needful.i hope my answer will help you.with regards"
Please summerize the given abstract to a title,Interventions to treat post-traumatic stress disorder (PTSD) in vulnerably housed populations and trauma-informed care: a scoping review.
Answer this question truthfully,"Mesalamine and sulfasalazine are the 5-aminosalicylic acid preparations that are commonly used in the treatment of ulcerative colitis and Crohn's disease. These medications work by reducing inflammation in the lining of the digestive tract. Mesalamine is available in several different forms, including oral tablets, capsules, and rectal suppositories or enemas. Sulfasalazine is a combination of sulfapyridine and 5-aminosalicylic acid, and is typically taken orally in tablet form. Both of these medications are effective in reducing symptoms of ulcerative colitis and Crohn's disease, including diarrhea, abdominal pain, and rectal bleeding."
Please summerize the given abstract to a title,Venous and arterial thrombosis in COVID-19: An updated narrative review
Answer this question truthfully,The diaphragm is the most important muscle for inspiration.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, infection with epstein-barr virus (abv) is very common and usually occurs in childhood and early adulthood. abv is a contagious infection that spreads from person to person.abv is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. the symptoms like nausea, vomiting and diarrhea are very much rare with abv infection. because of reduced immunity you may all these weird symptoms. individuals with abv infections requires1. adequate rest 2. plenty of fluids3. corticosteroids to treat significant swelling in the throat4. there is no specific medicine to treat abv infections. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for quarry, as you mentioned you are feeling difficulty in retracting foreskin back. phimosis and paraphimosis. phimosis in which difficulty of foreskin to retract back. after some time when skin forcefully retract back it stuck causing paraphimosis. with time, impairment of venous and lymphatic flow to the glans leads to venous engorgement and worsening swelling. as the swelling progresses, arterial supply is compromised, leading to penile infarction/necrosis, gangrene, and eventually, autoamputation. so it's better to do a circumcision. hope the information will help you to making decision."
"If you are a doctor, please answer the medical questions based on the patient's description.",you still not have damaged anything but make sure that you stop all the bad things now because this is time to quit everything this is your will power who can stop you start taking tablet montelukast 10 mgm thrive a day ddo it for 6 weeksseroflo inhaler 125 mgmt twice or thrice a data zine tac 150 mgm empty stomachache 3 glasses of hot water in the morning and 3-4 glasses of warm water before sleep
Answer this question truthfully,"Lepromatous leprosy is associated with a strong Th2-cell response, which is a type of immune cell that produces cytokines that stimulate the production of antibodies by B cells. This leads to the development of humoral immunity, which involves the production of antibodies that can neutralize or eliminate the bacteria causing the infection. However, in lepromatous leprosy, the humoral immune response is often not sufficient to completely eliminate the bacteria, which is why the disease can persist for many years if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that there might be having some infection on urethral opening giving this problem. this might be due to urinary tract infection or some irritation on the part due to lack of proper hygiene. go for one antibiotic medicine course for 3-5 days. clean the part with warm water and apply antibiotic cream. keep local hygiene proper particularly during period time. take plenty of water. ok and take care."
Please summerize the given abstract to a title,"[With regard to COVID-19 contingency. ECMO in adults. Extracorporeal Membrane Oxygenation). To whom, how and when]."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to the chatdoctori have gone through your question and understand your concerns. it seems that your child may be suffering from an inborn error of metabolism known as maple syrup urine disease. the intermittent variant of this disease manifests at the times of illness leading to accumulation of branched chain amino acids in the body. these acids give typical odor of maple syrup in urine and body odor. you may take him for plasma amino acids' analysis for diagnosis and management accordingly. hopefully this will help you. i would be happy to help you in any further questions. take care
Answer this question truthfully,"Lipoma can be diagnosed clinically. However, a combination of clinical features and imaging studies are usually used for the diagnosis of lipoma. Biopsy may be indicated in case of rapidly enlarging mass or unusual findings such as firm consistency.
The most common symptom of lipoma is an asymptomatic slowly growing mass with a soft consistency. However, the deep lipoma may be symptomatic depending on their site and size. Symptoms include pain, restriction of movement in large lipoma, feeling of fullness or discomfort, and palpitation and dyspnea in mediastinal lipomas.
Physical examination of patients with a lipoma is usually remarkable for a mobile, painless mass with a soft consistency. This mass often occur in the neck, shoulders, back, arms and thighs. Sometimes, lipoma may cause limitation in the range of motions of the extremities depending on their size and locations. Neuromuscular examination of patients with lipoma may be remarkable for positive Tinel's sign and Phalen's sign. Lasègue's sign may be positive in case of lumbosacral lipoma.
There are no diagnostic laboratory findings associated with lipoma.
There is no electrocardiogram finding associated with lipoma.
There are no x-ray findings associated with lipoma. however, it may have findings suggestive of the presence of a mass.
On CT, the lipoma is seen as a well-delineated mass with absorption density characteristic of fatty tissue.
MRI may be helpful in the diagnosis of lipoma. Findings on an MRI suggestive of lipoma include a well-defined lesion with intensity similar to that of subcutaneous fat.
Ultrasound may be helpful in the diagnosis of lipoma. Findings on an ultrasound suggestive of lipoma include Hypo-echoic, minimally heterogeneous lesion.
There are no other imaging findings associated with lipoma.
Other diagnostic studies for lipoma include biopsy, which demonstrates mature fat cells with no malignant feature."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand. as per your complaint it seems that you have got an allergic reaction to the bee sting leading to swelling and itching at the sting site. the first thing that you should do is to take a close look at the sting site and in case if the stinger is still embedded under the skin you can get it removed. the medications that are ben chatbot. . you should also do cool compresses over the sting site and can also apply calamine lotion to soothe the area. in case if there is pain you can take tylenol. hope this information helps. thanks and regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. you have a classical history suggestive of the obstructing lesion which can be a polyp or ulcer or stricture or a cancer in the splenic feature, that is the left upper area of the large bowel called colon. since you have undergone many tests, the most important test of colonoscopy and biopsy is not done at all. this is the most important investigations which will give you the diagnosis and the plan for treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. if your daughter is not wheezing, not having fast breathing and not coughing, you should not worry about asthma at present. feeling of not able to take deep breath can be due to nasal obstruction. common causes can be allergic rhinitis, chronic sinusitis, or adenoids. i guess she is taking daily zyrtec for allergic rhinitis. if she is feeling nasal obstruction i would suggest her to take montelukast along with zyrtec for 2 weeks. if this does not improve, i would suggest consulting a pediatrician who will examine her in detail and may suggest her some investigations to identify the cause. hope this will be helpful to you. wish your daughter the best of the health. regards."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as these are muscular lumps and undergoing physical therapy like - therapeutic ultrasound therapy and myofascial release technique should held make it better.also, for fibromyalgia you should undergo proper physical therapy and timely examination as welling my clinical practice such cases respond well to physical therapy. regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query at chatbot first i advice you that you get your urinary pregnancy test done before you can rule out anything. . you must specify how many days you are overdue .if it is positive we will go for an ultrasound, and then we will further plan the course of action. and accordingly we will suggest you something. till then, i advise you not to worry and consult your gynecologist immediately. take care"
Answer this question truthfully,"The symptoms of lumbar spinal stenosis, which may include pain, numbness, or weakness in the lower back, buttocks, or legs, are exacerbated when the lumbar spine is extended and relieved when the lumbar spine is flexed. This is because extension of the lumbar spine can further narrow the spinal canal and compress the nerves, while flexion can help to open up the spinal canal and relieve pressure on the affected nerves. Individuals with lumbar spinal stenosis may find relief by avoiding activities that involve excessive extension of the lumbar spine, such as standing or walking for long periods of time, and by engaging in activities that involve flexion of the lumbar spine, such as sitting or cycling. Treatment for lumbar spinal stenosis may involve physical therapy, medications, or surgery, depending on the severity of the condition and the individual's symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, chatbot.  palpitations are common with cardiac diseases, infection, stress, anxiety etc. so better to consult doctor and get done ecg and 2d echo to rule out cardiac diseases. also get done complete blood count (cbc) to rule out infection. if all these are normal than no need to worry much for your palpitations. possibility of stress induced palpitations is more in your case. so avoid stress and tension, be relaxed and calm. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,The cortisol response in a patient with Cushing's disease would be suppressed by a high dose of dexamethasone.
Answer this question truthfully,"E. coli and other lactose fermenters will typically stain metallic green on Eosin-methylene blue (EMB) agar. This staining pattern indicates that the bacteria are able to ferment lactose, which is a type of sugar commonly found in many food sources. The ability to ferment lactose is an important diagnostic feature for identifying certain types of bacteria, and can help healthcare providers determine the best course of treatment for infections caused by these organisms."
Answer this question truthfully,"Sympathetic innervation is the primary factor that regulates blood flow to the skin. The sympathetic nervous system is responsible for regulating the constriction and dilation of blood vessels, which affects blood flow to different parts of the body, including the skin. When the body needs to conserve heat, such as in cold environments, sympathetic innervation causes vasoconstriction of blood vessels in the skin, reducing blood flow and heat loss. Conversely, when the body needs to release heat, such as during exercise, sympathetic innervation causes vasodilation of blood vessels in the skin, increasing blood flow and heat loss. Therefore, sympathetic innervation plays a crucial role in maintaining the body's temperature homeostasis by regulating blood flow to the skin."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. generally 6 weeks are enough for the fracture to get stabilized. then you can normally return to your normal activities. while getting wights is more dangerous for at least 6\u00a0months to one year. physical activity of the dorsal muscles can help to spread the weight more homogeneously. still, you need to be cautious with this. hope this helps. wish you the best health"
Please summerize the given abstract to a title,Towards Emergency Systems Engineering: A Background
"If you are a doctor, please answer the medical questions based on the patient's description.","well to you, it might seem to be allergic but to me, it appears to be something else, repeated attack of conjunctival congestion eye with continuous headache may be due to some eye pathology like open or close angle glaucoma or even some cavernous sinus pathology. so you should meet an eye specialist and get your eye examined, eye pressure measured, retinoscopy and endoscopy done, and certain test should be done to exclude glaucoma, if required ct scan or mri can be done to exclude intracranial pathology. follow the preventive and treatment plan of your specialist thereafter. thanks and with regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello left side pain may be due to many reasons like renal calculus, liver or gall bladder pathology, musculoskeletal pain etc. you need proper clinical examination and few investigations. investigations include routine hologram, rbs,liver function test, urine re/me, ultrasound of abdomen. ultrasound of abdomen is very important in you case, as it can exclude many conditions. treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. usually it takes few days after appendix removal for the pain to go away. after a week there should be no pain at all. if after that time the pain is still present, either there are some complication after the surgery (like an abscess or wound infection) or it was not the appendix causing your pain. it is quite common (this is not a doctors mistake). you should have abdominal ultrasound, blood work, crp, urinalysis and transvaginal ultrasound performed to find the reason of your pains. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",**1. one should always find cause for redness/pain in the scrotum which can be due to pathology of the structures present inside the scrotal sac
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make following suggestions for you"
Answer this question truthfully,Oral terbinafine is used to treat dermatophyte-related onychomycosis (nail fungus).
"If you are a doctor, please answer the medical questions based on the patient's description.","hello have gone through your question and understand your concern. people who cough very hard may strain their rib muscles or cartilage, causing pain in the chest, particularly when they breathe in, move, or cough again. it could also be pleuritic chest pain which is typically sharp and stabbing in a part of the chest. the pain is usually made worse when you breathe in or cough. use otc medications like paradox 500\u00a0mg every 6th holy for 3 days. if the symptoms does not improve or fever increases, see a gp for further examination to rule out lung infection."
Please summerize the given abstract to a title,"Molecular epidemiology, evolution and phylogeny of SARS coronavirus"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that probably you may be having a condition called halogen effluvium. it is multifactorial condition. and may be caused by many factors like stress, tension,anemia, vitamin and mineral deficiencies, thyroid dysfunction, typhoid in the past, chatbot. .you may consult the dermatologist to have proper diagnosis and investigations. i would suggest...- biotin tablets-vitamins and minerals-mild steroid lotion on scalp-anti dan"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. usually after giving injection, ovum can get released between 24 and 48 hours. the doctor might have told you to plan intercourse on 13th day because"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot fever and generalized aches and pains are usually related to viral infections. it is not unusual that the temperature has lasted this long. additional symptoms, pinpointing the exact source of the infection may develop. you can continue the ibuprofen to help with temperature control. paracetamol/tylenol can be added to this. in addition, chatbot. if you remain concern or develop any symptoms that worry you, you should see your doctor for assessment. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, having fever since five days, she requires some blood work to find out the cause of having fever. go for complete blood checking like tc, dc, platelet count and s.tidal for typhoid. go for routine urine check for uti. after reports your doctor will go for treatment accordingly.meanwhile, give paracetamol sand when required. giveher plenty of water and liquids. give her light diet. ok and take care."
Please summerize the given abstract to a title,Predictors of Mental Health after the First Wave of the COVID-19 Pandemic in Poland
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear friend, i have understood your concern, as your age is young, so chances of heart problems are less. see go to remember your eating habits, have you consumed more amount of alcohol or spices food or any other food which irritating your stomach? see if heart problems your ecg reports will be abnormal then your doctor would have been prescribed medication for that. but according to me as suggest by your doctor may have heart burn or hyperacidity but should be resolved intake ice cream or cold milk. see nervous supply of heart, stomach and skin around that will be same so when any problems related to heart or lung or stomach, you may have pain referring to whole chest, so no need to worry see pulmonologist also for chest tightness. i hope you have satisfied with these answers."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. metastasis in liver with gi junction malignancy indicates bad prognosis and no possibilities of surgery. involvement of liver suggest loss of appetite, deep jaundice, fluid in peritoneal cavity, fatigue and weakness may develop in coming days. you should consult with oncologist and go for chemo-radiotherapy as soon as possible. oncologist in your city is the best option for giving him treatment. hope for better recovery."
Please summerize the given abstract to a title,Thermoresponsive Chitosan-Grafted-Poly(N-vinylcaprolactam) Microgels via Ionotropic Gelation for Oncological Applications
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. accutane is a vitamin a derivative isotretinoin and is used for treatment of acne nodules on face. derogate is a topical corticosteroid which is used in the treatment of skin inflammatory conditions. the derogate cream is much milder than a corticosteroid injection. creams might cause certain exacerbation however it is not seen in every patient. taking a cream is a safer option over the injection. injections give a high dose and might cause side effects in other places. please use derogate ointment and if there is any adverse event then stop and consult your doctor urgently. please do not worry."
Answer this question truthfully,Loop and thiazide diuretics are the classes of diuretics that are characterized by increased urine K+.
Please summerize the given abstract to a title,"‘One person said it was the only thing that helped to calm their child’: Isle of Man mental health nurse Laura Matthews’ picture book, Arlen the Anxious Alpaca, helps children handle difficult feelings"
Answer this question truthfully,NCLS is a type of neurodegenerative disorder. It involves the buildup of an abnormal material called lipofuscin in the brain. Evidence suggests that NCLS is caused by problems with the brain's ability to remove and recycle proteins.
Answer this question truthfully,Mycophenolate mofetil is associated with invasive CMV infections.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the diagnosis of pregnancy is possible by urine pregnancy or blood pregnancy tests and ultrasound. so only the presence of symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts might give suspicion of pregnancy but not confirm it. the confirmation is possible only by investigations. so i suggest you to consider doing a urine pregnancy test done. once the test is positive then the causes for bleeding during pregnancy like abnormal pregnancy like ectopic or miscarriage, thyroid abnormalities, progesterone insufficiency or any bleeding from cervix should be evaluated. the ectopic pregnancy presents with severe pain abdomen with or without spotting and weak positive urine pregnancy test. the transvaginal ultrasound confirms the ectopic pregnancy. when the ectopic pregnancy ruptures it will lead to severe bleeding in the abdominal cavity. this blood irritates the diaphragm and lead to shoulder pain. but there are many other causes for shoulder pain other than ectopic. i suggest you to check if it is really pregnancy or not to confirm the things but not just assume things and feel stressed. so relax. avoid stress. hope this helps. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, this can be an ulcerous condition called authors ulcer.it can be treated with tab.flanzen-10\u00a0mg;3 times daily for 3 days and tab.wysalone-5\u00a0mg-3 times daily for 3 days. please discontinue any oral habits like tobacco or pan chewing if you have any;as it can lead to burning mouth and limited mouth opening called oral submucous fibrosis-osmf. please add vitamin-b containing food to your diet. hope you get well soon. always clean your mouth after every food intake. use soft-bristled tooth brush and tongue cleaner to clean your teeth."
Please summerize the given abstract to a title,Mental Health Status of University Healthcare Workers during the COVID-19 Pandemic: A Post-Movement Lockdown Assessment
Please answer with one of the option in the bracket,E: Osteosarcoma
Answer this question truthfully,"The cause of duodenal atresia has not been identified. To review risk factors for the development of duodenal atresia, click here."
Please summerize the given abstract to a title,The COVID-19 shock and long-term interest rates in emerging market economies
Answer this question truthfully,"Atypical pneumonia is a type of pneumonia that is caused by certain bacteria or viruses, including Mycoplasma pneumoniae, Chlamydophila pneumoniae, and Legionella pneumophila. It is characterized by diffuse, patchy inflammation that is localized to interstitial areas at alveolar walls. Unlike typical pneumonia, which is caused by Streptococcus pneumoniae and is characterized by consolidation of the lung tissue, atypical pneumonia primarily affects the interstitial spaces between the alveoli. This can result in a range of symptoms, including fever, cough, and difficulty breathing, and can be diagnosed through a combination of clinical evaluation, imaging studies, and laboratory tests."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have lump in neck with high sediment rate. so most probably you have tuberculosis.  you should go for fine needle aspiration cytology to diagnose tuberculosis.  then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Association between dopamine and cerebral autoregulation in preterm neonates
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised. as mentioned in history about the tingling sensation, it is very uncommon until the cast is applied too tight. if the cast is applied too tight then the nerve is getting compressed and the symptoms of tingling is arose which needs an attention. in case if the cast is not tight, i will advise to undergo an mri of the lumbar spine as, any soft tissue injury in that area will lead to pinching of nerve root and produce symptoms. also, a vascular assessment is needed to cross confirm is any dvt is present for which a doppler is advised. as, until a thorough neuromuscular assessment is performed the diagnostic tests are an optional. based on the assessment the diagnostic tests will be planned. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly. sorry to hear about the issue.*prognosis depends on many factors - age - associated comorbid conditions like heart attack / cv stroke / kidney malfunctions / diabetes - immunity - hemoglobin level - body response to treatment - competency of doctors - efficacy of molecules used in treatment & much more list not possible to narrate whole here.*considering all your narrations, her prognosis is guarded, not that much good as normal person suffering from pneumonia recovering in days. - she may take very long time for recovery & may not recover also (i pray to god that doesn't happen) after your long jugglery with all ventilator period. - i can suggest seeing the progress of the patient on ventilator for 5-7 days discuss with the consultant in details regarding this & then decide to continue the treatment or wean her off from ventilator for resting her sole in peace. hope this clears your query. thanks for using chatbot & keeping trust in our medical services regards"
Please summerize the given abstract to a title,Mental Health Outcomes following Intensive Care Admission for Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","well ova care tablet contains mainly minerals and vitamins which helps in maintaining ovaries in good shape (like replacing the engine oil every 3000 km in a car, keeps engine in better condition) but do not help in getting pregnant. you have been having 43 days cycle so the best chances to get pregnant is during fertility window while you are ovulating, for the best chances to get pregnant are from 16 days to 21 day from last menstrual with chatbot."
Please summerize the given abstract to a title,[48-Year-Old Triathlete with Severe COVID-19 Pneumonia: Successful and Safe Treatment with Oxygen and CPAP]
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you are having either tina minus or contact allergic dermatitis. avoid contact with soap, dust, grass,dust, pollen, fertiliser, pollutants,insects, perfume, cosmetics.etc not wash the hands excessively. take antifungal tablets withantihistaminics for 2 weeks. if poor response, add steroid tablets in tampering dose for 2 weeks. apply combined steroid and antifungal cream. still, no response, diagnosis should be revised. for that, you consult dermatologist. thanks."
Answer this question truthfully,"The standard treatment for stage II COPD with moderate symptoms is a long-acting bronchodilator, such as tiotropium, and a short-acting beta-agonist (SABA).

Chronic obstructive pulmonary disease (COPD) is a progressive lung disease that can cause breathing difficulties and other symptoms. Stage II COPD is characterized by moderate airflow limitation and may include symptoms such as coughing, wheezing, and shortness of breath. The standard treatment for this stage of COPD typically involves the use of a long-acting bronchodilator, such as tiotropium, which can help relax the airway muscles and improve breathing, as well as a short-acting beta-agonist (SABA), which can provide quick relief of symptoms during exacerbations. Other treatments, such as inhaled corticosteroids, may also be added depending on the individual patient's needs. Patients with stage II COPD should work closely with their healthcare provider to develop an appropriate treatment plan and manage their symptoms effectively."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. this is disturbed ambulation due to this patient feels dizziness, this is actually mild degree lightheadedness with impaired sensation from the feet particularly in elderly patient. even we call it benign disequilibrium of aging. otherwise, there are no problems of deafness or related to ears or nausea, so most probable reason is dizziness. consult a geriatric physician and get his opinion regarding about this. however, blood for lipid profile, sugar, may help you. good luck."
Answer this question truthfully,"Progressive multifocal leukoencephalopathy is a rare and often fatal viral disease that affects the central nervous system. It is caused by the JC virus and results in the death of oligodendrocytes in the CNS. Oligodendrocytes are the cells responsible for producing myelin, which is the insulation that surrounds and protects nerve fibers in the brain and spinal cord. Without myelin, nerve impulses cannot be transmitted efficiently, leading to a range of neurological symptoms such as weakness, vision problems, and cognitive impairment. As the disease progresses, it can cause severe disability and ultimately death. While there is no cure for progressive multifocal leukoencephalopathy, some treatments may help to slow its progression and manage symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in big corporate or government hospitals there are all departments of different faculties. in one faculty if work or examination of other faculty requires then they refer to that particular faculty for examination and investigations. in your case orthopedic surgeon requires some investigations or opinion from medical faculty they refer to medical department. if in that particular hospital there is no medical specialist available, they refer outside for medical check up. after medical report orthopedic surgeon go further for treatment. ok and take care."
Please summerize the given abstract to a title,"[Fragility in a Public Health perspective: principles and tools for a ""life course"" approach prevention- oriented]"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... according to history here cardiac cause has to be ruled out... investigate with....../blood pressure checking / echo/treadmill test /according to cause treatment given . if coronary artery disease comes then angiography can be done .... avoid stress... your ldl value is high .... take low fat diet ... junk food and smoking avoided... regular exercise useful. take care. hope your concern solved. consult physician for your case
Answer this question truthfully,"Yes, a mutation in the glucokinase gene is associated with maturity-onset diabetes of the young (MODY). Glucokinase is an enzyme that regulates glucose metabolism in the liver and pancreas. Mutations in the glucokinase gene can lead to impaired insulin secretion and hyperglycemia, which are characteristic features of MODY. In fact, mutations in the glucokinase gene are the most common cause of MODY, accounting for about 30-50% of all cases. Individuals with a glucokinase gene mutation typically have mild hyperglycemia that is present from birth, but the condition may not be diagnosed until later in life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the bleeding could be due to period only. but as it different from your usual period and there is light spotting i suggest you to do a urine pregnancy test to rule out any pregnancy. the irregular spotting can be due to pregnancy or hormonal imbalance. the negative pregnancy test rules out pregnancy. avoid stress as it also causes hormonal imbalance. consult doctor for further management. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.",many thanks for consultation. it looks like that might be muscular pain due to sudden bending or exercise but we have to role it out for other things.1.repeat pregnancy test by blood test not urine kits.2.cbc3.stool test for ova and parasite4.urinalysis for myoglobin.5. abdomen and pelvic ultrasound to see any early pregnancy and rest of solid organ. if all negative then just use tab. paracetamol for pain will do job.
Answer this question truthfully,"Benign prostatic hyperplasia (BPH) most commonly occurs in the periurethral zone, which includes the middle and lateral lobes of the prostate. BPH is a condition in which the prostate gland becomes enlarged, causing symptoms such as difficulty urinating, frequent urination, and weak urine flow. As the prostate gland enlarges, it can put pressure on the urethra, which can lead to these symptoms. BPH is a common condition, particularly in older men, and can often be managed with medications or other treatments."
Answer this question truthfully,"Hypertension Diabetes Hypercholesterolemia Overweight Alcohol abuse Foods that are rich in purines, such as salmon, sardines, organ meats, asparagus, mushrooms and herring. Medications such as hydrochlorothiazide, niacin, aspirin, cyclosporine, pyrazinamide and ethambutol, and some drugs used to treat cancer. Family history of gout Male, or female after menopause"
Please summerize the given abstract to a title,Promoting access to COVID-19 convalescent plasma in low- and middle-income countries
Please summerize the given abstract to a title,Evidence for an Ancestral Association of Human Coronavirus 229E with Bats.
Please answer with one of the option in the bracket,B: Diencephalon
Please summerize the given abstract to a title,Unveiling Indonesian Pre-Service Teachers' Perceived Competencies and Readiness for Online English Language Teaching: A Mixed Methods Study
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to chatbot, i am chatbot. let me tell you some basics to understand, blood carries oxygen and heart pumps blood to all parts of the body to supply oxygen to the farthest parts of the body. when there is low quantity of oxygen in the blood the heart has to pump more times per minute to supply same quantity of oxygen to the tissues. yes in case of low oxygen saturation in the blood faster heart rates are normal to find in the patient. it is definitely preventable by taking measures to treat the underlying issues, that is respiratory failure in this case, if you can correct the respiratory failure and oxygen saturation of the blood goes back to normal the heart rates will get back to normal automatically. i hope this answered your question, if you have more queries i am happy to answer you. regards."
Please summerize the given abstract to a title,Fight against COVID-19: A global outbreak response management performance view
Answer this question truthfully,Bronchopulmonary washings can be used to diagnose Cryptococcal infection.
"If you are a doctor, please answer the medical questions based on the patient's description.",i appreciate your query and asking on chatbot. based on your history i would recommend the following
Answer this question truthfully,"Another name for Vitamin A is retinol. Retinol is a fat-soluble vitamin that is important for vision, immune function, and skin health. It is found in a variety of foods, including liver, dairy products, and fruits and vegetables that are orange or yellow in color. Vitamin A deficiency can lead to a range of health problems, including night blindness, dry skin, and impaired immune function. However, it is important to note that excessive intake of vitamin A can also be harmful, so it is important to speak with a healthcare provider about appropriate intake levels."
Answer this question truthfully,The poliovirus is known to replicate in the ileal Peyer's patches and oropharyngeal tonsils.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. can understand your concern. as per your complaint some level of sensitivity after filling of teeth is normal, and it subsides after 3 to 4 days. but in case of pain it is a matter of concern. pain occurs if the cavity made to clean off the infection of tooth and retain the filling material is too deep that it approximated the pulp (which is the central portion of the tooth containing the nerves and blood vessels) causing inflammation of the pulp leading to severe pain and at times swelling. i would suggest you to consult back to your dentist and get an iop ar (x-ray) of the tooth in pain and get evaluated. if it has approximated the pulp you will have to get the filling removed under local anesthesia and get root canal treatment done followed by painkillers and antibiotics. if any of the other tooth is also paining in which filling was done same checkup and treatment can be carried out depending on the condition of tooth whether it can be saved or needs extraction. hoping you get well soon. thanks and regards. chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Anti-infective properties of proton pump inhibitors: perspectives
"If you are a doctor, please answer the medical questions based on the patient's description.","iin regard to your query, i would have been good if you have mentioned your age and the teeth that are going to be extracted. any ways if it is mandatory to extract the teeth for orthodontic correction it is called as therapeutic extraction which is no way related to current alignment of the teeth. i assume your concern is regarding the spaces present between your teeth, so only your dentist had advised to undergo for extraction for better aesthetics/or prognosis after thorough examination of your dental profile. hope this is helpful."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello you have described your problem in detail. the problem is only due to misunderstanding. a lot of cognitive distortions are there which should be corrected. assumptions should always be avoided in a relationship. you have mentioned that you are caring and over loving. you have also mentioned that you don't like her talking to any of male friends. just ask your self is it really care and love or something else. she is a different individual, and she also needs her space. you are intruding in her space and this has resulted in a vicious cycle of doubt and fights. this is the reason she is avoiding you. she is saying that she didn't get peace of mind after marriage. but due to continuous mist rust she has started avoiding you. she just wants peace of mind. i will advise you to go to a counselor for proper counseling. then request her to come along with you for couple therapy for strained relationships. talk to her about restarting the life. decide to change yourself. don't feel inferior work had so that you can win her again. and also don't threaten her with suicidal threats. this will affect only you and no one else will be affected. if you both are ready to continue again then reach to an amicable state by talking to each other. thanks"
Please summerize the given abstract to a title,The COVID-19 pandemic in Russia: Effects on clinicians and mental health services
Answer this question truthfully,"Cri-du-chat syndrome is a rare genetic disorder that is caused by a congenital microdeletion of chromosome 5p, which is the short arm of chromosome 5. This deletion can result in a range of physical and developmental abnormalities, including a distinctive high-pitched cry that sounds like a cat's meow, as well as intellectual disability, delayed development, and facial dysmorphism. The severity of the condition can vary depending on the size and location of the deleted portion of chromosome 5p. There is no cure for Cri-du-chat syndrome, but early intervention and supportive care can help manage the symptoms and improve outcomes for affected individuals."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should tell her to consult emergency room immediately. breathing difficulty with hypotension (low blood pressure) and tachycardia (rapid pulse rate) are commonly seen in heart and lung diseases. so ask her to visit emergency room and get done 1. blood pressure monitoring 2. ecg and 2d echo to rule out heart related diseases. 3. put (pulmonary function test) for the diagnosis of lung related diseases (bronchitis). she mayan need cardiac supportive chatbot.  don't worry, she will be alright with appropriate treatment. so tell her to visit emergency room as soon as possible. hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks."
Answer this question truthfully,"A few case series since 1987 have mentioned transient constrictive pericarditis that appears to be associated with pericardial inflammation. The use of cardiac MRI has made it possible to identify pericardial inflammation with the use of late gadolinium enhancement. This particular type of constrictive pericarditis can be treated with anti- inflammatory therapy and prevent its progression to irreversible disease requiring pericardiectomy
Transient pericarditis can be treated medically by:
NSAIDS Steroids Heart failure management Chemotherapy
If medical therapy fails, transient pericarditis can be treated by pericardiectomy
Chronic constrictive pericarditis:
Complete pericardiectomy Pericardiectomy is associated with 5-10% peri-operative mortality"
Answer this question truthfully,"What diagnostic tests and mnemonic should be considered for identifying the cause of a first time seizure? For a first time seizure, an EEG and CT scan should be ordered and the VITAMINS mnemonic should be considered to identify a cause. The mnemonic stands for: Vascular, Infection, Trauma, Autoimmune, Metabolic, Ingestion or Withdrawal, Neoplasms, and Psychiatric."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there is pain in your back and leg. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for writing to chatdoctoryou have almost normal findings with medicines. you should continue medicines. normally total cholesterol should be below 200 mg/dl. you have 168 mg/dl, so it is fine. triglyceride level is mildly high. it should be below 150 mg/dl.hdl level is good. ldl is towards upper limit. it should be below 100 mg/dl. beside medicines, you should be active in your daily life. you should avoid red meat and high fat milk products. cook food in olive or canola oil. you should take limited salt in your diet. you should also avoid fried and junk food. take a lot of fruits and vegetables. you should also increase your physical activity in the form of walking and exercise. avoid alcohol and cigarettes if you take these things. hope i have answered your question. take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot madam maiden you have told that your husband semen analysis report came normal,it should include normal count and also normal motility.if motility is not there.there lies a problem.secondly, your usg report,ovarian follicular size are normal... what about your menses whether they are regular or not.if not go for hormonal studies. if your menses are normal and normal flow,,,then go for tubal(fallopian tubes) patency tests using hysterosalpingography after consulting infertility specialist. hope you understand my suggestion and answer. hope you become pregnant soon thank you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. the symptoms look more of gastroenteritis than pancreatitis. loose stools are mostly seen in gastroenteritis.  still you can get her serum lipase levels checked to rule out pancreatitis. i would suggest that you start her on a course of antibiotic like metronidazole in consultation with your doctor for the prescription. also give her plenty of fluids to prevent deny chatbot.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this treatment is being suggested on bases of the information provided. however, i would like to examine & investigate the patient in detail. control hypertension, diabetes or any other metabolic disorder, if there is any.  any way it may be tried"
Please summerize the given abstract to a title,Full-length infectious cDNA clone of Middle East respiratory syndrome coronavirus (MERS-CoV)
Answer this question truthfully,"Segmentation contractions are a type of muscular movement that occurs in the small intestine and serve to mix intestinal contents by producing a ""back-and-forth movement"". These contractions are important for breaking down food particles and mixing them with digestive enzymes and other secretions to facilitate the absorption of nutrients. Unlike peristaltic contractions, which move food in a single direction through the digestive tract, segmentation contractions help to ensure that food is thoroughly mixed and exposed to digestive juices, maximizing the efficiency of the digestive process. Overall, segmentation contractions play a crucial role in the proper functioning of the digestive system and the absorption of nutrients from food."
Answer this question truthfully,"Familial Mediterranean fever is inherited in an autosomal recessive pattern, which means that a person needs to inherit two copies of the mutated gene (one from each parent) to develop the disorder. If both parents are carriers of the mutated gene, there is a 25% chance that their offspring will inherit the disorder. Familial Mediterranean fever is caused by mutations in the MEFV gene, which provides instructions for making a protein called pyrin. Without enough functional pyrin, there is an overactivation of the immune system, leading to inflammation and episodes of fever, abdominal pain, and joint pain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, by seeing your mri report it confirms that you have intervertebral disc prolapse at l3/l4, l4/l5 which is causing compression to nerve roots which are emerging from vertebral foremen, you need to undergo discectomy surgery the earliest possible, before surgery limit your activity, take bed rest, continue with vitamin supplementation and analgesics. consult neurosurgeon or orthopedic at earliest. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i understand your concern and would like to tell you that not to worry much... sometime backache is related to menstrual irregularities and sometimes associated with periods its normal so do not worry much and you don't need for any medication just take some rest and don't street much but if the pain increases and become intolerable take paracetamol tablet thanks regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. as a layman, normal person without any medical knowledge, it is very difficult to analyze eeg report. there are several aspects for an eeg. experienced doctors can evaluate those within seconds. therefore, it is always better to wait till the doctor analyzes the report. in the meantime, you can check websites which provides information on each aspect of eeg. but your doctors' opinion should be considered to be perfect. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Toward a Compare and Contrast Framework for COVID-19 Contact Tracing Mobile Applications: A Look at Usability
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you can conceive.  your thyroid profile is normal.  so, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days. take progesterone for next 2 weeks.  do a urine pregnancy test at home after that. you can try like that for 3 to 6 months. for weight loss, you can do some exercises and yoga and maintain a healthy diet.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern without the clinical examination it is becoming very difficult some time to come on any conclusion with the help of brief history given here, if you do have history of esophagus disease then this complains need to be ruled out, as far as your doubts are concerns for, hernia, ulcer, these all needs investigation without proper investigation such big diagnosis can not be made, if the pain is severe then in my opinion clinical examination would be urgent, hope this information helps you, have good day."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. i just read through your question. regarding the fall
Please summerize the given abstract to a title,Safe and Accessible Voting: The Role of Public Health.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  schizo active personality or typical schizophrenia can be cured if detected early and treated properly. for your family member, proper diagnosis and treatment is necessary. for diagnosis, he needs to be taken to a psychiatrist. people with schizo active personality or typical schizophrenia may not necessarily have criminal ideation in the future. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! as you refer you have an icd-pacemaker (incorporated on a single device) implanted. you are concerned about the usefulness of that device. as doctors have previously decided to implant that device, there must have been a clear and strong indications for both exerting functions, that is pacing and life-threatening arrhythmia suppression (pacemaker+icd). i don't believe that these defined indications have faded already. on my opinion, you have to discuss with your treating doctors about the optimal management strategy (if you need to modulate device settings, to re-positions its leads, and other technical matters), as they know the full picture of your prior and actual medical history, your actual cardiac performance, potential rhythm and conductance disorders. if you have concrete medical information regarding this issue, do not hesitate to consult them with us. hope to have been helpful to you. greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i have gone through the ct report you have mentioned. her ct report is more suggestive of infection and inflammation. but nodules and lymph nodes in old age (84 years) should also evaluate for cancer. so for her follow-up ct scan of thorax after 6 months is required to see the size of nodules and lymph nodes. if size is stable order regressing, no need to worry about cancer. but if size is increasing then she should definitely investigate for lung cancer. hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. from the description that you have given it appears that you are having an anxiety disorder. you need to consult a psychiatrist who can assess you in detail about various issues. if you are diagnosed with depression or anxiety, i am sure he can use various psychological or pharmacological ways to help you out. hope i am able to solve your queries. wish you good health."
Please summerize the given abstract to a title,Current situation and trend of coronavirus diseases 2019 (COVID-2019) in foreign countries/ 上海预防医学
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. there are several causes for failure of conception. for the male part, the sperm count, progressive motility and liquefaction are important. for the female part, regular ovulation, proper tubal and uterine function, absence of anti-sperm antibodies are important. intercourse should be done at least on alternate days around ovulation, i.e., two weeks prior to the onset of the next menstrual cycle. if your wife has a introverted uterus, lying on the stomach for sometime after the intercourse will help to retain the sperm longer. alternatively, placing a pillow beneath the hip region may also be tried if there is a spillage of semen. you can get further help from a specialist. take care."
Please summerize the given abstract to a title,Prevention and Attenuation of Covid-19 with the BNT162b2 and mRNA-1273 Vaccines
Please answer the letter of option truthfully,A
Answer this question truthfully,The paramyxovirus that can result in aseptic meningitis is called mumps.
Please summerize the given abstract to a title,An engineered CRISPR-Cas12a variant and DNA-RNA hybrid guides enable robust and rapid COVID-19 testing
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. you have not mentioned the area of the spot but after hearing your symptoms i am quite certain that the problem is related to your wisdom tooth which is either erupting or else is tilted in the wrong direction. it happens as food gets lodged in that area and it's difficult to access it with a brush resulting in infection. this infection in turn causes discomfort in the surrounding gums and also results in mild swelling in the area. warm saline gargles may help and i would recommend you to visit your dentist who can give medication as well as can clinically see the problem. regards
Please summerize the given abstract to a title,A systematic review of chest imaging findings in COVID-19
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as your daughter had lump in gum this swelling is due to formation of abscess in decayed tooth, when you press pus and blood comes out, don't be worried so much i will suggest you to consult dentist and go for examination of decayed tooth and if it is decayed primary tooth then go for extraction of tooth. hope this will help you. wishing you good health."
Please answer with one of the option in the bracket,B: Calcium oxalate
Please summerize the given abstract to a title,Barriers and enablers influencing healthcare professionals' adoption of a biopsychosocial approach to musculoskeletal pain: A systematic review and qualitative evidence synthesis.
Answer this question truthfully,SNRI (serotonin-norepinephrine reuptake inhibitor) medication is typically used to manage depression in patients with diabetic neuropathy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you can conceive but first you need to do some investigations for your recurrent miscarriages. do a thyroid profile and prolactin and apa profile to see for cause of abortions. uterus alone can not cause abortions. the other thing is that with age the quality of embryos decrease anxiety thus abortions occur. i think you should go for an ivf for good embryo selection, and then they will be transferred when your endometrium is good. this will reduce chance of abortions. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","this is kind of alack of confidence in self and weak will power. why should one think that one cant lay off habits? yoga and meditation shall help where this is a weak will. busying oneself in hobby and physical work-gardening, carpentry or for that matter any physical work can lift the mind away from dependency on pot. you may see a specialist counselor also. for backache, pain simple over the counter paracetamol tabs, hot fomentation, relaxation exercises, avoiding stress and strain may help"
Please answer the letter of option truthfully,B
Answer this question truthfully,"Fibrocystic breast changes is a commonly used phrase to describe painful, lumpy breasts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to the chatdoctorbrief answer... it could buy hyperthyroidism or metabolic disorder. detailed answer... since sweating can occur normal when there is increased temperature outside and body responses by increasing sweating to balance the body temperature. but if there is particular odor, it can be disbalance of metabolism which can cause metallic odor. as thyroid hormones have crucial roles in controlling metabolism, and if there is hyperthyroidism it can cause sweating and anxiety. other cause can be amino acid metabolic disorder. i would suggest that get thyroid function test, blood electrolytes , urine test to detect amino acid metabolites, and follow accordingly. chatbot."
Answer this question truthfully,Surgical intervention is not recommended for the management of diphyllobothriasis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear!! thanks for your query to chatbot. read your query and understood your health concern. based on facts of you query, you seem to suffer from- globes pharynges with herd causing cough due to va gal irritation from acid reflux with gastritis from food allergy from rice. would suggest you to get egd done and consult ent to rule out accompanied tonsillitis. actual heaviness in tonsil area is from globes pharynges. treatment from ent surgeon would fix the cough issue in your case. hope this reply would help you to plan further treatment with your doctors there. welcome for further query in this regard if any. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear overthinks for consulting at chatdoctori understand your concern. but the increase in your heart rate is probably due to anxiety you are suffering from.however a cardiac condition cannot be ruled out suggest you to consult a cardiologist get a 24hr holder monitoring done to rule out psvtyou need to reduce your weight as well by a regular brisk walking of 20\u00a0min a avoid oily and high salt diet might b started on tab alpha after consulting your doctor to reduce anxietyhope i have answered your question. you can message me for any further concerns
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern. if the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. do not lift heavy weightspossibility of musculoskeletal pain is more. ibuprofen is anti-inflammatory. you will definitely improve witchatdoctorbination of painkiller and muscle relaxant chatbot.  also apply warm water pad on affected areas. avoid movements causing pain. don't worry, you will be alright in 1-2 weeks. but better to first rule out lung infection.don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,Tumors of melanocytes are known as a nevus (mole) when benign and a melanoma when malignant.
Answer this question truthfully,"Cluster headaches are usually unilateral, meaning they typically affect only one side of the head. Tension headaches, on the other hand, are usually bilateral, meaning they affect both sides of the head. Migraine headaches are also usually unilateral, but they can sometimes switch sides or affect both sides of the head. Lateralization refers to the location of the pain and other symptoms associated with each type of headache. While the exact causes of these headaches are not fully understood, they may be related to a variety of factors, including genetics, environmental triggers, and changes in brain chemistry. Treatment for each type of headache may involve different medications, lifestyle changes, or other approaches, depending on the individual patient's circumstances and symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting here. a bp of 161/88 is definitely high. but depends on a lot of other factors also. like your activity, mental stress at that time. also, one high reading of blood pressure is not diagnosed as high blood pressure or hypertension. for a diagnosis of hypertension to be established, there must be at least three high readings one week apart. if all readings are consistently high, then you need to be started on blood pressure medications. so my advice to you is to take bp recordings during different times of the day one per week at a resting state at home for three weeks. as of now there is nothing to worry about. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, hormonal pills can cause bloating, diarrhea or constipation. any history of abdominal pain, yellow discoloration of eyes or clay colored stools can indicate liver damage. liver function tests should be done. laxatives such as lactulose ca be taken at night. high fiber diet and adequate hy chatbot.  other causes of constipation such as hard stools, anal fissures or hemorrhoids should also be ruled out. take care. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,The chylomicron remnant expresses only apolipoprotein B-48 and E on its surface.
Please answer with one of the option in the bracket,C: α1-antitrypsin-deficiency
Please summerize the given abstract to a title,"Temporal rise in the proportion of younger adults and older adolescents among coronavirus disease (COVID-19) cases following the introduction of physical distancing measures, Germany, March to April 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. hard lump on your head can be desmond cyst, lipoma or some skin adnexal tumor.  you should go for biopsy and histopathological examination of that lump.  then you should take treatment according to diagnosis. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health. don't forget to click, thank you."
Please summerize the given abstract to a title,Different Variation of Intra-familial Body Mass Index subjected to Covid-19 Lockdown.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, at 66 with a gleason 7 cancer without evident spread even with a high psa needs to be given a chance for curative therapy. robotic prostatectomy gives the best chance for cure with minimum complications. high chances of node positive disease though. other option that you are considering of doing nothing will land up in watchful waiting i.e. hormonal treatment when you develop extensive disease. that option is exercised in older patients or if you have some other diseases making you unfit for surgery. at your age, give yourself a chance good luck"
Answer this question truthfully,"Congestive heart failure: Diuretics, ACE inhibitors, beta blockers, digoxin
DVT: Anticoagulation with unfractionated heparin, low molecular weight heparin / warfarin for 3-6 months
Venous insufficiency: Leg elevation, compression stockings, minimize time standing Cellulitis: extremity elevation and antibiotics CHF: Salt restriction and diuretics, preload reduction, afterload reduction Cirrhosis: Diuretics & low salt diet"
Please summerize the given abstract to a title,Advances in purification of SARS-CoV-2 spike ectodomain protein using high-throughput screening and non-affinity methods
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. many women find out they have become pregnant after ingesting alcohol, food, or medications that we do not recommend taking during pregnancy. however, in the very early stages of pregnancy, the fetus is not yet developed enough to be at risk in the same ways as it would be when the body and brain have begun to develop. in your case in particular, bromine, is a mild stimulant that makes your heart beat faster and raises your blood pressure. for those reasons, it is not recommended to be taken during pregnancy, however there is no evidence that it or the class of medication that it represents cause any form of birth defects or harm to a developing baby. so at this early stage of your pregnancy, you not need to worry about accidentally having taken bromine. in the meantime, you can prepare for healthy pregnancy by avoiding alcohol, eating a well-balanced diet, and purchasing a multivitamin that is designed for pregnant women (prenatal vitamins)i hope that i was able to adequately answer your question today, and that my advice was helpful. this for the rest of the pregnancy, best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query with available details given in your query. i understood your health concerns. cause for the lump around anus and vagina-from the limited facts and story of your query, you seem to have infective lump, and mostly it is boil / hair follicle in that are. treatment-would depend on the cause. as i don't have any first hand clinical information, i would suggest consulting er surgeon to rule out other causes and who would treat it accordingly by either medicines or by surgical excision if need be.don't self-treat or medicate in your case as the case may go in to further complications. hope this reply would resolve your query and would help you to plan treatment with your doctor. hope this would relieve of your health concerns. welcome for any further query in this regard before final suggestions are given in your query. wishing you fast recovery. have a good day. chatbot. n. senior surgical specialist"
Please answer the letter of option truthfully,B
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i have gone through your question. i can understand your concern. epistle is fast acting liquid based formula.  it is very useful in mucositis and oral pain while treatment on oral cancer.  it acts by mechanical action and just form a protective adhesive layer.  so no any steroids are there in epistle, and it is very safe. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, initially your child had fever and loose stools, but now there are no loose stools and fever is below 100 degree fahrenheit. with his suggest that your child is improving, fever is defined as when temperature of body increases above 100 fahrenheit. if it remains below 100 fahrenheit then its normal. i think you should continue the same treatment, if fever increases above or loose stools occur then you should get the giant re examines by doctor. in that case antibiotic needs to be started. take care."
Answer this question truthfully,Pantoprazole
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. i read your query. inflammation of gums can be due to several reasons. just check for any swelling or pus in that area or cavity in any nearby tooth. if so, you need to visit dentist for its treatment. as you mentioned using baking soda. its has good abrasive action and raise ph of mouth inhibiting bacteria but at times it can also cause gum inflammation. i suggest you to use a good toothpaste with baking soda rather than raw soda. maintain good oral hygiene. if there is any plaque or calculus deposits, get oral prophylaxis done. brush twice a day. uss mouthwash. do warm saline rinses. you can use lidocaine oral gel on gums before eating. this will reduce burning sensation. take good diet, multivitamin and minerals, specially vitamin c, a, iron. massage your gums with a gum paint. if inflammation persists or worsens, see a dentist. hope the answer helps you. thank you!"
"If you are a doctor, please answer the medical questions based on the patient's description.","i warmly welcome you! thanks for consulting me at virtual clinic. i have carefully worked through your case, and i can realize your health worries. being your physician, i assure you not to worry as i will take care all of your medical concerns. yes its normal to feel pressure on eyes while having the sinusitis. yes its worth waiting for these 10 days course of treatment. if no betterment, consult an ent physician. hope it helped you today. if you need further, detailed and quick assistance related to any health issues, feel free to ask me a question directly from my profile. you can also attach lab reports and pictures directly from the question window, or by emailing it to attachments@chatdoctor .com with the subject as, attention"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through all the data you have posted. in a patient of heart attack, the time interval between occurrence of symptoms and restoration of blood supply by either thrombosis or stenting (ptc) is the most important factor determining the extent of damage heart muscle had undergone. once heart muscle undergoes death, it form a scar, and it cannot contract along with the surrounding heart muscle which causes ineffective pumping of blood from heart. ineffective pumping of blood may result in two types of symptoms"
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history.your son has got a pain in abdomen for over a week, the doctor auscultated and said it was gas. well, gas alone can not cause pains for more than a week. there has to be a reason for this. i would advise you to take him to the castro, get the following investigations done"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, the symptoms you mention in query are pointing towards a condition known as cyst or a sebaceous cyst. these sack-like lumps are made up of dead skin cells and oils produced by oil glands in the skin. i would suggest you to consult ent specialist for proper diagnosis. doctor may order certain tests like audiometry, manometry and do physical examination to rule out condition like lymphadenopathy. if a cyst becomes painful, it may be infected. treatment may include antibiotics or removal of the cyst. for now give warm compresses to affected area. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,The Delay in Confirming COVID-19 Cases Linked to a Religious Group in Korea
Answer this question truthfully,"Neuropathic pain is a type of pain caused by damage or dysfunction of a nerve or of the nervous system. Unlike nociceptive pain, which is caused by tissue damage or inflammation, neuropathic pain is caused by abnormal signaling in the nervous system, which can result in sensations of burning, tingling, numbness, or shooting pain. Neuropathic pain can be caused by a variety of factors, including nerve injuries, infections, autoimmune disorders, vitamin deficiencies, and exposure to toxins. It is a common symptom of many neurological conditions, such as peripheral neuropathy, diabetic neuropathy, postherpetic neuralgia, and trigeminal neuralgia. Treatment for neuropathic pain may involve medications, such as antidepressants, anticonvulsants, or opioids, as well as physical therapy, nerve blocks, or other targeted therapies to manage symptoms and improve quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... by what you quote i feel that your son has got viral fever. usually viral fever will be very high grade on the first two to three days at the same time when the fever comes down the child will be very active and playful. unless there is rash all over the body or seizures or respiratory distress or low urine output you need not worry about high fever. but sometimes chigger bites can cause ricketts fever for this sake i suggest you consult your pediatrician. as of now you can administer paracetamol at the appropriate dose every 4 or 6th hourly that too only if the fever is above 100 degrees fahrenheit. regards -
Answer this question truthfully,Fanconi anemia is currently classified by complementation group.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are many causes for low hemoglobin level. they are iron deficiency, it b12 deficiency or may be due to some other cause like decrease production or destruction. you should go for investigation first.  you can go with cbc, ps examination. then according to results you can go with iron or b12 level or other investigation. consult your doctor and investigate and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,"New Targeted Therapies and Combinations of Treatments for Cervical, Endometrial, and Ovarian Cancers: A Year in Review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the case history as mentioned in your post suggests that it might be due to fungal infection. management includes"
Please summerize the given abstract to a title,A Study of the International Stock Market Behavior During COVID-19 Pandemic Using a Driven Iterated Function System
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, paragard is a very effective contraceptive method. it is more than 99% effective in preventing pregnancy. therefore, there is no need to use morning after pill sex. i could not figure out why you thought of using morning after pill while you are already on a very effective method of contraception. oralcon contraceptive can be used as emergency contraception. you need to take 4 tables of oralcon at the earliest after unprotected sex and 4 tablets again after 12 hours. i have written this just for your knowledge. i hope i have answered to your satisfaction."
Answer this question truthfully,The serratus anterior muscle abducts the arm more than 100 degrees and is innervated by the long thoracic nerve.
Answer this question truthfully,"Early small cell carcinoma of the lung does not have any symptoms. As the tumor grows larger, people may notice one or more of the following symptoms:
Cough that does not go away
Chest pain
Hoarseness
Weight loss and loss of appetite
Bloody sputum
Shortness of breath
Iterative infections such as bronchitis or pneumonia
New onset of wheezing
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you may need to do mri spine again to see for nerve compression if your new mri shows disc bulge with nerve compression then surgery may help. due to compression of this nerve root there is tingling numbness in your back and rib. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and tens therapy will help. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,Copper oxide integrated perylene diimide self-assembled graphitic pencil for robust non-enzymatic dopamine detection
Answer this question truthfully,"Eculizumab is a terminal complement inhibitor medication that is used to treat paroxysmal nocturnal hemoglobinuria (PNH), which is a rare blood disorder characterized by the destruction of red blood cells. Eculizumab works by inhibiting the terminal complement pathway, which is part of the immune system and plays a role in the destruction of red blood cells in PNH. By inhibiting this pathway, eculizumab can prevent the destruction of red blood cells and improve symptoms such as anemia, fatigue, and shortness of breath. Eculizumab is administered intravenously every two weeks and requires regular monitoring of blood counts and kidney function. While eculizumab is an effective treatment for PNH, it can also increase the risk of infections and other complications, so it is important to discuss the risks and benefits of this medication with a healthcare provider."
Answer this question truthfully,"Call your health care provider if you have a history of kidney stones and develop:
Abdominal pain Burning with urination Chills Fever Urinary tract infection"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the pain in the upper abdomen and going to the back, with history of gall bladder removed and disc stenosis and nerve damage can be due to the disc, but there may be additional or exclusively due to other causes like"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com. i had gone through your question i can understand your concern regarding muscle on the floor of mouth. it looks like mastectomy muscle spasm. you need to reduce you aggressive tongue movement for some time. apply warm cotton for about 10 minutes two to three times daily. hold your chin while yawning. if i had been your treatment doctor i would like advise. take medication like aerosol mr twice daily in case you are not allergic and also does not have any medical history associated with you for a week. hope my answer will help you and visit us back if you have any questions further to be answered."
Please answer with one of the option in the bracket,A: Th1 lymphocytes
Please summerize the given abstract to a title,A new phenotype of aldolase a deficiency in a 14 year-old boy with epilepsy and rhabdomyolysis – case report
Answer this question truthfully,No data available for the secondary prevention of brodie abscess.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that he might be having acute gastroenteritis giving raise fever and loose motions. this can be due to taking some contaminated food. give him paracetamol for fever. he might require ofloxacilin, tinidazole combination medicine for 3days. give him plenty of water and electrolytes and keep him well hy chatbot. give him light food like curd, rice, buttermilk. ok and take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, post any rta we need to be taking an x-ray of the injured limb and joint is advised. in your case the hip is injured and so do we need an x-ray of the hip. post which, if there seems to be no bony injury than we need to stabilize the hip joint, clean the wound, and do hot water fermentation to the lower back and hip muscles. post which once the wound is healed doing simple exercises to strengthen the core, hip muscles and thigh muscles is advised. since this won't be any kind of major thing but an internal muscular injury and will heal with time. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. irrespective of the cause the temperature has to be brought down immediately lest she may go into febrile convulsions. paracetamol 15 mg/kg body weight 4-6 hourly along with tepid sponging will bring down temperature quickly. then consult pediatrician to investigate and arrive at a diagnosis. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics."
Please summerize the given abstract to a title,Value Capitalism: How to Manage the Consequences of the Corona Crisis and How to Build a Crisis-Proof World Order
Please summerize the given abstract to a title,Pembuatan alat portable hand washer (PHW) dengan sistem kran injak kaki untuk mencegah penularan COVID-19
Please summerize the given abstract to a title,Association between Free Sugars Intake and Excessive Daytime Sleepiness among Chinese Adolescents
Please summerize the given abstract to a title,A scoping review of the experience of implementing population testing for SARS-CoV-2
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"According to the National Highway Traffic Safety Administration, children under the age of 12 should not ride in a seat with a front-facing airbag. This is because airbags can deploy with great force, and can cause serious injuries to children who are too small to safely withstand the impact. Instead, children should ride in the back seat of the vehicle, properly restrained in a car seat or booster seat as appropriate for their age, height, and weight. Parents and caregivers should always follow the manufacturer's guidelines for their specific car seat and ensure that it is installed correctly in the vehicle."
Answer this question truthfully,"A positive fetal fibronectin test prior to term is an indicator of high risk for preterm delivery. Fetal fibronectin is a protein that is produced by the fetal membranes and can be detected in vaginal secretions. When fetal fibronectin is detected prior to 37 weeks of gestation, it may indicate that the fetal membranes are starting to break down and that preterm labor may be imminent. This information can be useful in helping healthcare providers to identify women who are at high risk for preterm delivery and to take appropriate steps to prevent or manage preterm labor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot ... noted you have dyspnea ... let me know you about his smoking history ??? hypertension ?? any previous cardiac history....?????anyhow, just now it might be heart failure case that can lead dyspnea.... to rule out cardiac cause simply ecg or echocardiography done... you can consult physician for proper work up.... in heart failure there is also can be presence of edema feet ... if smoking history present then respiratory cause ruled out by pulmonary function test and chest x-ray... esp...chronic emphysema and bronchitis has to be ruled out.... hope your concern solved.... take care.... chatbot."
Please summerize the given abstract to a title,Neutrophils: mediating TelOxidation and senescence.
Answer this question truthfully,"Bronchiolitis obliterans usually causes a dry cough and shortness of breath, especially on exertion, two to eight weeks after toxic fume exposure or a respiratory illness. It may be several months or years until it presents itself after a transplant.
Fatigue and wheezing in the absence of a cold or asthma are other symptoms of this lung disease."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dear!. i can understand your condition at the moment. a detailed history and a physical examination would have helped me more in diagnosing the condition. probably she is having upper respiratory tract infection most probably pharyngitis. i would advise you to get her a complete physical examination done by a pediatrician or else start some good antipyretic for fever like spy. paracetamol 120 mg/5ml5 ml 4-6 hourly(alternate with ibuprofen after 3 hrs interval if fever doesn't settle with one dose of paracetamol). start spy. azithromycin 200 mg/5ml (3 ml once daily for 5 days). hope it will help. wishing your child good health
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query.  it needs to be evaluated as to why you develop these symptoms. it can occur with some clothing you use or with some variety of foods or dust. you need to also say if any of your family members have similar symptoms, in that case it could be genetic. so kindly consult a dermatologist. hope i have answered your query i will be available for your follow-up queries if any. wishing you good health."
Answer this question truthfully,"Intestinal atresia is a congenital condition in which a portion of the intestine is narrowed or blocked. There are several known causes of intestinal atresia, including a vascular accident that occurs in utero, which can lead to reduced blood flow to the developing intestine and subsequent damage. In addition, maternal cocaine use has been associated with an increased risk of intestinal atresia. Other factors that may contribute to the development of intestinal atresia include genetic abnormalities, infections, and exposure to certain medications or toxins during pregnancy. It is important to identify and address any underlying causes of intestinal atresia to ensure prompt and effective treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the facts that you have posted you are facing problem of erectile dysfunction. the clear liquid that you are passing is a mucus secreted by bulb urethral gland located in urethra which get stimulated on sexual thoughts or penile stimulation. as regards your problem of ed in the majority of young adults it is due to what is called as performance anxiety. following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc 3)take anti oxidants like almonds 5-6 everyday4) avoid alcohol and smoking. chatbot. ."
Please summerize the given abstract to a title,Moving Toward and Through Trauma: Participant Experiences of Multi-Modal Motion-Assisted Memory Desensitization and Reconsolidation (3MDR)
Please summerize the given abstract to a title,"Artemisinins in Combating Viral Infections Like SARS-CoV-2, Inflammation and Cancers and Options to Meet Increased Global Demand"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, can understand your concerns. green color stools are normal in babies, it occurs because of decreased transit time of food in intestine of babies. due to decrease transit time, the bile is not separated from food. due to this the color of stools appear green. sometimes the child can also pass golden and yellow color stools, both of these colors are also normal. at this age, semi solid food should be started.  i hope this will help you. wishing your child could help. take care."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. plastic anemia is a bone marrow disorder commonly due to megaloblastic anemia.2. it b12 should show improvement if it is secondary to megaloblastic anemia. 3. if oral it b12 is not helping, it b12 shots will be helpful. take a nutritious diet. if other cells are responding, this will also improve. if you have any infection, better to take a granulocyte infusion till wbc improves to avoid risking any critical infections. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. with the available described symptoms, there appears to be possibility of acute viral upper respiratory tract infection with muscle ache. myalgia is an integral pro chatbot. you should consult with internal medicine specialist and should go for thorough check up. you should also go for complete blood count, erythrocyte sedimentation rate, chest x-ray. you should take complete antibiotic course, decongestants, multics and muscle relaxants. you should avoid cold"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is not only one single cyst type, there are different types with different content. also, cyst size is important as well, naturally a small cyst doesn't have the same risks as a gigantic one. generally speaking, in everyday practice the most common type is an arachnoid cyst. there are many common, found in many people and usually remain the same and do not cause any complications, without affecting learning and development, the majority of people lead a perfectly normal life. however, to say confidently whether this child belongs to this majority as i said at the beginning more info is needed. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,A New Extension of State-Space SIR Model to Account for Underreporting- An Application to the COVID-19 transmission in California and Florida
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is likely that you have an upper respiratory tract infection which can involve the ears, nasal passages, sinuses, throat. in most cases it is viral, but bacterial infections can also occur. the pain and swelling in the face imply that the sinuses are infected. you can consider using antihistamines and decongestants which would relieve the nasal congestion and swelling in the face. decongestants can be oral or topically applied. since you are having a productive cough, you may want to consider using a bucolic which would help to break up the mucus in the chest. the use of copious fluids would help decrease the viscosity of secretions. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you have faced issue with right knee and the mechanism of injury suggest it could be a ligament sprain. but taking am mri will surely help understand the soft tissues' status. also, once the ligament, say example meniscus is injured the pain is intense and will restrict most of the mobility. i will recommend undergoing physical therapy, as with therapeutic ultrasound therapy and tens therapy the pain can be lowered and inflammation too. performing slow rom exercises and later static strengthening of the leg muscles should give better results. in my clinical practice, most sports injuries respond well to physical therapy. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. i have gone through your query and can understand your concerns. as per your complaint liquid filled bubbles in mouth and salty taste can be most probably due to acid reflux or herd. well, all these symptoms are indicative of acid reflux, and it leads to regurgitation of acid and food particles from stomach to food pipe and throat. i would suggest you to consult a gastroenterologist and get evaluated and a thorough clinical evaluation and investigations like upper g. i endoscopy can help in diagnosis and treatment can be done accordingly. you can be advised to take proton pump inhibitors like omeprazole or pantoprazole. take antacids like milk of magnesia. avoid spicy food and chatbot. . always take walk after meals and take your dinner at least 2 hours before sleep. you should sleep with head slightly raised as compared to feet. hope this information helps. thanks and regards."
Answer this question truthfully,The ST segment on ECG represents an isoelectric period (horizontal line) when the ventricles are depolarized.
Answer this question truthfully,Echinococcus granulosus is transmitted via dog feces.
Please summerize the given abstract to a title,"Comparison between two preventive treatments for hyperketonaemia carried out pre-partum: effects on non-esterified fatty acids, β-hydroxybutyrate and some biochemical parameters during peripartum and early lactation."
Please summerize the given abstract to a title,The Era of Digital Enablement: A Blessing or a Curse?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, pain, swelling nausea , fever are common complications after wisdom tooth extraction. if the pain is very intense and does not go away in few days it can be the sign of chatbot.  at home eat a soft diet , maintain a good oral hygiene. use saline water gargles 3-4 times a day. visit to your dentist and get complete clinical evaluation done. take tab ooxml 500\u00a0mg tds , tab broken tds for 3 days. hope this helps out. regards."
Please summerize the given abstract to a title,Regulatory agencies in response to the COVID-19 crisis
Please summerize the given abstract to a title,Shelter-In-Place Orders Reduced COVID-19 Mortality And Reduced The Rate Of Growth In Hospitalizations
Please summerize the given abstract to a title,Factors Predicting COVID-19 Vaccination Uptake Among Men Who Have Sex With Men in China: An Observational Prospective Cohort Study
Please answer with one of the option in the bracket,E: This patient’s laboratory findings will likely demonstrate a normocytic anemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hits better to be on alive for long term treatment. if severe pain, then add tramadol 100 mg two or three times a day as per necessity. aleve can be taken twice a day...for precaution for gastritis prevention, may add pantoprazole or omeprazole 40 mg once a day on empty stomach in the morning before breakfast. rely more on phys therapy, heat,massage, application of veteran tps gel to joints after hot fomentationconsult an orthopedic surgeon for prescription, if he agrees to my suggestion best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of stress and anxiety related symptoms is more but better to rule out pulmonary causes like asthma or bronchitis first. so get done pft (pulmonary function test). if this is normal than no need to worry about major lung related causes. your symptoms are mostly due to stress and anxiety. so consult psychiatrist and get done counseling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,The [TF/P]Cl ratio initially increases over the course of the PCT.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain as follows
Answer this question truthfully,"Signs and symptoms of Behçet's disease vary from person to person, depending on the blood vessels affected. Many patients show multiple organ damages. Like other autoimmue diseases, signs and symptoms come and go.
Painful mouth sores: These are the most common sign of Behçet's disease. Mouth sores turn quickly from lesion to ulcers and heal in 7~21 days. Skin lesions: Skin lesions in patients with Behçet's disease vary, from acne-like sores to red tender nodules. Brain: When Behçet's disease affect brain, it leads to headache, fever, disorientation, poor balance, even stroke. Digestive system: Patients with Behçet's disease may show symptoms such as abdominal pain, diarrhea or bleeding. Eyes: Behçet's disease may cause inflammation in the eye, such as uveitis. Joints: Patients with Behçet's disease may have joint swelling and joint pain when joints are affected with inflammination. Vascular system: Inflammination may occur on veins and large arteries, leading redness, pain and swelling in the arms or legs, even aneurysms and narrowing or blockage of the vessel. Genitals: Patients with Behçet's disease may develop sores on their genitals, feeling pain and leaving scars.
Diseases with similar symptoms include:
Erythema nodosum Inflammatory bowel disease Peptic ulcer Acute febrile neutrophilic Lupus erythematosus"
Answer this question truthfully,"Pseudomonas is known to thrive in aquatic environments. Pseudomonas is a genus of bacteria that are found in a wide range of environments, including soil, plants, and water. However, they are particularly well adapted to aquatic environments, such as lakes, rivers, and oceans. Pseudomonas is known for its ability to metabolize a wide range of organic compounds, which allows it to thrive in diverse environments. While many strains of Pseudomonas are harmless or even beneficial, some can cause infections in humans, particularly in people with weakened immune systems. These infections can be serious and may require treatment with antibiotics."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. bleeding from gums is commonly due to deep gum infection causing inflammation and bleeding. any inflamed tissues contains abundance of premature blood vessels and even slight stimulation can cause bleeding. in case if you take medication that can thin your blood like aspirin that has an antiplatelet activity then it can cause increased tendency of bleeding. so my suggestion is to consult your physician and get evaluated and if needed your dose of aspirin should be reduced.also, if there is gum infection that is the cause of bleeding then another course of antibiotics and gum paint massage can help. along with it do warm saline gargles and antiseptic mouthwash gargles. do cool compresses over the gums. use an ultras oft toothbrush to brush your teeth. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. gastric producing reasons are following as, stress (tension), spirit,(alcohol)strain, smoking, spiced food, sedentary lifestyle, hectic hurried life, over eating (feeding), untimely eating, strong coffee & tea, no proper rest after meal. your query is without tablets, treatment of gastric trouble. as i have mentioned the causes of gastric problem. if you want to get relief, please avoid these reasons. hope, you have received your answer. is furthers any question i will be happy to answer. wish you good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of yours you have this issue persisting from long time, now you need to understand the mechanism of exercises and how it will help improve the overall strength. as due to pinched nerve there will be pain in legs also. can be said the alter sensation and may be motor weakness of the leg muscles. undergoing physical therapy will help improve the strength in the muscles and also will help improve the stability of the lumbar spine and lower limb joints. certain times physical therapy acts as a bigger role than just the only medication. also, medication in combination with exercise will work better and give am outstanding outcome score as well. in my clinical practice, after a thorough assessment and understanding the musculoskeletal requirements physical therapy protocol is planned and patients respond well. regardsjay in chatbot."
Answer this question truthfully,Serial monitoring of kidney function tests should be considered in high risk patients.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical scenario
Please answer with one of the option in the bracket,D: Complete atrioventricular septal defect
Please summerize the given abstract to a title,Association between in vitro fertilization and ischemic placental disease by gestational age.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. you are giving a classical explanation of a condition of acid-peptic disease in a broad sense. you have a complaint of knot in upper abdomen, burning and nausea when you are empty. this will be diagnosed easily by an upper gi endoscopy. this should be done before you start the treatment as a single tablet of ppi will alter the diagnosis. i would advise you to get an upper gi endoscopy done. then start ppi / sanitizing, antacid gels, risperidone and probiotic. be on soft bland diet,"
Answer this question truthfully,"Decreased urinary excretion of D-xylose is associated with pancreatic insufficiency. The D-xylose test is a diagnostic test used to evaluate the absorption of carbohydrates in the small intestine. In this test, a patient is given a measured amount of D-xylose, a simple sugar that is normally absorbed in the small intestine and excreted in the urine. If the patient has pancreatic insufficiency, which means that the pancreas is not producing enough digestive enzymes, the absorption of D-xylose will be impaired, leading to decreased urinary excretion of D-xylose. Therefore, a decreased urinary excretion of D-xylose is an indication of malabsorption, which can be caused by a variety of conditions, including pancreatic insufficiency."
Please summerize the given abstract to a title,"Color, Scent and Size: Exploring Women's Preferences Around Design Characteristics of Drug-Releasing Vaginal Rings"
Please answer with one of the option in the bracket,C: Actinomyces israelii
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. after going through your history, if i were your doctor, i would advise you for the following"
Please summerize the given abstract to a title,Clinical and Epidemiological Characteristics of COVID-19 Patients in Chongqing China
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy have undergone through your concern and understand your concernsorry to hear about your problem have seen lots of case like you in my practice. follicle size between 18-21 mm release quality egg, and it has high chance of pregnancy. you have 15 mm follicle size and get injected on 11th day. injection effect will be seen with in 24 hours and if ovum will rupture then you have high chance of pregnancy. along with this endometrial thickness of 7 mm and above is ideal. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you all the best best regards"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"CURE FOR PNEUMONIA Dear DR, please i have a friend that has the above illness..I want to find out...since i want to marry her...is it an infectious illness,,and can it be totally cured. And how can i help her to get this cured..Please i really need your reply urgently","Treatment for pneumonia involves curing the infection and preventing complications. ... Specific treatments depend on the type and severity of your pneumonia, your age and your overall health. The options include: - Antibiotics. These medicines are used to treat bacterial pneumonia. It may take time to identify the type of bacteria causing your pneumonia and to choose the best antibiotic to treat it. If your symptoms don't improve, your doctor may recommend a different antibiotic. - Cough medicine. This medicine may be used to calm your cough so that you can rest. Because coughing helps loosen and move fluid from your lungs, it's a good idea not to eliminate your cough completely. In addition, you should know that very few studies have looked at whether over-the-counter cough medicines lessen coughing caused by pneumonia. If you want to try a cough suppressant, use the lowest dose that helps you rest. - Fever reducers/pain relievers. You may take these as needed for fever and discomfort."
Please summerize the given abstract to a title,Seroprevalence of SARS-CoV-2 in a Cohort of Patients with Multiple Sclerosis under Disease-Modifying Therapies
Answer this question truthfully,"Insufficient mechanical hemostasis due to a slipped suture or tie is one of the main causes of hemorrhage that occurs within 24 hours following surgery. Hemostasis refers to the process by which bleeding is stopped, and mechanical hemostasis involves the use of sutures, ties, or other devices to physically close off blood vessels. If these devices are not properly secured or if they become dislodged, bleeding can occur. This is a common complication of surgery, and it is important for surgeons to carefully monitor patients for signs of hemorrhage in the hours and days following a procedure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, since you have a history of smoking, are obese and have cholesterol with pain on the left side of your chest, you should visit er, or a cardiologist & get physically examined. for pain, you can take acetaminophen (tylenol) & ppi's like propantoprazol, one so when pained. get all investigations, cbc, urinalysis, lipid function tests, x-ray, ecg, stress test, (ct & mri if required) done to detect any developing coronary artery disease. your treatment will depend upon the pathology detected. in the meantime stop eating oily-fatty food with trans-fat, red meat, avoid alcohol intake, stop smoking or addictions if any. stay away from stress & take veggies, berries, fruits & homemade food. hope i have answered your question. let me know if i can assist you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctorhope you are well now. capsules and hair oil can be started to reduce hair fall and help new hair growth. but the cause of your hair fall must be treated first. pristiq itself has been known to cause a bit of hair loss and thinning though not severely and not in all patients. hair growth itself follows a cycle over 3-4 months to grow, so factors over time could be impacting the over all growth. you can consult with your regular doctor regarding a hair growth supplement like collinear capsules with biotin and other vitamins. continue a hair growth serum and good shampoo like anaphase. start with this treatment. be sure to re check with a doctor regarding the improvement in few weeks, to advise regarding further treatment. eat a nutritious diet and get rest as your hair needs it too. avoid stress. any other illnesses, medication, low iron, thyroid disorders etc. can also cause hair fall so check if necessary. avoid pollution, excessive styling products, combing harshly, gels, etc. hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the symptoms are involved, and you are looking for good ointment, i would try voting or maybe bengal. bengal is far better than other ointments.  also, use hot water fermentation and try simple exercises like maintaining the rom of the shoulder to avoid getting stiffness. if you have any other questions please feel free to contact me. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","complete bed rest for a certain period of time is the initial mode og treatment in low back pain. he has done right job. you have to consider that low back pain is not always totally curable condition. pain can be controlled by medication, exercise, weight reduction, lifestyle modification etc. and if the condition is not improving and impairing your activities of daily living then you have options like epidural injection and ultimately surgery."
Answer this question truthfully,ARBs have no effect on bradykinin activity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query, you might have developed fungal infection. please get a koh mount done, this can confirm the fungal etiology. treatment can be with oral antifungals as well as with topical antifungals. please meet a dermatologist for exact diagnosis. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.https"
Answer this question truthfully,Achondroplasia is a genetic disorder that is due to an activating mutation in the fibroblast growth factor receptor 3 (FGFR3) gene.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing in. i suppose your dad is an elderly gentleman who had a fall 7 months back. in elderly men, the prostate gland often enlarges and creates a sensation of incomplete emptying of the bladder. it is located at the base of urinary bladder and when enlarged in size, causes obstruction to the outflow of urine. in such patients, mri, colonoscopy and rest of ultrasound findings can be normal. i suggest you get your dad to take another ultrasound keeping in mind the evaluation of prostate gland. also, pre void and post void urine volume is to be assessed. you can consult a urologist for further diagnosis and medication. hope this helps."
Answer this question truthfully,Is the early distal convoluted tubule permeable or impermeable to water? The early distal convoluted tubule is impermeable to water.
Please summerize the given abstract to a title,The Impact of COVID-19 on Brain Stimulation Therapy
Please summerize the given abstract to a title,Community psychology and the crisis of care.
Please summerize the given abstract to a title,Gravity: a blockchain-agnostic cross-chain communication and data oracles protocol
Please summerize the given abstract to a title,Recognition and management of depression in early psychosis.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your grandmother s situation and problem. no she should not smoke pot just for relief of pain. pulmonary embolism is very serious lung disease. it can recur and chances of recurrence are high in smokers. so better not to give her pot smoking. you can discuss with her doctor about centrally acting painkiller. it is having excellent effects on pain suppression. so better not to give her pot smoking. hope i have solved your query. wishing good health to your grandmother. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi deena..... typhoid is a disease which is known to cause recurrence and chronic carrier state. the symptoms you have described could be because of chronicity or due to active disease (i.e. typhoid or may be even another one). investigations are different for active typhoid and carrier state. blood investigations are preferred for active, acute cases whereas urine, stool culture and other serology test (anti-vi antibody) are preferred for carrier state. kindly consult your physician for further opinion. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","you are an allergic person as you are using nasal spray i suppose. the difficulty in breathing that you describe after ingestion of certain food products can be due to your allergy and lead to an asthma attack sometimes.however, you are on triamcinolone steroids that would be the treatment for any allergic disease but for an instant relief it won't help and hence you need to use an inhaler that provides instant relief. you can take ventolin or stalin nebulizations or inhalation sos"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. first, don't be panic as cancers have tendency to grow rapidly. if it shows red, black, blue colors, it may be a vascular malformation. sometimes, similar features are also seen in a nevus which is present since birth. you can get an ultrasound done to understand the underlying disease. if, it comes to be vascular malformation, it can be managed with excision or chemotherapy. in case it is a lipoma or other solid tumor, it can also be excised simply. so, once the ultrasound of the lesion is done, you can see a general surgeon for sorting out the correct management of the problem on the basis of the ultrasound report. hope, you get well soon."
Please summerize the given abstract to a title,Prevalence of Insomnia Symptoms in Older Chinese Adults During the COVID-19 Pandemic: A Meta-Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has lung cancer, and it has metastasis in brain. it is stage 4 cancer. it is rapidly spreading and highly malignant.  chemotherapy and radiotherapy work as palliative treatment.  it can not cure the disease. despite treatment prognosis remains poor. life expectancy is just few months.  according to my opinion no treatment should be given. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,"Aging, Empathy, and Prosocial Behaviors During the COVID-19 Pandemic"
Please summerize the given abstract to a title,Cosmic String in Abelian-Higgs Model with Enhanced Symmetry -- Implication to the Axion Domain-Wall Problem --
Please summerize the given abstract to a title,Impacts of the COVID-19 pandemic on labor market surveys at the German institute for employment research
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you todayfolic acid is recommended to be taken during pregnancy because it helps reduce the risk of certain kinds of birth defects known as neural tube defects. while there is no proof that taking folic acid completely prevents birth defects, it is known that neural tube defects are caused by folic acid deficiency. it was helpful to take folic acid while you are trying to conceive because then you will already be on it at conception. however, the neural tube of the baby only begins to develop at around 7 to 8 weeks gestation, so if you start taking the medication at around that time pregnancy the potential benefit is still there. so in summary, you should begin to take folic acid tablets as there is a possibility you are pregnant. i hope this information was helpful and best of luck to you for your future pregnancy."
Please summerize the given abstract to a title,Polypeptides and functions of antigens from human coronaviruses 229E and OC43.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more likely because your pain is more with movements and relieved when you are in comfortable position. so follow these steps for better symptomatic relief in musculoskeletal pain. 1. avoid movements causing pain.2. avoid heavyweight lifting and strenuous exercise.3. apply warm water pad on affected areas of chest.4. sit with proper back support.5. take painkiller and muscle relaxant chatbot. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Magnetic resonance imaging (MRI) is the gold standard test for the diagnosis of joubert syndrome, shows the following features on MRI    Molar tooth sign: Pathognomonic of joubert syndrome       Vermian dysgenesis and horizontal superior cerebellar peduncle elongation represents the molar tooth sign Hypoplastic posterior cerebellar vermis Deformed midbrain and pontomesencephalic junction Prenatal MRI of the fetal brain can help in diagnosis of joubert syndrome"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query. there is no way you can get pregnant from the experience you described. premenstrual syn chatbot.  so please rest assured that you are not pregnant. in the future, if you do want to avoid pregnancy after intercourse, please use contraception like the birth control pills or condoms. hope this helps. please let me know if you need anything else. wish you good health"
Answer this question truthfully,The type of vaccine used for Clostridium tetani is a toxoid vaccine.
Please summerize the given abstract to a title,Knowledge mapping of tourism demand forecasting research
Please summerize the given abstract to a title,"Impact of COVID-19 immunisation on COVID-19 incidence, hospitalisations, and deaths by age group in Germany from December 2020 to October 2021"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. the following symptoms following head injury require evaluation by a neurosurgeon1. loss of consciousness2. fits 3. headache 4. vomiting 5. dizziness6. giddiness7. double vision 8. blurring of vision 9. numbness10. weakness 11. bleeding from nose 12. bleeding from ears13. bleeding from throat hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, tingling in fingers can be due to end number of factors for which a proper assessment is needed. but at most times it's just about weakness of the muscles around the spinal column and the supply it does in upper limb from shoulder to fingers. why don't you just try taking proper diet and some small neck exercises for strengthening the neck muscles. also look to strengthen the upper limb muscles which will help you avoid the tingling, and you will surely be helped. i wish you a speedy recovery. thank you"
Please summerize the given abstract to a title,"Comment on Szczubełek et al. Effectiveness of Crohn’s Disease Exclusion Diet for Induction of Remission in Crohn’s Disease Adult Patients. Nutrients 2021, 13, 4112"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot! i read your story very carefully! the fact that your husbands moving sperm is less than 50% then your doctor is right to suggest you go for an gui, meaning artificially placing the washed sperm of your husband into your uterus in order to increase the chance of pregnancy. since you already had an abortion it means that you are able to conceive and maybe the low quality of husbands sperm is the problem. therefore, gui seems the best option for you. as regards the rhesus issue, yes, you should be vaccinated against anti-rhesus antibodies, but this is done once you are pregnant, usually at week 28 and 34 of pregnancy, in order to protect your second baby. therefore, you need this only if you plan to have a second child since non-vaccination is not harmful for the first baby. however, if you are pregnant then the medical staff will definitely remind and suggest you to get vaccinated regardless of your attention to have a second child or not. best !"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. i went through your history and would like to know more details like - since when you are having the itchy patches (hives)? do you have any other medical conditions? do you need to take any other medication regularly/frequently? are your hives associated with excessive sweating/physical activities? do they occur after any specific food? from you history, i would like to make following suggestions to you"
Please summerize the given abstract to a title,Analytical performance of the Alere™ i Influenza A&B assay for the rapid detection of influenza viruses
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you have a knee stiffness and swelling, we need to figure out if you have had any injury to the knee. what is your age? and what other conditions you're facing with like - hypertension, oa, ligament injury, diabetes etc. as you haven't mentioned all this i would like to say that taking an analgesic should help relieve the pain.  for reducing swelling i understand what you did was right - compression, elevation, contrast bath etc. but for stiffness to come down you need to mobilize the knee. stiffness can occur due to muscle tightness if there are any injuries within the joint - could be a ligament or bony. we need to assess this and work behind it. for now, on conservative management, you can start doing static hamstring and static qua chatbot.  i will advise doing the above-mentioned exercise. also, an x-ray will be good to see if any bony injuries are there and led to swelling and stiffness. if x-ray turns nil then an mri will be good to understand the ligament injuries. left untreated any ligament injuries will damage the bones of the joint and lead to early degenerative changes. hope i have answered your query. let me know if i can assist you further. jay in"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your symptoms seem to be related to an electrolyte imbalance. from the other hand anxiety, triggered also by caffeine intake could explain all your symptoms. i recommend consulting with your attending physician for a careful physical examination and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the query. as you have described that she is feeling cold, do not give her bath or switch on fan or so. for tummy ache-has she passed motion normally? is she passing motion normally for past few days? is her food intake more of junk of normal diet with lots of fruits, vegetables and plenty of fluids? if any of this is no most probably she is suffering from constipation. have a conversation with her if she has any problems at school or with friends. give her warm water to chatbot.  wait and watch for the time being and visit a doctor if something major change develops."
Please answer with one of the option in the bracket,B: Non-tropical sprue
Please summerize the given abstract to a title,The Magnitude and Determinants of Missed Opportunities for Childhood Vaccination in South Africa
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to the forum, bump in between the front teeth can be a gingival or a periodontal abscess. there could be local plague and calculus deposition in the region causing irritation in the region leading to swelling, i would suggest you to get a complete mouth scaling and polishing done. this could also be due to presence of infection in the surrounding teeth spreading its abscess in the periapical region leading to pain and swelling, for this you need to get an x-ray done, if the tooth is infected can be treated using root canal treatment, chatbot. at home take lukewarm saline and antiseptic mouthwash rinses. hope you find this as helpful, regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. the symptoms you have described are more likely to be symptoms of muscles strain. to get relief from the pain and for quick healing"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have weakness, nausea and shoulder pain and tingling in arms. well there can be many reasons for symptoms you mention in query like peripheral neuropathy, middle ear infection, labyrinthine, panic attack, transient ischemic attack, cervical spondylosis or migraine. i would suggest you to consult neurologist for proper examination and rule out other causes. doctor may order ct scan or mri along with taking history. doctor may prescribe medicine like vasograine along with beta blockers and diuretics. doctor may also refer you to ent specialist for ear problem or orthopedic surgeon for muscle and bone problem. for now avoid bending forward, apply warm compresses to shoulders and eat healthy. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Hepatectomy risk assessment with functional magnetic resonance imaging (HEPARIM)
Answer this question truthfully,The nerve fibers responsible for sensing dull pain and warmth in the lateral dorsal horn of the spinal cord are type IV and C::2 fibers.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query. in my opinion its urticaria. i would advise you to consult an er doctor. this may because of many reasons-but for your query it appears to me as the contact -allergy -induced urticaria- or idiopathic urticaria, which needs urgent treats from er doctor, where you may need treatments for 1 week time. thnks for query to chatbot services. wellcome again. hope you got satisfied with the answer."
"We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?",Doctors are not sure what causes frozen shoulder. It is more likely to occur in people who have diabetes or had their shoulder immobilized for a long time due to injury or surgery.
Answer this question truthfully,"Some patients experience no symptoms of the disease while others may have
High blood pressure Dizziness or vertigo Chronic headache Intracranial aneurysm Ringing in the ears Weakness or numbness in the face Neck pain Changes in vision"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i carefully passed through your question and would explain that your actual blood pressure values (220/130 mm hg) are really high. you should know that there is always a small difference in blood pressure between the two arms. that is because of the differences in the blood vessels anatomy. but the difference that you refer is really abnormal and am being indicative of blood vessels narrowing. that is why i would recommend consulting with a cardiologist or a vascular surgeon and performing a doppler ultrasound of the upper limb vessels to exclude possible narrowing. an anglo ct scan of the supra-arotic blood vessels would be more helpful in this regard. hope to have been helpful! kind regards,"
Please answer with one of the option in the bracket,A: 18 mm Hg
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. if you have regular 28-30 day cycles, you had the intercourse just around the fertile period, though with lesser chances of conception. this is because ovulation occurs two weeks prior to the onset of the next menstrual period and the sperms can remain active up to 72 hours after ejaculation. as you have taken the emergency contraception, you are adequately protected and need not worry. please wait for your next natural period and if you become overdue by ten days, get help from an expert. take care."
Answer this question truthfully,The fasciculus gracilis is part of the medial dorsal column.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chatbot.  i welcome you to chatbot virtual clinic. i have gone through your question, and i think i have understood your concern. furthermore, i will suggest you the best possible treatment options. 1) first do not panic. 2) apply pressure with clean cloth or cotton swab at the bleeding point.  once bleeding stops after 3 to 4 minutes, you can apply local antiseptic ointment.  3) skin tag near vaginal opening is normally seen in many women, but please get it confirmed from your doctor if tag near anal area is not a thrombosed pile please take care not to pull out these ski. tags. i hope this answer helps you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query here. from what you are describing, it seems like he is having measles infection, with rash starting on his face and then spreading out. it is normal for kids to.be cranky, and eat or. chatbot. less than.usual. he may also. have a runny nose and cough with redness of the eyes. give him paracetamol for the fever, and vitamin a supplements ro speed up recovery. if he develops fast breathing or has trouble breathing, then you should visit a doctor. keep him in his room to avoid spreading the infection to others, and ensure that kids he has been in contact with get a measles or mmr shot. hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. if you have always been regular with your cycles and are sexually active, you need to exclude/confirm pregnancy in the current scenario. an estimation of the serum beta-chatdoctor titles along with a trans-vaginal sonogram is the best way out to clarify the situation. your symptoms can happen with a very early pregnancy, but a proper confirmation is necessary. if positive, this spotting should be monitored, the viability of the pregnancy assessed and further management given. hope this helps."
Answer this question truthfully,"Hemolytic uremic syndrome (HUS) is a serious complication of Shigella dysenteriae infection that can cause kidney failure and other organ damage. Shiga toxin, produced by the bacteria, damages the glomerulus, a part of the kidney that filters blood. This damage activates platelets, which can form clots and block blood vessels, leading to the symptoms of HUS."
Please summerize the given abstract to a title,Do Not to Be a Trash Can for Other People's Bad Emotions Compassion Fatigue Solutions for Psychological Counselors
Answer this question truthfully,"Tonsillitis is the inflammation of the tonsils, resulting form either a bacterial of viral infection. Therefore, the most effective form of primary prevention consists of proper hygienic practices as well as avoiding individuals suffering from contagious infections that may result in tonsillitis. Hygienic practices may be defined as the following:
Proper hand washing and hand antisepsis  Proper selection of hand hygiene antimicrobial agents Facial cleanliness Proper dental hygiene  Avoiding contact between hands, eyes, mouth, and infectious agents"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello thank you for trusting chatbot yellow semen completely not a pathological condition but if your semen in deep yellow with foul smelling represent infection. yellow color due to neutrophils in the semen. causes of yellow semen urine in the semen
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms (increased vascular visibility on your chest) could be related to smoking. anyway, i would recommend performing a chest x-ray study and a cardiac ultrasound to examine the blood flow in vent cave and your lungs. regarding the trembling fingers, it could be age related (especially if you have a family history of essential familiar tremor). anyway, if the problem persists, i would recommend consulting with a neurologist for a physical exam and performing some blood lab tests to exclude other possible causes (complete blood count for anemia, thyroid hormone levels for thyroid dysfunction). hope to have been helpful! kind regards,"
Please summerize the given abstract to a title,Mindfulness Practice Is Associated With Subjective Wellbeing Homeostasis Resilience in People With Crohn's Disease but Not Ulcerative Colitis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern. ideally ecg and 2d echo should be done first in your case. if both are normal than no need to worry about heart diseases. herd (gastroesophageal reflux disease) can cause similar kind of chest pain. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. you can take proton pump inhibitors. but along with chatbot.  avoid stress and tension. avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. quit smoking and alcohol if you have these habits. go for walk after meals. keep 2-3 pillows under head in the bed to prevent reflux. lose weight if you are obesedont worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,Clinical approach to the inflammatory etiology of cardiovascular diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question. i do understand your pain and discomfort. i have seen many cases with similar complaints. please find my advice below-"
Please summerize the given abstract to a title,The applicability of COBIT processes representation structure for quality improvement in healthcare: a Delphi study.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain is because of the infection from the wisdom tooth. consult an oral maxillofacial surgeon and get the tooth removed. before that for the infection to come down, you can a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days(if you are not allergic). do saline gargling. i hope my answer will help you, take care."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","there are a few problems in the way you are being treated. first, ecotype dx is not for stage ii breast cancer, only for stage i node negative cancer. stage 2 patient should always get chemotherapy. secondly, in patients who conserve the breast, radiotherapy is mandatory without which, the disease is bound to come back in the same breast. thirdly, the radiation should be started as soon as possible after surgery and definitely within 2 months. so please start radiation asap else your disease will definitely recur. lastly, armies is started after radiation therapy and not before or along with."
Answer this question truthfully,"In the first step of the urea cycle, CO2 and NH4+ are combined to form carbamoyl phosphate via the enzyme carbamoyl phosphate synthetase I (requires 2 ATP)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you shouldn't worry about your blood pressure, many young people have such blood pressure. it is normal. and your weakness is not associated to the blood pressure. try to lose some weight, follow healthy lifestyle, and regulate your regimen, your sleeping hours, your working hours and avoid to seat for a long time in front of computer or tv. take fearsome back if you have any further questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. there is no thumb rule for getting pregnant. sometimes prolonged intercourse is necessary, while in other cases even a single intercourse may result in pregnancy as in rape. the timing of intercourse is important in this respect, 7 days prior to and immediately after periods is considered safe period, that means intercourse during those days does not result in pregnancy. however, many other factors affect conception"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,PAMAM and polyester dendrimers as favipiravir nanocarriers: a comparative study using DFT method
Please summerize the given abstract to a title,Meta-Research: Is Covid-19 Amplifying the Authorship Gender Gap in the Medical Literature?
Answer this question truthfully,The presence of pneumolabyrinth is the most important finding in predicting the morbidity of a temporal bone fracture.
Please answer the letter of option truthfully,A
Answer this question truthfully,"Clinically, a patient may be categorized based on the severity of symptoms into a particular class using the WHO modified functional classification system for pulmonary hypertension (modified from NYHA functional classification system for heart failure). The baseline WHO functional classification is used for the assessment of the severity of PH in order to tailor the choice of therapy. Shown below is a table summarizing the different functional classes. 
Class Description I No limitation of usual physical activity No increased dyspnea, fatigue, chest pain, or presyncope upon ordinary physical activity II Mild limitation of physical activity No discomfort at rest Increased dyspnea, fatigue, chest pain, or presyncope upon normal physical activity III Marked limitation of physical activity No discomfort at rest Increased dyspnea, fatigue, chest pain, or presyncope upon less than ordinary activity IV Inability to perform any physical activity at rest with/without signs of right ventricular failure Dyspnea and/or fatigue may be present at rest Increased dyspnea, fatigue, chest pain, or presyncope by almost any physical activity"
Answer this question truthfully,"There are no diagnostic laboratory findings necessary for diagnosing constipation in young people without alarm signs. Laboratory test for exclusion of underlying diseases are complete blood count, blood urea nitrogen (BUN)/ creatinine, serum phosphate levels, blood glucose levels, liver function tests (LFTs), fecal occult blood test, thyroid function tests, serum calcium levels, and serum magnesium levels. In case of high suspicion, other laboratory tests may be needed such as serum protein electrophoresis, urine porphyrins, serum parathyroid hormone, and serum cortisol levels."
Answer this question truthfully,"Vasopressin (ADH) causes constriction of arterioles by activating V1 receptors. Vasopressin, also known as antidiuretic hormone (ADH), is a hormone that is produced by the hypothalamus and released by the pituitary gland. It plays a key role in regulating water balance and blood pressure in the body. One of the ways that vasopressin affects blood pressure is by causing constriction of the arterioles, which are small blood vessels that carry blood away from the heart. This constriction is mediated by the V1 receptors, which are located on the smooth muscle cells of the arterioles. When vasopressin binds to these receptors, it triggers a series of biochemical reactions that cause the smooth muscle cells to contract, leading to vasoconstriction and an increase in blood pressure."
Answer this question truthfully,"Dyskeratosis congenita   is a rare progressive congenital disorder that in some ways resembles premature aging (similar to progeria). The disease mainly affects the integumentary system, the organ system that protects the body from damage, with a major consequence being anomalies of the bone marrow."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello matt and welcome to chatbot. as a urologist and kidney transplant surgeon, i can understand your anxiety. first, i must congratulate you for taking this noble decision. before a kidney transplant surgery, there are 3 tests, which must be matching"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. cdp is neurological disorder and progressive weakness is seen.2. treatment with intravenous immunoglobulin therapy and prednisone is known to be helpful3. life expectancy is variable. spontaneous remission or relapses with remission can be seen. response to treatment and severity is important for further prognosis. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Comparison of the photosynthetic characteristics of four Lycoris species with leaf appearing in autumn under field conditions
Answer this question truthfully,"Most pituitary tumors produce too much of one or more hormones. As a result, symptoms of one or more of the following conditions can occur:
Hyperthyroidism Cushing syndrome Gigantism or acromegaly Nipple discharge
Symptoms caused by pressure from a larger pituitary tumor may include:
Headache Lethargy Nasal discharge Nausea and vomiting Problems with the sense of smell Visual changes Double vision Drooping eyelids Visual field deficit
Rarely, these symptoms may occur suddenly and can be severe."
"If you are a doctor, please answer the medical questions based on the patient's description.","history to hear your problem. your wife hep b positive, and you are negative. more ever you are saying you are immune.it's very unlikely to spread from your wife as you are immune. there are so many ways for spread. blood and blood product transfusion, contact of infected persons secretions into open cut or abraded skin / mucosa, sexual relation, from mother to baby & very rarely from sweat. so your wife might have got any of those above ways. better to keep low viral load to reduce her infectivity.evaluate hep b viral serology to know acute or chronic and to know viral load. if high viral load better to take treatment with lamivudine / interferon. thank vasundhara"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. if the pain has not relieved after 4 weeks after the ankle sprain, it could be bony injury of the ankle joint. any nerve/tendon overlapping with entrapment in the anterior ankle needs to be ruled out.hence, i would suggest you to get second opinion from orthopedic surgeon, who would direct for its management after needful physical and radiological check up.-treatment-rest elevationpost-below knee slab if you need x for 3 weeks after x-ray ankle. tab anti-inflammatory under guidance from your doctor. hot fomentation/compresses to reduce edema complicating the issues. orthopedic consultation and needful further treatment as directed from him. hope this would help you to plan treatment with your doctor. will appreciate your review write up and hitting thanks, to help needy patient visitors like you at chatbot. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. m.s. genl-cvts"
Please summerize the given abstract to a title,Measuring COVID-19-Related Stress Among 4th Through 12th Grade Students
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query, as you have pus in your gums this indicates periodontal problem means abscess in gums these are symptoms of periodontal abscess don't worry i will suggest you to maintain proper oral hygiene brush your teeth twice daily, do warm saline rinses, do chlorhexidine mouthwash once daily, and consult oral surgeon and go for oral prophylaxis and curettage of tooth with abscess. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query you have symptoms of hair loss which seems to be due to improper hygiene, genetic factors, hormonal changes and due to nutritional deficiencies.  you should apply maintop directly to the scalp to help hair growth by stimulating the hair follicles. you should start with the use of finasteride combinations as it interferes with the production of a male hormone which is related to causing baldness. furthermore, you should take multivitamins containing biotin. potassium permanganate use response varies from person to person. you should apply olive oil on the scalp for head massage. visit dermatologist once and get it examined and start medication after proper prescription.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Intrinsic growth rules of patients infected, dead and recovered with 2019 novel coronavirus in mainland China"
Answer this question truthfully,"The bilaminar disc, consisting of the epiblast and hypoblast, forms during the second week of embryogenesis."
Please answer with one of the option in the bracket,D: Renal ultrasonography
Please summerize the given abstract to a title,Real Exchange Rate Misalignments and Currency Crises in the Former Soviet Union Countries
Answer this question truthfully,"For humans, the head and particularly the face are the main distinguishing feature between different people, due to their easily discernible features such as hair and eye color, nose, eye and mouth shapes, wrinkles, etc.
People who are more intelligent than normal are sometimes depicted in cartoons as having bigger heads, as a way of indicating that they have more brains; in science fiction, an extraterrestrial having a big head is often symbolic of high intelligence. However, minor changes in brain size do not have much effect on intelligence in humans. 
In English slang, sometimes a boastful individual is said to have a ""big head.""
The weight of the average adult human head is about 3.6 kilograms or 8 pounds."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you had unprotected anal sex 9 years back and now have varied symptoms. since you have been getting these symptoms on and off you have to get blood tests for hiv done to be rest assured about it. please go ahead and get blood tests for hiv done .so that you can take appropriate treatmentplease note that avoiding blood examination is not going to help you in any way and likely to worsen the situation. chatbot."
Please summerize the given abstract to a title,Telemedicine After Upper Extremity Surgery: A Prospective Study of Program Implementation
Please summerize the given abstract to a title,Physical home learning environments for digitally-supported learning in academic continuing education during COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your question in detail and i know that you are very concerned about your child but don't worry about it. since your child is on stool softeners, we have to gradually taper it. usually, it takes around 1 week for the child to return to normal state. you should consult your doctor once again, so that he tapers the dose of stool softeners. i hope this will help you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello!  after a careful & thorough review of your problem of boh, i would like to suggest you 1) your chances of becoming pregnant soon after with chatbot. 2) but considering the boh you are advised to have consultation with an eminent gynecologist 3) instead of ocs which you are not tolerating well, you may use other contraceptives like intrauterine levonorgestrol device & get investigated regarding the previous abortions. thanks & take care of yourselves!"
Answer this question truthfully,Patients who are suffering from any condition listed above have the highest risk of developing respiratory acidosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, possibilities of your aches are post chemo break down of muscles. restart of exercise usually leads to aches and pains. metformin may aggravate acidosis caused by reintroduction of exercise. you will have to get ph when you are off the baking soda. get cpk levels done for muscle break down and readings of blood sugars should be from 80 to 140. i think these steps will improve your aches. meanwhile, you take help from paracetamol 1g thrice a day. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i think you are suffering from a stroke mimic and most probable reason is hypoglycemia. get your blood sugars checked when your symptoms are its peak. do a blood sugar level in main laboratory to be done on chemistry analyzer, not on glucometer and if sugars turn out to be low, use same sample for further testing of insulin and c-peptide levels and meet an endocrinologist for further diagnostic advise according to lab reports. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. you are having arthritis of ankle or achilles tendinitis. you will get relief from rest and analgesic such as ibuprofen for pain relief. furthermore, you need to get x-ray of your ankle and consult the orthopedic to make proper diagnosis. furthermore, you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern.tpa is treponema valium hemagglutinatuon assay. it is positive in syphilis. treatment for this condition is injectable penicillin. if you're receiving the treatment for 5 months and your title in not going down is suggestive of resistant infection in you. i advise you should change the chatbot. please avoid sexual intercourse until you are all clear with the infection. if your partner is having the same infection as you can both take the treatment simultaneously and both should be treated completely to cure the infection. i will be happy to answer your further concern on bit.ly/"
Answer this question truthfully,"When demyelination occurs in the upper motor neurons (UMN) of individuals with multiple sclerosis, it can lead to a spastic or hypertonic bladder, which causes urge incontinence. The UMN is responsible for transmitting signals that control the bladder's smooth muscle, and when demyelination occurs, it can disrupt these signals, leading to involuntary contractions of the bladder. In contrast, when demyelination occurs in the lower motor neurons (LMN), it can lead to a flaccid or hypotonic bladder, resulting in overflow incontinence. The LMN is responsible for transmitting signals that control the bladder's sphincter muscle, and when demyelination occurs, it can disrupt these signals, leading to a loss of control over the bladder's release of urine. Understanding the mechanisms of urge and overflow incontinence in multiple sclerosis can help healthcare providers develop effective treatment plans for patients experiencing these symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","his will suggest undergoing an arthritis profile test under a rheumatologist, like crp, aso, rheumatoid factor, esr,cbc, ana,and antioch to rule out or diagnose joint pains and swellings. co-existence with fibromyalgia is possible, although lupus is rare and has presentation of redness of both cheeks and severe rash, so unlikely in your case, but rheumatoid or other forms of arthritis can be co-comitantanyway, many medicines are there to treat, so no worry, consult a rheumatologistthanks"
Please summerize the given abstract to a title,Comprehensive Virtual Screening of the Antiviral Potentialities of Marine Polycyclic Guanidine Alkaloids against SARS-CoV-2 (COVID-19)
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. there are two possibilities in your case.1. worsening of anxiety and panic disorder. 2. cardiac cause (this is less likely at your age of 24 years). so first get done ecg to rule out cardiac cause. if ecg is normal then no need to worry much for cardiac cause. your anxiety and panic disorder is not properly controlled. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. don't stop chatbot.  discuss all your problems with psychiatrist. avoid stress and tension. be relax and calm. don't worry, you will be alright."
Please answer the letter of option truthfully,C
Answer this question truthfully,Familial amyloid cardiomyopathy / polyneuropathies are characterized by deposition of mutated transthyretin (TTR) protein in the heart and nerves.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms could be related to panic attacks. but, based on your description we can not exclude possible cardiac arrhythmia.  for this reason, i would recommend performing an ambulatory 24-48 hours ecg monitoring in order to investigate for possible cardiac arrhythmia.  some blood lab tests are needed too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance).  if all the above tests result normal, you should consider anxiety as the main cause underlying your complaints.  in such case, consulting with a specialist of the field (psychiatrist, psychologist) may be needed.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"The renal vasculature smooth muscle is part of the sympathetic pathway, but the innervating postganglionic sympathetic fibers release dopamine instead of norepinephrine."
Answer this question truthfully,"Muramatsu T, Miyauchi T (2004). ""Basigin (CD147): a multifunctional transmembrane protein involved in reproduction, neural function, inflammation and tumor invasion"". Histol. Histopathol. 18 (3): 981–7. PMID 12792908. Yan L, Zucker S, Toole BP (2005). ""Roles of the multifunctional glycoprotein, emmprin (basigin; CD147), in tumour progression"". Thromb. Haemost. 93 (2): 199–204. doi: 10.1160/TH04-08-0536. PMID 15711733. Kasinrerk W, Fiebiger E, Stefanová I, et al. (1992). ""Human leukocyte activation antigen M6, a member of the Ig superfamily, is the species homologue of rat OX-47, mouse basigin, and chicken HT7 molecule"". J. Immunol. 149 (3): 847–54. PMID 1634773. Nabeshima K, Lane WS, Biswas C (1991). ""Partial sequencing and characterization of the tumor cell-derived collagenase stimulatory factor"". Arch. Biochem. Biophys. 285 (1): 90–6. doi: 10.1016/0003-9861(91)90332-D. PMID 1846736. Biswas C, Zhang Y, DeCastro R, et al. (1995). ""The human tumor cell-derived collagenase stimulatory factor (renamed EMMPRIN) is a member of the immunoglobulin superfamily"". Cancer Res. 55 (2): 434–9. PMID 7812975. Kaname T, Miyauchi T, Kuwano A, et al. (1993). ""Mapping basigin (BSG), a member of the immunoglobulin superfamily, to 19p13.3"". Cytogenet. Cell Genet. 64 (3–4): 195–7. doi: 10.1159/000133573. PMID 8404035. DeCastro R, Zhang Y, Guo H, et al. (1996). ""Human keratinocytes express EMMPRIN, an extracellular matrix metalloproteinase inducer"". J. Invest. Dermatol. 106 (6): 1260–5. doi: 10.1111/1523-1747.ep12348959. PMID 8752667. Spring FA, Holmes CH, Simpson KL, et al. (1997). ""The Oka blood group antigen is a marker for the M6 leukocyte activation antigen, the human homolog of OX-47 antigen, basigin and neurothelin, an immunoglobulin superfamily molecule that is widely expressed in human cells and tissues"". Eur. J. Immunol. 27 (4): 891–7. doi: 10.1002/eji.1830270414. PMID 9130641. Berditchevski F, Chang S, Bodorova J, Hemler ME (1997). ""Generation of monoclonal antibodies to integrin-associated proteins. Evidence that alpha3beta1 complexes with EMMPRIN/basigin/OX47/M6"". J. Biol. Chem. 272 (46): 29174–80. doi: 10.1074/jbc.272.46.29174. PMID 9360995. Guo H, Majmudar G, Jensen TC, et al. (1998). ""Characterization of the gene for human EMMPRIN, a tumor cell surface inducer of matrix metalloproteinases"". Gene. 220 (1–2): 99–108. doi: 10.1016/S0378-1119(98)00400-4. PMID 9767135. Guo H, Li R, Zucker S, Toole BP (2000). ""EMMPRIN (CD147), an inducer of matrix metalloproteinase synthesis, also binds interstitial collagenase to the tumor cell surface"". Cancer Res. 60 (4): 888–91. PMID 10706100. Kirk P, Wilson MC, Heddle C, et al. (2000). ""CD147 is tightly associated with lactate transporters MCT1 and MCT4 and facilitates their cell surface expression"". EMBO J. 19 (15): 3896–904. doi: 10.1093/emboj/19.15.3896. PMC 306613. PMID 10921872. Yurchenko V, O'Connor M, Dai WW, et al. (2001). ""CD147 is a signaling receptor for cyclophilin B"". Biochem. Biophys. Res. Commun. 288 (4): 786–8. doi: 10.1006/bbrc.2001.5847. PMID 11688976. Yurchenko V, Zybarth G, O'Connor M, et al. (2002). ""Active site residues of cyclophilin A are crucial for its signaling activity via CD147"". J. Biol. Chem. 277 (25): 22959–65. doi: 10.1074/jbc.M201593200. PMID 11943775. Major TC, Liang L, Lu X, et al. (2002). ""Extracellular matrix metalloproteinase inducer (EMMPRIN) is induced upon monocyte differentiation and is expressed in human atheroma"". Arterioscler. Thromb. Vasc. Biol. 22 (7): 1200–7. doi: 10.1161/01.ATV.0000021411.53577.1C. PMID 12117738. Taylor PM, Woodfield RJ, Hodgkin MN, et al. (2002). ""Breast cancer cell-derived EMMPRIN stimulates fibroblast MMP2 release through a phospholipase A(2) and 5-lipoxygenase catalyzed pathway"". Oncogene. 21 (37): 5765–72. doi: 10.1038/sj.onc.1205702. PMID 12173047. Thorns C, Feller AC, Merz H (2002). ""EMMPRIN (CD 174) is expressed in Hodgkin's lymphoma and anaplastic large cell lymphoma. An immunohistochemical study of 60 cases"". Anticancer Res. 22 (4): 1983–6. PMID 12174874. Strausberg RL, Feingold EA, Grouse LH, et al. (2003). ""Generation and initial analysis of more than 15,000 full-length human and mouse cDNA sequences"". Proc. Natl. Acad. Sci. U.S.A. 99 (26): 16899–903. doi: 10.1073/pnas.242603899. PMC 139241. PMID 12477932."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the history is suggestive of a condition called erysipelas, wherein you get the skin changes as you have described. precaution you have to take"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for sending the mri reports and posting your query. these reports show only minor abnormalities and there is no need to worry. mild degenerative changes are seen in the lumbar vertebral bones (located in the lower back), which are common in people above 40 (and sometimes younger people too), especially those with sedentary lifestyle. treatment consists of physiotherapy and back extension exercises. please get back if you require any additional information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,Virus systems biology: Proteomics profiling of dynamic protein networks during infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you doing ? before explaining how it works, let me tell you about the hormone cycle is. for a lady with 28 days cycle, during first 14 days follicle will grow to ripe size. on around 13-15th day you will ovulate. after this, remains of follicle will start producing progesterone hormone, which will prepare the inner lining of uterus to support the baby or embryo. this will also help the proper implantation & penetrating into the deeper layers of uterus. thus, this hormone progesterone, will prevent early abortion & bleeding. this tablet, eldest is same as hormone progesterone. so the hormone tab you are having will improve the implantation of embryo & prevent early pregnancy bleeding & abortion hope i have clarified your query & do write back if any more queries. all the best chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear media, i don't actually understand what means \""mesenteric\""? mesenteric ischemia or amenities or something else? you're describing very unspecific symptoms. it is hard to get any conclusion, but i have a few recommendations. you need to do complete laboratory tests, it sounds like some systemic disease. depending on these findings doctors can focus on specific diagnostic tests. the most common disorder i suspect is ibd, so you should do gastroenterology exam and tests. migraines can be triggered by abdominal pain and opposite but i don't see any other relation.  wish you good health,"
Answer this question truthfully,There is no drug treatment for measles.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. there are many causes of infertility and tubes being open is not synonymous to being fertile. however, even if its just one tube that is open and if it is histologically good, they will be a very good chance of conceiving provided there is no other underlying cause of infertility. you should see your gynecologist so that more tests should be done to rule out other causes of infertility which could be ineffective sexual exposure, ovarian dysfunction, hormonal disorders, antibodies against sperms etc. for the ante flexed cervix, you could stay in a mohammed position for a couple of minutes each time after an intercourse; this could help provided there is no other underlying cause."
Answer this question truthfully,"Other diagnostic studies such as chest radiograph, ECG, and echocardiogram can be used to rule out the primary cause of hypotension and peripheral edema."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. i understand your concern. crimson 35 is a high dose hormonal preparation it does not affect the ova present in ovary. but it can stimulate ovulation itself to start an ovulatory menses (which are essential for conception) . it is given in ovulation failure ...to block ovulation for few cycles a rebound starting of ovulation after ruth chatbot.  you should continue with the course of crimson 35. & follow your treatment instructions of your gynecologist.  there are many options for your problem. which are tried as per doctors choice. so font be stressed. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir, welcome to chatbot, i can certainly understand your concern about your sons' behavior. first from the details provided by you, i would be able to notice that there is some disruption in your family dynamics that your son is staying with you half of the days and with his mom the remaining half in the week. being a psychiatrist, i can tell you that this could one of the reason for his behavior and hid adhd symptoms, for which the doctor would had prescribed adderall would like to know some details about the chatbot.  if you find a"
Answer this question truthfully,"Paraneoplastic syndrome is a group of disorders that occur as a result of cancer, but not directly caused by it. Small (oat) cell lung carcinoma can contribute to the development of paraneoplastic syndrome by producing antibodies against neurons, which can lead to paraneoplastic myelitis, encephalitis, and subacute cerebellar degeneration."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may have a condition known as oscillopsia which refers to fields of vision that are in motion with head movements.  the underlying pathological mechanism involves a loss of image stabilization by loss of reflex control of eye muscle control when a person has their gaze fixated.  things such as toxicity, infection (most importantly meningitis) or side effects from antibiotics can cause the condition.  desalinating disease such as ms can also cause this condition, as well as abnormal movements of the eyes referred to as nystagmus. i recommend you seek an opinion from a neuro-ophthalmologist.  vertigo from inner ear problems will not produce this phenomenon. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"With persistent hypoglycemia, the activity of higher brain centers decreases. Hypoglycemia is a condition characterized by low blood sugar levels, which can lead to a variety of symptoms, including confusion, dizziness, and seizures. In cases of persistent hypoglycemia, where blood sugar levels remain low for an extended period of time, the brain may begin to conserve energy by reducing the activity of higher brain centers. This can lead to cognitive impairment and other neurological symptoms. Treatment for persistent hypoglycemia typically involves identifying and addressing the underlying cause, such as diabetes or an insulin-producing tumor. In severe cases, hospitalization may be necessary to stabilize blood sugar levels and prevent complications."
Please summerize the given abstract to a title,The impact of the first UK Covid-19 lockdown on carers and people living with low prevalence dementia: results from the Rare Dementia Support survey
Please summerize the given abstract to a title,"Impact of COVID-19 pandemic on in-hospital outcomes for patients with acute coronary syndrome: a propensity-weighted, multicentre study"
Answer this question truthfully,"Primary and Tertiary hyperparathyroidism may cause metastatic calcification in lungs, brain, and skin."
Please summerize the given abstract to a title,Space-Focused Stereotypes About People Living With HIV/AIDS and the Effects on Community-Approaching Willingness
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. recurrent chest infection and acid reflux cause bronchitis. and this can further worsen cough, breathlessness and wheezing. so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test). pft will tell you about severity of the disease and treatment of bronchitis is based on severity only. along with antibiotics, inhaled bronchodilators and inhaled corticosteroid (ics) are beneficial in bronchitis. at present stop lifting heavy objects. start appropriate treatment fir bronchitis. once you are feeling well, you can resume your work. for acid reflux take proton pump inhibitors, avoid hot and spicy food. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Gaucher disease is associated with avascular necrosis of the femur.
"If you are a doctor, please answer the medical questions based on the patient's description.","ho there, i can understand your concerns. i believe your gel contains darlene, if so then it's quite common to have some redness, irrtation and chatbot. therefore, i advise my patients to start with it as following night for one hour on ye affected areassecond night for 2 hrs third night for thread fourth night for four fourteen after this period apply it overnight and the wash your face with a soap free face cleanser(nivea) in the day. it can also make your skin more sensitive to sunlight so liberal use of a sunblock of minimum spf 30 is advisable throughout the day. as far a scar are concerned then please see your dermatologist and discuss the options of microdermabrasion and chemical peeling to lighten the scars, they are very effective. i hope you'll find these answers helpful. thanks a lot and all the best."
Please summerize the given abstract to a title,Modeling the Impact of COVID-19 Vaccination in Lebanon: A Call to Speed-Up Vaccine Roll Out
Please summerize the given abstract to a title,Antibodies elicited by mRNA-1273 vaccination bind more broadly to the receptor binding domain than do those from SARS-CoV-2 infection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the problems that you have listed can be due to depression. although you have mentioned the list of medications you were taking, i would have preferred to know the duration as well the symptoms which made you seek treatment. going by the medicines, you may be a case of bipolar disorder or less likely, unipolar depression.  in case you are a case of bipolar disorder, i would like to get a lithium level done and then optimize your treatment accordingly. if lithium levels are adequate, i would consider increasing dose of aborigine. in any case, considering you are having symptoms now, your medicines need a review. consult your psychiatrist and discuss your problems at the earliest. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern and i will suggest you the best possible treatment options.first do not panic. please take rest. avoid jerky movements and lifting heavy weights. your treating doctor has rightly suggested you to take natural micronized progesterone tablets. it is protective for pregnancy. to know the condition of the pregnancy, i will suggest you to get usg done. it will help to know about the viability and gestational age of the pregnancy. i will also suggest you to take folic acid and vitamin b 12 supplements. take vitamin c tablets two times a day for 5 to 7 days. usually this kind of bleeding subsides with the above-mentioned treatment. the things will be fine in the due course of time. may god bless you with a bundle of joy. i hope this answer helps you. thanks."
Answer this question truthfully,Helicobacter pylori is a bacteria that is associated with peptic ulcers of the duodenum and stomach.
Please summerize the given abstract to a title,Comparison of K-means and K-medoids algorithms for clustering the spread of the COVID-19 outbreak in Indonesia
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. this seems to be due to infection most probably viral infection. you are advised to visit ent specialist for it. till that analgesic such as ibuprofen is required. you can discuss with your treating doctor about it. hope i have answered your query. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. wishing you good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. you mentioned that you are having pain on the left side of your abdomen for the past 2 years. however, you have not mentioned the following"
Please summerize the given abstract to a title,Estimation of Undetected Asymptomatic COVID-19 Cases in South Korea Using a Probabilistic Model
Answer this question truthfully,The heart has the most effective oxygen extraction among the organs of the body.
Please summerize the given abstract to a title,Monitoring SARS-CoV-2 decontamination by dry heat and ultraviolet treatment with a swine coronavirus as a surrogate
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* severe cough with dizziness alarms to have severe congestion in lungs may be in form of acute bronchitis / pneumonia / pleural effusion / any other lung pathology may be affecting central nervous system parameters.* red eye is inflammatory lesion may or may not be associated with previous one. * you require immediate medical assistance, thorough clinical evaluation, diagnostic confirmation by relevant laboratory parameters, sputum report, x-ray chest, ct scan thorax / brain with ophthalmological evaluation. hope this clears your query. thanks for using chatbot & keeping trust in our medical services. wishing you fast recovery. regards dear take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear i understand your concerns would suggest consulting infertility specialist and undergo reproductive hormones and thyroid hormone analysis, usg scan, ovarian follicle study and hsg test to detect any cause. normal hormones, adequate ovarian maturation and rupture, patent fallopian tubes and normal semen analysis are required to become pregnant. you can take following advises and discuss with infertility specialist"
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, skipping heart beat can not be detected without ekg test, if this is the case of arrhythmia, so it has to be sent for cardiac evaluation for confirmation, let me inform you that doctor can only judge this, of course you must be having some symptoms, but it may not be due to rhythm. anxiety can change the cardiac rhythm, but it is not the harmful no need to take any medicine for this but try to come out of the stress, if you are going to read the heart beat on your own then it may vary to the great extent, it is all depends upon your mental status or consciousness. hope this information helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, liver enzymes may be raised because of various causes. in your case, some may be more possible but in every case it requires evaluation of the cause.  most common causes of such liver derangement are alcohol, viral hepatitis, non-alcoholic fatty liver disease, chatbot.  gamma gt is most commonly raised due to alcohol intake and in case you take alcohol, you need to keep a control over it. if you don't take it, you need following tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the nightfall usually doesn't cause such weakness as described by you. however, to control it i suggest you watch less porn if applicable in your case.  yoga, meditation helpful in such a case. i suggest you practice early morning light exercise. you should focus on study and make short and long term goals for study.  you can take help of psychiatrist or sexologist for detailed evaluation. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Psychiatric aspects of chloroquine and hydroxychloroquine treatment in the wake of coronavirus disease-2019: Psychopharmacological interactions and neuropsychiatric sequelae
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. slipped disc is an age related degenerative change of the spine, and you can only stop the further regression of the changes. you cannot revert the changes that have already taken place. for that, surgery is needed. painkillers with muscle relaxants and an effective physiotherapy regimen will be helpful in decreasing the problem. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. there is a lot of stigma regarding psychiatric illnesses in our society. bipolar mood disorder can be completely kept under control if patient is given mood stabilizers and other needed chatbot. obviously you worry about your father and this worry increases with this situation. but she can take care of your father well if her mental status is stable and not at all it is related to seeing serials that you mentioned. surely you can discuss with doctor this issue. it also needs to confirm whether she was suffering from bipolar actually or you were just told. that's the most important thing to evaluate her current mental status. hope i have answered your query,"
Please summerize the given abstract to a title,Precipitous Fall in Common Respiratory Viral Infections During COVID-19
Answer this question truthfully,Call for an appointment with your health care provider or mental health professional if you or someone close to you has symptoms of a personality disorder.
Answer this question truthfully,"Hyposmotic volume contraction, such as in adrenal insufficiency, causes an increase in plasma protein concentration."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to ask a doctor service! regarding your concern, i would explain that these changes could be related to weight lifting or vitamin d deficiency. is he obese or overweight? this could explain these mri findings. i would also recommend checking vitamin d plasma levels and performing a lot of physical exercise, in order to help reinforce his back muscles. hope to have been helpful! wishing all the best,"
Answer this question truthfully,"The ideal values are different for people without coronary artery disease or other risk factors than for those with known coronary artery disease, diabetes, or high blood pressure.
The desired values in adults are:
LDL: 70 - 130 mg/dL (lower numbers are desired) HDL: greater than 40 - 60 mg/dL (higher numbers are desired) Total cholesterol: less than 200 mg/dL (lower numbers are desired) Triglycerides: 10 - 150 mg/dL (lower numbers are desired) VLDL: 2 - 38 mg/dL
Talk to your health care provider about the ideal levels in children.
(Note: mg/dL = milligrams per deciliter)
(Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.)"
Answer this question truthfully,"Cranial nerve I (olfactory) is responsible for controlling the sense of smell. Lesions, or damage, to this nerve can result in a loss of the sense of smell, a condition known as anosmia. Other potential consequences of CN I lesions include changes in the perception of taste, as the sense of smell is closely linked to the sense of taste. It is important to seek medical attention if you experience symptoms of a potential CN I lesion, such as sudden loss of smell or changes in taste perception."
Please summerize the given abstract to a title,Use of telemedicine for ichthyosis: Patient advocacy group as conduit to expert physician advice.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. in my opinion your dizzy spells can be caused by a problem in your inner ear called benign paroxysmal positional vertigo. have you had any head trauma? are these spells provoked by head movement? i would recommend you to go to an orl specialist, have a physical examination and a dix hall pike maneuver to rule out this diagnosis. another possible cause of these dizzy spells could be vertigo epilepsy, a rare form of epilepsy. dizzy spells in this situation would not be related to head movement. an eeg would be very helpful to rule this diagnosis out. hope to have been helpful! thank you for using chatbot! best wishes"
Please summerize the given abstract to a title,Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Vertical Transmission in Neonates Born to Mothers With Coronavirus Disease 2019 (COVID-19) Pneumonia
Answer this question truthfully,"Common Clinical Dilemmas in Percutaneous Coronary Interventions. Eulógio E Martinez, Pedro A Lemos, Andrew TL Ong, Patrick W Serruys, Taylor & Francis, ISBN 9781841846095
Template:WikiDoc Sources Template:Mdr"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i am very sorry for what you had to go through. since you had a cesarean section just a couple of months ago, i would ask you to wait for a year before planning another pregnancy. this helps you to recoup, and the wound also heals in the meantime. the cause of the fetal demise is not a recurrent one. it calls for extra care during your next pregnancy in fetal monitoring. please have a healthy diet and adequate rest. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that her symptoms could be related to low blood pressure, due to deny chatbot.  other possible causes to consider would be an infection and fever. does she have a fever? anyway, i would recommend going to the er for a careful physical exam and some tests (a resting ecg, blood electrolytes, fasting glucose, complete blood count). hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. since your friend is having cerebral palsy, his not going to the doctors is understood, but if required one has to go for it. stomach pains, headaches, feeling sick inside indicates the possibility of enteritis and may need a treatment with antibiotics and supportive medicines. since these medicines are prescription medicines you have to take him to the doctor, and this will help him and you to get a clinical evaluation, physical examination and proper prescription and investigations like tidal and sugar if need be."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote i put forth this possibility - i don't think that it is phlegm as the age is too young for it. it should have been noisy breathing. congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). but the child will not struggle to breath and there will not be fast breathing and in- chatbot.  the sound will be more heard during sleeping and feeding. this will gradually get better as a children progresses. please do not use antibiotics for this. regards -"
Answer this question truthfully,Septic arthritis develops when bacteria or other tiny disease-causing organisms (microorganisms) spread through the bloodstream to a joint. It may also occur when the joint is directly infected with a microorganism from an injury or during surgery. The most common sites for this type of infection are the knee and hip. Most cases of acute septic arthritis are caused by bacteria such as staphylococcus or streptococcus. Chronic septic arthritis (which is less common) is caused by organisms such as Mycobacterium tuberculosis and Candida albicans.
Answer this question truthfully,The mucosa of the vagina is lined by non-keratinized stratified squamous epithelium.
Answer this question truthfully,"The recommended medications for treating congenital toxoplasmosis are pyrimethamine, sulfadiazine, and folate.

Congenital toxoplasmosis is a condition that occurs when a fetus is infected with the Toxoplasma gondii parasite during pregnancy. The recommended treatment for congenital toxoplasmosis includes a combination of medications, including pyrimethamine, sulfadiazine, and folate. Pyrimethamine is an antiparasitic medication that works by inhibiting the growth of the Toxoplasma gondii parasite. Sulfadiazine is an antibiotic that is used to help prevent secondary infections that can occur as a result of the weakened immune system. Folate is a vitamin that is often prescribed in conjunction with pyrimethamine to help prevent side effects such as anemia. It is important to note that treatment for congenital toxoplasmosis should be initiated as soon as possible after diagnosis to help prevent serious complications. It is also important to work closely with a healthcare provider to monitor the effectiveness of treatment and manage any potential side effects."
Please answer with one of the option in the bracket,A: Budd-Chiari syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, well, i guess your concern is"
Answer this question truthfully,The condition that will result in the following percentages of hemoglobin subtypes is β-thalassemia major (β0/β0).
Please summerize the given abstract to a title,Diversity and enrichment of nitrite-dependent anaerobic methane oxidizing bacteria from wastewater sludge
"We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?","Certain factors may increase your risk of developing frozen shoulder. Age and sex People 40 and older, particularly women, are more likely to have frozen shoulder. Immobility or reduced mobility People who've had prolonged immobility or reduced mobility of the shoulder are at higher risk of developing frozen shoulder. Immobility may be the result of many factors, including: - Rotator cuff injury - Broken arm - Stroke - Recovery from surgery Systemic diseases People who have certain diseases appear more likely to develop frozen shoulder. Diseases that might increase risk include: - Diabetes - Overactive thyroid (hyperthyroidism) - Underactive thyroid (hypothyroidism) - Cardiovascular disease - Tuberculosis - Parkinson's disease"
Answer this question truthfully,Most hyperprolactinaemia have good outcomes with medication.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Before 8 or 9 yeays old, girls and boys with precocious puberty show signs of secondary sex characteristics.
Girls
First period (menstruation) Mature outer genitals Rapid height growth Breasts develpment Armpit or pubic hair
Boys
Growth of the testes and penis Armpit or pubic hair, and facial hair, often first on the upper lip Muscle growth, rapid height growth Voice deepening"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer with one of the option in the bracket,A: Acute kidney injury
Please answer with one of the option in the bracket,B: Recombination
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query i would like to know whether your back pain is dull or severe, constant or intermittent. if you had such pain before i would advise you to get an ultrasound scan done and meet your local urologist. horseshoe kidneys may occasionally have some obstruction or stones and these are usually detected on ultrasound. i hope i have answered your query. i will be happy to answer any follow-up queries that you may have. thanks chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query, pain in both loins is most likely to be due to stones in kidney or ureter. please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) routine urine test and urine culture.2) ultrasound scanning of abdomen and pelvis. in the meanwhile take broad spectrum antibiotics like ciprofloxacin along with urinary antiseptic like nitrofurantoin twice daily and antispasmodics like cyclops and urine alkalizer thrice daily. later on switch on to appropriate antibiotics as per culture report. get the prescription of medicines from your family physician. ensure to chatbot. to keep your urine dilutefurther treatment will depend upon the results of these tests and final diagnosis."
Answer this question truthfully,"The recommended treatment for a postmenopausal woman with a uterine polyp is typically polypectomy. A uterine polyp is a growth that occurs on the inner lining of the uterus, and it can cause symptoms such as abnormal vaginal bleeding or discharge. In postmenopausal women, uterine polyps may be more concerning as they may be a sign of endometrial cancer. Therefore, it is important to remove the polyp and have it tested for cancerous cells. Polypectomy is a minimally invasive procedure that involves removing the polyp using a small instrument inserted through the vagina and into the uterus. In some cases, a hysteroscopy may be performed to visualize the polyp and guide its removal. After the polyp is removed, it will be sent for testing to determine if it is cancerous or benign. If cancerous cells are found, further treatment may be necessary."
Answer this question truthfully,"Cardiac resynchronization therapy (CRT) is an evidence based device treatment for congestive heart failure. CRT is indicated in those patients with symptomatic congestive heart failure despite optimal medical therapy who have a reduced left ventricular ejection fraction (an LVEF ≤ 35%), and a wide QRS (≥ 0.12 sec). It involves timed atrioventricular and biventricular pacing, which can improve left ventricular function, heart failure symptoms and may be associated with a reduction in mortality."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. a lot can be answered in a better way ifi knew your age. but the kind of problems that you have described doesn't appear to be physical in nature. it is more so ever appears to be psychological. you should get an ecg done and get a consultation from a cardiologist. if he says it is fine, which mostly is what he will say, then you should visit a psychiatrist who can train you with some relaxation techniques and also help you with cbt. he may use some chatbot. all said it is not something big you need to worry about. hope i have answered your query. i will be more than happy to help you if you need any further clarifications. in case if you want to discuss with me directly you can use the link"
Please summerize the given abstract to a title,India’s food supply chain during the pandemic
Please summerize the given abstract to a title,An Intelligent System for Multi-topic Social Spam Detection in Microblogging
Answer this question truthfully,"The Epstein-Barr virus (EBV) has been linked to the development of gastric lymphomas, including marginal zone and diffuse large B-cell lymphomas."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Molecular and genetic characterisation of the SARS coronavirus auxiliary protein X1 in Drosophila.
Answer this question truthfully,Go to the emergency room or call your local emergency number (such as 911) if this symptom occurs. Typically opisthotonos is a symptom of other conditions that are serious enough for a person to seek medical attention.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your child has an anomaly of the hand. sometimes this is associated with other defects. i recommend that your child be evaluated by a doctor who specializes in genetics (heredity) who will perform a complete physical examination. look for a genetics doctor who is part of department of pediatrics at hospital connected with a medical school. should this doctor feel your child needs additional study, then your child can be referred to a pediatric orthopedist (bones). ideally, the genetics doctor and the orthopedist will discuss their plans for your child together. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,Neurofibromatosis type I is associated with mutations in the NF1 tumor suppressor gene on chromosome 17.
Please summerize the given abstract to a title,218 The Impact on Minimally Invasive Urological Cancer Surgery During the Covid-19 Pandemic
Please summerize the given abstract to a title,A nomogram for predicting paradoxical immune reconstitution inflammatory syndrome associated with cryptococcal meningitis among HIV-infected individuals in China
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. the platelet count is reduced due to pegasus/interferon side effect. pegasus affect the bone marrow causing suppression of the marrow elements and one of the present complaint is thrombocytopenia. pegasys is being given for hcv treatment. i can advise you two things"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. this may be is caused by urinary infection including kidneys infection or urinary stones, so you should do urinalysis, monoculture and kidneys ultrasound to rule these out which are the most common causes. you should chatbot.  you should reduce salt in your diet as well, alcohol and carbonated"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, doesn't look like a significant finding. printed ecg reports are not accurate and should be interpreted manually. so i would advise uploading the report for interpretation.  however, i need to know about risk factors like your age, smoking, hypertension etc. you be assured regarding benign nature of these, you should get one treadmill test done which will clarify the doubt. your is probably cervical in nature, for which you need x-ray of cervical spine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, did he complain of any pain or discomfort while passing urine? frequent urination can indicate a urine infection. here, child will pass frequently but in small amount. if not associated with fever, abdominal pain or pain / burning while passing urine, wait for 2 days and keep a watch on water intake. if this persists after 2 days, with no excess water intake, kindly get his urine routine examination done to rule out urine infection hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint pain in lower back and hips can be due to a number of causes like bursitis, tendinitis, osteoarthritis, endometriosis, sciatica etc. i would suggest you to consult an orthopedic surgeon and get evaluated, and he can advise you investigations like x-ray or mri scan to rule out the exact cause of the problem and treatment can be planned accordingly. he can advise you to take anti-inflammatory painkillers like ibuprofen, muscle relaxants, multivitamins, stretching exercises, warm compresses. as of now you can take painkillers like motrin or tramadol to relieve pain. avoid long duration of standing and strenuous work. avoid lifting heavy loads. hope this information helps. thanks and regards. chatbot. ."
Please answer with one of the option in the bracket,A: Sarcoidosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has high ferritin level, but it's not too high. he should take chatbot.  repeat ferritin level after a month. ferritin is also an acute phase reactant, so it can also be increased in some inflammatory conditions.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"In the lumen of the collecting duct, NH3 and H+ combine to form NH4+, which is trapped in the tubular fluid and excreted through a process called diffusion trapping."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. dysplasia is pathological term and related to morphology of cells seen under microscope. and it is used for all cells of the body. dysplasia means abnormal cells in morphology. most common is malignant cells. so any cell with malignant potential show certain morphological changes like high n-c ratio (nuclei cytoplasmic ratio), granular cytoplasm etc. this termed as dysplasia cell (likely to malignant). so presence of dysplasia means high probability of malignancy. and absence of dysplasia (as in your report) means less probability of malignancy. so no need to worry. your report is good. get done follow up after 10-12 months."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have white crusty ring around your ear-piercing which is mainly because of infection which occur during piercing due to which wound does not heal properly and pus keeps on discharging and which keeps on accumulating leading to white crusty ring. you need not panic about it as this is very common problem during piercing. you should visit ent specialist once and get it examined. maintain hygiene of that area. apply antiseptic lotion as well locally. if there is delayed healing due to irritation of ring, remove the rings for few days and re apply after healing. keep wound clean with betadine. take proper course of antibiotics. healing can take 2-4 weeks. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as having no sensation in the toe is need to be checked out for any signs of blood supply. as due to cold this may be one of the reasons and keeping yourself warm will be good. also, if the numbness isn't going away then i suspect it to be spinal nerve entrapment. this may be due to para spinal muscle spasm.  doing hot water fermentation to the lower back and simple core stability exercise should help reduce the symptoms. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, with this much history i feel that most probably you may be having an chatbot.  it is genetically influenced testosterone induced hair fall disease. you consult dermatologist and have perfect treatment. however, i would suggest as follows.- finasteride 1 mg daily-biotin tab 10 mg daily-minoxidil 10% solution application twice a day-shampoo with ketoconazole containing shampooabove treatment may be done for long time... have patience for the good result. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  your brother was told that he is loosing blood, and the doctors don't know how he is loosing blood. he has low b12.  it appears the has low blood, means anemia, may be due to the deficiency of the b12.  ask him take more of green leafy vegetables, pulses, sprouts, and protein rich foods to develop the blood, general health and provide b12.  i advise you to consult a physician for diagnosis and treatment.  wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes you are right that enamel won't grow at all. but there are a number of ways to repair it.1 if it is a very minute chip off, reshaping of tooth might help you.2 if it is small chip off, it can be repair witchatdoctorposite restoration.3 if it is a big lesion, you can go for crown or laminates of that particular tooth. sometimes it looks like that only enamel has broken, but dentin is also involved. so, my advice is to visit your dentist and as per diagnosis go for proper and advised treatment. thanks,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is possible that there is a metastasis in the liver and this requires detailed evaluation. the liver lesion is to be confirmed with a fnac or biopsy and this will prove a malignancy. if there is a small lesion in the liver then it might be treated with surgery. however, a bigger lesion might not be treatable with surgery and might require chemotherapy to control the progress. since primary source it not known therefore doctors might suggest a pet ct scan to know any probable cancer area in the rest of the body. the kidney dysfunction is to be treated with medicines. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for posting on chatbot increase wbc count show sign of acute infection increase count of white cells in your body which are defensive system of body but it's not a specific test to include or exclude your ulcer if you see other symptoms please concern your physician for it. but specifically about your question its shows a sign of infection need further to be evaluated. thanksregards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i will advise you to do mri spine to see for any disc bulge or spinal canal stenosis. and also check your it b12 and it d3 level. medication like methylcobalamine and analgesic will reduce pain. you can continue yoga exercises and focus on spine extension exercises. i do not recommend inversion table and probably no doctor will recommend it. some exercises which can be done include-spine extension exercises, lying on your stomach flat lift leg 6 inches from ground, do it for other leg. now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. core stabilizing spine exercises will help. you may consult physiotherapist for guidance. he may start tens, or ultrasound which is helpful in your case. if not relieved you can take epidural injection. hope this helps. wish you a speedy recovery.  take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it could be a swollen lymph node. it is due to infection or inflammation in the surrounding region as in case of decayed teeth or pharyngitis.  consult a general practitioner and start a short course of antibiotics. generally, it will settle in a couple of days. if symptoms persist you can consult an ent specialist and get evaluated. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. of course intestinal tuberculosis can present in any way, but with that there is weight loss, fever, and other associated features. absence of these however does not exclude it either. if i were your doctor, i would have advised you with some basic blood tests like cbc, esr and a manitou test. also, i would go for a barium meal follow through and if all are inconclusive, would refer you to a gastroenterologist for a possible endoscopic examination of your gut with a possible biopsy. further management would depend on reports of the investigations. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read your query. since you are married for 3 years, and you are diagnosing your wife as personality disorders .this is not good try to communicate with both your sister and wife . make some arrangement so that both can sit together and discuss the family matter ,,,also took advice from your parents etc. perhaps both of you husband and wife need some parental guidance ...do not straight way ask her to go to psychiatrist . if matter still not solved then take help from consultant or psychiatrist"
Please summerize the given abstract to a title,Evaluation of a flexible bronchoscope prototype designed for bronchoscopy during mechanical ventilation: a proof-of-concept study.
Please summerize the given abstract to a title,"A Comprehensive Survey on the Detection, Classification, and Challenges of Neurological Disorders"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your health concerns with chatbot!  if i were your treating doctor for this case of under therapy case of infertility, i would like to have some more information like"
Please summerize the given abstract to a title,Negative impact of hyperglycaemia on tocilizumab therapy in Covid-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. chatbot value for non-pregnant person is very low.  less than 5. with pregnancy chatbot level increase to very high level.  your chatbot level does not indicate pregnancy.  so if it was raised then chances of miscarriage is definitely there. consult your doctor and go for examination. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Insights on the Implications of COVID-19 Mitigation Measures for Mental Health()
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, for your problem, all the medical and dental examinations including laboratory tests such as blood test should be done. there are many lesions which can be present in oral cavity. if the doctor feels to get the biopsy done, then let him/her go ahead. many such focal pigmentation could be present like vascular malformations, post inflammatory pigmentation, pigmented nevus, etc. so it's better to rule out by various tests. thank you for your query take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i can understand your concern regarding the skin lesions but it's difficult to point specific diagnosis in absence of clinical examination. therefore, i insist you to post good clinical pictures to me so that i can help you in a better way. you can reach me directly through the above-mentioned link. https"
Answer this question truthfully,"In peripheral artery disease, buttock pain and erectile dysfunction are due to lesions in the internal iliac artery."
Answer this question truthfully,One effect of cholecystokinin is to increase contraction of the gallbladder.
Please summerize the given abstract to a title,COVID-19 knowledge prevents biologics discontinuation: Data from an Italian multicenter survey during RED-ZONE declaration
Answer this question truthfully,"The mitral valve is the heart valve that is most frequently involved in bacterial endocarditis. Bacterial endocarditis is an infection of the inner lining of the heart, including the heart valves, that is caused by bacteria that enter the bloodstream. The mitral valve, which is located between the left atrium and left ventricle, is particularly susceptible to infection because it is exposed to a high-pressure gradient and is subject to repeated mechanical stress. In addition, the mitral valve is more likely to be damaged by turbulent blood flow and other factors that can create a favorable environment for bacterial growth. Treatment for bacterial endocarditis typically involves a combination of antibiotics and, in some cases, surgical intervention to repair or replace damaged heart valves."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, tooth pain indicates infection of the tooth that had involved the pulp tissue, such type of tooth can be root canal treated to save it permanently. as you mentioned your temporary filling was under filled and broken there are chances of food lodgment leading to pain. i would suggest you to visit to a dentist get an x-ray constant with the root canal treatment of the tooth, unless the tooth is devitalized, disinfected and sealed to the apex you will face pain and infection. take tab augmenting 625\u00a0mg and tab diclofenac for three days, maintain a good oral hygiene, use chlorhexidine mouthwash gargles twice daily. hope this helps out. regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you have been taking doxycycline for presumed prostate infection. it is advisable not to take any antibiotics unless you have established positive evidence of infection. please consult qualified urologist for clinical assessment and get following basic test done to confirm diagnosis of prostatitis1) semen examination and semen culture. since prostatitis takes long time to get cured one has to take antibiotics for 6-8 weeks.hence, i suggest you to continue taking it only after doing semen culture and confirmed diagnosis. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good afternoon. i am chatbot answering your query. it is not necessary that you too would also get the same pathology as your mom had. however, it is also necessary to investigate the cause of your pain making you pass out frequently. if i were your doctor, i would advise you for an ultrasound of whole abdomen to rule out the possibility of calculi either in the gall bladder, common bile duct or in the ureter causing such excruciating pain or a pathology of any other intro abdominal organ. till then, you could go for an anti-spasmodic chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. firstly, it is not advisable to consume i pill so frequently and casually. they tend to alter and mess up your normal menstrual cycle. the i pill is the most probably reason for your earlier period. the i pill, specially when taken within 3 hours, is effective, but no method is 100 % sure. i would advise you to test for a pregnancy, once you go past the date of your last expected period. that is, after another 7 - 10 days, though the possibility is almost nil. please switch over to a reliable method of contraception in the future. take care."
Answer this question truthfully,"Niacin can cause an increase in blood glucose levels, leading to hyperglycemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chest pain, coughing, bad smell breath and breathing difficulty in a smoker is mostly due to lung disease like lung infection and bronchitis. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). chest x-ray is needed to rule out lung infection. pft is must for the diagnosis of bronchitis. you will mostly improve with antibiotics and inhaled treatment. in any case smoking cessation is must. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Mitigating Covid-19 in the face of emerging virus variants, breakthrough infections and vaccine hesitancy"
Please summerize the given abstract to a title,Audit practice: A straightforward trade or a complex system?
Please summerize the given abstract to a title,[Gender and age factors affecting the mortality during the COVID-19 epidemic in Italy].
Answer this question truthfully,"Common risk factors in the development of linitis plastica may include:    
Asian race (particularly Japanese) Male Presence of CDH1 gene mutation History of breast cancer
Less common risk factors include:
Low intake of dietary fiber Rarely, H.pylori infection"
Please summerize the given abstract to a title,Comparison of extubation success using noninvasive positive pressure ventilation (NIPPV) versus noninvasive neurally adjusted ventilatory assist (NI-NAVA)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there are glial cells in the brain and any tumor originating in glial cells is called a glioma. gliomas are of different types depending on the cell of origin. glioma is an umbrella term used to describe the different types of gliomas"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, pain in the tooth can be due to bacterial infection, sore jaw can be due to the radiating pain. i would suggest you to visit the dentist and get the checkup done take an x-ray of the tooth, such type of infected tooth is to be treated with root canal treatment to save it permanently. take a complete course of antibiotics and analgesics. take antiseptic mouth wash gargles. maintain a good oral hygiene, chatbot."
Answer this question truthfully,"Enteric bacteria (Gut flora) produce vitamins, particularly Vitamins K and B9."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern.  taking bath would definetelyhelp my improving your mood. more scientific things to help conception are- -folic acid 5 mg pill to be consumed by both the partners for 3 months before conception.  -have a nourishing balanced diet/avoid any illness (for both the partners. - quit smoking 3 months before conception -a regular & ovulating cycle normal semen reports are to be confirmed. (by semen analysis after 3 days of abstinence usg ovulation study) - monthly ovulation day can be confirmed by lh surge test.....have an unprotected sex daily for 6 days from +ve surge test.  *all the things strictly followed. there would be conception within few months.  test by urine pregnancy test after 8 days delay in periods consult to start treatment immediately after +ve test.  *go for detailed investigations .if no +ve result in 6 months consult a sterility doctor.  thanks."
Please summerize the given abstract to a title,A Hybrid MADM Model for Newly Graduated Nurse's Competence Evaluation and Improvement
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. the lesion described at the junction if the lower lip suggests the formation of an authors ulcer, which is very painful initially. i would advise you to apply mccoppin / mucosal on the affected area two or three times a day. it should reduce by a week. for pain, take a paracetamol. avoid spicy food and reduce stress levels. if still persistent, consult your local dentist. hope this was helpful. thanks and regards."
Answer this question truthfully,"Guillain-Barré syndrome can cause a variety of neurological complications, including increased cerebrospinal fluid (CSF) protein and normal cell count, which may lead to papilledema (swelling of the optic nerve). Papilledema can cause vision changes, such as blurred or double vision, and can be a sign of increased intracranial pressure. Other potential neurological complications of Guillain-Barré syndrome include muscle weakness, paralysis, difficulty breathing, and autonomic dysfunction (problems with heart rate, blood pressure, and body temperature regulation). These complications can be severe and require immediate medical attention."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have either salivary gland enlargement due to siledenitis. or lymph node enlargement due to reactive hyperplasia or some cancer pathology.  so it can not be said definitely.  you should go for biopsy of that lump.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"The symptoms of epithelioid sarcoma usually develop in the second decade of life and start with symptoms such as a mass. Epitheliod sarcoma has a tendency to metastasize to the lymph nodes. The most common sites of epithelioid metastasis include the lungs, lymph nodes, and scalp. Epithelioid sarcoma most commonly strikes young adults, yet no age group is immune. The disease has a tendency to develop local recurrences and metastasis thereafter to regional lymph nodes, lung, bone, brain, and other locations, including the scalp.  Generally speaking, epithelioid sarcoma has a high rate of relapse after initial treatment and tends to recur locally (at or near the original tumor site). Epithelioid sarcoma also demonstrates lymphatic spread (in 22-48% of cases), and metastasis (in 21-63% of cases).  These events, as well as advanced stage (progression) and grade (aggressiveness), are predictive of an overall worse outcome. The overall five-year survival rate for epithelioid sarcoma is anywhere from 25 to 78%. Importantly, the 10-year and 15-year survival rate drops off significantly.   Associated with a more positive outcome are younger age, female vs. male sex, distal vs. proximal location, smaller tumor size, and negative margins upon tumor resection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. imatinib (given) is the main treatment for most people with chronic myeloid leukemia. it is a type of biological treatment that blocks cancer cell growth. doctors call this type of chatbot.  it blocks a protein made by cml cells. given can keep cml under control for many years and can be taken for a long duration under medical supervision. the main side effects aquifer risk of getting an infectionbruisingtirednessa skin rashford build muscle crampsfeeling sickdiarrhoeahowever, if he has been taking given for 7 years then acute side effects are ruled out. for his liver, you can get ultrasound scan done and also review liver function tests. this will measure the different liver enzymes in blood and give information on his general health condition. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand this your ct head show no abnormality, and you have symptoms of central nervous system related, but this is not due to any pathological changes in brain either, but your psychological condition might be the reason for this, your vision problem is nothing to tale with your head injury on my opinion for that you have to consult the ophthalmologist, for the rest of the symptom control your thoughts away from the anxiety and depression, hope this information helps you have nice day."
Answer this question truthfully,"Schwann cells are derived from neural crest cells, which are a group of cells that arise from the dorsal aspect of the neural tube during early embryonic development. The neural crest cells migrate to various parts of the body and contribute to the formation of a wide variety of structures, including the peripheral nervous system. Schwann cells are a type of glial cell that form the myelin sheath around axons in the peripheral nervous system, which helps to insulate and protect the axons and allows for faster transmission of nerve impulses. The development of the neural crest cells is regulated by a complex interplay of genes and signaling pathways, which ultimately determine the fate of these cells and the structures that they give rise to."
Please summerize the given abstract to a title,Usability and responsiveness of artificial intelligence chatbot on online customer experience in e-retailing
Answer this question truthfully,"Clotting and bleeding beneath the skin causes an area of hemorrhage, the presence of red blood cells lying outside of capillaries, into the skin and subcutaneous tissue. In isolation, this is called an ecchymosis or bruise and may be the result of injury or illness. However, acral necrosis occurs when blood supply is disrupted for prolonged periods, blackening and damaging the affected area and surrounding tissue.
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology
Hand: Gangrene: Gross excellent demonstration of gangrenous necrosis of fingers Hand: Gangrene: Gross excellent demonstration of gangrenous necrosis of fingers
Hand: Gangrene: Gross excellent demonstration of gangrenous necrosis of fingers Necrosis of distal finger in a patient with panniculitis and fascitis, streptococcus A septicemia in a patient with Scleroderma who was on high dose steroids"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query, you are having consistently high serum bilirubin level and highs got and sept., you also mentioned of stomach aches for all this you need to do some tests like sonography of abdomen and consult a general surgeon asap. for time being hillary secretogauge like unsocial can help and for piles laxative like lactifibre along with lots of oral fluid and avoiding spicy/oily food will help.  hope this will answer your query.  chatbot."
Please summerize the given abstract to a title,"Gastrointestinal parasites of six large mammals in the Wasgomuwa National Park, Sri Lanka"
Answer this question truthfully,Treatment is based on the risk stratification of the individual. Risk stratification is performed to determine which individuals with WPW syndrome are at risk for sudden cardiac death (SCD). Sudden cardiac death in these individuals is due to the propagation of an atrial arrhythmia to the ventricles at a very high rate. Noninvasive tests have a 70% positive predictive value and 30% negative predictive value for identifying pathways with life-threatening properties. Electrophysiologic studies are useful for evaluation of patients' symptoms.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, you have mentioned that you have undergone extraction of wisdom tooth, your dentist has irrigated your socket and given you zoe packs inside socket, don't worry you irrigate socket it will help you in healing of socket, do warm saline gargle two - three times a day after 24 hours of extraction hope this will help you.  wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you had aaron feet and the pain is leading to difficulty in walking i will advise you to undergo physical therapy as it will help reduce pain and inflammation by therapeutic ultrasound therapy and tens therapy. exercise on later stages will help improve the muscle strength and regain normal functions.in my clinical practice most cases respond well to physical therapy. regards jay in chatbot."
Please answer with one of the option in the bracket,A: Neisseria gonorrhoeae
"If you are a doctor, please answer the medical questions based on the patient's description.","any cleanser has only one action to remove dirt from surface of skin and prevent keratinization, they are as good as ordinary soap.basically face hygiene should be maintained by washing face in regular intervals and when coming from areas of dirt.peeling cream will not cause any additional benefit, they not even remove full dirt from skin pores, they are poor cleanser compared to ordinary soap.  avoid these products and maintain good face hygiene."
Answer this question truthfully,"Class IB antiarrhythmic drugs have a low binding affinity for the Na+ channel. This means that they are not able to bind as tightly to the Na+ channel as other classes of antiarrhythmic drugs, such as Class IC drugs. However, they are still effective in treating certain types of arrhythmias, such as ventricular arrhythmias. Class IB drugs work by blocking the Na+ channel, which can help to slow down the conduction of electrical impulses through the heart and restore a normal heart rhythm. Like all antiarrhythmic drugs, the use of Class IB drugs must be carefully monitored, as they can sometimes cause additional side effects or worsen existing heart conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot i would keep a possibility of polymorphic light eruption (pole), possibly due to intense sun exposure in your area. i would suggest you to apply a broad spectrum sunscreen, that which offers both uv b and uv a protection throughout the day. a sunscreen with minimum spf 30 would be required. it should be re-applied every 2-3 hours. for the blotchy rash, you could apply a moderately potent topical steroid e.g. futicasone propionate cream twice daily over the affected area. regards"
Please summerize the given abstract to a title,Political Partisanship and Anti-Science Attitudes in Online Discussions about COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. the symptoms posted here could be allergic in nature.therefore, please ask your son to avoid the same toothpaste for time being and look for results. but please keep in mind that if the symptoms persists even after changing the toothpaste then he must report to the dentist. excessive salivation could be due to other causes too.therefore, it requires examination. hope it helps. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, the liver function test report suggests deranged liver functions. there is elevation of total, direct and indirect bilirubin. the liver enzymes-s got and sgpt are also raised. the rise in above-mentioned parameters suggest damage to liver cells (hepatocytes). the damage to hepatocytes can issue due to a number of causes e.g. infection, chatbot. an increase in alkaline phosphatase suggests some pathological process in the extra-hepatic biliary tract. a previous history of liver cirrhosis indicates a previous insult to the liver. consult your treating doctor for liver biopsy, diagnosis of the current pathology in the liver and further management. thanks and take care"
Please summerize the given abstract to a title,Immunogenicity of BNT162b2 Vaccine in Patients with Inflammatory Bowel Disease on Infliximab Combination Therapy: A Multicenter Prospective Study
Answer this question truthfully,"Urinary excretion of D-xylose is typically decreased in individuals with celiac disease. The D-xylose test is a diagnostic test used to evaluate intestinal absorption. In this test, a patient is given a dose of D-xylose, a type of sugar that is normally absorbed in the small intestine. After a set amount of time, the amount of D-xylose excreted in the urine is measured. In individuals with celiac disease, the absorption of D-xylose is impaired due to damage to the lining of the small intestine caused by gluten exposure. This results in decreased urinary excretion of D-xylose. The D-xylose test is often used as a screening tool for celiac disease, as well as other conditions that affect intestinal absorption."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for writing here. you are suffering from fungal infection. areas in our body like groin, underneath breast, buttocks are always moist, and there is always a chance for devolving fungal infection in these areas. once started it may spread in other areas of body. start applying antifungal cream like limit at night, and use antifungal powder at daytime. take antihistamines like cetirizine at night. keep area chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should rule out lung infection because it can cause chest pain on breathing and phlegm. so get done chest x-ray. if chest x-ray is normal then no need to worry about lung infection. sometimes simple musculoskeletal pain can cause similar kind of chest pain. so take simple painkiller like paracetamol or ibuprofen. apply warm water pad on affected areas of chest. avoid movements causing pain. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your history, it may be due to diabetic neuropathy. for that continue anti-diabetic medications as advised and do regular check up of fasting and postprandial sugar levels. blood sugar level should be within normal limits. you can take tablet sildenafil one hour before sexual act. along with that avoid stress. take proper rest and balanced diet. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,The F-series prostaglandins are vasoconstrictors.
Please answer with one of the option in the bracket,C: Osteosarcoma
"If you are a doctor, please answer the medical questions based on the patient's description.","i think we should ask first family to whom belongs the needle and if it is used by them. diabetes is a disease that is not transmitted through the blood. a way in which the disease is transmitted use of the same needle, and therefore nowadays are disposable needles. should be careful when using needles and have to throw down after the use. if the needle has been used previously by a person infected with hiv then it becomes a source of infection for other people."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome in chatbot. i can explain the situation and what to do further. liver problems sometimes can generate chest pain mainly on the right side. according to the history you should do some further tests for excluding cardiac, pulmonary and gastrointestinal diseases as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear member, thanks for writing to chatbot. if your pregnancy test is negative then you can consult a doctor to induce a period.don't worry. as you have had a baby and your cycles are regular there is no need to worry. try home ovulation detection kits and time intercourse.  if after 1 year of this there is no pregnancy then you can consult for further investigation and treatment. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, the tuberculosis is absolutely curable if the treatment is taken regularly and completely as prescribed by the treating doctor. you have already said that its cured. regarding asthma, it is not a curable disease, though, it is a preventable disease, that is, its progression can be halted on a regular treatment. moreover, deep breathing exercises like panama are known to have beneficial effect in asthma. avoid cold and dust including household dust and pet animals to avoid asthma attacks. have a good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","most people who have gallstones do not have symptoms. if you have symptoms, you most likely will have mild pain in the pit of your stomach or in the upper right part of your belly. pain may spread to your right upper back or shoulder blade area. sometimes the pain is more severe. it may be steady, or it may come and go. or it may get worse when you eat.  you may decide to go to the doctor because of pain in your belly. in this case, your doctor will ask you questions about when the pain started, where it is, and if it comes and goes or is always there. your doctor may order imaging tests. these take pictures of the inside of your body. an ultrasound of the belly is the best test to find gallstones. this test does not hurt. your ultrasound may not show gallstones. but if your doctor still thinks you have a problem with your gallbladder, he or she may order a gallbladder scan. in this test, a doctor injects dye into a vein in your arm. then a machine takes x-rays as the dye moves through your liver, bile duct, gallbladder, and intestine.  if you do not have symptoms, you probably do not need treatment. if your first gallstone attack causes mild pain, your doctor may tell you to take pain medicine and wait to see if the pain goes away. you may never have another attack. waiting to see what happens usually will not cause problems. if you have a bad attack, or if you have a second attack, you may want to have your gallbladder removed. a second attack means you are more likely to have future attacks. many people have their gallbladders removed, and the surgery usually goes well. doctors most often use laparoscopic surgery. for this, your surgeon will make small cuts in your belly and remove your gallbladder. you will probably be able to go back to work or your normal routine in a week or two, but it may take longer for some people. sometimes the surgeon will have to make a larger cut to remove the gallbladder. it will take longer for you to recover from this type of surgery. regards and take care"
Answer this question truthfully,"Metal carrier proteins, such as transferrin (Fe2+) and ceruloplasmin (Cu2+), are examples of proteins that can help eliminate free radicals in the body."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, underlying cause of hair fall need to be known in female patient it could be due to fungal infection of hair root, second hormone changes third endocrine dysfunction, and it needs be managed accordingly till then condition can be managed with \""minoxidil 5% solution, and it can be used with no fear of side effect it is local application to be applied on scalp, hope this information helps, take care and have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. yes. that syrup can be given. you didn't mention age of your child. i would recommend you to spy cal pol x 1 table spoon after every 6 hrs till fever settle. it comes in sweet flavor which child usually likes and takes easily. apart from that seek medical attention if
Please summerize the given abstract to a title,Clinical and laboratory characteristics of sars-cov-2 infection in children and adolescents
Answer this question truthfully,One way that bacteria can develop resistance to Tetracyclines is through the production of efflux pumps.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Polyploidy in the adult Drosophila brain
Please summerize the given abstract to a title,Insights into redox mediators-resource harvest/application with power production from waste activated sludge through freezing/thawing-assisted anaerobic acidogenesis coupling microbial fuel cells
Answer this question truthfully,"It is more common in patients who have very dry skin, or who have atopic dermatitis (eczema). It seems to run in families."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloi can understand your concerns but i m afraid that you have not provided the full details of your ailments' history which would help in reaching a precise diagnosis and thus a remedial treatment ----so kindly provide the following details----(1) since when you started developing these episodes of pains ???(2) what was the frequency of appearance of your painful episodes ??? for example-- many times a day n every day or occasional episode in a single day or occasional episodes in many days ???(3) was pain the only issue, or it was associated with other features like nausea/vomiting/cramps in abdominal area/loose stools/constipation ???(4) was the pain associated only with certain specific types of foods like spicy/oily/milk products etc. ????(5) did u underwent any other test apart from colonoscopy like ultrasound / stool culture / blood tests etc. ???? if yes which ones and what was the report of those tests ????(6) only visual colonoscopy was performed or colonoscopies guided biopsy was also performed ???? was was the report of colonoscopy ????(7) if any than what all treatment / medicines you have taken till now and what's the response of those chatbot. ....regards n take care sir....."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Analysis and Classification of Vaccine Dialogue in the Coronavirus Era
Please answer with one of the option in the bracket,C: Emergent surgical intervention
Answer this question truthfully,"If 2% of patients who receive a flu shot develop the flu, while 8% of unvaccinated patients develop the flu, the relative risk reduction is 0.75."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot virtual clinic. your son seems to have painful varicose lump with pre-ulcer bruise, as the pain is eased up after leg up position. as i don't have direct information of the shin lump, possibility of the boil with cellulitis needs to be ruled out. contact with premium question to me, if need be. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. welcome with any other further query in this regard. good day!! chatbot. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i understand your query and concern. palpitations indicates arrhythmias of heart. i advise you to have a baseline 2 dimensional echocardiography, ecg and lipid profile to assess the basic cardiac reserve of your heart. restrict the intake of salt to less than 6g/day. regular physical exercise in the form of brisk walk for 20 min a daily is useful. chatbot. an antibiotic course will help to relieve your bursitis. reduce the intake of fatty and fried food. electrophysiological study with or without radiofrequency ablation is the procedure of choice in your case. you may also need coronary angiogram to look for any co-existent blocks in the heart. consult a cardiologist and discuss for further expert management. post your further queries if any. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mr. golda. kidney stones tend to recur even after the surgery as the tendency for the formation of stone still persists, unless this tendency is treated a person keeps getting them even after many surgeries. homeopathy has an answer, with the homeopathy treatment this can be tackled and recurrence can be prevented. you also need to increase water intake (2-3lt/day) avoid certain foods which can cause formation of kidney stone. if you have any queries mail me to (chatbot. com).  get well soon..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. since you are c/o nervous disorder previously, the involuntary movement of tongue may be associated with the neurological disorder. i would advise you to take rest, avoid stress and anxiety. intake of spicy foods, tobacco or pan chewing has to be avoided. to improve muscular activity, slow movements of tongue has to be done. maintain oral hygiene well. vitamin b-complex as well as iron supplements has to be administered. hope this helps."
Please summerize the given abstract to a title,DESCRIBING COMMUNITY-BASED REHABILITATION SERVICES IN INDONESIA BY USING THE INTERNATIONAL CLASSIFICATION OF SERVICE ORGANIZATION IN REHABILITATION 2.0
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! tanya, welcome to chatbot forum, probably you have developed folliculitis due to procedures like waxing or shaving of leg hair. this then eventually leads to dark spots. you can apply retinoid cream at night over the spot. you can also use combination cream of glycolic acid and hy chatbot. these would gradually bleach the marks to normal skin color, but take long time to work. if these things don't show good response then you can go for lasers. the best laser would be a q-switched nd"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dizziness is very different from vertigo inner ear disturbances can cause vertigo and dizziness. mitral valve prolapse usually remains asymptomatic, breathlessness is the main symptom in most of the patients. although it can cause dizziness but is very rare. if your physician has diagnosed it as vertigo then donor do any physical rehabilitation therapy till it fully settles down treatment of vertigo is done in two stages1) acute attack-anti vertigo medications are given like betahistine and prochlorperazine maleate2) chronic phase-- vestibular rehabilitation therapy and physical therapy are indicated.if its suspected as vertigo caloric test and pure tone audiometry is advised"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking ot chatdoctori really understand your problem, and i would like to say you that i am not sure for the medicine you are taking, but i am sure that the natural regression of the cyst is known and when it will happen then the credit goes to medicine you are taking, but again the natural recession is not always possible, in most of the cases you have to have the surgical opinion, take care and have nice time"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. your question pertained to a bypass of the heart surgery, but that was 10 years ago. now you have got a problem of gastric pain from stomach till throat and that too when you walk. he probable reasons are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. noted high levels of bilirubin. it is possible that you have an underlying obstruction somewhere along your hepaticopancreaticobiliary tree area. the obstruction might be caused by a stone (such as in gallstone disease). other lesions (such as malignancy or cystic formations) must also be ruled-out. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. other diagnostics (such as ultrasound, ct-scan, liver function tests, blood exams, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!!~ chatbot."
Please answer with one of the option in the bracket,A: Hydroxylation of proline residues
Please summerize the given abstract to a title,Tixagevimab and Cilgavimab (Evusheld) boosts antibody levels to SARS-CoV-2 in patients with multiple sclerosis on b-cell depleters
Please answer with one of the option in the bracket,B: Efavirenz and Delavirdine
Please answer with one of the option in the bracket,"D: Fixed, atherosclerotic coronary stenosis (> 70%)"
Answer this question truthfully,"Attending to the catastrophic outcome of cardiogenic shock in a very short time span, its diagnosis must be reached as early as possible in order for proper therapy to be started. This period until diagnosis and treatment initiation is particularly important in the case of cardiogenic shock since the mortality rate of this condition complicating acute- MI is very high, along with the fact that the ability to revert the damage caused, through reperfusion techniques, declines considerably with diagnostic delays. Therefore and due to the unstable state of these patients, the diagnostic evaluations are usually performed as supportive measures are initiated. The diagnostic measures should start with the proper history and physical examination, including blood pressure measurement, followed by an EKG, echocardiography, chest x-ray and collection of blood samples for evaluation. The physician should keep in mind the common features of shock, irrespective of the type of shock, in order to avoid delays in the diagnosis. Although not all shock patients present in the same way, these features include: abnormal mental status, cool extremities, clammy skin, manifestations of hypoperfusion, such as hypotension and oliguria, as well as evidence of metabolic acidosis on the blood results."
Please summerize the given abstract to a title,Reclaiming failure in geography: Academic honesty in a neoliberal world
Answer this question truthfully,"Glucocorticoids are useful in treating adrenal insufficiency, which may progress to circulatory shock, hypoglycemia, and death if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","penoscrotal pain need immediate medical attention. it may be due to many causes like infection, torsion etc. you may need proper clinical examination and investigations. investigations include routine hologram, random blood sugar, urine re/me, ultrasound and color doppler of scrotum. ultrasound can exclude many conditions like orchids, torsion,fluid accumulation etc. treatment depend upon findings. get well soon. take care chatbot."
Please summerize the given abstract to a title,The Use of Translational Modelling and Simulation to Develop Immunomodulatory Therapy as an Adjunct to Antibiotic Treatment in the Context of Pneumonia
Please summerize the given abstract to a title,Ebosin Attenuates the Inflammatory Responses Induced by TNF-α through Inhibiting NF-κB and MAPK Pathways in Rat Fibroblast-Like Synoviocytes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, your symptoms seem to be related to anxiety, but a cardiac arrhythmia can't be excluded only by this symptomatology. did you take xanax during this episode? i recommend consulting with your attending physician for a careful examination, a resting ecg and some blood lab tests"
Please summerize the given abstract to a title,The overall mortality caused by COVID-19 in the European region is highly associated with demographic composition: A spatial regression-based approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. i understand your concern. if i am your doctor i advise you that he/she should start taking the iron supplementation, you will improve your hemoglobin level gradually. once you reach the optimum hemoglobin level, take the treatment plus three months also that will restore the iron storage of the body. take the food rich in iron like wheat, soda bean, meat etc. i will be happy to answer more of your concerns, kindly know me, wish you a very good health at chatbot. chatbot. infectious disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot seems most likely that this is herpes genitalia; recurrence and morphology of the rash seems to suggest this. genital herpes is caused by a virus, herpes simplex virus (hsv type 2); it is a sexually acquired infection from an infected partner. herpes is a local infection i.e. the infection is localized to the area where it was first acquired. there can be relapses; relapses are caused by virus multiplication which subsequently travels down the nerve and causes fluid filled lesions. the episodes may be accompanied by itching and burning sensation. i would suggest that you visit a dermatologist in your region for a confirmatory diagnosis. if i was the treating doctor i would like you as well as your partner to be tested for hsv by blood test. treatment is with oral antivirals like acyclovir or val acyclovir. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion there is no chance of pregnancy in your case. usually there is scope for pregnancy when semen is ejaculated inside or around the vagina during the fertile period. as nothing such happened there is no chance of pregnancy. just touching the genitals or insertion of penis without ejaculation as in your case doesn't result in pregnancy. the first sign of pregnancy is missed period. and other symptoms of pregnancy like nausea, vomitings, increased urination start 2 weeks after missed period. so relax. avoid stress. wait and check for the period. and there is not at all any chance of pregnancy in your case. hope this helps. best regards...."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot delayed pressure urticaria occurs when urticaria develops at sites of pressure within 4-6 hours of pressure application, best for her is to wear loose clothing and avoid tight straps, heavy bags on shoulder, belt etc. good medicines are available to help in relief like nsaids, oral steroids, colchicine. around 25-50% patients in one study have shown to be cured of this disease in 5 -10 years. be hopeful. give her good diet rich in fresh fruits and vegetables. let her not stress. she should exercise every day and be fit."
Answer this question truthfully,The causes of this disorder are unknown. An overly sensitive personality and parenting problems may affect the development of this disorder.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for the querying my take a complete bed rest for two days and take some analgesic and apply analgesic gel locally, don't try to message it. if you get relief and the pain reduces than try to go back to your work slowly. but if there is no relief and your pain increases even after rest than get your x-ray done and consult your doctor for further treatment and investigations. complete rest is the best treatment for back pain. best wishes and get well soon"
Answer this question truthfully,"The primary tumors for brain metastases can be ranked in the following order: Lung > Breast > Melanoma, Colon, Kidney. The five tumors included are lung, breast, melanoma, colon, and kidney."
Answer this question truthfully,"Thrombus formation can have one of five outcomes: propagation, embolization, dissolution, organization and organization with recanalization.
Propagation of a thrombus occurs towards the direction of the heart. This means that it is anterograde in veins or retrograde in arteries. Embolization occurs when the thrombus breaks free from the vascular wall and becomes mobile. A venous emboli (most likely from deep venous thrombosis in the lower extremities) will travel through the systemic circulation, reach the right side of the heart, and travel through the pulmonary artery resulting in a pulmonary embolism. On the other hand, arterial thrombosis resulting from hypertension or atherosclerosis can become mobile and the resulting emboli can occlude any artery or arteriole downstream of the thrombus formation. This means that cerebral stroke, myocardial infarction, or any other organ can be affected. Dissolution occurs when fibrinolytic mechanisms break up the thrombus and blood flow is restored to the vessel. This may be aided by drugs (for example after occlusion of a coronary artery). The best response to fibrinolytic drugs is within a couple of hours, before the fibrin meshwork of the thrombus has been fully developed. Organization and recanalization involves the ingrowth of smooth muscle cells, fibroblasts and endothelium into the fibrin-rich thrombus. If recanalization proceeds it provides capillary-sized channels through the thrombus for continuity of blood flow through the entire thrombus but may not restore sufficient blood flow for the metabolic needs of the downstream tissue."
"Bipolar and Generalized Anxiety Disorder I read about TMS Therapy.  Do you know anything about it?  Has it had success?  Also wondering about ECT?  Finally, I've been told acupuncture can help for mood disorders.  Is that true for mixed bipolar and generalized anxiety disorder along with meds?  Have you ever heard of this?","The two main treatments for generalized anxiety disorder are psychotherapy and medications. You may benefit most from a combination of the two. ... Cognitive behavioral therapy is the most effective form of psychotherapy for generalized anxiety disorder. Generally a short-term treatment, cognitive behavioral therapy focuses on teaching you specific skills to directly manage your worries and help you gradually return to the activities you've avoided because of anxiety. ... Several types of medications are used to treat generalized anxiety disorder ... Antidepressants, including medications in the selective serotonin reuptake inhibitor (SSRI) and serotonin and norepinephrine reuptake inhibitor (SNRI) classes, are the first line medication treatments."
Answer this question truthfully,What are the possible modes of transmission for filoviruses such as Ebola and Marburg? Filoviruses may be transmitted via primates (apes) or bats.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, you have mentioned that you have problem in your throat, it can be due to wisdom tooth also, it may be impacted, or it can be infected tooth which causes pain, i will suggest you that you go to ent surgeon for check up first if he said that you had problem with your tooth then go to dentist for proper treatment,, meanwhile you can do warm saline gargle two - three times a day.  hope this will help you"
Please summerize the given abstract to a title,"P409. Prenatal COVID-19 Related Stress, Maternal Emotion Regulation and Infant Temperament: Assessing the Developmental Impact of the COVID-19 Pandemic"
Answer this question truthfully,"Langerhans cell histiocytosis is a rare disorder that primarily affects children. The symptoms of this condition involve the bone and skin, and can include bone pain, fractures, skin rashes, and lesions. In some cases, Langerhans cell histiocytosis can also affect other organs and tissues in the body, leading to a range of additional symptoms and complications. The exact cause of Langerhans cell histiocytosis is not fully understood, but it is thought to involve an abnormal immune response that causes the body's immune cells to attack healthy tissues. Treatment for Langerhans cell histiocytosis may involve medications, radiation therapy, or surgery, depending on the severity and location of the symptoms."
Please summerize the given abstract to a title,Rapid production of SARS-CoV-2 receptor binding domain (RBD) and spike specific monoclonal antibody CR3022 in Nicotiana benthamiana
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. raised liver enzymes could be due to infection affecting liver, medication effect or due to hypertension in pregnancy. get your blood pressure measurement done, blood platelet count and complete blood count. itching in vagina could be due to fungal infection, that needs to be treated, as it can spread upwards and affect fetus, or may affect baby during labor. get blood sugar test done for gdm, as there will be recurrent infection due to increased sugar levels. consult your doctor for examination and management. hope i answered your question. feel free to ask me if you have any further queries. wish you good health. take care. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, i don't think it is due to gall bladder. gall bladder related pain is more commonly seen in the right upper abdominal area, and it is associated with fever and chills. possibility of panic attack in night is more likely. so better to take her to psychiatrist and get done counselling sessions. try to identify stressor in her life and start working on its solution. she may need anxiolytic chatbot. don't worry, she will be alright with all these. hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi suryathank you for the query i have gone through your query.why serum creatinine elevated after cabg in your father case is it could be either due to the contrast dye used for angiography pre operative or intraoperatively because of hemodynamics which is relatively common in cabg...now what is of real concern is your father undergoing regular dialysis possibilities here of recovery are pretty much good surya .medications you can use as prescribed by your nephrologist diuretics reno protective antihypertensive chatbot. .and regular follow up with serum creatinine hope i have answered your query to your satisfactory level would welcome the follow-up queries thank you regards
Answer this question truthfully,Loratadine belongs to the drug class of 2nd generation H1 receptor antagonists.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. it looks you have done the exercises at the wrong time - the time of viral / bacterial infection. the body gets so down by resistance and all the tissues of the body are in a stage of recovery. yet get the blood reports done particularly for typhoid (tidal). it may not be possible for you to get a full bed rest- if possible get it. if tidal is positive get the proper treatment under the guidance of a doctor, if negative - symptomatic treatment with anti-inflammatory medicines and supportive medicines would help. remember the bed rest is very important, or at least avoid any strenuous activity."
Answer this question truthfully,"Cetuximab is a type of monoclonal antibody that is used to treat certain types of cancer. Its target is the epidermal growth factor receptor (EGFR), which is a protein that is found on the surface of some cancer cells. By binding to EGFR, cetuximab blocks the signal that tells the cancer cells to grow and divide. This can slow down or stop the growth of the tumor, and may also make it more susceptible to other treatments, such as chemotherapy or radiation therapy. Cetuximab is used to treat a variety of cancers, including colorectal cancer, head and neck cancer, and non-small cell lung cancer, among others."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear france pain is from muscular strain due to injury. you can take analgesic like ibuprofen or if severe pain take combination of diclofenac+paracetamol+chlorzoxazon/serratiopeptidase with omeprazole/pantoprazole + risperidone to relieve nausea for 2-3 days. this will clear all symptoms. if symptoms are severe consult your family doctor first. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... many thanks for consulting in chatbot. if your kid is normal in between fever episodes in a single day... i don't think you should worry as its only 3rd day of fever. danger signs include breathlessness/ rash/ low urine output/ seizures/ unconsciousness/ blood in motion. don't worry if these are not there & the kid is active. hope my answer was helpful for you. happy to help anytime. further clarifications and consultations on chatbot are welcome.
Answer this question truthfully,Initial infection with H. pylori may cause acute gastritis.
Please summerize the given abstract to a title,"Narratives of COVID: loss, dying, death and grief during COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, cannot say in your particular case, but generally, factor 5 leiden is a reason to be on blood thinners. surgery is a trigger for clot formation. if a large clot is inside a vessel then not only is it a reason to be on blood thinners, but there is a risk the clot can be fatal if dislodged, so someone is often hospitalized for 2 days while the blood thinners are started. but there are a number of possible other factors such as the previous bleeding, so i can only say generally what is done. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. for assessment of fetal growth ultrasonography is essential. intrauterine growth retardation clinically will not become evident before 20 weeks and seldom before 28 weeks.iugg may occur due to maternal diseases or maternal malnutrition. may be certain chromosomal disorders or congenital malformations responsible for these abnormalities. spinal defects occur due to maternal folate deficiency. better wait till the baby is born as nothing can be done now. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
Answer this question truthfully,"Anorexia nervosa is defined as excessive dieting, exercise, or binge eating/purging with BMI less than 18.5 kg/m2."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatdoctori have gone through your query. gout is usually presented with swelling and reddish appearance. mostly it will be on metatarsophalangeal joints of toe. even ankle, knee or hip or hand joints can be involved. if you have such symptoms you can run a blood level of uric acid test. but if that is normal it can be most likely sciatica. an orthopedic examination followed by an x-ray and mri if needed will rule out that. in such case nsaids like fetoprotein, muscle relaxants like thiocolchicoside and neurotrophic chatbot.  if it is present for long term then i advise muscle strengthening exercises and physiotherapy. hope this may help you. let me know if you have any further query. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should not require other vaccine shots. as the antibodies produced by the previous shots are still in circulation. this will prevent the virus to grow further. maintaining local hygiene at the site of bite, it helps you clear the wound. apply antiseptic cream regularly over the wound. it helps you clear the infection. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Please summerize the given abstract to a title,Cancer detection via primary care urgent referral and association with practice characteristics: a retrospective cross-sectional study in England from 2009/2010 to 2018/2019
Please summerize the given abstract to a title,Social Capital Resources in Coping with Distance Education during the COVID-19 Pandemic: A Content Analysis of the Statements of Teachers Working in Poland at Different Educational Stages
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for asking chatbot, i understand your concern. regarding your symptoms, you could have mid-cycle bleeding, so-called spotting. some women experience mid-cycle spotting around the time just after ovulation has occurred. this is thought to happen due to the chatbot.  because progesterone levels have yet to rise, a small amount of the endometrium may be shed. it is not something you should worry too much about, but my suggestion is to visit your gynecologist and make examination to exclude any severe condition. if your pain or bleeding becomes worse than visit your gynecologist immediately. i hope this answer was helpful to you."
Answer this question truthfully,"The diagnosis is a communicating hydrocele, and initial treatment is reassurance and follow-up as it should resolve by 6 months. If it does not resolve by 1 year, surgical excision of the sac may be necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through your query i came to know that you are suffering from chronic backache. it may be lumbar spondylosis. you are also having cervical spondylosis. back exercises, neck exercises, diapering, glucosamine sulfate, neurotrophic such as methycobalamin and analgesics (diclofenac slow release tablets) give relief.  avoid long continuous standing. sit in a straight posture. you can discuss with your treating doctor about it. i do hope that you have found something helpful. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,An optogenetic method for interrogating YAP1 and TAZ nuclear-cytoplasmic shuttling.
Please summerize the given abstract to a title,Mental Health and Psychosocial Support Online-Based Services To Improve Elderly Integrity and Reduce Loneliness During the Pandemic Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i passed carefully through your question and would explain that your daughters symptoms are suggestive of a possible bulging intervertebral disc bulging, which is causing a pinched nerve root and irradiating nerve pain in the arm. for this reason, i recommend consulting with a neurologist for a physical exam and a cervical spine mri study.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"Yersinia spp. is facultative intracellular. Facultative intracellular bacteria are those that have the ability to survive and replicate both inside and outside of host cells. In the case of Yersinia spp., they are able to invade and replicate within immune cells, such as macrophages, as well as replicate outside of cells in the extracellular environment. This ability to survive and replicate in multiple environments is thought to contribute to the pathogenicity of Yersinia spp. and their ability to cause disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the capping can be done under local anesthesia, it is a simple procedure. if your child is really uncooperative and not ready for the treatment then it has to be treated with general anesthesia. consult a pediatric dental surgeon and take a radiograph of the front teeth to decide is it necessary to give cap over four teeth because these teeth will shed at the age of 6-7years. i hope my answer will help you take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern. if the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection. gerd (gastroesophageal reflux disease) can cause similar kind of chest pain. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. you can take proton pump inhibitors. but along with chatbot.  avoid stress and tension. avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. quit smoking and alcohol if you have these habits. go for walk after meals. keep 2-3 pillows under head in the bed to prevent reflux. lose weight if you are obesedont worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Please answer with one of the option in the bracket,E: Administer amoxicillin/clavulanate
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i understand your query and concern. contraceptive pills are the main cause of elevated blood pressure in your daughters case. i advise you to have a baseline 2 dimensional echocardiography, ecg and lipid profile to assess the basic cardiac reserve of your heart. restrict the intake of salt to less than 6g/day. regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. chatbot. reduce the intake of fatty and fried food. endometriosis can be managed with other depot hormonal preparations.it's always safe to maintain your blood pressure under 125/80 mm of hg pressure. consult a cardiologist as well as gynecologist for further expert management. post your further queries if any. thank you."
Please summerize the given abstract to a title,"Physical Distancing Measures and Walking Activity in Middle-aged and Older Residents in Changsha, China During the COVID-19 Epidemic Period: Longitudinal Observational Study"
Please summerize the given abstract to a title,"Ictus isquémico e infección por SARS-CoV-2, ¿asociación casual o causal?/ Ictus isquémico e infección por SARS-CoV-2, ¿asociación casual o causal?/ Ischaemic stroke and SARS-CoV-2 infection: A causal or incidental association?"
Please summerize the given abstract to a title,"Characteristics and clinical course of adult in-patients with sars-cov-2 pneumonia in bogotá, colombia"
Answer this question truthfully,"A Multicentre, Prospective, Observational Study on the Predictive Role for Recurrence of D-dimer Levels Measured During and After Anticoagulation in Patients With a First Venous Thromboembolism Episode (the PROLONG-II Study)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot thanks for the query. biliary amnesia is serious congenital anomaly and kasai procedure is the only chance for them despite transplantation. kasais procedure has high rate of complication, and it is not always successful. however these findings are still not alarming as this is expected after such surgeries and of course his liver won't function as it was healthy. some elevation of lft is expected, and he needs only frequent check up. wish you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your doctor has prescribed the right medication for you. you can compare the result of your bp before 2 weeks and after 2 weeks.  generally, it may take 2 weeks to know the benefits of bp medications in blood pressure readings.  therefore, i suggest you wait for one more week and do modify your diet (avoid salty foods, high cholesterol foods, preserve foods, junk foods) and lifestyle (walk every day at least 30 mins).  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, please, do not worry about this condition. you probably have cervical nerve root compression or spondylosis. both can be treated with regular physiotherapy with exercise and course of pregabalin. certain lifestyle modification may also be needed, like sleeping without a pillow. you should get done an x-ray cs done for confirmation. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i can understand your concern regarding the skin lesions and hairless but it's difficult to point specific diagnosis in absence of clinical examination. therefore, i insist you to post good clinical pictures of skin lesions with detailed history about the same and hair loss so that i can help you in a better way. you can reach me directly through the below-mentioned link.http"
Please summerize the given abstract to a title,The Impact of Coronavirus Disease 2019 on Bariatric Surgery: Redefining Psychosocial Care
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot i have gone through your query, as you have indent on lower lips, and abscessed tooth don't worry, for abscess tooth you should consult dentist and go for root canal treatment if it is periapical abscess, and if it is periodontal abscess then go for oral prophylaxis, as you have indent on lip, if it is hunting you, then you can apply ointment mccoppin or colonel twice daily do warm saline gargle two - three times a consult dentist as early as possible and go for proper treatment.  hope it will help you."
Answer this question truthfully,The outcome depends on the cause of the ileus. Most of the time the cause is easily treated.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you are my patient, i would examine first, and ask for an ultrasound breast done with the axillary region (for lymph nodal enlargement). it will characterize the lesion, and adjacent structure involvement, fnac if necessary (fine needle aspiration cytology). so as scheduled see your doctor, and get the needful investigations and treatment done. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your symptoms may be related to candesartan treatment. in some studies, candesartan treatment has been associated to coordination problems and gait difficulty (called ataxia). neither simvastatin, nor metoprolol have any similar side effects. i recommend consulting with the gp for a careful physical examination and perform some lab tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ma thanks for posting your query on chatbot. i appreciate your concern for the safety profile for acton. actonel on long term use can cause ulcer or inflammation in the food pipe (esophagus) producing severe heart burn, difficulty in swallowing, abdominal pain, it is also associated with bone loss (osteoporosis) in the jaw. if you have any acidity related stomach upset it is better to avoid it. wait for your next appointment.meanwhile, you can take it d with calcium supplements which are available over the counter. hope this information helps you. wishing you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello...thanks for trusting the chatbot doctors for your health related queries. as u told that u had unprotected sex but your guy cock doesn't enter completely in your vagina...right.for getting pregnant penis should be completely inside the vagina, ejaculation should be inside the vagina and female should be in the fertile period (that is 10-16 day of period).as u already told that u had irregular menses and complete penetration of cock happened, so there is very less chance of pregnancy. with the above discussion u can try out my suggestions-1. relax... don't worry, there is rare chance of getting pregnant.2. wait till the next period occurs. if period came then nothing to worry.3. if period not happen then do urinary pregnancy test. if it comes positive then rush to nearby gynecologist. he/she can help you. good luck. free to ask for further queries. regards- chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having acute exacerbation of asthma. the most common cause for this is infection, and you are having cytoplasm infection. sometimes even with 7 days of antibiotics, infection is not cured. you need to give appropriate antibiotic for sufficient duration. so better to get done sputum culture and sensitivity report. sensitivity report will guide about appropriate effective antibiotic treatment. also get done pft (pulmonary function test) to know the severity asthma. you may need additional bronchodilators also. so first control infection. discuss all these with your doctor. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hihope this msg finds u in good health. i have gone through your complaints and understand your concern. u seem to have strained your soft tissues like muscle behind your neck. that's y d muscle is in spasm.u need to get a x-ray or mri done to rule out nerve compression causing pain in neck. take rest analgesics and anti-inflammatory tablets. hot fomentation. nothing to worry about. hope your question has been answered. if u have any follow-up queries, feel free to consult me anytime.  thanks take care god bless"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,An Alignment-Independent Approach for the Study of Viral Sequence Diversity at Any Given Rank of Taxonomy Lineage
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. i understand your concern. i have a few questions and will suggest few possibilities. questions
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, possibility of musculoskeletal pain is more in your case due to heavyweight lifting. so better to follow these steps for symptomatic relief. 1. avoid heavyweight lifting and strenuous exercise. 2. avoid movements causing pain. 3.  avoid bad postures in sleep. 4. sit with proper support. 5. apply warm water pad on affected areas. 6. take painkiller and muscle relaxant chatbot.  don't worry, you will be alright with all these in 5 - 7 days. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mri findings may suggest degenerative changes in cervical spine. degenerative changes are generally age related findings. it is due to chronic stress on annulus fibrosis. findings suggests inter vertebral disc bulge and bony spurs. bony spurs are due to chronic pull on annulus fibrosis. it is important to know nerve root compression etc. which is not mentioned in your query. majority of degenerative disc disease patients are benefited by conservative treatment in the form of physiotherapy, analgesics and muscle relaxants. surgery is advised in non responding cases. physiotherapy helps in strengthening of para spinal muscles, and it prevents further changes. you need proper evaluation by a neurologist. get well soon. take care chatbot."
Answer this question truthfully,"In females, 11- and 21-hydroxylase deficiency may present with irregular menses and infertility due to hyperandrogenism."
Please summerize the given abstract to a title,The Impact of COVID-19 on Diabetic Retinopathy Monitoring and Treatment
Answer this question truthfully,An MRI (magnetic resonance imaging) is considered the gold standard for the diagnosis of multiple sclerosis.
Please summerize the given abstract to a title,Novel Coronavirus Disease (COVID-19) Mitigation Steps Provide a Blueprint for Malaria Control and Elimination
Please summerize the given abstract to a title,On evidence fiascos and judgments in COVID-19 policy
Please summerize the given abstract to a title,Dialectics and dilemmas arising from Covid-19 immunity testing: presenting a workforce management paradox
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail. all you reports are more or less normal. although you have slightly raised creatinine, it is not of much worry. if a person has some serious renal disease, the creatinine levels are surely at least 1.6-1.8. a 1.3 level can also be found if there is some deny chatbot. you medications of oenology and popular are fine. hope i am able to answer your concerns. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","you may be experiencing either alterations in blood pressure control referred to as orthostatic hypotension or you may be suffering from the earliest stages of nutritional/metabolic deficiencies such as vitamin b12, folate, vitamin d, or magnesium.  i would get all of these looked at through specific blood tests before embarking upon treatment because you don't want to be wasting time and money treating things that are not a problem, make sense?  you could also be suffering from a mild urinary tract infection which may seem almost absurd for the symptoms, but one thing i've learned long ago as a doctor....and that is....there is always a reason why the medical tv programs always talk about getting urine tests on everyone......and that's because you'd be absolutely floored by the variety of conditions, symptoms, and sensations people can very quickly get rid of once they treat a mild urinary tract infection that they never suspected they had if not for their doctor just following the same recipe guide as the guys grey's anatomy do!  lol!!  those are my opinions based upon your limited history.  please rate this a 5-star encounter and write to me at"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. morning sickness is most common during the first trimester but can occur during any phase of the pregnancy. as for the diarrhea or bowel irregularity, this can also occur during any phase in pregnancy but as long as it does not lead to deny chatbot. other symptoms of thread worm include insomnia, bed wetting, itching around the anal region, bed wetting, skin infection, etc. diarrhea is usually not a symptom associated with thread worm, although it can occur, it is not due to the thread worm. you can choose to visit your doctor and get examined, but in my opinion it seems unlikely. also make sure you ask your husband to help with taking care of your daughter, and also use separate restrooms. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, with history, i understand that the flat foot issue is from a long time. the first thing you should do it to change the footwear. insert the medial arch which is widely available nowadays in the form of silicone material. using that can help avoid any excessive pressure over the arch and also will help you avoid bruises. now post the use of the medial arch there may be chances you will have pain in the feet and leg muscles like the calf. but that is common. proper retraining of those muscle groups under a guided physiotherapist should help. as due to flat feet you may have developed a new adjustment of movements based on requirements. so a physiotherapist will be of good choice for prescribed desired exercise. rest assured. you may not be able to completely get rid of flat feet so soon but at least will avoid future damage to the tissues. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
Please answer the letter of option truthfully,B
Answer this question truthfully,"The most common symptoms of scarlet fever are:
Scarlet fever begins with a rash that shows up as tiny red bumps. It most often begins on the chest and stomach but can then spread all over the body. It looks like a sunburn and feels like a rough piece of sandpaper. Most of the time it is redder in the creases of the elbows, arm pits, and groin areas. The rash lasts about 2-7 days. After the rash is gone, the skin on the tips of the fingers and toes begins to peel. Some other common signs of scarlet fever are: A flush face with a pale area around the lips; A red and sore throat that can have white or yellow patches; A fever of 101 degrees Fahrenheit (38.3 degrees Celsius) or higher; Swollen glands in the neck; and A whitish coating can appear on the surface of the tongue. The tongue itself looks like a strawberry because the normal bumps on the tongue look bigger.
Other less common signs of illness include:
Feeling sick to your stomach (nausea) and throwing up (vomiting); Having a headache; and Having body aches."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you and give my opinion. you should know that this skipped beat has to do with a rhythm issue. there are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. they cause premature heart contraction that it's not a normal one followed by a pause, and you might experience a skipped beat, palpitations, difficulty in breathing deeply, anxiety. there are different causes of this rhythm issue like simple stress, coffee or energy chatbot. you mention that you have already done a holder rhythm monitoring and it doesn't reveal anything abnormal. this is very good news. but you should know that this palpitation is sporadic episodes, and it is difficult to catch them. if i was your treating doctor i would insist on finding the cause and i would recommend a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and a street test as you say you are suspected for atherosclerosis. it is essential to exclude ischemic heart disease. after all this we can better judge what we are dealing with and if we should treat medical. hope i was helpful. best regards,"
Answer this question truthfully,"Another name for Vitamin B5 is pantothenic acid. Pantothenic acid is a water-soluble vitamin that is essential for human health. It plays a key role in the metabolism of carbohydrates, fats, and proteins, and is important for the health of the skin, hair, and nails. Pantothenic acid is found in a variety of foods, including meat, fish, eggs, and whole grains. While pantothenic acid deficiency is rare, it can lead to symptoms such as fatigue, irritability, and digestive problems. Pantothenic acid supplements are sometimes used to treat these symptoms, but it is important to speak with a healthcare provider before starting any new supplement regimen."
Please summerize the given abstract to a title,Long‐term effects of face masks on skin characteristics during the COVID‐19 pandemic
what are the causes of pulmonary hypertension,"The World Health Organization divides pulmonary hypertension (PH) into five groups. These groups are organized based on the cause of the condition.  In all groups, the average pressure in the pulmonary arteries is higher than 25 mmHg at rest or 30 mmHg during physical activity. Group 1 Pulmonary Arterial Hypertension Group Group 1 PAH includes: PAH that has no known cause.  Group 2 Pulmonary Hypertension Group 2 includes PH with left heart disease. Group 3 Pulmonary Hypertension Group 3 includes PH associated with lung diseases, such as COPD (chronic obstructive pulmonary disease) and interstitial (IN-ter-STISH-al) lung diseases. Group 4 Pulmonary Hypertension Group 4 includes PH caused by blood clots in the lungs or blood clotting disorders. Group 5 Pulmonary Hypertension Group 5 includes PH caused by various other diseases or conditions."
Please summerize the given abstract to a title,OpenStreetMap data use cases during the early months of the COVID-19 pandemic
Please summerize the given abstract to a title,Perioperative and Long-Term Anatomical and Subjective Outcomes of Laparoscopic Pectopexy and Sacrospinous Ligament Suspension for POP-Q Stages II–IV Apical Prolapse
Answer this question truthfully,Trendelenburg sign is characterized by tilting of the pelvis contralateral to the lesion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. the best solution is surgical removal of gallbladder and this should be done asap since some serious consequences may occur such as pancreatitis. also, you need to avoid fried food, carbonated chatbot.  you should eat more milk products, vegetables and boiled food. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as you have turned 60, there will be an aging factor to increase the pain as muscles become weak due to degenerative changes happening. also in my clinical practice many patients come up for similar issues with past history of injury and chronic pain. physical therapy is recommended and by strengthening the muscles of the shoulder girdle the mobility is regained. also, for pain management, therapeutic ultrasound therapy and tens therapy is used which performs well. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear thanks for the query on chatdoctorthe lump that you have noticed, is it sudden is it over skin or deep and the size site of the lump on the abdomen matters. you need to visit a physician who will examine and let you know. if it is from skin could be epidermis cyst. if deep could be a lipoma(fatty swelling), a hernia, a liver lump or a spleen lump or intestine lump. these can be assessed by an ultrasound of the region. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that low blood pressure can be associated to different symptoms"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! venu, i understand your need and dilemma. lasers are costly and then in becker the results are variable too. you are right in your way. i think to be doubly sure, you can get a skin biopsy done and then go ahead with the tattoo. as such, tattoo should not cause cancer. but your tattoo artist should be experienced too. by the way, where do you belong to. wish you good health, regards, chatbot."
Answer this question truthfully,Pneumocystis pneumonia is an AIDS-defining illness that presents with a CD4+ count < 200.
Answer this question truthfully,Who is mostly affected by the effects of hyperemesis gravidarum? The effects of hyperemesis gravidarum are mostly to the mother.
Answer this question truthfully,"Erythema nodosum is a painful, raised inflammatory lesion of the subcutaneous fat (panniculitis), and it typically occurs on the anterior shins. Erythema nodosum is a type of skin inflammation that results in tender, red bumps or nodules on the skin. The nodules are usually located on the lower legs but can also occur on other areas of the body, such as the arms or trunk. Erythema nodosum can be caused by a variety of factors, including infections, medications, and autoimmune diseases. It is usually self-limited and resolves on its own within a few weeks to months."
Answer this question truthfully,Asherman syndrome is a condition that manifests as secondary amenorrhea and can be caused by repeated endometrial infection and uterine surgeries.
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* mold spores are very common component of our household dust.* they produce variety of symptoms depending upon the host response & load of the organisms, ranging from allergic infections, respiratory disorders, fungal sinusitis & much more.@ so condition of both of you relate to exposure of that toxic mold in be chatbot. hope this helps you. welcome for any further assistance. thanks for using chatbot .com & giving me an opportunity to assistwishing fine recovery for both of you. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. your history of flu like symptoms, abdominal pain, vomiting, nausea, headache which has isolated to the left side and nose bleed is indicative of the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern and would like to directly review your resting ecg for a more professional opinion.  considering your other symptoms, i would recommend performing an exercise cardiac stress test and a doppler ultrasound of the carotid arteries in order to examine the blood flow int them.  you should discuss with your doctor on the above tests.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"There is very little risk involved with having your blood taken. Veins and arteries vary in size from one patient to another and from one side of the body to the other. Taking blood from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight but may include:
Excessive bleeding Fainting or feeling light-headed Hematoma (blood accumulating under the skin) Infection (a slight risk any time the skin is broken)"
Answer this question truthfully,Rett syndrome symptoms usually become apparent between ages 1 to 4.
Please summerize the given abstract to a title,Crise Ambiental e Pandemia: Descaminhos no Brasil e Rumos para uma Nova Governança
Answer this question truthfully,"The condition is most often seen in females. When it occurs in males, it can be deadly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello david, thank you for asking at chatbot. although both walnut & fish are known as major food allergy causes, your history is not typical of that of a food allergy/reaction. most important thing, an allergic reaction cannot cause one-sided symptoms, in your case you have blocked right sided nostril. one-sided symptoms usually point to some local cause. fish is considered a histamine-rich food, however, again, histamine would not cause one-sided nose blockade. one more thing, food allergy usually manifests as rhinitis symptoms within 1-2 hours of consuming food. so by keen observation, you can know that which food may be the cause. thus, although both walnut & fish are considered highly allergenic, and they can be tasted for allergy also, at present i would suggest you not to worry and if you have significant one-sided nasal obstruction, i would advise you to consult an ent specialist who will examine the nasal cavity. hope this will help you. wish you best of the health. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is possible, as you suggested, that you have a sinus infection. this would cause facial pain and swelling, nasal discharge and can also be associated with ear pain, vertigo. the use of oral antihistamines, oral and topical decongestants would help to relieve some of your symptoms. these are available over the counter. steam inhalation may also help to relieve facial congestion. if antibiotics are needed, you would need a prescription from your doctor. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi lebeau welcome to chatbot there are no symptoms which suggest fallopian tube block. common complain caused by bilateral tubal block is inability to conceive (infertility). block tubes may have symptoms of disease which caused them e.g. pelvic inflammatory disease, tuberculosis. symptoms like foul smelling discharge per vagina, backache, pain lower abdomen etc. may be present. consult a gynecologist for further investigations. take care."
Please answer with one of the option in the bracket,D: Reassurance
Please answer with one of the option in the bracket,B: He has a fixed false belief.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear uganda, it seems that your mother is either overweight or obese that may be the reason to lose weight. long-standing overweight or obesity leads to deposition (storage) of excess fat in liver. so fatty liver is a very common finding when obese person gets sonography, even he/she is asymptomatic. this excess fat in liver causes liver damage if it remains in liver for very long time. at this time person usually complains of easy eligibility, less desire to eat, mild upper abdominal discomfort and liver specific blood test showed some sort of liver damage in form of elevated liver enzymes (got/sept). in your mothers case, this is a warning sign that now weight loss should be sincerely considered and to be maintained for forever.  so consult your gastroenterologist who check blood liver enzyme levels and if they are normal or even elevated, follow strict plan for weight loss and opinion of your gastroenterologist.  your another query will also be welcomed.  chatbot. com"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot. i read your query. bleeding from gums can be due to several reasons main being gum disease, vitamin c deficiency, etc. i suggest you to maintain good oral hygiene. brush twice a day, specially at night to avoid any food left sticking in gums. use mouthwash with tannin acid. floss every day. take good diet, lots of fluids, multivitamin supplements. visit dentist regularly and get oral prophylaxis done every 6 months to a year as suggested. if bleeding persists longer, get blood test done for anemia, clotting factors and consult a physician. hope the answer helps you. thank you!"
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, this could be allergic asthma, if this so then this can be best treated with bronco dilator and antihistamine, some time steroid can be tried, but you have to be qualified that, like your age and gender is matter here with no history of endocrine disease, or any immunological disorders, hope this information helps, take care have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting in chatbot. vomiting in supposedly just another symptom caused due to myocardial infarction as there are symptoms like chest pain and pain in left arm or sweating. the duration of death due to myocardial infarction depends on the severity of the damage done to the heart muscles. if there is lots of damage done, it will be instantaneous. but if a patient is taken to hospital and managed immediately and required treatment is provided in golden period of time, he can survive. so, if you gave cpr to him, and he has vomited and been taken to hospital immediately there are chances he might make through."
Answer this question truthfully,Nasopharyngeal carcinoma is associated with Epstein-Barr Virus (EBV).
Please summerize the given abstract to a title,Receptor-binding domain of SARS-CoV spike protein induces long-term protective immunity in an animal model
Answer this question truthfully,Late-look Bias.
Answer this question truthfully,"Tourette's syndrome can be managed through a combination of approaches. Behavioral training, such as habit reversal therapy, can be effective in reducing the frequency and severity of tics. In addition, medications can be used to help manage symptoms. Anti-dopaminergic medications, such as haloperidol and risperidone, are commonly used to treat tics by reducing the activity of dopamine in the brain. Alpha-2 adrenergic agonists, such as clonidine and guanfacine, are also used to treat tics by reducing the activity of norepinephrine in the brain. Other medications, such as botulinum toxin injections, may also be used in some cases. The specific treatment approach will depend on the individual patient and the severity of their symptoms."
Please summerize the given abstract to a title,What's Playing in Your Waiting Room? Patient and Provider Stress and the Impact of Waiting Room Media
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... all lower abdominal pains and groin pain may not be sourced only by hernia. please don't be suspicious on that always. i would like to ascertain certain features before heading towards investigation and confirmation of early symptoms of hernia.there should be pain while coughing...pain need to be radiating to groin need to be same and that should not alter while squeezing my thigh.there should not be any pain originating from the mid back region...there should not be any alteration in pain when i press on the front pelvic bone junction archive a good anti gastritis table careful while working out with heavy weights in gym . use proper abdominal supporter and protect yourself hope this is helpful for you...
"If you are a doctor, please answer the medical questions based on the patient's description.","if you were pregnant in the past than you can be pregnant. most of the time there is no problem in getting pregnant. but there are many other factors like increasing age, husband semen report and more which are changing over the time and pregnancy can be difficult. get consulted nearby gynecologist. get some test done if required after discussion with doctor. you may require some more test even after conceiving."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of rashes on face after waxing it which is due to contact dermatitis and could be due to an allergic reaction. need not worry. i would suggest you to consult dermatologist once for proper examination. doctor may prescribe antihistamine medications along with corticosteroid ointment. you should avoid touching or pricking these red rashes. for now take ben chatbot.  you should avoid direct sun exposure and avoid any cosmetic product. hope your concern has been resolved. best wishes,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Reconsidering nafaqah of family resilience during the COVID-19 pandemic in Islamic legal perspective
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...the most common reason for pain abdomen in kids is constipation. the other parameter you have quoted like high counts and low alkaline phosphatase are not related to pain abdomen. it could be constipation. i have certain questions and suggestions for you. questions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have read your concern. i think your child has loose bowels may be due to some bacterial or viral infections. would like to suggest some home remedies, and i hope this will help.1. make a decoction of sauna (fennel seeds) 10 gm with 2 glass full of water. simmer it on fire and when left half... filter it and give your child spoon by spoon through the day. this will help in improving intestinal flora. you should use this remedy for a year long. make sure make the decoction fresh daily.2. make one tea without adding milk and sugar. now add half banana into it and mash it properly. consume this mixture. this will instantly help in stopping the loose motions.3. add 1-2 cups of freshly homemade curd into his diet. curd is a natural probiotic. it helps in digestion.4. abstain from milk for some time.5. give him zinc rich diet. or you can also purchase a good zinc solution from market. still if you have any query please feel free to ask. we are at your service. wish him a speedy recovery. thanks"
Please summerize the given abstract to a title,Glean lessons learned from foster care support programs to help students succeed after pandemic‐related trauma
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. black filling that you are taking about could be traditional silver amalgam filling. today in advance dentistry there are many more newer materials added, which can fulfill all requirements of a good filling, both in strength and aesthetics. i would suggest you to visit your dentist and get an appropriate filling done for your tooth. i am sure both aesthetics, and strength will be well taken into consideration. hope it helps.thanks.take care"
Answer this question truthfully,"Senile cardiac amyloidosis is a condition characterized by the deposition of abnormal protein in the heart tissue, which can lead to heart failure. The protein that is deposited in this condition is called transthyretin (TTR), and it is a non-mutated protein. The accumulation of TTR in the heart tissue can interfere with normal heart function, leading to symptoms such as shortness of breath, fatigue, and swelling in the legs and ankles. While the exact cause of senile cardiac amyloidosis is not fully understood, it is believed to be related to the aging process and the accumulation of misfolded proteins in the body over time."
Please summerize the given abstract to a title,Randomized Assessment of the Safety and Efficacy of Intra-Arterial Infusion of Autologous Stem Cells in Subacute Ischemic Stroke.
Answer this question truthfully,Norovirus is the viral cause of gastroenteritis that is more commonly seen in adults.
Answer this question truthfully,"Mesalazine File:Mesalazine structure.svg Clinical data Routes of administration oral rectal ATC code A07EC02 (WHO) Pharmacokinetic data Bioavailability orally: 20-30% absorbed rectally: 10-35% Metabolism Rapidly & extensively metabolised intestinal mucosal wall and the liver. Elimination half-life 5 hours after initial dose. At steady state 7 hours Identifiers IUPAC name 5-amino-2-hydroxybenzoic acid CAS Number 89-57-6 PubChem CID 4075 DrugBank APRD01098 E number {{#property:P628}} ECHA InfoCard {{#property:P2566}} Lua error in Module:EditAtWikidata at line 36: attempt to index field'wikibase' (a nil value). Chemical and physical data Formula C 7 H 7 N O 3 Molar mass 153.135 g/mol
WikiDoc Resources for Mesalazine Articles Most recent articles on Mesalazine Most cited articles on Mesalazine Review articles on Mesalazine Articles on Mesalazine in N Eng J Med, Lancet, BMJ Media Powerpoint slides on Mesalazine Images of Mesalazine Photos of Mesalazine Podcasts & MP3s on Mesalazine Videos on Mesalazine Evidence Based Medicine Cochrane Collaboration on Mesalazine Bandolier on Mesalazine TRIP on Mesalazine Clinical Trials Ongoing Trials on Mesalazine at Clinical Trials.gov Trial results on Mesalazine Clinical Trials on Mesalazine at Google Guidelines / Policies / Govt US National Guidelines Clearinghouse on Mesalazine NICE Guidance on Mesalazine NHS PRODIGY Guidance FDA on Mesalazine CDC on Mesalazine Books Books on Mesalazine News Mesalazine in the news Be alerted to news on Mesalazine News trends on Mesalazine Commentary Blogs on Mesalazine Definitions Definitions of Mesalazine Patient Resources / Community Patient resources on Mesalazine Discussion groups on Mesalazine Patient Handouts on Mesalazine Directions to Hospitals Treating Mesalazine Risk calculators and risk factors for Mesalazine Healthcare Provider Resources Symptoms of Mesalazine Causes & Risk Factors for Mesalazine Diagnostic studies for Mesalazine Treatment of Mesalazine Continuing Medical Education (CME) CME Programs on Mesalazine International Mesalazine en Espanol Mesalazine en Francais Business Mesalazine in the Marketplace Patents on Mesalazine Experimental / Informatics List of terms related to Mesalazine
Mesalazine (INN, BAN), also known as Mesalamine (USAN) or 5-aminosalicylic acid (5-ASA), is an anti-inflammatory drug used to treat inflammation of the digestive tract (Crohn's disease) and mild to moderate ulcerative colitis. Mesalazine is a bowel-specific aminosalicylate drug that is metabolized in the gut and has its predominant actions there, thereby having fewer systemic side effects.
As a derivative of salicylic acid, 5-ASA is also an antioxidant that traps free radicals, which are potentially damaging by-products of metabolism.
5-ASA is considered the active moiety of sulfasalazine, which is metabolized to it."
Answer this question truthfully,"Dead space refers to the ventilation of lung regions that are not perfused, meaning that there is no blood flow to these areas. This can occur when there is a mismatch between ventilation and perfusion, such as when air flows to areas of the lung that are not receiving blood. The ratio of ventilation to perfusion is known as the V/Q ratio, and when this ratio is infinite (V/Q = infinit), it means that there is no blood flow to the area being ventilated. Dead space can lead to a decrease in the efficiency of gas exchange in the lungs, as the air being breathed in does not come into contact with blood vessels where oxygen and carbon dioxide can be exchanged."
Please summerize the given abstract to a title,Hantavirus Induced Kidney Disease
Please summerize the given abstract to a title,Current and emerging immunomodulators for treatment of SARS-CoV2 infection (COVID-19)
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your grandfathers situation and problem. he is having coughing, only and only due to smoking.  so ask him to quit smoking as soon as possible. following are the possible common causes for chronic, continuous coughing in heavy smokers.1. copd (chronic obstructive pulmonary disease)2. chronic infection like tuberculosis3. lung cancer4. pulmonary fibrosis. so better to consult pulmonologist and get done1. chest x ray2. put (pulmonary function test)3. ct thorax if required. chest x-ray is needed to rule out lung infection. pft is needed to rule out bronchitis. ct thorax is needed to rule out lung cancer and fibrosis. so consult pulmonologist and first diagnose himself and then start appropriate treatment. smoking cessation should be the first step in his case."
Answer this question truthfully,"Call 911 if:
You feel short of breath. You have chest pain, especially if it feels like pressure or tightness. Call your doctor right away if: You have heart disease or kidney disease and the swelling gets worse. You have a history of liver disease and now have swelling in your legs or abdomen. Your swollen foot or leg is red or warm to the touch. You have a fever. You are pregnant and have more than just mild swelling or have a sudden increase in swelling. Also call your doctor if self-care measures do not help or swelling gets worse."
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Preventive health behaviours during coronavirus disease 2019 pandemic based on health belief model among Egyptians
Answer this question truthfully,"Some babies with congenital hypothyroidism do not appear any signs at birth.
Some may have one or more of the following symptoms:
Weight gain Puffy face Swollen tongue Hoarse cry Low muscle tone Cold intolerance Persistent constipation Fatigue and weakness Little to no growth Without therapy, the child later may show signs of neurological impairment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. the bp is said to be high when it is equal to more than 140/90 mm hg. if high bp is associated with protein in urine and edema feet then it is called preeclampsia. it might be due to cause at blood vessels level.don't worry as there are medicines available which control the bp. if the bp is not getting controlled with medicine and is persistently high then labor is artificially induced for delivery. if the bp is controlled and the fetal movements are good you can wait up to edd. so relax and avoid stress. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot firstly, the amount, viscosity, time of liquefaction, fructose test all are within normal limit.  total sperm count is also normal (normal is > 15 million / ml as per who 2010).  motility also within normal limit (normal is > 40% as per who2010).  morphology is also good (normal is > 04% as per who 2010).  so, overall, the report is quite satisfactory. he is totally fertile."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that esr or erythrocyte sedimentation rate is the non-specific marker of underlying inflammation of the body. so there must be some inflammation in your lung which cause high esr. yes your range if esr is high which is 47. normal range of esr is 20 to 25 mm/hour. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
Please summerize the given abstract to a title,Uveitis as an Open Window to Systemic Inflammatory Diseases
Answer this question truthfully,MRI is not diagnostic tool for T-cell prolymphocytic leukemia evaluation.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","no your bone has no deformity,,, so be relaxed, but yes the bump may remain for a longer time, go for a foot x-ray to confirm whether there's an old fracture, first palpate whether the bump is soft or it appears bony n hard, if its soft and tender it represents ligament tear if its bony and hard it may be a bone damage, check it. if its soft it will heal with time and immobilization, if its hard and bony you may need surgery, if ligaments do not heal within 7 months and pain doesn't subsides you may need surgery for that too."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","generally, small pieces of food stuck in the throat will dissolve on their own by being exposed to saliva from the mouth. you can wait for this to happen if symptoms are not overly troublesome. chewing gum or sucking on lozenges increase the amount of saliva produced and can help with this process. sometimes the piece of food might be up so high that it actually has to come out your nose. that would take a lot of blowing or snorting, and having food come up through your nose feels really gross. if your child is fine, take some time. it will be fine. for further questions, do contact us."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, valley fever is due to fungus cocidiodomycosis infection. as per your symptoms, it doesn't look like valley fever because this fungus mainly affects lungs and you don't seem to have bronchitis or sputum secretions. your chest tightness and cough are due to asthma. you might have common cold, allergic rhinitis, sinusitis or upper respiratory infection. you must take antibiotics full course (quinolones or accolades group preferred) with antipyretic and analgesics along with treatment of asthma. so better you consult for pulmonologist or physician."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thank you for your query. i am sorry about your brother and this serious diagnosis. vomiting black vomit is a sign of upper gastrointestinal bleeding which can be more or less severe but in every case this isn't good sign. it can be bleeding which might be possible to treat with blood transfusions but not for long time.... surgical or endoscopic treatment is probably impossible to perform. but hope for the best. wish you good health.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, according to your clinical history i suspect that there can be abscess formation due to food lodgment between the tooth and the crown. i would suggest you to visit the dentist and get the checkup done take the x-ray done, go for symptomatic treatment of complete mouth scaling and polishing curettage. apply metro oral ointment topically over the affected area. take a course of antibiotics and analgesics. take lukewarm saline and antiseptic mouthwash rinses. hope this helps out. regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! your symptoms could be related to an infection. the pimples are caused by inflammation or infection. the fact that there is a scull hole, makes the situation concerning about a possible spreading of the infection. coming to this point, i would recommend consulting with your attending physician for a physical exam and performing some tests"
Please summerize the given abstract to a title,[Treatment strategy and thought on classical herbal formulae for coronavirus disease 2019].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough neuromuscular assessment is advised along with mri. as most listless cases have stiff spine and that is due to the protective mechanism of the brain to safeguard the spine. performing regular physical therapy will help regain the mobility and also the adl at ease. in my clinical practice i have been seen abundant cases of spondylolisthesis and all response well to physical therapy. performing exercises on a longer run can only keep the spine and the body active. stiffness of the lumbar spine is connected to the movement of the listless and needs a thorough exercise program. regardsjay in chatbot."
Answer this question truthfully,"Irritation and itching of the genital area Inflammation (irritation, redness, and swelling) of the labia majora, labia minora, or perineal area Vaginal discharge Foul vaginal odor Discomfort or burning when urinating"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, thanks for writing to us. vitamin e, known for its healing qualities, helps nourish skin and fade scars. open a vitamin e capsule and apply gel directly to the scars twice a day until you see them start to fade, then apply once a day thereafter. eat foods rich in vitamin k. these are good for your skin because vitamin k helps heal and protect skin from wounds and scars. slice a fresh lemon and brush across your chicken-pox scars. coat chicken-pox scars liberally in honey once a day. rub raw garlic on your chicken-pox scars at night. if your scars are new, rub sandalwood oil on them. do this for a few months, and you just might prevent your scar from setting in the first place. if your scars are very old, rub coconut oil on them every morning. hope this helps you. wishing you good health... regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are mostly having seasonal bronchitis. your treatment is partially correct. according to standard guidelines, instead of domain 40000, you should start inhaled bronchodilators and inhaled corticosteroid. domain is having doxophyllin. it is a oral bronchodilator. inhaled bronchodilators are the treatment of choice for bronchitis as they are having very less systemic side effects and quick onset of action as compare to oral bronchodilators. so discuss this thing with your doctor and get prescription for inhaled bronchodilators and inhaled corticosteroid. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,The Mediating Role of Resilience and Life Satisfaction in the Relationship between Stress and Burnout in Medical Students during the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good evening. thanks for your query. i studied the query in-depth. i understand your concerns. with whatever facts told in your query, i would try to give most probable causes to help you to reduce your worry.-by your description, its mostly of -sebaceous cyst on the back of neck with little infection and inflammation-may be by trauma or handling.-i would advise ruling out the cervical spondylitis and hypertension with dry cervical-spine and physicians opinion, as a cause of the pressure to back of your head and neck.-the infected sebaceous cyst could be a cause for the head and neck pressure.-excision biopsy after antibiotic / nsaid cover would relieve you with this movable lump.-you need not worry of the outcome as this-tumour is non-cancerous.-hope this would help to regain the lost-health fast.-wishing you early recovery and good health. wellcome again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellopcod is the main reason of your irregular bleeding. cysts are often caused by hormone changes. to be frank, if cysts are not to be cured you will not get relief. using birth control pills can sometimes regulate hormone levels so that the cysts can be taken care of. so consult your gone and most probably birth control pill and metformin are the best chatbot. need not fear, once you stop birth control pill as long as there are no medical concerns, you should not have any problems in future for irregular bleeding. so consult gone get his opinion. hope this will help you. in my opinion there is any natural remedy for pod case. good luck."
Answer this question truthfully,"Androgen abuse does not have a significant effect on body hair, as it typically results in normal body hair."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some skin adnexal tumor or tumor arising from nose like potato tumor.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should rule out arrhythmia (rhythm disturbances in heart) in your case because your symptoms like fast heart beating, flushing of body, pounding sensations, chest tightness etc. are commonly seen with arrhythmia. so consult cardiologist and get done 1. ecg 2. 2d echo 3. holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about arrhythmia or other heart diseases. sometimes stress and anxiety can also cause similar symptoms. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  avoid stress and tension, be relaxed and calm. don't worry, you will be alright bit first rule out arrhythmia. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,What are the factors that affect post COVID 1st month's continuing symptoms?
Answer this question truthfully,"Pleurisy may develop when you have lung inflammation due to infections such as pneumonia or tuberculosis. It is often a sign of a viral infection of the lungs. This inflammation also causes the sharp chest pain of pleurisy.
It may also occur with:
Asbestos-related disease Certain cancers Chest trauma Pulmonary embolus Rheumatic diseases"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history, i assume that you have allergies to molds and would like to make suggestions for you as follows"
Please summerize the given abstract to a title,Harnessing the Power of Networks of Care for Universal Health Coverage.
Answer this question truthfully,"The standard treatment for patients diagnosed with disseminated histoplasmosis is intravenous Amphotericin B for one to two weeks, followed by oral itraconazole for more than a year.

Disseminated histoplasmosis is a fungal infection that can affect various organs in the body. The treatment for disseminated histoplasmosis usually involves antifungal medications. Intravenous Amphotericin B is the initial treatment of choice for disseminated histoplasmosis, which is given for one to two weeks. After the initial treatment, oral itraconazole is typically prescribed for a period of more than a year to prevent relapse. Itraconazole is an antifungal medication that helps to prevent the growth of the fungus that causes histoplasmosis. Patients with disseminated histoplasmosis should work closely with their healthcare provider to determine the best course of treatment based on their individual needs and medical history."
Please summerize the given abstract to a title,Technetium-99m complexes of l-arginine derivatives for targeting amino acid transporters.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.do you have any addictions?age?did he advise any antispasmodic(pain medicine).?take that for pain relief if he didn't, take a tuscan for pain relief. occasionally nausea and vomiting are side effects of navigate.nothing to worry if it happens for once.if the problem persists visit your doctor.take plenty of water.hope my answer helps you if you have any more queries i would be happy to answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i will advise mri spine to see for any nerve compression leading to back pain. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. as mri shows disc compressing on nerve root then surgical decompression is permanent solution. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your symptoms are related to the herniated disc at l4-5 region. for pain relief, you could take pregabalin or gabapentin capsules. bed rest is also required if the disc prolapse is severe. in addition, you should avoid bending forwards and lifting heavy weights. if these measures do not help, epidural injections may be required. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"Bronchiectasis is the obstructive lung disease that may be caused by Kartagener syndrome. Kartagener syndrome is a rare genetic disorder that is characterized by a triad of symptoms, including situs inversus (a reversal of the normal positions of the abdominal and thoracic organs), chronic sinusitis, and bronchiectasis. Bronchiectasis is a condition in which the bronchial tubes in the lungs become damaged, widened, and scarred, leading to chronic cough, shortness of breath, and recurrent respiratory infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. based on the facts of your query, you seem to suffer from-bronchitis with pleuritic of the post. lower lobe with ?recovering pneumonitis patch , which is giving you hurts when you laugh or cough lately. this sign of pain on laugh is bad sign, as it suggests the pneumonitis patch in recent times of your progress of this illness, which is recovering, but could become worst if not treated in time with experts hands.treatment -suggested would be-x-ray chest x every week's time for 2 weeks by which time things would come under control, clinically totally.-add amoxicillin with cavulanic acid(augmenting) 1 x 2-3 times per day 10 days time-sputum afb -testing-plenty of fluids.-tab mucinex-d 1 x 2 times per day x 5 days time.-tab omeprazole 40 mg 1 x 2 times per day x 5-10 days time -liq gaviscon-2 sf x 3 times -post intake-x 5-10 days time for the reduction of reflex lung secretions in the lower lobe-tab voltaren 1 x 2 times per day, till the pain is controlled x 5 days time. with this cough / cold -bland diet / more of liquid veggies x 2 times per day. hope this would help you to reduce worry with your problem. take care and wish you to recover fast and live healthy. hope this reply would help you to plan further treatment with your family and specialist doctors there. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
Please summerize the given abstract to a title,Oncogenic transformation of human benign prostate hyperplasia with chronic cadmium exposure
Please summerize the given abstract to a title,"(−)-6-epi-Artemisinin, a Natural Stereoisomer of (+)-Artemisinin in the Opposite Enantiomeric Series, from the Endemic Madagascar Plant Saldinia proboscidea, an Atypical Source"
Answer this question truthfully,Uric acid kidney stones are typically minimally visible on CT scans.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, rule out prostate problem by serum psa estimation and trans rectal usg (ultrasonography) investigation with pelvic usg. if prostatic problem present than will be detected in usg report. if prostate enlargement present, then for that tamsulosin like chatbot.  usg is helpful in finding out cause. according to cause, specific treatment can be given. consult surgeon for examination and accordingly investigation done. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult pulmonologist and get done1. chest x ray2. put (pulmonary function test) to rule out chest infection and bronchitis. even after treatment for 8 days, you still feel hard on breathing, so better to rule out above possibilities first. you may need inhaled bronchodilators too. and don't chatbot. it is not a good habit. you should quit all your habits. so consult pulmonologist and discuss all these and start treatment accordingly."
Answer this question truthfully,"Aspirin is a type of medication commonly used as antiplatelet therapy in the treatment of acute coronary syndromes such as unstable angina, STEMI, and NSTEMI."
Answer this question truthfully,DR3 is the HLA subtype associated with Hashimoto thyroiditis.
Please summerize the given abstract to a title,Contributions of the pandemic to the redefinition of quality management systems in higher education: The case of the Polytechnic Institute of Setúbal
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you can hold proximal and start after taking injection. physiotherapist will help you better to learn more exercises in proper protocol. if required intra-articular injection can be given. diet rich in calcium and protein will help. osteoporosis can be associated, so you may need to take calcium supplement. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please summerize the given abstract to a title,Forecasting pharmacy purchases orders
Answer this question truthfully,The Jod-Basedow phenomenon describes thyrotoxicosis (hyperthyroidism) in a patient with iodine deficiency who is made iodine replete.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern and would agree with you on the fact that this procedure can lead to a lot of adverse effects, considering your past medical history. for this reason, i would recommend taking garcia cambodia for a period of three months, and make some modifications to your lifestyle (consulting with a dietitian and performing a lot of physical activity).  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. thanks for writing to us. your fathers' case is clearly evident from the fact that he had high pressure. this uncontrolled high pressure gave rise to stroke, which may of two types"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should first rule out heart related diseases for your chest pain. so get done ecg, 2d echo and stress test. if all these are normal then no need to worry about heart diseases. sometimes, stress and anxiety can cause similar symptoms. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with all these but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Implementation of close contact elicitation at the time of COVID-19 testing-Atlanta, GA, October-November 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. all the symptoms of popping sensation, passing gas, loud bowel sounds all look to be due to subacute intestinal obstruction. i would advise such a patient to undergo for simple tests"
Please summerize the given abstract to a title,"A multivariate analysis of risk factors associated with death by Covid-19 in the USA, Italy, Spain, and Germany"
Please summerize the given abstract to a title,Theory-Informed Design of a Tailored Strategy for Implementing Household TB Contact Investigation in Uganda
Please summerize the given abstract to a title,Diagnóstico microbiológico de las infecciones virales respiratorias
Answer this question truthfully,"Clinical data has suggested that the development of melanoma is related to several factors.
Sunlight (solar UV radiation): Too much exposure to sunlight(solar UV radiation) is thought to be the biggest risk factor for most dysplastic nevi. Moles: Although as a benign skin tumor, the mole increases the chance of getting dysplastic nevi, especially for people with many moles. Genetic factors: Epidemiological data show that Whites with fair skin, freckles, or red or blond hair have a higher risk of dysplastic nevi than other race. Immunosuppressive factors: Clinical surveys suggest patients treated with Immunosuppressive medicines such as transplant patients, have an increased risk of developing dysplastic nevus. Previous melanoma: A person with previous history of melanoma has a higher risk of getting another dysplastic nevus. Xeroderma pigmentosum (XP): Patients with XP are at higher risk of dysplastic nevus because they can not repair damage caused by sunlight. Age: Epidemiological data suggest that dysplastic nevus can be found both in old people and in younger people. Gender: Men have a higher chance of developing dysplastic nevus than women."
Answer this question truthfully,"The result of a translocation of BCR-ABL from chromosome 9 to chromosome 22 is overexpression and ultimately chronic myeloid leukemia (CML) and some forms of acute lymphoblastic leukemia (ALL). BCR-ABL is a fusion gene that is created as a result of this translocation, which leads to the overexpression of a protein that promotes cell growth and division. This overexpression ultimately leads to the development of CML and some forms of ALL. Treatment for CML may involve targeted therapy, chemotherapy, or stem cell transplantation, depending on the stage and severity of the disease. Treatment for ALL may involve chemotherapy, radiation therapy, or stem cell transplantation, depending on the subtype and stage of the disease."
Please summerize the given abstract to a title,Why COVID-19 Transmission Is More Efficient and Aggressive Than Viral Transmission in Previous Coronavirus Epidemics?
Please summerize the given abstract to a title,"Racial and Ethnic Differences in COVID-19 Outcomes, Stressors, Fear, and Prevention Behaviors Among US Women: Web-Based Cross-sectional Study"
Please summerize the given abstract to a title,Consequences of COVID-19 crisis for persons with HIV: the impact of social determinants of health
Please summerize the given abstract to a title,Decreased Incidence of Pediatric Intussusception during COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the medicines you are taking are generally used for depressive or anxiety disorders. means you have some mental disorders. these medicines do induce lethargy and laziness. you should overcome it. talk to your psychiatrist regarding the problem and the psychiatrist may, if possible, reduce the dose to encourage you to concentrate. work with your psychiatrist for a good solution. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dearwelcome to chatbot.come have evaluated your query thoroughly.* this is in relation with bronchospasm associated with underlying inflammation.* suggestions for better recovery-balanced nutritious diet to combat the infections.- gargles with salted lukewarm water and added peppermint oil 3 times a day.- inhalation of vapors of boiled water with added karol plus capsules or tincture benson with blanket covered over the head.- herbal support with basil leaves, turmeric powder in boiled water, pure honey work at its best.- avoid exposure to dust, pollen.- no smoking or alcohol in any form.- avoid excess ghee, sugar, oily, spicy, sweets.* consult later doctor if it requires. hope this will help you for sure. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, lupron is a gonadotropin releasing hormone agonist commonly prescribed to treat prostate cancer, endometriosis, and uterine fibroid. based on the history you seem to have developed symptoms suggestive of anemia apparently caused by lu pron. consult your doctor for further evaluation and also to rule out other causes of anemia. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Biosensing Amplification by Hybridization Chain Reaction on Phase-Sensitive Surface Plasmon Resonance
Please summerize the given abstract to a title,Identification and evaluation of potential SARS-CoV-2 antiviral agents targeting mRNA cap guanine N7-Methyltransferase
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,College from home during COVID-19: A mixed-methods study of heterogeneous experiences
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the arthritis or spondylosis of neck presents with pain at neck with limitation of movements of neck. it can also present with headaches. you should do following to have relief in this"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query yes these symptoms are of peritonitis don't worry about swollen cheek and reduced mouth opening you do warm saline rinses two - three times a day, and take chatbot.  i will also suggest you to consult oral surgeon and go for curettage of infected partially erupted tooth and iowa x-ray of wisdom tooth to know the orientation of wisdom tooth. hope this will help you. wishing you good health."
Please summerize the given abstract to a title,Physical and Cognitive Therapy Enhancement Using Game-Based Learning
Answer this question truthfully,"Patients with ventricular septal defects may not have symptoms. However, if the hole is large, the baby often has symptoms related to heart failure.
The most common symptoms include:
Shortness of breath Fast breathing Hard breathing Paleness Failure to gain weight Fast heart rate Sweating while feeding Frequent respiratory infections"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chest tightness, breathing difficulty especially at night are more suggestive of asthma. chest x-ray is usually normal in asthma. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. she will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, she will be alright with all these. hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks."
Answer this question truthfully,"Calcium pyrophosphate deposition disease may progress to pyrophosphate arthropathy, which is characterized by joint destruction and arthritis. This occurs when the calcium pyrophosphate crystals accumulate in the joints and cause inflammation and damage to the joint tissues. The symptoms of pyrophosphate arthropathy include joint pain, stiffness, swelling, and limited range of motion. In some cases, the joint damage can be severe and lead to disability. Treatment for pyrophosphate arthropathy may include medications to manage pain and inflammation, physical therapy to improve joint mobility and strength, and in some cases, surgery to repair or replace damaged joints."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear asmara, norethisteroe is a progesterone preparation. it does cause engorgement and soreness of the breasts. if increases the acidity and also due to effect on liver, it does cause nauseating feeling. however, after discontinuing the medicines, these symptoms should not persist.  norethisterone being progestational medicine, may act like birth control pill; however after discontinuing the pills, it should not create any problem in conception. you do have good chances of pregnancy provided you are releasing your eggs fairly regularly, there is no block anywhere in your genital organs and the husband has a good quality semen. you may get these tested if you do not conceive in fair time. currently, if you have not missed your period and are still sick for more than 4 months, please report to your physician to get your liver function test done. norethisterone may diminish the function of liver and then these symptoms may continue. take folic acid tablets daily. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear your mri report is suggesting disc protrusion and cord compression with foraminal stenosis at multiple levels. additionally, fusion of adjacent vertebrae and osteophytes points towards some other disorder also like ankylosing spondylitis which is common in young and early adulthood. you need to consult a neurologist or neurosurgeon and a rheumatologist for proper examination and evaluation. the treatment will depend on accordingly. physiotherapy may help you. hope you found the answer helpful.  chatbot."
Please summerize the given abstract to a title,Self‐harm in an older adult population during the COVID ‐19 pandemic
Answer this question truthfully,"The blood and lymphatics are derived from the mesoderm, which is one of the three primary germ layers that form during embryonic development. The mesoderm gives rise to a wide variety of structures in the body, including the muscles, bones, and connective tissues, as well as the cardiovascular and lymphatic systems. In the case of the blood and lymphatics, the mesoderm gives rise to the hematopoietic stem cells, which are responsible for generating all of the different types of blood cells, as well as the lymphatic vessels and lymphoid tissues. The development of the mesoderm is regulated by a complex interplay of genes and signaling pathways, which ultimately determine the fate of these cells and the tissues and organs that they give rise to."
Please summerize the given abstract to a title,Optimizing mother-baby wellness during the 2019 coronavirus disease pandemic: A case for telemedicine
Please summerize the given abstract to a title,Viral evolution
"If you are a doctor, please answer the medical questions based on the patient's description.",his had gone through your query. symptoms that you mentioned are not indicating conversion disorder. odd belief with persecutors delusions and suspicious nature may indicate psychotic illness it may indicate psychotic illness like brief psychotic or dissociative reaction. proper mental status and psychological evaluation will give more confirmatory idea. you have to consult psychiatrist nearby for more detail assessment. it is treatable conditions. anti-psychotic medication can help. so consult and get help. wish her very good health. feel free to ask. thank you.
Please summerize the given abstract to a title,Capacity of existing wastewater treatment plants to treat SARS-CoV-2. A review
Please answer with one of the option in the bracket,B: Add salmeterol to current regimen
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that the nasal sprays could be related to such adverse effects.  for this reason, if these complaints started after starting the nasal spray, they could probably be related to this chatbot.  otherwise, i would recommend checking thyroid hormone levels for possible thyroid gland dysfunction.  hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,A: The medication can cause serotonin syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, severe chemical damage to the surface of the tongue where there are taste buds can be permanent. you were given anti-inflammatory medication, eliminated the chemical and now must keep the area clean for healing. are you having difficulty healing with any ulcerations? you need to watch for an additional oral infection such as thrush. antifungal medication such as statin would be necessary. antibiotics could be required due to complicated healing. gentle oral care along with warm salt water rinses will assist and soothe the tongue. keep well hy chatbot.  avoid vitamin deficiencies. spicy and acidic foods may cause irritation. i suggest you have your dentist evaluate and monitor the surface of the tongue. i think you can have a positive outlook and realize with more time, more taste sensation should return. your exposure sounds limited. knowing the exact chemical would be helpful. ruling out an allergic reaction would also be suggested in the case of a flavored tea, etc. thank you for your inquiry. i am glad to provide additional assistance if you have more questions."
Please answer with one of the option in the bracket,E: Fluoxetine
Please answer with one of the option in the bracket,C: Negatively birefringent crystals in the joint
Please summerize the given abstract to a title,Individually optimal choices can be collectively disastrous in COVID-19 disease control
Answer this question truthfully,The pathophysiology of foodborne botulism in adults involves inhibition of presynaptic acetylcholine release at the NMJ due to a preformed toxin.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, possibility of inguinal hernia is more. inguinal hernia is mostly containing bowel loops. these loops are hollow and balloon like structure. during breathing, intro abdominal pressure increases and this can cause laxity in abdominal muscles. this laxity can precipitate hernia. and bowel loops when protruding through defect can cause buzzing feeling. so get done ultrasound examination of abdomen to rule out hernia. quit smoking if you are smoker because this is the most common cause for laxity of abdominal muscles. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the sensation of burning on the skin is usually attributed to the irritation of some nerve or nerves in the area.  the redness is usually taken to be a sign of some type of inflammation under the skin or subcutaneous tissues, often times as the result of an infection or other forms of irritation from a foreign body or toxic substance.  the first thing i believe needs to be ruled out is an infection in the abdominal area where the shunt is placed.  the 2nd thing is to be sure that the shunt is not broken or otherwise not working the way it should for some reason. so that i can see the surface anatomy you are referring that appears red please send a digital photograph. don't use a flash device for lighting. just regular ambient lighting is fine. i would think that an ultrasound would be one of the best and least invasive imaging studies to obtain in order to see what might be in the area of the shunt to explain the redness and burning sensations. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it shows that you are allergic to pistachios, but are you sure that you are not allergic to other tree nuts like almond or cashew, peanut and ground nut are not tree nuts. even this is possible as some people are allergic to some specific nuts protein and least to others. but it can be diagnosed by patch test, and it can confirm where you are allergic to other or not also, so go for this and till then completely avoid its consumption. for the treatment of your canker you can take local glycerine borax, b complex forte tab, maintain good oral hygiene by aqueous chlorhexidine 0.2% mouthwash, can use triamcinolone local paste, for pain you can take lidocaine mouth gel or paracetamol tab 6 hourly. if your patch test comes negative for pistachios then you should meet an ent specialist to rule out other causes and treat them accordingly. thanks and take care."
Please summerize the given abstract to a title,Fully covered self-expandable metal stent placed over a stapled colon anastomosis in an animal model: A pilot study of colon metabolism over the stent.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer with one of the option in the bracket,B: Deep peroneal nerve
Please summerize the given abstract to a title,Asymptomatic SARS-CoV-2 infection by age: A systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing. take folic acid for 3 months prior to conception. this prevents neural tube defect. if you are not immunized against rubella and chickenpox get vaccination done. avoid pregnancy for next 3 months after the vaccination. any infection should be treated prior to pregnancy. take lots of fruits, green leafy vegetables and lots of water.  hope i have answered your query. good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for posting query at chatbot. yes, gallstones or liver inflammation may result in pain below the rib cage on the right side. cause of high liver enzymes should be properly investigated. viral causes should be ruled out. fatty liver disease should be ruled out. advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you have already undergone back surgery and not the pain has not come down i feel this is called as failed back syn chatbot.  as the surgery couldn't do much to help you.there are a criteria for the surgery of the spine.1. unbearable severe pain2. disc flowing into the canal compression the spinal cord 3. disc compression on the nerve root - unilateral or bilateral with severe neurological symptoms if this was not taken into consideration as per my clinical practice most surgeries fail. i will advise you to understand that"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, there are many things that could cause the skin to itch. several types of inflammatory conditions of the skin, allergic reactions, and sometimes bacterial, viral or fungal infections can cause rashes on the skin of the arm pit. you have to undergo complete evaluation by a professional for proper diagnosis and treatment. the remedy would be related to the proper diagnosis. if you had a fungal infection causing your itchiness than an antifungal cream would be helpful. if you had an inflammatory dermatitis causing your itch, then a steroid cream may help. thank you."
Please summerize the given abstract to a title,Partner perception and participation in prenatal and birth care/ Percepção e participação do parceiro na assistência pré-natal e nascimento/ Percepción y participación de la pareja en la atención prenatal y del nacimiento
Answer this question truthfully,Rotavirus infection prognosis is good as the disease is self limited.
Please summerize the given abstract to a title,"Neonatal COVID 19 Pneumonia: Report of the First Case in a Preterm Neonate in Mayotte, an Overseas Department of France"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...you can give with either water or milk. it all depends on the palatability of the kid - that means you can try both and continue with what the kid likes - for example if she likes it with milk - then continue with milk or otherwise - water. other home-made food options will be - 1. deal and rice well cooked and made into a oatmeal along with ghee2. boiled apple or banana and mashed into a paste.3. any made cereal oatmeal preparation with additional ghee added. remember certain principles like -1. add one food material / cereal or fruit per week. this will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. add vegetables and fruits made into a paste surely to avoid constipation.3. do not add too much sugar as it may cause diarrhea. regards -"
Please answer with one of the option in the bracket,C: Oral contraceptive and nonsteroidal anti-inflammatory drugs (NSAIDs)
Answer this question truthfully,Coxsackie A is a virus that causes hand-foot-and-mouth disease.
Please answer with one of the option in the bracket,B: Polymorphonuclear leukocytes in tubules
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, true chicken allergy is quite rare, and blisters with pus is not a typical allergic reaction unless she has scratched the itchy areas so much that a secondary bacterial infection has occurred. flucloxacilin taken three times daily is the treatment for skin abscess, and you can also apply mupirocin cream that will help. do check with your doctor about the dosage as it is best to decide on the weight of the patient. hope that was useful. best wishes."
Please summerize the given abstract to a title,"Invited Commentary: Religious Service Attendance and Implications for Clinical Care, Community Participation, and Public Health"
"If you are a doctor, please answer the medical questions based on the patient's description.","helloincreased sgpt may indicate liver injury. it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. it may be due to fatty liver or statins intake in your case. you may need few more investigations like routine hologram, viral markers, random blood sugar, lipid profile, urine re/me. i suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. it helps in regeneration of liver cells. you should avoid saturated fat and go for brisk walk regularly. it is good that you don't take alcohol. you may need dose adjustment of statins. get well soon. take care chatbot."
Answer this question truthfully,"Boils are very common. They are generally caused by the bacteria Staphylococcus aureus, but they may be caused by other bacteria or fungi found on the skin's surface. Damage to the hair follicle allows these bacteria to enter deeper into the tissues of the follicle and the tissue underneath.
Boils may occur in the hair follicles anywhere on the body. They are most common on the face, neck, armpit, buttocks, and thighs. There can be one or many boils."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sleep problems with snores and apnea are suggesting her airways are blocked constantly. immediate consultation with lung pediatrician is highly recommended plus ent doctor to check for nasal polyps. she needs steroid nasal spray to open airways. apply vapor rub on her chest and upper back at bedtime. apply nasal decongestant. give allergy syrup containing thyme. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. since his cardiac and pulmonary tests are normal, chest tightness and breathlessness can be seen in herd (gastroesophageal reflux disease). it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. so better to follow these steps for symptomatic relief. 1. avoid hot and spicy food. 2. avoid stress and tension. 3. avoid large meals, instead take frequent small meals. 4. start proton pump inhibitors. 5. go for walk after meals. 6. keep 2 - 3 pillows under head in bed to prevent reflux. 7. avoid alcohol and smoking if he is having these habits"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. it looks mostly musculoskeletal pain. but we need to rule out cardiac cause first as you are having many risk factors like1. age more than 502. high pulse rate (130-150)3. high cholesterol level.4. left sided chest pain. so get done ecg and 2d echo to rule out cardiac cause. if both are normal than no need to worry much for cardiac cause. musculoskeletal pain also cause rapid heart rate. so avoid heavyweight lifting, strenuous exercise. avoid movements causing pain. avoid bad postures in sleep. take good painkiller and muscle relaxant. apply warm water pad on affected site."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is chatbot. welcome. the condition you are telling is a serious thing. if there are clots inside your heart & they are moving than you should be alarmed. these clots can go to brain (as you said they have already gone), lung-causing pulmonary embolism which is also a serious condition. they can go to extremities like hands & legs and can cause gangrene. we generally give blood thinner to such patients which helps in keeping the blood thin & thus decrease embolism. these blood thinner should continue life long. you will also need a trans esophageal echo(tee) to know exactly the size of hole & whether it could be closed. so please make an appointment with your cardiologist soon for further management. if you want any further help, i'll be happy to assist you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, let me tell you that apart from gastrointestinal side effects such as nausea, vomiting, diarrhea, next plus may cause several sexual dysfunctions such as low sexual desire, delayed ejaculation and sometimes orgasmic. it has no specific effect on diabetes as such. it usually takes 4 to 6 weeks for escitalopram, which is one of the ingredients of next plus, to work, and you can continue it up to 6-9 months although this depends on your treating physician. hope i have answered your queries. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. norvasc 10 mg is amlodipine and used in treatment of blood pressure and heart related disorders. this is not a pain medication and i suggest you discuss your pain in detail with your doctors, friends and family and the need to take higher pain relievers. your condition is understandable, but it is important that you continue to live and forget about ending your life in this manner. i am sure there are a lot of friends and relative who are there to support you at all times and help you out with your pain. it would appear that the lethal level of amlodipine is in the range of 40 milligrams per kilogram. adults taking up to 250 milligrams have remained asymptomatic. survival following a 560 milligram overdose has been reported. so if you have taken 40 pills of 10 mg then most likely you will survive, and please seek immediate medical attention."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, already you use fexofenadine 180 mg (histamine 1 blocker) why you again take soften (loratadine) also histamine 1 blocker.  tab sanitizing (santa) is a histamine 2 receptor blockers. both fexofenadine and sanitizing have synergistic effects on urticaria.  respond to treatment may take 4 to 6 weeks.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. most likely diagnosis for your condition on the knee is an organized hematoma following the trauma knee. if the symptoms increase in intensity, you might have to consult an orthopedic surgeon, who might advise you for an mri scan of your knee for planning further management of the condition. till then, you can apply heat if it soothes you, and may take an anti-inflammatory at times of pain. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Please answer with one of the option in the bracket,B: Amoxicillin–clavulanate
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to be suffering from cholelithiasis. there are bile stones filled in the gall bladder, and it is trying to push them out. after few weeks or days the bile stones will start obstructing the flow of bile causing jaundice and bile duct inflammation. it may become emergency. it is the right profile of a person where we see bile stones. furthermore, it is right to get the definitive treatment by a competent surgeon. you may undergo laparoscopic resection of gall bladder. nowadays it is very easy, cheap and after operation hospital stay is just 2 days."
Answer this question truthfully,"Cough variant asthma is a type of asthma in which the primary symptom is a persistent, dry cough. Unlike other forms of asthma, cough variant asthma may not include the classic wheezing or shortness of breath associated with asthma. However, it is still considered a type of asthma because the underlying cause is airway inflammation and hyperresponsiveness. Cough variant asthma can be difficult to diagnose, as the cough may be mistaken for other conditions such as postnasal drip or gastroesophageal reflux disease (GERD). Treatment for cough variant asthma typically involves the use of inhaled corticosteroids or bronchodilators to reduce inflammation and improve lung function."
Please answer with one of the option in the bracket,E: Vital capacity
Please summerize the given abstract to a title,[Prokaryotic expression of SARS coronavirus spike protein and construction of its DNA vaccine].
Please answer with one of the option in the bracket,"C: Increased PTH, decreased phosphate, and increased calcium"
Answer this question truthfully,MRI is commonly used to diagnose multiple sclerosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","fibromatosis of the foot is a non-cancerous condition in which the normal fibrous tissues get thickened. the treatment is linked to the extent of problems that it is causing. if it is extremely painful or debilitating, then you should go ahead with the surgery as surgery is the only curative option available. there are 2 problems with surgery--one it is extensive as you already know and needs removal of adjacent areas, and two there are still chances of recurrence of the disease. such is the nature of this disease. so, if you are not too troubled by the disease at present, then i suggest you can wait, else go for the surgery. there is definitely going to be some disability after the surgery which may require a splint or cane."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, possibility of hypertension related chest pain is more in your case. your headache, back pain and blurred vision are also due to hypertension. you are also not taking any treatment fir hypertension, so possibility of heart disease is more. so consult cardiologist and get done 1. blood pressure monitoring 2. ecg 3. 2d echo 4. stress test (trade mill test). strict control of blood pressure is needed. avoid salt in diet. do regular aerobic exercise like running, cycling, swimming etc. and please start antihypertensive chatbot.  hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Combining interpretative phenomenological analysis and existential hermeneutic phenomenology to reveal critical moments of managerial lived experience: a methodological guide
Please summerize the given abstract to a title,Measuring odds of various COVID-19 infection prevention & control measures among the contacts traced during trace test and quarantine activities at district Quetta (An un-matched case control study)
Please summerize the given abstract to a title,RPS: a comprehensive database of RNAs involved in liquid–liquid phase separation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you said your father suffers from psoriasis from last 20 years. i would like to say few things about psoriasis. psoriasis is a chronic relapsing and autoimmune disease. you may be having scaly plaques on various parts of the body, scaly lesions on the scalp. exact cause is not known. genetic tendency, autoimmunity, stress, chatbot. .etc. may be responsible for precipitation and exacerbation of psoriasis. you consult dermatologist for firm diagnosis and treatment. i usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. this may be taken for long time till good response. blood tests may be done to monitor the treatment. for itching, you may take antihistamines like levocetirizine. avoid oral steroid, as it may lead to flare up of the lesions. tell him to apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. he may apply moisturizer to improve the skin texture. he should avoid soap bath for few weeks. and he should be free of stress and worries as that might worsen psoriasis. he might get good result. i hope you got my answer. thanks."
Please summerize the given abstract to a title,Inference of population genetic parameters from the continuously serial-sampled sequences of human seasonal influenza A/H3N2
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote it should be an urticaria or a simple skin allergy or insect bite allergy. you can use hy chatbot.  most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. if this happens, you can start using the same medicine, but i suggest you get the kid evaluated with your physician. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your query at chatbot! i suggest you take rabies vaccine shots from a local doctor. your symptoms could characterize pro chatbot.  please visit any physician and start vaccination. you might need immunoglobulin treatment as well. another possibility is you are too scared after dog-bite and psychologically thinking too much. take rest and check your dogs' behavior for 10 days. better you start treatment. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should first rule out heart diseases for your symptoms. so get done ecg, 2d echo and stress test. if all these are normal then no need to worry about heart diseases. aortic pulsations can be seen in lean and thin individuals. so nothing to worry about this. your pain is more suggestive of musculoskeletal pain. so avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. apply warm water pad on affected areas. take painkiller and muscle relaxant chatbot. avoid stress and tension, be relaxed and calm.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have seborrhea dermatitis of scalp. and that would be the cause of severe hair fall. it is a multifactorial disease. stress, tension,atop, oily food, sleeplessness,minor infection anywhere in body, poor immunity, vitamin deficiencies....so on. you consult dermatologist for firm diagnosis and treatment. i would suggest as follows.- antihistamines- steroids in tampering dose- antibiotics- biotin tablets-mild steroid lotion application on scalp at night-shampoo containing ketoconazole ...daily shampoo - avoid tension hope this would help you. but, please take long term treatment and have patience. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your history. tummy tuck surgery is a good aesthetic surgery. the most probable cause can be as you have rightly thought is collection of fluid called as serbia. another cause if possibly a development of hernia. the best way to get a diagnosis is to undergo high resolution ultrasonography- aspiration if serbia as a diagnosis and therapeutic procedure followed by tight bandage. get operated it this is a hernia.
Please summerize the given abstract to a title,Research Progress of Coronavirus Based on Bibliometric Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking. i would like to know if you have started weaning him yet?? because any fibrous fruit specially bananas can cause mucous/stringy black hair like material. the second possibility is they are coming from your husbands' chest. if they are coming often that would worry me. because hair can organize in a ball which can obstruct the gut. observe for fallen hair near the baby and be vigilant in removing them. i would also advise your husband to shave his chest more often if they came once and twice that's fine.it's just to reassure you that's not something dangerous. good luck
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatdoctorwith information you have given it seems that his internal jugular of right side is 90% blocked. he has suffered a stroke due to brain hemorrhage, it depends on location and size of bleed inside of brain, which must have been detected by ct scan/mri anglo. this also depend on is he hypertensive and/or diabetic. this would be appropriate to consult a euro surgeon if any kind of intervention is possible or not if possible with what success. for instance a sub rural hematoma is treatable by surgery with good success, but brain stem hemorrhage may not be? take good care good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your health concern with team chatbot! in the present case of itchy tiny perineal / back swellings or lumps, if i were your consulting physician, i would just consider 3 possibilities like"
Answer this question truthfully,"Serum amyloid A proteins are the class of acute phase reactant that, when upregulated during chronic inflammation, can potentially lead to amyloidosis."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for your query at chatbot. i understand your concern and situation patients of lyme disease have rash, called erythema migrant, is one of the hallmarks of lyme disease. some people develop this rash at more than one place on their bodies. flu-like symptoms. fever, chills, fatigue, body aches and a headache may accompany the rash. i suggest you to take rest and get tested by a physician. take care chatbot."
Please answer with one of the option in the bracket,D: Local anal trauma
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query, austen is a brand name for progesterone. many studies have shown its usefulness in preventing miscarriage and maintaining pregnancy. side effects include austen (progesterone) include"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that the palpitations could be related to the pain. while, the pain could be related to a muscle spasm, due to a wrong position during bending down. i would recommend taking ibuprofen for the pain and having some rest. if the problem persists, i recommend going to the er for a physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. thanks for sharing your concern. if root canal treatment was done successfully then please give some time for it to heal. but definitely the pain should reduce and not increase. keep a check on that. your current antibiotics will take care of infection. simultaneously please do warm saline rinses very gently twice daily. do not allow accumulation of food particles in your mouth. mouth washes can also be used. complete your antibiotic course now. wait and watch, it should heal soon. in case after completion of antibiotics, symptoms persists then please visit your dentist for follow up and new x-ray. hope it helps. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. it could be a type of parasomnias, but they are not to be bothered. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thanks for writing to us. the swelling that you had near the spine is likely to be due to a hematoma or a local infection. the symptoms are likely to be due to a nerve root compression. it is best to consult an orthopedic for proper examination and investigations. i hope this information has been both informative and helpful for you. you can consult me again directly through my profile url http
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. chronic bronchitis is progressive, incurable disease. we can only halt the progression, but we can not cure it completely. till date no such injection is available. so don't follow this kind of rumors. inhaled bronchodilators and inhaled corticosteroid (ics) are cornerstone of treatment. you should also enroll yourself in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. these will improve your lung function and reduce symptoms. get done adult pulmonary vaccination with pneumococcal and influenza vaccines to prevent recurrent respiratory tract infection. low dose oxygen therapy (lot) is also beneficial. so consult pulmonologist and discuss all these therapeutic options. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.  paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. it is likely to be bacterial infections. i advise you should apply clobetasol, aureomycin and clotrimazole combination cream. this will help cure all the infections. this cream is devoid of penicillin and won't give you rash. please maintain good local hygiene by frequent cleaning and mopping. avoid extra sweating in this area. you can wear cotton undergarments. this will absorb the extra sweat and help cure the problem. loose fitting garments can help give good ventilation and prevent sweating. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. haziness on chest x-ray is suggestive of pneumonia (lung infection) more. he is having chronic cough and cold (more than 2 weeks) which is not improving with medications. so possibility of pneumonia is more likely. he will need higher antibiotic and other supportive treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i can understand your concern for suffering sudden sharp pain across your back. it seems to be a simple sprain of back muscles or a muscle pull which will resolve with home care. it takes time to recover fully at this age or even otherwise also .so don't take tension. keeping cool and deep breathing exercises will strengthen you. till then, you can take rest.  lie on the hard surface, do back bending stretching gently, keep your back erect , apply muscle relaxants locally - no massage please. hot pack on the area, will help alley pain.  a level spoon of turmeric powder with a cup of hot milk, twice a day for few days will help enhance process of recovery by removing inflammation and pain. avoid bending in front or weight lifting while you can get appointment of a doctor if the pain persists or is unbearable go to er for preliminary management. hope this helps solve your query take care. all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, trauma to the breast had not been found to cause any breast cancer. instead, it may simply chatbot.  however, breast trauma can cause bruising over breast, hematoma (collection of blood) in the breast, which if it gets infected can change in to breast access. long term rare complications of breast trauma is traumatic fat necrosis which presents as a hard immobile lump in the breast resembling clinically to breast cancer, but it is not a cancer. you can consult your doctor to see if there is no hematoma formation or any other deep injury in the breast and can at the same time take some painkiller and antibiotic provided you don't have any allergy to them."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. diabetes has to be well under control for the effectiveness of any antibacterial treatment including that of tuberculosis. the treatment was correct in the initial phase. after the relapse you may need a second line of treatment under the guidance and observation of a physician. this is important as the same chatbot.  secondly, you need to have a proper diagnosis done by laparoscopy and confirm whether there is relapse or aftereffect / sequel or complication of tb. this is the most important aspect."
Please summerize the given abstract to a title,Relating structure to evolution in class II viral membrane fusion proteins
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case with diligence. si joint shows degeneration, so there can be possibility of ankylosing spondylitis. ankylosing spondylitis typically involve spine and hips with other large joint also. there is reduced chest function in this disease. stiffness in spine is increased you have such stiffness in spine? clinical examination is also required to diagnose it. you can do blood test for hla-b27 to confirm it. i have not seen your x-ray. you can post your x-ray directly on my profile.http"
Please summerize the given abstract to a title,Construction of coral rod-like MoS2@HA nanowires hybrids for highly effective green antisepsis.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. read the history carefully. it says the pain is sharp- 2-5 minutes-increases on stretching-dull pain around scrotum and so on.... as your investigations are negative i would think of a muscular cause and may be an entrapped nerve causing the sharp pain and referred to the scrotum. i would advise undergoing the high resolution ultrasonography of the abdominal wall; mark down the site of pain when you get an attack. this will help for a pointed investigation.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of stress induced herd (gastroesophageal reflux disease) is more in your case. but better to rule out cardiac cause first for your chest pain. so get done ecg and 2d echo. if both are normal then you are mostly having herd due to stress. herd is due to laxity of gastroesophageal sphincter.  because of this, the acid of the stomach tends to come up in the esophagus and cause bloating, chest pain etc. so better to start proton pump inhibitors. avoid stress and tension. avoid hot and spicy food. avoid junk food.  chatbot.  avoid large meals, instead take frequent small meals. don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot i would keep a possibility of satyriasis tricolor. clinically it presents as light colored patches with fine, brawny scaling and post-inflammatory hypopigmentation. pityriasis tricolor is a superficial fungal infection caused by malaysia fur fur. the infection is more common in hot and humid weather conditions, which favor the growth of the fungus. a single oral dose of an oral antifungal e.g. fluconazole 400 mg is curative or itraconazole 200 mg once daily for a week, is an alternative. if i were your treating dermatologist, i would have also asked you to apply 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. post-inflammatory hypopigmentation takes some time to respond. re pigmentation can be hastened by daily sun exposure for 5-10 minutesrepeated recurrences are common, and the patches may seem to persist forever, with new patches appearing while older one resolve. those who have repeated recurrences should use a prophylactic 3 days therapy with topical antifungals, every month i.e. 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. regards"
Answer this question truthfully,"Vardenafil, tadalafil, and sildenafil belong to the drug class of PDE-5 inhibitors."
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. welcome to chatbot. my name is chatbot. i have gone through your query and would try to help you in the best possible way.it's good to know that you are so careful about your and you family health... if you wash those dishes again with soap chances of them hurting you or your family are almost zero so don't worry about thatcher you have to worry about is the mold, there are solutions in market available to get rid of mold so get rid of it, so that your kid doesn't get infected from it, they can cause skin scalp chest or mouth infections depending upon their types, so don't worry about the dishes if you have washed them well worry about the mold and get rig of it .keep your dishes and household surfaces"
Please summerize the given abstract to a title,Demographic and Clinical Overview of Hospitalized COVID-19 Patients during the First 17 Months of the Pandemic in Poland
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  as you describe it appears to be the allergic reaction, may be due to the food, clothes, wool, soap, or cosmetics.  i advise you to consult a physician for diagnosis and treatment.  i usually prescribe to my patient with such symptoms vitrine, dexamethasone, and ofloxacin.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods.  wishing for a quick and complete recovery. thank you."
Answer this question truthfully,"ETEC stands for Enterotoxigenic Escherichia coli, which is a type of bacteria that can cause gastrointestinal infections in humans. It is a common cause of traveler's diarrhea, which is characterized by watery stools, abdominal cramping, and other symptoms. ETEC produces enterotoxins that can damage the lining of the small intestine, leading to the secretion of large amounts of water and electrolytes into the intestinal lumen. This results in the characteristic watery diarrhea that is associated with ETEC infection. Travelers to developing countries are at increased risk of contracting ETEC, as the bacteria is often found in contaminated food and water sources. Prevention measures, such as practicing good hygiene and avoiding risky foods and beverages, can help reduce the likelihood of ETEC infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. first, you have not given your age. i see you are too much worried about your penis and sex. due to such a worry, people usually have obsession with such matters. your tingling should be due to your obsession. the time taken to have full erection depends on many aspects due to stress level, sexual interest, anxiety, fullness of stomach etc. you need to watch you. even though you are having delayed erection, i hope you are able to perform all sexual acts without many problems. then there is nothing to worry. please understand, worries tends to be obsessive and obsession leads to performance anxiety. performance anxiety can ruin your sexual life. please beware. you may consult a psychologist for counseling. if you still need my assistance in this regard, please use this link. http"
Answer this question truthfully,"Seminomas, which make up 55% of testicular germ cell tumors, are very responsive to radiotherapy, metastasize late, and have an excellent prognosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query. increase in the level of liver enzymes reflect an injury to the liver. medically, the condition is known as \""hepatitis\"". though your diagnosed with fatty liver but you're also advised to test for herb & c serology. further advice"
Answer this question truthfully,Antigenic shift is a process in which there is a major change in the influenza virus antigen that results from the reassortment of the HA/NA genes amongst different species.
Please summerize the given abstract to a title,"Exploring the challenges faced by frontline workers in health and social care amid the COVID-19 pandemic: experiences of frontline workers in the English Midlands region, UK"
Please summerize the given abstract to a title,"The personal digital twin, ethical considerations."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...rehab i can understand your concern.i am glade that you are so concern about your health.sunblock is just to protect you from the damaging radiation released by the sun.if you are not allergic to it, and its of good quality then you should\u2019t be worried about ...rather its more protective for you to use it when going in sun.hope it will help you to get your answer.feel free to ask again.thanks chatbot."
Answer this question truthfully,Endotracheal intubation decreases the risk of aspiration and can also facilitate upper gastrointestinal endoscopy and placement of a balloon tamponade for patients with uncontrollable hemorrhage.
"If you are a doctor, please answer the medical questions based on the patient's description.",i don't know any such recipes. you can try fabien powder. but one thing i can caution is that no nutrition supplement that will treat her mal nutrition. only treatment of cancer will resolve her mal nutrition. there is controversy that feeding the patient with nutrition supplement is like feeding the tumor itself and only indication for supplement is when she is not able to take orally because of extensive oral ulcer caused by chemotherapy
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the process of ejaculation is separate from the erection process, erection being controlled by the pituitary gland. men can ejaculate without an erection, but they can also ejaculate without orgasm (like during the night). as a rule, controlling ejaculation gets easier with age. premature ejaculation is a frequent problem but not a serious one. it affects around 1 in 3 men, often young men. sufferers ejaculate at the beginning of penetration and sometimes even before. premature ejaculation often comes from a lack of control. ejaculation is a result of an uncontrollable reflex that men with this problem cannot manage to delay making the pleasure of sex last. from the details given, it seems that your problem is more psychological than physiologic. i suggest to wait for a few days before attempting next intercourse. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there is a possibility that past medical history may have left some remissions of the symptoms. due to the past medical history, there will be damage to the capillaries and with steroid shot, the pain was handled. as there is the hardness of the calf muscles it can be due to spasm and may happen to do disturbed capillary revascularization. i will advise doing hot water fermentation if that is not troubling more to the external layer of the body called skin. post that using stockings for the lower limb which will be up to the mid-thigh region. this will help to reduce the swelling by providing the compression over the muscles and the capillaries. please keep the limb elevated over the pillow and do ankle to movements and do straight leg raise. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello melissa! i would like to have some more information on your concern
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. the large lump in front of your ear could be due to parotid gland swelling, and with the presence of lymph nodes in the neck and a sore jaw, it is more likely to be a malignant growth of the parotid. i would strongly recommend that you show it to a surgeon for a clinical evaluation and get needle biopsy of the parotid and the lymph nodes to help reach a diagnosis. as further management will depend upon these evaluations. hope i have been helpful."
Please summerize the given abstract to a title,"A Web-Based Platform on Coronavirus Disease-19 to Maintain Predicted Diagnostic, Drug, and Vaccine Candidates"
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot. thank you for asking the query. in my opinion this is not heart attack or stroke. the pain at the back and in the spine does not come to the front just below the collar bone. the pain you are having in front and at the back are two separate pains. if i was your treating physician i will do the following
Please summerize the given abstract to a title,Acute Kidney Injury in Critically Ill Patients Infected With 2009 Pandemic Influenza A(H1N1): Report From a Canadian Province
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would explain that your symptoms could be related to a metabolic disorder or anxiety. but, before concluding that it is just anxiety, i would recommend consulting with your attending physician and performing some tests"
Answer this question truthfully,"The true aortic arch and proximal part of the right subclavian artery originate from the aorta, and are both derivatives of the 4th aortic arch during embryonic development."
Please answer with one of the option in the bracket,B: Mean > median > mode
Answer this question truthfully,Other diagnostic studies for hepatocellular carcinoma include biopsy and hepatic venous pressure gradiant.
Please answer with one of the option in the bracket,A: Ultrasound-guided thrombin injection
Answer this question truthfully,Patients with phenylketonuria develop hypopigmentation in the catecholaminergic brain nuclei.
Answer this question truthfully,"A complication that may occur during the first 4 hours after a myocardial infarction is congestive heart failure, which occurs due to inefficient pumping of the left ventricle."
Please summerize the given abstract to a title,Breath research in times of a global pandemic and beyond: the game changer.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you are facing problem of premature ejaculation. please note that premature ejaculation is due to anxiety and not due to any organic cause. following measure will help you to boost up your confidence and getting good erection. and delay ejaculation.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. if you are married taking sildenafil (viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. chatbot. ."
Please summerize the given abstract to a title,Rhabdomyolysis and Neurological Manifestation With Progressive Weakness in a Young Adult: A Rare Extrapulmonary Presentation of Mycoplasma Pneumoniae
Answer this question truthfully,"The development of male or female characteristics in the genitalia begins during week 10 of embryogenesis, which can be remembered as ""Tenitalia""."
Please summerize the given abstract to a title,An alternative methodology for planning baggage carousel capacity expansion: A case study of Incheon International Airport
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. there could be plenty of reasons for this disturbed sleep. firstly you need to cut off all the caffeine from your diet including coke and coffee. also use your room exclusively for sleeping and not for rest of the things. avoid nighttime use of television or computer.  try going to gym in the morning as evening gym can disturb your sleep cycle. also try meditation as it well help in regularizing your sleep cycle. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Please summerize the given abstract to a title,Less invasive and equivalent short-term outcomes with simultaneous en bloc robot-assisted radical cystectomy and laparoscopic nephroureterectomy: Comparison with conventional open radical cystectomy and nephroureterectomy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i have studied your case with diligence. as per your history and injury pattern there can be persistent tear in ankle ligament leading to pain and swelling. instability may increase due to laxity of ligament. i will advise repeating mri ankle for soft tissue involvement. till time, you can continue use supportive splint or brace. physiotherapy like ultrasound and tens will help in early healing. persistent pain after ankle injury is common and may take 6 months to heal. if there is complete ligament tear on lateral aspect then arthroscopic ankle ligament repair can be done. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorepididymitis is inflammatory condition of epididymis and this could be due to injury or infection and this need to ruled out, although chances of epididymis pathology is very less likely unless it is being properly investigated and have some clinical evidence, if this is so then this can be best managed with analgesic and antibiotic, but still i would insist for differential diagnosis, hope this information helps, take care."
Answer this question truthfully,"Hereditary angioedema is a genetic disorder that can be difficult to diagnose due to its rarity and variable presentation. However, there are several diagnostic criteria that may be used to identify individuals with hereditary angioedema. One of the most common diagnostic tests is to measure the levels of certain proteins in the blood, including C4 and C1 inhibitor protein or function. Individuals with hereditary angioedema often have low levels of C4, which is a component of the complement system that helps to regulate inflammation and immune responses. In addition, individuals with hereditary angioedema may have low levels of C1 inhibitor protein or function, which can lead to increased production of bradykinin, a peptide that causes blood vessels to dilate and leak fluid into surrounding tissues. Other diagnostic tests for hereditary angioedema may include genetic testing to identify mutations in the genes that are associated with the disorder, as well as imaging studies to evaluate the extent and location of swelling during an acute attack."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely take anti-tubercular chatbot.  tb pcr (polymerase chain reaction) test is highly specific. its specificity is almost 100%. so no chance of false positive report. you might be having mixed infection (tubercular and bacterial). so with antibiotics, your bacterial part is improving and hence chest x-ray is also improving. tuberculosis is basically a chronic disease. if don't take treatment at present, it will show after 1-2 months. so even if you are improving with anti-tubercular"
Please summerize the given abstract to a title,"Forest frontiers out of control: The long-term effects of discourses, policies, and markets on conservation and development of the Brazilian Amazon"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of breast cancer and taking chemotherapy. ast and alt are liver enzymes and their levels are increased in liver damage. your liver enzymes are slightly elevated, so mostly it is due to your chemotherapy. no need to big worry. just repeat your liver function test after 15 days.  hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,The challenge of COVID-19 case identification and ascertainment in sub-Saharan Africa: the case of Cameroon
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. it is difficult to say without seeing it. but i think it may be catch infected or a hematoma. hemangioma is not painful and wanes after applying pressure. local application of antibiotic ointment may be tried for a few days. consult dermatologist if it does nor subside. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
Answer this question truthfully,"The muscles lost in Klumpke palsy include the intrinsic hand muscles, specifically the lumbricals, interossei, hypothenar, and thenar muscles."
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, your testosterone level is subnormal, that is below normal. but initially you got near to normal count (22 million)normal count - 20 to 200 million/ml.later it has been decreased. i don't have an idea about testes tablets. i advise to better consult an infertility specialist to get a clear idea and further management. natural way to increase sperm count. milk and milk products dates, wheat,sesamejaggery, almond,cashew, pista.peanuts.pomegranate, arrowroot,cucumber seed, avoid junk, fried,caffeinated foods and stress(highly influential)be hy chatbot. thank you hope i answered your query."
"If you are a doctor, please answer the medical questions based on the patient's description.",degree understand your concerns went through your details. i suggest you not to worry much. the description is not enough for a proper diagnosis. the weakness after your marriage could be due to so many reasons. mental troubles rather mood troubles are just one possibility. please consult a physician first to assess your condition. hope this answers your query. available for further clarifications. good luck.
Please summerize the given abstract to a title,"COVID-19 — 2021: A New, Less Predictable Phase of the Pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. as per your information, whenever the body eliminate toxins, is mostly done through the pores, which can lead to symptoms such as rash, eczema, acne and others. also, carpal tunnel syn chatbot.  in my opinion, i don't think it is ra, ra includes lots of symptoms and mostly seen in the 30 to 50 yrs age group. positive ra factor is required to rule out. i will suggest you to visit your primary doctor and rule it out. mostly i suggest my patients to apply an ice pack every 3 to 4 hrs, exercising swollen fingers, elevating hands for an about 15 minutes at least 3 or 4 times per day, massaging,wearing compression gloves, less salt intake, lots of fluid intake will surely help it. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us and voting. i will be happy to answer your questions."
Please summerize the given abstract to a title,Conceptualizing the use of the term financial risk by non-academics and academics using twitter messages and ScienceDirect paper abstracts
Please answer with one of the option in the bracket,A: Intrauterine device (IUD)
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam. the treatment you were offered is called ovulation induction with timed intercourse. based on the result of ultrasound you had two mature follicles both on the right side, however the one on the left side seems to be smaller and immature at this stage. so basically you have two eggs for fertilization. the chance of getting pregnant in this cycle is around 15%. if repeated the cumulative pregnancy rate will go higher. best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. if i am your treating doctor i would advise going for root canal treatment and get the crown done. because once you get the tooth removed, whatever we replace it with, it will not give the natural tooth strength. the other reason is, once we remove the tooth, to replace it we have to trim the adjacent teeth for taking support. so i suggest you to go for root canal treatment and crown. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dear thanks for contacting chatbot ... noted you have cirrhosis .... you might have portal hypertension also. so taking spironolactone and adolf for it... now you have controlled blood pressure so nadella can be omitted gradually as per doctor advise... take low salt diet.... dizziness might be because of chatbot. spironolactone will control your blood pressure as well as ascites. hope your concern solved. take care...
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, balfour or halitosis is due to various reasons like poor oral hygiene, dental caries, diabetes, tonsillitis, liver disorder, gastric disorders, consumption of alcohol, foods like garlic and onion tobacco chewing etc. you have tonsillitis which could be the reason for your problem. consult an ent specialist for the problem. get your self examined by a dentist to determine if you have any problems in your oral cavity."
Answer this question truthfully,"Bone is dissolved in the body by osteoclasts, which secrete H+ and collagenases to break down the bone tissue."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and. i think you're getting too conscious about masturbation, so you're disturbed. masturbation is no where related to your brain performance and thinking process. masturbation is a very common phenomenon among adults. i can suggest u to come out of that habit gradually. first thing don't keep things that provoke u for masturbation like any porn material, develop some new hobby and don't be alone for long time. go out and involve yourself with other family members, go on outing with friends, play some sports, keep yourself busy. do remember masturbation is not be ashamed of or it's not a crime. neglect these thoughts that it is affecting your brain. regards"
Please summerize the given abstract to a title,Spatial resolution compensation by adjusting the reconstruction kernels for iterative reconstruction images of computed tomography
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have undergone filling now you feel pain don't worry you consult dentist and go for removal of filling which will give you relief and go for root canal treatment.  for temporary relief you can take one tablet retool dt twice daily for pain relief.  do warm saline gargle two - three times a day.  hope this will help you. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello generally gloss is sequel of brain injury. injury may be due to ischemia(decreased blood supply) or trauma etc. most likely it is due to ischemic changes(decreased blood supply) in your case as you have history of tia. ischemia generally involves small blood vessels. it is important to investigate underlying cause like hypertension, diabetes mellitus, altered lipid profile etc. you need regular monitoring of conditions that leads to ischemic changes like hypertension, altered lipid profile, diabetes mellitus. so, you need proper clinical evaluation and treatment so that progression of lesions can be halted. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, this could be your carpal tunnel hurting you, have taken some treatment for that, moreover sometimes compression of nerves in neck can exaggerate your symptoms of carpal tunnel syn chatbot.  you need consultation with a hand surgeon to treat yourself. i hope that answers your query. if your want any more clarification, contact me back."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.  there is a lesser chance of placing implants efficiently if the bone is thin, but with the latest implant types and techniques small sized implants can be placed. also, if bone is thin, then many a times bone grafts can be placed for improving bone thickness and ease in implant placement. if the adjacent teeth are displaced then yes, they need to be realigned. so first please send an x-ray of your teeth where implant needs to be placed so that i can guide you more precisely. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Schizotypal personality disorder is usually a long-term (chronic) illness. The outcome of treatment varies based on the severity of the disorder.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, white blood cell counts (wbc counts) are raised in infections and leukemia. leukemias are characterized by very high wbc levels (over 50,000/ cubic mm). however, the wbc count can be lower in case of leukemia. they are called sub-leukemic leukemia. in infections, the wbc count is also increased. an increase in lymphocytes (as in your case) can raise the wbc count. lymphocytes are increased in chronic infections. h. pylori infection can lead to lymphocytes since it is a chronic infection. treatment of h. pylori infection will clear away the lymphocytes and raised wbc count. get the differential white blood cell count (dlc) in your mothers case. the dlc helps to determine the cause of infection. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. weight reduction means, there is no need of chatbot.  reduction of 1 to 2 kg scan also help in regularization of the cycles. then you can gradually decrease the weight. to do gui also, you have to ovulate. in gui during the time of ovulation, your husbands' semen will be injected into your uterus. so for that also ovulation is needed. if your doctor suggests you can go for ovulation induction. then plan for follicular study to track the ovulation. and you can plan gui at that time with your doctors' advice. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","it is very difficult to say exactly what happened only those doctors over sending you during surgery can tell exactly what happened period, but there can be various factors can cause cardiac arrest like a reflex from the irritation of the surgery of the nerves number to electrolyte imbalance number three acid-base balance so and electrolyte imbalance can cause these things this that these answers can be given by your doctors only"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, after going through your case i want to know - 1) you are unable to climb stairs it is because of breathing difficulties or chest discomfort or because of leg pain. 2) any habits like smoking, alcohol. 3) 2decho report done at the time of stenting. 4) any puffiness of face or swelling over body. 5) imbalance while walking, slurred speech. 6) forgetfulness is for short time or longer duration. following investigation are advisable in your case-1) ecg comparison with old ecg is important. 2) 2decho to know pumping capacity of heart and any abnormalities of heart wall motion. 3) fasting and postprandial blood sugar levels, hba1c level to know your diabetes control. 4) lipid profile to know cholesterol levels. 5) kidney and liver function tests including ultrasonography. difficulty in climbing stair may be due to impending heart failure that might be due to new heart disease if leg pain is there may be claudication due to complications of diabetes on blood vessels of legs (peripheral arterial disease) forgetfulness might be due to side effects of medicine like proposed, hypoglycemic (low blood sugar levels) episodes or impaired blood flow to brain. so it is advisable to consult cardiologist and also neurologist for neurological examination."
Answer this question truthfully,Penicillins are classified as bactericidal antibiotics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i suggest you avoid smoking weed while on concert. continue to take the medications given by your treating doctor strictly according to the prescription. forcibly smoking weed will cause interactions with concert causing ill effects to show later in life.  profuse sweating and heart rate shooting up (palpitations) are indications that you have coronary artery disease developing. get done lipid profile and ecg, echocardiography and stress test if needed along with mri and ct to rule out coronary artery disease. in the meantime take boiled homemade food, stay away from stress, tension, anxiety and take adequate sleep.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,[Replication and transmission mechanisms of highly pathogenic human coronaviruses].
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever of a few days without any localizing signs could as well a viral illness. usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. once the viral fever comes it will there for 4-7 days. so do not worry about the duration if the kid is active. paracetamol can be given only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, well sores in mouth can be due to allergies and if they have extended down the throat then can be probably a severe reaction. yes, it is correct that you should get evaluated and investigated further so that exact cause can be ruled out and treated appropriately to avoid further recurrences. also, if you already know any allergens that can cause similar symptoms then avoid eating such foods and taking certain medications. you should also avoid spicy and acidic foods. take vitamin b complex supplement daily. you can also gargle with 1"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your question and understand your concerns. arnold-chiari malformation if symptomatic, is treated by surgery. surgery consists on decompression of posterior fossa, i.e. removing a part of bone in your back part of your head, cutting and releasing outer and, in certain cases, middle coverings of the brain (aura and arachnoid), putting a graft on it, relieving in this manner cerebellum (small brain) and brain stem. it is a brain surgery and these types of operations carry risks also. risks include cerebrospinal fluid leakage, wound infection, recurring of arnold-chiari malformation, rarely brain structures damage. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that hiv won't live in atmosphere because it reburies human white cells to be alive. it won't live in dirty hands of anybody and so no chance of hiv. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your quertle point is that what you seem to have described is an infarct. the clot may arise from some place and lodge into the brain arteries. the clot may also develop into the brain per se. the problem with the brain ischemia is that most of the procedures have to be done within the first few hours. roughly about 6-8 hours. so if it is beyond that, the procedure may not be too helpful. as for the cost it depends entirely on the treating hospital and the setup of the hospital. i hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. please feel free to ask another query. i would be glad to help you. looking forward to your return query with the details asked so that i can help you further. (if the answer has helped you, please indicate this)best of luck."
Answer this question truthfully,Below is a table to illustrate some of the similarities and disparities between different ventricular arrhythmias.
Answer this question truthfully,Recurrence of genital HSV can be suppressed or minimized with a daily administration of valacyclovir.
Answer this question truthfully,"Dry skin Scaly skin Thick skin
Dry, scaly skin
Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas. 
Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas.  Icthyosis vulgaris. Adapted from Dermatology Atlas. 
Skin biopsy"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the most possible cause in this case is carbuncle / fur uncle - infective cause of hair follicle. 2. second possible cause are infective cause of abscess formation. and other causes are lymph nodal enlargement, lipomas - fat (soreness and pain are general not seen)3. if you are my patient, after examination i would have sent for an ultrasound lumps to evaluate the nature of lump, and it is extensions (from - to).4. an incision and chatbot. 5. see your gp and get the needful tests / treatment done. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. you problems looks to be due to constipation; the fissure in ano or the piles (hemorrhoids) got accentuated by the pregnancy. this may cause pain in the lower part of the abdomen and should be solved by the laxatives like forage oil and pycnogelol which you already have taken. adenomyosis does cause the lower abdominal pains. the correct treatment is obviously hysterectomy. i would advise you to go for the following
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com.  i had gone through your question i can understand your concern.  yes, there are some concerns but if you handle it properly you can go for it.  as your wound has not healed fully, you need to take care of it. if you have a ride you will have to avoid clinching of teeth too hard that is impossible in high stressed conditions.  so you need to get a dental guard made by a lab (night guard) put it in your mouth while going for the ride. hope my answer will help you. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. brownish colored sputum is suggestive of lung infection (pneumonia). and you are not improving with routine cough treatment and also develop chest pain. so possibility of pneumonia is more in your case. so consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3. sputum culture and sensitivity report. chest x-ray is needed for the diagnosis of pneumonia. sputum culture will isolate the causative organism and sensitivity report will guide you about effective antibiotic treatment. this way we can achieve quick recovery. so don't take treatment by your own, consult pulmonologist and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. an overactive bladder is usually due to the muscles at the bladder mouth, though anxiety and the autonomic nervous system in the kidneys can give rise to an overactive bladder. though kidney function is not directly connected to diarrhea and constipation, it is possible that decreased water intake can cause constipation. however, taking slightly larger amounts of water and fluids will never cause diarrhea. studies have reported that natural changes in the urinary tract may account for some apparent increase in lower urinary tract symptoms with increasing age. the sensation of bladder filling is reduced, and bladder capacity falls, leading to an older person having less time to respond to the call to urinate and perhaps explaining why many older people complain of severe urge."
Answer this question truthfully,People who have HIV or who had organ transplant are at highest risk of having esophageal candidiasis. Also people with impaired motility of the esophagus that causes food stagnation there are highly vulnerable to esophageal candidiasis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. fresh, not mixed blood in stool is most often caused by hemorrhoids, so you should not be so scared. especially that your work forces you to sit for many hours. i suggest you to visit a surgeon and have rectal examination. colonoscopy might be necessary, but only to definitely diagnose that this are only hemorrhoids. to improve your symptoms, you should avoid constipation, increase fiber rich products and mineral water intake, avoid fatty foods and soft chatbot.  physical activity should be also very helpful. sitz baths with quercus cortex and hemorrhoids suppositories should help as well. such treated hemorrhoids should stop bleeding and partially disappear in a week or so. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","he might have small intestinal tb rather than stomach tb. amoebas also involves small intestine/some part of large intestine. if he has taken medicines for both diseases in form of a complete course, he should be fine. u can go for an oral+iv contrast ct scan of him. now, the diagnosis of a lax cardiac can be confirmed by an upper gi endoscopy with manometry (if available). lax cardiac may cause acidity with reflux."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for posting your concern at chatbot. i would keep a possibility of candida posits judging from the symptoms and signs you have, but i would still advice that you see a dermatologist for a confirmatory diagnosis and for any other possible stis(ulcers, urethral discharge). it is advisable to get your hiv status checked as per guidelines. i would advise my patients with similar complaints to apply a topical antifungal cream twice daily for a week. an oral antifungal 150\u00a0mg single dose helps in faster resolution of candida infection stake care regards"
Please summerize the given abstract to a title,Molecular Characterization and Expression Pattern of Paramyosin in Larvae and Adults of Yesso Scallop
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the unwanted 72 comes under emergency contraception. the emergency contraception is used when the protection is failed like irregular intake of birth control pills or tear or slippage of condom etc. but it should not be used for regular usage. unwanted 72 is high dose progesterone hormone. it causes hormonal imbalance. so if used regularly it might cause heavy bleeding. so restrict for emergency situations. unwanted 72 is effective in 95% cases in preventing pregnancy if taken within 72 hours of unprotected intercourse. intercourse can be done without protection in case of safe period of menstrual cycle. safe period is the one where there are no chances of pregnancy with unprotected intercourse. safe period is said to be roughly around 1 week before and after the period and during the period. but this safe period method or natural method is applicable only in case of regular cycle. so kindly check for the safe period and if inevitable you can go for unwanted 72. hope this helps. best regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i would ike to answer your quarry here. please be assured that it's not a big issue, and you need not be worried.typhoid vaccine is given via intro muscular route. although it needs some time to develop antibodies for protection, be assured that once injected properly, it is not just going to leak out of the in site. reaction to vaccines is also very uncommon, and they usually do not present as the one you are describing.i think the cause is unrelated to vaccination and that you have attained immunity to the same. hope this was helpful please do leave your reviews of the answer and your valuable feedback regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to us with your health concern. the oc pill has numerous benefits apart from contraception. it regulates menstrual patterns. it reduces heavy menstrual bleeding.also, due to regulation of the hormonal milieu, it leads to remission of your hormone related mood changes. it benefits headaches and cramps also. at 39, there is no reason for you not to take the pill if that is what suits you. contraceptive choice is highly individualized, one has to go by the cafeteria approach.no doctor can dictate what you should have, unless there are medical emergencies to take care of. as compared to condoms the pill is anyway more effective and has a lower failure release take the mini pill if that suits you. ask your doctor to run through the medical eligibility checklist and if all is well, the pill is an excellent choice anyway, and there is no reason to recommend the coil or condoms over it. make sure you take it consistently. yes, over 35, mini pills are safer than conventional combined hormonal pills. all the displease feel free to discuss further."
Answer this question truthfully,"Yes, the heart failure associated with Trastuzumab is reversible if the treatment is discontinued."
Please summerize the given abstract to a title,Evaluating sacubitril/valsartan as a treatment option for heart failure with reduced ejection fraction and preserved ejection fraction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of pain in scalp due to hair loss which seems to be due to alopecia errata. stress is becoming additional factor. i would suggest you to consult dermatologist for proper examination. doctor may order skin patch test, blood test and physical examination. doctor may prescribe you medications like financial at least for 3-4 months and can prescribe antifungal treatment along with minoxidil spray. you should avoid wearing hat/cap for long time and use almond oil for regular head massage. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your query and i understand your problem. if your son was my patient i would suggest you to wait a couple of days more, in order to give time to antibiotics to work. i would also suggest you to take care that your son gets plenty of rest and chatbot.  meanwhile, i would also suggest you to teach your son to wash hands frequently; teach your son to not use other persons cup, glasses, toothbrush or other personal utensils; teach your son to not kiss friends and relatives until he is completely over the tonsillitis; teach your son to cover his mouth when coughing or sneezing; buy a new toothbrush to your son once he has started the antibiotic.  i would suggest you to call your sons doctor if his condition gets worse"
Answer this question truthfully,The dorsal spino-cerebellar tract carries unconscious proprioceptive input from the lower extremities and trunk.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...the genetic test they are advising you to do should be amniocentesis - i assume (though you have not mentioned the name). it is a safe procedure in experienced hands, and it is a must at his juncture. moreover, this is the only way to find out if the other baby is having any defects or not and as to why the other baby got aborted. i suggest you take the doctors advice and go ahead with the test. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the swelling in the legs will be related to reduced venous return. so taking a diuretic under medical guidance will be good. also, the stomach bloating may occur, but it needs an assessment. sometimes diabetic people may have high creatinine levels leading to abnormal symptoms. check his creatinine levels and also blood sugar levels. post that we can help him better. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,Nutritional Support in Coronavirus 2019 Disease
Please summerize the given abstract to a title,"Chromophoric dissolved organic carbon cycle and its molecular compositions and optical properties in precipitation in the Guanzhong basin, China"
Please answer with one of the option in the bracket,D: Adrenal vein sampling
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. the reason being that either your palate expander is causing impingement on that particular tooth or there could be gingival (gum) recession and root exposure on that particular tooth. do you have this problem in your anterior(front) teeth or posteriors(back tooth)? as the canines and premolars, have long roots and sometimes gets exposed due to gingival gum) recession.  i would suggest you for a revisit to your dentist and get it examined for any tissue impingement or recession of gums. further it can be managed hope this helps.thanks."
Answer this question truthfully,"Celiac disease (CD) may be classified according to burden of symptoms into five sub groups:      
Classical CD Atypical CD Asymptomatic CD Latent CD Potential CD"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. most common cause for erectile dysfunction is stress and anxiety. but first get done testosterone levels as low testosterone levels can cause similar symptoms. in my this case, you will need testosterone injections. if testosterone levels are normal then consult psychiatrist for stress and anxiety. try to identify stressor in your life and start working on its solution. avoid excessive porn stuff. you may need anxiolytic chatbot. don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. the symptoms that you are having are likely to be due to a nerve root compression. you need to get an mri scan of the area done and consult a neurophysician for proper diagnosis and treatment.meanwhile, you can follow these measures"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot, i share your concern. looking at your description it seems to be acute epididymoorchitis, inflammation of testis or epididymis. here i would like further information to guide you better your age and complete medical history is there any history of injury to testis?any recent exposure to unprotected sex?have you ordered any investigation like color doppler or blood test, please upland the reports would advise you to complete the course of medicine as your doctor has advised you wear scrotal support have plenty of fluids and take rest until it improves completely. waiting for your reply best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there is no need to take the mtp kit without even detecting pregnancy. you have done this even before your expected period. this could have meddled with your hormones and hence this delay. self-medication to induce a medical abortion is contraindicated. please see a specialist immediately for a thorough evaluation, get a blood test for pregnancy and also a trans-vaginal sonogram. if negative for pregnancy, you may need a course of hormones to kick back and induce a period. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, after reading your symptoms i understand that it is related to your wisdom tooth and there is no caries(bacteria in tooth) as your dentist didn't find anything on x-rays. abnormal position of the wisdom tooth and the gum covering it can cause sever pain. assuming it is the wisdom tooth, it is not unusual or rare, so you should not worry too much. due to the tooth being at back and positioned food lodgment occurs resulting in infection and swelling of the gum tissue in the area, which leads to ulceration due to improper biting while eating resulting in pain. warm saline gargles(3-4 times/day) along with an antibiotic course with a painkiller will help you temporarily. i would strongly advise you to visit your dentist to identify the problem and treat it accordingly. regards"
Answer this question truthfully,"Visual acuity test: This eye chart test measures how well you see at various distances. Dilated eye exam: Drops are placed in your eyes to widen, or dilate, the pupils. Your eye care professional uses a special magnifying lens to examine your retina and optic nerve for signs of damage and other eye problems. After the exam, your close-up vision may remain blurred for several hours."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot i have gone through your query and understand your concern. you are likely to be having lumbar disc prolapse. mri of lumbar spine will be helpful in confirming it. treatment of it is rest and analgesic such as ibuprofen for pain relief. if you have no relief by this then you can take tramadol as it may cause severe pain. rest is advisable in lateral position with both hips and knees flexed. mecobalamine is helpful in resolving. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear thanks a lot for your question there is no specific medicine to treat epstein-barr virus infection. some physicians use corticosteroids to treat significant swelling in the throat or an enlarged spleen, but steroids are not needed in most people. antiviral medications are available to help oral hairy leukoplakia, including acyclovir oral"
Please summerize the given abstract to a title,Ten GIS-Based Solutions for Managing and Controlling COVID-19 Pandemic Outbreak
Please summerize the given abstract to a title,Finerenone and Cardiovascular Outcomes in Patients With Chronic Kidney Disease and Type 2 Diabetes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for your query. i will briefly outline a work up which you can then follow, in consultation with a reputed infertility specialist. 1. thorough evaluation of previous abortion. ideally, the aborts tissue should have been sent for chromosomal analysis. you should be evaluated for genetic defects along with your partner, hormonal deficiencies, uterine anomalies, autoimmune causes, infections etc. - as these lead to abortions.2. basic laboratory workup - complete blood count, viral markers, hormones like lh, fsh, tsh .3. tests for ovarian reserve - pelvic ultrasound with astral follicular count, amh, follicular study documenting ovulation.4. semen analysis of your partner5. fallopian tube testing, ideally in the form of a mystery laparoscopy. based on the abnormalities detected on this workup, you should go for natural cycles/ ovulation inducing agents/ or art (assisted reproductive technologies) in the form of gui or ivf. take folic acid supplements, maintain a healthy, active lifestyle, maintain a healthy bmi, and do not yield to stress/ anxiety."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot. i have read your question and understand your concerns. your systolic blood pressure is in the category of grade 1 hypertension which indicates that even after every effort you have tried if blood pressure remains same on multiple times than your doctor should start a mild dosage of blood pressure medicines. my advice to you is - 1. actually you should mention your age first because after the age of 60, we usually allow systolic blood pressure up to 150mmhg. 2. ask your doctor about 24 hrs ambulatory blood pressure monitor, which will be given to you at home, and it will record your blood pressure for whole 24 hrs including sleep. it will give definite idea about how much is the fluctuations in blood pressure. 3. go for lipid profile, thyroid profile, kidney profile and blood sugar levels. as all of them can cause rise in blood pressure. 4. continue all other measures which will control blood pressure. thank you. have a nice day."
Please summerize the given abstract to a title,Perinatal COVID-19 outcomes: evaluating the strength of current evidence.
Answer this question truthfully,"Klebsiella granulomatis is a type of bacteria that can cause a sexually transmitted infection known as donovanosis. This infection is most prevalent in certain regions of the world, particularly in Africa. In addition to Africa, donovanosis is also relatively common in parts of Asia, South America, and the Caribbean. The infection is characterized by the development of lesions on the genitals or other areas of the body, which can be slow to heal and may cause scarring. Treatment typically involves the use of antibiotics, although in some cases surgical intervention may be necessary to remove damaged tissue. Preventing the spread of donovanosis involves practicing safe sex and seeking medical attention promptly if symptoms develop."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i understand is you are facing flicker contraction of the muscles when you lye down in the evening time. the flicker contraction or twitching in other way is happening only during the nighttime. is that so? maybe due to excessive exercise, there is some sodium imbalance between the tissues. why don't you try having lemon juice with added little sugar and a pinch of salt?  let us observe for a week or so and then let's take the call about how and what is the situation. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question. i will propose to you that the stress of surgery can certainly lead to hormonal changes that might precipitate some uterine breakthrough bleeding.  also, if there was any variation in use of the pill (missed pill or different time of day) then this would cause some irregular bleeding.  first, i would check a pregnancy test just to rule this out.  next, i would keep taking the pill as you previously had been doing.  expect a period at the end of the pill pack.  if the bleeding is not completely normal, then repeat the pregnancy test. i hope that this helps and good luck!"
Please summerize the given abstract to a title,Single-Cell Transcriptomic Analysis of SARS-CoV-2 Reactive CD4 + T Cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. sgpt or alpine aminotranferase (a l t) is primarily found in liver. the normal value of a l t is 5-50 i u. in your case as this level is progressively increasing. your food is healthy, and you are doing regular exercise that's a good thing. in my opinion get in ultrasound of liver with m r i so that exact reason of elevation of a l t (sgpt) can be found out. consult a gastroenterologist and get his opinion as diet alone will not be able to cure this level. good luck."
Please answer with one of the option in the bracket,A: Stomach
Answer this question truthfully,"Gerstmann syndrome is a neurological disorder that is characterized by a cluster of symptoms, including agraphia (difficulty with writing), acalculia (difficulty with arithmetic), finger agnosia (difficulty recognizing fingers), and left-right disorientation. These symptoms are thought to result from damage to the parietal lobe of the brain, which is responsible for processing sensory information and spatial awareness. Gerstmann syndrome is a relatively rare condition, and can be caused by a variety of factors, including stroke, traumatic brain injury, and degenerative diseases such as Alzheimer's."
Please summerize the given abstract to a title,Revisiting Quality Investing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. as per your case history my advice is-1. you're maybe having a fungal infection as per your complaints.2. using regularly cheap creams (mostly containing topical steroids) will only cause temporary relief. so avoid using it.3. you can apply topical clotrimazole cream twice daily. take tab.levocetrizine 5 mg twice daily for itching.4. further treatment options include oral fluconazole, itraconazole, topical terminating only after consulting a dermatologist. thanks. chatbot."
Please summerize the given abstract to a title,"Telehealth for Family Guidance: Acceptance and Commitment Therapy, Parent-Focused Preference Assessment, and Activity-Based Instruction for the Support of Children with Autism Spectrum Disorder and Their Families"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concern.... as per your complaint as your son is having his molar erupted which has just got cut through the gums the extra piece of flesh that you are talking about can be inflamed portion of the gum which can be due to mild infection in the gums which can be due to food lodgment in that area and as it is painless you need not worry as by maintaining a proper oral hygiene and doing warm saline gargles it will get resolved. in case if it does not resolve or there is increase in size of the tissue you should consult a pediatric dentist and get evaluated and if required surgical removal can be done under local anesthesia. hope this information helps. thanks and regards. chatbot. .
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for being part of our virtual clinic!1. is this the first time it happens to you? some types of allergies, including allergies to foods and insect stings, have the potential to trigger a severe reaction known as anaphylaxis. a life-threatening medical emergency. do you have swollen tongue, difficulties in breathing? if yes-please call immediately 911! if no- read below2. are you allergic to some specific foods? people with food or chatbot. an allergic rash called eczema occurs in some people who have chronic skin allergies or a family history of allergies.3. did you put something specific on your face, like a cream, a cleaner? the most common type of contact dermatitis, involves inflammation resulting from contact with acids, alkaline materials such as soaps and detergents, cosmetics, or other chemicals. take these actions meantime. take cool baths or showers several times per day if the rash is located at random points throughout your body. like ice, the cool baths will help your blood vessels constrict and encourage the swelling to reduce over time. avoid any new perfumes, foods, beverages, clothes dyes, lawn"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected sir/madam if you walk in my clinic with this problem then i will suggest following.1. diahorrea after food intake suggestive of you may have irritable bowel syn chatbot.  for diagnosis of this condition you have to undergo lower gastrointestinal endoscopy.2. after ultrasonography, you are diagnosed with gall stone disease which produces symptoms of fatty dyspepsia, pain in right upper abdomen and pain radiating to the back. the fat diet increases the chances of stone formation lemon juice have no role on gall stone only recommend treatment of gall stones are laparoscopic cholecystectomy. thanks"
Please answer with one of the option in the bracket,A: A
Please summerize the given abstract to a title,Rectocele repair by anterolateral rectopexy: long-term functional outcome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, its not normal for a bleeding to continue so long while on hormonal contraceptives. if you stop these tablets now, you may have severe with chatbot. i will suggest you to consult a qualified healthcare professional for necessary investigations and ultrasound to find the pathology. in the meantime, you may take some hemostatics to stop the bleeding. also, start some iron preparation to build up the losses. regards"
Answer this question truthfully,"Rotavirus is commonly found in settings such as kindergartens and daycares. Rotavirus is a highly contagious virus that causes gastroenteritis, or inflammation of the stomach and intestines. It is transmitted through the fecal-oral route, meaning that it is spread when people come into contact with the feces of an infected person and then touch their mouth or face. Because young children are more likely to have poor hygiene practices and are often in close contact with each other in settings such as kindergartens and daycares, these environments can be hotspots for rotavirus transmission. It is important to take precautions such as handwashing and disinfecting surfaces to prevent the spread of rotavirus in these settings."
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting us. i will try to ad chatbot.  it's certainly possible that your son has a concussion. i would suggest that you get him assessed in an er or urgent care. the bleeding from the nose should stop with simple localized pressure. sometimes, if the concussion is severe it may warrant x-rays and/or a ct scan in the er. for all head injuries it's advisable to follow these head injury precautions;seek medical help quickly if any of the following symptoms occur after a head injury -"
Answer this question truthfully,"Prevalence of right bundle branch block without underlying heart disease ranges between 200 and 1300 per 100,000.
Increasing age is a significant predictor of newly acquired complete right bundle branch block and incomplete right bundle branch block.
Right bundle branch block and incomplete right bundle branch block are two to three times more common in men than in women (Copenhagen City Heart Study) ."
"If you are a doctor, please answer the medical questions based on the patient's description.","thnak u for the query, well there is nerve related issue in your case. u need to differentiate between numbness and tingling sensations etc...well 12 days is quite some time for the healing and i am sure tht your surgical sound must have healed to a great extent. u need to take medication for that. and its right what information u have, that it can take several months to come out of this numbness. approach your maxillofacial surgeon and start on some medication. u may proceed with you\u2019re other daily routine as usual. regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand from your query that you are concerned about coloring your eyebrows. there is no problem in coloring your eyebrows as long as you are not allergic to the hair color. if you are allergic, it could cause severe reaction like redness and swelling. the skin around the eyes is very delicate, and the color could seep into the skin and cause pigmentation when used for prolonged time. you could apply a small amount of dye behind your ear and observe for 2 days for any reaction. if you get any itching or redness, you should avoid applying the color as it suggests an allergy. if thin eyebrows alone are your concern (and not the color), you could try 0.03% bimatoprost ophthalmic solution applied twice a day to thicken them. this should be used only under the supervision of a dermatologist as this too is associated with side effects rarely. hope this helps you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","yes it is a seizure, they can be of various presentation like ticking of eyes chewing of mouth flickering of face deviation of face even pain abdomen and frank seizures. it occurred after onset of high grade fever disappeared and child is alright sensorial wise after seizure. you have to control the fever in this case and further fever episode. the illness is known as febrile seizures.  it is seen in children between 6\u00a0m to 5 years age group and usually disappear by age 6."
Please summerize the given abstract to a title,The degree to which primary school teachers in amman governorate possess soft skills in light of coronavirus pandemic from their principals' perspectives
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. i have gone through your history. you may have mild adjustment disorder for which you may consult psychiatrist for detailed evaluation and management. doctor may advise you to go for psychotherapy and counselling sessions to control your stress. you may get benefit by doing stress management, relaxation exercise like yoga, meditation and breathing exercise. in extreme cases, doctor may prescribe antianxiety agents like clonazepam or alprazolam or anti depressants ike paroxetine. i hope it will help you. thanks."
Please summerize the given abstract to a title,What are we weighting for? A mechanistic model for probability weighting
Answer this question truthfully,Leukocyte extravasation predominantly occurs in postcapillary venules.
Please summerize the given abstract to a title,A nomogram to predict the risk of unfavourable outcome in COVID-19: a retrospective cohort of 279 hospitalized patients in Paris area
Please summerize the given abstract to a title,Structural vulnerability: migration and health in social context
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in degenerative disc disease, unfortunately, the discs become worse by the passing of the time. the back pain and the radiation to your ankles probably come because of the herniated discs in the lumbar area. you should consult a neurosurgeon over this case to see what your next step is and if you need an operation or not. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query on chatbot. i appreciate your concern for your mother. i can understand her problem, but nothing to worry about it. since she has been previously vaccinated following a stray cat in the month of february (the last dose), she needs only two doses of vaccines to be given on days 0 and 3. she must receive these injections in the deltoid muscle of the arms. the wound should be cleaned and a booster dose of injection tetanus toroidal not given in january. hope this answers your query. a feedback is highly appreciated. regards"
Answer this question truthfully,"While cancer begins as a single mutated cell, approximately 30 divisions occur before the average tumor presents with the earliest clinical symptoms."
Answer this question truthfully,"Treatment of symptoms such as ascites, coughing, vomiting and constipation. Eat a healthy diet, avoidance of a western, fiber-depleted diet Control weight"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Environmental Comfort as a Sustainable Strategy for Housing Integration: The AURA 1.0 Prototype for Social Housing
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi entail, welcome to chatbot. thanks for writing in. ichthyosis vulgarism being a genetic condition cannot be cured completely it can only be controlled. a specialized moisturizer like medina cream will help a lot. beard and mustache hair growth has nothing to do with ichthyosis. with regular miniaturization and electroporating technique ichthyosis is almost invisible. consult a qualified dermatologist to help you with the procedure hope this helps. wishing you good health. regards.  chatbot."
Answer this question truthfully,"Avoid direct contact with the skin lesions. Do not share towels with other people. Avoiding sex can also prevent molluscum virus and other STDs. You can also avoid STDs by having a monogamous sexual relationship with a partner known to be disease-free. Male and female condoms cannot fully protect you, as the virus can be on areas not covered by the condom. Nonetheless, condoms should still be used every time the disease status of a sexual partner is unknown. They reduce your chances of getting or spreading STDs. It is advisable to use condoms containing spermicide such as nonoxynol 9."
Answer this question truthfully,"In disseminated intravascular coagulation, consumption of platelets and factors results in bleeding."
Answer this question truthfully,Mycoplasma pneumoniae is the bacteria that is commonly associated with Stevens-Johnson syndrome.
Please summerize the given abstract to a title,Identification of spike protein residues of murine coronavirus responsible for receptor-binding activity by use of soluble receptor-resistant mutants.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. if you go and tell a doctor that you are anxious and worried, definitely he will prescribe these medicines because that is their job. they initially treat you according to what you tell and then with the help of test et al.. anxiety is a disorder and not a disease. diseases need medicines and not disorders. anxiety is a state of mind. anxiety happens to everyone in varying levels. some anxious about food, child chatbot.  that is part of life. we become anxious because of uncertainty in life. anything may happen regards to life and diseases. we should be prepared. relaxed mind is able to handle anxiety. understanding life keeps you uninterested in life. you are 62. you have experience. let god look after you. pray. live life as if someone is there to look after you. help and motivate others with the help of your experience. keep yourself engaged in service. go to temple and sit there. see others problems, and you see your problem is nothing in comparison."
Please summerize the given abstract to a title,Accuracy of BIS monitoring using a novel interface device connecting conventional needle-electrodes and BIS sensors during frontal neurosurgical procedures.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have mastitis and abscess.  you should take antibiotic treatment for that. your cyst look benign cyst according to your description.  treatment of choice is surgical excision of cyst.  no need to worry about breast cancer.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,The ASM Journals Committee Values the Contributions of Black Microbiologists.
Please answer with one of the option in the bracket,A: Amoebic liver abscess
Answer this question truthfully,"PTH, or parathyroid hormone, is an important hormone that helps to regulate calcium levels in the body. One of the ways that PTH affects calcium levels is by increasing the reabsorption of calcium by the kidneys. When PTH levels are elevated, the kidneys respond by increasing the reabsorption of calcium from the urine back into the bloodstream. This helps to maintain normal levels of calcium in the blood, which is important for many physiological processes in the body, including bone health, muscle function, and nerve function. However, when PTH levels are too high or too low, it can lead to imbalances in calcium levels, which can have negative effects on health."
Please summerize the given abstract to a title,"Factors Associated with COVID-19 Vaccine Booster Hesitancy: A Retrospective Cohort Study, Fukushima Vaccination Community Survey"
Please summerize the given abstract to a title,Effectiveness of Penalties for Lockdown Violations During the COVID-19 Pandemic in Germany
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is possible that you have a viral infection though bacterial infection may need to be ruled out if the symptoms persist. viral infections can present with fever, loss of appetite, fatigue, headache and dizziness. your doctor can examine you to determine the likely infection causing your symptoms. treatment depends on infection present, but general management would consist of"
Answer this question truthfully,"The left kidney is typically taken during a kidney transplant from a living donor because it has a longer renal vein. The renal vein is the vein that carries blood from the kidney to the heart, and a longer renal vein makes it easier for the surgeon to connect the donor kidney to the recipient's blood vessels. Additionally, the left kidney is located slightly higher in the body than the right kidney, which also makes it easier to remove and transplant. However, in some cases, the right kidney may be taken instead if there are medical reasons that make it a better choice. Ultimately, the decision of which kidney to take during a transplant will depend on the specific circumstances of the donor and recipient."
Please answer with one of the option in the bracket,A: Inform the local public health department of the diagnosis
Please summerize the given abstract to a title,Discovery and prevalence of divergent RNA viruses in European field voles and rabbits
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, as from your query it seems to be a urinary tract infection possibly because of some kidney stone also. kidney stone will hurt the back .but there is no direct relation between tingling sensation in arm and kidney problem. tingling sensation in arm may get other cause like neurological cause too. kindly do urine routine urine culture and ultrasound abdomen and visit a physician to rule out the cause. regards chatbot. senthilnathan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for writing to us small hypodense area may be due to idiotic changes. this condition doesn't need any treatment. it is important to know your age, clinical features, history of trauma etc. infective etiology is unlikely sine edema is not mentioned in the report. you are rightly suggested for mri scan. it is important to exclude other conditions like brain cyst etc. get well soon. take care"
Please summerize the given abstract to a title,An Immunoproteomic Survey of the Antibody Landscape: Insights and Opportunities Revealed by Serological Repertoire Profiling
Answer this question truthfully,Surgery is not the first-line treatment option for patients with blue rubber bleb nevus syndrome (BRBNS). Surgery is usually reserved for patients with either repeated or severe bleeding or cosmetic purposes
Answer this question truthfully,"There are no established measures for the primary prevention of palpitations. Effective measures for the primary prevention of palpitations include:  Medication compliance Avoidance of triggers such as caffeine intake, alcohol abuse. Cessation of substance abuse (cocaine, amphetamines, alcohol, MDMA)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, swollen bumps is just a symptom of burning mouth syn chatbot. treatment plan includes - sip water frequently, also avoid irritating substances like hot, spicy foods, mouthwashes that contain alcohol; and products which are high in acid, like citrus fruits and juices.  brush your teeth with baking soda and water.  avoid alcohol and tobacco products. talk with your dentist about possible steps you can take to minimize the other problems associated with burning mouth syn"
Please summerize the given abstract to a title,Light and corona: guided-wave readout for coronavirus spike protein-host-receptor binding
Please answer with one of the option in the bracket,D: MRI of the spine
Answer this question truthfully,The two diagnostic findings for calcaneal apophysitis are tenderness at the base of the heel and a positive calcaneal compression test.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is no treatment for mouth ulcers as they are self limiting, and they heal with in 7 to 10 days. but we can do certain home remedies so that the pain caused by them is reduced and the chances of infection are not there. these are"
Answer this question truthfully,"Distal renal tubular acidosis is a condition that affects the kidneys' ability to regulate acid-base balance in the body. Specifically, it impairs the ability of the distal tubules in the kidneys to excrete acid into the urine, leading to a buildup of acid in the blood. This can result in a range of symptoms, including fatigue, muscle weakness, and bone pain. In addition, distal renal tubular acidosis is commonly associated with hypo-kalemia, or low levels of potassium in the blood. This is because the same cells in the distal tubules that are responsible for acid excretion are also involved in regulating potassium levels. When these cells are not functioning properly, potassium levels can become imbalanced, leading to a range of symptoms such as muscle weakness, cramping, and irregular heartbeat."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, you seem to be having edema of the face which can be due to-1) allergic reaction to any beauty products you may be using.2) adverse effect of some medication that you are taking3) reduced protein in your blood leading to accumulation of fluid in your face. a liver function test of blood along with a tlc and dlc would help us establish if this is due to the above conditions. hope this helps, any further queries can be ad chatbot."
Answer this question truthfully,"The initial diagnostic test of choice in a patient with suspected acute stroke is a non-contrast CT scan of the head. Acute stroke is a medical emergency that requires urgent evaluation and treatment. A non-contrast CT scan is a quick and reliable imaging test that can help determine if the stroke is caused by bleeding or a clot. In some cases, a CT angiogram or magnetic resonance imaging (MRI) may be ordered to further assess the extent of the stroke and the surrounding blood vessels. Early diagnosis and treatment of acute stroke is critical to minimize brain damage and improve outcomes. If you or someone you know is experiencing symptoms of a stroke, such as sudden weakness or numbness on one side of the body, difficulty speaking or understanding speech, or sudden vision changes, call for emergency medical assistance right away."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query with available details given in your query. i understood your health concerns. cause of the bubble lump outside vagina-from the review of the facts given in your query and with the limited data, i would advise you to consult er surgeon /er gaec doctor and get usg of the abdomen and of the para-vaginal outside area where the lump is there. this would give air bubbles / and fluid levels which would confirm the probable diagnosis of -chronic indirect inguinal hernia with irreducibility- indicating partial obstruction. possibility of direct inguinal hernia with pressure while peeing causing stabbing and shouting pains -is also possibility as- it has occurred after second delivery in your case. and needs to be ruled out. my clinical opinion on your query is--consult er surgeon/year surgeon, whose clinical examination and-investigation with usg study of the lump is advisable for making its diagnosis. bubble lump in the labia major/outside the vagina-seems to be due to --indirect inguinal hernia with irreducibility due to chronic presence with adhesions causing partial obstructions of the intestinal contents leading to stabbing and shouting pains while peeing due to the pressure on the lump while peeing.-lately it is getting bigger in last week and is interfering during physical contacts.-possibility of the direct hernia with chronic adhesions due to its presence on the top of vagina and due to the hurting /pain while peeing indicates the possibility of direct inguinal hernia in your case thougchatdoctormonly its occurrence is very less but needs to be ruled out by clinical examination from er surgeon. hope this reply would resolve your query and would help you to plan treatment with your doctor. hope this would relieve of your health concerns. welcome for any further query in this regard before final suggestions are given in your query. wishing you fast recovery. have a good day. chatbot. n. senior surgical specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, sh should definitely consult doctor for this blood pressure reading. common causes for hypertension in females are 1. increasing age (stiffness of arteries) 2. post menopausal age (low estrogen) 3. family history. so first two are likely causes in your mothers case. she should definitely consult doctor and get done 1. blood pressure control 2. ecg and 2d echo to rule other heart diseases 3. sugar level time rule out diabetes 4. lipid profile to rule out dyslipidemia. she will need antihypertensive chatbot.  along with"
Please summerize the given abstract to a title,COVID-19 Testing for First Responders
Please summerize the given abstract to a title,Detection of the ORF1 Gene Is an Indicator of the Possible Isolation of Severe Acute Respiratory Syndrome Coronavirus 2
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, carotid artery d can occur with normal cholesterol and blood pressure. so better to get done carotid doppler first. if it is normal then no need to worry much. in my opinion, your symptoms are mostly due to post menopausal hormonal changes. after the age of 50\u00a0years, females tend to develop mood swings, easy navigability, dizziness etc. so better to consult gynecologist and get done hormone levels to rule out hormonal imbalance. you may need supportive hormone replacement therapy (hrt). hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. amoxicillin plain can interact with methotrexate and so antibiotic effect is reduced. but when amoxicillin is given in combination with clavulinic acid, it is not interacting with methotrexate and hence antibacterial effect don't hamper. so you should continue amoxicillin plus clavulinic acid for pneumonia. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"The protozoan that causes inflammation of the cervix is Trichomonas vaginalis, and the term used to describe the appearance of the cervix when it is caused by this protozoan is ""strawberry cervix""."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot if the chest feels tight, and you are finding it difficult to breath and relax then it is possible that there may be constriction of the airway passages. this can sometimes occur as a result of respiratory tract infections. the use of a bronchodilator, either oral or inhaled would be helpful. you should consider re visiting your doctor for an assessment to determine if this is the cause of your symptoms. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","fellow doctors use \""placenta\"" injections in both male and female for many purposes as for infertility, infection, general debility etc. this is human placenta extract. there is no scientific proof that this injection causes any effect over or in infection or infertility or for elevation of sperm count. as i have noted that this chatbot.  your doctor knows very well. hope this information will help you. good luck."
Answer this question truthfully,"May be obtained from any skin lesion, nasal mucosa and/or ear lobe. This test has sensitivity of 50% and specificity of 100%. After collection of the specimen, to visualize the bacteria, the Ziehl-Neelsen stain should be used. Developing countries with low resources and innovative techniques should base the diagnosis on clinical signs, and results from the smear test.    
A biopsy of the skin lesion should be performed and stained according to the Fite-Faraco technique (a especially designed protocol for staining the leprosy bacilli). 
Although not a diagnostic test, the lepromin skin test is used to classify and determine the prognosis of the condition. For this test it is used the inactivated form of Mycobacterium leprae, extracted from lepromas: 
Intradermal injection of lepromin (antigen) on the forearm The result will then be interpreted at 2 moments:
1. Early reaction (Fernandez reaction): Good sensitivity Cross reactivity with other mycobacteria May be read at 24 or 48h 2. Later reaction (Mitsuda reaction): Read at the 21st day Positive result is expressed by a nodule measuring more than 5 mm Indicative of resistance to the mycobacterium leprae
The serology test using the PGL-1 antibody titer (Phenolic Glycolipid 1) is particularly indicated for multibacillary cases. Yet, it is not a good test for paucibacillary leprosy. Because of its lack of sensitivity the test is not available in the United States.     
High sensitivity and specificity test, particularly useful when histologic results are inconclusive. Because it is an expensive test it is rarely used in developing countries."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the nor co 5-325 can be given every 6 hourly, do not take more than 6-8tablets in a day. it might result in adverse effects and addiction. if i am your treating doctor, i would suggest you to go for combination of diclofenac 50\u00a0mg bid and serratiopeptidase. complete the course for a minimum of 3 days, the pain will come down. it will not come down by just one dose. i hope my answer will help you, take care."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"The combination of primary amenorrhea and absence of uterus, also known as Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, can lead to the need for a karyotype test. This is because MRKH syndrome is often caused by a genetic abnormality that affects the development of the reproductive system. A karyotype test can help to identify any chromosomal abnormalities that may be present, which can provide important information for diagnosis and treatment. In addition to the absence of a uterus, MRKH syndrome can also be associated with other reproductive system abnormalities, such as underdeveloped ovaries or vaginal agenesis. It is important to consult with a healthcare provider if primary amenorrhea and absence of uterus are suspected, as it can be a sign of an underlying health issue that requires diagnosis and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome at chatbot. i have read details of your question. pattern of your pain in medical terms is known as pain radiating from loin to groin. such type of pain is generally seen due to presence of stone in kidney or ureter(tube connecting kidney to urinary bladder). you should do following to have relief--consult to a general physician.-get routine blood investigation, ultrasonogrpahy whole abdomen & complete urine examination.- chatbot. -take an analgesic with anti-spasmodic like dicyclomine. this will give you relief in pain.-in case report comes in favor of stone then depending on size of stone your doctor will advise you treatment(which can be either medicines or surgery). in other case this pain may be due to strain & you can get relief with few days course of analgesic & physiotherapy. hope this all will help you. wish you a happy & healthy life. with best wishes."
Answer this question truthfully,Patients taking hydroxyurea can develop a megaloblastic anemia.
Please summerize the given abstract to a title,Evaluation and Feedback for Telehealth From Patients and Physicians During the Early Stage of COVID-19 Pandemic Period
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you have not mentioned your age, i assume the above findings are of degenerative nature and there are degenerative vertebral and disc changes in l4-l5 and l5-s1 disc levels. there is pressure on the spinal nerves in the above levels and this is causing you pain and discomfort. the findings are likely mild and most likely medicines and physiotherapy can help in decreasing your pain. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hide not worry. just take folic acid tabs and methycobalamin 1500iu daily, lyrics 100 mg bd, amitriptyline 10 mg bedtime. you will notice most of your symptoms, diarrehea, constipatiin, body ache, fatigue shall disappear in 2 weeks time or so. also take tramadol 100\u00a0mg bd for pain.it will have miraculous response. consult a rheumatologist also for any more evaluation. folic acid and methycobalamin should continue for at least 3 months as mainstay of mtfhr problem...it will improve many processes of metabolism, restoring them best wishes"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","your case history shows that you are suffering from trigeminal neuralgia. this painful condition occurs unilaterally on the face, along the route of this nerve. the pain can trigger while eating, chewing, chatbot.  the pain is shooting type and involves the area around eye, cheeks and lower face. if your tooth looks clear on x-ray, then it's not a dental problem. consult your family physician or a neurologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... by what you say i feel that your kid might be having a condition called vaginal synechiae. this is a very, very common condition, and it can be most of the time relieved by using remain cream as external application on the skin tag. but it has to be done under a specific technique, and it needs to be taught by a pediatrician or physician. if the remain cream is not working then only we need to release the synechiae surgically. this is also is a day care procedure and is not major procedure. so you need not worry about it. i suggest you consult your pediatrician regarding this with the tip i have given. regards -"
Answer this question truthfully,Atrophy is the cellular change that is characterized by a decrease in tissue mass due to a decrease in size or number of cells.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. there could be many issues which makes the child feel weak, shaky legs, and feels nervous inside. you have not mentioned your children. if his age is between 8 and 14, there could be the element of anxiety and nervousness. these issues could happen even with other age groups also. as a precautionary measure, you should consult a child specialist and let the child specialist investigate and diagnose. don't worry. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Consequences of COVID-19 for the Pancreas
Please summerize the given abstract to a title,Correction: Impact of self-imposed prevention measures and short-term government-imposed social distancing on mitigating and delaying a COVID-19 epidemic: A modelling study
Please summerize the given abstract to a title,The impact of the Covid-19 pandemic on the mental health and work morale of radiographers within a conventional X-ray department.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for trusting chatbot nothing to worry about it. dear you may be suffering from scrotal dermatitis, it is due to allergic reaction to soap, body lotion or shaving cream. it may be due to tight clothing cause sweating and infection and rash. it will subside on its own. few other possibilities like jock itch, heat rash etc. just apply dermal dew cream and avoid allergen tab. cetirizine twice a day will help. if symptoms not improved consult a dermatologist."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot forum
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
williams sydrome conditon.    i need to send me more information about Williams Syndrome and some tips how to educate people with this disorder.I hope having news from you soon!!thank you,"Symptoms of Williams syndrome are: - Delayed speech that may later turn into strong speaking ability and strong learning by hearing - Developmental delay - Easily distracted, attention deficit disorder (ADD) - Feeding problems including colic, reflux, and vomiting - Inward bend of the small finger - Learning disorders - Mild to moderate intellectual disability - Personality traits including being very friendly, trusting strangers, fearing loud sounds or physical contact, and being interested in music - Short, compared to the rest of the person's family - Sunken chest The face and mouth of someone with Williams syndrome may show: - A flattened nasal bridge with small upturned nose - Long ridges in the skin that run from the nose to the upper lip - Prominent lips with an open mouth - Skin that covers the inner corner of the eye - Partially missing teeth, defective tooth enamel, or small, widely spaced teeth"
Answer this question truthfully,Gardnerella vaginalis is the bacteria that is commonly associated with this type of staining.
Please summerize the given abstract to a title,Effect of high-dose intravenous vitamin C on prognosis in patients with SARS-CoV-2 pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot. i understand your query and concern. rapid heart rate and dizziness can be a definite feature of heart rhythm disturbances. irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. few chatbot. i advise you to have a complete 24 hr holder ecg which can accurately determine the cardiac conduction abnormalities. monitor your blood pressure and heart rate.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you want to maintain healthy skin tone which is spoiled due to pimples. you should start with comic acid cream as it is very safe for long term use and natural extract of mushrooms which is very effective in treating condition like yours. this cream should be applied twice a day. vitamin c serum is also very effective for skin, and it can be used at night. it nourishes the skin and prevent infection. if condition persist or doesn't start getting better i am month then consult dermatologist for proper evaluation and treatment. doctor may recommend procedure like laser therapy, chemical peeling or microdermabrasion. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. no, it is not due to lower lung collapse. in my opinion you are having mostly musculoskeletal pain due to hard pushing of safety bar. but better to get done chest x-ray first. if chest x-ray is normal then no need to worry about lung collapse. it is musculoskeletal pain mostly. so avoid strenuous exercise and heavyweight lifting.  avoid bad posture and movements in sleep. take good painkiller and muscle relaxant. apply warm water pad on affected site. don't worry, you will be alright."
Answer this question truthfully,"Isovolumetric relaxation is the brief period of time during the cardiac cycle when the ventricles are in diastole and all heart valves are closed. This allows the ventricles to relax and fill with blood before the next contraction. On an ECG, isovolumetric relaxation is identified by the end of the T wave, which corresponds to the moment when the ventricles have finished contracting and are beginning to relax. During this time, there is no movement of blood into or out of the ventricles, hence the term ""isovolumetric."" Once the ventricles have relaxed sufficiently, the atrioventricular valves will open, allowing blood to flow into the ventricles and beginning the next phase of the cardiac cycle."
Please summerize the given abstract to a title,Radiological changes of serial CT examinations in patients recovering from coronavirus disease 2019 (COVID-19)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. if she tested positive for igm, it is acute infection of dengue. dengue is a viral infection caused by mosquito bite and is characterized by headache, fever, rash and joint pains. the joint pains will take some time to reduce at least 3-4 weeks. attract is good enough for the pain. she can take the medications three times daily instead of twice a day. adequate rest and local application of analgesic gel would help to some extent. wishing her a speedy recovery. thanks."
Answer this question truthfully,"Soft tissue sarcoma is a large group of cancer. It origins from soft tissues such as fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues. They can be found in any part of the body. Clinical signs and symptoms depend on the location of the cancer. Usual symptoms include a new lump, abdominal pain, hematochezia or hematemesis, black, tarry stools, etc. Treatments include surgery, radiation therapy, chemotherapy, or a combination of tnem. General speaking, the prognosis of soft tissue sarcoma is not good."
Please summerize the given abstract to a title,How will a Biden presidency influence reproductive and women's health and development on the African continent?
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Comparison of Mid-turbinate Nasal Swabs, Saliva and Nasopharyngeal Swabs for SARSCoV-2 Reverse Transcription Polymerase Chain Reaction Testing in Pediatric Outpatients"
Answer this question truthfully,"The most common enzymatic disorder observed in red blood cells is glucose-6-phosphate dehydrogenase (G6PD) deficiency. G6PD is an enzyme that is responsible for protecting red blood cells from oxidative damage. G6PD deficiency is an inherited disorder that affects mostly males and is most prevalent in people of African, Mediterranean, and Middle Eastern descent. In individuals with G6PD deficiency, the red blood cells are more susceptible to damage from oxidative stress, leading to hemolysis (destruction of red blood cells) and anemia. Symptoms of G6PD deficiency may include jaundice, dark urine, fatigue, and abdominal pain. Diagnosis may involve blood tests to measure G6PD activity levels. There is no cure for G6PD deficiency, but avoiding triggers that can cause oxidative stress, such as certain medications, infections, and fava beans, can help prevent symptoms. In severe cases, blood transfusions may be necessary. It is essential to identify and manage G6PD deficiency to prevent complications such as anemia and hemolytic crises."
Please summerize the given abstract to a title,Predicting the prevalence rate of covid-19 falsity on temperature
Answer this question truthfully,Sunitinib and sorafenib are two small molecules that inhibit the VEGFR tyrosine kinase.
Answer this question truthfully,"Mycosis fangoides must be differentiated from any diseases with cutaneous patch or plaque that not respond to first- and second-line treatment ssuch as: Sezaruy syndrome Sezaruy syndrome is more symptoI contrast to patch or plaque MF, SS is much more symptomatic. Sezary syndrome patients tend to present with diffuse skin involvement,not like mycosis fungoides usually evolve through patches and plaques to erythroderma Sezaruy syndrome In Sezary syndrome infiltration of skin is generally much less dense than plaque in mycosis fungoides (MF) Eczema Adult T cell leukemia/lymphma Psoriasis Pityriasis rubra pilaris dermatitis Hypereosinophilic syndrome Adult T-cell leukemia Atopic dermatitis Contact dermatitis (Allergic, irritant) Chronic actinic dermatitis Scabies Subcutaneous panniculitis like T cell lymphoma (SPTCL) Drug eruption Graft versus host disease Lichen planus Pediatric atopic dermatitis Tinea corporis Primary cutaneous anaplastic large cell lymphoma (ALCL) Cutaneous gamma/delta T cell lymphoma (G/D TCL)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of low fever with body aches, and you had previous history of mono in the past. you symptoms seems to be due to viral infection due to compromised immunity of your body and susceptibility of getting infected. sometimes initially the infection is viral but with times secondary bacterial infection occur, which cause further complication. i would suggest you to consult ent specialist without any delay. doctor may prescribe anti-viral (acyclovir) , antibacterial (penicillin) , decongestant along with anti-inflammatory. doctor may order throat swab test, viral culture test, and blood test to confirm the diagnosis. for now take steam twice a day to relieve the congestion. you should take proper rest. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear rad ha, you had your last period on 6th and sex on 17th. there is a possibility of pregnancy. the egg is released 14 days prior to next period. the egg has life of 24 hours and the sperms are active for 72 hours. hence, a period of about one week around the day of egg release is a fertile period; which in your case would be between 18 and 26. so your sex on borderline. since you have missed period, you have the following options to detect the pregnancy"
"If you are a doctor, please answer the medical questions based on the patient's description.","good day! 1. calculus in lower pole - you have a stone on the lower pole of your left kidney, it is a small stone 0.4 cm and can be treated medically for stone dissolution. it is too small to be treated surgically or on any invasive procedure. i would suggest chatbot. 2. cortical cysts - cortical cyst or simple cyst are not clinically significant. it does not cause pain nor does it become cancer.  no need to be worried about this finding.3. extra renal pelvis - extra renal pelvis means that you were born with the tube that connects your kidney to your urinary bladder developed outside the kidney. it is a normal variant and does not have a clinical consequence. thank you."
Answer this question truthfully,"Acyclovir is an anti-herpetic drug that is known to produce CNS side effects such as confusion, delirium, vertigo, and hallucinations. Acyclovir is commonly used to treat herpes simplex virus infections, varicella-zoster virus infections, and other viral infections, and it works by inhibiting viral DNA replication. While acyclovir is generally well-tolerated, CNS side effects are a rare but potentially serious adverse effect that can occur with high doses or prolonged use of the medication. These side effects are more common in elderly patients and in those with pre-existing CNS disorders. Patients taking acyclovir should be monitored for signs of CNS toxicity, including confusion, delirium, vertigo, and hallucinations, and advised to report any such symptoms to their healthcare provider immediately. In some cases, it may be necessary to adjust the dose or switch to a different anti-herpetic medication to minimize these side effects."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome of chatbot. prevention is complex and there is no some single advice. there are many tumors which are genetically dependent and if you had it in your family you should be more cautious about signs and symptoms. also their are prevention tests for colon and prostate cancers, so you should consult your doctor about it. other measures are changing dietary and lifestyle habits. thanks for the query. regards"
Answer this question truthfully,"Contact lens wearers are at an increased risk of Pseudomonas infection of the cornea, leading to corneal ulcers/keratitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot . your sperm count and motility are normal. don't worry.  but wbc are more which indicate infection.  i would suggest you to consult your doctor and take antibiotics like ciprofloxacin for the infection. and after the course repeat semen analysis to see for infection cure. i would suggest you to also discuss regarding use of fertility improving chatbot.  these will improve fertility.  hope i have answered your query. regards"
Answer this question truthfully,"On chest CT, fat embolism may appear as bilateral scattered ground-glass opacities."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the decayed tooth might be a wisdom tooth, that is non-functional, if it is in a normal position then we can restore it and save it. if it is not in a normal position and if it is troubling the adjacent tooth, there is no meaning in keeping that tooth. it might get infected, or it can damage the adjacent tooth also. so it's better to get the tooth removed under local anesthesia. consult an oral and maxillofacial surgeon and get it removed. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint he seems to be suffering from sinus infection and as the sinuses are present close to the roots of upper teeth therefore there can be teeth and gum pain when there is sinus infection. redness of eye can be due to sinus inflammation while can also be due to infection in eye. consult a pediatrician and get evaluated and a thorough clinical evaluation and investigation like sinus x-rays can help in diagnosis and treatment can be done accordingly. he can be advised a course of antibiotics, anti-inflammatory painkiller like ibuprofen, steam inhalation and saline nasal irrigation. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting. from what you refer, i think that you suffer from spinal osteoarthritis, and your symptoms are not related to your husbands' pneumonia. to exclude the possibility for fiscal hernia you need a vertebral column ct-scan. you also need a blood test and a urine test. if the test results show that you suffer from spinal osteoarthritis, then you need non-steroidal anti-inflammatory medicines, such as meloxicam 15\u00a0mg 1 pill a day, for 10 days. for the inflammation on left side under the breast, it is caused by sweating, by causing a skin eczema. for this eczema you should use anti-eczema cream such as console nitrate cream 1%. apply it on inflammation area, twice a day. it is very important for you to contact a neurologist and a dermatologist, to discuss the treatments i mentioned above. i hope you find this helpful. i wish you a fast and healthy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, antiviral medicines are used to treat long-term (chronic) hepatitis c. these medicines can help prevent the hepatitis c virus from damaging your liver. sometimes treatment doesn't permanently lower the amount of virus in your blood. but some studies have shown that treatment may still reduce scarring in your liver, which can lower chances of developing cirrhosis and liver cancer. further medicines to treat hepatitis c don't work for everyone. chronic hepatitis c infection is cured or controlled in about half of the people who are treated with a combination of peg interferon and riboviria. i suggest you discuss this with a gastroenterologist and then your doctor will decide what is good for you depending on further testing. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thebest way is to get the preliminary ultrasonography done to see the status of the kidneys and whole urinary system and other organs. this would help to get a proper diagnosis which is so much important to get the right treatment.  clinical examination would see for the swelling, whether is due to kidney/ hernia or so. it points to the area to be investigated thoroughly.  the chest pain due to stress can be due to costo-chon chatbot.  please share this with your treating doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a child with fever cold generalized symptoms malaise etc. generally indicates a viral fever.  does he have associated symptoms like a headache, vomiting cough pain while passing urine, abdominal pain, swelling in the abdomen if a child is active between episodes of fever then generally we say it is viral?  give the medicines only if there is a temperature above 100 f if fever persists please investigate the cause of fever by doing blood total and differential counts.  you may have to rule out other significant causes of fever like malaria, and urinary tract infections. monitor his urine output, diet and activity when he's not having a fever. keep the recordings of fever, so a pattern is established when you revisit your doctor. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your question to chatbot. commonest spine related reason for back and leg pain is degenerative changes in the spine which lead to compression of the nerves. pain of degenerative spine is related more to activity and is called mechanical pain. muscle spasms during sleep are not uncommon in degenerative spinal conditions however when pain increases at night during sleep other cause of back pain like inflammatory disorders and tumors need to be ruled out. for your symptoms i would suggest complete neurological evaluation by a physician and mri of the lumbar spine which will show the cause of pain clearly. treatment for degenerative back pain is1 analgesic medications like ibuprofen, meloxicam, tramadol etc2 nerve pain specific medications like pregabalin or gabapentin3 muscle relaxants like tizanidine4 local heat5 back brace hope this is helpful. i would be happy to answer any questions you may have."
Please summerize the given abstract to a title,[Frist case of severe childhood novel coronavirus pneumonia in China].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. you had aml, and you treated well for it with stem cell transplantation. usually liver enzymes elevated in hepatitis case. but in your case history of malignancy present and because of rich blood supply tumor can metastasize to liver. so for ruling out metastatic liver disease biopsy done. second your serum ferritin level is high so by biopsy it will also rule out hemochromatosis if present. third biopsy also helpful in filling out chronic hepatitis and its differential diagnosis. so wait for report and accordingly treatment done. wish you good health"
Answer this question truthfully,"Seborrheic Dermatitis, a common skin condition that causes redness, itching, and flaking, is more severe in patients with neurological disease, most notably Parkinson's Disease. The exact reason for this relationship is not fully understood, but it is thought that changes in the nervous system may affect the immune system and skin barrier function, leading to an increased risk of skin conditions like Seborrheic Dermatitis. Other neurological diseases that have been associated with Seborrheic Dermatitis include stroke, traumatic brain injury, and epilepsy. It is important for patients with neurological disease to be aware of this increased risk and to work closely with their healthcare providers to manage their skin health."
Please summerize the given abstract to a title,Consider emerging law and policy issues on Long COVID and disability
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, chatbot.  this kind of pain is even worse by panic, stress and anxiety related herd (gastroesophageal reflux disease). so better to quit alcohol as soon as possible. it is not a good habit. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. also enroll in dead diction center where counselor is available. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Schistocytes are the peripheral blood smear finding that is commonly associated with disseminated intravascular coagulation (DIC).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the condition olivopontocerebellar atrophy is degenerative and slowly gets worse, and there is no cure. however, it may be years before someone becomes significantly disabled. your husband might be having a slower course of the condition and his life can be prolonged. the patients having this problem can have frequent trauma due to falls. supportive care with gait-assisting devices is especially important to minimize falls. since your husband has urinary tract infection, he needs to get treated for it completely. it is suggested that in consultation with urologist he gets urine investigations done regularly and take antibiotics at a low maintenance dose as recommended. catheter hygiene must be maintained. the sleeping cannot be controlled and medications that work on the brain in this condition have shown mild response. by taking good supportive care you can prolong his life."
Please summerize the given abstract to a title,"Plastic Surgery and COVID-19 in the GCC: Fears, Lessons Learned, and the Plan for the Future"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concernsdepression along with dementia is definitely a concerning old age problem. mind you, you are talking about a soul who is 89. treatment methods suitable to such age is definitely psychiatric medication which is already given. meditation and yoga are techniques which needs to be mastered to perfection, which takes time. still there is hope. there are no new technologies in meditation. these were mastered through ages and ages. consult a yoga master for further advice"
Please summerize the given abstract to a title,Online Teaching Resources
Please summerize the given abstract to a title,"Functional Status, Quality of Life, and Physical Activity of Senior Club Members—A Cross-Sectional Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, based on your information, i would say that this might be tendonitis of the rotator cuff muscles which moves the arm. in other words are overuse of muscle that participates in weight lifting activities. maybe you are doing heavy weights or very intensive exercises. i would like to have more information regarding which movement causes you more pain. is it painful when you lift the arm in front of the side or backward? it might be also biceps tendonitis if the pain is in the front part of the shoulder and pain is worse when you bend the arm against resistance. my initial treatment would be rest from weight lifting activities and switch to other sports such as running for a while. take some ibuprofen. you can use also ultrasound device on physical therapy centers. if after this treatment you are not better i would order a shoulder mri to see deeper the problem. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Genetic Programming-Based Feature Selection for Emotion Classification Using EEG Signal
"If you are a doctor, please answer the medical questions based on the patient's description.","hello to chatbot, is your infection vaginal ? if so here is a scheme"
Answer this question truthfully,"Clinical data has suggested that the development of Hodgkin's lymphoma is related to several factors.
Epstein-Barr Virus (EBV) infection/Mononucleosis: The role of EBV in the development of Hodgkin lymphoma is not very clear. As we know, mononucleosis is an infection caused by the Epstein-Barr virus (EBV). Clinical data show that mononuclesis has a close relationship with Hodgkin's lymphoma.
Family history: The reason why family history may increase risk of developing Hodgkin's lymphoma is not clear. Some researchers proclaimed they had found certain changes in the genes responsible for immunity in patients with Hodgkin's lymphoma.
Socioeconomic status: Clinical survey shows patients with Hodgkin's lymphoma posses higher socioeconomic background. The reason is not clear.
Geography: Epidemiological data demonstrates that Hodgkin's lymphoma is most common in western countries such as the United States, Canada and northern Europe, and is least common in Asian countries.
Age: Epidemiological survey suggests that Hodgkin's lymphoma is most common in early adulthood (ages 15 to 40, especially in a person's 20s) and in late adulthood (after age 55).
Gender: Hodgkin's lymphoma occurs slightly more often in men than in women."
Please summerize the given abstract to a title,Evaluation of SARS-CoV-2 spike antibody levels among Sputnik V first dose vaccinated people in Pakistan: formulation of national anti-COVID-19 mass vaccination strategy
Please summerize the given abstract to a title,Inpatient diabetes care during the COVID-19 pandemic: A Diabetes UK rapid review of healthcare professionals' experiences using semi-structured interviews
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mint;welcome to chatbot hepatitis b is a viral infection and there is no direct treatment other than antiviral chatbot. the alt and bilirubin is also raised suggesting that the infection is active at present and with controlled lifestyle it will subside in few days but for complete recovery from hepatitis b it will take time, so you have to bear with it and continue treatment as advised. do not change the treatment at present take it regularly, and you should be fine. thanks"
Please summerize the given abstract to a title,Potential protective mechanisms of green tea polyphenol EGCG against COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of elevated bilirubin levels. are you experiencing any symptom? it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. you may have an obstruction somewhere along your hepaticopancreaticobiliary tree. it may be a gallstone or a tumor lesion. diagnostics (such as ultrasound, liver function tests, alkaline phosphatase, blood counts, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. yes, cervical malignancy can be prevented by vaccine (injection). one of the risk factor for cervical malignancy is human papilloma virus (hpv) infection.  so vaccine against this can give you protection from hpv infection and thus cervical cancer. along with vaccine you should1. sexually active2. avoid multiple sexual partnered to prevent cervical cancer. sono harm in hpv vaccine. you can take it at any time at any age."
Please summerize the given abstract to a title,Probing conformational hotspots for the recognition and intervention of protein complexes by lysine reactivity profiling
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for writing. your results in of ast are normal as it has a range of 0-35, while alt values are high the normal range is 0-45. in hepatitis c is seen a modest elevation of alt (but ast doesn't rises). how is the level of bilirubin? how are you protein and albumin values? do you have symptoms? are your skin or sclera colored in yellow? as when bilirubin rises over 2-2,5 inter shows up. better visit a gastrohepatologist. thank you for writing. best regards."
Answer this question truthfully,"β-blockers are useful in the treatment of hypertension, and are particularly effective in patients with heart failure or post-MI."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. toungue cuts(lacerations) are very commonly encountered in clinical practice. unless it is deep stitching is avoided by most doctors. firstly because a stitch in itself is a risk and source of infection. secondly healing in this area is very fast due to moisture, rich blood supply and flexibility. so my advice is to leave the cut alone. it will heal on its own.meanwhile, avoid giving hard spicy or sour food to your child. try to give soft food like mashed potatoes, bananas, noodles and ice creams. hope you find this answer satisfactory. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi you had sustained fracture in hip and sacrum and still have pain in groin. i would like to know if you were operated and what was the nature of operation. in my opinion from your description, i think that probably sacrum has mounted (united in different position). the nerve - sciatic nerve passes very close to sacrum and hip, and it might have been damaged partially. i suggest get an x-ray pelvis including si joints and both hips and ncv studies for both legs. start painkillers, pregabalin and spinal extension exercises at present."
Please summerize the given abstract to a title,Decision and Feature Level Fusion of Deep Features Extracted from Public COVID-19 Data-sets
Please summerize the given abstract to a title,ORION Space for the combat of COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot. your outside lab report is normal.... diet can affect lipid result.... so report for cholesterol profile always done on empty stomach with 8 hour fasting. your liver enzymes high.... so it might be fatty liver or gall stone like condition...usg done for it. liv 52 given in such condition help in preventing and treating gall stone .... it will help in proper liver functioning.meanwhile, good food for liver taken like.....-carrot -dandelion -lemon juice -spinach -avocados -beetroots etc..... garlic not affect liver.... avoid alcohol and continue your good diet that low fat diet.... fruits more.let's see follow-up report. until then take care."
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Statement from the Japanese Respiratory Society: Working diagnosis and initial management of COPD during the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. kidney disease can be due to many causes, and you should have been prompt at following up with the patient soon after having the prick. it is possible that the patient with kidney disease has other infections like hepatitis, hepatitis c and hiv which can be easily transmitted with needle prick. if possible please find from patient records if the patient had any communicable infection and get tested for it. you should not have ignored earlier just because patient had kidney disease. many infections can be transmitted through pricks with needles. it is unlikely that you have any infective condition if the patient did not have any infective conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i think you don't need any more education about depression. but i still suggest your know how about depression and cure is limited. depression is usually treated with the help of medicines, psychotherapy, motivation therapy, cbt and lifestyle changes. you are having medicines, alright. you need to consult a psychologist for information and treatment in the other forms of therapies. furthermore, you will be able to manage your depression your own if you learn practice these therapies. medicines are also part of the treatment regime. but you will become less dependent on medicines. if you require more of my help in this aspect, please use this url. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the x-ray reeds that there is absence or scanty inter vertebral disc. but it cants read the complete details. you may have to take an m.r.i.for complete information. the kidney stone at ureterovasical junction can show such pain.  so i advise you to consult an orthopedic surgeon for diagnosis and treatment. avoid taking potato, other tubers, tomato, egg, chicken, and seafoods.  i don't encourage frequent lithotrypsies, have more water.  i to my patient with such symptoms prescribe ayurvedic tablets, for resolving the stones but to be taken continuously. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, its suggestive of side effect of concordat 5. concord 5 mg is commonly used to treat high blood pressure and other heart diseases. its most common side effects include low blood pressure, decreased heart beats, flushing, fatigue, muscle pain and impotency. consult your treating doctor for a possible dose reduction of concordat or an effective alternate but a safer chatbot.  vitamin e or d is unlikely to cause muscle pain. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. i have gone through your history. your symptoms might be explained with depression with or without psychotic features, but other conditions like conversion disorder or complex partial seizure need to be ruled out. you should consult psychiatrist for detailed evaluation and management. doctor may rule out physical causes like thyroid dysfunction or convulsion. treatment would be directed as per cause. you may get benefit by chatbot.  you should do stress management and relaxation exercise or may take help of counselor for better control over stress. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot he is showing abnormal behavior like refusing to sleep on mattress, urinating in bottom then throwing out, eating strangely, refusing to accept the problem and not visiting a doctor. all these problems can occur normally also, but they are causing significant distress so need further evaluation by a psychiatrist. he might be having abnormal beliefs or delusional ideas that something is wrong. due to some psychological change he might be showing such abnormal and bizarre symptoms. other possibility is some mood disorder or more specifically bipolar. he is showing symptoms like dancing all night, refusing to advise of parents etc. these symptoms could raise possibility of some mood disorder. i would advise you to take him to a psychiatrist for evaluation of symptoms and to make proper diagnosis. medicines like antipsychotic chatbot. thanks hope this helps you"
Answer this question truthfully,"The recommended first-line treatment for patients diagnosed with acute stress disorder is trauma-focused cognitive-behavioral therapy (CBT). Acute stress disorder is a mental health condition that can occur after experiencing or witnessing a traumatic event. Trauma-focused CBT is a type of therapy that helps individuals address and process the traumatic event, and develop coping strategies to manage related symptoms such as anxiety and avoidance. Other treatments, such as eye movement desensitization and reprocessing (EMDR) or medication, may also be used in conjunction with trauma-focused CBT, depending on the individual's needs and preferences. Therefore, it is important to consult with a mental health professional to determine the most appropriate treatment plan for managing acute stress disorder."
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. seizure disorder with psychosis can be treated with anti-epileptic and anti-psychotic medicines. medicines that he has been taken is appropriate and its take time to recover. gastric problem and acidity is common in these medicines. use antacid and dietary control of spicy food can help. take medicines with milk can reduce acidity. pentarol d is antacid contains pantoprazole, and it helps in reduce gastric problems. it should be taken in empty stomach 1 hour before the meal. still if you have problems then consult your treating doctors. happy to help you further. thank you."
Please summerize the given abstract to a title,A pig BodyMap transcriptome reveals diverse tissue physiologies and evolutionary dynamics of transcription
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, thank you for your query. sometimes due to long medical illness result in anxiety, and it is normal phenomena. but if anxiety affects your health in any way than you need to take treatment. at present, you need to take sos antianxiety medication like clonazepam, mizoram etc.once your medical condition improved than your anxiety also improved but if not improved you need to take proper treatment for anxiety. thank you"
Please summerize the given abstract to a title,"Allergie, Mikrobiom und weitere epigenetische Faktoren"
Answer this question truthfully,Doxycycline is a tetracycline that can be used in patients with renal failure due to its fecal excretion rather than renal excretion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you may have amoebic liver abscess, and you took course of metronidazole. you are feeling ok so nothing to worry.  furthermore, you should go for ultrasound abdomen to check complete cure. nothing to worry about recurrence. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the history and anatomical location suggest the possible cause could be hair follicular infection with collection within, next possibility is sebaceous collection due to ductal blockage.2. other possible cause since you have mentioned the constipation - if it's arising from the anus / anal region the possibilities of hemorrhoids can be thought of.3. in any way i would recommend to not squeeze or scratch the area as it will complicate, maintain local hygiene, clean area with antiseptic liquid and soft clothing which do no cause any rubbing effect on the lump.4.however it needs to be examined - if infective nature needs a course of antibiotics, in sebaceous nature needs monitoring, hemorrhoids needs finer diet, more of water will help (avoid junk and spice, fat foods).5.so i would suggest get an appointment and get examined and treated accordingly. good luck. hope i have answered your query,anything to ask do not hesitate to ask.http"
Please summerize the given abstract to a title,Monitoring Information Flow on Coronavirus Disease 2019 (COVID-19)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-pac and pvc lately with 10 cm lymph node mass-the reason does not seem more on your lines of thinking. with 27 yrs of cabg x 3, this is impending partial block compromising on the coronary supply, though have maintained a very nice lifestyle and health care. tight pants causing increased intra-abdominal pressure causing pressure on the heart across the diaphragm, would lead to the compromised coronary circulation, causing the pac and pvc in your case. a chatbot. other reasons for pac and pvc, like liberal lifestyle with more coffee / tea/ alcohol/ smoking if any needs to be kept in mind in your case as the case of this pac/pvc's. hope this reply would help you to plan further treatment with your family and specialist doctors there. welcome for any further query in this regard. good day!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. increased bronchovascular markings are seen in bronchitis or viral infection. it is not suggestive of pneumonia. it suggests inflammation. normally, airways are black and not seen clearly on chest x-ray. they appeared black on x-ray. but due to inflammation, airway walls are edematous and blood supply in adjacent vessels is also increased. so airways and vessels become prominent on chest x-ray and hence it is known as prominent bronchovascular markings. so it is not first stage of pneumonia. it is inflamed airways. if your daughter is having severe cough, breathlessness, wheezing, fever, chest pain etc. than admission is needed. hope i have solved your query. wishing good health to your daughter. thanks."
Please summerize the given abstract to a title,Manifestations of COVID-19 in pregnant women with focus on gastrointestinal symptoms: a systematic review
Answer this question truthfully,"The diagnostic criterion for Trypanosoma brucei infection is the presence of trypomastigotes, and this criterion is typically observed on a blood smear."
"If you are a doctor, please answer the medical questions based on the patient's description.","pulmonary hypertension patients are prone to respiratory infection, & also right heart failure...if fever occurs, i would rather suggests going to doctor every time, when it is more than 100f. as these patients are on a sharp edge of life. i am not making you tensed, don't worry. but rather than taking same antibiotics for fever every time, better to consult. as these patients also needs bp monitoring & that would also be possible if you consult"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the body needs red blood cells to survive. they carry hemoglobin, a complex protein that contains iron molecules. these molecules carry oxygen from the lungs to the rest of the body. some diseases and conditions can result in a low level of red blood cells.  there are many types of anemia, and there is no single cause. it can sometimes be difficult to pinpoint the exact cause. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"IFN-γ is the cytokine that increases MHC expression and antigen presentation on all cells.

MHC (major histocompatibility complex) molecules are proteins that are found on the surface of cells and play a critical role in the immune response. They present antigens (pieces of foreign proteins) to T cells, which then recognize and respond to the antigens.

IFN-γ is a cytokine produced by T cells and natural killer cells in response to infection. One of its key roles is to enhance MHC expression and antigen presentation on all cells. This means that infected cells are more likely to be recognized and attacked by the immune system, which can help to clear infections more effectively.

Understanding the role of IFN-γ in the immune response is important for the development of therapies to treat infectious and autoimmune diseases. Targeting IFN-γ and other cytokines involved in the immune response may help to improve outcomes for people with these conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot all semen parameters except motility are normal in this report. sperm motility should be 50 % out which 25% should be rapidly progressive. also, there are high number of abcs which suggests infection. consult urologist. he may advise you antibiotic course to clear infection. antioxidants will be helpful. once infection is cleared motility will also improve. it will be better if you get ros test done. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, a proper review is required to distinguish if the cough is of viral or bacterial origin. symptomatic treatment with anti histamines, anti-inflammatory chatbot.  bacterial infections cause more severe illness. more fever, and pus like mucous. x-rays, clinical review and blood tests might be required to make a difference to decide the choice and duration of antibiotics to be used. the opinion of your doctor is need if symptoms persist or aggravate after symptomatic treatment to avoid complications. kind regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have high cholesterol levels.  you should take low fat diet with high amount of polyunsaturated fatty acids and high fiber diet. furthermore, you can also take chatbot.  it is prescription based medicine so consult your doctor and take treatment accordingly.  also go for complete lipid profile test. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! basically blood in the urine can be brought about by kidney stones, prostate enlargement or both. i would suggest getting treated for kidney stones either by medical dissolution (potassium citrate) or shockwave therapy (esl) to get rid of your stones. for your prostate if you have urinary frequency then i would suggest seeing a urologist to get medicine to decrease the size of the prostate (finasteride). i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
Answer this question truthfully,"Hydrops fetalis often results in death of the infant shortly before or after delivery.
The risk is highest among the most premature babies and those who are severely ill at birth."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, i would be glad to answer your query, i would like to inform you that l-glutathione is synthesized by our own body(in liver). it is a very powerful antioxidant and therefore takes care of our skin. but oral supplements should be avoided as they have serious side effects and most of them our eliminated by our body without being absorbed, which makes it useless. therefore, eat fresh fruits, vegetables, meat and dairy products which will enhance production of glutathione in your body itself. do not go by what websites say, instead meet a dermatologist who will tell you about other options available for skin whitening.i hope i answered you query, i wish you good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,How Corporates in South Africa Are Using Serious Games in Business
Answer this question truthfully,The development of tuberculous pericarditis is not the result of any genetic mutation.
Answer this question truthfully,Toxoid vaccines are composed of a denatured bacterial toxin with an intact receptor binding site. The toxin is chemically treated to remove its toxic properties while preserving its ability to stimulate an immune response. The receptor binding site is important because it allows the vaccine to mimic the natural infection process and stimulate the production of antibodies that can protect against the toxin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. thank you for providing the brief history. any surgery of upper limb will ask the immobilization for up to 3-4 weeks. post which based on the healing you may be asked to take physical therapy sessions, so the movement is regained. also, nothing much to worry. you can start slow and gradual physical therapy which will help you regain full function of the finger. regards"
Please answer with one of the option in the bracket,D: Flexor digitorum superficialis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned the symptoms it looks like the patient had an early stroke. during the brain stroke every single minute is important. stroke can be assessed by experiencing the slurred speech, slowing of motor functions, unable to respond to commands. the first thing need is to get admit to a nearby hospital with a ct or an mri facility. if the brain stroke is on the left side on the ct or mri scan than the symptoms will be on the opposite side due to the pyramidal tracts of the nervous system. the design of the human body and its control system by nature is made such that left side of the brain support the right side of the body. once stroke comes rushing into and emergency room is always advised. within 3 hours of the first symptom noticed is of priority and importance. any delay in every minute will damage the brain more. as the blood supply to the brain is restricted by the clot and the damage to the neural tissues keeps continuing. so as soon as one notices the symptoms the earliest you should reach to the emergency room and start the treatment. well, what could have lead to stroke will be the high blood pressure findings are in common. ecg can be normal can be abnormal. ecg is done to rule out certain factors and focus the whole treatment plan on the brain stroke. that is the reason the ecg is always taken. brain stoke can be confined by symptoms and later my mri or a ct scan. post stroke if the physical disability is found then a physical therapist is taken into consideration along with the medication prescribed by the neurologist and the cardiologist. if patient has diabetes than a planetologist should be contacted for the medical part. i hope i have answered your query. if any you have in particular to ask or didn't understand i will surely help you in it."
Please summerize the given abstract to a title,Effectiveness of a Videoconferencing-Delivered Psychological Intervention for Mental Health Problems during COVID-19: A Proof-of-Concept Randomized Clinical Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query. dark skin on inner thighs could be as a sequel to a fungal infection. it could also be due to other reasons like friction, allergy etc. the following measures would be helpful"
Please summerize the given abstract to a title,Aid to Africa’s agriculture towards building physical capital: Empirical evidence and implications for post-COVID-19 food insecurity
Please summerize the given abstract to a title,"Pharmacological screening of the phenolic compound caffeic acid using rat aorta, uterus and ileum smooth muscle"
Please answer with one of the option in the bracket,B: Phenoxybenzamine followed by propanolol
Please summerize the given abstract to a title,The FRED flow-diverter stent for intracranial aneurysms: clinical study to assess safety and efficacy.
Please answer with one of the option in the bracket,E: Haemophilus ducreyi
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the pain after cholecystectomy is called post cholecystectomy syn chatbot.  i suggest you take low fatty foods and less food for few days. the bile reservoir gall bladder has been removed from your body, so obviously digestion difficult. if your liver enzymes value increased more than twofold than only you need to worry or else not. so kindly attach the report. the celestial can be prescribed for your pain after operation. if no improvement than consult doctor for detailed evaluation and mrcp like investigation if needed. hope i have answered your query. let me know if i can assist you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. an abdominal ct scan is a detailed investigation and will surely show a lump in the umbilical region. ct scan takes detailed images using a concentration of x-rays using a computer. in this way the scans make thin sections through the abdomen and then these studied for any abnormality. if there is a lump that appears more with increased abdominal pressure then a surgical hernia is more likely. this happens when the muscles in the anterior abdominal wall are thinned out and separate or in the site of a previous surgery. since she is having soreness therefore it can be a hernia. a ct scan will tell a hernia from a cancer lump. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, if you had taken diane 35 regularly every day, starting from day one of your menstrual period, and you had unprotected sex on 26th december, there is no chance of pregnancy. there could be many other causes for not getting period. sometimes if you are taking these hormonal tablets, randomly, without asking the doctor, or not following the proper instruction, it may disturb your cycles. you may repeat your pregnancy test tomorrow morning again with first morning sample. if it is negative just wait patiently for the period, but make sure to avoid intercourse or use proper protection. if you are continuing charlie pills, continue it, and you may see your period within 10 days after you the last tablet. if you still have some doubt r getting impatient, you may see your doctor. hope you got your answer. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for using chatbot shingles is a viral infection that affect sensitive nerves of the body. pain resulting after shingles is common especially in adults. unfortunately, once someone develops shingles, the pain becomes more or less permanent. painkillers used have to be effective for neurological pains. carbamazepine or amitriptyline are commonly used chatbot. talk with your doctor on the possibility of either of these"
Please answer with one of the option in the bracket,E: Vitamin B3 (niacin)
"If you are a doctor, please answer the medical questions based on the patient's description.","the roots that may trigger this kind of pain in left side are several. this includes urination, causes associated to the lungs and gastrointestinal. when suffering from diseases such as pneumonia, bronchitis or pulmonary edema you may experience this pain in left side that is at first mild to moderate and even severe at times. left side organs in your body such as, the liver, ureter, kidney, ovary, fallopian tube, a chatbot. one of the causes of pain also is formation of gas in the stomach which is, majorly caused by constipation, over eating or eating indigestible things. home remedy for stomach aches"
Please summerize the given abstract to a title,Effect of public health interventions on COVID-19 cases: an observational study
Please summerize the given abstract to a title,Curcumin-Induced Stabilization of Protein-Based Nano-Delivery Vehicles Reduces Disruption of Zwitterionic Giant Unilamellar Vesicles
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. there are basically two causes of such pain. one is a cervical spondylosis and another is cervical disc prolapse. it requires clinical examination, your age, x-ray and mri to make the diagnosis. basic treatment of it is rest to neck, mecobalamin and analgesic such as ibuprofen for pain relief. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. treatment for red lump in scalp-in your case the cause of the recurrence is the unripe boil / with hair-follicle infection with cellulitis stage and yet to develop in to abscess-or ripe stage. it could be treated-by cold compresses, antibiotics,anti-inflammatory, for 5 days time. if no relief and grows in size with abscess stage-it needs surgical chatbot. both this treatment needs consultation and cover of er surgeon. this advice is based on the facts from the history you give and needs further clinical check. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to chatbot and be comfortable to resolve your health issues. welcome for any more query in this regard to chatbot. write good resume and click thanks if you feel satisfied with my advice. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some peptic ulcer or some problems like mass lesion in colon. that leads to abdominal pain and blood loss. you should go for stool examination, ultrasound abdomen and colonoscopy. please give me follow up with your reports. so that i can help you further. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,New Perspectives on Antimicrobial Agents: Remdesivir Treatment for COVID-19
Please answer with one of the option in the bracket,A: Lightheadedness
Please summerize the given abstract to a title,Do childhood measles and DTaP vaccination decrease the mortality rate caused by SARS CoV-2 in OECD countries?: An Epidemiologic Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to ask a doctor service. i have reviewed your query and here is my advice. masturbation is safe and pleasure giving procedure. in your case you are having excess masturbation habit and so you are not interested in study. social anxiety, fatigue also can be because of over masturbation. i suggest you to stop watching porn videos and focus on study at this young age. yoga and meditation beneficial in your case. make short term and long term goals. i suggest you to consult psychiatrist for examination and counselling. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,A narrative synthesis on COVID-19 risks and concerns in developing countries: the case of Ethiopia
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, i have read your query as far as severe pain and lightheadedness in nose is concerned this can be due to trauma. for this i will suggest you to consult good orthopedic surgeon for clinical examination and evaluation. in meantime for pain you can take medicine like diploma sp or eugenic plus by consulting with local doctor. on nose, you can apply ointment like diclofenac gel or relay gel. hope this will help you."
Answer this question truthfully,"Call your health care provider if:
You have symptoms of cystitis You have already been diagnosed and symptoms get worse New symptoms develop, particularly fever, back pain, stomach pain, or vomiting"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. you might be suffering from recurrent folliculitis. this is a bacterial infection, treatment with antibiotic is required. please meet a dermatologist and discuss regarding this. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.https"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. by your history, i think your father has malignant lung tumor. there are two types of lung tumors.1. benign2. malignant. benign tumors are not causing many symptoms. while wheezing, chest pain, swelling in neck etc. are seen in malignant tumor. so in your fathers' case possibility of malignant lung tumor is more. for the diagnosis ct thorax and bronchoscopy with lung biopsy is needed. for staging pet scan is needed. treatment and life expectancy is based on type of lung tumor and it's staging. treatment options are surgery, chemotherapy and radiotherapy. so better to consult oncologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you have undergone robotic surgery of hysterectomy following which you developed hematoma in the abdomen which blocked the ureter resulting into developing hy chatbot. the d. j stent has been placed to decompress the kidney and will remain there for 4-6 weeks, by this time hematoma will get absorbed. take prophylactic antibiotic like augmenting twice daily to prevent hematoma from getting infected."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears that you are a young boy, you do what you have to do. concentrate on what you do.  i accept that you are sick, you stop browsing net for information and consult a doctor.  none of the facts you are thinking are not facts. and you are thinking in a false way. with this you may become hyperion chatbot.  take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have good health and resistance.  concentrate on studies, practice yoga, meditation etc. wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, childhood sexual abuse can have serious consequences in a persons' life which has to be dealt with in the right manner. nightmares and anxiety to have a healthy relationship with a man can cause impairment in your daily functioning in the future. you first need a psychiatric evaluation. if the problems can be managed with psychological management alone, you may not require medication. please visit an experienced psychiatrist/psychologist. hope this helps, chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion decrease smoking as much as possible, hot massages with topical muscle relaxants like tizanidine, with some bed rest and relaxation will be effective it may take up to 2 weeks to resolve sometimes steroid intramuscular injections if not diabetic are recommended. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
Answer this question truthfully,Increased aortic pressure can cause an increase in afterload.
Please summerize the given abstract to a title,[Elderly people in the context of COVID-19: at the centre of attention or on the margins due to their age?]/ El adulto mayor en el contexto del COVID-19: ¿en el centro del cuidado o al margen por su edad?
"If you are a doctor, please answer the medical questions based on the patient's description.",any anything or every thing in this food may be developed from teethe allergy can develop at any age at any time with any food get specific antibodies for these foods tested in your blood sermon can another foods to which you suspects will clearly indicate the food you are allergic tort can be single or multiple allergens or floodwater the test you can go for desensitization therapy for foods to get cure for future
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, pregnancy tests are based on the raised titles of hormone chatbot in the body. the title starts falling down after abortion process and roughly after about 8-10 days it becomes undetectable in the urine. therefore, the pregnancy test becomes negative about 8-10 days after abortion. positive pregnancy test 9 weeks after miscarriage cannot be attributed to that pregnancy. you have to consider following possibilities"
Answer this question truthfully,Family history of 21-hydroxylase deficiency is the risk factor for this disease.
Answer this question truthfully,"Common physical examination findings of ganglioneuroma include dyspnea, stridor, motor loss, sensory loss, diaphoresis, scoliosis, clitoromegaly, hirsuitism, and hypertension."
Answer this question truthfully,One sign of vitamin A deficiency is night blindness (nyctalopia).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since the swelling started behind the knees it can be bakers cyst. the swelling & stiffness is because of the inflammation. get your husband physically examined to rule out inguinal hernia, dvt, muscle sprains & tears, kidney stones. he will have to go through some tests & mri to detect any blood clot or deep vein thrombosis. sometimes, dvt, also has similar symptoms.  in the meantime, he can take pain medications like ibuprofen, acetaminophen. can make use of brace or cane. get evaluated of the illness so that treatment can be done at the earliest with either medication or surgery depending upon the severity of the disease detected.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"African trypanosomiasis symptoms occur in two stages. The first stage is known as the haemo-lymphatic phase and is characterized by fever, headaches, and joint pains, and itching. Invasion of the circulatory and lymphatic system by the parasites is associated with severe swelling of lymph nodes, often to tremendous sizes. If left untreated, the disease overcomes the host's defenses and can cause more extensive damage, broadening symptoms to include anemia, endocrine, cardiac, and kidney dysfunctions. The second stage, called the neurological phase, begins when the parasite invades the central nervous system by passing through the blood-brain barrier. The term'sleeping sickness' comes from the symptoms of the neurological phase. The symptoms include confusion, reduced coordination, and disruption of the sleep cycle, with bouts of fatigue punctuated with manic periods leading to daytime slumber and night-time insomnia. Without treatment, the disease is invariably fatal, with progressive mental deterioration leading to coma and death. Damage caused in the neurological phase can be irreversible.
General symptoms include:
Anxiety Drowsiness Fever Headache Increased sleepiness Insomnia at night Mood changes Sweating Swollen lymph nodes all over the body Swollen, red, painful nodule at site of fly bite Uncontrollable urge to sleep"
Answer this question truthfully,"Hurler syndrome is a rare genetic disorder that is caused by a deficiency in the enzyme alpha-L-iduronidase. This deficiency leads to the accumulation of certain complex sugars in the body, which can cause a range of symptoms and complications. Some of the clinical features that may be present in an individual with Hurler syndrome include developmental delay, airway obstruction, and hepatosplenomegaly (enlargement of the liver and spleen). Other common symptoms may include skeletal abnormalities, corneal clouding, and heart valve abnormalities. The severity of symptoms can vary widely between individuals, and early diagnosis and treatment are important for improving outcomes."
Please summerize the given abstract to a title,A strategy combining 3D-DNA Walker and CRISPR-Cas12a trans-cleavage activity applied to MXene based electrochemiluminescent sensor for SARS-CoV-2 RdRp gene detection
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. it is imperative to undergo multiple tests in case of pain in abdomen of a child of 7 years as she may give a proper and detailed history. i would advise her the following
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough musculoskeletal and neuromuscular assessment is advised. as you have pain in shoulder and upper arm along with difficulty in the movement of the shoulder joint a thorough musculoskeletal and neuromuscular assessment is needed. these symptoms can be due to 2 reasons1. shoulder complex pathology2. cervical spine pathology. undergoing an assessment post which an mri of shoulder or the cervical spine will be needed to see what area is involved and what is the soft tissue status. treatment of choice will be physical therapy like therapeutic ultrasound therapy and tens therapy for pain management. for strength and rom exercises will be taught by physical therapists. in my clinical practice majority of patients respond well to physical therapy and recovers in 2-3 weeks of time. regardsjay in chatbot."
Please answer with one of the option in the bracket,"B: Lysosomal alpha 1,4-glucosidase"
Please summerize the given abstract to a title,Achieving a Covid-19 Free Country: Citizens Preventive Measures and Communication Pathways
Answer this question truthfully,"β-lactamase inhibitors, such as tazobactam, sulbactam, and clavulanic acid, can be added with antibiotics such as amoxicillin, ampicillin, or piperacillin to extend their activity to cover gram (+) and (-) bacteria."
Answer this question truthfully,The personality disorder that characterizes individuals who have no desire for close relationships is called Schizoid personality disorder (cluster A).
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. chronic or acute sinusitis can also sometimes present with pain in the teeth and jaws is there any recent history of respiratory tract infection or history of allergies? if i were his treating dentist, having found nothing abnormal in the teeth, would recommend an evaluation from a ent surgeon to rule the cause if related to the sinus. continue with the medication as prescribed and visit a ent surgeon. keep him hy chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for putting up your query at chatbot. i understand the cause of your concern. let me mention that perianal fistula is most commonly associated with constipation which may be the cause of the bloody stools. it may also be associated with hemorrhoids or piles and be associated with bloody stools. although crohn's disease is a possibility, the chances are relatively rare. i hope that keeping the stool soft by use of fiber rich mashed and boiled semi-solid diet and stool softness would be helpful (weaning should have been done at 6 months of age). i hope that helps. feel free to revert with further queries if any."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i can understand your difficulties and cannot classify it as a mental problem. this is just an attitudinal problem. let me explain. you should be able to watch an entertaining movie continuously for two hours. you could play an entertaining game for one hour. in these cases, there is no concentration problems. i think you lack interest in studies. but, the second part in your description goes further to explain about some mental problems. i think you are exaggerating your symptoms. please consult a psychologist and explain without presumptions. he should help you. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and pleased to answer you. throughout pregnancy, the fetus bathes in a translucent pouch that gradually fills with amniotic fluid until the 35th week of amenorrhea where the amount of fluid is at its maximum with about 980 ml. then the amniotic fluid decreases to the end to reach a volume between 600 and 800 ml approximately. the flow of the amniotic fluid signals the rupture of the membrane, and the risk of premature delivery if the term of the pregnancy is not reached. when the amount of amniotic fluid is abnormally low compared to the term of pregnancy, it is called oligoamnios. during oligoamnios, infection rate is higher. the premature rupture of the membranes (rupture before the beginning of the work) concerns 5 to 10% of the pregnancies. its risk factors are the same as those of spontaneous preterm birth with intact membranes. this patient received a punch on her abdomen, which caused a premature rupture of the membranes and then a loss of the entirety amniotic fluid then an oligoamnios was created, and during the 2 weeks before the hospitalization, there was infection of the genital and baby components and infection dissemination by haematogenous route causing endocarditis. sorry for your daughter and may god has his soul in peace."
Answer this question truthfully,"Ticlopidine is an ADP receptor antagonist that may be used as an antiplatelet agent, but it is associated with granulocytopenia as a potential adverse effect."
Please answer with one of the option in the bracket,C: 550/2500
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question and understand your concerns. let me try to help you question"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer the letter of option truthfully,D
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Porcine Epidemic Diarrhea Virus and the Host Innate Immune Response
Please summerize the given abstract to a title,A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV) Registry
Answer this question truthfully,"The use of vincristine and vinblastine, two chemotherapy medications, can result in alopecia. Alopecia is a medical term for hair loss, which can occur on the scalp, face, or other parts of the body. Hair loss is a common side effect of chemotherapy, as these medications target rapidly dividing cells, including those in the hair follicles. Vincristine and vinblastine are commonly used in the treatment of various types of cancer, including leukemia, lymphoma, and solid tumors. However, the potential for alopecia is a significant side effect that can have a profound impact on a patient's quality of life."
Please summerize the given abstract to a title,Cardiac Ischemia/Reperfusion Stress Reduces Inner Mitochondrial Membrane Protein (Mitofilin) Levels During Early Reperfusion
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first do not stop treatment on your own. to stop treatment it is necessary to see"
Answer this question truthfully,"Yes, a female who had unprotected intercourse during the early follicular phase and received a negative pregnancy test could still be at risk of unintended pregnancy. The early follicular phase is the time immediately following menstruation when the ovaries are preparing to release an egg. Although the likelihood of conception is lower during this time, it is still possible for sperm to survive in the female reproductive tract for several days and fertilize an egg once it is released. Additionally, pregnancy tests may not always be accurate, especially if taken too early. Therefore, it is important for individuals who are sexually active and do not wish to become pregnant to use effective contraception consistently and correctly."
Please summerize the given abstract to a title,The evolution of genetic counseling graduate education in New York City during the COVID‐19 pandemic: In the eye of the storm
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having early heart failure. you're all symptoms like tiredness, fatigue, dizziness etc. is seen in hypotension. and hypotension is common in heart failure due to poor pumping or reduced blood supply to the heart. so better to consult cardiologist and get done 1. blood pressure monitoring 2. ecg 3. 2d echo. you may need cardiac supportive chatbot.  hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i understand from the history that x-rays might not consider the soft tissue and any fracture present will not let you stay quiet as the pain will be excruciating. now the burning and stabbing sensation has two things to look for. either some nerve entrapment in its course it's leading this or either a ligament injury within the knee joint.  an orthopedic with being the right choice to look for and conclude based on the clinical examination and correlating with the clinical symptoms. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. smokers are at great risk of lung infection, because of poor defense system damaged by cigarette smoke. so chronic bacterial infection in lung is common in smokers. green mucus is seen in pseudocodes infection. and smokers are at increased risk of pseudocodes infection. so in your case we need to rule out this first. so get done1. chest x ray2. sputum culture and sensitivity. chest x-ray is needed to rule out infection. sputum culture is needed to isolate the causative organism, sensitivity is needed to guide antibiotic therapy. so consult pulmonologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thank you for asking as you prescribe the situation of your child i understand that he is under treatment for allergic asthma. and you say that even with this continuous medication his complaints are still evident. this is called uncontrolled asthma.maybe there is an allergic agent that do not let the treatment be effective. is the treatment taken in the exact way? does your son have food allergy too? does he have a reflux from his stomach? i think that this treatment is ok. if i was his doctor i would rule out any other causal agent before change the treatment. thank you chatbot.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","semen on the hands is unlikely to cause the pregnancy unless she puts her hands soaked with semen into her vagina. also body play without any penile insertion into the vagina and ejaculating there does not result into pregnancy. for pregnancy, the sperms of a man, whicchatdoctore from the semen ejaculate have to go in the reproduction tract of the woman, through vagina normally to meet the egg inside her reproduction tract, usually the tubes. by putting any other part inside the vagina or ejaculating semen outside the vagina in any part of a woman the pregnancy cannot result."
how do you administer lanreotide,Lanreotide comes as a long-acting solution (liquid) to be injected subcutaneously (under the skin) into the upper outer area of your buttock by a doctor or nurse. Lanreotide long-acting injection is usually injected once every 4 weeks. Ask your doctor or pharmacist to explain any part you do not understand.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your symptoms are suggestive of articular pain in lower limb as result of disc prolapse in lower back. reticular pain occurs due to nerve root compression in lower lumbar spine and pain is like radiating from knee to ankle and foot as you described.  diagnosis can be confirmed by mri of the lumbosacral spine. mri is very sensitive and specific for diagnosis of spine pathology. meanwhile, start tablet regain one at bedtime with tablet attract twice a day for pain relief. visit to spine surgeon for detailed clinical examination is recommended.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"A primer on using mathematics to understand COVID-19 dynamics: Modeling, analysis and simulations"
"If you are a doctor, please answer the medical questions based on the patient's description.","greetings.sorry for your loss. see, first of all your grand pa always wants you to be happy. so you must try now. he must be somewhere out there watching you, and he defy=finitely don't want you to be sad. and then as everyone sats time is the biggest healer. he had been so close to you that he will always live with you in your actions, your good deeds. he must have had an idea about you. as in what you should be doing in the future, respect his feelings."
Please summerize the given abstract to a title,Disparitas kesejahteraan masyarakat terdampak COVID-19 sebelum dan sesudah adanya Program Keluarga Harapan (PKH)
Please summerize the given abstract to a title,A knowledge graph representation of baseline characteristics for the Dutch proton therapy research registry.
"If you are a doctor, please answer the medical questions based on the patient's description.","i have gone through your query. augmentin consists of amoxicillin 500\u00a0mg and 125\u00a0mg slavonic acid. this is a beta lac tam antibiotic given to eliminate the infection in peritonitis. usually augmenting is administered every 12 hours. in cases when the infection is severe, it can be administered every 8 hours. consult your physician if there are signs of diarrhea. ponstan contains metonymic acid which is a non-steroidal anti-inflammatory chatbot. constant 250\u00a0mg can be safely taken t.i.hope this helps."
Answer this question truthfully,"At the infusion site of the IV, Amphotericin B can cause a thrombophlebitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloalthough there are various causes for high liver enzymes, but the most common causes are diabetes, obesity,high triglycerides, alcoholism,use of plenty of sweets and junk food, use of herbal medications, antibiotics,anti seizure medicines etc., various types of hepatitis etc. get tested for diabetes, lipid profile,ultrasound abdomen. if any abnormality found in above tests, rectify it. if no abnormality found in these investigations then try to change your lifestyle by reducing weight, avoiding sweets and junk food and doing regular exercises and taking fresh fruits and green vegetables. do this for 8 weeks and check your liver enzymes. if they are still high, then go for ct abdomen, liver biopsy and testing of hepatitis markers and consult gastroenterologist. thanks"
Please summerize the given abstract to a title,Otolaryngology Consult Protocols in the Setting of COVID-19: The University of Pittsburgh Approach
Please summerize the given abstract to a title,The Willingness of Elderly Taiwanese Individuals to Accept COVID-19 Vaccines after the First Local Outbreak
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello laurie. thanks for sharing your query. i have gone through your concern, and it seems that the tooth which is paining and advised for root canal is carious one and the treatment is started to remove the pulp so bleeding occurred in last appointment. bleeding in excess can be because of underlying infection or the medicine carlito also causes unusual bleeding from wound.  i would advise you to consult her physician before stopping with the carlito medicine and taking painkiller. as painkillers like undone can increase the bleeding. take care. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about the urinary infection that you suffered. i am happy to know you were able to overcome the infection and feeling better now. these palm symptoms are in no way related to this kidney infection. i will suggest that you monitor these symptoms and should they fail to regress, seek medical attention for evaluation and management. i hope this helps. furthermore, i wish you well and thank you so much for using our services. feel free to ask for clarifications and more information if need be."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are mostly having lipoma. lipoma is benign soft tissue swelling made up of fat tissue. it is having genetic cause. usually no treatment is required because it is harmless. but if it is painful, enlarging in size, problematic in movements or cosmetically than surgical removal of lipoma is needed. so if you are not having any of these symptoms than no treatment or surgery is required. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,#25: Contemporaneous Evaluation of Kawasaki Disease and Multisystem Inflammatory Syndrome in Children Cases in Northern Virginia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. concord (bisoprolol) is a beta blocker medication which is used for a variety of conditions. it is used not only for hypertension, heart diseases but also commonly used (in low doses) to treat the physical symptoms of anxiety like tremors, palpitations, etc. part (paroxetine) is an ssri anti-depressant used to treat depressive as well as anxiety disorders. so, yes, both your medication have been rightly prescribed. wish you all the best. -"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Exercise can lead to a transient increase in pulse pressure.
Answer this question truthfully,"If a patient is older than 30 and has a breast lump, a mammogram and core needle biopsy should be considered."
Please summerize the given abstract to a title,Quantitative proteomics identifies host factors modulated during acute hepatitis E virus infection in the swine model.
Please summerize the given abstract to a title,The Effects of Canagliflozin on Heart Failure and Cardiovascular Death by Baseline Participant Characteristics: Analysis of the CREDENCE Trial.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. pregnancy symptoms widely between women, and it is true that symptoms of ectopic pregnancy can include spotting and pain on one side. however, the key point is that these symptoms of ectopic pregnancy are only relevant along with a positive pregnancy test. if your pregnancy test is negative, then you do not have an ectopic pregnancy. you had mentioned that your cycles are normally very irregular, so it is certainly not unusual to have irregular hormonal symptoms as well when your period is late. the stress of worrying about pregnancy can even delay your cycle further, so i hope that you find this information to be reassuring. i hope i was able to answer your question today and that my advice was helpful. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. i understand your concern. if you have got tpa positive, chances of having syphilis are there. in such conditions, you are a person has exposure, we give him penicillin shot. if no exposure is there, we get the v chatbot. so, review with your reports. this is my best advise for you based on available details. reply with answers of these questions preferably in point wise manner. stay healthy."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. yes tb meningitis can be completely curable. the antitubercular therapy should be started. and taken for complete total duration.sometimes there is need for placement of shunt. antibiotic also sometime added to therapeutic regimen. the tb meningitis can be contagious. your child can get affected if their immunity is not much enough to counteract infection. thanks. i hope i have solved your query
"If you are a doctor, please answer the medical questions based on the patient's description.","hello........ thanks for query. relax. what you are reporting is a normal phenomenon. hyperventilation is related to transient imbalance in the bodies acid-base balance. this either results in numbing or pins & needles sensation. however, considering your social and interpersonal situation an evaluation of your coping skills, personality profile as well evaluation for an underlying mood/anxiety disorder is required. hence, you require a consultation with a psychiatrist in this regard. regards chatbot."
Please summerize the given abstract to a title,"Covid19: Unless one gets everyone to act, policies may be ineffective or even backfire"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello carol, welcome at chatbot. i have read your complete question. the presence of leukocytes in urine which are more than 5-10 /high power field or significant is found in kidney or bladder infection in maximum no. of cases. in this it will be best in favor of child to get culture of urine done. it will indicate you the culprit behind his symptoms. this will also help you to give you pinpoint name of antibiotic which should be started for his complete recovery. hope this will help you. with best wishes."
Please answer the letter of option truthfully,D
Answer this question truthfully,People with metabolic syndrome have an increased long-term risk for developing cardiovascular disease and type 2 diabetes.
Answer this question truthfully,"The likely diagnosis for the patient's condition is prerenal acute kidney injury. This is a type of acute kidney injury that occurs when there is a decrease in blood flow to the kidneys, which can be caused by conditions such as heart failure, dehydration, or hypovolemia. In the case of a patient with cor pulmonale who is being treated with loop diuretics, the medication may be effective in reducing fluid overload in the body, but can also lead to a decrease in blood volume and subsequent decrease in blood flow to the kidneys. This can result in prerenal acute kidney injury, which is characterized by elevated levels of creatinine and BUN, as well as other symptoms such as decreased urine output, dry mouth, and thirst. Treatment may involve addressing the underlying cause of the condition, such as correcting dehydration or hypovolemia, as well as discontinuing or adjusting the dose of loop diuretics. In some cases, intravenous fluids or other medications may be necessary to help support kidney function and prevent further damage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in.  acne is caused by hormonal imbalance. hormonal work up may be necessary. blockage of sebaceous glands causes pa pules and pustules. white substance is secretion of sebaceous glands.  acne is treatable now. with correct treatment all your pimples, scars and dark spots can be treated.  to start with you have to apply brevity cream twice daily. also, you can use anti acne face wash like brevity face wash.  avoid any hair oil to hairs. avoid any other moisturizers or cosmetics. use good quality sunscreen like syncope gel daily while going out.  discuss the option of isotretinoin with your dermatologist. it will have rapid effect. hope this helps.  regards.  chatbot.  md dermatology."
Answer this question truthfully,"A baby should typically produce 3-4 stools in a 24-hour period. However, the frequency of stools can vary depending on the baby's age, diet, and overall health. Breastfed babies may have more frequent stools, while formula-fed babies may have fewer. It is important to monitor a baby's bowel movements to ensure that they are healthy and regular. Changes in stool frequency or consistency can be a sign of digestive issues or other health problems, so it is important to consult a healthcare provider if there are any concerns."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. this looks to me like so called postcholecystectomy syn chatbot.  symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, persistent pain in the upper right abdomen. some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. postcholecystectomy syn"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. i would come up with these possibilities for such type of pain in abdomen, this includes.1 renal stone, diagnosis can be confirmed by ultrasound both kidneys (including ultrasound of ureter, urinary bladder).2 hyper acidity (gastritis) , diagnosis can be confirmed upper g i endoscopy. usually after diarrhea patient develops gastritis. physical as clinical history is also important in such type of cases.3 amoebic colitis, diagnosis can be confirmed by physical examination as colon found palpable. in my opinion consult a physician and get his opinion about left renal colic. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your query and understand your concern. your symptoms are suggestive of allergic rhinitis. before giving my opinion, i need to know little information like >nasal irritation, nasal blockage, triggers like dust, cold etc. in favor of rhinitis>cough, wheeze , breathlessness to exclude asthmatic i would advise you to"
Please summerize the given abstract to a title,In vitro potential antiviral SARS-CoV-19- activity of natural product thymohydroquinone and dithymoquinone from Nigella sativa
Please summerize the given abstract to a title,Risk analysis of different transport vehicles in India during COVID-19 pandemic
Please summerize the given abstract to a title,SARS-CoV-2-directed antibodies persist for more than six months in a cohort with mild to moderate COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the bleeding in the gums could be because of the gum infection(since you are telling you did not brush) secondary to the deposits over the teeth. the other causes can be any cuts in the oral cavity or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. consult an oral physician and get these things ruled out. get a complete blood investigation along with inr to rule out the bleeding disorders. if i am your treating doctor, i would advise you to get the teeth cleaned and use topical gum astringents like stolen gum paint. if the bleeding does not stop even after this i would suggest you to get a complete hologram including bt, ct, pt and inr to rule out bleeding disorders."
Please summerize the given abstract to a title,Setbacks to IoT implementation in the function of FMCG supply chain sustainability during COVID-19 pandemic
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Bartter syndrome is a rare genetic disorder that affects the renal tubular system, specifically the thick ascending limb of the nephron (of Henle). This part of the nephron is responsible for reabsorbing sodium, potassium, and chloride ions from the urine, which helps to regulate the balance of electrolytes and fluids in the body. In Bartter syndrome, there is a defect in this part of the nephron, which leads to an imbalance of electrolytes and fluids, and can cause symptoms such as excessive urination, dehydration, muscle weakness, and fatigue. There are several different types of Bartter syndrome, each with varying degrees of severity and different genetic causes. Treatment may include medications to replace the missing electrolytes, as well as other supportive therapies to manage symptoms and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the lump associated with the fractured filling may be due to re-infection/periapical infection of the broken filling. pleease do visit a dentist and get clinical and x-ray examination. if there is abscess, get it chatbot. infected pulp has to be removed completely. take complete course of antibiotics and analgesics. frequent warm saline and sodium hypochlorite rinse may help. avoid biting on hard foods with the restored tooth. take care."
Please summerize the given abstract to a title,Forecasting Unemployment Using Internet Search Data via PRISM
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. low self-confidence, low self-esteem, confusion, indecision, weird feelings etc. are by products of misunderstanding life. he needs to see a psychological counselor who shall be able to impart self-confidence to your son and make him aware of what he is and what he is capable of. please consult a psychological counselor. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"Common complications of SJS/TEN include:
Bacterial Infections leading to sepsis Eye Complications - Appropriate treatment of acute ocular complications can prevent long-term complications Pulmonary - Pneumonia, Interstitial pneumonitis, ARDS (25 percent of patients have been reported to require mechanical ventilation) Skin - Scarring"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are having a lump on your jaw line, which is about peanut size, if it is move able and not fixed to its base, than it is better to get it operated by a surgeon and you will feel batter after this surgery, if surgery is not possible, than you may be treated by taking antibiotics(chemotaxis 200\u00a0mg twice a day), anti-inflammatory (diclofenac sod.+paracetamol thrice daily) plus locally antibiotic cream, hope by this you may have relief in your possibly lump on your face in your jaw line. best of luck and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query regarding your17 years of amoebas it is after oc great concern. i want to know what all symptoms you face , and for how much time they carry on ? individuals with weakened immune systems are at a higher risk of amoebas. conditions such as cancer, malnutrition and old age can contribute to suppressed immunity. normally seen symptoms are, sudden weight loss abdominal cramping & painnausea, loss of appetite, flatulence , tiredness , dehy chatbot. treatment also includes certain medications which help to destroy the parasites. these may lead to some side effects such as nausea and a metallic taste in the mouth. medications to treat diarrhea may also be prescribed. it is important to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... i feel it could be been recurrent viral illness going on in your kid. to put your mind at ease, i will tell you certain facts about viral infection. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,"An osmolal gap greater than 10 indicates the presence of unaccounted osmoles, such as methanol, ethanol, and ethylene glycol."
Answer this question truthfully,"A positive history of angiokeratomas, peripheral neuropathies, gradually decreased sweating, and gastrointestinal manifestations in childhood are suggestive of classic Fabry's disease. In the late-onset form of the disease neuropathic pain and gastrointestinal manifestation is not common and they may have organ-specific symptoms.
The presence of angiokeratomas on physical examination is highly suggestive of Fabry's disease. other physical examinations can be varied due to organ involvement.
A reduced concentration of serum Alpha-galactosidase A level or its activity is diagnostic of Fabry's disease. Other laboratory findings can vary due to organ involvement.
However the ECG patterns are not specific for Fabry's, it may be helpful in the diagnosis of Fabry's disease cardiac complications.
CT scan can show different non-specific aspects of the brain, lung, and kidney involvement in Fabry's disease.
MRI can play an important role in the diagnosis of the brain and cardiac complications of Fabry's disease. there are also some non-specific findings in renal involvement.
Echocardiography and renal ultrasound can reveal the diagnostic pattern of Fabry's disease in these particular organs.
There are no other imaging findings associated with Fabry's disease.
There are no other diagnostic studies associated with Fabry's disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, try to reduce your tissue inflammation with warm salt water rinsing, proper brushing, flossing with threaders and interdental cleaners. anti-inflammatory medication can help your treat your discomfort. a prescription rinse with an anesthetic could be requested. your symptoms should resolve, but increased inflammation is common while braces are on your teeth. accelerate your professional cleaning schedule to every three months instead of six months. call your orthodontist and report your level of discomfort. the doctor will advise you if this is unusual for your specific treatment and schedule an appointment to adjust your braces if needed. thank you for your inquiry. i hope my suggestions are useful, and you begin to feel better."
Please answer with one of the option in the bracket,B: Hypertrophic pyloric stenosis
Please answer with one of the option in the bracket,C: Elevated troponins and elevated CK-MB
Answer this question truthfully,"Stellate (Ito) cells are located within the space of Disse, and they produce extracellular matrix when activated."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Impact of Different Factors on Repeat Visits to Selected International Tourism Enterprises: Case Study From Czechia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. well, as per your history my clinical diagnosis is you have a lump embedded into the muscles of the chest wall, hence the pain and the increasing factors as you have mentioned. i would advise such a patient to undergo ultrasonography or preferably ct scan so that the cause can be determined. on clinical suspicion the lump can be subjected to fnac- fine needle aspiration cytology to determine what type of lump is this. ct scan will help to know the depth. according to the results of this investigation a decision can be taken whether to treat this with antibiotics and anti-inflammatory medicines or to go for surgical removal. so medical field is an evidence-based science and knowing the correct diagnosis is the best way to see and decide the treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, an intramuscular injection like tetanus can cause pain for two days after injection. however, delayed presentation and long-lasting pain is not common. as a first-line management, you can take over the counter analgesics like diclofenac for pain relief. apply warm compression for symptomatic relief. if symptoms persist better to consult a general surgeon and plan for an ultrasound scan. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,Sarcoidosis is associated with elevated C4+/C8+ ratio in bronchoalveolar lavage fluid.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mr ganeshmurthy after going through your reports, my opinion is as follows1. your cholesterol is borderline high, and your triglycerides are high.2.  high lipids can affect the blood pressure, so needs to be controlled.3. you can discuss with your consulting doctor regarding stations and other lipid lowering agents, their dosage to control lipids.4. exercise on a regular basis to control weight as well as to stay fit.5. cut down on oil rich foods, junk food. have diet rich in fibers, proteins and lots of fruits and vegetables. 6. make necessary lifestyle modifications like avoiding stress, practicing yoga/ meditation. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. skin types vary from person to person and in some individuals, it tends to be very oily. this occurs due to excessive oil secretion by the oil glands on the face. one of the causes for this is excessive washing of the face. when you wash your face too many times, it strips the natural oil from the face and paradoxically increases the activity of the oil glands to compensate for the loss of natural oils. wash your face with a cleanser containing 2% salicylic acid twice a day. do not use thick creams. avoid oiling your hair. avoid fried foods and foods with high glycemic index. hope this helps you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear. what you have, could be a simple respiratory infection caused by a virus, like jackie for example, which has tropism for respiratory tract. at first, many viral infections cause, fever, cough (with a little of blood, because of the force, when you cough) and chest pain (because of a viral pericarditis, which is normal in some type of virus). but if you keep with symptoms, and fever for 5 days or more, you should make a blood test (hologram), and a radiography to find out the severity of the infection. i hope this helps you, and get good soon!"
Please summerize the given abstract to a title,Investigation of the Interaction of Herbal Ingredients Contained in Triphala Recipe Using Simplex Lattice Design: Chemical Analysis Point of View
Answer this question truthfully,"E. coli and other lactose fermenters will typically stain metallic green on Eosin-methylene blue (EMB) agar. This staining pattern is significant in microbiology because it is used as a diagnostic tool to identify bacteria that are capable of fermenting lactose. This information can be used to determine the appropriate treatment for infections caused by these organisms. Additionally, the use of EMB agar is a common technique in microbiology labs for the isolation and identification of bacterial species."
Please summerize the given abstract to a title,Potential Effectiveness and Safety of Antiviral Agents in Children with Coronavirus Disease 2019: A Rapid Review and Meta-Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the severity of the symptoms you are experiencing, suggest that you may have suffered a fracture due to the fall. since your pain and swelling have increased, and you have not felt any relief even after icing and rest it is advisable that you get yourself checked by an orthopedic surgeon as soon as possible to prevent any further damage. it can also be a case of ligament or meniscal injury and can diagnose with the help of an x-ray and mri of the knee joint. treatment will depend on the diagnosis. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Versatility of percutaneous needle fasciotomy for Dupuytren's disease across a spectrum of disease severity: A single-surgeon experience of 118 rays
Please summerize the given abstract to a title,Re-Engineering the Human Resource Strategies Amid and Post-Pandemic Crisis: Probing into the Moderated Mediation Model of the High-Performance Work Practices and Employee's Outcomes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i would explain that functional neurological disorder, is usually related to normal physical exam and normal mri findings. i would like to know your past medical history and comorbidities. furthermore, i would also like to directly review your mri report, if you can upload it. what are your symptoms? do you have seizures? have you performed an eeg? i remain at your disposal for further questions. kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... let me know you his weight.... as obesity can also affect liver.... although he is not alcoholic there might be non-alcoholic fatty live or obesity induce gall stone by hyper cholesterol... here sept is slight high....lifestyle modification will be useful.... cutt off oil in diet. use less oil. suflower, canola like good oil used. regular exercise. meat, refined food, pizza, non veg avoided.usg will be useful for grading severity.... take care. chatbot."
Answer this question truthfully,Bowel obstruction typically presents with air-fluid levels and decompressed bowel beyond the obstruction on a KUB X-ray.
Please answer the letter of option truthfully,B
Answer this question truthfully,Men are eight times more likely to be affected than women. The disease most commonly occurs in early adulthood.
Answer this question truthfully,Surgery is not the first-line treatment option for patients with MGUS. Surgery is usually reserved for patients with skeletal fractures. Procedures like kyphoplasty and vertebroplasty are usually performed for vertebral fractures.  Surgery is usually reserved for patients with skeletal fractures
Answer this question truthfully,"HIV screening, including both the p24 antigen and HIV antibody tests, should be recommended to an asymptomatic 22-year-old male who is not yet sexually active."
Answer this question truthfully,"The sigmoid sinuses receive drainage from the transverse sinuses. The transverse sinuses are a pair of venous sinuses located in the brain that run horizontally across the back of the head. They receive blood from the superior sagittal sinus and the straight sinus, and then drain into the sigmoid sinuses, which ultimately lead to the internal jugular vein. This complex network of sinuses plays an important role in draining blood from the brain and returning it to the heart."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. itching can happen due to irritation and inflammation or certain types of skin allergy. you should check the razor with which you had shaved that part. there could be some allergens. maybe the allergens were already there, and it got agitated when you shaved the area. in any case, to treat itching for the time being, you can use warm water. clean the area with warm water twice or thrice. fix an appointment with a dermatologist and consult him. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. i think there is nothing to worry as the tooth structure is the hardest substance in your body which will not just chip out with a floss, it must be the calculus (hard plaque). yes but in a case when your tooth is infected from a long time in that it becomes brittle in that case it can chip off. but don't worry, visit the dentist to make it fine. hope it will help you."
Answer this question truthfully,There is no known way to prevent this disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. you can handle the situation in so many ways. you can talk to her broadly but she refused. furthermore, you can take her to psychiatrist, but she is not heeding. furthermore, you can convince her parents or well-wishers that she is under trouble and motivate them to consult a psychiatrist / psychologist.  furthermore, you should be able to take the correct course of action because you know her and her family better than us here. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"Celiac disease is caused by gluten exposure, and it is characterized by immune-mediated damage of small bowel villi."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case, i would consider the possibility of specialized imaging of your brain vessels (anglo mri, ds arteriography) to check for and rule out arteriovenous malformations, arteriovenous or rural fistulas, because those diseases carry a high risk of stroke, hemorrhage and serious consequences to your health. those imaging studies have to be done because of your symptoms and venous problems you referred. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
Please summerize the given abstract to a title,Projection in genomic analysis: A theoretical basis to rationalize tensor decomposition and principal component analysis as feature selection tools
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is possible that your cousin is having an infection in the oral cavity which is closely related to the tonsillitis. it is less likely that she will be having tonsil cancer if there is no other symptom. however, it is important to consult the ent specialist and take required treatment with medicine to cure the infection. once she is comfortable then a planned surgery might be done to remove the tonsils. there is no need to fear and tonsillitis is a common condition in child chatbot.  if the infections get frequent then a surgery is required immediately and that is the reason why it was suggested by her doctor. operation is done when an acute infection is treated and patient is fit to get surgery done. the expenses are variable and might cost over 20000 inr and depends on the hospital and post surgery care and requirements."
Answer this question truthfully,Gel electrophoresis separates fragments on the basis of size.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, symptoms could be related to an infection. for this reason, i would recommend consulting with his attending physician for a physical exam and some tests"
Answer this question truthfully,CVA tenderness is a physical exam finding that may be associated with acute interstitial nephritis.
Answer this question truthfully,Amifostine is the drug used to prevent cisplatin-induced nephrotoxicity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the cause of the pain in the pelvis, so severe and radiation to the knee is suggestive of inflammatory process in the pelvis or in the back. i would advise you to undergo an mri of the spine as there is a possibility of the inflammatory process going on in the spine or a prolapsed disc causing all the pains. since your ct scan is done and does not show any cancer in the uterus, the pain can not be explained by the local problem in the pelvis."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, urinary tract infections are very common in pregnancy especially in women who have had them before. these infections are more likely to happen in initial weeks. since you have had them twice already in this pregnancy, you should get fully evaluated including renal function tests which include serum creatinine, urea and also get a renal ultrasound, which could detect any stone or abnormality.also, you may have to consider long term antibiotics to prevent the infection from recurring. for this an opinion from a renal physician will be required. please get the infection treated promptly as not treating it can have a negative impact on the pregnancy, lead into preterm, hypertension in pregnancy. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot. i am chatbot. i understand your concern. fever if not resolved even after 5 days should be evaluated properly. viral fever usually subsides within 5 days. i advise you to follow investigations
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. usually there are no green lesions of the oral cavity. this is very rare. however, it is possible that some green food particle such as pea or herb may have been pushed inside the gum by the force of tongue while chewing. the green swollen area you are seeing might in fact be the color of the food particle. i would advise you to wait for a week and observe if the food piece comes out by itself. if it stays there for more than a week or if the gum area starts paining, then you should visit a dentist and ask him/her to remove it with an instrument. i hope this information helps you. thank you for choosing chatbot. take care. best,"
Answer this question truthfully,"Polyomaviruses (JC, BK) are transmitted through respiratory exposure, typically during childhood. This can occur through close contact with an infected person, such as through coughing or sneezing, or through contact with contaminated surfaces. Once a person is infected with polyomaviruses, the virus can remain dormant in the body for many years before potentially reactivating later in life. While many people are exposed to polyomaviruses during childhood, not everyone who is exposed will develop symptoms or illness. Factors such as the person's immune system and overall health can play a role in determining whether or not the virus becomes active and causes disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is important for your friend to have a complete imaging follow up at bosnia and make sure about the stage of disease. he must get a biopsy done to confirm the diagnosis. following that if he is having stage i disease then he can be allowed to wait for about a couple of months. if he has disease stage ii, iii or iv then he must return to his us doctor immediately and treatment started at once. any cancer patient appears normal in the initial phase of cancer. then once treatment starts, the general health goes down within weeks. this happens to almost every cancer patient and having normal general health is not a reason to delay treatment is he is in later stage of the disease. please do not worry."
Answer this question truthfully,"Cyclosporine is available in its original form and as another product that has been modified (changed) so that the medication can be better absorbed in the body. Original cyclosporine and cyclosporine (modified) are absorbed by the body in different amounts, so they cannot be substituted for one another. Take only the type of cyclosporine that was prescribed by your doctor. When your doctor gives you a written prescription, check to be sure that he or she has specified the type of cyclosporine you should receive. Each time you have your prescription filled, look at the brand name printed on your prescription label to be sure that you have received the same type of cyclosporine. Talk to your pharmacist if the brand name is unfamiliar or you are not sure you have received the right type of cyclosporine.
Taking cyclosporine or cyclosporine (modified) may increase the risk that you will develop an infection or cancer, especially lymphoma (cancer of a part of the immune system) or skin cancer. This risk may be higher if you take cyclosporine or cyclosporine (modified) with other medications that decrease the functioning of the immune system such as azathioprine (Imuran), cancer chemotherapy, methotrexate (Rheumatrex), sirolimus (Rapamune), and tacrolimus (Prograf). Tell your doctor if you are taking any of these medications,and if you have or have ever had any type of cancer. To reduce your risk of skin cancer, plan to avoid unnecessary or prolonged exposure to sunlight and to wear protective clothing, sunglasses, and sunscreen during your treatment. If you experience any of the following symptoms, call your doctor immediately: sore throat, fever, chills, and other signs of infection; flu-like symptoms; coughing; difficulty urinating; pain when urinating; a red, raised, or swollen area on the skin; new sores or discoloration on the skin; lumps or masses anywhere in your body; night sweats; swollen glands in the neck, armpits, or groin; trouble breathing; chest pain; weakness or tiredness that does not go away; or pain, swelling, or fullness in the stomach.
Cyclosporine and cyclosporine (modified) may cause high blood pressure and kidney damage. Tell your doctor if you have or have ever had high blood pressure or kidney disease. Also tell your doctor if you are taking any of the following medications: amphotericin B (Amphotec, Fungizone); cimetidine (Tagamet); ciprofloxacin (Cipro); colchicine; fenofibrate (Lofibra); gemfibrozil (Lopid); gentamicin; ketoconazole (Nizoral); melphalan (Alkeran); nonsteroidal anti-inflammatory medications such as diclofenac (Cataflam, Voltaren), naproxen (Aleve, Naprosyn), and sulindac (Clinoril); ranitidine (Zantac); tobramycin (Tobi); trimethoprim with sulfamethoxazole (Bactrim, Septra); and vancomycin (Vancocin). If you experience any of the following symptoms, call your doctor immediately: dizziness; swelling of the arms, hands, feet, ankles, or lower legs; fast, shallow breathing;upset stomach; or irregular heartbeat.
If you have psoriasis, tell your doctor about all the psoriasis treatments and medications you are using or have used in the past. The risk that you will develop skin cancer is greater if you have ever been treated with PUVA (psoralen and UVA; treatment for psoriasis that combines an oral or topical medication with exposure to ultraviolet A light), methotrexate (Rheumatrex) or other medications that suppress the immune system, UVB (exposure to ultraviolet B light to treat psoriasis), coal tar, or radiation therapy. You should not be treated with PUVA, UVB, or medications that suppress the immune system while you are taking cyclosporine (modified) to treat psoriasis.
Keep all appointments with your doctor and the laboratory. Your doctor will order certain lab tests to check your body's response to cyclosporine or cyclosporine (modified)."
Please summerize the given abstract to a title,Handbook of Research on Transforming Teachers' Online Pedagogical Reasoning for Engaging K-12 Students in Virtual Learning
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to worry about heart diseases or coronary artery blockage because your extensive cardiac work up is normal. your symptoms are due to herd (gastroesophageal reflux disease) only. along with medicines, some lifestyle modifications are also important for better symptomatic relief in herd. so follow these lifestyle modifications. 1. avoid stress and tension, be relaxed and calm. 2. avoid hot and spicy food. avoid junk food. 3. avoid large meals, instead take frequent small meals. 4. quit smoking and alcohol if you have these habits. 5. keep 2-3 pillows under head in bed to prevent reflux. 6. lose weight if you are obese. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello faisal. thank you for asking at chatbot. telfast 120 is fexofenadine. fexofenadine and nasal spray will help your nasal and throat symptoms of allergy but not asthma (noise from chest, feeling of being breathless). i would suggest you to take a combination of montelukast and levocetirizine for 1 week. this will work for both nasal allergies and asthma. if you have no symptoms with this, i would suggest you to take it at least for 2-3 months or as long as you expect exposure to dust and smoke. however, if this does not help you, i would suggest you to consult an allergist-immunologist who will suggest you allergy testing and may advise you allergen immunotherapy, inhaled corticosteroids, etc. i would also suggest you regular breathing exercises. please try to avoid dust, smoke, air pollution & cold air as much as possible. hope this will help you. wish you the best of the health. regards."
Answer this question truthfully,The term used to describe this type of disease prevention is tertiary.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello gain. as you know that she is a systemic disease that involves various organs. and that is a perfect thing that your disease is under control now. sle patients can obviously live absolutely normal life as other normal persons, hence you can go ahead with marriage. after that, you can plan for pregnancy also as fertility rates of a she patient is same as a normal person. so don't worry about it. but i would like to advice you certain things to be taken care of before getting pregnant, are as following"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. your brother who is known to have diabetes and hypertension is detected to have raised creatinine 7. raised creatinine that he has is due to what is called as diabetic nephropathy and needs to be investigated further. please consult qualified nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis3) renal function tests 4) excretion of protein in 24 urine sample 5) renal biopsy (if required) to confirm the grade of kidney disease. further treatment will depend upon result of these tests and final diagnosis. chatbot.
Please summerize the given abstract to a title,Consensus recommendations for the care of children receiving chronic dialysis in association with the COVID-19 epidemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your wife is having breathlessness on heavy exertion (uphill walking). this is commonly seen with lung diseases like bronchitis and heart diseases like angina and heart failure. so better to rule out these diseases first. so get done 1. ecg and 2d echo to rule out heart diseases. 2. chest x-ray and pft (pulmonary function test) to rule out lung pathology. she may need treatment on the basis of these reports. don't worry, she will be alright with treatment. better to first diagnose herself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your wife. thanks."
Answer this question truthfully,"The recommended empirical antibiotic treatment for children suspected of having bacterial meningitis is a combination of vancomycin and a third-generation cephalosporin.

Bacterial meningitis is a serious infection that can cause inflammation of the membranes surrounding the brain and spinal cord. It is a medical emergency that requires prompt diagnosis and treatment. Empirical antibiotic therapy is initiated immediately when bacterial meningitis is suspected, even before the results of diagnostic tests are available.

The recommended empirical antibiotic treatment for children suspected of having bacterial meningitis is a combination of vancomycin and a third-generation cephalosporin. This combination provides broad-spectrum coverage against the most common pathogens that cause bacterial meningitis, including Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae.

It is important to note that the choice of antibiotics may vary depending on local resistance patterns and the age of the child. In some cases, additional antibiotics may be necessary to provide coverage against other potential pathogens. Treatment is typically continued for a minimum of 10-14 days, and the duration may be longer depending on the severity of the infection and the response to treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! possibly you are getting the pain due to smooth muscle contractions initiated by the posting 2. however, you should also go for a urine pregnancy test which may be co-existing even before having sex with your boyfriend. in both the cases you have nothing to worry about. in the first case you can to for some anti spasmodic/ anti-inflammatory. in the second case, the management depends on your choice. with you an early recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. hematuria and burning urination with past history of having kidney stone strongly suggests these symptoms to be due to recurrence of kidney stone. he needs to consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis. give him broad spectrum antibiotics like medicine along with urinary antiseptic like nitrofurantoin twice daily and urine alkalizer thrice daily. later on switch on to appropriate antibiotics as per culture report. get the prescription of medicines from your family physician. ensure he chatbot. to keep his urine dilute this will help to control dysuria. further treatment will depend upon result of these tests and final diagnosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some enlarged lymph node due to reactive hyperplasia or some other mass. you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. your ra or lupus has no relation with mass mostly. but still biopsy should be done. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctorthe abdominal pain that you are mentioning could be due to muscular pain due to muscle strain during the act of sex. howevr, you should go for an ultrasound abdomen to rule out any other cause of abdominal pain. it could be due to an unrelated cause like indigestion, gastric ulcer or injury to any organ in the abdomen. try some muscle relaxant- serratiopeptidase preparation and avoid muscle straining for some time. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
I have no help its about 4 years now I have ingrown toenail i have a problem of ingrown toenail its about 4 years now I have this problem i need help,Ingrown toenail removal ? discharge (Summary): You had surgery to remove part or all of your toenail. This was done to relieve pain and discomfort due to an ingrown toenail.
Answer this question truthfully,"While IBD can limit quality of life due to pain, vomiting, diarrhea, and other socially unacceptable symptoms, it is rarely fatal on its own. Fatalities due to complications such as toxic megacolon, bowel perforation and surgical complications are also rare.
While patients of IBD do have an increased risk of colorectal cancer this is usually caught much earlier than the general population in routine surveillance of the colon by colonoscopy, and therefore patients are much more likely to survive.
After treatment, the patient is usually switched to a lighter drug with fewer side effects. Every so often an acute resurgence of the original symptoms may appear: this is known as a flare-up. Depending on the circumstances, it may go away on its own or require medication. The time between flare-ups may be anywhere from weeks to years, and varies wildly between patients - a few have never experienced a flare-up."
Please summerize the given abstract to a title,COVID-19: a pandemic converged with global tobacco epidemic and widespread vaping – state of the evidence
Please summerize the given abstract to a title,"Effectiveness, safety and acceptability of medical abortion at home versus in the clinic: a systematic review and meta-analysis in response to COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. yes, you should definitely take him to the hospital and get done ecg to rule out heart diseases. left sided sudden onset, midnight chest pain in old age (more than 60 years) patient is likely due to heart attack. so don't wait, take him to the hospital and get done ecg and 2d echo. if both are normal than possibility of either gastritis or musculoskeletal pain is more. so give him proton pump inhibitors (antacid), painkiller and muscle relaxant chatbot.  don't worry, he will be alright. but first rule out cardiac diseases. hope i have solved your query. wishing good health to your husband. thanks."
Please summerize the given abstract to a title,Detection of anti-SARS-CoV-2 antibodies in dried blood spots utilizing manual or automated spot extraction and electrochemiluminescence immunoassay (ECLIA)
Please summerize the given abstract to a title,The prognostic significance of vitamin D deficiency in patients with COVID-19 pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you told that your father is a known the case of a diabetic. in a diabetic patient, it is very hard to treat simple infections. and, if proper care is not taken, amputation may be needed (worst case scenario) so my advice, please take your father to a surgeon as soon as possible. he will do proper chatbot.  and make sure blood sugar level is under control. hope i have answered your query. let me know if i can assist you further."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Cesarean Section in a Pregnant Woman with COVID-19: First Case in Portugal
Please summerize the given abstract to a title,"Virtual non-technical skills assessment training is an effective, scalable approach for novice raters"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking chatbot. my name is chatbot. dear i would like to inform you that if the fits is diagnosed clinically and with eeg brain then you should take regular anti-epileptic at least for 02 years.  kindly consult neurology consultant to find out what type of fits you are having so that medicine of choice for your fits can be prescribed, and you can enjoy your life fit free with regular medication. hope this may help you. let me know if anything is not clear. thanks."
Answer this question truthfully,"Selected EPA-registered Disinfectants - U.S. Environmental Protection Agency OSHA Bloodborne Pathogen Standard (BBPS) Bloodborne Pathogens and Needlestick Prevention, from the Occupational Safety and Health Administration (OSHA) http://www.cdc.gov/ncidod/dhqp/bp.html"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to side effects of lever. the side effects can go away gradually as the body get used to the medication. if you continue having the side effects, you should consult your doctor for an alternative treatment. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please summerize the given abstract to a title,The Potential Clinical Use of Stem/Progenitor Cells and Organoids in Liver Diseases
Please summerize the given abstract to a title,An ARIMA Model to Forecast the Spread and the Final Size of COVID-2019 Epidemic in Italy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion she is having co2 narcosis (excess carbon dioxide in the body). it is common in smoker. due to severe damage in lungs (because of smoking), carbon dioxide can not be completely exposed from the body. so this will slowly rise in the body. excess of co2 suppress the central nervous system (cns) and makes person unconscious. so she might be collapsed mostly due to co2 narcosis. the treatment of this is hyperventilation. so patient is put on mechanical ventilator and hyperventilated to remove excess co2. viral infection is associated can even worse the condition. so she is also under sedation to achieve good ventilation. ask her to quit smoking as soon as possible once she is stable."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. your skin condition is most likely keratitis polaris with or without acne. it is a familial skin condition which usually appears at upper thighs and upper arms but may be at back shoulder face and sometimes generalized. you can use the following though treatment is not always required- 1. capsule- tetracycline 500\u00a0mg (or doxycycline 100 mg / minocycline 100\u00a0mg) twice daily for 1-2 months orally.  2. retinoid cream or gel/ adapted cream or gel-you could apply twice daily on trunk and extremity and once at night on face for 1-2 months 3. follow up needed after end of 1-2 months. with regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. teeth extractions and root canal treatments do not have any causative factor in development of throat infection. in addition, the throat problems and swelling have started after a few weeks of completing dental treatments. as you are suggesting that your mother has a bad episode of cold and sinusitis, it is just a coincidence that the throat infection and sinusitis have started after completion of dental treatment. if she is suffering from infection in tonsils (tonsillitis), then having swollen lymph nodes in the neck can be observed. antibiotics can cause the nausea and vomiting as side effects. i would suggest you to visit an ent specialist for examination of your mothers throat and further investigations. treatment can be started after the examination and investigations. i hope this information helps you. thank you for choosing chatbot. i wish your mother feels better soon. best,"
Please summerize the given abstract to a title,TransOral Endoscopic Surgery for Posterior Palate: A novel approach for lesions at this location.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. it seems like you have fatty liver and there are two main types of fatty liver disease, so treatment depends on this"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. white patch on your tongue may be due to leukoplakia.  it is not malignant condition, but it is definitely precancerous.  your should investigate it.  you should go for biopsy of that part. then go for histopathological examination.  it will give you exact diagnosis. then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,"Determination of the interaction between the receptor binding domain of 2019-nCoV spike protein, TMPRSS2, cathepsin B and cathepsin L, and glycosidic and aglycon forms of some flavonols"
Answer this question truthfully,"In invasive carcinoma, cell-cell contacts are lost by inactivation of E-cadherin."
Answer this question truthfully,"Vitamin B 1 (thiamine) Vitamin B 2 (riboflavin) Vitamin B 3,(niacin, includes nicotinic acid and nicotinamide) Vitamin B 5 (pantothenic acid) Vitamin B 6 (pyridoxine) Vitamin B 7, also called vitamin H (biotin) Vitamin B 9, also vitamin M and vitamin B-c (folic acid) Vitamin B 12 (cyanocobalamin) Vitamin B 8 (myo-inositol) is no longer classified as a vitamin because it is synthesized by the human body"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear,first don't panic and be relaxed. i will try to give my best advice regarding your problem. i have thoroughly gone through the things you have mentioned. these ulcers heal without any treatment in 1-2 weeks. here i am suggesting few things for the fast relief of your daughter.-avoid hot food and beverages-give plenty of fluids, fruit juices etc-use topical gels-tess or escort or tramways(contains triamcinolone acetone) thrice daily for 5-7 days.-use of mouthwash (chlorhexidine gluconate) twice daily for 15 days. do not give her anything to eat and chatbot. most probably the symptoms will start subsiding soon. if not please consult dental surgeon for further investigations. hope this will help you. thank you take disregards"
Please summerize the given abstract to a title,Behind the Mask: New Challenges to Gaining Patient Trust.
Please summerize the given abstract to a title,Development and Clinical Evaluation of an Immunochromatography-Based Rapid Antigen Test (GenBody™ COVAG025) for COVID-19 Diagnosis
Please summerize the given abstract to a title,T helper type 2 bias and type 17 suppression in primary dengue virus infection in infants and young children.
Please summerize the given abstract to a title,The COVID-19 Pandemic and Climate Change: Expressions of Global Ecological and Societal Misbalances
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read your question carefully and understand your concern. alcohol can cause arrhythmia in people with normal hearts and can cause heart conditions that result in arrhythmia. people who chatbot.  alcohol can directly injure heart cells and cause extra heartbeats and supraventricular tachycardia. usually the cardiac function comes back to normality after stopping alcohol intake. but for some days, anxiety and with"
Please summerize the given abstract to a title,Perceptions of and Experiences with Consumer Sleep Technologies That Use Artificial Intelligence
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot. don't worry about that of course you can have a cadaver kidney of old age person. if there is anything that wrong about the patient then even doctors won't transplant that kidney they will have the complete history of the dead person so rather going for other option you please carrion with the cadaver kidney and mostly you won't have any other issues except the acceptance of your body to take that kidney. thanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. as per your complaint bruised pain in your front tooth after a traumatic injury seems to be most probably due to fractures or cracked tooth. at times the tissues over the tooth seems to be health, but there are fine cracks or fractures in the tooth post injury that can be the cause of pain. such cracks can be ruled out in x-rays by expert dentists or endodontists. so my suggestion to you is to get an x-ray of the tooth done to rule out the exact cause of the pain and in case of cracks in roots of the tooth, the best way is to get the tooth removed followed by placement of artificial tooth in the form of either a bridge or an implant. as of now you can take ibuprofen or naproxen for pain. hope this information helps. thanks and regards. chatbot."
Answer this question truthfully,"SLE, or systemic lupus erythematosus, is the autoimmune disease that may present with these characteristics at the dermoepidermal skin junction."
Please summerize the given abstract to a title,MALVIRUS: an integrated web application for viral variant calling
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. for diagnosis of pneumonia, chest x-ray need to have infiltration. with normal chest x-ray, pneumonia is not possible. cough, congestion, crackles on auscultation are also seen with bronchitis. and bronchitis shows normal chest x-ray too. so it is quite possible that you improve within antibiotic because antibiotics also work in bronchitis. so i don't think you are having pneumonia because your chest x-ray is normal. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some enlarged lymph node with abscess formation.  it can be due to reactive hyperplasia or tuberculosis.  or you may have sebaceous cyst or other benign cyst with infection.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,A French survey on the lockdown consequences of COVID-19 pandemic in Parkinson's disease. The ERCOPARK study
Please summerize the given abstract to a title,COVID-19 Outbreak Negatively Impacted Nigerian Secondary School Students Lifestyles
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, no need to worry about military tb as it reflects differently on chest x-ray. elevated diaphragm is mostly because of abdominal pathology. so in my opinion, you should definitely get done ultrasound examination of abdomen to rule out abdominal pathology.  for cardiomegaly on chest x-ray, get done 2d echo. if ultrasound abdomen and 2d echo are normal then no need to worry much for chest x-ray findings.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi your symptoms are actually suggestive of a miscarriage. however, you can now start with your birth control pills as earlier, and they will be just as effective if taken religiously. pills are started the very next day of an abortion to be effective and continued every day thereafter as prescribed. if you miss one pill take it as soon as you remember or take two the next day. if you miss two or more chatbot.  however, expect an early or irregular cycle when you stop pills mid-cycle, if delayed suggests a pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there! rigors and chill, urgency and frequency mild blood makes the odds for uti greater. now the history of renal calculi is also something not to be ignored. remember painful hematuria(blood in urine) is always a stone. that pain usually radiates from lower back and shifts to same side of the groin. it is usually sudden in onset and very severe only opioids and antispasmodics can relieve. any ways one step to diagnose which is it being an ultrasound abdomen and pelvis and simple urine routine exam. first do the latter, if uti is ruled out its definitely a stone,meanwhile treat the symptoms, get some anti-spasmodic like season get oral tramadol and chatbot. rest i wish you good luck if uti comes out then use ciprofloxacin 500 mg for 5 days above treatment and hygiene care by biomousse gel rinsing it like a shampoo for 5 mins at least. during washing the groin are after pee and defecation, use the movement of your hand in forward to back ward direction (that is from urethra to anal direction)and then lift hand don't come back rubbing and then the same., so this one way rubbing will help avoid chances of uti to. this tip is for women, and it works like charm as their urethra is very short. too bad this qua status doesn't show the gender of inquirer unless you answer it, good luck any ways. hope i was help regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello annul, welcome at chatbot. i have read details of your question. it looks from your details that you may be suffering from prolapsed inter vertebral disc at level l5-s1. there are conservative therapy like medicines & physiotherapy which are prescribed initially for treatment of prolapsed disc. if such therapy is unable to provide you relief after a month then you should consult to neurosurgeon or an orthopedic doctor. in case you have weakness or severe pain or difficulty with urination or defecation then surgery will be the best treatment for you. you should be not fearful from surgery as there are methods which are least invasive & you may get relief from that. hope this will help you. with best wishes."
Answer this question truthfully,"Sideroblastic anemia is a type of anemia that occurs when the body has a decreased ability to produce healthy red blood cells. One potential cause of sideroblastic anemia is a deficiency in vitamin B6. Vitamin B6 is necessary for the proper function of enzymes involved in heme synthesis, and a deficiency can lead to the development of sideroblastic anemia. Other possible causes of sideroblastic anemia include genetic mutations and certain medications."
Please summerize the given abstract to a title,Biosynthetic pathways of triterpenoids and strategies to improve their Biosynthetic Efficiency
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for calling chatbot forum.  you are 27 years old, since 3 years you are having non-epileptic seizures. you got headache behind left eye.  the cause for non-epileptic seizures is cerebral tuberculosis, worms in the brain, or it may be post meningitis seizures, or due to the juvenile hypertension.  treatment failure of epilepsy may be due to the exposure to the triggering events, like stress, anxiety, simultaneous use of medicines which have seizures as a side effect, like anti histamines.  so you should avoid such things.  the pain medication works for the headache, doctors say it may be rebound headache.  as said above anxiety and stress should be avoided. practice yoga, meditation, reading books of your interest, and hearing music.  wishing for a quick and complete recovery."
Please summerize the given abstract to a title,Perceived Stress Positively Relates to Insomnia Symptoms: The Moderation of Resilience in Chinese Pregnant Women During COVID-19
Please answer with one of the option in the bracket,E: Contrast esophagography with gastrografin
Answer this question truthfully,Patients with opioid intoxication may experience bradycardia and hypotension.
Please answer with one of the option in the bracket,C: Laparoscopy
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Developing a Framework for Pandemic COVID-19 Vaccine Allocation: a Modified Delphi Consensus Study in Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are having hemoptysis (blood in sputum). chest pain with hemoptysis is seen in following conditions. 1. tuberculosis 2. pneumonia 3. lung cancer 4. chronic bronchitis so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out tuberculosis, pneumonia and lung cancer. pft is needed to rule out chronic bronchitis. you are also having dysphagia (difficulty in swallowing), so upper gis copy is also needed to rule out any esophageal pathology. so don't wait at home, better to consult doctor and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your all reports are normal, no need to worry about major diseases. stress, anxiety and panic disorder can also cause similar symptoms. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  counselling along with anxiolytic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello have gone through your query.first its god that you have stopped taken gut or pan masala.bt as you have taken it before you got a condition called oral submucous fibrosis(osf).are you having any burning sensation also while taking spicy and hot food. treatment for osf is to quit the habit first dat you have done. take antioxidant tab with lycopene like ms fire tab twice daily for three months. depending upon the severity escort gel or submucosal in can be taken. check whether your mouth opening is three fingers, two fingers or even less. for severe cases surgical procedure can be done. certain mouth exercise also helps to improve the symptomsvisit a dentist to find out severity of your condition. hope this ans helpsregards"
Please summerize the given abstract to a title,COVID-19: fighting the invisible enemy with microRNA.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello scared mom! you don't need to be scared. anemia is treatable easily. all you need is some good multi vitamins and folic acids associated with a good balanced diet, green leafy vegetables and meat you have to be a carnivore literally to get back all your iron you lost. so cheers, and no you should not be concerned. the moment your anemia gets treated your fatigue, palpitations, back pain will all vanish. use iron folic acid and multivitamins pack. get a jar pack for 6 months and share them with your kids even. and wait for the magic to happen. stress is part of being mom. try to have a routine. get a sound 8 hours daily sleep. don't over burden yourself. trust me you will be fine i will be here for you if you need me. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i have gone through the x-ray report you have mentioned. this x-ray report is normal. it is clearly mentioned that patient is not having any respiratory infiltration, consolidation, mass like lesion. so no need to worry about tuberculosis or any other lung diseases. so no chatbot.  hope i have solved your query. i will be happy to help you further. wishing good health to your patient. thanks."
Answer this question truthfully,"Niacin, also known as vitamin B3, is a type of nutrient that is found in many foods and is also available in supplement form. It has been shown to be the most effective drug for increasing serum HDL, which is a type of cholesterol commonly referred to as ""good"" cholesterol. HDL helps to remove excess cholesterol from the bloodstream and transport it to the liver for processing and elimination. By increasing HDL levels, niacin can help to reduce the risk of heart disease and other related conditions. However, it is important to note that niacin should only be used under the guidance of a healthcare provider, as high doses can cause side effects such as flushing, itching, and liver damage."
Answer this question truthfully,"Most symptoms of allergic rhinitis can be treated. More severe cases require allergy shots.
Some people (particularly children) may outgrow an allergy as the immune system becomes less sensitive to the allergen. However, as a general rule, once a substance causes allergies for an individual, it can continue to affect the person over the long term."
Answer this question truthfully,"What are the favorable prognostic factors in schizophrenia? The favorable prognostic factors in schizophrenia include acute onset, identifiable precipitant, older age at onset, and predominantly positive psychotic symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. erectile dysfunction means inability to erection. if your penis is straight and hard means you have enough erection. testis is movable and if you press it moves to other site. you just require to learn normal anatomy of male genitalia. so read about it from internet. it is all normal thing, and you do not have erection problem. just learn and relax. i hope i have answered your query. thank you."
Please summerize the given abstract to a title,Social Work Practice During COVID-19: Client Needs and Boundary Challenges
Please summerize the given abstract to a title,Transient ST Segment Elevation in a Patient with COVID-19 and a Normal Transthoracic Echocardiogram.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! her blood pressure values are within the normal ranges. coming to this point, her complaints could be related to an inner ear disorder, chronic degeneration of the cervical spine or low blood flow to the brain, probably caused by narrowed cervical arteries. another possible cause to consider would be orthostatic hypotension. in such case her symptoms would be triggered by standing up. does this happen to her? for this reason, i would recommend consulting with an ent specialist and performing labyrinthine tests to exclude an inner ear disorder first. other tests to consider if an inner ear disorder is excluded are"
Answer this question truthfully,"Thromboangiitis obliterans (Buerger's disease) is caused by vasculitis (inflammation of the blood vessels).
The blood vessels of the hands and feet are especially affected. They tighten or become totally blocked. The average age when symptoms begin is around 35 years. Woman and older adults are affected less often.
Thromboangiitis obliterans mostly affects men ages 20 to 40 who have a history of heavy smoking or chewing tobacco. Only 1 out of 10 patients are women.
The condition may also be related to a history of Raynaud's disease.
This disorder is very uncommon in children, but it may occur in children with autoimmune diseases."
Please summerize the given abstract to a title,Booster protection against Omicron infection in a highly vaccinated cohort
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for your question at chatbot. the swelling, bruise and the pain will reduce gradually over 7 to 10 days. rest, ice and bandage application with limb elevation on two pillows accelerates the process of healing over first 2 to 3 days. i would ask you to follow these four things. however, by third day you should experience considerable pain relief and should be able to walk with mild pain. since you are already able to walk, any major injury/ fracture can be ruled out. pain after bending for some time and after prolonged extension of knee, can suggest internal derangement of soft tissue structures inside your knee. this can cause pain on movements like bending, equating, getting up from a chair, twisting movements associated with going up and down stairs. in more severe forms it can be associated with stiffness of knee with inability to bend fully, giving way or popping sensation and more severe pain. if you cannot manage your daily routine without pain, it will be prudent to meet a sport physician and let her/him evaluate your knee. also pain while going up and down the stairs can suggest some injury to associated ligaments of the knee. hope this helps. all the best. regards. chatbot."
Please summerize the given abstract to a title,Characterization of the Second Wave of COVID-19 in India
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i understand your query and concern. dizziness in your case can be due to elevated blood pressure or cardiac dysfunction. this needs extensive monitoring of your heart and eyes through 2 dimensional echocardiography and baselines ecg. the blood pressure in your case needs an immediate resolution in the form of urgent institution of antihypertensive therapy in the form of beta blockers. complete eye examination in the form of endoscopy will help to document simultaneous changes in the eye. reduction of your body weight is advisable to weight around 60 kg. antivertigo medications can be occasionally helpful. a complete 24 hr holder ecg can also be an efficient tool to detect the heart conduction blocks if any. consult an expert cardiologist for further help. post your further queries if any, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hai hard, as from quote (venmaruinthu powder) venmarudhu powder (correct version) is terminal manipulate. it is used in ayurvedic medicine for anti-inflammatory condition and heart related diseases. a per your concern your mother-in-law is suffering from heart problem. above-mentioned powder (venmaruthu powder) 3g twice a day will be effective to the heart and blood vessels. along with the other medication you can take this powder.no harm in taking it.thank you, hope i answered your query."
Please summerize the given abstract to a title,Histopathological effects of modern topical sealants on the liver surface after hepatectomy: an experimental swine study.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that he might be having descended testes having scrotal empty. many a time there might be having swelling in inguinal region due to presence of testes there. by the end of six months they might descend and if not then orchiopexy operation should be done. now due to new modern technology diagnostic laparoscopy can be done after six months. consult pediatric surgeon and get examined. ok and take care."
Answer this question truthfully,Leptospirosis is associated with fever and conjunctival suffusion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case, due to compression of nerve root there can be sensation in hip and butt pain will advise you to do mri lifeblood work up and emg-ncv [nerve conduction] study will help. for these symptoms methylcobalamine and neurotrophic medication like amitriptyline can be started consulting your doctor. i will advise checking your it b12 and it d3 level. epidural steroid shot can help if no relief with medication. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. i am very sorry that you happen to be diabetic during her pregnancy. it is very difficult to achieve good sugar control, and the fact that you are on insulin shows that a good diet alone is not enough to control your blood sugar. so, if you deviate from your diet and increase your blood sugar levels, you are undermining the work of the insulin that you already take. the baby grows the most during the last month of pregnancy, and eating sugary foods or having a high blood sugar can make the baby grow very large and get fat which can increase the risk of cesarean section and birth injury. so i know it is extremely difficult, but it is not medically advisable for you to eat sweet things like candies, dessert and sugary chatbot.  you only have one month left of the pregnancy, so please try for your babies sake to adhere to your diabetic diet as much as possible until the birth. in some"
Please summerize the given abstract to a title,Large-scale investigation of the effects of nucleobase sequence on fluorescence excitation and Stokes shifts of DNA-stabilized silver clusters.
Please answer with one of the option in the bracket,C: Methotrexate
Answer this question truthfully,"The exact role of the thyroid was not known in the ancient times. From the middle of the nineteenth century, the anatomy and the physiological role of the thyroid were gradually elucidated, and diagnostic and therapeutic modalities were developed. It has been 100 years since Theodor Kocher was awarded the Nobel Prize for his work in pathophysiology and surgery of the thyroid. Fifty years have passed since radioactive iodine was first used for the diagnosis and the treatment of hyperthyroidism in Korea. The common thyroid disease were named after their discoverers, such as Graves and Hashimoto."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting bougainville thorn prick is toxic but only to level of allergic reaction like rash dermatitis swelling the prick doesn't cause osteoarthritis(oa) is degenerative disorder of joint which effects mainly knee joint shoulder, ankle jnt what your doctor is saying is arthroscopy to see for oa but oa comes into play only if u have trouble pain while standing from sitting position or u hear a click while doing so kindly tell your age & elaborate your complaints so that u can be treated properly as of your query about getting oa due to thorn prick it's not possible"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum. cymbal ta is not a treatment, and is not good for long term use. you can use it till the diagnosis is established. it may be the fibromyalgia, deficiency of vitamin, calcium,or electrolytes.  i advise you to consult an orthopedic surgeon for diagnosis and treatment.  i usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, calcium supplements, and painkillers.  avoid taking potato, other tubers, tomato,egg, chicken, and and seafoods.  wishing for a quick and complete recovery. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Necrotizing pneumonia: an emerging problem in children?
Answer this question truthfully,Anemia is defined as Hb < 13.5 g/dL in males.
Answer this question truthfully,"The exact pathogenesis of thrombotic thrombocytopenic purpura (TTP) is not fully understood. It is thought that TTP is caused by the deficiency of a plasma metalloprotease, ADAMTS13."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,both phaeton and cyclones are same hormone progesterone, but the method of intake is different. they are given to support pregnancy, but exactly how useful they are in preventing miscarriage is yet to be proven. the fact that the ultrasound is normal and fetal heart rate is good implies that things are ok. once the fetal heart beat appears there is very little chance of you having a miscarriage. i understand with your previous history of miscarriage you must be very anxious but the stress and anxiety can make matters worse for you. the bleeding should subside by around 12 weeks. the oral form phaeton is easier to take and less cumbersome. threatened miscarriage is common in early pregnancy and only supportive care with rest is advised. you could continue either of the progesterones, whichever you are more comfortable with. get a repeat scan after 10 days to check for fetal well-being. do not worry. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query at chatbot. i am sorry that your son is not well. he probably has a gastrointestinal infection which is often caused by a virus called rotavirus though it could also be caused by certain bacteria. antibiotics have been given to control it but in case the cause is viral, it is unlikely to respond. the temperature needs to be kept in control by cold sponging and use of medicines like paracetamol. although you have not indicated the location of the lymph nodes, let me mention that in case of an infection, the lymph nodes try to limit the infection from spreading and get swollen in the process. so that is probably the case here. to keep the temperature in control, i would suggest you to sponge the child with water at room temperature. you can give him a bath too when the temperature is high. do not wipe chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, pounding heart with rapid pulse suggests cardiovascular pathology and necessitates a cardiovascular examination. a concomitant high blood pressure is a risk factor for cardiovascular disease. presence of similar symptoms in another family member raises a suspicion of familial cardiovascular disease. on the basis of history a cardiomyopathy is suspected. cardiomyopathy is disease of cardiac muscle. thus, i suggest you to consult a cardiologist for investigations and further management. thanks and take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Phase 1 in the myocardial action potential is characterized by initial repolarization. During this phase, the membrane potential rapidly becomes more negative, which allows the cardiac muscle cells to begin to relax after the initial depolarization."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. your kid needs to be examined immediately. in a child with ventricle peritoneal shunt there could be blockage of the shunt which can result in vomiting. there could also be infection because of the shunt in place and result in problems like this. also, he has grown up, and the shunt might need to be replaced. his mood changes could indicate raise in intraventricular pressure causing such problems. so request you to consult your doctor immediately.  you may contact me with further details on the following url...........http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello share your concern swelling in the groin region, above the public area with history of weight lifting and previous hernia surgery might be related to recurrence of hernia would advise you to check it in a standing position while keeping a finger on the swelling, ask him to cough, if this swelling increases, or you feel any cough impulse than it could be a hernia most probably.meanwhile, ask him not to lift weight againavoid constipation, straining at stool or coughing hope this answers your questionplease feel free to ask for follow-up question i will be happy to help you best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. treatment of mouth cancer depends on type and stage of cancer. in early stage surgery is helpful.  in later stage chemotherapy and radiotherapy is the treatment of choice.  please give me details of his cancer so that i can help you further. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, these ecg changes mostly non-specific if you have no any symptoms. or may be due to hypothyroidism. but not to worry that much. i advise you to take homeopathic treatment for hypothyroid because by homeopathy you can be free from thyroid problem and after some time you will be free from medicines also. it has no side effect. as your question detail shows that you are basically anxious person so homeopathy is best for you which can reduce your anxiety also. so consult to good classical homeopath. for more help you may write to me on \""subhashponkiya@gmail.com\""have a good health"
Answer this question truthfully,"Clozapine is an atypical antipsychotic medication that can be effective in treating certain mental health conditions. However, one potential side effect of clozapine is the development of cardiac complications, specifically myocarditis and cardiomyopathy. Myocarditis is an inflammation of the heart muscle that can cause chest pain, shortness of breath, and other symptoms, while cardiomyopathy is a disease of the heart muscle that can lead to heart failure and other serious complications. It is important for healthcare providers to closely monitor patients who are taking clozapine for any signs of cardiac complications and to adjust treatment as needed to minimize the risk of adverse effects."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through the data you have posted. the chance of getting x-ray normal with treatment depends upon the stage at which treatment was given at the time of acute episode. pneumonia (lung infection) can heal witchatdoctorplete resolution or fibrosis. if fibrosis has set in due to delay in treatment it lasts forever. commonly in tuberculosis, it ends with upper zone fibrosis or fibrocavity, it can be normalized with treatment... hope this helps."
Please summerize the given abstract to a title,Genomic Screening Identifies Individuals at High Risk for Hereditary Transthyretin Amyloidosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give you relief. i will advise checking your it b12 and it d3 level. if nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. nerve stimulator implant may help you to relieve pain. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, your symptoms seem to be related to gastroesophageal reflux or gastritis. these disorders could also explain the feeling in your arm (irradiated pain). i recommend consulting with your gp for a careful physical examination, a resting ecg, a chest x-ray and a routine blood check up (fasting glucose, complete blood count, kidney and liver function test, blood electrolytes). it is necessary to perform a gastrointestinal endoscopy to rule in/out the above-mentioned disorders (gastroesophageal reflux, hiatal hernia or gastritis). you should discuss with your attending physician on the above issues. hope to have been helpful! greetings!"
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Molecular epidemiology of type I and II feline coronavirus from cats with suspected feline infectious peritonitis in China between 2019 and 2021
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. your history indicates it may be a rib fracture. she might have sustained some injury which she overlooked. better consult or tho specialist as she may require strapping of ribs on the injured side. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello... my sympathies for the difficult situation you are in. after a kidney transplant, the donors remaining kidney takes over the function of both the kidneys to speak. which means you have double the amount of blood flowing through it and double the amount of load that it needs to filter. the solitary kidney adapts to this need by undergoing an enlargement in size or hypertrophy. you should be able to maintain a normal lifestyle after the procedure. but you need to keep in mind that you will be at greater risk for diseases such as hypertension, anemia and osteodystrophy in the future. it would be better to avoid anything which would overload the solitary functioning kidney.(painkillers, high intake of salt and protein)it would be advisable that you maintain a healthy lifestyle and get a moderate amount of exercise, not high intensity on most days of the week. hope this helps, regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mr/ ms non-compliant, welcome to chatbot. if oral iron is not sufficing for what ever reason, you need i.v infusion, so don't delay, especially if your hemoglobin level is low. b complex supplements can cause change in urine color. the color of urine does not indicate kidney failure, you need to have tests (kft blood test and urine routine test) to confirm that. i also suggest you get your liver function tests (blood test), and hepatitis virology (bag and anti hcv antibody) done as well. do let me know if i can be of further help. best wishes. rb"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. it looks like due to deep placement of injection needle there has been piercing of steroid plexus of veins, and it has led to hematoma formation. due to deep penetration in the mesh of veins there is blood leakage from the blood vessels, and it gets accumulated in the soft tissues and there is hematoma formation. due to hematoma formation there is swelling and bruising. it is a self resolving condition and gets better on its own. you can do cool compresses over the swelling to let it reduce faster. if there is pain take anti-inflammatory painkillers like ibuprofen. hope this helps. regards."
Please summerize the given abstract to a title,COVID-19: How to make between-country comparisons
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot look, mds and prc is very rare disease condition. here idiopathically or in case of some genetic abnormality, the bone marrow fails to produce rbc, and thus it causes anemia.  this anemia is refractory to any treatment. depending upon the condition, bone marrow transplantation is very much helpful.  another treatment option is colony stimulating factors.  lastly, you should keep following up with your treating doctor.  regards."
Answer this question truthfully,"If a father has a mitochondrial disease, all his children are unaffected."
Answer this question truthfully,"Encourage patients to discuss sexual health with their primary care provider or obgyn. Referral to a psychiatrist may be needed to alleviate patient distress. Pelvic floor rehabilitation must be done in patients with dyspareunia.  Encourage non coital behaviours such as massages to improve communication and understanding between partners. Education about sexually transmitted infections must be done to all patients.  Early identification and treatment can help prevent PID and associated cervical motion tenderness, dyspareunia and even subsequent infertility."
Answer this question truthfully,"Secondary infection with dengue fever is associated with a higher risk of severe illness. Dengue fever is caused by a virus that is transmitted by mosquitoes and can result in a range of symptoms, from mild fever and headache to severe hemorrhagic fever and shock. When a person is infected with dengue fever for the first time, their immune system produces antibodies that can provide some protection against future infections. However, if a person is infected with a different strain of the virus in the future, the immune response can actually make the infection more severe. This phenomenon, known as antibody-dependent enhancement, can increase the risk of severe illness and complications in cases of secondary dengue fever infection. Therefore, it is important for individuals who have previously been infected with dengue fever to take precautions to avoid mosquito bites and seek medical attention if they experience symptoms of the disease."
Please summerize the given abstract to a title,IoT Based Patient Safety Monitoring System in Hospitals
Answer this question truthfully,"There is no single diagnostic study of choice for the diagnosis of volvulus.      Volvulus can be diagnosed based on clinical findings and on the findings on CT scan, plain x-ray or plain x-ray with contrast. The initial investigation can be a plain x-ray without contrast, or a CT scan. It is important to rule out pneumoperitoneum, this means that a perforation in the bowel has occurred and that air is in the peritoneum. It is a surgical emergency. A plain x-ray without contrast maybe performed as the initial diagnostic test when a patient presents with abdominal pain, distension, constipation / obstipation and nausea. The following result of plain x-ray is indicative of volvulus: Sigmoid / cecal / ileal volvulus: U-shaped, distended segment of colon seen as an ahaustral collection of gas Gastric volvulus: Single, large, spherical gas bubble located in the upper abdomen or chest with an air-fluid level Following a plain x-ray, a plain x-ray with contrast barium enema may be performed. Alternatively, the initial test may be a CT scan. The abdominal CT should be performed when the patient presents with symptoms of abdominal pain, distension, constipation / obstipation and nausea. The following result of abdominal CT is indicative of volvulus: Sigmoid / Cecal / Ileal volvulus: Whirl pattern signifying a dilated bowel Bird beak appearance of afferent and efferent colonic segments Absence of rectal gas Separation of the sigmoid walls by adjacent mesenteric fat (split wall sign) Additional findings suggestive of bowel necrosis: Presence of air in the intestines (pneumatosis intestinalis) Portal venous gas Loss of bowel wall enhancement In addition to these findings, a CT scan may be useful in determining the following: Diaphragmatic defects Free air or fluid in the abdomen Other sources of symptoms within the abdominal cavity The following result of plain x-ray with contrast barium enema is indicative of volvulus: Bird beak appearance or twisted tapering of afferent and efferent colonic segments Plain x-ray with contrast barium enema can be utilized in the following circumstances: Therapeutically in an attempt to reduce volvulus If plain x-ray is not diagnostic and CT is not available Plain x-ray with contrast barium enema is contraindicated in: Peritonitis Pneumoperitoneum Necrotic bowel
If diagnosis cannot be established with a plain x-ray with or without contrast, or with a CT scan then a laparoscopy / laparotomy can be used.
Initially, a plain abdominal x-ray or CT may be performed. A plain abdominal x-ray may be followed by a plain x-ray with contrast to help determine diagnosis or to identify complications. A CT scan can determine obstruction level, rule out other causes of abdominal pain and obstruction, and when pathology is not clear with a plain x-ray.
Volvulus is mainly diagnosed based on clinical presentation and imaging findings on x-ray and CT. There are no established criteria for the diagnosis of volvulus."
Please summerize the given abstract to a title,N95 filtering facepiece respirators do not reliably afford respiratory protection during chest compression: A simulation study
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...looks like your kid might be having a pro chatbot.  unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. as of now for vomiting you can give her syrup ondansetron at 5ml thrice a day 30 minutes before food. if still she's persistently vomiting - then i suggest you take her to the nearest emergency room. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. severe panic attacks and breathing difficulty are possibly due to the stress you are mentioning. maybe you are trying to rationalize your problem with the current cold virus conditions. treat both of them different and if the cold is persistent, please consult a physician for further management. regarding panic attacks, you should take holiday for a couple of weeks and enjoy or take rest. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"Hyperfiltration of the existing kidney in unilateral renal agenesis increases the risk of renal failure later in life. Unilateral renal agenesis is a condition in which one kidney fails to develop properly, leaving the other kidney to compensate for its absence. The remaining kidney may undergo hyperfiltration, which means it has to work harder to filter the blood and remove waste products. Over time, this increased workload can cause damage to the kidney and increase the risk of renal failure. It is important for individuals with unilateral renal agenesis to receive regular monitoring and follow-up care to manage their risk of renal failure."
Answer this question truthfully,One risk factor for UTI is sexual activity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello & welcomes you said that ulcers are not healing first we should concern about whether you have some smoking habit, poor oral hygiene or some immune compromised state. if none of the factor than visit to your dentist as soon as possible & go for a biopsy investigation of ulcers. till than maintain proper oral hygiene, start up with multivitamin capsules, & application of local; anesthetic. thanks & take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, if you are having regular menses, it would be easier and simpler for you to figure out the date of conception. the egg release (ovulation) takes place 14 days prior to next expected menses. so you can calculate the date of your ovulation. the intercourse which is around (plus or minus 4 days) the date of ovulation is responsible for the conception. since there is difference of about 15-20 days between the two intercourses, ultrasonography can give your approximate date of conception (rather the age of the baby). this also can help you to figure out which intercourse is responsible for this pregnancy. the foolproof evidence you can have about the paternity of this baby is by dna test. i hope this helps you to resolve your dilemma."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot ! you have posted the query in the free consult, so you would not be charged, but i hope it is not too late for the answer. the viral infections are contagious and can spread to other family members. keep a distance of approximately one meter so that others do not get the cross infection from you. you should ensure good nutrition and hy chatbot. it usually takes about a week time to recover fully from viral infections, although it may vary depending upon the causative microorganism. i hope the advice would be informative and useful for you. take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thanks for the query. these are slightly elevated got and it doesn't need to indicate anything or just mild fatty liver which is seen if gaining weight to fast. he should just change his dietary habits for start and see wills got fall. it probably will. some other more serious liver disease would manifest differently. he should do ultrasound of liver and gallbladder also. wish you good health. regards
Please answer with one of the option in the bracket,D: Crystals and white blood cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, yes you are in labor now, once the bag of water situated around the baby ruptures, labor is imminent, and you should go to the hospital immediately. the tummy ache is going to increase as the labor progresses, and it is likely that you will deliver soon. so please get to a hospital immediately, as sometimes after rupture of membranes the baby may require monitoring and labor progress rapidly. it is common to not be in labor on the due date and 90% of women deliver within 10 days after the due date. do do not worry and get to a hospital. hope this helps. regards."
Answer this question truthfully,Anemia usually responds well to treatment within 2 months.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, shin is tibia bone anterior border, which is subcutaneous, and covered by skin and fat and fascia only with no muscles to provide a tough cover. whenever there is injury over the shin it results compression of skin and underlying soft tissues with associated internal bleed that moves along the facial planes and get deposited in dependent parts like foot or ankle. these types of will take around a month to get healed. all you need to do is to apply ice over the impacted site. it will gradually recover on its own without any treatment. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Aurintricarboxylic acid inhibits the early stage of vaccinia virus replication by targeting both cellular and viral factors.
Answer this question truthfully,"Vinca Alkaloids bind to B-Tubulin, which inhibits the assembly of microtubules. Microtubules are important structures within cells that are involved in a variety of cellular processes, including cell division, intracellular transport, and maintenance of cell shape. By inhibiting their assembly, Vinca Alkaloids disrupt these processes and can lead to the death of cancer cells. Vinca Alkaloids are commonly used in the treatment of various types of cancer, including leukemia, lymphoma, and solid tumors. Understanding their mechanism of action is important for optimizing their use in cancer treatment and minimizing potential side effects."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the history and symptoms are suggesting me that you may be having fungal infection. this area are prone to develop fungal infection because of moist and wet environment. you require physical examination to confirm the diagnosis, for your symptoms i would like to suggest1. keep the area clean and chatbot. topical application of antifungal cream like riboflavin.3. oral antihistamines. thank you."
Answer this question truthfully,"The likely diagnosis for the patient's condition is an esophageal stricture. This is a narrowing of the esophagus that can be caused by various factors, including chronic acid reflux from GERD. The narrowing can make it difficult to swallow solid foods and may cause a feeling of food getting stuck in the throat. A barium swallow test is a diagnostic imaging test that uses a contrast material to help visualize the esophagus and identify any abnormalities. Symmetric, circumferential narrowing seen on this test is consistent with an esophageal stricture. Treatment may involve medications to reduce acid reflux, stretching of the esophagus (dilation), or surgery in severe cases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. from the description that you have provided, it seems that you have suffered a muscle sprain. tingling sensation might be due to compression of nerve. you need to provide rest to the neck-preferably use a cervical collar. avoid massaging the area. doing a hot fomentation will be helpful. avoid all overhead activities and do not use a pillow. in case the pain is persistent even after taking a mild painkiller, then you might need stronger prescription medicines like muscle relaxants after consulting your orthopedic. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, bad taste in your mouth is certainly due to the antibiotic you have taken. so far as increased hunger is concerned it may be due to the fact that your h pylori infection has been treated. feeling nausea tic is a non-specific symptom and that is hardly serious. please consult your doctor if conditions persist. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in the air too. you will be more convinced. usually, i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is -1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. babies of this age may pass motion once in 10 days or 10 times a day also. as long as the baby is active and feeding well, don't worry. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,The COVID-19 pandemic and the challenges of E-assessment of calculus courses in higher education: A case study in Saudi Arabia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the sign you have mentioned is called leser-trelat sign. it is the explosive eruption of multiple seborrhea keratitis. it looks like pigmented skin lesions with an inflammatory base. furthermore, it has been linked to an internal malignancy as a paraneoplastic syn chatbot.  seborrhea keratitis can also occur in individuals without malignancy and is common in elderly. a history, physical examination and then relevant investigations to rule out an internal malignancy is required. the sign is linked with adenocarcinoma of stomach & colon, squamous cell carcinoma, lymphoma and leukemia in decreasing order of frequency. i would suggest that you see a doctor and discuss it with him/her. if you have any further queries i will be more than happy to answer. thank you for choosing chatbot."
Please summerize the given abstract to a title,Renin-angiotensin-aldosterone system peptide profiles in patients with COVID-19
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Emetine suppresses SARS-CoV-2 replication by inhibiting interaction of viral mRNA with eIF4E
Please summerize the given abstract to a title,A Study on The Effectiveness of Lock-down Measures to Control The Spread of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you had one pregnancy, your chances for one more is very high. tb damages inner lining of uterus & tube. maybe that's why one tube is blocked. your uterus inner lining where baby attaches may not be very healthy. so you aborted with reduced blood flow to baby. after you finish medicines for tb, you can get pregnant, but will need a lot of hormonal support to maintain a healthy pregnancy. next time you get pregnant have an early scan to rule out pregnancy in tube small the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. as per your info, this condition which you have is called coccydynia which simply means painful tail bone. this condition can become chronic if proper medication and precautions are not taken. firstly you should always use padding around that area while sitting down. avoid any form of injury or trauma to the area by continuous irritation of that area. avoid sitting down in one position of too long. consult with your physician who can prescribe you anti-inflammatory chatbot.  the form on treatment depends on the status and severity of the underlying damage to the bone based on mri report.  hope this helps. regards."
Answer this question truthfully,"Metronidazole is an antibiotic medication that is used to treat a variety of infections caused by anaerobic bacteria, particularly those below the diaphragm such as in the abdomen, pelvis, and genital area. This includes infections such as bacterial vaginosis, pelvic inflammatory disease, and certain types of colitis. Metronidazole works by disrupting the DNA of the bacteria, which prevents them from reproducing and eventually leads to their death. It is also sometimes used in combination with other antibiotics to treat more severe infections or to prevent infections in people undergoing certain medical procedures."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about what you have been experiencing. having been unable to go to the restroom is probably caused by the very little amount of food that you eat. we need enough residues after digestion in order to be able to fill the rectum and excite the defecation reflex. as you get better with treatment, for sure you would start pooping good. try to eat with much water and help relief yourself of the impression of food sticking in your throat. this will help improve your food intake. i hope you find this helpful and it ad chatbot.  thank you so much for using our services and feel free to ask for more information and clarifications if need be. i wish you the best of health."
Please answer with one of the option in the bracket,B: Autoantibodies directed against platelet factor 4
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, clot or blockages in heart arteries are basically a fat deposits which occurs due to high cholesterol, blood pressure and as an age related change. he might not be having critical blockage and that's why deferred stenting.  he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. get your lipid profile and sugars tested once.  he should not leave the medicine otherwise blockages may increase and lead to heart attack. this medicine can cause stomach and uncomfortable feeling due to acidity and reflux disease. does he have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, if yes it further supports the diagnosis? you should avoid fatty, oily and high calorie diet. have some walk after having food instead of taking rest. have multiple small meals instead of heavy meals. have regular sleep habits and avoid stress. lots of green leafy vegetables, fruits. avoid smoking and alcohol if any. you can get prescribed tab pantoprazole 40 mg before breakfast once a day for 2 weeks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Szenarien und Projektionen zur weltweiten Energieversorgung im Vergleich
Please summerize the given abstract to a title,LncRNA-SNHG29 inhibits vascular smooth muscle cell calcification by downregulating miR-200b-3p to activate the α-Klotho/FGFR1/FGF23 axis
Please summerize the given abstract to a title,"Combinatorial optimization of mRNA structure, stability, and translation for RNA-based therapeutics"
Answer this question truthfully,The condition is common in people ages 30 - 50.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that her symptoms do not seem to be related to the heart.  in my opinion, as the pain is modulated by body position, it could be a musculoskeletal pain.  for this reason, i would recommend just having some rest and taking ibuprofen for the pain.  if the pain does not improve in the next hour, i recommend going to the er for a physical exam, a resting ecg and cardiac enzymes.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please answer with one of the option in the bracket,C: Dura layer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you? my name is chatbot.  i am a liver and pancreas specialist and i hope to answer your question today. fatty liver can be caused by excessive alcohol intake (alcoholic seato hepatitis, ash) or due to excessive fatty food intake and sedentary lifestyle (non-alcoholic seato hepatitis, nash). ash is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. nash is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. high caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on usg). this is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. if left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. i would suggest a healthy diet and exercise regimen. although there is no time limit on when to get a repeat scan, i would suggest one, once you have succeeded in losing some weight. hope this helped and hope you start to feel better. please do not hesitate to contact me for further details. have a great day."
Please summerize the given abstract to a title,Gastric mucormycosis with splenic invasion a rare abdominal complication of COVID-19 pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. as your husband had sustained a fall with fracture of l5 vertebra, i suspect that there could be an associated disc protrusion causing pressure over the nerve roots that is causing some weakness in the muscles leading to the limp and altered gait. i suggest an mri scan of the lumbar spine which clearly depicts the severity of the disc protrusion, spinal cord compression and any other soft tissue pathology in the spine. nerve conduction studies may also be needed to establish any neurological injury in the leg. management depends on the condition diagnosed. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you must understand that memory power never goes down for a healthy young individual. but anxiety, low interest level, low self-confidence etc. can reduce concentration and create memory problem. active reading is your solution. effective learning is the key. reading two hours continuously without understanding anything or understanding 10% of what you read is waste of time and energy. studying for 30 minutes and understanding 20 minute stuff is real reading. how to achieve this? there are several techniques. search internet and you shall get many. 1. be serious and passionate about your studies. don't just study to satisfy somebody and to pass exams. learn for your future.2. change subjects every half an hour. this is a beginning. more studying (effective learning) techniques are available. you can post a direct question to me in this website. include every detail as much as you can. i am sure that the techniques should be a success. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. you should not worry. i'll try to explain and give you my opinion. you should know that we talk about hypertension if we have mean values that exceeds 140 / 90 mmhg. a person might have high value during emotional and physicals trees so it's mandatory to judge on mean values. hypertension is divided into two groups. essential hypertension, usually in older age without an identified cause. it is a chronic disease, and should be treated all live long. secondary hypertension is common in younger ages, meaning that it's a secondary house of it. this might be a renal disease, an endocrine problem or a cardiovascular anomaly. so, if i was your treating doctor i will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze, your urinary catecholamine and a holder pressure monitoring. after all this we can better judge your mean values during day and night, we can understand if we have to do with hypertension and how to treat it. hope i was helpful. best regards, chatbot."
Please summerize the given abstract to a title,Barriers to Surgical Innovation Research: A Canadian Study on Public Funding Trends
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. sodium hypochlorite is commonly found in bleach, water purifiers, and cleaning products. in severe poisoning u may have difficulty breathing, burning mouth, swelling of the throat, throat pain, stomach pain, vomiting, and blood in the stool. anyway u have done first aid part. mouthful bleach also can create breathing difficulty in some persons. kindly visit her as early as possible. hope i have answered your query, take care."
Answer this question truthfully,Asthma Bronchiolitis Obliterans Organizing Pneumonia (BOOP) Chronic Bronchitis Chronic Obstructive Pulmonary Disease Emphysema Interstitial lung disease Obstructive lung disease Oxygenation disorders Pulmonary fibrosis Restrictive lung disease Sarcoidosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, some side effects may occur that usually do not need medical attention. these side effects may go away during treatment as your body adjusts to the medicine more common, abdominal or stomach cramps, diarrhea, headache, nausea or vomiting. less common"
Please summerize the given abstract to a title,Impact of COVID-19 on the qualitative and quantitative aspect of household solid waste
Please summerize the given abstract to a title,Improving air quality in high-density cities by understanding the relationship between air pollutant dispersion and urban morphologies
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and, instrumentation can cause injury to the lining of the organ, in case of cystoscopy the scope could have caused mild damage to the lining of the penile urethra. the mild superficial injury could be the cause of pain during ejaculation. absence of pain or discomfort during urination rules out infection or any other lesion in the urinary tract. do not worry, the pain will fade away within few days. if it doesn't you need to consult your urologist. thanks and take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you may have lupus or some other autoimmune disease.  you should go for complete ana profile & coagulation profile.  it will give exact diagnosis.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more because your pain is associated with specific movement and position. so follow these steps for better symptomatic relief in musculoskeletal pain. 1. avoid movements causing pain. 2. avoid bad postures in sleep. 3. avoid heavyweight lifting and strenuous exercise. 4. apply warm water pad on affected areas. 5. take painkiller and muscle relaxant chatbot.  6. sit with proper back and chest support. don't worry, you will be alright with all these in 1-2 weeks. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, the pus discharge from the gums around the crown can be treated with a course of antibiotic followed by curettage (deep cleaning of the gums) if there is gum infection. otherwise if tooth is infected it has to root canal treated(if not treated or not properly treated) and crown has to be replaced.these conditions can be confirmed by radiographs... consult your oral physician for needful...i hope my answer will help you.take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. possibly you had an intestinal infection which was symptomatically relieved with your food restrictions, but the infection still persists as you did not take any medical treatment for the same. if i were your doctor, i would advise you for a stool test for ova and cysts, and a culture sensitivity of the stool if need be, and prescribe some chatbot.  this should relieve you of your present problem. but you have to avoid eating from outside if you do. i hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. thanks for using the chatbot forum for your query on health. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may be suffering from an acute desalinating event which would be most likely occurring in the brain (and sounds to be purely sensory in nature) by your description, although the spinal cord would also be a possible location to look for problems.  in my opinion, what you really need that would be obtainable now are imaging studies of the brain and spinal cord (mri with gadolinium contrast) to rule out a type of desalinating process in the brain or something such as transverse myelitis in the spinal cord.  frankly, i don't understand the purpose of the emg since you say you have normal reflexes and no muscle weakness.  nothing will show on an emg in 10 days from now that won't show up today but more importantly i wouldn't do that test anyway by the first intention simply because it is invasive (i.e. not very comfortable) and not likely to show anything more than you could diagnose with good clinical judgment if a solid history and examination were done.  emg/ncv studies are most helpful when muscles are weak or reflexes are severely altered not as helpful when only sensory changes are occurring.  i would do the preliminary imaging studies, blood work is fine, waiting for a little time is fine as well but i don't think an emg is something i would plan for unless you became noticeably weaker. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","yes sir/ma'am....you are right once your sugar ll get controlled properly all get some relief in neuropathy...it's a diabetic neuropathy pain very difficult to treat, but it is treatable condition and many chatbot.  u take tab gabapentin nt start with 100 mg/10\u00a0mg then increase the dose if no relief.and controls your bp and cholesterol too. take low fat low salt diet. do yoga and exercise regularly."
"If you are a doctor, please answer the medical questions based on the patient's description.","ganglion cyst is collection of fluid/ viscous material near the tendon sheath or joint, it is because of the friction of tendon in the tendon sheath, the cyst like material will be gone once you press it but it again reaccumulates, i would recommend surgery if it is really bothering you, i.e. if you are having any pain or difficulty in doing activities, or if it is of cosmetic significance if not i will recommend leaving it alone, ganglion cyst go away if you smash or pop, but it again comes back because of the friction between tendon and its sheath, the only way for cure is surgery if it really bothers."
Please summerize the given abstract to a title,Randomized trial of the Carpentier-Edwards supra-annular prosthesis versus the Medtronic Mosaic aortic prosthesis: 10-year results.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on your blood reports i would state that your kidney function is absolutely normal your blood urea and serum creatinine which are important parameters of kidney function are well within normal limits . sr creatinine varies every day as per out protein intake and upper normal limit for creatinine is 1.2. so do not worry at all raised creatinine from 0.78 to 0.95 can not be considered as raised as it falls within normal range. all other blood test reports are within normal range. there is nothing to be worried about any kidney problem in near future. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi luiza, thanks for writing to us. anetoderma is an plasmolytic disorder where elastin of dermal skin tissue is destroyed leading to laxity and out pouching of skin. though medical treatment is available none is supposed be very effective. for smaller lesions surgical excision can be tried. i would advise you to consult a dermatologist so that the diagnosis can be confirmed first as your self diagnosis might be wrong! hope that helps. take care"
Please summerize the given abstract to a title,"Molecular Epidemiology of Herpangina Children in Tongzhou District, Beijing, China, During 2019-2020"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should definitely rule out hormonal imbalance first. because you are having breast discharge from breasts, headache, chest pain, back pain etc. all these symptoms are commonly seen with hormonal imbalance. so better to consult gynecologist and get done clinical examination and hormone levels. if imbalance is there then you will need hormonal pills. don't worry, you will be alright. consult gynecologist and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,C: False negative
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should first rule out bronchitis in your case because you are having breathing difficulty. so get done pft (pulmonary function test). if this is normal then no need to worry about bronchitis. get done ecg and 2d echo to rule out cardiac cause because of tachycardia (high pulse rate) and left arm pain. if all are normal then you are mostly having anxiety related symptoms. so consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  so avoid stress and tension. be relax and calm. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Hypovolemic shock is the specific type of shock that is characterized by a decrease in central venous pressure (CVP) and cardiac output.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are still young, and it is a false notion that fertility is prevalent only early in a marriage. the fact is that fertility is higher in younger age groups as compared to older age couples due to dwindling hormones as age advances. the rate of infertility increases as a person reaches 30s and 40s. since you have plenty of time ahead of you, you can safely go for contraception after consulting a gynecologist. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, it is necessary to perform a comprehensive differential diagnosis of different causes that may mimic this clinical scenario (cardiac arrhythmia, chronic anemia, thyroid dysfunction, etc.). anxiety could also be related to this symptomatology. i recommend consulting with your gp for a careful physical examination, a resting ecg, a chest x-ray and some blood lab tests (complete blood count, thyroid hormone levels, cortisol plasma levels, fasting glucose, inflammation tests, blood electrolytes, kidney and liver function tests). an ambulatory 24-48 hour ecg monitoring and a closely monitoring of your blood pressure are necessary to exclude possible cardiac arrhythmia. if all the above tests result normal, the most probable cause of your symptomatology would be anxiety and a consult with a specialist of this field would be necessary for the proper therapy. hope to have been helpful! best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. hypothyroidism is inevitable after thyroid surgery. so patient needs to take thyroid hormone life long. hypothyroidism causes fluid accumulation in extravascular spaces. so patient shows edema of face, lower limbs, abdomen etc. and this cause weight gain. so possibility of hypothyroidism is more in your case. so first get done thyroid function test and start thyroid supplements. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Impact of liver cirrhosis on the clinical outcomes of patients with COVID-19: a nationwide cohort study of Korea
Please answer with one of the option in the bracket,E: Supportive therapy
Please summerize the given abstract to a title,Protocolo de actuación psicológica ante la COVID-19 en centros asistenciales. Cienfuegos. Cuba/ Protocol of psychological intervention facing COVID-19 in healthcare centers. Cienfuegos. Cuba
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the acute nature of symptoms suggest the possibility of a neurological problem behind them. i think you should consult a neurologist as soon as possible to clarify the doubts. he would do some tests-make you do some exercises and carry out a neurological examination to form a diagnosis. the doctor also might ask you to get a cat scan or an mri brain to rule out any organicism there. even a funds examination of eye is helpful in determining the brain pressure.i'm not suggesting these things to make you panic but i'm concerned about you after looking at the symptoms mentioned. there is not enough detail available in query to pinpoint the possible causes behind all this (of course you will not know what all details are required from you in this situation). so, in short - a visit to the neurologist is the wisest thing to be done. wish you best of health!"
Please summerize the given abstract to a title,Management of surgical mask waste to activated carbons for CO(2) capture
Please summerize the given abstract to a title,Lessons from Remarkable FinTech Companies for the Financial Inclusion in Peru
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, welcome, and thanks for sharing your concern i went through your query, and i feel, if you are having persistent pain and stiffness in the knee than probably these are symptoms of arthritis, you should get an x-ray done to see if any arthritic changes are present in the x-rays. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
Please summerize the given abstract to a title,Vesicular stomatitis virus as a novel cancer vaccine vector to prime antitumor immunity amenable to rapid boosting with adenovirus.
Answer this question truthfully,"The recommended imaging modality for a patient with back pain, neurologic deficits, and signs of cauda equina syndrome is MRI.

Cauda equina syndrome is a rare but serious condition that occurs when the nerve roots at the bottom of the spinal cord become compressed. Symptoms of cauda equina syndrome may include back pain, leg pain, numbness in the saddle area (i.e. saddle anesthesia), and bowel or bladder dysfunction.

When a patient presents with back pain, neurologic deficits, and signs of cauda equina syndrome, it is important to perform imaging studies to evaluate the extent of the nerve root compression. MRI is the preferred imaging modality in this setting, as it provides detailed images of the spinal cord and nerve roots.

In addition to imaging, patients with suspected cauda equina syndrome should be evaluated by a healthcare provider as soon as possible. Treatment may include surgical decompression of the affected nerve roots, as well as medications to manage pain and other symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i carefully passed through your question and would explain that an isolated high blood pressure (mainly diastolic) does not indicate high blood pressure. it is important to closely monitor your blood pressure (frequent times during the day in sitting position after 10 minutes of total relax) and refer those values to your doctor. if your blood pressure values are above 130/85 mm hg most of the time, you may need to start antihypertensive therapy. from the other hand, i would recommend performing some other tests to investigate for the possible cause of elevated blood pressure values"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for writing us here.it doesn't seem to be too serious though, but i would suggest you to make sure the wound doesn't get infected. you can take ibuprofen which is a good analgesic. and also make sure you don't exert too much pressure in your leg or do heavy exercises or get indulge in sports which could cause injury again at the same place. take some rest and you'll be better in a couple of weeks. best regards, chatbot."
Please answer with one of the option in the bracket,"D: IgM Level: Normal, IgG Level: Normal, IgA Level: Low"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,"Alone in labour: fear, anxiety and the new norm"
what are pancreatic enzymes?,Exocrine pancreas cells make enzymes that are released into the small intestine to help the body digest food.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. since your ecg and 2d echo are normal, i don't think any cardiovascular cause for your symptoms. in my opinion you are having anxiety and stress associated illness.you're all symptoms like headache, dizziness, chest pain, shortness of breath etc. points towards anxiety and stress related only. but we need to rule out anemia and thyroid related problem also. so get done cbc to rule out anemia. get done s.tsh to rule out thyroid related problems. so if both these are normal than your symptoms are anxiety and stress related only. better to consult psychiatrist and get counselling sessions. avoid stress and anxiety. and keep calm. you may need anxiolytic chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i will be glad to be of assistance since it is a localized vitiligo, the progression needs to be first stopped. this can be done with the help of application of mometasone furnace 0.1% cream once daily on the affected area, this should stop the progression and cause repigmentation of the lesions. it should be applied for 15 days and then a week can be taken off.it can be continued in this manner till repigmentation occurs, but i strongly suggest that he should be under the care of a dermatologist who can monitor his progress and look for side effects. also you could discuss the effectiveness with tablet camisole which has to be administered twice a week, and then let the doctor start it for youth other thing that you can try after the progression has stopped is narrowband uvb phototherapy for it or exciter laser. they give very good results.  also using tacrolimus ointment twice a day is very effective. you can try this also. the treatment can take many months to show effect, its unpredictable as to how long. also if you have vitiligo which is stable, even vitiligo surgeries can be considered and are quite effective. please let me know if you have any queries. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to chatbot. yes. this kind features are seen in long-standing catheterization. there are two reasons i can think of. the enlarged prostate itself can give trace of blood sometimes. the longstanding catheterization in a narrowed urethra when dilated may cause mild injury and cause bleed. after all this you let a doctor see and take action by changing or removing. need to ask ? do not hesitate. thank you.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"The anterior chamber is the fluid-filled space inside the eye between the iris and the cornea's innermost surface, the endothelium.  Aqueous humor is the fluid that fills the anterior chamber."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello return your report motile sperm are less and has pus cell in it. these can be due to some bacterial or viral infection in it or some hormonal imbalance. your needs to be investigated in detail for it, as if it is continuous it may be a region for infertility. in my opinion consult your physician as soon as possible and get your investigation like semen culture, testosterone level etc. done as per his advice. best wishes and have a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. better to consult gynecologist once. hormonal imbalance may be the cause for your bleeding. as you stopped the pills in the middle, that with chatbot. so you consult gynecologist, get examined and take tablets to stop the bleeding. go for one ultrasound and if your doctor recommends you can go for hormonal profile including estrogen, progesterone, fsh and lh, thyroid profile etc. with this workup the possible cause for your problem can be identified and treated. for more details you can ask me through"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, im so sorry to hear about your father. unfortunately, because the cancer has spread, even with a liver transplant, he would continue to worsen, and the cancer in his bones and chest would continue to grow.  it's difficult to say, but with such spread cancer, i would say yes, his time is coming pretty soon. the best thing you can do is continue to support him and make him comfortable. i hope this answers your questions. please feel free to contact me should you have any further questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. the chance of pregnancy is less, as you had intercourse in the first week of the menstrual cycle. during that period there is less possibility for ovulation in case of regular periods. when you think of something that can come in our chatbot. and consistency of the stools can change depending on many factors. so you continue the tablets. any if you miss your expected date of periods just go for pregnancy test once to rule out the possibility. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern of hpv infection as you are going in for gui. generally, in most of the semen banks, they will screen for the following sexually transmissible infections"
Answer this question truthfully,Serous otitis media can be defined as the presence of middle ear effusion without acute inflammation.
Answer this question truthfully,"Placenta accreta is a condition where the placenta abnormally attaches to the myometrium, without penetrating it."
Answer this question truthfully,"Asian, Chinese, Mediterranean, or African American ethnicity Family history of the disorder"
Please summerize the given abstract to a title,"Model lipid systems and their use to evaluate the phase state of biomembranes, their mechanical properties and the effect of non-conventional antibiotics: the case of daptomycin"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dear ksgopika., thanks for choosing chatbot., pimple with pus on face....common problem in your age..., it is due to hyperactivity of hormones., so good treatment is there.1) frequent washes with low ph soaps... triclosan(cnil, fast bar).,2) tab isotretinoin 20 mg daily for 2 months.,3) tab azithromycin 250 mg daily nighttimes for 1 week.,4) plenty of vegetables and fresh fruits...,5) avoid fried items., oily food and genk foods., ok....than"
Answer this question truthfully,"Carbamazepine, an anti-epileptic medication, can have adverse effects such as blood dyscrasias including aplastic anemia and agranulocytosis."
Answer this question truthfully,"Blood cell lineage Alternate stain of a basophil Basophil
Template:Blood
v t e Immunology: lymphocytic adaptive immune system and complement Lymphoid Antigens Antigen Superantigen Allergen Hapten Epitope Linear Conformational Mimotope Antigen presentation / Professional APCs: Dendritic cell Macrophage B cell Immunogen Antibodies Antibody Monoclonal antibodies Polyclonal antibodies Autoantibody Microantibody Polyclonal B cell response Allotype Isotype Idiotype Immune complex Paratope Immunity vs. tolerance action: Immunity Autoimmunity Alloimmunity Allergy Hypersensitivity Inflammation Cross-reactivity inaction: Tolerance Central Peripheral Clonal anergy Clonal deletion Tolerance in pregnancy Immunodeficiency Immunogenetics Affinity maturation Somatic hypermutation Clonal selection V(D)J recombination Junctional diversity Immunoglobulin class switching MHC / HLA Lymphocytes Cellular T cell Humoral B cell NK cell Substances Cytokines Opsonin Cytolysin
bs:Bazofilni granulociti ca:Basòfil de:Basophiler Granulozyt dv:ބޭސަފިލް it:Granulocita basofilo he:באזופיל lt:Bazofilas nl:Basofiele granulocyt sv:Basofil granulocyt uk:Базофіли

Template:WikiDoc Sources"
Answer this question truthfully,"The name of this type of CNS tumor is glioblastoma multiforme, and it usually arises within the cerebral hemispheres of the brain. Another name for this tumor is ""butterfly glioma,"" due to its characteristic crossing of the corpus callosum."
Please summerize the given abstract to a title,A Comparison of the Role of Voluntary Organizations in Disaster Management
Please summerize the given abstract to a title,Risk Management of COVID-19 in the Residential Educational Setting: Lessons Learned and Implications for Moving Forward
Please summerize the given abstract to a title,Targeting Neurons with Functional Oxytocin Receptors: A Novel Set of Simple Knock-In Mouse Lines for Oxytocin Receptor Visualization and Manipulation
"If you are a doctor, please answer the medical questions based on the patient's description.",in very early pregnancy bleeding is more commonly due to pregnancy itself. now if at 6 weeks no heartbeats than there is chance that this pregnancy will not survive more and ultimately abortion will happen. but sometimes pregnancy survives and go up to full term with absolutely normal delivery. so we don't have choice other than to wait and take the best possible support for pregnancy in terms of oral medications and injections and bed rest. which must be prescribed by your doctors. so wait continue medications and strictly follow the instruction of your doctors.in case bleeding is very heavier than you have to consult doctor immediately. or ideally you should get admitted if any bleeding in early pregnancy and complete rest at hospital with all medication. because complete rest is not possible at home practically.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
Please answer with one of the option in the bracket,B: Fresh frozen plasma
Please summerize the given abstract to a title,Insights into the SARS-CoV-2 Diagnosis in India: Present Status and Future Prospects
Please summerize the given abstract to a title,Site-Specific Incorporation of Genetically Encoded Photo-Crosslinkers Locates the Heteromeric Interface of a GPCR Complex in Living Cells
Answer this question truthfully,Granulosa-theca tumors are associated with peripheral precocious puberty and postmenopausal bleeding.
Please summerize the given abstract to a title,Inferring generation-interval distributions from contact-tracing data
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the occipital node would enlarge in response to the flare up of the psoriasis. lymph nodes are located in different parts of the body, and they respond to inflammation and infection in these sites. normally when the associated infection or inflammation resolves the swelling of the lymph would also go down. it can sometimes take up to 6 weeks for complete resolution. i hope this helps"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Just prior to ovulation, cervical mucus increases in quantity and becomes more watery and penetrable by sperm. This is due to hormonal changes in the body that occur during the menstrual cycle. As a woman approaches ovulation, her body produces more estrogen, which causes the cervical mucus to become thinner and more slippery. This makes it easier for sperm to swim through the cervix and into the uterus, where they can fertilize an egg if one is present. The increased quantity and penetrability of cervical mucus is an important factor in fertility, as it allows sperm to reach and fertilize an egg more easily. Women who are trying to conceive are often advised to track changes in their cervical mucus in order to identify their most fertile days."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the facts and report of your semen analysis that you have posted you have oligospermia meaning there by that you have low sperm count. since you have problem of erectile dysfunction too. you need to get your blood tests for serum testosterone level done. taking ferry and maxima cream does help to increase sperm count. following measure will help you to increase sperm count. 1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc 3)take anti oxidants like almonds 5-6 every day 4) avoid alcohol and smoking. a single reading of oligospermia does not indicate infertility. one can be diagnosed infertile only if their successive reports of semen analysis done at one-month interval reveal oligospermia repeat your semen analysis with due precautions of abstinence for 4 days every time before collecting semen sample for analysis. with present report there is every chance of you making your wife pregnant chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks foe posting here. the symptoms you have mentioned may present in a variety of conditions. but going by your description it is likely that he may have had a heart attack leading to heart failure and fluid overload in the body. that's why the breathlessness, swelling over face, chest tightness etc. he will require a cardiac evaluation by ekg, 2 d echo, chest x-ray and some blood tests and then treatment with blood thinners, anticoagulants and diuretics to remove excess water. another common cause can also be kidney related leading to similar symptoms. so kidney functions should also be evaluated. wishing him a good recovery thank you"
Please summerize the given abstract to a title,Early experience with virtual pediatric orthopedics in new york city pearls for incorporating telemedicine into your practice
Please answer the letter of option truthfully,B
Answer this question truthfully,"Clostridioides difficile infection can be treated with antibiotics such as metronidazole, vancomycin, or fidaxomicin. The choice of antibiotic depends on the severity of the infection and other factors such as the patient's age and medical history. In some cases, probiotics may also be recommended to help restore the balance of bacteria in the gut. In severe cases of C. difficile infection, surgery may be necessary to remove damaged portions of the colon. It is important to complete the full course of antibiotics as prescribed by a healthcare provider to ensure that the infection is fully treated and to reduce the risk of recurrence."
Please summerize the given abstract to a title,"Spring 2020 COVID-19 Surge: Prospective Relations between Demographic Factors, Personality Traits, Social Cognitions and Guideline Adherence, Mask Wearing, and Symptoms in a U.S. Sample"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is unfortunate that you are suffering on account of your neurological symptoms, and moreover, no diagnosis has been made. normal mri rules out stroke, as it would be clearly seen on the mri. the possibilities include essential tremors, parkinsonism and cerebellar ataxia. if you can upload a copy of your mri report, it would be useful. also, if you can mention the abnormalities found by the neurologist on examination, it would be useful. for relief from tremors, you can use propranolol, a beta blocker. i hope it helps. please get back if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your problem and situation. in my opinion, you are having bronchitis. it is common after partially treated viral upper respiratory tract infection (uri). so better to consult pulmonologist and get done1. chest x ray2. put (pulmonary function test). chest x-ray is needed to rule out lung infection as a cause.pft is needed to rule out bronchitis. it will also tell you about severity of the disease. and treatment of bronchitis is based on severity only. so better to consult pulmonologist and first diagnose your problem and then start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and can assure you that if amputation is done in proper manner than neuroma never occurs. again neuroma is not the indication for repeat amputation. i would recommend you following.1. meet a hand surgeon and discuss with him. he can explore the neuroma and excise it only without repeating amputation.2. you can get repeat amputation if above-mentioned process is not possible. in that case you can operate by a good hand surgeon. if nerves are cut properly than neuromas should not occur.3. tablet pregabalin m can be taken at nighttime to reduce neuroma pain. i hope these steps will help you. let me know if there is any other followup questions. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. your problem in the left leg is no way related to your hip replacement surgery of the right hip. as per the description, all your symptoms suggest a degenerative disc disease of the lumbar spine witchatdoctorpression of the neural elements. the conservative management of degenerative disc disease is as follows -* avoid lifting heavy weights as it imparts more strain on your back* avoid forward bending activities as it will worsen the disc protrusion* use a lumbosacral back support to augment your spinal muscles* intermittent pelvic traction to cause a regression of disc* maintain optimum body weight, if you are obese* physiotherapy to strengthen your back muscles. physiotherapy has to be done only after the acute pain has subsided.* judicious use of analgesics and muscle relaxants. if all these measures fail to provide you relief, then surgical decompression may be an option. hope this information is helpful. good day"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Are there any researches indicating how early an individual may experience any signs or symptoms of Rheumatoid Arthritis?,Rheumatoid arthritis can be difficult to diagnose in its early stages because the early signs and symptoms mimic those of many other diseases.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. there are two possibility here either you are infected with pinching or you have some hormonal problem and that's why you are excreting the milk. i advise you should do grams staining from the discharge. if its infection than report shows the organisms. in case its hormonal problem than prolactin hormone must be increased in you. prolactin a timor of gland is the cause. surgical correction of this tumor can treat you. please avoid further injury to the breast until your diagnosis is confirmed and maintain the good hygiene. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i understand your concern and i would like to assure you that rose day therapy (that is lipid lowering treatment) may be associated with some side effects in certain patients, like muscle pain and break down. some blood lab tests should be performed"
Please summerize the given abstract to a title,"Booster vaccines protect hamsters with waning immunity from Delta VOC infection, disease, and transmission"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i have read your question and understand your concerns. i do understand that you are worried about your symptoms. it is good that your mri, ct scan and blood counts are normal. this rules out a space occupying lesion in your brain which is what majority of patients are worried about when they have a headache along with visual disturbances. prediabetes is unlikely to cause blurred vision in you. very high blood glucose can cause blurred vision but in prediabetes, the blood glucose is not that high. further, by starting metformin your 2-hour postprandial glucose is in normal range. blurred vision by itself can cause a tension type headache due to straining of nerves. i would advise you to see an ophthalmologist so that you could have a full eye check. i hope this answer has helped you. thank regards chatbot."
Answer this question truthfully,"No, currently there are no medications that are considered effective in treating dissociative disorders. Dissociative disorders are a group of mental health conditions that are characterized by a disruption in a person's normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. These disorders are typically treated with psychotherapy, particularly specialized forms of therapy such as cognitive-behavioral therapy and dialectical behavior therapy. While there are some medications that may be used to address specific symptoms associated with dissociative disorders, such as anxiety or depression, there is no medication that is specifically indicated for treating the core features of these disorders. In fact, the use of medication alone is generally not recommended for the treatment of dissociative disorders, as it is unlikely to be effective and may even be counterproductive."
Answer this question truthfully,"Lung compliance may be calculated by the equation C = ΔV/ΔP. This equation represents the change in lung volume (ΔV) relative to the change in transpulmonary pressure (ΔP), which is the difference between the pressure inside the lungs and the pressure outside the body. Lung compliance is a measure of the distensibility of the lungs, or their ability to expand in response to changes in pressure. It is an important parameter for assessing lung function and can be affected by a variety of factors, including age, disease, and mechanical ventilation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with us for your problem. when you are taking an orthodontic treatment it is better to keep in touch with the dentist as these type of problems arise commonly. if the wire is broken at the time of treatment it will delay the treatment as the wire will not be able to put pressure on the teeth and there will be no effect of the treatment. it is better to consult you dentist and get it fixed because visiting other dentist will be difficult for your treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.",your after meal sugar 220 mg/dl is definitely high. next time reading is 126 is also high. cut off value is 126. between 100 and 126 fbs is called borderline and 126 is diabetic. it sometimes happen that pubs may be lower than fasting. however no need of starting antidiabetic medicine. first thing to do is you control your diet. and after that check it repeatedly at 15 days interval. if it remains persistent high then go for medicine. consult your physician and take treatment accordingly.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to my chatbot clinic. i studied your query in depth. in my opinion-dear, you appear to have naso-pharyngitis overnight with lump in throat feeling with ache on taking deep breath.hence, you need not worry it as a cancer. treatment-i would advise you to -add-tb-antibiotic and tb-nsaids, -, which would relive the -lump in throat feeling with a catch on deep breath-(from infective-bacterial pleuritic). hope you have cleared your worry. would welcome you to chatbot for any more queries on it or on other health-problem."
Please summerize the given abstract to a title,Understanding the determinants of e-wallet continuance usage intention in Malaysia
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. even a child who is just 2 years, can learn to speak any language. even a child who is just 6 years, can learn to speak, read and write any language. then why are you worrying about it. just don't worry about making friends. you have your own personality. students of your own personality will find you and be friend with you. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi if c2,3 levels are implicated, an mri may show extent of pathology. use a cervical collar, and do isometric cervical exercises under a physiotherapist. consult orthopedic doctor if traction is needed for relieving any nerve impingement in neck to account for hand symp3. take lyrics 75\u00a0mg twice a day and moral twice a day after meals. your surgeon may decide future course of action after evaluation best wishes"
Please summerize the given abstract to a title,The Determinants of the Usage of Accounting Information Systems toward Operational Efficiency in Industrial Revolution 4.0: Evidence from an Emerging Economy
Answer this question truthfully,Teratoma occurs most often in young men in their 20s - 30s
Please summerize the given abstract to a title,COVIDetect-DESVM: Explainable framework using Differential Evolution Algorithm with SVM classifier for the diagnosis of COVID-19
Answer this question truthfully,"The high carrier frequency of the mutant G6PD allele is likely due to its protective role against Plasmodium falciparum malaria. G6PD (glucose-6-phosphate dehydrogenase) is an enzyme that plays a crucial role in protecting red blood cells from oxidative damage. Mutations in the G6PD gene can result in a deficiency of this enzyme, which can lead to hemolytic anemia in certain conditions. However, the same mutations that cause G6PD deficiency also provide protection against malaria caused by Plasmodium falciparum, a parasitic organism that infects red blood cells. As a result, populations living in areas with a high prevalence of malaria have a higher carrier frequency of the mutant G6PD allele. This is because individuals who carry the mutant allele are more likely to survive malaria and pass on the allele to their offspring."
Please summerize the given abstract to a title,How Are Destination Image and Travel Intention Influenced by Misleading Media Coverage? Consequences of COVID-19 Outbreak in China
Please summerize the given abstract to a title,The Novel Use of a Low Prime Modified Ultrafiltration Apparatus in a 13-kg Jehovah's Witness Patient: A Case Report.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has esophageal cancer. treatment depends on type, stage, location, grade and spread of cancer. in early stage laser treatment and surgical treatment is helpful.  in advanced stage surgery is not helpful and chemotherapy and radiation therapy are the treatment options.  consult your oncologist and plan accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Yes, sexual dysfunction is associated with the use of tricyclic antidepressants (TCAs)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. inability to lift arm can be due to rotator cuff injury which may need mri for confirmation. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. you may need to take rest for early healing. also check your it b12 and it d3 in your blood. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take disregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question and understand your concerns. let me try to help you question 1"
Please summerize the given abstract to a title,Perspectives on the development of neutralizing antibodies against SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the hawaiian baby wood rose seed has a chemical which has hallucinogenic properties meaning you will have various different experiences.  no permanent damage is done by consuming such seeds.  now epilepsy may occur in case of heavy consumption of seeds. but it will go away on its own once the effects subsides. in case of second epilepsy occurs that too without any seed consumption then you need to get your self checked by neurologist. thanks for the query. hope it helps. chatbot."
Please summerize the given abstract to a title,The Responsibility to Protect: Locating Norm Entrepreneurship
Answer this question truthfully,"Pure red cell aplasia is a rare disorder characterized by a reduction or absence of red blood cells in the body. It can be caused by a variety of factors, including autoimmune disorders, medications, and viral infections. Some of the medical conditions that are associated with pure red cell aplasia include thymoma, which is a type of tumor that develops in the thymus gland, and lymphocytic leukemias, which are cancers of the blood and bone marrow. In addition, parvovirus B19 infection, which is a common viral infection that causes fifth disease in children, has also been linked to pure red cell aplasia. The exact mechanisms by which these conditions lead to pure red cell aplasia are not fully understood, but they are thought to involve the destruction or suppression of red blood cell precursors in the bone marrow."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms seem to be related to sprained muscle due the injury. i suggest applying heat or ice to the sore area can help reduce inflammation, relieve pain, and improve movement. over-the-counter anti-inflammatories or pain relievers such as ibuprofen 400 mg three times a day might help if needed. i suggest resting and avoid activities that can trigger the symptoms. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,COVID-19 Vaccine Distribution: Bolstering the Air Force Immunizations Model.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good afternoon. thanks for the query to my chatbot online-clinic. i studied your query in-depth.-in my opinion the painless knee cap on its left side-is mostly due to the synovial reactive-granulation tissue due to the osteoarthritis -which is causing the knee to be sore on standing. -cause of lump-the pressure on the swollen granulation tissue causes squishy feeling with cystic touch due to excess synovial fluid produced due to knee synovitis which produces lump in the sore knee.-hope this would resolve your worry-some query. wellcome again to chatbot. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello have gone through your question and understand your concern. melisa medical foundation aimed to work for patients benefit have option to send blood test sample of patient direct to the test center of organization either by approaching the test center of the nearest area or contact them to collect sample all by yourself with the help of sample collecting kit sent by them via post. go the official site of melisa.org and select your preferences regarding taking the test at laboratory or clinic authorized by the organisation or request them a test kit. once the allergy is ruled out a better understanding of cause of symptoms will be established along with patients trust and few other approaches to diagnose the relevant cause will surely help with treatment. hope your concern is answered. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, tell me whether you've had either x-ray of that toe or had anybody take a look at this problem?  i would not manipulate, squeeze, poke, dig, or do anything else and would seriously consider going to an urgent care center or er for an examination.  if the toe is numb then, there may be damage to the digital nerve serving that toe.  it may still be possible to get feeling back, but you need to get it looked at by a doctor, a podiatrist would be fine, surgeon, a plastic surgeon.  but if you continue to just live with it then, the feeling in that toe may not come back very easily. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,A: Reduced fluid intake
Answer this question truthfully,"If fertilization occurs in the female reproductive system, the residual elements of the ruptured ovarian follicle form the corpus luteum, which synthesizes and secretes steroid hormones. The corpus luteum is a temporary endocrine structure that forms in the ovary after ovulation and produces progesterone and estrogen to prepare the uterus for implantation of a fertilized egg. If fertilization occurs, the developing embryo produces human chorionic gonadotropin (hCG), which signals the corpus luteum to continue producing progesterone and estrogen to support the pregnancy. The corpus luteum will continue to produce these hormones until the placenta takes over hormone production later in pregnancy. If fertilization does not occur, the corpus luteum will degenerate and hormone production will decrease, leading to the start of a new menstrual cycle."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should rule out cardiac pain first. because left sided chest pain with arm pain is characteristic of cardiac pain. so better to get done ecg first. if ecg is normal then no need to worry about cardiac disease. your chest pain is mostly due to herd (gastroesophageal reflux disease). it causes burning epigastric pain and gaseous distention of stomach. so follow these steps for better symptomatic relief. 1. avoid stress and tension. 2. avoid hot and spicy food. avoid large meals, instead take frequent small meals. 3. start proton pump inhibitors and prokinetic chatbot.  4. go for walk after meals. keep 2-3 pillows under head in the bed to prevent reflux. 5. avoid smoking and alcohol if you are having these habits. also lose weight, if you are obese. don't worry, you will be alright. wish you good health. thanks."
Please summerize the given abstract to a title,ACT Out! Social Issue Theater: A Cluster Randomized Trial with Short-term Outcomes
Please summerize the given abstract to a title,Psychological entitlement predicts noncompliance with the health guidelines of the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever of six days, high grade, sore throat, difficulty in swallowing, suggestive of tonsillitis. it needs to give an antibiotic course for five to seven days, also needs to search for any loculated pus in tonsils or lymph node. i suggest you for complete blood count (cbc), ultrasound neck. less likely possibility of typhoid fever, urine infection. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","his have gone through your complaints. you are 40 was pregnant. you are nearer to your delivery.it's quite common to have discomfort as baby is now in full size causing pressure in your lungs when lye down for sleep. if you feeling breathless keep to lie in propped up position or lie down to side. regarding the swelling of face, hands & foot, its due to compression of our body major vein by growing fetus.it will reduce once you deliver the baby. these are all temporary changes and everything will go off once you deliver the baby. tightening of stomach is there due to uterine contractions. as the baby is fully developed and the strong movements you feel because the space is less for fetus to move and these are all preparations to get right position for delivery.don't worry its quite common to all before delivery. thank youregardsvasundhara"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you have already tested negative for asthma, anemia, we should definitely rule out stress and anxiety for your symptoms. undiagnosed stress and anxiety can cause similar breathing difficulty. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Commonly Used Animal Models
Please summerize the given abstract to a title,Impact of Mediterranean Diet Food Choices and Physical Activity on Serum Metabolic Profile in Healthy Adolescents: Findings from the DIMENU Project
Please summerize the given abstract to a title,COVID-19 Masquerading as Postoperative Surgical Complications after Cancer Surgery
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion when there is missed period in a regularly menstruating woman the pregnancy should be ruled out first. i suggest you to go for a urine pregnancy test a week after missed period for accurate results. the pregnancy symptoms like nausea, vomitings, increased urination, sore breasts usually start 2 weeks after missed period in pregnancy. so wait and check for the test. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot. there is no medicine as such which can remove the scars completely. however there are certain ointments which can make the scar less visible(make it lighter). also there are some lasers(an expert dermatologist can help) you can try an ointment called contracture or madera cream, but remember they will only lighten the scar. also they show there effect in a few months only."
Answer this question truthfully,"Plantar fasciitis is characterized by sharp heel pain that is worse in the morning. This condition typically causes pain and tenderness in the bottom of the foot, near the heel."
Please summerize the given abstract to a title,A Basic Review of the Preliminary Evidence That COVID-19 Risk and Severity Is Increased in Vitamin D Deficiency
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the pain associated with shingles can be severe and sometimes difficult to treat. there are other pain medications that she may be able to try that may be helpful. examples are lyrics, gabapentin, regret, amitriptyline. these medications have many uses including treating nerve related pain. she may also want to consider the shingles' vaccine, this may prevent future episodes. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot i understand your concern for your brother. according to your details, he is showing attention seeking behavior which could be due to conversion disorder (hysteria). there could also be a possibility of depression/anxiety etc. however, you don't worry. as all investigations are normal, take him to a psychiatrist for detailed evaluation and management. i am sure he will be alright after some medication and psychotherapy. good luckthanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. chemotherapy can cause immunosuppression. immunosuppression is the major cause of the fungal infection in the cancer patient. fungal infection can cause blackening of the infected part. so if the toe is infected than you should avoid the procedure. fungus is usually present in all of our surrounding. but we are not infecting with it because we have good immunity. in the same way if your client is neat and clean with good immunity they will not have any fungal infection. it occurs only in immunocompromised patients. so you can do procedure in them, with good hygienic condition. with good aseptic procedure it will not spread to others. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  if you are sure that your daughter is suffering from depression (mental disorder), she needs expert psychiatric treatment. in this juncture, insurance or money do not count. what counts is the cure of the problem. please consult a psychiatrist at the earliest. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Impact of meteorological condition changes on air quality and particulate chemical composition during the COVID-19 lockdown
Answer this question truthfully,"Unfortunately, there is no approved treatment to completely eradicate the herpes simplex virus from the body. Nevertheless, antiviral treatments have been successful in lowering the severity and duration of skin lesions. Soft, smooth, and cold foods are helpful in lowering the symptoms severity during meals.
The available antiviral drugs that can be used for herpes simplex infection include acyclovir, valaciclovir, famciclovir and penciclovir.    Based on a double-blind, placebo controlled, randomized trial done on patients with recurrent herpes simplex orofacial infection showed efficacy of 5% acyclovir cream containing propylene glycol in reducing the period of vesiculation (P = 0.016), healing time (P = 0.022) and itching duration.   Another study done on 703 patients with herpes simplex keratitis demonstrated the effectiveness of acyclovir therapy for 12 months in lowering the chance of recurrent herpes simplex orofacial infection, including the ocular infection.  Data from different studies suggest the use of acyclovir and valaciclovir in herpes labialis. These two medications are also effective in cancer patients who are infected with herpes simplex infection.     Based on a study done on 701 randomly selected patients, 1500 mg single dose of famciclovir reduce healing period by 2 days, compared to placebo. The following table is a summary of median healing time in 3 different treatments that have been studied. 

There is no significant difference in famciclovir single dose or famciclovir single day treatement, based on the mentioned study.
Acyclovir is effective in decreasing the viral shedding period in infected patients (median of 2.5 days when patients recieved acyclovir, compared to 17 days). It also has been reported to be efficient in augmenting pain resolution and healing of the skin lesions. In another study total daily dose of 800 mg acyclovir was able to lower the recurrent skin lesions by 53%. Moreover the investigations showed that this dose of acyclovir is related to 71% reduction in tissue culture -positive recurrences, compared to control groups.  Acyclovir treatment shows less effectiveness in treatment of primary herpetic gingivostomatitis in adults.   Topical use of acyclovir, docosanol and penciclovir has been reported as an effective treatment in herpes labialis. However their efficacy is less than oral anti viral medications.     An effective treatment for primary herpetic gingivostomatitis in children is oral suspension of acyclovir. It will shorten the duration of infection significantly, if started within the first 3 days.  Oral treatment with acyclovir has been related with shorter duration of viral shedding in children which can decrease the chance of transmission. The aforementioned treatment has been effective in lowering the severity of oral facial lesions and improving eating and drinking difficulties. 
Analgesics such as paracetamol (acetaminophen) or ibuprofen can be used in order to control pain and fever (if present). Oral analgesics is recommended in children who are experiencing pain and discomfort.
Medications such as lidocaine, prilocaine, tetracaine and benzocaine can be prescribe in order to reduce some symptoms such as pain and itching.  Topical anesthetics are able to decrease symptoms in children in order to improve eating and drinking difficulties due to oral lesions.
Topical corticosteroids (such as clobetasol 0.05% gel) combined with anti viral medications has been reported to be effective in improving the healing process of skin lesions. 
There have been some investigations of a vaccine to prevent oro facial herpes simplex infection. Attacking messenger RNA (mRNA) of essential HSV-1 genes (such as UL20 gene) is how one of the investigated vaccines works. The aforementioned vaccine has been studied on rabbits and showed lower risk of ocular infection due to HSV-1 in them.  Another idea which requires more study to be approved suggests a medication (such as antagomir) to force all copies of HSV-1 virus to become active at a same time (from the latent status). Since there would be no latent virus in body, antiviral treatments could be successful in destroying the whole virus population. Another possible treatment try to target microRNA in order to prevent viruses from become latent. A study done on mice reported the possible effectiveness of phosphonoacetic acid in preventing skin lesion development. Based on this study phosphonoacetic acid prevented viruses from become latent when this ointment has been applied three times a day topically. Oral or topical use of a new antiviral agent named 2'-Nor-2'-deoxyguanosine (2'NDG) on mice demonstrated reduced severity in oro facial lesions. Minimum effective dose has been estimated as 0.2 mg/kg per day in one study."
Answer this question truthfully,"Menopause is a natural biological process that marks the end of a woman's reproductive years. During menopause, the body produces less estrogen, which can lead to a range of physical and emotional changes. One common symptom of menopause is urinary incontinence, which is the involuntary loss of urine. This is thought to be due, in part, to the effects of low estrogen levels on the tissues and muscles of the urinary tract. Estrogen helps to maintain the strength and elasticity of these tissues, and when levels decline, they may become weaker and less able to control the flow of urine. While urinary incontinence is a common problem for many women during and after menopause, there are a variety of treatments and strategies that can help to manage the condition and improve quality of life."
Please summerize the given abstract to a title,The mental health of Chinese healthcare staff in non-epicenter of COVID-19: a cross-sectional study
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i do not think food is the only reason behind his behavior. secondly calling this behavior as depression may not be right because this could be just dissatisfaction. i suggest you talk to your son with all your love and compassion. or else, take him to a psychological counselor and counselor should help you. the reasons behind the behavior should be analyzed and accurate treatment method to be suggested. understanding family and its intricacies is the trick. your son should change, but it might take some time, and he might need your assistance as well as his wife. for more psychotherapy techniques, you can post a direct question to me in this website. include every detail as much as you can. i shall prescribe some psychotherapy techniques to control your condition. i am sure that the techniques should be a success. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. normal pressure hy chatbot.  in this condition, the brain water (csf) needs to be diverted, to reduce the pressure in the brain. this leads to improvement in the patients problems. walking and gait improves the most. other problems such as dementia and urinary incontinence improve only a little.  there is no role for any specific diet in treating nph.  best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for posting here. amoxicillin is given in cases where there is noticeable aerobic infection. however, your doctor might have suspected an abscess in this tooth. so, he preferred combination of these two antibiotics. metronidazole does make skin sensitive, but it in a very lower proportion of people. it can be comfortably taken for a complete course of this antibiotic. your dentist will weigh the pros and cons of its usage. so, do not panic. take it as advised. if you still prefer to avoid it, or experience a side effect, talk to him for a change in the prescription. regards."
Please summerize the given abstract to a title,Analyzing Citizens’ and Health Care Professionals’ Searches for Smell/Taste Disorders and Coronavirus in Finland During the COVID-19 Pandemic: Infodemiological Approach Using Database Logs
Answer this question truthfully,"Toxoplasma gondii is an obligate intracellular parasitic protozoa that causes toxoplasmosis. Toxoplasmosis is an infection caused by the parasite Toxoplasma gondii that can affect humans and animals. It is commonly acquired through ingestion of contaminated food or water, or through contact with infected animals. While most people with toxoplasmosis do not experience any symptoms, it can cause severe disease in immunocompromised individuals such as those with HIV or those undergoing chemotherapy."
Please summerize the given abstract to a title,Factors associated with non-invasive mechanical ventilation failure in patients with hematological neoplasia and their association with outcomes
Answer this question truthfully,"The primary method used to diagnose meningitis is through a procedure called a lumbar puncture, also known as a spinal tap. During a lumbar puncture, a needle is inserted into the lower back to collect a sample of cerebrospinal fluid (CSF), which surrounds the brain and spinal cord. The CSF sample is then analyzed for signs of infection, such as elevated white blood cell count or the presence of bacteria or viruses. Other diagnostic tests, such as blood tests, imaging studies, and cultures of other body fluids, may also be used to support the diagnosis of meningitis. However, lumbar puncture is considered the gold standard for diagnosing this potentially serious condition."
Answer this question truthfully,"Yes, most NRTIs, or nucleoside reverse transcriptase inhibitors, require phosphorylation in order to become active. NRTIs are a class of antiretroviral drugs used to treat HIV and other retroviral infections. These drugs work by inhibiting the reverse transcriptase enzyme, which is necessary for the virus to replicate. NRTIs are structurally similar to the nucleosides that make up DNA, and they are incorporated into the viral DNA chain, causing premature termination of the chain. In order to be incorporated into the viral DNA chain, NRTIs must first be phosphorylated by cellular enzymes to become active."
Answer this question truthfully,What is the location of the alar plate in the embryonic brain stem and spinal cord? It is dorsally-located.
Please summerize the given abstract to a title,Non-integer (or fractional) power model to represent the complexity of a viral spreading: Application to the COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query in my opinion it is a degenerative spine witchatdoctorpressive symptoms. rest in position of relief, cartilage d once daily, nurokind gold once daily and analgesics (diclofenac 100 mg slow release tablets) give relief. sometimes vitamin d deficiency can aggravate this so serum vitamin d test is advised if it is lower than vitamin d supplementation will be required. yes, sciatica and numbness will be relieved by disc removal. backache may or may not be removed. i think your query answered. welcome to any follow-up query."
Answer this question truthfully,"An elevation in serum α-fetoprotein (AFP) levels can be caused by hepatocellular carcinoma, endodermal sinus (yolk sac) tumor, mixed germ cell tumor, ataxia-telangiectasia, and neural tube defects. There is a mnemonic to remember them, which is ""HE-MAN is the alpha male""."
Answer this question truthfully,"A Tinel sign is a physical examination technique that can be used to test for nerve irritation or injury. It involves tapping or percussing over a nerve or nerve pathway, and observing the patient's response. A positive Tinel sign is when percussion of the area causes a tingling sensation or other abnormal sensation that radiates along the nerve pathway. This can be a helpful diagnostic tool in identifying nerve injuries or other conditions that may be affecting the nervous system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, just a pinkish streak without considerable bleeding may be considered as missed period. the usual urine pregnancy tests are reliable after about a week of missed period, earlier they may give false negative results. however, beta chatbot tests are very specific and sensitive and may give reliable results within 2-3 days after missed period, or even earlier.  you may opt for this test. another possibility of unruptured ectopic pregnancy may be kept in mind. however, usually it gives faint positive result. if it is confirmed that you are not pregnant, you may take birth control pills for 5 days. please do not take devilry like progesterone only pills since they minimize the bleeding. you should get normal bleeding 4-7 days after discontinuation of the pills.  if still you do not get bleeding, please report to the gynecologist for your hormonal evaluation. you may be developing polycystic ovarian syn chatbot. i hope this helps you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
Answer this question truthfully,"Normally the heart beats 60 - 100 times per minute. In people who exercise routinely or take medications that slow the heart, the rate may drop below 55 beats per minute.
If your heart rate is fast (over 100 beats per minute), this is called tachycardia. A slow heart rate is called bradycardia. An occasional extra heartbeat is known as extrasystole.
Palpitations are usually not serious. However, it depends on whether or not the sensations represent an abnormal heart rhythm (arrhythmia).
The following conditions make you more likely to have an abnormal heart rhythm:
Known heart disease at the time the palpitations begin Significant risk factors for heart disease An abnormal heart valve An electrolyte abnormality in your blood (for example, a low potassium level)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for the query. the medications which you have mentioned do not cause kidney failure. does your mother have diabetes or high blood pressure? we also need to review if she has taken any other medications. she needs to see a nephrologist who can examine her and do further tests to determine if she has kidney problems and if so what is the cause and further appropriate management. hope this helps good luck,"
"If you are a doctor, please answer the medical questions based on the patient's description.","well there is definitely some nagging persistent infection and the causative organism is absent in the culture test because of intercurrent antibiotics; sometimes subculturing / culture from different area could help! anyways, it could be tuberculosis especially atypical ones or some reaction to retained suture materials/ chatbot. please consult a good surgeon and a clean hospital...all the best!"
Please summerize the given abstract to a title,"Animal Coronaviruses and SARS-COV-2 in Animals, What Do We Actually Know?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. age causes only a mild increase in got levels.2. diet containing hepatotoxins like alcohol etc. and medications can cause increased got levels.3. followup after a month. if got levels are within this range not to worry. it is crosses more than 100, will require further evaluation. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Appropriateness of Telemedicine Versus In-Person Care: A Qualitative Exploration of Psychiatrists' Decision Making.
Please summerize the given abstract to a title,"Characteristics and short-term obstetric outcomes in a case series of 67 women test-positive for SARS-CoV-2 in Stockholm, Sweden"
Please summerize the given abstract to a title,Sober masculinity and nurturing femininity: a gendered analysis of the Syrian presidency Instagram account
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. in the majority of cases the cause of spermatorrhoea is psychological rather than an organic disease and this is the reason it does not get cured with medicines. there few herbal products like nf cure and vital m-40 capsules available in market which are reported to be effective in reducing the frequency of spermatorrhoea. you have to take these products for a long period of time to get desired results and to resolve the problem. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, only symptom like central chest pain is not enough to suspect pancreatic cancer. you have not mentioned your age, anyway cardiac cause of chest pain must be ruled out at an elderly age. detailed history of pain abdomen its mode onset, duration, relation to food, relieving or aggravating factors should be carefully investigated. pancreatic cancer may be suspected after ruling out other more possible causes. consult your physician."
Answer this question truthfully,"LKS affects the parts of the brain that control comprehension and speech. The disorder usually occurs in children between the ages of 5 and 7 years. Typically, children with LKS develop normally but then lose their language skills for no apparent reason. While many of the affected individuals have seizures, some do not."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, all the condition needs careful medical attention particularly for diabetic, and it has to be controlled with tight rule basis, if it is not being controlled well, then hyperglycemia may intense the symptoms of other pathologies that you have particularly, liver damaged, and degenerative disc disease. now for other condition like liver damaged, it has to be cured according to means the underlying cause of damage is a matter of concern, even it is the same for disc degenerative disease, once this two disease if taken proper care other symptoms that you are having will come around soon. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. presence of whitish yellow spots over back of throat indicate that your daughter might be having pharyngitis. under such condition, anti-allergic medications such as zyrtec & patrol won't help much. management includes"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Magnetic resonance imaging can be helpful as a diagnostic tool in conditions where the echocardiographic findings are inconclusive. The following can be observed on MRI examination of Eisenmenger's syndrome patients: Magnitude and direction of the cardiac shunt, reduced systolic function of the cardiac ventricles, and brain diffusion changes on brain MRI."
Please answer the letter of option truthfully,D
Answer this question truthfully,Anyone who has diabetes is at risk of a diabetic coma.
Answer this question truthfully,Chronic bronchitis may be associated with both edema and cyanosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","this is the initial inflammatory reaction of the body. the swelling will gradually reduce. please do keep practicing small movements of the fingers.do not let it stiffen further due to non usage of it.keep using the medicines which you have been prescribed. hope the blade of razor was not rusted n that you have taken tetanus toxic injection if it was. look for any color change of fingertips. if further problems pertain, consult the nearest physician."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) for your chest flutters. you are also having history of heart surgery, so possibility of arrhythmia is more. so consult cardiologist and get done 1. ecg 2. 2d echo 3. holder monitoring (24 hours continuous recording of ecg). you may need anti arrhythmia chatbot.  don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have developed an allergic skin disease. you should avoid applying any kind of skin irritants like detail, spirit over it. you might need to apply a topical steroid cream over the affected area twice a day for few days. take some oral antihistamines along. see a nearby dermatologist if the condition tends to persist despite this therapy. you might need a course of oral steroids. hope it helps, chatbot. md(dermatology)"
Please summerize the given abstract to a title,The first Chinese national standards for SARS-CoV-2 neutralizing antibody
Please summerize the given abstract to a title,PORT: Pooled Ordered Rectangular Testing for Improved Public Health Screening
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for sharing your problem with us. there are many causes of soreness of tongue it can be iron or vitamin deficiency or any infection underneath the tongue but all these conditions are there when the whole of tongue is sore. in your case it may be any trauma from the adjacent tooth of right side or can be infection also. it will be better that you should visit a dentist nearby which can examine the tongue and rule out the cause and get the necessary investigations done."
Answer this question truthfully,"Leaving gauze, sutures, or tampons in for too long can cause Toxic Shock Syndrome."
Please summerize the given abstract to a title,The Morocco Policy Analysis Model: Theoretical Framework and Policy Scenarios (preprint)/ en
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the best treatment for renal failure is dialysis. dialysis in your father can be done via an av fistula or by a central line. i don't understand where the stent was placed in the kidney. was it in the ureter or in the artery supplying to the kidney. if it was in the artery supply. it is possible that he has renal artery stenosis. if it was in some other location, it could mean something else. anyway, creatinine levels are not that indicative of a persons' health. some people are even able to lead active lives like swimming and cycling with creatinine at 4 or 5. what you need to see is how your father is doing. is he energetic? if he is energetic, ignore the creatinine readings and focus on other aspects of his treatment. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i have gone through your question and understand your concerns. delayed periods can be due to pregnancy or any hormonal disturbances and stress. i will suggest you to get a repeat urine pregnancy test after one week, and if still negative then you should consult your organ specialist for proper examination, investigations including hormonal profile and ultrasound and get appropriate treatment. hope you found the answer helpful. wishing you good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may one hematoma formation most likely.  no need to worry. just be relaxed. just wait for a week. it will fade out.  if it remains persistent then further investigations like platelet count and coagulation profile and others are needed. it has no relation with your lisinopril. so don't worry about that also. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam, your symptoms could well be related to neuropathy, but tingling sensation only on the tongue seems unlikely to be a result of it. you would generally have associated facial weakness or difficulty in swallowing along with it. as your neurologist had advice, it's better to get an mri of the brain done to be sure that there is no ischemic focus in the brain.  hope you find my answer useful. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion as everything is normal like growth of fetus the brown spotting might be a cervical bleeding. nothing to worry. avoid physical strain, intercourse. take good rest. it is always better to postpone any journey to 2nd trimester. but if it is a smaller distance with good roads then you can go as you are saying it at the end of 12 weeks. best regards..."
Please summerize the given abstract to a title,"Policy style, consistency and the effectiveness of the policy mix in China’s fight against COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.",**1. garlic supplements can make you smell. the allowing and other aromatic compounds are exuded through your breath and skin.2. some common condition(s) could be
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i am an ent surgeon & head & neck specialist. nasopharyngeal carcinoma can affect the nerves in the head and produce excruciating pain. you can get help from an ent head and neck surgeon or a pain and palliative physician who can help your mother to deal with the pain. good pain medications are available to help her with the pain so do take her to either of these specialists. all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello...thanks for trusting the chatbot doctors for your health related issues.don't worry pregnancy couldn't happen in your case. for pregnancy following things required-1. penis should be inside the vagina.2. there should be ejaculation inside the vagina.  but in your case above things not happened, so don't worry. relax.pregnancy is not only the cause of delayed menses. there is many pathological n endocrinological causes behind it."
Answer this question truthfully,Alport syndrome occurs secondary to an inherited defect in type IV collagen.
Answer this question truthfully,"Visible differentiation occurs at puberty, when estradiol and other hormones cause breasts to develop in girls. However, fetal or neonatal androgens may modulate later breast development by reducing the capacity of breast tissue to respond to later estrogen."
Please summerize the given abstract to a title,"The COVID-19 pandemic: Clinical practice advice for gastroenterologists, hepatologists, and liver transplant specialists"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to ask a doctor service i have reviewed your query and here is my advice. if you are already on antihypertensive medicine then you need to continue it, if you are having some doubt then you can discuss this with your physician but do not stop the medication, again if you are in hospital or prescribed the medicine after the stroke then it is advisable to keep continue to prescribe chatbot. hope i have answered your query, let me know for further assistance."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,homeostasis of pregnancy could be the cause of your itching. did you have similar complaints in the later weeks of the previous pregnancies too? itching without rash, almost normal liver enzyme levels and slightly raised bile acids, no other identified cause for itching definitely point towards homeostasis of pregnancy. you need to consider tests to rule out hepatitis infection. the itching will increase with time, you will need symptoms relief with local application of creams such as calamine lotion and menthol and if itching increases ursodeoxycholic acid can be considered, it decreases bile acid levels and receives itching. also consider vitamin k supplementation after 36 weeks. rarely obstetric homeostasis can cause still birth, so fetal monitoring could be considered. some women prefer to deliver after 37 weeks if the itching increases. you will need to do regular liver function tests and bile acid levels. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, i recommend you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. i understand your concern.  you seem to have extreme constipation resulting in prolapse of rectum... where lower part of rectal mucosa bulges out due to excessive straining. it may get infected, swollen, start bleeding.  you need to consult an anorectal surgeon earliest & get the thing treated. it's important to get it corrected before your delivery... for it may get worse during childbirth straining.  permanent cure may need surgery, can be performed after childbirth.  thanks."
Please summerize the given abstract to a title,A Transformation of the Approach to Evaluating a Region’s Investment Attractiveness as a Consequence of the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, farad. the best way for you would be exercise and balanced diet to decrease your weight. then only will there be a chance to decrease the gynecomastia. however, the definitive treatment for it would be surgery or liposuction. it is most definitely fat that is collected under the chest skin. you can get this confirmed by getting examined by a surgeon and a fnac test. in this test, we put a needle into the lump and take out some cells to see what is growing inside. even if you get it operated there is always the chance that the fat will get collected again. so the best treatment would be to decrease your body fat naturally with exercise and diet restriction. tell yourself to have no carboy chatbot. take care and all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, liver enzymes, liver biopsy, pituitary hormones, chromosomal studies, etc., almost everything has been done and i don't think further investigations are needed. vyvanse (lisdexamfetamine) can cause hepatitis and increase liver enzymes hence your doctor is not starting that medicine. you should wait for reports for retest of enzymes. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello normally there is difference in size in between two testes. low sperm count may be due to many reasons like infection, hormonal imbalance, dysplastic testis, varicocele etc. besides clinical assessment you may need investigations like routine hologram, random blood sugar, hormone assay, ultrasound of scrotum. testicular biopsy can be done if needed. you should do exercise and take nutritious diet. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have undergone extraction of wisdom tooth now you feel lips crusty flakes, it is not related to extraction, you do is take one capsule vitamin b complex once daily for one week you should consult dermatologist for this, if your problem continues, hope this will help you.  wish you good health."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.*as ekg, x-ray, blood tests are normal it is the condition which is not detectable by these means.*reasons range in vivid directions - low hemoglobin levels - costco chatbot. *presently should undergo for following steps & should follow up after 15 days about progress for the same.@ avoid all oily / spicy / nonveg stuffs / fatty / excess ghee / sugars have small quantities of food at regular intervals avoid prolonged fasting / overeating do regular light exercises, deep breathing exercises with yoga at home avoid smoking / tobacco / alcohol in any form if consumed avoid weight lifting / over exertions maintain your hemoglobin levels, bp, blood sugar, cholesterol levels have adequate sound sleep of 8 hours avoid stress have diet rich in proteins, iron, vitamins, minerals, multivitamins, anti-oxidants. hope this clears your query. thanks for using chatbot & keeping trust in our medical services wishing you a very happy healthy life ahead. regards dear take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the self talking syn chatbot.  preoccupation with a task always brings on such cosmetic difficulty. for others, it may seem strange, but the affected person is actually enjoying. another mental health view point categorizes the behavior under schizophrenia. but i cannot see any relation here. so don't worry. if you need proper diagnosis, please consult a psychologist. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Very‐low‐carbohydrate diet enhances human T‐cell immunity through immunometabolic reprogramming
Answer this question truthfully,The secondary messenger through which PTH exerts its actions on bone and kidney tissue is cAMP.
Answer this question truthfully,Surgical options depends on the presenting symptom at the time of diagnosis and can vary from cardiac sugery to a simple Cleft palate surgery. Thymic Transplantation becomes an obvious choice in a complete DGS case.
Please summerize the given abstract to a title,Slight reduction in SARS-CoV-2 exposure viral load due to masking results in a significant reduction in transmission with widespread implementation
Answer this question truthfully,"If left untreated, hypoplastic left heart syndrome is fatal. Survival rates for the staged repair continue to rise as surgical techniques and postoperative management improve. Survival after the first stage is more than 75%.
The size and function of the right ventricle are important in determining the child's outcome after surgery."
Please summerize the given abstract to a title,Utilization of a New Customizable Scoring Tool to Recruit and Select Pulmonary/Critical Care Fellows
Answer this question truthfully,The likely diagnosis for the patient's condition is autosomal dominant polycystic kidney disease (PKD).
Please summerize the given abstract to a title,Neutrophil Extracellular Traps in Coronavirus Disease-19-Associated Ischemic Stroke: A Novel Avenue in Neuroscience
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in my opinion you may try the cortisone injections which i will think will progress your mobility and decrease inflammation around the joint, muscle origins and nerve but usually in cases like you recurrence is common. so i would recommend a neurosurgeon for minor endoscopic intervention or even a spinal surgery could be effective. discectomy (the partial removal of a disc that is causing leg pain) can provide pain relief sooner than nonsurgical treatments. please click on thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you. any further clarifications feel free to ask."
Please answer the letter of option truthfully,A
Answer this question truthfully,"Only free, dissolved gas contributes to the partial pressure of a gas in solution."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. this sounds like gallbladder disorders. it is most commonly caused by stones, and it goes with symptoms yo rare describing especially if pain is aggravated by meal and fatty food. this is cramps, colicy kind of pain which isn't constant, and usually is associated with nausea and vomiting. to evaluate gallbladder you should do ultrasounds and liver enzymes levels. after this cholecystectomy can be performed. till that you should avoid fatty food and alcohol. but you should considered some other disorders such as ureteral stones and pancreatitis. ureteral stones can be related to your urinating difficulties. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. symptoms you have mentioned are suggestive of uti or cystitis (bladder infection). since your uti is ruled out, and you were on antibiotics, this infection may be due to fungal infection. fungal cystitis is rare but can not be ignored. candida is most common. i advise you to chatbot. do consider positive feedback as a credit to my work. let me know if you have any further questions. you can contact me on my page http"
Answer this question truthfully,"The term used to describe Erythema multiforme with lip/oral mucosal involvement and fever is Stevens-Johnson syndrome. Erythema multiforme is a type of skin rash that can be triggered by infections, medications, or other factors. It is characterized by target-shaped lesions on the skin that can be accompanied by fever, malaise, and other symptoms. When erythema multiforme involves the lips, oral mucosa, and is associated with fever, it is known as Stevens-Johnson syndrome. This is a serious condition that requires immediate medical attention, as it can cause severe skin and mucosal damage, as well as other complications such as sepsis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in, yes, the mri findings indicate that you are suffering from sacroiliacs along with canal stenosis at l2/l3 and neural foraminal narrowing on both right & left side. if your backache is more on morning with stiffness than sacroiliacs is the cause. if your backache increases as you walk for a distance making you to take breaks in between then canal stenosis is the cause. if your have associated numbness/ pin-pricking sensation in your thigh or leg, it is because of the neural foraminal narrowing. depending upon your symptoms the treatment varies. cause for sacroiliacs have to be investigated with few blood tests. discuss with your doctor and start appropriate treatment. till that time - avoid sitting for prolonged time, use hard bed/surface for lying down/sleeping, avoid lifting heavy weights by bending your back. a course of analgesics with/ without muscle relaxant can relieve your pain for the moment. get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult pulmonologist and get done chest x-ray first to rule out pleurisy (inflammation of pleura). as chest pain of coughing is characteristic feature of pleurisy. common causes for pleurisy are1. pneumonia2. pleural effusion3. lung trauma, pneumothorax4. tuberculosis etc. so get done chest x-ray to rule out all these. if chest x-ray is normal than no need to worry much for pulmonary causes. your ecg and stress test are also normal, so angina is not an issue. so stop worrying about angina. if all are negative (normal) than anxiety can be the cause. so avoid stress and anxiety. be rely and calm."
Answer this question truthfully,"The rootlets of the twelfth cranial nerve, also known as the hypoglossal nerve, exit between the olive and medullary pyramid. This nerve is responsible for controlling the muscles of the tongue, and damage or injury to it can result in difficulty speaking, swallowing, and chewing. The hypoglossal nerve originates in the medulla oblongata, which is part of the brainstem, and travels down through the neck to innervate the tongue muscles."
Please summerize the given abstract to a title,Calidad De Vida Relacionada Con La Salud En Pacientes Recuperados De Covid-19
Answer this question truthfully,"Tetracyclines are the class of antibiotics commonly associated with photosensitivity, teeth discoloration, and gastrointestinal side effects."
Answer this question truthfully,"Studies have found a number of factors that may induce angina. The risk factors of coronary artery disease are as the same as Angina. It concludes bad lifestyle and cardiovascular diseases risk factors. Some you can change and some you can not change.
Risk factors you can change
Cigarette smoking: Cigarette somking has a close relationship with many cardiovascular diseases. Smokers' risk of developing coronary heart disease is 2–4 times than that of nonsmokers. Besides, it is also a powerful independent risk factor for sudden cardiac death in patients with coronary heart disease; smokers have about twice the risk of nonsmokers. Furthermore, cigarette smoking acts with other risk factors to greatly increase the hazard for coronary heart disease. People who smoke seem to have a higher risk of death from coronary heart diseases (and possibly stroke) but these risk isn't as great as cigarette nonsmokers'. High blood cholesterol: As blood cholesterol rises, so does risk of coronary heart disease. A person's cholesterol level is greatly affected by diet. Stress: Clinical researches demonstrate that stress may be a contributing factor for coronary artery disease. People under stress may overeat, start smoking or smoke more than they otherwise would. These behavior may increase the risk of incidence of cardiovascular diseases. Weight: Overweight and fat, especially body mass index (BMI) higher than 28 are risk factor for angina. Controlling weight is an available way to decrease the incident of angina. High blood pressure: Patients with Hypertension seem to have a higher risk to develope coronary artery disease. This is because that Hypertension decrease the reserve of coronary arteries. Diabetes mellitus: Like hypertension, patients with diabetes mellitus seem to have a higher risk to develope coronary artery disease. Because diabetes mellitus damage both coronary arteries and myocardial capillary vessels. Drinking too much alcohol: Data has demonstrated too much alcohol damage your arteries and myocardium.
Risk factors that you cannot change
Age: People being older than 65 years or more have more probobility to develope to coronary artery disease than younger. Gender: Male is an independent risk factor to develope to coronary artery disease than female. Post-menopause women also have greater probobility than younger women. Heredity: Person with a family history of cardiovascular diseases is more likely to develope to coronary artery disease than people without family history. Race: African Americans are at a higher risk than other races."
Please summerize the given abstract to a title,Indications and Findings on Transthoracic Echocardiogram in COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","lupus called as systemic lupus erythematous is chronic inflammatory multisystem disease which mainly includes-feverarthritis(inflammation of joints)rashes(malay rash), maculopapular rash due to photosenstivityoral ulcer your physician would diagnose it clinically based on above-mentioned symptoms. you should undergo following test -ana (anti-nuclear antibody)anti ds dna meanwhile you can take following medicine to relieve pain-tab govern sr100 twice daily for 5 day stab pan 40 once daily before breakfast. if you are diagnosed with lupus, your doctor will start appropriate course of specific chatbot.  thankyou and take care."
Answer this question truthfully,"Endometriosis spread to the Pouch of Douglas (posterior cul-de-sac) can present with dyschezia (pain with defecation) and painful intercourse, among other symptoms such as pelvic pain and infertility."
Answer this question truthfully,"The statistical power of a study is calculated using a formula that involves several factors, including the sample size, the level of significance (α), and the effect size. Specifically, the statistical power (1 - β) is calculated as the probability of correctly rejecting the null hypothesis when it is false, or in other words, the probability of detecting a true effect if one exists. A higher statistical power indicates a greater likelihood of detecting a significant effect if it is present in the population being studied."
Answer this question truthfully,"In the inpatient setting, sliding scale insulin can be added to an existing basal-bolus regimen."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely take him to the pediatrician and get done 1. clinical examination of respiratory system 2. chest x-ray. cough for more than 2 weeks, chest congestion, wheezing etc. are commonly seen with lung infection (pneumonia) and bronchitis. so chest x-ray is needed to rule out infection. he may need higher antibiotic, inhaled bronchodilator and inhaled corticosteroids (ics) and other supportive chatbot.  so don't wait at home and consult pediatrician. hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...this us not diarrhea and this doesn't require antibiotic like influx oz. unless there is blood in the stools antibiotics are not required. the frequency and consistency of motion which you have mentioned are not suggestive.... bacterial dysentery. it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","you have a problem in the cranio-vertebral junction, the place where your skull meets the spine, and it has been impinging on your crossing fibers of brain coming to spinal cord; yes, you need a repeat mri including brain as well cranio-vertebral junction and after that if you can post the images or consult neurosurgeon, it can be of much use to you, to get a relief. do not try all the nonmedical methods of massage or others- it will rather aggravate!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain that your symptoms could be related to irritable bowel syn chatbot.  the dark stool may raise suspicions of gastrointestinal bleeding. for this reason, i would recommend performing some tests"
Please summerize the given abstract to a title,Differences in clinical severity of respiratory viral infections in hospitalized children
Please summerize the given abstract to a title,"The Pandemic's Unresolved Infectious Psycho-neuro-immunologies: Myeloid Cells, Vessels, Nasal Cross-roads"
Answer this question truthfully,"Urgent medical care should be sought:
If you think you have been exposed to someone with TB disease, you should contact your doctor or local health department about getting a TB skin test or TB blood test. You should also inform your doctor or nurse when did this contact occur.  When you experience some of the previously described symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. relationship problems are such. these relationship problems are life separation anxiety and grief. somehow something we love is leaving us. naturally there will be some trouble to adjust with the new situation. accepting the fact is difficult and pushing the thoughts aside can make the thoughts come back vehemently again and again. the best option is to mentally accept the fact, gently. do not force the thoughts away. accept thoughts as your sweet memories. no ill about those thoughts. whenever you are aware that the thoughts are present, gently divert yourself into some creative activities. on top of everything, you should not have any hope that the relationship can be refurbished. close the chapter completely. relish the sweet past and memories. you will not forget the whole episode, but definitely you will be happy to recall those memories and those memories will not hurt you. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,How and why are educators using Instagram?
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  you have not mentioned your age. concentration problems do arise to people at every stage, but it is more present with young adults. you are supposed to refer to concentration and attention as two. attention span for any adult is maximum 30 minutes. sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. concentration is attention plus understanding. for this too, span of below 30 minutes. if you are able to make your studies interesting and based on variable principle, your concentration level can be increased. concentration comes only when you are interested in what you do. so please be passionate towards what you are doing or do only those things which you are interested in. it is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query. this is too little information to give your proper answer. in any case when ever there is backache along with pain in one the limb, one should think of some nerve compression in the spinal cord. when ever due to any reason the nerves gets compressed they lead to pain in the area that they supply. the best option is to go an orthopedic surgeon and evaluation done for the cause.bye."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, your two positive tests are more supporting the possibility of pregnancy. the two negative tests may be false negative. these tests if performed in the first week of missed period may give false negative results. moreover, since you are performing the test at home on the overnight first morning urine sample, the hormones (chatbot) in this urine are concentrated and hence the chances of more reliable results. when you go to the doctor, the urine you collect is a random sample which may have dilute hormones in the early stage of pregnancy. however, your second test with the doctor was on morning first urine sample. to get rid of the dilemma, i would suggest you to get beta chatbot test done which is very specific and highly sensitive. the results of this test are quite conclusive even few days before you miss your period. i hope this guides you to the better method."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... i feel by what you quote he should be having a - hand foot mouth disease. this is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. it is a self-limiting disorder and itching can be really worrisome. i suggest you use any over the counter antihistamine if you have one with you now. you can use hy chatbot.  this can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. regards -
what blood tests confirm celiac disease,"Tests on the following biological markers may be performed to diagnose celiac disease: Bone density, cholesterol, complete blood count, comprehensive metabolic panel, folate level, iron level, vitamin B12, vitamin D, and other blood antibody tests. Your provider will order these if celiac disease is suspected. If the tests are positive, upper endoscopy is often performed to sample a piece of tissue (biopsy) from the first part of the small intestine (duodenum)."
Answer this question truthfully,Myocarditis must be distinguished from pericarditis and the life threatening condition of ST elevation myocardial infarction.
Please summerize the given abstract to a title,Evolution of Bystander Intention to Perform Resuscitation Since Last Training: Web-Based Survey
Answer this question truthfully,"Given that infective Oesophagostomum larvae are most likely transmitted via oral-fecal routes, sufficiently cleaning and cooking meat and vegetables, as well as boiling all consumed water or only using potable water would help to complement a mass treatment program. Factors like religion, family size and wealth do not suffice in explaining the unique epidemiology of Oesophagostomum; geographic and geological factors must be explored in more detail."
Answer this question truthfully,"Lichen sclerosis is a chronic skin condition that affects the genital and anal areas. It is characterized by white, patchy skin that is thinner than normal. Women with lichen sclerosis have an increased risk of developing vulvar cancer, which is a type of cancer that affects the external female genitalia. The exact cause of this increased risk is not fully understood, but it is thought to be related to the chronic inflammation and scarring that can occur with lichen sclerosis. Regular gynecological exams and self-examinations are important for women with lichen sclerosis to detect any signs of vulvar cancer early, when it is most treatable."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i couldn't make a decision without a thorough evaluation of your condition, but it sounds like 320/25 is a little too much for me. we usually don't change the dosage even if the blood pressure is lower than desired when the patient has no symptoms. when the patient feels tired or dizzy or weak and there is no good explanation for these symptoms besides the chatbot.  in patients like you, i prefer to move slowly - for example by changing the dosage to 320/12,5. please keep in mind that you shouldn't change your regimen without your doctors' approval. also, please consider that these blood pressure excursions may be transient due to pain or anti-inflammatory"
Please summerize the given abstract to a title,"Access to Daylight at Home Improves Circadian Alignment, Sleep, and Mental Health in Healthy Adults: A Crossover Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint yellow patches over the gums and cheek touching the gum along with having a broken tooth in that area can be due to dental abscess, in case if the infection might have reached below the root tips of the toot leading to pus formation. i would suggest you to consult an oral physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis. in case of dental abscess, treatment of the tooth with either root canal treatment or extraction depending upon the condition of the tooth, followed by antibiotics and painkillers can help. you cannot simply kill the infection with peroxide and needs proper treatment for complete resolution. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i am chatbot. .  in my opinion that is a kink of gouty arthritis which is diagnosed properly by sua (serum uric acid)or ra rheumatoid arthritis or she etc. an underlying systemic disease that circulates in your blood stream so i recommend more lab investigations more than esr which only shows sedimentation rate of blood and coagulation and not related to your condition it only shows that there is a kind of infection which is not that specific normal values are women under 50 years old
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have ulcer on lower lip and lump under jaw see what happened is when there is infection in oral cavity then lymph nodes are enlarged. periodontal infection also cause engaged submandibular lymph node so don't be worried so much for ulcer painful ulcer i will suggest you to apply anesthetic ointment like mugel or denote two - three times a day, you can take vitamin b complex supplement by consulting with your local doctor. i will also advise you to consult dentist for examination of oral cavity and lump under jaw to rule out the cause. hope this will help you."
Answer this question truthfully,Pott's Disease is a complication of extrapulmonary tuberculosis that occurs when the infection spreads to the vertebral bodies.
Please summerize the given abstract to a title,Neurological comorbidity and severity of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome with your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you mostly seem to suffer from-sebaceous cysts on your chest, which was mismanaged by unskilled hoping by you. the sand like white balls you got was cheesy material whicchatdoctores out of the sebaceous cysts. i would suggest excision of this sebaceous cyst by a surgeon. hope that, this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist"
"If you are a doctor, please answer the medical questions based on the patient's description.",hithanks for writing to chatbot the part of bone at the tip of sacrum is called coccyx (tailbone)and you seem to suffer from a condition called coccygodynia (swelling of soft tissue around your tailbone)as there is no history of injury the chances of fracture are very less. please take following treatment
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, if you do not have pain, and can move your knee to the full range without any discomfort, rest assured you are normal, as far as indentation goes, it may need an x-ray to find out the cause but no intervention will be needed. i hope that answers your query. if your want any more clarification, contact me back. chatbot."
Please summerize the given abstract to a title,Association of the time spent on social media news with depression and suicidal ideation among a sample of Lebanese adults during the COVID-19 pandemic and the Lebanese economic crisis
Please summerize the given abstract to a title,Use of the Selective Cytopheretic Device in Critically Ill Children
Please summerize the given abstract to a title,"Challenges and Opportunities for Island Tourist Destinations: The Case of the Island of Sal, Cape Verde"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thank you for the query. it is not easy to predict such diseases but generally pancreatic function is not easily replaceable. this is rare condition in her age and the exact diagnosis should be established so that right treatment can be started. pancreatic hormonal and secretion function should be supported by medicines and its function should be evaluated frequently. wish you good health. regards
Please summerize the given abstract to a title,Attempting to Implement A Pedagogy of Care during the Disruptions to Teacher Education Caused by COVID-19: A Collaborative Self-Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. once you get the periods the pregnancy is ruled out. the first sign of pregnancy is missed period. other symptoms like nausea, vomiting, increased urination, sore breasts etc. start 2 weeks after missed period. and it is quite common to see urinary tract infection(uti) in those who participate in intercourse for the first time. so the burning and frequent urination might be due to uti. i suggest you to take adequate fluids up to 3 liters per day and cranberry juice to prevent uti.if it does not subside a complete urine examination might be needed to check for the presence of infection and treated. and urination and washing of genitals by both the partners before and after the intercourse prevent the uti. practice safe sex with condom to prevent infections. hope this helps. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for sharing your health queries with chatbot! well, this is a common post-surgical condition and whenever somebody presents to me like this, i consider the following possibilities"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi laura thanks for asking your query swollen gums could be of multiple reasons like inflammation, infection,local irritant, trauma,food impaction, poor nutritionthe the best treatment for swollen gums is the removal of plaque and tartarpractice good oral hygiene. brush your teeth twice a day and floss daily. visit your dentist regularly and ask for tips to improve your technique. over enthusiastic brushing and flossing can do more harm than good, leading to swollen bleeding gums. eat well. a well-balanced diet, including plenty of vitamin c and calcium, may reduce the likelihood of developing red swollen gums. and chatbot.  avoid things that irritate the gums. swollen sore gums may be aggravated by mouthwashes, alcohol and tobacco. choose lukewarm or cool food and beverages instead of extremely hot ones that can be painful if you're nursing red swollen gums.\""b\"" relax. stress isn't just bad for your overall health, it can also lead to swollen sore gums. being stressed raises levels of the hormone cortisol, which leads to inflammation throughout the body -- even in your gum hope this will help thanks"
Please answer with one of the option in the bracket,B: Thoracic aortic aneurysm
Answer this question truthfully,"The typical treatment for basal cell carcinoma is excisional biopsy. This involves surgically removing the tumor and a margin of healthy tissue around it to ensure that all of the cancerous cells are removed. In some cases, other types of surgery or radiation therapy may be used to treat basal cell carcinoma, depending on the size, location, and stage of the tumor. Other factors, such as the patient's age, overall health, and personal preferences, may also be taken into account when deciding on a treatment plan."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as mentioned not able to move the knee and pain while climbing up the stairs i would recommend you to take up and mri of the knee as what i suspect is the ligament sprain. usually, in certain cases, we get degenerative changes in the ligaments and joints and can be treated conservatively. an mri will help us understand the extent of the soft tissue injury and guide exercise as accordingly which can help regain the functions of the knee back. in my clinical practice of 12 years, most cases have been recovered with only executed exercises for both the limbs equally to get the desired outcome score. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The impact of COVID-19 related school shutdown on sleep in adolescents: a natural experiment
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Modification of intracellular membrane structures for virus replication
"If you are a doctor, please answer the medical questions based on the patient's description.","greetings, welcome to chatbot. chronic sinusitis is a very common condition these days. and people tend to have surgeries to get rid of it, but complete cure is usually not achieved. well there are many reasons for this long term issue but one of the most common problem that i notice in my clinic is that either the patient rides a motorbike and is exposed to fast blowing air or has had history of different allergies to different environmental factors. so foremost question here would be if you have either of these problems. secondly these problems is also common in those people who are used to keep the temperature of their air conditions of the car, office or the house very low. as they shift from cooler environment like the indoor to outside heat there is sudden change in temperature which worsens nasal congestion and hence sinusitis worsens.therefore, i would suggest that instead of taking too much of medication and surgeries, you should take care of all the above-mentioned factors and avoid mucus collection in the sinus altogether. to avoid allergies, it is advisable to visit an allergy clinic and sensitization protocols should be followed to reduce episodes of sinusitis due to allergies like pollen allergies.  i hope the answer was helpful.  in case of further assistance, feel free to contact in writing.  chatbot."
Answer this question truthfully,"Vaginal carcinomas from the upper 1/3rd of the vagina typically travel first to the iliac nodes. The lymphatic drainage of the upper 1/3rd of the vagina is to the internal and external iliac nodes, which are located in the pelvis. From there, the cancer may spread to other lymph nodes in the pelvis, as well as to lymph nodes in the abdomen and groin. The spread of cancer to lymph nodes is an important factor in determining the stage and prognosis of vaginal cancer. Treatment may involve surgery, radiation therapy, chemotherapy, or a combination of these approaches, depending on the stage and location of the cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot,g-6-pd does not present with rashes on the body. as you have mentioned that your son has had an exposure to sun at the beach recently, the rash is most likely due the sun exposure. the sun burn leads to red skin which later on turn itchy. your son is also having similar symptoms. topical application of emollient can relieve the itching. avoid exposure to sunlight. maintain hy chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through your question and understand your worry.-the normal range for high blood pressure is 120/80 mmhg. at 196/100 mmhg it is quite high but reversible. -in my clinical practice, i first advise patients with high blood pressure to stop smoking and do a generally modify their lifestyle. partaking in regular exercise like walking and eating healthy. -always remember to buy necessary medications before they get finished and take medications as prescribed. - continuously increased blood pressure till 196/100 is a risk for a major cardiovascular event.  please ensure that he adapts to the changes, and hopefully he will be fine. warm regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more. but better to rule out cardiac chest pain because it is located in heart area, and you are having murmur. so better to get done 1. blood pressure monitoring 2. ecg 3. 2d echo 4. stress test (trade mill test). if all these are normal then no need to worry about major heart related diseases. possibility of musculoskeletal pain due boxing exercise is more. so avoid exercise for few days. apply warm water pad on affected areas. take painkiller like ibuprofen. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori understand your concerns but don't worry.  infants can have wide variation in poops in terms of frequency, consistency and color. it's not recommended to treat an infant not passing stools up to a week unless and until he has any other associated symptoms such as refusal to feeds, vomiting, abdominal distension etc. but since your baby has hard stools and has marked difficulty in passing stools along with blood stains, i would recommend you to use per rectal glycerin suppository to help it. glycerin works by osmotic effects. do not use it more than once a day. also, try to establish exclusive breastfeeding as it has fewer chances of constipation in baby. if on formula feeds, mix it in a proper proportion. give regular feeds to avoid deny chatbot. hopefully this will help you. i would be happy to help you out in any future health related questions. take care"
Answer this question truthfully,"Active behavior, but in an aimless and not constructive way Bizarre and inappropriate emotional responses Difficulty feeling pleasure False, fixed beliefs (delusions) Lack of motivation Seeing or hearing things that aren't there (hallucinations) Strange or silly behavior Speech that makes no sense
Some of these symptoms are also seen in other types of schizophrenia. The main difference is that in disorganized schizophrenia, there is a lot of strange, aimless behavior and often speech that does not make sense."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. if your pregnancy tests are negative, then you are not pregnant.  the implant will not cause a false-positive pregnancy test.  however, the hormone in the implant, called progesterone, can cause many similar symptoms to pregnancy, because the same kind of hormone is produced in your body by pregnancy.  so feeling bloated, having breast tenderness, spotting or irregular periods and weight gain can all just be side effects of the implant.  many women think they feel fetal movements, but most women don't feel fetal movement until they are at least four to five months pregnant, so you are likely mistaking the movements of your intestines for fetal movement. i suggest you discuss your situation with your healthcare provider, as you may prefer to try an alternate method of birth control which may not give you these symptoms.  your implant will need to be replaced at 3 years anyway, and other hormonal contraceptives that are not systemic, like the hormonal iud, can give long-term pregnancy protection without as many systemic side effects. i hope i was able to adequately answer your question today and that this information was helpful. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear, thanks for your query to chatbot. i studied your query in depth.1-in my opinion the subdermal lump on the waistline, is due to the chronic boil on the waistline, as it hurts you on pressing it.2-the chronic boil is due to the chronic friction on the waistline- as it is present for 4 myths with little soreness.3-treatment which i would advise is-3-a-tb nsaids 3-b-antibiotics -for 5 days,3-c-tb-serropetidase-as its chronic -and to facilitate the antibiotic penetration to cure the chronic boil-3-c- if not received, you should consult a surgeon-who would excise it -to stop the hurt on pressure.4-hope this would solve your query.5-wellcome for any more questions on new or this subject also... have a good day.!!"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,D: Clopidogrel
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. your history suggests that you have developed periodontitis, which requires immediate attention and treatment. for this i would suggest you to visit your periodontist so that thorough cleaning along with curettage and proper root planing procedures can be done. this should subside your symptoms. also make a routine blood examination done to rule out any increased blood sugar level as it serves as sides for infection. hope it helps. take care.thanks."
Please summerize the given abstract to a title,SGLT-2 Inhibitors and the Risk of Hospitalization for Community-Acquired Pneumonia: A Population-based Cohort Study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, its been my pleasure to assist you regarding your issue. i feel you need to strengthen your hip muscles by performing exercises and your core muscles for your urinary incontinence. for hip strengthening exercises, you need to focus onto you gluteal region. for that lie down on your back and try lifting your thigh with knee as straight. then followed by this you can make your thigh sideways. hold both positions one by one for a count of 15-20 and repeat for 10-15 times based on your capacity. then for core strengthening you need to focus on your abs muscles and get a good strength. do vertical scissors, horizontal scissors, knee to chest and bilateral straight leg raise, do a rhythmic movement of legs and repeat for 15-20 times. i wish you a speedy recovery. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","this is all your allergies if you're taking inhalers they can because of tireless i think you may be allergic to wheat you get your blood serum tested for wheat specific antibodies and along for milk, potato,chaney, ricei am sure of wheat allergy as your symptoms suggest for time you can take montage fx twice a day tab rhinitidine 150 mgm morning spy tossed 1/2 sf at night get tests and go for specific slit therapy for wheat"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. can understand your concern. as per your complaint a lump at the site of tongue piercing can be due to inflammation which is caused due to trauma to the soft tissues of the tip of the tongue leading fibrous overgrowth as well as there can be injury to small blood vessels forming hematoma and at times the hematoma gets localized and encapsulated leading to formation of a lump. you need not worry as it will heal gradually and just take care to prevent from it getting infected. do alternate hot and cold compresses over the lump for faster healing. do not remove the stud worn over the tongue to prevent further injury. the white color of tongue can be due to poor hygiene or fungal infection and should be taken care of to prevent spread of disease. hope this information helps. if you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. thanks and regards. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thank you for your question and welcome to our site. it is possible that your non-stop coughing caused small capillaries and blood vessels to break leading to the pinkish sputum. however, we cannot also rule out other more worrisome infections or disease processes that can cause this. i suggest that you seek medical attention as soon as possible so that the appropriate tests like a simple chest x-ray, bronchoscopy, and some blood work can be done to determine what is really causing your cough. please see your doctor soon and tell him/her everything that you have experienced so that he/she can arrive at the proper diagnosis and the correct management is initiated. take care and i wish you better health!"
Answer this question truthfully,"Etoposide targets and inhibits the enzyme topoisomerase II.

Etoposide is a chemotherapy drug that is used to treat various types of cancer, including lung cancer, testicular cancer, and lymphomas. It works by inhibiting the activity of topoisomerase II, an enzyme that is involved in DNA replication and transcription.

Topoisomerase II is responsible for untangling and unwinding DNA strands during DNA replication and transcription. By inhibiting this enzyme, etoposide prevents the relaxation of DNA strands and leads to the accumulation of DNA damage, ultimately resulting in cell death.

It's important to note that etoposide is a selective inhibitor of topoisomerase II, meaning that it primarily affects the activity of this enzyme and has little or no effect on other cellular processes. This selectivity allows the drug to target cancer cells specifically and minimize side effects."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking question. i had gone through your question and understand your concerns. bruising is not a side effect of ciprofloxacin. it can cause rash that is usually red,pink, and it consists of blisters or pa pules. you should take your sister to your treating physician as bruising usually is due to thrombocytopenia (low platelets). so if this is the case he/she can look for alternate diagnosis. thanks hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, in my opinion you are having severe upper respiratory tract infection. the most common cause for this is viral infection. so health care provider is right about viral infection. viral infection causes severe inflammation of throat. this inflammation causes edema and redness in throat, specifically franc and tonsils. so the swelling you are seeing is edematous tonsils and franc. and this cause coughing and blood in cough due to friction. so better to start treatment for uri, you will be alright in 1 week."
Answer this question truthfully,"Assurances that this condition will clear as the baby matures are very common. However, studies have shown that the condition not infrequently persists into the toddler years, and less commonly into later childhood. It tends to recur in adolescence and persists into adulthood. In an Australian study, about 15% percent of previously diagnosed children still had eczema 10 years later. Sometimes, cradle cap turns into atopic dermatitis. Rarely, it turns out to be misdiagnosed psoriasis."
Answer this question truthfully,"Massive fluid loss in significant burns can cause acute gastritis. Gastritis is a condition that occurs when the lining of the stomach becomes inflamed. It can cause symptoms such as abdominal pain, nausea, vomiting, and loss of appetite. In the case of burns, fluid loss can lead to decreased blood volume and decreased blood flow to the stomach, which can cause damage to the stomach lining and lead to gastritis. Treatment for acute gastritis may include medications to reduce inflammation and protect the stomach lining, as well as changes to the patient's diet and lifestyle. In severe cases, hospitalization may be necessary to provide intravenous fluids and other supportive care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, many times, collapse lung from various conditions as infection, trauma or other issues need long-term icd insertion till the complete alveoli functioning return to normal. sequential evaluation with x-ray depicting lung expansion is the best predictor for future outcome. if there was any discharge from the tube which was suspicious and the culture report was carried out for the same, then antibiotics in accordance to that are the best way to curative pathway. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Personal Devices for Contact Tracing: Smartphones and Wearables to Fight Covid-19
Please summerize the given abstract to a title,Monoclonal Antibodies Targeting Surface-Exposed Epitopes of Candida albicans Cell Wall Proteins Confer In Vivo Protection in an Infection Model
Please answer the letter of option truthfully,D
Answer this question truthfully,"Neurocysticercosis most often presents as headaches and acute onset seizures, thus the immediate mainstay of therapy is anticonvulsant medications. *Once the seizures have been brought under control, antihelminthic treatments may be undertaken. The decision to treat with antihelminthic therapy is complex and based on the stage and number of cysts present, their location, and the patient's specific clinical presentation.  Antihelminthic therapy should be given in combination with corticosteroids and anticonvulsants to reduce inflammation surrounding the cysts and lower the risk of seizures. Albendazole is generally preferable over praziquantel due to its lower cost and fewer drug interactions.  Asymptomatic cysts, such as those discovered incidentally on neuroimaging done for another reason, may never lead to symptomatic disease and in many cases do not require therapy. Calcified cysts have already died and involuted. Further antihelminthic therapy will be of no benefit.
In ophthalmic disease, surgical removal is necessary for cysts within the eye itself. Cysts outside the globe can be treated with antihelminthic drugs alone.
In general, the subcutaneous disease does not need specific therapy. Painful or bothersome cysts can be surgically excised. Treatment recommendations for subcutaneous cysticercosis includes surgery, praziquantel and albendazole.
Neurocysticercosis treatment 1. Parenchymal neurocysticercosis 1.1 Single lesions  Preferred regimen: Albendazole 15 mg/kg/day PO bid for 3-8 days AND Prednisone 1 mg/kg/day PO qid for 8-10 days followed by a taper 1.2 Multiple cysts Preferred regimen: Albendazole 15 mg/kg/day PO bid for 8-15 days and high-dose steroids Preferred regimen: Praziquantel 50 mg/kg/day PO tid AND Albendazole 15 mg/kg/day PO bid 1.3 Cysticercal encephalitis  Cysticercal encephalitis (diffuse cerebral edema associated with multiple inflamed cysticerci) is a contraindication for antiparasitic therapy, since enhanced parasite killing can exacerbate host inflammatory response and lead to diffuse cerebral edema and potential transtentorial herniation. Most cases of cysticercal encephalitis improve with corticosteroid therapy 1.4 Calcified cysts Radiographic evidence of parenchymal calcifications is a significant risk factor for recurrent seizure activity; these lesions are present in about 10 percent of individuals in regions where neurocysticercosis is endemic. Seizures in these patients should be treated with antiepileptic therapy. 2. Extraparenchymal NCC 2.1 Subarachnoid cysts Preferred regimen: Albendazole 15 mg/kg/day PO bid for 28 days AND (Prednisone up to 60 mg/day PO OR Dexamethasone (up to 24 mg/day)) along with the antiparasitic therapy. The dose can often be tapered after a few weeks. However, in cases for which more prolonged steroid therapy is required, methotrexate can be used as a steroid-sparing agent 2.2 Giant cysts Giant cysticerci are usually accompanied by cerebral edema and mass effect, which should be managed with high-dose corticosteroids (with or without mannitol). 2.3 Intraventricular cysts Emergent management with CSF diversion via a ventriculostomy or placement of a ventriculo-peritoneal shunt Treatment of residual hydrocephalus may be managed with endoscopic foraminotomy and endoscopic third ventriculostomy; this approach may also allow debulking of cisternal cysticerci 2.4 Ocular cysticercosis Surgical excision is warranted in the setting of intraocular cysts Cysticercal involvement of the extraocular muscles should be managed with albendazole and corticosteroids. 2.5 Spinal cysticercosis Medical therapy with corticosteroids and antiparasitic drugs
Ocular cysticercosis is considered an absolute contraindication to the use of the following medications:
Praziquantel"
Please answer with one of the option in the bracket,B: (160 - 100) * 115
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, holstein fe are birth control pills which contains north chatbot.  these are known to cause nausea and vomiting and increase acidity with hot flushes. increased acidity does cause headache. please use some antacid like pantoprazole to control the acidity and all your symptoms will go away. the first cardinal symptom of early pregnancy is missing a period; all other symptoms appear about a week after the missed period. hence, these symptoms cannot be attributed to pregnancy. i hope this resolves your problem."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear user first you should not be shamed of that severe masturbation is common problem especially in your age and you should not be shamed of that as it will lead you for depression and stress and psychological problems that will harm you more and more.....try to see your doctor to check if you have any infection genital or urinary...as infection may be cause of severe irritation lead you to have great desire to masturbate.....2nd try to monitor your lifestyle and have healthy food reach of fibers and for regular exercise will help a lot ....regular exercise utilize your energy and masturbation will decrease....you may have psychological problem with sex or maybe you have emotional disorders....at last try to live simply away from stress or emotional troubles and do regular exercise and have friends and be happy .......don't get shamed .......wish you healthy life
Please answer with one of the option in the bracket,A: Cirrhosis
Answer this question truthfully,"Arboviruses that are also togaviruses include eastern, western, and Venezuelan equine encephalitis."
Please summerize the given abstract to a title,SARS-CoV-2 and Aspergillus section Fumigati coinfection in an immunocompetent patient treated with corticosteroids
Answer this question truthfully,Suspected pleural effusion is typically managed with diagnostic thoracocentesis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it's a very individualized situation. about 10% of people used to have some spina bifida but in the vast majority, it was just a money abnormality that did not do anything and did not expose much of the spine.  it can be so bad as to cause congenital paraplegia. this is rare. you'd have to see how much of the spine is affected both in extent and depth. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to us, i went through the history you have provided. three days of taking medications is not sufficient to comment whether he needs any change in his medication. congress is clonazepam and is given to your husband only for immediate relief in his anxiety. but if it is inducing sleep during the day then the dose can be reduced or even stopped. it is given for reducing anxiety while escitalopram starts showing benefit. hope this helps chatbot."
Answer this question truthfully,Bleomycin acts at the G2 phase of the cell cycle.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Pontiac fever is the disease caused by Legionella pneumophila that is characterized by high fever but NO respiratory symptoms (pneumonia).

Pontiac fever is a milder illness caused by the same bacterium that causes Legionnaires' disease, Legionella pneumophila. Unlike Legionnaires' disease, Pontiac fever does not cause pneumonia or other respiratory symptoms. Instead, it is characterized by flu-like symptoms, such as fever, headache, muscle aches, and fatigue.

Pontiac fever is typically a self-limiting illness that resolves on its own within a few days without the need for treatment. It is usually contracted by inhaling Legionella bacteria that are present in water droplets, such as those from a hot tub or shower.

While Pontiac fever is a milder illness than Legionnaires' disease, it can still be uncomfortable and disruptive. People who suspect they may have Pontiac fever should seek medical advice to confirm the diagnosis and receive appropriate treatment if necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears that she is having hysteria, a functional problem due to some problem in the life, may be the headache, or a tension in the life.  i advise you to show her to a psychologist for diagnosis. the patients with such problem may chatbot.  she may need medicines, counseling, and if the doctor feels, may require the shock treatment.  ask her to take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, general health and resistance against infections.  wishing for a quick and complete recovery. thank you."
Answer this question truthfully,Testicular cancer is the most likely diagnosis for a 22-year-old male with a non-tender testicular mass.
Please summerize the given abstract to a title,Viral Infection and Respiratory Exacerbation in Children: Results from a Local German Pediatric Exacerbation Cohort
Answer this question truthfully,"A sucking chest wound is a type of chest injury that involves a flap of tissue or lung that is torn, creating a hole in the chest wall. This hole allows air to enter the chest cavity during inspiration, but the flap closes during expiration, preventing air from leaving the chest. This can cause a buildup of pressure in the chest cavity, which can compress the lungs and make it difficult to breathe. Sucking chest wounds are often caused by penetrating trauma, such as a gunshot or knife wound, and require immediate medical attention to prevent further complications. Treatment may involve placing a dressing over the wound to seal it and prevent air from entering the chest cavity, or in severe cases, emergency surgery to repair the damage."
Answer this question truthfully,Patients who have surgery to remove the gallbladder usually do very well.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for using this forum. usually night pains in the upper part of abdomen is related to underlying peptic disease, usually gastritis or gastric ulcer. this happens mostly after consumption of fatty food and alcohol during dinner. you should consult with your doctor who can do an upper endoscopy investigation to rule out the above. try avoiding heavy meals at night for now. if you feel you are overweight, then it's also advisable to get an ecg done. if you have further queries, feel free to ask. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","this may be a case of acid peptic disorder. but there is a chance of post cholecystectomy syn chatbot.  if you have not detailed the duration of the problem, nature of the pain any associated symptoms like nausea vomiting relation to food(apart from orange juice). moreover, you have not detailed the present sugar status. the location of the pain is least likely corroborates to kidney origin of the pain. however, getting some investigations done is advisable like ultrasound of the abdomen cbc including differential counts, urine re, ft lft s. amylase s. lipase fbs ppbs hba1cupper gi endoscopy. follow up with a doctor with reports."
Answer this question truthfully,"Antibody-dependent cellular cytotoxicity (ADCC) is a mechanism of the immune system by which certain immune cells, such as natural killer (NK) cells, destroy target cells that are coated with antibodies. The immunoglobulin that typically mediates ADCC is IgG. IgG antibodies can bind to specific antigens on the surface of target cells, and this binding can trigger the activation of NK cells, which then release cytotoxic granules that induce cell death in the target cells. ADCC is an important mechanism of defense against viral infections and certain types of cancer, and IgG-mediated ADCC is currently being investigated as a potential therapeutic approach for the treatment of cancer and infectious diseases."
Please summerize the given abstract to a title,Anxiety and burnout in anesthetists and intensive care unit nurses during the COVID-19 pandemic: a cross-sectional study
Answer this question truthfully,Patient having any of the conditions mentioned in the causes are at risk of oliguria.
Answer this question truthfully,Anemia is classified as normocytic when the MCV is between 80 to 100 μm3.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. kidney stone can precipitate urine infection. urine infection can cause burning in urine. sometime stone can stick into urinary passage and causes this type of pain.it is necessary to do basic urine report with culture, s.creatinine and sonography to rule out both these possibilities. maintain adequate hy chatbot.  you can get back to me with above reports. i think this would be helpful to you. best wishes. tc."
Please summerize the given abstract to a title,Development of stabilized dual growth factor-loaded hyaluronate collagen dressing matrix.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is necessary to make further tests in order to investigate for the possible cause underlying your complaints"
Please summerize the given abstract to a title,Targeted rescue of synaptic plasticity improves cognitive decline after severe systemic inflammation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, normal semen analysis value for motility should be 50% or more with progressive forward motility. reduced sperm motility is called asthenospermia, that is your problem.gui is a better option for the treatment of infertility due to asthenospermia. the success rate with gui is 20 to 40% depending on different institutes. the success rate can be increased when along with gui, super ovulation is performed. means inducing the ovulation with bmg or chatbot. it may take 4 to 6 cycles to get success. but don't worry sometimes with first attempt only success can be achieved. your doctor will explain to you the remaining things. all the best. take care."
Please answer with one of the option in the bracket,B: CT-guided percutaneous drainage
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the condition you are suffering can be macular amyloidosis/lichen plans pigments etc.  treatment can be given only after confirmation of diagnosis. few procedures like skin biopsy can be helpful for diagnosis. they are available at dermatology clinics.  images will help a lot in establishing diagnosis. images can be uploaded by users in premium questions area. please consult a good dermatologist for proper examination and prescription medications.  hope this helps. regards chatbot."
Answer this question truthfully,The outcome depends on the severity of the disorder.
Please summerize the given abstract to a title,Role of Chloroquine and Hydroxychloroquine in the Treatment of COVID-19 Infection- A Systematic Literature Review
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist. elevation in liver enzymes has many causes apart from which you have already got. like hepatitis b, c, metabolic disorders, nafld, alcohol intake etc. so i will suggest you to visit a hepatologist for evaluation who will advise tests and then manage accordingly. meanwhile, there are few medicines which i found very useful in my patients are ursodeoxycholic acid and vitamin e. do regular exercise and reduce your weight if you are overweight, avoid alcohol if you chatbot. i hope i have answered your query and this will help you. wish you a good health"
Please summerize the given abstract to a title,Classification of COVID-19 Chest CT Images Based on Ensemble Deep Learning
"If you are a doctor, please answer the medical questions based on the patient's description.","the best way for you is to get the support of pure herbal series of the himalayas ayurveda and consistently develop immunity and strength. these are safe and side effect less. you may have to go for a year or so with parallel mode but start noticing changes after first 2 months. if found suitable your doctor may slowly ask you to switch to non-toxic herbals as an alternative to current chatbot. any ayurveda doctor can guide you well on this. my 33 years experience is not wasteful. yes,"
Please summerize the given abstract to a title,Hemogram as marker of in-hospital mortality in COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Gestational diabetes is defined as diabetes that begins after 20 weeks of gestation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. some amount of menstrual irregularity is common while being on intrauterine devices. brown color of the blood indicates collected blood from the endometrium. abdominal cramps, bloating sensation etc. can also be seen with intrauterine device. possibly these will subside soon. if you are near your expected date of periods, this can be considered as with chatbot.  if you are having any associated symptoms like white discharge etc., better to get examined once to rule out the possibility of pelvic infection. if the spotting persists, you can take additional dose of hormones to control it with your doctors' advice. take care."
Please summerize the given abstract to a title,#DavidsonTrue: Transitioning to Remote Teaching while Maintaining Our Values as a Liberal Arts College during the COVID-19 Pandemic
Please summerize the given abstract to a title,Do breast cancer patients with COVID-19 have a poor prognosis? Experience in a hospital in Madrid
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. you have a peculiar history of pain in right side of abdomen and fever at the end of your periods for the last 3 months. the most probable reason for such a pain and fever can be appendicitis, salpingitis, mass of the ovary, pid and so on. ultrasonography and the clinical per-vaginal examination can help for the diagnosis and give plan for the further management like whether medicines only including antibiotics or surgery to get the disease out of the body."
Answer this question truthfully,β-adrenergic blockers can be used for migraine prophylaxis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fungal infections mimic malignancy in radiological investigations like x-ray and ct. even in fine needle aspiration biopsy (nab) cells look atypical because of fungal infection (reactive atypical), (as happened in your report) but confirmation is by the needle core biopsy only. in your case biopsy was not done. (oncology surgeon should have done that). finally, i want to tell you that there is no malignancy. that is good thing to hear from you. just a course of antibiotics and you're free from any lesion. only sad thing is that upper lobe is removed, and i am sorry for that. simple ct guided biopsy from the lesion could have prevented the surgery. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"If there are no active herpes lesions at delivery, vaginal delivery is recommended. However, if there are active herpes lesions at delivery, a C-section delivery is recommended to reduce the risk of transmission to the neonate."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for consulting with chatbot.i'm sorry to hear about the pain you suffer during your menstrual cycles. endometriosis is a disease which could happen anywhere in your body. the tissue responds to the hormones from your ovaries and bleeds once in a month like it happens in a menstrual cycle. if you are having blood in urine on monthly intervals it could very well be an endometriosis occurring in your urinary tract. and if it is endometriosis removing the ovary is an option. if the site of endometriosis is removable surgically its removal also may cure your condition. blood in urine can also result from other causes like stones, or any ulcerative growths. a physical examination and imaging studies are mandatory to rule out the conditions. you also have to check the cytology of the urine. consult with your urologist, and he will do the necessary investigations. please revert with further details."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,COVID-10 in South Korea: lessons for developing countries
"If you are a doctor, please answer the medical questions based on the patient's description.","hi friend, welcome to chatbot was biopsy done, and the diagnosis confirmed?it is not curable...no system of medicine can currently cosmetic improvement is feasible by surgical removal you also have anxiety - could be reaction to the condition...? psychological assessment and assistance can help you want a perfect answer and that too for free! only physical sciences like physics or mathematics can give perfect answer... no biological science can give perfect answer - only statistical probabilities... take tarnishing speedy recovery god bless good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","without seeing the rash it is difficult to determine how it fits into this picture but a wbc of 2.8 is certainly low and inconsistent with strep.  a low wbc can occur with viral illness, a much more likely situation than other possibilities for low count in her age group.  the combination low wbc and rash suggests viral infection.  a much more remote possibility is early leukemia which should be identified quickly as it can be readily treated.  autoimmune disorders can also cause a low wbc but this, too, is far less likely at her age.  my recommendation is that you have her primary care doctor see her tomorrow, consider rechecking the blood work with a bit more detail, and follow his or her advice regarding continued monitoring until the counts return to normal vs more in depth investigation."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Culture-negative pleural empyema after Coronavirus disease-19 resolution – A case report
"If you are a doctor, please answer the medical questions based on the patient's description.","i think you should take him to a doctor definitely. there are many possible causes of his fainting. as you said, it may be a seizure. and in that situation, earlier he gets to a hospital, the better. then we can do an eeg for him. if you delay it, eeg may be negative despite it being an actual seizure. there is also the possibility that this is a tia, or a brief stroke. in that case his medicines may need to be readjusted. there are other cardiac conditions also that need to be confirmed such as atrial fibrillation definitely would think that he should be examined by a neurologist for sure."
Answer this question truthfully,"Yes, it is true that aldosterone-secreting adenomas do not cause atrophy of the contralateral adrenal gland. Aldosterone-secreting adenomas are a type of benign tumor that can form in the adrenal gland, which is responsible for producing hormones such as aldosterone, cortisol, and adrenaline. These tumors produce excessive amounts of aldosterone, which can lead to high blood pressure and other symptoms. While aldosterone-secreting adenomas can cause enlargement of the affected adrenal gland, they do not typically cause atrophy of the contralateral adrenal gland. Atrophy of the adrenal gland can occur for other reasons, such as autoimmune disease or long-term use of steroid medications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. yes, it will go with its own. continued taking the medication can cure you for the infection. staphylococcus aureus is sometimes very resistant to the antibiotics prescribed to you. so is the case in your case. even though you are now cured with the infection as evident by the negative culture report. but pus cells should be negative to achieve the fertilization. so in my advice continue the above treatment with the medication. maintain good hygiene locally. avoid sex until all the infection is cured. please chatbot. i will be happy to answer your further concern on bit.ly/"
Answer this question truthfully,"Cranial nerve VII, also known as the facial nerve, innervates the stapedius muscle, which is responsible for auditory volume modulation. The stapedius muscle is located in the middle ear and is attached to the stapes bone, which is involved in transmitting sound waves to the inner ear. The stapedius muscle contracts in response to loud sounds, which helps to dampen the vibrations of the stapes bone and protect the inner ear from damage. Dysfunction of the facial nerve or its branches can lead to various symptoms, including hearing loss and difficulty with facial expression. Causes of facial nerve dysfunction can include trauma, infection, tumors, or other neurological conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. from the description that you have given it appears that you are surely having anxiety symptoms. you might have noted yourself that your symptoms keep changing and are of transient in nature. it doesn't fall into any specific disease. you should visit your psychiatrist who can discuss carious treatment options with you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question. it is not unusual to have some significant cycle irregularity when you have recently been on the demo shot.  what you are describing is related to this, and the symptoms that you are describing might just be related to the resumption of your cycles.  my guess is that you will get your period within the next 2 weeks based on the symptoms you are describing. i hope that this helps and good luck!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand it.  actually pregnancy symptoms start appearing after 2 weeks of conception. so 9 days post ovulation is a bit earlier to expect pregnancy symptoms.  symptoms of pain in both sides of ovaries/ egg white discharge with pain under belly button are some what unusual signs of pregnancy.  mostly a lady starts getting slight heaviness in pelvis/ breasts get sore, part around nipples gets dark & carries small tubercles around its periphery/ there are nausea or vomiting.  though all these symptoms are suggestive of pregnancy. confirmatory sign is + ve pregnancy test - blood chatbot test around expected date of period/ home pregnancy test after 8 days delay in urine.  you should go for either of the tests for confirmation/ exclusion of pregnancy.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern.  with you achieving normal ovulation & your husband having normal sperm counts .there is no basic problem in conception. try with - having sex around your ovulation (determined by ovulation test.-l h surge test.at home/usg scanning - do have hormonal support with your treating doctors advise.  - pregnancy test(blood test giving the earliest results. done in laboratory / home pregnancy test after 8 days delay in mends) used for early diagnosis & treatment plan followed strictly with doctors advise.  - both of you should start taking folic acid & vitamin e supplements.  you should succeed within 6 months.  if not go for detailed investigayionslike tube testing.  thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have numbness in your knee. well there can be many reasons for symptoms you mention in query like diabetes mellitus, peripheral neuropathy, reynolds disease, peripheral vascular disease, burgers disease, nerve compression or injury. i would suggest you to consult orthopedic surgeon for proper examination. doctor may order ct scan, mri or physical examination by checking the movement. doctor may prescribe muscle relaxant along with anti-inflammatory and nerve supplement. doctor may also recommend physical therapy or surgery in severe damage. for now apply warm compresses thrice day and give your knee proper rest.  hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand what you are going through, but all will be fine, hopefully. your symptoms point to \""stable angina\"". it is caused by the accumulation of fats and cholesterol in your vessels. in order to improve your condition, these are the steps you should follow"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. i suggest-keep your baby hy chatbot. -definite(taxi) syrup 4 mg/kg/dose twice a day for 5 days.-similar 1 castle once a day for 14 days to normalize flora of intestine.-coastal syrup you can use for vomiting. you can discuss this with your treating doctor. start on these changes and get back to me in 4 to 5 days. wish your baby speedy recovery and good health."
Please answer with one of the option in the bracket,B: IgG
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for the question. first off let me tell you that the red flakes and black dots are small amounts of blood in all probability which definitely rules out ibs. you can get a simple stool microscopy to be sure. 2nd of all pain radiating to the back along with severe muscle spasms is highly symptomatic of a pancreatic pathology. here are my suggestions1) a full pancreatic profile with serum amylase and lipase to rule out simple pancreatitis2) contrast enhance ct/ mri to look at the extent of the suspected pancreatic pathology3) a colonoscopy and occult blood in stool test to rule out cancer of colony wish you all the best
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the first and foremost condition to exclude in your case is vertiginous epilepsy, where one can get short and sudden episodes of dizziness, often due to abnormalities in the temporal lobes. the other condition that can cause these symptoms is peripheral vertigo. please consult a neurologist for evaluation. please get back if you require any additional information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,What Breeds Conspiracy Theories in COVID-19? The Role of Risk Perception in the Belief in COVID-19 Conspiracy
Please summerize the given abstract to a title,Understanding COVID-19 in at-risk patients
"If you are a doctor, please answer the medical questions based on the patient's description.","it seems you had shoulder semi replacement after a fracture. there are chances of complication in every case and many times there is nothing a doctor can do about it. there are many advances in shoulder surgeries now. we had organized a shoulder course recently for other doctors to showcase what are advances. in your case, there may be rotator cuff deficiency because of accident. if you can share the x-rays with me, i would be able to guide you what can be done now. there are options available. what is your age?"
Please summerize the given abstract to a title,Telemedicine in neonatal medicine and resuscitation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Wearable IoTs and Geo-Fencing Based Framework for COVID-19 Remote Patient Health Monitoring and Quarantine Management to Control the Pandemic
Answer this question truthfully,The virus that falls under Papilloma viruses is HPV.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query for your diabetic wife suffering from gases and bloating. alpha-galactosidase helps in breakdown of the complex sugars in terminal colon hence reducing the chances of formation of the gas. it may not increase the blood sugars, and you can always keep an eye on the blood sugars and stop it the moment you feel there is increase in blood sugar you can stop it or increase the dosage of insulin or other medicines.  aureomycin itself can be a reason for gas production. i would advise"
Answer this question truthfully,"Interferon-γ release assay (IGRA) has fewer false positives from BCG vaccination than PPD testing. BCG (Bacillus Calmette-Guérin) is a vaccine that is used to prevent tuberculosis (TB), but it can also cause a positive reaction in TB skin tests like the PPD (purified protein derivative) test. The IGRA test is a blood test that measures the immune response to TB-specific antigens, and it is less likely to produce false positive results from BCG vaccination than the PPD test. This is because the IGRA test is more specific to TB and less likely to be affected by cross-reactivity with other types of mycobacteria, which can cause false positives in the PPD test."
Answer this question truthfully,"Korsakoff syndrome is a neurological disorder caused by a deficiency of thiamine (vitamin B1), often as a result of chronic alcohol abuse. It is characterized by both retrograde amnesia (loss of memory for events that occurred before the onset of the disorder) and anterograde amnesia (inability to form new memories after the onset of the disorder). However, anterograde amnesia is more prominent in Korsakoff syndrome. This means that individuals with the disorder may have difficulty forming new memories, but may still be able to recall events that occurred before the onset of their symptoms. Other symptoms of Korsakoff syndrome may include confabulation (making up stories to fill in memory gaps), apathy, and difficulty with coordination and balance. Treatment for Korsakoff syndrome typically involves thiamine replacement therapy and abstinence from alcohol."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in.  a mild increase of indirect bilirubin is nothing to worry. it is often seen with what is known as gilbert's syn chatbot.  with this disease there is often fluctuation of bilirubin which is often normal. please avoid any medications which can potentially damage the liver without consulting a physician or a gastroenterologist first. also, please let me know the report of the complete liver function test (including sgpt, got and alp levels). please get it done if you have not got it done already.  hope i have answered your query. if you have any further questions i will be happy to help regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","what type of treatment you should undergo depends on two factors. first, what trouble is the hematomas giving you. i mean, if they are producing severe debilitating pain or pressing on a nerve leading to weakness of some body part, then yes you need to consider surgery since surgery is the only curative option. if, on the other hand, they are not too much trouble and just produce occasional pain which is relieved by painkillers then i would nt be too worried. hematomas are generally harmless benign tumors of blood vessels and remain lying harmlessly in the body for the entire lifetime. the second factor is your general health and any associated conditions like diabetes, hypertension, heart disease, asthma (all increase the risk in surgery). so, if its too much trouble and your general health is good, only then think about surgery."
Please summerize the given abstract to a title,Paradigm shift in efforts to end TB by 2025
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern. urinary tract infection (uti) is an infection involving the kidneys, ureters, bladder, or urethra. these are the structures that urine passes through before being eliminated from the body. symptoms of urinary tract infection include urgency or increased frequency of urination, pain or burning sensation while urinating and presence of blood/discharge per urethra. it may be accompanied by fever, abdominal pain, nausea and vomiting. kindly get the following tests done. 1. urine microscopy examination. 2. urine culture and sensitivity. 3. ultrasound abdomen for visualization of urinary bladder. kindly consult urologist with the report for appropriate administration of medications and its management. hope the information provided would be useful. all the best."
what are the causes of headaches,Sinus headaches are usually associated with migraines or other forms of headaches. Sinus headaches are associated with pain and pressure in the face and sinuses and can cause nasal symptoms. Most of these headaches are not caused by sinus infections and should not be treated with antibiotics.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. you have got 2 questions-one pertaining to orange color urine and the other is about severe pain in abdomen. the causes of orange color urine in your case may be due to
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated whole long query in total details thoroughly.* now only options left for you is holistic healing with herbs & other things.* current respiratory details & status are not mentioned with symptoms to figure out for the pneumonia, but for mental condition i can say that only & only thing which can help you to any extent is very deep meditation sessions on highly regular basis 2-3 hours of dedicated yoga daily which will give your inner soul & subconscious mind the level of peace you are lacking at present. hope this helps you. welcome for any further assistance. thanks for using chatbot .com & giving me an opportunity to assistwishing you a healthy life ahead. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","the blood pressure you have mentioned is on the lower side, and it explains the tiredness he is feeling.  maybe lisinopril at 20 mg is more powerful for him and the erratic consumption od medication may add to the fluctuations in blood pressure is far worse than not taking any medication.  i would suggest you take 10 mg lisinopril every day at a foxed time, if th3 blood pressure is still more than 140 / 90 than only increase the dosage. regards chatbot."
Please summerize the given abstract to a title,Air-stable and ultrasensitive solution-cast SWIR photodetectors utilizing modified core/shell colloidal quantum dots
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. read your history and an elucidated explanation about the lump you have underneath the shoulder blade. this is there for 6 years and by doing massage or so, you must have troubled it more. the most probable cause for such a mass may be fibrotic lump at the joining of muscles and as such a result of the chronic stress injury syn chatbot.  i would advise you to see the orthopedic or general surgeon for proper diagnosis and take assistance of ultrasonography to know the exact content of it and get treatment accordingly. if this is related to the tendons, local steroid injection will solve your problem. if this is a cyst, it can be excised, and you will get symptom free."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Short report on research trends during the COVID-19 pandemic and use of telehealth interventions and remote brain research in children with autism spectrum disorder
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. your symptoms seem to be related to a muscle cramp. i suggest using a muscle relaxant such as baclofen three times a day. i also suggest using magnesium supplement for muscle relaxation. warm compresses can also be helpful. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please summerize the given abstract to a title,Indicators on the Feasibility of Curfew on Pandemics Outbreaks in Metropolitan/Micropolitan Cities
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, this is unlikely due to fatigue. possibility of cardiac or pulmonary disease is more in your case. so better to consult doctor and get done 1. ecg and 2d echo to rule out cardiac diseases. 2. chest x-ray and pft (pulmonary function test) to rule out pulmonary causes. better to avoid further running. first diagnose yourself, start appropriate treatment and then you can continue your running and other exercise. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"COX-2 is the form of cyclooxygenase that synthesizes prostaglandins that increase pain sensitivity. Prostaglandins are lipid mediators that play a key role in the inflammatory response and are synthesized from arachidonic acid by the action of cyclooxygenase enzymes. There are two forms of cyclooxygenase, COX-1 and COX-2. COX-1 is constitutively expressed in many tissues and is involved in the maintenance of physiological functions such as gastric mucosal integrity and renal blood flow. COX-2, on the other hand, is inducible and is upregulated in response to inflammatory stimuli such as cytokines and growth factors. Prostaglandins synthesized by COX-2 are involved in the inflammatory response and are responsible for increasing pain sensitivity by sensitizing nociceptors, the sensory neurons that detect painful stimuli. Inhibition of COX-2 is the basis for the action of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen, which are commonly used to treat pain, fever, and inflammation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. all the symptoms, which you mentioned in your query correlates with a lung disorder as note down, airway hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze, shortness of breath (s o b), chest tightness &/or cough particularly at night or early in the morning. symptoms are usually associated with airflow obstruction, obstruction is usually reversible either spontaneously or with treatment. this is actually allergic asthmatic bronchitis. consult a physician and get expert opinion. hope i have answered your question. if further any question i will help. good luck."
Answer this question truthfully,The most common etiology of oligodendroglioma includes mutations in the following genes:         t(1;19)(q10;p10) NJDS (A 2009 Oxford Neurosymposium study illustrated that there's a 69% correlation between NJDS gene mutation and tumor initiation)  IDH1 IDH2 CIC FUBP1 p53 Leu-7 TCF-12 MGMT TP73 EGFR PTEN It may be associated with some viral cause A single case report linked oligodendroglioma to the irradiation of pituitary adenoma
Answer this question truthfully,"The recommended treatments for Acyclovir-resistant HSV include Foscarnet or Cidofovir. Acyclovir is a common antiviral medication used to treat herpes simplex virus (HSV) infections. However, in some cases, the virus may become resistant to Acyclovir, making it less effective. When this occurs, other antiviral medications may be used. Foscarnet and Cidofovir are two alternative antiviral medications that have been shown to be effective in treating Acyclovir-resistant HSV. These medications work by inhibiting the replication of the virus, and are typically administered intravenously. The choice of treatment will depend on the individual's medical history and the severity of the infection, and it is important to work closely with a healthcare provider to determine the best course of treatment for Acyclovir-resistant HSV."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as with the history i understand it to be a trapeziums. this can occur due to inflammation of the trapezius muscles. i will advise you to take up an mri of cervical spine as in most cases this is the primary factor for the spasm and pain. once done mri get back to me, so we can plan the outcome score now, i want you to follow this therapeutic plan.1. hot water fermentation for neck and upper back.2. using neck collar when not doing exercises.3. static neck exercises.4. triceps strengthening exercises.5. stretching of pectoralis muscles and biceps muscles.6. strengthening of deltoid muscles. all this exercise are free exercise without having any weight implementation.  in my clinical practice of 12 years most cases have been complaining of trapeziums on/off and to work out behind the precise therapeutic plan we take the full history, assessment and examination. most cases have a pain free movements now. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,Clinical and laboratory findings from patients with COVID-19 pneumonia in Babol North of Iran: a retrospective cohort study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot, forum.  you have stomach pain, here and there, and your stool became green and fuzzy, you didn't use iron containing medicines or foods, or changed the food.  you have described the disease very nice so that we can have a clear idea. your problem appears to be the infection of colon, may be amoebas, irritable bowel syn chatbot.  i advise you to consult a doctor for diagnosis and treatment.  i advise you to have a soft food like food with curd, bland foods like bread, etc. avoid taking spices, junk foods, oily foods, and non-vegetarian foods.  wishing for a quick and complete recovery.  best regards."
Answer this question truthfully,"Atopic dermatitis is a long-term condition. You can control it with treatment, by avoiding irritants, and by keeping the skin well-moisturized. In children, the condition often starts to go away around age 5 - 6, but flare-ups will often occur. In adults, the problem is generally a long-term or returning condition. Atopic dermatitis may be harder to control if it:
Begins at an early age Involves a large amount of the body Occurs along with allergic rhinitis and asthma Occurs in someone with a family history of eczema"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sir/paramour daughter probably has worm infestation and cutaneous fungal infection. it is quite common for this age, and you need not worry. if your country laws permit availability of over the counter medicines, you can use the following chatbot. for the skin patches you can apply clotrimazole cream twice daily for 5 days. it will gradually wane off. you can also give her a dose of deforming agent - albendazole suspension per orally. if your daughter is you can follow up with us for any further doubts."
Please summerize the given abstract to a title,Regional Oxygen Saturation and Acute Kidney Injury in Premature Infants.
Please summerize the given abstract to a title,Multiscale simulations examining glycan shield effects on drug binding to influenza neuraminidase
Please answer with one of the option in the bracket,A: Iron deficiency anemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms and medical recommendations. in my opinion, enlarged tonsils are unlikely to be the cause of two seizures in two years (should have occurred more frequently, looking at the suggested mechanism of affected breathing). normal mri is quite common in people with epilepsy. you require detailed evaluation including long term eeg to confirm the diagnosis of epilepsy. i would have preferred startling you on anti-epileptic chatbot.  i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health,"
Answer this question truthfully,"A transient ischemic attack is caused by the temporary disturbance of blood supply to a restricted area of the brain, resulting in brief neurologic dysfunction that usually persists for less than 24 hours.
Discontinuation of the use of the term transient ischemic attack has been proposed ."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello thanks for writing to chatdoctoryour problem is due to excessive sexual thoughts and over excitement. you should avoid excessive masturbation and try to concentrate in your activities. you should avoid provocative literature and videos and try to keep busy yourself in your job. knee weakness and premature graying of hairs are not related to masturbation. you are wrongly informed. you can consult your orthopedic for kneed problem. you should do exercise and take nutritious food. you will be alright. hope i have answered your query. take care chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, paracetamol overdose (by taking more than 3000 mg/day may not cause symptoms for the first day. however, nausea, vomiting may occur a few hours after taking the overdose.  after 24 hours there may be pain under the ribs on the right side (where the liver is) and there may be yellowing of the whites of the eyes and the skin (jaundice). this is indicative liver damage or failure. later on brain and kidneys will also be affected. codeine is an opioid pain reliever medication the overdose of which can cause chatbot. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"The cerebral cortex experiences degeneration of neurons leading to dementia, such as Alzheimer's."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your query and understand your concern. yes the pain could be due to the fish bone, if it has struck in the abdomen, or have caused an injury during the passage, as by now it should have got digested by the stomach enzymes. fish bone will not be seen in these test, it will need an endoscopy. i would suggest that you take a ppi tablet like pantoprazole or omeprazole for 2-3 days, if the pain improves you need to continue it for a week or so till the injury heals. if it doesn't then go for an endoscopy."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. fluttering sensation with loss of breath are commonly seen in arrhythmia (irregular heart rate). you are also having family history of heart diseases. so better to first rule out cardiac diseases like arrhythmia in your case. so consult doctor and get done 1. ecg 2. 2d echo 3. holder monitoring (24 hour continuous monitoring of ecg). if all these are normal then no need to worry about arrhythmia or other heart diseases. sometimes stress and anxiety can also cause similar symptoms. so avoid stress and tension. be relax and calm. don't worry, you will be alright. but better to rule out arrhythmia first. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, redness of foreskin indicates an inflammation either due to some infection (std or non-std) or due to some irritation to soaps or some external applications. yeast infection is a common one to produce such inflammation, and we can confirm this with examination and simple investigations and treat with appropriate antifungal preparations. scrotal pain may be due to epididymitis. the cause of this also may have to be investigated with blood and urine tests. sore back and itchy feet seems not related to your sex relationship.  chatbot. morgan"
Answer this question truthfully,"Children with conduct disorder tend to be impulsive, hard to control, and not concerned about the feelings of other people.
Symptoms may include:
Breaking rules without obvious reason Cruel or aggressive behavior toward people or animals (for example: bullying, fighting, using dangerous weapons, forcing sexual activity, and stealing) Failure to attend school (truancy -- beginning before age 13) Heavy drinking and/or heavy illicit drug use Intentionally setting fires Lying to get a favor or avoid things they have to do Running away Vandalizing or destroying property
These children often make no effort to hide their aggressive behaviors. They may have a hard time making real friends."
Please answer with one of the option in the bracket,B: Campylobacter
Answer this question truthfully,"Viral hepatitis is a condition characterized by inflammation of the liver, and it can be caused by a variety of viruses in addition to the hepatitis virus. Some other viruses that can cause viral hepatitis include Epstein-Barr virus (EBV) and cytomegalovirus (CMV). These viruses can cause similar symptoms to hepatitis virus, such as fatigue, nausea, and jaundice, and they can also lead to long-term liver damage if left untreated. It is important to identify the specific virus causing the hepatitis in order to provide appropriate treatment and management of the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i had gone through your query and understand your concern. fertisure m and f are supplements in the form of anti oxidants which would help you conceive. there are no side effects. i recommend that you start taking folic acid, iron and calcium, which has been shown to reduce the risk of birth defects, such as spina bifida, anemia and bone defects respectively. avoid smoking and alcohol. limit caffeine too. make sure that your immunizations are up-to-date, and that you've gotten the flu shot. consult your dentist to make sure that your teeth and gums are in good condition since recent studies have shown that gum disease during pregnancy can affect your baby. eat a well-balanced diet that includes a wide variety of healthy foods from all the basic food groups. chatbot. hope this helps. please reply for further queries. wishing you good health."
Answer this question truthfully,The corresponding spinal level for the great toe is L5. This means that the nerve root that supplies sensation and motor function to the great toe exits the spinal cord at the level of the fifth lumbar vertebra. Understanding the neurological innervation of different areas of the body can be important for diagnosing and treating certain conditions such as nerve root compression or spinal cord injury.
Answer this question truthfully,"Compared to typical antipsychotics, atypical antipsychotics are more likely to cause metabolic syndrome."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. your symptoms are indicating towards pregnancy. but please wait till you get your periods. only after the missed periods you can get exact pregnancy confirmation.it is difficult to predict with current symptoms now, as enough b chatbot hormone is not built up to detect pregnancy now.therefore, please wait for your missed periods. hope it helps. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regarding your concern, i would explain that his actual heart rate values are a little high, but not concerning. they could be related to anxiety or physical stress. anyway, considering his past medical history and the fact that he has been sleeping a lot lately, i would recommend going to the er for a physical exam and a brain ct scan.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, steroid based ocp have a propensity to cause and intensify psychiatric illnesses. so, by reducing the steroidal component of your contraceptive the doctor has tried to reduce the risk. but ideally, the patient who develops mood swing or any psychiatric symptoms while on ocp should be put on non-hormonal contraception. so, the chatbot. .it will not work on your mood symptoms so, it would be wise to get proper med for mood swings from a psychiatrist after detailed interview. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. there are numerous causes and conditions that produce water retention and swelling in the ankles, feet. a few important causes are chronic venous insufficiency, heart related issues, kidney disorders, liver problems, water retention etc. a thorough and detailed evaluation along with a few investigations are needed to establish the correct diagnosis. i suggest you to consult a general physician for further evaluation and management. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please summerize the given abstract to a title,Managing psychological distress in children and adolescents following the COVID-19 epidemic: A cooperative approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, with such presentation in my clinic, i will at the first exclude severe conditions"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.welcome to chatbot.as per your complain after removing a wisdom tooth still there is tooth remnant and pus discharge present that may be because of infection in socket.that may be because of chatbot. before diagnose anything clinical examination of oral structure must.iowa of affected site help to check a tooth fragment position.consult a dentist again for oral examination.irrigation of socket and proper antibiotic coverage helpful. i hope my suggestion helpful to you.get well soon.thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you should do a day 2 ultrasound for astral follicles count. amh tells the number of prenatal and astral follicles left in your ovaries. it is on a lower side for you. but if astral count is more than 7 then you can try some medicines for growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after injection.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 months.  if it doesn't work then you can go for gui.  if ultrasound shows follicles count less than 4, you need to go for ivf. hope i have answered your question. regards chatbot."
Answer this question truthfully,"Behçet syndrome is characterized by a triad of recurrent aphthous ulcers, as well as genital ulcers and uveitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are having multiple joint and body pains for 2 years. if most of your joints hurts and feels worse on waking up its possible you may have rheumatoid arthritis. and need to be checked a rheumatologist to do specific tests. also need to check uric acid levels and lipid profile for if its high then this could be the reason. fibromyalgia does not continue like this. please consult a rheumatologist in your place. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,Early lesions of polyarteritis nodosa are characterized by transmural inflammation with fibrinoid necrosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as per the history i feel it is more of a lumbar spine nerve issues and not the head and neck. since you been operated again, and again i suspect this to be related to the disc pathology which has led the problem. i totally feel there is nothing wrong with cervical spine and head. kindly have a nerve conduction study and electron program. i am sure with the help of physical therapy your motor functions should return. regards. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorthese are the typical symptoms of hyperacidity, if i would be treating doctor of this case then i would treat this case with the following medicines, 1) tab omeprazole 40 mg once in day at evening time for five weeks 2) tab risperidone 30 mg once in day at evening time for five weeks you need to avoid the coffee, alcohol, smoking, prior to bed else you can have the coffee in the morning, hope this information helps, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi., as you said your sister suffers from psoriasis. i would like to say few things about psoriasis.... psoriasis is a chronic relapsing and autoimmune disease. there may be having scaly plaques on various parts of the body, scaly lesions on the scalp. exact cause is not known. genetic tendency, autoimmunity, stress, chatbot. .etc. may be responsible for precipitation and exacerbation of psoriasis. you consult dermatologist for firm diagnosis and treatment. cap accretion 10 mg daily with methotrexate 15 mg per week in three decided doses of 5 mg at 12 hr interval may be given. for itching, you may give her antihistamines like levocetirizin... avoid steroid, as there may be severe flare up after stopping it. if there is infection, she may take roxithromycine or azithromycin. she may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. she may apply moisturizer to improve the skin texture. furthermore, she should avoid soap bath for few weeks. and she should be free of stress and worries as that might worsen psoriasis. she might get good result. i hope you got my answer. thanks."
Please summerize the given abstract to a title,"Effects of Hand Hygiene Campaigns on Incidence of Laboratory-confirmed Influenza and Absenteeism in Schoolchildren, Cairo, Egypt"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. most common cause for hiccups is irritation in throat. since you also had chest pain, we should rule out heart and lung diseases for your symptoms. so get done ecg, 2d echo, chest x-ray. if all these are normal then no need to worry about heart and lung diseases.  chatbot.  do warm water gargles 5-6 times a day. avoid oily, spicy and hard to chew food. take baclofen tablet twice daily. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Atrial natriuretic peptide can cause a decrease in Na+ reabsorption at the renal collecting tubule.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dairy understand your concerned;yes period is most common by the pregnancy after having unprotected sex. your last period date is 13th august. next expected period date
Answer this question truthfully,"Pancreatic fistula is a potential complication of pancreatic surgery that can lead to a range of symptoms and diagnostic findings. One common symptom is normal anion gap metabolic acidosis, which occurs when there is an excess of acid in the blood that is not caused by an increase in acid production or a decrease in bicarbonate levels. In addition, high levels of amylase may be present in the drain fluid, which is a clear indicator of pancreatic leakage. Other symptoms of pancreatic fistula may include fever, abdominal pain, and wound drainage. Treatment for pancreatic fistula typically involves close monitoring of the patient's condition and, in severe cases, surgical intervention to repair the fistula and prevent further complications."
Please summerize the given abstract to a title,Three-dimensional analysis of implanted magnetic-resonance-visible meshes.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there i understand your concern for your mothers' health, i would like to suggest you to keep a regular check on her blood pressure if it is staying above 140/90 mmh then i would like to start her on some low dose antihypertensive medicine like amlodipine once daily. but before that its better you take her personally to a doctor so that she could be examined properly. i would also like to suggest maintaining a low salt diet for her if her bp is staying high. i wish her good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to froufrou history i understand that there is mild grade fever with small lumps being both ears. the lumps are quite a common finding in kids if this age. about the fever, kindly sponge the child from top to bottom with normal tap water with each fever spike, along with fever medication. if fever continues even after 49-72 hours or if child had high fever the visit your pediatrician in old. no need to rush to ed"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you may have either pneumonia or bronchitis. yellowish sputum suggest infection. you also feel low energy. which is again a sign of infection. so get done chest x-ray to rule out pneumonia. get done pft (pulmonary function test) to rule out bronchitis. so i advise you to consult pulmonologist first and get done above things. you may need higher antibiotics too.
Please summerize the given abstract to a title,Cameroonian responses to COVID-19 in the education sector: Exposing an inadequate education system
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Development and Impact of a Progressive Parental Leave Policy in a Neurology Residency
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, high levels of carbon dioxide in blood are due to disorders of respiratory system. in case of hyperventilation, there is increased accumulation of carbon dioxide in blood. asthma can lead to complications associated with respiratory systems. thus, elevated carbon dioxide can be due to asthma. you need to consult your pulmonologist for clinical assessment, relevant investigations and thus management. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he may have hemorrhoids (piles).  he should take high fiber diet with plenty of water. avoid constipation.  warm water bath is helpful. permenent treatment of choice is surgical excision.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi patrickthanks for writing in. your pain can be due to a muscle spasm or an infection or a renal stone. if you have other symptoms like increased frequency of urination, getting up to urinate at night, discharge from the penis or any ulcer/swelling, then i suggest you see your physician. i would suggest that an ultrasound of the kidney ureter bladder region be done to localize the cause. if the above is not true, then a spasm in the muscle could be the cause. you can use hot fomentation and tablet diclofenac 50 mg as and when required (up to 3 tablets a day). hope this helps."
how is epidural harmful,"Many studies have shown that an epidural is a safe way to manage pain during childbirth. While rare, there are some risks. Your blood pressure may drop for a short while. This might cause the baby's heart rate to slow down. - To avoid this, you will receive fluids through an intravenous (IV) line to help keep your blood pressure stable. - If your blood pressure shows a drop, you may need to lie on your side to keep the blood moving throughout your body. - Your provider may also give you medicine to raise your blood pressure. An epidural block may change or alter labor and delivery. - If you are very numb from the block, you may have a harder time bearing down to push your baby through the birth canal. - Contractions may lessen or slow down for a little while, but labor will still move along as it should. In some cases, it may even go faster. If your labor slows down, your doctor can give you medicine to speed up your contractions. It is best to wait until you are in active labor to have the epidural placed. Other rare side effects are: - You may get a headache after your epidural but this is rare. - Medicine could enter your spinal fluid. For a short while, it could make you feel dizzy, or you might have a hard time breathing. You could also have a seizure. This is also rare."
Answer this question truthfully,"Medicines are sometimes prescribed for conditions that are not mentioned in patient information leaflets. Do not use Vytorin for a condition for which it was not prescribed. Do not give Vytorin to other people, even if they have the same condition you have. It may harm them.
This summarizes the most important information about Vytorin. If you would like more information, talk with your doctor. You can ask your pharmacist or doctor for information about Vytorin that is written for health professionals. For additional information, visit the following web site: Vytorin.com."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. if you are experiencing this vomiting only now and not earlier in your pregnancy, you should see a physician to evaluate the cause. gastric causes, hepatic and renal causes also should be excluded, blood pressure checked regularly, urinalysis should be done apart from routine fetal monitoring. any infection should be appropriately controlled and fluid and electrolyte balance well maintained.  chatbot.  please take adequate rest, avoid stress, oily foods, take plenty of fresh fruits and vegetables or as suggested by your consultant. hope you find this information useful. wish you good health."
Please summerize the given abstract to a title,Antibody response after a single dose of ChAdOx1-nCOV (Covishield) vaccine in subjects with prior SARS-CoV2 infection: Is a single dose sufficient?
Please summerize the given abstract to a title,Proteasome inhibition in vivo promotes survival in a lethal murine model of severe acute respiratory syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. i think your kid is having habitual constipation. i have certain questions and suggestions for you. questions
Answer this question truthfully,"When the host cell undergoes lysis, Chlamydia spp. return back to the elementary body from the reticular body. Chlamydia is an intracellular bacterium that has a unique developmental cycle involving two distinct forms: the elementary body, which is the infectious form, and the reticular body, which is the replicative form. After entering a host cell, Chlamydia transforms into the reticular body and begins to replicate. When the host cell undergoes lysis, the reticular bodies transform back into elementary bodies, which are then released into the extracellular environment and can infect new host cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it sounds as though you may have depressed mood disorder. this is diagnosed if a person has at least 5 of the following for at least 2 weeks"
Please summerize the given abstract to a title,COVID-19 and diabetes: the contributions of hyperglycemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, patients suffering with poly cystic ovarian disease have multiple small cysts in their ovaries. thus, ovaries become enlarged and produce excessive amount of estrogen and an chatbot.  this prevents ovulation and absence of ovulation causes infertility.  many patients with pod also have insulin resistance and have raised level of insulin. these patients may not respond to clomped, thus treated with anti-diabetic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, well, grief after passing away of a family member is absolutely a normal phenomenon, rather a lack of which is considered not normal. the complaint that you have presented here is very much suggestive of a normal grief reaction. scientific literature suggests, that a normal grief should last for up to 6-month period, its persistence beyond six months is considered morbid. however, the presentation and its duration may vary with cultural influences. important here is to look for any associated symptoms of extreme low mood, suicidal ideation, etc., in case of which psychiatric assistance is required. i would suggest, that there is nothing major reason to be concerned at present, try to be with family friends and keep yourself busy in activities, be social, eat well and sleep well. however, if the symptoms still persist to bother, i would suggest you to see a local psychiatrist. welcome for further suggestions. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. painless lump on the arm by location if it's at the joint it can be a ganglion.2. but else where on the arm and pain less - than goes in terms of lipomas (fat containing cells).3. to solve problem - i would have asked for an ultrasound scan - that would help to assess the nature of the lump, its source and its extensions. (both arm lump and axillary lump / arm pit)4. and if required an fnac - fine needle aspiration cytology would be helpful to know the nature of the cells. the armpit / axillary region lump most probably an enlarged lymph node.5. so get an appointment and get the scan done and needful treatment done. good luck hope i have answered your query.anything to ask do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. posterior myometrial mass as you have mentioned, fibroid, which is a common benign condition. need not have to worry. if you are getting any symptoms due fibroid, like severe pain in lower abdomen, infertility problem, that needs treatment. otherwise, not required. multiple stones in kidney needs to be treated, you can consult nephrologist for management. depending on type of stone, procedure can be planned. take more liquid and citrus juice which will help to through your stone out. hope i have answered your query, have a good health. regards"
Please summerize the given abstract to a title,Quantifying the success of measles vaccination campaigns in the Rohingya refugee camps
Please summerize the given abstract to a title,"Clinical presentation of patients with Ebola virus disease in Conakry, Guinea."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the pain in costco chatbot.  it is a sharp pain. breast implants can cause irritation of the nerves in the anterior chest wall causing pain perception. this pain is more localized to the area where implants are present and usually does not radiate to other places. metastasis is pain due to bone destruction. this is diffuse pain which increases on palpation and focused on the area overlying the bone. it is suggested that you get a chest x-ray or ct scan done to evaluate in detail the cause and nature of problem leading to the pain."
Answer this question truthfully,"There are several factors that may be considered absolute contraindications to surgery, meaning that the risks of undergoing surgery outweigh the potential benefits. One example is diabetic coma and diabetic ketoacidosis (DKA), which are both serious complications of diabetes that can be life-threatening. In these cases, surgery may be delayed or postponed until the patient's condition is stabilized and it is safe to proceed. Other examples of absolute contraindications to surgery may include severe bleeding disorders, certain types of cancer, and advanced organ failure. If you are considering surgery, it is important to discuss your medical history and any potential risk factors with your healthcare provider to determine whether surgery is a safe and appropriate option for you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi navajo, welcome to chatbot, and thanks for your question... epival (sodium valproate) and geritol (carbamazepine) are both anti-epileptics, and you seem to be on an adequate dosage of both. cloacae is also an anti-epileptic medication which is usually used as an adjunct to other medication in case of resistant seizures, especially of the complex partial type. it is sometimes used as an antianxiety medication also. next (escitalopram) is an anti-depressant medication. now, your difficulty in concentration could be due to different reasons. recurrent seizures, especially if you are skipping medicines often, can be one reason. the anti-epileptic medication, especially as you are on a combination, can sometimes have side effects like concentration and memory difficulties, chatbot.  it is also likely that you may be having some depressive symptoms, which may be the reason you doctor has put you on an anti-depressant. depression and stress can also be a cause for your difficulty in concentration. what i would suggest is that you should be absolutely regular on your medication and never skip a dose. also, discuss with your doctor about your problem, to see if any dose adjustments are required - may be, shifting a majority of your doses to the night. if you are feeling very stressed out or depressed, then it would help to talk to someone, may be a psychiatrist, and to learn relaxation / stress management techniques. all the best.-"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, hafeezthanks for using chatbot. you father seems to be suffering from some pathology in side his gastrointestinal tract. it may not be visible in ultrasound. these type of cases have to go through endoscopic examination. this pathology can be in the throat, esophagus, stomach or duodenum. you have not given reports of liver function test, that also needs to checked. now i suggest you to see his treating doctor and request him for the same, you can also give reference of our conversation as well.meanwhile try to give him nourishment in the way it is possible, so that his general condition improves. wishing you good luck and speedy recovery of your father."
Please summerize the given abstract to a title,A review on protective roles and potential mechanisms of metformin in diabetic patients diagnosed with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for contacting us at \""ask a doctor\"". i will try to answer your question to the best of my ability. it is true that finger clubbing can be associated with underlying disease - mainly of the heart and lungs. however, if you have no symptoms and are healthy then you most likely have idiopathic clubbing. this is nothing to worry about, and i would simply ignore it at this time. i hope this helps. please message me back if you have any further questions. best wishes, a chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are many reasons for the swelling underneath the foreskin of penis, both std and non-std causes. sometimes insect bite and allergic reaction also manifest like this. any infection of glans penis or just an inflammation due to some irritants like topical applications, antiseptics or even soap remnant. if the cleaning of inner aspect of penis is not adequate, then also secondary bacterial infections are common and produce swelling. yeast infection or other std infections also can cause such swelling. you had not mentioned your age, whether you are a diabetic individual and about your marital status and sexual activities. this information will be useful to arrive at a diagnosis.  consult your physician he/she will help you for further investigations and for treatment. nothing serious.  chatbot. morgan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query you have symptoms of itchy painful rash on ankles, thighs, hands and elbows which occur because of allergic reaction and could be due to the outbreak of viral infection.  need not worry. i would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. apply aloe vera gel at night. if the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. the doctor may prescribe antibiotics like minocycline, steroid ointment. you should apply melanie xl cream which is a combination of hy chatbot.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hey, menopause per se do not increase your bp but increasing age does. the symptoms you are telling needs further assessment. seeing things in front if eye needs urgent consultation with an eye specialist. you need to further monitor your bp as a single reading of high bp is not that significant. so i recommend you to go immediately to nearby medical facility with an eye specialist. thanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. the type pf discharge that you have explained in your query is pointing towards infection in the gums that might be leading to pus discharge. it is not the symptom of burning mouth, and it is possible if you have symptoms like burning, scalding and numb feeling in mouth,so my suggestion is to consult a periodontist and get evaluated so that he can do a clinical examination and also advise you a full mouth panoramic x-ray. deep scaling, curettage and antibiotics to be taken orally and topical application along with antiseptic mouthwash gargles can help. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your fathers report indicate that he has adenosquamous carcinoma. it is a type of lung cancer. it also spread to the mediastinal lymph nodes. his two lymph nodes get the cancer spread. so he needs chemotherapy also. consult your doctor start chemotherapy accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Clinical evaluation of SARS-CoV-2 Lung HRCT and RT-PCR Techniques: Towards risk factor based diagnosis of infectious diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, possibility of relapse of hodgkin's disease is very less. possibility of bronchitis (inflammation of airways) is more likely. bronchitis causes bronchospasm and this in turn causes chest tightness, cough, breathlessness etc. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Aptamer Blocking Strategy Inhibits SARS‐CoV‐2 Virus Infection
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Significance of lysosomes in the morphogenesis of coronaviruses
how to prevent conjunctivitis,How to prevent Vernal conjunctivitis?: Using air conditioning or moving to a cooler climate may help prevent the problem from getting worse in the future.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  it may be fibroadenoma. fibroadenoma is the benign lump in breast.  it is firm to hard and movable mass and mostly painless. you should go for biopsy or fine needle aspiration cytology of that lump.  it will give you exact diagnosis.  if is fibroadenoma then there is no need to worry.  it needs lumpectomy which is a minor surgery. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Resilience measures to dealing with the COVID-19 pandemic. Evidence from Romanian micro and small enterprises
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. bronchitis is inflammation of airways. and due to this edema and secretions are accumulated in lumen. so patient is having cough, expectoration, wheezing, breathlessness etc. more than antibiotics, patient needs antihistamines, anti-inflammatory chatbot.  inhaled bronchodilators and inhaled corticosteroid are also indicated to reduce edema and wheezing. so better to consult pulmonologist and discuss all these. you need above-mentioned"
Answer this question truthfully,Tetralogy of Fallot is a congenital heart defect that is characterized by a boot-shaped heart on CXR. This abnormal heart shape is caused by the enlargement of the right ventricle and the displacement of the aorta.
"Hello,   I have a scoliosis problem plz help me I want its treatment I can send my x.ray also","If  you are still growing and have mild scoliosis, your doctor will observe and examine you every few months. If the curve is moderate, your doctor may recommend a brace that must be worn  every day for the full number of hours prescribed by the doctor. For a severe curve, your doctor may suggest surgery, which involves fusing vertebrae together or getting a metal rod to keep the spine straight. Ask at least two doctors about risks and benefits of surgery.Chiropractic treatments, electrical stimulation, and nutritional supplements did not help with scoliosis."
Please summerize the given abstract to a title,"COVID-19: Salient Aspects of Coronavirus Infection, Vaccines and Vaccination Testing and their Implications"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear, thanks for the query from you for your painful, swollen pea sized bump every they ovulation, which hurts with pressure in outer labia, which goes away in next 2-3 days time.1-i am happy that you are serious to know why this painful outer labial swelling comes and goes with each of the they ovulation cycle.?2-in my opinion this painful swollen in outer labia is carthaginian cyst, which gets mildly infected and swollen with increased secretary activity in the catholics cyst with ovulatory changes in the cyst walls, which resolves as the cyst discharges with overflowing cyst fluid secreted during the they ovulatory cycles.3-as such this painful swollen bump is the ovulatory bartholdi cystic overflowing activity, which is being felt by the patient, having active sex life.3-in my opinion-possibility of mild infection with active sex life would explain the recurring bump every they ovulatory cycle.4-i would advise er-gynaec opinion and checkup and would advise -excision of the catholics cyst under antibiotic cover if, it is disturbing the active sexual life of the patient much.5-hope this would resolve the causative worry of the patient in question .6-if treated on this line, the fearing patient, should not worry you much.7-hope this would solve your worry of the painful outer labial bartholdi cyst lump every mtv, with the ovulatory cycle.8-so ugly take -the advice from the er glance surgeon.9-wellcome to chatbot for any more query."
Please summerize the given abstract to a title,Assessing the impact of network performance on popular e-learning applications
"If you are a doctor, please answer the medical questions based on the patient's description.","an allergic reaction occurs when the immune system overreacts to an allergen. so when the insect bit your friend, he developed hypersensitive reactive reaction. now as his body is fighting against that foreign antigen, whicchatdoctore via the bite makes him present with a symptom like dizziness, which means that insect secretion is like a venom to the body causing toxic reaction involving the immune system. i hope i am able to make you understand.take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. sub mandibular swelling, occasional pain - suggestive of sailoadenitis (salivary gland obstructions due to stones / stricture.2. in this case if you are my patient - i would have examined first, and ask for an ultrasound neck and submandibular region - helps to find out the nature of the lesion, origin and extensions. 3. other possible causes can be lymph nodal engagement.4. take an appointment and get the needful test (ultrasound) done.5. nicotine do cause intro oral causes of obstruction - strictures and so on. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,"Beriberi is extremely rare in the United States. However, if you feel your family's diet is inadequate or poorly balanced, and you or your children have any symptoms of beriberi, call your health care provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, actually i think it is not safe to stop it without asking your physician, but i recommend you tell him about all your given side effects and ask for an alternative chatbot.  i think you shouldn't stop it immediately you may decrease the dose till you have your visit to your specialist will be best for you. please some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
Answer this question truthfully,"Abdominal pain is a common symptom of Henoch-Schonlein purpura, and it is often associated with intussusception, a condition in which one segment of the intestine telescopes into another segment. This can lead to serious complications and requires prompt medical attention."
Please summerize the given abstract to a title,An unusual pseudomelanosis in toddlers
"If you are a doctor, please answer the medical questions based on the patient's description.","yah look like anxiety but cannot rule out any other possibility with this you are having asthma and allergies have many such patients who behave like this if food is causing problem like wheat or milk in your case fit for gluten or wheat as this starts like this as you rote and ultimately end u in asthma get blood test for specific antibodies for milk wheat potato and other common food you take eliminate, and you can be better in 3 months"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. it is very important to know the indication why you had the spinal mri. whereas the findings suggest foraminal narrowing on c6 and c7 nerve roots. the symptoms one can expect from such findings are neck pain which irradiates in the medial part of the left hand and forearm w/o sensation problems like tingling and numbness in the first three fingers. you should also know that these findings in the mri are very common and not necessarily related to the above symptoms. if you have no succhatdoctorplain you should consider a normal mri and not worry about. still, a neurosurgical consult would be appropriate to see if there is any correlation between the mri findings and your complaints. hope this helps, please feel free for further question."
"If you are a doctor, please answer the medical questions based on the patient's description.","your daughter is suffering from some sort of abdominal infection and digestive problems what i can say from your history. you have not mentioned the age of your daughter, so it is very difficult to say about dosage of the chatbot.  anyway you have to give her syrup oflox-oz 5 ml twice daily with syrup cyclops 5 ml twice daily for stomach pain with some digestive enzymes like syrup enzyme 5 ml twice daily. along with give syrup bandy-plus 10 ml stat at night and 10 ml stat again at night after 7 days."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your pain. following could be the possible reasons for your right sided back pain.1. muscular sprain caused by heavy weight lifting or any jerky movement.2. sciatica which is compression of lumbosacral nerves.3. deficiency of calcium and vitamin d3.4. lumber spondylosis.5. pid (pelvic inflammatory disease). i suggest following test and investigation to rule out your condition. 1. cbc. 2. sr. uric acid. 3. ra factor. 4. sr. it d3. 5. x-ray lumbosacral spine.if you were my patient i would have started t. enzoflam 1 tds for 5 days. if pain does not subside, please meet your doctor along with the required investigation results. thanks,"
Answer this question truthfully,"Leuprolide, Goserelin, and Buserelin are GnRH analogues that have antagonist properties when used continuously. This means that they can block the action of GnRH in the body, leading to a decrease in the production of sex hormones. When used in this way, these medications can be used to treat conditions such as prostate cancer, where reducing the production of testosterone can help slow the growth of cancer cells. However, it is important to note that long-term use of these medications can have side effects, such as decreased bone density and an increased risk of fractures."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for follow up. at the first you should give laxative medicine - cephalic 5-10 ml before night. the second thing-bifilac 1 capsule 1 time 1 month for normalization of flora. do ccorrection in diet, give more rubber carrots, boiled beets roots with 1 teaspoon of sunflower or olive oil, fresh dali, fresh carrot, beetroot juice 100-200 ml. do exercise with baby, he should walk more. please give antiallergic-cetirizine or desloratidine syrup 7-10days. avoid allergic from her food. give to her absorbent -charcoal 1 tab before night for absorption allergens from italy the best"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Call your health care provider if you have symptoms of myocarditis, especially after a recent infection. Seek immediate medical help if you have severe symptoms or have been diagnosed with myocarditis and have increased:
Chest pain Difficulty breathing Swelling of your extremities"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for writing! have you ever done a x-ray of your lower back or a lumbar mri? what's your back problem. in cases with lumbar hernia there is pain in the lower back that runs to the hips it is associated with other signs like numbness? usually hernial pains are worst at night and patient cant find a good position. so you can do a lumbar x-ray or mri to rule out the diagnosis, and also visit an orthopedist. thank you. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history. as you have a severe pain and shooting down the leg i feel you should undergo a thorough clinical examination and an mri of lumbar spine. as the pain which is shooting in nature and runs down the leg it could be due to the nerve entrapment. and with the help of the mri scan the pathology of the disc in the lumbar spine can be understood much better. once this pathology is understood you may be referred to a physical therapist for further management. with the help of the therapeutic ultrasound therapy and tens therapy the pain and shooting radiating can be stopped. later stages exercises i strengthen the muscles of the back, core, pelvic floor and lower limb as a whole will be taught. you should improve in about 3-4 weeks of time. in my clinical practice most cases with such symptoms respond well to a combination of chatbot. regards. jay in"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that your husband has bilateral cryptorchidism.which has failed to descend even after surgery twice. you have not mentioned the present location of testicles whether they are in inguinal canal or higher up in scrotum. please get his ultrasound scanning of abdomen done to locate the testicles . please note that testicles in abnormal position are prone to undergo malignant changes (cancer) 50 % more than normal positioned testis. please consult qualified general surgeon for evaluation and further treatment. chatbot."
Please summerize the given abstract to a title,Early Acute Respiratory Support for Pregnant Patients With Coronavirus Disease 2019 (COVID-19) Infection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concerns and i will explain what needs to be done. usually, for a liver to properly heal itself, and enzymes to get back to normal needs around 30 days to 60 days or even more without alcohol. twelve days without alcohol, probably will not help to lower alt/ast enzymes at normal range. here are some advice to help your liver heal, your liver enzymes get back at normal. - eat fresh fruits and vegetables-have plenty of water-normal exercise like yoga, or walking to the park 3 or 4 times per week-have a low fat diet and alcohol-free. but since you chatbot.  red wine has a lot of antioxidants that can keep your heart at shape. just try to not abuse since you had barrettes esophagus. hope i have answered your query. if you have any other question, feel free to ask me."
"If you are a doctor, please answer the medical questions based on the patient's description.","this is the season were people get this kind of problem. if you are having this occasionally then it is ok. you should avoid cold chatbot. take light diet, take steam inhalation with plain water or eucalyptus oil etc. for headache or body ache you can have t.paracetamol and for sneezing etc., if you do not have any other medical problem you can take t.cetirizine. once daily. take plenty of liquids, hot liquids like soup etc. is better. if your problem is recurrent you should be having mostly allergic one and try to find out the cause of allergy, you can keep watch on, and you will easily find out the allergen, in that case you need to take anti-allergic treatment for long time. so need to consult your family doctor."
Please summerize the given abstract to a title,Quantitative immuno-SPECT monitoring of pretargeted radioimmunotherapy with a bispecific antibody in an intraperitoneal nude mouse model of human colon cancer.
Please summerize the given abstract to a title,Home was not a Safe Haven: Women’s Experiences of Intimate Partner Violence during the COVID-19 Lockdown in Nigeria
Please summerize the given abstract to a title,Whom to Believe? Understanding and Modeling Brain Activity in Source Credibility Evaluation
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,All pre-ganglionic neurons utilize acetylcholine as their neurotransmitter.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think if everything is fine, you can try naturally for 6 months more. be in contact with your husband every 2 to 3 days after your periods stop.  it will increase chances of your pregnancy.  your husband semen analysis is fine. if you don't get pregnant in 6 months, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after your injection.  take progesterone for next 2 weeks. do a urine pregnancy test at home after that.  you can try like that for 3 to 6 cycles."
Answer this question truthfully,"The conversion of fructose-1,6-bisphosphate to fructose-6-phosphate takes place in the cytosol of the cell."
Answer this question truthfully,Retinal detachment is more common in patients with high myopia and/or history of head trauma.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, back pain due to long term standing and wrist pain due to constant use is common among barbers. preventive measures have to be taken. regular breaks in between work with sitting and physiotherapy for back muscle strengthening and wrist and forearm muscle stretching and strengthening is needed. tab attract twice a day for pain relief can be taken.  hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,D: Paternal uniparental disomy of chromosome 15
Please summerize the given abstract to a title,How many are we missing with ID NOW COVID-19 assay using direct nasopharyngeal swabs? – Findings from a mid-sized academic hospital clinical microbiology laboratory
Please summerize the given abstract to a title,Video Games and COVID-19: How Do Lockdown And addiction Interact?
Please answer with one of the option in the bracket,A: Altered red blood cell morphology
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. another possibility of slipped capital femoral epiphysis or perches disease in early stage which can be confirmed by x-ray and mri of hip joint. i will advise you to consult your doctor for clinical examination and if possible consult orthopedic surgeon. perthes may not improve so fast, you may need regular follow up. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read your query & realize your concern. * yeast infection is associated with white /curd like vaginal discharge & is notorious to recur, unless treated adequately. mostly it is sexually transmitted problem, so treatment of both sex partners (both oral & local treatment)is advised-till the infection is completely eradicated.  the infection tends to recur-so abstinence & repeated therapy is given to remove the infection en root.  * the recent itching you have does not seem to have any discharge(as you say skin is chatbot.  still vaginal swab testing should be done before treating it for yeast.  * in some conditions like allergy, antibiotic consumption, hormonal therapy, pregnancy, menopause, diabetes hiv . disturb normal vaginal flora & causes"
Please summerize the given abstract to a title,The Prognostic Effect of Serum Albumin Level on Outcomes of Hospitalized COVID-19 Patients
Please summerize the given abstract to a title,Stress and coping during COVID-19 pandemic: Result of an online survey
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the earlier episodes you describe of dizzy spells & grain of vision could be due to syncope or pre syncope. the episodes are brief & lasting few seconds to a minute. the more recent episodes could be seizures or syncope. the prolonged period of unresponsiveness, lack of memory for the previous nights events and other accompanying symptoms raises the possibility of seizures. visit a neurologist who will be able to perform an eeg, brain imaging & other tests which can help in confirming the diagnosis. a cardiac evaluation for any cause of blackouts is also necessary. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. according to your history you had typical symptoms of gall bladder pathology. but it is not necessary that it is because of gall stone only. possibility of acute cholecystitis has to be ruled out. you might have it and resolved infection. so mild attack of acute cholecystitis can lead it. at that time of attack usg has to be done.... just now you have no symptoms. if still pain occur and no cause clear then ct scan can be done.... take care...
Please summerize the given abstract to a title,Diallyl trisulfide inhibited tobacco smoke-mediated bladder EMT and cancer stem cell marker expression via the NF-κB pathway in vivo
Please summerize the given abstract to a title,Coronavirus-SARS-CoV-2: Biology and problems in rRT-PCR detection
Please summerize the given abstract to a title,Dynamic Allocation of Medical Resources During the Outbreak of Epidemics
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear. i had gone through your query. i understand your concern. relationship conflict or problem lead to stress. stress or psychological anxiety can lead to depression. suicidal ideation or thought suggest severe depression and need immediately psychological evaluation and treatment. if suicidal thoughts are frequent, or you have attempted then ect is treatment of choice along with medicines. ect means electroconvulsive therapy is the safest and fastest way to treat depression. besides it medicines like combination of ssri and benzodiazepine will helpful to treat depression and reduce stress. please need to consult psychiatrist for further assistance. still if you have a query then feel free to ask. happy to help you further. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Effect of COVID-19 lockdown on Moroccan patients with type 1 and type 2 diabetes
Answer this question truthfully,Polyarteritis nodosa (observed in 33% of patients).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears that she needs social alignment. she should be made to mingle in the community. she should have a group of friends. should be taken to the functions, and allowed to go to out stations.  encourage her to take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have good health resistance against the infections.  depend only on doctors for the chatbot.  never talk about her health before her.  wishing for a quick and complete recovery. thank you."
Answer this question truthfully,Turbinate erythema may be suggestive of cocaine use disorder.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have renal parenchymal disease.  you should go for complete kidney function test to search the exact cause, if needed go for kidney biopsy then you should take treatment accordingly. consult your nephrologist and take treatment accordingly.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good afternoon. i am chatbot answering your query. the possible causes could be from a benign lesion like a sebaceous cyst to a malignant lesion unless ruled out by a biopsy. when you see your surgeon next week, he is going to ask you the duration of the lesion, if any pain or trauma associated with it, any feeling of bump anywhere else in your body. he would then do a clinical examination of the swelling to confirm its physical characteristics, and might advise you for either a fnac (fine needle aspiration cytology) or an excision biopsy for a hist pathological study after some routine blood tests. further management would depend largely on the biopsy report. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatbot. your q> could the vomiting hit her that fast? yes. since she has problem with gall bladder. our body start responding from the time food is in mouth and related enzymes starts secreting and synthesizing and the organs like gall bladder starts contracting to release related digestive enzymes. the gall bladder symptoms occur more often with fatty food, so better to reduce it. you have not mentioned what problem she has(diagnosis). better to consult your doctor for proper management as there is cure for gall bladder problem. better to prevent any complication than treating them. hope i answered your question. wish you good health. take care. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i understand your concern. in my opinion this may be a headache type called primary stabbing headache, also called ice peak headache.  it is more common in persons suffering from migraine. a trigeminal neuralgia should also be excluded. there is nothing you should worry about. this type of headache doesn't have any serious underlying cause. i would recommend treatment with indomethacine suppository twice daily for some days. it is helpful in preventing the attacks. if the problem persists a brain mri would be helpful to rule out any possible cause. hope to have been helpful! thank you for using chatbot! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you had sex on 10th may, your last day of the period is 26-4-13. you want to know the changes of period if you take unwanted 72. previously you had different changes.  human body is not a machine to predict everything. the expected date will dependent on so many factors like level of hormones in the body, and added by medicines, etc. you can only expect the result but not the timings.  best regards."
Please summerize the given abstract to a title,Factors Associated with Health Inequalities in Infectious Disease Pandemics Predating COVID-19 in the United States: A Systematic Review
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the history suggests that there is a nerve compression which is causing the above symptoms.2. the possible cause could be some trauma / injury caused - he might have not noticed. other possible cause infection / inflammation to the nerve.3. the lump under arm / axillary region could be enlarged lymph nodes. enlarged lymph nodes are seen in case of any infection localized or systemic.4. the next step should be - see your gp get examined, and probably mri elbow joint might be needed, for better evaluation of status of the nerve, tendon, joint space.5. you have to take him to gp or any doctor as symptoms seems like nerve compression - needs attention and treatment. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of mouth soreness after eating meat which is mainly because of food allergy, and it could be due to acid reflux. need not panic about it. i would advise you to take vitamin c. in diet properly. you should chatbot.  maintain hygiene of oral cavity to prevent bacterial growth. keep using antimicrobial mouth wash. gargle your mouth alternatively with hot and cold water."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The penis and testis enlarge to adult size and the areola flattens at Tanner stage V, which is the stage of adulthood."
Please answer with one of the option in the bracket,D: Needle aspiration and oral dicloxacillin
Answer this question truthfully,"Salmonella is a type of bacterium that is capable of living both inside and outside of cells. It is considered a facultative intracellular bacterium, meaning it can live inside cells if necessary. In particular, Salmonella is known to be able to live within intestinal cells, where it can cause a variety of symptoms ranging from mild diarrhea to severe infections."
Please summerize the given abstract to a title,Identifying Primate ACE2 Variants That Confer Resistance to SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. it looks that either the wisdom tooth is erupting behind the last molar or if it is erupted then there must be some apical cyst or gum infection, which is causing this problem. better once you should visit a dentist and get an x-ray done of that area, as it will show the source of infection. as sometimes this bony infection causes soreness of soft tissue above it, hope it will help you."
Please summerize the given abstract to a title,A Multiperiod Supply Chain Network Optimization Model with Investments in Labor Productivity Enhancements in an Era of COVID-19 and Climate Change
Answer this question truthfully,Opioids and other sedatives may cause respiratory acidosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote i feel that she might be having a viral conjunctivitis. usually it will start in one eye and the spread to another. sometimes it can get secondarily infected with bacterial infection and hence might need antibiotic eye chatbot.  i suggest you consult your ophthalmologist because - eye conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. hip bone is reabsorbed following fracture neck of femur. it may have possibility that that following fracture neck of femur many times head and neck get absorbed. so i see most likely cause of your bone disappeared following fracture neck of femur. other less likely cause can radiation which you get following your cancer treatment. you can discuss with your treating doctor about it. hope i have answered your query. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. wishing you good health. take care.
Answer this question truthfully,Markers associated with medullary throid cancers include:    Calcitonin Chromogranin CEA Calcitonin gene-related peptide (CGRP) Somatostatin Serotonin
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. it seems your kid is having bacterial dysentery. once it starts it will take 5 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum, your condition needs an immediate care as one of your crown has come out and other also needs assistance. consult dentist, have a thorough clinical and radio graphical examination of your oral cavity. if you are not able to spend such an amount, then you can visit any dental educational institute or government hospital for your treatment to be done. wishing you cure footage care"
Please summerize the given abstract to a title,Legitimidad del ejercicio versus la de origen: análisis del primer año de gestión de las últimas tres alcaldías capitalinas
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query and i understand your concern.first i would like to share with you that masturbation in not an illness. it is concerned an alternative way to relieve sexual stress, which is quite normal and widely prevalent. no matter what people around you say about this, masturbation does not cause any illness or deformity for your second concern, penis is made up of kind of hollow muscles. when you are sexually excited, blood starts to fill in the hollow of muscles, and it gets erected due to accumulated blood. when the excitement is over, blood is with chatbot. . it happens with every male now for your third concern i.e. premature ejaculation, there are some medicines available in market which helps in this.also there are some practices known as masters and johnson techniques, when practiced, benefits in premature ejaculation* sensitize yourself of sexual excitement by initially having foreplay with clothes on, do it without clothes after one week of first step but no sexing third step start having sex, and while having sex when you feel you are about to ejaculate, with"
Please summerize the given abstract to a title,Using the Food Stress Index for Emergency Food Assistance: An Australian Case Series Analysis during the COVID-19 Pandemic and Natural Disasters
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting your query.  it seems like you are having infection in the urine or in the genital region. you need to get a test called urine culture and blood culture sensitivity test. this test will let us know which is the right antibiotic for your body and hence we shall be able to use that antibiotic only.  but i would also recommend you to get admitted to hospitals and get started on injection antibiotics as the report will take 2 days to come and looking at your condition i don't think waiting for 2 days is possible.  hope this information was useful to you.  any clarifications feel free to ask. regards.
Please summerize the given abstract to a title,"A Working Hypothesis on Vesicular Lesions Related to COVID-19 Infection, Koebner Phenomena Type V, and a Short Review of Related Data"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can assure you, allocated kidney, is only a birth variant.it's not predisposed to infection, any different from a normal kidney. without seeing your scans or reports, it's really very difficult to comment. however, a lasix scan will cause pain, if there's an obstruction in kidney. ms doesn't cause any infection in kidney either. for my expert opinion, please send all your urine, blood reports and scans, including ultrasound, active/mru, to me, as a direct question. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not safe to take potassium while on lisinopril. taking potassium supplements while on bp medication lisinopril may cause hyperkalemia (increase potassium levels in the blood). hyperkalemia can lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest. you may be more likely to develop hyperkalemia while using these medications if you are elderly, deny chatbot.  it is better to avoid potassium supplements while taking lisinopril. for the leg cramps occurring at nights i advise you to"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking your question i completely understand your question chronic bronchitis and cough variant asthma are two different diseases. chronic bronchitis mainly occurs in smokers, so of you are a smoker then it may be a copd / chronic bronchitis and second thing is cough variant asthma is mainly allergic, if you have allergy to dust and smoke or any other urticaria type of skin allergy also then probability is more of asthma cough variant asthma is a type of asthma in which the main symptom is a chatbot.  people with cough-variant asthma often have no other \""classic\"" asthma symptoms, such as wheezing or shortness of breathdisscuss with your pulmonologist the need of adding inhaled medications and continue with the rest. inhaled"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this is a very common side effect for azithromycin. it affects 1 out of 7 individuals taking it. it should get better after you stop the chatbot.  another common cause of bad taste is yeast infection of the mouth. antibiotics may cause fungal infections by eliminating their contestants for food (harmless bacteria). if your mouth and tongue look normal (no redness or white patches) then it's probably the bad taste caused by azithromycin. i hope i've answered your question. please let me know if you need further assistance."
Answer this question truthfully,"The cardiovascular manifestations of lupus include accelerated atherosclerosis, small-vessel necrotizing vasculitis, pericarditis, and libman-sacks endocarditis. Lupus is an autoimmune disease that can affect various organs and tissues in the body, including the heart and blood vessels. Accelerated atherosclerosis, which is the buildup of plaque in the arteries, can increase the risk of heart attack and stroke in people with lupus. Small-vessel necrotizing vasculitis is inflammation and damage to the small blood vessels, which can cause a range of symptoms such as skin rashes, joint pain, and organ damage. Pericarditis is inflammation of the lining around the heart, which can cause chest pain and other symptoms. Libman-sacks endocarditis is a type of inflammation of the heart valves that can occur in people with lupus. These cardiovascular manifestations can be serious and require prompt medical attention."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. anger is the sum total of frustrations and stress. you could be both frustrated and stressed. getting correct job profile and passion towards work removes your job frustration and stress. if you want peace of mind, enjoy your work and be passionate towards your work. if you do not like your current work change it. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain could be arising from the decayed teeth or tooth infection. consult an oral physician and get a radiograph done to rule out any tooth infection. treat the teeth first by taking a course of antibiotics and later think about neuralgia. get the infected teeth root canal treated and get the crown done. you better take an opinion from the oral physician before starting treatment for neuralgia. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,B: Evaluate urinary catheter for obstruction
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, enamel can be damaged by acid in the mouth. the stomach acid included in vomit with repeat episodes can easily damage the enamel on teeth. this would occur after the teeth are erupted and have been exposed to the acidic environment. this could then be the case with the baby teeth. now you state the adult teeth have weak enamel. this could be a genetic weakness. nutrition and medication taken while the teeth are forming will affect the quality of the tooth structure. baby teeth can be damaged if baby sleeps with a bottle with milk products coating teeth and causing decay. fluoride can be given with child chatbot.  as adults the addition of fluoride is not recommended because teeth are already formed. instead, topical fluoride can help strengthen formed tooth enamel. too much fluoride taken as a child can have the reverse effect of weakened enamel forming. often white spots are seen and indicate too much fluoride. the antibiotic tetracycline is known to darken the layer under enamel and cause gray to brown banding if taken while teeth are forming. no concern with this type of discoloration when taken as an adult. the medication, pizotifen, does not report any significant dental side effects concerning enamel. this is not available in the united states, so i am not familiar with this"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned you have normal menstruation, normal maturation and rupture of follicle, patent fallopian tube and normal semen parameter of partner then definitely you will become pregnant. cycling for one hour does not cause any problem in getting pregnant. you can also do running, swimming, skipping, walking, yoga. but avoid excessive exercise that cause any type of injured daily exercise for 45-60 minutes in morningstar small frequent meal rather than large metalloid"
Answer this question truthfully,Directions to Hospitals Performing Nissen fundoplication
Answer this question truthfully,The disorders that cause esophagitis usually respond to treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good question! this is a common situation. and it is quite complicated. there are several possible causes of pain mentioned. the pattern and movement of a pain gives clues as to what is going on. a simple examination can give a good idea whether the pain is from a disk hitting a nerve or if it is from oa changes or from spasm. they each have a different treatment. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Potential for a Plant-Made SARS-CoV-2 Neutralizing Monoclonal Antibody as a Synergetic Cocktail Component
Answer this question truthfully,The common bile duct and main pancreatic duct join at the ampulla of Vater.
Please summerize the given abstract to a title,Spontaneous muscle hematomas presenting with hemorrhagic shock in critically ill patients with SARSCoV-2 pneumonia
Please answer with one of the option in the bracket,B: Neural tube defects (NTDs)
Please summerize the given abstract to a title,Hemophagocytic Lymphohistiocytosis and Other Culture Negative Sepsis-Like Syndromes in the ICU
Answer this question truthfully,"Glucocorticoids are a potential treatment for Graves ophthalmopathy. Graves ophthalmopathy is an autoimmune condition that affects the eyes, and can cause a range of symptoms including eye pain, double vision, and bulging eyes. Glucocorticoids, which are a type of steroid hormone, can be used to reduce inflammation and suppress the immune system, which can help alleviate symptoms of Graves ophthalmopathy. Other treatments may also be used, depending on the severity and specific symptoms of the condition."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Both the ventral and dorsal pancreatic buds contribute to the head of the pancreas.

During embryonic development, the pancreas forms from two buds: the dorsal pancreatic bud and the ventral pancreatic bud. The ventral pancreatic bud gives rise to the inferior and anterior portions of the head of the pancreas, as well as the uncinate process and the main pancreatic duct. The dorsal pancreatic bud gives rise to the rest of the pancreas, including the body, tail, and superior portion of the head.

As the two buds grow and develop, they eventually fuse together to form a single pancreas. The head of the pancreas is located in the right upper quadrant of the abdomen and is adjacent to the duodenum, the first part of the small intestine.

In summary, both the ventral and dorsal pancreatic buds contribute to the formation of the head of the pancreas during embryonic development."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have undergone root canal treatment, and now you still have bump like swelling in upper front region this can be due to infection is still present at apex of root. for this i will suggest you to consult oral surgeon for examination and investigations iowa x-ray of region of swelling to confirm the diagnosis. inmeantime do warm saline rinses 2 -3 times a day. hope this will help you."
Please summerize the given abstract to a title,COVID-19 survival associates with the immunoglobulin response to the SARS-CoV-2 spike receptor binding domain
what the treatment for bronchitis,"If you have chronic bronchitis, you can take steps to control your symptoms. Lifestyle changes and ongoing care can help you manage the condition. ... The most important step is to not start smoking or to quit smoking. ... Also, try to avoid other lung irritants, such as secondhand smoke, dust, fumes, vapors, and air pollution. ... Wash your hands often to lower your risk for a viral or bacterial infection. Also, try to stay away from people who have colds or the flu. ... Follow a healthy diet and be as physically active as you can. ...  talk with your doctor about getting a yearly flu shot and a pneumonia vaccine. If you have chronic bronchitis, you may benefit from pulmonary rehabilitation (PR). ... People who have chronic bronchitis often breathe fast. Talk with your doctor about a breathing method called pursed-lip breathing."
Answer this question truthfully,HAV (Hepatitis A virus) is the picornavirus that can cause hepatosplenomegaly.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question with care and understand your concerns. let me try to help you question"
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Central hubs prediction for Bio Networks by Directed Hypergraph - GA with validation to COVID-19 PPI
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. as a urologist, i can understand your anxiety. the stones in the kidney, aren't something to worry about. the stone in the tube, is a large size and unlikely to pass spontaneously. endoscopic treatment is a routine one and delay causes damage to kidneys. however, you can try conservative treatment for about two weeks like"
Please summerize the given abstract to a title,Management of neonates after postpartum discharge and all children in the ambulatory setting during the coronavirus disease 2019 (COVID-19) pandemic
Please answer with one of the option in the bracket,A: Iron studies
Please summerize the given abstract to a title,Clinical heterogeneity in patients with myoclonus associated to COVID-19
Please summerize the given abstract to a title,Using standard celeration makes COVID-19 data more meaningful.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. red spots on inner cheeks can be due to causes like allergic reaction, side effects of medications, traumatic injury, burning with hot foods etc. certain habits like cheek biting, tobacco chewing, smoking, reverse smoking etc. can also cause red spots inside mouth and cheeks. inflammation of sebaceous glads can also be a cause. if the spots are present for more than a month and does not show any signs of improvement then you should consult an oral surgeon and get evaluated and a biopsy of the spots can be done for confirmation. you should also consult your physician and get evaluated so that he if it is the side effect of medication then the dose can be titrated or chatbot. . for now, you should start doing warm saline gargles and take vitamin b complex supplements. avoid spicy and hard foods. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking on chatbot. most often such symptoms in child chatbot.  but the high temperatures need to be desperately brought under control. if acetaminophen does not seem to be very effective, metal p syrup should be given. it contains metonymic acid which is more effective than acetaminophen. but it is a prescription medication, and you need to get it prescribed by your doctor. give tepid sponging as well. it will also take care of body ache and headache. you need to give steam inhalation and some anti-allergic medicines during the episodes since it is associated with some allergic component. you should take the child to a doctor and get him examined especially if the fever lasts for more than 7 days or if the child becomes lethargic. however, i do not suppose that antibiotics need to be given as they are ineffective in viral infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion there are fewer chances of pregnancy with protected intercourse. the efficacy of method depends on the method used. that is if she is on birth control pill with regular intake the chance of pregnancy are very rare because the birth control pills are effective of all methods. if the condom was used and there is no slippage and tear of condom during the intercourse the efficacy will be good. the best time to test for pregnancy is one week after missed period. the urine pregnancy test gives accurate results if done during this time. the blood pregnancy test gives accurate results well early to urine pregnancy test around 3 weeks from last menstrual period. as it is 7 days late i suggest you to go for a urine pregnancy test. in case of positive pregnancy test the termination of pregnancy by medicines is possible up to 7 weeks of pregnancy and after 7 weeks surgical procedure is done for termination. but take medicines for termination only under strict medical supervision to avoid complications. as it was protected sex the chances of pregnancy are rare. if the urine pregnancy test is negative the test should be repeated after a week. if still the repeat test is negative there might be no chance of pregnancy. and the delay of period in such case might be due to stress induced hormonal imbalance. so avoid stress and relax and consider doing a urine pregnancy test. hope this helps. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. have you got your teeth professionally cleaned by your dentist? bad breath can be due to a many various etiologies. since you are maintaining a good oral hygiene, the cause of the bad breath can be other reason which can include chatbot. bad breath can also be caused by decreased flow of saliva called xerostomia. i would advise you to visit your dentist and have it evaluated. avoid prolonged use of mouth wash which can also lead to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for query. a painful lump at the back of testicle could be either swollen epididymis (epididymitis) or a sebaceous cyst.however, diagnosis can be confirmed only on clinical examination by a qualified general surgeon. you may need to get ultrasound scanning of the scrotum to establish diagnosis. take antibiotics like doxycycline and anti-inflammatory medication like diclofenac twice daily. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems that your son had an allergic reaction to the antibiotic given to you leading to rashes and swelling. it is one of the common presentation of allergy to antibiotic that leads to rashes and swelling. many a time there is a delayed allergic reaction as the antibodies against a specific allergen are gradually formed in the body and once they are sufficient in concentration they try to fight against the allergen leading to the symptoms. you should also immediately give him the antibiotics and consult your treating physician and get evaluated, and he can give him anti allergic like ben chatbot. . doing cool compresses and applying calamine lotion can also help. give plenty of water to wean off the effect of the allergen faster by increasing the excretion through urine. hope this information helps. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. noted your history of having colonoscopy today and had 2 polyps removed. since you have arrived home you have developed dull pain in the left lower abdomen, constant and stabbing pain if you move. and the left thigh and groin too is affected by the pain. this can be a trapped wind, but there is a more chance that there is a perforation of the colon.hence, i would advise you the following things to be done immediately. rush to the er or the hospital where colonoscopy was performed. stop taking anything orally. you need an urgent admission, intravenous fluids and intravenous antibiotics too. investigations"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear friend your low back pain seems muscular-ligamental pain. you can take muscle relaxant medicine like combination of diclofenac+paracetamol+chlorzoxazon if only severe pain is there. -physiotherapy and exercise will help you a lot.-exercise for low back pain-raise your leg straight from hip joint without bending from knee after sleeping on back and then put down slowly. same exercise for another leg and then raise both leg simultaneously. sleep on abdomen and raise your head and chest backward. do all these exercise 40-50 times per day by increasing slowly every day. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon dear friend chatbot.
Answer this question truthfully,"Pseudoaneurysm is a local vascular complication of cardiac catheterization characterized by a systolic bruit and painful, bulging, pulsatile mass."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, certainly it's a matter of worry and indicates that heart is pumping adequate blood so leads to swelling of legs and other sites. however, it's a treatable condition. his echo should be done and hell need some medicine called as diuretics like dy tor etc. at home, he should have strict salt and water restrictions preferably less than one liter.  also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. regular exercises like brisk walking, or just walking according your capacity at least 30 min a day and 5 days a week. eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. get your lipid profile and sugars tested once. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Multiple myeloma
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern you are being wrongly understood or informed in fact the brain atrophy is term apply to an aged brain (person is above 80 or above 80 years old can have an atrophy of brain) and this is not applied to an age group of 4 years old, but this could be microcephaly, or agenesis of some part of cerebral cortex, this could be genetic, hope this information helps you have nice day."
Answer this question truthfully,"The recommended next step in management for a diabetic patient taking metformin and nightly insulin glargine that presents with an elevated hemoglobin A1c despite normal fasting glucose levels is to add rapid-acting mealtime insulin. This is because elevated hemoglobin A1c levels indicate poor long-term glucose control, which may not be reflected in fasting glucose levels alone. Adding rapid-acting mealtime insulin can help to improve postprandial glucose control and reduce hemoglobin A1c levels. It is important for healthcare providers to monitor the patient's glucose levels closely and adjust their insulin regimen as needed to achieve optimal glucose control while minimizing the risk of hypoglycemia. In addition, healthcare providers should also address any modifiable risk factors for poor glucose control, such as dietary habits, physical activity levels, and medication adherence."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, i would like to tell you that special care should be taken while performing dental procedures, as you are pregnant. visit the dentist get a checkup done. avoid taking x-rays. best treatment for peritonitis will be extraction of wisdom tooth, you can postpone the treatment until your delivery till then you can take a course of antibiotics and analgesics consulting your organ. take lukewarm saline and antiseptic mouthwash rinses. maintain a good oral hygiene. take care!"
Answer this question truthfully,Anti-smooth muscle autoantibodies are associated with autoimmune hepatitis type 1.
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,"Age-dependent assessment of genes involved in cellular senescence, telomere and mitochondrial pathways in human lung tissue of smokers, COPD and IPF: Associations with SARS-CoV-2 COVID-19 ACE2-TMPRSS2-Furin-DPP4 axis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you have mentioned the mri here, the mri is helpful to see the internal structures of the knee joints, which contains - the ligaments, cartilages, joint space etc. as there is a mild injury of g1 mcl it is not too bad. as this can be corrected. apparently most of the ligaments like anterior cruciate ligament, posterior cruciate ligament, meniscus etc. are all fine. the treatment is very simple as to first follow the protocol of rice - rest, ice, compression & elevation. next step is to strengthen the muscle of the knee joint by performing specific exercise which gives less strain on the mcl and gives optimum output. also, performing exercises under a qualified. physical therapist will help to gain a better strength and less strain and sprain on the muscles and ligaments. with the grace of god i wish you a speedy recovery for more doubts you can ask me directly. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. even though you masturbated the night before, and had urinated throughout the morning before intercourse, the chance of being pregnant is there since you had inserted. but getting pregnant requires sperm to enter the vagina. so it is difficult to say whether she can become pregnant or not. if she is in the fertile period she can take emergency pill with in 3 days of intercourse to prevent conception. (regular use of emergency pill is harmful)conception occurs if she was in 10th to 18th day of her cycle(in a regular cycle of 28 day duration). you can ask her at what day she is in and wait for next cycle to occur. if it delayed by 7 days then get done upt to diagnose if pregnant and then the required treatment can be taken. regards"
Answer this question truthfully,
Please summerize the given abstract to a title,The digital traveller: implications for data ethics and data governance in tourism and hospitality
Please summerize the given abstract to a title,Transcriptome analysis of PBMCs reveals distinct immune response in the asymptomatic and re-detectable positive COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting in chatbot. yes. kidney stones are one of the commonest reasons for pain abdomen. but usually if they are very small like less than 4\u00a0mm or so they won't cause any obstruction anywhere and hence no chance of causing any pain. what was the size of the stone found on scan? and also what was the site. usually the pain and severity depends on above 2 factors. site and size of the stone. the reason for pain is as kidney stones are foreign objects for body, and sometimes it causes obstruction in urine outflow, the ureters go in spasmodic contractions to expel the stone. this is the reason for pain most commonly. consult a urologist with your report or get back with me with the detailed report and i will guide you further. awaiting your response. thank you"
Answer this question truthfully,"Dermatitis is a blanket term literally meaning "" inflammation of the skin"". It is usually used to refer to eczema, which is also known as Dermatitis eczema. There are several different types. Usually all of them have in common an allergic reaction to specific allergens."
Please summerize the given abstract to a title,Network security model based on active defense and passive defense hybrid strategy
Please answer with one of the option in the bracket,A: Keratin nests and pearls
Please summerize the given abstract to a title,Cryptosporidium parvum: Determination of ID(50) and the dose–response relationship in experimentally challenged dairy calves
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the history and symptoms are suggesting me that you are having upper respiratory tract infection. this infection is may be due to viral or bacterial infection. the symptoms are in favor of bacterial infection, which is leading to yellow mucus from the respiratory tract. for the symptoms i would suggest you to follow1. steam inhalation with vocals.2. tab augmenting, 625 mg, twice daily for 5 days.3. oral monte lc, once in a day in night.4. syp ambrosia s. the aforementioned measures will help to reduce the symptoms and improve the condition. thank you."
Please summerize the given abstract to a title,[Disseminated infection by M. tuberculosis complex in patient with IFN-γ receptor 1 complete deficiency].
Please summerize the given abstract to a title,Pathophysiology and abnormalities of hemostasis in intensive care patients with Covid-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, basically, there is tissue present that is not giving a normal reaction to the mri. the words subtle and superficial indicate less of a change or less invasion rather than a dense mass or extensive area showing change. you indicate ulcerated tissue present which is inflamed or abnormal tissue. there are lymph nodes, less than one centimeter in size, that are showing a change. the location is identified around and behind the submandibular glands in the neck with level ib and ii noted. identification of lymphatic chatbot.  the study indicates the location to be on side of your tongue. more information concerning the tissue requires a pathological study such as a biopsy. tumors when removed are further evaluated with pathological studies. this will identify malignant and non-malignant tumors of the oral cavity. mri study for the evaluation of squamous cell carcinoma is the primary concern. other lesions to include in a possible diagnosis include lymphoma, adenoid, sarcoma, salivary gland tumor, abnormal adenoidal tissue or floor of the mouth tissue. thank you for your inquiry. your doctor will review your mri study and clinical evaluation to advise you on your treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your query in depth. i feel concerned about it, as you have a family history. in my opinion, it's a case of -gingival peri-coronitis with inflammation and cervical-node lymphadenitis, cuased by the partially erupted impacted 3rd molar-with trismus-the spasm of the neck muscles. the swelling on the trachea/oesophagus-felt is due to the lymphadenits of the regional nodes which chatbot. treatment-remedy-a-i would have treated it-with tb-nsaids-, and antibiotics, with good oral /throat gargles with listerine-. once the infection and peri-coronitis reduced-then, x-ray of the 3rd rt molar with biopsy of the gingival tissue-to rule out any cancerous growth simultaneously needs to be ruled-which is the remote possibility almost to nil. hope this would relieve your worry and pains. but for this i would advise you to take-dental surgeons opinion ideally. thanking once again. have a good day."
Please summerize the given abstract to a title,The myth of generalisability in clinical research and machine learning in health care
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query, eosinophil esophagitis symptoms wise. similar to esophagitis where one can see difficulty in swallowing, heart burn, belching and stricture formation. it will not lead to candidiasis, the medication (steroids) can cause when used in prolonged interval causes d candidiasis. u can start monte+ lc(montelukast+ cetirizine) one tab at bedtime. esophagoscopy screening procedure to rule out any stricture. all the best. take care."
Please answer with one of the option in the bracket,C: Root cause analysis
Answer this question truthfully,"Indinavir is the HIV protease inhibitor that is known to have the potential to cause nephrolithiasis, which is the formation of kidney stones. Indinavir is a potent inhibitor of the HIV protease enzyme, which is necessary for the replication of the virus. However, it can also bind to calcium ions and lead to the formation of crystals in the urine, which can then develop into kidney stones. The risk of nephrolithiasis is increased with higher doses of indinavir and with inadequate hydration. Therefore, it is important for patients taking indinavir to drink plenty of fluids and to undergo regular monitoring for kidney function and the presence of kidney stones."
Please answer with one of the option in the bracket,E: Pramipexole
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, after going through your query it looks you are having severe anxiety related to death. start doing deep breathing exercise daily. before going to sleep you should do some meditation, you lie down in bed and starting from foot come upwards feeling that every part of your body is relaxed. then feel that mind is relaxed and enter sleep. i usually prescribe clonazepam for initial period to patients visiting my clinic along with paroxetine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i hope this answer finds you in better health than when you wrote it. low mood, negative pattern of thinking, mood swings etc. are suggestive of depression amongst many problems. there are many ways in which this can be helped (medication and formal taking therapies for confirmed clinical depression) and if it is not, then as well, talking about your problems itself can help to a large extent.  do consult a mental health care professional. guidance"
Please summerize the given abstract to a title,How have media campaigns been used to promote and discourage healthy and unhealthy beverages in the United States? A systematic scoping review to inform future research to reduce sugary beverage health risks.
Answer this question truthfully,Presence of nodules and pleural effusion on chest x ray may be suggestive of follicular lymphoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi friend, welcome to chatbot the feature of fever localized in the scalp area only may not be right / she could be telling a different or hot sensation restricted to the local area... details of calcification are not clear - may be in the normal structure like fall / or abnormal lesions? appropriate treatment is dictated by accurate diagnosis... and your mother probably needs some more investigations before proceeding further. discuss with your neurologist... if necessary, have a second opinion... take tarnishing speedy recovery god bless good luck"
Answer this question truthfully,"The recommended age range for children to use a booster seat is until they are 8 years old, or until the seat belt fits properly. Booster seats are designed to help position the seat belt correctly on a child's body, which can help to reduce the risk of injury in the event of a crash. While the specific age at which a child may no longer need a booster seat can vary based on their size and weight, it is generally recommended that they continue to use one until they are at least 8 years old. Parents and caregivers should refer to the manufacturer's guidelines for their specific booster seat to ensure that it is being used correctly and effectively."
"If you are a doctor, please answer the medical questions based on the patient's description.","pain in the upper abdomen just below the ribs on left side is not a serious condition. if the same pain is on right side, you should exclude liver, gall bladder disorders. but, if your pain is till persisting, go for an ultrasound abdomen to rule out kidney stones. if you are feeling a lump in the ribs, go for x-ray chest - ap view and pa view. if you are a smoker and alcoholic, please stop them and see the results. you can review with the reports."
"If you are a doctor, please answer the medical questions based on the patient's description.",yes when you are suffering from eczema and on medicines after some years the same medicines lose control on disease and it starts affecting other system your medicines of allergy like steroids also have side effects along with disease have treated 5 patients like this i tested the allergies and started with immunotherapy for aeroallergens and elimination for foods and it worked and patient are free from disease for last 7 years after follow you can also consult allergy specialist to get allergies detected which will cure your both systems
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, if 10 days after the missed period the urine pregnancy tests are negative, probability of pregnancy is very less. if you are still in doubt, for further confirmation, you have the following options"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, serum creatinine of 1.3 is just above the normal range of creatinines. in few people baseline creatinine can be just above the normal range. so there is nothing to worry about the great levels if there are no other symptoms associated with it. i would suggest you to do routine creatinine levels after 3 -4 weeks. if there is rise of creatinine at that time kindly refer to a nephrologist then. otherwise, it could be his baseline creatinine which is nothing to be worried about. i hope i have helped your query. thank you"
Answer this question truthfully,Rituximab can be used to treat chronic lymphocytic leukemia.
Answer this question truthfully,"Bleeding gums (blood on toothbrush even with gentle brushing of the teeth) Bright red or red-purple appearance to gums Gums that are tender when touched, but otherwise painless Mouth sores Swollen gums Shiny appearance to gums"
Please summerize the given abstract to a title,"[Maternal mortality trend in the state of Rio de Janeiro, Brazil, 2006-2018, according to the ICD-MM classification]."
Please summerize the given abstract to a title,Wastewater Monitoring of SARS-CoV-2 from Acute Care Hospitals Identifies Nosocomial Transmission and Outbreaks
Please summerize the given abstract to a title,Extraction of Traditional Chinese Medicine Entity: Design of a Novel Span-Level Named Entity Recognition Method With Distant Supervision
Please summerize the given abstract to a title,"Impact of the COVID-19 pandemic on testing services for HIV, viral hepatitis and sexually transmitted infections in the WHO European Region, March to August 2020"
Answer this question truthfully,"Allergy symptoms vary, but may include:
Breathing problems (coughing, shortness of breath) Burning, tearing, or itchy eyes Conjunctivitis (red, swollen eyes) Coughing Diarrhea Headache Hives Itching of the nose, mouth, throat, skin, or any other area Runny nose Skin rashes Stomach cramps Vomiting Wheezing
What part of the body is contacted by the allergen plays a role in the symptoms you develop. For example:
Allergens that are breathed in often cause a stuffy nose, itchy nose and throat, mucus production, cough, or wheezing. Allergens that touch the eyes may cause itchy, watery, red, swollen eyes. Eating something you are allergic to can cause nausea, vomiting, abdominal pain, cramping, diarrhea, or a severe, life-threatening reaction. Allergens that touch the skin can cause a skin rash, hives, itching, blisters, or even skin peeling. Drug allergies usually involve the whole body and can lead to a variety of symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for asking on chatbot. if i was the treating doctor i will do the following
"If you are a doctor, please answer the medical questions based on the patient's description.","as per the description, it seems he has an intracranial hemorrhage. in other words, one of the blood vessels has ruptured, and the blood has seeped into the brain. the symptoms are going to stay, at least till the normal restorative means of the body actually manage to clear the blood.i personally would have planned a repeat ct/mri, to look for the increase in the bleeding status, or to make sure that there is no further edema around the bleed. best of luck there is anything in particular you need to know, please feel free to ask a follow-up query. better to upload the imaging for better opinion chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi....looks like your kid is having an upper respiratory infection.... these are usually viral. if your kid is normal in between fever episodes in a single day... i don't think you should worry as its only 3rd day of fever. danger signs include breathlessness/ rash/ low urine output/ seizures/ unconsciousness/ blood in motion. don't worry if these are not there & the kid is active. hope my answer was helpful for you. happy to help anytime. further clarifications and consultations on chatbot are welcome.
Please summerize the given abstract to a title,CSF biomarkers in patients with COVID-19 and neurological symptoms: A case series
"If you are a doctor, please answer the medical questions based on the patient's description.","hello chris, i am chatbot. i have gone through your query. thanks for using chatbot. basically the effect of warfarin is very variable in individual and is affected by many external factors. it is affected by intake of green leafy vegetables, extremes of climate and concomitant medications. that is the very reason you have to monitor pt inr and adjust the dose frequently to maintain inr around 2.5. as long as it remains between 2 and 2.5 it is reasonable. otherwise you should increase or decrease 1\u00a0mg on alternate days. if inr less than 2 you increase 1\u00a0mg on alternate days and if above 2.5 decrease 1 mg on alternate days. monitor it every 15 days and then every month and then every two monthly once it is stabilized, my best wishes"
Answer this question truthfully,Non-Hodgkin's lymphoma may present as a primary CNS lymphoma.
Answer this question truthfully,What is the first-line treatment for post-traumatic stress disorder (PTSD)? The first-line treatment for PTSD includes CBT + SSRIs or venlafaxine.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi michael, welcome to chatbot, and thanks for your question... having difficulty in paying attention or staying focussed on a task can be due to various reasons. one of the common reasons is underlying stress. often, when the mind is preoccupied with stressful or worrying thoughts, it can be difficult to stay focussed on the task at hand and can sometimes lead to mistakes and poor performance as well. sometimes lack of proper planning and poor time management can also result in stress and thereby impair performance. however, if in addition to the symptoms which you have mentioned, if you are experiencing low mood, lack of interest, lack of energy, negative thoughts, poor sleep or poor appetite, then it may be indicative of depression, in which case, you may need to consult your doctor. i would suggest that you try to avoid any stressors which may be bothering you. you can also share your distress with a close friend or relative, as that would make you feel less burdened. maybe, you can take a break and spend time just relaxing and unwinding. you can also try relaxation exercises like deep breathing or meditation / yoga. a better planning of your time and activities can also make you feel more relaxed. and if at any point in time you feel that things are getting out of hand, or you are finding it difficult to cope, please do not hesitate to seek professional help straightaway. wish you all the best.-"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, i have gone through the website. first time heard about this product. if a patient come to my clinic with this query i will give the following advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned the symptoms of numbness you need to be little slow in first getting what the cause is. as the medical fraternity is trying to figure out the cause. also, the cns has two kinds of tissue"
Please answer the letter of option truthfully,B
Answer this question truthfully,Residual chronic findings of multiple sclerosis include hypertrophy and hyperplasia of astrocytes.
Please summerize the given abstract to a title,Successful Recruitment Strategies for Engaging Pregnant African American Women in Research.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the most common causes for fatty liver and high ast snd alt are alcohol consumption, however in absence of alcohol consumption other reasons which are important are high cholesterol, consumtion of more sugar and diabetes. in your case, probably high cholesterol and diabetes are responsible for your fatty liver and high liver enzymes. there is a lot of controversy regarding the medication as many gastroenterologists feel that medicines like protocol have no use. the best and ideal treatment is quit alcohol, if any, control your cholesterol and blood sugar levels, do regular exercises and shed your weight. get your liver enzymes tested after 3 months. most likely you should be all right. in case, you don't find improvement, consult a gastroenterologist and get yourself tested comprehensively. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern regarding your husbands symptoms. from what you have mentioned, it is quite possible that your husband is having a depressive episode. to link it with stroke is a bit difficult. usually, post stroke depression starts within 2 years. in your husbands case, it has been 4 years. it may be possible but less likely. in any case, he would need treatment. you should seek a psychiatric consultation for him. treatment with anti-depressant like escitalopram will be effective. hope this information was helpful. best wishes."
help with obesity I would like help on my obesity problem and if I can get help,"Numerous dietary supplements that promise to help you shed weight quickly are available. The effectiveness, particularly the long-term effectiveness, and safety of these products are often questionable. Talk to your doctor before taking any dietary supplements. Mind-body therapies - such as acupuncture, mindfulness meditation and yoga - may complement other obesity treatments. However, these therapies generally haven't been well-studied in the treatment of weight loss. Talk to your doctor if you're interested in adding a mind-body therapy to your treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the present vibrating sensation just about your knee can be due to either stress or due to recent high blood sugar level.  i will advise you to do regular exercise is at morning and avoid high sugar foods. if this level of high sugar continue to be there after 10 or 15 days then i will advise you to consult your doctor and get yourself completely evaluated. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. the other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. you can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. many options are available in chemical peels depending on the requirement and skin type. (glycol peel, retinol peel, cocktail peel etc.)also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. also, at home you can try using cream containing comic acid, betray chatbot. always use broad spectrum sunscreen before going out in sun. use a plain moisturizer like detail dam on daily basis for healthy and hy"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,Deficiencies of potassium (K+) and magnesium (Mg2+) cations are associated with torsades de pointes.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello;fever in cancer patients taking chemotherapy is not uncommon. patients with cancer are immunocompromised and chemotherapy can further suppress the immunity. common sites of infection should be searched to find source of infection. questions whether there are any other signs of infection, redness, swelling, pain, pus, productive cough, color of phlegm, breaks in the skin, presence of an iv line, mouth sores can help in localizing source of infection. since his blood culture was negative, and he has not responded to antibiotics, there is a probability that he is having some fungal infection. he should receive antifungal medication as well as tests for detection of fungal infectionregards"
Please summerize the given abstract to a title,Meet the 2020 Bunche Fellows
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. tooth pain associated with postural variation suggests deep caries involving the pulp, which is left untreated will lead to an abscess (periapical abscess). i would advise you to ask him to have an ibuprofen or a painkiller (if he is not allergic to any medicine). antibiotics like amoxicillin will be required on prescription. please revisit the dentist and have the tooth treated with root canal treatment. cleaning of the teeth can be followed. do not apply hot bag externally. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have pain under the ribs due to a fall. well there can be many reasons for symptoms you mention in query like intercostal muscles strain, gallstones, costco chatbot.  sometimes broken rib also hurt some organ like liver which can cause pain or can also cause hematoma in skin. i would suggest you to consult orthopedic surgeon for proper examination. doctor may order x-ray or physical examination. doctor may also order ultrasound. doctor may prescribe breathing exercises to help you breathe more deeply because shallow breathing can put you at risk of developing pneumonia. doctor may also doctor use compression wraps that is elastic bandages that you can wrap around your chest to help splint and immobilize the area. doctor may also"
Answer this question truthfully,Daptomycin is a lipopeptide antibiotic that is used to treat infections caused by Multi Drug Resistant Gram Positive Cocci.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for writing to chatbot describing your problem of a lump on the front of the shoulder! after going through your description of this kind of common lump, if i were your family physician, i would like to consider following possibilities as per my experience of ultrasound and needle biopsies"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion that could be a muscular spasm or sprain which is common with cold weather, bad sitting or sleeping postures or heavy lifting or vigorous movements .  i do not want you to be worried in most of the cases it subsides simultaneously or with rest, painkillers like advil tabs when needed, hot gentle massaging with topical anti-inflammatory gels and muscle relaxants will be effective in most of the cases.  try to avoid causing agents and rest, and you will be fine. please click and consider a 5-star rating with some positive feedback if the information was helpful. wish you good health, any further clarifications feel free to ask."
Answer this question truthfully,"Increased glucagon levels during fasting lead to increased cAMP and protein kinase A, which in turn increase the activity of FBPase-2 and decrease the activity of PFK-2."
Please summerize the given abstract to a title,Feminising hormone therapy reduces testicular ACE‐2 receptor expression: Implications for treatment or prevention of COVID‐19 infection in men
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Where is Blastomycosis commonly found in the United States, with prevalence in the areas surrounding the Great Lakes, as well as in the eastern and southern regions of the country?"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear austin, hello, welcome to chatbot. you are having fungal infection of the above-mentioned areas known as tina courts. you should take oral and topical treatment of antifungals for around 2-3weeks period under advice of your doctor. this problem aroused because of your occupation which i suppose is having exposure to heat and humidity. both of these things increases the propensity of fungus to grow. so you should maintain proper hygiene with twice daily bath, wearing loose cotton clothes, changing your undergarments and general garments two times a day and maintaining a chatbot.  with the best health wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the gum tissue can go through changes as teeth erupt. keep up good oral hygiene. flossing is very important to clean the tissue in between teeth. gentle, stimulating brushing on the gum can increase blood flow to reduce inflammation. vigorous rinsing with warm salt water is also recommended. the tissue may shrink and become firmer between the teeth. be sure to use a soft or extra soft toothbrush. the teeth are moving, and your jaw continues to grow. this may resolve on its own. if you notice any changes to the tissue, or it increases in size, be sure to contact your dentist for an evaluation and rule out infection. crowding has an effect on the tissue. you may wish to consult an orthodontist to increase spacing between the teeth. this would require braces. occasionally, part of a baby tooth root gets caught under the gum and can cause an irritation. some excess gum tissue can also raise concerns of a systemic disease or be an effect of a medication. if the situation does not improve, schedule a dental exam with your dentist. your dentist can reshape or remove excess tissue if necessary. i hope you find my recommendations useful, and thank you for your inquiry."
Answer this question truthfully,"Call for an appointment with your health care provider if:
You have symptoms of scleroderma You have scleroderma and symptoms become worse or new symptoms develop"
Please summerize the given abstract to a title,"Comparative Effectiveness and Antibody Responses to Moderna and Pfizer-BioNTech COVID-19 Vaccines among Hospitalized Veterans — Five Veterans Affairs Medical Centers, United States, February 1–September 30, 2021"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatdoctori appreciate you for the treatment you are following. you can continue the same for the time being. in case she doesn't respond even after 3-5 days or runs a high grade fever, breathlessness, fast breathing, ear discharge or lethargy, then in my opinion an antibiotic will help. you may start amoxicillin or azithromycin after a clinical check-up. also, chest x-ray, ear examination advisable. in case you have any questions, do call back."
Please summerize the given abstract to a title,Effects of COVID-19 on Healthcare Providers: Opportunities for Education and Support (ECHOES)
"If you are a doctor, please answer the medical questions based on the patient's description.",degree understand your problem. i went through your details. i suggest you not to worry much. the problem of erectile dysfunction could mostly due to psychological causes than organic causes. you talked about masturbation habit. masturbation is no sin and is pretty normal and natural. even animals masturbate. ill concepts about masturbation might have lead towards negative thinking about masturbation and resultant erectile dysfunction. finding semen in the urine is common. in your case it is because you are not masturbating or having sex. you need to have sexological counseling and sex therapy. do post a direct query in this website and i shall prescribe some techniques to overcome erectile dysfunction. hope this answers your query. available for further clarifications. good luck.
Please summerize the given abstract to a title,Emergency medicine airway leads: a rapid response distributed educational model for emergency department COVID-19 airway management
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is possible to get pregnant with a bulky uterus. but you will need some medical support for that.  you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after injection.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 months if everything is fine.  if it doesn't work then you can go for gui or ivf.  hope i have answered your question. regards chatbot."
Please summerize the given abstract to a title,ANNMDD: Strength of Artificial Neural Network Types for Medical Diagnosis Domain
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot after going through your query i concluded that you are having cervical spondylitis with decorative disc disease. you are not willing to undergo surgery. you can take conservative treatment such as diapering and glucosamine. analgesic such as ibuprofen for pain relief. if you have persistent neurological such as severe weakness of upper or lower limb and numbness in limb then you should undergo operation. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then please don't hesitate to write to us. i will be happy to help you. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as your husband has pain don't worry it can be due to caries or due to periodontal problem you should consult dentist and go for investigations done iowa x-ray if it is caries then go for restoration or root canal treatment and if due to periodontal problem then go for scaling and root planning.  as your husband have already taken painkiller also don't go for more dosage of it will give you temporary relief. consult dentist and go for proper treatment as early as possible."
"If you are a doctor, please answer the medical questions based on the patient's description.","if there is swelling and bruises at local area where stitches are kept. as well if stitches are healed then you can go for removal. but if it is not healed and there is a fluid discharge from local area then it shows there is an infection over there.  i suggest visiting your doctor and get evaluated properly make sure there is no infection and then go for removal of stitches otherwise more than the removal the first thing you need to do is start having anti bionics if there is infection over there. and wait for stitches removal(till the time it gets chatbot. you can also use hot and cold pack at painful, swollen local area but make sure the water should not touch the local area where it is paining or stitches are there for some more relief. here without physical examination it is difficult to guide you in detail, so i have given you simple guideline. i am sure this will be useful for you. do visit your doctor let him check and take decision. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. most of your symptoms are non-specific and can be seen in many conditions like premenstrual phase, infections etc. so you better wait till your expected date of periods and if you miss the date, then go for pregnancy test. if possible you can prefer blood test for pregnancy which will give more accurate results compared with urine test. if test comes negative, you better consult gynecologist and take treatment to regularize your cycles and for ovulation induction, which can possibly help in getting pregnancy. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. it may be probably due to congestion due to edema of feet. you are likely to be due to varicose veins. it is likely to be benefitted by avoiding dependence, cr\u00eape bandage application. you may need general surgeon and skin specialist. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
Please answer with one of the option in the bracket,A: Decreased IFN-γ levels
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you have history of childbirth and breast feeding.  you have lump on areola with whitish material.  furthermore, you may have abscess forming mastitis or galactose most likely.  furthermore, you should go for fine needle aspiration cytology. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"VEGF xxx production can be induced in cells that are not receiving enough oxygen. When a cell is deficient in oxygen, it produces HIF, Hypoxia Inducible Factor, a transcription factor. HIF stimulates the release of VEGF xxx, among other functions (including modulation of erythropoeisis). Circulating VEGF xxx then binds to VEGF Receptors on endothelial cells, triggering a Tyrosine Kinase Pathway leading to angiogenesis."
Answer this question truthfully,Angiotensin II acts directly at the PCT to increase NaHCO3 reabsorption.
Please summerize the given abstract to a title,Blood Circulation Changes Associated with Switching to Non-invasive Ventilation in Covid-19 Patient
Answer this question truthfully,"Cholangiocarcinoma is a type of cancer that originates in the bile ducts, which are tubes that transport bile from the liver to the small intestine. This cancer may present with high CEA/CA-19-9 levels, which are tumor markers that can be detected in blood tests. Diagnosis of cholangiocarcinoma typically involves imaging tests such as MRI or CT scan, and biopsy may be necessary to confirm the diagnosis. Treatment for cholangiocarcinoma may include surgery, radiation therapy, chemotherapy, or a combination of these approaches, depending on the stage and location of the cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist. since you have cirrhosis antiviral has to be given for long time. so i will suggest you to take tablet tenofovir, of which no resistance is known till date even after use of more than 10yrs. medicines which you are using may show resistance and there will be viral breakthrough. discuss this with your doctor. i hope i have answered your query and this will help you. wish you a good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in above type of sexual activity, chance of being pregnant is quite high. with chatbot.  here, you need to undergo one blood test for beta chatbot after 7 days to confirm. early pregnancy test may give negative result. tvs scan gives additional information. following test report, you need to consult with gynecologist for next line management. practice safe sex in the future. good luck."
Answer this question truthfully,Salivary gland tumors are most commonly benign.
Please summerize the given abstract to a title,International students struggling in the private rental sector in Australia prior to and during the pandemic
Please answer with one of the option in the bracket,C: Intrinsic factor
Answer this question truthfully,Mucoepidermoid carcinoma in the parotid gland can potentially involve CN7.
"If you are a doctor, please answer the medical questions based on the patient's description.","his am chatbot. i have read your message. i think i should suggest a change in the mattress. that is the most common cause of such aches in the back that resolve on waking up and mobilizing. some physiotherapy and back strengthening exercises would help. however, removal of the cause is the most important. also, if you have been working out and the pain has started after that, i would recommend using a trainer to make sure you are doing the exercises correctly. of course an mri of the spine would help, but without examination, it would be a guess to suggest that you should test mri of ls spine. best of luck,"
Answer this question truthfully,Hemophilia presents with these symptoms.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have multiple sebaceous cysts over penile shaft. the penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. normally they fade away without treatment however they need to be treated if increase in size or get infected. please consult qualified general surgeon for clinical evaluation and further treatment. if needed some of them which are bigger may need to get excised in toto (completely along with the sac). chatbot."
Please answer with one of the option in the bracket,D: Cohort study
Please summerize the given abstract to a title,Otorhinolaryngology services during the COVID-19 pandemic in Tanzania
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Serological survey of SARS-CoV-2 incidence conducted at a rural West Virginia hospital
Please answer with one of the option in the bracket,B: Politely decline and explain that he cannot accept valuable gifts from his patients.
Answer this question truthfully,Stable angina usually improves with lifestyle modifications and proper medication. {{#ev:youtube|O3jJ-s23G5M}}
"If you are a doctor, please answer the medical questions based on the patient's description.","sore breasts can be a side effect of birth control, even two years after you started, however, it is still unusual for you to suddenly have aide wedge at hat you didn't have before of the same pills.  if you have had other medications recently, such as antibiotics, this might have affected how your body reacts to the birth control, and it should resolve after you stop the other medications. however, if the symptoms persist, you might want to see your doctor to make sure there isn't another problem such as a prolactin hormone problem, or maybe you can try a different birth control. i hope this helps, please let me know if you have any more questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, sperm are regularly produced in our body along with fluids secreted from glands like prostate seminal vesicle etc. it becomes semen. so if it is produced regularly it should be discharged regularly from body by sexual intercourse and manually through masturbation otherwise it comes out during nightfall. now masturbation does not cause weakness or defect in sexual organ (energy lost is almost similar to doing other activity in muscle contraction n relaxation). it gives pleasure during act of masturbation and later calmness which is thought as weakness.  your height and weight are normal. so in my opinion you don't require supplementing any diet if you are taking balanced diet. hope this will help. for any queries feel free to ask. thanks n regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are taking solo 650 mg i.e. paracetamol, but this is only an antipyretic, it means decreases temperature (symptomatic relief not treatment). since you are also having cold and cough with difficulty in breathing due to congestion. when such patient visit i advise my patient to take montelukast+ albuterol tablet once or twice in day. also take some dextromethorpahn + chlorampheniramine male at+ menthol syrup. hope this will help you. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi ! good evening. i am chatbot answering your query. i would advise you to go immediately to the er of your nearest hospital and get it physically examined by the duty doctor for an early management to avoid any further complication. it might not be appropriate to seek opinion on your condition over the net and delay the treatment. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. you have localized skin infection in opposite ear that is right ear. your left ear have no infection with staph. so you can do piercing of your left ear. but if you have systemic sign of infection that is fever like condition, elevated total count then it is better you pierce left ear after treating infection with oral antibiotic. if you have no such systemic infection then left ear can definitely be pierced with no risk. your ear should be pierced aseptically with new needle. i hope i have solved your query."
Please summerize the given abstract to a title,Comparison of Mitral Valve Replacement and Repair for Degenerative Mitral Regurgitation: a Meta-analysis and Implications for Transcatheter Mitral Procedures
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.... your details are incomplete. i did not get plavix ??? but as your description, you are suffering from ischemic heart disease and had stenting (ptc). and you are regular on tab aspirin with ntgn. but if you are feeling some clots in legs then definitely you should go for color doppler venography both lower legs to see any clot in superficial or deep vein. because it can cause pulmonary embolism later on. till then continue your chatbot. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you may need to do mri brain and eeg brain to know for organic cause of seizures. if all tests are normal still you have seizures then those can be due chemical imbalance. then you may need to continue anti-epileptic medication for long time. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. oncologist can easily detect hiv related lymphoma. if you have not tested for hiv then go for hiv testing. take treatment of your lymphoma according to type and stage of lymphoma. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"The progression of the second stage of labor is evaluated by monitoring fetal station and the status of the cervix/effacement. Fetal station refers to the position of the baby's head in relation to the mother's pelvis, and it is measured in centimeters above or below the ischial spines. As the baby descends through the birth canal, the fetal station will gradually move closer to 0, indicating that the baby is getting closer to delivery. The cervix/effacement is also closely monitored during the second stage of labor, and it should be fully dilated and effaced (thinned out) before delivery can occur. These indicators help healthcare providers assess the progress of labor and determine if any interventions, such as assisted delivery or cesarean section, are necessary to ensure a safe delivery for both the mother and baby."
Answer this question truthfully,An exudative pleural effusion is characterized by a pH range of 7.30 - 7.45.
Please summerize the given abstract to a title,Lessons Learned From Implementing Digital Health Tools to Address COVID-19 in LMICs
Please summerize the given abstract to a title,A potent SARS-CoV-2 antibody neutralizes Omicron variant by disassembling the spike trimer
Answer this question truthfully,"Malignant tumors are characterized by a rapid and uncontrolled growth rate, which sets them apart from normal tissues. This rapid growth is a hallmark of malignancy and is often associated with other features such as disorganized growth, high mitotic activity, and a high nuclear:cytoplasmic ratio. In contrast, normal tissues grow and divide at a much slower rate, typically in response to specific signals and stimuli. The rapid growth of malignant tumors is a key factor in their ability to invade and metastasize to other parts of the body, making them a significant health threat."
Answer this question truthfully,"Fentanyl skin patches may cause serious or life-threatening breathing difficulties, which can cause death, especially if not used properly. Fentanyl skin patches should be used only for chronic (around the clock, long-lasting) pain that cannot be controlled by the use of other shorter-acting pain medications that are not as strong. Fentanyl skin patches should not be used to treat short-term pain or pain after an operation or medical or dental procedure. Fentanyl is not for occasional (as needed) use. Fentanyl should be used only for people who have already received narcotic (opiate) pain medication for at least a week and are narcotic tolerant. If you are unsure if you are narcotic-tolerant, ask your doctor. Tell your doctor if you have or have ever had breathing difficulties, chronic obstructive pulmonary disease (COPD), or other lung disease. Tell your doctor and pharmacist if you are taking or plan to take any of the following medications or those listed in SPECIAL PRECAUTIONS: amiodarone (Cordarone, Pacerone); certain antifungals such as fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), and voriconazole (Vfend); aprepitant (Emend); cimetidine (Tagamet); clarithromycin (Biaxin, in Prevpac); cyclosporine (Neoral, Sandimmune); delavirdine (Rescriptor); diltiazem (Cardizem, Dilacor, Tiazac, others); efavirenz (Sustiva); erythromycin (E.E.S., E-Mycin, Erythrocin); fluoxetine (Prozac, Sarafem); fluvoxamine (Luvox); HIV protease inhibitors including atazanavir (Reyataz), indinavir (Crixivan), lopinavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir, in Kaletra), and saquinavir (Fortovase, Invirase); hormonal contraceptives (birth control pills, rings, and patches); lovastatin (Advicor, Altocor, Mevacor); nefazodone; sertraline (Zoloft); troleandomycin (TAO); verapamil (Calan, Covera, Isoptin, Verelan); and zafirlukast (Accolate). If you have any of the following symptoms, call your doctor immediately: difficulty breathing; extreme drowsiness with slow breathing; difficulty thinking, talking, or walking normally; dizziness; confusion; extreme tiredness; fainting; or loss of consciousness.
Fentanyl skin patches are for use only on skin that is not irritated, broken out, burned, cut, or damaged in any way. Do not use a fentanyl skin patch that is cut, damaged, or changed in any way, as this can cause you to receive too much medication, which could cause death.
Fentanyl skin patches can be habit-forming. Tell your doctor if you or your family drink or have ever drunk large amounts of alcohol; have overused opiate (narcotic) pain medications, have used street drugs, or have or have ever had depression or mental illness. Call your doctor if you begin to use more medication than you have been prescribed, or if you begin'craving' this medication.
Fentanyl skin patches contain a large amount of opiate (narcotic) pain medication. Fentanyl may be used by people who misuse or abuse prescription medications or street drugs. Do not let anyone else use your medication. Keep this medication in a safe place to protect it from theft. Selling or giving away this medication is against the law.
Fentanyl skin patches should not be used in children less than 2 years of ageand should be used for children only if they are narcotic-tolerant and 2 years of age or older.
Talk to your doctor about the risks of using this medication."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. f.  as you describe there was mild pain of abdomen, like cramps and gas pain. when you go to bathroom there is tiny blood on the tissue paper.  the cause could be fissure in ano, meiosis, or some infection of intestines. i advise you to consult a surgeon for diagnosis and treatment. you may need to have photocopy for confirmation.  wishing for a quick recovery.  best regards."
Answer this question truthfully,"Erysipelas is the infection caused by GAS that affects the upper dermis and superficial lymphatics, and presents with a well-defined demarcation between infected and normal skin."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. albumins are often detected in urine and this can be sign of kidney glomerular damage or reinfection. blood is sign of infection or kidney stones. you should do ultrasounds to evaluate is there stone or kinda damage. also, you should check creatinine and urea levels. you shouldn't be worried, this can be easily treated by antibiotics and certain medicines. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in gui the semen sample is processed, and it increases the count and motility to a great extent.  in this semen is directly instilled in the uterus on day of ovulation. your wife will be given some medicines for growth of follicles.  when follicles reach a size more than 17 mm, injection will be given to rupture the follicles.  gui will be done the next day. so you will have to be there on the day after injection. you can also freeze your semen sample. then there is no need for you to stay at a particular time, but fresh sample has higher success rate. hope i have answered your question.  if you have any other query i will be happy to help. regards chatbot."
Please answer with one of the option in the bracket,D: Forms toxic metabolites that damage bacterial DNA
Answer this question truthfully,The presence of withdrawal bleeding with a progestin challenge excludes anatomic defects (e.g. Asherman syndrome) and chronic anovulation without estrogen.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear fiend. welcome to chatbot.i am here to hel;p you. you probably had acute pancreatitis at the time when your lipase levels were so high. getting gall bladder removed, will not solve the problem of pancreatitis if it is now chronic. i advise you to follow"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i wish you had provided some more details to help you better. what is your age and bmi? is this the first time that you have irregular cycles? how long have you been married? regestrone contains progesterone hormone. it is used to induce periods. it does not help you in conception. it is important that you and your husband should consult gynecologist and get some basic subfertility investigations done to find out if there is any other cause for delay in getting pregnant (hormone tests and fallopian tube patency test for you and semen analysis for your husband). if it is found that pod with irregular ovulation is the only cause for delay in periods and if you are obese then it is extremely important that you reduce weight. reducing weight by 5-10% can itself regularize ovulation and increase chances of pregnancy. your doctor will discuss with you and start metformin + closed to induce ovulation. these medications are used for six months.  your chances of getting pregnant are about 40% and having live baby is around 27%. if you don't get pregnant with this treatment your doctor will discuss with you use of gonadotrophin (hormone) or ovarian chatbot. take one tablet of folic acid daily increase your chances of conception maintain normal bmi, quit smoking (if you're a smoker) and have intercourse at least three times in a week. if you have any further concerns do contact me through chatbot."
Please answer with one of the option in the bracket,"A: Discontinue simvastatin, start pravastatin in 3 weeks"
Answer this question truthfully,"Common risk factors in the development of silent thyroiditis include lithium, radiation therapy in Hodgkin's lymphoma, cessation of corticosteroid s in Cushing's syndrome (post adrenalectomy), and certain autoimmune conditions.     
Common risk factors in the development of silent thyroiditis include:
Lithium Radiation therapy in Hodgkin's lymphoma Cessation of corticosteroids in Cushing's syndrome (post adrenalectomy)
Less common risk factors in the development of silent thyroiditis include:
SLE Immune thrombocytopenic purpura Lymphocytic hypophysitis"
Please summerize the given abstract to a title,Novel pyrimidine-benzimidazole hybrids with antibacterial and antifungal properties and potential inhibition of SARS-CoV-2 main protease and spike glycoprotein
Please summerize the given abstract to a title,ARCCH Model of Resilience: A Flexible Multisystemic Resilience Framework
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. . i have gone through your query and can understand your concerns. as per your complaint swollen lymph nodes that are tender are most commonly indicative of infection in the body and mostly tender lymph nods indicates infection. as you have also got a trap immunization it can also be a cause as at times immunization can cause symptoms of fever and swollen lymph nodes as they are antigenic components. . if the lump is painful you can give him anti inflammatory painkiller like ibuprofen and also a short course of antibiotics can be advised after consulting a local physician or emergency service. you should wait and watch for a period of 15 days and if in this duration if the lymph nodes starts resolving its fine but if it does not, you can consult your physician and get evaluated and a biopsy /fnac can be diagnostic and can be treated accordingly. . hope this information helps. . regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, ideally antibiotics have no role in delaying periods other than vitamin that interferes with efficacy of bc pills. delaying of periods can be due to stress, hormonal imbalance, pid, etc. but since you are sexually active & had unprotected sex, it could be because of it. if you are not on regular bc, implant & have not taken emergency contraceptive pills within 72 hours of sexual intercourse than see a gynecologist at the earliest. hope i have answered your query. let me know if i can assist you further. take care."
Answer this question truthfully,"Constipation in adults may be due to side effects of medications, such as antispasmodics, anticholinergics, analgesics; or may be associated with systemic disorders, such as diabetes mellitus and hypothyroidism. Idiopathic constipation should be considered once the secondary causes are ruled out and it may be associated with normal or slow colonic transit, dysfunction in defecation, or both. Constipation in childhood often resolves with age after proper guidance regarding diet, toilet training, and toileting behaviors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that both the infection should be treated simultaneously to get rid of the both infection. it is also kept in mind that staphylococcus may be a mrsa that is methicillin resistant staphylococcus aureus. so screening test diagnosing mrsa must be carried out first, because mrsa strain are very resistant to routinely prescribed antibiotic and special antibiotics are required to treat such an infection. once you treated for both infection you will be out of infection soon. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. you have not mentioned the age of your husband. he must be suffering from life anxiety. mri and other blood tests were normal, and therefore he is supposed to be alright physically. i should ask you so many questions. when this started? what were the basic reasons for this? is he suffering from any other lifestyle disease? is he satisfied with his family and professional life? any unnatural death in your family or nearby? etc. usually, when a person who sees actual life, he gets confused about his role and should normally become anxious. fear and anxiety are after products. fear keep him in one place without moving and anxiety keeps him thinking. normally such patients need expert intervention. with the help of an expert psychologist / psychotherapist your husband should become alright. consult such a specialist. or book a telephone appointment through chatbot for me and talk to me. i shall help your husband in every way i can. hope i am able to partially clarify your doubt. good luck."
Please summerize the given abstract to a title,Frauen in Führungspositionen: Chancen und Risiken durch die COVID-19-Pandemie
Please summerize the given abstract to a title,"COVID-19 Pandemic Impact on Substance Misuse: A Social Media Listening, Mixed Method Analysis"
Answer this question truthfully,"Germ cells and Sertoli cells form the lining of the seminiferous tubules. The seminiferous tubules are the functional units of the testes, where sperm are produced through a process called spermatogenesis. Germ cells are the cells that give rise to sperm, and they are located within the seminiferous tubules. Sertoli cells, on the other hand, are specialized cells that provide structural and nutritional support to the developing germ cells. They are also responsible for the production of hormones that regulate spermatogenesis. The close proximity of germ cells and Sertoli cells within the lining of the seminiferous tubules allows for efficient communication and coordination between the two cell types, which is essential for the proper development and maturation of sperm."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, he seems to be suffering from brain disease. the underlying brain disease could be ischemia-lack of blood flow to brain or degenerative disease such as dementia.  he needs to undergo mri of brain and detailed neuropsychological assessment. at nellore, he can visit cmc nellore hospital and consult chatbot.  hope i have answered your queries. let me know if i can assist you further. take care"
Please answer with one of the option in the bracket,C: Mucosal arteriovenous malformations
Please answer with one of the option in the bracket,"C: Donor A: A7/A5, B8/B2, C3/C8"
Please summerize the given abstract to a title,Clinical and chest CT features as a predictive tool for COVID-19 clinical progress: introducing a novel semi-quantitative scoring system
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you can use an ankle brace which will support the ankle and restrict extremes of movement. apart from this you can also ice it and take any pain medication which suits you. however, you will need a checkup with your orthopedic specialist, an x-ray to confirm the condition and possibly surgery to remove this part. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~ you feel sleepy when you start reading because it is something that you are not interested in.  to get your interest levels up you might need to start doing other things to help with concentration.  yoga, panama, dayana, and regular physical activity are known to boost concentration.  i would also recommend that you get evaluated by a psychiatrist to treat your condition if it needs medication.  i hope this helps. take care and have a nice day !"
Answer this question truthfully,"The phagocytic cells found in the alveoli are called alveolar macrophages (dust cells), which clear debris and participate in the immune response."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for asking a question to chatbot. f.  your child of 7 years had pain abdomen since 20 days, and vomiting and motions for 10 days. u.s.shows mesenteric lymph nodes. culture showed candida species other than candida africans. used acosta, and flagyl. s, risperidone. she is better but still complaining of the cramps and aches ones or twice.  it appears to be the chronic infection of the intestines, needs to be treated in a general way of treatment with mixed chatbot."
Answer this question truthfully,"Patients with hemothorax usually appear dullness to percussion, decreased breath sounds, tracheal deviation, and dyspnea that can be life-threatening when hemodynamic instability and hypovolemic shock occurs."
Answer this question truthfully,"Ejection fraction is commonly measured by echocardiography, in which the volumes of the heart's chambers are measured during the cardiac cycle. Ejection fraction can then be obtained by dividing stroke volume by end-diastolic volume as described above.
Other methods of measuring ejection fraction include cardiac MRI, fast scan cardiac computed axial tomography (CT) imaging, ventriculography, Gated SPECT, and the MUGA scan. A MUGA scan involves the injection of a radioisotope into the blood and detecting its flow through the left ventricle. The historical gold standard for the measurement of ejection fraction is ventriculography."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of post infectious bronchitis is more in your case. you were having chest infections. some infection may cause prolonged inflammatory reaction. so bronchitis is common after lung infection. it can cause chest pain, tightness, heaviness. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Crisis signaling: How Italy's coronavirus lockdown affected incumbent support in other European countries
Answer this question truthfully,"The molecule that is formed when carbamoyl phosphate is combined with ornithine is called citrulline, and the enzyme that is required for this reaction to occur is called ornithine transcarbamylase. This reaction is an important step in the urea cycle, which is responsible for the elimination of ammonia, a toxic byproduct of protein metabolism, from the body."
Please summerize the given abstract to a title,A new model for the spread of COVID-19 and the improvement of safety
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you have never had a delayed period earlier and are sexually active, your symptoms suggest a very early pregnancy. home pregnancy tests read well when performed 3-7 days after the missed period with a fresh early morning sample of urine. if you did not do so, you may repeat the test in a couple of days. else, you can also get an estimation of the serum beta-chatdoctor titles for an earlier and better clarification. if negative, you can get an urinalysis to exclude an infection which can also cause similar symptoms and a delayed period. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for your querulous history seems to me that your children asthma symptoms are not controlled well with forecourt only though you didn't mention the dose. if its 100 then it is to be stepped up to 200. montelukast is to be added to the prevailing therapy. buy a peak flow meter and maintain a peak-flow chart regularly. all these are to be done under guidance of a pulmonologist. during exacerbation what are doing for nebulization is absolutely normal. but you should consult pulmonologist for better asthma control and discuss the issues which i have mentioned here. you will be benefitted. thank you.
Please summerize the given abstract to a title,Identification of Heavy Tobacco Smoking Predictors-Influence of Marijuana Consuming Peers and Truancy among College Students
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have repeated uti and your ultrasound scanning has revealed bilateral pelviectasis. pelvis of the kidney is that part of the kidney where urine gets collected and accumulates for some time and gradually chatbot. the pelviectasis is term defined to dilatation of pelvis which is usually secondary to obstruction to flow of urine which could be due to following three reasons 1) obstruction in ureter which could be due to stone or spam of ureter .2) reflux of urine from bladder into ureter .3) inflammation of ureter (urethritis) the primary cause has to be detected by following tests 1) intravenous paleography 2) dtpa scan plain and with diuretics
"If you are a doctor, please answer the medical questions based on the patient's description.","hi anita, mild bleeding from the gums once in a while during brushing is quite acceptable and could be because of overzealous or vigorous brushing which hurts the gum. if bleeding from gums occurs unprovoked or without any injury or if there is unexplained bruising or prolonged bleeding from any cut site then you need to look into it and get a routine hologram along with bt and ct done. i don't think ct scan is required at this stage. you may opt for a general health checkup as well which will guide you to further course of action if anything is wrong. relax everything may just be normal;"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome at chatbot. i have read complete details of your question. it looks from your details that you had a history of fall & having pain at your back & head. if this pain is still persisting & of severe nature then this can be a fracture. you should not ignore & should have an x-ray of concerned part. till then, you should do following- -take complete bed rest. -avoid lifting heavy weight. -take a good analgesic like advil or sleeve. -take a supplement of calcium & vitamin c. hope this all will help you. with best wishes."
Answer this question truthfully,The Chi-squared test is a commonly used statistical test to examine the association between two or more categorical variables.
Answer this question truthfully,"Pyromania is diagnosed following two or more episodes of deliberate fire setting. Pyromania is a rare psychiatric disorder characterized by a compulsion to set fires, and the diagnosis requires the presence of several criteria, including repeated acts of fire setting, tension or affective arousal before the act, and fascination with or attraction to fire. It is important to note that not all individuals who set fires have pyromania, as this behavior can also be associated with other mental health conditions or external factors."
Answer this question truthfully,"In GTPAL, the obstetrical grading system for females, the T represents term deliveries, which is the total number of deliveries that occurred after 37 weeks."
Please summerize the given abstract to a title,"Multicultural Adaptation of Mighty Girls for Widespread Dissemination: Pilot Study, App Development and Usability Testing, and Gauging Parent Support With Focus Groups"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the normal range of testosterone levels in healthy adult males is between 280 and 1,100 nanograms per deciliter (ng/dl), i can suggest some methods to improve your testosterone level and your sexual desire"
Please summerize the given abstract to a title,Structural Basis and Mode of Action for Two Broadly Neutralizing Antibodies Against SARS-CoV-2 Emerging Variants of Concern
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the reports of your semen analysis and blood tests i would state that your prolactin, fsh and testosterone are within normal range for your age. as regards delayed liquefaction time of semen and low motility of sperms in the majority of cases it is due to presence of infection in semen and can be cured with taking appropriate antibiotic like doxycycline twice daily for 6 weeks. following measure will help you to increase sperm motility to some extent. 1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc 3)take anti oxidants like almonds 5-6 everyday4) avoid alcohol and smoking. chatbot. ."
Answer this question truthfully,"Individuals with Wilson disease typically have decreased serum ceruloplasmin, which is a characteristic feature of the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","lymphoma of the gastrointestinal tract can present with above symptoms. may also be associated with b symptoms like fever, night sweats and weight loss. the lesions are seen in different parts of the gastrointestinal tract which may be suggestive of systemic disease like lymphoma. rarely it can involve the spine and cause back pain. so these lesions should be biopsied with histopathology and immunohistochemistry to come to a final diagnosis. cysts in the liver and kidney may be benign!"
Answer this question truthfully,"Histoplasma capsulatum is a fungus found in the soil of the central and eastern United States (especially Mississippi and Ohio river valleys), eastern Canada, Mexico, Central America, and South America. The infection occurs when a person breathes in the reproducing parts of the fungus, called spores. Those who have a healthy immune system usually do not have symptoms, or only mild ones."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good morning. thanks for the query to my chatbot clinic. i studied your query in depth. i am concerned about the worries you have. in my opinion, it's an improperly chatbot. treatment-i would advise -proper diagnosis from -an er surgeon-to rule out-tb lympadenitis, infectious mono and other causes. so, i would advise you to urgently consult an er-surgeon, who would relieve you soon. this is the remedy for your lump. hope with this you would be relieved of your worrisome query. wellcome again to chatbot. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, have you consulted a qualified dermatologist? if yes then you can start with the treatment.  it is difficult to predict the diagnosis retrospectively once the treatment is given. as i understand there are some steroids and antacids. most skin problems like hyperpigmentation takes longer time than expected from few months to a year. if the above therapy does not respond then certain skin procedures can bring in better results. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,first thanks for mentioning little part of the history. sometimes depression also leads to unnatural sensation too. if your cardio and euro advised you that all fine then thumps up. it's not a major issue. sometimes spasm of the muscles leads to compression on the nerves beneath it. so doing some regular exercises for like arm swinging and deep breathing will help. also try to perform simple neck exercises and simple straight leg raising for the strengthening the core muscles. you will feel ease of your symptoms. if pain still persist then you can take an advice from an or tho or a physical therapist. thank you"
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Polypharmacy in polymorbid pregnancies and the risk of congenital malformations - a systematic review.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it seems that you have developed an abdominal muscle strain. it may have been caused because of excessive strain on the abdominal muscles due to the planks you have performed. i would advise you to apply ice pack on the affected area to reduce the inflammation. also, alternate it with applying heat to help in muscle relaxation. take an over the counter painkiller like advil or naproxen chatbot. after you recover from the pain you can perform abdominal muscle strengthening exercises like curl-ups and pelvic tilts which are good muscle therapies. if the pain is not relieved or increases in severity, get yourself checked by a physician. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"The goal of treatment is to allow you to use the hand and arm as much as possible. The health care provider should find and treat the cause, if possible. In some cases, no treatment is needed and you will recover slowly on your own. Initial management includes splinting of the wrist for support along with occupational or physical therapy. Medical causes such as diabetes and kidney disease should be treated.
In some cases surgical removal of bone spurs or other anatomical defects that may be impinging on the nerve might be warranted.
Avoid prolonged pressure on the upper arm."
Answer this question truthfully,"Quinolines are a class of drugs that are used to treat malaria. They work by causing a build-up of heme intracellularly, which is toxic to Plasmodium spp. When Plasmodium spp. infect red blood cells, they digest hemoglobin and release heme as a byproduct. Normally, the parasite detoxifies heme by converting it into an insoluble crystal called hemozoin. Quinolines disrupt this process by binding to heme and preventing its conversion into hemozoin. As a result, heme accumulates within the parasite's cells and causes oxidative damage, ultimately leading to the death of the parasite."
Please summerize the given abstract to a title,Factors Influencing Willingness to Share Health Misinformation Videos on the Internet: Web-Based Survey
Please summerize the given abstract to a title,Digital Governance: The Case of Proofs of Vaccination
Answer this question truthfully,"Pseudomonas aeruginosa is catalase positive, which means it produces the enzyme catalase, that breaks down hydrogen peroxide into water and oxygen. Patients with chronic granulomatous disease have a genetic defect that affects their immune system's ability to produce reactive oxygen species (ROS), which are important for killing bacteria. As a result, these patients are more susceptible to infections by catalase-positive bacteria like Pseudomonas aeruginosa, which can produce their own catalase to neutralize ROS and evade the immune system. Chronic granulomatous disease is a rare genetic disorder that affects about 1 in 200,000 people and can result in recurrent infections, inflammation, and tissue damage. Treatment for chronic granulomatous disease typically involves antibiotics and other therapies to manage symptoms and prevent complications."
Please summerize the given abstract to a title,"The Impact of Psychological Interventions with Elements of Mindfulness (PIM) on Empathy, Well-Being, and Reduction of Burnout in Physicians: A Systematic Review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, wisdom tooth extraction is not a simple procedure and often associated with post-operative complications like pain, swelling, numbness, difficulty in mouth opening, fever, malaise. you don't worry about the symptoms as they will subside after sometimes. follow the post-operative instructions given by the dentist properly, use warm saline gargles, antiseptic mouthwash gargles. you can take paracetamol 500\u00a0mg twice for fever. take complete rest, maintain a good oral hygiene. hope this helps out. regards...."
Answer this question truthfully,"Tuberculoid leprosy can be contained within macrophages, which is achieved through the body's immune response."
Answer this question truthfully,Ventricular tachycardia Supraventricular tachycardia with aberrancy
Answer this question truthfully,"Mumps can be prevented with the MMR vaccine. The United States is replacing MMR with the MMRV vaccine, which also protects against chickenpox. A single dose is on average 78% effective at preventing mumps while 2 doses is on average 88% effective. In general all age groups should receive 2 doses of MMR or MMRV vaccine unless an individual has evidence of immunity. The vaccine is contraindicated in pregnant women, individuals with egg or neomycin allergies and immune-compromised or severely immune-suppressed individuals."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can fully understand your anxiety. your father has, diabetic nephropathy, associated with an allergic pathology. nephropathy, is when kidney function is affected by diabetes. allergic cause is reflected in his high eosinophil counts. blood counts of esr are usually high and monorail may be high in some people. the urea, creatinine, uric acid,hba1c,electrolytes and all blood counts, need to repeated at weekly intervals, while on treatment. this isn't harmful for health. some patients may need a kidney(renal) biopsy for diagnosis. if you want my expert opinion, on any doubt, send it as a direct question. chatbot.  manga."
Please summerize the given abstract to a title,Epidemiology of 631 Cases of COVID-19 Identified in Jiangsu Province Between January 1(st) and March 20(th) 2020: Factors Associated with Disease Severity and Analysis of Zero Mortality
Please answer with one of the option in the bracket,B: Autoimmune melanocyte destruction
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understand your concerns. your reports show you are having chronic kidney disease as your creatinine levels are increased along with so many other changes. you will need treatment according to your creatinine levels as if your levels are more than 4 we usually suggest dialysis but if you have less than 4 and have no symptoms we will prescribe you medication like calcium,vitamin d, nephrocap etc. to improve your general condition. hope this answers your query. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and nice history. this is self-explanatory. the lumps are bluish, painful to touch and movements, garden work"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your outermost small stones in patients can be treated with observation and acetaminophen or other painkillers. more serious cases with intractable pain may require chatbot.  in cases of emergency, treatment of nephrolithiasis involves management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. in emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting deny"
Answer this question truthfully,The partial pressure gradient is the driving force for the diffusion of a gas.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello this can be synovitis stage of arthritis. yes you can take lubricant injection. arthroscopy may also help you. in arthroscopic shaving damaged cartilage is smoothened, and loose friable cartilage is removed. after micro fracture you may need proper exercises protocol and weight-bearing as advised by surgeon need to be continued. avoiding steps and using western style toilets etc. would be helpful. loose body formation can be due to disease process chen chatbot. cartilage regeneration may take 3-4 months time. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is possible that he is still a carrier. his doctor would be able to determine this by performing various swabs and other tests. erythema nodosum is an inflammatory condition that is characterized by inflammation of the fat cells under the skin.  though the cause is not found in the majority of persons, strep infection is one of the possible known causes. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. as you have chronic allergy problem, so i would recommend you to try following"
Please summerize the given abstract to a title,"The vital role of science in global policy decision-making: An analysis of past, current, and forecasted trends and issues in global red meat trade and policy"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ma'am, transverse colon is a part of the large intestine which helps in passage of food and absorption of water. if you have a strong family history of cancer, you should get regular colonoscopies done. if you are suffering from pain in the abdomen it is best to get it evaluated by a gastric surgeon. the presence of polyps increases your chances of getting cancer, and you should stay under close surveillance. hoping for the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! your symptoms are not indicative of any brain tumor. tension type headache seems to be the main cause of your complaints. this is a benign type of headache, which is related to psychological stress. for this reason, i recommend you to focus on your anxiety and try to manage it better. a lot of physical activity (yoga, aerobics, sports, running, etc.) can help in this regard. hope you will find this answer helpful! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear benjamin following points may be able to answer quarry
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. blood in urine in a patient with enlarged prostate is from the superficial vein that are engorged in enlarged prostate with super added infection and not due to cancer of prostate. get your serum psa levels done . please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. please take broad spectrum antibiotics like lifetime along with urinary antiseptic like nitrofurantoin twice daily and urine alkalizer thrice daily. later on switch on to appropriate antibiotics as per culture report. continue taking avoidant get the prescription of medicines from your family physician. ensure to chatbot. to keep your urine dilute this will help to control dysuria.
"If you are a doctor, please answer the medical questions based on the patient's description.","inversion therapy doesn't provide lasting relief from back pain, and it's not safe for everyone. inversion therapy involves hanging upside down, and the head-down position could be risky for anyone with high blood pressure, heart disease or glaucoma. back pain relief"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have pancreatic adenoid. so you don't need chemotherapy.  but there is chance of recurrence, so you should go for follow-up ct scan to rule out any growth.  so according tom opinion you should go for ct scan. consult your doctor and plan accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Chancroid is caused by a bacterium called Haemophilus ducreyi. H. ducreyi is usually found in developing countries but may also be found in endemic areas in devloped countries associated with crack cocaine use and prostitution. H. ducreyi is typically transmitted through sexual intercourse.
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Nurses’ experiences regarding shift patterns in isolation wards during the COVID‐19 pandemic in China: A qualitative study
Answer this question truthfully,"Cleaning eyelids carefully will help prevent blepharitis. If a specific skin condition is present, it should be treated."
Please summerize the given abstract to a title,Fighting non-communicable diseases in East Africa: assessing progress and identifying the next steps
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query.if am so sorry to hear about these symptoms that you have. these symptoms are not caused by either diabetes or a kidney disease. if you often get out of your seat suddenly, it may be the cause of this as there is a sudden change in blood pressure that maybe able to explain these symptoms. i will suggest that you get out of you seat slower and see whether there would be any change or not. i hope this ad chatbot.  feel free to ask for any clarification or more information if needed, and i will gladly respond to. thanks for using our services and i wish you well."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! i read carefully your question and understand your concern. the spinal column deformations in different directions may often be asymptomatic. this may be your case. they become symptomatic when the disks get displaced and compress the nerves root. the stiffness try hat you feel on your back is caused by contractions of the spinal muscles and this may be a sign of the damage in your column. i would recommend having a x-ray of your column in all the levels in 2 directions to have a concrete overview of your problem. i would also advise having a lot of physical activity specific for the spinal column which is very helpful in reinforcing your back muscles and correcting your wrong position during work. hope to have been of help. best wishes!
Please summerize the given abstract to a title,Exploring Cancer Registrars' Perceptions of the Quality and Use of Cancer Registry Data for Care Coordination and Other Purposes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. treatment of choice for malignant parotid gland tumor is surgery. you need to remove whole parotid gland. wide excision is the treatment of choice. radiotherapy or chemotherapy is also needed according to type of tumor. consult your oncosurgeon and plan accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Case Report of COVID-19 Vaccination in a Rituximab-treated Mantle Cell Lymphoma Patient
Please summerize the given abstract to a title,Electrospun Polystyrene and Acid-Treated Cellulose Nanocrystals with Intense Pulsed Light Treatment for N95-Equivalent Filters
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern. yes it depends upon the stent and also the diet. yes there is change of blockage of stent and patient present with symptoms like breathless less severe, chest pain severe persisting for week. and usually a high bp may not suggest stent replacement. life span of stent depends upon which stent has been placed at the time of procedure. along with regular activities of your husband it's necessary to have oil control and fat restricted diet hope the information provided would be helpful. all the best.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query.  i understand your concern.  embryos are transferred in uterine cavity. if the endometrium is well-prepared... of hormonal supplements are sufficient. their is no uterine contraction, ...abdominal cramps with a single loose motion without signs of gross deny chatbot.  the antibodies formed here are for the allergen(celery) & would not have any effect on embryo.  you should take rest,"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Reshaping experiential education within Qatar university's health programs during the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, lump at back of throat can be due to enlargement of adenoids or some soft tissue swelling at back of throat. surgical removal of tonsils rules out the possibility of tonsillitis. a clinical assessment of throat by an ent specialist is required. in case there is any soft tissue swelling, treatment is removal of the lump. in case there is only soreness, treatment is conservative. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. only troponin levels are not confirmatory of heart diseases. sometimes, troponin levels can be normal and patient is still having heart diseases. her symptoms like chest pain, shortness of breath etc. are commonly seen with heart failure and coronary heart disease (cad). so better to consult cardiologist and get done 1. ecg 2. 2d echo 3. stress test (trade mill test). all these are needed to confirm heart diseases. if all these are normal then no need to worry about heart diseases. sometimes lung infection, bronchitis can also cause similar symptoms. so also get done chest x-ray and pft (pulmonary function test). so, first diagnose her and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your mother-in-law. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloanechoic cystic structure in right and left lobes of liver may be simple liver cyst. it is generally an age related developmental findings. generally this condition doesn't require any treatment. it may only require follow-up ultrasound. it may require surgical intervention if there is pain, infection,increase in size etc. at present, i only advise for follow-up ultrasound. this is usually not a serious finding. pain may be due to renal calculus. you may need definitive treatment for renal calculus. dilation of the common bile duct and main pancreatic duct doesn't require any treatment unless there is any obstruction. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, firstly to control your pain, while you get further investigations. there are a couple of things that will help1. regular painkillers. start with regular over the counter paracetamol (if you are not allergic or have liver problems). you can add on stronger pain killers like diclofenac(make sure you get a prescription for some ppi e.g. pantoprazole, omeprazole to protect your stomach with this), tramadol, oxycodone(with this you might need a laxative) for the first few days. 2. pressure stocking. you can start with class 2 elastic stockings above knee. your pharmacist should be able to help with sizing.3. avoid prolonged standing3. elevate your leg when you're sitting or lying to help reduce the swelling. this swelling could be because of varicose veins, cellulitis due some infection around your foot or leg, dvt(deep vein thrombosis; this is one of more serious problems where a deep system of veins is blocked and blood keeps pooling in the legs). while you are dealing with pain, try and get an appointment with a vascular surgeon, if not get your doctor to examine and refer you to them. they will be able to look at the veins in your leg and the ball of vessels behind your knee. they might need to do some scans though. in the meantime, stockings and elevation should help with discomfort anyway. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, your family physician told exactly correct explanation. you circumcise before 7 years, up to that time your glans penis is covered by foreskin, and protected it from direct contact from your, inner wear, pants and external environment. now the protective layer gone. nothing serious. you are scared because it looks multicolored. no treatment require for it. it will become uniform spontaneously. hope you got the answers."
"If you are a doctor, please answer the medical questions based on the patient's description.","the most common cause of groin pain is muscle, tendon or ligament strain. groin pain may occur immediately after an injury, or pain may come on gradually over a period of weeks or even months. groin pain may be worsened by continued use of the injured area. less commonly, a bone injury or fracture, a hernia, or even kidney stones may cause groin pain. although testicle pain and groin pain are different, a testicle condition can sometimes cause pain that spreads to the groin area. in your case i suggest visiting a doctor for proper examination and treatment. here doctor may ask you for some test like x-ray or scan as per need. i suggest going ahead for it and later plan treatment as per the diagnosis. if there is a minor to moderate issue at soft tissue level then use of cold pack along with physiotherapy and rest will help to get cure. in case if anything major issue like hernia or ligamenta injury etc. as per the diagnosis surgical correction or repair also be needed. and after it again physiotherapy rehabilitation will help you. here since i have not done physical examination. as per symptoms i have given you some guideline and i am sure it will be helpful if you follow it properly. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern and i will suggest you the best possible treatment options. please do not panic. as your blood test results suggest that there is no pregnancy, in such situations i usually suggest to my patients to take primal n tablets 2 times a day for 5 days. usually menses start 3 to 10 days after finishing the tablets. i will suggest you to get usg done to know about ovarian volume and echo texture. this will help to rule out pcos-polycystic ovaries as a cause of delayed periods. as you are trying to get pregnant, please get your post menstrual hsg done-hysterosalpingography. this will help to know about the patency of the fallopian tubes. partners semen analysis with 3 to 4 days abstinence, will help to know about quality and quantity of the sperms. please start follicle study from day 10 of the cycle, to know the day of ovulation. you can opt for gui or have unprotected sex activity on the day of ovulation. if needed please seek prescription support from your treating doctor for ovulation induction medicines like camphene citrate. opt for a healthy diet and regular exercise regimen. include more portions of fruits and vegetables and salads in daily diet. avoid refined sugars and deep-fried foods and bakery products. start on folic acid and vitamin b 12 supplements regularly. this helps you to prevent various complications during pregnancy and delivery. meditate regularly. think positive. may god bless you with a bundle of joy. i hope this answer helps you. thanks"
Please summerize the given abstract to a title,Training for mental health professionals in responding to experienced and anticipated mental health related discrimination (READ-MH): protocol for an international multisite feasibility study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your semen analysis report is absolutely normal with good counts and normal motility and normal morphology. few pus cells are normal to be found. as far as difficulty in conceiving is concerned, it is too early to comment on this, since you are with her for past 2 months only.moreover, there are various things essential for conception to take place, which means... sex on ovulation days. proper ovulation of your wither tubes should be open.moreover, as the age advances in female, ovarian reserve dwindles. it becomes really problematic for a female to get pregnant after 35 years.however, two months are too early. wait for six months and try doing sex multiple times around ovulation days and if you still don't find any success, you may consult a fertility expert. thanks"
Answer this question truthfully,"Primary ovarian insufficiency is associated with chromosomal abnormalities, and this association is particularly strong in individuals younger than 30 years old. Primary ovarian insufficiency, also known as premature ovarian failure, is a condition in which the ovaries stop functioning normally before the age of 40. This can lead to infertility and other health problems. Chromosomal abnormalities, such as Turner syndrome, are a common cause of primary ovarian insufficiency. Women who develop primary ovarian insufficiency at a younger age are more likely to have chromosomal abnormalities, which can affect their overall health and fertility. Therefore, genetic counseling and testing may be recommended for women with primary ovarian insufficiency, especially those who are under 30 years old."
Please summerize the given abstract to a title,Optic neuritis after COVID‐19 vaccine application
"If you are a doctor, please answer the medical questions based on the patient's description.","hi karen, need not worry, you will be alright, provided, you incorporate some change in your lifestyle. i can understand the compulsion involved in it field. sleepless nights, nonrhythmic pattern of living and bio chatbot.  since you have plenty time in the day, (a) check your present job if comfortable, or you need a shift/better career avenue.(b) i presume either you are unmarried or living away from family. in either case, take a vacation and get yourself refreshed being with the near and dear with a tour or such program. in most circumstances, the loneliness is a fact which has to be ad"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am good evening. i am chatbot answering your query. from the history of recurrent pain followed by formation of a lump on the lower right side of abdomen which is also painful points to the possibility of an undetected attack of appendicitis resulting in formation of an appendicular lump. another possibility is the formation of a chronic ectopic lump in case of females which might cause bruising of the abdominal layers along with pain. if i were your doctor, i would advise you for an ultrasound of whole abdomen to know the site of origin of the lump along with some investigations like cbc, serum chatbot estimation for arriving at a diagnosis for appropriate planned management. till then, you could go for an anti-spasmodic and a proton pump inhibitor for a symptomatic relief. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. this is a question usually asked by everyone having first sex using condom. answer is normally no. once you both are sure that you used condom, then why worry. unnecessary worries create stress and mental anxieties. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,Alcoholic hallucinosis typically occurs 12 to 48 hours after the last drink during alcohol withdrawal.
Answer this question truthfully,A needle should be positioned for a tension pneumothorax at the 5th intercostal space along the anterior-axillary line.
Answer this question truthfully,An IL-12 Receptor Deficiency may present after administration of the BCG vaccine.
Answer this question truthfully,An indirect inguinal hernia is caused by a patent processus vaginalis.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellooo...read through your query...first i must say that don't be tensed...not thing i can say is that don't be scared of dentist...bco of one bad experience...it might have happened by chance that resulted in pain for u.(which i'm also sad to hear)...that doesn't mean every time he causes pain...(so cheer up)...regarding yellowing u don't have to be sad its natural that many people have yellow teeth (including mine).yellowing doesn't mean that u have bad oral hygiene or u don't brush.its due to excessive deposition of dentin beneath the enamel...and regarding hole in the tooth u have to go to a dentist get it filled(if deep root canal treatment maybe required which can be confirmed by x-ray)...and if u still want to whiten your teeth there are procedures like bleaching or veneering which will be done by dentist...to prevent further caries to your teeth brush twice daily use chlorhexidine mouthwash and do floss...these all can reduce the bleeding from gums(gingivitis).so be cool meet a dentist get it done...hope your benefitted something from this reply.have a healthy day!!!
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for the query als is a motor neuron disease and usually diagnosed by clinical symptoms. on other investigations is a definite test for diagnosis. mri scan came back normal in patient with als. the problem you are facing is most likely to be pied of the cervical spine as your doctor has in his mind. weakness, numbness and tingling are present in this disease. so don't worry and go through the investigation and then get to a decision. there might be some technical problem that result in repeat scan. best wishes"
Please summerize the given abstract to a title,Targeted therapy of cognitive deficits in fragile X syndrome.
Please summerize the given abstract to a title,Gold Atoms Promote Macroscopic Superconductivity in an Atomic Monolayer of Pb on Si(111)
Please summerize the given abstract to a title,Analysis of the COVID-19 Pandemic Spreading in India by an Epidemiological Model and Fractional Differential Operator
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. crying is an emotional behavior. certain chemical changes takes place when we have emotional behaviors. as you know, every emotion has three aspects. cognitive, behavioral and motor. the third part, motor, brings about physical aspects of emotions. crying is naturally a body shaking or shivering behavior. we can experience the shaking and shivering more when another person is sobbing. therefore, your shivering while crying is normal and do not read too much into it or connect it with some mental problems. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. i have read your question and understand your concern. nausea and vomiting and bad taste in mouth could be because of a number of reason. i would like to know that do you have fever, burning micturition associate with your symptoms to exclude urinary tract infection? pregnancy in your case is very much unlikely as ovulation takes place after 14 days of menstrual period after which it can be fertilized, or in other words become pregnant. so there is no need to worry about it. and if you want to satisfy yourself then after two weeks of unprotected sex it is a good time for a pregnancy test to get done. in this scenario i would recommend you to visit a gynecologist, and let her examine you for some vaginal infection. i hope this might be of some help. if you have any query feel free to ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi if you have ruled out fracture you must be having sprain. and remember foot and ankle injuries are very notorious even you don't have fracture there are chances of ligament injuries which causes severe pain and swelling and complete recovery is not possible in such cases. mild pain remains in foot even after recovery. as your injury is fresh you need to give rest to your foot till the swelling and pain subsides.
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. this could be allergic reaction to dye. allergic response takes 2-3 days to improve. does it always happen after applying it? i would suggest you following things
Answer this question truthfully,"Rheumatoid arthritis is a chronic autoimmune disorder that primarily affects the joints, causing pain, swelling, and stiffness. One of the common symptoms of Rheumatoid arthritis is morning stiffness that lasts for more than one hour. This stiffness can be particularly severe in the morning and may improve throughout the day with movement and activity. Other symptoms of Rheumatoid arthritis can include fatigue, fever, and weight loss. While there is no cure for Rheumatoid arthritis, treatment options such as medications, physical therapy, and lifestyle changes can help manage symptoms and slow the progression of the disease."
Please summerize the given abstract to a title,"""Waste not and stay at home"" evidence of decreased food waste during the COVID-19 pandemic from the U.S. and Italy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first you need to take your mediations regularly and go for regular follow up. try muscle relaxation exercises, meditation and yoga. do not avoid sleep or oversleep. sleep for a minimum of 8 hours daily. if possible, rest in a dark, quiet room when you feel a headache coming is about to come. place an ice pack wrapped in a cotton cloth on the back of your neck and apply gentle pressure to painful areas on your head. wish you good health, take care."
Answer this question truthfully,"The classical type of Ehlers-Danlos syndrome, which is characterized by joint and skin symptoms, is caused by a mutation in type V collagen."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! your symptoms seem to be related to inflammation (the pulsating pain in the left upper side), while the chest pain during the night could be related to gastroesophageal reflux. i would recommend consulting with your attending physician and performing some tests"
Answer this question truthfully,What mutations lead to polyp formation (adenoma) following APC mutation in the adenoma-carcinoma sequence? KRAS mutations lead to polyp formation (adenoma) following APC mutation in the adenoma-carcinoma sequence.
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! i would recommend an urinalysis and a pub ultrasound. if these tests come out negative then a disease or infection in the kidney is unlikely. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that avoid using steroid cream. use diluted salon solution instead to mop up after a bowel. take good cleanliness locally. if infection is suspected use polypoid ointment at the wound area. nothing much is required that of. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. as per your case history of psoriasis, my treatment advice is-1. don't scratch the lesions as it may worsen the condition.2. apply a good emollient cream like en moist twice daily along with a steroid plus salicylic acid ointment like dipsalic-f ointment twice daily on affected skin.3. take a vitamin a supplement once daily and an antihistamine like levocetrizine for itching. if problem persists then consult a dermatologist. thanks. chatbot. mbbs, ddvl."
Please answer the letter of option truthfully,B
Answer this question truthfully,"Factitious disorder is characterized by intentional symptoms, with an unconscious motivation. Factitious disorder is a mental health condition in which a person intentionally produces or feigns physical or psychological symptoms in order to gain attention, sympathy, or other benefits. Unlike malingering, which involves intentionally faking or exaggerating symptoms for personal gain, factitious disorder is not driven by conscious motives. People with factitious disorder may be unaware of the underlying psychological issues that are driving their behavior. Treatment for factitious disorder typically involves psychotherapy to address the underlying psychological issues and to help the person develop healthier coping mechanisms. In some cases, hospitalization may be necessary to manage the physical symptoms and prevent further harm."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, sudden onset of swelling and pain there following the incident, along with a normal x-ray confirms a tear of ligaments supporting the ankle. the treatment for this is giving rest to the ligament, until the tear is healed, by immobilizing the joint with plastering. usually this is applied for 10-14 days, followed by gradual mobilization. but the duration varies depending on severity of injury and speed of recovery. what we can do is to support immobilization and give analgesics like ibuprofen for pain relief. give him a healthy diet rich in fruits and green leafy vegetables. keeping the limb elevated is also good to relieve the swelling. hope i have answered your quertle me know if i can assist you further chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello
Please summerize the given abstract to a title,Renal Complications and Their Prognosis in Korean Patients with Middle East Respiratory Syndrome-Coronavirus from the Central MERS-CoV Designated Hospital
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for the query. pain in interscapular area could be due to muscle ache or from the spine. was there any injury to that area recently? physiotherapy usually helps and gradual strengthening of those muscles prevent similar episodes in the future. in your case, get one x-ray spine to rule out any spinal cause. commonly it is a muscle pain and treated with physiotherapy and in rare cases local steroid injections may help. thanks."
Please summerize the given abstract to a title,Pressing Questions and Challenges in the HIV-1 and SARS-CoV-2 Syndemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi harbakashwelcome to chatbot. defcort is a steroid, and it has its own side effects. at this point, you should consider the importance of taking it rather than the side effects. you can go ahead and take the chatbot. effort can have side effects like weight gain, buffalo hump, decreased immunity over long time. if you have any signs of side effects you should approach your doctor in early stages to avoid complications. take care"
Answer this question truthfully,The type of anemia that may occur in patients with prosthetic heart valves and aortic stenosis is called macroangiopathic hemolytic anemia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for asking. based on your query and findings, my opinion is1. ulcer or sore in the nipple is most often due to underlying tumor, it is important to rule out malignancy.2. this can be confirmed or ruled out by histopathological examination of the lesion.3. there is also a lesion in the armpit which has to be examined by cytology-fine needle aspiration cytology. this is to check for the nature of lesion, whether neoplastic or reactive.4. keep a check on nipple retraction or presence of lump beneath the nipple.5. is the discharge watery or blood stained?6. if watery not of much concern, if blood stained it is necessary to rule out malignancy. hope this yellowish you good health"
Please summerize the given abstract to a title,"Sero-epidemiological study of the rotavirus VP8* protein from different P genotypes in Valencia, Spain"
Answer this question truthfully,"Hantavirus (sin nombre) is a strain of Hantavirus that is found in North and South America and can cause a respiratory illness known as Hantavirus pulmonary syndrome (HPS). One of the potential consequences of Hantavirus (sin nombre) infection is capillary leak, which can cause fluid to accumulate in the lungs and lead to hypotension, or low blood pressure. This can ultimately result in renal failure, which is a serious condition in which the kidneys are unable to filter waste products from the blood. HPS can be a life-threatening illness and requires prompt medical attention."
Please summerize the given abstract to a title,A Clinical Trial to Detect Subclinical Transfusion-induced Lung Injury during Surgery.
Answer this question truthfully,"Anaphylaxis is a severe, whole-body allergic reaction to a chemical that has become an allergen. After being exposed to a substance such as bee sting venom, the person's immune system becomes sensitized to it. On a later exposure to that allergen, an allergic reaction may occur. This reaction happens quickly after the exposure, is severe, and involves the whole body.
Tissues in different parts of the body release histamine and other substances. This causes the airways to tighten and leads to other symptoms.
Some drugs (morphine, x-ray dye, and others) may cause an anaphylactic-like reaction (anaphylactoid reaction) when people are first exposed to them. Aspirin may also cause a reaction. These reactions are not the same as the immune system response that occurs with ""true"" anaphylaxis. However, the symptoms, risk for complications, and treatment are the same for both types of reactions.
Anaphylaxis can occur in response to any allergen. Common causes include:
Drug allergies Food allergies Insect bites/stings
Pollens and other inhaled allergens rarely cause anaphylaxis. Some people have an anaphylactic reaction with no known cause.
Anaphylaxis is life-threatening and can occur at any time. Risks include a history of any type of allergic reaction."
Please summerize the given abstract to a title,Emerging socioeconomic disparities in COVID-19–related deaths during the second pandemic wave in Germany
Please summerize the given abstract to a title,Hazard control for communicable disease transport at Ornge
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. thank you for your question. symptoms of rash, temperature and swollen tongue maybe due to an allergic reaction. it maybe a mild reaction. i would suggest you to try and recall if she had some food/medicine before the reaction and be careful or avoid it in the future. it would be better if you can meet your family doctor/pediatrician for further evaluation. i hope this answers your query. good luck. with best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. f.  according to your description the pain is there only during the ovulation period, and it is going to be worse up to the period (i have assumed) as you said there is no appendicitis or kidney infection, or gastrointestinal problems.  so it appears that you are missing gynecologist, the pain appears to be dysmenorrhoea due to pelvic inflammatory disease, or p.c.o.d.etc. so i advise you to consult a gynecologist for diagnosis and treatment.  you may need to have trans vaginal ultrasound scanning, besides other routine tests for confirmation.  wishing for a quick and complete remission from the disease. i welcome to call me for any doubts in this matter.  best regards."
Please summerize the given abstract to a title,Thromboembolic involvement and its possible pathogenesis in COVID-19 mortality: lesson from post-mortem reports.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thank you for your question. personally and professionally, i am also leaning towards a kidney stone or a benign lesion. urinary bladder carcinoma occurs very rarely (4 for every 100,000 in men and 1 for every 1000 in women) and is commonly diagnosed in individuals over 40 years (median age of diagnosis is 65 years). the most common presenting symptoms are microscopic hematuria (blood only seen when a urine sample is placed under the microscope) and frequent urination. on the other hand, gross hematuria (visible blood in the urine) commonly is a sign of a stone - which may or may not be seen in x-rays. there are stones that are too small to be detected by x-rays or are made up of substances that make them invisible to x-rays. i would suggest that, through a urologist, you undergo other and more sensitive tests"
Please answer with one of the option in the bracket,E: Quantiferon testing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  she may have hematoma or other vascular tumor.  you should go for examination.  if needed go for ultrasound study.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Chronic vitamin A toxicity may cause alopecia and dry skin. This means that excessive consumption of vitamin A over a prolonged period of time can lead to hair loss and dry, itchy skin. Other symptoms may include fatigue, joint pain, and liver damage. Chronic vitamin A toxicity can occur when an individual consumes excessive amounts of vitamin A through diet or supplements. Treatment may involve reducing vitamin A intake and/or medications to manage symptoms."
Please summerize the given abstract to a title,Severe acute respiratory syndrome coronavirus-2-associated perceived stress and anxiety among indian medical students: A cross-sectional study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. almost all lung infection (specially tuberculosis) heal with either fibrosis or calcification or both. very rarely complete resolution is seen. so fibrotic scar lesions after tuberculosis are common after tb. they will remain as it is throughout the life. no treatment is required and hence not available for these scars because these are inactive, non-infectious lesions. no chatbot.  for visa purpose, we need to prove that these lesions are not active infectious lesions. for this, you need to consult pulmonologist and get done ct thorax with contrast and bronchoscopy with bad analysis. if both these are negative for active tuberculosis then no need to worry about tuberculosis. by this you can argue with visa authority about not having active infectious disease. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sorry about your father health condition but i appreciate your health concern about him. from history, it is difficult to comment what is the exact cause.  with correlation with a lab report, we may come to conclusion.  he may be having alcoholic hepatitis. but what is the got and sgpt level.  serum bilirubin, serum ammonia or urinalysis report or kidney function tests etc. he may be in hepatic encephalopathy with hepatomegaly syn chatbot.  need to be intubation with antibiotics, iv fluids support may treat accordingly.  please consult your gastroenterologist if liver failure is severe means he may need liver transplantation. hope i have answered your query. let me know if i can assist you further. take care"
Please answer with one of the option in the bracket,A: Discontinue amiodarone
"If you are a doctor, please answer the medical questions based on the patient's description.","your symptoms suggest that you have spasm of gastrocnemius muscle. it occurs due to unnoticed sudden jerk at knee while climbing stair or unsupported standing from sitting posture. but you need not worry at all. rest, anti-inflammatory analgesics such as ibuprofen and muscle relaxant such as thiocolchiside will help you in reducing pain and spasm. it will take 5-10 days to heal completely. hope this helps. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, use progesterone only containing birth control pill. plasma (facial hyperpigmentation) is a common side effect of combined oral contraceptive pills such as cigarette which appears to be due estrogen hormone present in it. i advise you to take progesterone only containing birth control pill which is less likely to cause plasma. plasma may fade away slowly after stopping cigarette tablets. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i have gone through your question. i can understand your concern.  you have enlarged lump in neck.  you have cold, so there is high chance of enlarged cervical lymph node due to reactive hyperplasia. furthermore, you should take antibiotics treatment.  if it doesn't respond to treatment then biopsy diagnosis is advisable to rule out tuberculosis or lymphoma. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"On average the incidence of nausea or vomiting after general anesthesia ranges between 25 and 30% Cohen 1994. Nausea and vomiting can be extremely distressing for patients and is therefore one of their major concerns Macario 1999. Vomiting has been associated with major complications such as pulmonary aspiration of gastric content and might endanger surgical outcomes after certain procedures, for example after maxillofacial surgery with wired jaws. Nausea and vomiting can delay discharge and about 1% of patients scheduled for day surgery require unanticipated overnight admission because of uncontrolled postoperative nausea and vomiting."
Answer this question truthfully,The greater curvature of the stomach is supplied by the gastroepiploic arteries.
Please summerize the given abstract to a title,"Patient data, early SARS epidemic, Taiwan."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you have mentioned the nature of pain in your right arm it is most likely a radiculopathy that is pain due pressure on nerve root it is usually due to cervical (neck) spine problem. pain is not usually a symptom of stroke. in stroke the usual symptoms are numbness or weakness in either one limb (arm or leg) or half side of body. which may manifest as imbalance while walking, inability walk, unable to button or unbutton shirt or hold some object in hands or unable to lift arms."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. your problem of pain on back of neck can be due to cervical spondylosis. an orthopedic examination followed by an x-ray can rule out this. i usually advise nsaids like diclofenac muscle relaxants like cyclobenzaprine and neurotrophic chatbot.  i also send them to physiotherapy along with this. cervical collar application and cervical traction are helpful for this also. hope this may help you. let me know if you have any further queries. thanks
Answer this question truthfully,"In an infant suspected of having necrotizing enterocolitis, feedings are stopped and gas is relieved from the bowel by inserting a small tube into the stomach. Intravenous fluid replaces formula or breast milk. Antibiotic therapy is started. The infant's condition is monitored with abdominal x-rays, blood tests, and blood gases.
Surgery will be needed if there is a hole in the intestines or peritonitis (inflammation of the abdominal wall). The dead bowel tissue is removed and a colostomy or ileostomy is performed. The bowel is then reconnected several weeks or months later when the infection and inflammation have healed"
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, you are right. as in case of benign hypertrophy of prostate, for example, bph (benign prostate hypertrophy) which cause retrograde ejaculation, so low semen content. the causes for erectile dysfunction are psychological, stress, fatigue, diabetes or other chronic illness. the treatment mainly depends upon underlying conditions. kindly follow with detailed history or consult with sex expert. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Reassure the patient and provide general recommendations
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  you had pain in the stomach on right side when you go for stools. you also have pain on left and middle of stomach. previous year in october you had ovarian cyst, doctors said that it is small, and it will go away.  it is pieing when you go to stools, so more possibilities are there for intestinal infection, i advise you to consult a physician for diagnosis and treatment, with this treatment, if you get complete relief, it is well and good otherwise you have to get tested for urinary tract infection, or enlarged ovarian cyst.  wishing for a complete relief, and thanks for calling chatbot. f.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, i read your question carefully, and i do understand your concern. i think you are experiencing a sciatica nerve pain crises. this is an inflammation of sciatica nerve that innervates hips and leg when the nerve root is compressed. this condition is common for persons more than 40 years old, for people who have had physical heavy jobs during life, but this is not a condition. the pain may alleviate, but it is a chronic disease so all that can be done is to keep it in control. i do suggest heat or ice treatment. choose either one, it depends on you. repeat every 20 minutes patches with ices or hot water bags to the place where you feel the pain. acupuncture and massage also helps. if the pain is very, very strong, steroids injections are considered, but these are done in the hospital.meanwhile you can substitute paracetamol with ibuprofen 600 mg. take it 3 times a day after meal, and some muscle relaxants which you can buy to your chatbot. thank you for choosing chatbot. feel free to write me any time, all the best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. nothing to worry so much. this has healed once, so it may heal again and take antibiotics and apply betadine lotion for 7 to 10 days. ask your doctor if he has copper sulfate to apply locally. if this gets ok, you really need to take care and clean the umbilical inside daily and keep it chatbot.  secondly if this is a granuloma, this is a small surgery.  only very rarely you need a bit bigger surgery if the pus is like urine or stool (feces). so the operation is needed only if the medicines do not help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have enlarged lymph node due to reactive hyperplasia or some infection in salivary gland leads to siledenitis or other mass. you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i am chatbot. hope i have given appropriate guidance to you. there are three most common cause malaria, urinary tract infection and lower respiratory tract infection.to rule out these you can correlate history which system is infected. if it is malaria it may be relapsed of malaria because he had malaria when he is in previous country and not treated properly it may relapse any time after any long time. so first cause is this. other cause is rule out by history and then treat it after doing culture test and follow the sensitivity report. if you have any query you can consult me anytime. give me star rating, helpful vote & thank you according to your satisfaction level. thanking you."
Answer this question truthfully,Lescol® Lescol® XL
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i understand your concern. in my opinion a disc bulge in that level of your column may be the cause of these symptoms. the protrusion may be an inflammatory lesion, or just the bone related with your spinal nerves at the point of the column where they get out from the spine. other possible diagnosis, more rare may be lesions of the spine like tumors, cysts, etc. i would recommend you see a doctor and have a lumbar column x-ray and a blood routine test to rule out this diagnosis. hope to have been helpful! thank you for using chatbot! best wishes,"
I have a fractured nose i need it fixed. its been broke for 3 years now,"Sometimes, surgery may be needed to correct a nose or septum that has been bent out of shape."
Answer this question truthfully,"The health care provider should check all birthmarks, including a port-wine stain. Seizures, vision problems, paralysis, and changes in alertness or mental state may mean the coverings of the brain are involved. These symptoms should be evaluated right away."
Answer this question truthfully,The compensatory response to an acid-base disturbance is always in the same direction as the original acid-base disturbance.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot abnormal sensations such as the ones that you are experiencing are due to neuropathy. this refers to damage to the nerve due to changes in structure or function of the nerves. it can be central (related to the brain or spinal cord) or peripheral (related to other nerves in the body). peripheral neuropathy is more common. there are different possible causes such as"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. thanks for writing. i am chatbot.  i have read you question completely, i understand your concern and will try to help you in the best way possible.we to get mrsa you need to have source like wht is the source of their infection how did thy get sick find that out, and also you can get sick only if you dnt take care as long as you dnt have any contact with the patient like you dnt touch thm have their food you will be fine i hope this answered your question. if you have more queries i am happy to answer.otherwise, rate and close the discussionregards."
Please summerize the given abstract to a title,Case Study – Germany
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin and nail conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a mole is usually benign and harmless if it has been there for a while and the appearance has remained unchanged for months or years. moles are very common and if your mole is a small one without any change in size or appearance in recent times then there is no concern. however, please consult your dermatologist if you have any of the following1. change in size and appearance of mole over weeks2. hair growth over mole3. any wound or discharge in the mole4. any other swelling in the body like the groin or above collar bone"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi sheena!  u can certainly do so esp if you're a well controlled diabetic. all u need to do is get some investigations done --he/tlc/dlc/esr/ hba1c/ urine r/m/ fasting & pp bld sugars / lh & fsh levels in fasting --- do consult a physician in person as well as your gina chatbot.  later on during pregnancy your physician will switch you over to insulin --which is the best anti-diabetic of pregnancy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, my opinion after going through your question is"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. it is difficult to make a specific diagnosis of dissociative identity disorder based on the limited information that you have provided. more so, when the information is based on a retrospective recall by a third person. merely a history of odd behavior and a lapse of memory does not amount to a diagnosis of a did. succhatdoctorplex psychological disorders have to be diagnosed by a professional, based on a detailed history from reliable informants, such as close family members, and also a detailed psychological assessment. so, it is better not to speculate and make necessary conclusions or give diagnostic labels to a person who is no more. wish you all the best."
Answer this question truthfully,"The cause is not known, but may be related to immune system disorders, certain other diseases, or use of some medications."
Answer this question truthfully,Weight loss is considered a first-line treatment for PCOS because it can decrease insulin resistance.
Answer this question truthfully,Conversion of dUMP to dTMP via Thymidylate synthase converts the cofactor methylene THF to DHF.
Please summerize the given abstract to a title,The effects of the COVID-19 pandemic on patients with narcolepsy.
Answer this question truthfully,"Polyomaviruses JC and BK are the DNA viruses that are ubiquitous in humans.

Polyomaviruses are small, double-stranded DNA viruses that are known to infect a wide range of vertebrate hosts, including humans. The JC and BK polyomaviruses are two of the most common polyomaviruses found in humans.

Both JC and BK polyomaviruses are widespread in human populations, with infection rates estimated to be as high as 80-90% in some populations. In healthy individuals, these viruses typically cause no symptoms and are considered to be harmless. However, in individuals with weakened immune systems, such as those with HIV/AIDS or transplant recipients, JC and BK polyomaviruses can cause serious complications, including progressive multifocal leukoencephalopathy (PML) and nephropathy, respectively.

In addition to JC and BK polyomaviruses, there are several other DNA viruses that are commonly found in humans, including herpesviruses (such as herpes simplex virus and varicella-zoster virus), papillomaviruses (which are associated with the development of cervical cancer), and adenoviruses (which can cause respiratory and gastrointestinal infections). Understanding the prevalence and distribution of these viruses is important for developing strategies to prevent and treat viral infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatbot forum, prognosis for complete recovery in transverse myelitis patients is generally in lower side, but some patients experience full recovery. the recovery period generally begins between 2 and 12 weeks after onset, and can continue for up to 2 years. do not make him depressed, give positive words and regular medication will do benefit in life. i hope i provided useful information. do ask further questions to help you get well soon. regards chatbot. kingston john david"
Please summerize the given abstract to a title,COVID–19’s Impact on Stock Prices Across Different Sectors—An Event Study Based on the Chinese Stock Market
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the information you provided, i think it might be due spinal nerve pinch as long as no breathing symptom has been set. try not to make movement that would precipitate the pain. take oral analgesic and magnesium supplement. make an appointment with neurologist. mri of the spine is recommended. if the pain becomes more intense, go to er. hope i have answered your query. let me know if i can assist you further."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,[An epidemiological investigation of bats carrying SARS-CoV in Guangzhou and its vicinity].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. we need to do 1. mri brain 2. mri whole spine 3. mini mental state examination4. examination of cranial nerves5. examination of muscle power6. examination of sensation7. examination of reflexes accurately know her present status. please share all the reports with us so that we can guide you in a proper manner hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. it could be any viral erythematous illness. but as you quote them as itchy blisters - the possibility is trivial viral exanthem. i suggest you use calamine lotion as its giving results along with oral antiallergic like hy chatbot.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,"DNA/RNA polymerase always read in the 3' to 5' direction. This means that they move along the template strand of DNA or RNA in the opposite direction, from 3' to 5'. This directionality is important for the accurate synthesis of new DNA or RNA strands, as it allows for the proper base pairing between the template and the new strand. Additionally, the 3' to 5' directionality of polymerase activity has implications for the direction of DNA replication and transcription, which proceed in opposite directions along the DNA molecule."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your question. nausea and abdomen pain following eating could lead to loss of appetite. most probably nausea and vomiting could be due gastritis that is inflammation of stomach. i would suggest you to consult a physician who may examine you and may perform upper g i endoscopy on you to establish cause of, nausea, pain abdomen and loss of appetite. you may need antacid and proton pump blocker like pantoprazole for management of your symptoms. hope this answers your question."
Answer this question truthfully,"Bile acid resins, including cholestyramine, indirectly increase HMG CoA reductase activity in the liver. HMG CoA reductase is an enzyme that plays a key role in cholesterol synthesis, so an increase in its activity can lead to an increase in cholesterol production by the liver. This is because when bile acid resins interrupt bile acid recycling, the liver compensates by producing more cholesterol to make new bile acids. This process can be beneficial for patients with low cholesterol levels, but it may not be appropriate for patients with high cholesterol levels. As with all medications, it is important for patients to work closely with their healthcare provider to determine the best treatment plan for their individual needs."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i just have read your problem. as you said you heard a popping sound when you get injured. there may be possibilities of tendon tear or muscle rupture or even fracture or a mild fracture in your ankle. as swelling is still persisting. see if your joint is movable? are you able to walk properly? do you feel intense pain while walking, and you feel to discontinue to walk? does pain settle when you take some rest? i would suggest you to see a good or tho in your area. you need to get your x-ray done, then only the clear picture will come hope this helps. wish you a speedy recoverythanks"
Please summerize the given abstract to a title,How do agribusinesses thrive through complexity? The pivotal role of e-commerce capability and business agility
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it may be an chatbot.  the condition is genetically inherited. consult the dermatologist for confirmation of the diagnosis. i would suggest.- minoxidil 5% solution to apply on the scalp - tab finasteride - tab biotin - shampoo with a ketoconazole-containing shampoo-avoid stress and worries. get treatment from the dermatologist continuously for few years or till good result. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you have protruding stomach, pain in the left, lower, continues to the front of pelvis. no apatite, cassius. you have got lupus also.  pain in the left lower abdomen, radiating towards pelvis always suggests urinary tract infection or stone in the urinary tract.  you must use some anti-spasmodic and antibiotics if there is time for scaling, for being comfortable in the meantime.  i advise you to consult a urologist for diagnosis and treatment. you may need to have u.s.scaling besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Impact of Face-to-Face Teaching in Addition to Electronic Learning on Personal Protective Equipment Doffing Proficiency in Student Paramedics: Protocol for a Randomized Controlled Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your query will suggest an mri brain with spine screening as well. here is why-the fluid is produced in the brain. ideally it is meant for the cushioning effect. in certain conditions called hy chatbot.  the fluid produced is too much2. the fluid is not sufficiently absorbed backstair is a possibility that the same high levels of fluids may be present in the brain. now you have said she has upper limb issues as wells there may be a problem in her cervical bones too. so an mri brain with screening of spine would be my choice of investigation hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. please feel free to ask another query. i would be glad to help you. looking forward to your return query with the details asked so that i can help you further. (if the answer has helped you, please indicate this)best of luck."
Please summerize the given abstract to a title,Omicron BA.1 and BA.2 are antigenically distinct SARS-CoV-2 variants
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you was bitten by a fully vaccinated dog one year back for which you have taken all the shots of antirabies vaccine and once again you were scratched by a stray dog on your hand which led to bleeding from the site. according to who you were categorized into re-exposures and you should receive only two doses of vaccine on days 0 and 3. even it is a cat iii bite there is no need of passive immunization. you will be having protective antibody titles and the vaccine on day 0 and 3 will boost up the immune system by anapestic response and protects you from getting rabies even if the dog dies of rabies. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have multiple sebaceous cysts over scrotum. the scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. normally they fade away without treatment however they need to be treated if increase in size or get infected. please consult qualified general surgeon for clinical evaluation and further treatment. if needed some of them which are bigger may need to get excised in toto (completely along with the sac). chatbot.
Answer this question truthfully,"Paraphimosis can often be reduced by manipulation. This involves compression of the glans, then movement of the foreskin to its normal position, perhaps with the aid of a lubricant. If this fails, the foreskin may need to be cut (dorsal slit procedure) or removed by circumcision. An alternate method, the Dundee technique, entails placing multiple punctures in the swollen foreskin with a fine needle, and then expressing the edema fluid by manual pressure.
Prevention of recurrence is through education of the patient and his care givers on the need to pull back the foreskin over the glans after it has been retracted (for example, when cleaning the glans or passing a foley catheter), or through elective circumcision or preputioplasty."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
Answer this question truthfully,"The bacteria that causes typhoid fever -- S. typhi -- spreads through contaminated food, drink, or water. If you eat or drink something that is contaminated, the bacteria enters your body, and goes into your intestines, and then into your bloodstream, where it can travel to your lymph nodes, gallbladder, liver, spleen, and other parts of the body. A few people can become carriers of S. typhi and continue to release the bacteria in their stools for years, spreading the disease. Typhoid fever is common in developing countries, but fewer than 400 cases are reported in the U.S. each year. Most cases in the U.S. are brought in from overseas."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as u have mentioned that you have undergone extraction of wisdom tooth now still you are feeling swollen lymph nodes, it can be psychological also, for that you should go to dentist for check up, do warm saline gargle 3 - 4 times a day, make sure that you have done course of antibiotics given after extraction, as it was given for healing of socket, and infection.  wish you good health hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. this lump is most likely a local skin infection. it may be caused by hair follicle inflammation, sebaceous cyst or any other skin problem. it has nothing to do with your work. as it is painful, pus is most likely inside. that is why i suggest you to consult general surgeon with this issue. the lump should be incised, chatbot.  please do not ignore the infection in this area as from temple to the brain is very close, and such infection can spread to the brain. hope this will help. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Neuroorganoleptics: Organoleptic Testing Based on Psychophysiological Sensing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. based on the facts you seem to suffer from-multiple ailments suggestive of hormonal imbalances with? diabetes/hypothyroidism/cardiomyopathy. i would suggest you to have a second opinion from physician and endocrinologist to work out the causes for all your syn chatbot. these specialist would work out the treatment for the multiple complaints you have. now doubt at 35 it's a cause for worry. but i think you have never been treated with specialist doctors, which you need to be, since long back.don't worry till then and act fast to investigate it fast on the lines suggested as above. hope this would resolve your anxiety and would help you to plan further treatment with your doctors. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. good day!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, in jaundice the body is overtly tired due to the liver being out of action. easily tired, loss of appetite, inability to tolerate loud noises or bright lights are all symptoms. to recover from this1) have plenty of fluids -at least 3 liters of water a day.2) have foods rich in simple sugars-juices, fruits.3) avoid anything with oil or high protein as this would make her have cramps and vomit. 4) carboy chatbot. 5) avoid anything processed like ready to eat food or takeout food. this will increase the stress on her liver and make her have cramps.6) strictly avoid alcohol and use ain killers judiciously.7) multivitamin can be taken hope this helps, thank you for your query,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. this could be a manifestation of damage ot the brokaw area of the brain. get an mri scan of the brain done. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Please summerize the given abstract to a title,Association between parent and child physical activity: a systematic review.
Please summerize the given abstract to a title,"Negative Effects of Acute Appendicitis in Children During COVID-19 Pandemic: Analysis of 1,274 Cases"
"If you are a doctor, please answer the medical questions based on the patient's description.",cannot say in your particular case and...that is not a usual case for a pinched nerve in the back. look at yourself sideways in the mirror.... see where the lower back curves? that bendy area has strains and that's where all the pinched nerves and popped disks occur. the area supplying the groin is much lower down. urine cultures can be specifically targeted to look for prostate infection but if the prostate exam and blood work were ok... it isn't infected. congenital funny bone shapes (spina bifida) can cause problems in lower spine and give this sort of symptoms; x-rays and mris can look at it.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, i understand your concerns about your pain. see this is may be due to muscle strain or nerve compression, so we need to take care of back... see in this type of case pain is the main factor which troubles him due to irritation of nerve roots. no need to worry, you need to take it and traction therapy for his back in physiotherapy clinic... if any localize pain is present then take ultrasonic therapy.... you need 15 days to this therapy!! then only start with various exercise... till that time wait for pain to reduce...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. yes, regular periods usually indicate ovulatory cycles. so you are having better chance now. in this month you tract your ovulation with ovulation kit and plan unprotected intercourse around that period. this will increase the possibility of pregnancy. start taking folic acid prophylaxis from now-onwards. for more details you can ask me through"
Answer this question truthfully,"Prognosis of subependymal giant cell astrocytoma is generally poor.  It could be lethal, it is shown to be responsible for 25% of the excess mortality caused by the tuberous sclerosis complex.  Surgical resection and age under 18 years are significant positive prognostic factors.  Poor prognostic factors for subependymal giant cell astrocytoma include: 
Invasion to neighboring structures (fornix, hypothalamus, basal ganglia, or genu of internal capsule) Large sized tumors Recurrent tumors"
Answer this question truthfully,Increased capillary oncotic pressure (πc) pulls fluid into the capillary.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are going through a difficult time due to your recent problems. from the description of your symptoms, it appears that you are suffering from a depression. however, you need a detailed evaluation to arrive at a definitive diagnosis and initiate appropriate treatment. so, i would advise you to consult a psychiatrist for a detailed evaluation and further treatment. effective treatment is available in the form of medication or counselling. so, please don't hesitate to seek professional help. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi madam, loop is an intrauterine device of the gone era. now there are many modified versions of intrauterine device like copper t (cut), irena, etc. some of them are with copper coils while some are with hormones impregnated in them. all of them are good, and their active life varies from 3 years to 10 years as per the device chosen. since you are going abroad the chances of less availability of medical services cannot be ignored. hence, intrauterine device would suit you better. i would advise you to get the device fitted at least a month before you are leaving the country so that if there is any problem, you will know it well in advance and can be tackled in your own country. the common side effects include pain in abdomen and intermittent bleeding. before putting in the intrauterine device, you have to undergo a clinical examination to rule out any contraindication for intrauterine device. the important contraindications are infection and any tumor in the uterus. if at all, intrauterine device does not suit you, you may even switch to oral birth control pills. you can carry the complete stock for three years with you. moreover, condom is very safe and easily available contraceptive device all over the world, which is used correctly has more than 95% success rate. so in nutshell, if there is no contraindication, intrauterine device is a good option you have made and go with it. bon voyage, madam!"
"If you are a doctor, please answer the medical questions based on the patient's description.",your history reveals that when you fell there was a traumatic lesion at that time and may be some hairline fracture was also caused. whatever it was healed without proper management. stiffness in such joints cannot go without yoga. it's in your own interest to learn it to live happily thereafter by gaining flexibility. on 21 june international day of yoga will be held all over world. they will teach 35 minutes free yoga. practice it later. medicines and relaxants have only secondary support in it. hope it helps you.
Answer this question truthfully,"Mitochondrial DNA which is transmitted from the mother, encodes proteins that are critical to the respiratory chain required to produce adenosine triphosphate (ATP). Deletions or mutations to segments of mtDNA lead to defective function of oxidative phosphorylation. This may be made evident in highly oxidative tissues like skeletal muscle and heart tissue. However, extraocular muscles contain a volume of mitochondria that is several times greater than any other muscle group. As such, this results in the preferential ocular symptoms of CPEO.
Multiple mtDNA abnormalities exist which cause CPEO. One mutation is located in a conserved region of mitochondrial tRNA at nucleotide 3234 in which there is an A to G nucleotide transition. This mutation is associated with both CPEO and Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS). 
A common deletion found in one-third of CPEO patients is a 4,977 base pair segment found between a 13 base pair repeat.
The mtDNA that is affect maybe a single or multiple point deletion, with associated nuclear DNA deletions. One study showed that mtDNA deletion seen in CPEO patients also had an associated nuclear DNA deletion of the Twinkle gene which encodes specific mitochondrial protein; Twinkle. 
Whether a tissue is affected is correlated with the amount of oxidative demands in relation to the amount of mtDNA deletion."
Answer this question truthfully,"Call your health care provider if someone close to you experiences symptoms of senile dementia / Alzheimer's disease.
Call your health care provider if a person with this disorder experiences a sudden change in mental status. (A rapid change may indicate the presence of another illness.)
Discuss the situation with your health care provider if you are caring for a person with this disorder and the condition deteriorates to the point where you can no longer care for the person in your home."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i appreciate your concern regarding hair fall. hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, chatbot. from your description, it seems you might be having halogen effluvium, which is hairball secondary to stress which in your case is the influence of pregnancy. pregnancy and lactation are highly demanding states and are common reasons for acute hairball. if i were your dermatologist/trichologist, i would like to recommend some basic investigations like cbc, blood sugar, thyroid function test, vitamin b12 and d3. some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. i would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. also, would put you on a hair serum containing peptides for hair growth at night.(q era etc.). i would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. avoid combing in wet hair and let them"
Answer this question truthfully,"An urinalysis should be performed to look for a urinary tract infection (UTI). These symptoms are commonly associated with UTIs, which are infections that occur in any part of the urinary system, including the bladder, kidneys, ureters, and urethra. An urinalysis is a laboratory test that examines a urine sample for the presence of bacteria, white blood cells, and other signs of infection. If a UTI is diagnosed, antibiotics may be prescribed to treat the infection and relieve the associated symptoms."
Please answer with one of the option in the bracket,B: Zidovudine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i did review your concern. the purple bruise you are talking about could be a birthmark known as mongolian spot. please ask your mother if its from childhood or recently noticed. if noticed recently you should consult a dermatologist to find out more about it. forever, the back pain could be because of multitude of causes, primary could be arthritis itself or a disk herniation or lumbar spinal stenosis. does the pain occur more walking downhill or is it relieved by bending forward. check if she feels pain on walking on toes. if yes, she could be having lumbar spinal stenoses common at this age. you can then probably go for an x-ray and an mri to know finer details of the backbones and muscles and spinal cord involvement. i hope this help swish you a healthy life"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi most likely you are suffering from acid peptic disorder. you need to take simple soft diet without spices. antacid suspension/gel containing tetracaine 10ml 4 times daily before taking food with proton-pump inhibitors (ppi's)- omeprazole 20\u00a0mg, pantoprazole 40\u00a0mg, omeprazole 20\u00a0mg in the morning empty stomach will be helpful. if needed you can take extra dose of proton-pump inhibitors in the evening empty stomach. instead of proton-pump inhibitors, you can take h\u2082 receptor antagonists - renowned brand sanitizing (common brand name santa by glaxo) 150\u00a0mg morning and evening empty stomach may be used. regardsranjit"
Answer this question truthfully,"The health care provider will examine your eyes and ask questions about your medical history.
Questions may include:
Did the cornea become cloudy quickly, or did it develop slowly? When did you first notice this? Does it affect both eyes? Is there any history of injury to the eye? What other symptoms do you have? Do you have any trouble with your vision? If so, what type (blurring, reduced vision, or other) and how much?
Tests may include:
Biopsy of lid tissue Ophthalmoscopy Special photographs to measure the cells of the cornea Standard eye exam Ultrasound to measure corneal thickness"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read you question and understand your concerns. answer"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for consulting chatbot ! sorry, but the information given by you is not clear. erythrocyte are red blood cells which are normally present in blood.  normal range of erythrocytes in blood is - male"
Please summerize the given abstract to a title,Covid-19 and agri foods: recalibrating expectations
Answer this question truthfully,Subunit vaccines are typically more expensive than other types of vaccines due to the complexity of their production process.
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
Answer this question truthfully,"Hydatidiform mole is a rare complication of pregnancy that occurs when a fertilized egg develops into a mass of abnormal cells instead of a viable embryo. In areas with access to prenatal care, hydatidiform mole is typically diagnosed by routine ultrasound early in the first trimester. Ultrasound can detect the characteristic features of a hydatidiform mole, such as the absence of a fetal heartbeat and the presence of grape-like cysts in the uterus. Early diagnosis of hydatidiform mole is important, as it can lead to early intervention and treatment to prevent complications such as uterine bleeding and the development of gestational trophoblastic neoplasia, a type of cancer that can arise from a hydatidiform mole."
Please answer with one of the option in the bracket,B: Prostaglandin E1
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcomed not worry you will be fine. these bumps are produced as a result an immune mechanism to the injury by a process called inflammation it is characterized by redness, pain,swelling, hotness. alarming symptoms in head injury are severe headache, vomiting, vision changes and disorientation. and you do not have these symptoms.you'd done food to apply the ice packs. for pain, you can use ibuprofen 400 mg three times a day. you will be ok in a week. hope you understand. thanksbye"
"If you are a doctor, please answer the medical questions based on the patient's description.","of course, it is due to the kidney failure.it is good that she already had a fistula made for dialysis. you should start her on regular 3/wk dialysis immediately and the itching will start improving after 4-5 dialysis. bone pains will also improve. you, and she should understand that by delaying dialysis she will develop many permanent complications of kidney failure which will be difficult to correct even with dialysis later."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i went through your query. looks like you are having a condition where the enamel portion of the tooth is not developed properly. if your teeth are already completely workout, then it's better to remove them and go for full dental implants. if they are still in position to be saved, then it is wise to retain them and place crowns over them. by this you are still maintaining your original teeth. cost of dental implants vary widely throughout india. approximately it will cost around rs.20000 per implant with crown. i am sorry i am not familiar with any dentists in udaipur. hope your queries are answered."
Please summerize the given abstract to a title,Confirmation of SARS-CoV-2 airborne dissemination indoors using “COVID-19 traps”
Answer this question truthfully,"Fibromyalgia is most common among women aged 20 to 50.
The following conditions may be seen with fibromyalgia or mimic its symptoms:
Chronic neck or back pain Chronic fatigue syndrome Depression Hypothyroidism (underactive thyroid) Lyme disease Sleep disorders"
Please answer with one of the option in the bracket,B: Macule
Answer this question truthfully,"Intracranial hypertension is defined as ICP greater than 20 mmHg. This condition occurs when there is increased pressure inside the skull, which can cause a range of symptoms and potentially lead to serious complications such as brain damage or herniation. Intracranial hypertension can be caused by a variety of factors, including head injury, brain tumors, infections, and certain medications. Treatment options may include medications to reduce pressure, surgery to relieve pressure or address underlying causes, or other supportive measures to manage symptoms and prevent complications."
Answer this question truthfully,"Impetigo is a contagious superficial, bacterial skin infection most common among children age 2–6 years. People who play close contact sports such as rugby, American football and wrestling are also susceptible, regardless of age. The name derives from the Latin impetere (""assail""). It is also known as school sores. Skin is normally colonized with a large number of pathogens. When the pathogens increase in number on the skin or when there is a break in the continuity ofthe skin, they can lead to an infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mummy, any amount of bleeding at any stage of pregnancy is not a good sign. at this stage of pregnancy, if the bleeding is without any pain, first get the ultrasonography done for low-lying placenta. if it is placenta pravda, since you are already 37 + weeks, there is no need to wait further with placenta pravda. the baby at 37 weeks is sufficiently mature enough. you can go for delivery - may be cesarean section if the position of the placenta demands for. first episode of placenta latvia bleeding is with little bleeding and the subsequent episodes are alarmingly heavy. continuing the pregnancy with placenta pravda is like sitting on a sleeping volcano!maybe it could be a spotting from the cervix which is eroded during pregnancy. in such case no intervention is needed. please report to your obstetrician asap to sort out the matter."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read carefully your question and would explain that her symptoms seem related to an allergic reaction. from the other hand kidney dysfunction coupled with pneumonia could mimic her troubles. the memory troubles could be related to a temporary dysfunction of her brain due to her clinical situation (pneumonia and low oxygen saturation, kidney failure). for this reason, i recommend bringing her to the er for an advanced treatment of all her problems. dialysis may be necessary for her kidney function. she may need to stay on oxygen therapy, besides antibiotics for her pneumonia. you should discuss with her doctor on these issues. kind regards,"
Answer this question truthfully,"HMP shunt activity is primarily found in several organs and tissues, including the adrenal glands, liver, lactating mammary glands in females, and red blood cells (RBCs). HMP shunt, also known as the pentose phosphate pathway, is a metabolic pathway that plays a crucial role in the production of NADPH and ribose-5-phosphate. NADPH is an important reducing agent that is involved in several biosynthetic pathways, including the synthesis of fatty acids and cholesterol, while ribose-5-phosphate is a key precursor for nucleotide synthesis. The regulation of HMP shunt activity is tightly controlled and can be influenced by various factors, including the availability of glucose-6-phosphate and the cellular demand for NADPH and ribose-5-phosphate."
Answer this question truthfully,"Laboratory findings consistent with the diagnosis of Jervell and Lange-Nielsen syndrome (JLNS) include:    
Anemia: patients with Jervell and Lange-Nielsen syndrome (JLNS) are more prone to develop anemia especially iron deficiency anemia Hypergastrinemia is due to the potassium channels defect Increased gastrin levels due to gastric hyperplasia"
Answer this question truthfully,"Chikungunya viral infection is known to occur simultaneously with Dengue fever, as both are transmitted by the Aedes mosquito."
Please summerize the given abstract to a title,Regulation and management of the biosecurity for synthetic biology
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, hair fall may be genetic or may be due to under-nutrition. in hair fall due to under-nutrition, the hair roots weaken and hence break easily. the strength of the hair roots is maintained by proteins which are building blocks of body. vitamin d is the not sole agent responsible for maintaining hair strength. vitamin d deficiency has to be corrected by taking vitamin d supplements. however, to increase the strength and vitality of your hair, the content of proteins has to be maintained. external agents do not help much in hair fall. however, regular oiling can prevent chatbot. if all these measures fail, you need to try"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, there are many reasons for having unusual hearing and vision.it may occur in certain substance use like alcohol, cocaine, lsd, opioid etc. also such features appear in organic brain pathology like brain injury, brain tumor etc.also, certain psychiatric condition also like schizophrenia, psychosis etc. so for detail history and to differentiate above condition consult local psychiatrist. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of ongoing myocardial ischemia leading to evolving stroke in the brain. i advise you to get an ecg,2d echo of your heart, lipid profile, hscrp, ct brain immediately to confirm the diagnosis. monitor your blood pressure, heart rate immediately. chatbot. avoid stress and anxiety. avoid fatty foods, smoking and alcohol. i also advise you to get your bmi measured and reduce weight if you are obese. also exercise daily for 30 min. coronary angiogram with or without stenting will be the procedure of choice. consult your cardiologist for expert management and follow up. post your further queries if any, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, red pinprick rash on forearms and legs may be due to some allergy. it may be due to mosquito bites or due to some allergens like house dust mites, grass or pollen. you consult dermatologist and have firm diagnosis. i would suggest taking antihistamines like levocetirizine and steroids in tampering doses.... and to apply mild steroid cream. avoid contact with suspected allergens. i hope this would help you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern your platelets count.  but you have almost near normal platelet count. many causes of low platelet count are there. most common is viral infection, however if you don't have any episode of bruising or any bleeding then no need to worry at all. ypu are normal. your low count may be due to normal variation. so just be relaxed. if you notice any bruising then consult doctor. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read carefully your query. if you did only one home pregnancy test and its result was negative, i can't exclude the possibility that it was a falls negative (mean that the test show negative, but you are pregnant). the symptoms you describe might due to ectopic pregnancy, but many other conditions can cause such symptoms. if i were you treating doctor i would try to exclude this chance before consider other possible causes for this acute pain you felt. i suggest consulting a physician and get a blood chatbot test and an abdominal ultrasound to exclude a possible pregnancy. once excluded this possibility the doctor can evaluate you in order to sort out the right cause. hope my answer has helped. take care. chatbot."
Answer this question truthfully,"There are 64 possible combinations of 3 base codons. A codon is a sequence of three nucleotides that specifies a particular amino acid or serves as a start or stop signal for protein synthesis. The four nucleotides that make up DNA - adenine (A), cytosine (C), guanine (G), and thymine (T) - can be arranged in different combinations of three to form 64 possible codons. This genetic code is universal, meaning that the same codons code for the same amino acids in all living organisms. Understanding the genetic code and the relationship between codons and amino acids is essential in the study of genetics and molecular biology."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  there are many causes of fever but most commonly it is caused due to infection. infection can be caused due to bacteria, virus, fungus or parasites. it needs to be evaluated for what has caused infection in your body.  clearly the tests done on you till now has not found out the cause but that doesn't mean that everything is fine. it means you have not been evaluated with the right test.  i would recommend you to consult infectious disease specialist for this problem, and he shall evaluate properly for your fever. hope this information was useful to you. any further assistance feel free to ask."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. cancer in the esophagus is a growth in the food pipe. it might involve the proximal third, middle third and distal third. the stage of cancer is demonstrated by the infiltration of the cancer to the adjacent soft tissue structures. if the cancer is spread to liver and spleen then it is stage 4 cancer and less likely to be operable. in such case the doctor might suggest inserting a bare metallic stent in to the lumen of esophagus to allow easy flow of solid and liquid food through the narrow area. this will not treat the cancer. treatment of cancer is by providing chemotherapy and radiation therapy to shrink tumor. the liver and spleen metastasis might have to be treated by chemotherapy. the expected survival in this condition is up to 2 years. some patients might survive more with good treatment response and care. pain and discomfort is treated with pain relief. please discuss with the doctor regarding any stent placement to let him take food and liquid by mouth. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.dear ahh..., thanks for choosing chatbot., i have gone through your history., according to this you have...irritant dermatitis.,you're not completing the course., follow up the case is very important.ok., so follow...1) tab... allegra (fexofenadine) daily nighttimes for 28 days.,2) apply calamine lotion on the body......daily morning times.,3) tab. ranitidine 150 mg daily before break fast., ok.good luck.,"
Answer this question truthfully,"Withdrawal refers to the development of a substance-specific syndrome due to the cessation (or reduction) of substance use that has been heavy and prolonged, while tolerance refers to the need for high amounts of the substance to achieve the desired effect or diminished effect if using the same amount of the substance."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. i do not know if it is of much use to see a pineal cyst, you can't understand the significance of it without knowing brain anatomy, the surrounding structures and their function really. it is simply a fluid filled sac. if it doesn't compress any structures or obstruct fluid flow it doesn't cause any symptoms. if you really want to see how it looks like here is an mri image where it is indicated by the arrows http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. after surgery the swelling takes at-least 5 days in reducing and even pain is also present. it reduces after taking proper medications.would within brown stuff can be the granulation tissue of socket as it is healing phase. so better you should wait for 5- 7 days and still if the swelling is present then go to the dentist for follow up. hope it will help you."
Answer this question truthfully,"Medical therapy is successful in the majority of patients. The first medication that is routinely used is beta-blockade (metoprolol, atenolol, bisoprolol, propranolol).    If symptoms and gradient persist disopyramide may be added to the beta-blocker.  Alternately a calcium channel blocker such as verapamil may be substituted for beta-blockade. It should be stressed that most patient's symptoms may be managed medically without needing to resort to inteventions such as surgical septal myectomy, alcohol septal ablation or pacing. Severe symptoms in non-obstructive HCM may actually be more difficult to treat because there is no obvious target (obstruction) to treat. Medical therapy with verapamil, beta-blockade may improve symptoms. Diuretics should be avoided, as they reduce the intravascular volume of blood, decreasing the amount of blood available to distend the left ventricular outflow tract, leading to an increase in the obstruction to the outflow of blood in the left ventricle. 
The asymptomatic patient without risk factors for SCD (sudden cardiac death ) does not require therapy, even in the presence of NSVT. The symptomatic patient can be treated with negative inotropes such as calcium channel blockers and/or beta-blockers. Atrial fibrillation should be treated aggressively. Some use Disopyramide to maintain NSR (normal sinus rhythm) because of its negative inotropic effects. Amiodarone is the best medicine to maintain NSR and has been associated with symptomatic improvement in patients with HCM.
These patients require endocarditis prophylaxis."
Answer this question truthfully,The likely diagnosis for the patient's condition is central cord syndrome.
Please answer with one of the option in the bracket,E: Volume of distribution
Answer this question truthfully,"Nitrous oxide (N2O) is the inhaled anesthetic that is commonly known as ""laughing gas""."
Answer this question truthfully,"How long does it take for folate deficiency to develop and why? Folate deficiency develops within months, as body stores are minimal."
Answer this question truthfully,"Yes, monobactams can penetrate the CNS."
Answer this question truthfully,"Primary amenorrhea is a condition in which a girl has not yet experienced her first menstrual period, known as menarche. It is defined as the absence of menarche in girls who are older than 13 years of age and have not yet developed any secondary sexual characteristics, such as breast development or pubic hair growth. Primary amenorrhea can be caused by a variety of factors, including hormonal imbalances, genetic disorders, structural abnormalities of the reproductive system, or certain medications or medical treatments. It is important to consult with a healthcare provider if primary amenorrhea is suspected, as it can be a sign of an underlying health issue that requires diagnosis and treatment."
Please summerize the given abstract to a title,The great lockdown: The UK regulatory responses to the pandemic crisis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum edema is seen in a lot of illness, first a diagnosis has to be made, only then a treatment can be suggested. please mention your ht, wt and any other present or past illness you may/have had. edema does cause skin changes when it is present for a long time, for which homeopathy is very effective, once the condition is properly diagnosed, you can start with homeopathy for the same. takecare for further inquires- chatbot. rathore@yahoo.co.in"
Please summerize the given abstract to a title,"Misconceptions on COVID-19 Risk Among Ugandan Men: Results From a Rapid Exploratory Survey, April 2020"
Answer this question truthfully,Increased preload results in an increased width on a pressure-volume loop curve.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have swelling and numbness in hand. well there can be many reasons for symptoms you mention in query like peripheral neuropathy, carpal tunnel syn chatbot.  i would suggest you to consult orthopedic surgeon for proper examination. doctor may order x-ray or ct scan to confirm the diagnosis. doctor may prescribe anti-inflammatory, muscle relaxant, antibiotics or vitamin b 12 supplements. for now start physical therapy or apply warm compresses and keep it elevated while lying down. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Interaction of drug candidates with various SARS-CoV-2 receptors: an in silico study to combat COVID-19. (Special Issue: Proteomics and its application in pandemic diseases.)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. citrobacter kosher is a gram negative coccobacilli which cause urinary tract infections commonly. it is normally present in intestinal flora and causes infection in immunocompromised patients. these bacterium are known to be resistant to many antibiotics and requires broad spectrum antibiotics.  these bacterium are susceptible to carotene, and i suggest you continue the prescribed antibiotics for 5 more days. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. hello sir, at this age your bp is high.it's hereditary ...but don't worry. i see similar cases amongst young people who visit my clinic. in the first meeting, i advise my patients to go on lifestyle modifications for three months. i suggest you to decrease the consumption of salt intake mainly ...do regular exercise e.g. walking for 30 minutes ...along with all you take these medicines.tab.amlodipine 5\u00a0mg 1-0-0 and atenolol 25 mg 1-0-0 for 2 weeks and recheck your bp and let me know the results...tanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hiwelcome to chatdoctori can understand your concerntreatment for candidiasis be managed with either topical antifungal agents or a single dose of oral fluconazole. a single dose of oral fluconazole (150 mg) in acute episodes of vaginal candidiasis. in chronic patients, the recommended regimen includes fluconazole 150 mg every other day for 3 doses, followed by weekly fluconazole 150-200 mg for 6 months. if you are taking fluconazole for 12 days, just wait and watch.don't worry. your high protein diet nothing to do with yeast infection. your periodic cycles and yest infection are not related to each other take care thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. actually at the back of the tongue there are some taste buds, which are known as circumvallate papillae, and they are slightly elevated from the normal tongue, so they are slightly uncomfortable and noticeable. so there is nothing to worry about it. but if the symptoms persist for a long time then you have to visit a good dentist for complete diagnosis. hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. surely you should be concerned as per the history of pain in abdomen, bloating, gaining weight. you need to consult a doctor to get a clinical evaluation, physical examination, investigations of ultrasonography, x-ray and ct scan along with the investigations of blood, urine and stool... the treatment will depend upon the reports of the clinical examination, and investigations."
Answer this question truthfully,"Salmonellosis is an infection with Salmonella bacteria. The type of salmonella usually associated with infections in humans is called Non-Typhoidal Salmonella. It is usually contracted by ingesting raw or undercooked eggs, or from sources such as; infected poultry and cattle, infected egg, egg products and milk, infected reptiles which carry the bacteria on their skin, and infected pet rodents. Cannabis contaminated with Salmonella muenchen was positively correlated with dozens of cases of salmonellosis in 1981.  Most persons infected with Salmonella develop diarrhea, fever, vomiting, and abdominal cramps 6 to 72 hours after infection. In most cases, the illness lasts 3 to 7 days—most affected persons recover without treatment. However, in some persons the diarrhea may be so severe that the patient becomes dangerously dehydrated and must be taken to a hospital. At the hospital, the patients will receive intravenous fluids to treat their dehydration and medications may be given to provide symptomatic relief, like fever reduction. In severe cases, the Salmonella infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics. The elderly, infants, and those with impaired immune systems are more likely to have a severe illness. Some people afflicted with Salmonellosis later experience reactive arthritis, which can have long-lasting, disabling effects.
A rarer form of salmonella called Typhoidal Salmonella can lead to typhoid fever. It is only carried by humans and is usually contracted through direct contact with the fecal matter of an infected person. It therefore mainly occurs in countries that do not have proper systems for handling human waste."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mary! if you have had a scan of spine done and your doctor has disclosed these findings, chances are you may require surgery to correct as you aren't responding to conservative treatment. even then, seek another spine/orthopedics doctors opinion and a physical therapist for another opinion. if conservative treatment not taken correctly viz, wearing lumbar sacral brace, back muscle strengthening exercise, adequate pelvic traction or bed rest and anti-inflammatory chatbot. .if you've done all this, anc no relief and now incapacitated for routine chores, then surgery may well offer a good remedy and maybe advocatedthanksbest wishes"
Answer this question truthfully,"Alcohol withdrawal is a serious condition that may rapidly become life threatening.
Call your health care provider or go the emergency room if you think you might be in alcohol withdrawal, especially if you were using alcohol often and recently stopped.
Call for an appointment with your health care provider if symptoms persist after treatment.
Go to the emergency room or call the local emergency number (such as 911) if seizures, fever, severe confusion, hallucinations, or irregular heartbeats occur."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting your query. as you have mentioned keep a constant check for your pericarditis and pneumonia. backache with left side pain could be due to compression of left nerve roots in lumbar spine region. proper neurological assessment is required. start with the medication for backache in form of muscle relaxants and pregabalin with methycobalamin. avoid forward bending and heavy weight lifting. avoid anxiety. be relaxed. start back extension exercise. mri to be done if needed. get well soon. take care. send further query for your follow-up
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. you can very well take recast in myasthenia graves. it has no contradiction of it in myasthenia graves. it is taken once a year. furthermore, it inhibits osteoclasts. so only bone deposition take place. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos you mentioned that this pain is from last 4-5 months, typically after meal (mostly) , this type of pain may be due to these reasons, this includes.1 hyper acidity or gastritis or hiatus hernia or peptic ulcer disease, as all these are nearly same, so need not worry about name. diagnosis can be confirmed by upper g i endoscopy. try raising the head of your bed about 4 inches with blocks. it might also help to avoid eating or chatbot.  to help control stomach acid one should not"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for the query...taking antibiotics is not enough in your case...the cause behind it has to be removed otherwise it will recur again and again...it can be a hyper inflammatory reaction to any local irritant present... in that case, you should go for scaling and root planing and should do warm saline rinses... after gum inflammation reduces, it will either go completely or will reduce in size... you can go for gingivoplasy afterwards...it can be abscess... in that case you should get it chatbot. .also get your sugar levels checked...."
Please summerize the given abstract to a title,Olfactory Dysfunction: A Highly Prevalent Symptom of COVID-19 With Public Health Significance.
Answer this question truthfully,"The two most common places of fracture in the orbit are the medial wall and the orbital floor. The orbit is the bony socket in the skull that houses the eye, and fractures can occur due to trauma such as a blow to the face or head. Medial wall fractures involve the thin bone that separates the orbit from the nasal cavity, while orbital floor fractures involve the bone that forms the bottom of the orbit. These fractures can cause symptoms such as double vision, eye pain, and swelling, and may require surgical repair. Prompt evaluation and treatment by a healthcare professional is important to prevent complications and preserve vision."
Answer this question truthfully,"Call your health care provider if dizziness, vertigo, loss of balance, or other symptoms of labyrinthitis are present. Also call if hearing loss occurs.
Urgent or emergency symptoms include double vision, weakness or paralysis, slurring of speech, convulsions, fainting, persistent vomiting, or vertigo accompanied by fever of more than 101 degrees Fahrenheit."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Pyloric stenosis is a medical condition that affects infants and is characterized by the narrowing of the pylorus, which is the opening between the stomach and the small intestine. One of the most common symptoms of pyloric stenosis is projectile vomiting, which can be nonbilious. This means that the vomit does not contain bile, a greenish-yellow fluid that is produced in the liver and stored in the gallbladder. Other symptoms of pyloric stenosis may include weight loss, dehydration, and decreased urine output. If left untreated, pyloric stenosis can lead to serious complications, such as electrolyte imbalances and malnutrition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there i understand your concern for your health and i would like to tell you that your blood pressure is slightly high don't worry too much. no worries even if you start meds a day after. but do keep in mind that this level of blood pressure can very well be brought under control by good exercise and dietary schedule as well along with medicine. so its advisable that you should go for daily brisk morning walks, reduces dietary salt intake, cut down your coffee intake, stop smoking (if you do), avoid eating junk food. follow this schedule regularly for 3 months and probably your bp will be under control without meds. wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,if the periods have been quite regular for a number of years and then suddenly stop, or the cycle becomes frequently interrupted, it denotes debilitated and devitalized condition of the system. causes towards the condition are anemia, worry,grief, fright or other serious emotional disturbance etc. you should have three meals day of fresh juicy fruits like apples, pears,grapes, papaya,orange etc. you should boil one spoon carrot seeds in one glass of water for 5 to 6 minutes and take it for 5 days in early morning, it is very beneficial for this. sesame seeds are also use like this. warm hip bath is also regulating the menstrual disorders. take care"
Please summerize the given abstract to a title,The impact of steroids on the incidence and course of clostridioides difficile colitis in COVID-19 patients receiving antibiotics
Please summerize the given abstract to a title,Diagnosis of coronavirus using biochemical and hematological methods for patients in Anbar governorate
Please summerize the given abstract to a title,Exploring Teachers and Students' Perceptions towards Emergency Online Learning Intensive English Writing Course during COVID-19 Pandemic
Answer this question truthfully,"Benign tumors typically display uniform nuclei, meaning that the cells within the tumor have a consistent size, shape, and appearance. This is in contrast to malignant tumors, which often have irregular or variable nuclei that can be an indicator of aggressive growth and metastasis. The uniformity of nuclei in benign tumors is one of the key factors that distinguishes them from malignant tumors, although other features such as the presence of necrosis, mitotic activity, and invasion into surrounding tissues may also be used to differentiate between the two. While benign tumors are not generally considered to be life-threatening, they can still cause significant health problems depending on their location and size, and may require surgical removal or other interventions."
Answer this question truthfully,"Humoral hypercalcemia of malignancy is a condition that occurs due to increased secretion of PTH-rp (parathyroid hormone-related protein) by certain types of cancer cells. This condition presents similarly to hyperparathyroidism, with symptoms such as hypercalcemia (high levels of calcium in the blood) and hypophosphatemia (low levels of phosphate in the blood). Humoral hypercalcemia of malignancy can be seen in a variety of cancers, including lung cancer, breast cancer, and multiple myeloma. It is important to identify and treat this condition promptly, as it can lead to serious complications such as kidney damage, osteoporosis, and cardiac arrhythmias. Treatment typically involves managing the underlying cancer and addressing the elevated calcium levels with medications such as bisphosphonates or calcitonin."
Answer this question truthfully,"CMV, or cytomegalovirus, is a common virus that can cause changes in brain structure, particularly in infants and young children. These changes can result in a variety of neurological problems, including mental retardation and seizures. CMV can also cause hearing loss and vision problems in some cases. The severity of these consequences can vary depending on the extent of the brain damage and the age at which the infection occurs. It is important for pregnant women to take steps to prevent CMV infection, such as practicing good hygiene and avoiding contact with bodily fluids from infected individuals, to reduce the risk of these potential complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through the description provided by you and would help you out. if its size is decreasing it could be the blister because of hot food. is it bleeding or getting pain? if it is accompanied by bleeding it can be gingival or periodontal problem.(related to gums and tissues surrounding tooth)if it is accompanied with pain along with bleeding or pus then it could be a gum abscess and if the teeth are seems to lose then it could be periodontal abscess. if the teeth are carious in that region then it can be chatbot. so the conformation can be given on checking the region. best advice would be consulted with the dentist. until then, you can do following thing"
Please answer with one of the option in the bracket,B: Schizoid personality disorder
Please summerize the given abstract to a title,Type I interferon signaling limits reoviral tropism within the brain and prevents lethal systemic infection
Answer this question truthfully,E. coli causes neonatal meningitis only if it is positive for K (capsular) antigen.
Answer this question truthfully,The Mesenchyme gives rise to most connective tissue.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot. i have gone through your question. as you are 26 and masturbating since 12 years is absolutely no reason to worry. is absolutely normal. ejaculate early is called premature ejaculation. is also not a medically abnormal. lost semen at night sometimes it happens normally. so no need to worry regarding anything. hope i answered your question. would be happy to help you further. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. well, without a clinical evaluation it would be difficult to determine the cause of the lump. possibilities that may need to be considered include enlarged lymph node, lipomas, cysts, growths from underlying connective tissue etc. i would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. you may get the x-ray of the area affected and fnac (fine needle aspiration cytology) of lump under his/her guidance. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please answer with one of the option in the bracket,C: Laparoscopic cholecystectomy
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori have gone through your questions and understand your concern. since the bang was nasty and is followed by significant symptoms, i would strongly recommend you to visit a pediatric neurologist for complete neurological examination. they may advise you for neuroimaging if required. neuroimaging especially mri is useful to rule out any significant brain affection by the trauma. it also helps in deciding therapy if required. hopefully this will help you. i would be happy to help you in any further questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, unfortunately, many scalp treatments for scalp psoriasis are messy and smelly. most treatments will need to be used regularly for several weeks before a benefit is seen. you may ask your dermatologist for various treatment options like topical steroids, ketoconazole coaltar shampoos, calcitriol, ethanol, phototherapy, medications, etc. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in most cases, treatment of gallstones is considered necessary only if you are having symptoms. of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used.  some alternative treatments have also been found to be effective in alleviating the symptoms of troublesome gallstones. when deciding what course of action to take for symptomatic gallstones, doctors usually choose from among three main treatment options"
Answer this question truthfully,"As per the information provided, atopic (eczematous) dermatitis often manifests as lichenification on flexor surfaces in children and adults."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot.  as a urologist and kidney transplant surgeon, i understand your anxiety. your mother has multi-organ failure, and being aged, her general condition is obviously serious. i sincerely hope you can visit her in time and spend valuable time with her. the journey across the country to the next one, shouldnt take you long.  our prayers are with you for your mothers' recovery. wishing her well. chatbot.  manga."
Please summerize the given abstract to a title,Early predictive factors of progression from severe type to critical ill type in patients with Coronavirus Disease 2019: A retrospective cohort study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as most cases post disc surgery have some residual symptoms which can be taken care of by the use of exercise and improve the quality of life. the exercise which i will advise you are - core stability, spinal muscle strengthening exercises, hip muscle strengthening exercises, breathing exercises, static hamstring, static qua chatbot.  if you feel then you can take help from a competitive physiotherapist who can help you perform exercise well and get results. if undergoing a proper exercise session under a physiotherapist than max by 10-15 sessions you should be perfectly alright. hope i have answered your query. let me know if i can assist you further. jay in"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please do not worry about those things. hard black blue is normally the color of penis in tropical region people. there are other symptoms for the problem you are suggesting. please consult a physician for evaluation and diagnosis. worrying is of no use. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","diagnosis of cirrhosis can be suggested by the history, physical examination and blood tests, and can be confirmed by liver biopsy.i'm an ayurvedic doctortreatment of cirrhosis is ayurveda designed to prevent further damage to the liver, treat complications of cirrhosis, and preventing or detecting liver cancer early. transplantation of the liver is becoming an important option for treating patients with advanced cirrhosis in modern medicineayurvedic treatments and tips for the liver cirrhosis. papaya seeds also work effectively in curing liver cirrhosis. to enhance the efficiency of the chatbot. another simple yet efficient treatment would be to have lime juice with a pinch of rock salt. radish also cures a person suffering from cirrhosis of the liver. the herb trailing eclipse, botanically known as eclipse alba, has proved invaluable in cirrhosis of the liver. after the fruit and milk diet, the patient should embark upon a well-balanced diet, consisting of seeds, nuts, grains, vegetables, and fruits with emphasis on raw, organically grown foods. all fats and oils should be excluded from the diet for several weeks. some of the ayurvedic preparation are asarogyawardhini vat tabletneem rasayanaliv-52nirocil etc. i suggest you to conceit your nearest ayurvedic physician for treatment of hepatopretection ... only herbal preparation are successful for the protection of liver ... all the bestthanksyou can write me mail for further enquiryinfo@rammani.com.np"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Pragmatic impairment and COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. there can be two possibilities in your husbands physical condition. first is, he might be having some heart problem which may cause pain in left arm and jaw. you might not feel it serious enough for now, but it may increase in intensity and may cause emergency later. thus, it is better to get it checked once by a cardiologist by an ecg. in absence of heart problem, the hand cramps and jaw pain will be different entities to treat and just a co-incidence that they started together. i would advise you to gen at an appointment of a dentist to check for presence of an infected tooth and abscess related to it. if that is the case, then after getting treatment of that infected tooth by root canal treatment or extraction depending on the extent of infection, your husband will be pain-free. the hand pain might be related to the muscle fatigue due to yard work and can be relieved by taking muscle relaxant medicines like dan-mr (paracetamol 500 mg + diclofenac sodium 50 mg + chlorzoxazone 250 mg) twice a day for 5 days. in addition to that, compression heat and local application with diclofenac gel (voting) will help. i hope this information helps you. thank you for choosing chatbot. let me know if you have follow-up questions. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. most probably your son is suffering from allergy due to some source in the pool. it could be an insect bite or anything else. i won't be able to recommend you medicine as you have not mentioned age of your son. one thing that you can do is that heat some cloth on flame so that it becomes slightly warm, then place it over the eye. it will give soothing effect. repeat 3-4 times a day. visit hospital if"
Please summerize the given abstract to a title,"Pre-admission beta-blocker therapy and outcomes of coronavirus disease 2019 (COVID-19): A systematic review, meta-analysis, and meta-regression"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,SARS-CoV-2 RNA dependent RNA polymerase as a therapeutic target for COVID-19
Please summerize the given abstract to a title,Evaluation of telemedicine for new outpatient neurological consultations
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. dear friend, your cholesterol level is high. as you told that your sgpt is 97, i suggest stopping ravel. your other values are in normal limit. you should start diet modification like decrease fatty foods, daily brisk walking for 30 minutes, avoid smoking and alcohol. this diet modification will help to reduce your cholesterol level and to decrease your risk for cardiac disease. repeat liver function test- sept and got after 1 weeks. further medicine will be planned after sgpt and got lab value. thanx for query."
Please summerize the given abstract to a title,Estimation of COVID-19 case fatality ratio based on a bi-directional correction method
Answer this question truthfully,The axillary nerve is at risk of injury as a result of an anterior dislocation of the humerus. This can cause weakness or paralysis of the deltoid muscle and loss of sensation over the lateral shoulder.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign cyst or tumor with infection like bacterial vaginosis or candida. you should go for examination. if needed go for biopsy or pap smear test.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Depression is characterized by decreased levels of dopamine.
Please summerize the given abstract to a title,The Cost of Staying Open: Voluntary Social Distancing and Lockdowns in the US
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are suffering from ankylosing spondylitis. bilateral sacroiliacs is sign of this disease. it is one type of chronic inflammatory arthritis affecting large joints. it may spread to involve both hip joints and knee joints. progress of disease varies in different patients. in long-standing disease hip and spine joints may get fused.  please visit rheumatologist for detailed examination.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. i have read your query & i understand your concerns. following is my reply"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that he might be having febrile convulsion, and it is common for some child chatbot. take care of fever when he gets it. apply cold compression on forehead and abdomen when he is having fever. go for treatment of causes of fever like any infection, cold, cough, stomach upset. give antipyretic medicine for fever. give enough water and liquids. give him complete rest. age age advances he will stop febrile convulsion. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for writing to chatbot. i have gone through your question and understand your concerns to delay the ejaculation for prolonging the duration of sexual intercourse. the following methods are helpful to delay the ejaculation and orgasm.1. stop-start technique of behavior therapy.2. female on top with active role and movements.3. double condom4. keel exercise also helps in some cases. you can learn the same from internet. (as if try to hold urine intermittently during voiding)5.  penile squeeze technique applied at the point of ejaculatory inevitability.6. applying a local anesthetic ointment to glans penis prior to penetration.7.  leading partner to orgasm by exploring and stimulating other erogenous zones. (other than vaginal containment movements only)8. you can do masturbation before sex (at least 2 hours before). it will make seminal vesicles somewhat empty. so, at the time of sex, semen will take more time to come out. remember that do not evaluate the sexual satisfaction and success only in terms of tic of time, sex strokes, number of thrusts or hours. it is the pleasure (touching and being touched) not the time is the key to healthy sex life. there are medications like paroxetine20 mg or duloxetine 30 mg with sildenafil 50 mg which helps to delay orgasm with improving erectile function. these medicines must be taken under medical supervision. wish you good health."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorit seems that your child has worm infestation most likely due to pin worms along with allergic episode. stool examination many a time is not sufficient to rule out these infestations. to detect pin worms, you need to apply a piece of cello tape in perianal area of your kid at night. remove it and get it examined under microscope by your pediatrician the next day for sticking eggs or pin worm. to treat it completely i recommend my patients to take albendazole (400 mg) on day 1 and 15. this should be along with trimming nails and good handwashing and hygiene. for allergic reaction, you may give your son spy. ben chatbot.  apply lac to- calamine lotion on the skin lesions. it will reduce itching and redness. hopefully this will help you. i would be glad to help you in any further questions. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and would recommend you to get x-ray of the knee joint to confirm the diagnosis. if there is any fracture or any soft tissue injury than it can be confirmed with this only. til you get the x-ray done i would suggest you to avoid any massage of the knee. if there is fracture than you will need splinting of the knee joint. if there is only soft tissue injury than it can be dealt with hot water fomentation, pleistocene bandage and attract tablet twice daily. i hope this answer will be helpful for you. let me know if there is any other followup questions. thanks"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you may have some benign cystic lesion like gelatinous cyst. you should go for examination and excision of lump if required.  however, it is not an urgent or emergency condition. you can consult your doctor at your ease. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health. don't forget to click, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i have understood your concern probabilities of her problems are1.insufficient dialysis, maybe she needs weekly thrice dialysis2.anemia secondary to chronic kidney disease3.vitamin deficiencies, during dialysis water-soluble vitamins lost.4.electrolyte imbalances like hypophosphatemia, hypo and hyperkalemia.i can suggest you to check1. serum sodium, potassium,phosphate and calcium2.hemoglobin levelstreatment1.if hemoglobin is less than 8 gms she needs transfusion.2.supplement her with becosules3.depending upon serum electrolytes she needs correction4.depending upon her volume status , acid levels and creatinine she may need weekly 3 times dialysis."
Please answer with one of the option in the bracket,C: Inadequate gonadotropin production
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not a sign of elevated blood pressure at night, you should check your kidney function, if it is normal, then you shouldn't worry. and is you suspect that you have high blood pressure at night, you can have 24 hour ambulatory blood pressure monitoring done and find out what is your blood pressure at night. hope i could help nourishing you good health in case of further questions don't hesitate to ask"
how do you get pulmonary hypertension,"The right side of the heart pumps blood through the lungs, where it picks up oxygen. Blood returns to the left side of the heart, where it is pumped to the rest of the body. When the small arteries (blood vessels) of the lungs become narrowed, they cannot carry as much blood. When this happens, pressure builds up. This is called pulmonary hypertension. The heart needs to work harder to force the blood through the vessels against this pressure. Over time, this causes the right side of the heart to become larger. This condition is called right-sided heart failure, or cor pulmonale. Pulmonary hypertension may be caused by: - Autoimmune diseases that damage the lungs, such as scleroderma and rheumatoid arthritis - Birth defects of the heart - Blood clots in the lung (pulmonary embolism) - Heart failure - Heart valve disease - HIV infection - Low oxygen levels in the blood for a long time (chronic) - Lung disease, such as COPD or pulmonary fibrosis - Medicines (for example, certain diet drugs) - Obstructive sleep apnea"
Please summerize the given abstract to a title,Prevalence and duration of loss of smell and taste among COVID-19 affected dentists
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i had gone through your query and understand your concerns. i would come up with three most possibilities to fit your case. these 1.first possibility is, renal colic;due stones in the kidney. confirm with ultrasound scanning for pub.2.second possibility is, cholelithiasis;formation of stones within the gall bladder. ultrasound scanning for abdomen may confirm the diagnosis.3.third possibility is hypothyroidism ;blood test for increased tsh levels may confirm the diagnosis. wishing you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, lisinopril does decrease bp, but this much fall within minutes is unlikely. either of two readings is false. you should take the third reading in order confirm which is one is right. 5-10 mmh variation is acceptable. also, if you bent or tighten the arm or doing some activity with hand during may affect the readings. so this is fallacy of electronic apparatus, we need to take multiple readings. hope this helps you and get back if you have any doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. your problem can be due to genital herpes. blistering rash with pain or burning sensation and itching can be most likely from genital herpes. you can go for herpes 1 and 2 blood test to confirm this. local acyclovir cream and taking acyclovir orally will be helpful also. you can use cold water for washing to get soothing from burning sensation or pain. hope this may help you. let me know if anything is not clear. thanks.
Answer this question truthfully,"ACE inhibitors can be divided into three groups based on their molecular structure:
Captopril (trade name Capoten), the first ACE inhibitor
This is the largest group, including:
Enalapril (Vasotec/Renitec) Ramipril (Altace/Tritace/Ramace/Ramiwin) Quinapril (Accupril) Perindopril (Coversyl/Aceon) Lisinopril (Lisodur/Lopril/Novatec/Prinivil/Zestril) Benazepril (Lotensin)
Fosinopril (Monopril), the only member
Casokinins and lactokinins are breakdown products of casein and whey that occur naturally after ingestion of milk products, especially cultured milk. Their role in blood pressure control is uncertain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the diagnosis is so obvious-you have been diagnosed as hy chatbot. this causes fluid to appear in the abdomen, reactionary to the disease you mentioned. there can be an associated endometriosis but has to be confirmed by diagnostic laparoscopy. the diarrhea ad constipation can be due to reactionary to the problem you have been diagnosed with. as said. it is best to go for laparoscopic diagnosis and treatment may be excision of the mass/ fallopian tube for relief of pain and also for definite diagnosis. the medicines can be given accordingly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello madam, loss of sensation over fingers, weakness in grip strength if it there ;are of neurological injury. this could be due to tight plaster or bandage or direct injury to nerve. it has to be evaluated to look which nerve is involved and at what level so examination and several investigations is needed. kindly consult an orthopaedician for the same. i hope your husband will get well soon. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms seem to be related to a pinched nerve. yes, c7 bulging can cause irradiating pain in this region. i recommend consulting with your doctor again and performing a nerve conduction study. a new cervical spine is necessary to exclude possible progression. if i were your doctor i would also recommend starting pregabalin or gabapentin for the pain. after the mri, i would recommend consulting with a spine surgeon. meanwhile, i recommend holding a cervical collar. hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","in patients suffering from chronic renal failure, the platelets usually develop a dysfunction. they are responsible for preventing small bleeds. but if they cease to function then the patient develops a propensity for small hemorrhages which usually develop spontaneously. as soon as the dialysis session is completed the platelets will function optimally for some time. if the problem goes beyond control then a particular medication is given which is a synthetic analogue of desmopressin. you should consult your nephrologist who will guide you in this respect."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for posting your query.  she doesn't cause any discharge from anywhere. you're probably having scalp infection or a boil over scalp.  it could be due to bacterial or fungal infection. you need to get culture sensitivity test of the discharge and use antibiotics as per culture report.  i advise you to consult your doctor and get required medications.  hope my answer has helped you.  any clarification feel free to ask.
"If you are a doctor, please answer the medical questions based on the patient's description.","strokes always show on mri because mri is very sensitive to tissue damage. strokes in kids mainly happen because of blood vessel tears, blood vessel diseases, and heart conditions. if the other symptoms were not related to any of these and didn't show up on mri it was unlikely to be a stroke.  high blood in the brain can cause headache and confusion if it rises high enough fast.  these are all common problems in medicine, and it is likely that they were properly evaluated.  you should express your concerns to his doctors do they can be ad chatbot."
Please summerize the given abstract to a title,"Not so sweet dreams: adults' quantity, quality, and disruptions of sleep during the initial stages of the COVID-19 pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. it can be metalloid or infections pre your history infection needs to ruled out by tests do not ignore infection in post tar. you may need to investigate like crp, cbc, esr,three-phase bone scan pcr culture is very useful to find culprit organism. if infection is confirmed then debridement is required. persistent infection revision operation is required. if metalloid confirms we will discuss again hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, liver, stomach and pancreas are situated under right ribs.  so pathology in any of these organs, hepatitis, severe gastritis, pancreatitis can cause similar symptoms. so better to consult emergency room and get done ultrasound abdomen to rule out these causes.  quit smoking and alcohol if you have these habits.  chatbot.  avoid junk food.  don't worry, you will be alright with all these.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Early warning scores to assess the probability of critical illness in patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",many other causes of high he is there. many times simple deny chatbot.  so it does not always mean that high he means polycythemia vera. persistent high he rbc count and jak 2 mutation is required to diagnose polycythemia.  just repeat your counts and if it came back to normal then no need to gopher specialist. if it remains persistent high then consult physician. and exact diagnosis is required. then take treatment accordingly.
Please summerize the given abstract to a title,A SARS DNA Vaccine Induces Neutralizing Antibody and Cellular Immune Responses in Healthy Adults in a Phase I Clinical Trial
Answer this question truthfully,Asthma is a contraindication for using Prostaglandin F2alpha (Hemabate) in postpartum hemorrhage.
Please answer with one of the option in the bracket,C: Decreased blood flow in the vasa vasorum of the ductus arteriosus
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. cause for red lumps on vagina-in my opinion you seem to have infected hair follicle, boil/ fur uncle, on the outer vaginal hairy skin and is due to the unhygienic care of the private parts.hence, stop worrying about it but do check it up from er gynec-surgeon. for final diagnosis and treatment needs clinical data from a doctor. and hence for further treatment i would advise you to consult er gynec-surgeon, who would treat it accordingly. this advice is based on the facts from the history you give and needs further clinical check.hence, i would advise you to check with er gynec-surgeon. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. hope this would relieve your problem. welcome for any more query in this regard to chatbot. write good resume and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
Please summerize the given abstract to a title,Social Work Responses to Domestic Violence During the COVID-19 Pandemic: Experiences and Perspectives of Professionals at Women’s Shelters in Sweden
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot psoriasis presents as red, scaly, itchy patches at various body sites; commonly extensors like knee, elbow, scalp, hands. facial involvement is less common but may involve the hair line, that may extend on to the adjacent facial skin. diagnosis of psoriasis is clinical; skin biopsy may be confirmatory in doubtful cases. psoriasis is a steroid responsive dermatitis and treatment of limited disease includes potent topical steroids e.g. clobetasol propionate clobetasol propionate in cream/point/lotions. topical vitamin d analogues e, g calcitriol, calcitriol are also among the treatment options. systemic treatment may be started in those who have widespread or severe involvement (e.g. pustular psoriasis, erythrodermic psoriasis). systemic treatment options include methotrexate, cyclosporine, phototherapy etc. methotrexate sometimes may also be started in those with limited involvement e.g. recalcitrant involvement of hands and feet. psoriasis is chronic and can recur after seemingly complete cure. factors that are known to exacerbate psoriasis include chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would recommend performing a coronary anglo ct scan or coronary angiogram in order to examine better the coronary arteries. stent's implantation or bypass surgery may be necessary based on the coronary angiogram. meanwhile, i would recommend continue on these chatbot. ). regarding your stomach, i would recommend using omeprazole twice daily. you should take esprit only after meals. hope you will find this answer helpful! wishing good health,"
Please summerize the given abstract to a title,"Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thank you for reaching us. i understand your problem. though you are not sexually active now, but you might have acquired a sexually transmitted disease(through oral, vaginal, and anal sex), when you were active. this most probably is due to a virus named herpes simplex, for this you need antiviral treatment. secondly it might be due to sensitivity to chemicals or irritants(contact dermatitis), or caused by allergies (atomic dermatitis). you should visit a gynecologist for this. in the meantime avoid known irritants, such as abrasive soaps or strong fragrances. you may find some relief through a site bath. this helps to relieve any pain and discomfort associated with the sores. this can be done at home by filling the bathtub with warm water that goes up to your hips. you may add a mild saline solution or baking soda to the water. while you can purchase small basins for site baths from a chatbot. hope it helped. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for an elucidated history. the inability to change the position itself is suggestive of a need for exploratory laparoscopy to determine the cause and deal with it. this can a perforated appendix or a lymph node mass or pid or salpingitis and mittelschmerz syn chatbot.  it is best to get a diagnosis and treatment accordingly. i think, you must visit the er and get the proper treatment done."
Please summerize the given abstract to a title,Prevalence and Factors Associated with Acute Kidney Injury in Sub-Saharan African Adults: A Review of the Current Literature
Answer this question truthfully,Patients with C5b-C9 deficiency (complement) are unable to form the MAC (membrane attack complex) leading to increased Neisseria infections.
Please summerize the given abstract to a title,Early 18F-FDG-PET/CT as a predictive marker for treatment response and survival in patients with metastatic colorectal cancer treated with irinotecan and cetuximab.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion the newer lesions must be due to peritoneal seeding by tumor cells. yes, you are right, that remnants can be left by negligence of operating surgeon and this can cause recurrence.  but chances of this os very less. during surgery, due to handling of tumor mass, there is great risk of spillage and peritoneal seeding by tumor cells. this is unavoidable. so this can give rise to recurrence.  so in modern era this is the reason for which post-operative chemotherapy and radiotherapy is given. the basic principle is to kill seeded malignant cells. so peritoneal seeding during surgical handling can be the cause for your recurrence."
Please summerize the given abstract to a title,Prediction of post‐vaccination Guillain‐Barré syndrome using data from a passive surveillance system
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms you have described suggest the possibility of neurological conditions like peripheral neuropathy. detailed evaluation is needed to find out the cause for this condition. as of now you can check your blood sugar level as uncontrolled diabetes can cause these symptoms. as of now you can take vitamin b12 supplements for symptomatic relief. if symptoms persist, better to consult a neurologist and get evaluated. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Towards realizing diversity in academic medicine.
Answer this question truthfully,"Often, but not always, a person may show certain symptoms or behaviors before a suicide attempt, including:
Having trouble concentrating or thinking clearly Giving away belongings Talking about going away or the need to get my affairs in order Suddenly changing behavior, especially calmness after a period of anxiety Losing interest in activities that they used to enjoy Performing self-destructive behaviors, such as heavily drinking alcohol, using illegal drugs, or cutting their body Pulling away from friends or not wanting to go out Suddenly having trouble in school or work Talking about death or suicide, or even saying that they want to hurt themselves Talking about feeling hopeless or guilty Changing sleep or eating habits"
"If you are a doctor, please answer the medical questions based on the patient's description.","the exact cause of autism is not known, but research has pointed to several factors"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. if as mentioned the tooth removal was done on 13th, (of april) it is long time which u had to get the sutures removed. regarding the bad smell, i advise you to keep that place clean without any food debris left behind, do saline gargles, and it will be better. please visit your dentist and get the sutures removed. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. it could be herd you will benefit from antacids. also eat small frequent meals instead of large meals. exercise regularly, do not lift heavy weights, keep your head end elevated by 2-3 blocks or pillows, give a gap of 2-3 hours before you sleep after your dinner.don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some tumor behind ear.  it can be soft tissue tumor or skin adnexal tumor or lymphoma or other.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks from your details that pain which you are feeling is due to long-standing damage to nerves of legs. it is a neuropathic pain. in such cases the best suitable medicine is either tramadol or pregabalin. these medicines can only be taken on prescription of your doctor. these are not over the counter medicines as there intake needs supervision by your health care provider. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Pattern of inflammatory immune response determines the clinical course and outcome of COVID-19: unbiased clustering analysis
Answer this question truthfully,Radiculopathy is a pathologic process that affects the nerve root.
"If you are a doctor, please answer the medical questions based on the patient's description.","asthma has nothing to do with cervical radiculopathy. the nerve compressed at its root while exiting from spinal cord, by various reasons, pains much and causes radiculopathy. steroids are even used in the treatment of radiculopathy, though rarely. to overcome this, pain management by verbal support and physiotherapy should be adopted. if surgery is indicated it should be the last resort (no 100% guarantee of cure). some herbals may support both asthma and neurological pain, but switching should be done with determination to do long term treatment that may even be taken parallel to allopatry which doesn't counteract. some reasonable gap is however, advised. some easy yogic exercises, deep breathing (panama) exercise costs nothing but immensely useful. try it now.  may seek help from any ayurveda doctor on chatbot or one near you. every path is for the benefit of mankind. if one doesn't suit, support from others should be taken hesitantly. hope it helps you."
Please answer with one of the option in the bracket,"B: 1.1 m/s, 0.05 m/s, 2.2 m/s, 0.3 m/s"
Answer this question truthfully,"In addition to rewarming techniques, the recommended treatment for hypotensive patients with hypothermia is to receive warmed IV fluids. Hypothermia is a condition in which the body's core temperature drops below normal levels, and can lead to a range of complications, including hypotension or low blood pressure. Rewarming techniques such as external warming devices or warm blankets can help to raise the body's temperature, but it is also important to provide warmed IV fluids to help support blood pressure and circulation. Warming IV fluids can help to prevent further heat loss and improve the body's ability to maintain its core temperature."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi sara;you surely have some problem with your shoulder. mostly the pain in shoulder going to neck is due to cervical spondylosis but as you said there is swelling ;and warmth it may be an inflammation of shoulder joint. please get examined by an orthopedic doctor;you may require to do investigation of blood & x-ray of neck & shoulder joint. please visit a doctor & get investigated and treated. take care. wish you speedy recovery. thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your problem seems to be epilepsy or seizures, which has probably resulted from old head injury. you say you have brain tumor, but we need to see your mri or ct scan brain report confirming the underlying diagnosis. if possible please upload the report. your symptoms can be partly explained by side effects of your current medications. the dose depends on the body weight. so, please get back with your weight also. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,Chapter 8 Business Strategies and Risk Factors
Please summerize the given abstract to a title,Interim Estimates of COVID-19 Vaccine Effectiveness in a Mass Vaccination Setting: Data from an Italian Province
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for using chatbot. this sort of chest pain can be usually due to gastritis, oesophagitis or any pain related to cardiac problems or esophageal induced coronary vasospasm. radiation of pain is due to the involvement of the same nervous innervation you can start on regular treatment with ppi`s(proton pump inhibitors like pantoprazole, or omeprazole) added with antacids like machine gel for about 2 weeks. if it still persists please make sure you go ahead with an upper gastrointestinal endoscopy, ecg & ultrasound abdomen, & 2d-echo. take care."
Answer this question truthfully,"Age-related macular degeneration is a condition that affects the central part of the retina, called the macula. It is characterized by the degeneration of the macula, which can lead to a loss of central vision. This can make it difficult to read, drive, recognize faces, or perform other activities that require clear vision. Age-related macular degeneration is a common cause of vision loss in older adults and can be classified as either dry or wet. Dry age-related macular degeneration is more common and progresses slowly, while wet age-related macular degeneration is less common but can progress rapidly and cause more severe vision loss. Treatment for age-related macular degeneration may include medication, laser therapy, or surgery, depending on the type and severity of the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you are suffering from giddiness, imbalance, since one year, c.t.scan and audio test normal, and problems are treated, doctors are of the opinion that it might be due to depression, due to death of your wife, seen psychologist, he also said same, no permanent relief could be obtained. finally using homeopathy.  for psychiatric medicines the patient should also help the medicines to work.  i advise you to follow some diversion procedures as practice yoga, meditation, reading books of your interest, hearing music, and if interested, indoor or out door gardening.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","probably you must have undergone elisa test (enzyme immunoassay) for screening of hepatitis c. elisa is not a confirmatory test for hepatitis c, and sometimes it gives false positive and false negative result. sometimes it gives inconclusive (borderline) result. the most reliable test is to detect hepatitis c rna (cv rna) in blood by polymerase chain reaction (pcr). it will confirm whether you are positive or negative for hepatitis c. you can visit nearby pathological laboratory or any government hospital for this test.  i hope this information will help you. i will be happy if you ask another questionthank"
Please summerize the given abstract to a title,"From high volume to ""zero"" proctology: Italian experience in the COVID era"
Answer this question truthfully,HPV6 and HPV11 are the most common viruses that cause Condyloma acuminata.
Answer this question truthfully,A feared complication of severe thrombocytopenia is intracranial bleeding.
Answer this question truthfully,Statin therapy may be used to reduce the risk of cardiovascular events and mortality in high-risk diabetics.
Please summerize the given abstract to a title,THE CHOLESTEROL METABOLITE 27-HYDROXYCHOLESTEROL INHIBITS SARS-CoV-2 AND IS MARKEDLY DECREASED IN COVID-19 PATIENTS
Please summerize the given abstract to a title,VMAT2 Inhibitors for the Treatment of Tardive Dyskinesia.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. igm and egg are antibodies produced by body. egg reflects old infection. igm reflects recent infection. so tb igm when it is high, is suggestive of recent tb study. but it is not always diagnostic. so anti-tubercular chatbot.  you should definitely get done other reports like chest x-ray, ultrasound examination of abdomen etc. for diagnosis of tb. so follow your doctors advice and get done other tests. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Drugs in Context Editorial: Review of 2020 and what lies ahead in therapeutic interventions
Answer this question truthfully,Which embryonic structure gives rise to the smooth part of the right atrium? The embryonic right horn of sinus venosus gives rise to this part of the heart.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient! checking your ovaries during a single cycle are not conclusive. your doctor is right. you have to monitor your follicles for at least 3-4 cycles to check if you are ovulating. similarly, the hormonal levels also depend on the time of your cycle at which they are performed. anyhow, for a more conclusive answer, kindly send in your hormone levels. yet, don't be discouraged at all. wait for repeat ultrasounds and hormone levels. you are fertile until and unless proven otherwise. hope my answer satisfies you. awaiting your precious feedback."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. having advice of removing ten teeth and just leaving it like that can do you no good, but it will just affect your general health, because of not able to take and eat healthy food. it will further reduce your confidence. leave behind the fear and get the needed treatment done. extraction of the teeth can be done few at a time, please go ahead with if they cannot be saved. once removed you can go ahead with the replacement of all the missing teeth. maintain it well and keep your health good. have your teeth cleaned and follow the post instruction of the dentist. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ashley, thanks for asking. based on your query, my opinion is as follows.1. bleeding should usually stop within 3-4 minutes usually.2. pressure needs to be applied on the spot. if the opening is much bigger, bleeding maybe prolonged.3. if you are worried about increased bleeding/clotting time, get a hemostasis profile workup done. bt, pt, apt will evaluate, if you have any disorder. hope it helps. any further queries, happy to help again."
Answer this question truthfully,Mirtazapine inhibits 5-HT2 and 5-HT3 receptors.
how is epilepsy diagnosed,"If you think you may be having seizures, or have other symptoms of epilepsy, you should talk to a neurologist. Having a patient's medical history is essential for diagnosing epilepsy, as well as having people who have witnessed the affected person's seizures. EEG monitoring can be helpful as well."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i can understand that everyone have a hard earn money and some people have a need of it but dear no need to worry just went to a doctor have a simple test of ecg that clears everything till then i just start you a mix treatment stuff as if you might be gastric and cardiac cap.pantop-dsr 1oddigene syrup 2spoon tosca.lipikind-as 1od get well soon thank you for trusting chatdoctorregards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... i have just read through your query. by what you quote i feel that your kid is having upper airway resistance syn chatbot.  i agree that it can happen in allergy, but allergy cannot be the only reason for this. the most common reason for this is enlarged adenoids and tonsils which might require adenotonsillectomy. i suggest you consult a pediatric ent surgeon regarding this. the other option is using intranasal steroids for 4-8 weeks and decide on further management based on the treatment response. regards -"
Answer this question truthfully,"Angelman syndrome is characterized by inappropriate laughter, seizures, ataxia, and severe intellectual disability, and is also known as ""happy puppet syndrome""."
"If you are a doctor, please answer the medical questions based on the patient's description.","apparently there is no way that gums can get any stain from cleaning procedure. the sharp device used is the ultrasonic scale which uses vibrations and water to clean teeth and gums. that reason you are seeing your gums dirty is the gap of 6 years you did nt have the cleaning done again. go to the dentist and get the cleaning done. scaling will remove all the plaque and calculus from teeth and gums, and you will feel much more clean, confident and healthy. take care."
Please summerize the given abstract to a title,Newborns from women infected with COVID-19: somatic and metabolic status.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. famotidine is not known to increase blood sugar. the blood glucose value tested without of date strips is likely to be wrong. the a1c is an average of the blood glucose over a period of 3 months. it is helpful in knowing the over all diabetes control. a low fasting blood glucose can compensate a high after food glucose and make the a1c normal. this is not good diabetes control and the complications of diabetes can be high in such individuals. so it is good to check the fasting blood glucose and 2 hour post lunch blood glucose in addition to a1c to reduce the risk of complications due to uncontrolled diabetes. i am available over the week ends if you have any query. take care,"
Please answer with one of the option in the bracket,B: Proximal metaphysis of the femur
Please answer with one of the option in the bracket,B: Dihydrorhodamine test
Answer this question truthfully,"People affected with pernicious anemia might have other coexisting autoimmune conditions such as autoimmune thyroiditis, autoimmune diabetes, vitiligo etc. Autoimmune thyroiditis is most commonly seen in patients with pernicious anemia, particularly females. HLA DR3 has been implicated in the development of autoimmune diseases such as pernicious anemia ."
Please summerize the given abstract to a title,HIV and SARS-CoV-2: points to consider to face this new pandemic./ VIH y SARS-CoV-2: aspectos a considerar para enfrentar esta nueva pandemia
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, recurrent throat infections are common after chemo radio therapy because of immunosuppression. so oral hygiene (antiseptic mouth wash) is very important for this. for your breathlessness without exertion, you should definitely consult pulmonologist and get done pft (pulmonary function test) to rule out bronchitis. bronchitis is very common after chemo radio therapy. if pft is suggestive of obstructive defect then you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Diabetes insipidus is the excretion of abnormally large volumes (i.e., >50 mL/kg body weight in 24 hours) of dilute urine (i.e., specific gravity <1.010 or osmolality <300 mOsm/kg)."
Answer this question truthfully,"The upper limit normal value for LDH is 250 IU/L, and two-thirds of the upper limit normal value for LDH is 166 IU/L. LDH, or lactate dehydrogenase, is an enzyme that is found in many tissues of the body, including the heart, liver, and skeletal muscle. It is measured in blood tests and can be used as a marker of tissue damage or disease. The upper limit normal value for LDH can vary depending on the laboratory and the method used to measure it, but a value of 250 IU/L is a common upper limit normal value. Two-thirds of this value is 166 IU/L, which may be used as a reference value for interpreting LDH levels in certain clinical contexts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot, i am chatbot. ecg cannot pick mi all times . sometimes it can miss n this y we need other test to confirm it is mi . if it is infraction n there is no facility for pci m there is hospital nearby u can reach about before 90 min it is better to take standard protocol of acs n ten rush to that hosp to have c.anglo n pci if necessary . but if is not possible then thrombosed there n shift to hosp have pci facility ...if i were your attending at that moment i would make sure it is acs bcs myocarditis also have same features ... i hope this answered your question, if you have more feel free to ask. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. sinus infection can have a chronic course. antibiotic therapy will be required if infected. a paranasal sinus x-ray should be taken if not responding to antibiotics and puncture and chatbot. ent specialist can help you in this. you should also take vitamin c regularly. studies have shown that taking vitamin c regularly can resist recurrent sinus infections. steam inhalation will be helpful in giving short relief. hope this may help you. let me know if you have any further query.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello........ thanks for your query. craze fluid contains toluene, an addictive substance. it is notorious for causing psychological changes as well as neurological deficits. hence, i would advise you undergo an evaluation by an addiction specialist so that suitable anti-craving agents as well as psychotherapy (e.g. motivation enhancement to quit substance use) can be suggested. i would advise doing this on urgent basis. regards chatbot."
Answer this question truthfully,The likely diagnosis for the patient's condition is hyperosmolar hyperglycemic state.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialists, responding to you. herpes simplex virus causative agent of herpes zoster or shingles. involves the dermatomes. so even if the skin is not open it can travel to the ganglion to store there. it may cause relapse after some times. so open wound has no problem with it irrespective of it can travel to nerves. take the complete treatment of the herpes. i will be glad to answer your further query. thank you for your contact to chatbot. wish you the best health. thank you, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern. i will suggest you the best possible treatment options. as you have stopped taking demo injections, and also you have started getting regular cycles, it is for sure that you have resumed your fertile ability. as you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. if you have unprotected sex act in the fertile period of cycle, then you stand chance to get pregnant.  at least try to have unprotected sex act on alternate days in this period. if you happen to get your cycles after following this advice then please get post menstrual hsg - hysterosalpingography done, to know the patency of the fallopian tubes. husbands semen analysis after 4 days of abstinence period, to know about quality and quantity of sperms. you can get ovulation study on usg from day 10 of the cycle, to know about the day of ovulation.  you can simply opt for unprotected sex act on and around the day of ovulation, or opt for gui - intrauterine insemination, on the day of ovulation. please opt for a healthy diet and regular exercise regimen. start on folic acid, vitamin b 12 and omega-3 supplements at least 3 months before you plan to get pregnant. this helps to prevent many problems during pregnancy and delivery. please be patient. think positive. all things will be fine in the due course of time. may god bless you with a bundle of joy. i hope this answer helps you. . thanks."
Please summerize the given abstract to a title,U.S. and Finnish high school science engagement during the COVID‐19 pandemic
Answer this question truthfully,"Peripheral vertigo is a type of vertigo that is caused by dysfunction in the inner ear or vestibular nerve. Some common inner ear conditions that can cause peripheral vertigo include Ménière's disease, benign paroxysmal positional vertigo (BPPV), vestibular nerve infection, and semicircular canal debris. Symptoms of peripheral vertigo may include dizziness, nausea, vomiting, and difficulty with balance and coordination. Treatment for peripheral vertigo depends on the underlying cause and may include medication, physical therapy, or surgery in some cases."
Please summerize the given abstract to a title,Inactivation and stability of viral diagnostic reagents treated by gamma radiation
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks from your details that you may be suffering from coccydynia. you should do following to have relief in this- -do warm water site bath. for this you have to sit in a tub filled with warm water. do it at least for three times a day.-avoid running, hiking or lifting heavy weights. avoid sitting for long time.-use coccydynia cushion. you may buy it from market.-start doing heel stretch exercises & manipulation of heel from your physiotherapist.-take some like acetaminophen for relief from pain. hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,"One of the primary risk factors for hepatocellular carcinoma is chronic infection with either Hepatitis B or Hepatitis C virus. These viruses can cause inflammation and damage to the liver over time, which can increase the risk of developing liver cancer. Other risk factors for hepatocellular carcinoma may include alcohol abuse, non-alcoholic fatty liver disease, and exposure to certain toxins or chemicals. Regular screening and monitoring may be recommended for individuals who are at high risk of developing hepatocellular carcinoma, in order to detect and treat the cancer at an early stage."
Please summerize the given abstract to a title,Mental health status of Relapsing-Remitting Multiple Sclerosis Italian patients returning to work soon after the easing of lockdown during COVID-19 pandemic: a monocentric experience
Answer this question truthfully,"Diarrhea is classified as acute if it lasts for less than 2 weeks, and chronic if it lasts for more than 4 weeks."
Please summerize the given abstract to a title,"Lessons learned during covid-19 pandemic, a worldwide survey: evolution of global neurosurgical practice"
Please summerize the given abstract to a title,Susceptibility of SARS-CoV-2 to UV irradiation
Answer this question truthfully,"Call your doctor if there are signs of complications, such as pain in neck or arms and legs. Emergency symptoms include convulsions.
You should also call if:
A high fever is not reduced by medication Signs of dehydration occur: Dry skin and mucus membranes Weight loss Irritability Lethargy Decreased or dark urine"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. vomiting of the bile and or clear (gastric) fluid indicate that you may have herd, = gastroesophageal -reflux -disease. or an obstruction in the small intestines. your history is so long - 3 months. you should have got the investigated done long ago. i would advise you to take a consultation of a gastroenterologist and undergo upper gi endoscopy, barium studies if required. this will give the diagnosis and a guideline for a proper treatment is possible only then."
Answer this question truthfully,Adverse effects associated with levetiracetam use include somnolence and neuropsychiatric symptoms (e.g. behavioral change).
"If you are a doctor, please answer the medical questions based on the patient's description.",hi;welcome to chatbot since it is the first time you passed blood it could be due to over straining & the bleeding occurred from a dilated vein(piles). presently you can just take fiber rich food ;fruits;& chatbot. excess straining causes piles so try to go to stools when you get sensation to do it & don't sit for long & strain.? if the bleeding is occurring regularly or more frequently then you need to get examined by a doctor & if required then treatment can be done. take care. thanks
Please summerize the given abstract to a title,TOSDS: Tenant-centric Object-based Software Defined Storage for Multitenant SaaS Applications
Please summerize the given abstract to a title,The impact of the COVID-19 pandemic on emergency general surgery: a retrospective study.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for putting up your query at chatbot. i understand your concern for your 4-year child. do not worry about the antibiotic azithromycin. it is safe and effective. unfortunately, sinuses are air pockets deep inside our face and their blood supply is poor, and often the antibiotics cannot reach there to make an effect. so, at times no antibiotic is successful in providing good relief and hence it is difficult to cure sinusitis. but generally the ailment comes down with age. i guess that you have to be a bit patient and wait to see if they give your son relief. steam inhalation is a very effective method where water vapor goes deep inside and dilutes the cough and eases the situation. i hope that helps. feel free to revert in case of further queries if any."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you got injured with the razor on your finger which has led to bleeding from that site. whenever there is an injury that area will show all signs of inflammation. the signs of inflammation include pain, redness, swelling and redness around the affected area. whenever there is an injury you need to follow1. clean the wound with antiseptic. 2. if in tt is not taken in last five years, take a shot of tt injection. 3. topical antibiotic cream like tb act.4. oral antibiotic like tab augmenting, twice daily for 5 days. thank you."
Please summerize the given abstract to a title,Evaluation of pooling of samples for testing SARS-CoV- 2 for mass screening of COVID-19
more information in relation to Ellis van creveld syndrome Specifically in later life can they have children has it ever been reported any researchcarried out and just as much information as possible to help my understanding of what I have Many thanks,"Ellis-van Creveld syndrome is an inherited disorder characterized by dwarfism, abnormal nails and teeth, and heart defects."
Please summerize the given abstract to a title,A pilot study on the preventative potential of alpha-cyclodextrin and hydroxytyrosol against SARS-CoV-2 transmission
Please answer with one of the option in the bracket,D: Community trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. you are suffering from pelvis inflammatory disease. you have to get yourself checked by a gynecologist and gastro-surgeon. furthermore, you need to undergo ultrasonography of abdomen, pelvis and transvaginal usg to get a proper diagnosis. this will lead us to a proper treatment plan. with proper antibiotic cover you will get alright. keep in mind the possibility to undergo surgery if indicated."
Please summerize the given abstract to a title,COVID-19 and Tail-event Driven Network Risk in the Eurozone
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. if i were your doctor, i would advise you to stop eating from outside specially the fast and fried spicy food from outside if you do. there could be some component of your diet to which your intestines and stomach mucosa might be sensitive to, for example a gluten sensitivity, or lactose intolerance, both of which could give rise to your present symptoms. the best way to diagnose it would be exclusion of selective diet components from your food. once diagnosed, you could come back to normal activities by avoiding this food. till then, you have to go for some kind of proton pump inhibitor and probiotic chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatdoctori have gone through your query. genetics play a vital role in facial hair growth. there are various facial hair grow supplements available in market. it is mostly of hair grow vitamins and amino acids. local minoxidil application theoretically helps in facial hair growth, but it is still not approved for such use. in ayurveda amla oil, mustard leaves, rosemary oil and coconut oil are used for local application to stimulate facial hair growth. hope this may help you. let me know if anything is not clear. thanks."
Answer this question truthfully,"MAO inhibitors are a class of medications that are often used to treat depression, anxiety, and other mental health conditions. In particular, these drugs may be prescribed for patients who have treatment-resistant atypical depression, which is a form of depression that does not respond to traditional antidepressant medications. While MAO inhibitors can be effective for some patients, they are not typically used as a first-line treatment due to their potential side effects and interactions with other medications. Instead, they are typically reserved for patients who have not responded to other treatments or who have severe or chronic symptoms that require more aggressive intervention. As with any medication, it is important to work closely with a healthcare provider to determine the most appropriate treatment plan for an individual patient's needs."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for putting up your query at chatbot. i understand the cause of your concern and have gone through the details carefully. your daughter seems to have acute gastroenteritis or food poisoning. it generally occurs when some preformed bacterial toxin enters the body through some food item. it generally resolves on its own in a few days and the cause does not need to be treated. but the loss of salt and water from body may cause deny chatbot.  give her frequent sips of ors. you may give odem md (ondansetron mouth dissolving) tablet 15-30 mins before taking food and that will reduce the throwing up. giving curd/yogurt could be helpful. gurgle with lukewarm water will give her throat some relief. it is probably caused due to erosion caused due the gastric acids during her throwing up. she may skip her school for a day or two till she is stable enough to attend her classes. i hope that helps. feel free to revert with further queries if any.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. pain in the area above center as mentioned by you suggests acidity. increase in acid secretion in stomach can be due to various reasons like consumption of hot/spicy food, late night meals, excessive stress, alcohol, non-vegetarian diet etc. so, the advice is to avoid these things. consult your doctor for medicines like omeprazole, spy. sucralfate. hope this information is useful to you. wish you a good health. thanks. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. acute sun burns are sometimes frightening but nothing to worry as it's pretty easy to manage. generally, i advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day. antihistaminics and antioxidant tablets can additionally be added. use high spf broad spectrum sunscreen every time before going out in sun. cold sponging will definitely help. hope this will take care of your issue. wish you best of health. thank you chatbot. d dermatology"
Please summerize the given abstract to a title,Understanding COVID-19 through a complex trauma lens: Implications for effective psychosocial responses
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for writing to chatbot, brief answer -low hemoglobin levels due to iron deficiency anemia can be corrected by including iron rich sources in your diet. explained answer -1. leafy vegetables like spinach (paley) and fenugreek leaves (meth), beans and lentils like masseur deal, whole, moon deal, too deal, brad deal, rama. asparagus (shalwar) and sesame seeds (til) are other good sources of iron. grains like barley (jay), rice, semolina (shoji), basra and maize (sakai) can also be included. you could use combination of these sources to cook delicious iron rich recipes. if not, munch on chatbot."
Answer this question truthfully,"Multiple sclerosis can present with fatigue, as well as other symptoms such as Scanning speech, Intention tremor, Incontinence, INO (internuclear ophthalmoplegia), and Nystagmus, which can be remembered using the mnemonic SIIIN."
"If you are a doctor, please answer the medical questions based on the patient's description.","his have gone through your complaint. you are three and half month pregnant with blood spotting .the possibilities can be placenta prefix, placenta is covering internal os. its imp to exclude this. go for ultrasound.asses the fetus, placenta. if placenta prefix is there best is absolute bed rest to avoid further bleeding. if placenta is not related to birth canal nothing to worry. thank youregardsvasundhara"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question! the two medications that you are taking are the only chatbot.  if the medications are stopped, it is a little hard to say that, within 6-12 months your scalp will appear the same as it was before treatment. regarding one of the disadvantages of finasteride is that it can cause sexual side effects such as decreased sexual desire and difficulty in achieving an erection. i hope my answer helps you. feel free to ask me again if anything is left unclear."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Clinician Perspectives on Caring for Dying Patients During the Pandemic : A Mixed-Methods Study
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question! from the way that you describe a migrating rash it could be erythema migrant, dermatitis or urticaria. erythema migrant (lyme disease) is caused by an infection after a tick bite. the rash maybe slightly itchy, it extends over two weeks, to produce another lesion in another site. does he have the rash only in the arms? has he experienced any of these symptoms? if yes he should take blood for serology. if it is urticaria the lesions are more like wheals... and also it could be dermatitis. sometimes these can be paraneoplastic signs that come prior to an internal cancer, anyway if a patient presents in my clinic with these symptoms i would check him with some patch test to exclude dermatitis and urticaria, skin biopsy and serology if the diagnosis is unclear. i hope this helps! if you are unclear with the answer please try to contact me again. wishing you and your boyfriend good health!"
Answer this question truthfully,"Prostaglandins E2 and I2 cause vasodilation of both afferent and efferent arterioles in the kidney. This dilation increases blood flow to the glomerulus, which is important for the filtration of blood and the formation of urine. The dilation of the afferent arteriole increases the pressure and flow of blood into the glomerulus, while the dilation of the efferent arteriole reduces the resistance to blood flow and helps to maintain the increased blood flow. This regulation of blood flow is important for maintaining normal kidney function and preventing kidney damage. The production of prostaglandins is regulated by various factors, including hormones, inflammation, and drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs)."
Please answer with one of the option in the bracket,D: Patellar compression with extended knee
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the lives is part of the bone in the inside of the skull. this is a small bone that has a pea sized area in front where the pituitary gland is found. the lives is a bone located behind the pituitary, a cordoba is a tumor of bone origin and is regularly noted in relation to the lives. it is part of a family of cancers called sarcoma, which include cancers of the bones, cartilage, muscles and other connective tissue. chordomas are thought to arise from remnants of the embryonic notochord and might have cell origins since birth and start proliferating at a later age. they are usually slow growing and recur after treatment. because of their proximity to critical structures biopsy is difficult and requires skilled approach. often it is diagnosed on ct scan or mri scan and treatment is given. having it evaluated in a teaching school will give you more options of treatment and cure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i understand your query and concern. atrial fibrillation is known to cause rapid heart rate, symptoms of difficult breathing, bloating and even at times fluctuations in blood pressure. i advise you to have a baseline 2 dimensional echocardiography, ecg and lipid profile to assess the basic cardiac reserve of your heart. restrict the intake of salt to less than 6g/day. regular physical exercise in the form of brisk walk for 20 min a daily is useful. chatbot. pantop 40 mg will help. reduce the intake of fatty and fried foods. electrophysiological study with or without radio frequency ablation is the procedure of choice in your case. you may also need coronary angiogram to look for any co-existent blocks in the heart. consult a cardiologist and discuss for further expert management. post your further queries if any, thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. spasticity in lower limbs (legs) can occur due to a disease in corticospinal tracts, which extends from brain to the spinal cord. in your case, mri of the thoracolumbar spine has been done, and it is normal. however, we still need to examine the brain and cervical spine for any disease, as that too could cause spasticity of legs. hence, your doctor has ordered for mri of brain and cervical spine. cat scan is not as sensitive and specific in finding out minor brain diseases or small lesions, hence it can not be relied upon 100%.  i hope it helps. please get back if you have any more queries. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","you must have a repeat consultation with your neurologist and possibly get an mri scan even if your ct is normal. this is especially because you have hearing loss and weakness in one side of the body. your symptoms suggest a possible temporal lobe epilepsy or cp angle pathology which requires investigation. if the mri is normal, ruling out cerebello-pontine (cp) angle pathology, i would even suggest a video-eeg telemetry which, if lucky, could record one such episode of confusion. sometimes complex partial seizures can be missed on routine eeg if the source of seizure in deep in the brain or in the temporal lobe. video-eeg may be more useful."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query on chatbot .your pain abdomen is more likely suggestive of \""colicky nature\"".this could arise either because of a gall stone or renal stone.both can produce abdominal tenderness .both have to be differentiated since the treatment aspects vary.an ultrasound abdomen will be extremely helpful in differentiating the two.gall stones are more likely to be treated by surgery and cholecystectomy. kidney stones can be treated by \""eswl-extra corporeal shock wave lithography\"" or by \""pcnl-percutaneous nephrolithotomy\"".meanwhile your pain can be managed by tab tramadol. consult an expert laparoscopic surgeon for further management.thank you.take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hey thanks for your faith in the chatbot.i have gone through your question and understood your problem. its better to do semen analysis for better idea.following are some of the signs that help to you understand signs of infertility in men
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is due to upper and lower respiratory tract infection if you are not feeling good with azithromycin go for more potent antibiotic such as tab. ave lox 400 mg once daily for 05 days with an oral decongestant such as loratadine twice a day for 07 days and an antimissile agent for cough such as acetyl cough 02 tsf thrice a day for 07 days. avoid yogurt and other cold thing have gurgles with salt water. i hope i am successful in solving your query if you have more you can ask me. take care"
Answer this question truthfully,"Papillary apocrine change is a benign condition that can occur in the breast. It is characterized by the growth of ductal epithelial cells that appear similar to apocrine glands. Apocrine glands are a type of sweat gland that are found in the armpits and groin, and they produce a thicker, more odorous sweat than other sweat glands. In papillary apocrine change, the ductal cells in the breast may show similar features, such as enlarged nuclei, abundant eosinophilic cytoplasm, and papillary projections. These changes can be seen on microscopic examination of breast tissue samples, and they are not typically associated with an increased risk of breast cancer. However, the presence of papillary apocrine change may require further evaluation, such as additional imaging or biopsy, to rule out other breast conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for posting your query with us. the pain you have looks like it did definitely start with the episode of pushing the motorcycle up on a stand. if the pain is radiating into one of your leg then you need to visit an orthopedic doctor. he would assess your pain and give you painkillers and medicines to relieve swelling. after the rest and medicines, you would need to start on physical therapy to prevent another episode of a similar pain. the physical therapist will assess and teach you exercises for the strengthening of your back and once you continue the exercises for about 3 months you'll have a strong back. if your pain at the moment is just in the lower back region and that to maximum on sitting then you can simply apply some heat and take muscle relaxants for 3-5 days and start with a few exercises. that should help relieve your pain. the exercises include1. bridging2. knee to chest3. straight leg raise to 30 degrees on both legs4. static abdominals5. hip abduction and extension6. cat and camel7. superman exercise for back hope this helps. get well soon."
Answer this question truthfully,"Familial hypocalciuric hypercalcemia is characterized by mild hypercalcemia (elevated blood calcium levels) and hypocalciuria (low levels of calcium in the urine), along with normal or increased levels of parathyroid hormone (PTH). These clinical features are the hallmark of the condition and can help distinguish it from other forms of hypercalcemia. Unlike other types of hypercalcemia, familial hypocalciuric hypercalcemia is generally asymptomatic and does not cause significant health problems. However, in some cases, it can lead to the formation of kidney stones or other complications. Diagnosis of this condition typically involves a combination of blood and urine tests, as well as genetic testing to identify mutations in the calcium-sensing receptor gene (CASR) that are associated with the disorder. Treatment may involve monitoring of calcium levels and regular follow-up with a healthcare provider to manage any potential complications."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"According to the Los Angeles Classification of esophagitis, e sophagitis may be classified based on severity into 4 grades.  
Type of esophagitis Etiology Eosinophilic esophagitis Milk Soy Eggs Wheat Peanuts Shellfish Reflux esophagitis Caffeinated drinks Spicy foods Drug-induced esophagitis Analgesics Antibiotics Potassium chloride Bisphosphonates Infectious esophagitis History of weakened immune system increases the risk of infections with Bacteria Viruses Fungi Parasites"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend, an intense lower abdominal pain of one week duration can be anything related to your abdominal organs like intestine, large or small. if it is in still lower pelvic area, bladder, ureter, prostate(if you are an adult male) etc. may also be involved. if you are an adult lady, uterus, ovary etc. may also be the sites involved. then also you are free to ask why this affection? for an allocate, it may be an inflammation, caused by some organisms. but as a homeopath the most important question i would ask is what happened just before this one-week period. then you will reveal that something happened to you in the mind level. yes, even the affections in the mental level can cause problems in the abdomen and for a homeopath, your curative remedy can be selected by understanding your mind and the conflicts in your psychological level. if you want to know which organ is affected you can take usg and consult a physician. if you want to get cure for your complaint, then approach an expert homeopath at the earliest. he will take your case in detail and will prescribe your curative remedy. that remedy will not only cure your present ailment but also will prevent further occurrences in future with similar reasons. if you feel right, you can approach me personally through the chatbot and give your details to me. i can help you. with best wishes,"
Answer this question truthfully,Ovarian torsion is caused by rotation of the ovary around the infundibulopelvic ligament.
"If you are a doctor, please answer the medical questions based on the patient's description.","1.  any past history of dental extraction, tattooing, acupuncture, blood transfusion or high risk behavior, alcohol intake, use of att, amoebic dysentery??2. any family history of similar type of illness?3. any associated anorexia, nausea,vomiting, arthralgia, pain abdomen, or yellowish discoloration of eyes/urine?4. if bag is still +ve after 1 year, it implies chronic hepatitis.5. along with the reports mentioned what about liver function tests reports (s. bilirubin, got, sgpt, alkaline phosphatase, serum proteins, prothrombin time)6. go for liver biopsy.7. your partner should get 3 doses of hepatitis b vaccine (engerix-b) of 1ml each at 0,1, and 6 months, booster dose is not recommended routinely except in immunocompromised and hemodialysis patient.8. take diet low in fat and high in carboy chatbot. 9. you can go for antiviral herbs {phyllanthu n\u00faria (bhumyamlaki)}, along with heat protective"
Please summerize the given abstract to a title,"Coping with COVID-19 pandemic: reflections of older couples living alone in urban Odisha, India"
Answer this question truthfully,"Mammography has been proven to reduce mortality from breast cancer. No other imaging technique has been shown to reduce risk. In some countries, routine (annual to five-yearly) mammography of older women is encouraged as a screening method to diagnose early breast cancer."
Answer this question truthfully,"The somatic nervous system uses one neuron to reach its target. This neuron is called the alpha motor neuron and it extends from the spinal cord to the skeletal muscle. When the alpha motor neuron is activated, it releases acetylcholine, which binds to receptors on the muscle fiber and triggers a contraction. This process is responsible for voluntary movements, such as lifting a weight or running. In contrast, the autonomic nervous system uses two neurons to reach its target: a preganglionic neuron that synapses with a postganglionic neuron in a ganglion outside the spinal cord."
Please summerize the given abstract to a title,COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus-protocol for a cluster randomised controlled trial
Please summerize the given abstract to a title,"Assessing Vaping Views, Usage, and Vaping-Related Education Among Medical Students: A Pilot Study"
Answer this question truthfully,The nucleus of CN XI (accessory nucleus) is located in the spinal cord.
symptoms of dehydration When a person is very dehydrated do they sometimes get a tight pain in their chest (right below the breasts) right before they faint/pass out?,"Signs of mild to moderate dehydration: - Thirst - Dry or sticky mouth - Not urinating much - Darker yellow urine - Dry, cool skin - Headache - Muscle cramps Signs of severe dehydration: - Not urinating, or very dark yellow or amber-colored urine - Dry, shriveled skin - Irritability or confusion - Dizziness or light-headedness - Rapid heartbeat - Rapid breathing - Sunken eyes - Listlessness - Shock (not enough blood flow through the body) - Unconsciousness or delirium"
"If you are a doctor, please answer the medical questions based on the patient's description.","most common cause of loose stool in young child chatbot.  treatment will be to continue breastfeeding. frequent breastfeeding in less than 2 months, ors solution in others as much as they can or 10ml/kg with each large quantity watery stool or 5 ml/ kg for small quantity stool. along with it zinc 20 mg / day to be given to babies older than 6 months. similar can be given, according to research studies it reduces diarrhea duration."
Answer this question truthfully,"HPV is a common virus that is spread through sexual contact. There are many different types of HPV, and many do not cause problems. However, certain types of HPV can lead to:
Cervical cancer in women Genital warts in men and women Cancer of the penis or anus in men"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query on chatbot. as per your clinical history, difficulty on taking breaths may indicate an injury to your vertebral column or spinal cord. this can be ruled out by getting an mri scan r of the lumbar/lower back region. as far as your doubt concerning injury to kidney, consider having an ct non contrast scan of the abdomen, in case if symptoms of blood in the urine or micturition disturbances develop.meanwhile, i suggest tab tramadol for effective pain relief. consult an expert surgeon for further assistance. thank you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot since you have hypothyroidism there will be disruption in normal menstrual cycle duration which makes cycles shorter than before. also, problem in ovulation will occur because of thyroid hormone deficiency and also high prolactin usually associated with hypothyroidism. pcs is a condition where hormone lh is high associated with high blood sugar due to diabetes and also high male hormones like an chatbot.  if it is possible, do get tested for pcs to rule it out. miscarriages are common in hypothyroidism and may also be seen in pcs. main thing you have to do is to start losing weight which will help fertility"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you're all symptoms are due to ascending aorta aneurysm. aortic aneurysm can cause coronary artery disease (cad) especially when it is ascending aortic aneurysm. so in my opinion, you should definitely consult cardiologist and get done fresh ecg, 2d echo, stress test (trade mill test) and coronary angiography to rule out cad). strict control or blood pressure is also needed. salt restrictions, fat free diet are also beneficial in your case. don't worry, you will be alright. but first rule out cad. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as to let you know too much of painkiller is not good for human body and the organs as well. why don't you try exercise which will be simple and helpful. i hope you have understood about this fibromyalgia. as it is a condition with the fibers of the muscle, you have a majority of the pain in the muscle fibers. try doing regular exercises like free exercises, stretching, strengthening, endurance training, etc. this are some exercise option i personally try out for my patients who have fibromyalgia. apparently till now it has helped them. i do try to implement for some meditation and breathing exercises. the only focus i try on my exercise prescription is to delay the fatigue. as fatigue can lead to pain i focus on improving their endurance and other weaker muscles. i hope you will get helped too like many others i have seen till date. i wish you a good health and a speedy recovery too. thank you"
Please summerize the given abstract to a title,Viral Infections
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. by her reports, your mother is having stage 4 ovarian cancer. her cancer is already spread to intestine, so she is having end stage cancer. the only treatment advisable is palliative treatment in the form of1. chemotherapy2. radiotherapy3. nutritional support4. pain management. surgery is contraindicated. did effects of chemotherapy are high. so you need to be very cautious about starting it. life expectancy without chemotherapy islets than 1 year. so better discuss in depth about chem chemotherapy and then decide accordingly."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, you are having asthma attack at present. cold is very well known triggering factor for asthma. so possibility of cold weather triggered asthma exacerbation is more in your case. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). you need inhaled bronchodilators and inhaled corticosteroid. antihistamine and anti-allergic chatbot.  don't worry, you will be alright, consult pulmonologist and start treatment. hope i have solved your query. wish you good health. thanks."
Please answer with one of the option in the bracket,C: Ranibizumab
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your sister has symptoms of fever and vomiting along with spots on tongue and arms which is due to compromised immunity of body and increased susceptibility of getting infected. fever is happening just because of that. need not worry. i would suggest you to visit general physician once and get it examined. you should take proper course of antibiotics to fight against infection.  chatbot.  if not taking any antibiotic start norfloxacin for 5 to 7 days. get culture test of urine done again after few days and start treatment accordingly. avoid intake of outside food."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,"Job satisfaction, work engagement and stress/burnout of elderly care staff: a qualitative research"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the way you have described the lesion it suggests as breast abscess - infective lump with collection of pus within.2. in this case what you need is get an ultrasound scan done to evaluate the nature of the lump, its extensions weather it's complicated or not.3. in case of complication - a small incision and chatbot. 4. as a remedy never press, scratch or disturb the lesion - in that way you will delay the healing process.5. sugget you to see your gp, get examined, treated accordingly. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hey. in my opinion, first please get one x-ray done, of the hips to rule out any fracture. to relieve pain, you can take a good analgesic containing paracetamol and diclofenac, twice daily after food, for 5 days, in case you have no known allergies. apply hot compress over the affected (painful) area, it can give you some relief from pain. try to sleep on your back, till your pain subsides. do not do heavy work-outs or lift anything heavier. hope i have answered your question. if you have any questions, then i will be happy to answer it. take good care. warm regards."
Please answer with one of the option in the bracket,E: Formation of the aorticopulmonary septum
Please answer with one of the option in the bracket,E: No pharmacotherapy
symptoms of dehydration When a person is very dehydrated do they sometimes get a tight pain in their chest (right below the breasts) right before they faint/pass out?,"The signs and symptoms of dehydration may differ by age. - Dry mouth and tongue - No tears when crying  Sunken eyes, cheeks - Listlessness or irritability - Extreme thirst - Less frequent urination - Dark-colored urine - Fatigue - Dizziness - Confusion"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion it is nothing but age related changes. and if she is asymptotic than no need to worry at all. i advise you to get done pulmonary function test (pft) for the diagnosis of chronic bronchitis.  if pft shows obstructive pattern than and then your sister needs treatment.  otherwise, no need to treat emphysematous changes on chest x-ray. this can be a normal finding in some patients.  so no need to worry much. get done pft."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your burning feet problem according to me not coming from your spine because walking is comfortable for you as compare to siting now remaining other causesneuropathy (diabetic, laprosy)vascular(stasis of blood circulation)which required blood sugar and color doppler of leg to diagnosed it. now your neck, you are operated few years back and now if your neck hearing you during looking up it is because of spondylosis and if neck pain not coming down up to arm physiotherapy is the only treatment for you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot i can understand your concern. obesity is one of independent aggravating factor for depression. the symptoms like benign forgetfulness, chatbot.  try to reduce the weight by exercise which will help in improving mood. consult a psychiatrist for persistent depressive symptoms. medicines like ssris are commonly used in depression. fluoxetine is ssri that doesn't cause weight gain and can prove useful in your case. apart from the medicines try relaxation exercises, yoga, meditation to keep yourself relaxed. thanks"
Please summerize the given abstract to a title,Childbirth Care among SARS-CoV-2 Positive Women in Italy
Answer this question truthfully,"Uterine rupture is a serious complication that can occur during pregnancy, labor, or delivery, where the uterus tears or ruptures. This can cause severe bleeding and potentially harm the mother and baby. A common risk factor for uterine rupture is prior uterine surgery, such as a cesarean section or myomectomy. These procedures can weaken the uterine wall, making it more susceptible to rupture during subsequent pregnancies. Other risk factors for uterine rupture include a previous history of uterine rupture, use of certain medications such as misoprostol, and certain medical conditions such as placenta previa. It is important for women with a history of uterine surgery or other risk factors to discuss their options for delivery with their healthcare provider and to closely monitor for any signs or symptoms of uterine rupture during pregnancy and labor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello knflesheadderall is a stimulant chatbot.  it increases heart rate and over all cardiac output. so the increase in heart rate in you is due to increase in dose in morning as previously you were taking 20\u00a0mg extended release which is long acting and now its 25\u00a0mg, so due to this dose adjustment hr has increased. as immediate release dose has nothing to do much because its short-acting only and its decrease just will not affect much. hope i solved your query. thanks take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi teresa, thanks for asking. based on your query, my opinion is as follows.1. low hemoglobin could be due to multiple causes including thalassemia.2. most commonly nutritional cause in females, secondary to decreased intake and possible heavy bleeding during periods.3. get a complete hologram along with peripheral smear. morphological classification will possibly identify a cause. based on it, appropriate diagnosis can be made. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that most probably you may be having halogen effluvium. there may be early hair fall in halogen stage of hair cycle. there may be some cause. thyroid dysfunction is one of the causes. you may be taking treatment of thyroid disease. take regular treatment. and consult dermatologist. i would recommend mild steroid lotion to apply on scalp at night daily. and biotin 10 mg along with vitamin e 400 mg may be taken daily. mild herbal shampoo and salmon oil may be considered. take long term treatment and have patience. i hope this would help you. thanks."
Please answer with one of the option in the bracket,A: Atovaquone-proguanil
Please summerize the given abstract to a title,Complex Virome in a Mesenteric Lymph Node from a Californian Sea Lion (Zalophus californianus) with Polyserositis and Steatitis
Please summerize the given abstract to a title,Sustainable practice of ophthalmology during COVID-19: challenges and solutions
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i can understand your situation. a patient who is psychotic, resists any reference to her/him as psychotic or have problem. therefore, they also resist being treated. that is the common nature. but, let me assure you, there are always ways to convince them and get treatment. the best and working method is love and affection. they never want to be bullied. the key lies in the trust. you have to find a person whom she trusts, or you transform into a person whom she trusts. never insist that she has disorders. motivate them to do whatever they do, and they fall in your trap within may be around some weeks. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,Convalescent plasma therapy in B-cell-depleted and B-cell sufficient patients with life-threatening COVID-19 – A case series
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. strange words your doctor said to you as your ultrasound result is quite normal. marginally enlarged liver means that your liver size is a little above the regular size. non dilated ibr and cbd means that your bile ducts are fine, not dilated. your gallbladder is fine as well. some pancreatic enlargement, probably not significant. it is very hard to tell what your doctor was thinking about. abdominal ultrasound is not a good test for setting final diagnosis so if your doctor have any doubts, he should send you to abdominal ct. if it is about your symptoms, most probable reason of it is a peptic ulcer, acid reflux. it is advisable for you to have upper gi endoscopy. full blood test with pancreatic enzymes and liver enzymes should be performed as well as urinalysis. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. you could be experiencing brachial plexus nerve irritation, compression or nerve pinching. this could be due to the surgical complications and some swelling in the region which can cause these symptoms. i advise you to consult your surgeon to rule out thoracic outlet syn chatbot.  apply warm compress or hot water bottle to the painful regions. take painkiller and muscle relaxant like diclofenac with thiocolchicoside which will help with the pain and muscle spasm. also, tablet pregabalin 75\u00a0mg with methylcobalamine will be useful to relieve you of the radiating pain."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dairy understand your concernplan b pill contain high progesterone. it causes relaxation of smooth muscle of the urinary tract and cause urinary stasis and ureter dilation in some case. so plan b pill could be a reason of the uti. i would suggest consulting the primary care physician and undergo urine tests to confirm the uti. doctor will give following advices for uti
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot.  i have read your query in detail. furthermore, i understand your concern. since this is persisting since long, you should get investigated. i would advise you to follow"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern and would explain that your symptoms could be related to a pinched nerve or a fiscal herniation in the cervical spine causing articular pain. it could be related to ma, but there are also a lot of other causes to consider. i recommend consulting with your neurologist for a careful neurological exam, a nerve conduction study and a cervical spine ct scan. meanwhile, i would recommend holding a cervical collar, which will help relieve the pain. hope to have been helpful. let me know if i can assist you further. kind regards,"
Please answer with one of the option in the bracket,D: Autoimmune destruction of the adrenal gland
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings may indicate varicocele. it is an abnormal enlargement of laciniform plexus of veins in scrotum. as you have pain, it is important to get rid of this condition. you may need color doppler of scrotum. after confirmation, you may need varicocelectomy or embolization therapy. varicocelectomy is surgical correction of a varicocele, it is performed on an old basis. it is generally done by laparoscopic method. get well soon. take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Restrictive lung disease can be caused by a variety of factors, including poor muscular effort. Some potential causes of restrictive lung disease related to poor muscular effort may include conditions such as polio, myasthenia gravis, and Guillain-Barré syndrome. These conditions can affect the muscles involved in breathing, leading to a reduction in lung volume and difficulty breathing. Other potential causes of restrictive lung disease may include lung tissue damage, scarring, or inflammation, as well as certain neurological or autoimmune disorders. Treatment for restrictive lung disease may involve medication, oxygen therapy, and pulmonary rehabilitation to help improve lung function and manage symptoms."
Answer this question truthfully,"Trichotillomania is a type of impulsive control disorder. Its causes are not clearly understood.
It may affect as much as 4% of the population. Women are four times more likely to be affected than men."
Answer this question truthfully,Abacavir hypersensitivity is associated with the HLA-B 57:01 allele.
Please summerize the given abstract to a title,Reactivity of the Thyroid System to Short-Term Stress in Wistar Rats with Visceral Obesity and Restricted Social Activity
Answer this question truthfully,A traumatic diaphragmatic hernia is the type of hernia that is associated with abdominal trauma.
Answer this question truthfully,"The predominant medical therapy for primary glucagonoma is somatostatin analogs (octreotide). Metastatic tumors need hepatic artery embolization, Radiofrequency ablation, and molecular therapy."
Answer this question truthfully,"Costochondritis is a medical condition characterized by inflammation of the cartilage that connects the ribs to the breastbone. The primary symptom of costochondritis is episodic chest pain that worsens with movement or changes in position. The pain may be sharp or dull and is often described as a pressure or squeezing sensation. Unlike other types of chest pain, such as that associated with a heart attack or pulmonary embolism, costochondritis does not typically present with warmth, swelling, erythema, or other cardiovascular or pulmonary signs or symptoms. The exact cause of costochondritis is unknown, but it is believed to be related to injury, infection, or inflammation of the chest wall. Treatment for costochondritis typically involves the use of nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and relieve pain."
Answer this question truthfully,"According to the the U.S. Preventive Service Task Force (USPSTF), there is insufficient evidence to recommend routine screening for angioimmunoblastic T-cell lymphoma."
Please summerize the given abstract to a title,A Case Report of Sedation Strategy for a Patient With Coronavirus Disease 2019 Supported by Extracorporeal Membrane Oxygenation After Cesarean Section
Please summerize the given abstract to a title,Current status and future direction of cryopreservation of camelid embryos
Answer this question truthfully,"Yersinia enterocolitica can mimic appendicitis, with symptoms that include pain in the right lower quadrant (RLQ), fever, and an elevated white blood cell (WBC) count. Yersinia enterocolitica is a type of bacteria that can cause a range of gastrointestinal symptoms, including diarrhea, abdominal pain, and fever. In some cases, the symptoms can be severe enough to mimic other conditions, such as appendicitis. It is important to distinguish between Yersinia enterocolitica and other conditions that can cause similar symptoms, in order to provide appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. although it needs to be physically examined to arrive at a diagnosis, from the history alone, i would advise you to visit the er of the nearest hospital at the earliest possible to rule out an obstructed inguinal hernia with a possibility of a strangulation resulting in the bruising around that area. it might not be possible to advise you any medications at present for this problem. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. yes, there is no appetizer available which directly increases the appetite. but if your son has some short of constipation like hard stool then giving laxative will help in clearing the intestine and increasing the appetite. syrup capon is usually given to support liver resulting in increasing appetite. try to regularize his meal time and involve him in some work while feeding. let me know if you have any further questions. you can contact me on my page http"
Please summerize the given abstract to a title,Effects of allochthonous inputs in the control of infectious disease of prey
Answer this question truthfully,"Education, engineering, and enforcement are often recommended as both a possible prevention and a sensible way of managing the burn injury. Combination of prevention and care strategies have made progress reducing the incidence of burn injuries and burn severity and lowering rates of burn death and length of hospital stay."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i can see you are feeling the effects of dizziness which is nausea and headaches too. i am not sure what the indication for the injection in the back was ! the fact that a blood patch done indicates an intrathecal injection. in that case the side effects of the analog could be causing all the symptoms you are having. i would suggest a symptomatic remedy with betahistine along with a painkiller for the headache, the safest being a paracetamol. a visit to an ent who specializes in vertigo should also help. i would think that the symptoms should start receding soon. in case of this persisting, i think a thorough check-up with a neurologist would become essential hope i have helped you with this"
Answer this question truthfully,"In older patients, REM sleep behavior disorder may be a sign of neurodegeneration, such as Parkinson’s disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sheba, your daughter is having what is called photophobia. the problem can be due to lesion in cornea or inner eye. this is common with child chatbot. since she doe snot have problems with vision, try some eye exercises in morning after getting up from bed. avoid tv more than 1 hour/day.ask her to clean eyes with water before going to bed. try these remedies. sure she will be relieved of her problem. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i need to know following answers from you to guide you the best as1. what's your age?2. what's your occupation?3. are you doing a long hour standing job?4. do you feel morning stiffness, fever, weakness?5. is there any family history of same? what you need to do is, get these investigations done first"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based from the information provided it seems like you are having \""pcs\"" i.e. polycystic ovarian syn chatbot.  which is basically an imbalance in the hormonal cycle due to issues in ovary. now let me answer the questions.1) cure"
"If you are a doctor, please answer the medical questions based on the patient's description.","i'm very sorry to hear about your brother. plastic anemia is a very serious condition. the bone marrow shuts down, and no longer makes any white blood cells (protective immune cells), red blood cells (vital oxygen carrying cells), or platelets (clotting cells). this can happen due to cancers, radiation exposure, certain chatbot. treatments vary and include steroids, injectable colony stimulating factors, transfusions (putting the cells in), and sometimes bone marrow transplantation. transplantation is very hard to do because there must be an exact match (often a family member or child must donate, but even then a match is not guaranteed). however, sometimes, depending on the actual reason for the anemia in the first place, the body starts making cells again on its own. providing supportive care in the hospital is sometimes all we can do. i hope things get better for your brother and i will keep him and your family in my thoughts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. buccal mucosa cancer is treated with surgery in early stages. in recurrence after few months or years also surgery is done if possible and then followed by chemotherapy and radiation therapy. what happens is some amount of cancer cells are still in the region and not eradicated by surgery. to destroy them completely, chemotherapy and radiation therapy is given to most patients of buccal mucosa cancer. survival in cancers of the head and neck region is better than most other cancers if detected in the early stage. since your doctor has told that your mother can go for another flap surgery therefore it is still in the early stage. survival is good, and many people continue to lead a near normal life after surgery. the 5-year survival even in stage 4 buccal mucosa cancer is more than 36 percent. therefor please get her surgery done and follow-up treatment, and she will recover. please do not worry."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Tabes Dorsalis may be associated with Argyll Robertson pupils.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,B: Follicles with colloid
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. as per your mri report, you have disc prolapse at two levels in the lumbar region (lower back). this is probably causing compression of a few lumbar nerves, that go to the legs. your leg pain and numbness could be related to the disc prolapse.  initial treatment consists of neuropathic pain medications such as pregabalin or gabapentin capsules, and physiotherapy. in some cases, surgery may be required. your surgeon would be able to guide you well, after examining you. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have hemophilia, so you have factored 8 or 9 deficiencies. more over you have developed inhibitors which are the antibodies developed against external factor therapy. its level depend on the frequency and time duration of factor therapy. you should evaluate level of inhibitors and factor8 level. and set the dosage according to that. consult physician and take treatment accordingly. .thanks for using chatbot."
Please answer with one of the option in the bracket,C: Chronic myeloid leukemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the sperm cannot get through fabric. and yes sperm will be destroyed by enzyme in saliva, but it might stay long on lips. the lifespan of sperm is 24-36 hours. but within its lifespan it should meet egg or ovum for fertilization which results in pregnancy. there is no chance for fertilization to occur even if sperm is alive on lips so there by no chance for pregnancy. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hai.this is lumbar disc compression or prolapse, a chronic pain problem, u had to follow good spine relaxation physiotherapy exercises. by avoiding strain on the back.pls go ahead with a mri lumbar spine for localization of the problem. for pain control u can start with gabapentin or pregabalin added with methylcobal daily, these chatbot. u can visit good pain clinic for local nerve blocks or intrathecal magnesium for relieving the pain and spasm.good luck take care."
Please summerize the given abstract to a title,Reverse transcription polymerase chain reaction (RT-PCR) analysis of proteolytic enzymes in cultures of human respiratory epithelial cells.
Please answer with one of the option in the bracket,A: Hepatocellular carcinoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. usually a nasogastric tube will not be damaged due to radiation therapy. the tube is made of chemically inert material that does not get affected when radiation passes through it. radiation has to be given if your oncologist feels that tumor has to be reduced in size after chemotherapy with devoted and cisplatin. nasogastric tube is a simple tube that is a passage of liquids from mouth through throat and esophagus and in to the stomach lumen. it does not get affected though you might have a slight discomfort when they put it inside. this will help to provide feeds regularly. please do not worry."
Answer this question truthfully,"Huntington's disease is a neurodegenerative disorder that is caused by an abnormality in the huntingtin gene. One of the key features of the disease is the progressive loss of neurons in the brain, particularly in the basal ganglia, which is involved in movement control. There are several medications that may be used to treat Huntington's disease, including tetrabenazine and reserpine. These medications work by inhibiting a protein called vesicular monoamine transporter (VMAT), which is responsible for packaging dopamine into vesicles for release into the synapse. By inhibiting VMAT, these medications decrease dopamine vesicle packaging and release, which can help to reduce the abnormal movements (chorea) associated with Huntington's disease. Other medications, such as antipsychotics and antidepressants, may also be used to manage specific symptoms of the disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/ madam, i understand your problem. since you have removed all four teeth at the same time, you would have kept your mouth wide open for at least 45 minutes to one hour (both in local and general anesthesia) resulting in jaw muscle fatigue. normally we must start mouth opening exercise from the south day of extraction. since you have restricted mouth opening after a month, take some analgesic with muscle relaxant and try forceful mouth opening. your jaw deviation while yawning will also be corrected.don't worry, restricted mouth opening is very common problem after wisdom tooth extraction. it is absolutely solvable. hope your query is answered. for further queries please don't hesitate to contact back."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. citralopram, or elena, is a medication used to treat depression and other types of mood disorders.  the class of medication that includes citalopram does not interfere with birth control or hormone levels, and should not cause any physical symptoms. pelvic and back pain can have other causes, like premenstrual changes, or even a urinary tract infection, so i suggest that if your symptoms persist you consider seeing a local physician for evaluation. i hope i was able to adequately answer your question today and that my advice was helpful. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this obviously indicates condition called choledocholithiasis, and it may be signed of serious bile duct blockage, so you should see doctor and have ercp done which can also be used for stone extraction. if this is unsuccessful then you also may need surgical procedure. but in every case, further tests and therapy are required. i hope i have answered you query. if you have any further questions you can contact us in every time. wish you a good health. kindly regards, ivan r. rammstein"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern and looking to the history given here i would like to say that the symptoms that your mother has are not related with heart disease and this could be some hyperacidity problem, or gastritis, if it is blood stain saliva then this could be dental condition, in my opinion your mother need be examined clinically for final diagnosis, hope this information helps you, take care and have a nice day."
Please summerize the given abstract to a title,Implementation and Evaluation of Alcohol Screening Tool in HIV Patients
how do you check for lupus?,"There is no one test to diagnose lupus, and it may take months or years to make the diagnosis."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make following suggestions to you
"If you are a doctor, please answer the medical questions based on the patient's description.","hi rajesh. welcome to chatbot . i have gone through your query and can understand. as per your complaint it seems that you have got infection and inflammation at the site of injury and inflamed tissues tend to bleed easily. if immediate treatment is taken chances of septicemia are very less, and you need not worry about it. the first thing that you should do is to take a sterile piece of cotton or gauge and put gentle pressure at the bleeding site to again bleeding cessation or hemostasis. once the bleeding is stopped you can clean the area with an antiseptic solution and apply antibiotic ointment and cortisone [steroid] ointment over it. a short course of antibiotics containing combination of trimethoprim and sulphamethoxazole [bactrim ds]. cover the area with bandage under slight pressure to prevent bleeding. avoid water exposure to injury site. hope this information helps. thanks and regards. chatbot."
Please summerize the given abstract to a title,Understanding Alcohol and Marijuana Use among Sexual Minority Women during the COVID-19 Pandemic: A Descriptive Phenomenological Study.
Please answer with one of the option in the bracket,B: Fomepizole
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist. pain on lower part right side can not be due to gb sludge. pain can be due to infection or inflammation in colon, may be related to ureter, so i will suggest you to visit your doctor and get evaluation in form of ultrasound abdomen and some blood tests. i hope i have answered your query and this will help you. wish you a good health"
Please answer with one of the option in the bracket,C: Sitz baths and topical nifedipine
Please summerize the given abstract to a title,Porcine reproductive and respiratory syndrome virus and Haemophilus parasuis antigen distribution in dually infected pigs
Please answer with one of the option in the bracket,E: Fosinopril
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your husband has had a brain tumor surgery. post surgery, there is a risk of seizures (fits) due to either scar of the surgery or due to minimal residual (left over) tumor. therefore, medicines such as level and frisian have been started. these are anti-epileptic chatbot.  symptoms of black-outs are more likely to be fits, rather than the side effects of these medicines. however, please consult his doctor for sorting this out. best wishes,"
Please summerize the given abstract to a title,Seasons of Coronavirus Disease 2019
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, coughing, wheezing and chest pains are commonly seen in lung infection or bronchitis. so, it is better to consult pulmonologist and get done a clinical examination of the respiratory system, chest x-ray and pft (pulmonary function test). a chest x-ray is needed to rule out lung infection. pft is must for the diagnosis of bronchitis. you may need antibiotics and long-acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Telehealth on the Fly: Why We Need a More Thoughtful Approach in Social Work Education
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear thank for the query on chatdoctorthe bleeding sweeping could be a hematoma which is common in this area.it could also be a lipoma. get an ultrasound of the swelling to see whether solid or fluid content. you can get a fnac of the sweeping if hard under the guidance of ultrasound to get a pathological report. based on it, you can go for the surgery under anesthesia. thank you hope your query is a chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello;welcome to chatbot there are many reasons to have severe pain as it can be due to infection of pelvis;renal or ureteric stone;ovarian cyst and even extra uterine pregnancy so first see if you have missed periods and get a urine pregnancy test done to rule out pregnancy. if it is positive then you need to consult a gaec and if it is negative please get an ultrasound done to find the reason and with the reports consult a doctor for treatment. thanks
Answer this question truthfully,"CT-scan in the case of the Humerus fractureis the best modality if you can not have an exclusive diagnosis by X-ray itself can not be made.
The oblique fracture through the capitellum is clearly demonstrated on the CT. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Comminuted T- condylar fracture of the left distal humerus is noted with intra-articular extension. Posterior displacement of the distal fragment is seen in the sagittal plane; with mild lateral/valgus displacement and rotation is noted in the coronal plane. No radial or ulnar fracture is noted.Soft tissue swelling is noted around the elbow. Mild joint effusion with likely lipohemarthrosis. Displaced intercondylar fracture extending from the medial distal metaphysis into the trochlea with an intra-articular gap of 3 mm showing tiny interposed bone fragments. Displaced intercondylar fracture extending from the medial distal metaphysis into the trochlea with an intra-articular gap of 3 mm showing tiny interposed bone fragments."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read your problem, as you gave the detail it seems that this is because low white blood cells count, because in case of low white blood cells count immunity gets lower, and the body is more prone to infections and in the oral mucous membrane become necroses and gums and supporting structures destroy very rapidly. so i will suggest you please go to your physician as soon as possible and go for complete check up including complete blood count., and please take a proper treatment. after the treatment of this problem, visit to your dentist and take a proper dental treatment accordingly including scaling. nothing to get worried, you will recover very soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting a question. i understand your concern towards your dads issue with hypertension. there is no need to worry. getting bit by an insect does not directly cause hypertension, but the emotional distress he encountered during the duration of events could increase his blood pressure. i have experienced patients that had hypertension shortly after a scorpion bite, but hypertension subsided a few days after. i wish your dad a quick recovery. best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorit is really sorry for your friend, long term insertion of iv line catheter can cause local area inflammation and could be a thrombophlebitis, but it will go away generally no medicine is required in it, at the most we can try local heparin preparation for thrombosis, otherwise it won't hurt nay more, only ting is to watch for any infection part have nice day and take care of your friend bye."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, vomiting could be due to straining while passing stool, due to abdomen pressure generated while straining, baby vomited what is there in the stomach. since he is having fever so needs to rule out possibility of gastritis. if fever persists, repeat vomiting occurs, notice distension of abdomen, then immediately visit to er. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have swelling in hands and wrists along with pain. a sprain is a stretching or tearing of ligaments. a sprain occurs when you overextend or tear a ligament while severely stressing a joint. i would suggest you to take proper rest, do icing for 15-20 minutes daily, tie a crape bandage and see it elevated while lying down. you can take signoflaam. if condition doesn't get well then consult orthopedic surgeon for proper examination. doctor may order x-ray or mri to confirm the diagnosis to rule out fracture or more severe injury. doctor may recommend physical therapy or surgery. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,Solitary pulmonary nodule with irregular borders and > 0.8 cm in an old smoker is managed with surgical excision.
Please summerize the given abstract to a title,Investigating the impact of Covid-19 pandemic on stock markets: Evidence from global equity indices
"If you are a doctor, please answer the medical questions based on the patient's description.","most likely its normal, sometimes patient may get a feeling of mild chest pain, heaviness in chest. however to be on safer side you can get yourself evaluated. however there is no direct relation between stent and blood pressure. however, get tablets prescribed for blood pressure like tab metoprolol xr 25 mg or telmisartan 40 mg. also consume low salt diet and regular exercises. also, healthy lifestyle and low fat, sugar diet will help"
Please summerize the given abstract to a title,"The emergency surgical infection management checklist of hospitalized patients with coronavirus disease 2019 (COVID-19) in Zhejiang, China."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot ! your symptoms could be related to different possible disorders
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.if you have a ruptured spleen, you wouldn't be able to have the time to spend here as its symptoms are usually acute in character. usually, a severe abdominal pain, flank discoloration, decreasing blood count and probably other constitutional symptoms like fever. what you're experiencing right now might be a muscle strain or positional. if its persistent and progressive, a follow-up with your doctor would be best. abdominal ct-scan could easily rule-out if you have a ruptured spleen. hope this helps. good day!!~ chatbot."
Please answer with one of the option in the bracket,E: Yellow mucopurulent discharge
Answer this question truthfully,"HSIL on Pap in pregnant women is typically managed with immediate colposcopy +/- biopsy. This procedure is safe to perform during pregnancy and can help to determine the extent of the abnormal cells and guide further treatment. The goal of management is to minimize the risk of progression to cervical cancer while also taking into account the potential risks to the developing fetus. Treatment options may include close monitoring, cervical cerclage, or surgical interventions such as loop electrosurgical excision procedure (LEEP) or cold knife conization. It is important for pregnant women with HSIL on Pap to discuss their options with their healthcare provider to determine the best course of action for their individual situation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query to chatbot.  see 12 years ago you were positive for v chatbot.  it means you had syphilis and you received treatment, and you were cured. but once you get syphilis this tpa test will be positive for life. it doesn't mean that you are not cured, or you need further treatment. its just that that test remains positive for life inspire of complete treatment.  so nothing to worry and no need for any further treatment. hope this information was useful to you. any clarifications feel free to ask."
Please summerize the given abstract to a title,COVID-19 Diagnosis in Low- and Middle-Income Countries: the big new bully disrupting TB and HIV diagnostic services
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. masturbation within limits is a safe and pleasurable sexual activity enjoyed by most people. it is said that masturbation is normal 2 to 3 times a week and up to once a day. this basically releases sexual tension and is also lowers stress. taking healthy food is always good. masturbation is a type of physical exercise, but it should be done within limits. masturbation becomes a problem when done more than once daily and if your mind is busy with thoughts of masturbation and sexual nature, and you are unable to concentrate on your work and study. going by your situation, at 24 years age you are certainly fit for marriage. till you get married you can masturbate 2 to 3 times a week as per your choice till you get married. this is perfectly normal and acceptable male behavior."
Answer this question truthfully,"β-lactamase is an enzyme produced by some bacteria that can hydrolyze the β-lactam ring found in certain penicillins and cephalosporins, rendering them inactive."
Answer this question truthfully,"How can bismuth and sucralfate be used to improve the healing of ulcers, and what is the specific way in which these substances aid in the healing process?"
Please summerize the given abstract to a title,Variation in Initial U.S. Hospital Responses to the Coronavirus Disease 2019 Pandemic.
Answer this question truthfully,"Dicoumarol was used along with heparin, for the treatment of deep venous thrombosis. Unlike heparin, this class of drugs may be used for months or years."
Please summerize the given abstract to a title,Differences in Menstruation-Related Symptoms of University Students Depending on Their Living Status in Japan
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. gum swelling could be due infection in your gums.it requires professional cleaning of teeth.also, maintenance of very good oral hygiene is very important in this case. gentle brushing after each meal will dislodge food debris and prevent further infection. please do frequent warm saline rinses. this will reduce gum infection, also use antiseptic mouth rinses twice daily for fifteen days. local application of gum paint will help minimize the infection. following the above said measures can minimize your gum problems. but please ensure that it requires professional attention for complete recovery. hope it helps. thanks. take care."
Answer this question truthfully,The non-inherited cystic congenital kidney disease is (multicystic) dysplastic kidney.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot i think, he is disoriented. that may be part of dementia. in that case, do not allow him to sleep during after noon and let her sleep at night. this would help to resolve this problem. if he is not getting sleep at night, better to give him any sleeping pill after physician consultation. once his sleep pattern would improve, he would be alright. in case, you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. you had blunt chest trauma due to accident. but no need to worry at all because your chest x-ray is normal. no evidence of any rib fracture, pneumothorax, pulmonary contusions etc., which are common after blunt chest trauma. your left sided chest pain is mostly due to muscular injury. so better to avoid heavyweight lifting, strenuous exercise. avoid bad posture and movements in sleep. start painkiller and muscle relaxant. apply warm water pad on affected site. don't worry, you will be alright."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query.  yes even i agree with you, viral fever will not cause such fever lasting for 7 days. but there are so many bacteria that testing can't be done for each and every bacterium.  i need to know what all tests have been done including any scanning. kindly upload all the reports so that i can go through it and advise you better.  i also advise doing / repeat blood cultures (aerobic/ anaerobic and fungal).  also, after taking samples for blood cultures ask your doctors to start her on broad spectrum antibiotics.  kindly revert with reports i asked for."
Please summerize the given abstract to a title,Dingle & Han 2021 The Effect of COVID-19 on Australian University Students' Mental Health
"If you are a doctor, please answer the medical questions based on the patient's description.","hi priya. it seems that you have taken the vaccination on time and this will reduce your chances for developing rabies significantly. also, it is important to keep a watch on the dog that bit you for at least 10 days. if the dog survives for over 10 days then the dog probably doesn't have rabies and that would mean you wouldn't have it too. rabies affects the nerves, so the chatbot.  rabies presents with muscular spasm, confusion, delirium and"
"If you are a doctor, please answer the medical questions based on the patient's description.","his will try my best to answer your query. it is always better to use some contraception method when you are not planning to be pregnant. yes there is high chances of one getting pregnant if you have unprotected sex. i advise you to test yourself by using urine pregnancy test kit, follow the simple instruction on the kit and preferably use early morning sample urine to test. hope my answer will be helpful for you. take care."
Answer this question truthfully,On gross pathology characteristic features findings of tetralogy of fallot include: Right ventricular hypertrophy VSD Overriding aorta Subpulmonic stenosis
Please summerize the given abstract to a title,Biosynthesis of lanthionine-constrained agonists of G protein-coupled receptors
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank for asking to chatbot, no this not because of the tab, she is taking but more or less an acid peptic problem, give her some light diet, say more alkaline diet divide her meal in two to three part, cut down coffee at bedtime (no smoking and alcohol) give her ppi (omeprazole 40\u00a0mg) at evening time just a 40 mg for six weeks, try some sedative low dose benzodiazepine would be helpful, you even can give fruit salt chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the symptom complex of diarrhea, weakness, pain in lower abdomen and now with loss of appetite and fever is definitely indicative of an acute or acute on chronic intestinal infection. a 5-day course of an antibiotic, metronidazole, probiotic and symptomatic treatment should help the cause. if there is no relief after 5 days, you have to go for a consultation of a gastroenterologist and undergo further tests of ct scan of the abdomen and colonoscopy.further, tests to rule out tuberculosis may need additional investigations and may be a diagnostic laparoscopy. i hope this answer helps you."
Answer this question truthfully,"One subtype of AML is acute monocytic leukemia, which is characterized by the proliferation of monoblasts."
Please summerize the given abstract to a title,One-Year Adherence to Continuous Positive Airway Pressure With Telemonitoring in Sleep Apnea Hypopnea Syndrome: A Randomized Controlled Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, 95% of the times' fever in this age group is usually viral in origin and hence i do not recommend indiscriminate usage of antibiotic please. if the kid is active when there is no fever and is not having any red flag signs like respiratory distress or blood in the vomiting or motion and if the kid is feeling better when the fever is touching the baseline you need not worry about it at all. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, hair loss has various causes. 50 to 100 hair fall per day is normal for men and it re-grows. halogen effluvia is a condition where hair fall is more and can be taken care by multivitamin & mineral supplements. if hair loss is patchy, then it is due to local scalp disease. but another most important cause is an chatbot.  the medical treatment for this would be minoxidil 5% or 10% applied locally. the surgical management when you have lost significant hair would be hair transplantation which is a successful surgery. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, welcome to chatbot. since you experience pain at rest and not during activity this is not a case of mechanical disturbance/ irritation. as per your data scapula (blade) has no articular surface on the thorax. scapulo-thoracic joint is known as a functional joint rather than an anatomical joint. so we can not think of any inflammatory arthritis as a cause of your burning pain. there are no bursae in that part of the body which could have been a case also. since there is no complaints of lack of muscle control/ weakness, numbness, radiation there is no chance of neuropathic, nerve root irritation. there are no signs of vascular conditions also......hence, your burning pain is a cause of deficiency in vitamins/ minerals/hormones/calcium or frostbite..... so supplements rich in these things whether in natural form or in tablets would be more helpful for you. wish you a pain free back soon..... have a nice day....."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear !! thanks for your query to chatbot. read and reviewed your query and health concerns. in the given situation of yours, you seem to suffer from-right nodular mass in the groin. probable causes -possible cause in absence of more details, are -lymphadenitis ? tb/ or lgv/ or infectious mono /nhl(non-hodgekin-lymphoma)i would suggest consults with surgeon and get physical examination and investigation, before starting any definitive treatment accordingly. hope this would help you to plan further of this complex illness of yours. if need be, update any health issue 24 x 7 by a direct question tod me, at following chatbot link-dear, if satisfied, dont forget to close this query with your pleasing feedback comments to rate this reply and service, to boost the morale of incoming emergency patients like you, at chatbot services. if you want to update more details and ask more update queries, you are most welcome herewith !! good day!! wishing good healthy life in time to come!! chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you doing ? folinext is folic acid a vitamin b. you usually get this vitamin from food. but it is prescribed for pregnant women & those trying for it. it has no side effect. but by just having this tab you will not get pregnant. keep having this medicine as you never know when you get pregnant & take it till 3rd month of pregnancy. everyone is investigated for infertility only after 1 yr of unprotected sex. but if you are anxious, you can have the following testshusband- semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an chatbot.  so check with hsg(x-ray with dye), or ssg (scan with dye) or laparoscopy all this done & found normal, nothing can stop a pregnancy with gods will hope i have cleared your overall the best"
Answer this question truthfully,"Chronic bronchitis is a respiratory condition that is associated with cyanosis, which is a bluish discoloration of the skin and mucous membranes due to low levels of oxygen in the blood. This occurs because chronic bronchitis can lead to early-onset hypoxemia from shunting, which is a process where blood bypasses the lungs and is not oxygenated properly. This can cause a decrease in the amount of oxygen that is delivered to the body's tissues, leading to cyanosis. To manage chronic bronchitis and prevent complications such as cyanosis, it is important to address the underlying inflammation and narrowing of the airways, as well as to manage any associated hypoxemia through measures such as oxygen therapy and medications to improve lung function."
Please summerize the given abstract to a title,Face Mask Use and Control of Respiratory Virus Transmission in Households
Please summerize the given abstract to a title,Dynamics of a stage-structured SI model for food adulteration with media-induced response function
Please summerize the given abstract to a title,SARS-CoV-2 Reinfection in a Healthcare Worker Despite the Presence of Detectable Neutralizing Antibodies
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query can feel your concernsfirstly high hemoglobin is not called as anemia. anaemia is low hemoglobin for that age. haemoglobin value has a certain range for every age. for your age hemoglobin between 130 -160 is considered normal for your hair problem, you need to consult a dermatologist want to know if you have a family history of baldness wishing you good health regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. interstitial lung disease (old) is very bad disease to have. no cure is available till date. and it is progressive disease. no chatbot. so better not to start homeopathy medicine. it may even more harm you, because of the side effects. so better to avoid such homeopathy medicines. better to discuss end of life issue with her."
Please summerize the given abstract to a title,"The Impact of Major Events on Ongoing Noninferiority Trials, With Application to COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). i have requested many times to you all that please mention age because much diagnosis depends on the age for e.g. usg report show thickening of urinary bladder wall. if you are young nothing to worry it may be due to uti bur if you are of elderly age it can be malignancy also. so please always mention your age. increase in transaminase levels (got and sgpt) may be due to antibiotics you are taking for uti, see again you haven't mentioned which antibiotics you are taking. consult your doctor for if any such antibiotic that is causing liver damage ask him to change that, and they will normalize in a couple of weekshowever you still need to investigate for other causes for elevation of transaminase levels like"
Answer this question truthfully,"There is no single diagnostic study of choice for the diagnosis of bowel obstruction, but bowel obstruction can be diagnosed based on plain X-ray and CT scan. An x-ray is performed when obstruction is suspected with clinical findings of nausea, vomiting, abdominal pain, abdominal distension and constipation. The results of plain X-ray that confirm of bowel obstruction include dilated bowel loops with air-fluid level, distal collapsed bowel, gasless abdomen or alternatively, ""string of pearls"" sign. The results of CT that confirm of bowel obstruction include dilated bowel loops with air-fluid level and distal collapsed bowel. Initially, an X-ray is usually performed before surgical intervention. If urgent intervention is not needed and the diagnosis is equivocal, then a CT may be carried out."
Answer this question truthfully,Antisocial personality disorder can only be diagnosed if the patient is over 18 years old and has a history of conduct disorder before age 15.
Please answer with one of the option in the bracket,B: Islet cell hyperplasia
Answer this question truthfully,"Bile is a fluid that is produced by the liver and stored in the gallbladder, and it is composed of a mixture of bile salts, phospholipids, cholesterol, bilirubin, water, and ions. Bile plays an important role in the digestion and absorption of fats in the small intestine, by emulsifying the fats and aiding in their breakdown by enzymes. Bile also helps to eliminate waste products from the body, including bilirubin, which is a byproduct of the breakdown of red blood cells. The composition of bile can vary depending on factors such as diet and overall health, and changes in bile composition can sometimes be a sign of underlying health problems."
Answer this question truthfully,The parasympathetic component of CN III is located peripherally in the body.
"If you are a doctor, please answer the medical questions based on the patient's description.",as mentioned in your narrative you have got rid with just a muscle spasm nothing else. for this you have to take some painkiller with muscle relaxant like tab danger or tab osteopath twice daily after meals when your back pain is worse enough to disturb your routine work along with tab shall 500 mg or tab toscal-gem once daily after meals with tab rant ac or tab carotid twice daily empty stomach. you can also use holdup gel or powergesic-plus gel for local application as it is quite helpful in relieving your back pain and muscle spasm. also do some physiotherapy exercises with an expert opinion.
Please summerize the given abstract to a title,Prevalence of Diabetes Mellitus and Impaired Glucose Tolerance in Patients with Covid-19
Answer this question truthfully,Foscarnet and cidofovir are the two antiviral drugs that directly inhibit DNA polymerase.
Answer this question truthfully,"Granulomas due to sarcoidosis most commonly involve the hilar lymph nodes and the lung, leading to restrictive lung disease. Sarcoidosis is a rare autoimmune disease that causes inflammation in various organs, including the lungs, skin, and lymph nodes. The exact cause of the disease is unknown, but it is thought to involve both genetic and environmental factors. When granulomas form in the lungs, they can lead to scarring and thickening of the lung tissue, which can make it difficult to breathe. This is known as restrictive lung disease. Other symptoms of sarcoidosis can include cough, shortness of breath, skin lesions, and joint pain. Treatment typically involves a combination of steroids and immunosuppressive medications, such as methotrexate or azathioprine, to control inflammation and prevent organ damage. Regular monitoring by a healthcare professional is necessary to ensure that the treatment is effective and to manage any potential side effects."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
Please summerize the given abstract to a title,International Survey of Trials of Convalescent Plasma to Treat COVID-19 Infection
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. tuberculosis lesions once heal, produce scar lesion. scar lesion can be fibrotic or calcified. so calcification in scar suggest old healed, non-active lesions. and these lesions will remain as it is throughout the life. calcified scar lesion does not give symptoms like fever and weakness. so for your fever and weakness, i advise you to consult doctor and get done blood investigation to rule out infection other than tuberculosis. so these symptoms are not normal after tb treatment.  they need investigations to search cause."
how smoking tobacco affects the rest of the body,Both smoking and smokeless tobacco use carry many health risks.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Lessons Learned During COVID-19 That Can Move Telehealth in Primary Care Forward
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, pregnancy is possible if intercourse is done around ovulation time in regular cycle. now you are presented with irregular bleeding with different color and twice in month. it may be due to early implantation leading to miscarriage.also, you have stomach pain and vomiting. do a usg pelvis and consult with gynecologist with report. be well and practice safe sex in future to avoid unwanted pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for posting query at chatbot. usually alt or ast values higher than \""two times the upper normal limit\"", is considered abnormal (in some countries, alt or ast values of more than 100 are considered abnormal). value of ast or alt greater than 85 or above maybe investigated further.\"" alcohol ingestion\"" and obesity are common causes of fatty liver disease especially in the west. ultrasound abdomen and fibrosis should be done immediately. advice"
Please summerize the given abstract to a title,Cerium oxide nanoparticle delivery of microRNA-146a for local treatment of acute lung injury()
Answer this question truthfully,"In mid-to-late pregnancy (second and third trimester), the source of steroid hormones is the placenta."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend neither of the two chatbot. you may discuss with your treating physician and explore the option of stopping salvador as it contains an opioid analgesic instead try a combination of muscle relaxant and nsaid say thiocolchicide or chlorbenzaperin or chlorzoxazone with diclofenac and paracetamol, this combination will help release the muscle spasm and also pain. intensive back physiotherapy along with it will certainly help you recover completely.  but please make sure the condition does not have any other causative reason."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. mersa or mrsa contagious and can transmit to other family member. you should continue with mupirocin ointment. if your swab finds mrsa again than operation can be postponed. if its continue to find out in nasal swab than you have to extend the swaying for further period. avoid sharing napkins amongst other family members. follow strict handwashing protocol to limit further spreading of mrsa. avoid using unnecessary antibiotics. it creates further resistance in bacteria. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Please summerize the given abstract to a title,"Manifesto of the pediatricians of Emilia-Romagna region, Italy, in favor of vaccination against COVID in children 5–11 years old"
Please summerize the given abstract to a title,"The SARS-CoV-2, a new pandemic zoonosis that threatens the world/ El SARS-CoV-2, una nueva zoonosis pandémica que amenaza al mundo"
Answer this question truthfully,"The goal of treatment for HCV is to achieve a sustained virologic response (SVR), which means the inability to detect HCV RNA by PCR for 6 months after stopping treatment."
Please summerize the given abstract to a title,Acute Kidney Injury and Kidney Damage in COVID-19 Patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hello user, as per your history, i feel that you are suffering from gastric ulcer/erosion, as its pain aggravates when you eat spicy food !! i don't think that pain is due to fat in your abdomen. if you are a bit obese and old age i advise you to do an ecg (electrocardiography) done of your heart, to rule out any pain related to heart ! most of the ulcer pain resolves after taking an antacid chatbot. take some anti h. pylori medication from your nearby physician as it is the bacteria mostly involved in gastric ulcer/erosion, and pain is still not relived, get an upper git endoscopy done !!!hope my info helped you regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. from the description that you have given, there could be various possibilities of what might be wrong with you. it could be anywhere between a personality disorder or a brief depressive episode. but it will be too early to comment on unless we know some more details from you. you need to visit a nearby psychiatrist who can guide you about your problems. hope i have answered your query. i will be more than happy to help you if you need any further clarifications. in case if you want to discuss with me directly you can use the link"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thank you for your query. i am chatbot and i will try to help you as much as i can. i don't think this lump is related to your previous diseases. this sounds to me like a lipoma and this is soft subcutaneous lesion which can be easily surgically removed under local anesthesia so consult your doctor about it. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health.
Answer this question truthfully,"Evans syndrome was first described by Dr. Robert S. Evans, an American physician, in 1951. Evans suggested that thrombocytopenia was likely due to an autoantibody directed against the platelets."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. size of the penis never matters in sexual pleasure or sexual strength. even a two-inch penis can satisfy any woman across the world. masturbation is a healthy natural process if used moderately, and it cannot be the cause of your present problem. you are still unmarried and usually have many orthodoxes and wrong information about these sexual areas. the amount of semen and its thickness is determined by many attributes, and you should have correct knowledge to worry about it. i suggest you to consult a psychologist for counseling in sex related matters. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Understanding Healthcare Professionals’ Perspectives on Point-of-Care Testing
what are the causes of headaches,"Sex headaches are headaches caused by any type of sexual activity. They may be associated with the following: a widening or bubble in the wall of an artery inside your head (intracranial aneurysm); an abnormal connection between arteries and veins in the brain (arteriovenous malformation) that bleeds into the spinal fluid-filled space in and around the brain; bleeding into the wall of an artery leading to the brain (dissection); stroke; coronary artery disease; or use of some medications, such as birth control pills."
Answer this question truthfully,"Acanthosis is a dermatological condition that is defined as epidermal hyperplasia, or an increase in the thickness of the skin's outermost layer, the epidermis. This increase in thickness is typically due to an increase in the number of cells in the stratum spinosum layer of the epidermis. Acanthosis can occur in a variety of skin conditions, including psoriasis, eczema, and acanthosis nigricans, a condition characterized by dark, thickened patches of skin that often occur in the folds and creases of the body."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thanks for consulting chatbot. i have gone through your query. it is common to have gum problem during orthodontic treatment as the tooth will be moving from its position. as you said you are undergoing the orthodontic treatment since one year. its best you visit your dentist regarding this problem. he will check whether the forces applied on teeth is not more. and if necessary he may go for cleaning of your gums. meanwhile you can use a mouthwash to rinse your mouth and an oral gel with metronidazole like residing m gel can be applied on the gums. hope this answers your query. take disregards
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mumtazwelcome to chatbot a pregnancy test is recommended 14 days after the embryo transfer. it is a blood test to estimate serum chatbot levels. if the test is positive, a pregnancy confirmation scan is performed two weeks later. if unfortunately pregnancy doesn't occur then you may get periods. if you are having cramps and pink discharge consult another doctor (if your doctor is not available) in the hospital. no ultrasound can't pick embryo at this stage. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. a very thick pad of gum sometimes causes troubled and late teething as teeth cannot break through the gum due to thickness of gum and causes pressure over gum making them inflamed. if little part of tooth has erupted, it may cause food impaction in the gum surrounding the tooth causing infection. in such case, child can have fever and other problems that you have described. based on the weight of your kid, you should give him amoxicillin suspension (kiddo) in the dose of 2.5 mg/kg/day three times a day. cronin syrup (paracetamol) can also be given in the same dose three times a day. if you had mentioned the weight of your kid, i could tell you the exact dose to be given. continue these medicines for 10 days. after your wife and son returns, it will be better to consult a dentist for examination of oral cavity regarding this problem and to prevent future such episodes. i hope this information helps you. thank you for choosing chatbot. i wish your son feels better soon. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases, it doesn't require any specific treatment.  if this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. alcohol and viral hepatitis are the most common causes and in this case, medical evaluation is required. also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. you need to check your viral markers and do a liver biopsy if necessary. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"The pandemic, race and the crisis of the neoliberal university: study notes from lockdown London"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for consulting with chatdoctori understand that he might feel better travelling at his home.but he can travel only after recovery from the attack and consultation by the physician therese physician will go for echocardiography and ecg and depending on the findings and clinical status will advise you if he could travelogue i answered your query. you can message me for any further concerns"
Answer this question truthfully,"Ulcerative colitis is T2 mediated, meaning that the immune response is driven by Th2 cells, which produce cytokines that promote inflammation and tissue damage in the colon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hiin my opinion you can taper the doses very slowly wit following lifestyle modification you can go for breathing exercises and herbal preparation you can do allergy testing and allergy can be avoided with aggressive environmental control measures like1. removal of carpet in to be chatbot. 2. if you are sensitive to pet allergens, permanent removal of the pet is recommended. 3. keeping the household humidity level at less than 50 percent to control dust mite and fungus growth.4. using insecticides will help control cockroach populations. 5. patients who are sensitive to mold, and outdoor air pollution should consider limiting outdoor activities when these levels are high. 6. patients with asthma should avoid exposure to tobacco smoke.7.probiotic-supplemented yogurt resulted in reduced inflammation and reduced allergic symptoms8. antioxidants vitamins c and e, selenium, and zinc. omega-3 fatty acids from fish, and other supplements such as the herb parasites hybrids are also used to decrease inflammation. hope i have answered your querythankstake care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the effect of hormones on the body varies with the weight in general; as the body weight increases the demand for hormone grows and side effects ensue. this may have happened to you with the new implant; yet, the effectiveness needs to be checked as you have developed symptoms soon after the insertion. please ask your specialist to check for the position, get a sonogram to look for any cysts in the ovary and to exclude other pelvic causes. if all is well, it means that you could be in normal menstruation with the implant on. hope this helps."
Answer this question truthfully,"Most of the patients with hypertensive nephropathy have no specific symptoms, although a majority have a history of chronic high blood pressure.
If high blood pressure left untreated or uncontrolled can accelerate the kidney damage, which leads to failure of the kidneys to work correctly.
Symptoms of kidney failure is similar to chronic kidney disease, including:
Weakness Fatigue Headache Nausea loss of appetite weight loss increased or decreased in urine volume itchy skin dry skin Muscle weakness swelling of face, arms and legs Sleep difficulties difficulties in concentration and memory"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. forum.  you 1-year-old daughter had tummy virus, lost 700 gm, it is treated. then there was having dark slimy stools. no pain or discomfort. you are using neutering probiotic chatbot.  it appears to be some allergy to foods, may be lactose intolerance, or some infection must be there.  i advise you to consult a pediatric specialist for diagnosis and treatment. she may need to have stool tested for reducing substances etc. for confirmation.  wishing her a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot irregular periods suggest that ovulation is not occurring regularly. due to infrequent ovulation pregnancy becomes difficult. most commonly it is due to hormonal disorder. poly cystic ovarian disease is common cause leading to these symptoms. you and your husband both need to be evaluated thoroughly. consult a gynecologist for your problem. you need to do few blood tests (fsh, lh, progesterone, prolactin, tsh, blood sugar) and ultrasound examination. try to lose weight. by taking birth control pills for 2 months cysts will regress. take care."
Please answer with one of the option in the bracket,B: Gram-variable rod
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. cough, congestion and heaviness in chest are commonly seen with bronchitis and lung infection. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). chest x-ray is needed to rule out lung infection.pft is must for the diagnosis of bronchitis. you are many need antibiotics and inhaled bronchodilators (formoterol or albuterol).don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that your cycle length may be indicative of a possible hormonal imbalance. as the mean length of your cycle is 42-52 days, a delay of more than 10 days from this period, would indicate the need for a pregnancy test. from the other hand, i would recommend performing an abdominal ultrasound to exclude possible ovarian cysts and also examine better your uterus.  hope to have been helpful! wishing all the best,"
Please summerize the given abstract to a title,Effective Virtual Interventions to Enhance Psychological Capital: A mixed-methods systematic review
Please summerize the given abstract to a title,United States Epilepsy Center Characteristics: A Data Analysis From the National Association of Epilepsy Centers
Answer this question truthfully,JNAs arise at the sphenopalatine foramen.
Answer this question truthfully,"The bone marrow is a rapidly proliferating population of cells that produces blood cells, including white blood cells, red blood cells, and platelets. 6-mercaptopurine and azathioprine are medications that are commonly used to treat autoimmune diseases and some types of cancer. However, because these drugs interfere with the production of new cells, they can also cause myelosuppression, which is a condition in which the bone marrow produces fewer blood cells than normal. This can lead to a variety of symptoms, including fatigue, weakness, and an increased risk of infection."
Answer this question truthfully,"Marginal zone lymphoma is associated with a translocation between chromosomes 11 and 18, specifically t(11;18). This genetic abnormality is found in a significant proportion of cases of marginal zone lymphoma, a type of non-Hodgkin lymphoma that arises from B cells in the marginal zone of the lymphoid tissue. The t(11;18) translocation results in the fusion of two genes, API2 and MALT1, which can lead to the activation of signaling pathways that promote cell growth and survival. This may contribute to the development and progression of marginal zone lymphoma. While the exact cause of this translocation is not fully understood, it is thought to be related to chronic inflammation and immune system dysregulation."
Please answer with one of the option in the bracket,"D: Hemoglobin: ↓, hematocrit: ↓, red blood cell count: ↓, mean corpuscular volume: ↓"
Please answer with one of the option in the bracket,C: Neural tube defect
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain in the tooth and difficulty in chewing can be because of the tooth infection (acute apical periodontitis). nothing to be panic, consult an oral physician and get the tooth treated with root canal treatment or extraction of the tooth. get a radiograph done to see the extent of the infection and suitability of the tooth for the treatment. if i am your treating doctor, i would have prescribed, a course of antibiotics like amoxicillin and metronidazole (if you are not allergic). along with antibiotics, you can an analgesics like diclofenac. but these medicines will provide a temporary relief. once you complete the course, try to get the tooth treated as early as possible. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. liver enzymes can get elevated due to bad diet (fatty foods, spicy foods), alcohol intake, some medicine use (most of the painkillers), gallbladder diseases (like gallstones), liver viral infection (hbv, hcv infection). as your ggt level has rose again, you should rule out other than diet possible reasons of its elevation. gtp, ap, amylase, lipase, urine amylase, bag, antioch levels should be checked. abdominal ultrasound should be also done. you should avoid fatty foods, fried foods, spicy foods, alcohol, medicines. liver improving supplements available without prescription can be also helpful in its regeneration. hope this will help. regards."
Answer this question truthfully,"Lamotrigine and quetiapine are two additional first-line maintenance treatments for bipolar disorder, in addition to lithium and valproate. Lamotrigine is an anticonvulsant medication that is used to prevent depressive episodes in bipolar disorder, while quetiapine is an atypical antipsychotic medication that can help stabilize mood and prevent both manic and depressive episodes. The choice of medication will depend on the patient's individual symptoms, medical history, and other factors, and should be made in consultation with a healthcare provider. Other medications, such as carbamazepine or olanzapine, may also be used as first-line maintenance treatments for bipolar disorder in some cases."
how is epilepsy diagnosed,Measuring electrical activity in the brain is a common way to test for epilepsy. Other brain scans such as magnetic resonance imagine or computed tomography are also used.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, your doubt is valid. phenobarbital has been assigned to pregnancy category d by the fda. an increased risk of congenital malformations has been associated with use of phenobarbital during pregnancy. i would not advise you to take this medicine during pregnancy. phenobarbital should only be given during pregnancy when there are no alternatives and benefit outweighs risk. in fact, phenobarbital might have been prescribed to you so that you take good bed rest. i feel you should chatbot.  this is not a must medicine for the treatment of threatened abortion. instead, you may start taking tab. sustain which is a progestational medicine and will help to stabilize your pregnancy. i hope you got the message."
Please summerize the given abstract to a title,"Tracing Airline Travelers for a Public Health Investigation: Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Infection in the United States, 2014."
Answer this question truthfully,"No, inhaled corticosteroids do not typically cause the same adverse effects associated with oral or systemic corticosteroid therapy because they have minimal systemic absorption. Inhaled corticosteroids are used to treat respiratory conditions such as asthma and chronic obstructive pulmonary disease (COPD) and are delivered directly to the lungs through an inhaler or nebulizer. Because they are not absorbed into the bloodstream to the same extent as oral or systemic corticosteroids, they are less likely to cause side effects such as weight gain, osteoporosis, and increased risk of infection. However, in rare cases, high doses of inhaled corticosteroids can cause localized side effects such as oral thrush or hoarseness."
Answer this question truthfully,Abdominal aortic aneurysm is commonly associated with males over the age of 60 who are usually smokers with hypertension.
Please summerize the given abstract to a title,"Results of a Randomized Trial Testing the Efficacy of Tele-Savvy, an Online Synchronous/Asynchronous Psychoeducation Program for Family Caregivers of Persons Living with Dementia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. althea is used for contraception in women and also for the control of acne and hirsutism, regulation of the menstrual cycle, reduction of premenstrual tension and relief from pain and excessive bleeding during menstruation. if you are looking for family planning then you can go for it but it's better to consult your dermatologist before you start because it is important to know the cause of pimples. some women may experience side effects e.g., nausea, vomiting, plasma (plasma) and other skin or hair changes, headache, water retention, slight weight change, breast tenderness and changes in libido. menstrual irregularities e.g., spotting, breakthrough bleeding or amenorrhea can occur during its use. most of these side effects are mild and usually disappear after a few months of contraceptive use. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you had multiple surgeries on abdomen. now you are getting pelvic pain and back pain. not getting relief with any medicines. it may be of lumbar spondylosis, or arthritis of the hip.  i advise you to consult an orthopedic surgeon for diagnosis and treatment. you may need to take m.r.i.besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
Answer this question truthfully,The first-line therapy for the treatment of stable angina is β-blockers.
Answer this question truthfully,"The hormone that stimulates milk production in the breast and induces the synthesis of milk components such as casein and lactose is called prolactin. Prolactin is produced by the pituitary gland in response to the suckling of a baby at the breast. It acts on the mammary glands to promote the growth and development of milk-producing cells, and to stimulate the secretion of milk into the ducts. Prolactin levels are highest during breastfeeding, and gradually decrease as the baby feeds less frequently or is weaned. In some cases, high levels of prolactin can lead to milk production in women who are not breastfeeding, a condition known as galactorrhea."
Answer this question truthfully,"The recommended treatment for severe or resistant cases of Babesiosis is a combination of clindamycin and quinine, which can help to eliminate the infection and improve symptoms."
Please summerize the given abstract to a title,The gastrointestinal tract is an alternative route for SARS-CoV-2 infection in a nonhuman primate model
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Iron deficiency anemia was discovered in 1852 by Karl Vierordt and his student H. Welcher. Over the next century, the details of iron regulation were elucidated."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, liking and biting from domestic dogs also need anti rabies vaccinations. licking only the skin does not need treatment o other things like scratching and biting needs post exposure prophylaxis for rabies and the animal should be watched for 10 days if the animal remains healthy for 10 days treatment could be discontinued or else the whole course of treatment has to be continued hope this explains"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through the case and found that there is very common problem occur which is pleural effusion (accumulation of water or pus in between the layer of lung). due to which pain occur during cough and breathing. so do not worry, go for echocardiogram or ultrasound of lung region. if fluid is much more than take treatment like tapping of fluid and go for investigation of fluid. this will be effective and useful treatment. hope my answer will be effective treatment. thanks"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Impact of minimum unit pricing on alcohol purchases in Scotland and Wales: controlled interrupted time series analyses.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, i would like to tell you that after extraction the healing process starts and there is increase salivation in the mouth leading to nausea and dizziness. i would suggest you to take lukewarm saline and antiseptic mouthwash rinses. take the complete course of antibiotics and analgesics prescribed to yoy also take an antacid twice half hour before meals. take multivitamin supplements. maintain a good oral hygiene. take care! chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, looks like she is having an infection of the colon.it can be from bacterial to protozoal.i would advise you to get certain tests done like stool examination, to find out the organism causing it. body pain can be due to the infection and fever.i would advise you to continue the treatment prescribed to you.in case the symptoms worsen meet the physician immediately.i hope i have answered your query. take care"
Please summerize the given abstract to a title,A method for estimating the case fatality rate during the onging epidemic A Case Study of COVID 19
Please summerize the given abstract to a title,Maxingshigan decoction for treating COVID-19: A protocol for systematic review and meta analysis
Please answer with one of the option in the bracket,D: Serologic testing
Please summerize the given abstract to a title,Selfish Shareholders: Corporate Donations During COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank your for asking on chatbot! regarding your concern, your symptoms do not seem to be related to the heart. you are too young and with a short experience as a smoker, to have symptoms related to chronic smoking like angina or coronary artery syn chatbot.  i think that your symptoms may be related to other causes like anxiety or musculoskeletal issues. i recommend you to perform a resting ecg and routine blood test, kidney and liver function tests, blood electrolytes, and a chest x-ray to exclude other causes. meanwhile, i recommend you to avoid smoking, if this is the only triggering factor of your symptoms. hope to have been helpful! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you are known diabetic and getting cracks in your foreskin after sexual intercourse. at the outset you have to ensure that your diabetes under control. the cracks in foreskin are mostly due to repeated fungal infection that is common in individuals with diabetes. please take antifungal medication like fluconazole twice daily for 5 days and topical antifungal cream like candid for local application.if you get repeated episodes you may need to get circumcised. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, epilepsy can have many origins. it may be due to stroke or vessel malformations, infection or inflammation in the brain, trauma, tumors, metabolic, brain damage during childbirth etc. so blood and imaging tests are indicated if not already done. however, there is a percentage of cases where even after all tests are done the cause is not found, they remain without a known cause. so it may happen i am afraid. however, before accepting that you should discuss with the doctors how did they reach that conclusion. one single seizure doesn't make the diagnosis of epilepsy, only when there are repeat seizures. so its unclear how did they decide that, did they see other more subtle seizures, did they see abnormal activity on eeg or epileptogenic focus on mri? if none of that then i wouldn't be so sure about that conclusion and would seek evaluation from another neurologist. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Progress in cross-species transmission of human coronaviruses (HCoVs)/ 人冠状病毒跨种传播的研究进展
Please summerize the given abstract to a title,Graphical Models of Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have ringing sensation in ear.  you also have some lymph node enlargement.  furthermore, you may have some upper respiratory tract infection. furthermore, you should take a course of antibiotics.  if lump doesn't respond to treatment then you should go for fine needle aspiration cytology of lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,GPCR-ErbB transactivation pathways and clinical implications.
Answer this question truthfully,"According to the 2013 practice guidelines for the diagnosis, treatment, and prevention of C. difficile infections , the choice of antimicrobial therapy is based on the severity of the clinical disease. Shown below is a table that defines the severity of C. difficile infection based on clinical features and lab findings:
▸ Click on the following categories to expand treatment regimens.     
Initial episode ▸ Mild to moderate ▸ Severe ▸ Severe complicated Recurrence ▸ First recurrence ▸ Second recurrence Mild to moderate Recommended treatment ▸ Metronidazole 500 mg orally q8h If no improvement in 5-7 days ▸ Vancomycin 125 mg orally q6h Severe Recommended treatment ▸ Vancomycin 125 mg orally q6h Severe complicated Recommended treatment † ▸ Vancomycin 500 mg orally q6h PLUS ▸ Metronidazole 500 mg IV q8h † If ileus present, add Vancomycin 500 mg in 100 mL normal saline per rectum q6h as retention enema. First recurrence Recommended treatment ▸ Same as first episode but stratified by severity Second recurrence Recommended treatment ▸ Vancomycin in tapered and pulsed doses 125 mg 4 times daily for 14 days 125 mg 2 times daily for 7 days 125 mg once daily for 7 days 125 mg once every 2 days for 8 days (4 doses) 125 mg once every 3 days for 15 days (5 doses)

Administer antimicrobial therapy for 10-14 days. Continue antimicrobial therapy only for 10 days if there is clinical improvement within 5 to 7 days. 
Suspend other antibiotic therapies during administration of antibiotics to treat C. difficile infection. Administer vancomycin for mild-to-moderate patients who are intolerant/allergic to metronidazole and for pregnant/breastfeeding women. . Deliver supportive care to patients with severe or severe complicated CDI.  Perform diagnostic abdominal CT scan for patients with worsening diarrhea and/or abdominal pain to rule out C. difficile -associated complications.  Request surgical consultation and perform routine pre-surgical work-up for patients suspected to have complicated C. difficile infection. To view indications for surgical management of C. difficile infection, click here. Consider fecal microbiota transplant if there is a third recurrence after a pulsed vancomycin regimen.  Consider vancomycin enema for patients whose oral antibiotic regimen cannot reach a segment of the colon, such as patients with Hartman's pouch, ileostomy, or colon diversion. Administer intravenous immunoglobulins for recurrent C. difficile infection only if patient has hypogammaglobulinemia. Manage C. difficile infection simultaneously with inflammatory bowel disease (IBD) flare-up among patients with IBD. Continue immunosuppressive medications for IBD patients with C. difficile infection.
Do not administer metronidazole for a second recurrence episode of CDI or for long-term therapy because of the risk of neurotoxicity. 
Do not administer anti-peristaltic agents to treat diarrhea in patients with CDI.  Do not administer intravenous immunoglobulins for recurrent C. difficile infection, except if patient has hypogammaglobulinemia. Do not increase dose of immunosuppressive medications for IBD patients with untreated C. difficile infection."
Answer this question truthfully,"Clostridium perfringens produces a double zone of hemolysis on blood agar, which is related to its ability to break down phospholipids in cell membranes. Specifically, the alpha toxin produced by Clostridium perfringens acts as a phospholipase, which can break down the phospholipids in the red blood cell membranes. This leads to the release of hemoglobin and the formation of a clear zone around the bacterial colony on the blood agar. The surrounding area of incomplete hemolysis is due to the production of other toxins by the bacterium."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the typhoid attack might have been severe in your case, and it will take more than 15 days to recover. if you have taken 15 days treatment then you should take nutritious home cooked food for about a month and half or 6 weeks. the food should preferably be home cooked and not spicy. what happens is that typhoid causes depletion of energy and this can take a bit longer course in some. few people report weakness for 3 months after typhoid. it will also help if you can repeat tidal test to make sure that you do not have any chronic infection."
Answer this question truthfully,"Polyarteritis nodosa is a necrotizing vasculitis that involves most organs, except the lungs. Polyarteritis nodosa is a rare autoimmune disorder that causes inflammation and damage to the walls of small and medium-sized arteries throughout the body. The organs most commonly affected by polyarteritis nodosa include the kidneys, skin, nerves, gastrointestinal tract, and heart. However, the lungs are typically spared from the disease. The exact cause of polyarteritis nodosa is unknown, but it is thought to be related to an abnormal immune response. Treatment for polyarteritis nodosa typically involves immunosuppressive medications to reduce inflammation and prevent further damage to the arteries."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . the soft sac containing fluid is a muscle which is formed either due to trauma to any minor salivary gland or its ducts or any traumatic injury to the duct of major salivary gland and as it is under tongue it can be due to either submandibular or submental salivary glands which are major salivary glands. you can also have a smallish or salivary gland stone, and it can cause swelling under jawline and floor of mouth, but a blue-black swelling is a muscle most probably. you should consult a dentist and get evaluated.1. for muscle mostly treatment is not required but if it doesn't resolve surgical removal has to be done.2. for salivary gland stone take more of citrus foods and candies that simulate saliva flow and small stones can be flushed off with saliva flow. large stones need either manual removal by an expert or surgical removal has to be done. hope this information helps. if you find the answer helpful please give me a five-star review and click on found the answer helpful as a token of appreciation... thanks and regards. chatbot. ."
Is it necessary to go to the dr. when getting a skull fracture?,"If you think someone has a skull fracture call 911 (or the local emergency number) for medical assistance.  Check the airways, breathing, and circulation. and  begin rescue breathing and CPR, if needed.  Avoid moving the person (unless absolutely necessary) until medical help arrives."
Answer this question truthfully,"Yes, carcinoid syndrome can occur in patients with carcinoid tumors that are confined to the gastrointestinal tract, although it is relatively uncommon. Carcinoid tumors are a type of neuroendocrine tumor that can develop in various organs throughout the body, including the gastrointestinal tract, lungs, and pancreas. When these tumors secrete hormones and other bioactive substances, they can cause a range of symptoms, including flushing, diarrhea, wheezing, and heart palpitations. This collection of symptoms is known as carcinoid syndrome. While carcinoid syndrome is more commonly associated with tumors that have metastasized to the liver, it can also occur in patients with tumors that are limited to the gastrointestinal tract. Treatment for carcinoid syndrome may include medications to control symptoms and surgery to remove the tumor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. based on the description of the symptoms, i suspect that you could have suffered a soft tissue contusion involving the paravertebral muscles. an x-ray is mandatory to rule out any bony injuries to the vertebral elements. you can try the following measures before visiting a doctor -* adequate rest to the injured area and avoid activities that produces pain* ice packing of the affected area once in 2-3 hours* local painkiller gel application with mild massage* moist heat fomentation over the injured area to relax the taut muscles* analgesic & muscle relaxant medications as needed hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. from your history, it seems that the swelling could be due to a hematoma formation (collection of blood in the subcutaneous tissue) post surgery, and the bruise could be due to the hematoma itself. in the worst case the swelling and induration might be due to a recurrence of the hernia due to in adequate repair. however, this needs to be confirmed by a clinical examination and related investigations. it is unusual for the routine post op heparin therapy to cause such bruise. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",i exactly don't know your age or sex.because in elderly male this may be initial symptoms of heart disease like ischemic or failure.in any age or sex group may indicate valvular heart disease like aortic regurgitation. sometimes anemia or any high output state may cause it.in females of menopausal age these may be a normal finding. simple gastritis usually doesn't cause palpitation. psychogenic is a diagnosis of exclusion when any other possibility is ruled out. so better is to consult your physician.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatbot i really appreciate your concern, it is being said that one question should be asked to a patient who is having headache, and that is \""who is your headache?most of the headache does not have any pathology and are functional in origin, you have to keep your self away from such functional elements to get immediate relief, i would advise you to have \""acetaminophen with diazepam twice a day this will give good relief from headache, stop worrying and have nice day."
Please summerize the given abstract to a title,What the COVID-19 Pandemic Reveals about Racial Differences in Child Welfare and Child Well-Being: An Introduction to the Special Issue
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms in the joints are probably related arthritis. i suggest checking the rheumatoid factor level for further evaluation. meanwhile, i suggest using anti-inflammatory medications such as ibuprofen 400 mg three times a day. i also recommend using cold compresses for local application and gentle stretching exercises. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Managing Endovascular Workload during COVID-19 Outbreak-The Singapore Experience
Please summerize the given abstract to a title,Comparing Dynamics and Determinants of Severe Acute Respiratory Syndrome Coronavirus 2 Transmissions Among Healthcare Workers of Adult and Pediatric Settings in Central Paris.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, kindly mention your bilirubin, got, sgpt value for giving more comment. diuretic tablet prescribed should be continued to reduce edema. second, reduce portal hypertension by beta-blocker chatbot.  to reduce portal hypertension transjugular intrahepatic portosystemic shunt (tips) like invasive procedure can be done. take a low salt diet. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: Lead-time bias
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The first nonmammalian pegivirus demonstrates efficient in vitro replication and high lymphotropism.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i carefully passed through your question and would explain that your symptoms could be related to a nightmare, which is one of the most common sleep disorders. but, if the problem persists, i would recommend performing a polysomnography in order to exclude possible sleep apnea. are you overweight? do you suffer from any lung disorder including asthma? hope you will find this answer helpful! kind regards,"
Please answer the letter of option truthfully,C
Answer this question truthfully,"The most common cause of Peripheral Arterial Disease is occlusion of the popliteal artery. This occurs when plaque builds up inside the artery, causing it to narrow and restrict blood flow to the affected area. Other potential causes of Peripheral Arterial Disease include smoking, diabetes, high blood pressure, and high cholesterol. It is important to be aware of the risk factors for Peripheral Arterial Disease and to take steps to manage these factors in order to reduce your risk of developing the condition. If you do experience symptoms of Peripheral Arterial Disease, it is important to seek medical attention promptly in order to receive appropriate treatment and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, you need to get an x-ray done to see if there was any associated fracture along with dislocation. the usual healing period of these type of injuries is from 3 to 6 weeks, so may be your injury is in the healing phase and would resolve with time. i hope that answers your query. if you want any more clarification, contact me back."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for your question at chatbot. it is most likely muscle spasm. ice pack application and gel application(analgesic gels) with rest can help relieve the spasm over initial 24 to 48 hours. if your neck hurts when you bend forwards, you should not use a pillow while sleeping. however, you should consider and get evaluated for a pinched nerve if"
Answer this question truthfully,"Leakage of cytosolic enzymes into the serum is an indication of cell membrane damage, which can occur in response to a variety of insults such as toxins, infections, or physical trauma. When the cell membrane is compromised, enzymes that are normally contained within the cell can leak out into the bloodstream, where they can be detected by laboratory tests. This phenomenon is typically associated with irreversible cell injury, as it indicates that the cell has sustained significant damage and is no longer able to maintain its structural integrity. In some cases, the damage may be severe enough to trigger cell death or apoptosis, which can have serious consequences for the affected tissue or organ."
Please summerize the given abstract to a title,Monitoring Fake News in Institutional Spanish Media during Coronavirus
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, treatment options in this case generally depend on the intensity of the symptoms. in very small tumors, with slight hormonal problems, treatment is mainly symptomatic with hormone replacement therapy and management of other associated metabolic abnormalities. very large tumors could cause pressure in the brain to rise, and would require at times surgery and radiation. the decision depends on severity of clinical symptoms. i suggest you consult a neurosurgeon. kind regards"
Please answer with one of the option in the bracket,C: Intramuscular ceftriaxone and oral azithromycin
Answer this question truthfully,"Herpes encephalitis is a condition that can cause inflammation of the brain. When testing the cerebrospinal fluid (CSF) of a patient with suspected Herpes encephalitis, one of the findings that can be observed is the presence of certain types of cells in the CSF. In patients with Herpes encephalitis, there is typically an increased number of lymphocytes or red blood cells (RBCs) in the CSF. This finding can be helpful in the diagnosis and treatment of the condition, as it can help distinguish it from other conditions that may have similar symptoms but different CSF cell counts."
"If you are a doctor, please answer the medical questions based on the patient's description.","i respectfully disagree with chatbot.  the incidental finding could be the other way around, and the stone could be an incidental finding, and the gastritis the one giving you the pain. the way you describe the pain is not typical for gallbladder / biliary colic type of pain. you can get surgery now, but the chances of improvement are much lower if your pain is not typical. again i would suggest you to try first non-invasive ways, by treating your other condition (gastritis) with oral medications, and then if you don't improve then talk to a surgeon for a laparoscopic cholecystectomy."
Answer this question truthfully,Rhinovirus is considered the most common cause of the common cold.
Answer this question truthfully,"How does the binding of atrial natriuretic peptide to its receptor guanylyl cyclase trigger the conversion of GTP to cGMP, and what are the downstream signaling pathways and physiological effects of this process? Additionally, what are some of the key functions and regulatory roles of atrial natriuretic peptide and guanylyl cyclase in the body, such as the regulation of blood pressure, fluid balance, and electrolyte homeostasis, and how can dysregulation of this system contribute to the development of cardiovascular and renal diseases?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you are already aware of your problem then schizophrenia become the least probable diagnosis in your case. in schizophrenia person do not insight for being ill. for me your problem is closely related to substance use. simplest way to help yourself is by stopping substance. if after that some symptoms remain then for assessment and treatment, you can visit specialist like psychiatrist. i hope this information has been both informative and helpful for you. wish you good health."
Please summerize the given abstract to a title,Antibody persistence in the first 6 months following SARS-CoV-2 infection among hospital workers: a prospective longitudinal study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may be suffering from nerve root compression at lower lumbar spine. no back pain with foot numbness is strong indicator of nerve root compression. diagnosis needs to be confirmed with mri of the lumbosacral spine with screening of whole spine. please get it done from radiology center nearby you. meanwhile, take rest on hard bed. avoid all gumming exercises. tablet regain once at bedtime helps in relief from numbness. i would advise visit to orthopedic spine specialist with mri report. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Aspartate aminotransferase and mortality in patients with ischemic heart disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern towards your sister. it is always better to seek professional advice before things change for the worse. please get her evaluated by a psychiatrist or professional counselor. she definitely needs help at this stage to make right decisions in her professional as well as personal life. she will understand all these soon, but she needs help from an expert. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question in chatbot. this staphylococci infection is mainly hospital acquired. but it can spread from person to person through direct contact. so it can be acquired through skin contact also. as far as ear infection is concerned then less chance of spread from that source. your wife has to take care about not coming in direct contact with staph. affected lesion to prevent infection. thanks. i hope i have solved your query.
Answer this question truthfully,Adverse effects of anti-muscarinics on the eye and its muscles (not including glands) include mydriasis and cycloplegia.
Please summerize the given abstract to a title,A performance evaluation of chemiluminescence enzyme immunoassays on the Sysmex CN-6500 haemostasis analyser.
"If you are a doctor, please answer the medical questions based on the patient's description.","a patient with primary complex can eat all the things there is no contraindication for any type of food. primary complex occur due to contact with person with tuberculosis. you should avoid contact with a tuberculosis person. contact survey of all the adult person should be done so that person with tuberculosis can be identified. diet rich in protein and fat should be given to child. it increases immunity of child. you should give full cream milk, oats, chatbot.  have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read carefully your question and would explain that there are different causes that may lead to these symptoms"
Please answer the letter of option truthfully,A
Answer this question truthfully,"Pinealoma can cause precocious puberty in males due to the production of β-hCG. This hormone can cause the early onset of puberty and its associated physical changes, such as growth spurts, development of body hair, and voice changes. Other symptoms may also occur depending on the size and location of the tumor in the brain."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your question, the pain and erythematous areas, the bump could be because of an infected tooth causing formation of pus resulting in pain swelling and reddened mucosa...another possible cause could be a fungal infection or erosive lichen plans which produces erythematous areas with burning sensation......consult your oral physician to have a look and examine completely and give prompt treatment...you need to take some radiographs of the involved teeth area... i hope my answer will help you..."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi..... i take this opportunity to tell you certain scientific facts and relieve your distress - at his age interest in play increases and interest in food decreases. this is quite natural. if he is active and playing around you need not worry. this age rather than the quantity of the food i suggest you concentrate more on the number of times you feed him and also make whatever you feed him calorie dense by adding good amount of ghee to it. i suggest you not to use appetite stimulants on long run as they may cause chatbot. regards -
Please summerize the given abstract to a title,Risk factors and action thresholds for the novel coronavirus pandemic. Insights from the Italian Society of Nephrology COVID-19 Survey
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, headache and back pain are not common symptoms of tuberculosis. she is diabetic, so uncontrolled diabetes can cause similar symptoms. so first get done sugar levels too see diabetes control. diabetic patients are also at risk of disseminated tb (spread of tuberculosis in other organs). so we should also rule out spinal and meningeal tb as a cause for her back pain and headache respectively. so get done mri spine and mri brain. hope i have solved your query. i will be happy to help you further. wishing good health to your sister. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. i have few questions for you -1. has your daughter stopped bed-wetting at certain age and again started having it? if she had never stopped bed-wetting form birth...you can try some behavioral changes which i can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. if it's a recurrence after attaining nighttime control, i suggest you see your pediatrician to rule out pathological causes like urinary infections or voiding dysfunction.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,"The overall incidence of intracerebral hemorrhage (ICH) ranges from 12 to 31 per 100,000 population. 
The incidence of intracerebral hemorrhage (ICH) increases with age, after age 35 every 10 years, the risk of having ICH is getting doubled.  Primary lobar hemorrhages, due to cerebral amyloid angiopathy, are typically seen in elderly. Younger patients may also develop lobar hemorrhages, but in such cases they usually have an underlying lesion such as cerebral arteriovenous malformation (AVM). 
The prevalence and incidence of intracerebral hemorrhage does not vary by gender. 
The incidence of intracerebral hemorrhage is the highest in Asians.  In Japan, the incidence of intracerebral hemorrhage is 43 to 47 cases per 100,000 Japanese.  In African Americans, the incidence of intracerebral hemorrhage is 48 cases per 100,000 persons. In Whites, the incidence of intracerebral hemorrhage is 26 cases per 100,000 persons.  The incidence of Intracerebral hemorrhage is higher in Mexican Americans than non-Hispanic whites. 
The 30-day case fatality rate of intracerebral hemorrhage (ICH) ranges from 37,000 to 52,000 cases per 100,000 individuals.   Death at 1 year for intracerebral hemorrhage (ICH) varies by location:  Brain steam 65,000 cases per 100,000 individuals Lobar ICH 57,000 cases per 100,000 individuals Deep ICH 50,000 cases per 100,000 individuals Cerebellar ICH 42,000 cases per 100,000 individuals"
Answer this question truthfully,Bleeding into the skin or mucus membranes Changes in consciousness Confusion Easy fatigue Fever Headache Heart rate over 100 beats per minute Pallor Purplish spots in the skin produced by small bleeding vessels near the surface of the skin (purpura) Shortness of breath Speech changes Weakness Yellowish color to the skin (jaundice)
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ma'am, sorry to hear about your problem. dense breasts can pose problems in early detection of breast cancer, but it can be overcome by regular breast cancer screening, which you are undergoing. nipple discharge can be normal or scary depending on the color, amount and whether it is associated with a breast lump or not. what is the nature of your nipple discharge? you should visit your doctor and get a regular screening done. hoping for the best. please feel free to clarify any other query."
Please summerize the given abstract to a title,Assessment of prevalence of Anxiety in adult population and development of anxiety scale: A study of 819 patients with anxiety disorder
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand this problem, the low blood pressure can not be itself, there certain obvious causes for this and that has to be treated accordingly, fist thing this should be confirmed, in your husbands' case hypokalemic status could because and chances of some oozing or leaking of blood is likely, in short underlying cause of hypotension need to be treated, hope this information helps you have good day."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the cause could be due to the ulcer and loss of appetite giving loss of weight and weakness and abdominal discomfort.2. other possibilities of complications of ulcer can not be ruled out.3. in this case you need a good investigations like ct abdomen - will give any possible abnormalities and gastric pathologies. endoscopy for ulcers.4. first thing is to rule out abdominal infection, any malignancies.5. suggested not to delay any more and get adequate treatment after proper examinations and investigations.  good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hithroat inflammation can be due to acid laryngitis. please start on proton pump inhibitors like pantoprazole or omeprazole, added with antacid syrups like genus or sucrafil.in combination these two reduce the acidity, as well as the symptoms of reflux disorders. rest with left lateral head end elevated position, to prevent the reflux. avoid stress, oily, heavy foods. if not reduced please consult the gastroenterologist to find the exact cause. all the best take care"
Answer this question truthfully,Neonates should breastfeed every 2 - 3 hours for > 10 - 20 minutes per breast during the first month of life.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, i am sorry, but your query is not very clear. i will try to answer to bast of my understanding of your problem. there are a number of cancers which can metastasize to the bone marrow. lung cancer, and prostate cancer are the common cancers in men which metastasizes to bone marrow. breast cancer and lung cancer are the commonest among the females. did your husband undergo bone marrow transplantation? bone marrow transplantation is done for primary bone cancers like multiple myeloma, and leukemia. the most chatbot. chronic rejection occurs after many years of transplantation and can affect many organs of the body. you have mentioned that the functional capacity of the heart is left to only one fourth. this implies that there is some disease process which is affecting the functioning of the heart. you need to consult a cardiologist for the knowing the disease affecting the heart and its management. cardiac compromise is a contraindication to many surgeries. a good cardiovascular functioning is required to withstand any surgery. patient can go into cardiac failure if the cardiac functions are compromised. thanks and take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. i don't think this is related. you may have concomitant gastritis along with gallbladder disorder and also there may be so-called bile gastritis. so you stomach pain may improve after cholecystectomy. also, you need antacid therapy before and after surgical procedure. i hope i have answered you query. if you have any further questions you can contact us in every time."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for using chatbot. glomerular filtration rate as calculated on a standard laboratory panel now utilizes a formula known as m chatbot.  since the advent of this formula and its use as the primary method of calculation of gfr on standard laboratory panels, there has been a more precise determination of gfr without a 24-hour urine collection.  despite its increased accuracy, there are a few caveats in its interpretation. for example extremes of body weight and age do not yield accurate results. furthermore, there is a 10% decline in gfr per decade after the age of 30-40.  in order to determine if there is a clinically relevant reduction in renal function or kidney disease for that matter, an urinalysis, evaluation of urine protein, renal ultrasound and serial creatinine assessments would be required at minimum. should you want to simply answer your question of whether your gfr has declined from normal, all that is required is a 24-hour urine collection for creatinine clearance? take care and be well"
Answer this question truthfully,"There are two main categories of birthmarks.
Red birthmarks are made up of blood vessels close to the skin surface, and are called vascular birthmarks. Pigmented birthmarks are areas in which the color of the birthmark is different from the color of the rest of the skin.
Hemangiomas are a common vascular birthmark. Their cause is unknown. The color results from the development of blood vessels at the site.
Strawberry hemangiomas (strawberry mark, nevus vascularis, capillary hemangioma, hemangioma simplex) may develop several weeks after birth. Cavernous hemangiomas (angioma cavernosum, cavernoma) are similar to strawberry hemangiomas but they are deeper. Salmon patches (stork bites) are extremely common, appearing on 30-50% of newborns. A port-wine stain is a flat hemangioma made of dilated blood capillaries. Port wine stains on the face may be associated with Sturge-Weber syndrome."
Answer this question truthfully,"What is false pregnancy, and what is another name for it? False pregnancy, or pseudocyesis, is the belief that one is pregnant when they aren't really."
Answer this question truthfully,"Early emphysema presents with respiratory alkalosis, while late emphysema presents with respiratory acidosis."
Answer this question truthfully,"A bulging fontanelle in an irritable baby is a medical emergency and may be suggestive of meningitis. The fontanelle is the soft spot on the baby's head where the bones have not yet fused together. Normally, the fontanelle is slightly raised and pulsates with the baby's heartbeat. However, if the fontanelle appears to be bulging, it may be a sign of increased pressure inside the skull, which can be caused by a number of conditions, including meningitis. Meningitis is an infection of the membranes that surround the brain and spinal cord, and it can be life-threatening if not treated promptly. Other signs and symptoms of meningitis in babies may include fever, lethargy, poor feeding, vomiting, and a high-pitched cry. If a bulging fontanelle is observed in a baby, it is important to seek medical attention immediately."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. blood donation is quite safe, and you have done a good thing by giving blood. little red bumps appearing at or around puncture site and itching sensation is just an allergic reaction due to the use of adhesive plaster material. you can take tablet. levocetrizine 10\u00a0mg once a day for 3 days. your symptoms should gradually reduce and disappear in a day or two. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. fisrt of all, i would exclude any of your headache history being related to any aneurysm. it is true that people who have family history for brain aneurysm are at greater risk for harboring an aneurysm, but this does not make an indication for radiologic screening. considering your headache being on the right side, i would recommend the family gp to take a history on a possible migraine type of headache. the sensation of blood rushing is nothing serious nor your spot which may be a simple inflammation. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
Please answer with one of the option in the bracket,C: Home hospice care
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot although uncommon tamoxifen can cause skin rash and blisters. you have to stop the medication, and usually it subsides in a week or 2. if the problem is severe you need to visit a dermatologist. if the skin creation is mild you can usually restart tamoxifen without any side effect.however, if the problem is severe, you can discuss with your doctor regarding shifting from tamoxifen to armitage inhibitors like metronome. regards"
Answer this question truthfully,"It is essential for establishing and maintaining pregnancy in females.
In the ovary, the corpus luteum secretes estrogens and progesterone, which are steroid hormones responsible for the thickening of the endometrium and its development and maintenance, respectively.
If the egg is not fertilized, the corpus luteum stops secreting progesterone and decays (after approximately 14 days in humans). It then degenerates into a corpus albicans, which is a mass of fibrous scar tissue.
The uterine lining sloughs off without progesterone and is expelled through the vagina (in humans and some great apes, which go through a menstrual cycle). In an estrus cycle the lining degenerates back to normal size.
If fertilized, however, the embryo secretes the hormone human chorionic gonadotropin (hCG) or a similar hormone in other species.
This hormone signals the corpus luteum to continue progesterone secretion, thereby maintaining the thick lining (endometrium) of the uterus, and providing an area rich in blood vessels in which the zygote (s) can develop. From this point on, the corpus luteum is called the corpus luteum graviditatis.
The introduction of the hormone prostaglandin at this point causes the degeneration of the corpus luteum and the abortion of the fetus. However, in placental animals such as humans the placenta eventually takes over progesterone production and the corpus luteum degrades into a corpus albicans without embryo/fetus loss."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. after going through your history it is amply clear that you have developed tooth decay or cavity. yes, the decayed tooth or cavity is infectious and, it is causing you such symptoms like swelling of lymph nodes. this should be definitely treated by removing the previous filling and checking the present extent of decay. this also requires an x-ray of the tooth. after seeing the x-ray, it can be decided whether the tooth requires simple filling or it should be treated by root canal treatment.therefore, in my view, please see your dentist soon for x-ray. you also require antibiotics if the progression is deep. hope i have answered your query. please let me know for further doubts. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, i have gone through query. first eat protein nourished foods like almond, cashew,hanna, soyabean, peanut in your daily food intake. add jagger, black gram, and dal prepared with ghee. take diary product like milk, yogurt,cheese, butter etc. add banana and tuber vegetables. pomegranate, fig,sesame seed, watermelon seed and fruit will help highly to increase your stamina. avoid junk, fired foods, caffeinated chatbot.  it will degrade your sexual desire. thank you hope i answered your query"
"If you are a doctor, please answer the medical questions based on the patient's description.",**1. impetigo is caused by skin bacteria
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, you had abortion. when the abortion is in threatened phase of abortion, i.e. the baby is still viable with threat to pregnancy, attempts can be made to arrest the process of abortion. however, it seems that your baby was already non-viable; hence the process of abortion could not be arrested by the medicines doctors gave you.  what you feel you got period was in fact starting the process of abortion. it is better if you confirm the diagnosis by ultrasonography as urine pregnancy test requires about a week to ten days to become negative. if ultrasonography reveals that this is incomplete or missed abortion, better get it completed by surgical evacuation. if still the baby is viable, continuation of inovalon tablets might help you to stabilize the pregnancy. i hope this serves the purpose."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you have failed to conceive after trying for six months, you need to have the tubal patency tested apart from other things. iphone is camphene, an ovulation inducing chatbot.  curvier is a nutritional supplement. if you have documented evidence of failed or decreased ovulation, you may go for ovulation induction, a properly monitored process with timed intercourse or gui. please discuss further with your doctor before the treatment. good luck."
Please summerize the given abstract to a title,Accelerated implementation of remote reporting during the COVID-19 pandemic
Answer this question truthfully,Lymphoblasts in T-ALL (which are TdT+) express markers ranging from CD 2 to CD 8.
Answer this question truthfully,"The vulva anatomically includes the skin and mucosa of the female genitalia external to the hymen, which consists of the labia majora, labia minora, mons pubis, and vestibule."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what about his self-confidence status and school performance? how is his relationship with you? are you friendly to him? if you scold him so much or he didn't feel comfortable with you then maybe he forgets things in front of you. so a lot of issues to evaluate. check his friends and school issues and school performance and way of talking to others then evaluate. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: Deficiency of type 1 collagen
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. in spite of all these explanations, the mother has some soft spots. this habit comes through constant training. training which uses reward and punishment methods. there will be hardships and setbacks when you try to train a child. you need to accept those hardships and setbacks and try and try again to train the child. value education, behavior education etc. are key at this age. your child is approaching adolescent period, and she is matured in that aspect. she can understand values and physical dynamics. you may approach through that aspect. i suggest you to consult a psychologist for counseling and value education. if you require more of my help in this aspect, please use this url. http"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","your symptoms suggest that you have spasm of chest muscle due to exercises. you need not worry a lot. analgesics such as ibuprofen, muscle relaxant (thiocolchiside) and ice will decrease pain .deep breathing exercises will also be beneficial. if pain does not subside within 5-7 days then consult to an orthopaedician. hope this helps. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the problem you are facing with looks like you are suffering from acute necrotizing ulcerative periodontitis(aug). it will not be associated with any other causes, but the teeth will become loose and exfoliates. the decay can be because of the improper oral hygiene or secondary to any systemic conditions that affect the salivary secretion(xerostomia). consult an oral physician and get these conditions ruled out. if it is because of the aug then get the teeth cleaned, and we can place graft(bone like material) if needed. the decayed teeth can be restored with silver amalgam or composites. if it is palpably involved, then it can be treated with rct. i hope my answer will help you, take care."
Please summerize the given abstract to a title,Rehabilitation guidance for hip fracture patients during the COVID-19 pandemic using chat software: A new model.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. most women undergo an ultrasound by the 6th week during which the gestational sac is seen, and pregnancy can be confirmed, but some women can take longer, so do not worry about that. a lightly positive result is also positive, ask your doctor to check your chatbot levels and recommend an injection accordingly, i recommend taking injection foreign 5000 iu, but your doctor would be the best judge. best wishes."
Please answer with one of the option in the bracket,A: t-test
"If you are a doctor, please answer the medical questions based on the patient's description.","hello jewish, welcome to chatbot in your age group the common causes of gynecomastia are obesity and hormonal disorder.  so if you are obese try to reduce your weight by daily exercise and diet modification.  if you are not obese then try to consult a physician for cause of hormonal imbalance. you may need some blood tests for hormone level in blood are you taking any medications? some medications can also cause gynecomastia.  take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have undergone extraction of wisdom tooth don't worry after extraction swelling occurs, but it is long time of 21 days consult your dentist again and go for oral examination if there is infection in socket that's why healing doesn't occurs.  you do warm saline gargle two - three times a day consult dentist as early as possible. hope this will help you.  wishing you good health. hope this will help you."
Please answer with one of the option in the bracket,D: Exposure to excessive androgenic steroids during gestation
Please summerize the given abstract to a title,Audiovestibular symptoms and sequelae in COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear. i understand your concern. prednisolone is steroid, and it usually not indicated in dizziness. eye swelling is due to inflammation and prednisolone can reduce it, but one should use it for shorter period. so take your doctors advise continuing it or not. but it is not advisable to take it for a long time. still if you have a query then feel free to ask. happy to help you further. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for sharing your concern in this forum, from the symptoms you mentioned i feel that your tooth is grossly carious...means the pulp tissue inside the tooth is infected...so you are getting pain...first you have to go for treatment of that tooth...medicines will give temporary relief...treatment can be root canal treatment or extraction depending on the tooth condition.... proper x-ray is required for that to see the extent of infection inside the tooth....meanwhile, you can take painkillers...and take warm salt water rinses 4-5times/day...you will get relief.... maintain oral hygiene... consult with dentist for treatment... get well soon. regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  you are scared of pains because of your experience. but please understand it need not be the same condition in every pregnancy.  mild cramping is normal in early pregnancy but if its unbearable you should consult your treating gynecologist. inform about your experience. i am sure with some hormone replacement & pain relieving medicines you would be alright.  again diagnosis of position of pregnancy can be by usg with vaginal probe at 5 weeks pregnancy.  so, do not be tense but be careful & take doctors help to alleviate your problem positively.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, numbness like feeling is not due to sprain. it is due to compression of facial nerve somewhere its course from brain to face. in this case it would be best to consult to your physician or a ent specialist primarily. an ear, nose or throat problem may lead to swelling at facial nerve and may also lead to such symptoms. in that case, we used to give a course of steroid chatbot.  hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that your father is known patient of cancer of prostate and have been treated with hormonal therapy.is serum psa was 48 at the start of therapy and had gone down to almost 0 but his recent psa levels is 28\u00a0ng. the rise in psa level could be either due to local recurrence or distant metastasis in bones. please wait for the results of the bone scan. further treatment will be decided by your urologist or medical oncologist depending upon the findings of bone scan. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. i think you are having an implant rejection or allergic reaction due to implant rupture.2. itchy bruising lesions at the site of implant suggest possible allergy.3. meet your doctor to see if the implant has ruptured. it could get infected and become serious condition. meet your doctor at the earliest to evaluate and possible removal of implant. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,A Case of Rebound Inflammation in a 38-Year-Old Man with Severe COVID-19 Pneumonia Following Cessation of Dexamethasone Therapy
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Coronavirus as the Antidote for Globalization
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. possibilities of metastases can not be ruled out (in your case) without an fnac - fine needle aspiration cytology of an enlarged lymph nodes.2. generally lymph nodal enlargement is seen after local or systemic, infection or inflammatory cause. and ease off after treatment.3. you have done mri - it would have given you the status of the old treated tongue malignancy. a computer tomography with contrast will help to see the status of previous malignancy.4. get an ultrasound abdomen done - to see the status of liver and abdominal lymph nodal enlargement.5. get an fnac of lymph node for confirmation and treatment to commence. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello rearward welcome to chatbot.come have evaluated your query thoroughly.* there are so many reasons which can present as lump in the lower left abdomen as - hernia - lipoma - sebaceous cyst - others.* needs clinical examination and ultrasound evaluation of the same for the final diagnosis and deciding the line of action for further management. hope this clears your doubt . wishing you fine recovery. welcome for any further assistance. regards dear take care.
Answer this question truthfully,"Some types of scleroderma affect only the skin, while others affect the whole body.
Localized scleroderma usually affects only the skin on the hands and face. It develops slowly, and rarely, if ever, spreads throughout the body or causes serious complications. Systemic scleroderma, or sclerosis, may affect large areas of skin and organs such as the heart, lungs, or kidneys. There are two main types of systemic scleroderma: Limited disease (CREST syndrome) and diffuse disease.
Skin symptoms of scleroderma may include:
Fingers or toes that turn blue or white in response to hot and cold temperatures (See: Raynaud's phenomenon) Hair loss Skin hardness Skin that is abnormally dark or light Skin thickening, stiffness, and tightness of fingers, hands, and forearm Small white lumps beneath the skin, sometimes oozing a white substance that looks like toothpaste Sores (ulcers) on the fingertips or toes Tight and mask-like skin on the face
Bone and muscle symptoms may include:
Joint pain Numbness and pain in the feet Pain, stiffness, and swelling of fingers and joints Wrist pain
Breathing problems may result from scarring in the lungs and can include:
Dry cough Shortness of breath Wheezing
Digestive tract problems may include:
Bloating after meals Constipation Diarrhea Difficulty swallowing Esophageal reflux or heartburn Problems controlling stools (fecal incontinence)"
Please summerize the given abstract to a title,History of Pain is Associated with Hospitalization and Severe Course of COVID-19 in Children with Sickle Cell Disease
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having pleuritic chest pain, breathing difficulty and burning of chest. all these symptoms are commonly seen with lung infection and bronchitis. so better to consult pulmonologist and get done 1. clinical examination of respiratory system. 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out lung infection. pft is must for the diagnosis of bronchitis. you may need antibiotics, inhaled bronchodilator and inhaled corticosteroids (ics) on the basis of these reports. don't worry, you will be alright. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. anticoagulant chatbot. so better to avoid hot and spicy food at night. avoid large meals in the dinner. go for walking after meals. keep 2-3 pillows under head in bed to prevent acid reflux. continue valley (antacid). avoid stress and tension, be relaxed and calm. if symptoms continue despite all these then get done ct pulmonary angiography to rule out worsening pulmonary embolism. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,A: Muddy brown casts
Answer this question truthfully,"The drop arm test is used to test for rotator cuff tears, particularly tears involving the supraspinatus tendon. The test involves the patient lifting their arm to the shoulder level and then slowly lowering it back down to the side. If the arm drops suddenly, it may indicate a rotator cuff tear."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Biomonitoring findings for occupational lead exposure in battery and ceramic tile workers using biochemical markers, alkaline comet assay, and micronucleus test coupled with fluorescence in situ hybridisation."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. from the given information, it seems that you are stressed and anxious. shortness of breath, lack of sexual chatbot.  your systolic pressure shows the stress related disorder. as you are already waiting for the stress test, wait for its results. let the experts determine. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, provera contain progesterone and use in person who have luteal phase abnormality. treatment response is variable. you can use it for 4-6 months, but make sure that ovulation and ovarian follicle study is normal. it will make uterine environment favorable for implantation and support pregnancy. you can start folic acid tablet also. avoid stress, take healthy diet, chatbot. hope this may help you. contact further if follow up needed. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, looking at your details it looks that your father is having infection with inflammation a legs. this needs treatment (maybe for long) from antibiotics and analgesic. other reports are showing that his kidney functions are also not completely normal. i will advise you to consult to your physician for proper treatment. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"Biceps tendon injury and rupture typically occur following sudden extension of a flexed elbow while contracting the biceps. The biceps tendon connects the biceps muscle to the shoulder and the elbow, and it is responsible for flexing the elbow and rotating the forearm. When the elbow is forcefully extended while the biceps is contracting, it can cause the tendon to tear or rupture. This type of injury can be painful and may require medical intervention, such as rest, physical therapy, or surgery, depending on the severity of the injury."
Please answer with one of the option in the bracket,"E: Bronchogenic carcinoma
"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, as per the above-mentioned symptoms and the various site of pain abdomen you are suffering is indicating that you are going through gastritis along with intestinal gas formation.  therefore i would like to advice you to avoid oily foods, and acidic foods. the best medicines for such are an antibiotic along with antacids. there are few antacids available in market which tends to work very fast. hope to have answered your query, wish you a healthy life forward."
Please summerize the given abstract to a title,"Pseudomonas syringae pv. actinidiae: Ecology, Infection Dynamics and Disease Epidemiology"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Phytochemical investigation of Amphilophium paniculatum;an underexplored Bignoniaceae species as a source of SARS-CoV-2 Mpro inhibitory metabolites: isolation, identification, and molecular docking study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, closed is given to increase the size of the eggs and phaeton is given to support the implantation.  so, both these medicines increase the chance of pregnancy.  you can track your ovulation by ultrasound and when your follicles is about to rupture, you can be in contact with your husband.  do a pregnancy test after using phaeton.  you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellocough in a case of allergic rhinitis may be due to allergic bronchitis, or it may be cough variant of asthma. cough which is aggravated during sleep should be investigated for gastroesophageal reflux. i would suggest you to consult a pulmonologist for pulmonary function test as it will help in diagnosis of cough variant of asthma and serum ige level to diagnose and follow the allergic problem. also get a ger scan done to rule out gastroesophageal reflux. avoid cold, allergens( like dust, smoke, molds, pollen, perfume, do etc.) and irritants as a preventive measures. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot .this is the time when you should wean him from breastfeeding and shift to natural foods. cerelac is not the only solution. give him fruit juice, boiled and smashed potatoes, smashed ripe banana, double boiled rice with curd or buttermilk. only curd with sugar can be given. double boiled rice with moon dal, boiled rice with milk and sugar etc., not only carla you can choose alternative milk cereal mixtures from the market. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
Answer this question truthfully,"Focal segmental glomerulosclerosis is usually associated with no immunofluorescence findings, as there are no immune complex deposits present."
Answer this question truthfully,The recommended treatment of choice for severe hypovolemic hypernatremia is the administration of isotonic 0.9% saline solution.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Glycogen storage disease type 1 (GSD 1) presents first as an average age of 6 months (1 - 12 months). If left untreated, glycogen storage disease type 1 develop complications including protruding abdomen due to marked hepatomegaly (storage of glycogen and fat), short stature, truncal obesity, rounded doll-like face, and wasted muscles. Common complications of glycogen storage disease type I include bleeding diathesis, chronic renal failure, hepatic adenoma, anemia, and inflammatory bowel disease (specifically in GSD type 1b)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. the best medicine is dots as per rntcp guidelines. http"
Please summerize the given abstract to a title,Successful treatment of coronavirus disease 2019 in a patient with asthma.
Answer this question truthfully,African-American infants are the demographic that is most commonly associated with umbilical hernia.
Please summerize the given abstract to a title,Setting the Table for Equity: A Leadership Model for Broadening Participation in Computing
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,ACEI/ARB use and risk of infection or severity or mortality of COVID-19: A systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","his had gone through your query. yes you can consult to psychiatrist. in many cases besides medicines counseling play a major role in anxiety and panic. emotional catharsis means speak out underlying psychological trauma will help to reduce all features. cognitive behavior therapy for depression and panic is the choice nowadays. in medicines, it can be treated with ssri and anxiolytic. medicines like paroxetine/escitalopram/sertraline can be useful. but take it according psychiatrist advise. so consult and get better assistance. feel free to ask. thank you. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for choosing chatbot. as you had unprotected intercourse then the chances of conception cannot be ruled out. what i advise you is taking an emergency contraception if you had unprotected intercourse within 72\u00a0hours and continue the rest of the pills. please ask if you have more questions. if you are satisfied, please make sure that your accept my answer so that i receive credit. good luck!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read facts of your query and reviewed it in context to your health issues submitted. i understood your health concerns and feel concerned about them. you seem to be suffering from following possibilities-mostly this is due to ibs and ibd with-celiac disease from gluten -in wheat-food induced enterocolitis in your cases-causing mucus for 3 days. consult physician and get stool ova / cyst for fixing accompanied contributing causes. avoid street food/ hotel food / excess tea-coffee/ intake bland non-spicy non-fried food x 2-3 weeksskimmed watery butter milk x 2 times a daysporlac cap 1 x 2 times a day x 3weekstab cipro 0z-1 x 2 times a data keynoted- 1 x 2 times a davit b12 and folic acid to stabilize colonic mucosa d3 / calcium and magnesium, zinc to overcome malabsorption syn chatbot. this would reduce your complaints in 2-3 weeks time. for this to verify second opinion from another gi physician / nutritionist and gi surgeon is suggested. just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. hope this would help you to treat your health issues in the best way possible. welcome for any further query in this regard to following link-http"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. this is simply called obsession. you had that disturbing experience once. you expected it to happen again and tried. then you started experiencing it as you were expecting it. then your body brought the familiar symptom because you are expecting it. then you started worrying that the symptom is coming again and again and expect it and close your eyes. body brings it again as you are expecting it. you become worried and so on. that is obsession in simple terms. ignore it and the problem vanishes. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"The cause of DeQuervain's syndrome is the following:
Overuse of the wrist, activities such as that involve frequent lifting, wringing or peeling. For example, new mother is at risk of developing DeQuervain's syndrome. Eccentrical load on the wrist, activities such as lowering a child or putting a heavy stack of plates down. Some occupations, such as office workers, musicians, carpenters."
Answer this question truthfully,"Corynebacterium diphtheriae is the bacteria that produces a characteristic ""bull's neck"" due to lymphadenopathy."
Please answer with one of the option in the bracket,E: Herpesvirus
Please summerize the given abstract to a title,Spatiotemporal trends of selected air quality parameters during force lockdown and its relationship to COVID-19 positive cases in Bangladesh
Answer this question truthfully,"Lichen simplex chronicus presents as leukoplakia with thick, leathery vulvar skin. Lichen simplex chronicus is a skin condition that occurs when the skin becomes thickened and leathery due to chronic scratching or rubbing. In the vulvar area, lichen simplex chronicus can cause discomfort, itching, and pain. The skin may also appear red, scaly, or have fissures. Leukoplakia, which is a white, patchy area of skin, can also be a symptom of lichen simplex chronicus. Lichen simplex chronicus can be caused by a variety of factors, including irritants, allergies, and stress. Treatment typically involves identifying and addressing the underlying cause, as well as using topical medications to reduce inflammation and itching. In severe cases, surgery may be necessary to remove the affected tissue."
Answer this question truthfully,What is the time frame for fertilization to occur after ovulation? Fertilization must occur within one day of ovulation.
"If you are a doctor, please answer the medical questions based on the patient's description.","please recheck the values entered. if the patient is having fever and also looking yellowish, then the liver function tests need to be done first to confirm jaundice. hepatitis b(indicated if bag positive) is only one cause of jaundice. other causes for hepatitis need to evaluate. imaging studies of the liver need to be done. viral and bacterial causes need to be ruled out.  in short, the patient needs further clinical and lab investigation."
Please summerize the given abstract to a title,Self-harm and the COVID-19 pandemic: A study of factors contributing to self-harm during lockdown restrictions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. a seizure followed by such a neurological deficit requires that a ct/mri scan of the brain be done. there could be a brain damage which could be causing the symptoms. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"With the right treatment and follow-up care, the symptoms of sleep apnea should be totally corrected."
Answer this question truthfully,"The mnemonic used to remember the causes of normal anion gap metabolic acidosis is HARDASS, where H stands for hyperalimentation (artificial supply of nutrition), A stands for Addison disease, R stands for renal tubular acidosis, D stands for diarrhea, A stands for acetazolamide, S stands for spironolactone, and S stands for saline infusion."
Please answer with one of the option in the bracket,D: Klebsiella pneumoniae
Answer this question truthfully,"Contact a medical professional when symptoms of breathlessness, fast heart beats, swelling in legs and other parts of body are there"
Answer this question truthfully,"Linezolid is contraindicated in patients taking drugs that increase serotonergic transmission. Serotonin is a neurotransmitter that plays a key role in regulating mood, appetite, and sleep. Linezolid is an antibiotic that is used to treat certain bacterial infections, but it can also affect the levels of serotonin in the brain. If Linezolid is taken with other drugs that increase serotonergic transmission, such as selective serotonin reuptake inhibitors (SSRIs) or monoamine oxidase inhibitors (MAOIs), it can lead to a potentially life-threatening condition called serotonin syndrome. Symptoms of serotonin syndrome can include agitation, confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity. Therefore, it is important for healthcare professionals to be aware of the potential for drug interactions with Linezolid and to carefully monitor patients who are taking this medication."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post can be attributed to acute exacerbation of asthma, secondary to the respiratory tract infection. management consists of"
Please summerize the given abstract to a title,Advances in TRP channel drug discovery: from target validation to clinical studies
Please summerize the given abstract to a title,Adipose‐derived stromal cells for nonhealing wounds: Emerging opportunities and challenges
Answer this question truthfully,"The infectious skin disorder that is an acute, painful infection of the deeper dermis and subcutaneous tissue is called cellulitis. This condition is typically caused by bacteria, most commonly Streptococcus or Staphylococcus species, and is characterized by redness, swelling, warmth, and pain in the affected area. Cellulitis can occur anywhere on the body, but it most commonly affects the legs. In severe cases, the infection can spread to the lymph nodes and bloodstream, leading to serious complications such as sepsis. Treatment for cellulitis typically involves antibiotics, rest, and elevation of the affected area. In some cases, hospitalization may be necessary, especially for people with weakened immune systems or other underlying medical conditions. With prompt and appropriate treatment, most people with cellulitis recover fully without complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have problem of night emission. it is normal to get night emission at the age of adolescence, and it does not have any negative effect on brain or memory. following general measures will help you to boost up your confidence and improve your performance .1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. there are no medications to prevent night emission. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you have lip batting now you have pain and swelling don't wore you can apply ointment like heal plus or mugel on inner side of lip, and you can take vitamin supplement by consulting with your doctor, and you can take analgesic like paracetamol or diclofenac sodium for pain. take soft diet, take proper rest and if won't get relief then consult dentist for examination of lip. hope this will help you. wishing you good health. regards,"
Answer this question truthfully,"Volvulus of the midgut, which is a twisting of the small intestine that can lead to bowel obstruction, is more commonly seen in infants and children. This is thought to be due to the fact that the midgut undergoes a physiological herniation during fetal development, which can predispose it to twisting and obstruction. Volvulus of the midgut is a medical emergency that requires prompt diagnosis and treatment to prevent bowel ischemia or perforation. Symptoms may include abdominal pain, distension, vomiting, and bloody stools."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Detection of feline Coronavirus in effusions of cats with and without feline infectious peritonitis using loop-mediated isothermal amplification
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have got acute back sprain with articular pain to. lower limb. this has happened due to lifting the weight with a jerk to back. you need to take rest and stop lifting weight for a week. avoid forward bending also. start tablet moral twice a day and tablet attract twice a day for 5 days, along with tablet regain x one at bedtime. moral is a muscle relaxant, and tramadol chatbot.  pregabalin is for the relief of lower limb pain. a visit to the orthopedic specialist is also recommended. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query weird sensation in bottom side teeth is because of generalized sensitivity in lower qua chatbot.  poor oral hygiene is one of the contributing factor for this along with decreased immunity of oral cavity. you must have habit of teeth grinding. need not worry about it. maintain proper oral hygiene. brush and floss daily. do antimicrobial rinses. brush with sensory toothpaste. use night guard at nighttime to prevent grinding. use sealants to prevent fluid leakage inside identical tubules. visit dentist once and get opg(full mouth radiograph) done to check oral cavity bone density once and start treatment as per that. scaling and root planning is treatment option as of now. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...the most important here is to know the neuromuscular development of your baby. at this age your baby should be able to go up and down stairs with one step at a time (like adults). look whether he is able to get up to a standing position from sitting position without any support. if these parameters are normal then there are no need for screening (if you don't have any family history of muscle dystrophies).  now coming to the birth history, what i am interested to know is whether your baby cried immediately after birth or not. if the agar score is available in the discharge then you can look at it. agar of less than 6 at 1\u00a0min or 5 min would indicate birth asphyxia, and then we can attribute the floppiness to that. cpk gets hiked in birth asphyxia, but that is cpk mb not whole cpk. so recheck the report please. if he had really birthed asphyxia then kindly visit and reevaluate from a pediatric neurologist. want to inform you that the most common muscular dystrophy i.e. duchess is extremely rare in girls"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for your query. i can understand that you are very distressed due to your bed wetting problem. now, bed wetting can be due to different factors - like stress, genetic factors, bladder problems, neurological problems, etc. in your case, you have mentioned that you have been going through a stressful time recently, and it is likely that this is a major cause for your bed wetting. so, i would suggest that you avoid stress and try practicing relaxation techniques to avoid anxiety and stress. there are medication like desmopressin, migraine, etc. which can improve bladder control and prevent bed wetting. so, i would suggest that you consult a urologist for a detailed evaluation and further treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is unlikely that a pregnancy will occur if the man ejaculates in his boxers and the woman is wearing her inner clothes. pregnancy requires sperm to be deposited at the vaginal opening and during the above event it was not possible for the semen to get deposited because both of you were wearing clothes.therefore, in such an even where there is clothing to clothing contact then pregnancy cannot occur. the sperm will not travel through your boxers and then her inner clothes to reach the vagina and cause pregnancy. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for asking in chatbot. your symptoms may either be due to pelvic inflammatory disease or bacterial vaginosis. birth control pills can result in irregular menstrual flow or complete absence of period after stopping them, they may not result in abdominal cramps and discharge. the increase in weight in your lower abdomen area may be due thickening of endometrium that is common in delayed periods. multiple negative pregnancy tests does not necessarily indicate absence of conception as the reliability of home pregnancy tests varies unless you do it meticulously. so, it is always safer to exclude pregnancy through blood tests or through physical examination by a"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello i read your question and i would like to help you. high values of esr indicate an inflammatory situation of your body. antibiotic use usually after the treatment the esr low down till in the normal values. if it does not normalize despite the right medication it is necessary to do some other blood tests to see if there is an autoimmune disease or other cause that not allow the esr to normalize. for example
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it appears you are suffering from back pain, probably the lower back. it could be a lumbar spondylosis, compressing the nerves leading to pain and weakness in thigh and legs. the pain should increase with more weight on the back and reduce with rest. you can meet an orthopedic surgeon and get an x-ray done for the lower spine. it should help in confirmation. it might require lumbar spine support along with physiotherapy. any further queries, happy to help again chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","there are many causes of chest pain. anything from musculoskeletal, ribs, lungs, esophageal, and everything in between can cause chest pain.  at your age it is very unlikely that your chest pain is related to your heart. it is more likely related to musculoskeletal pain such as a sore muscle.  heart pain also does not last for more than a couple of minutes. if the pain persist, i would recommend seeing your doctor to get an x-ray as well as some blood work. you can take some anti-inflammatory pain medication in the meantime to help with your symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. chronic back pain is quite disabling. most common reason is muscle fatigue and spasm. need to find out the risk factors contributing to the problem.  common risks factors are prolonged sitting job, long travels and overweight. long term solution to the problem is physiotherapy with back muscle stretching and exercise with modification of the risks factors if present. coming to the treatment options. initially we always treat with medicine and physio. if problem persist then we need to investigate further to find out the pain generator. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient., what keeps our body and extremities warm is the blood flow inside the vessels which is partly controlled by nerves. by that logic it seems you could have 1 of 2 conditions1) vascular damage"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi your leg pain and throat symptoms unlikely to be due to the problem from the cervical spine. if your symptoms are getting worse, then it may be worth seeing a spinal surgeon who can examine you and review your scan. try to engage yourself with some activity to take your brain away from your spine condition (if you are unemployed for example), you might surprisingly notice improvement kind regards"
Please summerize the given abstract to a title,Uncommon carbene-to-azole ligand rearrangement of N-heterocyclic carbenes in a ruthenium system
Please summerize the given abstract to a title,Unleashing the potential of cell membrane-based nanoparticles for COVID-19 treatment and vaccination
Please summerize the given abstract to a title,Cross-subtype Immunity against Avian Influenza in Persons Recently Vaccinated for Influenza
"If you are a doctor, please answer the medical questions based on the patient's description.","you will have to undergo 2 tests, the first being called throat swab test with culture & sensitivity of the causative organisms.  and the other test will be hemogramme for the hemoglobin & your white cells, red cells, platelet counts. after you undergo the tests, you will get its report on 4th day, i.e. after 72 hours. till that time you may begin with t. azithromycin 500 mg once daily & gargling with antiseptic oral gargles solution. an eliza test to rule out possible hiv infection can be done, because you are not responding to antibiotics for 3 months."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for your question at chatbot. chances of cancer due to tobacco chewing for less than 10 months is very less. in fact nil. cancer can be due to other reasons. in your case there are more probabilities of being it only a lesion and not cancerous one. yet, i need photographs of lesion for better diagnosis. or you can consult nearby dentist so that he can see the lesion clinically and take any specimen tissue from lesion for investigation. you can consult back for further queries. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... i appreciate your confidence in the management of the kid. usually head injury should not cause fever. but i take this opportunity to tell you about the danger signs of head injury - 1. vomiting continuously2. seizures3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. if none of them are present, i don't think you should worry about his trivial head injury. for pain, you can give oral paracetamol in the dose of 15\u00a0mg/kg/dose every 4-6th hourly. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","for sure not just a lot, but even little of all what you prepared will increase your triglycerides because it contains simple sugars and fats (cream) which is easily absorbed.  lastly the reason why your alt went up might be lipitor and the wine (if taken on daily basis).  now according to guidelines if your alt is substantially high you would need to decrease the lipitor dose for time being till it resolves.  regards chatbot."
Please summerize the given abstract to a title,COVID-19 Vulnerability Map Construction via Location Privacy Preserving Mobile Crowdsourcing
Please summerize the given abstract to a title,Heart failure as a complication of COVID-19 infection: systematic review and meta-analysis
Please answer with one of the option in the bracket,A: Aplastic anemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. if your uncle is being taken care of by the nurses and doctors then better to allow him to stay at once place. however, if the facility is causing him to worsen then better to shift him out, but before shifting have a consultation with doctors and be sure the other hospital has better facilities and is well-equipped in case of an emergency. brain swelling or edema is a condition when there is water accumulation in the brain. this can happen when there is an infection or inflammation in the brain. anti edema measures are started but in some patients brain swelling takes time to respond to medications. it is important to know how much is the coma score of your uncle. the coma score is based on an international scale and graded from 3/15 for a patient who is dead to 15/15 for a normal person. if the coma score is more than 7/15 then it is likely that your uncle might make a recovery. please discuss this score with nurses and doctors. wish him a quick recovery."
Answer this question truthfully,"No, noncompetitive inhibitors do not bind to the active site of the enzyme. Noncompetitive inhibitors are a type of enzyme inhibitor that bind to a site on the enzyme other than the active site. This binding causes a conformational change in the enzyme that reduces its catalytic activity. Unlike competitive inhibitors, which resemble the substrate and bind to the active site of the enzyme, noncompetitive inhibitors do not compete with the substrate for binding to the active site. Instead, they bind to a different site on the enzyme, causing a change in the enzyme's shape or structure that interferes with its ability to catalyze the reaction. Therefore, noncompetitive inhibitors do not bind to the active site of the enzyme."
Answer this question truthfully,"Class I "" 1. Aspirin should be administered to UA / NSTEMI patients as soon as possible after hospital presentation and continued indefinitely in patients who tolerate it.      (Level of Evidence: A) "" "" 2. A loading dose followed by daily maintenance dose of either clopidogrel    (Level of Evidence: C), prasugrel * (in PCI -treated patients)  (Level of Evidence: C), or ticagrelor **  (Level of Evidence: C) should be administered to UA / NSTEMI patients who are unable to take aspirin because of hypersensitivity or major GI intolerance."" "" 3. Patients with definite UA/NSTEMI at medium or high risk and in whom an initial invasive strategy is selected should receive dual antiplatelet therapy on presentation.     (Level of Evidence: A) Aspirin should be initiated on presentation.        (Level of Evidence: A) The choice of a second antiplatelet therapy to be added to aspirin on presentation includes 1 of the following: a) Before PCI: Clopidogrel   (Level of Evidence: B); or Ticagrelor **  (Level of Evidence: B); or An IV GP IIb/IIIa inhibitor.      (Level of Evidence: A) IV eptifibatide and tirofiban are the preferred GP IIb/IIIa inhibitors.   (Level of Evidence: B) b) At the time of PCI: Clopidogrel if not started before PCI   (Level of Evidence: A); or Prasugrel *  (Level of Evidence: B); or Ticagrelor **  (Level of Evidence: B); or An IV GP IIb/IIIa inhibitor.    (Level of Evidence: A) "" "" 4. For UA/NSTEMI patients in whom an initial conservative (ie, noninvasive) strategy is selected, clopidogrel or Ticagrelor ** (loading dose followed by daily maintenance dose) should be added to aspirin and anticoagulant therapy as soon as possible after admission and administered for up to 12 months.    (Level of Evidence: B) "" "" 5. For UA/NSTEMI patients in whom an initial conservative strategy is selected, if recurrent symptoms/ischemia, heart failure, or serious arrhythmias subsequently appear, then diagnostic angiography should be performed.   (Level of Evidence: A) Either an IV GP IIb/IIIa inhibitor (eptifibatide or tirofiban    Level of Evidence: A), clopidogrel (loading dose followed by daily maintenance dose  Level of Evidence: B), or ticagrelor ** (loading dose followed by daily maintenance dose  Level of Evidence: B) should be added to aspirin and anticoagulant therapy before diagnostic angiography (upstream). (Level of Evidence: C) "" "" 6. A loading dose of P2Y12 receptor inhibitor therapy is recommended for UA/NSTEMI patients for whom PCI is planned.*** Regimens should be 1 of the following: a) Clopidogrel 600 mg should be given as early as possible before or at the time of PCI    (Level of Evidence: A) or b) Prasugrel * 60 mg should be given promptly and no later than 1 hour after PCI once coronary anatomy is defined and a decision is made to proceed with PCI.  (Level of Evidence: B) c) Ticagrelor ** 180 mg should be given as early as possible before or at the time of PCI.  (Level of Evidence: B) "" "" 7. The duration and maintenance dose of P2Y12 receptor inhibitor therapy should be as follows: a) In UA/NSTEMI patients undergoing PCI, either clopidogrel 75 mg daily  , prasugrel* 10 mg daily , or ticagrelor** 90 mg twice daily  should be given for at least 12 months. (Level of Evidence: B) b) If the risk of morbidity because of bleeding outweighs the anticipated benefits afforded by thienopyridine therapy, earlier discontinuation should be considered. (Level of Evidence: C) ""
“ * Patients weighing <60 kg have an increased exposure to the active metabolite of prasugrel and an increased risk of bleeding on a 10-mg once– daily maintenance dose. Consideration should be given to lowering the maintenance dose to 5 mg in patients who weigh <60 kg, although the effectiveness and safety of the 5-mg dose have not been studied prospectively. For post-PCI patients receiving a BMS or DES, a daily maintenance dose should be given for at least 12 months and for up to 15 months unless the risk of bleeding outweighs the anticipated net benefit afforded by a thienopyridine. Do not use prasugrel in patients with active pathological bleeding or a history of TIA or stroke. In patients >75 years of age, prasugrel is generally not recommended because of the increased risk of fatal and intracranial bleeding and uncertain benefit except in high-risk situations (patients with diabetes or a history of prior MI), in which its effect appears to be greater and its use may be considered. Do not start prasugrel in patients likely to undergo urgent CABG. When possible, discontinue prasugrel at least 7 days before any surgery.35 Additional risk factors for bleeding include body weight <60 kg, propensity to bleed, and concomitant use of medications that increase the risk of bleeding (eg, warfarin, heparin, fibrinolytic therapy, or chronic use of nonsteroidal anti-inflammatory drugs). ** The recommended maintenance dose of aspirin to be used with ticagrelor is 81 mg daily. Ticagrelor's benefits were observed irrespective of prior therapy with clopidogrel. When possible, discontinue ticagrelor at least 5 days before any surgery. Issues of patient compliance may be especially important. Consideration should be given to the potential and as yet undetermined risk of intracranial hemorrhage in patients with prior stroke or TIA. *** Applies to patients who were not treated chronically with these medications. ”"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you are having cramp in your lower left abdomen for a week, it is related to an acute problem you might be facing. if culture resulted negative, then, it might be related to intestinal problem, but cannot confirm ibs until other organic issues are ruled out. so, i highly suggest running further evaluations to determine the right cause"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. yes there is slight risk of the v chatbot. you should take the prophylactic antibiotics so that you will not have syphilis infection. you can start with doxycycline 100 mg once a day for seven days. please take the above medication under your doctors guidance. i suggest should not worry and avoid sex for the week. this antibiotic will kill the bacteria in seven days if they entered in your system. if you want to do sex than you can use the condom. i will be happy to answer your further concern on bit.ly/"
Answer this question truthfully,Rotavirus is the viral cause of gastroenteritis that is more commonly seen in unvaccinated children.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from the history what i suppose you have is cryoglobulinemia disease from the group disease called vasculitis. though this is a provisional diagnosis, i would like you to once again go for urine and blood test to verify any involvement of kidney and ny raise in wbc count respectively.also, to do a stress test as you feel breathlessness on power walking. even though the test is very negative previously, but there are chances that they are false negative. hope this helps you in diagnosing your condition and apt treatment. let me know if i can assist you further. take care and hope for your quick recovery."
Please summerize the given abstract to a title,Ceftazidime-Avibactam for the Treatment of Serious Gram-Negative Infections with Limited Treatment Options: A Systematic Literature Review
"If you are a doctor, please answer the medical questions based on the patient's description.","sorry to hear about your suffering. as you have not narrated your symptom explaining your present condition based on mri report. in my opinion you have disc prolapse at l4-5 level leading to mild foraminal narrowing. your back pain or radiculopathy in lower limb may be attributed to the above mri features. as far as treatment is concerned you require good physiotherapy and back strengthening exercises. medications are usually not required but calcium, vitamin b12 and pregabalin may be given. hope you recover early."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks to chatdoctorican understand your husband concern very previous situation, injury to ribs as well as spinal cord may be the reason for paralyzes lower part here recurrent infection either with virus or damaged cells in hypothalamus which controls the temperature leads this high grade fever .don't worry. thyroid tissue won't cause the situation ,fever and headache will be controlled by antipyretic and analgesics. cold sponging is simple method of controlling the temperature .please do it keep in cool environment and chatbot. cont the family doctor once report came or chatbot .don't worry it will subside"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for question. first thing if u have severe depression and u don't take anything for sleep that's good that your sleep is good through the night. mainly in depression, person will feel worth feel, so he thinks why would i get from bed that i am nothing. i will prefer u that u have take citalopram 40 mg for more than one month than u shall consult psychiatrist either to change chatbot. thanks"
Please summerize the given abstract to a title,BERTHop: An Effective Vision-and-Language Model for Chest X-ray Disease Diagnosis
"If you are a doctor, please answer the medical questions based on the patient's description.","dear very, this is not something you should worry about. this finding means almost nothing. radiologists describe mural thickening and convince us that it means inflammation of intestinal wall, but without clear clinical presentation we cannot get the right diagnosis. yes, mural wall thickening can be sign of terminal ileitis which means that you could suffer from crohn's disease, but there are better ways to find it out. if you want to check it i think you should do colonoscopy or biography. crohn's disease is usually associated with attacks os diarrheas, abdominal pain and obstipation so if you experience such symptoms you should do those tests i ve mentioned. wish you good health, chatbot."
Please summerize the given abstract to a title,Theoretical evaluation of inter-ion and intra-ion isotope effects in fragmentation: insights into chlorine and bromine isotope effects of halogenated organic compounds occurring in electron ionization mass spectrometry
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you had intubation with endotracheal tube for general anesthesia during surgery. so the thing you felt in throat must be endotracheal tube. and copd patients tend to show retention of carbon dioxide (co2 narcosis) during general anesthesia as they can not exhale it. so increased co2 in the body can depress central nervous system. this high co2 along with general anesthesia lead to stoppage of breathing.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, thickening of blood and development of acne are most probably unrelated to eacchatdoctorplete blood counts and red cell parameters are required to look for polycythemia. polycythemia is characterized by raised red blood cells and high hemoglobin. acne need to be managed conservatively with antibiotics and sufficient time should be given to allow the acne to heal. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","pain after lumber puncture is very natural. it may linger on for days in many individuals leave alone the child. it is good news that all his reports are normal. for local pain and swelling in lumber area you can give him mild analgesics like acetaminophen. warm compress might sooth her. if pain becomes unbearable metal syrup can be given once in a while (it should be avoided in normal course as it has some side effects).make sure he does not develop infection there, keep sponging it with antiseptic lotions."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the ulcers in the mouth could be because of allergic dermatitis or authors dermatitis. the other possible cause could be secondary to trauma like cut injury from food particles. it can also be from the herpes virus infection. if it is a traumatic ulcer or herpetic ulcer, you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food. if it is a allergic dermatitis or authors ulcer you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. do saline gargling. if the lesion does not heal in 5-7 days then consult an oral physician and get it examined. i hope my answer will help you, take care."
Please summerize the given abstract to a title,Intensified and Standardized Digital Communication with Cystectomy Patients as a Potentially Simple and Effective Modality for Early Detection of Postoperative Complications: Results from a Pilot Study
Answer this question truthfully,What is the effect of Exotoxin A on Elongation Factor-2? Exotoxin A causes ADP-ribosylation (and therefore inhibition) of Elongation Factor-2.
Please summerize the given abstract to a title,Healthcare infrastructure capacity to respond to severe acute respiratory infection (SARI) and sepsis in Vietnam: A low-middle income country()
Answer this question truthfully,Patients with HELLP syndrome may present with severe right upper quadrant abdominal pain due to liver swelling and distention of the hepatic (Glisson's) capsule.
Answer this question truthfully,"Call your health care provider if you have been vomiting or have had excessive diarrhea, or if you are taking diuretics and have symptoms of hypokalemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! yes this can be an appendicitis. when you caught or sneeze your peritoneum is moving, and it hurts when it is irritated by some inflammatory process in abdominal cavity. if you do not have any others symptoms like nausea, mild temperature rise, and higher heart rate it does not rule out appendicitis, and even observation in hospital may be required. you need to have the least abdomen ultrasound and blood tests performed.  if it might be a chance that you are pregnant, a pregnancy test should be done. pain in this location is characteristic also for an ovaries inflammation and right kidney infection. hope this will help"
Answer this question truthfully,"MRI is the imaging modality of choice to assess malignant transformation of osteochondroma.  MRI findings of osteochondroma, include:
Cartilage thickness (and thus assessing for malignant transformation) Presence of edema in bone or adjacent soft tissues Visualization of neurovascular structures"
Answer this question truthfully,"WikiDoc welcomes everyone from all over the world to join our team. You do not have to be a doctor in order to apply for this position. Below is a list of WikiDoc contributors:
Clinical Trialist Donor / Philanthropist Fellow Fellowship Program Director / Chief of a Subspecialty Group General Practitioner High School Student Hospital Administrator Hospitalist Intern Layperson Medical Student Nurse Nurse Practitioner Nursing Student Patient Pharmacist Physician Assistant Pre-Medical Student Researcher Research Institute Director Residency Program Director / Chairman of Medicine Resident Retired physician Specialist Doctor"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to the chatdoctorthese symptoms can be because of viral infection. get a stool test, urine test and complete blood count first, if any bacterial infection is ruled out, you may need antibiotic,otherwise chatbot. paracetamol 1000\u00a0mg as per need and gargle with luke warm water in the morning. for backache, you can have tabbed.naproxen. if you have any further query, please ask without any hesitation."
Please summerize the given abstract to a title,Improved loss-of-function CRISPR-Cas9 genome editing in human cells concomitant with inhibition of TGF-β signaling
Answer this question truthfully,"There is no single universalized medical therapy for Fanconi anemia. Treatment for Fanconi anemia is diverse and largely depends on severity of disease and the risk assessment for future malignancies. The most conservative management strategy involves active surveillance with routine laboratory monitoring every three months. Allogeneic transplant is a more intense treatment that can be used for curative purposes, though the toxicity is higher. Androgens, transfusions, and growth factor support can help improve anemia. Given the risk of both hematologic malignancies and solid tumors in patients with Fanconi anemia, it is important to understand screening and management strategies for these."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,COVID-19-Induced Colitis: A Novel Relationship During Troubling Times
Please summerize the given abstract to a title,"Cardiopulmonary resuscitation during covid-19 pandemic: Outcomes, risks, and protective strategies for the healthcare workers and ethical considerations"
Answer this question truthfully,"Erythromycin is the antibiotic that can bind GI motilin receptors, resulting in diarrhea."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would explain that your symptoms could be related to gastroesophageal reflux or a sleep disorder (including sleep apnea).  for this reason, i would first recommend taking an antacid or ppi (omeprazole, pantoprazole, etc.) before sleep.  if this does not help, i would recommend performing a polysomnogram and an ambulatory 24-48 hours ecg monitoring. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Body Localization of ACE-2: On the Trail of the Keyhole of SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. pain in the forearm can be due to weakness or can be due to overuse. you have not told me in detail about your other illness. i would suggest you get a compression bandage for forearm and avoid putting pressure on one side. you can also take broken tablet for pain relief. hot water fomentation and volition gel are also helpful. i hope this answer will be useful for you. let me know if there is any other follow-up questions. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. first go for a proper physical examination by a doctor to see the lymph nodes, liver, spleen and all. secondly go for the through blood tests and other investigations as might be advised by you doctor as per physical findings. your part is to tell a proper history and not to jump to conclusions as it looks a bit complicated problem/s. there looks to be a problem with your tm joint. vasculature problem and may be trigeminal neuralgia.... please go for a proper diagnosis and then only a possible treatment is possible."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallmark color urine is most likely not related to chronic hbv. dark color urine may be due to many reasons like infection, due to medicine etc. you may need clinical evaluation and few more investigations. investigations include routine hologram, random blood sugar, renal function test, urine re/me. elevated alt may be due to chronic hbv infection. treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, after gastroenteritis, the child takes a while to recover. start giving your child syrup incline 5 ml once daily for 14 days. also start giving syrup a to z 5 ml twice daily as multimineral syrup. continue giving ors solution for a few more days to complete any electrolyte deficiency. give curd, banana, juices and other light feeds. give similar sachet in water daily for 5 days. that will help improve his digestion. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read you question, and i understand your concern. i will try to explain you something. there are different reasons that might cause increased or faster heart beats. the faster heart beats have to do with rhythm issues. if the beats are fast and regular it might be just a simple sinus tachycardia meaning that your heart rhythm is ok but just beating over 100 for minute. if the rhythm is chaotic it might be a different arrhythmia like atrial fibrillation. the cause of this rhythm issues might be different. physical or emotional stress, caffeine products might cause increased heart frequency so it's mandatory to avoid them. all sow, there are different pathologies like anemia, thyroid gland problems like hyperthyroidism that might be the cause of fast heart beats. in very rare cases the usage of stains for high cholesterol might give rhythm problems, but i'm not sure if this is your case. it might be just an episode related to a stressed day, or it might happen again. if it happens again, if i was your treating doctor i will recommend some simple examinations. i will recommend an electrocardiogram, a cardiac echocardiography and of course a rhythm holder monitoring for 24 h. this is necessary to have a full view of your mean frequencies during day and night. after these, a full blood check up to exclude anemia or thyroid problems. doing these examinations helps us understand if it is necessary to treat this high frequencies or not. hope i was helpful. wish you good health. best regards."
Please summerize the given abstract to a title,Coping during COVID-19: a mixed methods study of older cancer survivors
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, if it is a simple infection like a fur uncle, with no surrounding swelling or fever, a local antibiotic cream like bactrian (mupirocin) is sufficient after cleaning the area well with an antiseptic lotion like betadine. the symptoms of poor appetite and fatigue would be due to the side effects of the antibiotics. since you have stopped the antibiotics, it will disappear in a day or two. if you have further queried, i am available. wish you fast recovery and good health."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Low Cost Equipment with Compressor System and Balanced Pressure to Protect the Professional Dentist Against Contaminated Aerosol During COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern and would explain that his symptoms could be related to different possible causes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing a brief history of you. since you mentioned you had a burn injury for which grafting is done it is understood that the microvascular of the skin might have got disturbed. you need to first see that you have not caught any infection for the same. exercise along with slow gradual stroking massage and later on needing massage is needed for the muscle and skin to get its close nearby elasticity property. self-medication is never advised. kindly see if you can meet up a physical therapist and get the correct way of procedure to help get the elasticity of the muscle and the skin. if the pain and bruising still persisting you can take advice from an expert. it's never a harm to take guidance. i hope you understand how the anatomy is designed and experts can assess it better. with the grace of god i wish you a good health"
Please summerize the given abstract to a title,Does Early Childhood Vaccination Protect Against COVID-19?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear... the symptoms as mentioned in your post suggest that you might be having allergic rhinitis, due to the oxygen tube. management includes"
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you said you suffer from psoriasis from long time. i would like to say you few things about psoriasis. psoriasis is a chronic relapsing and autoimmune disease. it is a controllable disease. it is very difficult to cure totally. he may be having scaly plaques on various parts of the body, scaly lesions on the scalp. exact cause is not known. genetic tendency, autoimmunity, stress, chatbot. .etc. may be responsible for precipitation and exacerbation of the disease. you consult dermatologist for firm diagnosis and treatment. tab methotrexate 15 mg weekly in three decided doses 12 hourly may be taken till the disease is controlled. if there is development of ulcers, take folic acid tab. if there is itching, take antihistamines. blood tests may be done to monitor the treatment. there are many applications for the psoriasis. you may apply mild steroid cream or calcitriol point. on the lesions. or you may apply combined point of steroid and salicylic acid like hispanic point. you may apply moisturizer...liq paraffin cream to keep the skin moist. you should avoid soap bath for few weeks. and also you should avoid stress and worries as that might worsen psoriasis. you might get good result after few months' treatment. i hope you got my answer. thanks."
Answer this question truthfully,"The likely diagnosis for the patient's condition is Fitz-Hugh-Curtis disease, which is a type of perihepatitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query, read your history and understood your problems. you have to continue these medicines digest, rap pit and ibo sin for 3 more months. in the meantime you should get your review upper gi endoscopy done. you have to continue the same medicines as trying for substitute may cause a problem of unavailability. and nowadays you can ask by the courier from you place of residence. why would you like to have substitutes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there is pain in your back and rib. due to occlusion of vessels there can be burning sensation. this can be related to smoking also. i will advise you to do mri thoracic spine, hrc [chest] and emg- cv [nerve conduction study]for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. as you are saying about increase in heart beat, you may need cardiac primary check up once to rule out any abnormality. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","his had gone through your query. behavior disturbance mainly occur in psychosis. at 63 age there are also possibilities of dementia. memory loss or forgetfulness may indicate dementia. mini mental status examination(muse) will guide about cognitive functioning. dementia may be associated with psychotic feature and behavior outburst. need to do psychological evaluation properly. it can be treated with medicines, psychotherapy, behavior therapy, rehabilitation etc. so consult psychiatrist and get better assistance. wish her very good heath. feel free to ask. thank you."
Please summerize the given abstract to a title,Lessons learned and lessons missed: impact of the coronavirus disease 2019 (COVID-19) pandemic on all-cause mortality in 40 industrialised countries prior to mass vaccination.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, what you describe to me deserves a keen attention form a rheumatologist. screening for hematologic disease using appropriate blood tests, x-rays, ct scans and mris could be the best thing to do. getting an appropriate diagnosis shall orientate treatment and avoid unnecessary expenses. treatment could range from anti-inflammatory chatbot. i suggest you book an appointment with a rheumatologist. thanks and kind regards. bain le, md/."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have itp. it is immune thrombocytopenic purpura. in itp your body is producing antibodies against your own platelets and causing destruction of platelets. you should take immunosuppressive chatbot.  immunoglobulins are also helpful. consult your doctor and take treatment accordingly. continue with your other treatment. hope i have answered your question, if you have any doubts then contact me at bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. there are many causes of low wbc count.  even simple viral infection, typhoid, malaria can lead to low wbc count.  if you have any symptoms then consult your doctor and take treatment accordingly. if you don't have any symptoms then no need to worry at all.  your chatbot.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Yes, it is possible for slipped-capital-femoral epiphysis to present with bilateral palpable inguinal lymph nodes. Slipped-capital-femoral epiphysis (SCFE) is a condition that occurs when the ball at the head of the femur slips off the neck of the bone, causing pain and difficulty moving the hip joint. While SCFE is primarily a musculoskeletal condition, it can sometimes be associated with other symptoms such as lymphadenopathy (enlarged lymph nodes). In particular, inguinal lymphadenopathy (enlarged lymph nodes in the groin area) may be present in some cases of SCFE. It is important for healthcare providers to be aware of the potential signs and symptoms of SCFE, including lymphadenopathy, and to perform a thorough physical examination to aid in diagnosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, msekelavep, your mothers initial operation was for removal of gallbladder because of gallstones. the reason for obstructive jaundice month after surgery could mean a few things. apparently, there was a retained stone in the common bile duct, the channel that brings the bile from the liver ducts to the gallbladder. if this was not detected prior to surgery, this can happen. an examination called ercp (endoscopic retrograde cholangiopancreatography)could have shown the stone and could have been removed. the other cause is stricture of the bile duct from scar tissue. this also requires the test that i mention, and they can treat it with placing a stent to keep the duct open and relieve the blockage. this is done by experienced gastroenterologists who do this a lot or may bea surgeon trained in these kinds of procedures. i would recommend that you inquire around and some research to find out who is available locally to do this. you can also contact the university hospital if one is close by for additional help. i wish your mother the best."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","i think you suffered from travelers diarrhea, that is frequently caused by e cold, in which you can have diarrhea, vomiting, and chest pain also. actually chest pain is due to heart burn caused by excessive production of acid in your stomach that regurgitates back to your food pipe causing feeling of chest pain, that's why you were relieved with omeprazole, it inhibits acid secretion of stomach. you have to do is, sit back, have rest, and take proper care of your food, stop eating junk spicy foods for some time, try to eat some healthy food like oatmeal fruits soup."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, typhoid fever is a bacterial infection of intestine. in typhoid there will be small ulcers in intestine. so stomach ache and watery stool are common symptoms in typhoid. along with chloramphenicol you may give paracetamol if temperature is high. i suggested following strict diet for at least one month. diet you may follow are curd rice, idly,gravies without or very less oil, bland diets with low salt and no spicy, totally avoid pickles. if you follow strict diet only intestinal ulcers will heal soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think you are suffering from chronic backache. treatment of back pain is exercises, cartisafe d once daily, nurokind gold once daily and analgesics (diclofenac 100 mg slow release tablets) . sometimes vitamin d deficiency is the cause so get your vitamin d checked. if it is low then vitamin d supplementation(on dk 60k weekly with milk) can be taken. eat milk, fruits and green leafy vegetables daily. i think your query answered. welcome to any follow-up query"
Please summerize the given abstract to a title,Treatment of moderate grade dog bite wounds using amoxicillin-clavulanic acid with and without enrofloxacin: a randomised non-inferiority trial.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i read carefully your question and would explain that these episodes could be related to physical or emotional stress (anxiety). i recommend to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer the values to your gp. furthermore, i would also advise consulting with your gp for a careful physical examination, a resting ecg, a chest x-ray study and some blood lab tests (pcr, sedimentation rate, complete blood count, thyroid hormone levels, kidney and liver function tests, fasting glucose, blood electrolytes), to exclude other possible secondary causes of uncontrolled high blood pressure. an ambulatory 24-hour blood pressure monitoring (holder) may be needed to examine better you blood pressure trends during the day. hope to have been helpful! best regards!"
Please summerize the given abstract to a title,Protection and disinfection policies against SARS-CoV-2 (COVID-19)
Answer this question truthfully,"Alcoholic liver disease should be differentiated from other diseases that produce similar symptoms, and other types of liver diseases. It should also be differentiated from diseases of the gallbladder. Conditions that may present in a similar manner to alcoholic liver disease are; cholecystitis, cholelithiasis, drug toxicity, non-alcoholic fatty liver disease, and other forms of hepatitis (eg. viral, autoimmune)."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. since when you are feeling the lump and what symptoms its causing, weather examined by the doctor you have not mentioned.2. about the capsule - its just vitamins with negligible side effects, its could be opportunistic causing pain, if you still doubt - stop for a week and see.3. for breast lump - you need to visit your doctor and get an ultrasound scan done to find out what kind of the lump it is.4. as in your age any breast mass need to be evaluated and treated before it gets complicated5. hope it helps. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,People with long necks and droopy shoulders may be more likely to develop this condition because of extra pressure on their nerves and blood vessels.
Answer this question truthfully,"The synthesis, hydroxylation, and glycosylation of preprocollagen occur in the rough endoplasmic reticulum of the cell."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of hair loss which seems to be mainly due to systemic causes. need not worry. i would suggest you to wash hairs after proper massage with olive oil. i would suggest you to consult dermatologist for proper examination. doctor may order blood test, skin patch test and can do physical examination. doctor may prescribe you chatbot.  you should maintain complete hygiene. you should use finasteride preparations. furthermore, you should take supplements like vitamin a, omega-3 and vitamin e. hope your concern has been resolved. best wishes,"
Answer this question truthfully,Cilastatin inhibits the enzyme dehydropeptidase I in the kidneys.
Please answer with one of the option in the bracket,A: Clue cells on saline smear
Please summerize the given abstract to a title,Branding Rhetoric in Times of a Global Pandemic: A Text-Mining Analysis
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, 10 degree scoliosis with neurological problem. scoliosis is no problem at your age as ut us not going to progress now. as far as weakness and shooting pain is concerned you need a neurosurgeon to consult. if your muscle weakness is due to disc herniation than you might need surgery. you need to get mri ti confirm this. i hope this answer will be helpful to you. let me know if there is any other followup questions. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot.... first time report your vitality low ...there should be at least 75% vital sperm .... here it is only 30%. in second report vitality low as above but additionally sperm count low.... so i will advise repeat semen analysis after 3 to 4 days strict abstinence and collect it by masturbation.  .... get your report by good pathologist .... if still report abnormal your detail investigation done .... like -rbs for diabetes -thyroid profile -history taken about any surgery, chatbot. ...-history of jump orchids etc.... consult surgeon or psychiatrist for it. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",she is having an advanced stage of pancreatic cancer. with blood vessel involvement she would be in either stage 3 or stage 4. biliary stent and pain medications are palliative measures. please ask your treating doctor to give more pain medications and chatbot.  however there is a small hope in case your doctor is giving down staging chemotherapy for a possible future surgery. you can clarify this with your doctor. all the best
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of mild to moderate pneumonia. i advise you to get a clinical examination and ecg,2d echo of your heart, chest x-ray, abg analysis immediately to confirm the diagnosis. monitor your blood pressure, heart rate immediately. chatbot. pantop once daily for 14\u00a0days and tab. deriphylline thrice daily, syp. grillinctus. avoid stress and anxiety. avoid smoking and alcohol. consult your pulmonologist for expert management and follow up. hope i have answered your query at the moment. post your further queries if any, thank you"
Please summerize the given abstract to a title,"Electrocatalytic Degradation of Levofloxacin, a Typical Antibiotic in Hospital Wastewater"
Please summerize the given abstract to a title,SARS-CoV-2 triggers DNA damage response in Vero E6 cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-?tb lungs with chr cough. treatment- as your case is having cough after 9 myths of regular antibiotic?before starting any treatment-afb sputum and pcr test for tb detection i s a must. consult chest physician. get the pcr sputum test-to detect pull tb and ira test to detect old/hidden tb. any other cause of the chronic cough - as tb pharyngitis / asthma with chronic bronchitis is to be kept in mind. treatment would depend on the extent of the lung/or uri infection. this would be assessed by the chest physician. besides specific antibiotics/ supporting treatments likehpbd-high protein bland diet/ plenty of fluids, tab zirconia -1 -to supplement the body heal this needed under expert supervision.9 myths of dot anti-tb treatment is sufficient to take care of tb infection in soft tissue organs. hope this would help you to solve your health issues in the best way possible. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting on chatbot. mild pain in head and neck suggests that you might have hit that part during accident. but as you said there is no external injury or any other symptoms like nausea, vomiting or feeling dizzy it does not look to be concerned about. some blunt muscular injury will continue to pain for 4 to 5 days but will disappear with time.meanwhile, you can take analgesics available over the counter whenever pain increases. i am sure the pain and stiffness will go away in matter of few days. i hope i have given satisfactory answer to your query, if you still have any more query kindly write back to me and i will be happy to help. thank you"
Answer this question truthfully,"Healing or recovering from a concussion takes time. It may take days, weeks, or even months. You may be irritable, have trouble concentrating, be unable to remember things, have headaches, dizziness, and blurry vision. These problems will probably go away slowly. You may want to get help from family or friends before making important decisions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. numbness in the thumb and first two fingers suggests an involvement of median nerve, a nerve that supplies sensation to thumb and first three and a half fingers. the most common reason for the involvement of median nerve is entrapment of the nerve at the level of wrist, a condition called as carpal tunnel syn chatbot.  another possibility is increased sensitivity to pressure palsies. doing a nerve conduction study would help diagnose these conditions. they improve with medications such as gabapentin or pregabalin. i hope it helps. please get back if you require any additional information. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, is the pain in joints accompanied by stiffness in the morning that lasts 1 to 3 hours. how many joints are included? do you have fingers deformity? have you done any test such rheumatism test, esr, rheumatoid factor, uric acid, protein c reactive, cyclic citrullinated peptide antibody? i suggest you to do these tests and visit a rheumatologist. also losing weight is very important and doing activity like"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. you should not worry. i'll try to explain you something and give you my opinion. as you describe your symptoms seems to be related to rhythm issue. there are some electrical impulses that generates from different parts of the heart different from normal sinus rhythm. they cause a premature heart contraction that it's not a normal one followed by a pause and then a normal heart contraction.these is what we call extra systolic beats. you might experience palpitation, flattering or this bubbling sensation, difficulty in breathing deeply. if this happens once in a while you should not worry, its normal. only if this begins to interfere in your daily life i would recommend some examination like an electrocardiogram, a cardiac echo and a holder rhythm monitoring to have a full view of your rhythm. also, a blood analyze and your thyroid hormones. after this we can better judge how to treat this problem. in mean time avoid caffeine products, energy chatbot.  hope i was helpful. wish you good health. best regards."
Answer this question truthfully,The recommended age range for screening overweight or obese patients for diabetes is between 40 to 70 years old.
Answer this question truthfully,Type B is the serotype of Neisseria meningitidis that currently lacks a vaccine.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are going through a difficult time due to your problems. from the brief description of your symptoms, it is possible that this could be indicative of a depression. however, with the limited information that you have provided, it is not possible to arrive at a definitive diagnosis. a detailed history and psychological assessment is required. so, i would advise you to consult a psychiatrist for a detailed evaluation and further help. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, marvelon may be taken in high doses to act as an emergency contraceptive, but the efficacy has not been proved and would definitely be lesser than the usual emergency pill in view of the raised side effects on account of the increased dosage. this happens with any other oral contraceptive meant for regular use. if you cannot use pills being lactose-intolerant, the ideal choice would be to go for the insertion of an iud which is non-hormonal. insertion of the iud soon after an unprotected intercourse also acts as an emergency contraceptive. hope this helps."
Answer this question truthfully,"Actinomycosis is a rare disease, and not all cases gets reported. Estimating its annual incidence is difficult because, most of the infections are are not diagnosed and are treated empirically   Widespread use of antibiotics following dental surgeries also lead to its decreased incidence. In 1970, its annual incidence was 1 per 300,000.
Actinomycosis is commonly found between 4th to 6th decade of life and very rare in infants and children
Males are more commonly affected by actinomycosis than females."
Answer this question truthfully,"Chronic cholecystitis is the chronic inflammation of the gallbladder. Chronic cholecystitis is causes abdominal pain, nausea, and vomiting. The abdominal pain is usually worsened after eating fatty or greasy food. Chronic cholecystitis is long-standing swelling and irritation of the gallbladder. The diagnosis is established by the combination of physical examination, laboratory, and imaging findings. The treatment of cholecystitis is mainly surgical removal of gallbladder. Possible complications of chronic cholecystitis are the gangrene, perforation, and malignancy of the gallbladder."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... looking at the case history ... origin d contains dhea . it increases quality and quantity of eggs and beneficial in women with less ovarian reserve(as you he history of desmond in one ovary and pcs as well)ovular would also be helpful in the egg formation.it would improve your conception chances and avoid stress by all means. regarding diet you avoid rice, potatoes, cakes muffins, white bread etc you can take unprocessed food, fiber rich, whole grain, sprouts, grapes, apples, brown rice, beans, broccoli etc"
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, the persistent of the wave may remain, many a time when you open the main arteries smaller side twigs get pinched causing the inversion, which is not dynamically changing should not be bothered about.  however, is high time when you can get a treadmill stress test, whereby if the symptoms you describe occur with exertion or a change in your ecg with exercise, one can evaluate further based on the report of stress test regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. honestly speaking, lung cancer is very uncommon in younger age (less than 40 years). but it can be seen in younger age if person is a chronic smoker. so in my opinion, you should get done chest x-ray first. if chest x-ray is normal then no need to worry about lung cancer. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Street Recovery in the Age of COVID-19: Simultaneous Design for Mobility, Customer Traffic and Physical Distancing"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this pus formation. this is suggestive of a chronic infection and am afraid this may be chronic osteomyelitis. if there is still any foreign material in there, it would need to be taken out. a culture of deep tissue taken from the chatbot.  treatment would be a long process and may go up to as many as 6\u00a0months. talk to your doctor for review, removal of any foreign materials and culture of tissue from the"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,B: Modified smooth muscle cells
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,The treatment for psoas abscess involves drainage and antibiotics.
Answer this question truthfully,"Call your health care provider if:
You have symptoms of hepatic vein obstruction You are being treated for this condition and you develop new symptoms"
Please summerize the given abstract to a title,Digital or Digitally Delivered Responses to Domestic and Intimate Partner Violence During COVID-19
Please summerize the given abstract to a title,Geriatric Care during Public Health Emergencies: Lessons Learned from Novel Corona Virus Disease (COVID-19) Pandemic
Answer this question truthfully,Lidocaine belongs to the drug class of Class IB antiarrhythmics.
Please summerize the given abstract to a title,The Relationship between Emotional Intelligence and Entrepreneurial Self-Efficacy of Chinese Vocational College Students
Answer this question truthfully,"The target gene associated with thyroid adenoma has been identified and referred to as thyroid adenoma associated (THADA) gene.   In thyroid adenomas, protein associated with THADA was frequently found to be truncated. While competing with the full-length protein translated from the normal allele of THADA, the altered protein derived from the truncated gene might lead to an impaired induction of apoptosis, and subsequently give rise to an increased cell proliferation leading to benign thyroid tumors with 2p21 translocations, without significant changes of the expression level."
Please answer with one of the option in the bracket,D: Neoplastic
Please summerize the given abstract to a title,Two Paediatric Patients with Encephalopathy and Concurrent COVID-19 Infection: Two Sides of the Same Coin?
Please summerize the given abstract to a title,Prevalence of Wheat/Gluten-Related Disorders and Gluten-Free Diet in Paraguay: An Online Survey-Based Study
Answer this question truthfully,"Lymphadenopathy (LAD) is a medical term that refers to the enlargement of lymph nodes. Lymph nodes are small, bean-shaped structures that are part of the lymphatic system, which helps to fight infections and remove waste from the body. Lymphadenopathy can occur in response to a variety of stimuli, including infections, inflammation, autoimmune disorders, and cancer. Depending on the underlying cause, lymph nodes may become tender, firm, or rubbery, and may be accompanied by other symptoms such as fever, fatigue, and weight loss. Diagnosis of lymphadenopathy typically involves a physical exam, blood tests, imaging studies, and sometimes biopsy of the affected lymph nodes. Treatment depends on the underlying cause, and may include antibiotics, anti-inflammatory medications, or other targeted therapies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your querywhat happens is that the body, when facing consumption of fat, uses liver as the first stop where the fat is accumulated. this accumulated fat is called fatty liver. depending on the amount of fat deposited, there are several grades of fatty liver. there is no mass finding, meaning no infective or malignant pathology was foursome conditions are infiltrate, in that the body produces extra fat and this causes fatty liver. that also has been ruled suggest to do a blood test-liver function test and lipid profile hope this helps you. inform the reports mentioned above so i can be of help further. best of luck. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. looking forward to your return query with the details asked so that i can help you further.(if the answer has helped you, please indicate this)"
Please summerize the given abstract to a title,Mobile phone data and COVID-19: Missing an opportunity?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, possibility of lung disease (bronchitis) is more in your case. so better to get done pft (pulmonary function test) and chest x-ray to rule out bronchitis. if both are normal then get done ecg, 2d echo to rule out cardiac cause. so consult doctor and first diagnose yourself and then start appropriate treatment. you may need inhaled bronchodilators and inhaled corticosteroid (ics). hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,Arrest of active 1st phase of labor is defined as no cervical changes after 4 hours of adequate contraction or 6 hours of any other contraction.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i advise you to consult psychiatrist first, rather than taking valium. better to first diagnose yourself. you need proper counseling sessions from psychiatrist. try to discuss your problems, stressors and find out their solution. no need to take extra medicine (valium). you will be benefitted more by counseling than the valium. so consult psychiatrist and try to discuss your problems."
Answer this question truthfully,Call for an appointment with your healthcare provider if you develop any symptoms of cholecystitis.
Answer this question truthfully,"No, there is no recommended screening test for prostate cancer.

Prostate cancer is a common cancer in men, but there is currently no recommended screening test for the disease. This is because the benefits of screening for prostate cancer are uncertain and may not outweigh the potential harms of overdiagnosis and overtreatment. However, men who have a family history of prostate cancer or other risk factors may benefit from discussing screening options with their healthcare provider. Ultimately, the decision to undergo screening for prostate cancer should be based on an individual's personal values and preferences, as well as a discussion of the potential benefits and harms with their healthcare provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query.first, i would like to reassure you that you do not have a serious neurological illness and there is no need to worry. yes, peripheral neuritis is same as peripheral neuropathy, and this is not going to cause any permanent damage or disability in your case. in your case, the neuropathy is due to mechanical pressure over the nerves in the legs, so, avoiding putting pressure would make your nerve better, and you would recover. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please summerize the given abstract to a title,The Effect of Surgical Mask Use in Anaerobic Running Performance
Answer this question truthfully,"EBV is associated with CNS (central nervous system) lymphoma, especially in AIDS patients."
Answer this question truthfully,~18% of urobilinogen is returned to the liver via a process called enterohepatic circulation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  i don't think you should be worried icing it for the first 48 hours with topical massages and elevating it will be fine for such contusions and take care of your pink scooter and your room, i hope and don't wont to find you in the er. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi heartlands for your question at chatbot. the pain associated with foot and ankle injuries usually subsides in 2 to 3 days with analgesics medicines, rest, ice application and a compressive bandage. if the pain persists after 48 hours, it suggests slightly more severe form of soft tissue for bony injury. if you have any pain when you stand or walk on your injured feet, it suggests severity of injury and warrants further work up which will include an x-ray at the least. but you are not expected to have pain on standing or walking in mild injuries. such pain should suggest you to take your injury seriously to avoid long term ligament related pains. hope this helps all the best. regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your father has prostate enlargement with high psa level and back pain.  all features favor the diagnosis of prostatic cancer with spine metastasis.  he should go for prostate biopsy.  it is not risky at all.  he can go for trans rectal ultrasound guided biopsy. it will give you exact diagnosis. then he should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Korean EFL Learner Preference for Text-Based Digital Composing during Emergency Remote Learning
Answer this question truthfully,"The basilar membrane is a structure within the cochlea of the inner ear that is responsible for transducing sound waves into neural signals that can be interpreted by the brain. The apex of the basilar membrane is the end of the membrane that is farthest from the oval window, which is the point of entry for sound waves into the cochlea. The apex of the basilar membrane is wide and flexible, meaning that it is able to respond to lower frequency sound waves. In contrast, the base of the basilar membrane, which is closer to the oval window, is narrower and stiffer, allowing it to respond to higher frequency sound waves. The physical characteristics of the basilar membrane are an important factor in the perception of sound, and help to explain the way that different frequencies are processed by the auditory system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sorry about your health condition, yes, kidney dysfunction may cause fluid retention and weight gain.also, uric acid accumulation lead to gouty arthritis or joint pains.  electrolyte imbalance also present like this. pulmonary edema also may present like kidney failure. avoid spicy food and alcohol avoid smoking and caffeine chatbot. stop ciprofloxacin intake. get it done complete blood picture and renal function tests. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Common physical examination findings of intracerebral metastases include bradycardia, high systolic blood pressure with widened pulse pressure, papilledema, altered mental status, ataxia, and focal neurological deficits."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello really appreciate your concern. looking at your description it seems to be related to infection or inflammation of foreskin of the penis. at the outset you need to rule out the possibility of std (sexually transmitted diseases). if you can write back to me with a photograph so that i will be able to tell you better. in my opinion you should go for a battery of tests like cbc, v chatbot. meanwhile, wash it with antiseptic soap or solution and apply antibacterial ointment like mupirocin or tobramycin. maintain good hygiene, clean your foreskin regularly. hope this answers your question, please feel free to ask for follow-up question, i will gladly answer you. best wishes"
Please summerize the given abstract to a title,Oral Complications of ICU Patients with COVID-19: Case-Series and Review of Two Hundred Ten Cases
Answer this question truthfully,The presence of abnormal melanocyte migration and a white forelock on the scalp is suggestive of piebaldism.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. yes, you are right. it's rare. heart murmur usually is a sign of heart disease, but there are other causes also. also, sometimes very faint murmurs can be present in otherwise healthy persons. longstanding asthma is not commonly related to heart disease. although, a long-standing, uncontrolled asthma can affect right-side of heart after many years. so, at this point i would suggest you not to worry, and personally i would suggest you to get an echocardiography done to know the structure and functioning of the heart. if it is normal, you should not worry. hope this will be helpful to you. wish you the best of the health. regards."
Answer this question truthfully,"Ribavirin is a medication that is strongly contraindicated in pregnant patients. This is because the drug has been shown to cause birth defects and other adverse outcomes in developing fetuses. Ribavirin is classified as a Category X medication by the FDA, which means that it is known to cause fetal harm and should not be used during pregnancy. Women who are pregnant or planning to become pregnant should avoid taking Ribavirin, and men who are taking the drug should use effective contraception to prevent their partners from becoming pregnant. The contraindication of Ribavirin in pregnant patients is an important consideration in the management of viral infections in this population."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i want to ask you few questions. 1. have you undergone chest x-ray?2. do you have fever at present? if you are running fever at present than antibiotics should be changed. and no fever only chest pain than wait for 7 days, complete the course of antibiotics. repeat chest x-ray after 1 week to see for any improvement or any worsening. if worsening is there than consult pulmonologist and get done bronchoscopy and bad analysis for identification of organism. this will help in directing the antibiotics."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, this may be a symptom of sinus infection, but it should be confirmed by the physical examination and the x-ray pns, which will helps to make the proper diagnosis. the clinical examination helps to know presence of sinus infection, patient with sinusitis may have light pain behind the eye, headache and other constitutional symptoms. the symptoms may come down with steam inhalation, antihistamines and a course of antibiotics will help to control the symptoms and improve the condition. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. there are so many factors which can introduce infection to labia minor. but no need to worry as it can be treated using antibiotic. you need to do one thing, if pus or secretion is still present collect it and send to microbiology lab for microscopy and culture and sensitivity examination. it will guide you about organism responsible for causing infection and antibiotic effective against organism.meanwhile you can take aceclophenac 100\u00a0mg two times a day. serratiopeptidase 10\u00a0mg two tomes a day.theses medicine will give you symptomatic remain and decrease inflammation. keep cleaning and do regular chatbot.  avoid sexual contact.review me with investigation report .take care."
Please summerize the given abstract to a title,Spontaneous Pneumomediastinum in COVID-19 Pneumonia: A Rare Occurence
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. an irregular cycle does mean erratic ovulation, so your ovulation date would be unpredictable this month.your question is not clear. are you trying to conceive for 6 years ? if so then please consult an infertility specialist for a complete evaluation - including hormonal profile, documentation of ovulation status, assessment of fallopian tube patency and semen analysis of male partner. also, i fail to understand how your period could be 8 weeks early ? please write back with correct and further details. take care. have regular folic acid supplements and maintain a healthy bmi."
Answer this question truthfully,Alkylating agents act throughout the cell cycle.
what are the main causes tooth loss?,"Cavities and tooth decay are so common that you may not take them seriously. You may even think that it doesn't matter if children get cavities in their baby teeth. However, cavities and tooth decay can have serious and lasting complications, even for children who don't have their permanent teeth yet."
Answer this question truthfully,"To achieve the format below:
Normal arteriole Hypertensive arteriole with wall thickening and myocyte hypertrophy Arteriole in HCM patient with periarteriole fibrosis and thicknening
Compared to normal arterioles on the left, the arterioles from a patient with hyertension (middle) show moderate periarteriolar thickening and fibrosis. Shown on the right is a patient with HCM in which there is even more signficant periarteriolar thickening and fibrosis. This thickening of the wall of the intramyocardial arterioles leads to an increased wall/lumen ratio, subendocardial ischemia and impaired coronary flow reserve.
Use this code:"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for query, i have gone through your query, the bleeding gums are because of the gum inflammation. it occurs due food debris getting accumulated and becomes hard forming calculus which contains microorganisms which infects the gum...so a thorough oral prophylaxis(cleaning) is sufficient for this problem.following that maintain proper oral hygiene, rinse your mouth after eating anything.for your second question, long term use of cigarettes and cigar will cause some changes on mucosa before going to cancer it will cause some white patches or red patches these are malignant lesions...occasional smoking or use of cigar will not harm you...please try to quit the habit gradually.i hope my answer should hel you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi uma, your husband and you need to get evaluated. your husband would require tests like semen analysis, urine routine, complete blood count.  you will require a series of tests like ultrasound of the abdomen and follicular study, hormonal profile including lh, fsh and thyroid hormones, complete blood count.  i appreciate that both of you are healthy, but there has to be a reason for not getting pregnant. you also have to have regular intercourse at a frequency of thrice per week. hope this helps."
Please summerize the given abstract to a title,Liver Transplantation for T2 Hepatocellular Carcinoma during the COVID-19 Pandemic: A Novel Model Balancing Individual Benefit against Healthcare Resources
Please summerize the given abstract to a title,Obituary for Professor Dr. Jan Evangelista Dyr
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you are having chronic sinusitis and symptoms of upper respiratory tract infection probably you may be having allergy. as you are getting these symptoms more often you need to test for absolute eosinophil count (aec), to know any allergic manifestations. if there is increased level of aec you need to check for allergen causes these symptoms by skin prick test to identify the allergen. once the allergen causing these symptoms are identified, management of your symptoms will be easy, and you can get rid of these symptoms. thank you."
Answer this question truthfully,The endoplasmic reticulum is responsible for the synthesis of cholesterol and bile acids.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query and can understand your concern. dear i would like to suggest you to restrict yourself from self-medication, specially in case of children as the wrong or strong medicine can harm the child. in such a situation, when fever is around 100. , don't panic. you should give warm water frequently to the child in sips. in case of cough a spoon of ginger with a spoon of honey mixed in cup of warm water or milk, administered frequently in spoon doses, will give relief from cough and to lower temperature. it is important to seek medical attention if situation persists and get thorough check up. hope this helps solves your query. take care. all the westmont hesitate to get back if you have any further query."
Answer this question truthfully,"Findings of Mycoplasma pneumonia on chest CT scan include the following: 
Areas of ground-glass attenuation Air-space consolidation with lobular distribution Intrapulmonary nodules, usually with centrilobular distribution."
Answer this question truthfully,"One finding in the Cushing reaction is hypertension, which is caused by increased sympathetic tone."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, he needs to be examined by a doctor for the source of this fluid. a search has to be made for any small discharging spot (called sinus in medical terminology). if discharge is not from a spot, and it is from a diffuse area then it is likely to be sweat as you are suspecting. the sweat glands are distributed all over the skin and density of these glands vary in different parts of body and in different individuals. it doesn't really point to a specific disease entity and i would consider it as a normal variant. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should definitely rule out heart diseases first. so get done ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes undiagnosed stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. nothing is to be done for a hematoma as it resorts spontaneously. at the most you can take enzyme preparations containing trypsin, chymotrypsin. like choral forte with your doctors' opinion. these enzymes help in faster resorption of the hematoma. be watchful whether this hematoma gets infected or not... as fever will be there if it gets infected. consult your doctor for antibiotics in such situation & if pus is formed, chatbot. hope this helps. wish you faster recovery. thanks. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient your symptoms indicate muscular origin of pain. mri is very sensitive and specific for diagnosis of spine pathology. if its normal most of the spine pathology can be ruled out. ct scan rules out bony pathology. both tests are already done for you, and they are normal. so you need not worry. which painkillers you are taking? take proper rest with medications. sometimes detailed clinical examination is very helpful. i would advise taking second opinion from other doctor because you should be alright now."
"If you are a doctor, please answer the medical questions based on the patient's description.","hereafter going through the medical details provided by you, i would like to tell you that as of now there is nothing emergency or serious thing to worry about. probably he had experienced few ectopic. cut down his coffee intake or any other chatbot.  smoking should be completely stopped if he smokes.however, as there is a strong family history of heart disease then it's highly advisable for him to go for a basic cardiac check up which should include an ecg, echo and a tmt. kind regards"
Answer this question truthfully,"Siderophilic bacteria are those that have a high affinity for iron, and they are more commonly associated with infections in patients with Hemochromatosis, a condition characterized by excessive iron absorption. Vibrio vulnificus, Yersinia spp, and Listeria are examples of siderophilic bacteria that are known to cause infections in patients with Hemochromatosis."
Please summerize the given abstract to a title,Effects of COVID-19 pandemic on adherence to obstructive sleep apnea therapy: A case report
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. coughing causes straining to ribs and intercostal muscles. so excessive coughing can cause musculoskeletal pain. so do following things for better symptomatic relief in musculoskeletal pain. 1. avoid movements causing pain.2. avoid heavyweight lifting and strenuous exercise. 3. apply warm water pad on affected areas of chest.4. take simple painkiller like paracetamol or ibuprofen.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"IFN-γ is the cytokine primarily responsible for stimulating monocytes and macrophages to kill the microbes they ingest through macrophage-lymphocyte interaction.

Macrophages are immune cells that play a critical role in the body's defense against microbial infections. They ingest and destroy microbes through a process known as phagocytosis. Monocytes are precursor cells that mature into macrophages.

IFN-γ is a cytokine produced by T cells and natural killer cells in response to infection. It stimulates monocytes and macrophages to become more efficient at killing the microbes they ingest through a process known as macrophage-lymphocyte interaction. This process involves the activation of monocytes and macrophages by IFN-γ, which triggers the production of reactive oxygen and nitrogen species that are toxic to the microbes.

Understanding the role of IFN-γ in the immune response to microbial infections is important for the development of therapies to treat infectious diseases. Targeting IFN-γ and other cytokines involved in the immune response to infections may help to improve outcomes for people with these conditions."
Please summerize the given abstract to a title,COVID-19: protecting our ENT workforce.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query at chatdoctoras per your history and investigation results many diseases get excluded. i suggest you go for an ultrasound-guided biopsy of your lymph nodes and send it for cytology and zn staining for mycobacterial infection & viral infections. get esr and chest x-ray also done. i need to inquire about other symptoms like fever, weight loss, lethargy, diarrhea. follow up with investigations which i think would help in making correct diagnosis. take care"
Please answer with one of the option in the bracket,E: Trinucleotide (GAA) repeat expansion on chromosome 9
"If you are a doctor, please answer the medical questions based on the patient's description.",his have gone through your complaints.don't worry .it's quite common in most of all to have this finding. one thing i need to mention is it's not at all necessary to test if growth is appropriate to gestational age.persistence of it beyond 24 weeks needs to monitor for your bp to know chance of pregnancy induced hypertension. now don't worry. follow the scan next month.regular monitor your blood pressure. as long as fetal weight and growth is good nothing to worry. thank youregardsvasundhara
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. you have mentioned that all relevant tests were normal, and a heart problem was ruled out. in such a case, and taking into consideration the acute stressors which you have been facing recently, it is very likely that your symptoms are due to an anxiety disorder. it is important to understand that anxiety can manifest with a variety of physical symptoms, including chest tightness / pain, palpitations, difficulty in breathing, etc. i would also like to let you know that certain antianxiety medication (like ssris) can case an initial and transient worsening of anxiety symptoms, before becoming fully effective in controlling the anxiety. so, i would advise you not to worry about this and continue the medication. also, practicing relaxation techniques like deep breathing, yoga, etc. can also be of good help. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. irregular heart beat in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart. i advise you to get an ecg,2 d echo of your heart immediately to confirm the diagnosis. i also advise you to get lipid profile, complete blood picture, chest x-ray immediately as a part of routine check up. chatbot. avoid stress and anxiety. avoid smoking, alcohol, fatty foods. abnormal lipid profile if present in your case should be treated with atorvastatin. monitor blood pressure and heart rate immediately. ep study and radiofrequency ablation will be the procedure of choice. consult your cardiologist for expert management. post your further queries if any, thank you."
Please summerize the given abstract to a title,The effect of felt trust from patients among nurses on attitudes towards nursing service delivery.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. there is a misconception in your mind that you are having pancreatic cancer. all these symptoms, mentioned in the query don't simulate cancer (pancreas). hiatus hernia as you mentioned is very large and large hernia causes. dysphagia, develops gastritis or ulcerate, causing chronic blood loss. as you mentioned that there is nausea, abdominal pain, pale face, as all are due to hernia and loss of blood develop pale face. stress is the main reason of hot flush. in my opinion don't desperate, get in complete treatment of hiatus hernia, and you will be alright. good luck."
Please summerize the given abstract to a title,Postgraduate radiology education: what has Covid-19 changed?
Please summerize the given abstract to a title,Flexible global working arrangements: An integrative review and future research agenda
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you something and give you my opinion. we talk about hypertension if we have mean value that exceeds 140 / 90 mmhg. a person might have high value during emotional and physicals trees so it's mandatory to judge on mean values during day and night. there are two types of hypertension
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking your question completely understand your problem in my opinion at that young age peptic ulcer/gastritis is a possibility. cardiac diseases are less likely at that age. you need to take a proton pump inhibitor like pantoprazole once daily after consulting a general physician. actually physician can do an ecg and rule out any other cause thanks /regards feel free to ask more questions may god bless you with good health
Please summerize the given abstract to a title,Perfil dos beneficiários do abono salarial no Brasil e proposta de ação emergencial no contexto do Covid-19
Answer this question truthfully,"Receptor tyrosine kinases are a type of protein that have intrinsic tyrosine kinase activity within the receptor molecule. They are transmembrane proteins that are activated by the binding of ligands, such as growth factors or hormones, to their extracellular domain. This leads to the activation of the intrinsic tyrosine kinase activity in the receptor, which then phosphorylates tyrosine residues on the receptor and other downstream signaling proteins, leading to the activation of various signaling pathways. Dysregulation of receptor tyrosine kinases has been implicated in a variety of diseases, including cancer and developmental disorders."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello esr test is erythrocyte sedimentation rate and a high esr commonly is seen in cases of allergy or worm infestation or chronic illnesses like tuberculosis etc. but it is not a very specific test or diagnostic test all alone.it helps in the diagnosis in addition to other testsdepending on your history of illness, your clinical examination and the blood tests your doctor will come to a conclusion and start treatment or investigate further if required. hope i have answered your query. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctori, chatbot. the history of backache which is more on getting up from chair or bed and x-ray findings of a problem at the level of l5-s1 indicates disc herniation or disc protrusion or prolapse. a disc made up of fibrocartilage is present between two bny vertebrae. it acts as a shock absorber. sudden getting up can cause this disc to move out from its normal position. the protruding the disc causes symptoms of pain by compressing the various nerves in the vicinity. its management is conservative initially consisting of rest and supplements if required. supplements mentioned by you does not have any side effects if taken in prescribed dosage. a displaced disc is at high risk of prolapse if there is no prolapse initially. you should avoid picking up heavy weights and no to bend/ stand up from a bending position suddenly. this may aggravate the problem. take rest and further an mri may be required. stay in touch with your treating doctor. thanks and take care"
Answer this question truthfully,"It can happen in wild animals, including raccoons, skunks, bats and foxes, or in dogs, cats or farm animals. People get it from the bite of an infected animal."
Answer this question truthfully,"Cetuximab is a monoclonal antibody that targets the EGFR and is used to treat certain types of cancer, including colorectal cancer. In particular, cetuximab is most commonly used to treat Stage IV colorectal cancer. Stage IV colorectal cancer is the most advanced stage of the disease, where the cancer has spread to other parts of the body, such as the liver or lungs. Cetuximab is often used in combination with other treatments, such as chemotherapy or radiation therapy, to help slow down or stop the growth of the cancer. While cetuximab can be effective in treating Stage IV colorectal cancer, its use may be limited by factors such as cost, availability, and the patient's overall health status."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this pain and diarrhea that you have reported. the reason why it is not advised to take these too chatbot.  however, because you are having diarrhea, it will be okay to take imodium to stop the frequent stools. what is the cause of this diarrhea? if it has not lasted more than 14\u00a0days and the cause has been shown to be non-infectious, i will discourage any use of imodium for it may rather be more harmful than helpful. remember to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. it could be caused by adderall as an adverse chatbot.  it is possible that some of the medicines that you had taken during your episode of cold could be interacting with your adderall. it would be wise to be off your adhd medicines for a few weeks and then give it a second try. if it is occurring exclusively after taking the medicines then it may not be anxiety. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry much. from the given details, i can surely suggest that you are worried, rather apprehensive. i can say that you are hyperion chatbot.  health anxiety is a condition where people become apprehensive and anxious about their health. now you, being apprehensive about your health, are also obsessive about the body tremor. you need to learn to ignore the tremor and continuous ignorance should keep it at bay. you may consult a psychologist for better treatment options like psychotherapy. if you still require my services on this aspect, you may post a direct query to me on this portal. please include as many details as possible. i shall provide psychotherapy treatment tailor made for you which should help you good. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. what you are dealing with is most likely a colonial cyst. it's a kind of skin lesion very characteristic for the described by you area. due to ingrown hair in this area tissues get irritated and inflammation appears. this leads to cyst formation which can be noticeable as a lump or ball. sooner or alter such cyst gets infected what leads to pus accumulation. this gives pain and redness. i suggest you to consult a surgeon with this issue. if there is a pus, it should be incised and chatbot.  after acute inflammation will be gone, the cyst should be removed. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","brief answerpneumoniadetailed answer have gone through your query i think i have a better answer to help you outing my opinion it could be a case of leti like pneumonia wheezing even after treatment with brian is a matter of concern please visit your doctor for a battery of tests like complete blood count, esr, x-ray chest for definitive diagnosis course of antibiotics like augmenting is strongly recommended under supervision of your doctor ask for steam inhalation if possible hope i have answered your question. if you have any further questions i will be happy to help wish you good health chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. you are just 20. first you should understand masturbation is a natural process and is not at all considered unhealthy provided you do it in moderation. instead of stopping it completely, i suggest you to masturbate twice in a week. in that you will be able to have a control on it. you are not feeling weak because of your masturbation. there must be other reasons for that like some malnutrition. you should consult a physician to get yourself examined pathologically. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, amoxicillin is an antibiotic which means that the doctor has found a bacterial infection. if the child suffers from body ache and headache you can give him acetaminophen or ibuprofen syrup every 8 hours to resolve the body ache and headache. if he is having cough with phlegm then you can use a cough expectorant as murine. you can also use a cough suppressant as dextromethorphan. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Penile fractures are typically managed surgically rather than medically.
Please answer with one of the option in the bracket,A: Cells with central mucin pool
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query yes it is overdosed of painkiller don't take so much analgesic better you go for treatment of tooth, toothache can be due to carious tooth, decayed tooth, abscess in tooth. for this i will suggest you to do warm saline gargle two - three times a day, you can take dispensable tablets like petrol dt or paracetamol dissolve in water and take it you will get relief and consult oral surgeon and go for its treatment. hope this will help you. wishing you good health."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for posting here. this can be ellis fissuratum you are suffering from. however, a clinical examination is necessary for definitive diagnosis. your dentist will remove the tissue in a minor surgical procedure. your denture must be redone after the surgical site heals. you did not mention how long you are using this denture. this must be replaced every 6 years for better comfort and hygiene concern. you must see your dentist when you find denture hurting or irritating your tissues. he can round it for your comfort. use qua chatbot. you can see an oral surgeon to do this for you. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot zero sperm count means there is probably a block in his semen delivering tubes called vas deferens. h can get aspiration done to see if sperm is present and then that can be artificially inseminated in his wives uterus to cause pregnancy. this requires prior testing and would cost a bit as well. kindly get him examined by the doctor, get his hormone levels checked like testosterone, fsh, lh as well."
Answer this question truthfully,"Taenia solium is the helminth that can present with neurocysticercosis. This parasitic tapeworm is responsible for taeniasis, a disease that is acquired by eating undercooked pork that contains the larvae of the tapeworm. In addition to taeniasis, T. solium can also cause cysticercosis, a condition in which the larvae of the tapeworm can form cysts in various tissues of the body, including the brain. Neurocysticercosis is a serious complication of this infection, as it can lead to seizures, headaches, and other neurological symptoms. Treatment typically involves the use of antiparasitic medications, such as albendazole or praziquantel, along with measures to manage symptoms and prevent further exposure to contaminated pork."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have frontal swelling. well there can be many reasons for symptoms you mention in query like sinusitis. there can be other problem also like hematoma or inflammation from any kind of injury. i would suggest you to apply warm compresses gently and consult pediatrician for proper examination. doctor may examine physically to check tenderness and consistency. doctor may also order ct scan or x-ray to confirm the diagnosis. doctor may prescribe antibiotics like amoxicillin at least for 5 days, analgesic along with anti-inflammatory or may chatbot.  hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,The name of the dermatologic lesion is Crust.
Please summerize the given abstract to a title,"Impact of COVID-19 on outpatient visits and intravitreal treatments in a referral retina unit: let's be ready for a plausible ""rebound effect"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! your symptoms seem to be related to a pinched nerve or nerve damage due to the surgeries. so, there is nothing to worry about. but, if this problem disturbs you, i would recommend starting clonazepam, up to 2\u00a0mg daily. you should start at a low dose 0.25\u00a0mg twice and increase slowly, in order to avoid possible adverse effects like chatbot.  hope you will find this answer helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to worry about pneumonia as he is not having coughing. coughing is first symptom of pneumonia. so pneumonia is unlikely in the absence of coughing. and 3 days antibiotic duration is too early to decide about effectiveness. you should give full 7 days course of amoxicillin. fever was subsided so amoxicillin island definitely working. along within amoxicillin, give him plenty of fluids orally, fruits, juices etc. for energy.don't worry, he will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. bronchitis needs inhaled bronchodilators and inhaled corticosteroid (ics) for complete recovery. only antibiotics won't help in bronchitis. since you are not taking inhaled treatment you are not improving. so better to consult pulmonologist and start inhaled bronchodilators (formoterol or albuterol) and ics (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Elevated levels of calpain 14 in nasal tissue in chronic rhinosinusitis
Please summerize the given abstract to a title,Towards an IoT Architecture to Pervasive Environments Through Design Science
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for letting us know your health concern. i have gone through your query and would like to offer my opinion. if your daughter cannot be regular with her oral contraception, you can opt either a demo shot or an implant. she may not be the ideal candidate for the insertion of a irena iud, which is preferred in those who have had one or more child chatbot.  please get a proper clinical evaluation by a specialist before embarking on another mode of hormone contraception. hope your query has been clarified. take care."
Answer this question truthfully,"An increase in LFTs after a liver transplant is managed with ultrasound/doppler. This is because an increase in LFTs can indicate a potential problem with the transplanted liver, and ultrasound/doppler imaging can help identify any issues that may be causing the increase. For example, it can be used to detect problems such as blood clots or narrowing of the blood vessels that supply the liver. Early detection and management of these issues is important for ensuring the long-term success of the transplant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as mentioned by you, post c section surgery usually it is advice to undergo physical therapy to regain the tone of the muscles back. as due to pregnancy there will be a stretching of the abdominal muscles and the skin as well. performing precise exercise will not only help regain the tone in the muscles but also needed to take care of the spine. as most female suffer from backache in later stages of the life. performing core stability, pelvic floor strengthening, lower limbs strengthening and spine strengthening are of due importance. but exercise can only be implemented after the thorough assessment of the muscular system involved. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. a woman can normally have some type of nipple discharge throughout her adult life. for men, nipple discharge can indicate a problem. during hormone imbalances such as adolescence, the male gland can be stimulated. this hormonal stimulation can result in gland growth (gynecomastia), tenderness, and produce milk and or nipple discharge. if squeezed / traumatized enough, a clear fluid can be express from almost anyone. this is normal but hurting tissues this much is not a good idea. with gland stimulation, the discharge can be milk like or thick like a pimple. nipple discharge is a concern if"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i have gone through your query regarding causes swelling in skin. lack of sleep, seasonal allergies and diet, weak immunity are all likely culprits for swelling in skin under eyes and on legs. a few changes to your lifestyle and daily routine can help get rid of the said swelling in skin under eyes and on legs. cut back on salt intake. salty foods can cause your body to retain water, which results in puffiness and swelling. add water to your diet and eating foods that have a high water content as well. some water rich vegetables and fruits include cucumbers, lettuce, celery, watermelon, grapefruit and carrots.processed foods since they are high in salt, like hot dogs, lunch meats, frozen food meals and bacon. canned items are high in salt as well, like canned vegetables and soups. use spices like pepper to flavor your food instead of table salt. condiments such as ketchup, mustard and salad chatbot. avoid processed foods carbs, sugar, fried, fast foods, tea, coffee, alcohol and smoking, stress and constipation, sleeplessness will produce biochemical and metabolic conditions in your body that will decrease your immunity. so avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. all are the pillars of our strong immune system responsible for healthy disease free life. sleep with an extra pillow under your head and feet and legs to prevent fluids from pooling under the eye area. by keeping your head slightly elevated, puff-inducing fluids will"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello.she has mild to moderate range of fevers.the doctor must have thoroughly examined her(i suppose).and diagnosed to have a viral fever.does she have fever associated with chills?pain in stomach?is it a malaria prone area(i don't know where you stay)?with a viral infection the above said symptoms are common.wait for one two days and if you feel the fever isn't coming down take her to your doctor and get investigated.if she was my patient i would have advised a cbp malaria smear(depending on symptoms) x-ray or a scan as per need.if you have any more queries feel free to ask me.
Please summerize the given abstract to a title,COVID-19 Among Patients With Inflammatory Rheumatic Diseases
Answer this question truthfully,"Template:DiseaseDisorder infobox
Oligomenorrhea is the medical term for infrequent or light menstrual periods (frequency exceeding 35 days)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori had gone through your query and understand your concerns. i would come up with the chance of rosacea is the cause for your sufferings. possible causes include;-it is a multi-causal dermatitis. many factors precipitate the disease such as-atmospheric influences-exposure to cold, heat,strong sunlight-dietetic errors-excessive consumption of hot and strong tea, coffee-alcohol chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. most fever encountered in general practice are viral, self limiting and require only symptomatic treatment, but as compulsory routine. consult a pediatrician who will look for pallor, jaundice, neck stiffness, abdomen for liver & spleen and auscultate the chest to find the cause of the fever by evaluating the associated symptoms.2. bed rest with blankets. semi-solid or liquid diet. [soft rice with milk, boiled vegetables, coconut water or electoral water]. avoid exposure to wind, avoid bath-only sponging. avoid oily-fried foods, cold chatbot. . give bread butter, toast-jam, corn flakes, fruits like"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
My father is suffering from IBS and is loosing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.,"Changes in your diet may be helpful. However, IBS varies from person to person. So the same changes may not work for everyone. - Keep track of your symptoms and the foods you are eating. This will help you look for a pattern of foods that may make your symptoms worse. - Avoid foods that cause symptoms. These may include fatty or fried foods, dairy products, caffeine, sodas, alcohol, chocolate, and grains such as wheat, rye, and barley. - Eat 4 to 5 smaller meals a day, rather than 3 larger ones. Medicines your provider may have you try include: - Antispasmodic medicines that you take before eating to control colon muscle spasms and abdominal cramping - Antidiarrheal medicines such as loperamide - Antidepressants to help relieve pain or discomfort - Rifaximin, an antibiotic that is not absorbed from your intestines It is very important to follow your provider's instructions when using medicines for IBS."
Answer this question truthfully,"Pulmonary capillary wedge pressure (PCWP) is measured using a pulmonary artery catheter, also known as a Swan-Ganz catheter. This catheter is a thin, flexible tube that is inserted through a vein in the neck, arm, or groin and threaded into the pulmonary artery. Once in place, the catheter can be used to measure various hemodynamic parameters, including PCWP, which reflects the pressure in the left atrium of the heart. Measuring PCWP is important in the diagnosis and management of a variety of cardiovascular and pulmonary conditions, such as heart failure, pulmonary edema, and acute respiratory distress syndrome. The use of pulmonary artery catheters is generally reserved for critically ill patients in intensive care units or operating rooms, and the procedure should be performed by trained healthcare professionals."
Please summerize the given abstract to a title,Minimum sample size calculations for external validation of a clinical prediction model with a time-to-event outcome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. based on the description of symptoms, i suspect positional head numbness as the causative factor. at times during certain positions of sitting or sleeping blood flow is restricted through the artery in the neck thereby decreasing circulation to the head and causing head numbness. simply changing the position of the head and neck will resolve the issue. there are many other causes that may produce head numbness for which a detailed clinical examination by a neurophysician is mandatory. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. if your new mri shows disc bulge with nerve compression then surgery may help. due to compression of this nerve root there is pain associated with it. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and tens therapy will help. i will advise checking your it b12 and it d3 level. if nerve compression becomes severe later on then surgical decompression will give better relief. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,"The probable diagnosis is craniopharyngioma, which is a type of brain tumor that can occur near the pituitary gland. Craniopharyngiomas can cause a range of symptoms, including vision changes, hormonal imbalances, and headaches. Bitemporal hemianopsia, which is a type of visual field defect, is a common symptom of craniopharyngiomas. Diabetes insipidus, which is a condition characterized by excessive thirst and urination, can also be caused by craniopharyngiomas due to their location near the pituitary gland. Treatment for craniopharyngiomas typically involves surgical removal of the tumor, followed by radiation therapy or chemotherapy as needed. It is important to seek medical attention promptly if a child exhibits symptoms of craniopharyngioma in order to ensure appropriate diagnosis and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, i understand your query and concern. as per your clinical description of pain, it usually points to renal stone located somewhere in the lower ureter. for this you need to have a ct scan of the abdomen for accurate assessment. gelusil cannot control this pain. i advise you to have tab tramadol and tab. pantop 40 mg, a course of antibiotic taken under medical prescription to control this pain. further expert management depends on the outcome of the ct scan result. if the size of stone is more than 5 cm then depending on the location of stone extra corporeal lithography can be done.meanwhile, you need to take soft and less spicy foods. chatbot. fruits, fruit juices, vegetable salads, soups should be taken. post your further queries if any. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, time needed for healing and chance of any future issues like contracture actually depends on depth of scalding and presence of any secondary infection, which your doctor might have discussed with you. for superficial scalds with no secondary infection, wound usually heals in 10-14 days. chance of future problems like contracture is less if no wrist joint is involved. but it will take much longer for color to get normalized, sometimes leaving residual marks. if there is no foul smelling discharge or pain, healing is on the way, and you need not worry. hope i have answered your question. let me know if i can assist you further."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot.  as a urologist, i can understand your anxiety. lasix is given to flush out excess fluids from the body. but if the kidney function is less, it cant be given, due to side effects. as you've not written the kidney function reports, its difficult to comment. if he's retaining fluids, he should get the following tests done"
Please summerize the given abstract to a title,An Algorithm for the Pricing and Timing of the Option to make a Two-Stage Investment with Credit Guarantees
"If you are a doctor, please answer the medical questions based on the patient's description.","hello you have complaints of difficulty in focussing, poor concentration, difficulty in sleeping, inability to sit for work or study. forgetfulness is also one of main complaint. all these things are causing stress and embarrassment to you. see such type of symptoms can occur due to a number of psychiatric disorders. one of main possibility is adjustment disorder. poor work conditions, inability to adjust on work may be the reason for poor concentration and memory. if work conditions are good then other possibility is depressive disorder. depression may present with lack of interest in work, poor concentration, decreased sleep, forgetfulness etc. symptoms. fortunately treatment is available for both conditions. there is no harm or stigma in discussing your psychiatric symptoms with your doctor. consider consulting your doctor or a psychiatrist for expert opinion. hope this helps you, thanks"
Answer this question truthfully,Factor Xa is the clotting factor primarily inactivated by low molecular weight heparin (LMWH).
Please summerize the given abstract to a title,Family Physicians' Knowledge about and Attitudes towards COVID-19 - A Cross-sectional Multicentric Study
Answer this question truthfully,
Please summerize the given abstract to a title,Panic in the Pandemic: When Should Kidney Transplant Programs Close?
Please summerize the given abstract to a title,Europe braces again
Please summerize the given abstract to a title,Person Under Investigation: Detecting Malingering and a Diagnostics of Suspicion in Fin-de-Siècle Britain.
Please summerize the given abstract to a title,RE-SIGNIFY the DOMESTIC SPACE in TIMES of CONFINEMENT from the APPLICATION of ETHNOGRAPHIC TOOLS and PERSONAL CENTERED DESIGN
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, treatment of aneurysm depends upon the site, if its involving ascending aorta then surgery is needed. if its involving descending aorta then either surgery or it can also be treated by angiographic techniques and will not have that high risk of surgery. till the time, his definitive procedure is completed then should be on medicines like beta blockers and other blood pressure medicine. he should strictly monitor his blood pressure and should not rise excessively."
Please summerize the given abstract to a title,Lower-dose diclofenac submicron particle capsules provide early and sustained acute patient pain relief in a phase 3 study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting a question on our site. in this kind of situation from my clinical experience can be caused by coffee intake, smoking or salt consumption etc. i usually advise my patients in this type of situation to continue taking medications as prescribed and make sure to check blood pressure medications first thing in the morning for 3-4 days, if it continues to be high then i review prescribed medications. i suggest you consult your physician if you continue to get high measurements. furthermore, i hope this helps."
Please summerize the given abstract to a title,The Protein Corona Conundrum: Exploring the Advantages and Drawbacks of its Presence around Amphiphilic Nanoparticles.
Please summerize the given abstract to a title,Looking behavior and potential human interactions during locomotion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your concern in the chatbot. i think you may have got recurrent uti, in a more complicated status. renal or ureteric stone should also be ruled out, because they also produce similar symptoms. in case you have a complicated uti or renal/ ureteric stone or pyelonephritis, you may need injectable antibiotics. if there is a stone, surgical treatments may be needed depending upon the stone size and renal condition. i think you should consult your local urologist at the earliest or should visit the er of the nearest hospital as soon as possible. you may need in patient treatment. the following investigations may also be needed-blood- complete blood count, urea, creatinine, crp, electrolytesurine- routine examination and culture/sensitivityxray and/ or usg of the pub region. you should not start any other antibiotic until your doctor tells you to do so, before sending the urine sample for culture/sensitivity testing. regarding the pain, you may have chatbot. take 3 lit. of oral fluid until your doctor tells otherwise. for any further query you may write back to me directly."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloshortness of breath and exertional breathlessness may be due to cardiopulmonary causes. you may need proper clinical examination and investigations. investigations include routine hologram, random blood sugar, lipid profile, liver and renal function test, thyroid profile, ultrasound of abdomen, chest x-ray(pa view), ecg in all leads, echo,tmt, pft etc. further treatment requirement depend upon these basic investigations. treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, scabies is caused by small parasitic mites burrowing under the skin. the bumpy rash you can see on your children skin is an allergic reaction to the eggs of the mites. permethrin cream is the most common cream that is used in treatment of scabies. you need to spread over every inch of your children body, from his neck down. even parts of his body that don't seem to be infected must be treated, so don't skip them.don't forget to put the cream between your children toes and fingers, under his arms, in his navel, and on his genitals. leave the cream on his skin for 12 hours and then wash it off. other chatbot. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, numbness probably occurred due to abnormal sleeping posture. you either had stretched your arm or might have rested your head over hand leading to this. or if it otherwise also then it can be cervical spondylosis and needs x-ray cervical spine and physiotherapy.  regarding, feeling of stopped beat, its common feeling and most of the time its not serious issues. you need to get one baseline ecg done and if these are occurring frequently you should get holder monitoring done. also, one thyroid test should be done."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i think that it can be stress fracture. this is due to low vitamin d or calcium. sometimes it can be due to injury during labor. i would recommend you to get digital x-ray of the ribs to confirm the diagnosis. if there is any fracture then you need to increase your calcium and vitamin d 3 intake. also, injection of partharmone taken for six wees may be helpful. i hope this answer will be helpful for you. let me know if there is any other followup questions. thanks"
X-linked congenital stationary night blindness i m suffering from similar or same decease.my mothers father suffered from same & my brother also.we have problem in low light infact cant view in damp conditions during day also have myopia but still not normal myopia cant see little object with clarity.life is looking like imprisonment.is there any chance for our recovery from this x linked decease.will we be able to see like normal ones.plz help. my age 38 y brother 44.address,Autosomal recessive congenital stationary night blindness is a disorder of the retina. People with this condition typically have difficulty seeing in low light. The symptoms are present from birth but tend to remain stable over time.
Please summerize the given abstract to a title,"Women Providing and Men Free Riding: Work, Visits and Gender Roles in Mexican Prisons"
Answer this question truthfully,"Cystinuria may be treated with chelating agents, such as penicillamine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot, as you were bitten by a dog for which you have taken a dose of tetanus oxide and first doe of antirabies vaccine. as rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment with wound wash, 5 doses of anti rabies vaccine and rabies immunoglobulins. antirabies vaccine should be taken on days 0,3,7,14 and 28 on to deltoid by intramuscular route. the body pain is non-specific of animal bite, it may be due some viral infection. for this you can take oral nsaids. there is no food restriction while on treatment, only thing is, if you are an alcoholic or smoker you need to curtail it. there is no food fads and taboos. thank you"
Please summerize the given abstract to a title,Fractional optimal control of COVID-19 pandemic model with generalized Mittag-Leffler function
Answer this question truthfully,Risk factors in the development of Guillain Barre syndrome include: Rabies vaccine and swine-flu influenza vaccine.
Please summerize the given abstract to a title,"Remuneration Review: Risk, Planning, and Modelling beyond the Covid Crisis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better.  unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. i suggest you use zinc supplements (z&d chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your concern in the chatbot. if you have ibs, pain can actually occur at any point of abdomen. so, it is not uncommon to have pain in right lower abdomen. but, there are possibilities of enteritis or enterocolitis too. even guardian infection should also be ruled out. my understanding is you should have the following tests done-1. blood for complete blood count, crp, fasting tsh, hba1c, fasting lft2. stool for routine examination and after sending the sample, you may start on1. tab rifaximin 400 twice daily for 14 days2. cap enterogermina twice daily for one months should also consult a local gastroenterologist at the earliest for further evaluation. continue having good oral hy chatbot. hospitalization may be required in case of fever, deny"
"If you are a doctor, please answer the medical questions based on the patient's description.","cat bites get infected quickly, and the infection can spread rapidly. if it is just plain amoxicillin you were given, that is not adequate treatment for a cat bite. augmenting (amoxicillin with clavulanate) would be adequate. ice will not provide much benefit. if you can't get hold of a doctor immediately (there is usually a doctor answering emergency calls at night if your doctor isn't available), then you should go to the er now. you might need more aggressive antibiotic treatment and if an abscess has developed, it will have to be chatbot.  good luck. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you can get pregnant.  you have to take medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after injection.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
Please summerize the given abstract to a title,The Role of UAV-Assisted IoT Networks in Managing the Impact of the Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. first, i would like to reassure you that your symptoms do not suggest a serious problem. the most likely reason for your symptoms could be lumbar spondylitis and muscle spasm at the lower back. treatment would be with physiotherapy, regular exercises, and use of analgesics such as ibuprofen or diclofenac.  if symptoms persist, you could get mri of the lumbar spine done to get more details regarding the problem. wishing you good health, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thank you for asking on chatbot! regarding your concerns i would recommend as follows
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for query i am not wrong by lupus you mean she. so it means you have been diagnosed with she with ra. that makes it very interesting because traditional wisdom in rheumatology says she and ra are mutually exclusive diseases which means you can't have both of them at same time. neverthless development of she like features have been described in ra, and it is associated with increased mortality. this raises some question in your case, and you should discuss with your doctor which criteria was used to diagnose ra?was it older 1987 criteria? is your lupus severe? has kidney biopsy been done? the most common cause of abrupt cessation of menses in she patient would be cyclophosphamide treatment. so have you taken it? you are taking hy chatbot.  do you know it can be teratogen? i have tried my best to help you take care"
Answer this question truthfully,"Clubbing of the fingers and toes with swelling and pain may be managed with hypertrophic osteoarthropathy, which is a condition characterized by the abnormal growth of bone and soft tissue in the limbs and joints. Treatment may involve addressing the underlying cause of the condition, such as a lung or heart disease. Additionally, a chest x-ray may be used to help diagnose the condition and guide treatment. Other management strategies may include pain relief medication, physical therapy, and lifestyle changes to reduce inflammation and improve overall health. It is important to consult with a healthcare provider for an accurate diagnosis and appropriate treatment plan."
Please answer with one of the option in the bracket,D: Urine culture
Answer this question truthfully,Cranial nerve involvement in Guillain-Barré syndrome commonly results in facial paralysis (50% of cases).
Please summerize the given abstract to a title,Computational planning of the synthesis of complex natural products.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the loss of appetite in your father is likely to be related to several factors. medications could be one of them, but then, he needs to take them anyway. more important could be related to lack of physical activity and exercise. so, i would encourage you to make him exercise/walk on own, or if needed, with the help of a physiotherapist. in addition, he can be given small meals more number of times, than giving two-three large meals. i hope it helps. please get back if you require any further information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,"Politics, Pushback, and Pandemics: Challenges to Public Health Orders in the 1918 Influenza Pandemic"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hellosign, you diagnosed as a typhus fever patient for 2 weeks ago and took treatment. laboratory abnormalities include anemia, leukoses(early) and leukocytosis (late). complications are respiratory, hematemesis cerebral hemorrhage. since you resume your normal activities, so presumed that you are nor having above, mentioned any complication. since you didn't have any complication (as above-mentioned) , you can at once start playing basketball (gradually increase time). good luck."
Please answer with one of the option in the bracket,B: Defect of Na+/K+/2Cl- cotransporter at the thick ascending loop of Henle
Answer this question truthfully,"Parkinson's disease is characterized by the presence of Lewy bodies, which are round, eosinophilic inclusions composed of α-synuclein."
Please answer with one of the option in the bracket,B: Alcohol consumption
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to hci really appreciate your concern, if this is pure form of male patron baldness then it can be prevented for some time with the medicine called \""minoxidil 5 %\"" for local application on scalp, let me tell you it is better to see the dermatologist for better result, here the minoxidil is the prime medicine but nowadays, there are some newer medicines available for alopecia, but you need to see the dermatologist for this, hope this information helps, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you should know that your husband is quite young and if he lows his blood glucose levels and follows a healthy lifestyle, he has good chances not to develop heart disease.  for now, if you want to check his baseline heart function, i would recommend you to have an ecg, echocardiography and a stress test is done, if all the exams come back normal, then do not worry, just keep the levels of glucose low, follow a healthy lifestyle and your physicians recommendations. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","evidently you have to many medical conditions you have not adored me if you have copd this can cause respiratory insufficiency and hence your symptoms you may have neuropathy due to diabetes which may cause low blood pressure, but it could also be to deep blood pressure medications that you are taking you make consult your regular physician to adjust the dose of your medications if your blood sugar control is not a very good then this level of blood sugar can also cause numbness and dizziness that you're complaining are you should check regularly with your physician once a month and go over to your medications"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, asthma can not cause pain in abdomen or leg. the pain in the upper abdomen can be due to pancreatitis, cholecystitis, gastric ulcer, colitis of transverse colon, the pain in the left shoulder and the forearm can be due to cervical spine problem. and you need the investigations of mri cervical spine, ct scan of the abdomen as it will show the lower chest too. consult your physician as he would coordinate all the varied symptoms and findings and help you to come to a diagnosis and then may refer you accordingly."
Please summerize the given abstract to a title,MASK UP! Supporting Mask Wearing of Children With Extensive Support Needs
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your findings suggests mild fat deposition in liver(fatty liver) with enlarged prostate. fatty liver is a reversible condition. fatty liver can be managed by diet control and exercise in the majority of the cases. fatty liver may be due to many reasons like hepatitis, alcohol intake, obesity,altered lipid profile, medicines etc. you may need few blood tests like random blood sugar, routine hologram, lipid profile. you should avoid saturated fat and take plenty of fibers in diet. you should increase your physical activity and go for exercise regularly. simple cyst in liver is age related developmental finding. it only need to follow up if it is asymptomatic. mildly enlarged prostate need clinical correlation and further investigations.psa(prostate specific antigen)should also be assessed in enlarged prostate. after clinical evaluation, you may need medicines to take like alpha-blockers and 5-alpha-reductase inhibitors. get well soon. take care chatbot."
Please summerize the given abstract to a title,Finnish education professionals’ thoughts on adaptive learning technologies
Please summerize the given abstract to a title,Delirium as a Presenting Symptom of COVID-19
Answer this question truthfully,"In the setting of chronic inflammation, macrophages can be activated to M1 macrophages by stimulation from Th1 cells, resulting in a proinflammatory phenotype."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, without an exam, i can only give general information. large jolts can put strains on tendons. it depends a lot on the position of the arm and shoulder.  some possibilities are pain at the attachment of the arm to the shoulder from the rotator cuff being strained. or pain shooting out from the neck down the arm due to a neck strain.  most aches and pains are not due to permanent injury but obviously cannot say about yours without an examination. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Learning Outcomes of Digital Learning Interventions in Higher Education: A Scoping Review.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello there... there are many reasons for gum bleeding. most frequent reason being deposits that get accumulated over the tooth. these deposits get accumulated and causes inflammation of the gums. even on slight stimulation and sometimes spontaneously you would have bleeding from the gums. these deposits doesn't go with regular brushing...hence we advise scaling (teeth cleaning) for every 6 months... that not only keeps your teeth clean but keeps your gums healthy... get your teeth cleaned your problem would spontaneously come down...
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ahima, its unfortunate you had to go through such a hard time through your pregnancies. let me help you understand some things.1. high blood pressure during pregnancy with a seizure attack and from what looks like multi organ failure (according to your description)in your previous pregnancy, puts you under extremely high risk to manage your pregnancy safely. you must understand the consequences of future pregnancy on your own health and well-being (the functioning of all important organs like heart, brain, kidney, liver may be compromised and can be even fatal or life-threatening) before attempting one. so you must be fully aware and equipped for any potential consequences of it.2. there could be many reasons why high blood pressure happens in pregnancy. some women who have a family history of hypertension, and have crossed 35 years are more susceptible to it. and a number of genes are suspected to cause it. yes, as the baby shares genes of both mother and father, now you can think your body is temporarily handling your husbands' genes. hypertension can develop if your husbands genes are not efficiently handled.(that's what your doctor explained). this can result in altered placental development and reduced blood supply to the baby. the baby may be thus may be growth restricted, and is prone for premature delivery, and its consequences.3. as even donor insemination may result in similar condition it is extremely hard to predict if that can be free of hypertensive complications.hence, i suggest you to be rational and take a wise decision if you want to conceive again and obtain very good prenatal care when you attempt it. hope this information helped. good luck."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. 5 weeks time is sufficient for rib fracture healing. but you are still having pain which suggests that fracture is not healed completely. for faster healing, you should take calcium and vitamin d 3 supplements. also wear rib belt throughout the day. avoid heavyweight lifting and strenuous exercise. avoid movements causing pain. i am sure with all these fractures will heal in 1-2 week time. once your pain is gone, you can resume your normal working. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Academic and emotional effects of online learning during the COVID-19 pandemic on engineering students
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, high bp is unlikely to be due to change of medication. both salazar-500 and saaz-500 contain the same chatbot.  its common side effects include vomiting, dyspepsia, allergic reactions, loss of appetite, liver dysfunction. it is unlikely to increase the blood pressure. her bp should be rechecked by her doctor and if found to be high should be treated accordingly. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ilya monsieur it is difficult to say that fearfulness and other symptoms as you described is because of depression, anxiety disorder or psychotic state. in depression, it occurs in sever level a requirement immediate treatment as it may result in patient safety concern.  his symptoms' severity indicates that any psychological intervention may not suitable at this time except for sporting patient. please consult a qualified psychiatrist. insa allah he will be all right soon."
Please summerize the given abstract to a title,Food Exports from Brazil to the United Kingdom: An Exploratory Analysis of COVID-19 Impact on Trade
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,[European perspectives on occupational safety and health: Stimulations for ergonomics]./ Europäische Perspektiven auf den Arbeits- und Gesundheitsschutz: Impulse für eine globaler orientierte Arbeitswissenschaft
Please summerize the given abstract to a title,Femur fracture in a paediatric patient with hereditary hyaline fibromatosis syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of colon cancer. so you may have chance that you have metastatic colon cancer or some other disease of spine. you should go for mri spine. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Communication is central to the mission of science
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dear joe., thanks for choosing chatbot., why you're using different types of creams., due to these., you\u2019re skin going irritate and gives hypersensitivity to all., so stop all topical applications., tab. levocetrizine 10 mg daily for 20 days., use low ph soap.....under.cu ratio company., after few days starts...... morning use....sunscreen lotion., night times use elo con...momenta some., thanq"
Answer this question truthfully,The rate of phase 4 in the SA node action potential cycle determines heart rate.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). derranged lft may be due to dilation or may be due to some other causes, so i will advise seeing for other causes for deranged lft and if it is not there then you may have to replace dilation with other least hematologic antiepileptic. you should test for"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, for symptomatic relief of rhinitis, take tablet levocetirizine 12 hourly. for prophylactic purpose, take montelukast daily before coming into contact with triggering factors. for proper management of allergic rhinitis, find out factor (allergen) responsible for allergy. or else you can contact allergy specialist to do skin allergy testing which will help to find out known possible allergens. have a habit of taking antioxidant rich food like onion, garlic, dark chocolates, kidney beans etcetera. do early morning panama and yoga which will help you to boost up your immunity. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Patients with Sickle cell disease and suspected COVID‐19 in a pediatric ICU
Answer this question truthfully,The confirmatory diagnostic method for esophageal cancer following a barium swallow is an esophagogastroduodenoscopy (EGD) with biopsy. This procedure involves passing a flexible tube with a camera through the mouth and into the esophagus to obtain a tissue sample for biopsy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, anginal pain is characteristically central or retrosternal/substernal; pain may radiate to either arm (lt> rt), hand or wrist, shoulders, less often to the back of the chest. any of these places of reference may be involved without discomfort in the chest. the relationship to exertion is then the indication that the pain is probably of cardiac origin. history of lifting unusual weight (cot) and local tenderness overhand (on pressing the hand feels little pain) suggest musculoskeletal pain and pain is of non-cardiac origin. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Sport during the COVID-19 bio-bubble: wellness and opinions in South African elite football
Please summerize the given abstract to a title,"Assessing the Origins, Evolution and Prospects of National Innovation Systems"
Please summerize the given abstract to a title,Transanal NOTES total mesorectal excision (TME) in patients with rectal cancer: Is anatomy better preserved?
Answer this question truthfully,The lecithin sphingomyelin ratio in amniotic fluid is used to screen for lung maturity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is very common to get bacterial and fungal infection of belly button because it is ideal place for infection to thrive being moist. other reason could be presence of some umbilical cyst getting infected. you must get the culture of discharge and a ct abdomen to know the exact cause. if it is just simple infection, it can be treated by antibiotics and antifungals. in case there is some infected cyst, then it can be removed surgically. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","rosai-dorfman disease is a rare disorder where there is overproduction and accumulation of a specific type of white blood cell (astrocyte) in the lymph nodes of the body causing lymphadenopathy, most often those of the neck.wherein the cause is unknown. and the signs and symptoms vary from one person to another. in many cases there is spontaneous remission (without treatment) of this disease ranging within months to years. others may undergo surgery for removal of the histiocytic lesion. and in some serious cases, a steroid given, or alpha interferon, others are anticancer chatbot.  and since the health of your mother is deteriorating then what we can do is symptomatic and supportive treatment. like for example if your mother had fever then will give the antipyretic or if she had other complaints, then will give the specific"
Please answer with one of the option in the bracket,C: Positive Romberg's sign
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i have gone through your question and understand your concerns. lisinopril is ace i group of medicine and hyperkalemia is known side effect of ace. it depends on that when did you leave taking lisinopril, if it's yesterday than it's very early to say that its due to some other cause, but having hyperkalemia is very dangerous thing to have so i suggest you to consult your physician to get potassium levels under normal range. there are many causes of hyperkalemia so i suggest you to consult your physician so he/she should look for any treatable cause. depending on the clinical findings and the results of the laboratory work, the following may be indicated"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. your ultrasound report explains the cause for elevated liver enzymes. going on a detox program is futile and is not going to aid the treatment of this problem. you need to be treated for the fatty liver. only then will the liver enzymes come to normal. the treatment protocol for fatty liver needs to be followed meticulously for at least 6 months. then only can one expect recovery. with regards"
Please summerize the given abstract to a title,SARS-CoV-2 (COVID-19): Beginning to Understand a New Virus
Please summerize the given abstract to a title,Demonstrating the Applicability of Smartwatches in PM(2.5) Health Impact Assessment
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, please do not be worried. to have a strongly positive avidity means that you have had the infection before and very unlikely that you will get it again during pregnancy. having had cmv infection before makes it safe for the pregnant women as once infected she develops immunity to the cmv and will not be infected again. the harm from cmv is when the pregnant women acquire a new infection during pregnancy and this can affect the fetus, but since you have had it before this makes it very safe for your baby. so do not worry and regarding cmv infection as your baby is safe. hope i was able to clear your doubts. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. in my opinion you should consult doctor for him because cardiac and pulmonary diseases cause shortness of breath. so better to get done ecg and 2d echo to rule out heart diseases. get done chest x-ray and pft (pulmonary function test) to rule out lung related causes. so better to first diagnose him and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing him good health. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concern. there is no any shot available for h1n1. for prevention, you can take vaccine and antiviral chatbot. and take treatment according to this and keep you in observationfollowing are advice for you. test for blood"
Answer this question truthfully,"The patellar reflex, also known as the knee-jerk reflex, is a reflex that is elicited by tapping the patellar tendon just below the kneecap. The neurological basis of this reflex involves the activation of sensory neurons in the muscle spindle of the quadriceps muscle, which sends a signal to the spinal cord at the level of the L4 vertebra. This signal then triggers a reflex arc that causes the quadriceps muscle to contract, resulting in the extension of the leg at the knee joint. Therefore, the patellar reflex is associated with the L4 spinal nerve root, which is responsible for innervating the quadriceps muscle."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com. i had gone through your question i can understand your concern about your tooth related infection. as per your history it seems to me you have 3rd molar infection which i can understand is because of peritonitis of the related tooth. as you know 3rd molars are not functionally important you need to get your tooth extracted. because of the recurrent infection it can involve the upper part of throat, ear and limit your mouth opening. antibiotics can provide you relief only for some days, and you will get another reinfection and this vicious cycle will continue. for pain relief you can take medication like ibuprofen if you have no problem with it. or you can take broad spectrum antibiotics, but the only solution is extraction. my opinion is got your tooth removed. hope my answer will help you and write to us in case you want any further assistance. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have lymph node enlargement. it may be due to reactive hyperplasia most likely. it may be due to tuberculosis. chances of cancer are very low. you should go for fine needle aspiration cytology or biopsy. it will give you exact cause. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",i have gone through your question and appreciate your concern. u have back pain since one month. u should not ignore it further. consult orthopedic spine specialist and get mri of spine done. proper diagnosis is necessary for adequate treatment. general measures to improve back pain are avoid bending forward and lifting heavy weights. hot fomentation thrice a day. muscle relaxants and analgesics will help to reduce pain. lie on flat hard bed. local analgesic gel for local application. muscle strengthening exercises will help u in long term. thanks. u can write me back for any query.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dairy understand your concern. confusion is most likely due to post-operative electrolyte imbalances. low body temp. has many etiologies. in post-operative period it is common. it depends upon several factors. age is the most imp. correction of electrolyte is must and 1st step.2nd step is looking for other factors. blood and other investigation will give more idea. consult your doctor and get help. still if you have a query then feel free to ask.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, possibility of hypertension and heart disease is more. left sided chest pain, dizziness, blurring of vision etc. are seen in hypertension and cardiac diseases. so better to consult doctor and get done 1. blood pressure monitoring 2.  ecg 3. 2d echo. all these are needed to rule out cardiac cause. if these are normal then acute gastritis can cause similar symptoms. so avoid stress and tension. avoid hot and spicy food. avoid junk food. start proton pump inhibitors. hope i have solved your query. wish you good health. thanks."
Please answer with one of the option in the bracket,D: HLA-B27 positive genotype
Answer this question truthfully,"The survival rate in Hodgkin lymphoma, Non-Hodgkin's lymphoma and breast carcinomas has significantly improved with use of radiation therapy.However, radiation therapy to thoracic and mediastinal cancers have also led to the development of pericarditis, coronary artery disease, cardiomyopathy, conduction abnormalities in heart and valvular heart diseases which account for significant morbidity and mortality. Radiation-induced pericarditis was first described in the mid-1960s. The radiation-induced pericardial disease may be classified as acute pericarditis, delayed pericarditis, pancarditis, constrictive pericarditis, and pericardial effusion. Radiation therapy leads to disruption of endothelium and subsequent episodes of ischemia. The resulting fibrosis and fibrinous exudates replace collagen fibers. Radiation-induced pericardial disease can occur in any cancer survivor who receive thoracic radiation therapy, including breast cancer, Hodgkin's lymphoma, esophageal cancer, and lung cancer. Radiation-induced pericarditis depends on the total dose of radiation, the dose per fraction, the amount of cardiac silhouette exposed, and the nature of the radiation source. The incidence is higher with doses greater than 40 Gy (4000 rad). Echocardiography is the most commonly used screening modality for the detection and follow-up of radiation-induced cardiac disease. Acute pericarditis usually develops a few weeks after radiation exposure. Nearly 20% of patients with acute pericarditis develop chronic or constrictive pericarditis in the next 5-10 years following radiation therapy. The risk is increased when pericardial effusion was present previously. Chronic pericarditis can also occur in patients without a history of acute pericarditis. Acute pericarditis is a rare complication of radiation therapy. It presents with nonspecific pericarditis symptoms such as chest pain and fever shortly after radiation therapy. Delayed pericarditis occurs from months to years after exposure to radiation. It usually presents with chest pain, dyspnea, and orthopnea. The physical examination may show fever and pericardial rub. Laboratory findings include elevated inflammatory markers such as neutrophil count and erythrocyte sedimentation rate (ESR). On ECG, non-specific ST and T wave changes or ST-segment elevation in all leads may be noted. The majority of acute pericarditis cases are self-limited and respond well to nonsteroidal anti-inflammatory drugs and colchicine. In acute or chronic pericarditis, protein-rich exudate may accumulate in the pericardial sac leading to pericardial effusion. Findings on a chest x-ray or chest CT suggestive of chronic pericarditis include pericardial effusion and pericardial thickening. If the effusion is large enough, it may lead to tamponade. In patients presenting with tamponade, the physical examination may show hypotension, tachycardia, and jugular venous distention with a prominent Y descent, Kussmaul’s sign, and distant heart sound. Radiation-induced pericardial effusion can be confused with malignant pericarditis and hypothyroidism -induced pericarditis. Pericarditis with large effusion can be drained either percutaneously or surgically. Those with recurrent pericardial effusion can be treated with pericardiotomy(pericardial window) or by surgical stripping. Constrictive pericarditis is a late complication of radiation therapy. Patients typically present with signs and symptoms of heart failure, similar to other causes of constrictive pericarditis. Cardiac MRI may be helpful in the diagnosis of constrictive pericarditis. It is useful to confirm the pericardial thickening. Cardiac catheterization may be also helpful in the diagnosis of constrictive pericarditis associated with radiation therapy. Pericardiectomy is recommended for patients who develop constrictive pericarditis. However, the perioperative mortality rate is higher in radiation-induced constrictive pericarditis compared to that of idiopathic constrictive pericarditis. Effective measures for the primary prevention of radiation-induced pericarditis include reducing the dose and volume of cardiac irradiation when possible."
Please summerize the given abstract to a title,Intratumoral coagulation by radiofrequency ablation facilitated the laparoscopic resection of giant hepatic hemangioma: a surgical technique report of two cases.
Please summerize the given abstract to a title,Human placenta as an ex vivo vascular model for neurointerventional research.
Answer this question truthfully,Neuroblastoma is more likely to have calcifications than Wilms tumor.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm).sgpt may be increased in you apart from able (which are negative) are
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, it seems that you might have some poisonous insect bite giving allergic rash with severe itching. due to bad itching nail scratches might produce some infection on the part. go for short course of antibiotic to clear infection. take anti-histamine like cetirizine or levo-cetrizine as and when required. apply some local triple acting cream. keep that part chatbot. ok and bye."
Please summerize the given abstract to a title,Neurological complications in pediatric patients with SARS-CoV-2 infection: a systematic review of the literature
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the jaw joint lock is because of the disc displacement in the jaw joint or temporomandibular joint. this can occur secondary to long-standing bruise or grinding teeth during nighttime, or it can be because of malocclusion or stress. nothing to be panic, consult an oral physician and get it evaluated. if i am your treating doctor, i would suggest you to take anti-inflammatory chatbot.  you can also take muscle relaxants like chlorzoxazone. you can give hot fomentation over the joints. do not eat hard things, do not open your mouth too wide. take soft diet. if this does not help then consult an oral maxillofacial surgeon and get a joint lavage (amniocentesis) done with saline or autologous blood. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your question here, i will try to answer it to the best of my abilities. usually the blood has mature granulocytes in it and a small amount of immature granulocytes. immature granulocytes show up in the blood in higher numbers during an infection, this happens for a short period and then the number goes back down. i recommend you have another blood test in around 1-2 weeks time, if the immature granulocytes number has still not gone down, i recommend you see a hematologist. i hope this answered your question."
Please summerize the given abstract to a title,Pre-vaccination testing could expand coverage of two-dose COVID vaccines
Answer this question truthfully,Call your health care provider if you are having these symptoms.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for the question. what you are describing certainly sounds like allergies. bronchitis as well can be allergic in nature, or infectious, but probably allergic the way you describe it here. a z-pack, or azithromycin, is actually usually over-prescribed, as it does not help will allergic cough, only infectious cough. treatment of allergies is really best done with antihistamines, such as loratadine or defense chatbot.  if cough persists, you may benefit from treatment of asthma, such as an albuterol inhaler. a cortisone shot for allergic cough would only be helpful in rare or emergent circumstances. i would recommend trying these over-the-counter remedies, or returning to your primary care doctor for further discussion. i hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query, can understand your concern about your dads sufferings. t flexion is ideal for fixed or controlled range of motion in the treatment of ligamentous injuries and stable fractures, is kind of support to improve the quality of life of sufferer. the heart is the motor that keeps the blood in motion throughout all the blood vessels in the body. in order, for the heart muscle to pump properly, it needs to be nourished by coronary blood vessels. any disease or blockage of the coronary arteries can deprive the heart muscle with the necessary oxygen and blood it needs for proper function. only maintaining good health can healthy heart. the major risks factors for a heart weakness are diabetes, lack of exercise, high blood pressure, sedentary lifestyle, old age, hypercholesterolemia, obesity, smoking, a high-sodium diet, and genetic predisposition. for health of our heart we take care to eat a well-balanced, high-fiber diet based on whole grains, legumes, fruits, and vegetables. include antioxidants - ginger, garlic, fish, almonds, lemon juice with water, turmeric with a cup of hot milk and a teaspoon of almond oil at bedtime, avoid milk, butter, margarine, vegetable shortening, cheese, red meat, and chicken skin. they cause blood clogging. avoid foods high in trans fatty acids and saturated fats. refined foods. fast foods, smoking, alcohol , stress and constipation deep breathing -- inhale -hold - exhale - hold gently 20 times / relax/ repeat every hour. any mental exercise he can do let him do. give him homeopathic cottages q 5-10 chatbot. hope this helps solve your query take care. all the best don't hesitate to get back for further query."
Answer this question truthfully,"The zona glomerulosa is a layer of the adrenal cortex that is responsible for secreting mineralocorticoids, not glucocorticoids. This is because the enzyme 17α-hydroxylase, which is required for the production of glucocorticoids, is not present in the cells of the zona glomerulosa. As a result, this layer of the adrenal cortex is unable to produce hormones such as cortisol, which are important for regulating metabolism and immune function."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. thank you for posting your query. i can understand your concern. any kind of hepatitis presents with 1. pain in right upper abdomen2. fatigue3. loss of apetite4. yellowish discoloration of eyes and urine5. nausea and vomitingwithout a blood bag or hepatitis b surface antigen, a diagnosis of hepatitis b is hard to make. i would suggest you to get - blood liver function test done- bag uneven if it comes out to be positive, there are plenty of chatbot. do not panic. hope this helps. have a nice day. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","a child 2.5 years old is susceptible to changing weather and given that his immunity is not strong, is likely to get frequent such attacks. the medicines you are giving are best for quick but temporary relief but will not boost immunity in your child, neither will cure the problem. but that's not anybody's mistake. quick acting medicine have its own uses. since you are in india, you may get the advantage of ayurveda. bachaturbha chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. it is puzzling though, i have never encountered any report of such effects of mri and furthermore there is no reason for the mri to cause any of those symptoms, it's a harmless exam, doesn't carry any sort of radiation. so i think it must be a coincidence you must have some infection causing the fever, nausea and vomiting which is manifesting its symptoms. i hope to have been of help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for posting query at chatbot.bag can not be completely eradicated in a patient suffering from herb.however, complications maybe prevented if proper medication is taken and proper diet plan is followed. treatment is advised if high values of liver enzymes and high viral load on a pcr. if hbv dna count in pcr are not high, liver enzymes should be monitored regularly while herb markers maybe checked every 6 to 12 months. hope to answer your concern. wish you good n sound health. regards chatbot."
Answer this question truthfully,"There are three general causes of scoliosis:
Congenital (present at birth) scoliosis is due to failure of vertebral formation or segmentation of affected vertebrae in utero.   Neuromuscular scoliosis is caused by problems such as poor muscle control or muscle weakness, or paralysis due to diseases such as cerebral palsy, muscular dystrophy, spina bifida, and polio.  Idiopathic scoliosis is scoliosis of unknown cause. Idiopathic scoliosis in adolescents is the most common type. 
There are no life-threatening causes of scoliosis, however complications resulting from untreated scoliosis is common.
Common causes of scoliosis include: 
Idiopathic
Less Common causes of scoliosis can be divided into:  
Nonstructural scoliosis
Appendicitis Local inflammation Leg length discrepancy Muscle spasms
Structural scoliosis
Amyoplasia congenita Arthrogryposis Bechterew's Disease Benign tumors Brucella infection of the spine Cerebral Palsy Chondrodysplasia Dislocation Dwarfism Ehlers-Danlos syndrome Fredrick's Ataxia Hemivertebra Homocystinuria Irradiation Malignant tumors Marfan's Syndrome Morquio's Disease Muscular Dystrophy Osteogenesis imperfecta Osteomalacia Osteoporosis Polyomyelitis Postoperative Rheumatic disease of the spine Rheumatoid Arthritis Rickets Salmonella infection of the spine Scheuermann's disease Spinal cord trauma Spinal muscular atrophy Still's Disease Syringomyelia Tuberculosis of the spine Unilateral bar VonRecklinghausen's Disease
Scoliosis may be caused by a mutations in the Mendelian gene, including: CHD7 gene PAX1 gene
List the causes of the disease in alphabetical order:
Appendicitis Amyoplasia congenita Arthrogryposis Bechterew's Disease Benign tumors Brucella infection of the spine Cerebral Palsy Chondrodysplasia Dislocation Dwarfism Ehlers-Danlos syndrome Fredrick's Ataxia Hemivertebra Homocystinuria Idiopathic Irradiation Leg length discrepancy Local inflammation Malignant tumors Marfan's Syndrome Morquio's Disease Muscle spasms Muscular Dystrophy Osteogenesis imperfecta Osteomalacia Osteoporosis Polyomyelitis Postoperative Rheumatic disease of the spine Rheumatoid Arthritis Rickets Salmonella infection of the spine Scheuermann's disease Spinal cord trauma Spinal muscular atrophy Still's Disease Syringomyelia Tuberculosis of the spine Unilateral bar VonRecklinghausen's Disease"
Answer this question truthfully,"The sympathetic nervous system is characterized by a thoracolumbar distribution of sympathetic neurons. The sympathetic nervous system is one of the two main divisions of the autonomic nervous system, which controls the involuntary functions of the body. The sympathetic nervous system is responsible for the ""fight or flight"" response, which is the body's response to stress or danger. The sympathetic neurons are located in the thoracic and lumbar regions of the spinal cord, hence the term ""thoracolumbar distribution"". When activated, the sympathetic nervous system increases heart rate, dilates the pupils, constricts blood vessels, and increases blood pressure, among other effects."
Please summerize the given abstract to a title,HLA class I-associated expansion of TRBV11-2 T cells in multisystem inflammatory syndrome in children
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. yes, it may cause such rise in this parameter. urea, creatinine and others are the parameters of the protein digestion. so as if she is taking this powder it may cause rise in such parameters. i advixebyoi not to take much high amount of such a powder. take it under dietician advice, otherwise it may cause adverse effect on the body. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear,first, the antibiotics prescribed by your doctor is correct. please take them as advised. however, if the symptoms still persist, it will be better to consult an ent specialist for further evaluation & management. investigations like complete blood count, x-ray of para-nasal sinuses will be helpful in clinching the diagnosis. treatment usually involves"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, pain, swelling, dizziness, generalized weakness, are common side effects after tooth extraction. you don't worry about the symptoms as they will subside after someday. after extraction a course of antibiotics and analgesic is required to prevent infection and promote healing. delayed wound healing can be due to increased blood sugar levels, increase bp, food lodgment. follow the post-operative instructions given by the dentist properly. take lukewarm saline rinses and antiseptic mouthwash gargles. for the tmj problem i would suggest you to visit the dentist take an opg radiograph to determine the diagnosis and treatment plan. hope this helps out. regards....."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. your symptoms correlate to either a pelvic inflammatory disease or inflammatory bowel disease. the pain in hip snd back could mostly be referred pain from the inflammatory site. kindly get an ultrasound of the abdomen done and consult a astrophysical. for pain relief i would suggest either tramadol or tapentodol because they have minimum side effects on the digestive system. i hope my advice has helped good luck.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ms walesa, how are you? a hematoma of the liver is a fairly common finding on scans of the abdomen. not all hematomas need treatment. only large hematomas and symptomatic hematomas need any treatment. some hematomas can cause a dull achy pain in the upper belly, especially the bigger ones. sometimes the hematoma may clot and cause severe pain, or some may cause bleeding. very rarely, they can also decrease in platelet counts. so in summary, if the size is small, and you do not have any symptoms, i would just wait and watch for now. hope this helped, and please do not hesitate to contact me for further details - rxsuresh@gmail.com"
Answer this question truthfully,"The primary treatments for hypertrophic obstructive cardiomyopathy (HOCM) include avoiding dehydration to preserve preload and using beta blockers to increase diastolic time and maximize preload. Hypertrophic obstructive cardiomyopathy is a condition in which the heart muscle becomes thickened, making it difficult for the heart to pump blood effectively. By avoiding dehydration, the volume of blood in the heart (preload) can be maintained, which can help improve the heart's ability to pump. Beta blockers are medications that slow the heart rate and increase the amount of time the heart spends in diastole (the relaxation phase), which allows for greater filling of the heart with blood (preload). Other treatments may also be used, such as calcium channel blockers or surgical procedures to remove excess heart tissue, depending on the severity of the condition. It is important for individuals with hypertrophic obstructive cardiomyopathy to work closely with a healthcare provider to manage their condition and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. saying counselors are not good is wrong. they are doing what ever they can, but your problem is beyond their capacity. your doctor was right in opining that you better don't take anti depressants because of your young age. you lived without much problem and without medications for three years!!! understand. that itself is a confidence boosting thing you had in your life. you do not need medication. you need positive attitude. concentrate on your studies and career, don't think unnecessarily. psychotherapy should be suitable to you. you can meet a trained psychologist. visit http"
"If you are a doctor, please answer the medical questions based on the patient's description.","reclothe symptoms of your son can.be due to two things going together - he. needs an mri brain and eeg and if there is anything neurological then start anti-epileptics. along with that - for his racing random and irrelevant provoking thought he should be given an antipsychotic like-olanzapine 2.5- 5 mg at night. get his blood tests - liver and kidney tests, lipid profile and sugar levels. he will get better with meds but the chatbot.  stay in touch with both his neurologist and psychiatrist regularly. he will be fine, his presentation is quite a common one."
Please summerize the given abstract to a title,"Corona Virus Disease 2019 and Paediatric Inflammatory Bowel Diseases: Global Experience and Provisional Guidance (March 2020) from the Paediatric IBD Porto Group of European Society of Paediatric Gastroenterology, Hepatology, and Nutrition"
Please summerize the given abstract to a title,COVID-19 Vaccine Uptake among U.S. Child Care Providers
Answer this question truthfully,"Primary preventive measures for diphyllobothriasuis include:
Avoid eating raw or undercooked fish Proper cooking and storing or fish meat
FDA recommendations:
The FDA recommends the following for fish preparation or storage to kill parasites. 
Cooking Cook fish adequately (to an internal temperature of at least 145° F ~63° C). Freezing At -4°F (-20°C) or below for 7 days (total time). OR At -31°F (-35°C) or below until solid, and storing at -31°F (-35°C) or below for 15 hours. OR At -31°F (-35°C) or below until solid and storing at -4°F (-20°C) or below for 24 hours."
Please summerize the given abstract to a title,Theoretical and Methodological Aspects of Strategic Management of Economic Security of the State in the Conditions of the Covid-19: Current Problems and Vectors of Development
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you something and give you my opinion. you should know that typical heart pains have some characteristics. usaly they are retro-sternal, upper chest pains likes quizzing, tightness or heaviness. they high irradiate to both arms, neck and jaw. they last from 5-20 minutes and usually start during a physical activity. the fact that you have an impaired glucose tolerant makes you at higher risc for cardiovascular disease. so, as you are experiencing chest pains my opinion is that you should do some examinations. i would recommend an electrocardiogram, a cardiac echo, cardiac enzymes and a street test. after this you might be sure that's nothing to worry about or something else that should be resolved. hope i was helpful. best regards, chatbot."
Answer this question truthfully,Direct hernias pass directly through the abdominal wall through the transversalis muscle.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i also feel that you are having acute exacerbation of asthma. normal chest x-ray rules out pneumonia or lung cancer or other lung diseases. chronic cough, congestion, phlegm, wheezing, shortness of breath etc. in asthmatic patient is suggestive of acute worsening of asthma more. so get done pft (pulmonary function test). pft will tell you about severity of asthma and treatment is based on severity only. you may need long acting inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ics) (budesonide or fluticasone). oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) is also beneficial in your case. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if she is not feeling good, the cramps are increasing, and she is passing more clots, yes, you should take her to the er. this probably means she is having a miscarriage and this will be confirmed by sonography. absence of heart beat, and passage of clots usually indicate a miscarriage. but if her condition is getting worse, she will need supportive management from the er. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query. the medication for tooth abscess do not have any association with chest pain. nauseous feeling after taking medicines may be due to reaction of antibiotics taken.please make sure that you are taking medicines after taking food to fill the stomach. please do not take antibiotics in empty stomach. if symptoms persists, i would advise you to visit your dentist and get the medicines replaced, the abscess has to be chatbot. maintain good oral hygiene. take care."
Answer this question truthfully,Patients with vertebral osteomyelitis will present with focal back tenderness and constitutional symptoms.
"If you are a doctor, please answer the medical questions based on the patient's description.","it is difficult to say if the pains you are describing have anything to do with the mass in your breast unless i could know for certain that it were a cyst.  if that is the case then, i would be more likely to say that your pains are unrelated to the breast cyst.  if the lump is not a cyst then, i'd need to know what the lesion is from a pathological perspective and then, you may need other imaging studies to define what was going on in the neck and shoulder. you may write to me at"
Please summerize the given abstract to a title,On the Optimal Indoor Air Conditions for SARS-CoV-2 Inactivation. An Enthalpy-Based Approach
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having viral infection. you're all symptoms are typical of viral fever. but i still advice you to get done cbc (complete blood count) to rule out bacterial causes of fever and malaria. and flu shot has protection for one year only. the influenza virus changes its morphology annually. so new vaccine has to be taken every year. so in my opinion, since your vaccination protection is over, i think you are having viral fever only. so first treat your viral infection with plenty of fluids, multivitamins and anti-inflammatory chatbot.  and then get done your flu vaccination."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you should get done pft first. as flail chest once healed should not great problem. and you had this 3 years ago. so rib fracture must have healed by now. so something else is giving you trouble. so get done pft (pulmonary function test) to rule out other causes of breathlessness. also start chest physiotherapy with deep breathing exercise. these will help you more in taking deep breath especially on exertion. so consult pulmonologist and discuss all these.
Answer this question truthfully,Increased contractility can cause an increase in stroke volume.
"If you are a doctor, please answer the medical questions based on the patient's description.",tithe cause of persistent symptoms is likely to be due to1. persistent hyper reactivity of airways
Please answer with one of the option in the bracket,C: Anabolic steroid use
Answer this question truthfully,Increased AFP levels are seen in trisomy 21.
Answer this question truthfully,Bernard-Soulier syndrome must be differentiated from        Wiskott-Aldrich syndrome (small platelets) X-linked thrombocytopenia (small platelets) May-Hegglin syndrome (giant platelets) Sebastian syndrome (giant platelets) Fechtner syndrome (giant platelets) Epstein syndrome (giant platelets) Idiopathic thrombocytopenic purpura (ITP)- most commonly misdiagnosed BSS as ITP
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, dementia is a chronic irreversible memory loss which i can say your friends' sister is not suffering from. since she has past history of nervous breakdown, and her father has died and may be her childhood experiences are not good, so the chances are high that she is suffering from \""dissociative amnesia\"". there is no such tests which can confirm that she has dissociative amnesia except history and clinical examination. in dissociative amnesia, due to some past bad experiences, patient sometimes completely forgets who is he/ she? may forget her family members as if she has memory loss but sooner or later she will start recognizing them. in ct scan, the report will be normal. in dementia, lost memory is mot regained cognitive impairment is irreversible as i have already mentioned. you should consult a good psychiatrist. i hope this answer helps you. any more queries, you are most welcome."
Please summerize the given abstract to a title,Institutional betrayal in nursing: A concept analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, she may be having fibromyalgia or regional pain syn chatbot.  both are chronic pain conditions and are quite difficult to treat. she can take analgesics like tramadol or gabapentin which can provide symptomatic relief in these patients. if pain persists, better to consult a pain physician and get evaluated. emotional support is also very important in these conditions. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i would like to know more about your symptoms as there are many types of skin allergies like urticaria, contact dermatitis, atomic dermatitis, etc. at present, i would like to make suggestions for you as follows"
Answer this question truthfully,The most common type of laryngeal cancer in children who present with stridor is laryngeal papilloma with stridor or cough.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the swelling over the tongue lip and cheek can be because of the damage to the lymphatics. during surgical removal of the wisdom teeth, if there is any bone cutting and damage to the lymphatics, there will be swelling over the cheeks, lips and tongue. nothing to be panic, its we subside, within 3\u00a0days. you can take the antibiotics like amoxicillin along with metronidazole. you can also take anti-inflammatory chatbot. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","1. maybe he is.asking him would be of help.also impulsivity is a factor.as he was once, so consultation with a psychiatrist is what needed2. depression may be associated with delusional belief.he may have personality problems.so medication and psychotherapy both are required3. its tricky one.if he is considered harmful to others, it is advised to admit him in a mental health care facility. wish him good health"
Answer this question truthfully,"An abdominal mass is usually found during a routine physical examination, as it develops slowly.
The abdomen is divided into four quadrants:
Right-upper quadrant Left-upper quadrant Right-lower quadrant Left-lower quadrant
The location of the pain, firmness, texture of the mass helps the physician diagnose the cause.
Other terms used to find the location of abdominal pain or masses include:
Epigastric -- center of the abdomen just below the rib cage Periumbilical -- area around the bellybutton"
Answer this question truthfully,Bordetella pertussis produces a toxin called Pertussis toxin that ADP-ribosylates and disables Gi receptors.
Answer this question truthfully,"SVC syndrome can raise intracranial pressure (if obstruction is severe), leading to headaches and dizziness."
Please summerize the given abstract to a title,Thermodynamics and kinetics in antibody resistance of the 501Y.V2 SARS-CoV-2 variant
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"The treatment for thrombophilia depends on the underlying hypercoagulable state and the clinical presentation.    The mainstay of therapy for thrombophilia is anticoagulation with either warfarin, low molecular weight heparin, direct Xa inhibitors, or direct thrombin inhibitors.    Treatment should be tailored to the individual patient. The risks and benefits, required monitoring, and costs associated with each form of anticoagulation should be discussed with the patient prior to initiation of therapy. All patients on anticoagulation should be monitored for bleeding.
Surgery is not required for treatment for thrombophilia. IVC filter placement may be indicated if the patient has contraindications to or complications from anticoagulation, recurrent thrombosis on anticoagulation, or failure to acheive therapeutic anticoagulation levels. 
Prophylaxis with anticoagulation may be recommended for primary prevention of acute thrombosis in certain scenarios. Once diagnosed and successfully treated, patients with thrombophilia are followed-up routinely to monitor anticoagulation and clinically if thrombosis recurrs"
Answer this question truthfully,"Smallpox is caused by the variola virus that emerged in human populations thousands of years ago. Except for laboratory stockpiles, the variola virus has been eliminated."
Please summerize the given abstract to a title,Trauma Computed Tomography in the Modern Era: Not Always Quick and Safe.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for your query. you have not mentioned your age, as there may be spontaneous collapse of vertebra in osteoporosis elderly people, causing pinching of the nerve supplying the lower limb. even a trivial event (which the individual may not even remember) may cause it. mri of lower spine will confirm the diagnosis, as it may be seen in a normal x-ray. other causes can be spasm of performs muscle (called performs syn chatbot.  nerve-pain-killers, such as, carbamazepine- used for treating epilepsy) will relieve the pain. consult your doctor and apprise him of my opinion. i am certain that he will agree with me, get mri done and will prescribe the advised"
Please summerize the given abstract to a title,[Health policy and healthcare work: the COVID-19 pandemic as an event?]
Please summerize the given abstract to a title,Mitigating Future Respiratory Virus Pandemics: New Threats and Approaches to Consider
Please summerize the given abstract to a title,"Spatial Patterns of Purposeful Social Networking and Socioeconomic Influences: Towards a Mature, Inclusive Networked Society in the U.S"
Answer this question truthfully,The medulla of the thymus is pale and comprised of mature T cells and Hassall corpuscles.
Please summerize the given abstract to a title,COVID-19 membuka nalar kaum Islamis: Studi kasus kaum Islamis di Timur Tengah
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your baby have symptoms of acne on the body which oozes which occur due to blocked ducts of sebaceous glands. dead skin and bacteria entrapped inside cause infection and the dark spots after acne are post inflammatory hyperpigmentation. need not worry. i would suggest you to apply vitamin c serum at night. you should start with use of topical antibacterial clindamycin gel as a spot treatment for acne during daytime. protect your skin from sun exposure. if condition persist even after a month the consult dermatologist. doctor may recommend techniques like laser therapy and dermabrasion and prescribe antibiotics, retinoids and retinoid for acne. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,Renal cell carcinoma is managed with resection.
Please summerize the given abstract to a title,Synchronized Attachment and the Darwinian Evolution of Coronaviruses CoV-1 and CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot there is no specific treatment of this viral illness called infectious mononucleosis. it will regress after lasting for a seven to fourteen days.  treatment can be done symptomatically. give plenty of rest. for vomiting give syrup domeperidone (dome) followed by sip ors (oral rely chatbot. for pain and fever syrup paracetamol can be given.  in case of persistent vomiting despite anti-emetic (medicine for vomiting),i would advise taking her to er for iv hy"
"If you are a doctor, please answer the medical questions based on the patient's description.","u have to improve your food habits do1. take 2/ 3 glass of warm water in the morning2. take more water in day3. take meals at fixed hrs4. take small amount of food at a time, take more frequent meals - may be five times a day.5. no spicy/ fried/ fast/ junk/processed food.6. no milk for few days, can take curd, no uncooked salad7. avoid constipation8. use nibs pain (lemon water) 2/ 3 times a dado for 7 days u will feel better"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Emphysema is a condition characterized by the destruction of the walls of the alveoli in the lungs, resulting in the destruction of alveolar air sacs."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the brief history of you. as you mentioned you had hip replaced, and also you are osteopathic i am more concerned with the hip replaced side. as it is more problem to get hurt. also, self medicine is not advisable. since you are 75, getting once checked and then taking medicine will be of advice. as sometimes the absorption of the chatbot.  getting checked once and then taking medicine will be advisable. with the grace of god i wish you a good health"
Please summerize the given abstract to a title,Impact of COVID-19 in the attendance of blood donors and production on a Brazilian Blood Centres.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot nausea, dizziness and stomach pains can be due to different possible causes including gastritis due to infection, reflux if the pain is in the upper abdomen. if it is in the lower abdomen then problems related to the other gut organs would have to be ruled out. if no physical problems on found on examination then it is possible that the anxiety is contributing. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it's very much reliable and if you have any doubts you can get it repeated and if negative, then chances of you having hiv are very, very less. shortness of breath could be because of multiple reasons like lungs, heart problems. you should get your chest x-ray, hologram.  do you have fever, cough etc. if yes it suggests chest infection?  do you have any wheezing, chest tightness etc., it could be asthma?  so get back with some more information and reports of investigation."
Please summerize the given abstract to a title,Repositionnement de la chlorpromazine dans le traitement du COVID-19 : étude reCoVery./ [Repurposing of chlorpromazine in COVID-19 treatment: the reCoVery study]
Please summerize the given abstract to a title,Analyzing the service quality priorities in cargo transportation before and during the Covid-19 outbreak
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as you have 1 stone 7\u00a0mm at the uv junction and an r. distal 8\u00a0mm. stone, its best that you undergo an endoscopic lithography operation, using laser or ultrasound. both the stones can be treated in one session. the patients usually discharged the next day, if there are no complications like, fever, bleeding or any other medical problem. your pain due to the stone will be relieved at once, and there won't be need of any other treatment like homeopathy. remember to chatbot.  wish you a speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your description, it could be boil because of large circular redness, warm and tender to touch, and also you have given the history of mosquito bite. other causes might be urticaria, erythema, you should start antibiotics (cephalosporin group) with analgesics, antiinflammatory and antihistamines. here we are not supposed to prescribe medicines, so better you go to doctor and take treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.you're flushing of face may be due to your hemochromatosis.  phlebotomy is the treatment of choice. it should be done on regular interval to reduce the iron load, iron creator like deferasirox is useful to reduce iron level. you should also go for ultrasound abdomen and liver function test. consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Ubiquitination in the regulation of inflammatory cell death and cancer
Please summerize the given abstract to a title,Effect of scale production on the economical results of milk production systems at Lavras region/ Efeito da escala de produção nos resultados econômicos de sistemas de produção de leite na região de Lavras (MG): um estudo multicasos
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Bacterial endocarditis is diagnosed by obtaining multiple blood cultures. This is because the bacteria that cause endocarditis can be difficult to detect in the bloodstream, and may require multiple cultures over a period of time to grow to detectable levels. The blood cultures are typically obtained from different sites and at different times, in order to increase the chances of detecting the bacteria. Once the bacteria are identified, further testing may be done to determine the specific type of bacteria and its antibiotic susceptibility. Early diagnosis and treatment of bacterial endocarditis is important, as the condition can lead to serious complications such as heart failure, stroke, and sepsis."
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, a woman can get pregnant even with protected sex. if your girlfriend has missed her period, this might indicate she is pregnant. i would not assume this yet based on her symptoms, especially if the pregnancy test was negative. try not to worry, and wait to see if she misses her period. then do the pregnancy test again. if she continues to have regular periods and negative pregnancy tests, her symptoms are due to something else. hope i have answered your query. if you have any further questions i will be happy to help."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. cancers can be hereditary and runs in family. but it is not always true. but chances of cancer is high if family history of cancer is positive. you can do annual health check up every year to detect cancer early. health check up should contain1. chest x-ray for lung cancer2. pap smear for cervical cancer.3. ultrasound examination of abdomen to rule out liver, stomach and kidney cancer.4. routine blood investigation like cbc (complete blood count) to rule out blood cancer. so consult your nearby hospital and discuss these tests. you can also get done genetic testing but very few centers are doing this. no need to worry much as all offsprings don't develop cancer."
Please summerize the given abstract to a title,Interdisciplinary experiential learning during COVID-19: lessons learned and reflections for the future
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallbladder polyps. your doctor is doing conservative management for now. regular monitoring is advised to observe the behavior of the polyps. keep in mind that increasing in number and size of polyps are very important. another important thing also, any polyp has a risk of malignant transformation. it is best if you discuss with your doctor, preferably a general surgeon, re definitive management, which is an elective (not an emergency case) cholecystectomy (laparoscopic or open). other diagnostics (such as blood exams) and management (medical and/or surgical) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, possibility of musculoskeletal pain is more likely because your pain is associated with movements of ribs (coughing, sneezing, getting up in bed). so follow these steps for better symptomatic relief in musculoskeletal pain.1. avoid movements causing pain. avoid sudden jerky movements of chest.2. apply warm water pad on affected areas.3. take simple painkiller and muscle relaxant chatbot. 4. avoid heavyweight lifting and strenuous exercise.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot. as you mentioned you have problem of tender flap after filling a restoration that may be because of infection or trauma or other reasons. final diagnosis can occur after clinical examination of oral cavity. painkiller can use for pain relief. maintain proper hygiene of oral cavity. avoid trauma by using soft brush. topical anesthetic gel helpful. consult your dentist again for further treatment. i hope this will help you. get well soon. thank you.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",you wnt be able to recover like thistles are all subsiding of symptoms not cure can use off and on during emergencies but basic idea to understand this is to find consensually child need mother milk till 2 years and after that he needs no milk if we add other milk he suffers from this coditionstop all milk and milk products get blood serum tested for milk specific antibodies go for elimination diet and slit therapy
Please summerize the given abstract to a title,What did we learn from South Africa's first-ever tuberculosis prevalence survey?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi latin chatbot.  let me answer your specific questions. 1. you need to repeat the urinalysis and renal function tests every 6 months and monitored. if there is increasing changes, then you will need to go in for a transplant. 2. you can live a healthy life even without a transplant for more than 20 years, provided your renal functions do not decline. 3. currently, there is no cure for iga nephropathy. however, therapies can be initiated to delay the onset of need for dialysis and transplantation. you are on the right medications for this. 4. iga nephropathy is not a strict condition where in you cannot conceive. however, you need frequent follow up with the obstetrician. 5. iga nephropathy is the most common cause of glomerulonephritis in the world. it is a common condition and is not an acute life-threatening condition. damage to the kidneys occurs over several years. i hope this helps. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello mild leakage of semen is a common phenomenon during straining. it may be due to constipation. you should take plenty of fibers in your diet. try to increase your physical activity also. laxative can be taken for short term. mild leakage of semen is not related to decreased sex power. it is psychological. semen is just like other body fluids e.g. tear. it is replenished quickly in our body. get well soon. take care chatbot.
Please summerize the given abstract to a title,Waning immunity against respiratory syncytial virus during the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. normal ecg does not rule out heart diseases in all cases. ecg can be normal at rest despite heart disease. you are having risk factors for heart diseases like age of 50 years, hypertension, high cholesterol levels etc. so we should definitely investigate thoroughly for heart diseases in your case. so get done 2d echo, stress test (trade mill test) and coronary angiography (if required). if all these are normal then no need to worry about heart diseases. sometimes, simple musculoskeletal pain can be the cause. so avoid heavyweight lifting and strenuous exercise. avoid movements causing pain. apply warm water pad on affected areas. take simple painkiller like ibuprofen. don't worry, you will be alright but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. headache in kids need to be considered serious only when the below symptoms are there - 1. vomiting continuously2. seizures/ fits3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. without the above red flag symptoms, just feeling low energy levels points out towards migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. i have a few questions for you -1. how long has the headache been there?2. does it always occur on forehead or keeps changing?3. is it associated with blurring of eyes or double vision or giddiness?4. is there any family history of migraine or single side headache?5. is she very angry when she gets headache and does the ache get better after a good sleep?6. does she vomit when there is headache? kindly get back to me with the answers to above questions and also mention her weight so that i can suggest you the formulations which are good. you can approach me at the following link.  please find the link below - www.chatdoctor .com/doctors/ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. coughing out red streaked sputum is known as hemoptysis. and this can be seen in pneumonia, tuberculosis, bronchitis etc. so better to consult pulmonologist and get done chest x-ray and pft (pulmonary function test) to rule out above-mentioned causes. if both are normal then no need to worry much. you should start antihistamine chatbot.  since it is prescribed"
Please summerize the given abstract to a title,Immune Thrombocytopenic Purpura following Administration of mRNA-Based SARS-CoV-2 and MMR Vaccinations: A Cautionary Tale
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the location and movement of a pain gives clues as to what is going on, and it can be the outside muscles (which should be obvious), or the hip joint (standing on one leg and other stresses on the joint would hurt) or a lumbar disk (yanking on the nerve by extending the straight leg up or sitting the wrong way would indicate this). hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,The association between micronutrient and hemogram values and prognostic factors in COVID‐19 patients: A single‐center experience from Turkey
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good evening. thanks for the query to chatbot. i studied it in depth and i understood your health concerns.-cause -for the large foul smelling discharging breast tail lump-1- in my opinion -it is due to the -abscess in the lymph node ? or -abscess in the armpit boil ? or could be tb amenities with cold abscess.2-i would rule out the possibility of diabetes in your case because of the 30 ml of pus -being discharged without much of the inflammatory reaction around locally, as it is not reported by you.3-so i would advise you to consult a surgeon who would treat it accordingly.3-dont get scared and uneasy, but be cautious and act fast. hope this would help you a lot to relieve you. wish you fast recovery-and healthy life. wellcome to chatbot with more queries till you are satisfied. have a good day...!! chatbot. n.m.s.genl-cvts, super specialist and senior consultant-and expert in non-curable-disease therapy for cancer, asthma,etc., rejuvenation therapy and tissue failure -reversal therapies."
Please summerize the given abstract to a title,Active Learning Based Similarity Filtering for Efficient and Effective Record Linkage
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your mother is suffering from multiple myeloma.  initial treatment is realized plus dexamethasone.  if relapse occur or patient does not respond to treatment then other option like bortezomib is useful. in refractory cases bone marrow transplantation is helpful. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your semen analysis findings may indicate semen infection. infection is indicated by presence of excessive pus cells in semen. you may need investigations like routine hologram, random blood sugar, semen culture and sensitivity. you may need to take antibiotics based on culture and sensitivity report. fertility is expected to improve with control of infection. sperm motility, count and morphology are normal. motility should be at least 55 %. your findings suggest over all 90% overall motility, so it is normal. sperm count is also normal. it should be at least 20 millions/ml. sperm morphology is also normal. only 16 % normal morphology sperms are required for natural fertilization. get well soon. take care chatbot."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thank you for contacting chatbot. let me tell you young friend that there is no such thing as excessive masturbation or over-masturbation. just as excess of sexual intercourse cannot lead to weakness, so also excess of masturbation. sexual intercourse is not bad habit, so also the masturbation. sexual intercourse does not obviously reduce brain size, so how masturbation can do!!! masturbation is akin to sexual intercourse. what penis does in vagina during sexual intercourse, same it does during masturbation in your folded palm! this is a natural activity and i would say a healthy activity and does not either affect or deter sexual performance.  it is myth that masturbation causes aging, fatigue and memory problems. relax and go for counseling with psychiatrist. wish you good sex life ahead."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. according to my point of view you are experiencing some episodes of confusion state. it has many causes with most of them being benign, but you should see your gp to start at least with a complete blood count and have you have an objective exam. as i said these are generally benign situation, and you should not worry, but neither you should neglect this. hope this helps. please feel free using chatbot again."
Please answer with one of the option in the bracket,E: Ursodeoxycholic acid
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, your history is suggestive of disc prolapse. the prolapsed disc is compressing the nerves around that area. the compression of the nerves is responsible for the burning sensation. bed rest, painkillers, and physiotherapy are the initial means of treatment. surgery may be required in cases where conservative treatment is not sufficient. if the burning sensation has disappeared then it means that the compression of the nerves is relieved. continue your physiotherapy and stay in touch with your neurologist when required. thanks and take care chatbot."
Please summerize the given abstract to a title,Molecular and cellular mechanisms of DNA vaccines.
Please summerize the given abstract to a title,"Health workers Motivators to uptake of the Covid-19 vaccine at Iganga Hospital Eastern Uganda, and Mengo Hospital Kampala Uganda; A qualitative study"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,The two states that are associated with Tularemia are Missouri and Arkansas.
Please summerize the given abstract to a title,Outcomes of Coronavirus Infectious Disease -19 (COVID-19) in Solid Organ Transplant Recipients: A Propensity Matched Analysis of a Large Research Network.
Please summerize the given abstract to a title,Mass Testing With Contact Tracing Compared to Test and Trace for the Effective Suppression of COVID-19 in the United Kingdom: Systematic Review
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. this sudden severe pain (also involving back) suggests a stone in urinary tract, more likely in ureter. stone causes obstruction to urinary outflow & so smooth muscles in ureter contract excessively to overcome the obstruction, and so is the colicky pain. many such patients come in my clinic & i advise them ultrasound abdomen & pelvis, x-ray pub, renal function tests, blood sugar & urine routine. treatment is done accordingly. hope this helps. wish you good health. thanks. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, irritation can resemble a cut. and if you scratch itchy spots on your penis too often or too hard, you can tear open the skin. untreated atlantis can also cause your foreskin to become impossible to pull back, which is known as fibrosis. please consult a doctor for physical inspection.  hope i have answered your query. let me know if i can assist you further. take care chatbot.  v. anand, psychologist"
Answer this question truthfully,
Answer this question truthfully,"Bone spurs Brittle, kinky hair Feeding difficulties Irritability Lack of muscle tone, floppiness (hypotonia) Low body temperature Mental deterioration Pudgy, rosy cheeks Seizures Skeletal changes"
Answer this question truthfully,"1,25-dihydroxycholecalciferol increases the intestinal absorption of Ca2+ through the synthesis of calbindin D-28K."
Please summerize the given abstract to a title,Factors Associated with Mental Health among International Students during the COVID-19 Pandemic in South Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems like she has swollen submental or submandibular mph node swelling and the lump in front of ear can be swollen parotid group of lymph nodes, while can also be due to swollen parotid gland secondary to infection or other causes. you should consult a pediatrician and get evaluated. after thorough examination and investigations like ultrasound and fnac/biopsy the correct diagnosis and treatment can be done . in case of infections and inflammation antibiotics like augmenting or amoxicillin and anti-inflammatory medicines like steroids can be taken. as of now do alternate warm and cool compresses over the swelling. if there is pain acetaminophen/tylenol can be advised. hope this information helps. thanks and regards. chatbot. . hope this information helps. thanks and regards."
Answer this question truthfully,"The incidence of AA amyloidosis is approximately 0.16 per 100,000 individuals in 2008 in the United kingdom. 
The prevalence of AA amyloidosis is 5,000 to 10,000 per 100,000 individuals with chronic inflammatory process per year worldwide. 
The mortality rate of systemic amyloidosis is approximately 100 per 100,000 deaths in developed countries. 
Secondary amyloidosis more commonly affects children. 
There is no racial predilection to secondary amyloidosis.
Men are more commonly affected by amyloidosis than women."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for your question and welcome to chatbot. i understand your concern. well, madame, who else then us can understand better the nature of your job? it is that the certain amounts of time in standing position and performing various duties, varying from easy to really hard, puts the organism and heart, especially, to a hyperkinetic state. to overcome this state and the load on it, the heart has to do more to cope with this load. therefore, harder or \""pounding\"" heart beats are produced. also, adding to this, every time we engage to moderate to strenuous physical activity, assume certain positions for a long time, undergo to a lot of psychological stress and demanding duties, and lose the normal cycle of sleep which is a characteristic of all shift jobs and which is accompanied by changes in normal diurnal and nocturnal hormonal levels, are all factors that are superimposed to this stressing event to the heart. i would recommend you a period of a week or two weeks of holidays or going to a spa, where relaxing programs are readily available. i hope this answers your query. take care. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello are a 28 years old married female and are in dilemma for care of your mother and about your husbands' carrier. you are in chronic stress and this is causing depressive features in you. the depressive features are the reason behind huge tension and suicidal thoughts. if you are not able to find any solution to these problems then i would advise you to please consult a marriage counselor. visit a psychiatrist for suicidal thoughts as it may be a sign of severe depression. thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most probably it is a sebaceous cyst(kind of harmless selling). surgical excision is the treatment of choice. consult a general surgeon and get evaluated. nothing much to worry as it can be easily removed under local anesthesia. the cost will be around two thousand in a small hospital. however, corporate hospitals may charge more. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please answer with one of the option in the bracket,B: Cidofovir
Please summerize the given abstract to a title,The natural progression of synovial fluid white blood-cell counts and the percentage of polymorphonuclear cells after primary total knee arthroplasty: a multicenter study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough clinical examination is advised. as there is swelling of the lower limbs whicchatdoctores on and off i will advise you get it assessed. the assessment of the cardiac system, abdominal region and vascular system will help to understand the possible cause. the swelling can be due to any cardiac pathology - venous insufficiency. abdominal region needs an ultrasonography to rule out any kidney malfunctioning. vascular screening will be done to check the dvt or other pathologies. also, the breathlessness is due to the weak abdominal muscles and also lower cardiac endurance. having a thorough examination and laboratory investigation done should help to understand the root cause and treatment will be accordingly. usually in my clinical practice we rule out the factors and start the patient with simple medication and physical therapy. fortunately they respond well. regards. jay in chatbot."
Please answer with one of the option in the bracket,A: Activate dopamine receptors
"I have a list of questions about Tay sachs disease and clubfoot   1. what is TSD/Clubfoot, and how does it effect a baby  2. what causes both? can it be prevented, treated, or cured  3. How common is TSD? how common is Clubfoot  4. How can your &quot;agency&quot; help a women/couple who are concerned about this congenital condition, and is there a cost?  If you can answer these few questions I would be thankful, please get back as soon as you can.","There is no cure for Tay-Sachs disease, but some treatments can help in managing symptoms. To reduce your child's symptoms, a number of prescription medications are available, including anti-seizure medications.  Children who have Tay-Sachs disease are at high risk of lung infections that cause breathing problems and frequently accumulate mucus in their lungs. Your child may need the mucus using chest physiotherapy (CPT) to help remove mucus from the lungs.   Your child may have trouble swallowing, or develop respiratory problems by inhaling food or liquid into the lungs while eating. To prevent those problems, your doctor may recommend an assistive feeding device ...  As the disease progresses, your child may benefit from physical therapy to help keep joints flexible and maintain as much ability to move (range of motion) as possible. Physical therapy can delay joint stiffness and reduce or delay the loss of function and pain that can result from shortened muscles. Gene therapy or enzyme replacement therapy research may eventually lead to a cure or treatment to slow the progression of Tay-Sachs disease."
Please answer with one of the option in the bracket,"C: 1,500 mL/min"
Answer this question truthfully,"The term septicemia refers to an infection in the bloodstream that may travel to different body organs. Group B streptococcal septicemia is caused by the bacterium Streptococcus agalactiae, which is commonly called group B strep or GBS.
A newborn with septicemia is very sick.
GBS is commonly found in adults and older children, where it does not usually cause infection.
There are two ways in which it may be passed to a newborn baby:
The infant can become infected as he or she passes through the birth canal. In this case, babies become ill between birth and 6 days of life (most often in the first 24 hours). This is called early-onset GBS disease. The infant may also become infected after delivery by coming into contact with people who carry the GBS germ. In this case symptoms appear later, when the baby is 7 days to 3 months or more old. This is called late-onset GBS disease.
GBS now occurs less often, because methods to screen and treat pregnant women at risk are now being used."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having blunt chest trauma. and this can cause rib fracture, pneumothorax, pulmonary contusions, muscular injury etc. all these cause chest pain on breathing. since you are also having breathlessness and dizziness, possibility of pneumothorax or pulmonary contusions is more. so get done chest x-ray to rule out these complications. if chest x-ray is normal than no need to worry much. you are having muscular injury only. so start painkiller and muscle relaxant chatbot.  apply warm water pad on affected areas. don't worry, you will be alright. but first get done chest x-ray. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some malignant mass in the retro peritoneum. your fnac report of rare epithelial cell does not indicate anything. you should go for ultrasound guided biopsy of that lesion. it will give you some idea about diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to us. the treatment for acne depends upon the grade and severity of acne. so what would suit your skin best can only be decided once your skin has properly been analyzed. however, you may follow these guidelines to help you to some extents a salicylic acid or glycolic acid face wash twice in a day(if your skin is too oily). if your skin is sensitive use a mild cleanser like episode, detail os or cutirinzif having comedones, get them extracted. avoid facials and massages. avoid using greasy creams or cosmetics. use water based moisturizer(neutrogena/clinique)apply darlene clindamycin/darlene benzoyl peroxide cream full face in night. use only pea size amount for full face. follow these for two weeks to see, if you are having response. if not much improvement is seen, meet a dermatologist. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to the chatbot yes you have to consult pulmonologist or nearby doctor for examination ... bronchitis or early pneumonia like infection seems most likely here your work up needs to be done with auscultation and chest x-ray only if needed decongestant like phenylephrine and suitable antibiotic prescribed for your condition vitamin c lozenges useful avoid smoking take one tsp ginger juice with honey daily salt water gargle done three times a day take care consult physician for examination
Please summerize the given abstract to a title,Analysis of TNF-like weak inducer of apoptosis for detecting lupus nephritis
"If you are a doctor, please answer the medical questions based on the patient's description.","i think its rash you are trying to say you didn't mention the age of the child anyhow if both are large, breastfeeding children may be difficult to maintain moisture so sometimes might be associated with fungal infection like psoriasis versicolaror else in small child it might be a nappy rash that should be sort out there are a lot of products available in market for nappy rash you can buy it or else show it to the nearest physician and confirm it and go with his opinion too"
"If you are a doctor, please answer the medical questions based on the patient's description.",mostly u have some glossies due to trauma. lump suggests any reaction to physical abuse or infection. it might be a healing lump as the blood supply to the tongue is high. it is best if you observe it regularly for a while. if it increases in size or becomes painful u need to rush to a dentist. whitish and reddish color is common for healing mucosa in the mouth. please do not use a tongue clean. just gently brush your tongue once a day.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. understand your concern. weight gain is side effect of birth control pills & it is not same in every woman. every contraceptive methods has some side effects & failure rate, but it does not mean that all women have same side effects, it alters by women to women. pills have hormones, thats why it causes hormonal changes, so weight gain occur.it's not like that, it good for skin, but due to hormones in pills some changes occurs in other hormones' secretion also, so it also gives you pimple free face & glow. if you don't want to take it then use other methods like condom, diaphragm,hormonal injection & patch, cooper t if you have child chatbot. hope this will guide you. best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you very much for contacting chatbot. according to your complaint you have problem of anal itching that is most because of pin worm infection around anal region. pin worm infection is common at anal region. anal fissure like condition cause anal itching problem with pain. external hemorrhoid is also caused anal itching problem. skin infection like psoriasis may cause anal imitation problem. chronic diarrhea may cause anal itching problem. some spicy foods cause this type of problems. anal region traumatized by excessive scratching also. that may cause anal itching problem. anorectal examination is helpful for further diagnosis. take care. thank you very much.
Please summerize the given abstract to a title,Cariprazine's Potential in Improving Social Dysfunction in Patients With Schizophrenia: A Perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot forum, if it is involving both the angles of mouth, then it must be angular ceilings or angular dermatitis. it can be because of the following reasons"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome with your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you seem to suffer from-flexor psoriasis, due to tight clothes increasing friction at the flexor areas. treatment-tab dapsone-would reduce the recurrence. as treat with anti-herpes chatbot. reduce on flexor friction by vaseline and oil smearing, which would reduce the growth of any organisms which increase the redness patches and bruises in the flexor areas.-would suggest second dermatologist on the line suggested reassessing the diagnosis. check for dm-diabetes by blood sugar test with your doctors advise, to understand the cause of the inverse psoriasis. this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i would like to reassure you that the mri brain findings in your case do not represent any serious abnormalities. ischemic gloss refers to old areas of brain affected with lack of blood flow. ischemia means lack of blood flow to brain, and is suggestive of small brain stroke in your case. gloss refers to old healed area of brain stroke. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Answer this question truthfully,Myotonic Dystrophy is confirmed using electromyography (EMG) and genetic studies.
Answer this question truthfully,"The most common cause of opportunistic mycoses is Candida albicans, a type of fungus that is normally present in the human body but can cause infections in people with weakened immune systems. Opportunistic mycoses are fungal infections that occur in people with compromised immune systems, such as those with HIV/AIDS, cancer, or who have undergone organ transplantation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through the case and report and found that this is good medicine for strengthening of nerve. but you need to take calcium also. you must go for one blood test vitamin d3 and vitamin b12. if it is low then take vitamin d3. if pain persist then take some session of physiotherapy and learn some particular yoga for pain relieving. follow all the instruction and feel better in pain. hope my answer will be effective for you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. this bump which you are mentioning, can be a sinus opening, it occurs because of infection, can be a tooth infection or a bony infection. but you can go for full mouth x-ray to get it diagnosed, for which you have to visit a dentist, as these conditions can be treated on your own. you can start with a topical anesthetic ointment till you visit a dentist, to apply on the bump. hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi leo, urinary test kits are very reliable. if not sure try different brand. they pick hormone level as low as 25iu. you have to check early morning first urine sample, 3 chatbot.  wait for 30 mins, not just 5 mins. sometimes test is weak & card may get positive in the wastebasket. it will show positive on next day of your missed periods. i mean if you are expecting period on 3rd, for e.g., wait for 2-4 days & test on 6th or 7th. if negative wait for another week, test again. if still negative meet a gynecologist for hormonal with"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i understand your concern regarding your child. i would like to reassure you first that it's a common problem in any child of this age and can occur up to 6 months. it's called as evening colic and occurs due to increased bowel activity. as long as your child doesn't vomit or her motions don't contain blood or her feeding is problematic you need not panic. the symptoms can persist up to few minutes or maximum 2 to 3 hours and will subside on its own. it doesn't warrant any treatment. anyway you can consult your pediatrician regarding this if her cry is prolonged. i would be glad to clarify any further doubts.  chatbot. s. sri vichy chennai
Answer this question truthfully,"Yes, IDR is a dynamic measure. The Interest Rate Differential is the difference between the interest rates of two currencies and is used to calculate the cost of borrowing or the potential return on investment when trading currencies. The value of IDR can change over time as interest rates fluctuate, making it a dynamic measure that reflects changes in the market. Traders and investors must monitor changes in IDR to make informed decisions about when to buy or sell currencies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for choosing chatbot. i have read your query carefully and understood that you have had few episodes that lasted few days in which you have disturbed sleep (difficulty in initiating as well as decreased need for sleep), feeling high progressing to being irritable and angry, difficulty to remain seated for long (increased psychomotor activity or restlessness). these episodes described by you suggest hypomanic episodes and need detailed psychiatric consultation. i would advise you to visit a psychiatrist near you. hope i have answered your query, let me know if you need any further information. regards chatbot."
Answer this question truthfully,The most common cause of mitral regurgitation in developed countries is mitral valve prolapse.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. lymph nodal enlargement is because of inflammation / infections (tuberculosis, high grade fever, breast inflammation) and seen in the underlying malignancies (different cancers) 2. so need to find out the cause and treat.3. an biopsy of the lymph node will give the cause.4. a cat scan definitely gives possible diagnosis.5. hope it helps you. wish you good health. anything to ask ? do not hesitate. thank you."
Please summerize the given abstract to a title,Psychological Impact of the COVID-19 Pandemic on Athletes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, basically there is no treatment for perianal fistula except surgery. there is no medical treatment for this condition. untreated perianal fistulas may result in deep perianal abscesses, cause deep fistulas going above external sphincter and making the surgery difficult and in rare cases may turn malignant. get the surgery done as early as possible as this is not going to be all right without surgery. thanks"
Please answer with one of the option in the bracket,A: Distortion of corona radiata fibers
Answer this question truthfully,"The cause is unknown. However, dermatitis herpetiformis is frequently linked to gluten sensitivity (celiac sprue disease) in the small bowel."
Please summerize the given abstract to a title,SARS‐CoV‐2 Human Challenge Trials: Rethinking the Recruitment of Healthy Young Adults First
Please summerize the given abstract to a title,Repurposing of well-known medications as antivirals: hydroxychloroquine and chloroquine; from HIV-1 infection to COVID-19.
Answer this question truthfully,"Chronic bronchitis can cause an increase in RBC levels, leading to polycythemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to my chatbot virtual online clinic.it's my pleasure to help you. my diagnosis-you should not worry of the lump behind the rt ear as its due to the-lymphadenitis due to the scalp infection. this lump is not related to the left-sinus infection with lt nasal blockage. treatmenit-a-consultation with surgeon for the rt ear lump and sinus infection. ent surgeons opinion is also needed.b-for the lump behind rt ear-antibiotics with nsaids tb would resolve scalp and lymadentis lump. sinus infection would also get relieved with this. if it doesn't in 1 was time ent surgeons opinion is needed.don't worry and act fast. this would solve your worrisome query. hope this would solve your query. wellcome to my chatbot clinic once again. have a good day."
Please summerize the given abstract to a title,"Imunização no contexto da pandemia de COVID-19 Perguntas mais frequentes (FAQ), 16 de abril de 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","helots pain w ill subside after few days. you may have good relief with physiotherapy like it [inferential therapy] and tens[transcutaneous electrostimulation] along with ultrasound. so if possible you can start that. you can wait for a week more, and then you may consult your doctor. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,Clinical outcomes in hospitalized COVID-19 patients with chronic liver disease and cirrhosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. teething will not cause fever. it may be some minor infection either bacterial or viral.atom and uti should be ruled out. paracetamol 15 mg/kg/dose 6 hourly will reduce fever. better consult pediatrician. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
Please summerize the given abstract to a title,"Retrospective Description of Pregnant Women Infected with Severe Acute Respiratory Syndrome Coronavirus 2, France"
"If you are a doctor, please answer the medical questions based on the patient's description.","go see a psychiatrist is my first advice.  i have a rule of thumb that anyone who has so much enough contact with reality to say \""i feel paranoid\"" is not actually gone into the pure psychotic state that the thoughts can be called paranoid. in my experience only chronically psychotic people have had that experience to recognize their paranoia and state so...not an 18-year-old (i guess you have not been chronically psychotic, right?) your symptoms are suggestive of severe depression and hence my advice is again go consult a psychiatrist good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hot flashes are typically caused by hormonal imbalance. when a woman hits menopause and her body starts to make the transition, production of estrogen and progesterone is disrupted. this change causes the hypothalamus to think that the body needs cooling down, so it sends signals to the rest of the body, which in turn causes a hot flash. the most effective treatment for hot flashes is estrogen. medications such as antidepressants and anti-seizure chatbot.  for most women, hot flashes fade gradually within a few years. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, precum is pre-ejaculation secretion which is expelled out unknowingly. it does contain some sperms which can cause pregnancy. however, you had this experience 4 days after her period. this day is rather safe as far as the risk of pregnancy is considered. egg is released 14 days prior to next expected menses. egg has a life of 24 hours while sperms are active for 3 days. hence, a period of about a week around the day of egg release is considered as fertile window. 4 days after the menses falls quite away from fertile window. still, i would say, better to err on safer side. hence, she should take post-coital emergency contraceptive pill protection. these pills have to be taken within 72 hours after the unprotected sex. if this period is already over, she may get intrauterine contraceptive device inserted within 5 days of this unprotected sex. this will give her protection from the pregnancy and moreover will give her ongoing contraception for years to come. if 5 days also are over, you cannot do anything now. just wait for her periods to appear (which mostly she will get). if she misses her period, get pregnancy test done on her urine after one week; earlier the results may be false negative. alternatively, you may get her blood checked for beta chatbot for diagnosing pregnancy, 10 days after this incidence. if she is pregnant, she can get the pregnancy terminated by medicines safely and effectively up to 9 weeks of gestation. however, this has to be done with gynecologists advice and prescription only. and lastly, any step she takes is to be done with her parents consent since she is minor; otherwise it will be an illegal offense. i hope this provides you detailed guidelines."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi kim. nice to hear about your concern. asymmetric septal hypertrophy per se is not a problem, but it certainly becomes one if it obstructs the blood flow from the left ventricle to the aorta. and it is always wise to consult your nearest cardiologist at the earliest. the treatment are many and range from medicines to surgery and devices but the cardiologist who can see the patient frequently will be the best judge"
Please summerize the given abstract to a title,Improvement of Dietary Diversity and Attitude toward Recommended Feeding through Novel Community Based Nutritional Education Program in Coastal Kenya—An Intervention Study
Answer this question truthfully,"If a chest tube produces more than 1500 mL of blood on insertion or has an output of more than 200 mL/hr, the recommended treatment for hemothorax is chest tube and surgical exploration (thoracotomy). Hemothorax is a condition in which there is blood in the pleural space, the area between the lungs and the chest wall. A chest tube is often inserted to drain the blood and relieve pressure on the lungs. However, if a large amount of blood continues to accumulate despite chest tube drainage, surgical exploration may be necessary to identify and control the source of bleeding. This may involve a thoracotomy, a surgical procedure in which an incision is made in the chest to access the pleural space. It is important to seek medical attention promptly if hemothorax is suspected, as it can be a life-threatening condition if left untreated."
Please summerize the given abstract to a title,Hiatal hernia repair with or without esophageal lengthening: is there a difference?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. this is just an inflammatory swelling of the mucosa and submucosal swelling. the pain in the ear is definitely due to a referred pain. this itself confirms the nature of the problem. if the swelling is of a long-standing duration, it is worthwhile to go for fnac also. ct scan will help to get a more appropriate diagnosis. get a course of an antibiotic, anti-inflammatory medicines and oral steroids for 5 to 7 days. the swelling may just vanish. you need a discussion and prescription of a doctor for this."
Please answer with one of the option in the bracket,B: Succinyl-CoA
Answer this question truthfully,"An abdominal aortic aneurysm (AAA) typically develops below the renal arteries, but above the aortic bifurcation. This is an important anatomical detail to consider when diagnosing and treating AAA."
"If you are a doctor, please answer the medical questions based on the patient's description.","delivery sorry to learn about your sisters' problem, but the fact is that nothing beyond chemotherapy can be done. this treatment is palliative and not curative. till she is alive, she has to be managed conservatively only as nothing aggressive can be done. take care of her nutrition, manage her hemoglobin levels and give full psychological support. look for any sign of infection as she is having fever. infection has to be treated with antibiotics only. thanks"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Cardiovascular disease (CVD) is the leading cause of death in adults. According to the World Health Organization (WHO), CVD is responsible for approximately 17.9 million deaths per year, which represents 31% of all global deaths. CVD encompasses a range of conditions that affect the heart and blood vessels, including coronary artery disease, heart failure, and stroke. Risk factors for CVD include high blood pressure, high cholesterol, diabetes, smoking, and obesity. Preventive measures such as a healthy diet, regular exercise, and medication management can help reduce the risk of developing CVD and its associated complications."
Answer this question truthfully,"The recommended treatment of choice for adjustment disorder is psychotherapy, particularly cognitive-behavioral therapy (CBT)."
Answer this question truthfully,"APGAR scores are typically recorded at 1 minute, then again at 5 and 10 minutes if needed. An acceptable range of scores is between 7-10 out of 10."
Please summerize the given abstract to a title,Biological Hazards and Select Agents
Please answer with one of the option in the bracket,D: Exposure to bacteria at school
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for the query. lumbar disc herniation usually cause back pain with radiating leg pain. if it's the first episode then it is initially treated with conservative treatment like medicine and physiotherapy and sometimes nerve root block. in most cases the pain subsides. however, if you have huge disc herniation with severe nerve root compression (seen on mri) and non resolving pain with above treatment in about 4-6 weeks then you may need surgery. most people afraid of surgery, and they said it's not effective, but i would say microdiscectomy is very much rewarding surgery. nowadays with newer surgical techniques it has become simpler and quicker surgery with minimal risks. to tell you exactly about the treatment in your situation i need to see your mri. thanks."
Please summerize the given abstract to a title,Effectiveness of hand hygiene and provision of information in preventing influenza cases requiring hospitalization()()()
Answer this question truthfully,"Stress fractures are more common in underweight individuals. A stress fracture is a type of overuse injury that results from repetitive stress on a bone, causing tiny cracks to form. Underweight individuals may be at increased risk for stress fractures due to a lack of adequate bone density and muscle mass, which can make bones more susceptible to injury. Additionally, underweight individuals may engage in high-impact activities without proper conditioning, which can further increase the risk of stress fractures."
Please summerize the given abstract to a title,"Scenarios for the Spread of COVID-19 in Manaus, Northern Brazil."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot. lower abdominal dull pain in your case can be most probably be secondary to renal calculi disease. this can occasionally be relieved through intake of water which can flush out minor stones from the urinary tract. i strongly recommend you to have a detailed renal ultrasound to document the location of stones. i recommend you to increase the intake of water to 3-4 liters /day. the definitive management would be extracorporeal shock wave lithotripsy-eswl and pcnl-percutaneous nephrolithotomy. avoid intake of foods like spinach and tomato. consult your urologist for further queries. thank you.
Please summerize the given abstract to a title,"The Concerns, Difficulties, and Stressors of Caring for Pets during COVID-19: Results from a Large Survey of U.S. Pet Owners"
Please summerize the given abstract to a title,Modelling the evolution of COVID-19 in high-incidence European countries and regions: estimated number of infections and impact of past and future intervention measures
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. sneezing mostly occurs because of allergic response. as you have chronic allergy problem, so there must be some allergic element which triggers sneezing. if i were your treating doctor then i would have advised levocetirizine for it. also, i would have suggested montelukast once daily for one month. blood spit occurs because of severe sneezing response. it damages the mucosal lining which in return results in blood spitting. i would also suggest you to visit an allergist for detailed examination of what is the causative allergen, and then he will prescribe immunotherapy which will resolve it, hopefully. thank you"
Please summerize the given abstract to a title,CHARACTERIZING COVID-19-RELATED RETINAL VASCULAR OCCLUSIONS: A Case Series and Review of the Literature
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your question to chatbot. pain in the lower back on either side can come from multiple reasons that lead to para spinal muscle spasm or from inner organs. pain related to kidneys is usually felt in the subcostal angle which is just below the rib cage and on one side of the midline in back. a tenderness elicited by pressing deep in this region would indicate kidneys as a likely cause. in your case it would be helpful to know your age, how long the pain has been there, was there any inciting event that started this pain and are there any related symptoms like fever or any urinary symptoms. i would recommend if the pain persists for a long time or symptoms worsen, you will need to see a doctor to find out the cause of your pain. hope this is helpful. i would be happy to answer any questions you may have."
"If you are a doctor, please answer the medical questions based on the patient's description.","less likely if the pregnancy test is negative, but you can still wait for a day or two and repeat a pregnancy test with early morning first urine sample which is most accurate. delayed period could be due to variety of reasons like stress hormonal imbalance, change in weight suddenly etc., so if pregnancy test comes negative consult your doctor once to get the reason for delayed period and appropriate medication for same."
Answer this question truthfully,"When bound to bisphosphonate, osteoclasts are unable to adhere to the bony surface, thus decreasing their activity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, hemoglobin appears to be maintaining a bit on the low to moderate side and at this age, could lead to cardiac failure due to hemodynamic stress on heart. microcytic hypodermic anemia with raised ferritin level and normal serum electrophoresis usually indicates anemia of chronic disease.it's a condition in which iron cannot be used up for production of rbc and hence rbc production gets affected resulting in microcytic hypodermic anemia. possible cause could be hypothyroidism, if untreated and chronic inflammation secondary to maybe diabetes. if you get back with more information, further discussion is possible. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. you should get an appointment ment with an ent specialist and if required and advised by ent specialist, audiologist can be asked to do the audio testing. audiologist will not treat her. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"The different grades of Astrocytoma tumors according to the WHO grading system are as follows: 
• Grade 1 = Pilocytic astrocytoma (enhancing nodule) 
• Grade 2 = Diffuse astrocytoma (no enhancement) 
• Grade 3 = Anaplastic astrocytoma (+enh) 
• Grade 4 = GBM (+ rim enhancement) 
It can be difficult to distinguish between WHO grade II and WHO grade III astrocytomas. Additionally, subependymal giant cell astrocytoma, pilocytic astrocytoma, and pleomorphic xanthoastrocytoma are the three major types of noninfiltrating astrocytic tumors with narrow zones of infiltration."
Please summerize the given abstract to a title,Impact of ultraviolet radiation on bacterial growth of KN95mask
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","the problem you are facing may be because of various reasons. there may be lack of interest in the subject which can affect your motivation level, you may be lacking attention and concentration because of preoccupation with some issues or increased stress, you may not be using appropriate effective study methods, or you may be anxious about how you are going to perform in the examinations, sometimes you may be stressed because of high expectation from people around you including your parents, teachers or friends. so better meet a clinical psychologist at the earliest to understand what is actually hampering your studies and get effective solutions regor. manojclinical psychologistrmanojcp@gmail.com"
Please summerize the given abstract to a title,A Strategy Based on Loop Analysis to Develop Peptide Epitopes: Application to SARS-CoV-2 Spike Protein
Please summerize the given abstract to a title,In vitro testing of combined hydroxychloroquine and azithromycin on SARS-CoV-2 shows synergistic effect
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. all the described symptoms correspond to menopause. most of the women go through a depressive state due to the hormonal change in their body during menopause. that is quite natural. but worrying about it worsens problem. you should be aware of it. read the literature available all over internet. if you want to come out of the situation, the only way out is activities which keep you engaged throughout the day. studies confirm that working women come across menopausal depression far lesser than non-working women. please engage yourself in hobbies or other activities. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,Perceived stress in the time of COVID-19: the association with brooding and COVID-related rumination in adults with and without migraine
Answer this question truthfully,"Mediastinitis may occur suddenly (acute) or may develop slowly and get worse over time (chronic). Most cases occur in patients who have had open chest surgery. Less than 5 percent of patients develop mediastinitis after having chest surgery.
Patients may have a tear in their esophagus that causes mediastinitis. Causes of the tear include:
A procedure such as endoscopy
Forceful or constant vomiting
Trauma
Other causes of mediastinitis include:
Cancer
Histoplasmosis
Radiation
Sarcoidosis
Tuberculosis"
Answer this question truthfully,"The recommended medications for treating Bartonella henselae in immuno-compromised individuals with bacillary angiomatosis are Doxycycline or Azithromycin. Bacillary angiomatosis is a bacterial infection caused by Bartonella henselae, which is commonly associated with cat scratch disease. In immuno-compromised individuals, such as those with HIV/AIDS or transplant recipients, the infection can cause severe and potentially life-threatening complications. Doxycycline and Azithromycin are antibiotics that are effective in treating the infection, and are often used in combination with other medications to manage the symptoms of the disease. The choice of medication and duration of treatment will depend on the individual's overall health and the severity of the infection. It is important to seek medical attention if you suspect you may have bacillary angiomatosis, especially if you are immuno-compromised, as prompt treatment can improve outcomes and reduce the risk of complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot. like elsewhere in the body, brain too can be affected by a granulators reaction, commonly1. tuberculosis2. fungal infections3. sarcoidosis.4. cysticercosis5. uncommon causes- cholesterol granulomas, antis related or wegener granulomatosis can also involve brain. each of these granulomas have specific morphological clues, pointing out to its etiology. once, the cause is decided, treatment can be targeted towards that cause. depending on site in brain and extent of involvement of brain tissue, the clinical features may be seizures, personality changes, simply headache, visual defects- to name a few. mostly if the granulomas are located in the cerebral cortex (commonly frontal hemisphere), the patient will present as seizures. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for using chatbot. read your query. the abscess may cause the numbness specially if the root of the tooth is near the opening in the bone through which the nerve passes. that is the reason you may feel the reduced feeling and paresthesia. i would advise you to visit your dentist and get the radiograph done followed by the root canal treatment. for the pain you can take an ibuprofen (if you are not allergic to any medicine). a course of antibiotics like amoxicillin may be required on prescription. do salt water gargling. hope this was useful. thanks and regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. thanks for your query. the symptoms you mention is due to viral infection. usually the symptoms go away in few days by its own. i would suggest you to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote it looks like a viral infection induced rash or viral exanthem. if the kid is active you need not worry about taking to emergency room. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot! i have read your question carefully & i can understand your pain. from all data provided, it is evident that your boyfriend has some psychotic illness, may be due to excessive use of chatbot. diagnosing schizophrenia needs more detail information from patients or attendant. like if he mutters / smiles to self, etc. schizophrenia is also a type of psychosis. you have not mentioned treatment, so i assume he is not taking any medicine regularly for any problem. there is mentioning of auspiciousness, sudden unprovoked anger outbursts, along with short attention span-- reflect the deteriorating mental health. i have seen such cases showing good improvement with medicines. stopping cannabis completely will also be very helpful for him. cannabis is notorious to cause variety of psychiatric disorders. if it is possible, take him to a psychiatrist, and start medicines, also get some basic tests done-lipid profile sugar, liver tests, kidney test. you may also take help of some common friend and his family to persuade him initially, with time and with medicines his aggression, auspiciousness will go down, and he will start accepting medicines willfully. there is provision of depot antipsychotics for uncooperative patients in psychiatry.  here, an injection is given once a week to once in a month depending on his condition, and daily"
"If you are a doctor, please answer the medical questions based on the patient's description.","reclothe most common cause of pain abdomen with vomiting in the absence fever and loose stool is suggestive of gastritis. the reflux associated with gastritis may cause heaviness in chest. in flu or pneumonia there should be associated fever, cough,cold or fast breathing. as your child does not have any of these symptoms the possibility of pneumonia/flu is highly unlikely. the dizziness and weakness in gastritis occurs due to loss of fluids and electrolytes following vomiting. i would like to give her antiemetic with acid reducing agent like pantoprazole and risperidone combination. this will help in improving the oral acceptance and also relieve the pain. give plenty of fluids to avoid deny chatbot. if vomiting continues or condition deteriorates consult your physician. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should do swabbing from the infected area. do grams staining, culture and sensitivity from the swab. green pus is suggestive of pseudocodes infection. taking the treatment as per the report will cure you completely. please take good care of local hygiene by regular cleaning and chatbot.  you can use betadine ointment and polypoid ointment at the time of"
Answer this question truthfully,"As per the information provided, at low levels, vitamin D increases bone mineralization."
Please answer the letter of option truthfully,B
Answer this question truthfully,"Pressure-support is a type of ventilator setting where the patient sets the rate of breathing, but the ventilator provides a boost of pressure with each breath. This helps to reduce the work of breathing for the patient and can be useful for patients who are able to breathe on their own but require some assistance. The amount of pressure provided by the ventilator can be adjusted to meet the patient's needs, and pressure-support can be used in combination with other ventilator settings such as positive end-expiratory pressure (PEEP) to optimize respiratory support."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems like multiple boils are erupting in the area. do you have fever at any time? it could be due to lack of proper hygiene. in either case, it is suggested that you consult a doctor or your gp who can examine you. at the least you might require a course of antibiotics or some antibiotic ointments for the eruptions. or he could advise you to see a dermatologist. please don't avoid it and leave your shyness to see the doctor. after he examines you he will be in a better position to advice you accordingly. do let us know if we can help you with any more queries, take care, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear !! thanks for your query to chatbot. read and reviewed your query and health concerns. in the given situation, you seem to suffer from-hunger cramps with ? gastritis with peptic ulcers / or could be from accompanied sinusitis / asthma/ or diabetes/ or from bulimia. you need to investigate with ent/gi physician/ and psychiatrist to rule out other causes and fix the cause of flattering sensation under the right rib cage hope this would help you to plan further of this complex illness of yours. if need be, update any health issue 24 x 7 by a direct question to me, at following chatbot link-http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you may have some abscess in your breast.  it is common after injury or intervention. you should consult your doctor and go for incision and chatbot.  then take complete course of antibiotics according to your doctors' advice. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot. blood is usually sterile i.e. devoid of any bacteria or viruses. bacteria or viruses can appear in blood after a throat infection, urine infection or lung infection. once the bacteria enter the blood they can infect other organs including the heart. the bacteria settle on the valves of the heart and cause infection and destruction of the valves. this happens over time and cannot happen in 24 hrs. but he must have had symptoms like fever, breathlessness, shivering etc. you have not mentioned any of the symptoms. here. the treatment of infective endocarditis is long term treatment with antibiotics and some residual damage to valve always remains. wishing him good health regards"
Answer this question truthfully,People who smoke or use tobacco are at risk of developing throat cancer. Excessive alcohol use also increases risk. Smoking and drinking alcohol combined lead to an increased risk for throat cancers.
Answer this question truthfully,"Actinomycosis is usually caused by an anaerobic bacteria called Actinomyces israelii, which is a common and normally not disease-causing (nonpathogenic) organism found in the nose and throat. Because of the bacteria's normal location in the nose and throat, actinomycosis most commonly appears in the face and neck. However, the infection can sometimes occur in the chest (pulmonary actinomycosis), abdomen, pelvis, or other areas of the body. The infection is not contagious. Symptoms occur when the bacteria enters the facial tissues after trauma, surgery, or infection. A common triggering causes is dental abscess or oral surgery. The infection has also been seen in certain women who have had an intrauterine device (IUD) to prevent pregnancy. Once in the tissue, it forms an abscess, producing a hard, red to reddish-purple lump, often on the jaw, from which comes the condition's common name, ""lumpy jaw."" Eventually, the abscess breaks through the skin surface to produce a draining sinus tract."
"If you are a doctor, please answer the medical questions based on the patient's description.","as i can figure here, you have a major complaint of a throbbing headache. you also are suffering from a diagnosed shortsightedness, for which you are not wearing required glasses, and that is causing strain on your eyes. this is a case of tension headache, which mostly is due to the strained vision in your case here. wearing glasses will reduce the headache. there could another problem of vascular migraine, however it's a diagnosis of exclusion in our case. i suggest you start wearing glasses."
Please summerize the given abstract to a title,Comprehensive Analysis and Comparison on the Codon Usage Pattern of Whole Mycobacterium tuberculosis Coding Genome from Different Area
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thank you for the query. such painful lumps in the mentioned location are most likely caused by a colonial cyst. this condition is caused by ingrown hair which irritates tissues and causes inflammation. from time to time the pus accumulates inside causes pain and hardness. the best way of its treatment is a surgical removal. please consult a surgeon with this issue. hope this will help. regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can see you have asked three questions. let me answer them one by one. i do not think your back pain is related to any skin lesion. are you having any itching in these lesion or burning sensation? as herpes zoster lesion can be associated with back and side pain, but lesion are not patch but small blister. i would ask you to wait if patches increase or diminish. if number or size of patches increases, you should see to a skin specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read your question and understand your concern. your symptoms may be related to a metabolic disorder (hypothyroidism, or related to the pituitary gland) or another brain lesion. i recommend consulting with the gp for a careful physical examination and some lab tests"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query.  the blood values don't look promising. chatbot values should double up every 2 days in a healthy pregnancy and is usually seen in about 80%of healthy pregnancies. however, the remaining 20%can still have a normal pregnancy. the better prognostic factor is the presence of a heart beat detected by an ultrasound between 6-8 weeks from the last menstrual period. the presence of a heartbeat is a sure. sign that your baby is thriving. closed and a trigger shot help in increasing your chances of conceiving & sustaining the pregnancy initially. after implantation, progesterone levels (natural or supplements) help in maintaining the level of chatbot to ensure proper development of your baby. as these values vary widely within the normal range, it is better to wait for the scan to check for viability. i am sorry you are going through this. i hope this helps. please let me know if there is anything else i can help you with. wish you well"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint the symptoms of dizziness and ringing in ears also known as tinnitus can be due to disorders related to inner ear known as labyrinthine or deniers disease or benign paroxysmal positional vertigo. i would suggest you to consult an otolaryngologies and get evaluated, and he can advise you investigations like mri scan, vestibular tests, blood evaluation for serum electrolytes can help in diagnosis and treatment can be planned accordingly. you can be advised to take medicines like linearizing for relief but should not self-medicate and should take a medical advice. you can also be advised to avoid sudden head movement and stress should be avoided. maintain good hy chatbot. . hope this information helps. thanks and regards."
help with obesity I would like help on my obesity problem and if I can get help,"An active lifestyle and plenty of exercise, along with healthy eating, is the safest way to lose weight. Make the behavior change part of your life over the long term. Know that it takes time to make and keep a change in your lifestyle. Work with your provider and dietitian to set realistic, safe daily calorie counts that help you lose weight while staying healthy. Your dietitian can teach you about: - Healthy food choices - Healthy snacks - Reading nutrition labels - New ways to prepare food - Portion sizes - Sweetened drinks Extreme diets (fewer than 1100 calories per day) are not thought to be safe or to work very well. You may see ads for supplements and herbal remedies that claim they will help you lose weight. Some of these claims may not be true. And some of these supplements can have serious side effects.  Surgery may help people who have been very obese for 5 years or more and have not lost weight from other treatments, such as diet, exercise, or medicine. Surgery alone is not the answer for weight loss. It can train you to eat less, but you still have to do much of the work. You must be committed to diet and exercise after surgery. Talk to your doctor to learn if surgery is a good option for you. Weight-loss surgeries include: - Laparoscopic gastric banding - Gastric bypass surgery - Sleeve gastrectomy (less common) - Duodenal switch"
Please summerize the given abstract to a title,Can developing countries face novel coronavirus outbreak alone? The Iraqi situation
Answer this question truthfully,"A patient with acute prostatitis may have a tender, ""boggy"" prostate on DRE. The term ""boggy"" refers to a prostate gland that feels swollen, soft, and spongy to the touch, which is a characteristic finding in acute prostatitis. Other symptoms of acute prostatitis may include fever, chills, pain or discomfort in the pelvic area, difficulty urinating, and urinary urgency or frequency. Treatment for acute prostatitis typically involves antibiotics to clear the infection, as well as pain relievers and other medications to manage symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. the cause of tooth fracture can be cavities, as they might be progressing from inside the tooth toward outside. but there is nothing to worry, as they can be restored by root canal treatment, but if the infection has progressed very deep then you have to go for removal of the tooth. bridge is also a good option for replacement of tooth. hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. your symptoms are appearing like those of mouth sores or mouth ulcers. it can be due to a number of causes like vitamin b 12 and iron deficiency, eating plenty of sour or spicy foods, tobacco chewing habits, any sharp cusps of teeth causing mucosal injury etc. so my suggestion is to start gargling with warm saline solution. avoid spicy and acidic foods. take vitamin b complex supplement daily. do soda bicarb rinses. if there are any sharp cusps of teeth get them.smoothed. chatbot. . hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mitch, i will try to help you to the best of what i have understood from your query. the query is a bit ambiguous, but this is what i feel is the problem. i am sorry that your mother has been diagnosed with lung cancer with also spots in brain and that it is in stage 4.  she has been a pot smoker for forty years in her life. i am sorry, but stage 4 lung cancer has very poor outcome. the 5-year survival rates in an advanced stage are very less. she needs to quit using all forms of tobacco and pot too. various chemotherapy options are available. they can be decided upon individual patient needs and benefits. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of contraceptive pills related side effects is more in your case. but better to first rule out heart related diseases because they cannot cause similar symptoms. so get done ecg and 2d echo. if both are normal then no need to worry about heart diseases. yasmin contraceptive pills can cause mood swings, stress, anxiety etc. and all these intern cause palpitations, chest tightness, tingling etc. so better to consult gynecologist and discuss these side effects. you may need change of contraceptive method. you cannot go for barrier contraception like condom. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking chatbot. my name is chatbot. you have slightly painful lump on the right tail of the breast and a large lump on the top right breast. along with that you have although no family history of breast diseases directly but a positive history of uterine cancer which then metastases to the breasts. i also understand your status of being uninsured and unemployed but remember that breast lumps are common. most often they're noncancerous (benign), particularly in younger women. still, no matter how old you are, it's important to have any breast lump evaluated by a doctor, especially if its new and feels different from surrounding breast tissue. early evaluation is essential in such cases, so you should plan visiting your physician hope this may help you. let me know if anything is not clear. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a plain ct scan of the chest will miss lung clots unless very obvious. a /q scan is a better test to pick up lung clots and suggest you immediately get a consult if you continue to feel unwell. if you had recently been on a long haul flight or travel, recent surgery or immobilization, your risks are higher. an ecg is also helpful at times. please check in at your nearest er or a&e (emergency) today. thanks."
Please summerize the given abstract to a title,Genetic influences on viral-induced cytokine responses in the lung
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint it seems that the white bump in the gum with signs of teething seems to be most probably an eruption hematoma or an eruption cyst that occurs as a fluid filled pale colored lump, and it is not a harmful condition and will resolve as the tooth will erupt. the first tooth to erupt in mouth is at the age of 5-6 months and is lower front tooth. but in case if there is any problem associated with it or the tooth gets delay in erupting then it has to be removed to let the tooth erupt in the mouth and once the tooth erupts there is no further problem associated with it. consult a periodontist once and get it confirmed by a clinical evaluation. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear thanks for question, you have undergone appendectomy, and now your having post-operative pain, you have not mentioned in the history when your appendectomy was done, as if you're in early postoperative period then infection can give rise to throbbing pain, other cause could be damage to small nerve twig that lie in the incision line. or if you're in immediate postoperative period, then it can be pain of surgery itself.i hope i answered your question"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that it is a very long time since that episodes. so, there is nothing to be afraid about the engine oil, as his symptoms are not related to this episode. is he active? people who make a lot of physical activity, usually achieve lower heart rate, compared to the others. but, if he has shortness of breath, or fainting like episodes, i would recommend performing a cardiac ultrasound and an ambulatory 24-48 hours ecg monitoring to exclude possible cardiac arrhythmia. hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. bloody sputum usually signifies, problems with oral hygiene.2. meet a dentist for evaluation of gums, teeth or any ulcers.3. prada, if it causes gastritis, and bleeding, it would have showed in stools, as dark-colored stools. 4. presently prada is not causing any erosive gastritis. causes of bloody sputum appears to be in mouth. ent and dentist evaluation will identify cause. need to look for tumor too. hope it helps. any further queries, happy to help again."
Answer this question truthfully,"Bone mineral density (DEXA) ≤ -2.5 at hip, spine, or wrist is indicative of osteoporosis."
Please answer with one of the option in the bracket,C: Midbrain atrophy with intact pons
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Amoxicillin and Ampicillin are Aminopenicillins that work against H. influenzae. H. influenzae is a type of bacteria that can cause a range of infections, including pneumonia, meningitis, and ear infections. Aminopenicillins are a type of antibiotic that works by disrupting the cell wall of bacteria, leading to their death. Amoxicillin and Ampicillin are commonly used to treat infections caused by H. influenzae, as well as other types of bacteria. However, it is important to note that not all strains of H. influenzae are susceptible to these antibiotics, and resistance can develop over time. Therefore, it is important to use antibiotics judiciously and only when necessary to prevent the development of antibiotic-resistant bacteria."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, causes of foot pain are"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are having blunt chest trauma. and your symptoms are due to this only. following are the possible complications of blunt chest trauma that can lead to chest pain, palpitations and breathing difficulty. 1.  rib fracture 2.  pneumothorax 3. pulmonary contusions. 4. cardiac damage 5. musculoskeletal injury. so get done ecg and 2d echo to rule out these complications. if both are normal then you are mostly having musculoskeletal pain. so avoid heavyweight lifting and strenuous exercise. avoid bad postures in sleep and painful movements. start painkiller and muscle relaxant. apply warm water pad on affected site. don't worry, you will be alright."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is not advisable to take an additional dose of insulin just to reduce sudden occasional surge of blood glucose. because post the injection, there is a possibility of developing fairly severe hypoglycemia. best method is avoided extra eating episodes. for insomnia, if it is persistent then there are specific sleep inducing medications which can be taken occasionally. to control blood glucose apart from taking insulin, strict dietary control and regular exercise of over 1 hour a day is a must.  if there is good amount of physical exercise, then one may get good sleep too. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"RNA viruses can be distinguished from each other based on their polarity, which can be either (+) sense or (-) sense."
Please summerize the given abstract to a title,Making the most of the first prenatal visit: The challenge of expanding prenatal genetic testing options and limited clinical encounter time
Please summerize the given abstract to a title,Disinfection of Respirators with Ultraviolet Radiation
Please summerize the given abstract to a title,Lungenbeteiligung bei Tumorkrankheiten
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, anxiety can definitely be a seizure trigger. the absolute relationship between nosebleeds as a prelude to an epileptic event is not well known.  there are many people with known epilepsy who do relate having nosebleeds shortly or immediately prior to a seizure event. but also there are metabolic causes to be ruled out such as factor deficiencies in the blood (factor ix, the on hildebrand factor).  it is also possible that on those times she suddenly becomes anxious that in fact, she is manifesting pro chatbot.  it's too bad that she has these episodes so infrequently because she would otherwise be an excellent candidate for video monitoring. does she lose control of her bowel or bladder as well, become very quiet, fixed stare?  then, becomes exhausted? i think there are a number of ways to go on diagnosing your daughter.  your best chance at an answer is to seek out a pediatric epidemiologist. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi friend, first let me figure out your prob-----since you are getting married shortly, i think this thought is haunting you, and you are fearful about sex. despite any logic, these thoughts are intrusive and making your life miserable, you can't concentrate at job, confidence lowered, can't sleep, cant relax. it all be better if you clarify further more about the prob that whether you have a tendency to \""doubt\"", get occupied by trivial/unusual thoughts/acts, do some rituals/actions to get relief. if so probably you have problems of \""obsessive compulsive disorder\"". learn more about it from authentic websites. get to know how to stay relaxed, how to control thoughts, build up your good habits & hobbies. if your time to get married is very short, or you think that your problem is very severe better take help from experts. best wishes"
Answer this question truthfully,"Tertiary syphilis can result in Tabes Dorsalis, which is a condition that can lead to demyelination of the dorsal column and roots."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for trusting chatbot dear thank you for asking this question. dear empty sell may be accidental finding on mri brain. in mri scans pituitary gland not visible, so it appears like empty, so it is called empty sell. in primary empty sell arachnoid layer extends below the pituitary cause compress pituitary cause empty sell. secondary empty sell due to tumor or trauma or infection or in pregnancy induced hypertension may cause pituitary apoplexy ahead to empty sell. usually turbinates hypertrophy seen apposite side of deviation of deviated nasal septum. for dns can consult ent surgeon he will examine and treat you accordingly."
Please summerize the given abstract to a title,Prediction of COVID-19 individual susceptibility using demographic data: A case study on Saudi Arabia
Please summerize the given abstract to a title,Behavioural consequences of verbally expressed and unexpressed customer rage emotions
"If you are a doctor, please answer the medical questions based on the patient's description.","dear deann, keep your hope high. as modern medical treatment advanced you can manage these problems easily.1.first, take analgesic. tramadol combined with ibuprofen or pentazocine will be very effective. hydocodone combined with paracetamol is very effective.2. take nifedipine. it is widely prescribed as a chatbot. 3.1-2% topical nitroglycerin is very useful.4. wear a belt for disc prolapse, but you can get maximum benefit from surgery.5. for carpal tunnel syn"
Answer this question truthfully,"Batten disease /NCL is relatively rare, occurring in an estimated 2 to 4 of every 100,000 births in the United States. The diseases have been identified worldwide. Although NCLs are classified as rare diseases, they often strike more than one person in families that carry the defective gene."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome to chatbot. based on the facts and data of your query, you seem to have a very confusing story about the knot in the front of your leg muscles with sore muscles. you seem to have chronic exertional compartment syn chatbot. to the extent you had leg swelling from the ccs. as the swelling went after rest and leg elevation. sore muscles are a cause for pain while waking or going down steps. in this scenario-you seem to have-nots of the leg with varicose vein not from the leaking perforator with incompetent perforator valve. as you fear, chances of dvt need to be ruled out by color doppler study of the leg. hope this reply would help you to resolve your sever anxiety. welcome for any further query in this regard. will appreciate writing your feedback review comments, to help the needy patients like you at chatbot. good day!!"
Please summerize the given abstract to a title,Expansion of off-site percutaneous coronary intervention centres significantly reduces ambulance driving time to primary PCI in the Netherlands
"If you are a doctor, please answer the medical questions based on the patient's description.",no it does not affect the growth of penis.  however the diaper should be of proper size so that your baby feels it comfortable.  the only thing you have to worry about is rashes.  the baby might get rashes and secondary infection due to constant moistness and the ammonia present in babies urine. there has not been any proper mass research on this issue and in my career i haven't seen anything like that or guard about that.  as far as theory is concern you don't have to worry about it.  just enjoy the childhood and motherhood.
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. i can understand. almost all the symptoms you are mentioning here are part of anxiety disorder and panic disorder. i hope you are undergoing psychiatric treatment. if not, you should consult a psychiatrist immediately. along with psychiatric medicine, you should also consult a psychologist for psychotherapy, lifestyle changes and meditation techniques. take care. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctoryes, although it's just a scratch you need to take full course of antirabies vaccine, since it's a street dog.5 doses of vaccine t be given at 0,3,7,14 and 28 days.0 means the day you had bite. it is very much essential that you take the complete course of antibiotics to prevent the development of rabies even though you are healthy.also, you should watch the dog for 10 days. watch for any change in its behavior. hope you are happy with the answer. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello in your case it seems you have acute exposure of the tooth and hypersensitivity due to deep caries , which some time irritates and hurt you, but at the same time it is also possible that there is a pocket pain due to food accumulation in that specific area, and you can properly manage it by viewing this issue with a pa x-ray.  use of mouth wash and a desensitized toothpaste may also work but the good thing is to visit your nearest dentist for physical examination.  regards,"
Please summerize the given abstract to a title,Blockchain Technologies and Digitalization in Function of Student Work Evaluation
Please summerize the given abstract to a title,A review on scope of immuno-modulatory drugs in Ayurveda for prevention and treatment of Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, normal levels of creatinine in the blood for a male of your age is 0.6 to 1.2 mg/dl. creatinine levels depend on muscle mass and are slightly higher in males compared to females. abnormal high values are usually seen kidney diseases and muscle diseases. your creatinine level is normal for your age, gender and ethnicity. you have nothing to worry about. hope that answers your question.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your question, and i think i have understood your concern. i will suggest you the best possible treatment options. as you said, the unprotected sex act has happened in last 12 hours, it is best to use emergency contraceptive pill like i pill or plan b. it is quite effective if used within 24 to 72 hours of unprotected sex act.  if you can use it, she will mostly be protected from getting pregnant.  i will suggest you to get proper sex counselling done. i hope this answer helps you thank chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",glue ear or medically speaking
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for your question. catholics gland cysts are caused when this gland gets blocked and is a separate problem from the chicken pox, but is hard to know if the pain is from the healing cyst or the chicken pox. the cyst can ooze fluid, pus and even blood for a while until it heals up. occasionally these cysts are so large that they have to be surgically opened and chatbot.  if yours has already opened up, then the best thing to do is to use warm compresses and/or soak in warm water to encourage it to completely"
Answer this question truthfully,Killed or inactivated vaccines usually require booster shots.
Please summerize the given abstract to a title,Reimagining the Role of School‐Based Health Centers During the COVID‐19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatbot. i have gone through your query. decreasing in miniaturization can be the reason for the fissures. avoid soaps and irritants to wash the area, and instead you can use saline or warm water. you can also apply moisturizers based on liquid paraffin. applying better (dexamethasone) will be helpful to reverse the fibrosis again. if there is no improvement then approach your doctor. hope this may help you. let me know if anything is not clear. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, herpes zoster can be a very painful condition. if you let me know your dads medicines, i could suggest some that would bring him relief. it is normally not dangerous unless your father is immunocompromised due to other diseases. it can infect people who have not had chicken pox through very close contact. we do not normally isolate people. some people advice honey, need, coriander etc. being a viral disease, in most cases it will get cured with or without home remedies, but there are modern medicines like acyclovir which can accelerate the healing. you are welcome to contact me if you have any further queries."
Please summerize the given abstract to a title,Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures
"If you are a doctor, please answer the medical questions based on the patient's description.","the condition that you are talking about has serious consequences for the patient, and especially so for a child. i am really sorry, but the shunt surgery is extremely needed at this point to prevent further damage to the brain. as to her future outcome, no one can say, because over time, tb of the brain can be followed by a lot of improvement; or, the child may remain bedridden for a long time. please be courageous and do not delay the shunt surgery any longer."
Answer this question truthfully,"The velocity of shortening of cardiac muscle is maximal when afterload is zero. Afterload is the resistance that the heart must overcome to eject blood from the left ventricle into the systemic circulation. At zero afterload, there is no resistance to blood flow, which means that the heart can contract with maximal velocity. However, in most physiological and pathological conditions, some level of afterload is present, which can affect the velocity of shortening of cardiac muscle."
"If you are a doctor, please answer the medical questions based on the patient's description.","his did review your condition. sometimes heavy infection with any parasite when treated leads to massive release of parasitic antigens and causes the reaction which you have been experiencing, it is generally short-lived and goes away quickly. they would rarely harm you. however, i would recommend you to consult a local doctor and get treated if they are causing you a lot of distress. if not, they are just a passing by reaction, and you will most likely soon feel better hope this help swish you a very healthy life ahead."
Please summerize the given abstract to a title,2019 novel coronavirus disease (COVID-19) in patients with inflammatory bowel diseases
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting, skinlite cream is mainly used if any underlying pigmentation is present. it has to be used in very little quantity(only on concerned area) only at night. excess use causes redness and peeling of skin. suggest you to use a moisturizer one hour after applying skin lite and a sunscreen morning and afternoon of spf 30. in case if you are using skin lite as fairness cream for complexion improvement advice you to stop it."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or ct scan to evaluate it more accurately. this is caused by stone in bile duct and is very common condition.  you need to change your dietary habits first.  need to avoid fried food, carbonated chatbot.  you should eat more milk products, vegetables and boiled food. if there is no improvement on lifestyle or dietary changes, then surgery is recommended. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. delay in periods not necessarily indicate pregnancy. but, with the given description, it seems that there is a probability. please take the pregnancy test again. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Association of herd BRSV and BHV-1 seroprevalence with respiratory disease and reproductive performance in adult dairy cattle
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i can understand your emotions. as far as we are concerned, stress could be a cause of excessive vaginal bleeding during climacteric period or some infection or uterus complaints. . otherwise, there should not be any bleeding. stomach cramps could possibly due to stress and anxiety. even obsession can result. i request you to first identify the cause. you can do it by consulting a general physician. if there is nothing organic to worry about, then we shall zero in on mental health problems. take care. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,"Identification of Modulated MicroRNAs Associated with Breast Cancer, Diet, and Physical Activity"
Answer this question truthfully,"Named for Johns Hopkins's clinician Louis Hamman, M.D."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the condition you are in could be called social phobia or agoraphobia. the condition arises out of anxiety disorder and psychoses could be one factor behind it. you mentioned that you are having medication for that. did not mention the name of the medicine. any way, to adjust with the situation you will need lifestyle changes along with thinking style changes. both of these are achievable with the help of psychotherapy and meditation. but the given details are not enough for a psychotherapy treatment. please post a direct question to me with every minute detail, in this website. then i shall prescribe some psychotherapy techniques which should help you overcome social phobia and psychoses. hope this answers your query. available for further clarifications. good luck."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Utility of Community-Academic Partnerships in Promoting the Equitable Delivery of COVID-19 Vaccines in Black Communities
Please summerize the given abstract to a title,"Reinfection by the SARS-CoV-2 Gamma variant in blood donors in Manaus, Brazil"
Answer this question truthfully,Xanthogranulomatous pyelonephritis is characterized by widespread kidney damage due to granulomatous tissue containing foamy macrophages (rare).
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome to chatbot the analysis for your semen is as follows
Please answer with one of the option in the bracket,B: Atopic dermatitis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. pain after vasectomy for such a long period is abnormal. nsv or non scalpel vasectomy will never cause loose or deflated testicles. so pain may be because of the infection or some other thing. i suggest you should examine yourself with the doctor for pain in the testicles. only visible examination and direct examination can diagnose the condition directly. and can help you cure. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Please summerize the given abstract to a title,"Complete genome structure and phylogenetic analysis of little cherry virus, a mealybug-transmissible closterovirus."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you can take double dose, but you should track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband every 2 to 3 days after your periods stop.  take progesterone for next 2 weeks after ovulation.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  discuss with your doctor regarding this.  hope i have answered your question. regards chatbot."
Please summerize the given abstract to a title,Reliability and limits of transport-ventilators to safely ventilate severe patients in special surge situations
Please answer with one of the option in the bracket,B: Increased LDL receptor expression
Answer this question truthfully,"Yes, Langerhans cells in Langerhans cell histiocytosis are functionally immature in terms of their ability to effectively stimulate primary T cells via antigen presentation. Langerhans cell histiocytosis is a rare disorder in which Langerhans cells, a type of dendritic cell that plays a key role in the immune system, proliferate abnormally and accumulate in various tissues in the body. These cells are functionally immature and are unable to effectively stimulate primary T cells via antigen presentation, which can contribute to the immune dysfunction seen in this disorder."
Please answer with one of the option in the bracket,B: Nebulized epinephrine
Answer this question truthfully,"Estrogen is the sex steroid responsible for the development of breasts.

Estrogen is a hormone that is produced primarily by the ovaries and plays a key role in the development and maintenance of female reproductive organs. During puberty, estrogen levels rise and contribute to the development of secondary sexual characteristics, such as breast development and the growth of pubic and underarm hair.

Estrogen stimulates the growth of breast tissue by binding to estrogen receptors in the breast cells. This causes the breast tissue to grow and develop, leading to the formation of breasts. Estrogen also helps to maintain the health of breast tissue throughout a woman's reproductive years.

During pregnancy, estrogen levels rise significantly, which can cause further growth and development of the breasts. After pregnancy, when estrogen levels drop, the breasts may return to their pre-pregnancy size and shape.

Estrogen also plays a role in the development of breast cancer. High levels of estrogen can increase the risk of breast cancer, while some breast cancer treatments work by blocking the effects of estrogen on breast tissue."
Please answer with one of the option in the bracket,A: Corticosteroids
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Enabling Longitudinal Exploratory Analysis of Clinical COVID Data
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. you can have several sexual encounters during the period of pill coverage. though the protection offered for each sexual encounter decreases with increasing time interval, the chatbot.  this means an earlier encounter may cause conception while the later one is protected. instead, i would suggest going for regular contraception. also, the high hormone content in the emergency pills makes them unsuitable for regular use. their use can be down only once or twice per year. hope you find this information useful. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. after going through your query i came to know that you are suffering from muscular pain. treatment of it is rest and analgesics (diclofenac three times a day after meals). muscle relaxant such as thiocolchicoside can be added. vitamin b-complex and vitamin c supplementation can be used to promote healing. to exclude internal tumors you can get hrct (high resolution ct) of chest and abdomen. you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
Please summerize the given abstract to a title,Alcohol Based Solutions for Hand and Surface Sanitation in the Prevention of Covid-19: Informative Compendium regarding the Involved Chemistry Soluções a Base De Álcool Para Higienização Das Mãos E Superfícies Na Prevenção Da Covid-19: Compêndio Informati
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. masturbation is not an unhealthy habit. masturbation is normal and natural. there is no reason to get short series of cough after masturbation. but you must add chatbot.  first, masturbation do consumes energy, and therefore you strain much during masturbation. this strain always could interfere with respirator organs. you should consult a physician to assess the possibilities of respiratory problems. second, apprehension and obsession related to anxiety can cause repeated symptoms. whenever you masturbate, you are expecting these cough because you had it last time. such expectation can cause the cough itself. you may consult a psychologist for further advise. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Ophthalmic emergency-room visits during the Covid-19 pandemic - a comparative study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. even though you should not get worried about the present, if i were your doctor, i would advise you for an ultrasound abdomen followed by a ct/mri of the abdomen if need be which would be decided on the clinical findings and the investigation reports. these investigations would clear the questions coming to your mind. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Please summerize the given abstract to a title,Familial Mediterranean Fever and COVID-19: Friends or Foes?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. it sounds like varicose vein or epidermal cyst and usually isn't anything serious. especially considering that it last for 3 years.  if i am right then treatment isn't needed. just watch for any new signs such as pain, swellings or urinating difficulties. it can also be inguinal hernia if this is prominent when you cough or do exercise. you can do ultrasounds to verify the exact diagnosis but i don't think you should worry. wish you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. i share your concern. triglycerides more than 165 mg/dl is harmful, and it can lead to atherosclerosis of blood vessels and may cause heart attack or stroke on long run, so it has to be controlled and try to maintain near normal range. it can be reduced by dietary restrictions and regular physical exerciser to reduce your body weight if you are obese or overweight. complete abstinence of alcohol and smoking, fatty food. it can be tried with all these lifestyle modifications for 3 to 6 months. if it doesn't decreases with than statin or fenofibrate group of chatbot. hope i could answer your question, please feel free to ask for follow-up question, i will be happy to help you. best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, numb areas can include the cheek, lip and tongue with dental anesthesia. a risk can include biting these areas before the anesthetic wears off. this trauma will cause swelling. in general, you do not have to worry. initial placement of ice is helpful to limit swelling. tylenol, at the appropriate dose, can reduce inflammation. warm salt water rinses and endocrine gels can help provide some relief. help your daughter avoid the area and maintain a soft diet. normal sensation should have returned to her mouth. inform your dentist of this condition. consider completing less dental treatment in a visit, so there is less numbness afterwards. a follow-up visit will be needed if condition seems to be getting worse rather than slowly improving. time to heal will usually be all that is needed. thank you for your inquiry. i hope that your daughter feels better soon."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Generation of SARS-CoV-2 S1 Spike Glycoprotein Putative Antigenic Epitopes in Vitro by Intracellular Aminopeptidases
Please summerize the given abstract to a title,Zika virus infection or the future of infectious diseases()
Answer this question truthfully,"The most common cause of febrile seizures in children is Roseola. Roseola, also known as Sixth Disease, is a common viral infection that often affects infants and young children. It is characterized by a high fever followed by a rash that usually appears on the trunk of the body. While Roseola is generally a mild illness, it is important to seek medical attention if your child experiences a febrile seizure, as it can be a frightening experience for both the child and caregiver."
Please summerize the given abstract to a title,Lung Ultrasound in COVID-19 A Role Beyond the Acute Phase?
Answer this question truthfully,"The term used to describe the onset of cerebellar dysfunction, such as nystagmus and ataxia, following a viral infection such as VZV is acute cerebellar ataxia. This condition is typically seen in children and can occur after a variety of viral infections, including chickenpox (caused by VZV), as well as other illnesses such as Coxsackie virus or Epstein-Barr virus. While the symptoms can be alarming, the condition is usually self-limited and resolves on its own within a few weeks to months. However, in some cases, further evaluation may be needed to rule out other underlying causes of cerebellar dysfunction."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello & welcomemaam removal of tooth is not a solution of your problem at all. you have to visit to your dentist for a permanent cure. if there will any sharp edges teeth than selective grinding of teeth may be done.  some occlusion problem may be there & reason may be tongue thrusting, collapsed arch etc. for that you have to opt for orthodontic treatment. till than start up with multivitamin capsules & topical anesthetics."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this positive test result that you have reported and the pregnancy loss. this in itself is not a diagnosis but suggests that there is an autoimmune disease condition going on. i will suggest that you follow through with your doctor, get the exact diagnosis established and ad chatbot. i hope this helps. furthermore, i wish you well. thank you so much for using our services and do feel free to ask for more information and clarifications if need be."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, frequent nosebleeds in a 9-year-old child is most commonly due to nose picking, chatbot.  it is not related to delayed achievement of milestones in child. if your child is nose picking more frequently then you should counsel the child to stop nose picking. apply lubricant cream like vaseline inside the nose at bedtime. if nose bleed persist then an examination by ent specialist doctor should be done. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i have gone through your question and understand your concerns. spinal anesthesia is usually a safe procedure with symptoms lasting for few hours and duration depends upon dose of chatbot.  it usually doesn't cause any permanent damage to nerves. as you have gone through one operation be brave all will go well. wishing you good health. hope you recover early. do get back to me for further queries. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read the history about your boyfriend and understood the problems. he has stitches on his stomach from an old wound. the pain if felt under the skin as for the muscular cramps or so, paracetamol or hosting n-butylbr will not help in any way. i would advise you to take him to the doctor to get an actual examination done to decide whether this is muscular or deep to it like inside the abdomen"
Please summerize the given abstract to a title,Nieuws
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings suggests increased bilirubin and sgpt level. increased sgpt may indicate liver injury. it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. it may be due to hepatitis in your case as bilirubin level is also raised. you may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, urine re/me, ultrasound of abdomen. i suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. it helps in regeneration of liver cells. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have described of feeling physically and mentally fatigued along with low mood and anxiety. these are also hampering your life to a great extent. you haven't specified for how long are you having these problems, but i assume from what you have told, that it is there for more than few years. i assume your physician had diagnosed you with chronic fatigue syn chatbot.  your symptoms suggest you to be having a mood disorder, either depressive episode or dysthymia, rather than cfs. i would prefer to give you an antidepressant like tablet bupropion. this shall be prescribed only after getting detailed information about your previous medical and psychiatric problems, and psychiatric problems in your family. so please consult a nearby psychiatrist and live a happy fruitful life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would recommend you to get basic x-rays and blood tests done. as i cannot see your age here, knee degeneration starts between 45-50 yrs depending on individuals' lifestyle. this looks like same, but if you are younger than this, this can be a sign of some internal derangement. get x-ray of knee done. till then avoid stairs, squats, crossed leg sitting. apply hot fomentation, take some painkillers. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is possible that you had a mild brain injury and this caused you to lose consciousness for about minute. non-specific white matter high signal areas on flair can be due to many causes and if you do not have any other symptoms other than dizziness and poor memory then most likely it is due to the head injury on 14th july 2014. since the brain volume is normal, it is unlikely to be a serious injury that you had. mild brain trauma can cause memory problems and dizziness for a while. i suggest you attend neurological rehabilitation services at the hospital you attend and discuss your problems. there are many brain training exercises which can help you with your memory. the chronic mastitis is a concern because it shows a possible ear infection and if not treated in earlier stages, this can cause problems related to hearing and also spread to the brain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your mothers symptoms and diagnosis. for carpal tunnel syn chatbot.  this would include medications such as pregabalin or gabapentin capsules. resting the hand in a splint may also be useful. only if the pain does not subside with medical treatment, should we consider surgery. in any case, carpal tunnel decompression surgery is safe and there is no need to worry. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting a question on our platform. i have read through all your explanation. there are lots of causes to the symptoms you are currently experiencing, like anxiety, panic attacks etc. i advise that you enroll in exercises like yoga, eat healthily, avoid stimulant like caffeine or tobacco this will help reduce your symptoms.  also make sure to get adequate sleep of 6-7 hours a day. if you do not get relief in a month, please a physician for evaluation. best regards"
Please summerize the given abstract to a title,Distinct early IgA profile may determine severity of COVID-19 symptoms: an immunological case series
Please summerize the given abstract to a title,"Risk factors for Coronavirus disease 2019 pneumonia after admission outside Wuhan, China"
Answer this question truthfully,"The skin cancer that typically presents as an elevated nodule with telangiectasias, rolled borders, central crusting, and/or ulcerations is called basal cell carcinoma (nodular type)."
Answer this question truthfully,"The most potent risk factor in the development of linitis plastica is the presence of CDH1 gene mutations. Other risk factors include Asian race, male sex, and low dietary fiber."
Answer this question truthfully,"Modifiable risk factors for primary hypertension include sodium intake, obesity (sedentary lifestyle), and alcohol intake."
"If you are a doctor, please answer the medical questions based on the patient's description.",you will be walking on your feet soon normally but i tell my patients to be patient in case of tibia as blood supply to tibia is very less than compared to other bones that's why tibia heals slowly as compared to other bones. moreover do consult with your physician regarding infection of your tibia. if it is infected then it may take some more time otherwise with plate and screws you will be advised to start weight-bearing too
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. you are just 15. so first don't think about death directly. here are few possibilities.1. first because of anxiety and related stressful study can lead panic attack with sweating, headache and chest pain with difficult breath. try to solve problem rather than taking stress. do regular light exercise. yoga at such a young age will be best.2. second if you have fever, cold and headache then viral respiratory infections can lead such constitutional chest pain. symptomatic treatment done for it. if still problem chest x-ray can be done.3. by any unaccustomed activity or heavyweight lift can lead muscular strain and chest pain. analgesic and hot compress helpful.4. if you have allergy to certain substance then asthma congenital can be ruled out by spirometry.5. if still cause not clear rule out gastric problem that might lead to referred chest pain. i hope my suggestion will be helpful to you. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for the query. white painful spots on your gum represent authors ulcer. usually ulcer in any area of the mouth is painful and as you said it's near to your lip there is possibility of more pain when you chatbot.  take multivitamin tablets, and you can apply denote local anesthetic before taking food which will reduce the pain. if the pain is unbearable then take an analgesic. hope this would help you. thank you"
Answer this question truthfully,"Prolactin plays a supportive role with estrogen in stimulating breast development. While estrogen is primarily responsible for the growth and development of breast tissue during puberty, prolactin also plays a role in promoting the growth and differentiation of mammary gland cells. Prolactin levels increase during pregnancy and lactation, and contribute to the development of the milk-producing cells in the breast. In addition, prolactin can stimulate the production of growth factors that promote the growth and differentiation of breast tissue. However, the exact role of prolactin in breast development is not fully understood, and more research is needed to fully elucidate its functions."
Please summerize the given abstract to a title,Implementation of Lung Ultrasound in Low-to-Middle Income Countries: a new challenge global health?
Answer this question truthfully,Unconjugated/indirect bilirubin.
Answer this question truthfully,"Strychnine poisoning can be fatal to humans and can be introduced to the body by inhalation, swallowing or absorption through eyes or mouth. It produces some of the most dramatic and painful symptoms of any known toxic reaction. For this reason, strychnine poisoning is often used in literature and film."
Answer this question truthfully,"Hyperemesis gravidarum (from Greek hyper and Latin emesis and gravida; meaning ""excessive vomiting of pregnant women"") is a severe form of morning sickness, with unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids. Hyperemesis is considered a rare complication of pregnancy but, because nausea and vomiting during pregnancy exist on a continuum, there is no clear boundary between common morning sickness and hyperemesis. Estimates of the percentage of pregnant women afflicted range from 0.3% to 2%.
Hyperemesis gravidarum is a complication of pregnancy, defined as severe and persistent nausea and vomiting that can lead to electrolyte imbalances, weight loss and dehydration . It can have negative consequences on the health of the mother and the fetus. This condition generally resolves as the pregnancy progresses, however most cases require treatment . Hospitalizations and severity of complications can be minimized with early treatment ."
Please summerize the given abstract to a title,Scoping Review of Telehealth for Musculoskeletal Disorders: Applications for the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of asthma is more likely in your sons case. recurrent wheezing and coughing in child chatbot. so better to consult pediatrician and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. he will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night is also useful. hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks."
Answer this question truthfully,"Parinaud syndrome can manifest with a ""sun-set"" sign, which is characterized by lid-retraction and the vertical gaze palsy. Lid-retraction refers to the upward movement of the upper eyelids, which can make the eyes appear wider and more prominent than usual. Vertical gaze palsy, on the other hand, is a condition in which the eyes are unable to move upward or downward, making it difficult to look up or down. These symptoms are caused by damage to the midbrain, which can occur as a result of a variety of underlying conditions, including tumors, infections, and traumatic brain injury. In addition to the ""sun-set"" sign, other symptoms of Parinaud syndrome can include double vision, difficulty with eye movements, and changes in pupil size. Treatment of Parinaud syndrome typically involves addressing the underlying cause of the condition, as well as providing supportive care to manage symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
Please summerize the given abstract to a title,The role and relationship of mindreading and social attunement in HRI – position statements of interdisciplinary researchers. Workshop HRI'20
Answer this question truthfully,There are no ECG findings associated with Zenker's Diverticulum (ZD).
Please summerize the given abstract to a title,Prediction of COVID’19 Outbreak by Using ML-Based Time-Series Forecasting Approach
Please summerize the given abstract to a title,Construction of a bovine-murine heteromyeloma cell line; Production of bovine monoclonal antibodies against rotavirus and pregnant mare serum gonadotrophin
Please summerize the given abstract to a title,Sentiment analysis of user feedback on the HSE’s Covid-19 contact tracing app
Answer this question truthfully,"Symptoms usually begin before age 17.
The hair may come out in round patches or across the scalp. The effect is an uneven appearance. The person may pluck other hairy areas, such as the eyebrows, eyelashes, or body hair.
These symptoms are usually seen in children:
An uneven appearance to the hair Bare patches or all around (diffuse) loss of hair Bowel blockage (obstruction) if people eat the hair they pull out Constant tugging, pulling, or twisting of hair Denying the hair pulling Hair regrowth that feels like stubble in the bare spots Increasing sense of tension before the hair pulling Other self-injury behaviors Sense of relief, pleasure, or gratification after the hair pulling
Most people with this disorder also have problems with:
Feeling sad or depressed Anxiety Poor self image"
Answer this question truthfully,"PDE-5 inhibitors are a type of medication used to treat conditions such as erectile dysfunction and pulmonary hypertension. Examples of PDE-5 inhibitors include sildenafil and tadalafil, which work by blocking the action of the phosphodiesterase type 5 enzyme, thereby increasing blood flow to specific areas of the body. These medications can help alleviate symptoms associated with these conditions and improve overall quality of life for those affected."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, to have a clear idea of the situation, i need few more details-her birth weight, present weight, and present length if possible. this will tell us whether she is getting enough nutrients or not. if weight and length are normal, and she is active&playful, i won't be worried. otherwise, we have to rule out anemia first, the most common cause of anorexia in clinical practice.  other causes like any systemic disorders are uncommon and need to suspect when anemia is corrected and weight gain is inadequate. kindly discuss with her pediatrician.  meanwhile, deform her with a single dose of albendazole 200\u00a0mg, if not done in past 6 months. include nutrient rich items in diet-dairy products, fat, oils, fruits, nuts and pulses. avoid caffeinated items and junk foods. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Methods for in vitro CRISPR/CasRx-Mediated RNA Editing
Please summerize the given abstract to a title,Temporal dynamics of SARS-CoV-2 mutation accumulation within and across infected hosts
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read and understood your history. this is a typical history, where the person suffers from pain in abdomen for 2 days after eating chicken. starts as stomach ache and then increases in intensity followed by dizziness and fever. -no pain by day 3. - wonderfully appendicitis relieved your pain for 2 to 3 years. this is fare and odd to notice. usually the symptoms would have been not relieved at all or wound not have recurred. i would advise you the following"
Please summerize the given abstract to a title,Molecular mechanism of membrane protein integration into the endoplasmic reticulum.
Please summerize the given abstract to a title,Delivery Strategies for mRNA Vaccines
Please summerize the given abstract to a title,Does Copper treating of commonly touched surfaces reduce healthcare acquired infections? A Systematic Review and meta-analysis
Please summerize the given abstract to a title,An Overview on GPCRs and Drug Discovery: Structure-Based Drug Design and Structural Biology on GPCRs
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely get done these tests to diagnose your condition. acidosis is inflammatory disease affecting almost all organs. normal liver function tests don't rule out liver disease. we need to looked at liver parenchymal, bile duct, gall bladder etc. so ultrasound abdomen is must for all these details. sometimes gastritis, stomach related other problems, intestinal infection etc. can also cause similar symptoms. and to diagnose these, upper gis copy and intestinal follow through are needed. so my suggestion is to get done ultrasound, upper gis copy and intestinal follow through to rule out internal abdominal pathology. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Atmospheric Plasma Supported by TiO(2) Catalyst for Decolourisation of Reactive Orange 16 Dye in Water
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the consultation. after going through your symptoms, the pain in this part of tummy usually happens because of stones of the gallbladder, kidney problems and gut problem such as appendicitis. because of unavailability of clinical findings of a physician and complete history, i want you to undergo little blood test such as complete blood count, liver function tests and urine examination. i would also advise you to undergo ultrasound abdomen and pelvis.meanwhile, you can start painkiller which suits you as i dnt know the allergy status. please do all these test and can revert to me. hope you get well soon."
Answer this question truthfully,"In HIV-associated dementia, subcortical dysfunction may lead to non-specific symptoms such as slow or jerky movements."
Please summerize the given abstract to a title,The potential of molecular diagnostics and serum procalcitonin levels to change the antibiotic management of community-acquired pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, taking i-pill within first 24 hrs of unprotected sex gives protection more than 95% against unwanted pregnancy. following taking i-pill, period may be delayed for 7-10 days in general. it occurs due to hormonal imbalance and mental stress. you did sex mostly around safe period and got negative pregnancy test. here, she waits another 1 week to get period normally. otherwise, consult with gynecologist for proper medication to induce period. take healthy diet, chatbot.  be well & practice safe sex in the future."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...this is not related. this throat and mouth burning sensation could be due to a viral pharyngitis.  but the at the same time i would like to chatbot.  it could be a seizure or complex partial seizure which might have caused this fainting attack in him. i suggest you get an eeg done and ascertain that it is or not a seizure. if it is normal he will require an echo of the heart and a 12 lead ecg to see for conduction defects in the heart. regards -=
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Potential Ophthalmological Application of Extracts Obtained from Tuna Vitreous Humor Using Lactic Acid-Based Deep Eutectic Systems
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i understand your concern. bipolar depression can be treated with anti-depressant and mood stabilizer. here is the combination which will help in bipolar depression. fluoxetine and olanzapine. this combination is approved by us fda for bipolar depression. aquitaine is also us fda approved medicine for bipolar depression. ect means electroconvulsive therapy is also useful in resistant cases. consult your treating psychiatrist for further assistance. say thank you if you are helped. wish you a very good health. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi & welcome to chatbot. incomplete data
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most probably an acidity and gastritis. do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? still you should get one ecg done to rule out heart issue.  you should avoid fatty, oily and spicy diet. have some walk after having food instead of taking rest. have multiple small meals instead of heavy meals. have regular sleep habits and avoid stress. lots of green leafy vegetables, fruits. avoid smoking and alcohol if any. you can get prescribed tab pan dsr 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. if not adequately relieved, then you should add syr sacral o or genus two teaspoon three times a day for a week. hope this helps you and get back if you have any doubts."
Please answer with one of the option in the bracket,B: Glucocorticoid taper with antihistamines
Please summerize the given abstract to a title,Het gebruik van videobeelden bij triage op de huisartsenpost
Answer this question truthfully,The heart sound S2 is due to aortic and pulmonic valve closure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,first i would say that final tablets should not be handled by a woman who is pregnant or who may become pregnant. if you accidentally come into contact with this medication or a broken or crushed tablet, please wash the area right away. also, final tablets (finasteride) are not indicated for use in women. you can use monoplane shampoo, and maintop 12.5%. for the maintop solution i would advise to use it only if the situation is severe. you will notice the during pregnancy your hair will be fuller, because you will lose it more slowly as you normally do, because of the high levels of estrogen. hope i have answered your query. please feel free to contact me if anything is unclear. wish you good health!"
Answer this question truthfully,"The immunoglobulin that is capable of crossing the placenta is IgG. During pregnancy, IgG antibodies produced by the mother can cross the placenta and enter the fetal circulation, providing passive immunity to the developing fetus. This transfer of antibodies from mother to fetus is important for protecting the newborn against infections during the first few months of life, before the infant's own immune system is fully developed. The ability of IgG to cross the placenta is due to its small size and the presence of specific receptors on the placental cells that facilitate its transport. Other immunoglobulins, such as IgM and IgA, are too large to cross the placenta and are not present in significant amounts in fetal circulation."
Please summerize the given abstract to a title,A Characterization of the COVID-19 Pandemic Impact on a Mobile Network Operator Traffic
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. the causes of pain in the belly button and the area above can be infection in the area called umbilical granuloma or can be an obstructed hernia. pull on the intestine or the momentum can cause pain in the other side of the abdomen or due to associated colitis. i would advise you the following
Answer this question truthfully,"Fibrosis is another finding on biopsy that is present in both polymyositis and dermatomyositis, in addition to inflammatory infiltrate with myocyte necrosis and muscle regeneration. Polymyositis and dermatomyositis are autoimmune diseases that affect the muscles and cause weakness, pain, and fatigue. Inflammatory infiltrate with myocyte necrosis and muscle regeneration are the primary histological features of both conditions, but fibrosis can also be seen. Fibrosis refers to the accumulation of excess connective tissue in the muscle, which can lead to stiffness, reduced range of motion, and further muscle damage. Treatment for polymyositis and dermatomyositis typically involves immunosuppressive medications to reduce inflammation and slow disease progression."
Please summerize the given abstract to a title,The Impact of COVID-19 Pandemic on Rehabilitation Services in a Tertiary Care Hospital in the Eastern Region of Saudi Arabia: A Single-Center Study
Please summerize the given abstract to a title,"Impacts of the COVID-19 pandemic on ginger production: supply chains, labor, and food security in Northeast Thailand. (Special Section: Land, livelihoods, and change amidst the COVID-19 pandemic in Southeast Asia.)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for consulting chatdoctorread your query as your son had swollen jaw with pus discharge possibly pus discharge can be due to infection in tooth or in infection in gum that is infection in periodontal ligaments. so for this you should have to consult dentist and go for tm visual examination of gum if needed go for investigations iowa x-ray of region of pus discharge and go for its treatment. possibly treatment for infection in gums is curettage and oral prophylaxis, if infection is there in tooth then root canal treatment should be done. in meantime you do warm saline rinses 2, 3 times a day amd you can take antibiotic like amoxicillin or ofloxacine by consulting with you local doctor. hope this will help you."
Answer this question truthfully,"There are no diagnostic laboratory findings associated with syncope. Some patients with syncope may have acidosis, which is usually suggestive of insufficient blood flow. Other possible laboratory findings may include: 
Hypoglycemia Increased lactate level Hypoxia Hypercapnia
Basic laboratory studies are generally evaluated in the diagnosis and treatment of syncope."
Answer this question truthfully,"The name of the gram-positive rod that produces an exotoxin capable of ADP-ribosylating EF-2 is Corynebacterium diphtheriae. This bacteria is the causative agent of diphtheria, a serious respiratory illness that can cause severe damage to the heart and nervous system. The exotoxin produced by Corynebacterium diphtheriae is known as diphtheria toxin, and it works by ADP-ribosylating EF-2, which is involved in protein synthesis. This disrupts protein synthesis and can lead to cell death. Diphtheria is a vaccine-preventable disease, and vaccination is recommended for all children. Treatment for diphtheria typically involves antitoxin therapy, antibiotics, and supportive care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it would be helpful having at least a fecal analysis if this has been going on and off. it's warranted to rule out a parasitic cause which needs antiparasitic medication. a stool culture could also be helpful to rule out any bacterial infection that is not identified with usual routine labs. this should help your son.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. zapiz is a benzodiazepine, commonly used for treating anxiety. it has a high probability of causing addiction, if used for long. so, i suspect you are developing an addiction to it. that is the reason, as soon as you stop it, symptoms recur.first, we need to determine the cause of your headaches. if it is migraine, then, we need to use preventive medications. since you have seizures also, topiramate or divalproex would be a better option than kendra (levetiracetam), as they would help both seizures and migraines. for coming out of rapid, you may take the help of a psychiatrist. i hope it helps. please get back if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query. this sequence of events usually occur before a fever develops. -did you check his temperature at that time? -does he have any other signs of infection or any other symptoms?-any medical problems? is he on any medications? sometimes stress during the day can cause a transient increase in heart rate. if symptoms persists or recurs, please consult his physician for an electrocardiogram. holder monitoring for 24 hrs may be required to catch the heart during such episodes to find out the rhythm abnormality. he may also need some tests to check for any chemical abnormalities in his blood that could be triggering these episodes if it doesn't recur, then don't worry about it. fever can elevate heart rate as well. next time hope this helps. please let me know if there is anything else i can help you with. wish you both good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","it is indeed due to a possible infection. infection can be confirmed by increased pain, redness, swelling, heat, or tenderness around the piercing site or yellow-green pus-like discharge coming from the piercing site as in your case. by switching to gold, you have minimized the possible allergic reaction to metals. it would be reasonable to remove the ear-rings for the time being and also go for a course of oral antibiotics. meanwhile, apply some antibiotic ointment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. false positive results are possible but uncommon. unfortunately in many cases the right mechanism of transmission is never found. your dietary and lifestyle habits aren't related to help transmission. it can be transmitted by sexual intercourse, by contaminated personal items such as razors or nail care equipment, by contaminated needles, bites etc. it could have happened at any age. virus could have been inactive for so many years. the more important now is to evaluate your liver damage which isn't serious because you would have more intensive symptoms and findings. i recommend do follow hepatic diet and avoid alcohol. there are some medicines too but it isn't necessary in this stage. wish you good health."
Answer this question truthfully,"Patient will present with a history of consumption of cooked seafood within 24 hours prior to the onset of illness. 
The following is a list of common presenting symptoms in a patient with Haff disease: 
Nausea Vomiting Myalgia Muscle rigidity Chest pain (may mimic myocardial infarction) Diaphoresis Dyspnea Brown urine (indicating myoglobinuria)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting. i have gone through your query and i understand your concerns. i think that you may suffer from back arthritis and anemia. to be sure for the diagnosis you need the following tests"
Answer this question truthfully,"Cranial nerve II (optic) is responsible for transmitting visual information from the eye to the brain. Lesions, or damage, to this nerve can result in a range of visual symptoms, including visual field deficits (anopsia) and changes in visual acuity. Visual field deficits refer to a loss of vision in certain areas of the visual field, which can occur in one or both eyes depending on the location and extent of the lesion. Anopsia refers specifically to a loss of vision in a specific part of the visual field, such as the central or peripheral areas. It is important to seek medical attention if you experience changes in vision or other symptoms of a potential CN II lesion, as early diagnosis and treatment can help prevent further damage."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Asymptomatic SARS-CoV-2 infection and the demography of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, depending on your age, this could be an autoimmune disease where the body makes antibodies to itself. there are a whole host of autoimmune diseases, some are worse than others.  the diagnosis is made by special lab tests that your doctor should order, and there are many very helpful treatments available if you do indeed have an autoimmune disease. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,The outlook depends on the cause of amenorrhea. Most of the conditions that cause secondary amenorrhea will respond to treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, but i would recommend that you get tested for hsv and other std. also, please send a photo of the lesion to be able to help you further.  i would also recommend that you get tested for diabetes which can predispose to infections by a blood test for blood glucose levels both fasting and postprandial. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,"Sleep Disorders, Perceived Stress and Family Support Among Nursing Staff During the Pandemic Crisis"
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your query and understand your concern. brief answer"
Please summerize the given abstract to a title,A longitudinal study on the COVID-19 pandemic and its divergent effects on social participation and mental health across different study groups with and without mental disorders
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if no fever or loose stools, we need not worry now. this might suggest acute gastritis(although symptoms usually occur during day also). just give him an acid reducing agent like pantoprazole (20\u00a0mg before food) once daily for 5 days, along with ondansetron 4\u00a0mg twice daily for 2 days for vomiting. also, avoid spicy / fried items, give plenty of fruits and vegetables and chatbot.  if symptoms are not getting down in 3 days of these measures, kindly take him to a pediatrician for further evaluationtake care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,The impact of the COVID‐19 pandemic on nutritional status in Alzheimer's disease
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the possible cause will be lymph nodal enlargement. lymph nodal enlargement will be seen after any infection / inflammation.2. the excessive stress the thigh muscle have experienced after the bike ride after a long time - may give lymph nodal enlargement due to localized stress.3. if any other underlying medical condition you are experiencing - treat the cause first.4. if lumps persists without any pathology - an ultrasound examination of the lump - will help to analyze the nature of the lump, its source and extensions.5. depending on findings a needle sample might be necessary. ant treatment depending on findings. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this area that supply between index and middle finger extensor surface is supplied by superficial branch of radial nerve. in case of any compression at radial ridge or neuropathy or radiculopathy pain or burning sensation will be there. local infection or scabies may can cause this problem. use tablet pregabalin once daily for five days. use vitamin b complex tablets once a day one tablet for one week. if symptoms not improved please consult your neurophysician/orthopedic they will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i understand your concern please. you said you had an operation done on your right kidney for ureteric stone. it's an important history. can you please tell me why did you feel the need to get your urine tested? pain in the back (loin) guides me to think that it could be a kidney stone. does the pain go anywhere else, or it just remains at the back itself? like whether it goes up to the testicle or inner side of your left thigh or something like that? i guess based on the fact that there are numerous rbc, the color of urine might be red.ply let me know if you have fever now or had any sore throat in the recent times last week or like that. first get the basic investigation done which is ultrasound abdomen and pelvis which could be a screening test for many kidney related conditions and also an x-ray pub to know if there are any stones. based on the reports we could further proceed. for time being, to relieve the pain do take tab diclofenac and stay hy chatbot."
Answer this question truthfully,Some adverse effects of gabapentin include sedation and ataxia.
Please summerize the given abstract to a title,The first seven months of the Covid-19 pandemic: Reflections from The National Library of Wales
Please answer with one of the option in the bracket,E: Increase in pyloric sphincter tone
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should immediately take your daughter to emergency room and start intravenous injections and treatment. she might be having labor pain too as she is having pain in uterus. so better, not to wait at home and start injectable treatment. she is having excessive vomiting, so oral chatbot. so take her to the emergency room and start appropriate treatment."
Please summerize the given abstract to a title,Neonatal anemia relates to intestinal injury in preterm infants
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, these are not suggestive of ischemic heart diseases. you're all these findings are due to valvular heart disease. you are having diseased aortic valve. you got valvular replacement in 2012.  aortic stenosis, regurgitation, high blood pressure etc. suggest that your aortic valve have failed once again. and for this, you may need revision surgery of aortic valve. so better to consult cardiothoracic surgeon and get done 2d echo report to confirm the damage. also discuss need of surgery. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,COVID-19 – An Opportunity to Improve Access to Primary Care Through Organizational Innovations?
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for contacting me. infective diarrhea in 2-month-old is in most cases due to faulty feeding especially if on bottle-feed. i would stop bottle-feed and ask feed only breast milk. is there fever ? you have not told if there is incessant vomiting also. in case there is bacterial dysentery the antibiotic is necessary and as stool culture is not always practical, we an empirical antibiotic. the climax is for colic and flatulent for gaseous disturbance. this treatment should help and you watch for response. the little dough you said can be due to a viral infection or allergic cough. you have not mentioned if there is fever. if not infective child chatbot.  i would try giving anti-cold"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thank you for asking on chatbot! i read your question and understand your concern. if he has complains such as
Answer this question truthfully,Reading the PPD test involves checking the size of the induration.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have history of trauma.  so if you have symptoms like headache then you should consult your doctor and go for ct scan. you may have some internal injuries.  so go for it and then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Rotavirus is the most common cause of viral gastroenteritis in developing countries. Rotavirus is a highly contagious virus that can cause severe diarrhea and vomiting, particularly in young children. In developed countries, rotavirus infections are usually mild and self-limiting, but in developing countries, they can be a significant cause of morbidity and mortality, particularly in areas with poor sanitation and limited access to healthcare. Rotavirus is transmitted through the fecal-oral route, and outbreaks can occur in crowded settings such as daycare centers and hospitals. Prevention of rotavirus infection in developing countries is a public health priority, and strategies such as vaccination, improved sanitation, and hygiene practices can help to reduce the burden of disease. Treatment for rotavirus gastroenteritis typically involves supportive care, such as rehydration therapy and management of symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the swelling in the spot you mentioned, lighter in color, pain sometimes while walking or going upstairs are suggestive of a hernia if a muscle through a tear in the lining. this does happen. another possibility is of having any other lump like lipoma, sebaceous cyst and so on. i would advise you to have a clinical examination by a doctor, preferable an orthopedic surgeon. ultrasonography and fnac if required will help a diagnosis and proper treatment."
Answer this question truthfully,"Natural orifice transluminal surgery (NOTES) is a rapidly evolving field which may shift the minimally invasive surgery world from laparoscopic surgery and video assisted thoracic surgery to procedures that can be done through the natural body orifices without any abdominal or thoracic incisions. NOTES may be a feasible, safe, and reasonable option for abdominal surgery. It may provide many advantages and lessen surgical complications. New NOTES procedures should be experimental at the beginning, and they should be performed only in research labs in advanced institutions before being applied clinically.
We are on the way to apply many NOTES procedures clinically by the steady progression in the field. Patient safety and research trials that ensure this safety are paramount. Innovative instruments are needed by the surgeons and gastroenterologists to perform safe NOTES procedures. The development of such therapeutic techniques and advanced endoscopic devices will allow the endoscopists to perform various procedures more easily, such as resection of large and deep mucosal lesions and taking full thickness biopsies .
International NOTES research groups, such as NOSCAR, EURO-NOTES, ASIA-NOTES, NOSLA (Natural Orifice Surgery Latin America), EATS (European Association of Translumenal Surgery) and others are currently working to improve the NOTES field and aim to provide worldwide registries for NOTES procedures.
Finally, enthusiasm and conducting laboratory studies and clinical trials are required for further improvements in the field in order to provide the best possible patient care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, continue with the ice pack. do not switch to a hot pack. complete your penicillin course. if it doesn't resolve, you could get a swab taken from the wound to see what bacteria are growing. a lot of people are allergic to sulfa chatbot.  you could ask your clinician to prescribe an alternate antibiotic. in the meantime, take a cetirizine for the rash, and you can use calamine lotion as well. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",none of the medications we use for alzheimer's is preventative.  they were not researched in that way nor are they indicated for prophylactic use. axon is actually a medical food supplement and should not be used in people with metabolic issues such as diabetes as it can cause ethnic shock and coma in extreme cases. i would not recommend the use of axon in anybody without a diagnosis of alzheimer's dementia and only under the direction of an experienced physician due to its side effects which in some cases can be severe enough for people to go the er.  good luck.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if your knee is hurting behind them might be you should see a physician or an orthopedic specialist. you can hot water fermentation and followed by this some little knee strengthening exercises. if your pain is not subsided even doing so then without a delay meet the concern specialist mentioned. during the ligament injury the knee becomes disabling pain. but you can slowly recover with gradual process by the help of a physical therapist. wish you a good luck"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the history you give, and the treatment described suggests that the pulmonary pressures are very high and so any form of operation will do more harm than any benefit.  so the best treatment here is to continue medicine. there is no problem in getting marriage however you should avoid pregnancy by all means as pregnancy can put your life in danger. however, an objective guidance is only possible after seeing the data of the pulmonary pressure (the last echocardiography) and previously the angiography (path) study."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query to chatbot.-i studied your query in depth and understood your concerns.-cause and treatment-of the lump on the forearm with bruise -may just be petechial rash by aging with insect bite?-due to which lump could be there.-remedy--cold compresses-tb nsaids x 5 days-zincovit c to recoup the deficiencies-thrombophobe locallythis would resolve the red bruise of your mom. this would help you to plan treatment with your doctor.don't worry and things will settle hope this would resolve your query. welcome further for any query in this regard. wishing you a fast recovery.don't forget to write a good review asap. have a good day."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good evening. thanks for your query to my virtual chatbot clinic. i studied your query in-depth. in my opinion-diagnosis is-early moran bakers cyst of the right-knee joint. cause -of this lump is -due to the weakness in popliteal fascia-through which -synovial protrusion -cystic swelling occurs-. this is usually associated with arthritis / or the meniscal injury. treatment under cover of orthopedic doctor would resolve the issue medically with-nsaids, rest and knee-traction, and or -surgical excision of the mb cyst. hope this would resolve your worrying query. wellcome for more query from you. good day."
Answer this question truthfully,"Leukocyte adhesion deficiency is a rare genetic disorder that affects the immune system. One of the main characteristics of the condition is marked leukocytosis with neutrophil predominance. Leukocytosis refers to an abnormally high number of white blood cells in the blood. In individuals with Leukocyte adhesion deficiency, the number of white blood cells, specifically neutrophils, is elevated. Neutrophils are a type of white blood cell that plays a critical role in fighting infections. However, in individuals with Leukocyte adhesion deficiency, neutrophils are unable to migrate from the bloodstream into tissues where they are needed to fight infections. As a result, the body is unable to mount an effective immune response, and the number of neutrophils in the blood remains high. This can lead to recurrent or severe infections that can be life-threatening. Treatment typically involves aggressive and prolonged antibiotic therapy, and in some cases, bone marrow transplantation may be necessary."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,first i would advise you not to undergo such unhealthy practice. please do consult with your physician prior to administration of avatar tablets. always inform your dentist regarding this prior to any dental procedure. vitamin c as well as iron supplements has to be administered. plenty of fruits as well as nutritional supplements has to be ingested. also monitor your bleeding time as well as clotting time regularly. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",your mother is suffering from carcinoma of gall bladder and has been operated twice. if she has not been treated with radiotherapy to tumor bed followed by adj. chemotherapy the cancer is liable to recur. suffering from 1 day fever can be because of infection. for which conventional treatment / symptomatic treatment is needed. have her blood culture and sensitivity done and treat her with appropriate antibiotics. else visit your physician to get her investigated for recurrence.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...this seems to be a viral illness form which he is recovering. sometimes it can cause this sort of skin allergy like symptoms. as you say there are no mouth ulcers this could not be hand foot mouth disease. but, skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description of pain, possibility of herd (gastroesophageal reflux disease) is more. smoking is the biggest risk factor for herd. so quit smoking as soon as possible. allergy can also precipitate reflux. so better to consult doctor and start anti-allergic chatbot.  for reflux, try to follow these steps for better symptomatic relief. 1. avoid stress and tension. 2. avoid hot and spicy food. avoid large meals, instead take frequent small meals. 3. start proton pump inhibitors and prokinetic"
Answer this question truthfully,"Rifampin is an inducer of CYP-450, which is a group of enzymes that are responsible for the metabolism of many drugs and other substances in the body. As an inducer, Rifampin increases the activity of CYP-450, which can lead to more rapid metabolism of drugs that are substrates for this enzyme system. This can result in lower levels of these drugs in the body, which may reduce their effectiveness or require higher doses to achieve therapeutic levels. It is important to consider the potential effects of Rifampin on CYP-450 when prescribing medications, as this can impact drug interactions and the overall effectiveness of treatment."
Answer this question truthfully,Respiratory depression in a patient receiving magnesium sulfate is a sign of magnesium toxicity.
Please summerize the given abstract to a title,"Non-Central Limit Theorem Statistical Analysis for the""Long-tailed""Internet Society"
Please summerize the given abstract to a title,From the lockdown to the new normal: individual mobility and local labor market characteristics following the COVID-19 pandemic in Italy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there can be many symptoms of ovarian cancer and some of them are non-specific. the symptoms of suspected ovarian cancer are listed below.1. mass in the lower abdomen or pelvis with or without pain2. fluid collection in the abdomen3. generalized weight loss4. weakness and fatigue5. lymph node enlargement in the groin or neck6. pain in the pelvisyour symptoms of bright orange periods are not a feature of cancer ovary but if you have family history then getting screening tests is important. please consult your doctor for screening test of ovary cancer which might include ca 125 and ultrasound scan abdomen and pelvis. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your q urey. at this stage, your dad requires regular exercises under the guidance of a physiotherapist. he should be made to sit, stand and walk with support. he would also benefit from cognitive stimulation. family members should talk to him, tell him about various events in the family, etc. he should be also made to listen to songs, bajans, etc. in addition, you should take care of his food and nutrition, with the help of a dietician. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi rahul, thanks for writing to chatbot. there is no evidence based data to suggest the usefulness of ayurvedic medicine in increasing the height of an individual. the height of an individual is determined by many factors like heredity, environment, sex, nutrition, race, exercise, hormones etc. so, trying to increase height by means of any medications is not advisable as they tend to have adverse effects on other systems of the body. develop a positive attitude and go ahead in life. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam, very likely. follicular ovarian cyst can be formed each month. every time you need to have the ovulation your egg cell can be held in ovaries and form this kind of cyst. after that it can rupture and cause sharp pain in abdominopelvic region on the side of ovary. so it can be caught(ultrasound) in the middle of the menstrual cycle. if it happens constantly u should do gynecology work up including hormone levels and ct scan of pelvic region. also, these symptoms can be caused by pelvic infections, abscesses or stds. do urinalysis and inflammatory markers to rule this out. appendicitis can come very fast so don't exclude it. diverticulitis should be considered too.  wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot. i have read your question and understand your concerns. in clean should be taken actually according to weight and kidney conditions. presuming you have normal kidney function and average weight you can take 0.4ml dosage of clean subcutaneously just 2 hrs before flight. avoid prolonged sitting in flight, walk for a while every hour to avoid risk of clotting. thank you. have a nice day."
Answer this question truthfully,"According to research, effective brief interventions for alcohol abuse require an understanding of the patient's level of awareness of the problem and readiness to change."
Please summerize the given abstract to a title,"Could natural products modulate early inflammatory responses, preventing acute respiratory distress syndrome in COVID-19-confirmed patients?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot.  firstly, you did not mention your age. if it is below the age of menopause, then, you are suffering from secondary menopause.  for this, phaeton is the right chatbot.  but, when it is not working out, then doctor has to think for other options. the most effective option is dilation and curettage. send the biopsy material for histological examination.  so, consult with your treating doctor about this.  regards."
Please summerize the given abstract to a title,"Citizen Science, Education, and Learning: Challenges and Opportunities"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Long-acting β2 agonists (e.g. salmeterol) are always combined with a regimen of inhaled corticosteroids when given as a daily inhaler. This is because while long-acting β2 agonists can help to relax the airway muscles and improve breathing in asthma patients, they do not address the underlying inflammation in the lungs that causes asthma symptoms. Inhaled corticosteroids, on the other hand, work to reduce inflammation in the airways, which can help to prevent asthma symptoms from occurring in the first place. When used in combination, long-acting β2 agonists and inhaled corticosteroids can provide more comprehensive asthma management and better control of symptoms."
Please summerize the given abstract to a title,Connecting cancer research and communities: Assessing barriers and facilitators to the implementation of a community scientist program
Answer this question truthfully,"Keep all appointments with your doctor and the laboratory. Your doctor will need to determine your response to carteolol. Your doctor may ask you to check your pulse (heart rate). Ask your pharmacist or doctor to teach you how to take your pulse. If your pulse is faster or slower than it should be, call your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription."
Please summerize the given abstract to a title,Factors affecting healthcare workers' compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: Rapid evidence review.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome, discharge of brown color from penis can be due to herpes infection or any other venereal diseases. in rare cases it can be due to atlantis or epididymitis. more over painful micturition strongly indicate infection. since how many days this problem arise?? u should have a check for microbiological examination of that discharge. result of that test can identify the organism which can be treated by proper antibiotic chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. noted your child having fever with breathlessness. so here it could be viral bronchitis or pneumonia like condition if associated with chest pain also. chest x-ray will be useful for it. cbc also done to look for lymphocytes (in viral) and necrophilia (bacterial). if needed antibiotic needed.... your child physical examination also done with auscultation for creps or rhonchi if heard. if excess stress taken then by panic attack also such presentation can occur if no respiratory cause detected.meanwhile, motivate your child to lose weight. because by high cholesterol and induced fatty liver also liver enzymes can be elevated.usg useful for it... motivate him for yoga and daily exercise. it will be beneficial in reducing weight as well as in relieving depression ... hope your concern solved. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","namastewelcome to chatdoctorgreetings of the before embarking on treatment it's important to know what are the complaints of your husband. if he does not have symptoms or has mild symptoms like pain and no weakness_ he may not require surgical treatment, as it will respond to physiotherapy. having the complete clinical history is important to discuss further things. do get back to me. take disregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern for hives and boils on body. urticaria is a common condition caused by bursting of allergy producing cells known as \""mast cells\"" due to certain aggravating factors present in the environment. as the chemical inside them is released it produces a rash which you have mentioned. there can be multiple factors producing this condition which are included in day to day life and sometimes it is really difficult to find one exact cause. in your case you are correlating it with exercises, hot climate, spicy food. so it is better to stay away from the offending factors. the long term effective treatment for this is by oral anti histamine like loratadine under medical advice. it is one of the chatbot.  do not scratch or rub the skin as it can lead to further aggravation. all the best."
Please summerize the given abstract to a title,Öffentliche Mobilität gestalten – Die Mobilitätsberichterstattung
Answer this question truthfully,"Call your health care provider if bleeding occurs without reason.
If you have von Willebrand disease and are scheduled for surgery or are in an accident, be sure you or your family notify the health care providers about your condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. left sided chest pain should be evaluated for cardiac cause first. so get done ecg and 2d echo. if both are normal then no need to worry about cardiac cause. you are also having coughing with phlegm and breathing difficulty, so pulmonary causes like pneumonia, bronchitis etc. can be there. so better to get done chest x-ray and pft (pulmonary function test) to rule out pneumonia and bronchitis, respectively. better to first diagnose yourself and then start appropriate treatment."
Please summerize the given abstract to a title,Small-molecule polymerase inhibitor protects non-human primates from measles and reduces shedding
Please summerize the given abstract to a title,Evolving pharmacovigilance requirements with novel vaccines and vaccine components
Please summerize the given abstract to a title,Highly-specific memory B cells generation after the 2nd dose of BNT162b2 vaccine compensate for the decline of serum antibodies and absence of mucosal IgA
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear!. i would like to have a detailed history regarding the symptoms your child a mouth breather? do you have a family history of asthma and allergy? the symptoms which you have told possibly suggest your child has adenoid hypertrophy.it's not the usual age for adenoid removal. till then, you have to treat him symptomatically. give him a good anti histamine like levocetrizine 5 ml at night, montelukast sachet 4 mg, dissolved in water, give at night (both these for 3 months). keep his head a little higher and place a pillow below neck to keep airway open to make his breathing comfortable. you can also try some home remedies like one teaspoon of honey in a glass of luke warm water given once a day. give normal saline nebulization or steam inhalation at bedtime. hope it will help. wishing your child good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is very less likely related to the consumption of birth control pill. your allergy tests have come negative as well.  as you mentioned you have a family history of eczema and it's not necessary that the symptoms appear exactly similar to anyone else in the family.  you also mentioned that exposure to sun or heat makes it worse, it's an allergic reaction as your skin is very sensitive. you can use a sunscreen lotion with your dermatologists' advice for better protection. i would suggest you visit an immunologist/rheumatologist regarding this.  there might be a need for some blood tests to be done to see if the reason is autoimmune. once its clear, treating the underlying cause will be easy and the symptoms will eventually go away.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,"Notes from the Field: Dynamic Triaging Using Quality Improvement (QI) Methodology to Prevent the Admission of Asymptomatic COVID Positive Obstetric Patients in New Delhi, India"
Answer this question truthfully,"The likely diagnosis for this patient is diffuse axonal injury. Diffuse axonal injury is a type of traumatic brain injury that occurs when there is widespread damage to the brain's white matter. This type of injury is often caused by a sudden acceleration or deceleration of the head, such as in a car accident or a fall. The small punctate hemorrhages seen on a head CT are a characteristic finding in diffuse axonal injury, and are thought to be caused by shearing forces that tear the brain's blood vessels. Symptoms of diffuse axonal injury can range from mild confusion and headache to coma and death. Treatment may involve supportive care to manage symptoms, as well as rehabilitation to help the patient regain function and independence."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using the chatbot. you can become pregnant. get your thyroid profile test done. control your hormone values with in normal limit by adjusting toxin dosage.consult an obstetrician for your infertility problem for through work up, you may need hsg, to know condition of your fallopian tubes. hope i have answered your query. if you have any further questions i will be happy to help. thanks get well soon...."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. this can be due to reactive arthritis following viral fever. you can get analgesic such as ibuprofen for this pain relief. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","his have gone through your complaints. you are 14wks pregnant and bleeding during time needs to think of miscarriage, placenta prefix and cervical congestion. in er, says everything regarding baby is fine by hearing heart beat and cervix closed .but it's important to go for scan how is placenta. if its low-lying or covering os it's important to take rest. if all this is normal then you can think of cervical congestion. thank youregardsvasundhara"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatdoctorthe condition you have described is called satyriasis tricolor, a superficial skin infection caused by a fungus. i would recommend you take short course of oral antifungal chatbot. apply ketoconazole cream twice a day over the white patches regularly. use shampoo containing ketoconazole and selenium sulfate for rinsing daily. maintain hygiene. hope you will get fine shorthand you"
Answer this question truthfully,"Toxic megacolon must be differentiated from other diseases that cause abdominal pain, fever, diarrhea such as acute appendicitis, acute diverticulitis, inflammatory bowel disease, whipple's disease, tropical sprue, infective colitis, viral hepatitis (hepatitis A and hepatitis E), liver abscess, spontaneous bacterial peritonitis, mesenteric ischemia, and acute ischemic colitis.
Abbreviations: RUQ = Right upper quadrant of the abdomen, LUQ = Left upper quadrant, LLQ = Left lower quadrant, RLQ = Right lower quadrant, LFT = Liver function test, SIRS= Systemic inflammatory response syndrome, ERCP = Endoscopic retrograde cholangiopancreatography, IV = Intravenous, N = Normal, AMA = Anti mitochondrial antibodies, LDH = Lactate dehydrogenase, GI = Gastrointestinal, CXR = Chest X ray, IgA = Immunoglobulin A, IgG = Immunoglobulin G, IgM = Immunoglobulin M, CT = Computed tomography, PMN = Polymorphonuclear cells, ESR = Erythrocyte sedimentation rate, CRP = C-reactive protein, TS= Transferrin saturation, SF= Serum Ferritin, SMA= Superior mesenteric artery, SMV= Superior mesenteric vein, ECG= Electrocardiogram
Disease Clinical manifestations Diagnosis Comments Symptoms Signs Abdominal Pain Fever Rigors and chills Nausea or vomiting Jaundice Constipation Diarrhea Weight loss GI bleeding Hypo- tension Guarding Rebound Tenderness Bowel sounds Lab Findings Imaging Toxic megacolon Diffuse + − − − − + − − + ± + Hypoactive Anemia Leukocytosis especially in patients with Clostridium difficile infection Hypoalbuminemia Metabolic alkalosis associated with a poor prognosis Metabolic acidosis secondary to ischemic colitis CT and Ultrasound shows: Loss of colonic haustration Hypoechoic and thickened bowel walls with irregular internal margins in the sigmoid and descending colon Prominent dilation of the transverse colon (>6 cm) Insignificant dilation of ileal bowel loops (diameter >18 mm) with increased intraluminal gas and fluid Acute appendicitis Starts in epigastrium, migrates to RLQ + Positive in pyogenic appendicitis + − − ± − − Positive in perforated appendicitis + + Hypoactive Leukocytosis Ct scan Ultrasound Positive Rovsing sign Positive Obturator sign Positive Iliopsoas sign Acute diverticulitis LLQ + ± + − + ± − + Positive in perforated diverticulitis + + Hypoactive Leukocytosis CT scan Ultrasound History of constipation Inflammatory bowel disease Diffuse ± − − ± − + + + − − − Normal or hyperactive Anti-neutrophil cytoplasmic antibody (P-ANCA) in Ulcerative colitis Anti saccharomyces cerevisiae antibodies (ASCA) in Crohn's disease String sign on abdominal x-ray in Crohn's disease Extra intestinal findings: Uveitis Arthritis Whipple's disease Diffuse ± − − ± − + + − ± − − N Thrombocytopenia Hypoalbuminemia Small intestinal biopsy for Tropheryma whipplei Endoscopy is used to confirm diagnosis. Images used to find complications Chest and joint x-ray CT MRI Echocardiography Extra intestinal findings: Uveitis Endocarditis Encephalitis Dementia Hepatosplenomegaly Arthritis Ascites Disease Abdominal Pain Fever Rigors and chills Nausea or vomiting Jaundice Constipation Diarrhea Weight loss GI bleeding Hypo- tension Guarding Rebound Tenderness Bowel sounds Lab Findings Imaging Comments Tropical sprue Diffuse + − − − − + + − − − − N Fat soluble vitamin deficiency Hypoalbuminemia Fecal stool test Barium studies: Dilation and edema of mucosal folds Steatorrhea - 10-40 g/day (Normal=5 g/day) Infective colitis Diffuse + − ± − − + − + Positive in fulminant colitis ± ± Hyperactive Stool culture and studies Shiga toxin in bloody diarrhea PCR CT scan Bowel wall thickening Edema Disease Abdominal Pain Fever Rigors and chills Nausea or vomiting Jaundice Constipation Diarrhea Weight loss GI bleeding Hypo- tension Guarding Rebound Tenderness Bowel sounds Lab Findings Imaging Comments Viral hepatitis RUQ + − + + − Positive in Hep A and E + − Positive in fulminant hepatitis Positive in acute + N Abnormal LFTs Viral serology US Hep A and E have fecal-oral route of transmission Hep B and C transmits via blood transfusion and sexual contact. Liver abscess RUQ + + + + − ± + − + + ± Normal or hypoactive CBC Blood cultures Abnormal liver function tests US CT Spontaneous bacterial peritonitis Diffuse + − − Positive in cirrhotic patients − + − − ± + + Hypoactive Ascitic fluid PMN >250 cells/mm ³ Culture: Positive for single organism Ultrasound for evaluation of liver cirrhosis Mesenteric ischemia Periumbilical Positive if bowel becomes gangrenous − + − − + + + Positive if bowel becomes gangrenous Positive if bowel becomes gangrenous − Hyperactive to absent Leukocytosis and lactic acidosis Amylase levels D-dimer CT angiography SMA or SMV thrombosis Also known as abdominal angina that worsens with eating Acute ischemic colitis Diffuse + ± + − − + + + + + + Hyperactive then absent Leukocytosis Abdominal x-ray Distension and pneumatosis CT scan Double halo appearance, thumbprinting Thickening of bowel May lead to shock"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, causes of pain in the buttocks range from temporary annoyances, such as bursitis, bruising, performs syn chatbot.  until examination is done it is difficult to say what it is. please get it done x-ray pelvic joint, mri spine, nerve conduction study. use cold and warm compression, physical therapy, nsaids treatment. if symptoms not improved please consult your neurophysician he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern, if you are taking birth control tab or had taken it recently that does not cause diarrhea, diarrhea is different clinical symptoms and not related with the birth control tab, neither this is the sign of pregnancy, if this is the blood stain stool then wait for few days this would come around on its own, nothing to worry about this, take care and have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if it's been a few days since you heard the pop which occurred while asleep and there was no nausea, vomiting, double vision, slurred speech, or other constitutional symptoms then, you may have heard an auditory phenomenon associated with the nightmare, but it is not clinically concerning or relevance.  if you are having headaches that are not going away then, you should see your doctor for a more detailed story on the symptoms of the headaches which are likely treatable with simple measures.  however, what you describe does not likely involve any blood vessels, aneurysms, or strokes should any of those entities be of concern to you. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. if you have frequent yeast infection then you should take antifungal chatbot.  you should also go for hiv testing because repeat infection is common in immune compromised people and low wbc count is also common.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,D: Otosclerosis
Please summerize the given abstract to a title,Qualitative study exploring factors affecting the implementation of a vocational rehabilitation intervention in the UK major trauma pathway
Please answer with one of the option in the bracket,C: Sturge-Weber syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. your pain is due to arthritis. when bone is not able to take weight due to arthritis than it has to be shared by muscles. it causes pain in thigh and calf muscles.also, some time it can be due to nerve compression. you can judge your self. if your pain increases on walking and relieved with rest, it is suggestive of nerve related pain. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,"Endometrial cells may be present on a pap smear, particularly during menses."
Answer this question truthfully,Colon polyps or carcinoma is the most common cause of iron deficiency in the elderly population of the Western world.
Please answer with one of the option in the bracket,E: Primary sclerosing cholangitis
Please summerize the given abstract to a title,Does increase in R & D investment reduce environmental pressures? Empirical research on the global top six carbon emitters
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...neck pain along with fever could be a simple viral illness or typhoid (meningismi) or as the mother rightly suspected meningitis. but if the kid is active when the fever is down, you need not worry. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome chatbot. i have gone through your question. low sperm count is one of the reason for fertility. but sperm motility also matter as motility should be 50%, and active motile at least 30%. sperm count should be at least 20million/ml. body heat depends on your body metabolism and body mass index. it can not be reduced with medicines. i would advise doing color doppler ultrasound of scrotum to rule out varicocele and to see vascularity of testes. to conceive you should do intercourse in fertile period on alternate days. hope i answered your question. would be happy to help you further. take care."
Please summerize the given abstract to a title,Correlation between Overconfidence and Learning Motivation in Postgraduate Infection Prevention and Control Training
Answer this question truthfully,"The likely diagnosis in this case is chorioamnionitis, which is an intra-amniotic infection. Prolonged rupture of membranes and prolonged labor are risk factors for developing chorioamnionitis. The presence of fever and tachycardia in the mother, as well as fetal tachycardia on fetal heart tracing, are consistent with this diagnosis. Chorioamnionitis can be a serious condition and may require prompt treatment with antibiotics, delivery of the baby, or both."
Answer this question truthfully,"One subtype of invasive ductal carcinoma of the breast is inflammatory carcinoma, which is characterized by an erythematous and swollen breast that does not resolve with antibiotics."
Please summerize the given abstract to a title,Sentiment Analysis for Arabic Tweets on Covid-19 Using Computational Techniques
"Diabetes Type 2 I test before going to bed and the reading is 94 but when I test again in the morning, the reading is 165.  How can I lower it?  I eat dinner around 8PM and nothing until the next morning.","Lifestyle changes, such as eating healthy, exercising and losing weight if you are overweight, could delay or prevent the start of type 2 diabetes."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms seem to be related to a pinched or damaged nerve. as these symptoms have been going on for such a long period of time, irreversible damage to the nerves of this region is probable. for this reason, i would recommend performing a nerve conduction study. if i were your doctor, i would also recommend starting treatment with gabapentin or pregabalin for the pain. these chatbot.  hope to have been helpful! wishing all the best,"
Please answer with one of the option in the bracket,B: Vitamin B1
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallbladder surgery and recent ultrasound results. the patient may be having a case of recurrent stone causing the obstruction somewhere along the hepaticopancreaticobiliary tree area. this obstruction causes the presenting symptoms. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. diagnostics (such as ercp, ct-scan, blood exam, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!! ~ chatbot."
Answer this question truthfully,"The sixth (VI) cranial nerve, also known as the Abducens nerve, is the most susceptible to injury in the cavernous sinus."
what are autoimmune blood disorders,"An autoimmune disorder occurs when the body's immune system attacks and destroys healthy body tissue by mistake. There are more than 80 types of autoimmune disorders. The blood cells in the body's immune system help protect against harmful substances. These substances contain antigens. The immune system produces antibodies against these antigens that enable it to destroy these harmful substances. When you have an autoimmune disorder, your immune system does not distinguish between healthy tissue and antigens. As a result, the body sets off a reaction that destroys normal tissues."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,1) diagnosis of tumor in liver + swollen stomach suggest possibility of primary tumor in liver or spread of tumor to liver from somewhere else with collection of fluid in stomach due to decreased production of protein from decreased liver function.2) yes, surgery in such cases would be high risk from point of decreased liver function. it also increases chances of bleeding during surgery, decrease healing, wound infection.3) surgery has very limited role in case of spread of tumor to liver from somewhere else.4) it is advisable to consult medical oncologist to discuss further treatment (chemotherapy or surgery). if tumor has reached advanced stage then also surgery has very limited role and approach for treatment will be for relief of symptoms only rather than removal of tumor"
"If you are a doctor, please answer the medical questions based on the patient's description.","possibly your grandson has frontal lobe seizures. i would like to know his antiepileptic chatbot.  also, please mention his body weight. possibly his antiepileptics needs modification. if he ever continues to have seizure >5 minutes or not get awake from post octal state, or you feel some gurgling sound from his chest after seizure, then it's must take him to emergency. otherwise, in case of seizure, simply make him lay in lateral position during seizure at home and keep strict adherence to medications."
Answer this question truthfully,The short gastric arteries are the structures contained within the gastrosplenic ligament.
Answer this question truthfully,"Eversion and dorsiflexion, which can result in a condition known as ""foot drop,"" are the movements that are typically lost when there is a lesion in the peroneal nerve."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. heating and burning in chest with coughing is suggestive of bronchitis (inflammation of airways). so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is must for the diagnosis of bronchitis. and it will also tell you about severity of the disease. and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). so consult pulmonologist, get done pft. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks like you had been given metronidazole in combination with medicine for uti.  sometimes itchy throat & bad cough are side effects of medicines taken (prescribed), secretion of the penis is commonly due to chlamydia or gonorrhea infection. since the secretion of the penis is there you can take a course of ceftriaxone or azithromycin to stay on the safer side under your treating doctor or health care provider. take care of your hygiene. avoid unprotected sex or multiple partners. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Emerging infections and the integrative environment-health sciences: the road ahead
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there ~i understand your concern.  i think that you need to look up large hospitals websites in india if this is where you want to go for ivf treatments.  there may also be pricing on how much it would cost for you go have those treatments.  it will also be helpful to let you know that contacting the facilities over phone is the best way to find out which centers are most cost-effective for you and within your budget.  small towns though located far from international airports are many a time the most cost-effective option.  i hope this helps. take care and have a lovely day!
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if her echo showed that her heart contracts by 60% it is good because it is pretty normal. but if she has chest pain and has been diagnosed with angina, she needs to undergo coronary angiography. it is an examination when the heart vessels are being imaged by injecting a dye and looking under x-rays. it gives the opportunity to see if there are any blocked arteries, in this case, they can be opened by putting a stent. i would advise you to talk to your doctor about the possibility of coronary angiography. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","infected broken tooth can lead to pain and soreness of cheeks and jaws. constant cheek irritation by broken tooth can also cause pain and tenderness.  if tooth is broken, then you need treatment for your broken tooth. if nerve of the tooth is not exposed, then tooth can be restored with dental filling or crown but if nerve of the tooth is exposed or necroses, then root canal treatment followed by dental crown is required for the tooth. if tooth is badly mutilated, then post and core procedure is required after root canal therapy. if broken tooth is unrestorable, then tooth extraction followed by replacement of missing tooth with dental implants or dental bridge is required. only pain meds will be of little help. hot compresses are not indicated as they will aggravate the swelling. you can do warm saline rinses to reduce the swelling. you need to get treatment done for infected tooth. if you have cost constrains, then you can visit a dental school where treatment is done by dental students under supervision of experienced dentists. you can also look for free dental clinics near you or can talk to your local dentist if you can pay in installments for treatment. by the time you visit your dentist, you can avoid eating from side of broken tooth. you can also apply travel for some relief. maintain good oral hygiene to avoid any secondary infections"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have swelling in gums and cheek after history of fever this can be due to viral dermatitis don't be worried so much i will suggest you to consult dentist for oral examination and in meantime i will suggest you to apply ointment like civil 2 -3 times a day, and you can take tablet like civil by consulting with your local doctor. take electron and nutritious diet. hope this will help you. wishing you good health."
Answer this question truthfully,"Fluoroquinolones can be used to treat Salmonella gastroenteritis and osteomyelitis. Fluoroquinolones are a class of antibiotics that work by inhibiting the activity of enzymes involved in bacterial DNA synthesis. This can lead to the death of the bacteria and the resolution of the infection. However, fluoroquinolones should only be used when other antibiotics are not effective, as they can have serious side effects, including tendon damage and nerve damage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatbot forum, anemia can be due to impaired production of iron increased destruction loss of blood you are male with hb-124g/l is not to be worried as you will improve as on diet.  worm infestation can also lead to decrease hemoglobin level. start on with tab. albendazole once in 6 months. (you can do a stool examination to look for ova or cyst of parasites) vitamin c aids in the bodies ability to absorb iron, so taking oral iron supplements with orange juice is of benefit increase your foodstuff containing green leafy vegetables i hope i provided useful information. do ask further questions to help you get well soon. regards chatbot. kingston john david"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, the last few weeks of pregnancy are the most uncomfortable and also filled with anxiety and stress. and as the baby grows larger compared to the womb you can feel tightening and pain which can be mistaken for labor pains. you need not worry, as some women may get into labor by 42 weeks, that is 2 weeks after their due date and this is absolutely normal. you are still at 39 weeks and should not be worrying. a true labor pain will be increasing in intensity and length of time and will be from loin to groin and is usually accompanied by bleeding or breaking of waters. do not worry, if you don't get labor pains by 42 weeks then induction of labor will have to be considered. hope this helps. regards."
Answer this question truthfully,"Patients with a basilar skull fracture can present with periorbital ecchymosis, which is commonly referred to as ""raccoon eyes""."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. very good noon from india. thanks for your query. i understand your concerns. i studied your query in depth. need more information to comment on.-i would advise you not to worry still. in my opinion -it's a bedbug bite mostly-as its bruised and hurts. old history confirms insect bite by bedbug.-hope this reliefs your worry-some query. welcome for any more queries in time to come. have a good day."
Answer this question truthfully,Patients with sickle cell anemia are at risk of aplastic crisis with parvovirus B19 infection of erythroid precursors.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that you might be having fungal infection and now super added with bacterial infection causing lots of problems. you may require ine course of antibiotic medicine course for 5 days to clear bacterial infection. this will give relief from oozing and itching. apply triple action cream locally. afterwards go for one oral antifungal medicine course. keep local hygiene clean, chatbot. ok and take care."
Please summerize the given abstract to a title,Life after COVID-19: The importance of a safe return to physical activity.
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it may be fungal infection .also called tines courts. it is caused by dermatophyte. it may be exacerbated by perspiration, soap and wetness. avoid excessive bathing. avoid soap contact. keep the area chatbot.  you may take antifungal like ketoconazole 100 mg twice a day along with antihistamines like cetirizine. apply antifungal cream like ketoconazole cream. take bath in detail mixed water. consult the dermatologist. hope this helps."
Please answer with one of the option in the bracket,A: Focal weakness of the colonic muscularis layer
Answer this question truthfully,"Magnetic resonance imaging (MRI) is an expensive technique that should not be used routinely. MRI is a powerful diagnostic tool to assess the abnormalities of the bone, ligaments and soft tissues associated with the Pilon fracture, but it is known as a limited utility in radioulnar injuries and is not indicated in uncomplicated foankle earm fractures. Meanwhile, the MRI can be useful in in following mentioned evaluations: Evaluation of occult fractures Evaluation of the post-traumatic or avascular necrosis of carpal bones Evaluation of tendons Evaluation of nerve Evaluation of carpal tunnel syndrome
PD Subchondral fracture of the talar dome. Note the intact overlying cartilage. T2 fat sat Subchondral fracture of the talar dome. Note the intact overlying cartilage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello premenstrual blood pcr positive for mycobacterium suggests endometrial tuberculosis. in the woman, it causes tuberculous enteritis (infection of the uterus) and salpingitis (infection of the tubes). this infection can often be silent, and may not cause any symptoms or signs. once the histologic diagnosis of tb endometriosis has been made(like in your case), then treatment with antitubercular medicine must be started to prevent further progression of the disease. however, usually with tb endometriosis, infection of the fallopian tubes also occurs, and the damage caused to the tubes (tb salpingitis) is irreversible. infection of tubes might result in irreversible tubal infertility, and the only treatment option available then to conceive would be ivf. in the past some doctors would try to do surgery to repair the tubes, but this is futile surgery, because the tubes never work properly once they have been infected. tubes which have been severely damaged may form a hy chatbot. although antitubercular chemotherapy is the mainstay of treatment, surgery may be indicated where medical therapy has failed to resolve symptoms and in presence of a persistent pelvic mass. so i suggest for now you continue with your antitubercular"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. please avoid alcohol if you have vp shunt. hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
Answer this question truthfully,Type IV collagen.
Please summerize the given abstract to a title,Como o Brasil pode deter a COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. researchers and researches confirmed several times that medicines alone cannot cure any mental disorders. therefore, every mental health treatment should include psychotherapy and meditation. psychotherapy helps you to streamline your lifestyle and behavior. meditation streamlines your metabolism and thinking process. you should get cognitive behavior therapy under the expert supervision of a psychotherapist / psychologist. meditation can also b taught by them. please do not ignore this advice. recovery is for sure. if you require more of my services in this regard, please post a direct query and i shall be happy to provide you psychotherapy tips. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, prostate cancer can cause bone metastases. common sites for bone metastases are vertebrae, clavicle, ribs etcetera. bone metastases from prostate cancer are osteoblastic. so they can cause pain. so the possibility of bone metastases is high in your husbands case. it can be the reason for his neck and shoulder stiffness. so better to get done bone scan. if the bone scan is normal, then no need to worry about bone metastases. he can take painkiller and muscle relaxant chatbot.  but the first rule out bone metastases through the bone scan. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as you have spur in the hell and the gel pad also don't help much i will advise you to consult a physical therapist. as by therapeutic ultrasound therapy the inflammation will be reduced. physical therapist will help you to learn exercises for the muscles of the feet which you can later perform at home. in my clinical practice i come across patients with heal spur, and they respond well to physical therapy and exercise. regardsjay in chatbot."
Please summerize the given abstract to a title,Pushing Droplet Through a Porous Medium
Please summerize the given abstract to a title,Pharmacy interventions on COVID-19 in Europe: Mapping current practices and a scoping review
Please answer with one of the option in the bracket,E: Streptococcus pneumoniae
Please answer with one of the option in the bracket,"C: Cardiac output: ↓, systemic vascular resistance: ↑, pulmonary artery wedge pressure: ↓"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if the better care is taken for atrial fibrillation then there may not any complication was seen, without the ekg tracing it is difficult to say about the continues a-fib.  unless it is the severe one and when it is severe a-fib it is the medical emergency, so it cannot continue a-fib.  of course, you must be having some symptoms, but that may not be due to a-fib, in a severe form of the disease and not treated well second stroke is likely, but it happens in the very rare case. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. in most cases these spots are benign growths such as cysts or hematomas. hematoma is very small and this can't cause such symptoms unless larger than 10\u00a0cm. you should do mri scan or liver biopsy to find what type of lesion it is.  less common this may be malignant issues such as hepatocellular carcinoma. this abdominal pain may not be related to liver spots at all. it may always be sign of some other issues such as ibd or gastritis. if these are just simple liver cysts then i don't think this is causing any symptoms. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Please summerize the given abstract to a title,Identification and quantification of SARS-CoV-2 leader subgenomic mRNA gene junctions in nasopharyngeal samples shows phasic transcription in animal models of COVID-19 and dysregulation at later time points that can also be identified in humans
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for sharing your health concern with us!well, it is just an infected sebaceous cyst or an enlarged lymph node and not to worry much for this. you have to press ice-cubes or cold compress and take some broad-spectrum antibiotics like erythromycin; if not relieving within 7 days then consult some surgeon for aspiration /excision of the material inside; never poke it as this may invite infection! all the best!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. the swelling that you now have may be due to chronic filariasis. when lymphatic filariasis develops into chronic conditions it leads to lymphedema(tissue swelling) or elephantiasis(skin/tissue swelling)of limbs. classically, treatment for filariasis is diethylcarbamazine. but since you have lymphedema, dec treatment is not recommended for you since you may not be actively infected with filial parasite. so to prevent the lymphedema from getting worse you should visit a lymphedema therapist who can inform you about the basic principles of cae such as hygiene, exercise and treatment of wounds. bst of luck i am available for follow up questionsthanking you, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello i had gone through your question and i can understand your concern this could be due to infection of testis and condition called as epididymoorhitis may be associated with you should consult your doctor for examination and few tests like urine culture and color doppler you may require a course of antibiotics under supervision of doctor you can use scrotal support with ibuprofen for pain and weird feeling hope this helps you thanks for your question best wishes
Answer this question truthfully,"Interstitial restrictive lung diseases are characterized by decreased diffusing capacity. Diffusing capacity is a measure of how well gases (such as oxygen and carbon dioxide) move from the alveoli (the tiny air sacs in the lungs where gas exchange occurs) into the bloodstream. In interstitial restrictive lung diseases, the lungs become stiff and less compliant due to scarring or inflammation of the interstitial tissue (the tissue between the alveoli). This can lead to impaired gas exchange and a decrease in the amount of oxygen that reaches the arterial blood, resulting in a decreased diffusing capacity. Clinically, this can manifest as shortness of breath, cough, and decreased exercise tolerance."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. the c.t. scan of your mother has revealed simple cyst in both the kidneys . these cysts are benign in nature and present since birth. many a times these cysts are accidentally detected in ultrasound scanning or c. t scan done for some other pathology. they are harmless and benign in nature and does not require any treatment. treatment is advised in special situation if it gets infected or undergoes malignant changes which happens very rarely. chatbot. .
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Longitudinal Study of Dyadic Adjustment in a Sample of Spanish Fathers.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of itchy rash on body which seems to be due to environment factors, heat, cold pressure and sun exposure, and it could be due to contact dermatitis. need not worry. i would suggest you to give cold compresses to itchy rash several times a day to prevent from swelling and itching and take over the counter antihistamine chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer with one of the option in the bracket,C: Defect in mesodermal differentiation
Please summerize the given abstract to a title,Human mobility and COVID-19 initial dynamics
Please summerize the given abstract to a title,Textually mediated discourses in Canadian news stories: Situating nurses' salaries as the problem.
Answer this question truthfully,"The straight sinus drains into the confluence of sinuses. The straight sinus is a major vein in the brain that runs along the midline and drains blood from several structures, including the deep center of the brain and the cerebellum. It is formed by the union of the inferior sagittal sinus and the great cerebral vein. The straight sinus then continues posteriorly and drains into the confluence of sinuses, which is a dilated area where several other major veins in the brain converge. These include the superior sagittal sinus, the occipital sinus, and the transverse sinuses. From the confluence of sinuses, blood then drains into the jugular vein and eventually returns to the heart."
"If you are a doctor, please answer the medical questions based on the patient's description.","his think i have understood your concern. there are following possibilities-1] wrong dates (but you are confident of dates)2] constitutionally large baby3] usg machine data variations4] gestational diabetes. i would like to know if the findings were same for usg at 6 to6 weeks or at 12 weeks gestation. it carries more importance. please rule out gestational diabetes by doing 75 gram glucose load test. do blood sugar levels 2 hours after glucose load, if above 140 mg then start with diet, exercise and mnt_ medical nutrition therapy. please do follow up usg, at 4 weeks interval to assess growth parameters. i hope this answer helps you. thanks chatbot."
Please summerize the given abstract to a title,Modeling and simulation of the infection zone from a cough
Answer this question truthfully,"Yes, it is possible for a patient with dementia to develop delirium. Delirium is a sudden and severe change in mental function that can cause confusion, disorientation, and changes in behavior. It can be caused by a variety of factors, including infections, medications, dehydration, and metabolic imbalances. Patients with dementia may be more susceptible to delirium due to their underlying cognitive impairment and other medical conditions. It is important for healthcare providers to monitor patients with dementia closely for signs of delirium and address any underlying causes promptly to prevent further complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to ask a doctor service. i have reviewed your query and here is my advice. it can be post viral bronchitis and so cough can be present. you should get evaluated further with auscultation examination, cbc and chest x-ray. if any abnormal sound heard in auscultation than spirometry advisable. i suggest you to take dextromethorphan containing syrup to relieve cough. take one tsp turmeric powder with milk daily. you can consult pulmonologist for examination if needed. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for the query. cea is a marker for colorectal carcinoma, but also some other conditions can cause its elevation, this is not very specific and this is usually used in following patients with confirmed colorectal carcinoma. this is just slight elevation and i don't think you should be worried, but i suggest doing colonoscopy just to rule this out. wish you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. pain in kidney area with vomiting is not due to ciprofloxacin that you have taken for uti, but it is most likely to be due to presence of stone either in kidney or ureter and needs to be investigated. consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture. 2) ultrasound scanning of abdomen and pelvis3) renal function tests. further treatment will depend upon result of these tests and final diagnosis more precisely on size and site of the stone and effect of the stone on kidney function. till then take antibiotic like cefuroxime and nitrofurantoin with anti-spasmodic like cyclops twice daily and urine alkalizer like catwalk thrice daily. ensure to chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your husband needs detailed evaluation by an ent doctor and neurologist. this is because he could be having a vestibular dysfunction or a mild brain stroke. after evaluation, a brain mri scan may be needed to confirm the diagnosis. there are excellent medications available to treat your husband, and hence, there is no need to worry. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please answer with one of the option in the bracket,E: Topoisomerase I
Answer this question truthfully,"Epigastric pain that is associated with H. Pylori, NSAIDs, and glucocorticoids is caused by peptic ulcer disease. Peptic ulcer disease is a condition that occurs when there is damage to the lining of the stomach or the duodenum, which can cause pain and discomfort in the upper abdomen. H. Pylori is a type of bacteria that can cause peptic ulcer disease, while NSAIDs and glucocorticoids are medications that can increase the risk of developing ulcers by interfering with the protective lining of the stomach. The symptoms of peptic ulcer disease can include epigastric pain, nausea, vomiting, and bloating, and the condition can be diagnosed through tests such as endoscopy, biopsy, or breath tests. Treatment for peptic ulcer disease may involve antibiotics to eradicate H. Pylori, medications to reduce stomach acid, and lifestyle changes such as avoiding NSAIDs and alcohol."
Please summerize the given abstract to a title,Protein Microarray Technology
Answer this question truthfully,"Diagnosis is difficult because a range of legitimate physical and mental illnesses must be ruled out first.
To complicate matters further, a person with Munchausen syndrome tends to seek help from various health care providers to avoid tipping off any one doctor.
Diagnosis, if it happens at all, may depend on abstract concepts such as:
The person’s symptoms don’t make sense when compared with the test results. The person is unusually eager to undergo invasive medical procedures and operations. The person doesn’t respond to treatments in a predictable fashion. Other people in the patient’s life don’t confirm the person’s symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it can be due to minor contusions associated with pain. however, we have to rule out secondary head injuries that develop after quite sometime following the trauma. as of now you can take analgesics like acetaminophen for pain relief. if the pain persists it is better to take a ct scan to rule out any trauma related head injury. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, i have gone through you query and understood your concerns, most household glues are not poisonous, but you need to watch symptoms such as nausea, vomiting, abdominal pain or other abnormalities, some severe poisoning may cause gastric outlet obstruction (blockage of the passage from the stomach to the small intestine and large bowel) if she starts with discomfort or any complaint a doctor must be consulted. please kindly rate if my advice has been helpful wishing you a good health chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chatbot.  i welcome you to chatbot virtual clinic. i have gone through your question, and i think i have understood your concern. furthermore, i will suggest you the best possible treatment options. 1) first do not worry. 2) as you said, you had your periods although a bit late and heavy. it suggests that you were not pregnant.  and your urine test also supports this.3) secondly, even if your partner has not ejaculated inside the vagina, pre ejaculation secretion does contain enough sperms to cause pregnancy.  4) i will suggest you to get proper sex counselling done.  use of condom will help to prevent unwanted pregnancy and std. i hope this answer helps you. thanks."
Answer this question truthfully,"The enzyme Carnitine palmitoyl transferase-1 (CPT-1) is the rate-limiting enzyme of fatty acid β-oxidation.

Fatty acid β-oxidation is a metabolic pathway that involves the breakdown of fatty acids into acetyl-CoA, which can then be used as an energy source by the body. This pathway is important for maintaining energy homeostasis in the body, particularly during periods of fasting or low-carbohydrate intake.

The first step in fatty acid β-oxidation is the transport of fatty acids from the cytosol into the mitochondria, where they can be broken down by the β-oxidation pathway. This transport is facilitated by the enzyme carnitine palmitoyl transferase-1 (CPT-1), which is located on the outer mitochondrial membrane.

CPT-1 catalyzes the transfer of the fatty acid from coenzyme A to carnitine, which allows the fatty acid to cross the mitochondrial membrane and enter the mitochondrial matrix. This step is considered to be the rate-limiting step of fatty acid β-oxidation, as it controls the entry of fatty acids into the pathway.

Deficiencies in CPT-1 can lead to a variety of health problems, including fatty acid oxidation disorders, which are a group of rare genetic disorders that affect the breakdown of fatty acids for energy production."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. i have gone through your query and can understand your concerns. as per your complaint it seems that pain in lower right back gum radiating to the middle of jaw might be because of inflamed gum flap around wisdom tooth also known as peritonitis. other cause can be fractured crown or root portion of tooth that can occasionally be missed in an x ray. the treatment of irrigation with mouthwash indicates that might be peritonitis is the cause. i would however suggest you to consult an oral surgeon and get evaluated, and he can advise a full mouth x ray and evaluation of teeth, jaw aa well as the jaw joint will be done to rule out the probable cause of pain and treatment can be done accordingly. as of now you can take higher painkiller like tramadol or motorola as it is suitable to relieve severe pain. avoid chewing from painful side. take a soft diet. hope this information helps. thanks and regards. chatbot."
Answer this question truthfully,"The most probable diagnosis in this patient is active chronic hepatitis B virus (HBV) infection. The presence of positive HBeAg, positive anti-HBc IgG, and positive HBsAg indicates active viral replication and ongoing infection. A mild increase in LFTs can be seen in patients with chronic HBV infection, as the virus can cause inflammation and damage to the liver over time. It is important to monitor patients with chronic HBV infection closely, as they are at risk of developing cirrhosis, liver failure, and hepatocellular carcinoma. Treatment options for chronic HBV infection include antiviral medications, which can help suppress viral replication and reduce the risk of complications. Patients with chronic HBV infection should also be advised to avoid alcohol and other hepatotoxic substances, and to receive regular liver function testing and surveillance for hepatocellular carcinoma."
Answer this question truthfully,"Commonly, there is no need for treating first-degree AV block. Permanent pacemaker indicates only for symptomatic first-degree AV block with PR>300 ms, neuromuscular disease, or in presence of wide QRS compelex. First-degree AV block in the setting of acute myocardial infarction usually reverses after recovery from acute phase of myocardial infarction. Antiarrhythmic medications should be avoided in first-degreeAV block.
Common factors associated with placement of permanent pacemaker include presence of symptoms, level of atrioventricular block, unstable scaped ventricular rhythm with rapid progression to complete heart block. First-degree AV block is typically a benign condition that do not progress suddenly to complete heart block. Placement of permanent pacemaker is reserved for the condition that symptomatic First-degree AV block affects quality of life as well as evidence of atrioventricular block in neurologic conditions with Lamin A/C mutation (limb girdle, emery dreifuss, muscular dystrophies).
Effective measures for primary prevention of atrioventricular block include treatment of hypertension and maintenance of normal blood glucose levels
There are no established measures for the secondary prevention of first-degree heart block."
Please summerize the given abstract to a title,Transformation of urban mobility during COVID-19 pandemic – Lessons for transportation planning
Please summerize the given abstract to a title,"New digital models of care in ophthalmology, during and beyond the COVID-19 pandemic"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Associations Between Mistreatment by a Provider during Childbirth and Maternal Health Complications in Uttar Pradesh, India."
Please summerize the given abstract to a title,Coronavirus in a patient with hepatitis C: case report
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hey, she might have had a vt(ventricular tachycardia) which is a life-threatening condition in which the heart do not contract but only fibrillates. this may happen with an underlying cardiac disease like blockage in the vessel of the heart. these things must have already been evaluated in the hospital. if she has this condition than she will need a coronary angiography when her condition will be stable for the procedure. further treatment will depend on the result of angiography. good luck for thanks a lot chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, the exact etiology of psoriasis is still unknown. it is a hyperproliferative disorder due to abnormality in the immune system. the t lymphocyte in psoriasis promote inflammation and dilatation of blood vessels. the skin cell pile up and skin becomes thick. first keep in mind that there in only control of psoriasis. diprovate plus works good in psoriasis. add emollient containing urea+ lactic acid 2-3 times daily. take high protein diet. if plaques are still increasing oral chatbot. hope this is helpful. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query . dear kelly, i can understand your concern. one thing is sure that any medical condition doesn't come up without a cause and signs and symptoms are obvious to follow . thrombocytosis is defined as a platelet count above the upper limit of the normal range. there are a number of hematological diseases causing thrombocytes. it is an exaggerated physiological response to a primary problem, such as an infection, is caused by too much growth of a type of cell that is used to make blood cells it is an adverse prognostic factor in many types of cancer, including breast cancer, ovarian and other gynecological cancers, renal cell carcinoma and lung cancer. the prognosis is usually be determined by the primary disorder. hope this helps solves your query. take care. all the best. get well london hesitate to come back in case of any further query."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The detection of SARS-CoV-2 RNA in indoor air of dental clinics during the COVID-19 pandemic
Please summerize the given abstract to a title,Pressing Questions and Challenges in the HIV-1 and SARS-CoV-2 Syndemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot, thank you for your query. well i think that the right cause of pain should be established. it sounds like kidney disorder or pancreatic disorder so these 2 should be ruled out first by ct scan and certain blood test. sonogram is not so sensitive to detect some common pathologies, xrays as well. you should check lipase and amylase levels and your kidney functional tests. wish you good health. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  masturbation is not bad for health, nor for marriage life. but for you, it is not good, because you started thinking negatively.  so i advise you to consult a physician for treatment of the psychological status. and physical build up.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good health.  wishing for a quick and complete recovery. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The value of indicators characterizing the state of the cardiovascular system in assessing the hospital prognosis of COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in the current scenario, i would advise you to go for a trans-vaginal sonogram to exclude any local causes for the amenorrhea. if you are not pregnant, and as your hormonal profile is normal, then the cause for the delayed period could be inadequate ovarian function as you have only one ovary left and owing to your age, the ovarian reserve of your other ovary is also likely to be less. please maintain a healthy weight and a healthy diet and do some regular exercise. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, i don't think your chest pain is related to dermatofibrosarcoma. it is painless condition. possibility of musculoskeletal pain is more likely as you're all cardiac reports are normal. so apply warm water pad on affected areas. avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. take simple painkiller like paracetamol or ibuprofen.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. unexplained tiredness, fatigue and a lack of motivation can be indicative of depression. sometimes, depression can manifest with predominantly physical or somatic symptoms, with only minimal psychological symptoms. certain medical problems like hypothyroidism, anemia, vitamin deficiencies, etc. can also present with tiredness and fatigue. i would advise you to see a doctor for a detailed evaluation in order to ascertain a likely cause for your symptoms. further treatment has to be planned according to the cause identified.  you also seem to be in the midst of a stressful time - with the pressure of college, the recent passing away of your grandfather, etc. so, i would suggest that you try some stressors to try and take off the pressure. you can try relaxation techniques or talking to someone close to you to offload your burdens. activity scheduling and planning can also help in regaining your motivation. if you feel that you are finding it difficult to cope or handle things, please don't hesitate to seek professional help. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, blood blisters are collection of blood underneath the skin due to rupture of small blood vessels. they occur due to friction, tight clothing, heavy rubbing, pinching, sometimes due to infection. usually blood blisters go on their own, no remedy is needed. but if the blister is large or bursts there is a chance of it getting infected, then you have to have antibiotics. clod compression on blood blister is a good mode of relieving pain and reduce size of blood blister at acute stage. hope this helps. thank you."
Please summerize the given abstract to a title,Current and Promising Antivirals Against Chikungunya Virus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your findings suggests stable nodules in right lung. nodules may be due to many reasons like infection, autoimmune causes, malignancy etc. it is good that size has not increased. this is in favor of benign lesion. your condition only need follow up scan. in future also if lesions(nodules)are stable then it shouldn't be a matter of concern. you need clinical correlation also. get well soon. take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Impact of COVID-19 on Sustainable University Sports: Analysis of Physical Activity and Positive and Negative Affects in Athletes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello share your concern this could be related to infected sebaceous cyst, testicular cancer or epididymorchitisi would like further information to help you better libelous age and relevant medical history like diabetes or kidney diseasesince how long you have this problem? in my opinion you should get your urine test for culture and sensitivity test and color doppler of the testismeanwhile have plenty of fluids and maintain good hygieneplease revert to me with details, i will definitely help you out in the best possible way. thanks and regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, since, you have been to many doctors, and they all said that everything is normal, no need to worry about major heart and lung diseases. possibility of stress and anxiety related symptoms are more likely. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot. don't worry; you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, anxiety can be the cause for all these but better to rule out arrhythmia (rhythm disturbances in heart) first. arrhythmia can cause irregular heart beats, skipped beats, palpitations etc. if not treated promptly, arrhythmia can be life-threatening and fatal. so get done ecg, 2d echo and holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about arrhythmia. anxiety can be the cause. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Cluster headaches are the primary headache type that can cause a Horner syndrome.
Please summerize the given abstract to a title,Microfluidics Technology in SARS-CoV-2 Diagnosis and Beyond: A Systematic Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear welcome to the chatbot, tepid water sponging is quite important when ever baby is warm. paracetamol syrup @ 15 mg /kg 4 to 6 hourly to be given for the relief of fever. frisium is for only anticipated febrile seizures, but it will not reduce the fever. plenty of fluids to be given, take care of the nutrition. please consult your pediatrician as the fever has crossed the 4th day. hope the query is answered. thanks"
Answer this question truthfully,"Achondroplasia is a genetic disorder that affects bone growth and development, but it typically does not impact fertility, life span, or mental function. People with achondroplasia have short stature and other skeletal abnormalities, such as shortened limbs and a prominent forehead. While some individuals with achondroplasia may experience complications related to their skeletal abnormalities, such as spinal stenosis or breathing difficulties, the disorder itself does not affect mental function or life span. Additionally, fertility is typically not affected by achondroplasia, although there may be some risk of complications during pregnancy due to the mother's short stature."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello rearward welcome to chatbot.come have evaluated your query thoroughly.* this is an inflammatory lump possible boil with secondary lymph nodes enlargement in the chatbot. * primary painkiller will give relief, but definite examination with a consultant surgeon for antibiotic and anti-inflammatory assistance is recommended. hope this clears your doubt . wishing you fine recovery. welcome for any further assistance. regards take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot with you medical concerns. you are concerned about your daughter having low grade fever of 99.0 she has no other symptoms then i would be reassured that she is not ill and does not have an infection. i think she can participate in play time without any concerns. if she does develop a fever higher than perhaps it would be good to keep her home for an additional day. hope i answered your question. please contact us again with your medical concerns
Please summerize the given abstract to a title,"A Robust, Safe, and Scalable Magnetic Nanoparticle Workflow for RNA Extraction of Pathogens from Clinical and Wastewater Samples"
Please answer with one of the option in the bracket,E: Vibrio vulnificus
Please summerize the given abstract to a title,Compressed Feature Vector-based Effective Object Recognition Model in Detection of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, from what i could gather is that you were prescribed this medicine and without the doctors' knowledge you stopped it abruptly and most probably that was the reason you're throwing fits again. see you have to gauge risk to benefit of the medicine taking it for long time. if you are supposed to take it and that too in a particular dose, but you are not having it/taking lesser dose of same, in that case there are increased chances of having a fit. so it is always better to abide by what your neurologist has prescribed you and am sure that he will, in time taper off the dose as required. and as regards cure for this, if you take the medicine regularly there are fair chances you're getting rid of the ailment for good."
Answer this question truthfully,Ammonium magnesium phosphate kidney stones precipitate with high urine pH.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking.  if a normal pregnancy of 9 weeks is evident in usg... also showing black dot next to pregnancy. indicating old bleed...normally progesterone is advised till 12-14 weeks of pregnancy (to avoid recurrence of bleeding due to progesterone deficiency) any way if your doctor had estimated progesterone in blood its normal she would advise no need of such replacement.  you should follow your treating gynecologist in such incidence.  thanks"
Please summerize the given abstract to a title,"Tocilizumab in hospitalized patients with COVID‐19: Clinical outcomes, inflammatory marker kinetics, and safety"
Please summerize the given abstract to a title,Conclusion: Scales of Time in Disasters
Please summerize the given abstract to a title,Facilitating Interprofessional Education in an Online Environment during the COVID-19 Pandemic: A Mixed Method Study
Answer this question truthfully,"Homocystinuria caused by methionine synthase deficiency is a rare genetic disorder that affects the metabolism of the amino acid methionine. Treatment for this type of Homocystinuria typically involves increasing the intake of methionine in the diet, as the body is unable to convert homocysteine to methionine without the help of methionine synthase. In addition to dietary modifications, vitamin B12 supplementation may also be necessary to support the function of methionine synthase. It is important to work closely with a healthcare provider and a registered dietitian to develop an individualized treatment plan for Homocystinuria, as the optimal dietary approach may vary depending on the underlying cause of the disorder."
Answer this question truthfully,The likely diagnosis for the patient's condition is postpartum endometritis.
Please summerize the given abstract to a title,Public awareness of the neurological manifestation of COVID-19 in Saudi Arabia
Answer this question truthfully,Leuprolide can be prescribed 2-3 months prior to a hysterectomy for leiomyoma removal to shrink large or multiple uterine leiomyomas.
Answer this question truthfully,"These medications can be administered intranasally, by injection, or by implant. Injectables have been formulated for daily, monthly, and quarterly use; and implants can last from 1 to 3 months."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, you should consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). fatigue, difficulty in breathing and wheezing are seen in lung infection, bronchitis etc. so chest x-ray is needed to rule out lung infection. pft is needed to rule out bronchitis. you may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ics). so consult pulmonologist and discuss all these. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Monitoring the spatiotemporal epidemiology of Covid-19 incidence and mortality: a small-area analysis in Germany
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your doctor i would like to tell you that toenail fungal infection requires a long duration of treatment. i advise you to take fluconazole tablet 150 mg. twice daily for approximately for three months under your doctors' guidance. the infected nail gradually disappears, and new nail appear from the base. do not discontinue treatment until you are not free of infection. if you have to ask me anything you can contact n\u00e9. chatbot. infectious disease specialist."
Please summerize the given abstract to a title,The crux of Pakistan's prolonged rabies vaccine shortage: A rising mortal threat in the COVID‐19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. there could be chances of pregnancy, as sperm count and motility improves with antioxidants, so just wait, after you miss your periods for 5-7 days get one upt done, if it is positive, be happy. if not pregnant i strongly suggest you ovulation induction and gui(intrauterine insemination) depending on the clinical situation. i hope this information has been both informative and helpful for you. in case of any doubt, i will be available for follow-ups. wish you good health.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. your husband has s definitely at high risk. noted 30 year of alcohol chatbot. so he could have fatty liver or cirrhosis like condition.usg witchatdoctorplete liver profile done. second because of smoking and alcohol is at the high risk for ischemia heart disease. i will advise you to do your husbands serum lipid profile also and measures blood pressure. if both are high then treated accordingly like with that of statin and amlodipine like antihypertensive
Answer this question truthfully,"Leukemia and lymphoma are both types of blood cancers that affect the body's lymphatic system. However, they differ in several ways. Leukemia is a cancer that starts in the bone marrow, the spongy tissue inside bones where blood cells are produced. It is characterized by the abnormal growth of white blood cells, which can spread into the bloodstream and other parts of the body. Lymphoma, on the other hand, is a cancer that starts in the lymphatic system, which is a network of vessels and organs that help fight infection. It typically manifests as a discrete tumor that arises from a lymph node or other lymphatic tissue. While both leukemia and lymphoma can cause similar symptoms, such as fatigue, fever, and weight loss, they require different treatment approaches. Therefore, it is important to get an accurate diagnosis from a healthcare provider if you have any concerns about blood cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello i have gone through your question and understand your concern. recurrent urinary tract infection can be due to urinary tract endometriosis. antibiotics for urinary tract infection are not very much of help in such conditions as infection tends to reoccur and symptoms subside when endometriosis is treated.  discuss with your gynecologist possible surgical (including cryotherapy) or medical treatment for endometriosis will eventually treat pain and infection. hope your concern is answered. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your concern, the condition seems to be serious. any cancer which has spread to the other parts of body is not a good sign. it is very difficult to have exact idea without proper reports, but still tumor size and location in brain is very important. apart from this presence of cancer in other organs of body is also required to be seen. over all prognosis does not seem to be good. again age, presence of other illness etc. makes difference. i hope this helps. wishing him good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot i think, he is in severe depression and in that case, he needs combination of antidepressant. with amitriptyline, he could take duloxetine. it would help to control depression as well as somatic complaints. better to consult his physician or psychiatrist for proper management. you can also take help of psychologist for cbt. if you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you are having mostly anxiety and related herd (gastroesophageal reflux disease). but since you have left sided chest pain, better to get done ecg first to rule out cardiac cause. if ecg is normal then no need to worry much for cardiac cause. you are having anxiety and herd. anxiety is well known risk factor for herd. so control of anxiety is needed. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  so avoid stress and tension. be relax and calm. for herd, start proton pump inhibitors. avoid hot and spicy food. don't worry, you will be alright."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query in full details updated from you. i understood your health concerns. based on your query data, in my opinion, dear you seem to suffer from drums lipomatous/disease, which is a benign hereditary disease. a history of cancer would certainly keep you on guard and alert. get biopsy of the painful lump on the right lower abdomen to confirm if its lipoma or something else. chances of cancer / liposarcoma in lipoma is very rare, though should be kept in mind. other wise-keep a watch if any of this lipoma grows and or causes cosmetic or pressure complaints, for which it would need surgical excision biopsy that time.don't worry about this illness as it is harmless otherwise being a benign familial disease. hope this would resolve your query and worry and anxiety accompanied by it. welcome for any further query in this regard to me. i would love to help you out.awaiting any further query. wish you fast recovery from this intriguing health problem. have a good day. chatbot. n.m.s. genl-cvts -senior surgical consultant"
Please answer with one of the option in the bracket,C: Fresh frozen plasma
Please summerize the given abstract to a title,"Contamination-resistant, rapid emulsion-based isothermal nucleic acid amplification with Mie-scatter inspired light scatter analysis for bacterial identification"
Answer this question truthfully,"High-pathogenicity strains of coronavirus can cause a range of diseases, including Middle East Respiratory Syndrome (MERS), Severe Acute Respiratory Syndrome Coronavirus 1 (SARS-CoV-1), and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). These viruses can cause severe respiratory illness and, in some cases, can be fatal. The ongoing COVID-19 pandemic, caused by SARS-CoV-2, has highlighted the need for continued research and development of treatments and vaccines for coronaviruses, as well as the importance of taking measures to prevent the spread of infectious diseases."
Please summerize the given abstract to a title,"Serious Adverse Health Events, Including Death, Associated with Ingesting Alcohol-Based Hand Sanitizers Containing Methanol - Arizona and New Mexico, May-June 2020"
Please summerize the given abstract to a title,Delayed Antibiotic Prescription by General Practitioners in the UK: A Stated-Choice Study
Please summerize the given abstract to a title,"SARS-CoV-2 Infection and Mitigation Efforts among Office Workers, Washington, DC, USA"
Answer this question truthfully,"The ego defense mechanism that involves expressing extremely positive thoughts of oneself or others while disregarding negative thoughts is called idealization. This is considered an immature defense mechanism.

Idealization is a coping mechanism that involves seeing oneself or others in an idealized, perfect way while ignoring or denying negative aspects. For example, a person who idealizes their romantic partner may overlook negative traits or behaviors in order to maintain the idealized image of their partner.

While idealization may provide temporary relief from distressing emotions or experiences, it can be problematic if it leads to unrealistic expectations or disappointment when reality does not match the idealized image. It can also lead to difficulty in accepting and addressing negative aspects of oneself or others.

In summary, idealization is an ego defense mechanism that involves expressing extremely positive thoughts of oneself or others while disregarding negative thoughts. It is considered an immature defense mechanism and can be problematic if it leads to unrealistic expectations or difficulty in accepting negative aspects."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. thank you for posting your query. i can understand your concern. fever with headache can be due to many reasons like viral fever, malaria to name a few. i would suggest you take tab paracetamol 650 mg - twice daily x 5 days. this will relieve you of fever and headache. i would also suggest you to go for blood tests for dengue, malaria and a total blood count including total platelet count. do not worry much. post any other query. we will be happy to help. have a nice day. regards."
Answer this question truthfully,"Insulin increases glucose transport to muscle and adipose tissue by directing the insertion of the GLUT4 transporter into the cell membranes. GLUT4 is a glucose transporter protein that is normally found inside the cell. When insulin levels rise, insulin binds to its receptor on the cell surface, which triggers a series of signaling events that result in the translocation of GLUT4 from inside the cell to the cell membrane. This allows glucose to enter the cell and be used for energy or stored as glycogen. By increasing glucose uptake in muscle and adipose tissue, insulin helps to lower blood glucose levels and maintain glucose homeostasis in the body."
Please summerize the given abstract to a title,CADxReport: Chest x-ray report generation using co-attention mechanism and reinforcement learning
Answer this question truthfully,Obstructive jaundice is associated with decreased urine urobilinogen levels.
Please summerize the given abstract to a title,"Excess mortality during the COVID-19 pandemic: a geospatial and statistical analysis in Mogadishu, Somalia"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. sugar needs more acid for digestion. so when you take more sugar, there is hyper secretion of gastric acid. and this acid can because gastritis and related chest pain. so better to avoid high sugar foods. or you can take pantoprazole (antacid) tablet before eating high sugar food. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient reason for pain may be bursitis over the piney or screws. it is quite common.  diagnosis can be confirmed by doing ultrasound of local part. other less common possibility is infection. blood tests for esr and crp levels will help in diagnosis of infection. start tab aerosol sp twice a day for pain relief.  for infection take tab definite 200 mg twice a day for 5 days. if ultrasound report is abnormal consult your operating surgeon.
Answer this question truthfully,"Lifelong treatment is needed to control Wilson's disease. The disorder may cause fatal effects, especially loss of liver function and toxic effects of copper on the nervous system. In cases where the disorder is not fatal, symptoms may be disabling."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, when your blood pressure comes to normal level, there will be a need to continue the medication anyway. it will regulate your blood pressure and will not allow it to increase. anyway you should check your blood pressure from time to time after regulation, as sometimes there is a need to increase or decrease the dose. hope i could help nourishing you good health in case of further questions don't hesitate to ask"
Please summerize the given abstract to a title,Covid-19 outcomes in postmenopausal and perimenopausal females: Is estrogen hormone attributing to gender differences?
Please summerize the given abstract to a title,Management of COVID-19 myopericarditis with reversal of cardiac dysfunction after blunting of cytokine storm: a case report
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the bad breath could be because of the deposits over the teeth causing gum infection. or it can be because of the pus discharge secondary to gum or tooth infection or any respiratory tract infection like sinusitis or gastrointestinal disorders. consult an oral physician and get yourself examined to rule out these conditions. if it is gum infection get the teeth cleaned once and maintain oral hygiene after that. you can use mouth wash. if it is tooth infection get the tooth restored. if it is respiratory tract infection consult a pulmonologist and gastroenterologist if it is a gastrointestinal disorder. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,A: ↓ ↓ ↓
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has lump under rib cage.  it can be due to some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. he should go for biopsy of that lump. it will give you exact diagnosis. then he should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Call your Orthopedics specialist if symptoms of osteoid osteoma occur, such as nocturnal limb pain (relieved by low doses of salicylates) and local tenderness."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. anatism is definitely helpful in hair growth. i suggest you to take vitamin supplement also. biotin causes hair growth. it is one of the component of hair building unit. it also promotes utilization of proteins by hair. use minoxidil along with biotin.it's a good treatment. apart from this you can also use tab an chatbot. regarding food, you can take any diet rich in protein.also, you can wash hair daily. washing won't cause hair fall. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","1. probably sore throat as you said has arose from your common cold. (viral)2. make sure that other causes of sore throat mainly bacterial (streptococcus, tonsillitis) are ruled out.3. for how much duration this sore throat has been present"
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Comparative Genomics of Members of the Genus Defluviicoccus With Insights Into Their Ecophysiological Importance
Please answer with one of the option in the bracket,A: The most likely diagnosis is cauda equina syndrome and steroids should be started prior to MRI
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! nerves in the prostate gland are just outside the capsule of the prostate. pvp will not affect the nerves of the prostate and will not cause incontinence as long as the sphincter is not damaged during the procedure which is 99% of the time? almost all bph treatment from medicines (flora etc.) to all those if surgery causes retrograde ejaculation 50-70% of the time, and it is usually expected after surgery. this is due to the opening of the prostatic fossa and not due to nerve damage. for more details you can ask me through"
Please summerize the given abstract to a title,Peacekeeping after Covid-19
Please summerize the given abstract to a title,The African American Petri Dish
Please summerize the given abstract to a title,The Clinical Prognostic Value of the Neutrophil-to-Lymphocyte Ratio in Brain Metastases from Non-Small Cell Lung Cancer-Harboring EGFR Mutations
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer the letter of option truthfully,B
Answer this question truthfully,"Emtricitabine is the NRTI that is known to cause hyperpigmentation on the palms and soles of the feet. NRTIs, or nucleoside reverse transcriptase inhibitors, are a type of medication used to treat HIV and hepatitis B. Emtricitabine is one of several NRTIs that can cause skin discoloration as a side effect, but it is unique in that it tends to cause hyperpigmentation specifically on the palms and soles of the feet. This side effect is usually harmless and does not require treatment, but it is important to talk to a healthcare provider if you experience any unusual skin changes while taking emtricitabine or any other medication."
Please summerize the given abstract to a title,Psychological health during the coronavirus disease 2019 pandemic outbreak
Answer this question truthfully,"Digoxin is considered a useful treatment option for atrial fibrillation and atrial flutter. These are both types of irregular heart rhythms that originate in the upper chambers of the heart (the atria), and can cause symptoms such as palpitations, shortness of breath, and fatigue. Digoxin works by slowing down the heart rate and improving the efficiency of the heart's contractions, which can help to alleviate these symptoms. However, it is important to note that digoxin is not always the first-line treatment for atrial fibrillation or flutter, and the choice of therapy will depend on the individual patient's medical history and clinical presentation."
Answer this question truthfully,"The complications of asthma can be severe. Some include:
Death Decreased ability to exercise and take part in other activities Lack of sleep due to nighttime symptoms Permanent changes in the function of the lungs Persistent cough Trouble breathing that requires breathing assistance (ventilator)"
Answer this question truthfully,"The liver is the organ where warfarin exerts its action. Warfarin is an anticoagulant medication that works by inhibiting the production of vitamin K-dependent clotting factors in the liver. This results in a decrease in blood clotting ability and is used to prevent and treat blood clots. The liver is responsible for metabolizing and eliminating warfarin from the body, which is why dosages must be carefully monitored to prevent toxicity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is focal excessive sweating commonly seen in young child chatbot. in healthy child, causes are excess physical activities, anxiety, spicy diet, too much cold water, excessive heat or might be genetic (no comparison with twin child)generally sweating occurs in body to lower down the surface temperature and to cool down skin. treatment, you can apply antiperspirants(aluminum chloride) or topical anticholinergics which will reduce sweating to some extent. this kind of problem subsides usually as with the growing age. no need to worry."
Answer this question truthfully,The standard ACC/AHA classification of the primary target stenosis is prospectively modified to subdivide type B stenoses into B1 (one adverse characteristic) and B2 (≥ two adverse characteristics) on the basis of previous studies suggesting the cumulative significance of mutiple adverse lesion characteristics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. blood in spitting suggest pathology in mouth. but better to rule out pulmonary causes. because hemoptysis (blood in sputum) can also falsely perceived as blood in spit. so get done chest x-ray to rule out possible causes for hemoptysis (pneumonia, tuberculosis etc.)if chest x-ray is normal then no need to worry about pulmonary causes. consult dentist and get done clinical examination of oral cavity to rule out carries tooth or gum bleeding and start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. if you start the pill in the middle of a cycle, you should use a backup method of birth control for the first 10 days to 2 weeks, or until you get your period, whichever comes first. your period may be delayed from the pills in the first month, but as long as you are taking the active pills, and you do not have more than 7 days in between packs (or on placebo pills), you will be protected against pregnancy. i hope i was able to answer your question today and that this information was helpful. best wishes,"
Answer this question truthfully,"Its interior presents the following parts for examination:
right atrioventricular orifice opening of the pulmonary artery tricuspid valve pulmonary valve trabeculæ carneæ chordæ tendineæ"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, first, i need to know if you are circumcised or not. these cuts might be due to friction, scratching or accidents. this could also be due to sexually transmitted infections.  first i suggest you to keep your local hygiene clean and apply lotion or petroleum jelly to avoid friction cuts and avoid intercourse/masturbation till your full recovery.  if not improving then i suggest you get tested for sexually transmitted infections and get treated accordingly.  hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi heartlands for your question at chatbot in general, disc herniation can be managed with a course of conservative care (non-surgical)over 6 to 12 weeks to start with prior to considering spine surgery. a process of trial and error is often necessary to find the right combination of treatments which might include rest, physical therapy, analgesics in oral and topical form, modality based physiotherapy like tens, micro wave diathermy etc. medicines like pregabalin(lyrics) or gabapentin or erosion prescribed in appropriate doses can help in relieving tingling, you can meet your pain doctor and ask regarding the need and suitability of these medicines for your earlier surgery will be indicated if there is progressive major weakness(that is weakness which increases markedly over 1 or 2 days) in the legs due to nerve root pinching. rarely immediate surgical intervention may also be required in caudal equine syn chatbot.  otherwise, a wait and watch approach is best. it is also important to note that central disc herniation associated with predominant back pain and insignificant leg pain will not respond well to epidurals, whereas one associated with significant leg symptoms and some back pain responds better. also, if the onset of back pain and central disc herniation was associated with traumatic event, it will be prudent to do a ct scan of your spine, since it is seen that in younger individuals with traumatic central disc herniation minute fractures can be seen in bony end plates adjacent to the disc herniation. this will help understand your tingling sensations better(if traumatic)hope this helps all the best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...7 year with 14 kg is definitely very abnormal weight and your son requires evaluation by a physician/ pediatrician for failing to thrive, and the possibilities can be -1. chronic malabsorption2. micro nutrient deficiency3. immunodeficiency either primary or acquired. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you are happy with my answer rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. nose bleed and vomiting suggests pressure changes probably due to high blood pressure, so prior opting for any alternate system of medicine, check with your doctor regarding blood pressure measurements.2. avoid factors which precipitate the attacks. e.g. sleeping late, tension, starvation, chocolates, cheese, alcohol, chatbot. 3.  during acute attack"
Please summerize the given abstract to a title,Governance Challenges and Opportunities for the International Labour Organization in the Wake of the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern, let me tell you something taking medicine without the genuine reason like if there is no pathological condition or some systemic disease is not there then it is not advisable at all to have any medicine this could be harmful later or sooner, better stop such medicine then every thing would be alright soon, take care and have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatdoctoryou have suffered jaundice in the month of july, but two months is long tome to recover. jaundice is just symptom which can be due to various causes most common is viral hepatitis. if it was viral hepatitis it is important to know which type a, b,cd e are common one as hepatitis b&c can cause chronic hepatitis and can be transmitted sexually also, so it is not only time gap it is type which is important. if it was b or c then you should consult a gastroenterologist and test for viral markers is required, and he will guide you depending on result. even vaccine is there for hepatitis b. if it was a or e and you have completely recovered there should not be any problem in going ahead with family. hope this information is useful for you. take care good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking your question completely understand your issue yes chest pain associated with inspiration or respiration can be due to lung or pleural pathology. you need to see a pulmonologist, he may request for a chest x-ray to rule out pleural effusion or any chest injury, if it is a simple muscular injury he may advise you for some analgesics like paracetamol for pain and other treatments necessary thanks / regards feel free to ask more questions may god bless you with good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query to h. c. m. inhalation, if any foreign body in lungs it will produce cough uninterrupted (bout of cough)if you have cough from this incident than inhalation of some plastic material could be imagined. if such type of symptoms are there than you have to consult a physician, and he will get a bronchoscopy of yours lung to find out any foreign particles in airways( pharynx, trachea, bronchus. if cough is not there than it might be a mistaken thing. yours question is this that there are burning in throat and also irritation, these two symptoms are same things just to fear of inhalation of a foreign thing.2 nd reason may be some injury due to engulf of something in esophagus to stomach. take an antacid with oxycetacain (local anesthetic) at the advice of doctor which give immediate relief. please get one x-ray of abdomen to find out any plastic like thing in stomach (color x-ray)regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i did review your concern. can you please send us the complete blood report to comment more on your platelet count? low platelet counts can be due to many reasons like a recent infection, or idiopathic (itp) or immunological destruction or low production or bone marrow infiltration by any process. we need to have a look at your report and if it is below 1 lakchatdoctorm then a bone marrow aspirate is advised to see if it is megakaryocytic or not. then there is treatment available to increase platelet count in form steroids or splenectomy or romiplostim and so on, but it depends on diagnosis.i hope this helps. wish you all the best. thank you for using chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,The tests used for the diagnosis of HIV in neonates are HIV RNA and HIV DNA nucleic acid amplification tests.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the itching with popping out bumps coming all of a sudden & fade away after some time . indicates allergic reaction.  anti-allergic pills available over the counter i pill 12 hourly, after food can give relief. consult your family doctor in case it is not relieved within three days/ it recurs again/ it does not give any relief.  you need some investigations to confirm allergy/ determine allergens. long-standing allergies can be treated by de sensitization.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it could be an upper respiratory tract infection. allergic cough is another possibility. as there is a fever, antibiotics can be started empirically. consult a pediatrician and he will direct you accordingly. a chest x-ray and blood routine has to be done as a preliminary investigation. stalin syrup can be given according to the body weight. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question you need to consult a pulmonologist who can assess by requesting a chest x-ray or an x-ray of sinuses to rule out any other cause steam inhalation 2-4 times per day will help you a lotleukotreine inhibitors like montelukast may be considered depending on your physician if phlegm or nasal secretions are yellow purulent or foul smelling, antibiotics may be needed thanks feel free to ask more questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, follicle growth & development is monitored during fertility treatment. when the follicles have reached 18-20 mm in diameter they are ready.  a hormone trigger injection is given to stimulate your follicles to release the matured eggs prepared. the best possible time is estimated for gui or matured eggs are collected to be fertilized with sperms to create embryos in the labs.  when, as in your case the ovaries were sensitive & produced an unusually large number of follicles after stimulation. you were probably at the risk of hss, ovarian hyper-stimulation syn chatbot.  this is a dangerous condition, so your treating doctor will take options to abandon the cycle or delay to stimulate follicles to release eggs. since this is not the right time to conceive you were given birth control pills. it's good if you & your partner can abstain from sex.  hss is a condition when the ovaries get swollen & painful. may complicate to shortness of breath, decreased urination, blood clots in the legs or a tight or enlarged abdomen. sometimes, it may be fatal. have patience, relax. stay away from anxiety & addictions if any. give your system time to return to normal. visit your treating doctor thereafter & allow the treatment to continue. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i think that you may have a muscular injury. it is common during sudden twisting. i would suggest you visit an orthopedic doctor and get it checked. most probably it is a grade 2 muscle strain. he will suggest you painkiller tablets with local ointment. continue ice application. avoid standing for a long time and doing any heavy exercise. walking is allowed. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i fail to understand what exactly you mean by muscle movement, are they involuntary (happening by itself without you doing anything) or on movement, where exactly do you feel the pressure, what hip implant do you have and what surgery you are about to go through, in my opinion if the symptoms are not voluntary, possibility of parkinsonism, or any other neural disorder is high. if voluntary, do you have implant loosening, or anything or clue you want to provide us with that your doctor would have written."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, miss palace. you seem to have comedones acne on upper lip that might be infected due to bad habit of squeezing the lesion. you seem to have mental upsets, as there is habit of nail and cheek biting. there may be anxiety related problem. i would like to advise you to become calm and cool. have faith and be positive. never rupture the lesion anywhere on skin. the lesion on upper lip may be simple acne and may be treated with oral antibiotics like azithromycin and topical clindamycin gel. you may take anxiolytic chatbot.  i hope you would be benefitted. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","wow, you have a lot on your plate right now! the heart flutters are called palpitations.  the term refers to the ability to feel you heart beating fast or irregularly.  it is common for many people and the causes vary.  your other symptoms sound like they are anxiety related.  someone else mentioned panic attacks which are definitely a possibility.  as for your symptoms occurring at night, it may also be happening during the day, but you are unaware of it.  when we sit down and try to relax, we become more aware of our surroundings and what is going on with our bodies.  i strongly recommend seeing your family doctor.  he can better evaluate you as an individual and help determine the best treatment.  a low dose anti-depressant for a few months may do you some good.  you may say that you don't feel depressed, but there are many uses for these chatbot.  best of luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your mri brain findings as well as the symptoms. you are spot on in doubting that why would chiara malformation cause symptoms at the age of 55, even though it occurs at birth. i agree with you that chiara malformation is an incidental finding in your case, and your headaches are unrelated to that. therefore, chiara malformation can be left alone, and no surgery is needed. at the same time, we need to find out the cause of headache in your case, and treat that. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot. i read your query. the hole in your gums is actually sinus or in plain words pus in gums due to infection. check if you have cavity in corresponding teeth. do not move or pinch the access as it can further lead to infection. i suggest you visit dentist and get an x-ray done of that area. it may require rct of infected tooth or teeth or curettage if it is gum infection. both are minor procedures done under local anesthesia. rct may require multiple visits. do warm saline rinses. this will help chatbot.  get antibiotic and painkiller prescription from dentist. maintain oral hygiene and healthy diet. hope the answer helps you. thank you!
"If you are a doctor, please answer the medical questions based on the patient's description.","his read your query and understand your concerns am sorry for the symptoms you are suffering it seems you are suffering from lumbar discography, it is bothering and provoke pain but at least isn't dangerous so you don't have to worry too much in my opinion you should schedule a lumbar ct scan or even better a lumbar mr which will confirm my doubt and show the gravity of herniation sometimes kidney pain imitate lumbar pain, and it can be overruled by an ultrasound meantime you should wear a lumbar fortress and continue pain killers hope i have been of heptane you for trusting chatdoctorplease feel free to contact us for further information or questions best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is a very rarely seen report. many pus cells can be the reason for non-motility. 55 % normal morphology ? no mention of fructose.  first go for high resolution ultrasonography of scrotum, prostate, seminal vesicles and urinary tract. take a three-week course of antibiotics. you may need a per rectal examination by a surgeon to palpate prostate and seminal vesicles. and you need to get the semen tested by another laboratory of repute. and let us know why was the semen analysis done, and what are associated symptoms if you have any?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot whatever you have done, that is past now and no one could change your past. if you feel guilt on that incidence, this could lead to either depression or psychosis. being a child, what ever you did, was not wrong. sometime in curiosity, you do such things and same you did in childhood. better to stay relax and enjoy your life. in case you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. this type of attitude / over thinking happens when you have very little to do. that is your job / education is of a very easy nature. you get a lot of time to think and instead of thinking positive, you are habituated towards negative. no problem. this is not a mental disorder. keeping yourself busy should solve the problem. be passionate towards your job / studies. involve yourself in games and other social activities. keep yourself healthy and enjoy life. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are going through a stressful period with your financial problems as well as misunderstandings with your wife. unfortunately, financial matters are one area which result in misunderstandings and problems between husband and wife. in such situations, if both persons continue to be adamant in their stands, it is difficult to arrive at a productive solution. moreover, it will only lead to more stress and difficulty. it may be a good idea to allow the situation to \""cool off\"" for some time, so that both persons will be subsequently in a calmer and more stable state of mind to talk, discuss, and resolve issues. it may also be a good idea to visit a marriage counselor, in order to help smoothen out the misunderstandings between you and develop a more trusting and understanding relationship. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for sharing your concern. it is more likely a viral rash though the possibility of an allergic reaction is still there. unfortunately there is no certain way to know. the good news is that both types of rashes are very common in kids & generally last a few days. bena chatbot.  is the dose right ? can easily wait 3-4 days for rashes to improve if she remains otherwise ok. hope you find the information useful.
Please answer with one of the option in the bracket,"E: Vancomycin, ampicillin, and cefepime"
"If you are a doctor, please answer the medical questions based on the patient's description.",hitwo common things we have to think of are purity and sun allergy. how was the sunexpopsure during the trip?currently do the eruptions itch on sun exposure?the answers to above will help us guide you further.in the meantime topical application of mid potent steroids and oral anti histamines can help. why don't u visit a dermal so that you can b guided about appropriate medicines for the desired period. hope it helps. feel free to ask further. regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you did not have a menstrual period during the past two months, you should exclude pregnancy through a pregnancy test and/or a trans-vaginal sonogram. if pregnancy is negative, you can expect with chatbot.  as of now, you do not need any emergency contraception since your ovulation status is not established, and you are already on a dose of hormones. please take further advice from your consultant. once you attain the period, please go ahead with regular form of contraception. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot. i went through the history you have provided here. it seems from the history that you are having raspy voice following a sinus infection. this indicates acute laryngitis secondary to sinus infection. this can be treated by antibiotics and anti-inflammatory chatbot.  salt water gargling and voice rest will provide symptomatic relief and the condition will improve in 4-7 days and voice will become normal. hope this is helpful to you. wishing you a good health and speedy recovery. thank you for writing to us.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i passed carefully through your question and would explain that anxiety can trigger this entire clinical situation, by leading to hyperventilation. anyway, i would also recommend performing some further tests to investigate for other possible causes that may lead to this clinical scenario"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, heat rash/ bumps on forehead heal without problems but if neglected can cause itchy pustules.  your 14-year-old is in teens & is going through physical & sexual maturity, hormonal changes occur & it's normal to get acne, bumps on forehead or face, no worries.  it is because of the blocked pores of the sweat glands, can also occur due to tropical climate & exercises.  wash faces with a medicated soap, apply calamine lotion or ointment renovate c (dexamethasone/clioquinol) locally at bedtime. wear loose-fitting clothes & keep your sleeping area well ventilated. take care. hope i have answered your query. let me know if i can assist you further."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry much. you are just 14, and you started worrying about so many things. that is the problem. when we worry, we become anxious. anxiety produces so many uneasy feelings in the body and pain in different parts of the body is common. pain in the stomach area is most common, and you are victim to that. instead of worrying about what you have not, concentrate on your education and career. masturbation is common and natural and every man do it. even animals masturbate. masturbation twice a day is also normal in your age. when you grow, your priority changes to education and career, and you start spending your energy towards more useful work. you might need psychological counseling., i am more than happy to provide telephone psychological counseling through chatbot. contact me through customer care, www.chatdoctor .com. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"There are four main types of treatment for colorectal cancer: surgery, radiation therapy, chemotherapy and targeted therapies. The option depends on the stage of your cancer. Sometimes two or more types of treatment may be used at the same time or used one after the other. Before treatment starts, ask your health care team about possible side effects and how treatment may change your normal activities. Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effect may not be the same for each person, and they may change from one treatment session to the next.
Surgery: Surgery is the main treatment for both colon cancer and rectal cancer. The types of surgery are different for each cancer. For colon cancer, surgery type includes colectomy, segmental resection and laparoscopic-assisted colectomy. As rectal cancer is concerned, there are low anterior resection, proctectomy with colo-anal anastomosis, abdominoperineal (AP) resection and pelvic exenteration.
Radiation therapy: It includes external-beam radiation therapy and brachytherapy (internal radiation therapy). This is a cancer treatment to kill cancer cells or keep them from growing by using high-energy x-rays or other types of radiation.
Chemotherapy: This treatment is to use drugs to stop the growth of cancer cells either by killing the cells or by stopping them from dividing.
Targeted therapy: This type of therapy is to use drugs such as monoclonal antibodies to attack parts of cancer cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist. since you have already been diagnosed as a case of autoimmune hepatitis and has been on medicine for that since last 2.5 yrs, there is no need for asia test at this point of time. it is an autoimmune disease in which there is dysregulation of our own immune system leading to abnormal activity of immune cells that is our own protective cells become hostile to one of our own organ cells. it can't be prevented hope i have answered your query and this will help you. wish you a good health"
Answer this question truthfully,"Current blood glucose levels are affected by prior insulin dose, meaning that the amount of insulin previously administered can impact current blood glucose levels."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms seem to be related to an acid reflux. i recommend using a castro protector such as prilosec 20 mg in the morning before breakfast. i also suggest using antacids such as maalox three times a day. furthermore, i suggest avoiding food that can trigger the symptoms such as spicy food or too much caffeine. furthermore, i also suggest avoiding eating two hours before sleep. hope i have answered your query. let me know if i can assist you further."
"Cushing, fybromyaglia, Chronic fatigue my main concern is no treatment and the musclar distrophy effecting my heart, legs feet, shoulders, arms, etc.","In general, treatments for fibromyalgia include both medication and self-care. The emphasis is on minimizing symptoms and improving general health. No one treatment works for all symptoms. Medications Medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: - Pain relievers. Over-the-counter pain relievers such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (Ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time. - Antidepressants. Duloxetine (Cymbalta) and milnacipran (Savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. - Anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (Neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (Lyrica) was the first drug approved by the Food and Drug Administration to treat fibromyalgia. Therapy A variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include: - Physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. - Occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body. - Counseling. Talking with a counselor can help strengthen your belief in your abilities and teach you strategies for dealing with stressful situations. Self-care is critical in the management of fibromyalgia. - Reduce stress. Develop a plan to avoid or limit overexertion and emotional stress. Allow yourself time each day to relax. That may mean learning how to say no without guilt. But try not to change your routine completely. People who quit work or drop all activity tend to do worse than do those who remain active. Try stress management techniques, such as deep-breathing exercises or meditation. - Get enough sleep. Because fatigue is one of the main characteristics of fibromyalgia, getting sufficient sleep is essential. In addition to allotting enough time for sleep, practice good sleep habits, such as going to bed and getting up at the same time each day and limiting daytime napping. - Exercise regularly. At first, exercise may increase your pain. But doing it gradually and regularly often decreases symptoms. Appropriate exercises may include walking, swimming, biking and water aerobics. A physical therapist can help you develop a home exercise program. Stretching, good posture and relaxation exercises also are helpful. - Pace yourself. Keep your activity on an even level. If you do too much on your good days, you may have more bad days. Moderation means not overdoing it on your good days, but likewise it means not self-limiting or doing too little on the days when symptoms flare. - Maintain a healthy lifestyle. Eat healthy foods. Limit your caffeine intake. Do something that you find enjoyable and fulfilling every day. Complementary and alternative therapies for pain and stress management aren't new. Some, such as meditation and yoga, have been practiced for thousands of years. But their use has become more popular in recent years, especially with people who have chronic illnesses, such as fibromyalgia. Several of these treatments do appear to safely relieve stress and reduce pain, and some are gaining acceptance in mainstream medicine. But many practices remain unproved because they haven't been adequately studied. - Acupuncture. Acupuncture is a Chinese medical system based on restoring normal balance of life forces by inserting very fine needles through the skin to various depths. According to Western theories of acupuncture, the needles cause changes in blood flow and levels of neurotransmitters in the brain and spinal cord. Some studies indicate that acupuncture helps relieve fibromyalgia symptoms, while others show no benefit. - Massage therapy. This is one of the oldest methods of health care still in practice. It involves use of different manipulative techniques to move your body's muscles and soft tissues. Massage can reduce your heart rate, relax your muscles, improve range of motion in your joints and increase production of your body's natural painkillers. It often helps relieve stress and anxiety. - Yoga and tai chi. These practices combine meditation, slow movements, deep breathing and relaxation. Both have been found to be helpful in controlling fibromyalgia symptoms."
Answer this question truthfully,"Auditory hallucinations are more commonly a feature of psychiatric illness than medical illness (psychiatric or medical). Auditory hallucinations are a type of sensory experience in which a person hears sounds or voices that are not actually present. These hallucinations can range from simple sounds like ringing or buzzing to complex experiences like hearing multiple voices that engage in conversation with each other. While auditory hallucinations can occur in a variety of conditions, they are most often associated with psychiatric disorders such as schizophrenia, bipolar disorder, and major depressive disorder."
Answer this question truthfully,"Lesions at or above the superior olivary nucleus can result in diminished hearing loss bilaterally (in both ears) and decreased ability to localize sound. The superior olivary nucleus is a structure in the brainstem that plays an important role in sound localization and processing of auditory information. When this area is damaged or affected by a lesion, it can lead to a range of hearing problems, including difficulty understanding speech, reduced sensitivity to sounds, and problems with sound localization. Treatment for hearing loss caused by lesions in this area may include hearing aids, cochlear implants, or other forms of auditory rehabilitation."
Please summerize the given abstract to a title,Vaccination during pregnancy: current and possible future recommendations
Please summerize the given abstract to a title,Knowledge Attitude and Practices of Mitanin's (Community Health Workers) in Chhattisgarh: Malaria Elimination Perspective
Please summerize the given abstract to a title,"Instagram as a Window to Societal Perspective on Mental Health, Gender, and Race: Observational Pilot Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i think a complete urine and blood test is advised so that we can find if there is any pathology incurred and a medical prescription should follow post this. also, doing regular exercise can help improve the fatigue to come down and improve the strength as well. as your age is 25 it is good to do regular exercise and have a good diet plan. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please answer with one of the option in the bracket,A: MYCN
Answer this question truthfully,"There are several diagnostic tests that may be used to identify growth hormone cell adenoma, including blood tests, imaging studies, and hormone stimulation tests. Among these tests, measurement of serum levels of growth hormone and IGF-1 can be particularly useful in diagnosing the condition. In individuals with a growth hormone cell adenoma, these hormone levels may be elevated due to the tumor's excessive production of growth hormone. As a result, testing for elevated levels of growth hormone and IGF-1 can help to confirm the presence of the tumor and assess its size and activity. Other diagnostic tests may also be used in conjunction with these blood tests to further evaluate the tumor and determine the appropriate course of treatment."
Answer this question truthfully,"Rhabdomyosarcoma treatment include combination of surgery, radiotherapy, and chemotherapy.  Rhabdomyosarcoma treatments depends on staging classification and risk stratification. For more information click here. Rhabdomyosarcoma chemotherapy depends on patient's risk groups. Vincristine, actinomycin D,and cyclophosphamide are the fundamental chemotherapy standard based on Children's Oncology Group. In low-risk patients, cyclophosphamide dosage and chemotherapy duration can be decreased in order to decline chemotherapy toxicity. Ifosfamide, vincristine, and actinomycin D are the fundamental chemotherapy standard base on European Soft tissue Sarcoma Group.   Ifosfamide is used instead of cyclophosphamide to decrease gonadal toxicity amount. Patients's response to chemotherapy is classified to following groups:  
Radiotherapy indication in patient's with rhabdomyosarcoma:  Clinical group I alveolar rhabdomyosarcoma (36 GY) Clinical group II (41.4 GY) Clinical group III (50.4 GY) Radiotherapy is usually initiated after 4 chemotherapy cycles.   The only exception for starting radiotherapy from the first day is vision loss and spinal cord compression. Radiotherapy dosage is based on following criteria:  Completeness of tumor resection before chemotherapy Completeness of a delayed primary tumor excision after adjuvant chemotherapy The decision of pursuing radiotherapy on children under 3 years old is difficult regarding to these factors:   The long-term complication of radiotherapy Limited data on cancer outcomes Medication summery that are used for medical therapy are listed below:   Vincristin Cyclophosphamide Dactinomycin Ifosfamide Etoposide Irinotecan Mensa Use to inhibit hemorrhagic cystitis Filgrastim Trimethoprim-sulfamethoxazole Use for pneumocystic pneumonia prophylaxis after chemotherapy Clotrimazole Use for thrush prophylaxis after chemotherapy Chlorhexidine mouth rinse Use for gingivitis prophylaxis after chemotherapy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should consult emergency room and start intravenous treatment because you are worsening even after nebulization therapy. possibility of lung infection is high. so also get done chest x-ray. along with nebulization chatbot.  so better to consult emergency room and discuss all these."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to the chatdoctorbrief. it could be viral or atypical pneumoniadetailed answer... from your sisters' history it seems she is having atypical pneumonia, for that she must get x-ray chest done first and discuss with the doctor. for that she may need azithromycin antibiotic for 7 days and cough syrup containing albuterol. for fever, she may have paracetamol as per need. other cause could be allergy, which also causes cough at night. first get x-ray chest and discuss further. hopefully my answer will be helpful. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as what i understand with the history you provided it needs more detailed version of the complaint. your age? are your diabetic? are you overweight? etc. now coming to point, as per my provisional diagnosis this could be a bakers' cyst in the popliteal fossa.  this is not going to harm you or your joint in any way. it is one of the bodies protective mechanism to protect the knee joint to get damage. there is no as such medicine to it. trying out exercise on a regular basis for the lower limbs should help improve the strength of the muscles and the cyst can be removed naturally without any kind of other procedure. in my professional experience i have seen people having cyst, and they have done well with the exercises and no signs of the cyst in the future. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through the query and understood your concern. at the outset let me inform you that the fertile period of a cycle is the ovulation period which occurs two weeks prior to the onset of the next period. since you had the intercourse just around your expected period, you cannot conceive. as you are already on your menstruation now, there is absolutely no reason to worry. please use double protection hereafter to avoid such inconveniences. for your information, the sperms can remain active for 3-5 days while the ovum can remain alive for 24 hours. hope this helps."
Please answer with one of the option in the bracket,C: MRI scan of the spine
Answer this question truthfully,"Deficiency in C5b through C9, which is responsible for the formation of the terminal complement pathway and the membrane attack complex (MAC), is associated with an increased risk of Neisseria infection."
Answer this question truthfully,All antineoplastic nucleoside analogs can cause myelosuppression.
Answer this question truthfully,"Spontaneous intraparenchymal hemorrhage is a type of bleeding that occurs within the brain tissue itself, rather than in the spaces surrounding the brain. This condition can be caused by a variety of factors, including high blood pressure, trauma, and structural abnormalities in the blood vessels of the brain. However, the most common cause of spontaneous intraparenchymal hemorrhage is a condition known as amyloid angiopathy. This condition is characterized by the deposition of amyloid protein in the walls of the blood vessels in the brain, which can make them more fragile and prone to rupture. Amyloid angiopathy is most commonly seen in older adults and is often associated with other neurological conditions, such as Alzheimer's disease. Treatment for spontaneous intraparenchymal hemorrhage will depend on the underlying cause of the bleeding and may include medications to control blood pressure, surgery to remove the hematoma, or other interventions to manage symptoms and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your question. i would like to reply as below"
Please summerize the given abstract to a title,Demonstrating the sustainability of capacity strengthening amidst COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, pain in the jaws is not related to heart diseases. it may occur due to infectious lesions like tooth abscess gingival lesions chatbot. i would suggest you to visit the dentist and get the checkup done. exact diagnosis can be made on clinical and radiological examination. for tachycardia, you need to consult a physician and get the checkup done. hope this helps out. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i have gone through your question. i can understand your concern. you may have leukoplakia or some bump.  it can be due to benign squamous hyperplasia or squamous cell carcinoma.  you should go for biopsy of that area. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"The initial chief complaint in people with ovarian torsion is typically completely spontaneous unilateral abdominal pain. Ovarian torsion is a medical emergency that occurs when the ovary twists on its blood supply, leading to a loss of blood flow and potential damage to the ovary. The sudden onset of severe abdominal pain is often the first symptom of ovarian torsion, and it can be accompanied by nausea, vomiting, and fever. The pain may be localized to one side of the abdomen and may worsen with movement or activity. If you suspect that you or someone you know is experiencing symptoms of ovarian torsion, seek immediate medical attention. Early diagnosis and treatment can help preserve ovarian function and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your actual blood pressure values are still high. this means that your actual therapy is not very effecting in controlling blood pressure values. coming to this point, i would recommend you to closely monitor your blood pressure values in the next days. if your blood pressure values are persistently high (above 130/80 mm hg), i would recommend discussing with your attending physician on the possibility of making some changes to your actual therapy. hope to have been helpful! wishing all the best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, hello,welcome to chatbot, as you are having allergic reactions which is evident by your absolute eosinophil count (aec), this is one of the important indicator of presence of allergic reactions in the body. for the present symptoms i would advise taking tab least, meanwhile consult your doctor to get information regarding skin prick test. i would suggest you to undergo skin prick test for most prevalent allergens in your surroundings like dust, pollen, mite, food and chemicals. this test help us to identify the allergen causing all these symptoms, and you can avoid those allergens, if it is not possible to avoid the allergens you can go for immunotherapy. you can be apt sublingual immunotherapy (slit) or subcutaneous immunotherapy (suit) depending upon your compliance. thank you."
Answer this question truthfully,"The main focus of diabetic foot screening should be on peripheral neuropathy detection, since foot ulcer development is rare in the absence of neuropathy. However, searching for other factors such as skin integrity, any wound or ulceration, anatomical deformities, nail changes and distal pulses should not be omitted during foot examination.    A regular foot examination should be done in diabetic patients, in order to detect peripheral neuropathy, peripheral arterial disease and anatomical foot deformities.  It is recommended to perform a careful foot examination at least annually in diabetic patients over the age of 15. Nevertheless, physicians should educate patients to perform self foot examinations more often. In diabetic patients who have higher risk of diabetic foot ulceration, more frequent (every 1-6 months) examinations and follow-up should be considered. An evidence‐based guideline published by the International Working Group on the diabetic foot (IWGDF) has demonstrated a risk stratification system for detecting diabetic patients with high risk of foot ulceration. The aforementioned guideline includes a scoring system which clarifies the proper intervals for screening diabetic patients. The following table is a summary of this system:  


One of the IWGDF guidelines on the management and prevention of the diabetic foot, published in 2011, recommended a foot screening assessment sheet for physical examination in each screening. The following table depicts this assessment sheet: 


The following are some useful screening tools for diabetic foot screening:     Semmes-Weinstein monofilament Tuning fork Biothesiometer"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query am so sorry to hear about these painful testes. the most likely explanation is that from over masturbating, you have mechanical traumatized these testicles. this is the reason why they are tender. i will advise that you strongly consider reducing the frequency of this masturbation and often try to be as gentle as possible. this would prevent future recurrence. for now, take pain medications like tylenol/ibuprofen and rest. this would resolve within 48\u00a0hours. if it should persist, please seek medical attention. i hope this ad chatbot.  thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. i wish you the best of health."
Answer this question truthfully,"In type 1 diabetics, increased lipolysis leads to an increase in free fatty acids which are converted to ketone bodies in the liver."
Please summerize the given abstract to a title,Combined effects of Telehealth and Modified Constraint-Induced Movement Therapy for Individuals with Chronic Hemiparesis
Answer this question truthfully,"IV β-blockers such as labetalol and esmolol are useful in the acute management of aortic dissection. Aortic dissection is a serious medical condition in which the inner layer of the aorta tears, allowing blood to flow between the layers of the aortic wall. This can lead to a variety of complications, including organ damage and rupture of the aorta. IV β-blockers are often used in the acute management of aortic dissection to reduce the force of the heart's contractions and lower the blood pressure, which can help to reduce the risk of further tearing of the aorta. However, the use of IV β-blockers in the management of aortic dissection must be carefully monitored, as they can also cause a decrease in blood flow to vital organs and exacerbate the condition in some cases."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, you have got articular pain in the left upper limb due to nerve compression in cervical spine. reason be disc herniation or ligamentum flavor hypertrophy. diagnosis needs to be confirmed by mri of the cervical spine. mri is highly sensitive and specific for diagnosis of spine pathology. please get it done from radiology center nearby you. meanwhile, start tab regain one at bedtime. you need to consult neurophysician for detailed clinical examination.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, hairline fracture of the elbow may get displaced if not protected in slab or cast. i would like to see x-ray.  we recommend protection in above elbow cast for one month at least. reason for pain is due to improper immobilization and rest. i would recommend a visit to another orthopedic surgeon for an expert opinion. meanwhile, tab diclofenac twice a day should be taken for pain relief. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,"Public health awareness: knowledge, attitude and behaviors of the public on health risks during COVID-19 pandemic in sultanate of Oman"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is always a chance of pregnancy in unprotected sex. if penis may touch the vaginal opening and pre-cum may enter into vagina. pre-cum may contain sufficient sperm concentration that cause pregnancy. but pregnancy is possible if you had sex in fertile phase of period. i would suggest taking i pill with in 72 hours of sex to prevent unwanted pregnancy if you had sex during fertile phase of period. if you had regular cycle of 28 to 30 days, then fertile phase will be 10th to 18th day of cycle. avoid stress, take healthy diet, chatbot.  use condom in future to prevent unwanted pregnancy. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i don't think improper rib attachment in upper chest cause palpitations in heart. it will cause pain but not palpitations. palpitation can be due to arrhythmia, thyroid diseases, anemia or stress and anxiety. so to rule out arrhythmia holder monitoring (24\u00a0hour continuous recording of ecg) and 2d echo is necessary. if both of these are normal than get done1. cbc (complete blood count) to rule out anemia. 2. thyroid function test to rule out thyroid diseases. if these are also normal then it must be stress and anxiety related. so ask him to avoid stress and tension.  be relax and calm."
Please answer with one of the option in the bracket,D: Voiding cystourethrogram
Please answer the letter of option truthfully,C
Please answer with one of the option in the bracket,C: Increase Reid index
Answer this question truthfully,"Individuals with coarctation of the aorta may be at increased risk for certain associated conditions or complications. For example, coarctation of the aorta is often associated with a bicuspid aortic valve, which can cause problems with blood flow and increase the risk of developing aortic stenosis or regurgitation. Additionally, people with coarctation of the aorta may be at increased risk of developing berry aneurysms, which are small, sac-like bulges that form in the blood vessels of the brain. These aneurysms can be dangerous if they rupture, causing bleeding in the brain. It is important for individuals with coarctation of the aorta to be monitored closely for these and other potential complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for query. 1. most common cause of anemia is nutritional deficiency of iron, vitamin b12 and/ or folic acid. dizziness is one of the commonest symptoms of anemia.2. when you are diagnosed with anemia, it becomes important to know the type of anemia as well. get complete hologram done along with peripheral blood smear examination to know the type of anemia and take treatment accordingly.3. it takes at least two weeks for the symptoms to improve with oral therapy. if it's been more than two weeks get a reticulocyte count done to check for response, meanwhile discuss with your consultant the use of injectable forms of iron therapy as iron absorption might be hindered by worms sometimes. 4. also get a deforming done for hookworm.5. improve on your nutrition by having more cereals, citrus fruits, red meat(rich in iron and other micro nutrients). 6. be regular on your medicines, take lots of fluids and avoid tea as tannins inhibit iron absorption. hope this helps. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. so, if you had a positive pregnancy test and did the test correctly, you should be pregnant.  however, if there is no gestational sac visible on the ultrasound there are a few possibilities of what may be going on. first, the pregnancy may just be too small and early to see on an ultrasound.  that can be normal if your period is only a week late. secondly, the pregnancy may not be growing a fetus, which is a kind of miscarriage (called a \""chemical pregnancy\"") that gives you a positive test without development of a fetus.  most people with this condition will eventually start bleeding and pass the pregnancy. the third possibility, which is the most concerning, is that your pregnancy is located outside your uterus.  this is called an ectopic pregnancy.  the most common site for an ectopic pregnancy is in the fallopian tube.  the problem with a tubal pregnancy is that, as the fetus grows, the tube is not designed to expand, and it actually can burst, resulting in severe internal bleeding and even a risk of death for the mother. because of this, it is extremely important that you be closely followed by a physician for the early part of your pregnancy.  you first need a blood level of your pregnancy hormone taken and then repeated along with another ultrasound in a few days.  the hormone level should double every 48 hours in a normal pregnancy, and furthermore, if the hormone level is high and there is no visible intrauterine pregnancy then it is very suspicious for a tubal pregnancy. signs and symptoms of an ectopic pregnancy include spotting, abdominal pain (especially if it is only on one side), and sometimes right shoulder pain.  dizziness, shortness of breath and fast heartbeat may indicate internal bleeding.  if you have any of these symptoms, you should go to an emergency room for evaluation or call an ambulance.  so in summary-when you have a positive pregnancy test with an ultrasound that does not show an intrauterine pregnancy, you need to be ruled out for an ectopic pregnancy.  a blood pregnancy hormone level (called a bchatdoctor) should be done first, and depending on the result your doctor will be able to determine what is going on with your pregnancy and determine the best course of action. i hope i was able to adequately answer your question today and that this information was helpful. best wishes for the rest of the pregnancy,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you had undergone a bariatric surgery. the symptoms you are describing are vague and non-specific. based on this information no diagnosis can be made. you have given 4 cycles of chemotherapy means you had early stage ovarian cancer. from oncological point of view you are alright. your chest pain may be due to angina and myocardial infarction is also a possibility. consult your physician. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","your concern is suggestive of tortillas which in simple terms mean sprain on the neck. treatment for tortillas is targeted to relax the contracted neck muscles involved. treatments include medication, physical devices,, physical therapy, stretching exercises, and surgery. in most people, tortillas resolves in several days to a few weeks. a few people will develop continuing neck problems for months to years. persistent neck muscle spasms may require referral to a neurologist or surgeon. i cannot say this is due to swimming but awkward positioning while sleeping could be a reason. i would give local heat and gentle massage and nsaid chatbot.  take care and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query. thanks for using chatbot. if your stress thallium and echocardiogram are normal, then you can be sure that your pain is not angina i.e.heart pain. it may be either acid reflux or simple muscular pain.first give to anxiety and then take omeprazole along with analgesic like etrocoxib. you should be fine within few days. if no response then consult physician to evaluate for other cause, my best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","bruise or grinding of teeth is unrelated to worm infestation and could occur due to a number of harmless causes. however, it might be reasonable to deform a child of this age on yearly basis with two doses of albendazole repeated at a fortnight interval. most of the fevers in child chatbot.  iron contains ibuprofen and paracetamol combination and is more effective than paracetamol (cal pol) and if that too is not effective, you may try metonymic acid (metal p) which is better in relieving temperature."
Answer this question truthfully,"Pneumonia due to Klebsiella pneumoniae is caused by enteric flora that are aspirated, meaning that they are inhaled into the lungs from the gastrointestinal tract. This can occur in individuals who have impaired swallowing or cough reflexes, as well as those who are at increased risk for aspiration due to underlying medical conditions. Once in the lungs, the bacteria can cause inflammation and infection, leading to symptoms such as cough, fever, and shortness of breath. In some cases, pneumonia due to Klebsiella pneumoniae can be severe and may require hospitalization and aggressive treatment with antibiotics. However, the severity of the infection can vary depending on the individual patient factors, so a thorough evaluation by a healthcare provider is necessary for an accurate diagnosis and appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","mvp may lead to excessive stress on the papillary muscles, which, in turn, leads to dysfunction and ischemia of the papillary muscles and the subject ventricular myocardium. rupture of chordal tendineaeand progressive mitral annular dilation and calcification contribute to valvular regurgitation, which then places more stress on the diseased mitral valve apparatus, thereby creating a vicious circle.however, the clinical course is most often benign and most patients are asymptomatic and remain so for their entire lives. initial mr severity is the primary predictors of progression. in your case lvef (70%) is excellent and long-term course is likely to be benign. beta blockers sometimes relieve chest pain and control palpitations."
Please summerize the given abstract to a title,A model for the reallocation of recycling containers: application to the case of glass.
Answer this question truthfully,"Normal vision. Courtesy NIH National Eye Institute The same view with diabetic retinopathy.
Early diabetic retinopathy does not have any symptoms. With the devolpment, people may notice one or more of the following symptoms:
Bleeding Blurred vision and gradual vision loss, and even blindness. Floaters Shadows or missing areas of vision Difficulty seeing at nighttime
Primary detachment of retina can present with similar symptoms."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having enlarged lymph nodes. your history and description favors possibility of enlarged lymph nodes only. lymphnodes are lymph chatbot. you are also feeling pain, which again favors infective enlargement of lymph nodes. but better to consult doctor and get done clinical examination of swellings. you may need biopsy of the lesion if doctor feels so.otherwise, broad spectrum antibiotics are sufficient to treat enlarged lymph nodes. sometimes lung infection can also cause enlarged lymph nodes, so get done chest x-ray to rule out this."
Answer this question truthfully,
Answer this question truthfully,The cause is not clear. Screening test and regular check for people with genetic disorders may be helpful to decrease the risk of having a baby with interrupted aortic arch.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since heart diseases have been ruled out, possibility of stress and anxiety related symptoms is more likely. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot. don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for using this forum. as per your description this seems to be what is called cholecystitis, which is inflammation of the gallbladder wall. the treating doctor is right in prescribing antibiotics with unlit tablets, which will help in curbing down the infection. yes, at a later stage when the infection has been treated or if it still persists despite the conservative treatment, surgery would be the best option to remove the gall bladder. therefore unlit can be given. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. brain hemorrhage is a serious neurological problem with high morbidity and mortality. if there is severe brain swelling, patients are maintained in a comatose state (wth medications) to give rest to brain (for a few days). the recovery depends on the size and location of hemorrhage (bleeding) in the brain. you can discuss these issues with his doctor. best wishes, chatbot."
Please summerize the given abstract to a title,To be or not to be vaccinated against COVID-19 – the adolescents’ perspective – a mixed-methods study in Sweden
"If you are a doctor, please answer the medical questions based on the patient's description.","if everything is well, your mom should be out from icu in 3-5 days at home by max a week and regular life by 3 weeks.  however, she will be able to move about and perform all her activities by a weeks end. for sure the risk of complications are less in someone like your mom than in some someone who smokes because the lungs are healthy making it easier to wean off ventilator also lungs not completely expanding, and secondary infection are the most common reason for prolonged recovery which will be minimal in your mom.  all the best for the bypass.  regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i can infer from your complaints is that you have a soft tissue injury with bruising. the discoloration is due to injury to the soft tissues and the resultant small bleeding. you have got nothing to be worried. it will slowly get better in about two weeks time. i would suggest you take it easy. follow your physician advice till then.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Sarcoptes scabiei causes scabies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, i can appreciate your keenness in getting pregnant. if the egg is around 18 mm in diameter, you do stand a good chance in ovulating in next 24 hours. so utilize these days for sexual relations maximum. if this cycle it does not work, please follow my advice. from day 9 onwards, submit yourself for ultrasonography for ovulation monitoring till the evidence of ovulation is noted. in this monitoring, please note the following conditions"
Please summerize the given abstract to a title,Adeno-associated virus type 2 (AAV2) uncoating is a stepwise process and is linked to structural reorganization of the nucleolus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. cyst near the tube, but what is the size of cyst? oynaecologist ovum is liberated from follicle (when they mature and releases ovum). the important thing is maturation of follicles. hence, you are having cyst, so please get in blood examination for hormones such as, estrogen (estradiol), f s h/ l h. also get in blood for testosterone level as in patients of cyst there are imbalance of hormones. athletic follicles of ovarian stoma changed, so evaluation is very important. consult one more gynecologist and get his opinion (2nd). thereafter deal according to situation. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. if you are getting more chunky discharge than better to rule out pelvic inflammatory disease or infection. it is better to have a pelvic examination by gynecologist and a swab for this. ultrasound examination will be needed in case of positive signs. white cheesy discharge can be most likely yeast infection. clotrimazole cream (monist at)for local application and fluconazole tab orally will be helpful to rule out this. hope this may help you. let me know if anything is not clear. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","the chances of them being interconnected are less likely. first to answer best this question i need information for your age & sex. the yield of e cold in urine culture is considered normal as it is one of the commenced harboring the outflow tract. what is more important is the colony forming units (cfu) that might have written in the reports. again for male & female they have different ranges so presently cannot be commented. you can self examine yourself, if it shows any kind of swelling (lumps) in groin then they there can be a possibility of the pain & e cold. but as of now the two things can not be co-related. occurrence of e cold can be considered normal finding. for the said pain you may take help of the anti-inflammatory chatbot.  if at all you have the symptoms such as fever, swelling in groin along with above symptoms better to get examined by nearest physician."
Please summerize the given abstract to a title,Association between participation in the government subsidy programme for domestic travel and symptoms indicative of COVID-19 infection in Japan: cross-sectional study
"If you are a doctor, please answer the medical questions based on the patient's description.","the symptoms you describe indicate that your asthma is not controlled very well. i would recommend taking your symbicort inhaler every day (twice a day) even on days that you feel well. symbicort works mainly as a preventive medication, to prevent you from experiencing the troubling symptoms you describe. i would advise that you take it regularly even when you feel fine. if after doing this you are still experiencing poor asthma control, you should see a doctor to help you determine what your next best step up should be. hope you feel better."
Please summerize the given abstract to a title,MADRID+90 study on factors associated with longevity: Study design and preliminary data
"If you are a doctor, please answer the medical questions based on the patient's description.",dear sanalthanks for choosing chatbot actually bisoprolol is a medication registered for use to prevent gastric ulcers.  bisoprolol also induces uterine contractions that often used off-label as abortion pills for pregnancy termination. studies have demonstrated that bisoprolol can be used to terminate pregnancies of any gestation.0 - 12 weeks (less than 63 days of pregnancy)= vaginally of 800\u00a0mg repeated up to 3 times at 6 or 12 or 24 hours intervals or 800\u00a0mg orally (sublingual) at 3-hour intervals * around 70% women have complete abortion within the first 12 hours * around 80% have complete abortion during the first 24 hours * around 95% have complete abortion within 48 hours it may take up to the 72 hrs for complete abortionist of 100 failure rate are 5-8 but i suggest you contact you the nearest gynecologist it is not good to abortion .why don't you want to give birth... think about thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. it can be rotator cuff injury which may need mri for confirmation. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. you may need to take rest for early healing. also check your it b12 and it d3 in your blood. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take disregards chatbot."
Answer this question truthfully,"The prevalence of thymic carcinoma is approximately 0.00006 per 100,000 individuals worldwide. Males are more commonly affected with thymic carcinoma than females. The male to female ratio is approximately 3 to 1. It is more common in Asians and African Americans than in Caucasians. Thymic malignancies are relatively rare in the range of 0.2% to 1.5% of all malignancies or 0.13 per 100,000 person-years in the United States. Thymic malignancies are among the most common mediastinal primary tumors with up to 50% of anterior mediastinal masses proving to be of thymic descent. Invasive thymomas and thymic carcinomas are relatively rare tumors, which together represent about 0.2% to 1.5% of all malignancies. Thymic carcinoma are rare and have been reported to account for only 0.06% of all thymic neoplasms. The risk of thymic carcinoma increases with age. Thymic carcinoma is uncommon in children, it is seen more often in middle-aged adults. Thymic carcinoma commonly affects individuals between 40-60 years of age."
Answer this question truthfully,Sarcoidosis is associated with hypercalcemia due to increased 1α-hydroxylase activity in epithelioid histiocytes.
Please answer with one of the option in the bracket,C: Pentamers
Answer this question truthfully,Accuracy is decreased by systematic error in a test.
Answer this question truthfully,HCV (Hepatitis C virus) belongs to the Flaviviridae family of viruses.
Answer this question truthfully,"The interstitial lung disease that is associated with a ""cobblestone"" appearance of the pleural surface, with retraction scars along the interlobular septa, is idiopathic pulmonary fibrosis. This chronic and progressive condition is characterized by the formation of scar tissue in the lungs, which can lead to difficulty breathing and reduced lung function over time. The exact cause of idiopathic pulmonary fibrosis is unknown, although it is thought to involve a combination of genetic and environmental factors. Treatment options for the condition are limited, and may include medications to manage symptoms, oxygen therapy, and pulmonary rehabilitation to improve lung function and quality of life. In severe cases, lung transplantation may be necessary."
Please summerize the given abstract to a title,SARS-CoV-2 and the sympathetic immune response: Dampening inflammation with antihypertensive drugs (Clonidine and Propranolol)
Answer this question truthfully,Serotonin syndrome is associated with hyper-reflexia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i will suggest you to slowly reduce the use of ghb and methamphetamine. this will help you relive your chronic anxiety. you should start taking the prescribed chatbot.  epilepsy or a seizure is a condition which needs further elaboration. do you suffer jerks movements over the body? does anyone else witnessed your fits? what about tongue bite, urinary incontinence, or a fecal incontinence during fits? do you sleep after fits? if you have a video of this event, its also required. you need to go to your local doctor along with a witness friend or a video recording of these events, so that doctor is confident to prescribe you a regular anti-epileptic, if he is convinced about these events as fits. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Evaluation of national pandemic management policies-A hazard analysis of critical control points approach.
Please summerize the given abstract to a title,A strategy to identify event specific hospitalizations in large health claims database
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. if i were your doctor, after a clinical assessment of your abdomen and back along with a general physical examination, i would advise you for some routine blood tests like a cbc, blood sugar, serum amylase and lipase, an lft, blood urea, serum creatinine, an ecg and some radiological investigation like an ultrasound of whole abdomen, x-ray chest and abdomen in upright posture, followed by a ct scan if need be. in the meanwhile, i would relieve your pain with some anti-spasmodic and a proton pump inhibitor chatbot.  further management would depend on the result of clinical assessment and the investigation reports. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot"
Answer this question truthfully,"There are lots of ways you can personalize your page!
Below is a template for how to code a user page for all of these. If you copy the code below and paste it to your page, you can replace the information with your own.
What it looks like What you type Your Name Muhammad Haisum Maqsood, MD Contact: Email: haisumbajwa@live.com Current Position Research Fellow Professional Background Education Medical Degree (MD) from King Edward Medical University, Lahore, Pakistan Brief Biography <nowiki> __NOTOC__ ==Your Name=='''Muhammad Haisum Maqsood, MD'''Image:NameofYourPicture.jpg|right|frame|100px Title on WikiDoc <br />Contact:<br /> Email: mailto:haisumbajwa@live.com insertyournamehere@whateverserver.com<br /> ==Current Position== * Your Role in WikiDoc (list chapters here)<br /> ==Professional Background== ==Education== Medical Degree (MD) from King Edward Medical University, Lahore, Pakistan ==Brief Biography==
At the top right click on'edit source' to input the template."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. i can understand your feelings and concern about your problem. high creatinine levels in blood (you have not mentioned the present value of your creatinine) is mostly due to chronic renal parenchymal disease and needs to be investigated. please consult qualified nephrologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis3) renal function test 3) serum proteins 4) excretion of proteins and creatinine in 24 sample of urine further treatment will depend upon result of these tests and final diagnosis. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. i am sorry about your father and this serious disease. it is not easy to predict such things, but this is the worst stage of cancer and one of the most serious types of cancer. it is more important to make him easier to stand all this. considering literature life expectancy is about 3-6 months, with minor possibility that he will live more than 1 year.wish you good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query. i understand your concerns. random blood glucose value of 149 indicates that your blood sugar is in the pre-diabetic range. you do not yet have diabetes, and if you control your blood glucose levels by appropriate diet and exercise, the chances of developing diabetes are reduced. for a person to be in non-diabetic range, their fasting blood glucose levels should be less than 106, their 2-hour post radial blood glucose/random blood glucose should be less than 140. your doctor has been correct in telling you to cut down on sugars and carboy chatbot.  carboy"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for writing to chatbot i commend you for taking the first step to manage your health. i have gone through your question and am here to help. based on the description that you have given, it seems that you have a throat infection that is caused by a streptococcus group of bacteria. but these bacteria is possibly resistant to the amoxicillin. also, another issue can be the dose at which the amoxicillin was given and if you took it correctly. the right dose or amount is to take 500 mg of amoxicillin 3 times a day for 3 days. failing to do so can result in a resistant strain of bacteria. i recommend that you see a doctor as soon as possible and get a culture and sensitivity done. using this, you will know which chatbot. this will help you get to the cause, and then you can start treatment. hope this helps you. please follow up for more help."
Answer this question truthfully,"Amiloride is a potassium-sparing diuretic that is often prescribed to treat conditions such as high blood pressure and heart failure. It is also a common treatment for nephrogenic diabetes insipidus induced by lithium, a medication used to treat bipolar disorder and other psychiatric conditions. Nephrogenic diabetes insipidus is a condition in which the kidneys are unable to concentrate urine properly, leading to excessive thirst and urination. By blocking the reabsorption of sodium and water in the kidneys, amiloride can help to reduce the amount of urine produced and improve symptoms of nephrogenic diabetes insipidus induced by lithium. However, it is important for patients taking amiloride to be closely monitored for any signs of electrolyte imbalances or other side effects, and healthcare providers may need to adjust the dosage of the medication or prescribe additional treatments to manage these symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i understand that you have extensive psoriasis, and it is not coming under control with topical steroids and salicylic acid preparations. if more than 20% body surface area is involved you may even try systemic treatment for psoriasis like methotrexate, accretion under supervision of a good dermatologist. you may also try phototherapy (narrow band uvb or pva) for extensive psoriasis if you have not tried it before. propysalic nf is a combination of topical steroid and salicylic acid and alaskan and never are antihistamine tablets. they are alright and don't worry about them causing outbreak. follow up with your doctor as advised and discuss other options mentioned above. do not take stress as it worsens psoriasis. hope this helped, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello thank you for using chatbot i read your question and understood your concern this is muscle spasms of paravertebral muscles as a reaction of your organisms to protect your spine from moving too much. the initial treatment is with muscle relaxant medication and non-steroidal anti-inflammatory chatbot. then if your pain persists you should get an mri of the spine wish you quick recovery
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  first you should be able to make yourself understand about homosexual activities. now world over, such activities are being recognized. there is nothing wrong in that. just social nonacceptance. slowly and steadily progressive societies accept gay relations. you be sure and conflict free about this issue. be clear. slowly your family members should understand. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have severe muscle cramping and inability to walk. well there can be many reasons for symptoms you mention in query like vitamin or mineral deficiency, nerve compression or inadequate blood supply. i would suggest you to apply warm compresses to legs and site of muscle cramps, do light exercises like yoga and stretching to boost blood supply and take proper rest. if condition doesn't get well then consult orthopedic surgeon for proper examination. doctor may order certain test like nerve conduction test to confirm the diagnosis. doctor may prescribe multivitamin supplement, muscle relaxant, anti-inflammatory along with physical therapy. hope your concern has been resolved. get well soon. best wishes,"
Please answer with one of the option in the bracket,D: Ectoderm
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for choosing chatbot, you seem very depressed, everyone has a past...good or bad you need to go on with your life find out the purpose of your life its good you are trying to forget your past life sad incidents why do you think you are wrong all the timedoc to me, you are wrong only when you think low of yourself and lack self-confidence what you are doing is good, chatbot. ...be serious in fulfilling your wishes you said you are not starting to achieve your"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. first no need to worry about heart diseases as your cardiac reports are normal. your pounding sensations are improving by putting heating pad and taking aspirin. aspirin is a good painkiller chatbot.  so possibility of musculoskeletal pain is more likely. so follow these steps for better symptomatic relief. 1. avoid movements causing pain. 2. avoid heavyweight lifting and strenuous exercise.3. apply warm water pad on affected areas of chest.4. take simple painkiller like paracetamol or ibuprofen.5. avoid stress and tension, be relaxed and calm.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"The three types of chronic symptoms that may be present in irritable bowel syndrome are diarrhea-predominant, constipation-predominant, or mixed."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. skipping of heart beats, coughing, chest tightness, heaviness etc. are more suggestive of heart diseases. so get done ecg, 2d echo, chest x-ray and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm.don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Addison's disease can cause an increased level of ACTH in a patient. This is because the disease is characterized by low cortisol levels, which in turn stimulate ACTH secretion through negative feedback. When cortisol levels are low, the pituitary gland produces more ACTH to try to stimulate the adrenal glands to produce more cortisol. However, in Addison's disease, the adrenal glands are not able to produce enough cortisol, despite the increased levels of ACTH. This can lead to a range of symptoms, including fatigue, weakness, and weight loss. Diagnosis may involve hormone level testing, including ACTH levels, as well as imaging studies to evaluate the adrenal glands. Treatment may involve hormone replacement therapy to address symptoms and improve quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your question. what i could understand from your question is you had some uterine infection for which you took antibiotic, and now it is better. you want to conceive and your doctor has advised you to take canes teen 3 hours before intercourse. canesteen is fluconazole which is an antifungal medicine used to fungal infection and yeast infection of vagina. it can help in conceiving only if you have vaginal infection and your doctor think this vaginal infection is responsible for infertility, otherwise it has no role in fertility. medicine for fertility depend upon the cause and there are hun chatbot. both you and your husband need to be investigated for causes of infertility and only then medicine can prescribe depending upon the cause of infertility. i would suggest you to consult a gynecologist who will be able to investigate both of you and may prescribe medicine accordingly, if needed. hope this answers your question."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellenist common cause of swelling in armpit in this age group is lymph node enlargement. as you have described it is painless and there is no redness. i would advise you to observe the swelling if it is increasing in size or there is change in color. most of the time it subsides on its own. sometimes there may be inflammation and infection in that case it will be red and painful. in case of infection antibiotics may be needed. regards
Please summerize the given abstract to a title,Physiological and Pathophysiological Roles of Metabolic Pathways for NET Formation and Other Neutrophil Functions
Please summerize the given abstract to a title,Metformin use amid coronavirus disease 2019 pandemic
Answer this question truthfully,"One clinical feature of Cushing syndrome involves hypertension, which is a result of an upregulation of alpha1-adrenergic receptors, causing increased sensitivity of blood vessels to catecholamines."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. cervicaland thoracic spondylosis is a common degenerative condition of the cervical spine and most likely caused by age-related changes in the intervertebral disks. i advise you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. you can take non-steroidal anti-inflammatory chatbot.  for pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.to answer your question, yes, gallbladder problem can cause abdominal pain. the usual presentation is colicky in character, located on epigastric to right upper qua chatbot.  it may be secondary to an infective or obstructive (gallstones or lesions) pathology. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. diagnostics and management (medical and/or surgical if indications are found) will be directed accordingly. low fat diet is also recommended. hope this helps. good day!!~"
"If you are a doctor, please answer the medical questions based on the patient's description.","the treatment that you have undertaken appears to be scientifically correct, and you need not worry about it. also, none of the chatbot.  it is probably a result of insomnia due to the stress of the disease and the treatment that has its toll on the mind. it is best you take a sedative at bedtime for a few weeks. meanwhile, try to occupy your mind with activities during the day. join a meditation group. don't sleep during the day. eat at least 1 hour before bedtime."
Answer this question truthfully,"One virus that can cause hydrops fetalis in infants is Parvovirus B19. Mothers of affected infants may have a history of day-care work or flu-like symptoms earlier in pregnancy, as these are common ways that the virus can be transmitted. Hydrops fetalis is a serious condition in which excess fluid builds up in the body of the developing fetus, and it can be caused by a variety of factors, including infections like Parvovirus B19. It is important for healthcare providers to be aware of the potential risks of Parvovirus B19 infection in pregnant women and to take steps to prevent and manage this condition in affected patients."
Answer this question truthfully,"Cortisol typically inhibits the secretion of CRH from the hypothalamus, both directly and indirectly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... let me know you, you have over habit of doing masturbation because of which you have fatigue.... i can give you few suggestions to limit masturbation and focusing on career... daily do yoga in early morning....-it will help in relaxing mind.... daily exercise done .... try to avoid watching pornographic videos and reading magazines ..... eat healthy and balanced diet. . endulge yourself in doing some activities... meet with friends and relatives.... focus on reading or if doing job.... try to avoid alone in room more time to avoid thought about masturbation... make goals daily and do work according to it... counselling session can be attended... hope your concern solved.... take care ...."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote (as there are both fever and cough) it seems like a viral illness. both definite and azithromycin are antibiotics used for enteric fever or typhoid. definite specifically doesn't act for upper respiratory illness like this. i suggest you not to use both definite and azithromycin as they are antibiotics and are not indicated for viral illness like this. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,There is insufficient evidence to recommend routine screening for Loeffler endocarditis.
Please summerize the given abstract to a title,Severe acute respiratory coronavirus virus 2 (SARS-CoV-2) screening among symptom-free healthcare workers
Please summerize the given abstract to a title,Factors associated with alcohol and tobacco consumption as a coping strategy to deal with the coronavirus disease (COVID-19) pandemic and lockdown in Spain
Please summerize the given abstract to a title,Radiological diagnosis of coronavirus disease 2019 (COVID-19): a practical guide
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, hurting the ankle totally depends upon the position acquired while having sex. as in certain position, it may be safe and certain position it may not be. having deciding which position to take it totally depends upon your husband.  on a safer side, it's better to avoid because due to the splint there might be additional problems coming up, and the healing process may get disturbed at the injured site. still doing is safe when he is down, and you are up. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,Massive gastrointestinal bleeding in a patient with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient first we have to confirm the diagnosis.  are you having symptoms of locking and inability to put weight on left knee? if yes there is possibility of meniscus tear. you have to go for mri of left knee to look for exact site, type and which meniscus is torn.  visit radiology center nearby you and get it done.  tears which requires surgery are 1. bucket handle tear 2. complex tear 3. anterior or posterior horn teat with instability.  you need to consult expert arthroscopic surgeon nearby you with report and get yourself examined.  all the best."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot. first i will suggest you to correct the root cause of your problem i.e. deviated nasal septum and i think u will be knowing by now the treatment for this is surgery. disproofs is a steroid (dexamethasone) which has many side effects if taken for longer duration. short term side effects include increased appetite and weight gain as well as psychological changes including anxiety and agitation. it can also cause gastrointestinal side effects (stomach problems) like gastritis. local nasal spray of steroids are available which has less side effects compared to injectables. i would advise you to ask your treating doctor about this. all the best
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. yes, abdominal tuberculosis is the most common cause of infertility in the india. it can block the tube and cause infertility in the female. but it is not always necessary that abdominal tuberculosis can block the tube. it needs a radiological confirmation. there are various tests available that can be helpful in the diagnosis of tubal blocks. even if in the worst case if you have a tubal blockage there are various other procedure available by that you can conceive. so do not loss hope and keep trying if you want to be mothered. if adhesion or blockage is found than you can correct it surgically. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","severe back pain need rest and medical treatment in the form of painkillers. after controlling severe pain slowly start physiotherapy. first you consult euro surgeon and take opinion then do accordingly.  you may have disc prolapse.  there are so many types of treatment modalities.  chatbot.  epidural steroid injection.  surgical intervention. when you are having severe back pain, and if you try to lift the heavy objects with one side it will further exaggerate disc prolapse.  kindly avoid those work."
Please summerize the given abstract to a title,Healthy nutritional behavior during COVID-19 lockdown: A cross-sectional study
Please answer with one of the option in the bracket,D: Primary thyroid lymphoma
Please summerize the given abstract to a title,Does higher Body Mass Index increase COVID-19 severity?: a systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should get done ecg first to rule out cardiac cause first. if it is normal than you may have herd (gastroesophageal reflux disease), as you are having stomach related problems. it is due to laxity of the gastroesophageal sphincter. due to this acid of the stomach tends to come up and cause the symptoms. so better to follow these.1. avoid hot and spicy food.2. avoid stress and anxiety.3. avoid large meals, instead take frequent small meals.4. take proton pump inhibitors instead acidic for better control.5. quit habits if you have. lose weight if you are obese.6. go for walk after meals.7. keep 2-3 pillows under head in bed."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, where from you got this wrong information? for a mother to have breast milk, she should deliver a child. the breast milk will be available only up to a maximum of 3 years from the childbirth, or it will replete shortly after breastfeeding is stopped. at any cost, at this age, your mother will not have breast milk to improve your immunity, you should consult a doctor in person. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if the father of your nephew is not diagnosed with cda sil, your nephew is very unlikely to have it (unless his mother is diagnosed with cada sil). this because cada sil is inherited in an autosomal dominant manner. this means that having a mutation in only one copy of the responsible gene in each cell is enough to cause cada sil. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, having jaundice four years back could have been either hepatitis b virus or any other virus. you must have developed the virus now, if u had no history of it. once your bag status is positive, please consult your gastroenterologist, so that he can advise you further test to know if the disease is active or not (head), whether your body have developed immunity against the virus or not (igm anti he), and how much is the viral load at present (hbv dna- quantitative analysis), with usg abdomen to see your liver status, only depending on these parameters can anyone decide if treatment should be started or do you just need regular follow to know the viral status, and hepatitis b virus spreads via bodily fluids, please ask everyone in your family to be evaluated and if they are negative for the virus, let them get vaccinated immediately, but anyone is positive they should go about it the same way as yours, hence please consult your gastroenterologist and get yourself completely evaluated. hope i could help you. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",as you have said you are disturbed with dark spots on both cheeks specially during hot weather. for this you have to take some antibiotic preferably cap doxycycline 100 mg twice daily for at-least 10 days along with some anti-oxidant like cap evian 400 mg once daily after meals with multivitamin like tab metilda-forte or tab neurobion-forte once daily preferably in afternoon. you have to use mellow cream or clear ultra cream or glam-up cream for local application as it is effective to remove dark spots. avoid direct exposure to sun and other places where excessive hot environment is there.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have enlarged supraclavicular lymph node.  it can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  or it can be some soft tissue tumor like lipoma or neurofibroma.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. anger is normal emotion. anger happens when we get irritated. irritation happens when something we don't like happens. as anger is an emotion, it should never be controlled. once anger came, vent it out. but you need to understand the anger creating circumstances and either understand them or avoid them. when child chatbot.  but your wisdom says, these are child"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. i read your query and i understand your concerns. following is my reply"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think you are suffering from chronic backache. treatment of back pain is exercises and analgesics (diclofenac). sometimes vitamin d deficiency is the cause so get her vitamin d checked. if it is low then vitamin d supplementation (weekly with milk) can be taken. avoid long continuous standing. sit in a straight posture. eat milk and milk product, fruits and green leafy vegetables daily. you had a ct scan and the finding said mild disc bulges. you want to know that can this be causing your constipation. i think disc bulge and constipation are not related. i think your query answered. welcome to any follow-up query."
Please summerize the given abstract to a title,Artificial intelligence and computational pathology
Please answer with one of the option in the bracket,B: Squamous cell carcinoma producing a peptide with hormonal activity
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. when heart rate is above 100 then it is called tachycardia, and it is of concern. your heart rate is less than 100, so not much worried about it. here elevation of heart rate might be secondary to inflammatory or infectious condition. so your doctor want to rule out liver infection like hepatitis by liver enzyme study. if persistent elevated heart rate more than 100 than electrocardiogram done to rule out cardiac cause. i hope you understand my concern. wish u good health"
Please summerize the given abstract to a title,Pruebas diagnósticas para la COVID-19: la importancia del antes y el después
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, i would suggest you to consult the concerned dentist and get the checkup done take an iowa x-ray of the region to see if there is any broken root piece in the socket causing re-infection or lump, if so it could be removed or else the pus can be chatbot. i would suggest you to take course of antibiotic and analgesic. at home take lukewarm saline nad antiseptic mouthwash rinses. take multivitamin supplements. maintain a good oral hygiene. hope you find this as helpful, take care!"
Answer this question truthfully,"Stage N3 of non-REM sleep is considered the deepest and is commonly referred to as ""slow-wave"" sleep."
Please summerize the given abstract to a title,Laparoscopic splenectomy using pneumoperitoneum or gasless abdominal wall lifting: a 15-year single institution experience.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, long term use of cyclone is definitely not recommended, and you must visit a chest physician for a complete asthma evaluation. a visit to the allergist will also help in delineating the allergies and making sure avoidance strategies are in place. asthalin or leveling as required, symbicort turbo haler and montelukast 4\u00a0mg at night is recommended as initial treatment, regular peak flow diary, asthma evaluation with questionnaire is recommended every 3 months for now. thanks."
Please summerize the given abstract to a title,Comparison of the Immunogenicity of Cell Culture-Based and Recombinant Quadrivalent Influenza Vaccines to Conventional Egg-Based Quadrivalent Influenza Vaccines Among Healthcare Personnel Aged 18–64 Years: A Randomized Open-Label Trial
Answer this question truthfully,"Norovirus is commonly associated with the consumption of shellfish, such as oysters, which can become contaminated with the virus through polluted water."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. burning of penis during sex and after intercourse that your husband is getting is mostly due to infection transmitted from you during intercourse . it is most likely that you have vaginal infection (vaginitis). please consult qualified gynecologist for clinical and vaginal examination and get following basic tests done to confirm the diagnosis 1) swab test and culture of vaginal discharge or fluid from vagina. both of you need to take appropriate antibiotic as per culture report for a week or two . ensure you clean up your vagina with betadine vaginal solution twice daily. ensure to avoid sexual encounters till it heals up completely. chatbot. .
Please summerize the given abstract to a title,Profile of the Alere i Influenza A & B assay: a pioneering molecular point-of-care test.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer with one of the option in the bracket,C: Start metformin.
Please summerize the given abstract to a title,DETECTION OF MEASLES IgM
Please summerize the given abstract to a title,Optimal Returns in Indian Stock Market during Global Pandemic: A Comparative Study
"If you are a doctor, please answer the medical questions based on the patient's description.","his have gone through your question and understand your concerns but don't worry. your kids seem to have capillary hematomas which as harmless and usually do not need any treatment. also, minor variations in skull shape do not need any treatment. if your feel it's really disfiguring then visit a pediatrician and clinical evaluation. if needed laser therapy can be of help. hopefully it will be of help. take care"
Please summerize the given abstract to a title,Adverse events following COVID-19 vaccination in young Japanese people: A case-control study of the risk of systemic adverse events by a questionnaire surveyShort title: COVID-19 vaccine adverse events in young Japanese
Please summerize the given abstract to a title,Multidisciplinary Approach in COVID-19 Pneumonia: A Backward Path by an Expert Team
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. the transient intermittent joint pain can be related to stroke if he is being chatbot.  otherwise, there is another condition called migrating arthralgias associated with some rheumatoid conditions. this is just an assumption, but it is worth having at least a blood test to evaluate the basic inflammatory proteins, like fibrinogen, rcp and either sedimentation rate. hope this helps. please feel free using mhc again"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. i thank you for posting your query here and i'm definitely going to help you out. i am really sorry for your state but here i'm to tell confidently that you will not be pregnant, do not worry. furthermore, i being a surgeon, we encounter so many such cases day in and day out. furthermore, i read your question completely and have understood it well enough. furthermore, i will analyze all your points below. 1. you had unprotected sex 2 times and you used spermicides too. well, that itself tells you. there's no chance of pregnancy with the use of spermicidal agents. and even though you didn't use for 2nd time, it's effective. 2. condom breakage is the most common problem encountered. but reading, your menstrual cycles i can say with certainty that you are safe.! 3. one day earlier completing periods again is the most important history. generally, ovulation occurs 14 days after completion of periods. especially in your 26 to 28 day cycle. so 100% there's no chance of ovulation and hence pregnancy even if he had ejaculated completely into your vagina! 4. no need for any kind of pill. just chill and be happy. 5. and convey my regards to your doctor too. hope this helps, in case you need any further assistance, please let me know... take care and be happy. god bless you."
Answer this question truthfully,"Myocarditis, secondary to rheumatic fever, is associated with Anitschkow cells, which are reactive histiocytes with slender, wavy nuclei."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for choosing chatbot. not getting pregnant for 4 years needs thorough evaluation. the problem needs to be ad chatbot.  minimum investigation required are semen analysis, tubal patency test and ovulation detection. the problem could be in any of these areas. have hope and kindly see an infertility specialist. if it's already done kindly get back to me with your reports. i hope this information has been both informative and helpful for you. in case of any doubt, i will be available for follow-ups. if you like my answers kindly rate it, and write a review as well. please do not forget to accept it. thank you, wish you good health."
Answer this question truthfully,Oral glucose is a more powerful stimulant of insulin secretion than IV glucose because it stimulates the secretion of GIP and GLP-1.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. it appears to be possibly dilution anemia.2. due to fluids being transfused during surgery, your rbc dilution could have caused it. repetition after a week will possibly get the hemoglobin back to normal.3. nutritional supplements are necessary to further improve hemoglobin levels. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi their can understand your concern and will try to help you here. yes you should take an opinion. my advice is as your bp is not significantly high so instead of directly starting on some medicine i would like to recommend you to follow some lifestyle modifications that includes daily walls for a minimum of 45 mins for 5 days a week, low dietary salt intake, avoid caffeine containing chatbot.  follow this strictly for 3 months and you probably won't need any medicine. wish you good health"
Please summerize the given abstract to a title,"Information systems, people and support structures: A critical realist analysis of a COVID-19 contact tracing centre"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would explain that an enlarged right ventricle could be related to different possible causes, including a lung disorder or a shunt. i would like to directly review your cardiac ultrasound report in order to give a more professional opinion. i would also recommend performing a chest x-ray study and pulmonary function tests.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! the description sounds like a case of measles, but it could be some other viral infections also! natural infection of measles generally gives lifelong protection/immunity against a second time infection but if some condition leads low immunity power, it might lead to recurrence of measles. anyways, you need to rule out other viral exanthems like rubella, ticks/typhus, flu etc... please see a general physician or infectious disease specialist for some tests, confirmation and management. regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, tim. if you're not experiencing any other symptomatology, yes, its most probably a cyst, a fibrous or even a lipoma based from your description. and the definitive treatment for that is surgery or excision biopsy. if you're concerned aesthetically, you could opt for a plastic surgery consult. but it's a surgery that could easily be done by a general surgeon as well. usually, the surgeon will cut along the lines of your skin, as minimal as possible, to remove the cyst. after the surgery, inflammation will be observed. but few days after, it will resolve and heal accordingly. hope this helps. good day!!~ chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT
Answer this question truthfully,"▸ Click on the following categories to expand treatment regimens.
 Human Bites ▸ Adults ▸ Children Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate 875/125 mg orally q12h X 5 days Alternative Regimen (beta-lactam allergy) ▸ Moxifloxacin 400 mg orally q6h AND Clindamycin 300 mg orally q6h OR ▸ Trimethoprim-sulfamethoxazole 1 double-strength tablet orally q12h AND metronidazole 250 to 500 mg orally q6h Late (infected) Preferred Regimen ▸ Ampicillin sulbactam 1.5 gm IV q6h OR ▸ Cefoxitin 2 gm IV q8h OR ▸ Ticarcillin clavulanate 3.1 gm IV q6h OR ▸ Piperacillin-tazobactam 3.375 gm IV q6h or 4.5 gm q8h or 4-hr infusion of 3.375 gm q8h Alternative Regimen (beta-lactam allergy) ▸ Clindamycin 1.5 gm IV q6h PLUS ▸ Moxifloxacin 400 mg IV q6h Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate (> 12weeks) 45 mg/kg/day orally in 2 divided doses for 5 days Late (infected) Preferred Regimen ▸ Ampicillin sulbactam 100 to 300 mg/kg/day IV q6h OR ▸ Cefoxitin 80 to 160 mg/kg/day IV in 4 divided doses OR ▸ Ertapenem (3months - 12years) 15 mg/kg IV twice daily (maximum 1 g/day) OR Ertapenem (>13years) 1 g IV once daily
Diphtheria, Tetanus, and Acellular Pertussis Vaccine: Adults (19 years and older, including pregnant women): 1 dose (0.5 mL) IM once to replace a single dose of tetanus and diphtheria (Td) for adults who have not received a prior dose of Tdap Pediatrics (13 to 18 years, catch-up): 1 dose (0.5 mL) IM to those who missed the 11- to 12-year Tdap booster dose if they have completed the recommended childhood DTP/DTaP vaccination series Pediatrics (11 to 12 years): 1 dose (0.5 mL) IM to those who have completed the recommended childhood DTP/DTaP vaccination series and have not received a Tdap booster dose
Diphtheria and Tetanus Toxoids: Adults (19 years and older): 1 dose (0.5 mL) Td IM every 10 years for persons who previously received a one-time dose of Tdap
▸ Click on the following categories to expand treatment regimens.
 Dog Bites ▸ Adults ▸ Children Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate 875/125 mg orally q12h OR ▸ Amoxicillin-clavulanate 500/125 mg orally q8h Alternative Regimen (beta-lactam allergy) ▸ Clindamycin 300 mg orally q6h PLUS ▸ Ciprofloxacin 500 to 750 mg orally q12h Late (infected) Preferred Regimen ▸ Ampicillin sulbactam 1.5 to 3 g IV q6-8h OR ▸ Piperacillin-tazobactam 3.375 gm IV q6-8h OR ▸ Ertapenem 1 gm IV q24h OR ▸ Imipenem - Cilastin 1 gm IV q6-8h OR ▸ Imipenem - Cilastin 1 gm IV q6-8h OR ▸ Meropenem 1 gm IV q8h Alternative Regimen (beta-lactam allergy) ▸ Cefazolin 1 gm IV q8h OR ▸ Cefuroxime 1 gm IV q24h OR ▸ Cefoxitin 1 gm IV q6-8h OR ▸ Ceftriaxone sodium 1 gm IV q12h OR ▸ Cefotaxime 2 gm IV q6h OR ▸ Ciprofloxacin 400 mg IV q12h OR ▸ Moxifloxacin 400 mg IV q24h Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate 45 mg/kg/day orally in two divided doses X 3-7 days Alternative Regimen (beta-lactam allergy) ▸ Clindamycin 20 to 30 mg/kg/day orally in 4 divided doses PLUS ▸ Trimethoprim component 8 mg/kg/day orally in 2 divided doses Late (infected) Preferred Regimen ▸ Ampicillin sulbactam 100 to 300 mg/kg/day IV q6h OR ▸ Cefoxitin 80 to 160 mg/kg/day IV in 4 divided doses OR ▸ Ertapenem (3months - 12years) 15 mg/kg IV twice daily (maximum 1 g/day) OR Ertapenem (>13years) 1 g IV once daily
Unvaccinated patients exposed to an animal suspected of having rabies: Adults: Rabies immune globulin 20 International Units/kg IM; infiltrate as much as possible of the full dose around wound(s); give the remainder IM at an anatomic site distant from vaccine administration AND rabies vaccine 1 mL IM in deltoid region as soon as possible after exposure; repeat rabies vaccine dose on days 3, 7, 14, and 28 Pediatrics: Rabies immune globulin 20 International Units/kg IM; infiltrate as much as possible of the full dose around wound(s); give the remainder IM at an anatomic site distant from vaccine administration AND rabies vaccine 1 mL IM in lateral thigh as soon as possible after exposure; repeat rabies vaccine dose on days 3, 7, 14, and 28
Vaccinated patients exposed to animals suspected of having rabies: Adults: 1 mL rabies vaccine IM in deltoid region as soon as possible after exposure; repeat dose 3 days later Pediatrics: 1 mL rabies vaccine IM in lateral thigh as soon as possible after exposure; repeat dose 3 days later
▸ Click on the following categories to expand treatment regimens.
 Cat Bites ▸ Adults ▸ Children Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate 875/125 mg orally q12h OR ▸ Amoxicillin-clavulanate 500/125 mg orally q8h Alternative Regimen (beta-lactam allergy) ▸ Doxycycline 100 mg orally q12h OR ▸ Cefuroxime 500 mg orally q12h Late (infected) Preferred Regimen ▸ Ampicillin sulbactam 1.5 to 3 g IV q6-8h OR ▸ Piperacillin-tazobactam 3.375 gm IV q6-8h OR ▸ Ertapenem 1 gm IV q24h OR ▸ Imipenem - Cilastin 1 gm IV q6-8h OR ▸ Imipenem - Cilastin 1 gm IV q6-8h OR ▸ Meropenem 1 gm IV q8h Alternative Regimen (beta-lactam allergy) ▸ Cefazolin 1 gm IV q8h OR ▸ Cefuroxime 1 gm IV q24h OR ▸ Cefoxitin 1 gm IV q6-8h OR ▸ Ceftriaxone sodium 1 gm IV q12h OR ▸ Cefotaxime 2 gm IV q6h OR ▸ Ciprofloxacin 400 mg IV q12h OR ▸ Moxifloxacin 400 mg IV q24h Cat scratch disease Preferred Regimen ▸ Azithromycin 500 mg orally on day 1, then 250 mg orally once daily X 4 days Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate 45 mg/kg/day orally in two divided doses X 3-7 days Alternative Regimen ▸ Cefuroxime 10 to 15 mg/kg orally q12h Cat scratch disease Preferred Regimen ▸ Azithromycin 10 mg/kg orally on day 1, then 5 mg/kg orally X 4 days Late (infected) Preferred Regimen ▸ Ampicillin sulbactam 100 to 300 mg/kg/day IV q6h OR ▸ Cefoxitin 80 to 160 mg/kg/day IV in 4 divided doses OR ▸ Ertapenem (3months - 12years) 15 mg/kg IV twice daily (maximum 1 g/day) OR Ertapenem (>13years) 1 g IV once daily
▸ Click on the following categories to expand treatment regimens.
 Monkey Bites ▸ Adults ▸ Children High risk bites (deep bites, symptomatic animals Preferred Regimen (without CNS symptoms) ▸ Acyclovir 12.5–15 mg per kg IV q8h OR ▸ Ganciclovir 5 mg per kg IV q12h Preferred Regimen (with CNS symptoms) ▸ Ganciclovir 5 mg per kg IV q12h High risk bites (deep bites, symptomatic animals Preferred Regimen (without CNS symptoms) ▸ Acyclovir 12.5–15 mg per kg IV q8h OR ▸ Ganciclovir 5 mg per kg IV q12h Preferred Regimen (with CNS symptoms) ▸ Ganciclovir 5 mg per kg IV q12h
▸ Click on the following categories to expand treatment regimens.
 Rat Bites ▸ Adults ▸ Children Uncomplicated Preferred Regimen ▸ Amoxicillin-clavulanate 875/125 mg orally q12h Alternative Regimen (beta-lactam allergy) ▸ Doxycycline 100 mg orally q12h Rat bite fever Preferred Regimen ▸ Penicillin G benzathine 600,000 to 1,000,000 units/day IM X 10-14 days OR ▸ Tetracycline 250 to 500 mg orally q6h Alternative Regimen ▸ Streptomycin 15 mg/kg/day IM in a single dose or in 2 divided doses X 10-14 days Early (not yet infected) Preferred Regimen ▸ Amoxicillin-clavulanate 45 mg/kg/day orally in two divided doses X 3-7 days Alternative Regimen ▸ Cefuroxime 10 to 15 mg/kg orally q12h Rat bite fever Preferred Regimen ▸ Penicillin G benzathine 25,000 to 50,000 units/day IM X 10-14 days OR ▸ Tetracycline (>8 years) 25 to 50 mg/kg/day orally in 4 divided doses X 10-14 days Alternative Regimen ▸ Streptomycin 15 mg/kg/day IM in a single dose or in 2 divided doses X 10-14 days
▸ Click on the following categories to expand treatment regimens.
 Pig Bites ▸ Adults ▸ Children Pig (Swine) Preferred Regimen ▸ Amoxicillin-clavulanate 875/125 mg orally q12h X 5 days Alternative Regimen ▸ Ampicillin sulbactam OR ▸ Imipenem OR ▸ Cephalosporin Pig (Swine) Preferred Regimen ▸ Amoxicillin-clavulanate 875/125 mg orally q12h X 5 days Alternative Regimen ▸ Ampicillin sulbactam OR ▸ Imipenem OR ▸ Cephalosporin
▸ Click on the following categories to expand treatment regimens.
 Tick Bites ▸ Adults ▸ Children Suspected Leptospirosis Preferred Regimen ▸ Doxycycline 200 mg orally once within 72 hours of tick removal Suspected Leptospirosis Preferred Regimen ▸ Doxycycline (≥8 years) 4 mg/kg (maximum 200 mg) orally once within 72 hours tick removal"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion spotting alone is not sufficient to diagnose pregnancy. but the presence of pregnancy should be definitely ruled out when there is abnormal period like spotting during the periods time or delayed period with irregular bleeding etc. so i would like you to do a urine pregnancy test to check for any pregnancy. if the test is negative the spotting can be considered due to hormonal imbalance. so avoid stress if any as stress is the common cause of hormonal imbalance. if the test is positive then the cause of spotting like hormonal abnormalities of thyroid or progesterone insufficiency or any signs of miscarriage should be checked. if the test is negative and this irregular spotting or bleeding continue every month then the cause of irregularity like thyroid abnormalities, stress etc. should be checked. nothing to worry. kindly do a urine pregnancy test. hope this helps. best regards..."
Please summerize the given abstract to a title,Impact of covid-19 pandemic on the upper digestive endoscopy: Comparative study during 2 distinct periods
Answer this question truthfully,"Tinea corporis can spread easily to other people. You can catch the condition if you come into direct contact with an area of ringworm on someone's body, or if you touch contaminated items such as:
Clothing Combs Pool surfaces Shower floors and walls
The fungi can also be spread by pets (cats are common carriers)."
Answer this question truthfully,"No, cardiac tamponade does not typically cause pulmonary edema. Cardiac tamponade is a condition in which fluid accumulates in the pericardial sac surrounding the heart, which can lead to compression of the heart and impaired cardiac function. While cardiac tamponade can cause symptoms such as shortness of breath and chest pain, it does not usually result in pulmonary edema. Pulmonary edema is a condition in which fluid accumulates in the lungs, often as a result of heart failure or other cardiac conditions. While pulmonary edema can be a complication of cardiac tamponade in rare cases, it is not a typical feature of the condition."
Please answer with one of the option in the bracket,B: Myxomatous valve degeneration
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot.... here you are having history of trauma ... ear, nose and throat are interconnected to each other ... secondary to trauma there might be infection, and you can have secondary bronchitis .... so you need to be investigated with chest x-ray and endoscopy ear examination.... if needed antibiotic course given.... if auscultation reveal bronchoconstriction than bronchodilator might be needed according to severity. . ibuprofen tablet 200 mg bd taken for five days ... take care advise"
Please summerize the given abstract to a title,Impact of Early Pandemic Stage Mutations on Molecular Dynamics of SARS-CoV-2 Mpro
Answer this question truthfully,"Pyrimethamine + Dapsone is used as a second-line option to prevent Pneumocystis Jirovecii Pneumonia in patients with HIV/AIDS. This combination therapy works by targeting different aspects of the life cycle of the Pneumocystis Jirovecii fungus, which is a common opportunistic infection in patients with weakened immune systems. Pyrimethamine inhibits the activity of dihydrofolate reductase (DHFR), an enzyme necessary for the synthesis of folic acid, while Dapsone inhibits the activity of dihydropteroate synthase (DHPS), an enzyme involved in the synthesis of folate. Together, these drugs disrupt the synthesis of nucleotides and impair the replication of the fungus, ultimately leading to its death. While this combination therapy is effective in preventing Pneumocystis Jirovecii Pneumonia, it can also have side effects, particularly in patients with pre-existing kidney or liver disease."
Answer this question truthfully,"Uterine fibroids or cervical or uterine polyps Changes in hormone levels Inflammation or infection of the cervix (cervicitis) Injury or disease of the vaginal opening (caused by intercourse, infection, polyp, genital warts, ulcer, or varicose veins) IUD use (may cause occasional spotting) Ectopic pregnancy Miscarriage Other pregnancy complications Vaginal dryness due to lack of estrogen after menopause Stress Stopping and starting birth control pills or estrogens Underactive thyroid (low thyroid function) Use of blood thinners (anticoagulants) Cancer or precancer of the cervix, uterus, or (very rarely) fallopian tube Cervical or endometrial biopsy or other procedures"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi leah christopher, welcome to chatbot forum.  thanks for asking a question to chatbot forum.  you fert too much, swollen abdomen, change in periods, after the first delivery 14 months back.  there may not be any relationship between delivery and felting. increased size of abdomen, and change in the periods may be due to the changes in the hormones after delivery. size of the abdomen should be cared by your own by controlling the fatty foods.  for change in periods which are in l=normal limits, if you feel necessary you can consult your cynic who will take care of big abdomen by belt and chatbot.  felting may be controlled by diet changes, avoid spices, pulses, junk foods, and oily foods. take plenty of water and fluids. if you feel necessary you consult a physician for diagnosis and treatment.  wishing for a quick and comfortable recovery.  best regards."
Please summerize the given abstract to a title,A Case of Lemierre Syndrome in the Era of COVID-19: All That Glitters Is Not Gold
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori completely understand your concerns but don't worry. in infants the body temperature regulation which occurs by hypothalamus in brain is not mature. so, many infants have a tendency to sweat excessively especially over head and neck. this improves gradually with age and do not need any specific therapy. the bowel movements can also vary greatly in frequency, consistency and color every few days in the same infant. if the child is comfortable, feeding well and growth is good then nothing needs to be done. only thing is regular feeds. if you are giving formula feeds instead of breastfeeding, then check for proper hygiene and dilution. many a time, deny chatbot. it's not advisable to introduce complementary feeds before 6 months of age. so wait for now on any introduction of feeds. hopefully this will help you. i will be glad to answer any further questions. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","the chest congestion and the headache with your arm pain suggest a viral respiratory infection. the headache is better as u said, but the head cannot be swollen. if you are coughing up mucous, then take good steam inhalations three times daily with an expectorant cough syrup about 10ml three times and rest with lots of fluid supplements. if still not better than do a chest x-ray and see a chest physician"
Please summerize the given abstract to a title,"The challenges in control COVID-19 in Injibera, Awi Zone, Amhara Region, Ethiopia"
Answer this question truthfully,"Chronic pancreatitis should be differentiated from other diseases presenting with similar symptoms such as abdominal pain, diarrhea and weight loss."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understand your concerns. in my opinion you need to have a urinalysis done to know if your infection is treated or not. in most of the cases if there are plenty pus cells we will suggest urine culture which shows which antibiotic is suitable to treat the bacteria present. along with that an abdominal scan is also needed to rule out pyelonephritis. if your back pain is unbearable you can take milk painkillers like acetaminophen. hope this answers your query. get back if you have more. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think it can be muscular pain with tender spot. you can visit orthopedic surgeon for local injection of escort 40 mg at the point of spot to relieve it. analgesics (diclofenac) can be taken to pain receive. sometimes vitamin b 12 and vitamin d deficiency is the cause so get your vitamins checked. if it is low then vitamins' supplementation can be taken. i think your query answered. welcome to any follow-up query"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the exact diagnosis is possible only after a careful clinical examination. the black/purple spots on your back may be related to the injury due to fall, which could result in a hematoma. they could be unrelated to the fall too, such as skin lesions (melanesia, etc.). please get them checked by your gp. please get back if you require any additional information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,"Factors Associated with Healthcare Workers’ (HCWs) Acceptance of COVID-19 Vaccinations and Indications of a Role Model towards Population Vaccinations from a Cross-Sectional Survey in Greece, May 2021"
Answer this question truthfully,Brucella spp. is indirectly transmitted through the ingestion of unpasteurized dairy products such as milk or cheese.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Purification and characterization of the receptor-binding domain of SARS-CoV-2 spike protein from Escherichia coli
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot. you mention that you have problem of bone necrosis in jaw and history of facial trauma also. after seeing a jaw x-ray perfect diagnosis can occur. generally in this case primary therapy start with antibiotics course and 100 percent oxygen therapy. without proper seeing a jaw x-ray and other clinical symptoms difficult to treat. surgery that one is last option. consent an experienced oromaxilofacial surgery for treatment. i hope my guidance is helpful to you. take care. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. as i understand you are suffering form some kind of preaxial illness. there are so many causes for such kind of illness. i suggest you to undergo some investigation to confirm the diagnosis and then start treatment . it may not be only malaria, but some other infection could be there. so i advised you to undergo"
Please answer with one of the option in the bracket,D: Clindamycin therapy
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatbot i think the important is clinical sing and symptoms you have not said anything about your clinical problems most of the words you used here are being used by radiologist which most of the time does not create an exact sense and so the radiologist most of the time advise it for correlation with clinical condition, to rule out the possibility of malignancy, there has to be several tests to be taken in hand for final diagnosis of malignancy, one can not say anything about it like that only, if you are suspicious for malignancy then mri is the initial test to be done first then numbers of other test are there but that can only be considered when mri is indicative of some malignancy have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","your the latest thyroid profile values are required to decide the next course of action. tsh levels between 0.4 to 5 means that the chatbot.  in case of higher values, dose must be increased and in case of lower tsh, the dose must be reduced. thyroxine does not cause weight gain. absence of thyroid hormone increases weight gain. physical activity and healthy diet is also essential. monitor thyroid levels every 1 to 2 months. hope i have answered your query. let me know if i can assist you further. regards"
Please summerize the given abstract to a title,Deep convolutional neural networks for COVID-19 automatic diagnosis
Answer this question truthfully,"GERD, or gastroesophageal reflux disease, is a condition in which stomach acid flows back into the esophagus, causing irritation and inflammation. The characteristic histological findings of GERD include basal zone hyperplasia, which is an increase in the number of cells in the lower layer of the esophageal lining, elongation of the lamina propria papillae, which are finger-like projections in the upper layer of the lining, and scattered eosinophils and neutrophils, which are types of white blood cells that are involved in the immune response. These findings can be observed on a biopsy of the esophageal lining. Other symptoms of GERD may include heartburn, regurgitation, chest pain, and difficulty swallowing. Treatment for GERD may involve lifestyle changes, such as avoiding trigger foods and losing weight, as well as medications to reduce acid production or protect the lining of the esophagus."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that you are not allowed to perform straining physical activity as this may exacerbate your cardiac conditions. i would recommend performing a cardiac ultrasound in order to examine better your cardiac function and structure. you may need to optimize your actual therapy. i would also recommend considering anticoagulation therapy with warfarin as you are at an increased risk for future stroke events. hope you will find this answer helpful! best wishes,"
Answer this question truthfully,"Hyperparathyroidism is overactivity of the parathyroid glands resulting in excess production of parathyroid hormone (PTH). The parathyroid hormone monitors calcium and phosphorus levels and helps to maintain these levels. Overactivity of one or more of the parathyroid glands causes high calcium levels (hypercalcemia) and low levels of phosphorus in the blood. Hyperparathyroidism was first described and treated in the 1930s by Fuller Albright of Massachusetts General Hospital, working at the Mallinckrodt General Clinical Research Center.
The single major disease of parathyroid glands is overactivity of one or more of the parathyroid lobes, which make too much parathyroid hormone causing a potentially serious calcium imbalance. This is called hyperparathyroidism; it leads to hypercalcemia and osteitis fibrosa cystica. Since hyperparathyroidism was first described in 1925, the symptoms have become known as ""moans, groans, stones, and bones."" The primary treatment for this disease is the surgical removal of the faulty gland.
Modern high frequency ultrasound can see parathyroid masses, even before they cause high calcium. They are called parathyroid incidentalomas. If a patient has elevated calcium, the ultrasound can be used to locate the abnormal glands. The use of ultrasound guided FNA, and parathyroid hormone washings can confirm the abnormal glands. A blood calcium 15-30 minutes after the biopsy can help determine if the disease is caused by a single abnormal gland or multiple glands.
A drop in serum calcium suggests a single source, and no drop suggests multiple glands. This, with a non-localizing Sestamibi scan would point toward a neck exploration, rather than a minimally invasive method aimed a single gland disease.
A Sestamibi scan is often used to determine which parathyroid gland(s) are responsible for overproduction of parathyroid hormone.
Another related condition is called secondary hyperparathyroidism, or secondary HPT - common in patients with chronic kidney disease on dialysis. In secondary HPT, the parathyroid glands make too much parathyroid hormone (PTH), and the kidneys do not produce enough vitamin D, and calcium and phosphorus are out of balance. Even though one may not have any symptoms, treating secondary HPT is important. Cinacalcet (Sensipar) is a medicine that can help treat such dialysis patients and is available by prescription only."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is necessary to exclude a possible complication or another artery blockage, considering your past medical history.  for this reason, i recommend going to the er for a physical exam and a doppler ultrasound of your leg vessels.  if the doppler results normal, you should consider a musculoskeletal pain as a possible cause underlying your complaints.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through the data you have posted. common causes for chest pain are1) herd"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, there is a possibility of ligament sprain while hitting the ball in the unlocked position of the ankle joint. due to the mechanism of injury, there will be microtrauma to the fibers of the ligaments. making the joint immobilized and icing should help reduce the pain. performing balance board training which is common in most sports to avoid ankle injury is advised. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Answer this question truthfully,"Cytomegalovirus (CMV) is the Herpesvirus that can cause Mononucleosis with a negative Monospot test. Mononucleosis is a viral infection that is most commonly caused by Epstein-Barr virus (EBV). However, in some cases, Mononucleosis-like symptoms can be caused by other viruses, including CMV. Unlike EBV, CMV infection may not always result in a positive Monospot test. In fact, a negative Monospot test is often used to help distinguish between Mononucleosis caused by EBV and Mononucleosis caused by other viruses, such as CMV. While Mononucleosis caused by CMV is generally less severe than that caused by EBV, it can still cause a range of symptoms, including fever, sore throat, fatigue, and swollen lymph nodes."
Please summerize the given abstract to a title,Good Names but Better Symbols: The Establishment of Chemical Notation as a Nomenclatural Corrective at the Turn of the Nineteenth Century.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, supplementation of vitamin d and so forth calcium has beneficial effects on the heart and not vice versa as you read, if you have deficiency of vitamin d. however over supplementation of vitamin d (normal range 30-75 ng/ml can cause increased calcium levels which may increase the blood pressure, cause unfavorable remodeling of heart and kidney damage.  so its just important that you supplement vitamin d only if deficient and not otherwise or just keep on monitoring the levels every 6 months. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot.i have gone through your question. as semen analysis shows liquefaction time 1 hour is abnormal, motility is normal, morphology is below normal. count 53 million/ml ? then is normal (20 million/ml) should be at least. i would advise going for ultrasound color doppler to see vascularity of testes and to rule out varicocele. consult urologist with these reports. hope i answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i cannot say in your particular case, but generally, the usual testing would rule out quite a lot. there is a condition called chronic fatigue that occurs in women predominantly. it has fainting as part of the legs going out.  the cause is that the blood pressure is just slightly unregulated, and tilt table testing is needed in order to find if it is there. but i cannot say if you have it. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"Exercise stress testing is useful in measuring the functional capacity of heart failure patients. It is also helpful to assess the efficacy of congestive heart failure treatment.
Class IIa "" 3. In ambulatory patients with HF, performing a CPET or 6-minute walk test is reasonable to assess functional capacity.           (Level of Evidence: C-LD) "" "" 4. In ambulatory patients with unexplained dyspnea, CPET is reasonable to evaluate the cause of dyspnea.   (Level of Evidence: C-LD) """
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. masturbation never causes such a symptom. it has nothing to do with numbness and other nervous system related information. there are much misinformation for the masturbation in peoples mind. actually masturbation has no deleterious health effect on body. but you should be examined by the good doctor, for the cause of the numbness and other symptoms. masturbation actually clears ones mind from the stress. after masturbation one can be light from the mind and can work with very good concentration. you should do daily good exercise half hour daily. this will remove all your weak less. initially when you start exercise it will be boring for you. but on long a go there is good health effect of exercise. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. fatty liver is a condition in which there is abnormal deposition of fat in and around the liver. it is due to alteration in the systemic fat metabolism. it may be associated with diabetes or raised cholesterol or even over weight. if untreated it can give rise to pain, fat malabsorption, gall stones and the worst of all cirrhosis of liver. the good thing about the disease is that the disease is completely reversible. the outline of the management is1. regular exercise.2. dietary modifications (high protein moderate carboy chatbot.  plenty of water4. medications (a. trampoline citrate+sorbitol combination for 6 months b. orbiting preparations for 6 weeks.)5. repeat liver function tests and ultrasound examination after 6 months. i hope this answers your doubt regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient generalized body ache most likely cause are 1. vitamin d deficiency 2. post viral fever malaise 3. anemia 4. less likely depression. for confirmation of diagnosis i would like to do 1. complete blood count 2. serum calcium and phosphorus levels. please get it done from reputed laboratory nearby your area. treatment for vitamin d deficiency is tablet clairol 60000 units weekly for 6 weeks along with tab calcium 500\u00a0mg twice a day for month. for anemia, you need to start tab feso4 twice a day for at least 3 months and increased protein intake. visit to general practitioner would be advisable."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,"Management of Endovascular Treatment for Acute Ischemic Stroke During the COVID-19 Pandemic at a Single Institution in Beijing, China: A Brief Report"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. yes, there is no need to take the immunoglobulin(igs) right now. because if you take the igs than your ig formation by the active vaccine should not be started. so, it is not advised to take the rig now. antibody formation has already been started so right now there is no need to worry. you are protected from the rabies. only thing you have to take care for right now is the wound care. if the wound is taken care of properly you will be successfully comes out of the problem. please take antibiotics and other chatbot.  maintaining good hygiene is important as taking antibiotics. i will be happy to answer your further concern on bit.ly/"
Please summerize the given abstract to a title,Disordered eating behaviors in youths with type 1 diabetes during COVID-19 lockdown: an exploratory study
Please answer with one of the option in the bracket,B: Normal anion gap
"If you are a doctor, please answer the medical questions based on the patient's description.","hi vikas, you have marginal osteophytosis with anterior wedging in d12-l1. the probable causes are osteoporosis, thyroid disease, spinal infection, trauma. it would be good if you rule out the causes to prevent trauma to other vertebrae. depending upon the cause you would need to take medicine course. these are prescription medicines, so it would be good if you visit a nearby orthopedic. coming on to the treatment part, depending upon the severity of the fracture(wedging) it will be decided if it can be conservatively treated or not. for conservative treatment following options are availablephysiotherapy(includes rest, strengthening of limbs and abdominal, ergonomic advises)lumbar braced the operative procedures arevertebroplastyspinal fusion hope you get well soon and this helps outrank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. at your age [80], likely cause of red blisters could be bulbous phemphigoid [bp] which mainly affects people aged over 70, and since condition is autoimmune thus treatment/management is required to control symptom.2. colitis is one triggering factor for bp [which is mentioned in your history]3. thus do not continue with home treatment apart from chatbot.  [may cause serious infection if left untreated]"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, i am sorry to suggest again that this needs another clinical evaluation. it could really be a hematoma. however, it could be very interesting and informative doing an ultrasound. this would give an idea of the echo structure and borders of the mass. this is important because if there is an associated cyst, it would be important that it should be removed. a possible infection of this mass of hematoma must be considered. aspirating the mass content and running some tests for infections and inflammation to me shall be very appropriate. i suggest you consult you primary care physician again for reevaluation. thanks and best regards, luchuo, md."
Answer this question truthfully,
Please summerize the given abstract to a title,Deep Learning-Based COVID-19 Diagnosis and Trend Predictions
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i'm sorry to hear that about your son. fever can be caused by a viral or bacterial infection. it is normal for the heart rate to go fast when there's fever or when the child is irritable. are there other symptoms aside from the fever? does he have colds, cough or rashes? if it is just a viral infection, you can expect fever for the next 3-5 days and the temperature should be getting lower as the days go by.  observe for other symptoms that might arise. if after 3 days, he still has high fever and is feeling worse, you better bring him back to your doctor. i hope i was able to help you. sincerely, handle dulay-see, m.d. pediatrician"
Answer this question truthfully,"Lung abscess may occur in patients with bronchial obstruction, such as cancer. Bronchial obstruction can cause a buildup of secretions and bacteria in the affected lung, which can lead to infection and inflammation. Other conditions that may increase the risk of lung abscess include pneumonia, cystic fibrosis, and weakened immune systems. Symptoms of lung abscess may include coughing, chest pain, fever, and difficulty breathing. Treatment typically involves antibiotics to clear the infection, as well as measures to address the underlying cause of the abscess, such as bronchial stenting or surgery to remove a tumor."
Answer this question truthfully,Clostridium tetani is a type of bacteria that releases a toxin capable of cleaving SNARE proteins in Renshaw cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot. developmental delay can have many causes, such as genetic causes (like alpert\""s syn chatbot.  often, however, the specific cause is unknown. some causes can be easily reversed if caught early enough, such as hearing loss from chronic ear infections. i suggest-consult your baby at genetic, neurologist.-give b complex with lysine 5ml once a day for 1\u00a0month and nootropic for 1 month kind regards"
Please answer with one of the option in the bracket,C: Hemicholinium
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the type of enters carlos syn chatbot.  the type of enters carlos that has a risk for blood vessel wall weakness leading to aneurysms and strokes is the type iv and type vi according to the current evidence base. therefore, you are not at increased risk for these conditions. your risk for aneurysms or stroke is the same as for any individual. risk factors for stroke include smoking, increased blood pressure called hypertension, abnormal blood lipids and blood sugar. so rest assured, your type of enters carlos does not put you at increased risk of blood vessel related problems and the overall quality of life and general life span are not affected. however, do remember to protect your joints and ligaments from injury. should you require more information on your condition you may post your queries here. best regards,"
Please answer with one of the option in the bracket,C: Precocious puberty
Answer this question truthfully,"Proteins compose over 50% of the dry weight of an average living cell and are very complex macromolecules. They also play a fundamental role in the structure and function of cells. Comprised mainly of carbon, hydrogen, oxygen, and some sulfur, they also may contain iron, copper, phosphorus, or zinc.
In food, proteins are essential for growth and survival and vary depending upon a person's age and physiology (e.g., pregnancy). Proteins in food are commonly found in peanuts, meat, poultry, and seafood. They are also involved in ELISA test for food allergy determination as well."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome and thank you for asking on chatbot! i understand your concern and would explain that it is necessary performing a comprehensive differential diagnosis between different causes that could lead to such clinical scenario
Answer this question truthfully,"About 1 - 2% of the population may have BDD, with men and women equally affected.
BDD usually starts in the teenage years, when concern over physical appearance is common.
The cause of BDD is unknown. Theories include:
A person with BDD has a genetic tendency to develop this type of mental illness. The trigger may be the stress of adolescence. Particular drugs, such as ecstasy, may trigger onset in susceptible people. BDD could be caused by chemical imbalances in the brain. A person with low self-esteem who has impossible standards of perfection judges some part of their body as ugly. Over time, this behaviour becomes more and more compulsive. Western society’s narrow standards of beauty may trigger BDD in vulnerable people."
Answer this question truthfully,"Patients infected with bronchiolitis have a toxic appearance and may be cyanotic. Fever is one of the signs of the disease, but a lack of it does not exclude the diagnosis.There may be abnormalities on inspection and auscultation of the chest, for example, intercostal and substernal retractions, wheezing, and crackles. Extrapulmonary manifestations may occur as well, including pharyngitis, conjunctivitis, arrhythmias, tachycardia, and seizures."
Answer this question truthfully,"Tests may be done to prepare you for coronary artery bypass grafting (CABG). For example, you may have blood tests, an EKG (electrocardiogram), echocardiography, a chest x ray, cardiac catheterization, and coronary angiography. Your doctor will give you specific instructions about how to prepare for surgery. He or she will advise you about what to eat or drink, what medicines to take, and what activities to stop (such as smoking). You'll likely be admitted to the hospital on the same day as the surgery. If tests for coronary heart disease show that you have severe blockages in your coronary (heart) arteries, your doctor may admit you to the hospital right away. You may have CABG that day or the day after."
Answer this question truthfully,MRI may be helpful in the diagnosis of midgut volvulus as a complication of intestinal malrotation in children.  Findings on an MRI suggestive of volvulus include whirlpool sign that denotes twisting of the superior mesenteric vein and mesentery around the superior mesenteric artery.
Answer this question truthfully,Angiotensin II can cause an increase in the reabsorption of bicarbonate (HCO3-).
Answer this question truthfully,Complications of proximal scaphoid fractures include avascular necrosis and nonunion due to retrograde blood supply.
Please summerize the given abstract to a title,Effect of vibration on insertion force and deflection of bioinspired needle in tissues.
Please summerize the given abstract to a title,"New models of care and multidimensional solutions for oncological patients in the post-acute SARS-COV-2 period: a ""Second Phase"" also for cancer patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read your question carefully and understand your concern. i would like to explain that both tokamak and aborigine are antiepileptic chatbot.  but they have also another effect, which is mood stabilizer. aborigine is more famous for this effect than tokamak. other antiepileptics very effective in your medical condition are carbamazepine and valproate, although they have more side effects than topiramate and aborigine. regarding circle, it is an antidepressant, helpful in treating negative signs of bipolar disorder (depression, lack of hope, etc.). if your condition has not got better with this therapy, i would recommend consulting with your psychiatrist to consider the possibility to switch into another antiepileptic (like valproate or carbamazepine), or start lithium therapy, which is very effective in bipolar disorder if no contraindications and well tolerated. hope to have been of help! best wishes,"
Answer this question truthfully,"Yes, research suggests that an increase in serum PO43- can lead to an increase in PTH secretion."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in the present instance if you are feeling this pain first time, then most probably, this can be due to strain over your knee.  to me at present it doesn't look to be e a case of osteoarthritis knee. i will advise you to follow to have relief at your knee pain- 1. you should avoid heavy work.2. you should take proper rest.3.  furthermore, you may take a good analgesic like acetaminophen for relief from pain.4. furthermore, you main apply warm fomentation to get relief from pain.5. furthermore, you should also wear a knee cap to support your knee. furthermore, you may have relief from this knee pain in next 5 to 7 days. hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,"The recommended first-line therapy for patients with allergic rhinitis is to administer intranasal glucocorticoids.

Allergic rhinitis is a common condition that causes inflammation of the nasal passages, resulting in symptoms such as sneezing, congestion, and itching. The primary treatment for allergic rhinitis is the use of medications to reduce inflammation and relieve symptoms.

Intranasal glucocorticoids are the first-line therapy for allergic rhinitis and are typically administered daily during allergy season or year-round for patients with persistent symptoms. These medications work by reducing inflammation in the nasal passages, which can help to alleviate symptoms such as congestion and runny nose.

Other medications, such as antihistamines and decongestants, may also be used in combination with intranasal glucocorticoids to provide additional symptom relief. It is important for patients with allergic rhinitis to work closely with their healthcare provider to develop a treatment plan that is effective and well-tolerated."
Please summerize the given abstract to a title,Gut Microbiome and Common Variable Immunodeficiency: Few Certainties and Many Outstanding Questions
Answer this question truthfully,"The most common source of symptomatic pulmonary embolism is the proximal deep leg veins, such as the femoral, popliteal, and iliac veins. Pulmonary embolism occurs when a blood clot, usually from the veins in the legs or pelvis, travels to the lungs and blocks blood flow. This can cause shortness of breath, chest pain, coughing, and in severe cases, can be life-threatening. Risk factors for pulmonary embolism include immobility, surgery, cancer, pregnancy, and certain medical conditions such as deep vein thrombosis (DVT) and atrial fibrillation. Treatment for pulmonary embolism typically involves blood thinners to prevent further clotting and allow the body to dissolve the existing clot. In some cases, more aggressive treatments such as clot-busting medications or surgery may be necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. your son seems to be having congenital conditions with both kidneys. however, the right kidney is showing slight reduction in function while the left one shows severe decrease in function. in such a case, the right kidney can sustain the functions of both kidneys, but this requires regular follow up and close clinical monitoring. the left kidney is severely affected, and it is less likely that the functioning of left kidney will improve in future days to come. a single kidney is compatible with life, and he can still grow up normally and have a regular childhood. however, long term follow up is required to make sure that any suspected blockages are cleared and corrected surgically if required."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
Answer this question truthfully,"Complete blood count and differential count - low white blood cell counts, which may to be due to the overproduction of interleukin 6. Erythrocyte sedimentation rate - elevated in 80% cases."
Please summerize the given abstract to a title,Molecular detection of enteric viruses and the genetic characterization of porcine astroviruses and sapoviruses in domestic pigs from Slovakian farms
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. redness and soreness of scrotal skin after intercourse is mostly due to allergic reaction to vaginal secretion which are acidic in nature. ask him to wash his genitals immediately after intercourse. maintaining a proper personal hygiene by cleaning the vagina before sex is important to avoid getting soreness and allergic dermatitis of the scrotum. ask him to apply topical steroidal cream like renovate cream over scrotum. chatbot.
Answer this question truthfully,"Calcitriol is useful in the long-term management of hypocalcemia due to chronic disorders. Hypocalcemia is a condition characterized by low levels of calcium in the blood, which can lead to a variety of symptoms such as muscle cramps, seizures, and osteoporosis. Chronic disorders such as chronic kidney disease, hypoparathyroidism, and vitamin D deficiency can all contribute to hypocalcemia. Calcitriol, which is the active form of vitamin D, can help to increase the absorption of calcium from the intestine and the reabsorption of calcium from the kidneys, which can help to raise blood calcium levels. This makes calcitriol a useful treatment option for individuals with chronic disorders that can lead to hypocalcemia."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,"Investor-owned Health Care: The Hidden Blight on America's ""System""."
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Embodied value: Wealth‐in‐people
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. fever, constant cough and chest pain are more suggestive of lower respiratory tract infection (leti) (pneumonia). so better to first get done chest x-ray. if chest x-ray is showing pneumonia then you will need antibiotics, antihistamine and paracetamol. if chest x-ray is normal then only antihistamine and paracetamol are needed. chatbot."
Answer this question truthfully,Ornithine transcarbamylase (OTC) deficiency leads to increased serum glutamine levels.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. your husband has stone in his kidney probably in upper calyx which is technique very difficult to be accessed by rigid endoscopes, that may be reason for it not being fragmented in first sitting. after putting the stent the entire ureter undergoes passive dilatation making endoscopes to be negotiated freely through dilated ureter during second sitting and stone can be fragmented easily. in blasting we use pneumatic energy to fragment the stone whereas in laser surgery we use laser energy to burn the stone. it is risky to use laser in kidney if the stone is very close to cortex and there is risk of damaging the kidney tissue. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","greetings sir. as for as bursitis is concerned, definitely pain will be more and since you were going to a gym it would have made the condition still worse. so in order to get relieved from pain due to a shoulder bursitis, as a home remedy you can only have a cold ice compress for 15-20 minutes over the painful area, and it will surely remove/make less of your pain if at all it's not severe. take an anti-inflammatory with a pain medication after consulting your doctor. hope i helped you in bringing down your sufferings."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, normet consists of a mix of ofloxacin and ornidazole, which is an antibiotic and antiprotozoal.  it is usually given for infective diarrhea, where the specific cause of it is uncertain.  i am sorry, but i have not heard of it being given for malaria before.  was it prescribed after a visit to the doctor, or did the pharmacist give it to you on their own?  does your daughter have diarrhea? if it was prescribed by a doctor for diarrhea, then go ahead.  it takes at least three days for the results of stool investigations to be available, and if the child is ill, we sometimes start broad treatment first without waiting for the full results, because it might take too long. hope this helps, and please let us know if you have further questions."
Answer this question truthfully,"In Chronic Lymphocytic Leukemia, neoplastic cells exhibit increased expression of BCL2. BCL2 is a protein that plays a role in preventing programmed cell death, or apoptosis. Its increased expression in CLL cells helps them to survive longer than they would otherwise, contributing to the development and progression of the disease. Understanding the molecular mechanisms underlying CLL is an important part of developing new treatments for this condition, and ongoing research is focused on identifying new targets for therapy."
Please summerize the given abstract to a title,Space-Time Dependence of Emotions on Twitter after a Natural Disaster
Answer this question truthfully,"HIV is an infectious etiology that is associated with an increased risk for penile squamous cell carcinoma, in addition to high-risk HPV."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have mostly enlarged inguinal lymph node.  it's due to reactive hyperplasia as a result of some infection or it may be due to tuberculous or lymphoma. you should take course of antibiotics. if it doesn't respond to treatment then go for biopsy and histopathological examination.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"To convert probability (P) to odds (O), you use the formula O = P / (1 - P)."
Answer this question truthfully,The diagnostic method considered necessary for obstructive jaundice secondary to inflammation from choledocholithiasis/cholangitis is a right upper quadrant ultrasound (RUQ U/S) with magnetic resonance cholangiopancreatography (MRCP) or endoscopic retrograde cholangiopancreatography (ERCP).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that there might be having ingrown hair follicle infection giving rise induration and swelling. there might be having forming abscess. this infection might be due to having more perspiration and lack of proper hygiene due to be unable to reach the site properly. go for one antibiotic and anti-inflammatory medicine course for 3-5 days. keep local hygiene clean and chatbot. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, these are not hallucinations, they are real. mind always thinks. it is made for that. it has no other business. thinking is a process and it keeps. mind goes on thinking about whatever it feels comfortable. we have to streamline it. we should make mind think about what we are comfortable. for example, mind will not think unnecessarily when we watcchatdoctoredy shows or when we play interesting games. keep mind in your check. good luck"
Please summerize the given abstract to a title,"Programmable, Multiplexed DNA Circuits Supporting Clinically Relevant, Electrochemical Antibody Detection"
Please summerize the given abstract to a title,The Responsibility of The Indonesian Government to Fulfill the Rights to Water During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","if he is an atomic child, then he will continue to get such running-nose problems throughout the year, and this may well persist for another year or two. after this, the attacks may reduce but may not completely disappear. you might want to ask the doctor if the child will benefit from disodium cromoglycate inhalers or montelukast. if they agree on this, you may give him a course of one of these for 3-6 months, especially during the cold months of the year when the attacks are more severe and more frequent."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. the most probable cause of pain in the right upper abdomen with nausea can be due to
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot and i will try to help you as much as i can. this is not unusual complication of gallbladder infection. we see such cases often and this decision of doctor is good if you ask me. any additional surgery would be risky due to fibrosis and inflammatory changes inside abdominal cavity. such huge stones caused severe inflammation and destruction of bile ducts and duodenum and the best way to treat this is to chatbot.  this is called controlled fistula, and it will close spontaneously eventually. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. firstly the cause of such severe pain needs to be investigated as it is not advisable to take too many painkillers. pain on movement is mostly muscular in origin. kindly get a x-ray of the painful area done. kindly get a complete arthritis panel blood test. get these evaluated by an orthopedic. for the time being taken some anti-inflammatory and analgesic like nicosia mr take a cough suppressant. tramodol tablets can also be taken if pain is not being controlled by the above. i hope my advice has helped good luck
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum. you are 21 years old and got married last year only. more over you are a p.c.o.d patient. so don't get tense about conceiving. mental tension is one thing that promotes infertility besides other factors. more over there is no ovulation, so it may take time for your desire to come true. anemia is also one of the causes of irregular periods, and infertility.  regarding yasmin tablets, they are birth control pills, but they will also help for treating p.c.o.d by suppressing the cysts. so you can use the pills without any doubt.  besides i advise you some nonmedical procedures as diversion procedures yoga, meditation, reading books, hearing music, and if interested gardening.  take more of green leafy vegetables, pulses, sprouts, egg, milk, meat etc. to improve blood, and general health necessary for all deeds.  wishing for a fruit full recovery, and thanks for calling."
Please answer with one of the option in the bracket,C: Enlarged ovaries on transvaginal ultrasound
Please summerize the given abstract to a title,Lipoquality control by phospholipase A(2) enzymes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is possible that you have depression with anxiety after your mothers' death. these could lead to confusion and memory lapses. it need not be alzheimer's disease, based on your symptoms. you require an evaluation by a psychiatrist as well as a neurologist to determine the underlying cause for your symptoms. a ct scan of brain, vitamin b12 level, and thyroid profile may be helpful too. best wishes, chatbot."
Answer this question truthfully,"The main symptom is severe pain that starts suddenly and may go away suddenly:
Pain may be felt in the belly area or side of the back Pain may move to groin area (groin pain) or testicles (testicle pain)
Other symptoms can include:
Abnormal urine color Blood in the urine Chills Fever Nausea Vomiting"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. pulmonary fibrosis itself can not cause bleeding from nose or bilious vomiting. she has been given excessive steroids. so this can cause gastric ulcers, gastroparesis and gastritis. all these can cause vomiting, bleeding etc. so mostly excessive steroid injection and its side effects is cause of her bilious vomiting and bleeding. hope i have solved your query. i will be happy to help you further. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello santa, thank you for posting on chatbot. i can understand your apprehension regarding dark spots and dark circles, but one week is way too less time to bring about gratifying results. you can consider getting a session of microdermabrasion followed by a session of yellow peel (retires forte) from a qualified dermatologist. when done sequentially these procedures can help in removal of dead dull outer layers of skin and thus gives you a radiant rejuvenated skin. apply vitamin c serum in morning on daily basis and apply a cream containing comic acid, hy chatbot. hope this will take care of your issue. wish you best of health. thank you"
Answer this question truthfully,"Improper repair of a midline episiotomy may result in two potential complications: pelvic organ prolapse and dyspareunia. An episiotomy is a surgical incision made in the perineum (the area between the vagina and anus) during childbirth to enlarge the vaginal opening and facilitate delivery. A midline episiotomy is a specific type of incision made in the midline of the perineum. If the episiotomy is not repaired correctly, it can lead to complications such as pelvic organ prolapse, which is the descent of one or more pelvic organs (such as the uterus, bladder, or rectum) into the vaginal canal, and dyspareunia, which is pain during sexual intercourse. Proper repair of an episiotomy is important to prevent these potential complications and promote healing."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello par minder, since you have been diagnosed with tb, first job is to complete the anti-tb chatbot.  if you have been diagnosed with tb in lungs, damage to uterus is not very significant. but can't always predict. extrapulmonary tb - can damage uterus. your reduced flow may be due to the stress of heavy infection & may be normal once cleared. tb in uterus usually affects inner lining, reducing the thickness, blood supply. ovaries are spared. as soon as att is over, meet an infertility specialist & plan a pregnancy. if the inner lining of uterus is damaged, it is irreversible. you can get pregnant only by ivf- surrogate the best"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Adoption of Ultrahypofractionated Radiation Therapy in Patients With Breast Cancer
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are regularly taking alcohol, in my opinion, your chest pain is mostly due to gastritis. but better to get done ecg and 2d echo first to rule out heart diseases. if both are normal then no need to worry about heart diseases. no matter whether it is cheap or premium liquor, gastritis is bound to occur with regular use of alcohol. so better to avoid alcohol. avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. start proton pump inhibitors. avoid stress and tension, be relaxed and calm. don't worry, you will mostly improve with all these. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,LOW-HARM score predicted mortality in patients hospitalized with COVID-19 in Mexico
Please summerize the given abstract to a title,"Knowledge, attitude, and practices of patients and caregivers attending a Northern Nigerian family medicine clinic regarding the use of face mask during COVID-19 pandemic: a hospital-based cross-sectional study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. looking to your report, it seems that your s.creatinine level is slightly on higher side. check bp, basic urine report, 24 urine protein for quantification, and do sonography. kindly mention your age, gender, associated disease like hypertension and diabetes and any medications you are currently on, so that we can accurately estimate your kidney function. you can communicate with me further with above reports.don't worry. i think this would be helpful to you. best wishes. tc. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the tachycardia diagnosis needs a heart beat frequency major then 100 beats per minute. the feeling of heartbeat is known as palpitations. in your case, i believe that these palpitations have been caused by the stress caused by the headache and the sleepless nights. complaints you reported are consistent with chronic sinusitis. this disease causes persistent headache, purulent nasal discharge, coughing and disrupts sleep quality. all of this cause stress. when you're stressed a hormone called epinephrine is released in your blood. its effect accelerate your heart beat and this is the most likely cause of the palpitations that you reported. these hormone works only for a few minutes, so if your stress goes away, the epinephrine effects goes away too. so, i suggest you look for an otolaryngologies to confirm the diagnosis and begin treatment for chronic sinusitis. hope i have answered your question. if you have any further questions i will be happy to help you. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. prostate cancer is a condition that spreads to bones. cancers can affect bones in two ways, either there is breakdown or there is excessive calcium deposition. in breakdown the process is called lysis and in deposition of calcium it is called sclerosis. in prostate cancer, there can be sclerosis seen in the bones of the spine usually in the lower back region. however, bones of upper spine can also have sclerosis. i would suggest you to first get a low-cost insurance and then take tests for prostate cancer like ultrasound scan, serum psa and free psa values. if there is probability of cancer then further detailed tests are required. please talk to your doctor to arrange for the tests keeping in mind your ability to pay upfront for the various tests. the tests must be completed within a month, and you can also try and find out healthcare support groups or from your employer if your tests and any treatment can be funded by external resources. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, your son may be having lactose intolerance, because of which he's having all these symptoms. try to avoid milk and milk products along with the dairy products. for his present condition i would suggest you to give1. syrup bricarex2. antacid chatbot. oral antibiotic syrup for 5 days can get these medicines by consulting your pediatrician, the symptoms will improve with these remedies. thank you."
Answer this question truthfully,The nodular sclerosis subtype of Hodgkin lymphoma typically presents as an enlarging cervical or mediastinal lymph node in a female.
Please summerize the given abstract to a title,Environmental stress and the quality of life connected with COVID-19 among people in Poland and the Netherlands
Answer this question truthfully,"No, there is no pre-malignant association between hairy leukoplakia and oral squamous cell carcinoma. Hairy leukoplakia is a benign oral lesion that is often associated with the Epstein-Barr virus. It is characterized by white, corrugated, and ""hairy"" patches on the tongue or other areas of the mouth. While hairy leukoplakia can be a sign of immune system dysfunction, it is not considered to be a pre-cancerous or malignant condition. Oral squamous cell carcinoma, on the other hand, is a type of cancer that can develop in the mouth or throat. While there are several risk factors that can increase an individual's likelihood of developing oral squamous cell carcinoma, hairy leukoplakia is not one of them."
Answer this question truthfully,"Maraviroc is the HAART drug that binds to CCR5. HAART stands for highly active antiretroviral therapy, which is a combination of medications used to treat HIV infection. Maraviroc is a CCR5 antagonist that works by blocking the CCR5 receptor on the surface of human cells, which is used by the HIV virus to enter and infect the cells. By blocking this receptor, maraviroc can prevent the virus from entering and infecting human cells. This medication is used in combination with other antiretroviral medications to treat HIV infection in patients who have not responded to other treatments. It is administered orally and requires careful monitoring for side effects."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mam, thnx for trusting chatbot doctors for your health related queries.i guess your concern is about getting pregnant....right...i got the picture.well lets anfr to your question with small discussion below with d info u have shared with us.1.age, apprx 34 yrs....women of age group 18-40yrs r called reproductive age group, here the chances of pregnancy are more,,,after 50yrs chances nil...42-45yr transition zone, chances of pregnancy are nt as high as 18-40yr nor as low as 50yrs.i hope y am i stressing the importance of your age....understood nasa????means to say u have high chances of getting pregnant....so don't put ourself into unnecessary tension.now i would like u to focus on interfertile period,it starts from 10th-16th day of menses....here ovulation occurs,this ovum meets sperm n women gets pregnant....in this period if u do more episodes of intercourse the chances of pregnancy are more....usually women don't get pregnant either there is problem in wife or husband sometimes both....with the information u have shared about u, i guess nothing wrong from upside.still u haven't shared info about your menses....so i cant say 100% no problem on your side...u haven't shared info about your husband.how old is he??wta is exact age??was it a late marriage for him???so i can't comment are there any mean from husband side...but, even any problem is there, dont worry,cz here comes the advantage of 21st century technology. the name of technology is art-assisted reproductive technology.ex.ivf the bloating sensation you are experiencing may be bcz of gastric problem.it has nothing to do with pregnancy...well with this small discussion u can try out my suggestions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your nieces history and would like to make suggestions for you as follows"
Answer this question truthfully,The typical normal value for anatomic dead space is 150 mL.
Please summerize the given abstract to a title,Exploring customers’ attitudes to the adoption of robots in tourism and hospitality
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. based on the description of your symptoms, you seemed to have had a severe impact to the ground, however, it is fortunate that your injuries do not seem to be serious. as of now, you can continue to take analgesics such as ibuprofen or diclofenac tablets for pain relief and for the reduction of swellings. if the swelling does not go down or if the pain persists, it may be better to get an mri of spine done to exclude any injuries to spine or the nerves. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos per description of your clinical symptoms it seems that you have radiculopathy due to nerve compression (presently at the cervical region, c4-c5). symptoms for this are same as described by you, but may worsen if not taken care of. if i were your treating doctor i would have suggested you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain in the teeth or jaw can be because of either tooth infection or tmj disorder nothing to be panic, consult a good oral physician and get it evaluated. if it is a tooth infection, you need to take a course of antibiotics like amoxicillin and get the tooth treated. if it is a jaw joint disorder then you can take proximal with a muscle relaxant like chlorzoxazone after consulting the physician(if you are not sensitive and allergic)i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query regarding your persistent back paintroubles coming again & again is caused due to imbalanced metabolism and weakened immune system, and it depends on regular life style proper regular exercise yoga panama healthy diet. gulping on medicines will not help total cure if regular regimen is not followed. proper nutrition is an integral part of a healthy immune system if we take simple, fat free nutritious diet including all essential nutrients as fiber vitamins minerals, veges, fruit antioxidants as lemon water with water, garlic, ginger onion -whole grain almonds, walnut amla, coconut water all help strengthening our immune system .and pave way for our disease free, healthy life. avoid fried, fast foods, tea, coffee alcohol meats colas, sodas as it can cause accumulation of toxins in the body. take good night relaxed sleep & meditation, helps further. keep your bowels clean. do exercise properly / regularly, / but don't do any exercise which involve front bending, it will do more harm than good. back bending slowly, without jerks, will give you instant relief.  stand straight keep your hands on your waist feet 2 ft apart. bend body back gently as much as you can. sit on the chair straight both nds clutch at the back on the hips. pull hands, neck, shoulders, head as much as toucan gently help recovers your back, spondylitis cervical back problems instantly. a cup of hot milk fee with a level teaspoon of turmeric or hilarity - a herb will give relief from pain & strengthen bones. hope this give you reply of your query. all the best. take care. if any doubt pls mail at chatbot. common hesitate to get back if you have any further query"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear parent,first don't say she is adamant. always trust your child. and let her know that you trust her and are concerned for her health and safety. if there is one bluish discoloration at one site, check her whole body for similar discoloration. if there is none, wait and watch if its increasing or reducing, if she has fever, any local inflammation and rash appears in other parts, then take medical advice."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. you seem to be suffering from a stress-related disorder, which may causing you all these depressive symptoms. sometimes, these depressive symptoms itself may cause you further lack of interest and motivation and impair your ability to make right decisions. i would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. there are effective treatment options - in the form of medication or counselling / psychotherapy which will help you handle these stress-related problems. wish you all the best. -"
Please summerize the given abstract to a title,Simulating Chalcogen Bonding Using Molecular Mechanics: A Pseudoatom Approach to Model Ebselen (preprint)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that most probably you may be having contact allergic dermatitis. consult the dermatologist for the perfect diagnosis and proper treatment. as you are diabetic, oral steroid should be avoided. you may take antihistamines like cetirizine.  if there is infection, you may continue antibiotic which your doctor has prescribed. apply combined cream of steroid and antibiotic. avoid contact with soap, wool, dust particles, grass, pollen, detergents etc. avoid stress, worries and tension. take proper treatment to control blood sugar. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, gastric disturbances can definitely affect your breath. has your husband had routine dental exams and cleanings? if not, schedule a dental visit. if his dental health including his periodontal status and daily home care is good, i would consult a gastroenterologist for an evaluation. well-balanced vitamins with no deficiencies or excess can be a factor. basic blood testing may disclose an imbalance or raise a concern with organ function. keep well hy chatbot.  diet choices can affect this as well. consider changes made after the surgery. thank you for your inquiry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  if an rh - ve mother carries(conceives) with an rh +ve child, there are risk of her being sensitized to rh +ve blood. to clear this effect anti d injection (roam)is given within 24 hours of delivery & abortion. this helps in- - avoiding complications in next delivery, - avoiding serious reaction after blood transfusion in mother . in case she needs it throughout her life.  * so, in case of your daughter- its good that she has received anti d after her abortion. that has made her coming pregnancy / blood transfusion (if she needs it) safe.  she will have to get anti d injection after her next delivery too. if her newborn baby is rh +ve.  rh - ve mothers need this precaution every time the give birth/ abort.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the swelling and discharge from the palatal aspect of your wisdom tooth could be because of the tooth or gum infection. consult an oral physician and get a radiograph done to rule out infection of teeth. if the tooth is infected then get it extracted under local anesthesia. if the gums are infected then get your teeth cleaned and take a course of antibiotics after consulting your oral physician. i hope my answer will help you. take care."
Please answer with one of the option in the bracket,C: Repair of double-stranded DNA breaks
Answer this question truthfully,The active ingredient in the progestin implant is etonogestrel.
Please summerize the given abstract to a title,HIV situation in Russia at the beginning of implementation of state strategy aimed to combat the spread of HIV infection
Please summerize the given abstract to a title,Social distancing beliefs and human mobility: Evidence from Twitter
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, large intake of sugar has been linked to aggressive behavior in both child chatbot.  there have been many studies to confirm this, but results are inconclusive. in my view, since you have clearly noticed a temporal relationship between sugar intake and aggressive behavior, it will make sense to restrict his sugar intake and see what difference it makes. please ask your family member to reduce the quantity of sweets he brings and if possible, replace them with nuts,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to urgently visit emergency room because possibility of stress related symptoms is more. at your age of 28 years, heart diseases are less likely. you are having financial stress, and you are improved with antianxiety pill, so possibility of stress and anxiety related symptoms is more. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  along with"
Please summerize the given abstract to a title,Information transmission in regional energy stock markets
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend, thank you for posting your query through chatbot. when does somebody get flutter? it is when he is excited or agitated. in your case you are agitated with the thought that you have cancer. in your mind cancer means death. this is not because of your mistake. it is the mistake of the health education you and me got for the last several decades. let us go back to a period in your life when you got the complaints of cancer in your bladder. you had a psychological conflict in your mind which was not resolved in that level itself, because you were not aware that this conflict can produce such a cancerous growth in your body. depending on the nature of the conflict, the particular area in your brain is stimulated to produce a pathology in a particular organ. in your case bladder was affected through a program in a particular area of brain corresponding to the bladder. you went to a urologist and got the biopsy done and diagnosed the problem as cancer. you again recollect the whole process of management of the cancer growth, removal of the cancer cells etc. till today. it has frightened you to the point of panic and disappointment. you did not resolve your conflict in the psychological level. so you did not get cure. you did not get a constitutional treatment considering your mind and body. so you are not cured. but your cancer cells are removed. the cancer cell growth, which was a part of your defense were removed without curing you. naturally your constitution is still sick or more sick. your agitation and fear of death is there in your constitution. you have complained only about a mental symptom manifested through your body as flutter. there must be several physical symptoms going on in your body just like the fluttering you have complained of. many of these degenerative symptoms are not even noticed by you. one thing i can conclude. that is - you are now in a worse health status, and you need a constitutional treatment. you may please do not go to a conventional medical specialist. he will again suppress your flutter by a stronger sedative or stronger chemical chatbot.  you may feel your flutter has gone away. just like they have removed the cancer cells which were in reality a part of the defense mechanism of the body. what you need now is no more a suppressive treatment. you need a constitutional holistic treatment that will take into consideration your mind and body. as a homeopath, i can confidently suggest you to undergo homeopathic treatment from an expert homeopathic physician. you can also approach me for curative treatment. once you are cured, definitely your flutter will be cured and you will live for many more healthful years of life ahead. with best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. hi, i am chatbot, i have read your query in detail, i understand your concern. we usually treat typhoid fever for 7 days. in very severe cases we treat up to 14 days. since she was admitted and treated in hospital, so i suppose that she must have received injectables for treatment of typhoid. if her fever has subsided, and she is feeling well, there is nothing to worry. she can go and play happily with your 2-year-old cousin, no issues in that"
Please answer with one of the option in the bracket,A: Sodium bicarbonate
Please summerize the given abstract to a title,Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19 - Preliminary report
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mr. rajkumar;welcome to chatbot brain fever can be due to viral infection;bacterial infection, so the treatment will depend on the type of infection. viral infection is most of the time self limiting and inspire of treatment it takes time to recover. in case of bacterial infection if the bacteria is sensitive to the antibiotic selected she should improve in few days. since she is in ccu then i guess the doctors are treating her appropriately and keeping watch on her progress, so please wait and see;she should improve. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. as inquired about advantage and disadvantages of pump implant in erectile dysfunction, please find details below. there are two types of pump implants1. 2-piece inflatableadvantagespenis looks more natural in erect and flaccid states than the semirigid implant. easier to operate than the 3-piece implant. no abdominal incision. disadvantagespossibility of leakage or malfunction.2. 3-piece inflatableadvantagesacts and feels more like a natural erection than other models. disadvantagesrequires more manual dexterity than other implants. chance of unintended erection, depending on the model. possibility of leakage or malfunction. most expensive type of implant. requires the most extensive surgery of all implants."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through your query i came to know that your mother is suffering from copd. doctor has said that her disease has advanced. it means that her copd has become more severe, it doesn't mean she developed cancer. please follow your treating doctors advise as she will get likely to relief and unlikely to be completely cured. you can discuss with your treating doctor about it. i do hope that you have found something helpful. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,The likely diagnosis for the patient's condition is acute diverticulitis.
Answer this question truthfully,"Seek immediate medical help if you have a pulsating lump in your abdomen along with severe abdominal pain. This could be a sign of a ruptured aortic aneurysm, which is an emergency condition.
Contact your doctor if you notice any type of abdominal mass."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~ anger problems are common in psychiatric disorders.  physical aggression may be the symptom of a more severe underlying psychiatric issue that needs to be ad chatbot.  although you have given me very little information about your brother, it is clear that he is suffering and needs psychiatric help.  the sooner you get him to a psychiatrist, the better it would be.  i hope this helped.  take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. yes, you should definitely go to emergency room and take treatment. shortness of breath, wheezing, chest pain etc. are seen in both, copd and heart failure. so better to consult doctor immediately and get done 1. ecg and 2d echo to rule out heart failure. 2. chest x-ray to rule out lung infection. 3. put (pulmonary function test) to know the severity of copd. treatment of copd is based on severity only. you may need diuretics, antibiotics, inhaled bronchodilators and inhaled corticosteroid (ics). so don't wait at home, visit emergency room and start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, clonidine will certainly bring your bp down but we usually don't prefer it as a first line chatbot.  before, going to clonidine, we usually give tab cilnidipine (10 mg) once a day and may be increased to 20 mg which is calcium channel blockers. also, we have other options like tab chlorthalidone 12.5 or 25 mg depending upon the bp. so you get these prescribed first and then move to clonidine.  hope this helps you and get back if you have any doubts.  regards"
Answer this question truthfully,Osteochondroma is a slow growing bone tumor commonly found at the distal femur (near the knee).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read your query and can understand your concern regarding the side effects. lithium is linked with causing hypothyroidism and increase in tsh levels. decision regarding continuing or stopping lithium should be taken based on multiple factors, like how effective lithium has been for your condition, any other side effects, treatment resistance to any other chatbot.  if you have responded well to lithium, having no other side effects and your tsh levels are normalized with thyroxine, lithium can be continued. your psychiatrist would be the best judge for deciding regarding it. hope this information was helpful. best wishes."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.",**1. patients with third-degree av block [complete heart block] typically experience. . bradycardia (low heart rate
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for trusting chatbot. parkinson current accepted treatment is dopamine replacement therapy, since in the basal ganglia in specifically substantial nigra dopamine releasing neurons are degenerating in parkinson disease which leads to the common symptoms of tremor rigidity and posture. with those medications there are 2 problems first stability level that's why they need to be taken at different times of the day, the other problem is when the disease progresses more is need to compensate for the loss of normal released dopamine from the brain. that is why your doctor increased the dose for your mother. stay well hope that helped to explain things for you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dear. i had gone through your query. i understand your concern and emotional problem. depression can affect social/interpersonal/economic life. low mood/loss of interest/loneliness etc. are the symptoms and should be persisted more than 2 weeks. it is treatable illness and early treatment will bring fast recovery. consult psychiatrist for details evaluation. psychological counselling with psychotherapy can help. it can be treated with medicine like ssri. ssri is antidepressant and regular treatment up to 3 to 6 months will help to come out from depression. psychological and social support is must. still if you have a query then feel free to ask. . happy to help you further. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. anger always comes due to frustrations in life. frustrations are normal with everyone. people learn to ignore frustrations when they get experienced. from the given symptoms, the possibility is that your sister-in-law could possessive. such possessions are common in early days of married life. experiences should teach her. in the meanwhile, a family counseling should do good. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello..... thanks for your query. treatment for bipolar psychosis should take precedence over dissociative disorder in your case. the treatment for bipolar disorder includes mood stabilizers like lithium, valproate as well as antipsychotics with mood stabilizing properties like risperidone. hence, you discuss these options with your psychiatrist. maintaining a normal sleep-wake cycle as well as avoiding use of alcohol/other substances of abuse is likely to benefit you. wish you speedy recovery. regards chatbot."
Please summerize the given abstract to a title,Single-Portal Proximal Biceps Tenodesis Using an All-Suture Anchor
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for your post on chatbot! after going through your sons' problem of the large pea sized painless chin lump which is attached to the bone, i would like to suggest following possibilities as per our experience of the needle biopsies in our clinic"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorin my opinion your child seems to have had an allergic episode. it could be due to any aeroallergen, new formula feeds, insect bites or contact object. since it has subsided at present, so no treatment is required. but in case it recurs, take the following measures to alleviate it"
Please summerize the given abstract to a title,"""Let's Hook Up When the Pandemic is Over:"" Latinx Sexual Minority Men's Sexual Behavior During COVID-19"
Answer this question truthfully,"The signal peptide of preproinsulin is cleaved during the assembly of peptide chains, yielding proinsulin."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.you have not mentioned the weight of the child. they way you are describing it looks, he is suffering from nutritional deficiency. these child chatbot. they eat only selective food items. try to improve the nutrition of the child by giving fruits, green leafy vegetables. if still a problem you must take the child to pediatrician for further physical examination and investigations. if you are happy, kindly rate me. regards-"
Answer this question truthfully,Call for an appointment with your provider if you or your baby has symptoms of this condition. Severe abdominal pain may be a sign of an emergency condition such as intussusception.
Answer this question truthfully,"Cytotoxic edema is caused by intracellular swelling due to malfunction of the Na/K pump, typically seen in early stroke, and favors grey matter, resulting in loss of grey-white matter differentiation. In contrast, vasogenic edema is caused by extracellular edema due to loss of the blood-brain barrier, typically seen in tumors or infections such as abscesses, or the late stage of stroke. Vasogenic edema tracks through white matter, which is less tightly packed than grey matter."
Answer this question truthfully,"Facial nerve palsy is a clinical syndrome that occurs when there is damage to the facial nerve, which is also known as cranial nerve VII. This can result in weakness or paralysis of the muscles on one side of the face, and can affect both the upper and lower motoneurons of the nerve. Common symptoms of facial nerve palsy include drooping of the mouth or eyelid, difficulty making facial expressions, and loss of taste sensation in the front two-thirds of the tongue. In some cases, facial nerve palsy can also cause difficulty with speech, eating, and drinking. Treatment for facial nerve palsy depends on the underlying cause of the condition and may include medications, physical therapy, or surgery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! does your son get increased frequency of going for washroom associated with the cramps and a habit of eating junk foods form outside ? if yes, then possibly he's suffering from simple colitis which needs a stool test and culture sensitivity test if required. your family physician may prescribe some anti-amebic chatbot. next diagnosis which has to be excluded is a urinary tract infection, which may give rise to similar kind of situation. go for a routine urine test and a culture sensitivity of urine if need be. show the results to your family physician for further action. you are right ! there is a very remote possibility of the pain being due to an appendicitis on the left side. i hope this helps you in solving your problem. wish your son an early recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. if this has occurred only acutely, it might be due to stomach infection requiring antibiotics like tinidazole, metronidazole. but if you have such loose stools and pain abdomen very frequently, you might require workup for malabsorption syn chatbot. so, if this is chronic, write to us in detail. this is my best advice for you with the available details, if you have any further query, please ask me. stay healthychatdoctor, md"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there is a possibility of small stones forming in your kidneys on both sides. there are two small stone like areas in the left kidney. while ultrasound scan can certainly locate larger stones, some smaller stones need detailed evaluation in the presence of symptoms. a ct scan is sensitive to pick up stones measuring 2 mm in diameter which can be missed by ultrasound. increased echogenicity around kidney pyramids might indicate small stone formation in progress. for complete assessment of kidney stones, a ct scan is to be done. please continue chatbot."
Please summerize the given abstract to a title,Nosocomial Infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. such upper abdominal pain which radiates to the back is usually caused by gallstones. sometimes pancreas inflammation can give such symptoms however the pain is usually so strong that forces patients to visit a doctor. if it is gallstone issue, your symptoms should get worse after fatty foods spicy foods or alcohol. sometimes similar symptoms are present with stomach issues like peptic ulcer. i suggest you to do not wait any longer and visit your doctor. abdominal ultrasound, blood work, liver tests should be done at first. if gallstones will be confirmed, laparoscopic surgery should be done. if nothing will be found, gastrostomy is necessary. in a meanwhile please avoid fatty foods, spicy foods, coffee and alcohol. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query. i appreciate your concern for the present symptoms. the cysts are the infective forms of the protozoal parasite enatamoeba histologic which are found in the asymptomatic carriers (persons harboring the infective form of the parasites but not suffering from the disease). these cysts are mainly localized to the lumen of intestinal tract, they are no invasive and hence do not cause any disease. whereas the trophozoites are the invasive forms of the parasite responsible for the disease (meiosis). the body heat (fever), stomach and waist pain could be due to malaria. hope this answers your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, your history suggests that you had a cancerous adenoid of colon 15 years back. what treatment did you receive for this problem. i guess the cancerous adenoid along with apart from adjoining colon was surgically removed. secondly, the breast biopsy suggests changes of malignant in the lining epithelium of the ducts of the breast. bilateral mastectomy is a better option as compared to lumpectomy. thirdly, an ovarian tumor is detected on usg. associated bloating, vomiting, and frequent urination are also present. bloating and vomiting appear to be due to indigestion. frequent urination can be due to urinary tract infection. it could also be due to ovarian tumor compressing the bladder neck. the ovarian tumor needs to removed first. histological examination of the ovarian tumor needs to be done to know its nature = benign or malignant, its histological subtype, and its stage. further management, radiation therapy and/or chemotherapy will depend on the histological subtype and its stage. mastectomy can be performed after removal of the ovarian tumor. if the ovarian tumor turns out to be malignant, a genetic test also needs to be done. since, multiple tumors are present, a genetic cancer syn chatbot. consult your oncologist for genetic testing. thanks and take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your extensive cardiac work up is normal, possibility of herd (gastroesophageal reflux disease) related pain is more in your case. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning, stabbing chest pain. so do following things for better symptomatic relief. 1. avoid stress and tension. 2. avoid hot and spicy food. avoid junk food. 3. avoid large meals, instead take frequent small meals. 4. start proton pump inhibitors and prokinetic chatbot.  5. go for walking after meals. 6. quit smoking and alcohol if you have these habits. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Application of telehealth for comprehensive Creutzfeldt-Jakob disease surveillance in the United Kingdom
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatdoctori would like to tell you there are dissolvable stitches that are composed of silk & processed collagen. these stitches are made of materials which our body can absorb after they get dissolved. additionally, the time for dissolving may be shorter or longer, depending on the stitches, again, depending on the recovery of the wound itself. one type of these stitches is created from processed animal collagen. this material is capable of holding the wound firmly for at least 7 days, getting dissolved through the course of 2 months. i don't know what material has been used in your case. so i would suggest you to wait for 1 more week & then consult your dentist but don't try to anything by yourself. take disregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to chatbot. i read and understand your question very well. i try my level best to explain you. as per your symptom you have hypersensitivity reaction or allergic condition. it may also due to over consciousness or anxiety. i suggest you some points like never think much more about it, divert your thought in some things, think about your enjoying movement, do not much more concentrate or get tense about this. if symptom persist than i suggest you to consult a good allergic specialist. i hope my answer will help you a lot. thanks and regards. chatbot."
Answer this question truthfully,"Creatinine clearance can also be used to estimate GFR, in addition to inulin. Glomerular filtration rate (GFR) is a measure of how well the kidneys are functioning and reflects the rate at which blood is filtered by the glomeruli in the kidneys. Inulin clearance is considered the gold standard for measuring GFR, but it is not widely used in clinical practice due to its complexity and expense. Creatinine clearance, on the other hand, is a simpler and more practical method for estimating GFR. Creatinine is a waste product that is produced by muscle metabolism and is excreted by the kidneys. The creatinine clearance test involves measuring the amount of creatinine in a 24-hour urine sample and comparing it to the creatinine level in the blood. While creatinine clearance is not as accurate as inulin clearance, it is a useful tool for estimating GFR in clinical practice."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for asking us. i understand your concern. in my opinion, you should continue with taxi for 7 days more and continue with cronin alcohol do u know its typhoid?did the doctor do blood culture test? hope this answers your question. if you have additional questions then please do not hesitate in writing to us and do a follow-up. please let me know all these queries so that i can help you accordingly.*always check for history of allergy before taking any medicine. wishing your child good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have problem of leakage of mucus secretions when you get sexually aroused. please note that this is not sperm or semen, but mucus secretions of mucus glands located in urethra.which. do not worry about it. it is common at the age of adolescence and no treatment is required. it will get resolved over a period of time. chatbot."
Please summerize the given abstract to a title,Evaluation of a thoracoscopic technique using ligating loops to obtain large lung biopsies in standing healthy and heaves-affected horses.
Please summerize the given abstract to a title,Medical Ethics Issues in Dementia and End of Life.
Answer this question truthfully,α-methyldopa.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatdoctorthe itching could be due to the allergy can have antihistamine tablets (which reduces itching)you can also apply moisturizing cream with aloe vera. it gives some relief i have a doubt regarding the medication you had prior to this complaint... if it is a oral tablet then it is unlikely to cause itching on a particular place. usually these causes generalized itching... if it is a local applicant, and you applied over this area then it can cause these problems... fungal infection. also can cause itchingprecise treatment can be told after full history and seeing the lesion thank you..."
Please summerize the given abstract to a title,"Australian, Malaysian and Indonesian Accounting Academics' Teaching Experiences During the COVID-19 Pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on your statement it seems that you had a staphylococcal infection of hair follicle (boil)over penoscrotal junction which has complicated in to an abscess which you have chatbot. the present situation is that you have developed cellulitis of the scrotum due to scrotal abscess. you need to take broad spectrum antibiotic like augmenting along with anti-inflammatory medication like diclofenac twice daily. proper cleaning and
Please summerize the given abstract to a title,Temperature and Solar Irradiance Effects on Pre-COVID Deaths in the Elderly
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in my opinion, it could be many possibilities, mostly nothing to worry about, this could happen to female patients having periods, and it can be a blood platelets problem due to many causes. a full history is needed, and a picture would be ideal for proper diagnosis. hope i have answered your question. let me know if i can assist you further. amman darragh, physical therapist or physiotherapist"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query patches on tongue can be geographic tongue, median rhomboid glossies, or decapitation of papillae these patches are seen in some patients with nutritional deficiency, vitamin b 12 deficiencies also. don't be worried so much i will advise you to take nutritional diet, vitamin b supplements and consult oral surgeon for oral examination of tongue to rule out the cause. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello ! thank you for your question. i understand your concern. short answer
Please summerize the given abstract to a title,Coronapod: The overlooked outbreaks that could derail the coronavirus response
Please summerize the given abstract to a title,Limited Traffic Zone for walk safety around the schools
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend, my suggestion is to approach an expert homeopath at the earliest. your case has to be taken in detail. the causation, sensation, modalities, concomitant symptoms etc. are all important to cure you. an expert homeopath will take your case and prescribe for your present acute condition. he can also correct your constitution which will prevent you from getting similar conditions in future by giving you your genetic and constitutional remedy. in homeopathic case taking the physician will also ask your mental disposition that caused your present condition and your general mental dispositions to cure you rapidly and permanently. if you have plan to get treatment from me, you can get back to me personally through chatbot. with best wishes, chatbot.  j. varghesehomoeopath"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is no reason to lose your confidence.  there is always a solution to everything in your life. in regard to gynecomastia, you should consult an endocrinologist who will ask to run further tests for further evaluation. one of them include checking the hormones levels in the blood. another option would be related to obesity. honey is a good natural remedy against fat burning, but it cannot do miracles alone. you should apply other lifestyle and diet change, including physical activity. all the best! chatbot."
Please summerize the given abstract to a title,"Risk, resilience, psychological distress, and anxiety at the beginning of the COVID‐19 pandemic in Germany"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your recent health concern with us! well, in a pregnant woman with heavy works and an internal inguinal lump, if i were your consulting doctor, i would advise you to take rest preferably in supine position and avoid strains....because, as per your description, it could well be an inguinal hernia; however, it could also be some lymph node or some benign cyst!therefore, usg of the region is necessary for confirmation. hope you got the answer to your question. please revert to us with follow-up queries. wishing you and your baby good health!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are suffering from chronic kidney disease(ckd). it's a non-reversible disease in which both kidneys are affected leads to reduction in kidney size along with decrease in function. when kidney function decrease less than 30% then dialysis is the mainstay of treatment to wash out the toxic products. but dialysis is not the cure of this disease. in fact, dialysis only helps to improve your quality of life and decrease the morbidity. according to your description, you are too young to develop this disease. generally this disease occurs in some high risks like diabetes, hypertension, connective tissue disorders. as your blood pressure is high but ckd itself leads to high blood pressure, so your medication is good according to your disease. if bp is more than 140/90 then increase your tab armin 0.1 mg thrice a day. so there will be two approaches. first to manage regular dialysis to keep your serum creatinine lower side along with improved quality of life. second is to find out the exact cause for ckd in this young age and treatment according to that. and for future, if possible then think of kidney transplant also for permanent treatment or in your word for cure of this disease. thank you"
Please summerize the given abstract to a title,Hematological Phenotype of COVID-19-Induced Coagulopathy: Far from Typical Sepsis-Induced Coagulopathy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. greying of hair occurs when the melanin of a particular hair follicle is permanently exhausted. premature grain of hair is attributed to many factors like diet, nutrition, uv rays, pollution, cosmetics/dyes/colors, genetics, medications etc. treatment of gray hair is pretty challenging and results are not very encouraging. i would advise you biotin and calcium pantothenate combination tablets for at least 6-8 months. apply alexis gel containing militant, which is a new compound that has shown good results in premature grain of hair. also, a novel hair sunscreen cum hair serum q era black has shown good results in prevention of hair damage from sun and pollution. use gentle shampoo and conditioner for regular hair wash. use coconut oil twice a week for scalp nourishment. chatbot. try to limit your smoking and alcohol intake. i am sure this will take care of your issue. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. your pregnancy has been over a year back, and you should have made complete recovery from any problems arising out of the surgery at that time. spine is made up of small bones aligned on top of each other and nerves originating in the spinal cord and exiting through holes between two bones. there is a disc between every two bones which provide cushioning. when the disc gets displaced and causes pressure on the nerves then pain is felt. the commonest reason for back pain at your age is muscle spasm, but nerve related pain cannot be ruled out without doing a clinical examination. an x-ray is the basic investigation and will show any muscle spasm or disc space narrowing. if strongly suspected then an mri might be required to know if you have nerve pinching at any level. you can try using heat pad and gently applying ointment containing pain reliever and muscle relaxant over the area where it is hurting in the back."
Answer this question truthfully,"Barbiturate withdrawal may present with delirium and life-threatening cardiovascular collapse. Barbiturates are central nervous system depressants that can cause physical dependence and withdrawal symptoms when used chronically. Abrupt cessation or rapid dose reduction of barbiturates can trigger severe withdrawal symptoms, including anxiety, tremors, seizures, hallucinations, and cardiovascular collapse. The latter is a potentially life-threatening complication that can lead to shock, cardiac arrest, or other serious complications. Therefore, barbiturate withdrawal should be managed under medical supervision, with gradual dose reduction and supportive care to minimize the risk of adverse outcomes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot.i have read your query and understood your concern. you have correctly observed the changes. steroidal creams on long term usage makes the skin thin, causes acne, increased hair growth, pigmentation etc. i will advise you to stop applying and use safer creams like those containing comic acid, vitamin c, glycolic acid, albumin etc. melaglow and glycol both are safer preparations. but before that, you need to moisturize the skin well so that it can regain its lost strength and tone. you may discuss this with your dermatologist. stay healthy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for the query. these findings are nonspecific and usually this is just inflammatory reaction of lymph nodes, but it can sometimes indicate new recurrence of malignant disease so further tests are required. you should do pet ct scan to see is there some metastases and then new behemoth or radio can be started or surgery can be considered. wish you good health. regards"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,1) your mother has hepatitis related liver failure with portal hypertension2) liver failure cause collection of water in stomach. portal hypertension cause bleeding in intestine which make stool black colored. (this also require checking hemoglobin level frequently)3) liver transplant would improve liver function which was damaged due to hepatitis-c but presence of this virus in blood make new translated liver susceptible for hepatitis also. and this requires strict medical treatment to prevent repeat episode of hepatitis4) liver transplantation is associated with some complications in case of your patient due to age, other illness, hepatitis c, prolonged liver failure (early stage of liver failure has good outcome after transplantation)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief description of your history. as by looking to your case. i will recommend undergoing physical therapy like - therapeutic ultrasound therapy and tens therapy. this will help to reduce the pain. also, you will be put into the exercises for the lumbar spine and cervical spine. the overall body conditioning will also be performed. based on the improvements you will be assessed and moved further for the exercises which will be focus on strengthening. as to understand here is - your age is 71 and the aging process is on. so there will be a wear and tear of the tissues. also, by taking medication or the cortisone the symptomatic relief will be good but also, post the symptomatic relief you need to undergo physical therapy. in my personal practice of dealing with geriatrics we induce protocol only taking to rest, medication and physical therapy. we found a 99% success rate. also, to confirm the extent of the soft tissue injury which is compressing the nerve roots, an mri can be performed which will help further the physician for the medical prescription. your indulgence in the exercises will be of importance as the muscles at this age needs strength for the propulsion of the body. with physical therapy the patients which i see are benefitted. and i expect same from you. regardsjay in chatbot."
Answer this question truthfully,"Lesch-Nyhan syndrome is inherited in an X-linked recessive pattern, which means that the mutated gene responsible for the disorder is located on the X chromosome. Males have one X chromosome and females have two X chromosomes, so males are more commonly affected by the disorder. If a woman is a carrier of the mutated gene, there is a 50% chance that her sons will inherit the disorder, and a 50% chance that her daughters will be carriers. The disorder affects the metabolism of purines, leading to the accumulation of uric acid in the body, which can cause a variety of symptoms such as gout, kidney stones, and neurological problems."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if i understand you right there was no hit to the head, no direct head injury from the fall, you say to have fallen straight on your feet. in that case, i don't see any link between the seizures and the fall unless there is a brain injury there is no reason for a fall to cause seizures. loss of consciousness was most likely a vasovagal syncope, a common cause of loss of consciousness due to increased legal activity often related to stress and pain which i suppose were present after that fall. tough to throw any hypothesis about the origin of the seizures as you provide no info on current brain imaging and eeg results, you mention only those after the childhood encephalitis. it is unclear why you had surgery for seizure as well, surgery is rarely used for seizures, usually when there is a tumor or some other type of brain lesion as a source. so please provide more info on that regard if you are to resume this discussion. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Achieving Universal Wearing of Face Masks During the COVID-19 Pandemic: A Practical Solution from Shanghai, China"
Answer this question truthfully,Newborns infected with HBV have a 90% chance of developing chronic infection.
Answer this question truthfully,"Congenital CMV is usually transmitted to the mother via body fluids, such as saliva."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern... as per your complaint metallic taste in mouth when she is not taking any medication but has a history of having tonsil stones. well, the symptoms of bad taste in mouth can be due to infection in teeth or gums, sinus infection, upper respiratory tract infection and in case if the tonsil stones are present they are commonly seen to cause a bad taste in mouth and bad breath too. so my suggestion is to consult an oral physician and get her evaluated and a thorough clinical evaluation will be done to rule out the cause and can be treated accordingly. when the underlying cause will be treated the symptoms will subside on their own. as of now you can make her gargle with flavored antiseptic mouthwash. chew flavored sugar free chewing gum. chatbot. . if tonsil stones are present get them removed by a physician and to reduce the formation gargling with 1"
Please summerize the given abstract to a title,"Effect of Vegetation Types on Sarcophagidae (Diptera) in Ciervo de los Pantanos National Park, a Natural Remnant in a Highly Endangered Landscape."
Please answer with one of the option in the bracket,E: Adenylate cyclase
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concertgoer symptoms could be due to hormonal imbalance, ectopic pregnancy, endometriosis, adenomyosis, cervix and endometrium dysplasia. i would suggest consulting the gynecologist an undergo vaginal examination, reproductive hormone analysis, usg scan and if needed pap smear and colonoscopy. specific treatment will depend on the cause and test result. progesterone pill and transgenic acid will help to stop the bleedingavoid stress, take healthy diet with iron supplements, chatbot."
Answer this question truthfully,"1. The causes of systemic vasculitis with CNS involvement include Polyarteritis nodosa, Temporal arteritis, Granulomatosis with polyangiitis, and Takayasu's arteritis. The most common systemic vasculitis to involve the CNS is Polyarteritis nodosa. 
2. The systemic diseases that can cause CNS vasculitis include cocaine use, Rheumatoid arthritis, Systemic lupus erythematosis, and Lyme's disease. 
3. The most common collagen vascular disorder that causes CNS vasculitis is Systemic lupus erythematosis."
Answer this question truthfully,NSAIDs should not be used for treatment of gout in patients taking anticoagulants.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! well, presently she needs to be evaluated for the disease activity by doing some routine tests like crp, esr, urine r/m, for proteins, rft etc.. if they are raised that means disease activity is going on. plus there is a concern about the medications she will be on by your doctor. if she is on immunosuppressive therapy that needs consideration. so, in nutshell she needs detailed evaluation for lupus before undertaking any kind of procedure because that may lead to disease flare.  than. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, possibilities are"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot ! your symptoms could be related to different possible causes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, a lump in your neck during an ear infection is most commonly an enlarged lymph node. a number of things can cause lymph nodes to become enlarged, but in the vast majority of the time, the cause is an infection. other causes can be malignancy, but this is much rarer. if the lymph node is tender, it makes malignancy much more unlikely. i'd take ibuprofen and use warm compresses on the affected area. if the lymph node gets smaller, i wouldn't worry about it at all. if it continues to be enlarged, hardened and painless, then i would seek out an ultrasound. again, i'd give it a week after your other symptoms resolve before i'd start to worry. i hope this answers your question. feel free to contact me if you have any other questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. you have not mentioned whether your dogs are vaccinated for rabies. usuallu dog bites are to be evaluated immediately. i would advise you to better visit the emergency and have it evaluated. if the skin is not much disturbed, or if there is a minimal abrasion present, watch out for signs of infection (pain, redness, warmth, swelling, and chatbot. keep the lesion clean to avoid infection. hope this was helpful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, genita warts are mainly caused by hpv type 6, 11, 16 and 18. while hpv type 16 and 18 are associated with an increased risk of cervical dysplasia and cervical cancer, type 6 and 11 hpv is not associated with an increased risk of cervical cancer. pap test is the most useful test to determine viral type; it can be used to take samples for typing of viral dna and if the samples do not reveal hpv 16 and 18, you may not be required to go for such an aggressive procedure. since your earlier tests have not revealed either of hpv, type 16 or type 18, therefore there is no need for such an aggressive procedure immediately. probably your doctor wants to be sure about the finding and to rule out even a remote possibility of the high risk hpv types by re-testing. thank you."
"Would appreciate any good info on Lewy Body Dementia, we need to get people   aware of this dreadful disease, all they talk about is alzheimers.  Thank   you","Lewy body dementia (Risk factors): A few factors seem to increase the risk of developing Lewy body dementia, including: - Being older than 60 - Being male - Having a family member with Lewy body dementia or Parkinson's disease Research has indicated that depression is also associated with Lewy body dementia."
Please summerize the given abstract to a title,Drawing on Israel's Experience Organizing Volunteers to Operationalize Drive-Through Coronavirus Testing Centers
Please summerize the given abstract to a title,Men and COVID-19: the aftermath
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there ~i understand your concerns.  it seems like you are having chronic back problems that are not getting better with chiropractic treatments and your medicare is not going to pay for the treatments.  it might be helpful to ask medicare as to what they would be willing for after getting an opinion about the kinds of alternative treatments for your condition.  i think that you are going to be highly benefitted by taking this step and finding out what your options are.  i hope this helps.  congratulations on your weight loss.  i hope you are feeling a lot better with your back after the weight loss. take care and have a lovely day!
Please summerize the given abstract to a title,Models for digitally contact-traced epidemics
Please summerize the given abstract to a title,"Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have been diagnosed to have a stone of size of 9 mm in your kidney. it is very optimistic to expect the stone of size of 9 mm to pass down spontaneously . the best option is to get it fragmented by a procedure called extra corporeal shock wave lithography(esl). this is simple procedure and does not require hospitalization nor anesthesia and is carried out as out patient procedure and gives very good results. chatbot. .
Please summerize the given abstract to a title,Potential mechanisms of action of convalescent plasma in COVID-19
Please summerize the given abstract to a title,Activation of NLRP3 Inflammasome by Virus-Like Particles of Human Polyomaviruses in Macrophages
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, she is having liver nodules. hence, malignancy needs to be ruled out traffic ct scan and serum afp estimation will be beneficial in rule out hcc. if needed usg guided biopsy can be done and sent for histopathology examination for rule out malignancy. according to cause specific treatment given. cbc also should be done to check eosinophil. if needed for rashes antihistamines chatbot.  consult a physician or gastroenterologist for examination and further work up accordingly. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for using chatbot these are non-specific changes which usually seen at this age. there is nothing to worry about it. i think, u r towards dementia. all feature of put into mild cognitive impairment which is progress could lead dementia. u should consult a neurologist for proper evaluation and treatment. you\u2019re problem may be at early stage, currently nothing to worry. only for future aspect, consult a neurologist. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you have undergone surgery this needs some 6-8 weeks of the minimum for the healing process if there wasn't any infection which was reoccurring and was delaying the healing of the bone.  a good x-ray will be of help to understand the current situation of the bone healing. also, there will be some indentation due to either the fixation of the materials used which isn't a worry about.  you should do regular walking and physiotherapy to allow changes to happen in a positive direction.  the pain can be due to either the pressure applied over the muscle and skin from the internal structures fixation or maybe some infection is still left out which is leading to metabolic waste to accumulate and lead to pain. you can do a blood routine and an x-ray to rule out the infection and healing factor. also, you need no use the words' metastasis because that itself is a different level of pathology to talk here. just with the fall and surgery post is one cannot develop other serious pathologies. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
what are the risk factors of type ii diabetes,"Researchers don't fully understand why some people develop type 2 diabetes and others don't. It's clear, however, that certain factors increase the risk, including: - Weight. Being overweight is a primary risk factor for type 2 diabetes.  - Fat distribution. If your body stores fat primarily in your abdomen, your risk of type 2 diabetes is greater than if your body stores fat elsewhere, such as your hips and thighs. - Inactivity. The less active you are, the greater your risk of type 2 diabetes. - Family history. The risk of type 2 diabetes increases if your parent or sibling has type 2 diabetes. - Race. Although it's unclear why, people of certain races - including blacks, Hispanics, American Indians and Asian-Americans - are more likely to develop type 2 diabetes than whites are.  - Age. The risk of type 2 diabetes increases as you get older, especially after age 45."
Answer this question truthfully,"Toxic megacolon is a potentially life-threatening complication that can occur in patients with severe inflammation of the colon, such as in ulcerative colitis or Clostridioides difficile infection. It is characterized by abdominal pain and distension, bloody diarrhea, fever, and shock, and can lead to perforation of the colon and sepsis if left untreated. The term ""megacolon"" refers to the dilation and enlargement of the colon, which can occur as a result of inflammation and the accumulation of gas and fecal matter. Treatment for toxic megacolon typically involves hospitalization, bowel rest, intravenous fluids and electrolytes, antibiotics, and sometimes surgery to remove the affected portion of the colon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, typhoid has a direct effect on the digestive system and requires special dietary care even after the symptoms subsides. you need to consume easy to digest foods that would give rest to the system. first thing is to maintain the fluid and electrolyte balance. to do so, you must take plenty of plain water, tender coconut water and chatbot.  maintaining small and frequent meals. taking light foods and avoiding peel or seeds of the fruits/vegetables, wherever possible. a protein rich diet would help. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. cancer is a difficult condition to treat and osteosarcoma is a bone cancer that proliferates quickly and gets out of control. the fact that there is cancer spread to the lungs shows that the patient is having advanced disease and in a lot of pain. chemotherapy might control the cancer progress but cannot cure the patient of the illness. a patient should be fit enough to accept chemotherapy else there is sufficient risk in giving chemotherapy and that might cause more harm to the patient than intended. there are cases when the patient is unable to tolerate chemotherapy. please discuss in detail with her treating doctor and provide supportive care and pain relief to her. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot it is sad that she is having recurrent hernia her diabetes should be controlled well before further surgery for hernia only surgical repair is the answer skilled surgery with mesh usually have good results before further surgery she should be well controlled in blood sugar, overweight if there should be tackled and no infection should be there before infection after operation follow advice regarding rest and type of works to avoid in post-operative period till the full strengtchatdoctores in the operated area few restrictions to be followed throughout and that will give the best prospect"
Answer this question truthfully,"Common complications of bursitis include:  
Cicatricial adhesions in the joint Reduced range of motion or mobility Progressive pain Limited activity level"
Please summerize the given abstract to a title,Early-career researchers in the time of COVID-19: Starting a new lab during a pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually, i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is -1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. such pain is usually caused by gallbladder stones. it doesn't matter which food do you eat now because it could have been formatted already. if you feel cramps paid son after meal it is definitely it. also, you can try to take painkillers because it won't be very helpful in biliary police. so this is the way to check it. spasmed or similar chatbot.  if you rule this out some more other diagnosis can be considered such as hepatitis, gastritis or ibd. so i suggest going step by step. do ultrasound and liver enzymes and then plan further examination. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand from your query that you are having problems with dark and rough elbows. please stop scrubbing the area. scrubbing, especially with a stone causes friction and increases the skin thickening. use a good moisturizer containing scalene, urea and lactic acid every 4 hours. keep your elbows off the table while you are working. do not rest them on the desk. this will avoid friction. use a cream containing 6-12% glycolic acid at bedtime. this will cause mild peeling off of the thick skin and improve the appearance. hope this helps you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you have req urine.  it is most likely to be due to bleeding in urine.  it may be due to kidney stones or some mass lesion in kidney, ureter or bladder.  you should go for urine examination, rbc morphology of urine and ultrasound abdomen.  these will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, psoriasis after long time affects joint and known as psoriasis arthritis. there is nothing like medical marijuana which is prescribed for psoriasis. i usually prescribe tab methotrexate in weekly dose. super potent steroid mixed in salicylic acid and urea for local application. emollient for whole body application. all these need medical supervision and titration of dose. hope this is helpful. thanks."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Decoding COVID-19 mRNA Vaccine Immunometabolism in Central Nervous System: human brain normal glial and glioma cells by Raman imaging
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i do care for your concern. it is important to find out for which substance you are allergic for. there is no need of antibiotics in allergic reactions, as in some cases they might trigger the reaction also. i would advise consulting your dermatologist and have tested to know which substance you are allergic to. if found latex allergy then making the house free of latex materials will be needed. however, you may undergo desensitization procedure also, which will help you a lot. hope everything gets well soon. hope i have answered your question, if you have more feel free to ask. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. i read your query. since its over 6 months you had your heart surgery, you can go for dental treatment. you need to consult your physician regarding stopping or modification of any blood clotting medication you are taking like aspirin etc., if required. treatment of broken tooth depends upon the level at which its broken. you need to get it checked nddl x-ray done. if it's only in enamel or little dentin, then it can be restored just by crown. more teeth lose will require root canal treatment and tooth build up along with crown. root canal treatment may cause mild bleeding and requires local anesthesia injection. do inform you dentist about your complete disease and medication history before procedure. take advice of your physician before any medication. hope the answer helps you. thank you!"
Answer this question truthfully,"The glomerular filtration barrier is a specialized structure in the kidneys that filters blood to form urine, and the molecule in the basement membrane of this barrier that acts as a negative charge barrier is heparan sulfate."
Answer this question truthfully,"Copper deficiency can cause brittle hair, skin depigmentation, neurologic dysfunction, and sideroblastic anemia."
Answer this question truthfully,"Systemic absorption can be the cause of perioral numbness, tinnitus, and metallic taste when using lidocaine. Lidocaine is a local anesthetic commonly used to numb the skin or mucous membranes. However, if too much lidocaine is absorbed into the bloodstream, it can cause systemic effects, such as perioral numbness, tinnitus (ringing in the ears), and a metallic taste in the mouth. These symptoms can be signs of lidocaine toxicity and can progress to more serious effects, such as seizures and cardiac arrest. It is important to use lidocaine as directed and to monitor for signs of systemic absorption."
Please summerize the given abstract to a title,Half a century of forest cover change along the Latvian-Russian border captured by object-based image analysis of Corona and Landsat TM/OLI data
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have fatty liver raised sgpt level. your fasting sugar is borderline. your post radial sugar is normal. your hdl cholesterol is low. in such cases dietary changes are most important. you should take low fat diet and high protein diet. avoid alcohol. go for regular exercise. repeat your sgpt and lipid profile after 3 months. if your hdl remains persistently low then chatbot.  for fatty changes exercise and diet is the main treatment. consult your doctor and plan accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,The Effects of Incriminating COVID-19 News on the Returning Indonesians’ Anxiety
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the possibility of cardiac arrhythmia can't be ruled out, like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases.  usually ecg is normal as it is usually done in between the episodes. ecg done during episodes will show abnormality. you will need 24 hour holder monitoring. is there any stress or anxiety associated. till the time your evaluation is complete, you can ask your local doctor for tab collar la 20 mg once a day. if none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.  hope this helps you get back if you have any doubts. regards"
Answer this question truthfully,"Small Cell Lung Cancer can produce anti-Hu antibodies, which can attack the nervous system and cause Paraneoplastic Cerebellar Degeneration and Paraneoplastic Encephalomyelitis. These are neurological conditions that can occur in patients with Small Cell Lung Cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello madam, i can understand your health concerns. the constellation of complaints you are having, ie, sharp pain behind the eye, bad memory, nausea and dizziness actually does not help to localize your disease associated with a particular body system.it's hard to think of a disease in which there is a sharp pain behind the eye and memory loss. besides, it is important to tell that what is the duration of memory loss, in days, weeks,months or years? your body weight is ok and must not be causing the symptoms. still, the best person to take a good history and examine you in light of these symptoms will be a neurologist. please visit the one, and he will probably be help you further. i hope it was of some help."
Answer this question truthfully,"The recommended first step in management for patients with Somatic Symptom Disorder is to schedule regular monthly visits to establish a single physician as the primary caregiver. Somatic Symptom Disorder (SSD) is a condition in which individuals experience physical symptoms that are either very distressing or interfere with their daily lives, but for which no underlying medical cause can be found. The symptoms may be varied and can affect multiple organ systems. The recommended approach to managing SSD is through a collaborative and patient-centered approach that focuses on addressing the patient's concerns and improving their quality of life. Establishing a single physician as the primary caregiver can help build trust and continuity of care, which is essential in managing SSD. During regular monthly visits, the physician can assess the patient's symptoms, provide education about the condition, and develop a plan of care that may include medication, therapy, or other interventions. In addition, the physician can monitor the patient's progress and adjust the treatment plan as needed."
Please answer the letter of option truthfully,A
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  i think you are confusing yourself about all these psychological names of disorders. unable to engage in conversations in social situations cannot point towards social anxiety. also, inability to get a job is not loosing self-worth.  you do have lack of motivation. a simple counseling session with a trained psychologist should provide you the required motivation if all other aspects are good., in every case, you should consult a psychologist for a proper diagnosis and cure. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have infected piles, perianal abscess, fissure or fistula.  you should go for per rectal examination by surgeon first.  it will give you exact diagnosis. then you should take treatment accordingly.  chatbot.  take high fiber diet. avoid constipation. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. by your history and description, in my opinion you are having viral upper respiratory tract infection (uri). viral infection cause severe malaise due to release of chemical mediators in the body. since it is self-limiting illness, no need for antiviral chatbot.  follow these steps for better symptomatic relief. 1.  avoid stress and tension. 2. avoid oily and spicy food. 3."
Please answer with one of the option in the bracket,C: Temporal lobe spikes on EEG
Please answer with one of the option in the bracket,D: Electroencephalography
Please answer with one of the option in the bracket,A: Pathological; an intermediate of glycolysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. masturbation has no side effects as you have mentioned. you can do it, even it has no anemia as an effect. anemia occurs when you are bleeding as you are not bleeding in masturbation it won't cause you anemia. even you can saturate desire by masturbating, so it has advantage on other side. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Answer this question truthfully,"Call your health care provider if you or a family member shows symptoms of this disorder, particularly if there is a family history of homocystinuria. Also call if you have a family history and are planning to have children."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, depot proverb contains progesterone. it is known to cause breakthrough bleeding. in such events, increasing a dose of progesterone helps. norethisterone is a progestational preparation. so it will help you control the spotting. however, instead of taking it in advance, i would advise taking them only when you get spotting. once the spotting stops, you may discontinue the pills. i hope this helps you."
Please answer with one of the option in the bracket,C: Chronic pelvic pain syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread you query as you have undergone tooth extraction now you have pain and swelling see what happened is pain and swelling after extraction can be due to some reason can be due to infection, chatbot.  for this you should consult oral surgeon for examination of socket and incentive follow post-operative instructions, take proper course of antibiotic prescribed by your dentist. hope this will help you."
Please summerize the given abstract to a title,Roles of Lipids in the Permeability Barriers of Skin and Oral Mucosa
Answer this question truthfully,"Orotic aciduria is inherited in an autosomal recessive pattern, which means that a person needs to inherit two copies of the mutated gene (one from each parent) to develop the disorder. If both parents are carriers of the mutated gene, there is a 25% chance that their offspring will inherit the disorder."
Answer this question truthfully,"Cyclosporine is the immunosuppressive agent that can cause side effects such as nephrotoxicity, hyperkalemia, gingival hypertrophy, and hirsutism."
Please summerize the given abstract to a title,Expanded tropism and altered activation of a retroviral glycoprotein resistant to an entry inhibitor peptide.
Answer this question truthfully,"Hypothyroidism can cause hyperprolactinemia by stimulating prolactin secretion through thyrotropin-releasing hormone (TRH). When thyroid hormone levels are low, the hypothalamus releases more TRH, which stimulates the pituitary gland to secrete more thyroid-stimulating hormone (TSH). However, TRH also stimulates the release of prolactin from the pituitary gland, and high levels of TRH can lead to high levels of prolactin secretion. This condition, known as hyperprolactinemia, can cause a range of symptoms, including irregular periods, infertility, and decreased sex drive. Therefore, the stimulation of prolactin secretion by TRH is the mechanism by which hypothyroidism can lead to hyperprolactinemia. Treatment for hypothyroidism typically involves thyroid hormone replacement therapy, which can help to normalize TRH and TSH levels and reduce the risk of complications such as hyperprolactinemia."
Answer this question truthfully,"In congestive heart failure (CHF), the heart is unable to pump blood effectively, which can lead to a low ejection fraction. This reduced ejection fraction can result in low stimulation of baroreceptors, which are specialized nerve cells that help regulate blood pressure. When baroreceptors are not stimulated properly, the body may secrete antidiuretic hormone (ADH), which can cause fluid retention and lead to hyponatremia, or low levels of sodium in the blood. This can exacerbate symptoms of CHF and lead to further complications. It is important to consult with a healthcare professional for proper diagnosis and management of CHF and its associated symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos per your description of the lump it seems to be a neurofibroma. need not worry, it's a benign condition, and it is mostly a cosmetic concern rather than pathological. the common sites being the fore arm wrist back etc. it causes pain only when pressed deep, otherwise it only causes mild tingling or mild pain. it may be single or multiple. definitive treatment for this is only surgical excision of the lump. need not worry about this too, as it is only a day care minor surgical procedure. thaank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. you had been indulged in masturbation since many and now facing problems related to sexual activities.first there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety. erectile dysfunction that you have is due to excessive masturbation as one gets normal hard erection after a time gap of few hours but since you have almost 10-15 times in a day it is natural not have good hard erection. following measure will help you to boost up your confidence and getting good erection. and delay ejaculation.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. get yourself engaged in some activities like sports, reading, listening to music so that you will not get free time to masturbate. chatbot."
Please summerize the given abstract to a title,Implications of the Immune Landscape in COPD and Lung Cancer: Smoking Versus Other Causes
Please summerize the given abstract to a title,"Effect of COVID-19 restrictions and border closures on vaccine preventable diseases in Victoria, Australia, 2020-2021."
Answer this question truthfully,"Pick disease, also known as frontotemporal dementia, is characterized by round aggregates of hyperphosphorylated tau protein known as Pick bodies, which may be seen with silver stain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for quarry, as you mention that your child regurgitate all the time and vomit after food. history and examination is helpful in such condition. vomiting particles mixed with or color matter because there are a lot of reason narrowing of lower end of esophagus, pyloric obstruction may be the reason. hyperactive gag reflex may be the reason. give him spy.comparison if he still vomits than consult your pediatrician for prompt diagnosis and treatment. hope the answer will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your question & concern.  at 37 weeks, baby starts depending down in pelvic cavity. that is why mild contractions of uterus & a bit more jelly like vaginal discharge are common at this stage of pregnancy. delivery is occasionally possible so early. better to rule it out with internal check up by your obstetrician.  diarrhea with jelly like substance in stools suggests infection. also, mild abdominal pain throughout day might come from bowel infection. please consult your doctor & get proper medication for diarrhea.  take plenty of water with sugar/ pinch of salt in it or ort powder in water/take rest.  thanks."
Please summerize the given abstract to a title,[Translated article] Spanish Asthma Management Guidelines (GEMA) v.5.1. Highlights and Controversies
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome to chatdoctoryou have had two episodes of uti as you have mentioned. and now the uti has cleared with antibiotic treatment. but you are still having pain in lower abdomen which is dull aching sometimes sharp. these symptoms indicate that you may have a urinary tract stone which houses down from the kidney to the bladder via ureter. association of stone with uti occurs quite often. the movement through the ureter is causing the sharp pain. first thing to do is to get an x-ray of the pub (kidney-ureter-bladder) region. the subsequent investigations will be guided by the x-ray report. majority of stones show up in the x-ray of pub region. the treatment modality will depend on the site or the stone and the size of the stone. thanks and take care chatbot.
Please answer the letter of option truthfully,C
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The EGF receptor is a protein that is expressed at the epidermis, which is the outermost layer of the skin. Erlotinib is a medication that inhibits the activity of the EGF receptor and is commonly used to treat certain types of cancer. However, because the EGF receptor is also involved in the maintenance of healthy skin, patients taking Erlotinib are at risk of developing a severe skin reaction known as Stevens-Johnson Syndrome. This condition is characterized by the appearance of painful blisters and sores on the skin and mucous membranes, and can be life-threatening if left untreated."
My father is suffering from IBS and is loosing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.,"Look for foods that make the symptoms worse and change your diet to avoid such foods. These may include  fatty or fried foods, dairy products, caffeine, sodas, alcohol, chocolate, and grains such as wheat, rye, and barley. Eat 4 or five smaller meals a day and follow your doctor's instructions to take medicines."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. your symptoms are suggesting acute sinusitis. post nasal chatbot.  if people around you are also suffering then cause could be viral. i would suggest you following things
"Angelman syndrome. Can a person with Angelman Syndrome have children? If so, can the disorder be passed on to offspring?",Angelman syndrome is a rare genetic disorder that may be inherited from a parent. Offspring of people with a family history of Angelman syndrome may  be at an increased risk of developing the disorder.
Answer this question truthfully,"According to the United States Preventive Services Task Force (USPSTF), there are no screening recommendations for botulism."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, the response to treatment shown in psoriasis is different from patient to patient. you are currently taking solitary (methotrexate) which is a standard chatbot.  it will take some time for your condition to gradually improve, remember there is no complete cure for psoriasis. if your skin lesion worsen you will need to increase the dose or take light therapy (pva). i will suggest you some methods which may help improve your condition.1. choose your soaps and perfumes which are specially designed and labelled for sensitive skin, as they will not have strong dyes in them.2. avoid red meat and a lot of fatty food.3. eat more of cranberries and nuts.4. use sensitive skin moisturizers.5. primrose oil capsule once a day have been found to be beneficial in many patients.6. take your psoriasis medications regularly. hope that answers your question,"
Answer this question truthfully,The drug combination of atovaquone and proguanil is commonly used prophylactically in travelers to prevent malarial infection.
Please answer the letter of option truthfully,C
Please answer with one of the option in the bracket,D: Small cell lung cancer
"If you are a doctor, please answer the medical questions based on the patient's description.","you seem to have chronic charities. you develop small vesicular lesions on lower and upper lips. i think it may become crusted and swollen off and on. there may be erythema, chatbot.  you might have mild pain, burning and itching. there may be some cause. lip licking might exacerbate the disease. sundays exposure, cosmetics, lipstiks toothpaste, dusts...etc. might be responsible. vitamin b complex deficiencies, anaemia or nutritional inadequacy might cause the disease... you consult dermatologist for firm diagnosis and perfect treatment of its cause. have blood tests to rule out any internal disease or vitamin deficiencies. you may take folic acid 5 mg thrice a day with iron tab. antibiotics may be needed if there is secondary bacterial infection. apply antibiotic cream with mild steroid like mometasone. you avoid soap, cosmetics and lipstick for good and fast result. avoid bad habit of lip licking, if it is there. do not prick the lip skin with your nails. you might get good result after few weeks. i hope this would help you in your treatment. thanks."
Please summerize the given abstract to a title,A Cold Chain-Independent Specimen Collection and Transport Medium Improves Diagnostic Sensitivity and Minimizes Biosafety Challenges of COVID-19 Molecular Diagnosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome, and thanks for sharing your concern i went through your query, and i feel, you need to know that cramps have multiple reasons, but bruising is usually not seen with cramps, in this case evaluation for the reason of cramps is must, the cramps can occur due to1 deficiency of potassium, calcium, phosphates, 2 it d and e deficiency,3 excessive sweating, and unaccustomed work...the bruising is usually sign of microbleed and for that you need a platelet count and cbc examination. for all this seeing your physician before proceeding for tests will be a better idea hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
Please summerize the given abstract to a title,Estimating the real burden of disease under a pandemic situation: The SARS-CoV2 case
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. if i were your doctor, i would dissuade you from eating from outside if you do specially spicy, fried and fast food. plenty of bowel motions could be due to an infection of your intestines, which usually comes from food in hotels not cooked hygienically. in that case a stool test for ova and cyst, and a broad spectrum antibiotic depending on the organism detected would solve the problem. at the same time i would suggest you following changes in your dietary routine like"
Answer this question truthfully,"ARDS, or acute respiratory distress syndrome, is a condition that can cause severe respiratory failure. One of the key features of ARDS is the collapse of the alveoli, the tiny air sacs in the lungs where gas exchange occurs. In addition to the formation of hyaline membranes, the loss of surfactant can also contribute to alveolar collapse in ARDS. Surfactant is a substance that helps to reduce surface tension in the alveoli, preventing them from collapsing during exhalation. Without sufficient surfactant, the alveoli can become stiff and collapse, leading to impaired gas exchange and respiratory failure."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to ask a doctor service. i have reviewed your query and here is my advice. your main concern is regarding hiv diagnosis. after six weeks of exposure fourth generation elisa testing can be done to effectively rule out hiv. it is advisable to repeat test again after three months of exposure. so repeat test after three months of exposure. if you want to rule out hiv earlier than western blot like molecular testing can be done. western blot is confirmatory test for hiv as well. hope i have answered your question. let me know if i can assist you further.
Answer this question truthfully,"The natural history of MEN-1 is difficult to delineate given the rarity of the disease.  The manifestations of MEN-1 usually develop in the first, second, or third decade of life. The age at which MEN-1 develops may vary significantly, even among members of the same family. If left untreated, manifestations of MEN-1 may gradually worsen, and patients may die of complications of the disease."
Please summerize the given abstract to a title,Uncertainty Management and Curve Flattening Behaviors in the Wake of COVID-19's First Wave.
Please summerize the given abstract to a title,"Maximizing the Potential of Mini-Grants to Promote Policy, Systems, and Environmental Changes: Outcomes and Challenges."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for your query. your father who is 65 years old has got pain in tail bone and sciatica. his mri has revealed a lesion in the tail bone and has advised bone scan. this is mandatory to know whether he has bone lesions anywhere in pelvic bones which is termed as secondaries in the bone these secondaries are sometimes presetting symptoms rather than a primary pathology from some other organ which is dormant and asymptomatic please do not worry it is important to find out the site of a primary lesion. .
Answer this question truthfully,"Yes, anterior cord syndrome typically results in a loss of vibration and proprioception. This is because the anterior spinal artery, which supplies blood to the anterior portion of the spinal cord, is affected in this condition. The loss of vibration and proprioception is due to damage to the ascending tracts of the spinal cord, which carry sensory information from the body to the brain. Other symptoms of anterior cord syndrome can include paralysis or weakness of the muscles below the level of the injury, loss of pain and temperature sensation, and autonomic dysfunction."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! it could be a food poisoning if you have eaten from outside. otherwise, it may be an attack of chronic pancreatitis, where there are periods of remission followed by periods of exaggeration of the symptoms. you are suggested to get yourself reviewed by your family physician, who may advise you some routine blood check-ups like cbc, and stool test, apart from some specialized tests like an ultrasound or a ct scan to know the status of the pancreas and manage accordingly. wishing you an early recovery and i also wish that you do not revert to alcohol, as at the present stage and future, it is a poison for you."
Please summerize the given abstract to a title,The role of 5G for digital healthcare against COVID-19 pandemic: Opportunities and challenges
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to chatbot, i am chatbot. lipanthyl and alcohol do not have any significant interactions in my opinion and normal quantities can be used at the same time. just keep an eye at your cholesterol levels stay active, take lesser fat and if it stays in range you can discuss with your doctor about leaving the medicine. a blood pressure reading of 145/90 is quite appropriate, you do not have to change medication for that. in fact first step would be to change lifestyle. my advice for you is"
Please summerize the given abstract to a title,What Does Putin Promise Russians? Russia's Authoritarian Social Policy
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, brief answer"
Answer this question truthfully,"Zidovudine is associated with myelosuppression, which can result in anemia and granulocytopenia. Myelosuppression is a condition in which the bone marrow is suppressed, leading to a decrease in the production of blood cells. This can lead to a range of symptoms, including fatigue, weakness, and increased susceptibility to infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","as per your explanation for self check, you can try to hold the muscle belly of your left leg calf muscle and squeeze it. if the muscle is pain full then it shows it can be related to atherosclerosis (clotting) in your blood vessels under the muscles.  another test is sat in straight leg position press your knee down and stretch the feet towards you.  if someone can help to stretch then it will be better.  and again you have to see if there is pain then the test is positive and there might be a problem with vascularity for the affected leg.  here the test will give suspected result however the conformation can be done with doppler test, so you may need to go for it when above two test are positive. and then visit a vascular doctor who can suggest you medication based on the result. now when the physical test are negative means no pain with stretching or squeezing calf muscle means there might be weakness or soreness of muscle.  in this case you should use hot pack or deep your leg in hot water with added salt, you can also use cold pack to reduce inflammation.  do this for 2to 3 times a day and check.  you can also take help of physiotherapy treatment like ultrasound and few stretching exercises as well if needed analgesics for time being. i also suggest once do check your blood pressure and sugar level too. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, thanks for writing to us. the pains that you have described are likely to be due to a muscular pain. taking mild painkillers and muscle relaxants will bring a short term relief. regular exercise will be helpful. get evaluated by your doctor if it becomes persistent. meanwhile, you can do a hot fomentation and apply a local analgesic gel on the area to relieve the spasm. hope this helps you. wishing you good health... regards.  chatbot. orthopedic surgeon."
Please answer with one of the option in the bracket,E: Cholecystitis
Answer this question truthfully,"Prognosis of Stevens-Johnson syndrome is generally good. Most lesions heal rapidly within 1-3 weeks unless secondary bacterial infection of lesions occurs. Recovery can take longer, although it usually depends on the severity of symptoms and body surface area involved. The mortality rate is 1-5 percent in SJS and in TEN is 25-35 percent"
Answer this question truthfully,"Aliskiren can cause an increase in serum potassium levels, leading to hyperkalemia."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"If a reproductive age female presents with an adnexal mass, it is likely a cyst."
Please summerize the given abstract to a title,Will the large-scale vaccination succeed in containing the COVID-19 pandemic and how soon?
Please answer with one of the option in the bracket,A: Inhibition of acetylcholinesterase
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dear thank you for trusting chatbot i understand your concern for this problem as it feel very bad when u fell these different rating of heart rate before i straightly start your treatment you can first go through these tests both invasive n non-invasive first and most imp is ecg echo n tmt then i suggest you just a simple test of thyroid profile t3 t4 tsh and other is rft till them just give advice you to be just avoid tension full environment and walk for 30 min a day avoid alcoholic chatbot. etozolam 0.25\u00a0mg 1bd tab.propranolol 40\u00a0mg 1hs hope to see a good result and happy life get well soon regards
Answer this question truthfully,Cholesterol gallstones are the type of gallstone that is associated with rapid weight loss.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello left sided chest pain with radiation to left arm need proper evaluation. it may be due to cardio pulmonary causes, musculoskeletal reasons etc. you may need clinical examination and investigations like routine hologram, random blood sugar, renal function test, liver function test, lipid profile, chest x-ray (pa view), upper gi endoscopy, ecg,echo, tmt,ultrasound of abdomen. treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you need to consult pulmonologist and get done chest x-ray first. also show old x-rays to compare with present x-ray. so that any worsening of x-ray lesion can be picked up. if x-ray lesion is same or improving than no need to worry about tb or pneumonia. and if lesion is worsening than you may need ct thorax for better evaluation of lesion. as ct is far better imaging technique than x-ray in evaluation of lung diseases. you may also need bronchoscopy and bad analysis for identification of organism. so better first to consult pulmonologist and discuss all these.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot throat infections are the most common cause of sore throats. viral infection is more common than bacterial but based on the length of time that you are having pain and the intensity, it may be a bacterial infection. you may need to visit your doctor to see if antibiotics are needed. in addition, the use of oral sprays, gargles or lozenges would help to relieve the pain. examples are soluble aspirin, chlorogenic, islam, betadine hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! you have all rights to be worried but not depressed. being mother is the most beautiful thing for the women and for this reason you should be more understandable because your husband is passing a big problem. you should treat as a friend that he expresses his problems to you. after this you should go with your husband to a doctor(psychiatrists) to explain his problems.i'm sorry but you should be strong for you because you are very young and for your baby. chatbot.
Please summerize the given abstract to a title,Silent hypoxia in COVID-19: a gut microbiota connection
Answer this question truthfully,β-blockers are a first line treatment for essential tremor.
Answer this question truthfully,"Make healthy lifestyle choices to prevent chest pain from heart disease:
Achieve and maintain normal weight. Control high blood pressure, high cholesterol, and diabetes. Avoid cigarette smoking and secondhand smoke. Eat a diet low in saturated and hydrogenated fats and cholesterol, and high in starches, fiber, fruits, and vegetables. Get at least 30 minutes of moderate intensity exercise on most days of the week. Reduce stress."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, knee replacement is done when knee is permanently damaged and deformed because of long-standing conditions and not because of 3 weeks old injury and swelling. swelling will subside on it own all you need to do is to get adequate rest and ice fomentation, even then of it persists then knee aspiration is warranted, in which fluid will be sucked out of your knee with the help of a syringe. as far as knee replacement is considered it will depend solely on the condition of the articulating surfaces of knee, associated deformity and pain you are having because of that before the recent injury. you need to get an x-ray done, on the basis of it replacement can be planned if required. take care. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"Calcitonin is a peptide hormone that is produced by the thyroid gland. It plays an important role in bone metabolism by directly inhibiting osteoclasts, which are cells that break down bone tissue. When calcitonin binds to receptors on osteoclasts, it causes a decrease in bone resorption, leading to increased bone density."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the exercise is not an absolute contraindication in tooth infection. but if you have fever or body pain or viral infection, it is better to take rest for 1-2 days till the fever and viral infection subsides. if there is fever secondary to tooth infection, then you should take rest till the fever subsides. take a course of antibiotics and analgesics prescribed by your dentist. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing. i understand your concern. you are given stepwise treatment for induction of ovulation. closed is an ovulation induction chatbot. . a combination of camphene with fsh was tried but still follicular development was not good enough. that is why higher dose of fsh is given for ovulation induction to directly stimulate the ovary. gui is intrauterine insemination where centrifuged semen with motile sperms is injected into the uterus at the time of ovulation. it increases the chance of pregnancy by 20%. ivf is invited fertilization by which the egg and sperms are fertilized outside the body in the media and embryo is transferred into the uterus in the appropriate time. hope i have answered your queries. good day."
Answer this question truthfully,"You may take acetaminophen (Tylenol) every six hours as needed for pain in the area where the catheter was placed. Please be sure you are not taking more than one product containing acetaminophen, and do not take more Tylenol than what is recommended on the label."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, according to your symptoms i suppose that you have developed infection at the site of extraction this could be due to food lodgment or there could be presence of any broken root piece an x-ray of the region is required. at home take lukewarm saline and antiseptic mouthwash rinses. take a course of antibiotics and analgesics. avoid consumption of hot and spicy foodstuffs. hope you find this as helpful, regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. if your dog is a rabid dog, you can get rabies. however, the bite you had is grade 1, so you should get rabies vaccination done. keep a watch on your dog. if your dog survives after 10 days, get it vaccinated too. this is my best advice for you with the available details, if you have any further query, please ask us. stay healthy"
Answer this question truthfully,"Presbycusis is a form of sensorineural hearing loss, often found at higher frequencies. Sensorineural hearing loss is caused by damage to the hair cells or nerves in the inner ear that transmit sound signals to the brain. Presbycusis is a type of sensorineural hearing loss that occurs as people age. It typically affects the ability to hear high-pitched sounds, such as the voices of women and children, as well as birds and other high-frequency sounds. The loss of hearing sensitivity in these higher frequencies is one of the hallmarks of presbycusis."
Answer this question truthfully,"Thymine and uracil differ structurally in that thymine has a methyl group, while uracil does not."
"If you are a doctor, please answer the medical questions based on the patient's description.","from your description, it seems you are suffering from urticaria which is an allergic condition. allergy may be to intestinal worms, chatbot.  if there is no super added infection like pus discharge, antibiotics may not be of much use and in fact may be a cause for it. take an antiallergic like allegra or cetirizine and apply calamine lotion for soothing effect. also, deform yourself with albendazole."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. i understand your concern. first be reassured that your kid is normal. i will suggest you danger signs of head injury -1. vomiting continuously2. seizures3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. if none of them are present, i don't think you should worry about his trivial head injury. for pain, you can give oral paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,"HER2/neu positive breast cancer is a type of breast cancer that is characterized by the overexpression of the HER2/neu gene. One of the most effective treatments for this type of cancer is a drug called trastuzumab (Herceptin), which is a monoclonal antibody that targets the HER2/neu protein on the surface of cancer cells. Trastuzumab works by blocking the signals that promote the growth and division of cancer cells, which can help to slow or stop the progression of the disease. However, like many cancer treatments, trastuzumab can have side effects. One of the most significant potential side effects of trastuzumab is reversible cardiotoxicity, which can cause damage to the heart muscle and lead to heart failure in some cases. Other potential side effects of trastuzumab may include nausea, vomiting, diarrhea, fatigue, and fever. It is important for patients receiving trastuzumab to be closely monitored by their healthcare team for any signs of side effects, and to report any symptoms or concerns promptly."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Common allotypes of ER aminopeptidase 1 have substrate-dependent and highly variable enzymatic properties
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Peripheral Nerve Single Cell Analysis Identifies Mesenchymal Ligands that Promote Axonal Growth.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is quite common when a formula feed is being changed and hence do not worry. you have rightly mentioned that he is not crying, that means he doesn't have any pain in the tummy. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. do not worry about the frequency of the stools if the kid is active and passing urine well. regards -"
Answer this question truthfully,"Zenker diverticulum is a condition in which a pouch or sac develops in the wall of the esophagus, near the junction with the pharynx. It classically arises at Killian's triangle, which is the area between the thyropharyngeal and cricopharyngeal parts of the inferior pharyngeal constrictor muscle. This condition can cause difficulty swallowing, regurgitation of food, and other symptoms, and may require treatment such as surgery or endoscopic procedures to remove the pouch or alleviate symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign tumor or cyst, or it can be your cervix. you should go for per vaginal examination by gynecologist to find the exact cause. your cervix can be felt by you and its normal. consult your doctor and plan accordingly. it is not looking anything serious. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,C: Reverse transcriptase
Please summerize the given abstract to a title,A prediction model of outcome of SARS-CoV-2 pneumonia based on laboratory findings
Answer this question truthfully,"Biopsy may be helpful in the diagnosis of esthesioneuroblastoma. Findings on biopsy diagnostic of esthesioneuroblastoma include small, round-to-oval cells with coarsely granular chromatin, prominent nuclear membranes, multiple small nucleoli, and scant cytoplasm with pseudorosette or occasional Homer-Wright rosettes separated by fibrous septa. Calcification and necrosis are sometimes seen, and mitotic figures are rare."
Answer this question truthfully,"As per the information provided, B-ALL lymphoblasts are usually characterized by their expression of CD10, CD19, and CD20, and by being TdT+ (positive for terminal deoxynucleotidyl transferase)."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorcondition need to be ruled out for renal colic because this could be due to urinary stone and this need to be ruled out and best test would be ultrasonography test, and urine test, till then this can be treated with following medicines 1) tab clinician with chlordiazepoxide three times in day2) tab dicyclomine with acetaminophen three times in day hope this information helps, have a nice day."
Please summerize the given abstract to a title,Mobile Virtual Reality (VR) for science projects: Ohm's law laboratory
Please summerize the given abstract to a title,Dutch General Public Reaction on Governmental COVID-19 Measures and Announcements in Twitter Data
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. your semen analysis is well within normal limits. your wife remain pregnant but unfortunately resulted in to miscarriage, please note that there is no relation between quality of sperms and the miscarriage. the miscarriage is due to some hormonal imbalance during pregnancy. please consult some gynecologist for proper evaluation and assessment before the pregnancy and after she conceives so that she can be given hormonal support to continue the pregnancy,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern for your father and sorry to hear that from the history given here, if the condition malignancy in advance stage then nothing can be done i guess he must be on chemotherapy and that is the only hope he has, sometimes natural remission taking place and patient could complete the average life, hope this information helps you, have nice day."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",if a patient with succhatdoctorplains comes to my clinic i would ask him few things 1. does he have swell on veins in his calves which disappears after rest and reappears after prolonged standing 2? recent blood reports of blood coagulation profile 3.blood platelets level if these initial reports are with in normal limits then u can wait up to 5 august and if not then u should consult to your cardiologist urgently. hope this answers your query.
"If you are a doctor, please answer the medical questions based on the patient's description.","height loss, increased appetite, headache,anxiety and nervousness, headache, irregular heart beat, abdominal cramps, diarrhea, increased sensitivity to heat are the side effects of the chatbot. thyroxine is usually prescribed for low levels of thyroid hormone. in case of the above side effects, the dose can be reduced after looking at the tsh (thyroid stimulating hormone) levels. hope i have answered your query. let me know if i can assist you further. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, i think we should rule out pleurisy first in her case. pleurisy is inflammation of pleura. and it can cause similar kind of pain she is having (sharp, stabbing pain). possible causes for pleurisy are1. pneumonia2. pleural effusion3. tuberculosis. so get done chest x-ray to rule out above-mentioned causes. if chest x-ray is normal, then no need to worry much for pleurisy. it is musculoskeletal pain mostly. so ask her to take painkiller and muscle relaxant tablet."
how to prevent atherosclerosis,"You can control some risk factors, such as lack of physical activity, smoking, and an unhealthy diet. Others you can't control, such as age and a family history of heart disease. Some people who have atherosclerosis have no signs or symptoms. They may not be diagnosed until after a heart attack or stroke. The main treatment for atherosclerosis is lifestyle changes. You also may need medicines and medical procedures."
Answer this question truthfully,"Vitamin B9, also known as folate or folic acid, is important for the synthesis of nitrogenous bases in DNA and RNA."
Please summerize the given abstract to a title,H1N1 viral proteome peptide microarray predicts individuals at risk for H1N1 infection and segregates infection versus Pandemrix® vaccination
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,E: Lower extremity edema
Answer this question truthfully,"Congenital rubella occurs when the rubella virus in the mother affects the developing baby at a critical time, in the first 3 months of pregnancy. After the fourth month, the mother's rubella infection is less likely to harm the developing baby.
The number of babies born with congenital rubella has decreased dramatically since the introduction of the rubella vaccine.
Pregnant women who are not vaccinated for rubella and who have not had the disease in the past risk infecting themself and their unborn baby."
Answer this question truthfully,"Class II antiarrhythmic drugs (β-blockers) are useful in preventing rapid ventricular response (RVR) in atrial fibrillation and flutter, which is commonly referred to as ""rate control."" This means that β-blockers can help to slow down the heart rate in patients with these conditions, which can reduce symptoms such as palpitations, shortness of breath, and fatigue. However, as with any medication, the use of β-blockers for rate control must be carefully monitored to ensure that they are safe and effective for each individual patient."
Please summerize the given abstract to a title,Balancing Scarce Hospital Resources During a Pandemic: A Case-Study of COVID-19 at Addenbrooke’s Hospital (UK)
"If you are a doctor, please answer the medical questions based on the patient's description.","his had gone through your query. sadness of mood, fatigue, difficulty in concentration, loss of interest, irritability on minor issues, loneliness etc. may indicate depression with anxiety disorder. but proper psychological evaluation with physical examination may give more confirmatory diagnosis about your psychological well-being. it can be treated with different modalities like medicines, psychotherapy and counseling, behavior modifications and cognitive behavior therapy. choice of therapy depend upon evaluation and diagnosis. beside thismeditations, yoga, relaxation therapy, deep breathing etc. can help to reduce stress. proper sleep and health diet can be useful.stress-free work and discuss with friend can help to reduce anxiety. still have queried then feel free to ask. thank you. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",the problem with your sister is that her brain got damaged in childhood due infection of brain by malarial parasites. the brain is one such organ which once gets damaged does not recover unless its treated early. the recovery from this illness depends on the severity of illness and onset of treatment.  the brain is very fragile in younger age and mild damage can have severe residual consequences. the center part of brain is important for walking coordination abd memory integration and this part is called basal ganglia. this part is severely involved in cerebral malaria. at this age of your sister i sorry to say that nothing much can be done to your sister except physiotherapy and some multivitamin and neurotrophic chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","skin cancer is diagnosed by looking at the skin. we have to carefully examine growths, moles, and chatbot.  to get a better look, a device called a thermoscope is used. the device shines light on the skin. it magnifies the skin. this helps to see pigment and structures in the skin. if something that looks like skin cancer, it has to be removed ior part of it removed. the removed skin will be sent to a lab. this is called a biopsy. skin cancer cannot be diagnosed without a biopsy. a biopsy is quick, safe, and easy to perform. a biopsy should not cause anxiety. the discomfort and risks are minimalregards and take care"
Answer this question truthfully,"Bone marrow aspiration and trephine biopsy are usually performed on the back of the hipbone, or posterior iliac crest. However, an aspirate can also be obtained from the sternum (breastbone). A trephine biopsy should never be performed on the sternum, however, due to the risk of injury to blood vessels, lungs or the heart."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, whatever symptoms you have described, it looks like she is in encephalopathy, for which she might be hospitalized for further management and check her blood parameters like renal function and electrolytes which are usually deranged and there are chances of getting infection too. if there is any abnormality better to correct to regain her conscious levels. and about pee, that will be because of diuretics which your doctor might have prescribed. so starting with encephalopathy measures like adding cephalic spy 30 ml twice or thrice a day so that she should pass stools at least 2 to 3 times per day if not consider giving her cephalic enema. tab right 550 mg twice a day for at least 15 days should be given as this is an intestinal antibiotic with no side effects. avoid nsaids. proper nutrition specially protein content is necessary as in cirrhosis there will be low protein.avoid panto injection as it's not recommended in cirrhotics. avoid oily band spicy food hope this information helps outrank you"
Please summerize the given abstract to a title,Successful bicuspid aortic valve repair using external aortic annuloplasty.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellobradycardia can be life-threatening and since he is symptomatic, living in remote areas is totally not advisable. but if he is diagnosed bradycardia hey aren't you treating it. you must treat the cause. like if there is a conduction block then a pacemaker can be put. or if no cause is found again a pacemaker can be put. the pacemaker will maintain his cardiac rhythm, and he will be symptom free. pacemakers usually work for a long time. their service and checking is free and regular for lifelong. it would be very beneficial for him. in that case u can live at remote areas also. but again first the cause must be treated. if cause is not found and pt continues to be symptomatic a pacemaker has to be put. anothrr option is to do a holder monitoring which records ekg continuously to determine how many episodes of bradycardia he has every day. and then treat accordingly. thank you"
Please answer with one of the option in the bracket,A: Decreased action potential amplitude
Please summerize the given abstract to a title,Holmes: An Efficient and Lightweight Semantic Based Anomalous Email Detector
Answer this question truthfully,"Yes, neonatal clavicular fractures usually heal rapidly."
Answer this question truthfully,"Painless (silent) thyroiditis is often characterized by an initial brief hyperthyroid phase followed by a hypo-thyroid phase. During the hyperthyroid phase, the thyroid gland produces too much thyroid hormone, which can cause symptoms such as weight loss, rapid heartbeat, and anxiety. This phase typically lasts for a few weeks to a few months, after which the thyroid gland may become underactive, leading to a hypo-thyroid phase. During the hypo-thyroid phase, the thyroid gland produces too little thyroid hormone, which can cause symptoms such as fatigue, weight gain, and depression. The hypo-thyroid phase may last for several months to a year or more, after which the thyroid gland may return to normal function. Painless (silent) thyroiditis is so-called because it often does not cause pain or discomfort in the thyroid gland, and may only be detected through blood tests or imaging studies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, it is very important to get a proper clinical evaluation. this shall be important in distinguishing a poorly treated infection or resistance of the causative organism to the used anti bionics. this shall be gotten through institution of a recommended treatment protocol for an appropriate duration of time and followed up by your treating physician. doing a throat sad, culture and antibiotic sensitivity test could be important in diagnosing the appropriate germ and treating it proper. in case it's an allergic condition, or it becomes so recurrent, your ent specialist might decide to remove the tonsils. this could be necessary in prevent repeated infections, which could be a strong risk factor for rheumatic fever (mainly going and heart complications). i suggest you book an appointment with your ent specialist for a proper evaluation and management. thanks and best regards, luchuo, md."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your symptoms could be related to an inner ear disorder. low blood pressure could also mimic this clinical situation. for this reason, i would first recommend you to closely monitor your blood pressure values. if your blood pressure values are within the normal ranges, i would recommend consulting with an ent specialist for a careful physical exam. hope you will find this answer helpful! kind regards,"
Answer this question truthfully,"The table below summarizes the squamous cell carcinoma of the lung biopsy findings. 
Type of tumor Biopsy findings Squamous cell lung carcinoma Central nucleus Dense appearing cytoplasm, usually eosinophilic Small nucleolus Intracellular bridges - classic"
Answer this question truthfully,"During expiration, the slope of the pressure-volume loop increases as the density of surfactant molecules rapidly increases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern and congratulate you that you are so vigilant in choosing your chatbot.  oral contraceptive pills are an excellent method of preventing pregnancy but all of them do have a few disadvantages. they all tend to increase the risk of blood clots, but this happens more in elderly women, usually those that are debilitated or suffering from liver, heart or diseases of blood vessels."
Please summerize the given abstract to a title,[Initial results of robotic esophagectomy for esophageal cancer].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query, to answer your query, we will need details of operation. what was exactly done and what structures were removed. if i presume it was done for ovarian cyst/tumor which is a common cause of laparotomy at this time of pregnancy. in this case also even if one ovary or its part is retained during operation, then chances of pregnancy is there. go through the operation notes. best of luck. hope it helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through all the data you have posted. your reports are suggestive hepatitis. we need to evaluate the cause of hepatitis. in india common cause for hepatitis are viral hepatitis like hep b, hep c, hep a, hep e, alcohol induced and rarely hemochromatosis, wilson disease. we need ultrasound abdomen to look for liver echo texture. kindly stop alcohol if you have habit of and get the serology for viral markers done to know the etiology of hepatitis, as etiology determines the next treatment. for now, you can take ad\u00cdlio 300 mg 0-0-1 and reply with further details. hope this helps..."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. negative tidal test is suggestive of cured typhoid infection. as you are saying that he is currently on the treatment for urine infection, this spike of fever is because of the urinary tract infection. i advise you should go for urine culture and sensitivity. this will guide us regarding the possible pathogen and its treatment protocol. take the treatment under your doctors' guidance. please take plenty of water, this will flush the organisms from the system. please maintain good local hygiene as this can be help full in the treatment. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you have immobilized the foot there might be some lack of venous return leading to redness. there is nothing to worry. you can do hot water fermentation, a post which you can keep the leg over a pillow while lying down and do some ankle toe movements. this should help reduce pain and swelling. an x-ray revealed no fracture i feel this should be ligament sprain and need some time to heal. during the healing process you may find some discoloration of the skin too. don't worry and this will be fine soon. in my clinical practice of 12 years found most cases with similar complaints. but with rest and little exercise post 2-3 weeks of injury for about 1-2 weeks everything is fine. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,"Colorectal carcinoma is commonly associated with Streptococcus bovis (gallolyticus) bacteremia, which rarely presents in this medical condition."
Please summerize the given abstract to a title,Homeopathic Clinical Features of 18 Patients in COVID-19 Outbreaks in Hong Kong.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are a active smoker, we should definitely rule out pleurisy (inflammation of pleura) for your chest pain. common causes for pleurisy are lung infection, bronchitis and pleural effusion. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). chest x-ray is must for the diagnosis of lung infection and effusion. if chest x-ray is normal then no need to worry much. musculoskeletal pain is more likely. so avoid movements causing pain. apply warm water pad on affected areas of chest. take simple painkiller like paracetamol or ibuprofen. don't worry, you will be alright with all these. quit smoking as soon as possible because it is not a good habit. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Investigation of Anti-SARS-CoV-2 IgG and IgM Antibodies in the Patients with COVID-19 by Three Different ELISA Test Kits
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and would recommend you to get your hemoglobin, serum ferritin levels, serum vitamin b12 and serum vitamin d levels and thyroid function tests done to rule out any internal cause of hair loss.  start applying minoxidil 2 per cent lotion on the scalp twice daily. you can continue with trail tablet as it is effective in treating hair loss. you need to continue this for 4-5 months to see significant results. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. pills do prevent pregnancy, but they do not provide a 100% guarantee. one can still get pregnant while taking the 21-day pill. if you have got any doubt, i would suggest you to go for a urine pregnancy test, followed by a serum chatbot and an ultrasound if need be for confirmation and if advised by your family physician. thanks for using chatbot for your health query. good luck. chatbot."
Please summerize the given abstract to a title,Exploring the Barriers to Online Learning During the COVID-19 Pandemic. A Case of Pakistani Students from HEIs Higher Education Institutions
Answer this question truthfully,"Joint pain can be caused by many types of injuries or conditions. No matter what causes it, joint pain can be very bothersome. Some things that can cause joint pain are:
A utoimmune diseases such as rheumatoid arthritis and lupus Bursitis Chondromalacia patellae Gout (especially found in the big toe) Infections caused by a virus, including Epstein-Barr viral syndrome Hepatitis Influenza (flu) Lyme disease Measles (rubeola) Mumps Parvovirus Rheumatic fever Rubella (German measles) Varicella (chickenpox) Injury, such as a fracture Osteoarthritis Osteomyelitis (bone infection) Septic arthritis (joint infection) Tendinitis Unusual exertion or overuse, including strains or sprain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi tammy. you are welcome to chatbot. firstly i would say stop panicking and taking stress. the more you panic the worse it will become. you do have a high pressure, but not a reading which needs emergency attention. you did not mention which side of head you are feeling the pain. but for now wherever the pain is, you can always take over the counter analgesics. this will definitely give you relief.don't stay empty stomach, eat good food and try to sleep. all this will definitely help alleviate your symptoms. take care"
Please summerize the given abstract to a title,Acceptability and Usability of Computerized Cognitive Assessment Among Australian Indigenous Residents of the Torres Strait Islands.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, its difficult to evaluate the cause of gum infection after multiple tooth extraction. i would suggest you to get a thorough clinical as well as radiological examination. the remaining root pieces have to be removed if present. take complete course of antibiotics-analgesics too. maintain good oral hygiene. please discontinue the use of dentures until the socket heals completely. rinse frequently using warm saline and betadine. bone filing has to be done if there is any bony protrusions. i wish you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear everybody is different what is abnormal for one person is perfectly normal for other number of systems work together in our body to maintain the blood pressure, as because of accident you nerve has been damaged therefore your body finds it difficult to maintain a normal blood pressure, but our body has power of adaptation, slowluy and slowly your body has adapted to the changes caused by nerve damages per your query for a normal person lower blood pressure should be above 60\u00a0mm of hg but in your case if your body is not having any symptoms like dizziness, feeling of impeding doom, a blood pressure of around 50 is norm alas i said earlier until you are symptomatic to need not worry, any symptom like palpitation, giddiness, feeling of passing out is to be taken seriously, if you feel any problem it should be a matter of concern till the time you are asymptomatic don't worry"
Answer this question truthfully,Patients with Down syndrome have an increased risk for developing Alzheimer disease.
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome at chatbot.  i have gone through your query and being your physician i completely understand your health concerns ... what exactly the problem? any sclerosis cholangitis or biliary cirrhosis?  on basis of your history it is difficult to comment.  you should meet hepatologist so that you can be examined and investigated properly... in my opinion you should have mrcp of your liver and ducts so that exact problem can be sort out... after then definitive management can be initiated. stay calm and meet your hepatologist and discuss mrcp and ercp.... hope your query is ad chatbot.
Answer this question truthfully,Young children Children with a birth defect called intestinal malrotation
Answer this question truthfully,
Please summerize the given abstract to a title,Impact of Changes in EHR Use during COVID-19 on Physician Trainee Mental Health
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through your query i came to know that you suffering from injury left back and knee. you can get your x ray done to rule out fracture however it does not look like so. its treatment is rest and analgesic such as ibuprofen for pain relief. you can discuss with your treating doctor about it. i do hope that you have found something helpful. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
what are the causes of headaches,"What causes Headaches - danger signs? Problems with blood vessels and bleeding in the brain can cause as a headache. These include: - Abnormal connection between the arteries and veins in the brain that usually forms before birth. This problem is called an arteriovenous malformation, or AVM. - Blood flow to part of the brain stops. This is called a stroke. - Weakening of the wall of a blood vessel that can break open and bleed into the brain. This is known as a brain aneurysm. - Bleeding in the area between the brain and the thin tissue that covers the brain."
Please summerize the given abstract to a title,The militarization of responses to COVID-19 in Democratic Latin America/ A militarização das respostas à COVID-19 nas democracias Latino-americanas/ La militarización de las respuestas a la COVID-19 en las democracias latinoamericanas
Please summerize the given abstract to a title,"Modeling SARS-CoV-2 spike/ACE2 protein–protein interactions for predicting the binding affinity of new spike variants for ACE2, and novel ACE2 structurally related human protein targets, for COVID-19 handling in the 3PM context"
Answer this question truthfully,"The creation of an image from sound is done in three steps - producing a sound wave, receiving echoes, and interpreting those echoes.
A sound wave is typically produced by a piezoelectric transducer encased in a probe. Strong, short electrical pulses from the ultrasound machine make the transducer ring at the desired frequency. The frequencies can be anywhere between 2 and 15 MHz. The sound is focused either by the shape of the transducer, a lens in front of the transducer, or a complex set of control pulses from the ultrasound scanner machine. This focusing produces an arc-shaped sound wave from the face of the transducer. The wave travels into the body and comes into focus at a desired depth.
Older technology transducers focus their beam with physical lenses. Newer technology transducers use phased array techniques to enable the sonographic machine to change the direction and depth of focus. Almost all piezoelectric transducers are made of ceramic.
Materials on the face of the transducer enable the sound to be transmitted efficiently into the body (usually seeming to be a rubbery coating, a form of impedance matching). In addition, a water-based gel is placed between the patient's skin and the probe.
The sound wave is partially reflected from the layers between different tissues. In detail, sound is reflected anywhere there are density changes in the body: e.g. blood cells in blood plasma, small structures in organs, etc. Some of the reflections return to the transducer.
The return of the sound wave to the transducer results in the same process that it took to send the sound wave, except in reverse. The return sound wave vibrates the transducer, the transducer turns the vibrations into electrical pulses that travel to the ultrasonic scanner where they are processed and transformed into a digital image.
The sonographic scanner must determine three things from each received echo:
The direction of the echo. How strong the echo was. How long it took the echo to be received from when the sound was transmitted.
Once the ultrasonic scanner determines these three things, it can locate which pixel in the image to light up and to what intensity.
Transforming the received signal into a digital image may be explained by using a blank spreadsheet as an analogy. We imagine our transducer is a long, flat transducer at the top of the sheet. We will send pulses down the'columns' of our spreadsheet (A, B, C, etc.). We listen at each column for any return echoes. When we hear an echo, we note how long it took for the echo to return. The longer the wait, the deeper the row (1,2,3, etc.). The strength of the echo determines the brightness setting for that cell (white for a strong echo, black for a weak echo, and varying shades of grey for everything in between.) When all the echoes are recorded on the sheet, we have a greyscale image."
Please summerize the given abstract to a title,"On the Interplay Between Inductive Inference of Recursive Functions, Complexity Theory and Recursive Numberings"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  first he should go for protein electrophoresis and bone marrow examination.  confirm the diagnosis of multiple myeloma. ain multiple myeloma thalidomide and dexamethasone is helpful. rituximab is also helpful in some cases. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Genetic susceptibility is thought to play a large role in the pathogenesis of infantile bronchiolitis and will not be discussed here. However, age-related genetics may be implicated in the development of bronchiolitis in the elderly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for writing. i can understand your concern and would try to help you in the best possible way. mosquito borne infections are quite common particularly in this season. your symptoms could be related to dengue or chikungunya or any other mosquito borne infection. i suggest you consult your gp and get your self evaluated for this. you would require simple blood tests like cbc with peripheral smear for mp, dengue ns1 antigen testing and other tests depending upon the prevalence of other disease in your area.in the meanwhile chatbot.  if necessary take paracetamol to reduce your headache. you may try cold bandages and head massage to reduce your headache as home remedies."
Answer this question truthfully,The left anterior descending artery (LAD) is responsible for supplying blood to the anterior two-thirds of the interventricular septum.
Answer this question truthfully,The proper hepatic artery gives rise to the right gastric artery.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. you have mentioned that his brain was effected, but you have not mentioned how his brain was effected. effect due to fever or head injury or psychological trauma can have different treatments and different prognosis. i would suggest you to get back to us with further details regarding what actually happened. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thereof long ago has your son started the tb medication? was the fever there before starting medication? tb itself does cause fever whicchatdoctormonly occurs every 12\u00a0hours or so. if he has just started the medication i would give it some time (4 weeks) before the fever will settle down. in the meantime the use of antipyretic such as paracetamol 500\u00a0mg did will help. the fever may also be due to the response generated by the anti-tb treatment from killing the tb organism. however, we should also take into consideration the effect of tb chatbot.  there are many side effects from tb medication. one of the most common side effects is the effect on liver enzymes. look out for jaundice. he should have a liver function test done(lft) and follow up from there."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have history of trauma.  you may have some injury to your ligaments or meniscus.  so that hematoma formation occurs and it causes lump.  you should take symptomatic anti-inflammatory plus analgesic chatbot.  you should go for mri knee to know exactly where you have injury.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if your friend has taken gannet 84, regularly (there is no missed pill), & also used condom- i don't see any chance of conception for her. as she has already a gap of 3 days, let her wait for periods to come. if pill was missed, & there was no bleeding during inactive pills, consider pregnancy.  gannet 84 pills have 7 inactive pills at the end of the strip. so you are not supposed to wait for with chatbot.  actually gannet 84 is not given only for contraception. it is given for certain accompanying conditions like pimples.  if your friend does not have any such problem, let her consult her sync & start some simpler contraceptive after she gets her period.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you are facing problem of night emission. please note that it is very common to get night emission at the age of adolescence and there is nothing to be worried about it. it gets resolved without any treatment over a period of 1-2 years. as regards pain in penis after ejaculation, it is due to congestion of penis during erection and ejaculation. this fades away within 1 hour after ejaculation and does not need any treatment. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot it would be better if you mention the name of injections. as you are on 4th day of ivf treatment, i presume that you are getting gonadotropin injections(with or without grh agonist) for ovarian stimulation or only grh agonist. yes you are right that dosage of injection is pre decided and exact dose should be taken correctly under the skin or intro muscularly. as volume of this injection is very small these injections can be given subcutaneously (highly purified and recombinant) in no time. it is absolutely ok to walk and do your normal routine. you should avoid physical or mental stress. avoid lifting weights (e.g. bucket filled with water). regarding dosage of injections you can always clarify with your treating doctor. all the very best for the treatment."
Please summerize the given abstract to a title,Accounting and Financial Reporting during a Pandemic
Answer this question truthfully,"After claiming your topic from the crowdiagnosis project topics page, the next step is creating a cleaned and categorized causes list using excel. The following are the steps.
Click on your topic search results in the ""Files"" column to download the excel file that contains all the causes pertinent to that medical symptom or sign or disease or abnormal laboratory finding. Remove meaningless or erroneous causes from the excel file. Also search links like The diseases database and other reputable and reliable scholarly sources for collecting the causes. Make sure that you understand the difference between causes and risk factors as there are separate pages for each and you are required to populate the ""Risk Factors"" page also while working on the ""Causes"" page.
What is a Cause The cause temporally precedes the disease. Per Kenneth Rothman: ""An event, condition, or characteristic without which the disease would not have occurred."" Per Susser: ""A cause is something that makes a difference."" Causes can be either a host or environmental factor (e.g., characteristics, conditions, actions of individuals, events, natural, social or economic phenomenons). Causes may be positive (presence of a causative exposure) or negative (lack of a preventive exposure). 
What is a Risk Factor A risk factor is an environmental, behavioral, or biological factor, if present directly increases the probability of a disease occurrence and if absent or removed reduces the probability. For example, abdominal obesity increases the probability of developing type 2 diabetes mellitus and if absent or removed, the probability of developing the disease reduces. Risk factors are a part of the causal chain, or expose the host to the causal chain by being surrogates or markers of a cause and they are not a direct cause by themselves. For example, weight measures such as body mass index (BMI) is a surrogate or a marker of overweight due to adiposity such that high BMI may infer to being overweight due to adiposity, but they by themselves do not mean the person is overweight due to excess adiposity since bones and muscles also contribute to weight. They never result in any outcome of a disease. For example homocysteine as shown by certain studies is an independent predictor of cardiovascular disease risk, but lowering homocysteine would not lower the risk of cardiovascular disease. Example: Place of birth, socioeconomic status, and marital status are all associated with an increased risk of breast cancer, but none of these are causes. In this example, place of birth, etc. are surrogates or markers for underlying causes, e.g., populations with a higher prevalence of genetic risk from BRCA1 and BRCA2 alleles, or having fewer children which in turn is a marker for unopposed estrogen stimulation of breast tissue. Being born in northern Europe per se is not a cause; it is a marker for populations that may have a greater genetic predisposition to breast cancer. 
Cause vs Risk Factor Cause Risk Factor Cause is a factor with which a disease will definitely occur and without which a disease will never occur. Risk factor is a factor with which a disease may occur and even without which a disease may still occur. Example: Mycobacterium tuberculosis as a cause With mycobacterium tuberculosis bacilli exposure, tuberculosis will definitely occur. Without mycobacterium tuberculosis bacilli exposure, tuberculosis will never occur. Example: Hypertension as a risk factor With hypertension, cardiovascular disease may occur. Without hypertension, cardiovascular disease may still occur.
Verify each and every cause to ensure that it is correct based on medical literature. Sort the excel spreadsheet to put it in alphabetical order. Make a new column in the excel sheet and type in the formula: =(""""&B1&"""") where B1 is the entry around which you want the brackets. These bracketed entries can be uploaded in the category of causes page “Causes by Organ System” while editing. Make another column with an asterisks in front of each entry by using the formula: =(""*""&B1&"""") that can be used for other categories like ""Life Threatening Causes"", ""Common Causes"" and ""Causes in Alphabetical Order"". Copy and paste the lists created in the two new columns into notepad to remove the cells. These entries can now be copied for creating the causes page. Save the causes excel spreadsheet before proceeding further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for using this forum. i am very sorry for your loss. a deviated nasal septum (dns) is either post-traumatic like after an accident or congenital that since birth. in either the patient gives a history of obstructed breathing through the nose since birth or since the trauma. the other most likely cause for the nose block that you are experiencing is allergic rhinitis. the allergies in the human body can be due to altered immunity in response to allergens in the environment or mental stress. in your case i feel that the demise of your father could be trigger for the hypersensitivity causing the allergic rhinitis. in such a case surgery will not really be of great help. i shall be able to suggest the best hom med for you if you can answer the following questions what is your body type -lean / overweight /flabby /muscular ? what are your favorite foods ? how much salt and sour do you like ? do you also get discharge from nose, sneezing at any time of the day ? any relation to weather ? thanks and take care. chatbot. chatbot .com/doctors/"
Answer this question truthfully,"Measles, also known as rubeola, is a highly contagious viral infection that can cause a range of symptoms, including fever, cough, runny nose, and a characteristic rash. In addition to these clinical features, measles can also be diagnosed through laboratory testing of blood or respiratory samples, or through examination of lymph node tissue. Specifically, lymphadenitis with Warthin-Finkeldey giant cells is a diagnostic feature of measles. Warthin-Finkeldey giant cells are large, multinucleated cells that are formed in response to the measles virus, and can be seen in lymph node biopsies or other tissue samples. The presence of these cells, along with other clinical and laboratory findings, can help confirm a diagnosis of measles and guide appropriate treatment and management."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as i can figure it out here, you have been diagnosed with narcolepsy and your major concern regarding excessive sweating at night. sweating in night can be possibly due to heightened sympathetic activity during sleep. which is normal and should not be a reason for worry, it may be a bit distressful at times. here i would need to know if there are an associated nightmares or bad chatbot. besides an associated anxiety may predispose to excessive sweating. during sleep our thermoregulatory mechanisms are not working, that is the reason why one may find himself cold at night. i would suggest you to discuss your issues with the treating psychiatrist, as it does indicate that the underlying sleep problem is not being managed adequately. an addition of small dose of beta blocker and long acting benzodiazepine, can be discussed with the treating psychiatrist. welcome for further suggestions."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for posting your query to chatbot.  your results are not very significant and doesn't indicate with 100% surety that you have typhoid. actually a value of 1
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"In 2001,   according to Mary Leitao, her then two-year-old son developed sores under his lip and began to complain of ""bugs.""  Leitao, who graduated with a BS in Biology, and worked for five years at Boston hospitals as an electron microscopist and a immunohistochemist before becoming a stay-at-home mother, says she examined the sores and discovered red, blue, black, and white fibers.    She states that she took her son to see at least eight different doctors who were unable to find any disease, allergy, or anything unusual about her son's described symptoms. Dr. Fred Heldrich, a Johns Hopkins pediatrician with a reputation ""for solving mystery cases,"" examined Leitao's son.  Heldrich found nothing abnormal about the boy's skin, wrote to the referring physician that ""Leitao would benefit from a psychiatric evaluation and support,"" and registered his worry about Leitao's ""use"" of her son.  Psychology Today reports that Leitao last consulted an unnamed Johns Hopkins infectious disease specialist who after reviewing her son's records refused to see him, suggesting Leitao herself might suffer from "" Munchausen's by proxy, a psychiatric syndrome in which a parent pretends a child is sick or makes him sick to get attention from the medical system.""  This opinion of a potential psychological disorder, according to Leitao, was shared by several medical professionals she sought out: 
""(Leitao) said she long ago grew accustomed to being doubted by doctors whenever she sought help for her son, who is now 7 and still suffering from recurring lesions.'They suggested that maybe I was neurotic,' Leitao said,'They said they were not interested in seeing him because I had Munchausen Syndrome by Proxy.'"" 
Leitao says that her son developed more sores, and more fibers continued to poke out of them.   She and her husband, Edward Leitao, an internist with South Allegheny Internal Medicine in Pennsylvania, felt their son suffered from ""something unknown.""  She chose the name Morgellons disease (with a hard g) from a description of an illness in the monograph A Letter to a Friend by Sir Thomas Browne, in 1690, wherein Browne describes several medical conditions in his experience, including ""that endemial distemper of children in Languedoc, called the morgellons, wherein they critically break out with harsh hairs on their backs.""   There is no suggestion that the symptoms described by Browne are linked to the putative modern cases.
Leitao founded the Morgellons Research Foundation (MRF) in 2002 (informally) and as an official non-profit in 2004.   The MRF states on its website that its purpose is to raise awareness and funding for research into the proposed condition, described by the organization as a ""poorly understood illness, which can be disfiguring and disabling"".  Leitao stated that she initially hoped to receive information from scientists or physicians who might understand the problem, but instead, thousands of others contacted her describing their sores and fibers, as well as neurological symptoms, fatigue, muscle and joint pain, and other symptoms.  The MRF claims to have received self-identified reports of Morgellons from all 50 US states and 15 other countries, including Canada, the UK, Australia, and the Netherlands, and states that they have been contacted by over 12,000 families. 
In May 2006, a CBS news segment on Morgellons aired in Southern California,  The same day the Los Angeles County Department of Health services issued a statement saying, ""No credible medical or public health association has verified the existence or diagnosis of'Morgellons Disease',"" and ""at this time there is no reason for individuals to panic over unsubstantiated reports of this disease"".  In June and July 2006 there were segments on CNN,  ABC's Good Morning America,  and NBC's The Today Show. In August 2006, a segment of the ABC show Medical Mysteries  was devoted to the subject. The disease was featured on ABC's Nightline on January 16, 2008  and as the cover story of the January 20, 2008 issue of the Washington Post Magazine. 
The first article to propose Morgellons as a new disease in a scientific journal was a review article co-authored by V. R. Savely, M. M. Leitao, and R. B. Stricker, members of the MRF. It was published in July, 2006 by the American Journal of Clinical Dermatology.  An article in the San Francisco Chronicle reported, ""There have been no clinical studies"" (of Morgellons disease).  A New Scientist article in September 2007 also covered the mystery noting that people are reporting similar symptoms in Europe and Australia. 
A Centers for Disease Control and Prevention (CDC) task force first met in June 2006.  In July 2006, Dan Rutz, MPH, a communications specialist for the CDC, said, ""We're not ready to concede there's a new disease, but the volume of concern has stepped up because a lot of people are writing or calling their congressmen about it.""  By August 2006, the task force consisted of 12 people, including two pathologists, a toxicologist, an ethicist, a mental health expert and specialists in infectious, parasitic, environmental and chronic diseases.  In May 2007, KGW-TV Newschannel 8's Laural Porter asked Rutz if he had any information about the nature of the fibers. At that time Rutz said, ""None. We don't know. We haven't studied them in a lab yet. There is nothing to imply there is an infectious process, but our mind is open to everything, including that remote possibility."" Since then, the CDC has launched a funded study (see below) that will include further examination of fibers taken from Morgellons lesions by the CDC.
In June 2007, the CDC opened a website on ""Unexplained Dermopathy (aka'Morgellons').""  By November 2007, the CDC had announced an investigation process, stating that, ""The primary goals of the investigation are to better describe the clinical and epidemiologic features of this condition and to generate hypotheses about possible risk factors.""  Kaiser Permanente in Northern California was chosen to assist with investigation, which will begin when the scientific protocols and review board structure have been prepared and approved. Investigators will report on the geographic distribution of the illness and estimate rates of illness in affected communities. The investigation will involve skin biopsies from affected patients and characterization of foreign material such as fibers or threads obtained from patients to determine their potential source.   In January 2008 it was reported that CDC was enlisting the aid of the U.S. Armed Forces Institute of Pathology and the American Academy of Dermatology ""to conduct'immediate' and'rigorous' research."" 
On January 2008 the CDC, in conjunction with Kaiser Permanente's Northern California Division of Research, launched a funded study of the unexplained skin condition known as Morgellons. A press conference was held on Jan 16, 2008 with Dr. Michele Pearson, principal investigator for the CDC, and Dr. Joe Selby, Director of Kaiser Permanente's Northern California Division of Research.  During the press conference, Dr. Pearson stated: ""What I can tell you is real is the suffering that these patients are experiencing. I cannot characterize this as a syndrome, as disease. I can tell you it's an unexplained illness."" Clinical examinations for the study will be done in Oakland, California.
The CDC investigation follows a mailing campaign coordinated by the Morgellons Research Foundation in which ""self-described sufferers clicked on the foundation Web site and sent thousands of form letters to members of Congress."""
Please summerize the given abstract to a title,Teaching and learning musical instruments through ICT: the impact of the COVID-19 pandemic lockdown
Answer this question truthfully,"The cause of focal segmental glomerulosclerosis is usually unknown.
The condition affects both children and adults. Men and boys are affected slightly more often than women and girls, and it also occurs more often in African Americans. Focal segmental glomerulosclerosis causes about 20 - 25% of all cases of nephrotic syndrome.
Known causes include:
Heroin use HIV Inherited genetic problems Obesity Reflux nephropathy (a condition in which urine flows backward from the bladder to the kidney) Sickle cell disease"
Please summerize the given abstract to a title,Multisystem inflammatory syndrome in children related to COVID-19: An update regarding the presentation of two critically ill patients.
Answer this question truthfully,"Pancreatic secretions are an important component of the digestive process, and they are produced by the pancreas in response to food intake. These secretions contain a variety of enzymes and other substances that help break down food in the small intestine. One important characteristic of pancreatic secretions is their tonicity, or the concentration of solutes relative to plasma. It has been found that pancreatic secretions are iso-tonic relative to plasma, regardless of flow rate. This means that the concentration of solutes in pancreatic secretions is the same as that in plasma, which helps to ensure that the body can absorb nutrients from the small intestine without any disruption to fluid balance. The iso-tonicity of pancreatic secretions is maintained by a variety of mechanisms, including the regulation of ion transport across the epithelium of the pancreatic ducts."
Please summerize the given abstract to a title,Studies on the development of an ELISA kit for microbiological monitoring. 1. Evaluation of the reliability of the prototype kit by field tests.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. if the black dots are painless and not having any other symptoms, they can be just moles like birthmarks that do not require any treatment and should be accepted as part of the body. however, if the dots increase in size, swells up, ulcerates or cause any other symptoms, a dermatologist or physician should be consulted for clinical examination and further investigations. i hope this information helps you. thank you for choosing chatbot. take care. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hothouse, thanks for writing your query. it seems that you are suffering from allergic rhinitis, an allergic condition. you should identify the allergen and avoid it. taking antiallergic medicines like fenofexadine 120 mg once a day, will be helpful. take medicines under medical supervision only. also get your blood tested for complete blood count including absolute eosinophil count. make it a habit of washing your hands with soap and water before and after meals. this will decrease the frequency and duration of infection. also eat fresh fruits and vegetables. this increases your immunity to fight infections.  if the problem persists, get yourself examined by a physician. i hope this is helpful to you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of nerve root there can be pain in your back. on deep breath there is more compression leading to more pain. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Increased Delta variant SARS-CoV-2 infections in a highly vaccinated medical center in Japan
Answer this question truthfully,"Pseudohypoparathyroidism type 1a, or Albright hereditary osteodystrophy, is inherited in an autosomal dominant pattern. This means that a person only needs to inherit one copy of the mutated gene from one parent to be affected by the condition. With autosomal dominant inheritance, there is a 50% chance that a child of an affected parent will inherit the mutated gene and develop the condition. Pseudohypoparathyroidism type 1a is a rare genetic disorder that affects the body's ability to respond to parathyroid hormone, leading to low levels of calcium in the blood and other symptoms such as short stature, round face, and shortened fourth and fifth fingers."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... noted you have elevated liver enzymes periodically.... if you have diarrhea along with abdomen pain periodically then search for celiac disease done as they can elevate liver enzyme. antibody testing done for it.... in this symptom appear with gluten diet like wheat, rye etc... investigate with usg, complete lft to rule out fatty liver and gall stone if present... if you have cardiac problem history and muscular problem then enzymes can be elevated. if still no cause clear chronic carrier of bag ruled out by viral marker study by elisa.... take care. hope your concern solved."
Answer this question truthfully,"During the acute stage of hepatitis C virus (HCV) infection, HCV RNA can be found in the serum for less than 6 months. This period of active viral replication can vary in duration and may not always be accompanied by symptoms. However, early diagnosis and treatment of acute HCV can help prevent progression to chronic infection and reduce the risk of long-term complications such as liver damage and liver cancer. It is important to seek medical attention if you believe you may have been exposed to HCV or are experiencing symptoms of acute infection such as fever, fatigue, and abdominal pain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case, due to blunt injury there can be hematoma collection. the bleeding that occurs result in hematoma collection. over a period of time, as hematoma resolves it cause local skin symptoms around the hematoma. continue ice application, and thrombhophobe ointment may help and take rest. you can do x-ray to see for fracture, giving supportive splint will give early recovery. if required you may need to do blood investigation for prognosis and recovery. take precaution to avoid infection around hematoma. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please answer with one of the option in the bracket,E: Palpable purpura
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems you are suffering from cervical disc prolapse with spinal cord compression. if you have shared your mri report i could give better opinion. first line treatment is physiotherapy and medications and if not relieved cervical epidural injection is next treatment.  even then if you are not relieved surgery is needed. if compression on spinal cord is from both anterior and posterior sides dual approach may be needed. with recent advances in surgical techniques and anesthesia cervical spine surgery has become less risky and better outcomes can be expected.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. breo elliott is having bilateral and fluticasone curate. bilateral is newer long acting beta 2 agonists. and fluticasone is long acting inhaled corticosteroid. and it is very well studied chatbot.  it is long acting so given twice daily. and you can definitely take this with spirea. also enroll yourself in pulmonary rehabilitation center where chest physiotherapy is available. besides vaccinate yourself with pneumococcal and h.influenza to prevent future infection.
Answer this question truthfully,"The QTc interval is a measurement of the time it takes for the heart to depolarize and repolarize during a single heartbeat. A QTc interval greater than 500 milliseconds is considered to be at increased risk for dangerous dysrhythmias, such as Torsades de Pointes. This condition can lead to fainting, seizures, or sudden cardiac death."
Please summerize the given abstract to a title,Rapid detection of Chattonella marina by PCR combined with dot lateral flow strip
why can you not take grapefruit with felodipine,Talk to your doctor about drinking grapefruit juice or eating grapefruit while taking felodipine.
Please summerize the given abstract to a title,"Are rural patients aware of myocardial infarction's risk factors, symptoms, and management? A survey study in the COVID-19 pandemic era."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have pulmonary eosinophilic or some other cause like allergy or asthma. you should search the cause and take treatment according to cause. antihistamines and steroids can help you according to cause. no need to worry about death. you have normal life expectancy. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Urine crystals found in uric acid kidney stones are characterized by a rhomboid or rosette shape.
Answer this question truthfully,"Risk factors (conditions that increase your chances of getting pneumonia) include:
Cigarette smoking Recent viral respiratory infection (common cold, laryngitis, influenza) Difficulty swallowing (due to stroke, dementia, Parkinson's disease, or other neurological conditions) Chronic lung disease (COPD, bronchiectasis, cystic fibrosis) Cerebral palsy Other serious illnesses, such as heart disease, liver cirrhosis, or diabetes mellitus Living in a nursing facility Impaired consciousness (loss of brain function due to dementia, stroke, or other neurologic conditions) Recent surgery or trauma Immune system problem"
Please summerize the given abstract to a title,"Visitor satisfaction and behavioral intentions in nature-based tourism during the COVID-19 pandemic: A case study from Zhangjiajie National Forest Park, China"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. if a patient with similar complaints come to me, i usually suggest undergoing diagnostic laparoscopy. by these adhesions can be visualized properly and also distribution of it. in same setting if adhesions are diagnosed then they can be released. it is unlikely for adhesions to release with chatbot.  i also suggest continuing folic acid supplement which helps in producing healthy eggs. i suggest getting tubal patency done. if tubes are open then it is unlikely to cause problem in fertility and don't worry about adhesions outside. if tubes are blocked due to compression from adhesion then the option left are tubal recanalization or ivf. i suggest going for ivf instead of tubal surgery. ivf has better results. hope i have been helpful. regards"
Answer this question truthfully,The test of choice to evaluate the extent of injury following caustic ingestion is upper GI endoscopy.
Please summerize the given abstract to a title,Development of online observable dynamics experiments using augmented reality
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as mentioned by you about the limping, i will recommend undergoing a complete clinical musculoskeletal assessment as some clinical orthopedic special test will be performed to check the status of the soft tissues within the knee joint. usually this limping occurs due to locking of the knee joint as by which the knee does not become flexible to move around. runners usually suffers with ligament injuries over a period of time and needs a thorough assessment. also post the clinical assessment may be an mri of the knee will be guided to check any soft tissue injury. which is important to know right now itself to avoid the latter coming days' injury. with rest and physical therapy the knee joint mechanism will be achieved. also, on later stages a sports retraining program will be implemented by which the becomes stronger to avoid pain and aches along with locking unlocking mechanism to function to the optimum. in my clinical practice i have seen cases with succhatdoctorplaints and by a thorough detailed clinical assessment and use of mri helps us to help the patient further for the best outcome score. my patients even achieved 100% of the score in their knee mechanism. i expect the same from you.regards jay in chatbot."
Please summerize the given abstract to a title,"Effect of virtual reality therapy, combined with physiotherapy for improving motor proficiency in individuals with Down syndrome: A systematic review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. you have not mentioned reports of any investigations if done till now. if i were your doctor, i would advise you for a fresh mri of brain to exclude any organic problem of brain. also, i would go for your routine blood tests like complete blood count, blood sugar, kidney function tests including serum electrolytes. at the same time, i would advise you to alleviate any anxiety problem if there is any such. further management would depend on the reports of the said investigations. possibly, you should also have a specialist neurological consultation if your problem persists. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot"
Answer this question truthfully,"Abdominal pain Nausea Vomiting Diarrhea Bloody stools Joint pain Purple spots on the skin (purpura), usually over the buttocks, lower legs, and elbows Hives or angioedema Painful menstruation"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam. i understand you and your concern, but it is not possible to evaluate aggressively of tumor by lab parameters. it can be evaluated only by surgeon during the procedure and phd analysis. stage aiic means serious involvement of ovary and structures around it or lymph nodes. it needs to be treated more aggressively than stage ii and i recommend you to do chemotherapy despite its complications. ovarian cancers unfortunately are almost the worst ones and you shouldn't do any compromise. even if it seems to be borderline without detected invasive implants there can be some micro-metastasis which won't be seen during the surgical procedure. che moth can be very preventive and therapeutic, and you will feel safer.  wish you good health"
Please summerize the given abstract to a title,Mesenchymal Stromal Cell-Based Therapy: A Promising Approach for Severe COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i think you should meet up a physician and get it checked as its almost 3 weeks now and no signs of healing mentioned in the history. it must be surely just a muscular injury and will heal with hot water fermentation and use of stocking for the leg.  but to keep yourself safer a physical examination and x-ray will be good to be done. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,"The TSH receptor is a protein that is found on the surface of thyroid cells and plays a key role in regulating thyroid function. While its primary activator is TSH, there are other factors that can also stimulate the receptor, leading to changes in thyroid activity. One of these factors is the presence of Thyrotropin receptor antibodies (TRAb), which are antibodies that can bind to and activate the TSH receptor. TRAb are often found in people with Graves' disease, an autoimmune disorder that causes hyperthyroidism. In Graves' disease, the immune system produces TRAb that bind to the TSH receptor and stimulate the thyroid gland to produce too much thyroid hormone. This can lead to a range of symptoms, including weight loss, nervousness, and rapid heartbeat. Other factors that can activate the TSH receptor include certain drugs and genetic mutations, although these are less common causes of thyroid dysfunction."
Answer this question truthfully,"Von Gierke disease is a rare genetic disorder that is caused by a deficiency of the enzyme glucose-6-phosphatase. This enzyme plays a critical role in the breakdown of glycogen, a stored form of glucose that the body uses for energy. Without enough glucose-6-phosphatase, individuals with Von Gierke disease are unable to regulate their blood sugar levels properly, which can lead to a range of medical complications over time."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. myelofibrosis is one type of bone marrow cancer.  in that blood producing cells are replaced by fibrosis. treatment options are stem cell transplantation.  other options are splenectomy, an chatbot.  despite treatment prognosis remains poor. life expectancy is not good. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,View. The Dutch Critical Care Triage Guideline on Covid-19: Not Necessarily Discriminatory.
Answer this question truthfully,"The Cochrane Collaboration has reviewed hydrocolloids , hydrogels , and alginates .
The International Working Group on the Diabetic Foot (IWGDF) recommends :
""Dressings should be selected principally on the basis of exudate control, comfort, and cost""
Hydrocolloids and hydrogels are available as generic bandages."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sandy, good day. noted your question. at the age of 29 years, we would consider his fasting blood glucose as reasonably well controlled, however, his post lunch (post meals) glucose of 176 is suboptimal.  however, we need serial glucose monitoring to decide further. a single reading is not enough. so kindly do regular blood glucose monitoring and maintain a chart. please take the glucose reading chart to your doctor. in addition, your doctor need to do a hac test as well. as far as jaundice and diabetes diet is concerned, it is best to discuss with a dietician. in general, in jaundice, it is good to eat a diet which is low in fat. for diabetes, he should take a diet low in simple carboy chatbot.  please do not get depressed, his blood sugar readings are not very bad and can be easily controlled."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have high eosinophil count, and it is due to dust allergy and asthma.  you should avoid the allergens.  treatment of asthma should be done with bronchodilator like albuterol or terbutaline. for eosinophil count chatbot.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern for red rash on the top of foot. there can be multiple possibilities of the lump, and it requires a close physical examination to diagnose the exact entity of the problem. in my view correlating with the facts you have provided it appears to be either an allergic dermatitis rash or a simple bacterial infection. i suggest you to meet a dermatologist to for proper antibiotic therapy. in between you should wash the area properly and apply an antibiotic cream such as mupirocin or funding. your brother can take an antihistamine such as loratadine for once a day if itching is present. all the best"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome to chatbot. your history points towards two possible conditions.1.is condition from family of eczema (allergic condition and reactions of skin) known as psoriasis alba. this may be due to antibiotics or any other triggering factor. treated by topical steroids (that suppress immune reactions) moisturizing and avoidance of trigger2.is a condition called tina tricolor.it's caused by fungal infection of skin. it is treated by antifungals. the conditions are differentiated by dermatologist. they will examine your sons skin scraping under microscope if fungi are visible then this is tina alba if not then its psoriasis albacore you find this answer satisfactory. good luck
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot read your query as you have pain in tooth after root canal treatment and crown placement don't worry this pain can be due to infection at apex of root or due to periodontal problem. i will suggest you to consult dentist and go for iowa x-ray of tooth and go for treatment accordingly. in meantime do warm saline gargle two - three times a day, and you can take medicine like axl or novato lb by consulting with you local doctor. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this might be urticaria (hypersensitivity reaction)?  maybe contact dermatitis / atomic dermatitis! i just hope that there is no cold /fever! please just don't get panic. if the baby is fine"
Answer this question truthfully,"Following an initial injury to the kidneys, the process of adaptive hyperfiltration occurs in the remaining healthy glomeruli. This can eventually lead to interstitial fibrosis and glomerular scarring, which can result in chronic kidney disease (CKD)."
Answer this question truthfully,Nifurtimox and Benznidazole are used to treat Trypanosoma cruzi infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have pea size lymph node. it can be reactive lymph node, tuberculosis, lymphoma, cancer anything. biopsy will give you exact diagnosis. you should wait for biopsy results. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,B: Give fresh frozen plasma (FFP)
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of hypertensive heart failure is more. heart failure causes fluid retention in the body. this fluid when accumulate in lungs, it is known as pulmonary edema. so you should definitely follow these. 1. fluid intake should be less than 1.5 liters per day. 2. strict salt restrictions in diet. 3. avoid oily and fatty food. 4. take diuretics so that excess body fluid can be removed from body via urine. 5. strict control of hypertension through chatbot.  so consult your doctor and start appropriate antihypertensive"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. if there is only fatty liver or liver fibrosis without signs of cirrhosis then alcohol abstinence should lead to liver recovery in few months. otherwise, some degree of damage may be permanent but in every case it is advisable to stop chatbot. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, there is no actual contraindication with its use. you could go ahead in using other chatbot.  the concern or steroids causing immune depression to affect the inflammatory or immune response in this case, due to the florist is out of question. the amount of steroid contained in it is too low to cause immune depression and real interactions have actually been described with associating with usually used antibiotics in managing this condition. you can appropriately use the spray at the time you have a cold. colds are generally viral in origin, and for reasons mentioned above, no big interactions to interfere with efficacy or course of illness is actually present. but other specific measures for colds (keeping warm, nasal decongestants or wash, analgesics) could be safely used. best regards, bain le, md."
"If you are a doctor, please answer the medical questions based on the patient's description.","heloo pt-treatment for tooth paint he treatments for tooth pain vary greatly. they treat the actual cause of your tooth pain. for example you have tooth decay, you will have to undergo a filling procedure. if the tooth decay has reached your pulp, you would have to undergo a rct procedure. if you have impacted wisdom tooth, they need to be extracted. your dentist will determine the best treatment option for you after examining you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot both of these are antifungal creams, and you can choose to use either one to treat his rash. it can sometimes take 2 to 3 weeks in some persons for improvement to be seen because fungal infections can respond slowly to treatment. it is important to use the cream consistently. if the extensive rash does not respond to topical treatment then he may need an oral antifungal. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case with diligence. if not relieved then possibility of polyarthritis needs to be considered chatbot.  there is reduced chest function in this disease. stiffness in spine is increased do you have such stiffness in spine? when such patients come to our hospital i advise them blood test like ra factor, ccp, esr, complete blood count, hla b27this can be post viral arthritis also. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Answer this question truthfully,Membranous nephropathy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you for asking. you are allergic from pepper as you experienced. if you feel breathlessness, yet you can use antihistamines medications as cetirizine os rizal once per day for some days and some inhalers with corticosteroids and bronchodilators as clinic composite twice per day. and after you can see the astrologist specialist and a spirometry testator the lung functioning. so be careful with foods. i wish you good health. thank you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hias you mentioned your history i remember about my old case which was 5 years old with this kind of symptoms. as you mentioned all your reports turned out to be normal and tarnish no medication for it. anyways, as you mentioned the weakness of the left side and difficulty in speech as well. i have something to mention here. radiology and laboratory helps us to come close to the tissue abnormality. but there are certain things which are not under the control of the control of human limits.let's try to see if something you can compensate by doing exercises. exercises will held regain the strength in the body and improve your metabolism. exercises can help you get rid of the symptoms and also, you can learn more about the coordination exercises as it will help you improve a lot in your functionality. since ct and mri are not able to trace what is the problem it can be the balancing the neuromuscular functioning. which can be made by performing exercises. you can try doing certain thingsmeditationbreathing exercisesyogaphysical therapy (exercises)i had a case where these things have worked for my patients and now it's all fine and healthy life. for more questions you can ask me directly with the grace of god i wish you a good health. regardsjay in chatbot."
Answer this question truthfully,"Primitive reflexes may re-emerge in adults following frontal lobe lesions due to loss of inhibition. The frontal lobes of the brain are responsible for higher cognitive functions such as decision-making, planning, and inhibition of inappropriate behaviors. When the frontal lobes are damaged, such as in cases of traumatic brain injury or stroke, the loss of inhibitory control can lead to the re-emergence of primitive reflexes. These reflexes may include the grasp reflex, sucking reflex, and rooting reflex, which are normally present in infants but should be suppressed in adults. The re-emergence of primitive reflexes in adults is a sign of neurological dysfunction and may require further evaluation and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there.1. moustache is related to male hormone, testosterone.2. usually by adolescence, pattern hair should start growing due to influence of hormones.3.it's your body tendency for sparse mustache.4. you can try using tug ain 2% gel, once daily bedtime for 3 consecutive months along with again capsules daily one after breakfast.5. plan for hair transplant on mustache area in the future, it is safe and promising procedure."
Please summerize the given abstract to a title,Mental Health Impacts in Argentinean College Students During COVID-19 Quarantine
Answer this question truthfully,"Infants with congenital CMV have a normal chest x-ray, unless they have associated myocarditis."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concernsregarding your pregnancy, missing periods for about 10 to15 days can only confirm pregnancy. earlier days it was a full lunar month. you are stressed due to your job change and also due to the pregnancy related matter.  if this is your first baby, there is always stress and apprehension about it and is quite normal. just take care of your health and job. wish you good future."
Please summerize the given abstract to a title,Druglords Don’t Stay at Home: COVID-19 Pandemic and Crime Patterns in Mexico City
Please answer with one of the option in the bracket,B: Blood pressure of 165/90 mm Hg reassessed 4 hours later
Please summerize the given abstract to a title,To travel is to live: embracing the emerging field of travel psychiatry.
Answer this question truthfully,"Lactase deficiency is characterized by an increased hydrogen content in a lactose hydrogen breath test. This test involves drinking a lactose solution and then measuring the amount of hydrogen in the breath at regular intervals. Normally, when lactose is properly digested in the small intestine, it is broken down into glucose and galactose, which are absorbed into the bloodstream. However, when lactose is not properly digested due to a deficiency of the enzyme lactase, it passes into the colon where it is fermented by bacteria. This fermentation process produces hydrogen, which is absorbed into the bloodstream and exhaled through the breath. An increased hydrogen content in the breath indicates that lactose is not being properly digested and is being fermented by bacteria in the colon. This is a characteristic feature of lactase deficiency."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you can start the pill on any day of the cycle, and it is not necessary to wait for first day of period. continue the pill for the prescribed period and allow a pill free period to get your with chatbot.  for the first seven days, use an extra method of contraception. initially, irregular periods can occur with the use of pills since your body needs time to adjust to the hormonal changes. bleeding will regularize in the subsequent cycles. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,"Social, Economic and Environmental Indicators of Urban Sustainability in India"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are worried about your masturbatory habit. now, masturbation is considered as a normal part of human sexual behavior, and it is common in teenage. however, if it becomes uncontrollable or distress-causing, as in your case, the person may need help. i would suggest that you consult a psychiatrist in your place for a detailed evaluation and for further management of your problem. often psychological therapy or counselling may be beneficial in controlling such thoughts and habits. wish you all the best."
Please summerize the given abstract to a title,Impact of influenza on pneumococcal vaccine effectiveness during streptococcus pneumoniae infection in aged murine lung
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"milroy disease hello , my daughter has lymph edema her both legs and left hand is swelling , this problem started when she was of 3 months now she is  16 months , her swelling is growing day by day , im clue less what to do and what kind of treatment i should do plz help and suggest us","The symptoms and severity of Milroy disease can vary among affected people (even within the same family), so the long-term effects of the condition may be difficult to predict. Swelling varies in degree and distribution, and can be disabling and disfiguring.  For some people the outlook depends on how chronic the lymphedema is, as well as whether complications arise.  However, Milroy disease is rarely associated with significant complications.  The degree of edema sometimes progresses, but in some cases can improve (particularly in early years).  Complications of lymphedema may include recurrent bouts of cellulitis and/or lymphangitis, bacterial and fungal infections, deep venous thrombosis, functional impairment, cosmetic embarrassment, and amputation. Complications following surgery are common."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.",hello thanks for writing to chatdoctorthe fallopian tubes which were tested and found to be open you also need to check your husbands' semen parameters and see if they are normal an ultrasound of the pelvis to see if you are producing follicles properly if the following are normal then the chance to get pregnant is higher and almost 80% of the couple will conceive at the end of 2 year swish you all the best chatbot.
Please summerize the given abstract to a title,Automatic segmentation of the carotid artery and internal jugular vein from 2D ultrasound images for 3D vascular reconstruction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, such type of pain can be either due to gastritis or inflammation of stomach or kidney issues. if this is a mild pain then you may just do warm compresses over it and avoid spicy food items. you should also chatbot.  if it does not give relief in next 3-5 days then please consult to your doctor and get yourself evaluated. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
Please summerize the given abstract to a title,A simple embed over encryption scheme for DICOM images using Bülban Map
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Laparoscopic bilateral anterior transperitoneal adrenalectomy: 24 years experience.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. note the history of squishy lump on scalp, feeling of fluid inside, hairless at the top, swelling and tenderness must have come in the later stages. all this is characteristic of an infected sebaceous cyst with folliculitis may be as a secondary effect of infection. i would advise you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, maybe she is having adjustment disorder to the new surrounding which might be causing her difficulty in sleeping. advise her to stay active during evening by doing some mild to moderate exercises or going for a walk before sleep, so that body gets tired for a bit, and she may sleep well. advise her not to sleep in afternoon and not to take in caffeine or alcohol before sleep. and if there are any breathing difficulties then consult your doctor for the same."
Answer this question truthfully,β-blockers inhibit production of renin.
Please summerize the given abstract to a title,"Predictors of COVID-19 Vaccine Hesitancy: Socio-demographics, Co-Morbidity and Past Racial Discrimination"
Answer this question truthfully,"The three hormones that are involved in Ca2+ homeostasis are parathyroid hormone, calcitonin, and vitamin D (1,25-dihydroxycholecalciferol)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, peak flow at 340 l/min is not too bad when one is having an acute asthma attack (although this would depend on the persons age and height as you mention 460 l/min). less than 50% of best peak flow is an indication for hospitalization. you need to ensure he is on"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for sending a question to chatbot. forum.  you had severe pain abdomen on right lower side. it repeated several times, you became week, and of the work for 6 months during 2 years of time. no doctors could find the cause.  i advise you to consult a surgeon for diagnosis and treatment. you may need to have m.r.i. besides other routine tests for confirmation.  as it appears it may be tuberculosis of iliocaecal junction, renal colic due to u.t.i. or stones in the urinary tract. . if it is not detected laparotomy should be done to find the actual fault in the abdomen. the part suspected should be operated and sent for biopsy for confirmation of the disease. you may need to use anxiolytic still you get treated for it, to eliminate anxiety.  wishing for a quick and complete recovery.  best regards."
Please summerize the given abstract to a title,"Covid-19: Science, politics, media, and the public—a systemic view"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query at chatbot! i am infectious disease specialist! i went through your query! it is very unlikely that your eyes are infected with e. coli which is a bacterium. it probably could be due to viral infection which is more common (adenovirus, etc.). bacterial ones are due to chlamydia, mortadella, etc. you can take some topical antibiotics for eyes and rest your eyes. if there are signs of conjunctival hemorrhages and decrease in vision then consult an ophthalmologist for examination. in most cases such infection is benign and self limiting. so don't worry. happy to take more queries! you can also write a review for me. if you would like some more information, i will be happy to provide. you can take a follow-up query. take care!"
Please summerize the given abstract to a title,ACR Convergence 2020 Abstract Supplement
Answer this question truthfully,"If the disease page does not exist, you will create a new microchaptered page using the following directions. For example, if you were creating a page on jaundice that did not exist: First you need to go to the page WikiDoc Disease Microchapter Template which is listed on the home page under ""Advanced Editing"". Click on the edit tab, and copy all of the text in the edit box. Type into the main wikidoc search box ""Template:Jaundice"" (without the quotation marks). Click on where it says ""create the page Template:Jaundice on this Wiki"". Click on the edit box, and paste all of the microchapter template information into the edit box. The top of the edit box has two blank boxes, the top one with binocular icons next to it, and the bottom one with red arrows next to it. In the top box put ""type page name here"", and in the bottom box type the name of the disease page you are creating. Click on the red arrows at the right side of the bottom box, and continue to click on it until you get to end of the edit box. This will put the disease name in all the microchapter navigation boxes, so that they link to the appropriate pages. Remove cells that are not relevant to the disease that you are working on. Click save at the bottom of the edit box. You now have a microchapter navigation template which will be inserted in all of the microchapter pages you create."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,"Developing the Virtual Resus Room: Fidelity, Usability, Acceptability, and Applicability of a Virtual Simulation for Teaching and Learning"
what are symptoms of a nonfunctioning gallbladder,"If your gallbladder is not working normally, common symptoms may include indigestion, bloating, heartburn, gas, nausea, vomiting, and pain after eating, especially in the upper right or middle area of your belly."
Answer this question truthfully,Siblings of patients with cori disease are at highest risk
Please summerize the given abstract to a title,Post-COVID-19 Syndrome in Egyptian Healthcare Staff: Highlighting the Carers Sufferings
Please summerize the given abstract to a title,Citizen Science in Postsecondary Education: Current Practices and Knowledge Gaps
Answer this question truthfully,"Both hypokalemia (low potassium levels) and hyperkalemia (high potassium levels) can lead to a range of symptoms, including muscle weakness, decreased deep tendon reflexes, and in severe cases, ascending paralysis. Other symptoms may include fatigue, heart palpitations, and abnormal heart rhythms. The causes of hypokalemia and hyperkalemia can vary, but may include certain medications, kidney disease, or hormonal imbalances. Understanding the symptoms and causes of these conditions is important for their diagnosis and treatment."
Answer this question truthfully,The likely diagnosis in this patient is myocardial contusion.
Please answer with one of the option in the bracket,A: Potassium secretion in the collecting tubules
Answer this question truthfully,The primary and secondary prevention strategies for heartburn are the same.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it would be helpful if you look into your blood sugar for this is usually the cause and to include lumbosacral spine mri with contrast to see if you have spinal stenosis.  the motor weakness should be ad chatbot.  these modalities could identify, rule in rule out the problem and management will follow. treatment entails escalation of pain medications to rehabilitative medicine and spinal surgery if warranted. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the information provided there could be following possibilities"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hii am sorry about your long course of illnessfirstlet me clear this out kidney infections do not cause hemorrhoids they are two different conditions that probably were noticed at the same time got the impression that the bumps you are developing are perianal they could be hemorrhoids causing the trouble and so i would suggest you get yourself some stool softnerstake high fiber diet and plenty of fluids you could use site bath too don't think the trouble is because of the wearing of thongs however it would be a good idea to avoid it while your hemorrhoids settle once your hemorrhoids settle i suppose you can continue hope you find this information pertinent and helpful best of luck get well soon
Please summerize the given abstract to a title,Comparison of computed tomographic imaging-guided hook wire localization and electromagnetic navigation bronchoscope localization in the resection of pulmonary nodules: a retrospective cohort study.
Answer this question truthfully,Rickettsia prowazekii is the species of Rickettsia that commonly affects military camp recruits and POWs.
Answer this question truthfully,"The rabies virus can spread to other parts of the body by entering peripheral neurons, and it can specifically enter the salivary glands."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, luke,dear, thanks for the query to chatbot.1-i have studied your query in depth.2-dear,in my opinion, the lump below toe with raised eosinophil increase in 16 yr son with 12 he, unhealed since 5 myths, may be eosinophil granuloma of the foot pad, with stretching feel.3-treatment could be planned by orthopedic surgeon for the foot pad lump-or by the general physician who would correlate and treat the anemia associated with eosinophilic.3-a-empirical treatment-to control cytoplasm infection -with doxy-200 mg, to take care of chronic infection,3-b-diclofenac-treats to reduce local lumpy growth,3-c-anti-eosinophilic chatbot. 3-d-treatments-would be decided by an ortho-surgeon-for the lumps below the toe, after foot x-ray studies in various planes.4-hope this would solve your query to your satisfaction.5-wellcome for more queries to me on chatbot.6-thnks once again for your inquisitive query. have a good day.!!"
Please answer with one of the option in the bracket,D: Decreased ADAMTS13 activity in serum
Please summerize the given abstract to a title,The Role of Administrative and Secondary Data in Estimating the Costs and Effects of School and Workplace Closures due to the COVID-19 Pandemic
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, these symptoms of heart with pressure in chest could be palpitations. heart palpitations could be due to anxiety, stress, anemia,gastric reflux or may be ectopic beats, svt. it can also be related to your cervical epidural injection. in healthy individuals, it is mostly of anxiety or stress, but you must evaluate for premature atrial or ventricular contractions, paroxysmal supra ventricular tachycardia, atrial fibrillation etc. the above heart diseases have many other symptoms apart from palpitations and sob but they sometimes start with these symptoms. you can undergo ecg, holter monitoring, tmt if no contraindications, or 2d echo to rule our heart problem. you must consult your physician if your symptoms remains persistent."
Answer this question truthfully,"Parasympathetic stimulation decreases heart rate. The parasympathetic nervous system is one of the two main divisions of the autonomic nervous system, which controls involuntary functions such as heart rate, blood pressure, and breathing. When the parasympathetic nervous system is activated, it releases the neurotransmitter acetylcholine, which binds to muscarinic receptors in the heart and slows down the rate at which the heart beats. This is part of the body's ""rest and digest"" response, and helps conserve energy and promote relaxation. In contrast, sympathetic stimulation increases heart rate and promotes the ""fight or flight"" response. The balance between sympathetic and parasympathetic activity is important for maintaining normal heart function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hithe symptoms you are explaining is obviously due to the high bilirubin levels, or you can also call it jaundice. the bilirubin levels are produced due to the break-down of the red blood cells that is referred to hemolysis for which you have to do a lab test blood complete picture. other than that there be an acute viral infection causing hepatitis resulting in increased hemolysis and hence increased production of bilirubin. it can also be due to some sort of obstruction in the common bile duct. the lab test bilirubin levels direct and indirect value can differentiate between obstructive and non-obstructive hyperbilirubinemia. the precautions you can follow is give him adequate fluids and better to admit him in nursing care hospital as he may require blue light therapy. thanks with regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot .i had gone through all the details posted. just because you are hep b reactive you will not become unfit for job. there are medications for hep b which will help you to lead near normal life. we need blood tests like hbv dna, head, liver function tests to determine whether you need treatment for hep b or not. everyone with hep b don't need treatment. we have to look at the above reports to decide whether you need treatment or regular periodic monitoring is essential. kindly do those tests and consult a medical gastroenterologist or general physician. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",your allergies are involving the other system like digestive system you asthma medicines are not controlling any more and the allergy is increasing think it to be food allergy causing asthma and digestive system diseases get blood tested for specific antibodies for food like milk egg wheat potato chaney rice portal nuts when you go for elimination of diet which causes allergy your asthma and abdomen problem will decreases but get ultrasound abdomen for gall bladder also to rule out its effects
"If you are a doctor, please answer the medical questions based on the patient's description.","oct 2015hi, thanks for posting in chatbot. i understand your concern. symptoms of experiencing recurrence of bacterial vaginosis may be due to poor hygiene or due to transmission by asymptomatic partner during sex. if the infection recurs again and again, the following things need to be done"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for asking. pulling hair from the head and eyebrow is called trichotillomania, and it is often accompanied by anger bursts as you mentioned. cit anew and disk are good medications for such a condition which are commonly prescribed by doctors. i am sure that her doctor has prescribed krypton for a special reason. in most of the time it can cause sleepiness during the day, since it remains in the body for long hours. she can talk about this issue with her doctor and she may decrease or discontinue krypton to see if her sleepiness is improved. her condition may become quite satisfactory after several weeks with just cit anew and disk. the response time for trichotillomania (pulling hair) and its related symptoms is longer than depression and is almost like the time needed for obsessive compulsive disorder (about eight weeks). i wish the best health for her."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sides, your mother can continue taking medications for diabetes and cholesterol. for high blood pressure she can start using telmisartan 40 mg once daily.it's important for her to take the medications regularly. restrict salt. must get her sugar levels and blood pressure checked regularly. hope my advice was helpful to you, and you can follow up with the test results. i wish your mother good health"
Please summerize the given abstract to a title,"Fair Dealing, Online Teaching and Technological Neutrality: Lessons From the COVID-19 Crisis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have multiple lumps.  it could be multiple lipomatous or neurofibroma.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. need to get a repeat platelet count. if still low, to avoid risk of internal bleeding, platelet transfusion might be necessary.2. blood culture to rule out septicemia is necessary. would not expect itp at this age. need to look into possible dic. 3. liver function could be affected, however, it would not affect platelet count directly. pt, apt will confirm whether liver function is affecting hemostasis. pregnancy would not affect platelet count unless, it has contributed to septicemia. hope it helps. any further queries, happy to help again."
Answer this question truthfully,"Tamsulosin, Bethanechol, and Furosemide are medications that can facilitate the passage of a distal ureteral stone."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello good evening, you are suffered from bloating, which may cause constipation due to decreased bowel movements and constipation may also cause bloating. frequent heartburn and gastritis and duodenal ulcers can occur because of indigestion and bloating. there are many causes of bloating, including"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have depressive symptoms along with most probably thyroid problem (as it is commonly linked with both depression and periods).  chatbot. apart from the meds-get your blood tests for"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the fracture is just 2\u00a0mm apart i don't think the surgery will be taken as a choice.  it will be treated with an immobilization using the plaster and wait for 4-6 weeks of time. in this duration, multiple x-rays might be taken to check the healing of bone.  once the healing is optimum then the cast will be removed, and you will be advised to undergo physiotherapy to improve the range of motion of the finger joints and improve the strength of the hand muscles. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Answer this question truthfully,"Diastolic dysfunction (heart failure) occurs due to decreased compliance leading to high LVEDP. Compliance refers to the ability of the heart to expand and contract during the cardiac cycle, and decreased compliance can result in impaired filling of the ventricles and increased pressure within the heart. This can lead to symptoms such as shortness of breath, fatigue, and edema. LVEDP is a measure of the pressure within the left ventricle at the end of diastole, and it is commonly used to assess diastolic function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good early morning, and thanks for the query to chatbot. i studied your query in details and understood your concerns.@my impression of your hard back lump on the thigh-is as follows--could be-naevus /or pigmented mole -is melanocyte hematoma of skin and are benign tumors and could not be scraped or extracted like you did for the ticks. treatment suggested-a-surgical excision-with primary suturing would get it removed once for all.b-laser ablation or rfa-radio-frequency ablation could be done as optional treatmentsthis would help you to plan treatment with your doctor.@hope this would resolve your worrisome query. welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ one small request to you to write strong recommendations promoting my services for the benefit of my new and old patients at chatbot clinic. wishing you fast recovery.!! have a good day. with regards, chatbot. n. super-specialist in nccd-non-curable chronic disorders and rejuvenation therapies in tissue and organ failures."
Answer this question truthfully,"This progressive skin disorder is due to the effect of chronic infection with the spirochete borrelia afzelii, which is the predominant cause of acrodermatitis chronica atrophicans. However borrelia afzelii is not the exclusive etiologic agent of acrodermatitis chronica atrophicans and other microorganisms such as borrelia garinii and borrelia burgdorferi have also been detected."
Please summerize the given abstract to a title,Three porous shapeable three-component hydrogen-bonded covalent-organic aerogels as backfill materials in a simulated permeable reactive barrier (PRB) for trapping levofloxacin
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
Answer this question truthfully,Blood transfusions may result in hyperkalemia due to RBC lysis in old blood units.
Please summerize the given abstract to a title,Perspectives of engagement in distance debriefings
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are quite distressed about your stammering problem. as you have mentioned, anxiety and tension can often increase stammering. unfortunately, there is no medicine that can cure stammering. but very often individuals can benefit from speech therapy. speech therapy can teach you certain techniques of pronouncing difficult syllables as well as help you learn how to avoid anxiety and pressured speech. so, i would advise you to consult a speech therapist for further help. wish you all the best."
Answer this question truthfully,"If a mother had a prior baby with invasive GBS infection, it is recommended that she be given GBS prophylaxis (penicillin) in every subsequent pregnancy. Group B Streptococcus is a type of bacteria that can be found in the vagina or rectum of up to 30% of pregnant women. While GBS is usually harmless to the mother, it can cause serious infections in newborns, including sepsis, pneumonia, and meningitis. Therefore, it is important to identify and treat GBS in pregnant women to prevent transmission to the baby during delivery. Women who have had a previous baby with invasive GBS infection are at higher risk of transmitting the bacteria to their newborns and should receive prophylactic antibiotics during labor to reduce this risk. The recommended antibiotic for GBS prophylaxis is penicillin, which is safe and effective in preventing GBS transmission to the baby."
Please summerize the given abstract to a title,Reasons for Low Protection of Vulnerable Workers from COVID-19—Results from the Quantitative and Qualitative Study on Working Life in Latvia
what the treatment for bronchitis,"Most cases of acute bronchitis get better without treatment, usually within a couple of weeks. Because most cases of bronchitis are caused by viral infections, antibiotics aren't effective. If doctors suspect that the infection is bacterial, they may prescribe an antibiotic. Doctors may also recommend cough medicine and cough suppressants at bedtime. For patients who have allergies, asthma or chronic obstructive pulmonary disease (COPD), doctors may recommend an inhaler  to reduce inflammation and open narrowed passages in the lungs. For chronic bronchitis, pulmonary rehabilitation - a breathing exercise program that teaches how to breathe more easily and increase  ability to exercise, may help. The following self-care measures may also help: avoiding lung irritants; avoiding smoking; wearing a mask when the air is polluted or contains irritants, such as paint or household cleaners with strong fumes;  wearing cold-air face mask outside; using a humidifier. Warm, moist air helps relieve coughs and loosens mucus in the airways."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear parent, it seems your child is suffering from respiratory infection. he is unable to eat because of mucus he is ingesting. he cannot spit. this mucus is sticky so it doesn't pass ahead in intestine, because of small human. and then child vomits out. try feeding him after he is relieved. give him soup, milk, fruit, rice or whit ever he is interested in eating right now. keep nebulizing him with plain water. he may pass frequent sticky motions as well. keep in touch with the prescribing doctor for infection part."
Answer this question truthfully,The nipple line corresponds to the level of T4 vertebra.
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. these are development based behavior issues. what is his age now? the given incidents alone seldom trigger the inferiority complex or emotional trauma. there could be something else which determined his behavior disorder, if there is one. the approach by others in the class and parents and teachers might have decided the issue. even though, the child is capable enough to overcome the trauma because of his own developmental stage. just motivation and appreciation was needed. there could be some faulty handling of the issue. in any case, i would advise you to consult a child psychologist to know exactly the reason and for further behavioral therapy. therapy will be according to his age. you have not mentioned his age now, and therefore you should consult a psychologist. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i wish you had included the name of the other disease that sounds worse with the historical information you provided. an 80-degree curve of the spine is an extreme curve. i'm sure this is why your daughter has back pain. progressive curves are more common in girls. she did not receive a brace because her curve is too great. the other methods for treating back problems will not be effective either. what a horrible way to live. to be 12 years old and have daily back pain. please do not wait six months. get a second opinion now! let her be evaluated by a pediatric orthopedist who is on the faculty of a major medical center. hope i have answered your query. let me know if i can assist you further."
Please answer the letter of option truthfully,D
Please answer with one of the option in the bracket,E: Replacing prednisone with hydrocortisone
Answer this question truthfully,The abnormal heart sound S3 may be audible during rapid ventricular filling (early diastole).
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the question.i would suggest you to take erosion forte once daily for 3 months. sometimes there is delayed recovery of sensations of nerve as long as after 2 years so be hopeful.also, if possible go to a vascular surgeon or have color doppler for leg circulation just in case blood circulation is impaired, in any case it should be ruled out. you may seek help of physical therapist and do contrast bath to feet in cold and hot water alternately for 10 minutes for few days and do ankle, foot and toe exercises"
Please summerize the given abstract to a title,Immune escape of SARS-CoV-2 Omicron variant from mRNA vaccination-elicited RBD-specific memory B cells
Please summerize the given abstract to a title,"Early Screening of Risk for Multi-Drug Resistant Organisms in the Emergency Department In Patients With Pneumonia And Early Septic Shock: Single-Center, Retrospective Cohort Study."
Answer this question truthfully,"The first line treatment for Irritable bowel syndrome is lifestyle modification and increased dietary fiber, which involves making changes to one's daily habits and increasing the consumption of fiber-rich foods to improve bowel function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, just read through your details. viral hepatitis as i understand can cause fever, but it will be good to know what is the state of her liver functions. you can help the doctor in diagnosis in many simple wallow grade fever in an 11-year-old can be due to so many causes. record her temperature for 2 full days without giving any fever medications .show this temp record to your doctor, write down and tick after all symptoms there are tests that can tell whether it is typhoid or not. before treatment test blood for typhoid, test urine for infection, blood again for liver functions, ultrasound scan of abdomen .if fever is low grade, better to start treatment after the results which will be available in a day. i am sure with specific treatment her fever will subside ."
Anal Fissure I may have a couple anal fissures and looking to speak with someone to get some information and support.,"Anal fissures, small tears in the tissues that line the anus, could be caused by hard stools, chronic diarrhea   and inflammation of the anorectal area, and some less common problems. Factors that increase the risk of developing an anal feature include: decreased blood flow to the rectal area due to aging; straining during bowel movements, e.g., due to constipation; chronic inflammation of the intestinal tract; and anal intercourse. Anal fissures are likely to heal within weeks if you keep your stool soft, e.g., by increasing fiber and fluids in your diet, and relax the sphincter by soaking in warm water for 10-20 minutes after bowel movements. If the fissures persist, your doctor may recommend medications to relax the sphincter, such as nitroglycerin applied externally (Rectiv), Botulinum toxin type A (Botox) injection, or oral blood pressure medications, such as nifedipine (Procardia) or diltiazem (Cardizem) . Topical anesthetics, e.g.,  lidocaine hydrochloride (Xylocaine) may relieve pain. For chronic fissures, surgery might be more effective. The procedure called lateral internal sphincterotomy (LIS) involves cutting a small portion of the anal sphincter muscle to reduce spasm and pain, and promote healing."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you would like to upload the last eeg report for further review then, please do so at"
Please summerize the given abstract to a title,The impact of the COVID-19 pandemic on the development of acute and transient psychotic disorders
Please summerize the given abstract to a title,Adolescents amid the COVID-19 pandemic: a prospective study of psychological functioning
Answer this question truthfully,"Granulation tissue is a type of tissue that forms during the healing process of a wound or injury. It consists of various components, including type III collagen, capillaries, and myofibroblasts. Type III collagen is a type of collagen that is abundant in early stages of wound healing, and helps to provide structural support to the developing tissue. Capillaries are small blood vessels that help to supply oxygen and nutrients to the tissue, while myofibroblasts are specialized cells that help to contract and remodel the tissue. The formation of granulation tissue is an important step in the healing process, as it helps to fill in the wound and prepare it for further stages of repair."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... noted you have hepatosplenomegaly. for diagnosis non-alcoholic fatty liver, usg done to rule out it..... here chance of hemolytic anemia is present .... for that peripheral smear examination for norm oblast with relic count done..... serum ldh useful.... electrophoresis can be done for hemoglobinopathy.... if autoimmune hemolytic anemia suspected then combs test useful..... take care..."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking question gone through your question. your son is having fever near 100* f, and having vomiting. most common cause of above symptoms is seasonal illness which heals itself in about 3 to 5-day period. syp sumo contain paracetamol which is safe for child chatbot.  you can give medicine for vomiting like domperidome, so that vomiting will be in control.  most time child will recover, if not improved meet doctor for examination and cause and treatment have a healthy life"
Please summerize the given abstract to a title,Targeting Energy Expenditure—Drugs for Obesity Treatment
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mrs. ali, your issue needs to be discussed on various aspects. 1. you are 37 years of age. at this age, the frequency of egg release is rather less and irregular. moreover, every released egg may not be healthy. 2. to have assured egg release (ovulation), you doctor is giving you tab. kerosene, which is camphene citrate. these medicine induces ovulation. these tablets should not be taken for more than 6 months. though the ovulation rate with tablets is good, the pregnancy rate is not that high. after trial of six months if you do not conceive, you may have to change over to hmg/chatbot combination. if you are taking these tablets for 5 days from the day 2 of cycle, please subject yourself for ovulation monitoring by ultrasonography from day 9 of the cycle. it will help you to spot the day of ovulation. then you may plan your intercourse keeping in mind that egg has life of 24 hours and the sperms are active for 72 hours. the eggs released from the follicles of size between 18 mm to 21 mm are the healthiest eggs. also, it is very important to note the thickness of the uterine lining (endometrium) at the time of ovulation. endometrium of thickness between 09 and 13 mm is the most conducive endometrium for the implantation of fertilized egg. if your endometrium is remaining thinner, then request your gynecologist to work upon increasing endometrial thickness by use of estrogenic preparation before induction of ovulation. camphene citrate is known to affect endometrial thickness due to its anti-oestrogenic action. 3. if you have got any reproduction infection, its needs to be cured before you attempt for conception. infection creates a hostile atmosphere for the sperms. usually, when women have any infection of reproduction tract, their partners also have it, leading to repeated infections. hence, it is advised that both of you get the treatment simultaneously. 4. the vaginal wash you are taking with baking soda will create more detrimental atmosphere in the vagina since it is alkaline in nature. if at all you want to have a perineal wash or vaginal douche for healthy vagina, please use some lactobacillus preparations like lactated. this will help cure the vaginal infections as well as will create a very healthy vaginal environment for the sperms also.  5. since you already have 2 kids, there should not be any issue with the sperms; however considering the problem you are facing with conception, it is a good idea to get semen examination performed. i hope this should give you sufficient guidance to motivate you to caste a \""helpful vote\"" for me. if you want any more information, you may ask me direct question."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question with care and understand your concerns about your friend. let me try to help you question"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for asking us on chatbot. you have been treated heavily with antibiotics, antifungals and even antivirals - all these can undermine your immune system, making you more sensitive to the environment. other factors that can suppress or disturb the immune system include sudden weight changes, stress, steroids and hormonal dysfunction. you are in your 40s, of normal weight - unless you have had a significant infection in the past that could have lead to immunodeficiency, i do not see the need to test for it. you could do a baseline blood test (full blood count, liver and kidney function) just to make sure all is well after taking so much medication. i suggest trying to rebuild your immune defense. start taking fish oil generously (2 - 4 capsules daily), vitamin c with zinc, probiotics and antioxidants to start with. be sure to stick to a nutritious diet rich in lean protein, vegetables and fruits. hy chatbot.  where the hives are concerned, you could take a short course of antihistamines. soaking in oatmeal and applying a pre-college moisturizer can greatly help with symptoms. use gentle skin cleansers and do not rub at your body with a rough towel after bath. use soft towels and dab gently. i hope this helpsthank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query you have the problem of bleeding gums and sensitive teeth which is because of inflammation and ulceration of gingival mucosa. maintain proper oral hygiene. visit the dentist once and get it examined. go for qua chatbot.  use listerine and betadine mouthwash. do gargles after every meal to prevent bacterial accumulation. go for curettage. rinse mouth after every meal to prevent bacterial accumulation. give cold packs to his gums to relieve pain and discomfort. if there is pain in gums anesthetic gel application can help by giving numbing effect. the dentist may perform oral prophylaxis or may prescribe antibiotics along with anti-inflammatory.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"It is caused by a virus called human herpesvirus 6 (HHV-6), although similar syndromes are possible with other viruses.
Roseola occurs throughout the year. The time between becoming infected and the beginning of symptoms (incubation period) is 5 to 15 days."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry too much. please understand that psychiatry / psychology is a deep health science. prolonged treatment may be necessary.  proper assessment is required to have proper diagnosis and treatment. please consult a psychologist for psychometric assessment and advise on further treatment methodology.  yoga, meditation and psychotherapy are proven to assist the recovery procedure. but they cannot cure you if used alone. you must also work with your psychiatrist so that he can help you. getting anxious about your mental conditions aggregate symptoms and those meditation methods cannot help you in that case. if you need more of my help in this regard, please post a direct query on this portal. i am happy to help you. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"According to International Neuroblastoma Pathology Classification (INPC), ganglioneuroma may be classified into two groups: 
Ganglioneuroma-maturing (intermediate) Ganglioneuroma-mature (benign)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am sorry for the watery diarrhea your 4-month-old infant is having. yellow watery diarrhea 4-5 times/day, going on for 6 days now is a sign of possible food allergy or bowel infection. the black, greasy spots present could be parts of undigested food especially if formula milk is given to your baby. i highly recommend sending her to your pediatrician and run stool examination and culture to determine the right cause. keep good hygiene when preparing his milk (if formula) or when breastfeeding. wish fast recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. your treating doctor is right...your patient is already suffering from diabetes and hyperkalemia (increased potassium) is very common in renal failure. your patient is unconscious and has gum & feet bleeding, there may be high chances of intracranial bleed making patient unconscious. you should go for ct/ mri brain to rule out bleed. you should also go for bleeding time, clotting time, prothrombin time to clarify the cause. yes, your patient is serious and bleeding is not a good sign. you should also go for liver function test, renal function test, complete blood count also. you patient needs intensive care. take care,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot, pericoronitis is the inflammation of the mucous membrane overlying the wisdom tooth .this area is susceptible to frequent infection as the place is difficult to clean, and the gum pocket incorporates food debris, plaque and other irritants leading to infection and abscess formation.i suggest you to maintain good oral hygiene by tooth brushing and using the antiseptic mouthwash like chlorhexidine for oral rinsing that prevents infection. you can start with antibiotic augmenting 625\u00a0mg with analgesics twice daily for 3 to 5 days which will subside infection and swelling. visit a dentist, get an x-ray done for your tooth and if its impacted go for surgical removal of the wisdom tooth which in turn will remove the gum flap as well. temporarily operculectomy, that is excision of periodontal flap will give you relief.i hope this helps, take care."
Answer this question truthfully,Sertraline and Escitalopram are the two SSRIs that are considered first-line treatment in post-MI due to their low potential for drug-reactions.
Please summerize the given abstract to a title,SARS-CoV-2 Nsp14 mediates the effects of viral infection on the host cell transcriptome
Answer this question truthfully,"Obsessive-compulsive disorder (OCD) is characterized by recurring anxiety-provoking, intrusive thoughts relieved by repetitive behaviors (rituals) that cause distress."
"If you are a doctor, please answer the medical questions based on the patient's description.","! your daughter seem to have post partial psychosis and should see a psychiatrist at least once. had i been treating her i would go for either olanzapine 5 mg or risperidone 1-2 mg along with mizoram in daytime? sometimes when patient is very disturbed one may go for giving injectable antipsychotic, one - two shots, this helps in early recovery (like"
Please summerize the given abstract to a title,Some Lessons Learned in the Use of Distance Learning with Students with Special Educational Needs during COVID-19 Outbreak
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question. after going through your question in your fathers' case there is likely possibility of alcoholic liver disease, though other short term illnesses can lead to similar finding. for better opinion i want to know-1) duration of taking alcohol.2) pattern and amount of taking alcohol.3) presence of any other diseases and treatment for it.4) current symptom for which admitted to hospital. i would like to advise following tests-1) complete blood count.2) liver function test.3) kidney function test.4) urine examination.5) ultrasonography of abdomen.6) in case of fever tests for malaria, dengue or any other infections if clinically indicated. depending upon his detailed clinical examination and test reports it is possible to comment whether liver damage is permanent or reversible, and also appropriate diagnosis can be made and treatment can be planned. in general for recovery from liver disorder or to prevent further damage to liver -1) he has to stop taking alcohol in any form permanently.2) avoid taking oily, fatty food till recovery.3) taking food containing high carboy chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dengue fever is commonly called - break bone fever - the pain will be so severe that it is called so. so i feel it is recovering dengue and one most important advice - don't use nsaid chatbot. rather i suggest you use - paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome at it chatbot i have gone through your query and being your physician i completely understand your health concerns... what is your age ? have u suffering from diabetes?  are u taking any meds?  is your fasting blood sugar 101 or random?  based upon the lab values you have mentioned it appears to be a slightly deranged liver functions which can be explained with hemochromatosis... have you done your liver ultrasound? what is the texture of liver? you should meet hepatologist so that you can be examined and investigated accordingly... as far as blood glucose levels are concerned i don't think it is worrisome.... if you are really concerned get your fasting blood glucose level done... hope your query is adequately ad chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. results of your semen analysis reveals semen volume to be low which otherwise is within normal range of who standards as far as sperm count, sperm motility and morphology of sperms is concerned. single reading of sperm count is not be taken as a final result before we label sperm count to be low. we should do semen analysis at least for three times with interval of one month and should be done in identical condition with abstinence for 3 days prior to collecting semen sample. the average of these three reading is taken into consideration before deciding status of fertility of an individual. the presence of 6-8 pus cells suggests infection either in seminal vesicle or prostate and needs to be treated with antibiotic like doxycycline for a month. thanks chatbot."
I have been battling Anal fissure for close to two years now and it has refused to heal all these while. Please what do you suggest i do?  Thanks,"Home remedies for anal fissures include preventing hard stools and constipation by eating more fiber, such as fruits, vegetables, and grains, drinking more fluids, and using stool softeners. Your doctor may recommend ointments or creams to help soothe the affected skin, such as numbing cream, petroleum jelly, zinc oxide, 1% hydrocortisone cream, and Preparation H. A warm water bath  2 to 3 times a day may help healing  and cleansing. The water should cover only the hips and buttocks. If the anal fissures do not go away with home care methods, your doctor may recommend botox injections into the muscle in the anus (anal sphincter), minor surgery to relax the anal muscle, prescription creams such as nitrates or calcium channel blockers, applied over the fissure to help relax the muscles."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for your querulous doctor has confirmed that it is dermatitis not allergy. he would have examined you. so better to go with his diagnosis. then you should undergo his treatment mainly consisting of local antibiotics and steroid ointments. keep the local hygiene chatbot.  don't make that place moist. keep yourself aloof of those make-ups for some days until it has disappeared fully. then you can use them. you may take a second opinion from another dermatologist. thank you.
Answer this question truthfully,"The standard treatment for chlamydial conjunctivitis is an oral macrolide antibiotic.

Chlamydial conjunctivitis is an eye infection caused by the bacteria chlamydia trachomatis. The standard treatment for chlamydial conjunctivitis is an oral macrolide antibiotic, such as azithromycin or erythromycin. These antibiotics are effective at treating the infection and are recommended by healthcare providers as the standard treatment approach. It is important to complete the full course of antibiotics as prescribed to ensure that the infection is completely cleared. Additionally, it is important to avoid touching or rubbing the eyes and to practice good hygiene to prevent the spread of the infection to others."
Hair loss Information Required Can you provide something to help grow my hair back? I need my hair back as im the spitting double of Dr evil with no hair.,"The only medicine approved by the United States Food and Drug Administration (FDA) to treat female pattern baldness is minoxidil: - It is applied to the scalp. - For women, the 2% solution or 5% foam is recommended. - Minoxidil may help hair grow in about 1 in 4 or 5 of women. In most women, it may slow or stop hair loss. - You must continue to use this medicine for a long time. Hair loss starts again when you stop using it. Also, the hair that it helps grow will fall out. If minoxidil does not work, your provider may recommend other medicines, such as spironolactone, cimetidine, birth control pills, ketoconazole, among others. ... HAIR TRANSPLANT During hair transplant, tiny plugs of hair are removed from areas where hair is thicker, and placed (transplanted) in areas that are balding. ...OTHER SOLUTIONS Hair weaving, hairpieces, or a change in hairstyle can help hide hair loss and improve your appearance. This is often the least expensive and safest way to deal with female pattern baldness."
Please summerize the given abstract to a title,Lungeembolisme ved covid-19./ Lungeembolisme ved covid-19./ Pulmonary embolism in cases of COVID-19
Please summerize the given abstract to a title,"Socioeconomic inequalities and health status associated with the Covid-19 diagnosis and related symptoms, during the first wave of infections in Brazil: A decomposition analysis"
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour semen analysis findings may indicate semen infection with low sperm motility. motility is low. normally it should be at least 55 %. your findings suggest overall 40 % motility, so it is low. sperm count is normal. normally it should be at least 20 millions/ml. there are excess pus cells in semen. you may need investigations like routine hologram, random blood sugar, semen culture and sensitivity, ultrasound of scrotum. you may need to take antibiotics. other findings like color, volume,ph are normal. fertility and sperm motility are expected to increase with control of infection. if findings persists then you may need assisted fertilization technique. avoid alcohol and cigarettes if you take these things. get well soon. take care chatbot."
Please answer with one of the option in the bracket,D: Rivastigmine
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the symptoms like tiredness, morning sickness, tender breasts suggest pregnancy. but confirmation is possible only after doing a urine pregnancy test. usually the pregnancy test gives accurate results a week after missed period. delayed period in a regularly menstruating woman gives a suspicion of pregnancy first of anything. so the pregnancy should be diagnosed by testing. the spotting a week before the due date might suggest implantation bleeding. though all your symptoms go in favor of pregnancy the confirmation is possible only after the investigations like urine pregnancy test and ultrasound. so i would like you to do urine pregnancy test. hope this helps. best regards..."
Please summerize the given abstract to a title,In the epicenter of the epidemic: a look at Covid-19 in Italy/ No epicentro da epidemia: um olhar sobre a Covid-19 na Itália/ En el epicentro de la epidemia: una mirada al Covid-19 en Italia
"If you are a doctor, please answer the medical questions based on the patient's description.","hellman on the right side in abdomen, also in the center, bending increases pain. such type of acute pain on the right side in abdomen may be due to these possibilities, these include.1 right renal colic, diagnosis can be confirmed by ultrasound of abdomen with both kidneys.2 acute appendicitis may be the another cause of such acute pain diagnosis can be confirmed by physical examination and ultrasound of appendix.3 consolidation of lower lobe of lung may cause such type of referral pain. diagnosis can be confirmed by x-ray chest. however, there are so many other chances of such pain but in the absence of complete history it is not possible to establish exact diagnosis. i recommend you please consult a physician and get his opinion as physical examination is important. good luck."
Please summerize the given abstract to a title,Understanding the impact of the COVID-19 pandemic on well-being and virtual care for people living with dementia and care partners living in the community
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i have read your question completely and understand your concerns. your fasting blood glucose and post radial blood glucose are still high. for good control of diabetes, your fasting blood glucose should be less than 110 and your post radial blood glucose should be less than 160. i would advise you to get your hba1c levels also checked. this is a blood test which tells you your average blood glucose over the last 3 months. for good diabetes control, it should be less than 6.5% provided you are below 60 years of age and without any other health problems like recent heart attack, stroke etc. for better control of your blood glucose levels, i would advise you to increase your glycogen dose. take glycogen 1000 mg twice a day, at breakfast and dinner time. you could take glycogen sr 1000 mg as well. sr means slow release tablets, the side effects with sr medication are lesser than with conventional tablets. kindly check your fasting and post radial blood glucose levels in 2 weeks. i would advise you to follow a healthy diet with plenty of vegetables, reduce the quantity of carboy chatbot.  avoid high fatty, high sugary and high calorie food. exercise for at least 45 minutes every day. i hope this answer has helped you. thank regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot ovarian cysts may be silent (be associated with no symptoms) or present with symptoms such as pain on the side of the cysts or in the lower abdomen, full sensation or pressure in the lower abdomen, irregular periods. often the pain occurs if the cysts become infected, inflamed, burst or bleed. ovarian cysts may be observed if there are no associated symptoms or removed if they are causing problems. your daughters doctors may assess the size and nature of the cysts to see if it is contributing to her pain. i hope this helps"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. it seems that wrong body posture; inadequate exercise and reduced muscle tone is taking a toll on your back. for pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). during the day don't sit in one position for more than an hour and take frequent stretch breaks. do not bend forward to lift things up, bend the knees and hips for that. also discontinue any strenuous activity or exercises for some time. i suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your physiotherapist. this will help to relieve the possible muscle spasm which causes the pain. you may go for a physical examination by your orthopedic to rule out any spine related pathology. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised. as you are having restless leg syn chatbot.  also, the symptoms are totally sensory disturbance in the nerve root at the lumbar spinal region and then the course of the nerve. as along with medication there is a need of some physical exercise to stabilize the lumbar spine and make it strong to avoid any nerve root compression. also, performing breathing exercises and meditation will help improve the metabolism of the cells. in my clinical practice i recommend my patients physical therapy, breathing exercises and meditation and the majority of them are able to control their symptoms. regardsjay in"
Please summerize the given abstract to a title,"Historische streiflichter auf knoblauch, zwiebeln und kapuzinerkresse in zeiten von SARS-CoV-2 und COVID-19"
Answer this question truthfully,"Amplification of the CDK4 oncogene can result in malignancy. The CDK4 gene provides instructions for making a protein that is involved in the regulation of cell cycle progression. Amplification of the CDK4 gene can lead to the production of too many copies of the CDK4 protein, which can promote the growth and division of cells, leading to the development of cancer. Amplification is a type of genetic alteration that involves an increase in the number of copies of a particular gene. Understanding the mechanisms that lead to CDK4 amplification can help researchers develop targeted therapies for cancer treatment."
Please summerize the given abstract to a title,The Fungal Gut Microbiome Exhibits Reduced Diversity and Increased Relative Abundance of Ascomycota in Severe COVID-19 Illness and Distinct Interconnected Communities in SARS-CoV-2 Positive Patients
Answer this question truthfully,"Men are at a higher risk for color blindness than women. As color blindness is commonly inherited in a X-linked recessive fashion, about 8 percent of males, but only 0.5 percent of females, are color blind in some way or another, whether it be one color, a color combination, or another mutation.   The reason males are at a greater risk of inheriting an X linked mutation is because males only have one X chromosome (XY, with the Y chromosome being significantly shorter than the X chromosome), and females have two (XX); if a woman inherits a normal X chromosome in addition to the one which carries the mutation, she will not display the mutation. Men do not have a second X chromosome to override the chromosome which carries the mutation. If 5% of variants of a given gene are defective, the probability of a single copy being defective is 5%, but the probability that two copies are both defective is 0.05 × 0.05 = 0.0025, or just 0.25%.
In addition to those who are genetically predisposed to color blindness, people who suffer from brain or retinal damage, or who take the drug hydroxychloroquine (Plaquenil), are at an increased risk of color blindness."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! your pain might be caused by either stomach ulcer, gall stones or intercostal neuralgia (what is most probable). however, it is always advisable to rule out heart attack or ischemic heart disease when pain in chest appears. you should have an abdomen ultrasound (what should rule gall stones out), gastroduodenoscopy (to rule peptic ulcer out), some blood tests including pancreas and liver enzymes, magnesium and calcium level (shortage of this ions may result with some nerves' irritation including intercostal nerves) an at least ecg to rule out heart problems. hope this will help"
Answer this question truthfully,"Diarrhea and abdominal discomfort are potential complications that can occur after cholecystectomy. These complications are caused by dysregulation of bile and lack of fat digestion, which can lead to changes in bowel function and discomfort in the abdomen."
Please summerize the given abstract to a title,Nowo pojawiające się choroby zakaźne w aspekcie bezpieczeństwa krwi
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you must be quite concerned by the persistent auditory hallucinations which your mother is experiencing. now, auditory hallucinations is a psychotic symptom which is seen in schizophrenia. so, the treatment of auditory hallucinations would be with the same medication used for treating schizophrenia - namely anti-psychotic medication. if she is already on anti-psychotic medication and the auditory hallucinations are persisting, then the dose of medication may need to be increased in order to control the symptoms. wish you all the best."
Answer this question truthfully,"K+ is absorbed in the digestive system via passive diffusion. Specifically, K+ is absorbed in the small intestine, where it moves from an area of high concentration (inside the small intestine) to an area of lower concentration (in the bloodstream) through the process of passive diffusion. This process is facilitated by the presence of ion channels and transporters in the small intestine that allow K+ to move across the epithelial cells and into the bloodstream. The absorption of K+ in the small intestine is important for maintaining the balance of potassium ions in the body, which is essential for proper nerve and muscle function, as well as for regulating fluid balance and blood pressure."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot. you have not mentioned your age. for young females mostly it is fibroadenoma. for old females it can be cancer. fnac is quite reliable test but to be 100% sure best is excision biopsy means take out the lump by surgery and send it for histopathology. other option is true cut biopsy. advantage of excision biopsy is that if lump is benign means simple then no further treatment is required. regards
"If you are a doctor, please answer the medical questions based on the patient's description.","there are not really any natural remedies for atrial fibrillation. it is not usually life-threatening. the risk with a-fib is the risk of stroke if you are not on an anticoagulant medication like warfarin. since several others of your illnesses also put you at risk for stroke (diabetes, cholesterol, hypertension) i think you would benefit from an anticoagulant medication. please talk to your doctor or cardiologist about this."
"If you are a doctor, please answer the medical questions based on the patient's description.","many a times tricuspid regurgitation is a normal phenomenon is normal ppl, now if you have the same symptoms every day, you can get a 24 holder , or if a clinic is nearby than an ekg at the time of symptoms.  this will see if any missed beats or other changes in rhythm occurs while you have the symptoms.  if normal forget about it, if anything is noticed, than a simple treatment an according to the results of the holder reports will suffice"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for your query chatbot.  it may be due to lymph node enlargement due to injury to the great toe. its treatment is analgesic such as ibuprofen for pain relief. it will gradually resolve. there may also be some ligament injury along with toe injury. again rest and analgesic such as ibuprofen is the treatment. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then i will be happy to help you. wishing you a good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for consulting with chatbot. the symptoms which you have described in your post are consistent with a mood disorder.  this condition is characterized by a wide range of internal emotional states and loss of control over them.  it may include both depressive episodes and bipolar episodes.  to determine what is causing your mood swings and how best to treat them, please let me know if you are having any of the following symptoms and for how long - depressive symptoms - sleep disturbances, loss of interest, guilty feelings, loss of energy, loss of concentration, appetite changes, suicidal thoughtsbipolar disorder symptoms (manic) - easily distracted, irresponsibility, racing thoughts, agitation, decreased need for sleep, increased talkativeness, increased in goal-directed activities.  it is important to distinguish exactly which symptoms you are experiencing as the treatment for bipolar disorder is different from the treatment for depression.  mood stabilizers (lithium, valerie acid, carbamazepine) are often given to treat bipolar disorder.  i would also recommend consulting with a psychiatrist if the symptoms persist. i hope this helps and do not hesitate to ask if you have any questions. take care,"
Please summerize the given abstract to a title,Anti-Ri-Associated Paraneoplastic Neurological Syndrome Revealing Breast Cancer: A Case Report
Answer this question truthfully,See your doctor immediately if you experience disequilibrium with any of the following:
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. i can understand your concerns. it seems that you are having olecranal bursitis which is an inflammation of olecranal bursa (small sacs of fluid that help joints move smoothly) at the back of the elbow. the swelling or lump is caused by increased fluid within the bursa and is tender with movement or when touched. mild but repeated injury (direct or indirect-as in tour case) is thought to be the common cause. it often clears on its own. treatment may be needed in some cases to reduce the inflammation and clear any build-up of fluid. you may find the swelling improves with (r)est, (i)ce packs, (c)compression (wearing a bandage) and (e)elevation (keeping the elbow in a raised position). avoid leaning on your elbows, protecting your elbows during sports activities with elbow pads (in future), and use non-steroidal anti-inflammatory chatbot. treatment for sudden (acute) bursitis may include"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, it is evident from your history that you have enlarged lymph nodes in groin region. the biopsy report has revealed malignancy, but the character of the malignancy is not confirmed. three different diagnosis is given by three pathologists. however, final and correct diagnosis is required as the treatment depends on the diagnosis. the treatment of hodgkin's and non- hodgkin's lymphoma is completely different. different chemotherapeutic agents are used for both the conditions. get your slides reviewed by an experienced pathologist along with immune markers. immune markers are very important for diagnosis of lymphomas. requirement for radiation therapy depends on the stage of the lymphoma. so, consult an experienced pathologist (especially hemato-pathologist) for review of the sides and immune marker studies. thanks and take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The interleukin that is primarily responsible for stimulating the production of IgA antibodies is called IL-5. This cytokine is produced by activated T cells and plays a crucial role in the regulation of the immune response. IL-5 stimulates the growth and differentiation of eosinophils, which are involved in the immune response to parasites and are also implicated in the pathogenesis of allergic diseases. In addition, IL-5 stimulates the production of IgA antibodies by B cells, particularly in the mucosal tissues of the respiratory and gastrointestinal tracts. IgA antibodies are important in the defense against infections and play a key role in mucosal immunity. Dysregulation of IL-5 production or signaling can lead to immune dysfunction and increased susceptibility to infections and allergic diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, does your child have any rash or red splotches on her body? she seems to have photophobia as she has pain on seeing light.  this is a significant problem suggesting a sinusitis or meningitis-like symptom. does she have stiffness in the neck vomiting? has she been immunized for her age? there is a significant cough with chest pain suggesting of a respiratory tract infection. you have mentioned she is on some antibiotics, but there are no details here. i want to know her activity pattern between fever or so-called interfebrile phase, the number of times she gets a fever in the day, her appetite activity, urine frequency etc. since the fever is persistent i would like to get her blood counts like total and differential counts, x-ray chest blood culture and csf.  i would like to rule out meningitis and sinusitis by getting a c t scan of the head and a lumbar puncture after she is examined by your local pediatrician. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Elevated blood favipiravir levels are inversely associated with ferritin levels and induce the elevation of uric acid levels in COVID-19 treatment: A retrospective single-center study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. esophageal cancer is very difficult to treat and when it spread to lung, liver etc. than the life expectancy is less than 1 year. hiccup in these patients suggest aspiration into trachea. due to mass in esophagus and abnormality in peristalsis, food often not travel smoothly on lumen and this causes persistent irritation to larynx and causes cough and hiccups. so better to put nasogastric tube to prevent all these. this tube prevent aspiration and irritation in larynx this minimizes hiccups and coughing."
Please summerize the given abstract to a title,"Possible Impact of COVID-19 on Children in Africa, Reflections from Italy and Burkina Faso"
Answer this question truthfully,Future 10-year risk should be calculated using online calculators (for eg: http://hp2010.nhlbihin.net/atpiii/calculator.asp?usertype=prof) to help guide the target LDL goal. This is based on Framingham risk score.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,The plasma concentration at which glucose is first excreted in the urine is called threshold.
Answer this question truthfully,"The C3 convertase produced by the lectin and classical complement pathways is called C4b2b.

The complement system is a part of the immune system that helps to identify and eliminate pathogens such as bacteria and viruses. The complement system can be activated through three different pathways: the classical pathway, the lectin pathway, and the alternative pathway. Each pathway leads to the formation of a C3 convertase, which cleaves C3 into C3a and C3b. The C3b fragment then combines with other complement components to form a C5 convertase, which cleaves C5 into C5a and C5b. C4b2b is the name of the C3 convertase produced by the lectin and classical complement pathways. It is composed of C4b and C2a components and is responsible for cleaving C3 into C3a and C3b, which is important for the opsonization of pathogens and the initiation of the membrane attack complex (MAC) formation."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Need for Monetary Financing of Corona Budget Deficits
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you and pleased to answer you. firstly as i do here for patient like you, i always ask for a vascular doppler ultrasound of your leg artery to visualize a slowing down of the blood flow linked to diabetes artery transformations, and much more interesting, if the exam find this transformation, we must add to treatments anticoagulant medications. in that way, the wound will be better controlled and eradicated(the blood flow will be much better and the antibiotics will target the wound more efficiently). the essential component of treatment is the management of chronic neuropathic pain.  many analgesic neurogenic chatbot.  these"
Please summerize the given abstract to a title,Severe Acute Respiratory Syndrome Coronavirus -2 (SARS-CoV-2): A global pandemic and treatments strategies
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.this type mucus strings the denuded mucosa of the intestines, and it is quit common finding in diarrhea due to any cause - either bacterial or viral. it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. regards -"
Answer this question truthfully,"West Nile virus was first identified in 1937 in Uganda in eastern Africa. It was first discovered in the United States in the summer of 1999 in New York. Since then, the virus has spread throughout the United States.
The West Nile virus is a type of virus known as a flavivirus. Researchers believe West Nile virus is spread when a mosquito bites an infected bird and then bites a person.
Mosquitoes carry the highest amounts of virus in the early fall, which is why the rate of the disease increases in late August to early September. The risk of disease decreases as the weather becomes colder and mosquitoes die off.
Although many people are bitten by mosquitoes that carry West Nile virus, most do not know they've been exposed. Few people develop severe disease or even notice any symptoms at all.
West Nile virus may also be spread through blood transfusions and organ transplants. It is possible for an infected mother to spread the virus to her child through breast milk."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query.  i understand your concern.  in pregnancy all maternal body including heart are overworked. that's why heart rate is increased. & it's possible to hear heart sound by pregnant mother.  even the intestines are affected by pregnancy hormones, making them slow in movements. this results in slow emptying in bowels, bloating. on exerting pressure on left side of upper abdomen under the ribs, causes still more pressure in abdomen/ chest cavity, leading to pain discomfort.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear welcome to the chatbot. hbs ag positive means you are infected with hepatitis b virus. baby required to be given hepatitis b immunoglobulin injections easily available with the pharmacist along with the consultation of your pediatrician for your baby. mother should consult the gastroenterologist. he will further investigate her for the status of the virus with viral makers, dna markers etc., and accordingly she may be given antiviral chatbot. hope the query is answered. thnaks"
Answer this question truthfully,Vincristine is more commonly associated with neurotoxicity.
Please summerize the given abstract to a title,The Microbial Profile and Resistance Pattern of Pathogens Isolated From Long COVID Pneumonia Patients and Their Correlation to Clinical Outcome: Our Experience From a Tertiary Care Hospital
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  after marriage irregular periods for few months are common.by this time you have vomiting sensation after the scanty menses. this goes in favor of possibility of pregnancy.  just possible that the bleeding you had was an implantation bleeding (implantation of fetus in uterine cavity) you should go for urine pregnancy test at home - to confirm/ exclude pregnancy.  thanks."
Please summerize the given abstract to a title,Optimal use of tocilizumab for severe and critical COVID-19: A systematic review and meta-analysis
Please summerize the given abstract to a title,A Cross-Sectional Analysis of the Association between Domestic Cooking Energy Source Type and Respiratory Infections among Children Aged under Five Years: Evidence from Demographic and Household Surveys in 37 Low-Middle Income Countries
Answer this question truthfully,"Anything that causes the eustachian tubes in the middle ear to become swollen or blocked causes more fluids to build up in the middle ear behind the eardrum. These causes include:
Allergies Colds and sinus infections Excess mucus and saliva produced during teething Infected or overgrown adenoids Tobacco smoke or other irritants
Risk factors for ear infections include the following:
Attending daycare (especially those with more than 6 children) Changes in altitude or climate Cold climate Exposure to smoke Genetic factors (susceptibility to infection may run in families) Not being breastfed Pacifier use Recent ear infection Recent illness of any type (lowers resistance of the body to infection)"
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. i can understand. your son do not need a psychiatrist. he needs an understanding parents. all these behavior issues are due to lack of proper training. i will not blame you. somehow, you could not impart the required behavior training. these things happen mainly because of ignorance. there is nothing to worry. your son is just 9, and he is always in the mood to play. school and education has become a burden in his thoughts and that is what you have change with the help of positive and compensatory approach. for that, you need to see your child as a human being, just a human being. you know how you train your 2-year-old child for toilet training, to have food while playing, eating alone, playing with pets etc. at that age, if you could train a child to be positive, why can't you do it to a 9-year young child? you say he is crazy about computer games and tv cartoons. these are progressive leisure. unless you allowed him to do these when he is adamant, this habit cannot have been formed. that is the problem here, and you should see that problem positively. these all happens. not your fault, just happens. from now on, change your approach. love him, pat him, appreciate him, nurture him and reward him whenever he does a good deed and use these same technique to make him do good deeds. when there are wrong doings, do not punish him immediately. instead, use the above technique to positively motivate to correct the mistake. i am sure you will be able to change his behavior within a month. be patient. he is a child and a human being and not an animal (you can train an animal with the help of punishment. if you cannot, you can sell that animal). hope you understand. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Distinguishing COVID-19 From Influenza Pneumonia in the Early Stage Through CT Imaging and Clinical Features
Please summerize the given abstract to a title,Repurposing Colchicine for the management of COVID-19: A systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. atomoxetine hy chatbot.  the judgement of your psychiatrist should be correct in giving the medicine. there is no evidence of ocd as side effect. still you shall consult your psychiatrist once again and update him about the developments. in my opinion primary add and ocd may be cured with the help of psychotherapy without any medicines. try to find a clinical psychologist. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,The Next Frontier for Designing Switchable Proteins: Rational Enhancement of Kinetics.
Please summerize the given abstract to a title,Environmental Screening for Surface SARS-CoV-2 Contamination in Urban High-Touch Areas
Please summerize the given abstract to a title,Cognitive decline . . . and other stories
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it may be due to generalized weakness or viral fever or electrolyte imbalance or hyper or hypothyroidism or alcohol abuse or infection etc. until examination is done it is difficult to say what it is. use tablet pantoprazole before breakfast for one week.  chatbot.  if symptoms not improved please get it done lumbar x-ray then consult your physician he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further. take care"
Please answer with one of the option in the bracket,D: Heart failure
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. when ct scan of abdomen (kidneys included) is done, the scan also is taken for the lower areas of chest and the lung bases. i think pneumonia was diagnosed in this manner. coming to the kidney growth, fat deposition can occur in some tumors of kidneys like lipoma or angiomyolipoma. the nature of such growth needs to be accurately evaluated, and your doctor will write this in your report. in most patients, fat deposition in kidneys is a benign condition, however the confirmation depends on correct description and may also require a kidney biopsy. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","ok, there are limits from not having an examination. veins often look funny. if there is a difference between the arms then it would be more likely to mean something. venous clots in the arms are kind of rare. the whole arm swells up like a balloon and is quite alarming in these rare situations and there is usually something else going on to cause it (trauma, clotting issues, etc.). then, lying on some structures irritates them. this is common. most people have a little of this sometime. neck problems or wrist problems make it likely to happen to someone all the time. a wrist brace often helps."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in pneumonia symptoms appear before x-ray findings (infiltrates, consolidation). and same is true after treatment. after appropriate treatment, improvement in symptoms is earlier than x-ray improvement. so if you are symptomatically improved than no need to worry much. x-ray improvement will take almost 2-3 weeks atheist. sometimes it will take almost 1 month for improvement. so better to consult pulmonologist and discuss all these. if you are symptomatically better than you can get back to work. get done chest x-ray after 20-30 days, it will improve."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have dizzy spells, stiff neck and headache. well there can be many reasons for symptoms you mention in query like giant cell, arthritis, cluster headaches, migraine, trigeminal neuralgia or cervical spondylosis. i would suggest you to apply warm compresses on pain site and neck, do mind relaxing exercises and take ibuprofen or acetaminophen for pain. consult neurologist for proper diagnosis. doctor may order ct scan mri and take history to confirm the diagnosis. doctor may prescribe muscle relaxant, vasograine along with recommend stretching exercises of facial muscles. doctor may also refer you to orthopedic surgeon for cervical problem. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"The segmented virus families include bunyavirus, orthomyxovirus, arenavirus, and reovirus. Segmented viruses are viruses that have their genetic material divided into multiple segments or pieces, rather than being contained in a single piece of genetic material like most other viruses. This characteristic allows segmented viruses to undergo genetic reassortment, which can lead to the emergence of new strains or variants with different characteristics. Some examples of diseases caused by segmented viruses include influenza, hantavirus pulmonary syndrome, and rotavirus gastroenteritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand your concern, the low wbc counts indicates so many etiologies from infection to hematological condition and that need to be differentiated from each other the first step would be hematology test, and the bone marrow is the only way for this to find out the exact cause, let us hope for the good you can ask any further question without hesitation have great day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to chatbot. i read and understand your question very well. i try my best to help you in this. as you have sinus, dizziness and vertigo problem. i suggest you to take tab. diatonic dca, twice a day. also use tab. vermin 4 mg for vertigo, twice a day. you have sore tender in your groin region, it is not related to this. if symptom not resolve than consult a good ent (ear nose throat) surgeon for this. i hope my advice will help you a lot. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, requirement of root canal treatment can be decided only after examining your oral cavity. if the tooth is decayed, and it has involved the pulp it should be root canal treated. root canal treatment usually takes 3 sitting, but now there is single sitting rct which can be done if the tooth is not infected. since the cost of rct is higher in the uae you can get it done at a cheaper cost in india. you can use colgate prorelief toothpaste for sensitivity. it gives quick relief. regards"
Please summerize the given abstract to a title,Leveraging Artificial Intelligence in Marketing for Social Good—An Ethical Perspective
Answer this question truthfully,"Signal transducers play a crucial role in relaying receptor activation to the nucleus, allowing for the appropriate cellular response to occur. Examples of molecules involved in this process include Ras and other signaling proteins that are activated downstream of receptor activation."
Answer this question truthfully,"The tumor cells of pilocytic astrocytomas stain positive for GFAP. Pilocytic astrocytoma is a type of brain tumor that arises from astrocytes, which are star-shaped cells that provide support and nourishment to the brain's neurons. One of the key features of pilocytic astrocytomas is the presence of Rosenthal fibers, which are eosinophilic, corkscrew-shaped structures found within the tumor cells. Another characteristic of pilocytic astrocytomas is that the tumor cells stain positive for GFAP, or glial fibrillary acidic protein, which is a protein found in astrocytes and other glial cells. GFAP staining can be used to help diagnose pilocytic astrocytomas and distinguish them from other types of brain tumors."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Antibodies to Highly Pathogenic A/H5Nx (Clade 2.3.4.4) Influenza Viruses in the Sera of Vietnamese Residents
Answer this question truthfully,"Mesothelioma is a type of malignancy that affects the pleura, the thin layer of tissue that lines the lungs and chest wall. This cancer is highly associated with exposure to asbestos, a naturally occurring mineral that was commonly used in construction and manufacturing industries until its health hazards were discovered. When asbestos fibers are inhaled, they can become lodged in the lungs and cause inflammation and scarring, which can eventually lead to the development of mesothelioma. Because of the long latency period between exposure to asbestos and the onset of mesothelioma, many people who were exposed to asbestos in the past may not develop symptoms of the disease until decades later."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have ductal carcinoma in situ. your monocytes count has no relation with cancer. its normal range is 2 to 8 %. your count is of 9%. so it's almost near normal.  even mild viral infection or infectious mononucleosis may cause elevated monocyte count.  so don't worry about that. just be relaxed. it has nothing to do with your cancer. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Risk factors that can precipitate or provoke seizure include: excessive sleep deprivation, alcohol use, illicit drug use, some medications that reduce the seizure threshold, toxins, homeostasis abnormality due to organ failure, metabolic abnormalities, and medical and surgical histories that may be important in assessing the patient’s risk for future seizures."
"If you are a doctor, please answer the medical questions based on the patient's description.","earle understand your concerns went through your details. i suggest you not to worry much. i sincerely suggest that you are victim of your own negative thinking. you cannot term your current state of mind as clinical depression. rather, this is just disappointment. disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. please understand this fact and make sure to introspect. find the reason for your disappointment and consult a psychologist if need be. anger always comes due to frustrations in life. frustrations are normal with everyone. people learn to ignore frustrations when they get experienced. do you get angry to circumstances outside your home as you get angry at your house? your office, bus stand, railway station, neighbors etc. if yes, you might need to get evaluated for anger issues. if no, just understand and compare the two situations, and you can be better yourself. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Is Mandatory Vaccination for COVID-19 Constitutional under Brazilian Law?
Answer this question truthfully,"The aggressive variant of squamous cell carcinoma that can develop in areas of chronic inflammation, previously traumatized, or scarred skin is called Marjolin's ulcer. Marjolin's ulcer is a rare but aggressive form of squamous cell carcinoma that can occur in areas of chronic inflammation, such as chronic wounds or scars. It typically presents as a non-healing ulcer that may be painful and can have a high risk of recurrence and metastasis. The diagnosis of Marjolin's ulcer is based on a biopsy of the affected tissue, and treatment typically involves surgical excision with or without radiation therapy. Prompt diagnosis and treatment are crucial to prevent the spread of the cancer and improve the chances of a successful outcome."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. your patient has uti secondary to bladder outlet obstruction due to enlarged prostate. he needs to consult qualified urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis3) serum psa. in he meanwhile starts him please take broad spectrum antibiotics like definite along with urinary antiseptic like nitrofurantoin twice daily and tamsulosin once daily . later on switch on to appropriate antibiotics as per culture report. get the prescription of medicines from your family physician. further treatment will depend upon result of these tests and final diagnosis. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. having painful cuts over foreskin and stinging is mostly due to what is called as much cutaneous genital candidiasis and is a first presenting symptom of diabetes. you need to get your sugar levels done to confirm the status of your diabetes and take the medicines to keep it under control. take antibiotics like augmenting and anti-inflammatory medication like diclofenac along with antifungal medication fluconazole orally twice daily. using topical antifungal cream like candid cream for local application will help to prevent stinging. ensure to wash your genitals with warm water twice daily. ensure to avoid sexual encounters till it heals up completely. chatbot.
Answer this question truthfully,Fleas are the vector responsible for transmitting Endemic Typhus (Rickettsia typhi).
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of asthma is more likely in your daughter s case. best treatment of asthma is inhaled treatment. inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone) is best for asthma. seroflo is having albuterol and fluticasone. it is appropriate for her disease. inhaled chatbot.  so inhaled"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, its very appropriate for you get consulted by a dentist. it is very possible for a poorly treated tooth infection to spread, especially in case of an abscess. nearby structures like the sinuses and the bones around can easily be attained. osteomyelitis of nearby bones is a common complication of poorly treated tooth infections. consulting dentist at this point in time is of utmost importance for an appropriate evaluation and treatment. adequate chatbot. thanks for the query and hope this helps, best regards, luchuo, md."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello gary. went through your query. i would like to know the following from you1. could you please tell me your age.2? how many hours of truck chatbot.  are you active otherwise doing back exercises.4? is there any fever that you are getting of lately or any loss of appetite.?5. does the pain increase during nighttime when you are asleep.6. is this the first episode of this kind. kindly revert with the answers so that i can help you in a better way. best wishes regards
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, liver diseases can cause increased bleeding tendency and a trivial trauma can lead to uncontrolled bleeding and that might cause subdural hematoma.  the liver is the site from which vitamin-k is synthesized and which can be the cause for low vitamin-k as well. in normal kids vigorous shaking can cause concussions and subdural bleed is very unlikely. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your question here, i will try to answer it to the best of my abilities.60% of women have an egg ready to go on the last day of the break, which means that if you take the pill even a few hours late on that day, there is a chance of getting pregnant. as such question yourself did you take the pill at the right time? if not, well take a home pregnancy test in a couple of days. that should let you know what to expect. i hope this answered your question."
Answer this question truthfully,"Some common symptoms of hypersensitivity reactions that can occur with the use of Sulfa drugs include fever, hypotension, urticaria (hives), and rash. Sulfa drugs are a type of antibiotic that can be used to treat a variety of bacterial infections. However, some people may be allergic to Sulfa drugs and develop hypersensitivity reactions as a result. Hypersensitivity reactions can range from mild to severe and may include symptoms such as itching, swelling, difficulty breathing, and anaphylaxis. It is important to seek medical attention if you experience any symptoms of a hypersensitivity reaction while taking Sulfa drugs or any other medication."
"If you are a doctor, please answer the medical questions based on the patient's description.",it can be due to some medicines if she is taking for other problems like bp pain killersantibiotics vitamins calcium or dietary supplements she might have developed some allergy to p[articular food like milk o wheat person can get allergy from any food aor material at any time at any angelou you can think possibilities according to above guidance you are taking medicines you can change salts in consultation with your doctorow get allergy tests to find out the culprit food by testing blood hereafter elimination you will be fine
Answer this question truthfully,"Cyanide poisoning is a medical condition that occurs when a person is exposed to high levels of cyanide, a toxic chemical that interferes with the body's ability to use oxygen. One way that cyanide poisoning may occur is through the ingestion of amygdalin, which is a glucoside found in apricot seeds. When amygdalin is metabolized by the body, it releases cyanide, which can lead to symptoms such as headache, dizziness, nausea, vomiting, and difficulty breathing. In severe cases, cyanide poisoning can be life-threatening. Treatment for cyanide poisoning may include the administration of antidotes such as hydroxocobalamin or sodium thiosulfate, as well as supportive care to manage symptoms and maintain vital functions such as breathing and circulation."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. if you send a picture of the rash then it will be more helpful in identifying. from your description it can be genital herpes. do you have any unprotected sexual intercourse? ?. genital herpes comes in blistering rashes and will be associated with burning sensation or pain and itching. acyclovir cream for local application will be helpful for this. if it is more trouble some then oral anti-viral chatbot.  you can also use ice water for washing. a consultation with dermatologist is well appreciated to confirm this. hope this may help you. let me know if anything is not clear. thanks.
Please summerize the given abstract to a title,Rapid response to COVID-19: health informatics support for outbreak management in an academic health system
Answer this question truthfully,Relative polycythemia is characterized by normal EPO levels.
Please summerize the given abstract to a title,"VAT Gaps in Developing Countries: Measurement, Administration and Politics"
"If you are a doctor, please answer the medical questions based on the patient's description.",here i suggest for blood pressure you talk to your doctor and take some extra medication for lowering it. ideal is 120-130/70-80.  as per her age and recent fall. if she is able to maintain it after taking some rest and next dose of medication for bp then its key. no need to take her to urgent care. now for her neck pain i suggest giving her hot pack frequently for 15 minute each time with light heat. and post use of hot pack apply some pain relieving ointment. if this together give her relief then it's fine. if not then you need to visit an orthopedic or physiotherapist take x-ray and see there is nothing wrong. here the doctor will guide you further for medication for pain and inflammation and will also suggest for physiotherapy treatment. physiotherapy treatment will help to give relaxing and healing effect in soft tissue and will help further for pain relief. at any time if she complains of headache and not having control on hand or leg with high blood pressure then i suggest shifting her for emergency care unit at hospital. till then nothing to worry take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you have been indulged in masturbation since many years and now facing problems related to general health.first there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety. following measure will help you to boost up your confidence and improve your general health and memory.ejaculation.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot you need to understand that pcs problem causes problem in ovulation and also associated with diabetes. you should check your fasting and postprandial blood glucose ideally by og tt test then you will know whether chatbot.  also get hba1c levels done. you can wait for periods to come, maybe little late but if they come the periods will regularize in few cycles, and then you can conceive. when you get periods the doctor will call you on one day probably to see by ultrasound if you are ovulating on 14th day, and then you can plan the days to have sex to conceive. if there is problem in this part he may recommend"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to us.  the chances of pregnancy are very rare with such type of sexual activity as you mentioned, but precaution is always important if you want to avoid pregnancy.  you should consult a gynecologist for future planning to avoid pregnancy. she can take oral contraceptive pills for family planning.  if she overdue her period only then you go for urine pregnancy test.  good luck.  regards"
Please summerize the given abstract to a title,Kompletten Lernstopp verhindern
Please summerize the given abstract to a title,Long-Lasting Effects of Pandemics: The Case of the 1918 Influenza Pandemic in Argentina
Please summerize the given abstract to a title,The Intention to Study Using Zoom During the SARS-CoV-2 Pandemic
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Role of SARS CoV2 IgG antibody beyond serosurveillance
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,A Curriculum to Improve Pediatric Residents' Telephone Triage Skills
Answer this question truthfully,Cleft lip and palate is usually diagnosed at birth. Follow the health care provider's recommendations for follow-up visits. Call if problems develop between visits.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","it is not clear from the details whether the swelling is a localized one or is it abdominal distention due to bloating. to me, it seems more like the latter as you mention irregular bowel habits. there is no restriction about the food intake, but it is preferable to avoid junk food. try taking a high fiber diet as well as fiber supplements like isabel alongside your dinner. alternatively you may also use lactulose syrup 2 teaspoonfuls once or twice and day and see if you get relief. i would still insist that you remain in follow up of a doctor."
Please summerize the given abstract to a title,The Symptoms and Medications of Patients with Inflammatory Bowel Disease in Hubei Province after COVID-19 Epidemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. lump in vagina can be due to some cyst or tumor.  but it will not cause infertility.  if you have problems in having baby then first you should go for your semen analysis.  if ir is ok then go for ultrasound abdomen of your wife and then hormonal study if required.  first search the cause of infertility and take treatment accordingly. vaginal lump has no relation. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Yes, research suggests that an increase in G-C content can lead to an increase in the melting temperature of a DNA strand."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, first this should be infection, so antibiotic is useful else this won't work here, most of the time this could be due to allergic conditions if this is so then no specific treatment needed, while cough ups this action needs great energy and this comes from the chest muscles and phenomenon sometimes becomes painful, but this is nothing to worry, every thing would be fine, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query. well the treatment largely depends on the blood glucose level. often a borderline level or a mild increase in blood glucose can be kept in check by keeping away from sweets, restricting the calorie intake by a balanced diet and regular physical exercise which can be simple walking for about 30-40 minutes a day. but for greater values of blood glucose, one often needs medications and these days there are so many chatbot.  these have less side effects. do not worry much. have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","this sounds like it might be herpes, either genital herpes, or given her age, herpes zoster (shingles). an initial outbreak of genital herpes (herpes simplex) can be quite painful. shingles is caused by the same virus that causes chickenpox, and most often occurs in older people and is quite painful. the rashes from both viruses can look the same. they both can be treated by the same antiviral, acyclovir and other variants of it. hope this helps."
Answer this question truthfully,"The best diagnostic modality for an outpatient patient with asthma is PFT, which stands for pulmonary function testing. This test measures how well a person's lungs are functioning by assessing various parameters such as the amount of air they can inhale and exhale, the rate at which they can exhale, and how efficiently oxygen is being exchanged in the lungs. PFT is a non-invasive and painless test that can be performed in a clinic or outpatient setting. It is often used to diagnose and monitor the severity of asthma, as well as to assess the effectiveness of treatment. Other tests that may also be used to diagnose asthma include spirometry, bronchoprovocation testing, and allergy testing. It is important to work closely with a healthcare provider to determine the most appropriate diagnostic approach for each individual patient."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, please understand masturbation is safe and never unhealthy if it is done in moderation. you can masturbate 3 or 4 times in a week. if you have good stamina it can be more.  even though excess masturbation can cause tiredness, it will not last if you discontinue masturbation for some days. in your case, please provide more details about your masturbation habit.  hope i have answered your query. let me know if i can assist you further. take care chatbot.  v. anand, psychologist"
Answer this question truthfully,"The cervical lymph node cluster is responsible for draining the lymphatic vessels from the head and neck. The cervical lymph nodes are located in the neck, and they are divided into several groups based on their location. The lymphatic vessels from the head and neck drain into the cervical lymphatic vessels, which then drain into the cervical lymph nodes. The cervical lymph nodes are an important site for the detection and spread of cancer cells from the head and neck."
Please summerize the given abstract to a title,Sero-Epidemiological Survey and Profile of SARS-CoV-2 Infection in Cape Verde
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome with your query to chatbot. based on the facts of your query, after its review, in my opinion you need to have second opinion from surgeon, who is the right doctor to opine on it. in my opinion it could be mostly a neurolipoma or a drums lipoma with multiple lipomatous, which runs in your family. but the multiple occurrence questions on its being infective boils, which needs to be ruled out by physical check from surgeon. antibiotic regression would prove that they are boils and not lipomas. but for this you need to have second opinion as rightly thought by you and advised by me in the beginning of this reply. hope this reply resolves your worry with your queries. will appreciate writing your feedback review comments, to help the needy patients like you at chatbot. good day!! chatbot. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~ it is not uncommon to have this feeling of hotness or feeling flush after a meal, particularly a spicy or a heavy or an unusually warm one.  everyone's physiology is different.  however, if you feel that it is unusual for you and that it is causing you discomfort in any and every situation, i would recommend that you see an endocrinologist first since it could be hormonal.  if you have ruled this out, an unusual form of anxiety disorder may be the case.  however, you would need to consult a psychiatrist for a detailed evaluation.  i hope this helps.  take care and have a safe day !"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi rite, thanks for writing to chatbot. let me answer your query step by step. evian q is vitamin e which is given to improve egg quality in females. fertocurd is ovulation inducing chatbot. ovulation study is you get serial ultrasound abdomen or through vagina from day 9 on alternate day till follicle rupture and egg is formed. in this we will monitor the growth of follicle and also pattern and day of ovulation. ovulation means follicle rupture and egg is produced. sg is a test in which a dye is injected into uterus and x-ray taken. this will tell about the blockage of tubes or any growth/septa in uterus. hope i have been helpful. regards"
Answer this question truthfully,"What type of toxin does E. coli O157:H7 produce that damages endothelial cells and can result in platelet microthrombi, such as HUS? E. coli O157:H7 produces vero-toxin."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in most cases reported of knee pain now in the early 30s and 40s are of the early signs of osteoarthritis of the knee. these degenerative changes are occurring due to the lifestyle and lack of proper physical activity. due to which there is a weakness of muscles of the lower limbs and leading to knee joint reduced space.  there is a method to control the degenerative process to progress. exercises under a guided physiotherapist in the initial stages and later at home by self-effort is advised. exercises include - static hamstring, static qua chatbot.  each exercise is implemented to focus on the required weak muscles and also the muscles which provide imbalances to the joint. proper training will help to control the progression of the degenerative changes and improve the quality of life. hope i have answered your query. let me know if i can assist you further. jay in"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there... problems associated with teeth, nose and sinus (infections arising from them) would chatbot. ...these get enlarged and become painful....there are swellings seen in neck as a result of an abscessed lower tooth-the infection spreads down to the neck and manifests in the form of swelling...swelling in each part of the neck has its own significance. clinical examination is mandatory. if teeth related consult an oral and maxillofacial surgeon. otherwise, you can consult an ent surgeon for further management."
Answer this question truthfully,"The Ebola virus infects the mononuclear phagocyte system, but also other cells such as hepatocytes, spongiocytes, fibroblasts and endothelial cells, inducing tissue necrosis and disrupting the hematological and coagulation systems. The Ebola virus is transmitted by direct contact with infected patients or animals. The natural reservoir has not been identified."
Answer this question truthfully,"Proton pump inhibitors are generally well tolerated, and the incidence of short-term adverse effects is relatively uncommon. The range and occurrence of adverse effects are similar for all of the proton pump inhibitors, though they have been reported more frequently with omeprazole. This may be due to its longer availability and hence clinical experience.
Common adverse effects include: headache, nausea, diarrhea, abdominal pain, fatigue, dizziness. 
Infrequent adverse effects include: rash, itch, flatulence, constipation. Decreased cyanocobalamin (vitamin B12) absorption may occur with long-term use.  Rarely PPI cause ‘idiosyncratic’ reactions such as erythema multiforme, pancreatitis, Stevens Johnson syndrome and acute interstitial nephritis. 
It has been observed that gastric acid suppression, using H 2 -receptor antagonists and proton pump inhibitors, is associated with an increased risk of community-acquired pneumonia. It is suspected that acid suppression results in insufficient elimination of pathogenic organisms. It has therefore been suggested that patients at higher risk of pneumonia should only be prescribed proton pump inhibitors at lower doses and only when necessary. 
PPIs have also been shown to raise risk of C. dif infection. 
Long-term use of proton pump inhibitors has been less studied. But in a study of 135,000 people 50 or older, those taking high doses of PPIs for longer than one year have been found to be 2.6 times more likely to break a hip. Those taking smaller doses for 1 to 4 years were 1.2 to 1.6 times more likely to break a hip. The risk of a fracture increased with the length of time taking PPIs.  Theories as to the cause of the increase are the possibility that the reduction of stomach acid reduces the amount of calcium dissolved in the stomach or that PPIs may interfere with the breakdown and rebuilding of bone by interfering with the acid production of osteoclasts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot and thank your for your question! i understand your concern, and would explain that these are common symptoms after brain stroke (also called pseudo bulgar palsy). unfortunately there are no specific medications, which are proved to improve this situation. the best therapy in this case would be physiotherapy and psychotherapy. recovery after stroke takes time. it is greatest in the first few months, and gradually plateaus, although small gains may be made for the next 1 to 2 years. i recommend continuing the anti vomiting medications(besides the other antihypertensive and prevention therapy) and try time after time to make proves if he can swallow without vomiting (some patients remain with a feeding tube for months). a psychiatric consult may be needed to establish the proper therapy for his mood changes. many persons have depression after stroke, which makes their recovery more difficult. hope to have been of help! best wishes,"
Answer this question truthfully,Anemia is defined as Hb < 12.5 g/dL in females.
Please summerize the given abstract to a title,Nanomaterials based superhydrophobic and antimi-crobial coatings
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have parotid tumor. it can be benign tumor like pleomorphic adenoid. but there is chance of cancer. so you should go for fnac or biopsy of that tumor. it will give you exact idea about diagnosis. then you should take treatment accordingly. don't worry about fnac it will not worsen the case. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through the complaints and understand your concern. communited fractures in this region are generally tackled by splints, plasters or surgery, depending upon the severity. the small piece, if it's in the joint, it has to be definitely removed for sure. i suggest u see a good orthopedic and get it treatednothing to worry about. i hope your question has been answered. if you have any follow-up queries, feel free to consult me anytime. thanks, take care, god bless."
Answer this question truthfully,Alcoholic hallucinosis (usually visual) typically occurs during the 12-48 hour time period of alcohol withdrawal.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is true that some insect bites may cause issues such as bacterial or viral infections, but is not possible for an insect to enter inside your head or even under skin. it may be a false sensation that is related in some cases to peripheral nerves dysfunction, or even anxiety. however, since there are bold spots an evaluation by a dermatologist is necessary to evaluate any skin infection. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Bleeding is a possible symptom that may present in the ""accelerated stage"" of Chronic Myeloid Leukemia due to thrombocytopenia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your symptoms are pointing towards the possibility of plantar fasciitis. plantar fasciitis pain may be on the bottom of the heel or on the outer or inner side of the back of the heel. pain is more in the morning as you said and decreases as the day pass.  the initial line of treatment is soft heel cushion in your shoes and calf stretching exercises before getting out of bed. the hot wax bath helps in reducing pain. tablet diclofenac sodium for pain relief can be taken. if this all is not helping local injection of depose chatbot.  visit an orthopedic surgeon for a detailed clinical examination is recommended.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Chronic exposure to the inhaled antigen in hypersensitivity pneumonitis can lead to interstitial fibrosis and restrictive lung disease. Interstitial fibrosis is a condition in which the lung tissue becomes thickened and scarred, making it difficult for the lungs to function properly. Restrictive lung disease is a group of conditions that limit the ability of the lungs to expand and fill with air, which can cause shortness of breath and other symptoms. These complications can develop over time with repeated exposure to the trigger and can be serious if left untreated. It is important to seek medical attention if you suspect you may have hypersensitivity pneumonitis, especially if you have been exposed to the antigen for a prolonged period. Early diagnosis and treatment can help prevent complications and improve outcomes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, your clinical history and symptoms suggest that you have developed a gum boil due to chemical trauma. it this fluid filled structure is not treated in time it may undergo infection leading to formation of gingival abscess. i would suggest you to get a clinical examination done by a dentist. the fluid filled sac can be surgically excised followed by the course of antibiotics and analgesics. if the lesion is associated with the tooth, the tooth has to be identified with the help of iowa x-ray and rct has to be performed. hope this helps out. regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i think you do not fear but apprehensive and anxious. apprehension is worrying about a future event. anxiety is feeling yourself in a worrisome future event and fear. inferiority complex is just a feeling. in fact, you are inferior to others. understanding self should solve the problem. for fear, anxiety etc. you should consult a psychologist. i am nearby coimbatore. in fact, alaska, kerala. you can post a direct query here in this website for me. otherwise, you can fix an appointment with me through direct query option. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. your symptoms are not related to side effects of the medications. they are related to the disc compression. i suggest using a painkiller such as ibuprofen to relieve the pain. i also suggest gentle stretching exercise daily. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards! chatbot."
Answer this question truthfully,"Osteoarticular problems seen with Chikungunya fever usually subside in one to two weeks’ time. In approximately 20% cases, they disappear after a few weeks. In less than 10% cases, they tend to persist for months. In about 10 % cases, the swelling disappears; the pain subsides, but only to reappear with every other febrile illness for many months. Each time the same joints get swollen, with mild effusion and symptoms persist for a week or two after subsidence of the fever. Destroyed metatarsal head has been observed in patients with persistent joint swelling. Since an immunologic etiology is suspected in chronic cases, a short course of steroids may be useful. Even though NSAIDs produce symptomatic relief in majority of individuals, care should be taken to avoid renal, gastrointestinal, cardiac and bone marrow toxicity. Cold compresses have been reported to lessen the joint symptoms.
Various neurologic sequelae can occur with persistent chikungunya fever. Approximately 40% of patients with chikungunya infection will complain of various neurological symptoms but hardly 10% will have persistent manifestations. Peripheral neuropathy with a predominant sensory component is the most common (5-8%). Paresthesias, pins and needles sensations, crawling of worms sensation and disturbing neuralgias have all been described by the patients in isolation or in combination. Worsening or precipitation of carpal tunnel syndrome has been reported in many patients. Motor neuropathy is rare. Occasional cases of ascending polyneuritis have been observed as a postinfective phenomenon, as seen with many viral illnesses. Seizures and loss of consciousness have been described occasionally, but a causal relationship is yet to be found. Anti-neuralgic drugs (amitryptyline, carbamazepine, gabapentin) may be used in standard doses in disturbing neuropathies. Ocular involvement during the acute phase in less than 0.5% cases as described above may lead to defective vision and painful eye in a small percentage. Progressive defects in vision due to uveitis or retinitis may require treatment with steroids.
The skin manifestations of Chikungunya fever subside after the acute phase is over and rarely require long term care. However worsening of psoriatic lesions and atopic lesions may require specific management by a qualified specialist. Hyperpigmentation and papular eruptions may be managed with Zinc oxide cream and/or Calamine lotion. Persistent non-healing ulcers are rare. Scrotal and aphthous- like ulcers on the skin and intertriginous areas may be managed by saline compresses, and topical or systemic antibiotics if secondarily infected.
Neuro-psychiatric and emotional problems have been observed in up to 15% cases. These are more likely in persons with pre-morbid disorders and those with a family history of mood disorders. The emotional and psychosocial issues need individual assessment and have to be considered in the social context of the patient and community. Broadly, psychosocial support and reassurance may solve some of the problems. A well thought about plan for community support, occupational and social rehabilitation may hold the key for success."
Please summerize the given abstract to a title,"Characteristics of and Experience Among People Who Use Take-Home Naloxone in Skåne County, Sweden"
Please summerize the given abstract to a title,Minimum costs to manufacture new treatments for COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first her treatment is good. schizophrenia respond well to medicine, but it is not treatable by simple lifestyle modification. this illness is not curable but controllable with medicines in most of the cases. apart from that symptom severity may change according to stress level, nature of psychopathology, treatment compliance and change in medicine. this may be one of the reason for change in her symptoms in different circumstances. i hope this information has been both informative and helpful for you. wish you good health."
Please summerize the given abstract to a title,#Datingwhiledistancing: Dating apps as digital health technologies during the COVID-19 pandemic
Answer this question truthfully,There are no established causes for anaplastic large cell lymphoma.
how do you diagnose anxiety,"To diagnose anxiety disorders. your doctor or nurse will first ask you about your symptoms and medical history. This is done to rule out any other health problems that could be causing your symptoms. Anxiety disorders are generally diagnosed when fear or dread of nonthreatening situations, events, places, or objects become excessive and uncontrollable. Anxiety disorders are also diagnosed if the anxiety has lasted for at least six months and it interferes with social, work, family, or other aspects of daily life."
Please summerize the given abstract to a title,A mixed-type intraductal papillary mucinous neoplasm of the pancreas with a histologic combination of gastric and pancreatobiliary subtypes in a 70-year-old woman: a case report.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,A cell-based assay to discover inhibitors of SARS-CoV-2 RNA dependent RNA polymerase
"If you are a doctor, please answer the medical questions based on the patient's description.","hello carl, welcome at chatbot. your details show that you are having dark urine with increase blood count in it, with frequent back pain & others. looking at all this it should be a urinary tract infection or presence of stone in kidney or ureter(pipe connecting kidney to urinary bladder). you should do following to have relief in this--consult to a urologist.-have some investigations like usg abdomen/ct abdomen. this will help in rule out stone or some other problem.- chatbot. -ask for culture & sensitivity of urine if every thing comes normal.-there are some anti-spasmodic medicines(like mesenteric acid,"
Please summerize the given abstract to a title,"Knowledge, Attitude and Practices (KAP) towards COVID-19 pandemic in America: A preliminary systematic review"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...by what you quote i feel that the kid is having severe form of ger (gastroesophageal reflux). your son will need - 1. antireflux therapy - proton pump inhibitors + antiemetics2. always make him lie down in a propped up position - as in the care seat. he should not be sleeping completely flatly.3. avoid heavy feeding and feeding more times and in small liquors. he needs expert gastroenterology consultation. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friendship are a lot of options available for treating achilles tendonitis, if that's your established diagnosis. what helps the most is a proper regimen of physiotherapy. there are formulations with low molecular weight collagen available which also claim to help and in my experience they have helped in quite a few of my patients, a few of my patients have also benefited from platelet rich plasma injections, but the option is expensive and needs trained hands to execute, local steroid injections also help.my suggestion to you will be my friend to discuss the available modalities with your doctor and try"
Please answer the letter of option truthfully,D
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Global diversity of policy, coverage, and demand of COVID-19 vaccines: a descriptive study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern for raised, red, fluid filled bumps caused due to threading eyebrows, upper lip and chin. i can make a possibility of allergic dermatitis due to threading. in allergic dermatitis there are eruptions along with moderate itching and in more aggravated cases there is appearance of more redness which persist for more than multiple of days. the only precaution you must follow is not to touch, pinch pop or squeeze any of them otherwise it can get infected and can cause complications. if i were your treating then would have prescribed a medium potency steroid cream application such as mometasone or fluticasone cream. you can take antihistamine ben chatbot. take care."
Answer this question truthfully,"As per the information provided, atrial septal defects are usually asymptomatic, but may present with a fixed split S2 on cardiac auscultation, and rarely with pulmonary hypertension and Eisenmenger syndrome."
Please summerize the given abstract to a title,The relative incidence of COVID-19 in healthcare workers versus non-healthcare workers: evidence from a web-based survey of Facebook users in the United States.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot delayed or irregular periods can occur in many physical illnesses including severe anemia. she can also cause issues with menstruation. menopause, of course, can also cause the period to become irregular. the only way to determine if you are menopausal would be blood tests to check your hormone levels. you can speak to your doctor about tests to determine the cause of the menstrual irregularities. i hope this helps"
Answer this question truthfully,Two Japanese scientists commenced research into inhibitors of HMG-CoA reductase in 1971 reasoning that organisms might produce such products as the enzyme is important in some essential cell wall components. This work lead to the identification of the first clinically useful compound lovastatin(mevinolin)  from a mould in the mid 1970's. This agent was first used in the more severe forms of hypercholesteraemia in the 1980s followed by landmark trials  with simvastatin that showed the potential for cardio-prevention. Cerivastatin was withdrawn in 2001 because of a ten times higher incidence of rhabdomyolysis than the other statins.
Answer this question truthfully,"Muscular dystrophies are a group of progressive, hereditary myopathic disorders stemming from defects in genes required for normal function. Myotonic dystrophy is the most common form of muscular dystrophy among Caucasians with incidence of 8-14/100,000 and prevalence of 35/100000. It is autosomal dominant with variable penetrance. An unstable expansion of a trinucleotide (CTG) repeat occurs in a gene at 19q13. An increase in severity of the phenotype occurs with progressive generations accompanied by an increase in the number of CTG repeats (genetic anticipation)."
Answer this question truthfully,"Patients with abnormal menstrual bleeding may experience variations of a normal menstrual cycle, as well as symptoms of anemia."
Answer this question truthfully,"The main symptoms of PSC include
itching fatigue yellowing of the skin or whites of the eyes
An infection in the bile ducts can cause chills and fever. PSC progresses slowly, so a person can have the disease for years before symptoms develop.
Other symptoms may include:
Enlarged liver Enlarged spleen General discomfort, uneasiness, or ill feeling (malaise) Indigestion Loss of appetite"
"If you are a doctor, please answer the medical questions based on the patient's description.","the doctor had done the right thing in fixing it that way. generally steristrips, germanic strips or demand glue is used to appose the skin properly. the healing occurs spontaneously without leaving much scar if the apposition is proper. if the steristrips get peeled off, you would have to assess, how much healing has already occurred. if the wound has already closed reasonably and there seems fewer chances of gaping, you need not worry and can leave it like that. but if you feel that there are chances of separation, you can take the child back to the doctor who can put steristrips back again. the maximum difference that can be there is in the amount of scarring and nothing else."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should first consult pulmonologist and get done bronchoscopy and bad (bronchoalveolar lavage) analysis. left hilary region calcification is suggestive of healed, inactive, scar lesion. it is not active lesion. you might be having tuberculosis or pneumonia in the past, which is healed after treatment and shows calcified lesion in left him. since it is inactive disease, no treatment is required, and it will remain as it is throughout the life. if bronchoscopy and bad is negative than you can argue with visa authority about not having active, infectious disease and your lesion is healed and noncontinuous. so consult pulmonologist and discuss all these. your visa problem will be solved, no need to worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand. as per your complaint pain in jaw on the side where you have got dental treatment done can be due to pain originating from the tooth that is worked on, and the pain can radiate to the entire jaw on the same side. while pain in neck on moving it side to side can be probably due to stiffening of muscles and also swollen lymph nodes under the jawline that can be a cause for neck pain. if the nerve is hit then in mild injuries the nerve recovers rapidly and the symptoms resolves and as you already have milder symptoms, nothing is there to worry. nothing to worry as the pain is mid and will resolve gradually. as of now you can anti-inflammatory painkiller like ibuprofen and also muscle relaxant like chlorzoxasone. do cool compresses. in case if there is no improvement or the symptoms worsen consult your dentist and get clinically evaluated. you can also discuss in detail with me by going to my profile and ask me a direct question for detailed discussion and advise. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. typhoid fever is very high in fever. you might have got tidal positive. that has no significance. only its rising liters are significant. so, give details about your fever and also attach the reports. for constipation, you can take high fiber diet. take medicines if it doesn't respond to dietary changes. this is my best opinion for you based on available details. if you have any further query please. stay healthy. chatdoctor, md"
Please answer with one of the option in the bracket,C: Cricopharyngeus and thyropharyngeus
Please summerize the given abstract to a title,Musculoskeletal Pain and Non-Classroom Teaching in Times of the COVID-19 Pandemic: Analysis of the Impact on Students from Two Spanish Universities
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, if he does not have fever or breathing difficulty, this probably indicates a viral respiratory infection. ventolin contains albuterol/albuterol, a bronchodilator that will reduce cough if there is wheezing in chest. wheezing in infants is better treated by nebulization, but this may not be feasible during a trip. although ventolin can be safely given to 3\u00a0m old baby in time of need, levosalbutamol will be more apt. you can give syrup leveling(levosalbutamol 1\u00a0mg/5ml) 1.5ml 3 times a day. if the cough is not disturbing, and he is active and playful, cough will subside without any medicines in 3-5 days. if develops fever or breathing difficulty, or refuses to feed, kindly take him back to doctor. hope i have answered your quertle me know if i can assist you further chatbot."
Please summerize the given abstract to a title,Tackling the Pandemic COVID-19: The Bangladesh Perspective
Please summerize the given abstract to a title,Mathematical Modeling and Optimal Control Strategy for a Discrete Time Model of Covid-19 Variants
Please summerize the given abstract to a title,Medium-chain fatty acids production from carbohydrates-rich wastewater through two-stage yeast biofilm processes without external electron donor addition: Biofilm development and pH impact
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for your son as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. infections from mono take 4 to 8 weeks to develop symptoms. once infection subside person can secrete virus for years. so isolation is difficult to done in cases of mono. but most of the people develop immunity against mono once they infected with it. so don't worry about that. you can carry on. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,D: Pulmonary artery
Answer this question truthfully,"Not working at the position of the page where the tag is located but on the page header, and throughout the page, respectively (see below):
DISPLAYTITLE: allow the page header to be different from the page name. DEFAULTSORT: Sets a default category sort key for the page.
Word Example Explanation {{#language:}} {{#language:da}} = dansk MW1.7+ Native name of language code. {{lc:}} {{lc:AbC dEf}} = abc def MW1.5+ LowerCase {{lcfirst:}} {{lcfirst:Ab Cd}} = ab Cd MW1.5+ LC first char. {{uc:}} {{uc:aBc DeF}} = ABC DEF MW1.5+ UpperCase {{ucfirst:}} {{ucfirst:aB cD}} = AB cD MW1.5+ UC first char. {{formatnum:}} {{formatnum:-299792458.56789}} = −299,792,458.56789 MW1.7+ Add decimal separators according to the wiki's default locale. Leading minus and plus are recognized. {{padleft:}} {{padright:}} {{padleft:7|3|0}} = 007 {{padleft:0|3|0}} = 000 (bug) {{padleft:bcd|6|a}} = aaabcd {{padleft:café|8|-}} = ----café (<==Bug effect) {{padleft:cafe|8|-}} = ----cafe {{padleft:bcd|6|{{!}}}} = |||bcd {{padright:bcd|6|a}} = bcdaaa {{padright:0|6|a}} = 0aaaaa (bug) First case is, for example, applicable to years in a category... giving an ordered year to sort by pipetricks order, or any such ordering where left extended zeros allow a proper sorting. MW1.8+ Pads a string with a character to the specified width. Note that there's a little bug that interprets non- US-ASCII characters as two, instead of one character (see the difference in café and cafe in the examples.) It does not seem possible to use padleft and padright for padding with characters with a multi-character code, such as &nbsp;, which would be useful with padleft for sorting tables with Javascript. Padding ""0"" does not work, it returns the same. This seems to be a bug. 
With regard to #language and Template:Tim, see also:
List of Wikipedias/local names - shows both names for all languages, without automatic comparison List of Wikipedias/local names/diff - values of #language for which {{n local}} contains a different name. List of Wikipedias/local names/diff 1 - for languages where the two names are different, shows both; due to the Template:Peisl the end of the table is messed up"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your children situation and problem. by your history and description, possibility of allergic disease is more in your sons case. he might be having allergic rhinitis and allergic bronchitis. best treatment for this is identification of allergen and if possible complete avoidance of it. so avoid dust, pollen, chemicals etc. continue montage and decor. these are first line treatment for allergy and no harm in giving him. these are safe for long term use also. so you can give them without fear. recurrent viral infection with influenza virus also trigger allergy. so give your son annual influenza vaccination to prevent recurrent infection. hope i have solved your query. wishing good health to your son. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
Please summerize the given abstract to a title,Learning from each other in the COVID-19 pandemic.
Answer this question truthfully,Infection with Vibrio vulnificus causes severe infection in patients who have liver disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. many psychological disorders like anxiety, stress, depression, post-traumatic stress disorder etc. could cause nightmares in adults. nightmares in adults can be caused by certain sleep disorders. i suggest detailed psychological as well as physiological assessment for a diagnosis. if you require more of my help in this aspect, please use this url. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. twitching sensations, intermittently is seen mostly due to involuntary muscular contractions. these contractions are usually harmless but if persistent then we should rule out low calcium and magnesium. so if your twitching persist and cause you more discomfort than get done serum calcium and magnesium level and if deficiency then you may need supplements. so consult your doctor and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer the letter of option truthfully,D
Answer this question truthfully,"Primary Ciliary Dyskinesia, which also results in decreased mucociliary clearance."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome at chatbot i have gone through your query and being your physician i completely understand your health concerns. for how long you are suffering from it? any other associated problem? like diabetes or hypertension?  which antibiotics you have used?  if it is not healing then there is need to check your blood sugar levels.  there is need to get the cultures of the swabs taken from the wound so that appropriate antibiotics can be prescribed.  there is need to get the chest x-ray to rule out any infection of the lungs.  stay calm and meet your surgeon for proper clinical examination meanwhile stay calm and use acetaminophen to relieve pain get well soon hope your query is adequately ad chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you were diagnosed to have lyme disease which is an infectious disease caused by cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. the symptoms are suggestive of the lyme disease for which you have taken different antibiotics. i would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. these medications should be taken for at least one to four weeks. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. spasmodic has helped you to get relief from the mild spams in the abdomen. now you have got pain in throat, difficulty in swallowing, watering of the left eye and difficulty in keeping it open as if having pins inside. these are suggestive of primary or secondary conjunctivitis, along with upper respiratory tract infection causing all the symptoms. i would suggest you to get checked from a doctor for proper diagnosis and treatment with"
Please summerize the given abstract to a title,Risk of hospitalisation associated with infection with SARS-CoV-2 lineage B.1.1.7 in Denmark: an observational cohort study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. you have not mentioned in your query, whether she had undergone any treatment after the hit. was any of her teeth treated? the symptoms described suggests an abscess formed and when pressure is applied in that area is causing pain. i would advise you to visit her periodontist and get a radiograph done to see the position of the teeth and also the abscess.also, the underlying permanent teeth position is to be evaluated for planning the treatment as soon her permanent teeth will be erupting. for the pain you can give paracetamol as and when required and if required antibiotics after consulting the dentist. hope this was useful, thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for posting your query on chatdoctoryour report suggests that your bilateral kidneys are enlarged due to hy chatbot. e. the kidneys are converted into cysts of various sizes and there is destruction of renal parenchymal. your urine culture shows growth of proteus and antibiotic sensitivity is also done, so continue the treatment. you should take plenty of water and foods which acidify the urine e.g. vegetables. once the inflammation is controlled the changes in the kidney will revert to normal. thaks and take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. alcohol can affect nutrition. vitamin and mineral deficiency are common along with electrolyte imbalances. risk of cancer and gastritis present.2. however, it has no specific effect on t cell or eosinophils.3. immune suppression of alcohol is usually secondary to malnutrition, which could increase risk of infection.4. parasitic infection could increase in alcoholics, which could increase eosinophils more. avoid or take in limited quantities. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
Answer this question truthfully,"CNS neurons have their origin in the neural tube, specifically in the region known as the neuroectoderm. During early embryonic development, the neuroectoderm forms from the ectoderm, which is one of the three primary germ layers. The neural tube ultimately gives rise to a variety of cell types, including CNS neurons, as well as various structures such as the brain and spinal cord. The development of CNS neurons is regulated by a complex interplay of genes and signaling pathways, which ultimately determine the fate of the cells and tissues that arise from the neuroectoderm."
Please summerize the given abstract to a title,Genome-Wide Covariation in SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/ma'am, i must insist that you take your father to the er for a 2d echo of the heart especially to see the ejection fraction. ankle swelling is a sign of heart failure in patients of aortic stenosis and i cannot stress enough the need for him to go the hospital immediately. on top of that tightness in the chest is a classical angina pain which means the heart is overworked.the ankle is swollen because the heart is not able to pump the blood as it is in failure and so the blood accumulates in the extremities due to gravity. this leads to an increase in interstitial fluid and causes ankle swelling or edema in the medical term. i hope your father feels better"
Answer this question truthfully,"The recommended antibiotic regimen for treating prosthetic valve endocarditis caused by S. epidermidis is intravenous nafcillin and rifampin for 6 weeks, along with gentamicin for the first 2 weeks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot. stents are placed in the ureter their one end is in the kidney and other end is in the bladder, lower end which is in the bladder usually irritates bladder area which is sensitive and gives symptoms of frequency urgency and heaviness at low abdomen. yes it is possible that stent moves further in the bladder, but it is rare. i advise my patients with stent symptoms to take antispasmodics and painkillers. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot ! your symptoms could be related to different possible causes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. grade 2 fatty liver with hepatomegaly in a obese patient usually require treatment along with lifestyle modification. so i would advise,1. get fasting lipid profile which checks amount of cholesterol in body. if high start cholesterol lowering chatbot. 2. reduce obesity by taking low calorie diet and regular exercise. if bmi>35 she definitely requires medical intervention to reduce obesity.3.lifestyle modification like avoiding alcohol/smoking, low calorie diet and diet devoid of cholesterol.4. yearly once ultrasound scan of liver to look for progression."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. stomach gurgling is not suggestive of cancer.  it's just an air sound.  so don't worry about that. you have complex atypical so high risk of urine cancer.  you should go for prophylactic hysterectomy.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i have gone through the chatbot.  he is taking oral steroid (benson) as well as injectable steroid (escorting). honestly speaking, steroids are contraindicated in active infection like pneumonia (lung infection). steroids cause immunosuppression and this effect is more in elderly patients. so better to stop steroids, benson and escorting) because they can flare up and worsen lung infection. addition of azithromycin for coverage of atypical bacteria is also recommended in old age. so consult pulmonologist and discuss all these. continue claim xr, add azithromycin and omit benson, escorting. get done repeat chest x-ray after 7-10 days of antibiotic to see for improvement. hope i have solved your query. i will be happy to help you further. wishing good health to your grandfather. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. can understand your concern. as per your complaint a small lump under the chin can be due to either an infection in the sublingual salivary gland which is present below the chin, or it can be due to obstruction in the ducts of the salivary gland. the obstruction in the ducts of the salivary gland can occur due to formation of small stones from the minerals present in the saliva it can also occur due to tumor or cyst formation within the gland. in case of infection antibiotic treatment along with painkillers and incision and chatbot. . in case of stones exploration of the stones and their removal can help. in case of cysts or tumors removal of the gland or the pathology depends on the severity and fatness of the pathology. hope your query is solved. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected sir, hi i evaluated your query thoroughly.it's your child's immune system weakness that leads to recurrent cough. follow certain steps at home for long term benefits"
Please summerize the given abstract to a title,"COVID-19 and incarcerated older adults: a commentary on risk, care and early release in Australia"
Please summerize the given abstract to a title,DNA accelerates the inhibition of human cathepsin V by serpins.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for giving me an opportunity to answer your query. yes there are chances that the menisci may get torn again if some portion of it is left inside by the surgeon. as complete removal is most of the time avoided providing stability to the knee joint. why don't you take a rest for 3-4 days and start with static quads and hams along with atm and slr. followed by this try strengthening your gluteus muscle and core muscles. for which your physical therapist will help you for sure. later on try doing reverse walking slowly as the end part of the qua chatbot. once you get free of pain and all strengthening done, kindly focus with your physical therapist to learn the balancing activity using a rocker bottom board or a wobble board. i am sure you will be benefitted alot.my all cases with acl reconstruction, i provide highly focused exercises for both the sides of the body and make them physically fit to play, run, step up and take long walks without any signs of pain. i wish you all the best and speedy recovery. thank you"
Answer this question truthfully,Virilization is the clinical feature that is seen in women with Cushing syndrome/disease as a result of increased androgen levels.
Please summerize the given abstract to a title,La VNI type barométrique à deux niveaux de pression dans un parcours de soins ambulatoire pendant la pandémie du Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","welcomethere are many causes that causes inability to conceive.blood groupm is important after you become pregnant to avoid the problem of rh negative pregnancy.but before you become pregnant, there is no role of it...there are many problems like thyroid, prolactin level etc can be associated with you.it's better to know the exact cause of your infertility.better to consult your doctor for examination and for further tests.thanks"
Please summerize the given abstract to a title,Daily chemotherapy and treatment unit in the COVID-19 era: Lessons of the first 60 days
Please summerize the given abstract to a title,Do mortality and acute respiratory distress syndrome due to COVID-19 are related to pneumonia or angioedema like illness?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. although it needs to be examined clinically to know the exact nature of the lumps, from your history, these seem to be either olecranal bursa (a benign cyst on the elbow due to chronic friction), or could be part of multiple lipomatous, again a benign subcutaneous swelling mostly causing cosmetic problem as in your case. if i were your doctor, i would advise you to consult a general surgeon, who might advise you for a fnac (fine needle aspiration cytology) of the lump. further management would depend on the reports which could be an excision biopsy to be very sure of the cytological diagnosis by fnac. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have got osteoarthritis which is a degenerative condition of bones(there is joint surface disruption). normally our intervertebral discs maintain gap for the nerve whicchatdoctores out of spinal cord and supplies the different body regions. due to disc degeneration the nerve supplying a specific body area e.g. l4 supplies thigh gets compressed. as you know our body tries to signal any pathology with pain, so you are having pain due to nerve irritation. there are both surgical and medicinal treatment options but there long term benefits are doubtful. surgery is indicated when there is severe compression causing loss of sensation. medicinal options include analgesics, topical liniments along with physiotherapy. i would advise you to quickly follow up with an orthopaedician. do let me know if any further clarification is needed."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, treatment at the emergency room will prescribe antibiotics and if needed pain medication. you should seek medical attention for an active, spreading infection. the infection has systemic affects. you will be referred to an oral surgeon or dentist for to complete treatment on the infected tooth. realize until you treat the source of the infection, you will still have an active infection. you can also take anti-inflammatory medication such as tylenol to help reduce symptoms until you are able to seek care. thank you for your inquiry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as such acid reflux doesn't happen because of nerve damage, it happens because a sphincter between your stomach and esophagus isn't functioning properly which is causing acid from your stomach to reach your esophagus. it is this which causes the burning and pain sensation that you have. i believe the reason your doctor ordered an echocardiogram was because he/she wanted to rule out any chances of the heart being involved. i am sure you're doctor has prescribed you with a proton pump inhibitor like omeprazole as well given you advice on other lifestyle changes that will help you. so rest assured, the acid reflux is not because of any nerve problems. i hope this helped answer your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for posting your concern at chatbot. i would keep a possibility of either diaper dermatitis, which is type of irritant dermatitis, the delicate skin in that area coming into prolonged contact with soiled diapers or it could also be a case of candida intertwine, which is inflammation of the groin folds (diaper dermatitis usually spares the folds), the candida getting a chance to proliferate due to sweat and moisture in that area.-keep the area air chatbot. g clotrimazole+beclomethasone cream)-an antifungal dusting powder keeps the area"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thanks for the query. basically it can't cause cancer. it can cause granulomas or fibrous tumors if there was inflammation around this coin. these are benign structures which extremely rarely can alternate to malignancy. but if it continues to grow it may cause bowel obstruction so you should be aware of it and if this happens surgery may be necessary. wish you good health. regards
Answer this question truthfully,Heart failure with diastolic dysfunction typically leads to a normal end-diastolic volume (EDV).
Please summerize the given abstract to a title,Assessing and decomposing inequality of opportunity in access to child health and nutrition in sub-Saharan Africa: evidence from three countries with low human development index
"If you are a doctor, please answer the medical questions based on the patient's description.",hello appreciate your concernlooking at your description your symptoms can be related to prostate problem so i would advise you to get an appointment with urologist as earlier possible for per rectal examination of prostate and an ultrasounds could be caused by infection of urogenital tract or prostate cancermeanwhile maintain good hygienetake your regular medicineshave lots of fruits and vegetablescomplete abstinence of alcohol and smoking is required hope this ad chatbot.
Please summerize the given abstract to a title,Self-organized wavy infection curve of COVID-19
Please answer with one of the option in the bracket,D: The patient should receive both tetanus toxoid-containing vaccine and human tetanus immunoglobulin.
how is a heart attack treated,"Heart attack (Treatment): IMMEDIATE TREATMENT - You will be hooked up to a heart monitor, so the health care team can see how regularly your heart is beating. - You will receive oxygen so that your heart doesn't have to work as hard. - An intravenous line (IV) will be placed into one of your veins. Medicines and fluids pass through this IV. - You may get nitroglycerin and morphine to help reduce chest pain. - You may receive aspirin, unless it would not be safe for you. In that case, you will be given another medicine that prevents blood clots. EMERGENCY PROCEDURES Angioplasty is a procedure to open narrowed or blocked blood vessels that supply blood to the heart. - Angioplasty is often the first choice of treatment."
Answer this question truthfully,"Weight loss is a common symptom associated with Giardia infections. Giardia is a parasite that can infect the intestines and cause diarrhea, abdominal pain, bloating, and other gastrointestinal symptoms. In some cases, the infection can also lead to weight loss due to malabsorption of nutrients or decreased appetite. Treatment for Giardia infections typically involves antibiotics or antiparasitic medications, along with measures to manage symptoms and prevent dehydration."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. do you have heavy bleeding during delivery? if anemia present then also dyspnea can occur. so if low he is there correct it according to cause like by iron tablet or vitamin tablets. second if you have pregnancy induced hypertension and if your heart is in failure grade 1 then also it can occur. ecg useful for it. if above causes not present rule out respiratory causes by pulmonary function test like asthma or chronic bronchitis etc.x-ray and pft will be able to differentiate between restrictive and obstructive causes. if it comes normal then no need for worry. wish you good health. take care. chatbot.
Answer this question truthfully,Montelukast and zafirlukast belong to the drug class of leukotriene D4-receptor antagonists (LTRAs).
Please summerize the given abstract to a title,Research and Practice of Hybrid Mixed Teaching Mode in COVID - 19 Times
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for writing to us. definitely, you are on high dose oxycontin and lyrics. i always start oxycontin with lower dosage such as 10 mg 3-4 times and lyrics 75 mg one or two tabs a day. the dizziness and falling asleep is due to side effects. i would suggest reducing the dose gradually and if there is breakthrough pain then consider one tab stat. 80 mg is the max limit for oxycontin and don't exceed above that. in coming days, pain will reduce and continue complete rest for 1-2 weeks. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it may be due to some sudden turning of neck that you have done unnoticed. or due to improper sleeping habit to sides where neck remains unsupported. and at the point of soreness as told there some nerve might be impinged in the sore muscle that why you are getting pain radiating to ear. my suggestion to you is to use cervical collar while travelling. use of ice to relieve pain and soreness, and use of butterfly pillow for proper positioning of neck while sleeping will help. don't do any sudden jerky movement of neck, it may aggravate the condition. hope you find the answer useful. let me know if i can assist you further."
Please answer with one of the option in the bracket,A: The most important risk factors are hypertension and diabetes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot.  thanks for your query. after going through your history i am in opinion that you have stress fracture of leg bone. to confirm please visit orthopaedician and have an x-ray of leg get done. now you should avoid running, take rest, analgesics. if fracture confirmed on x-ray than continue rest plaster or cr\u00eape as per requirement (as advised by orthopaedician). i hope your query get solved. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case.x-ray foot will help in diagnosis. there is possibility of injury to calcaneal bone due to fall from height. shoe/footwear should be with soft sole. you can use silicon pad insoles. you should not walk bare foot at home also. avoid exposure of cold to foot. start plantar exercises consulting physiotherapist also physiotherapy like tens and ultrasound will help. take calcium supplement with it d. you can use supportive splint till further investigation. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the history and the symptoms are suggesting me that your son is having chronic allergic condition. whenever you are son is exposed to any of these allergens like dust, pollen, mite and food he may develop these symptoms because these allergens can lead to release of the mediators of the allergy like histamines and produce all these symptoms. for the present symptoms i would suggest him to follow1. try to identify the allergen causing all these symptoms and try to avoid them.2. oral motel lc will reduce the symptoms and improve your condition.3. if it is difficult to identify the allergen, i would suggest you to undergo skin prick test to identify the allergens and avoid them. the chatbot.  thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi raymond, welcome to chatbot ! the findings your liver is reflecting on ultrasound is suggestive of a diffuse insult to liver. it can be due to viral infection or toxin exposures like alcohol, chatbot. this can resolve from here or may lead to more damage in due course of the disease. you should get the hepatitis markers for hepatitis a, b,c, d,e, liver function test, prothrombin time, inr and a repeat ultrasound abdomen after two weeks. i hope the advice would be informative and useful for you. take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a blood sugar level of 330\u00a0mg/dl causes loss of water and glucose from the kidney. this leads to deny chatbot.  sometimes (usually in type 1 diabetes, very rarely on type 2) it may end up in ketoacidosis. chronic problems related to high blood glucose include diabetes complications like kidney damage (chronic kidney disease), cardiovascular complications (acute myocardial infarction, stroke, etc.), neurological problems (diabetic neuropathy etc.), eye problems etc guess the injection must be a glp-1-agonist(eventide or similar"
Answer this question truthfully,The condition is most common in adolescent and young adult males. It typically occurs in hot climates.
Answer this question truthfully,Glomerular filtration rate (GFR) is the laboratory measurement used to stratify CKD into stages.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. tab cyclops helps in relieving stomach pain and also fever. your doctor has prescribed right medications and cyclops can be taken twice daily morning and night. for vomiting, she can take tab meet 4\u00a0mg 1-0-1 before food only for 1 0r 2 days, and please consult a local doctor to diagnose the condition. also better to take cap 20\u00a0mg 1-0-0 before breakfast for 5 days. hope i answered your query regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot, your history are suggesting me that you may be having some chronic allergic manifestation which should be evaluated properly for adequate treatment. i would suggest you to undergo absolute eosinophil count to know the presence of allergic reaction. you may be allergic to allergens like dust, pollen, mite and food. you may require skin prick test to identify the allergens causing these symptoms, there by you can avoid it, or you may go for immunotherapy. furthermore, you can select either sublingual or subcutaneous immunotherapy. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, she should rule out viral hepatitis by viral marker investigation like anti had estimation, bag estimation, anti hcv estimation, anti he e antibody estimation etc. you can revert with reports once done. meanwhile, take care not to eat high fatty foods and sugar cane juice should be taken more. apple juice also beneficial.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for consulting. i have carefully worked through your case, and i can realize your health worries. being your physician, i assure you not to worry as i will take care all of your medical concerns. the accident does not have anything to do with the breast cancer. most of the breast cancers are genetic or runs in family. it can be treated by early recognition and treatment. don't worry you will be alright. hope it helps. if you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. have a wonderful time ahead. best regards!"
Please summerize the given abstract to a title,Liberty and the pursuit of science denial
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. the blister can be due to the presence of reinfection once the tooth is broken down in the root canal treatment. formation of an abscess in relation to the tooth can be the cause. i would advise you to visit your endodontist and have a radiograph done. once evaluated, if the tooth can be retreated, go ahead with the pretreatment of the tooth. crown placement should be followed thereby. if the tooth cannot be saved, have it extracted. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. yes, there has to be a reason for this fluttering feeling and pain in left pelvic area and the feeling of baby moving. your history of cancer breast noted, very uncommon at such a younger age. i would suggest you the following since you have a complicated history for your young age. go for ct scan of the abdomen to make certain that the cancer has not spread to the ovaries, the cysts of the ovaries can in fact be secondary cancer growth. this will prove what it is. this can be colitis as you are loosing hair, bloated and feeling full. i would advise in such a case the following"
Please summerize the given abstract to a title,Working for food is related to range use in free-range broiler chickens
Please summerize the given abstract to a title,Why Are Spanish Nurses Going to Work Sick? Questionnaire for the Measurement of Presenteeism in Nurses
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatdoctorit is very difficult to understand your case. you have not mentioned site of pain? right sided pain or left sided pain or central pain? since how many days or hours or minutes your suffering from these symptoms? is there any association with breathlessness, fever, cough? is there any history of trauma ? sorry to say but you haven't given proper history. but at the age 13 it is rare possibility of heart related pain. most common cause of chest pain in pediatric age group is costco chatbot. please take an appointment with your pediatrician or physician for detailed examination with history. regards"
Please summerize the given abstract to a title,Effect of telemedicine adoption on accessibility and time to treatment in patients with thoracic malignancies during the COVID-19 pandemic
Please answer with one of the option in the bracket,C: Environmental allergen
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. spontaneous renal rupture is a rare occurrence. the renal rupture itself might cause blood loss and tiredness. it is important to know if you have any connective tissue disorder which predisposed you to have renal rupture. our entire body is made of connective tissues and these hold various structures together. when a person has conditions involving connective tissues then there are symptoms of fibromyalgia and rupture of organs like the kidneys. please discuss with your doctor in detail if you have any condition causing the connective tissues in your body to become weak. please do not worry."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis is more likely. combihale is having formoterol and fluticasone. du ova is having geotropism and albuterol. since you are not improving with these chatbot. along with this, also take n acetyl cysteine (nac). so consult your pulmonologist and discuss starting these new"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. several bumps point to either some kind of allergic eruptions or could be herpetic lesions. this could be diagnosed only after a personal clinical examination of the lesion, and so i would advise you to get it assessed by a dermatologist in your area for a proper evaluation and management. thanks for logging into chatbot for your health queries. good luck. chatbot."
Please summerize the given abstract to a title,Tunable Properties of Polydopamine Nanoparticles and Coated Surfaces
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. literal - 500 contains azithromycin which belongs to category b chatbot. means animal studies didn't show any adverse effects on the fetus and there are no sufficient human studies. so as benefits over-weigh risks here you can take the tablets. usually three tablets are enough for completion of the course. so you once discuss this with your doctor and follow her advice. take care"
Answer this question truthfully,"Helper T cells express the cell surface protein CD40L. CD40L, also known as CD154, is a co-stimulatory molecule that is involved in the activation of B cells and other immune cells. When a helper T cell recognizes a foreign antigen presented by an antigen-presenting cell (APC), it upregulates the expression of CD40L on its surface. CD40L then binds to CD40, which is expressed on the surface of B cells and other APCs, leading to the activation and differentiation of these cells. This interaction is critical for the production of high-affinity antibodies and the generation of an effective immune response. Defects in CD40L expression or function are associated with immunodeficiency disorders such as X-linked hyper-IgM syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.",helloovarian reserve can be tested by amh levels. also at your age more that ovarian reserve the cause of your miscarriages should be found out. you might have an immunological cause or a anatomical cause (uterine malformation) for which you need to be investigated. the very fact that you are getting pregnant is enough to say you have adequate ovarian reserve. your progesterone level (a week after follicle rupture) should also be checked.
Please summerize the given abstract to a title,Survey of nationwide public perceptions regarding acceptance of wastewater used for community health monitoring in the United States
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you have breast cancer have you undergone any surgical excision of the same? during the breast cancer, there is the possibility of inflammation of the lymph nodes and this may lead to a reduced venous return. also, you are 80, so we can expect the venous return to being abnormal due to any abnormal pathology. but with using upper limb stockings your swelling should reduce and do some simple exercises for the upper limb which is swollen. you should do well. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,The vascular endothelium: the cornerstone of organ dysfunction in severe SARS-CoV-2 infection
Please summerize the given abstract to a title,"Design, Screening, and Testing of Non-Rational Peptide Libraries with Antimicrobial Activity: In Silico and Experimental Approaches"
Please summerize the given abstract to a title,The Pandemic within a Pandemic: Testing a Sequential Mediation Model to Better Understand Racial/Ethnic Disparities in COVID-19 Preventive Behavior
Answer this question truthfully,"The presence of a distended abdomen, bilious vomiting, and blood in the stool is highly suggestive of a medical emergency known as midgut volvulus. Midgut volvulus is a condition in which a portion of the small intestine becomes twisted around itself, leading to a blockage of the flow of blood and intestinal contents. This can cause severe abdominal pain, distension, and vomiting. The vomiting in midgut volvulus is typically bilious, meaning that it contains bile, which is a greenish-yellow fluid that is normally found in the small intestine. The presence of blood in the stool is also a common feature of midgut volvulus, due to the obstruction of blood flow to the intestine. If left untreated, midgut volvulus can lead to tissue death and perforation of the intestine, which can be life-threatening."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear entail, sometimes ecg in rest is normal, as our heart needs less blood in rest, so even if there are some blockages in the arteries, at rest it may be sufficient, and rest ecg may be normal. during physical activity our organism needs more blood so the heart as well, and in case there are some blockages in the arteries, the patient may have chest pain and ecg changes. maybe your father has chest pain or other typical symptoms, or positive stress test, abd your doctor wants to perform an angiography to check if there are any problems in his arteries. take care"
Answer this question truthfully,Upper Extremity DVT | Recurrence | Pregnancy
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. the reason for sore gums appears to be flu presently. but it can also be due too mild to moderate gingivitis developed over a period of time. have you had sore and bleeding gums previously, anytime? then please mention.also, i would like to suggest you to take treatment for flu, but please make a simultaneous visit to your dentist too. so that the gums can be evaluated clinically, and the treatment can be offered to you.meanwhile, use antiseptic mouth rinses along with warm saline rinses that you are doing. please write to us for further query. hope it helpsthanks. take care."
Please summerize the given abstract to a title,"Estimating COVID-19 cases and deaths prevented by non-pharmaceutical interventions, and the impact of individual actions: A retrospective model-based analysis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear though you are just 20 but as you are on amphetamines for 4 years a probable cardiac causes to be ruled out, amphetamines can cause ischemia, cardiac ischemia(less blood supply) is a very common side effect of using amphetaminesthey can also cause lung condition like pneumothorax which also presents with the same symptoms amphetamines can also cause severe gastritis and heart burn which also can present with the same symptoms would suggest you to go forecg2d echo chest x-ray pa view this will help you to reach a diagnosis that what is the exact cause of pain and medication can be taken according to diagnosis thanks"
Answer this question truthfully,"Stretch marks or striae, as they are called in dermatology, are a form of scarring on the skin with a silvery white hue. They are caused by tearing of the dermis, and over time can diminish but not disappear completely. Stretch marks are generally associated with pregnancy, obesity, and can develop during rapid muscle growth from body building. Stretch marks are the result of the rapid stretching of the skin associated with rapid growth (e.g. puberty) or weight gain (e.g. pregnancy), and anabolic steroid use. Although the skin is fairly elastic, rapid stretching of the skin will leave permanent stretch marks. (Source: WD Writers). Stretch marks (also referred to as striae distensae. Medical terminology for these kinds of markings include striae atrophicae, vergetures, striae cutis distensae, striae gravidarum (in cases where it is caused by pregnancy), lineae atrophicae, striae distensae, linea albicante, or simply striae."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, pain at chin can area in a 4-year-old child after trauma can be due to muscle spasm, mandibular fracture, skin hematoma. apply pain reliever cream over the chin area. also, and x-ray of the mandibular region should be done to rule out fracture. it is necessary to rule out fracture because if there is fractured then the child will have difficulty in eating food. i advise you to do x-ray of mandibular region. an examination by doctor should also be done. give soft diet to child. take care."
Please summerize the given abstract to a title,Design a smart infrastructure monitoring system: a response in the age of COVID-19 pandemic
Please summerize the given abstract to a title,Uptake and Accessibility of Surgical Robotics in England.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it might be an infected sebaceous cyst on forehead, which is giving pus discharge off and on for 03 months. the discharge is usually - somewhat viscous, serosanguineous fluid (containing purulent material). with surgery, a cyst can usually be excised in its entirety. alternatively subject pus for culture sensitivity and take an appropriate antibiotic for 5-7 days as per sensitivity report.also, a chronic discharging pus may be a cold abscess (tuberculous), though forehead is not a common site. smear of discharge may show acid-fast bacillus (afb) on z-n stain in that case. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to a side effect of the injection. i suggest using anti-inflammatory medications such as acetaminophen to relieve the inflammation. i also suggest using cold compresses for local application. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please summerize the given abstract to a title,Backpropagation with BFGS optimizer for COVID-19 prediction cases in Surabaya
Please summerize the given abstract to a title,The essential adaptors of innate immune signaling
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Cross-border cooperation health in ireland
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you said your son has vsd and your doctor is planning to start vyvanse (lisdexamfetamine) for adhd. if your son is not on any cardiac medications, doesn't get breathless while playing, not having recurrent episodes of chest congestion and pneumonia then probably his vsd is small. small bsds with little shunt are often asymptomatic. moderate to large bsds result in pulmonary over circulation and heart failure. approximately one third of all bsds close spontaneously. now regarding vyvanse (lisdexamfetamine), adverse effects of lisdexamfetamine related to cardiovascular system are abnormal heart rhythm, high blood pressure, etc. as per your information supposing your son has small vsd which is not causing any pulmonary hypertension and heart failure, taking vyvanse (lisdexamfetamine) for adhd would be safe, and you may trust your doctors' judgement. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori can understand your concern regarding your sons back muscle pain one after another.  muscle aches are extremely common. almost everybody has likely experienced discomfort in his or her muscles at some point. there can be several factors causing it -- overuse of muscles, lack of physical activity and lack of proper intake of essential nutrients, lack of sleep . often, this is because most instances of myalgic result from too much stress, tension, or physical activity. some common causes include"
Answer this question truthfully,"In minimal change disease (lipoid nephrosis), lipids may be seen in proximal tubule cells of the nephron (light microscopy)."
Answer this question truthfully,"β-adrenergic agonists cause K+ to shift into cells, causing hypokalemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. you did right by applying ice over the swelling. usually the hematoma/bruise if not oozing blood actively would resolve in three to four weeks time. however, if it constantly increases in size, this could be a sign of an active bleeding, and i would suggest you to get your self evaluated by a general surgeon, who might plan to aspirate the hematoma and apply a pressure bandage. he might even plan more invasive procedure if need be in case of any signs of continuing active bleeding in the hematoma. till then, i would advise you to go for an anti-inflammatory chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatdoctorto start with spondylolisthesis refers to the forward slippage of one vertebral body with respect to the one beneath it. this most commonly occurs at the lumbosacral junction(lower back)in my opinion conservative measures are aimed at symptomatic relief and include the activity modification, bed rest during acute severe exacerbations, analgesics, bracing,therapeutic strengthening and stretching exercises."
Please summerize the given abstract to a title,Translation and validation of body image instruments: An addendum to Swami and Barron (2019) in the form of frequently asked questions.
Please answer the letter of option truthfully,A
Answer this question truthfully,"Warfarin is a medication used to prevent blood clots, and its onset of action is slow. It typically takes between 8 and 12 hours for warfarin to begin working after it is taken. This slow onset of action is due to the way that warfarin works in the body, which involves blocking the production of certain clotting factors in the liver. While warfarin can be effective in preventing blood clots, it must be carefully monitored to ensure that it does not cause excessive bleeding or other complications."
"Stem Cell Therapy for Muccular Dystrophy I have read the Medline Abstracts 98,99 of 'Limb-girdle muscular dystrophy'. Please could you tell me how I contact a specialist to enquire further with this...Thank you...","Management depends on each individual and the specific type of LGMD that the individual has. However, the American Academy of Neurology has developed guidelines for treatment of LGMD including: Weight control to avoid obesity Physical therapy and stretching exercises to promote mobility and prevent contractures (fixed tightening of the muscles) Use of mechanical aids such as canes, walkers, orthotics, and wheelchairs as needed to help ambulation and mobility Monitoring and surgical intervention as needed for orthopedic complications, such as foot deformity and scoliosis cardiomyopathy A team approach to treatment is recommended including a neurologist , pulmonologist , cardiologist , orthopedic surgeon, physiatrist , physical/occupational/ speech therapist , nutritionist , orthopedist , mental health counselors, and geneticist / genetic counselor . While not a currently available treatment option, some studies have shown  promising results with the use of gene therapy . More research is needed to prove the safety and efficacy of this treatment approach."
Please summerize the given abstract to a title,More research needed into long-term medical student mental health during COVID-19 pandemic and beyond
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. re-infection of the root canal treated tooth can be the cause for the swelling, tenderness and pain in the region leading to the abscess formation. i would advise you to visit your endodontist and get a radiograph done to see the status of the root canal treated tooth. if needed, carry on the re-treatment. if not periapical surgery can also help you. for the pain take ibuprofen tab (if you are not allergic to any medicine). antibiotics may be required like amoxicillin 500\u00a0mg and metro lag 200 mg on prescription by your dentist. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment and this is transmitted by dog bite. as you were accidentally bit by a dog while playing over ring finger which led to blood blisters and one small puncture wound on the finger. the dog is completely vaccinated against rabies.  the first aid treatment was given by washing the wound which is the first thing to be done following the dog bite. as i have explained earlier rabies is a deadly disease which should not be neglected. for your condition i would suggest you to follow.1. active immunization with antirabies vaccine on days 0,3,7,14 and 28.2. passive immunization with rigs around the wound. if there is a heavy bleeding the wound can be sutured after this.3. oral antibiotic like tab autoclave, twice daily4. topical metro ointment. thank you."
Please summerize the given abstract to a title,Syphilis and the COVID‐19 pandemic: Did the lockdown stopped risky sexual behavior?
Please summerize the given abstract to a title,Short term safety of booster immunization with BNT162b2 mRNA COVID-19 vaccine in healthcare workers
Please summerize the given abstract to a title,Can Optimum Solar Radiation Exposure or Supplemented Vitamin D Intake Reduce the Severity of COVID-19 Symptoms?
Answer this question truthfully,"Ileus is most commonly seen in patients undergoing surgical treatment. The incidence and prevalence of ileus varies with the type of surgery performed. Patients with large incisions are at a relatively higher risk of developing ileus as compared to patients undergoing minor surgical procedures with small incisions. The incidence of ileus in patients undergoing laparotomy is approximately 9,000 per 100,000 cases worldwide, which is more common compared to other surgeries. The prevalence of ileus is not precisely known. However, it is estimated that that around 10 percent (10,000 per 100,000) of the people undergoing surgical procedures develop ileus that lasts longer than three days. Postoperative ileus has been present in 15% of patients who had partial bowel resection, based on one study. Patients of all age groups may develop ileus but it is more commonly seen in the elderly due to underlying comorbidities. There is no racial predisposition for ileus and both men and women are affected equally."
"If you are a doctor, please answer the medical questions based on the patient's description.",i don't know if you have had any medicine for this problem but according to the information you provided it seems me that you might be suffering from angular chillings. it's a deficiency disease caused by deficiency of various vitamins or deranged liver function or consumption of alcoholic chatbot. you should take multivitamin capsules like emit plus twice daily after breakfast and dinner for three weeks then once only after breakfast for two months.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have soreness in ear after piercing. there can be many reasons for soreness.  sometimes infection occur during piercing and ear get sore. there can be other reasons also like irritation of skin. normal piercing take 4-8 week for healing, sometimes cartilage piercing take little longer time. but in your case it has been six year you are suffering from soreness of ear. i would suggest you to consult dermatologist for proper checkup and treatment. doctor may prescribe antibiotics for at swat a week. do not wear anything in ear till they heal properly. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear , thanks for the query to chatbot. your query doesn't specify if it's the inner or outer corner of the eyebrows? / whether one or two eyebrows? that it is a bit in-complete and confused query. still, the possibilities could be-skin crease coming together could form a lumpy skin at the eyebrow corners / or it could be-sebaceous cyst even. for the exact cause hence i would advise you to consult-a er-surgeon. hope this would solve your query. wellcome again for any more query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can understand your concern. protein needs to be restricted only in kidney failure patients. whether your pain is kidney related, can be confirmed by doing a scan. an ultrasound scandium, will show clearly, if there's any kidney injury. to clear doubts, get examined by a urologist, with following reports. urine and blood routine, and creatinine. these reports will clear all doubts. if you've any doubts, send the reports to me, as a direct question. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there after reading your medical details i would like to tell you that your symptoms and medical history is clearly indicating towards coronary artery disease which is causing ischemia to the heart leading to chest tightness which get relieved after slowing down. its advisable that you should personally consult a cardiologist and get your self evaluated on time to prevent a cardiac event. till that time you should keep sublingual arbitrate with you all time. i wish you good health
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. the condition you have referred to is called urticaria or hives. it's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. its proper management requires thorough history, clinical and laboratory work-up. you may have to go for specific tests like patch test, food prick test, ige antibody levels etc. as for treatment part, best would be the avoidance of allergen as far as possible. try to eliminate possible triggering foods from diet. i would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. for non-responding cases there are many other chatbot.  hope this will help you in resolving your query. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, squamous cells can be seen normally in urine. it has not much significance. i suggest you following investigations for further work up. _serum urea, creatinine estimation_ultrasonography abdomen_urine routine microscopic examination you can revert with reports to guide you further. according to reports result further comment can be given.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. from the description that you have given it appears that you are having trouble with your sleep and are suffering from a long term insomnia. firstly you should get evaluated from a good psychiatrist whether you are having any depressive episode or anxiety disorder. if not, the medications prescribed to you are proper. along with the medications you should follow all the steps of good sleep hygiene. go to sleep at night at fixed time and also wake up at the fixed time. start some physical exercise during the daytime. avoid aerated chatbot.  have a warm water bath before going to sleep. also use you sleeping space exclusively for resting and not for any other purposes. following all the procedures will surely get you good sleep. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello user, for your knowledge and future quarries, nordette-21 is a combination chatbot. corvette is very much effective as long as you take it the morning after you had an unprotected sex. however, you can still take corvette within 120 hours (5 days) of unprotected sex, but the effectivity will not be that satisfactory. it may cause changes in bleeding patterns for subsequent 1 or 2 cycles. don't worry, as stress can also alter cyclic bleeding pattern. so relax and remember above points for next time. hope u got your answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. your symptoms are suggestive of gastroenteritis, stress does add to the problems. i think you should see a doctor for a clinical examination and investigations of blood, urine and stool. particularly for typhoid and diabetes. get a course of an antibiotic. if the symptoms persists you may need further investigations like ultrasonography and colonoscopy. it is better to take soft band diet and electoral solution and plenty of oral fluids including fruit juices, coconut water to maintain the good electrolyte balance."
Please summerize the given abstract to a title,The clinical features and predictive factors of nocturnal enuresis in adult men
"If you are a doctor, please answer the medical questions based on the patient's description.","the child needs a combination of homeopathy and physical therapy for a long term solution. there will be improvement in vocabulary with speech therapy, also the physical therapy or rehabilitation therapy will make your child sit, walk and help himself as much as possible, and definitely much, much better than if not treated. reduce the heat of the body is one of the alternative therapy but that is only at birth. since the child is older he can take one spoon of cumin, black pepper, sonf and amla, chrystal sugar, ginger .  mix and take one teaspoon in the morning with a glass of water. or honey with ginger and place a chatbot."
Answer this question truthfully,"The recommended management approach for an unstable patient with bradycardia is to administer atropine. Bradycardia is a condition in which the heart beats too slowly, which can lead to reduced blood flow to vital organs. In some cases, bradycardia can cause symptoms such as dizziness, shortness of breath, and chest pain, and can even progress to cardiac arrest. When a patient with bradycardia is unstable, immediate intervention is necessary to increase the heart rate and improve blood flow. Atropine is a medication that can be used to increase the heart rate by blocking the action of the vagus nerve, which slows down the heart. It is usually given intravenously and can take effect within minutes. In some cases, other interventions such as pacing or the use of an external defibrillator may be necessary. The specific management approach will depend on the underlying cause of the bradycardia and the patient's overall clinical condition."
Answer this question truthfully,"In theory, non- hematological cancers can be cured if entirely removed by surgery, but this is not always possible. When the cancer has metastasized to other sites in the body prior to surgery, complete surgical excision is usually impossible. In the Halstedian model of cancer progression, tumors grow locally, then spread to the lymph nodes, then to the rest of the body. This has given rise to the popularity of local-only treatments such as surgery for small cancers. Even small localized tumors are increasingly recognized as possessing metastatic potential.
Examples of surgical procedures for cancer include mastectomy for breast cancer and prostatectomy for prostate cancer. The goal of the surgery can be either the removal of only the tumor, or the entire organ. A single cancer cell is invisible to the naked eye but can regrow into a new tumor, a process called recurrence. For this reason, the pathologist will examine the surgical specimen to determine if a margin of healthy tissue is present, thus decreasing the chance that microscopic cancer cells are left in the patient.
In addition to removal of the primary tumor, surgery is often necessary for staging, e.g. determining the extent of the disease and whether it has metastasized to regional lymph nodes. Staging is a major determinant of prognosis and of the need for adjuvant therapy.
Occasionally, surgery is necessary to control symptoms, such as spinal cord compression or bowel obstruction. This is referred to as palliative treatment."
Please summerize the given abstract to a title,Characterization of Erythroferrone in a Teleost Fish (Dicentrarchus labrax) With Two Functional Hepcidin Types: More Than an Erythroid Regulator.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concernimplanon is 99 percent effective, so chance of pregnancy is one percent. you should go for pregnancy test if period is missed by 10 days that confirm the pregnancy. spotting and abdominal cramp may be side effects of implant. following are the side effects of it"
Please summerize the given abstract to a title,Optimizing virtual and distance learning during an emergency and beyond.
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. after going through the history of trauma to your son, his tooth number 10 should be treated by root canal therapy for which you should visit an endodontist to stop the progress of infection underneath it which is seen in cases of trauma commonly. and he should not start using his front teeth as of now to promote faster bone healing. hope my answer will help you. thanks"
Answer this question truthfully,"After menopause, the source of estrogen production shifts from the ovaries to peripheral conversion of androgens. This means that androgens produced by the adrenal glands and other tissues are converted into estrogen in the body. While the overall levels of estrogen decrease after menopause, this peripheral conversion can still provide some estrogen to the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, i totally understand your concerns about your health and the fact that you cannot tell what is going on.however, your case is easy to treat. all your symptoms together are signs of reflux disease. the sore throat is due to the acid burning your tonsils, and the white spots is due to the food that accumulates within small pores in the burnt tonsils, fermenting this tiny food particles making them white, and causing a bad breath smell. the feeling of a bulge in your throat is typical for reflux, and of course the heartburn is known to be due to reflux. in your case you must be treated with a ppi like omeprazole 40 mg one tablet orally every morning before breakfast by 30 minutes. within a week you must start feeling a lot better. best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, root canal treatment is done on the infected or decayed tooth to remove the infected pulp tissue and to relieve the symptoms of pain and sensitivity permanently by devitalizing the tooth. any remnants of the dental pulp or the tooth nerve tissue present in the root canals leads to pain and discomfort.  analgesics like ibuprofen will relieve the pain temporarily, once the root canals are disinfected and filled with permanent canal sealing material and the procedure is completed pain is relived permanently.  so get the treatment completed as soon as possible followed by crown coverage of the treated tooth. i hope this helps, take care."
Answer this question truthfully,"Laxative use can cause osmotic diarrhea, which results in a hyper-osmotic volume contraction of the stool."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. you are having pcs which is a hormonal problem leading to an ovulation. development of type ii diabetes is also a part of spectrum of pcs. you will need medicines for ovulation induction. you need to keep you sugars under control before trying for pregnancy. the tablet phaeton given to you is not for ovulation induction. it was for you to get with chatbot. you can wait for up to 2 weeks after stopping this tablet for your periods. once you get your periods, ovulation induction can start. meanwhile, most imp thing is weight reduction with proper diet and exercise, along with all the treatment. you need to get evaluated fully. hope this information was useful to you. take care."
Please summerize the given abstract to a title,Caregiver Burden in Partners of Parkinsonian Patients with Deep Brain Stimulation
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to us with your health concern. in general, a calculus that is less than 10 mm is always given a trial for natural removal. the size of the calculus that your wife has (6 mm) is quite small. normally, this sized calculus will easily pass through into the urine and get excreted. of course, the type of stones matter, with some stones being more resistant to treatment. in your case, the stone has already migrated downwards, from the kidney and is now at the auj (mexico ureteric junction). in all likelihood it would pass from there, through the ureters and hence outside through the bladder. the problem is that the passage and peristalsis of the calculus, however small, would lead to a great amount of pain and discomfort. there is no way to predict it, it might be painless also. calculus removal surgical would be indicated in the following situations -1. painful passage.2. recurrent infections of the type you mention, which might scar her kidneys forever. chatbot. all the betake care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that there might be having secondary bacterial infection on the part giving this problem. clean the part and apply triple action cream. go for one antibiotic medicine course for 3 days to cure bacterial infection. apart from local application of antifungal cream, go for one oral antifungal medicine course as well. keep inter digital part clean, chatbot. take care of cleaning inter digital spaces after taking shower. ok and take care."
Please summerize the given abstract to a title,Effects of corona virus disease‐19 control measures on air quality in North China
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would recommend you to apply ana boom antihero fall serum on the affected areas of the scalp twice daily and take hair supplements like tablet collinear a once daily. also use triple shampoo twice-weekly and apply x gain hair serum on the wet hair as a substitute for oil. these need to be continued for 4-5 months to see significant results. hope i have answered your query. let me know if i can assist you further."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Introductions to the Community: Early-Career Researchers in the Time of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you yeast infection never causes such an infection that causes black blood. brown or clotted blood occasionally is normal. your frequent yeast infection requires detail history for primary cause for it. i suggest you should be investigated for the culture and sensitivity of the yeast and treatment according to it. i will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, that is a stretch. number one is that weight loss depends on what you don't eat. number two is that supplements are not regulated and cannot make claims of effectiveness. third is that it depends on what you mean by mucous. a small amount and gong more frequently could occur with taking coffee beans. either a lot of mucus, mucus with bleeding or very frequent stools are some worrying things needing rapid medical attention. hope i have answered your query. let me know if i can assist you further. wish you the best recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i have gone through your question. low sperm count, low motility and abnormal morphology should be investigated with color doppler ultrasound of scrotum first, as varicocele is the major cause of low motility and low count. as far as multivitamin contains vitamin b complex is generally not having iron with in them. multivitamins are nutritional supplements which provides only nutritional requirements, but don't help in cure the pathology if it's there. so i would advise consulting urologist. hope i answered your question. would be happy to help you further. take care."
Answer this question truthfully,"Follow your physician's suggested diet, prescribed medications, and other medical orders. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:
Severe abdominal pain Severe diarrhea or vomiting"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you maybe be having halogen effluvium. the hair fall is increased in halogen stage. hair become sparse. there may be some cause. stress, anxiety, anemia, nutritional deficiencies, internal diseases, thyroid dysfunction, chatbot. .etc. might cause halogen effluvium. you consult dermatologist for firm diagnosis. blood investigations may be done to rule out internal diseases. mild steroid lotion may be applied on the scalp, as your doctor prescribed. it might stimulate hair growth and cause good result, so do not remain confused. biotin tab 10 mg twice day would be helpful. get treatment of underlying disease. you might get good result. thanks."
Answer this question truthfully,The diagnosis for acute pancreatitis in such cases is necrotizing pancreatitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... by what you quote i feel that it is acne vulgarism, and it is in sever form. but, skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello am chatbot. having cervical ribs isn't a major deformity or disease. and these are the cervical ribs that are causing all the numbness of your hands and arms when you wear a seat belt. the problem is, cervical ribs tend to compress the nerves of brachial plexus, that control the sensations of your arms and hands. compression of brachial plexus by cervical ribs, become more severe by wearing seat belt. so this is one problem. you may consider removal of cervical ribs by surgery, consult a surgeon. moreover, as far as your other problems are concerned, i must say that, one can't give you a better opinion or advice without asking more questions and examining you, especially you motor and sensory system of all the limbs. and one would also ask for your old mri and ct scan reports. . i would suggest you to see a specialist and get his advice. if you have more questions, feel free to ask. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. in my opinion the pain you have may be related to a sacral bone problem. i would like to know if you have fever or problems with the stools. these problems may be caused by a tumor infiltration the sacral and cochineal bones, by an infection of this region like an abscess or osteomyelitis, or by irritated nerves of the region from radiotherapy. your past medical history is very concerning. you didn't mention radio or chemotherapy. so i would recommend a good physical by your gp, a full blood work for infection and a ct scan or mri of the pelvic region to exclude these causes. hope to have been helpful! best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. i want to make one thing clear that radiation therapy depends upon the concerned doctor. if he thinks, that you are a fir case for radiotherapy then please get it done. you haven't mentioned the site of cancer and type of cancer. as far as concerned about cough, sore throat bad headache, metallic tests may be due to infection, due to chatbot.  consult your treating doctor and get his opinion, that is the best for you. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i can understand. you said you have severe premature ejaculation. psychology based premature ejaculation can be treated with the help of awareness, psychotherapy and relaxing techniques. you should also know that, you can engage in sexual activities for a second time, after you experienced premature ejaculation. go for the second time. you will be alright. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint it seems that there is infection at the incision site leading to bump formation that can also be pus filled leading to abscess formation and fever and pain can also be due to it. i would suggest you to consult your treating physician and get evaluated, and a thorough clinical evaluation can help in diagnosis. in case of infection he can advise taking antibiotics like augmenting, anti-inflammatory painkiller like ibuprofen, clean the area with antiseptic solution and apply triple antibiotic ointment over it. you can also do cool compresses over it. if infection is severe injectable antibiotics can be advised. keep the area away from water and moisture and maintain chatbot. . hope this information helps. thanks and regards."
Please summerize the given abstract to a title,From Ancient to Emerging Infections: The Odyssey of Viruses in the Male Genital Tract.
Please summerize the given abstract to a title,HIV-1 Persistence in Children during Suppressive ART
Please summerize the given abstract to a title,Disease Severity and Perinatal Outcomes of Pregnant Patients With Coronavirus Disease 2019 (COVID-19)
Answer this question truthfully,If left untreated patients with gynecomastia may progress to develop psychosocial stresses and rarely breast cancer. The majority of physiological gynecomastia is self-limited. Pathological gynecomastia has an excellent prognosis and responds well to treatment. Pharmacological gynecomastia responds very well to the cessation of the offending agent.
Answer this question truthfully,Patients with nephrotic syndrome are especially vulnerable to pneumococcal infections.
Please summerize the given abstract to a title,Emergence in the functionalized carbon nanotubes as smart nanocarriers for drug delivery applications
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. in my opinion you should consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out lung infection as chest pain is also seen in infection. pft is must for diagnosis of bronchitis. it will also tell you about severity of the disease. and treatment of bronchitis is based on severity only. inhaled bronchodilators and inhaled corticosteroid (ics) are the treatment of choice for bronchitis. so first diagnose yourself properly and then start appropriate treatment. hope i have solved your query. wish you good health. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for using chatbot.come read carefully your question and understand your concern. i think you mom have sinusitis. sinusitis is a common condition in which the lining of the paranasal sinuses becomes inflamed. it is usually caused by a viral infection and usually gets better in two to three weeks. as you have pointed out blurred vision cough and cold are among the common symptom. blurred vision is caused due pressure around the eyes, cheeks, nose, or forehead that gets worse by stoopingmost sinusitis are caused by a virus. very are rarely they caused by bacteria. even if the symptoms appear to be localized in the breasts, they are not always infected. to make a correct diagnosis, the doctor gathers detailed records and performs a physical examination. the doctor may also order more tests, if applicable. these tests may include allergy tests, chest x-rays, computerized axial tomography (with accurate images of sinus cavities), or a sample of nasal secretions or nasal lining. the doctor may also perform an endoscopic examination. in this case a narrow, flexible fiber-optic endoscope is inserted into the nasal cavity through the nostrils, which allows the doctor to see the area where the sinuses and the middle ear chatbot. since most cases of sinusitis are caused by a virus, the treatment is aimed at relieving symptoms. medications include"
Please answer with one of the option in the bracket,"E: Paget disease of the breast
"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. all the symptoms you have mentioned show that you have anxiety. in anxiety, set of symptoms like palpitations, chest discomfort, dyspepsia can occur, causing your symptoms. there are studies showing fall in potassium levels associated with anxiety. so, probably your main problem is anxiety which is manifested through low potassium levels. i advise you to visit your psychiatrist and explain him your symptoms. careful observation and good counseling will help you treat these symptoms. take care."
Answer this question truthfully,"The best way to prevent skin cancer is to protect yourself from the sun. Also, protect children from an early age. Doctors suggest that people of all ages limit their time in the sun and avoid other sources of UV radiation. It is best to stay out of the midday sun (from mid-morning to late afternoon) whenever you can. You also should protect yourself from UV radiation reflected by sand, water, snow, and ice. UV radiation can go through light clothing, windshields, windows, and clouds. Wear long sleeves and long pants of tightly woven fabrics, a hat with a wide brim, and sunglasses that absorb UV. Use sunscreen lotions. Sunscreen may help prevent skin cancer, especially broad-spectrum sunscreen (to filter UVB and UVA rays) with a sun protection factor (SPF) of at least 15. But you still need to avoid the sun and wear clothing to protect your skin. Stay away from sunlamps and tanning booths.
The best time to do this exam is after a shower or bath. You should check your skin in a room with plenty of light. You should use a full-length mirror and a hand-held mirror. It's best to begin by learning where your birthmarks, moles, and other marks are and their usual look and feel.
Check for anything new.
New mole (that looks different from your other moles) New red or darker color flaky patch that may be a little raised New flesh-colored firm bump Change in the size, shape, color, or feel of a mole Sore that does not heal
Check yourself from head to toe. Don't forget to check your back, scalp, genital area, and between your buttocks.
Look at your face, neck, ears, and scalp. You may want to use a comb or a blow dryer to move your hair so that you can see better. You also may want to have a relative or friend check through your hair. It may be hard to check your scalp by yourself. Look at the front and back of your body in the mirror. Then, raise your arms and look at your left and right sides. Bend your elbows. Look carefully at your fingernails, palms, forearms (including the undersides), and upper arms. Examine the back, front, and sides of your legs. Also look around your genital area and between your buttocks. Sit and closely examine your feet, including your toenails, your soles, and the spaces between your toes.
By checking your skin regularly, you will learn what is normal for you. It may be helpful to record the dates of your skin exams and to write notes about the way your skin looks. If your doctor has taken photos of your skin, you can compare your skin to the photos to help check for changes. If you find anything unusual, see your doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello cindy, i am not clear on the information you have given. what i have understood is that you have pain on the right side of the abdomen, have heartburn, feeling full easily and fatigue. spleen is present on the upper left side of your abdomen and the presence of cyst can be confirmed only by an investigation like an ultrasound scan. i think probably you are suffering from acid peptic disease(apd), so please take cap. omeprazole 40\u00a0mg once daily for 15\u00a0days. also take b-complex and iron tables because you have fatigue. get well soon.  chatbot."
Answer this question truthfully,"Aplastic anemia is a medical condition that occurs when the body's bone marrow does not produce enough new blood cells. This can lead to a deficiency of red blood cells, white blood cells, and platelets. Aplastic anemia can be caused by a variety of factors, including exposure to radiation and certain drugs such as benzene, chloramphenicol, alkylating agents, and antimetabolites. Other causes of aplastic anemia include viral infections, autoimmune disorders, and inherited conditions. Symptoms of aplastic anemia may include fatigue, shortness of breath, and increased susceptibility to infections. Treatment for aplastic anemia may involve blood transfusions, medications to stimulate blood cell production, or a bone marrow transplant."
Please summerize the given abstract to a title,Sense and Learn: Recent Advances in Wearable Sensing and Machine Learning for Blood Glucose Monitoring and Trend-Detection
Please summerize the given abstract to a title,Preparation of highly specific monoclonal antibodies against SARS-CoV-2 nucleocapsid protein and the preliminary development of antigen detection test strips.
Answer this question truthfully,Whipworm infection is an infection of the large intestine with a type of roundworm.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the symptoms you have mentioned in history, i feel this is a direct injury to the bone, that is the olecranal process.  so having these signs are common. also, there might be some injury to the tendon of the triceps muscle which gets attached to the olecranal process.  for long term relief of pain, you can strengthen the triceps muscle, so the muscle functionality improves and pain doesn't reoccur in later stages. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot !i feel that your self stimulation is hampering your physical and mental health then you need to take control of yourself. it is good that you recognize and acknowledge your problem. you can try to be busy to take yourself off the habit by engaging in sports or other productive activities.  i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! your fathers symptoms are related to chronic renal failure. for this reason, if the medical treatment is ineffective in controlling his blood urea and creatinine levels, hemodialysis would be the next treatment option to consider. an optimization of his therapy (increasing diuretics) would help relieve the leg swelling. you should discuss with his doctor on the above issues. kind regards,"
Please summerize the given abstract to a title,Evaluation of a rapid serological test for detection of IgM and igG antibodies against SARS-CoV-2 under field conditions.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello post par tum blues and depression is a common complaint. in postpartum depression paranoid ideation against baby are common. some mothers even throw their babies. a warm and loving care is must for mothers. as you have hit your baby i would advise you to discuss this episode with your family members and visit a good psychiatrist for expert opinion. if you does not take treatment at this state then the problem may complicate into full-blown depressive episode. medicines like low dose antidepressants and anti-psychotic chatbot. secondly as your baby is having fever. continue giving him tylenol as per recommended doses and wait for at least 6-7 hours. if he shows lethargy, decreased feeding immediately consult a pediatrician. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, 200/121 bp is very high. as you are already having treatment for hypertension, then this much of high bp is not expected after treatment. * check your bp once again, if its still high then do consult your doctor immediately as this much bp may lead to bleeding in body. bleeding can be from nose as epistaxis but if it occurs internally then it might lead to serious outcomes.* also keep some emergency medicine at home for emergency. you can keep capsule nifedipine (5\u00a0mg) at home and in emergency take it sublingual. you can ask your doctor about this capsule.* keep an eye on salt in your diet and cut off extra salt from diet and do walk daily. both these things will help in controlling high bp.* but for now consult your doctor first.* i hope you are satisfied with my answer.  thank you."
Please summerize the given abstract to a title,Sequencing the Complete Genome of COVID-19 Virus from Clinical Samples Using the Sanger Method
Answer this question truthfully,"The poliovirus vaccine that is administered in the United States is called the Salk vaccine.

The Salk vaccine, also known as the inactivated polio vaccine (IPV), is a type of vaccine that is administered by injection and contains killed poliovirus. This vaccine is highly effective at providing immunity to the poliovirus and is the only vaccine used to prevent polio in the United States. The Salk vaccine is named after its creator, Dr. Jonas Salk, who developed the vaccine in the 1950s. In contrast to the Sabin vaccine, which is administered orally and contains a weakened form of the poliovirus, the Salk vaccine contains a killed form of the virus and is considered to be safer for individuals with weakened immune systems."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that these blood pressure fluctuations are quite normal during the day. they are related to physical or emotional activity. isolated blood pressure are not conclusive for high blood pressure. i would recommend measuring your blood pressure frequently during the day (in sitting position after 10 minutes of total relax) and write those values in a notebook. you should do this for a week and then show these values to your doctor in order to make the proper changes to your actual therapy. some blood lab tests may be needed to exclude other possible causes of blood pressure fluctuations"
Please summerize the given abstract to a title,"A city-level analysis of PM(2.5) pollution, climate and COVID-19 early spread in Spain"
Please summerize the given abstract to a title,Evaluating the efficacy of a two-site ('COVID-19' and 'COVID-19-free') trauma and orthopaedic service for the management of hip fractures during the COVID-19 pandemic in the UK
Please summerize the given abstract to a title,"Psychological Inflexibility, Anxiety and Depression: The Moderating Role of Cognitive Fusion, Experiential Avoidance and Activation"
Answer this question truthfully,"Abnormal heart rhythm (arrhythmia) Bluish lips, fingers, toes, and skin (cyanosis) Chest pain Coughing up blood Dizziness Fainting Feeling tired Shortness of breath Stroke Swelling in the joints caused by too much uric acid (gout)"
Please summerize the given abstract to a title,Exploring the acceptance of COVID-19 vaccine among healthcare workers and general population using health belief model
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i understand your concern and would explain that your symptoms could be related to uncontrolled high blood pressure, which is really uncommon at your age. other possible causes to consider would be inflammation, or a metabolic disorder. for this reason, i would recommend you to closely monitor your blood pressure values in the next days (in sitting position, after 10 minutes of total relax). i would also advise consulting with your attending physician for a careful physical exam and some tests"
Please summerize the given abstract to a title,Aerosol generation through phacoemulsification.
Answer this question truthfully,"The standard approach to treating metatarsus adductus is reassurance.

Metatarsus adductus is a common foot deformity in infants and young children that causes the front of the foot to turn inward. In most cases, this condition does not require treatment and will improve on its own as the child grows and develops. Therefore, the standard approach to treating metatarsus adductus is simply to provide reassurance to the parents and monitor the child's progress over time. In some cases, stretching exercises or special shoes may be recommended to help correct the deformity, but these interventions are typically reserved for more severe cases. If you have concerns about your child's foot development, it is important to discuss them with your healthcare provider, who can provide guidance and support as needed."
Answer this question truthfully,"Dermatitis herpetiformis is an autoimmune disease. In case of diagnosing DH, tests should be done to rule out other autoimmune diseases ."
Please summerize the given abstract to a title,Inflammatory Mechanisms in COVID-19 and Atherosclerosis: Current Pharmaceutical Perspectives
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should not worry about lung scar. there is no treatment for lung scar because it is harmless, and it is inactive. in any lung insult whether infection with tb other bacteria or any lung injury, healing occurs by this way.1. fibrosis2. calcification3. bronchiectasis4. very rarely complete resolution. fibrosis and calcification are most common. so once you have taken the treatment, lesions healed and produce fibrosis, which looks like scar. and this scar will remain as it is. no treatment is available since it is dead, inactive tissue. so no need to worry about it."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. its looks like a colonial sinus with pus discharge and passing gas through it. 2. in needs immediate action see your gp as soon as possible.3. it needs to be examined and an ultrasound examination of the lesion to evaluate the nature of the lesion and its source and extensions.4. in initial state a course of antibiotic will be enough - whereas complicated stage -operative procedure is needed.5. as a remedy - maintain local hygiene, do not scratch clean with antiseptic lotions, heel the area chatbot. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello........ tramadol is a weak opioid agonist that has definite abuse potential. hence, it is not advisable to continue the chatbot.  further it is not an approved treatment for ocd. ocd can be sometimes difficult to treat. it requires a combination of anti-obsessive agents (e.g. fluoxetine, clomipramine) as well as psychotherapy (e.g. exposure & response prevention). you can request your psychiatrist for an alternative"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
Answer this question truthfully,The proximal radioulnar joint is stabilized by the annular ligament.
Please answer with one of the option in the bracket,E: Sorafenib
what treatment do you use to cure chickenpox,"Although there are medicines that fight the chickenpox virus, they are not given to healthy children. Adults and teens, who are at risk for more severe symptoms, may benefit from antiviral medicine if it is given within the first 24 hours of the rash. Treatment for chickenpox involves keeping the person as comfortable as possible, e.g., wearing cool, light, loose bedclothes. Avoid scratching or rubbing the itchy areas, and keep fingernails short. Take lukewarm baths using little soap and rinse thoroughly. Try a skin-soothing oatmeal or cornstarch bath. Apply a soothing moisturizer after bathing to soften and cool the skin. Avoid prolonged exposure to excessive heat and humidity. Try over-the-counter oral antihistamines such as diphenhydramine (Benadryl) and hydrocortisone cream on itchy areas. Aspirin and ibuprofen has been associated with complications, but acetaminophen (Tylenol) may be used."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for the query. as per your question white coating on tongue in an infant does not seem like milk retaining over tongue but seems like fungal infection known as oral thrush and can be commonly due to premature immunity in infants. the change in color from white to greenish can be due to chromogenic bacteria(color producing bacteria) that is causing greenish color of the coating. i would suggest you to consult a periodontist and get evaluated and for thrush he/she can advise antifungal oral chatbot. . hope this helps. regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. adenomyosis is a type of benign lesion in the muscle layer of uterus, which could give rise to such pain. if the pain persists or increases in intensity, then you should visit a gynecologist in your area who could suggest you definitive treatment for this depending on in what age group you are in. till then, i would advise you to go for an anti-inflammatory along with a proton pump inhibitor for a symptomatic relief. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the present problem is more psychological rather than physiological. as it is already assured, the impotency issue (rather call it erectile dysfunction) will be cleared within some days and there is nothing to worry. in the meantime you need to ad chatbot.  you may practice stress busting breathing and relaxation techniques. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Psychedelic Group Therapy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi semen analysis vary from time to time and lab to lab. you should be having a minimum abstinence of 3\u00a0days and full semen to be collected in a wide mouth bottle and analyzed preferably in a laboratory routinely doing semen analysis. it is manually done and experience of the person counting will matter a lot. you have presented the present result in vague, but i feel you have enough count and progressive motility is slightly less. but don't worry about it now.anyhow if possible consult an chatbot.  simultaneously your wife also can go for evaluation. hope my answer helps you. regards"
Please answer with one of the option in the bracket,D: It is stimulated by epinephrine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... noted here you are having both jaundice and typhoid.... apart from lime other home remedy also there. first what is the cause for jaundice???? gall stone ??? hepatitis ???? so i can guide on detail... here heavy fatty and fried food totally cut off from diet.... soft and bland diet taken... fruit juice more. mashed potato, boiled vegetables etc. useful.... in lunch take green leafy salad... in evening sugar caine juice or grinned carrot and spinach juice taken.... vegetable soup good one.... one tsp cumin seed with milk can be taken... small meal taken with frequent interval.... take care. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","i would blame the bottle-feed for this. as a part of baby friendly hospital initiative (bfi) i am actively involved in health education against bottle feeding and advise feeding from a cup and spoon, if you must give formulas while the best for your baby is breastfeed till 4-6 months when homemade semi solids can be give. in this case of cpi you can give nutramigen but from a sup with spoon > lack of proper burping the baby after feeds also worsen vomiting. you also make sure the formula is mixed correctly as per schedule as more powder or too little water all can cause over feeding problems. before you put the baby to bed you burp the back well and put on right side of the baby. take care and inform me. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. from description, it seems to be soft tissue injury. you need an x-ray to rule out any bony injury. i suggest you to consult an orthopaedician nearby for a detailed examination. you may get the x-ray of the area affected under his/her guidance. beside icing and elevating it, you can take anti-inflammatory chatbot. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion there is nothing serious regarding your condition. the pain upper abdomen along with vomiting could be due to gastritis. gastritis is routinely seen in pregnancy. the loose motions can also be due to any stomach infection.don't worry. take antacids. avoid spicy and oily diet. adequate fluids up to 3 liters per day and electrolyte powder are useful. take bland diet. antiemetics are also needed. relax. it will subside. best regards..."
Please summerize the given abstract to a title,Poorly known aspects of flattening the curve of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for writing to chatbot. i understand that your baby is having acute gastroenteritis. please give him 1/4 the glass ors after each loose motions. may be baby might vomit while taking ors you can use an anti vomiting medicine. for nappy rash, avoid using pampers while child has loose motions. the gel that forms in nappy itself can cause the nappy rash by irritating the skin. if i were your treating doctor i would have kept baby pamper free and used juridic acid 3 times a day to heal the rash. in case babies activity decreased, blood in motions or fever in baby kindly visit pediatrician. in case any more query i am happy to answer, else rate this answer and close the discussion. below is the link of my article on loose motions, you may find it helpful"
Answer this question truthfully,"Type II diabetes mellitus is the endocrine pathology that is associated with the loss of β cells and ""β cell burnout""."
Answer this question truthfully,What is the effect of taking low dose aspirin at a dosage of less than 300 mg per day? The effect is decreased platelet aggregation.
Please summerize the given abstract to a title,Home-based exercise programmes improve physical fitness of healthy older adults: A PRISMA-compliant systematic review and meta-analysis with relevance for COVID-19.
Answer this question truthfully,"As per the information provided, autoimmunity can be triggered by the release of normally sequestered antigens. These antigens can be substances such as proteins or other molecules that are normally hidden from the immune system but become exposed due to injury or disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your query at chatbot! mostly uti are caused by gram negative bacilli (e. coli, klebsiella, etc.). but i am against the opinion of your doctor even staph aureus may the causative cause of uti and needs treatment. i suggest you get your urine tested (mid-stream or suprapubic tap)repeated for routine microscopy and culture sensitivity for bacterial infection. if it against shows the growth of staphylococcus aureus (even scanty growth with colony count take care!"
Please summerize the given abstract to a title,The 1918 flu virus is resurrected
Answer this question truthfully,"The condition is easily preventable, examples of how are:
Not wearing a shirt. Sticking a small bandage or surgical tape over each nipple before the commencement of exercise, to act as a barrier between skin and cloth. Applying petroleum jelly or other suitable lubricants to the area prior to exercise to prevent chafing. Using specialized products available to prevent the condition such as rash guards.
This condition should clear within a few days. If not seek medical advice. Other skin conditions such as eczema, psoriasis, impetigo, fungal infections or an allergic reaction can cause nipple pain and changes in the appearance of the skin. In women, hormonal changes in early pregnancy or during menstruation can also cause nipple soreness and pain.
Template:WH Template:WikiDoc Sources"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, allergy is a wide scoped entity, any thievery thing in environment will create allergy to somebody.  it can be food, clothes,cosmetics, toiletries, insect bites, hairs, dust from any source-bed, house, grain, fumes and so on! the person with allergic tendency may develop allergy to newer things in course of time.  the experience of symptoms on exposure to certain suggests the allergy to that thing. or you can get yourself tested for various allergens.  prevention of exposure to allergen is 1st step in controlling. anti-allergic medicines help to control an episode while desensitization treatment is curative thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a black spot on the kidney requires detailed evaluation it is important to know the exact report details of the mri which was done. the concept of black and white appearance on mri scan is not specific at all times. there are many images taken during mri scan and structures might appear black or white depending on the image sequence. if her doctor has pointed it out as an abnormality then it is to be followed up closely and in detail with the help of additional investigations. a complete kidney function test might help to know if she has any kidney function which might be related to the compression fractures at the back. however, the routine tests are normal and therefore doing other tests might help. if it is a cyst in kidney then there is no concern. please do not worry."
Answer this question truthfully,Oxytocin is the pituitary hormone that is useful for stimulating labor via the induction of uterine contractions.
Answer this question truthfully,"The common treatments for IgG-mediated hemolytic anemia include cessation of the offending drug (if applicable), steroids, and IVIG for temporary relief."
Answer this question truthfully,Musculoskeletal ultrasound (MSUS) can also be used to evaluate rotator cuff tears.
Please summerize the given abstract to a title,Asymptomatic infectives and $R_0$ for COVID
Please summerize the given abstract to a title,Design and Creativity in Synthesis of Multivalent Neoglycoconjugates
Please answer the letter of option truthfully,A
Answer this question truthfully,http://www.nlm.nih.gov/medlineplus/ency/article/001308.htm Template:WH Template:WS
"If you are a doctor, please answer the medical questions based on the patient's description.","your brother is suffering from stage 4 prostate cancer. prostate cancer that has spread to distant organs and bones is treatable, but not curable with current standard therapies. hormone therapy has been the standard treatment of metastatic prostate cancer for many years. metastatic prostate cancer usually can be controlled with hormone therapy for a period of time, often several years.  advances in chemotherapy, immunotherapy, and hormone therapy have expanded the treatment options available for patients with advanced prostate cancer in recent years. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. history with symptoms suggest that the possible cause could be infective abscess / collection in the subcutaneous plane.2. the next possible cause could be hematoma formation after the trauma.3. in this case it needs to be examined, in case of infective collection in the subcutaneous plane - might need a small incision and chatbot.  4. in case of hematoma also needs removal followed by treatment.5. small and not complicated cases a simple course of antibiotics with followup will be needed.6. yes you need to see the doctor. as a remedy do not squeeze, press,scratch the area (as you will complicate in that way), maintain local hygiene and use soft clothing which touch to that location, clean the area with antiseptic liquid. good luck. hope i have answered your query,anything to ask do not hesitate to ask.http"
Answer this question truthfully,"What are some of the most common health risks and comorbid conditions that may be associated with binge-eating disorder, such as obesity, diabetes mellitus, cardiovascular disease, and mental health disorders like depression and anxiety? Additionally, what are some of the evidence-based treatments and interventions that can help individuals with binge-eating disorder to manage these risks and improve their overall health and well-being, such as cognitive-behavioral therapy, medication-assisted treatment, and lifestyle modifications like diet and exercise?"
Please summerize the given abstract to a title,"Swine Norovirus: Past, Present, and Future"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query on chatbot. this rash is mostly due to skin allergy. do you have any history of food allergy? if you find any allergen try to avoid the exposure to it. for rash, you can apply calamine lotion externally for soothing effect. oral antihistamines like cetirizine will give relief from itching. consult the doctor for examination of the rash and for prescription of specific medication. hope i have answered your query. regards."
Please summerize the given abstract to a title,Corona again? SSC after a severe COVID-disease
"If you are a doctor, please answer the medical questions based on the patient's description.",hello rearward welcome to chatbot.come have evaluated your query in details .* this is in relation with possible diaphragmatic issue as there is raised pressure over the diaphragm compressing the lungs when eating or even certain postures will enhance the problem.* needs proper physical evaluation with necessary radiological evaluation or if done then consultation with all reports. hope this may help you to understand the doubt. wishing you fine recovery from the surgery. feel free to ask any further doubts. regards .
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernpregnancy is not occur when unprotected sex was done in and around period date. it is complete safe period and ovulation is not occurred during this time. so no more fertilization will occur. period twice in month could be due to hormonal imbalance, pelvic inflammatory disorder, vaginal infection, cervix, endometrial dysplasia would suggest consulting gynecologist for continuous bleeding and undergo examination, vaginal swab test, usg scan, pap smear to confirm cause. progesterone pill will help you to stop bleeding. maintain proper hygiene, eat healthy diet best regards"
Answer this question truthfully,"Drug-induced lupus may develop a few weeks to several months after starting the drug, which may make the diagnosis difficult. Further, it is not possible to differentiate DIL from SLE based on clinical features alone, although DIL tends to be milder and renal or CNS involvement, vasculitis, leukopenia, and pericarditis are rare.
1- https://www.ncbi.nlm.nih.gov/books/NBK441889/"
Please summerize the given abstract to a title,A review of bronchiolitis obliterans syndrome and therapeutic strategies
Please summerize the given abstract to a title,Diagnosis of the effectiveness of the e-learning solutions adopted in Saudi higher education during the COVID-19 pandemic
Please summerize the given abstract to a title,Concussion in para sport: the first position statement of the Concussion in Para Sport (CIPS) Group
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctoryour pain is most likely related to muscular strain, athletic public. it is related to over usage of your muscles while playing leading to sudden tear. if you have symptoms related to urination go to an emergency. also get an ultrasound abdomen to confirm the diagnosis.meanwhile, use analgesics like tab.govern and antacids like tab.panto. chatbot. .take election sachets. consult you doctor for expert management. thankyou"
Please answer the letter of option truthfully,C
Answer this question truthfully,"The first three doses of the inactivated poliovirus vaccine (IPV) are typically administered at 2 months, 4 months, and 6 months of age."
Please summerize the given abstract to a title,Global Biological Threats: Novel Tools and Multi-Disciplinary Approaches to Sustainable Development
Please summerize the given abstract to a title,How the Minimal Degree of a Social Graph Affects the Efficiency of an Organization
what is acute diverticulitis,"Diverticulitis is usually diagnosed during an acute attack. Because abdominal pain can indicate a number of problems, your doctor will need to rule out other causes for your symptoms. Your doctor will likely start with a physical examination, including checking your abdomen for tenderness. Women, in addition, generally have a pelvic examination to rule out pelvic disease."
Please summerize the given abstract to a title,Parental Behavioral Control and Bullying and Victimization of Rural Adolescents in China: The Roles of Deviant Peer Affiliation and Gender
"If you are a doctor, please answer the medical questions based on the patient's description.","hai syed, ayurveda medicine will improve height in certain age. yoga will help in height issue.  as per your concern you are already 25 yrs old and bmi says less weight. all your body bones stopped growing in length wis, .because normal human bones attain skeletal maturity by the age of 20 to 24 age. so there is no further increase in your height with any line of treatment. you are already 5.3. it is in moderate height group. regarding your weight, you can increase weight initially with normal routine food habits if you are free from any systemic or hormonal imbalance. first eat protein nourished foods like almond, cashew,hanna, soyabean, peanut in your daily food intake. add jagger, black gram, and dal prepared with ghee. take diary product like milk, yogurt,cheese, butter etc. add banana and tuber vegetables. you can take meat soup and meat once in three dashes will nourish in a healthy way and gain weight. follow it for one to two months, if your weight progress is not satisfied. consult the ayurvedic doctor for proper medication. thank you hope i answered your query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! with the history you have given, it seems that you have got an intestinal infection possibly some kind of food poisoning. this is why you have got diarrhea, nausea, and pain in the abdomen. you have to take appropriate antibiotics on consultation with your family physician. another cause for the pain in the abdomen could be due some infection of the testis in ious sack which causes some localized pain as per your history. the bunch of veins what you are feeling is a condition known as varicocele of the testicular veins, which may cause heaviness in your sacks. i am not sure if you have already completed your family or not. varicocele is sometimes incorporated as one of the causative factors for sterility. i would suggest you to see a surgeon/urologist who may advise you to go for a doppler ultrasound of the testes for proceeding further in the treatment. wishing you an early recovery."
Answer this question truthfully,Sudden-onset unilateral lower abdominal pain after strenuous activity with pelvic free fluid is suggestive of ruptured ovarian cyst.
Answer this question truthfully,"An infant who presents with hypotonia, cardiomegaly, and hepatomegaly is most likely suffering from Pompe disease (type II)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. it seems you are suffering from tina courts and corporal, a kind of fungal infection. i would suggest you to consult your dermatologist for proper management of the condition. i usually recommend proper course of oral antifungal chatbot.  you can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. take oral antihistamines for itching as required. maintain hygiene over those areas and avoid wearing tight undergarments. hope your queries are resolved and wish you best of health. kindly spare some time to rate my answer and"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. actually hy chatbot.  but at that time proper precaution is taken for prevention of soft tissue, as it creates slight irritation to soft tissue. so in your case it can be possible that this chemical might have contacted your lips and a sensitivity has developed. but as it is in diluted form it will not cause any further damage. hope it will help you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,"Viral deep sequencing needs an adaptive approach: IRMA, the iterative refinement meta-assembler"
Answer this question truthfully,"Internal hemorrhoids are a common condition that can cause discomfort and bleeding. One of the most common treatments for internal hemorrhoids is rubber band ligation. This procedure involves placing a small rubber band around the base of the hemorrhoid, which cuts off the blood supply and causes the hemorrhoid to shrink and fall off. Rubber band ligation is a relatively simple and effective treatment for internal hemorrhoids that can be performed in a doctor's office or clinic. Other treatments for internal hemorrhoids include sclerotherapy, in which a chemical solution is injected into the hemorrhoid to shrink it, and infrared coagulation, in which a special device is used to heat and shrink the hemorrhoid."
Please summerize the given abstract to a title,Public perceptions and preventive behaviours during the early phase of the COVID-19 pandemic: a comparative study between Hong Kong and the United Kingdom
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have decayed broken tooth which has sharp edge causing injury on tongue for this you should visit dentist and go for extraction of tooth or grinding of tooth, do warm saline gargle two - three times a day you can apply anesthetic gel mccoppin on tongue twice daily for one week it will help you hope this will help you.  wishing you good health regards"
Answer this question truthfully,Serum sickness-like reactions are associated with some drugs acting as haptens (such as penicillin) and infections (such as HBV).
Answer this question truthfully,"Variable decelerations during labor and delivery can be caused by a variety of factors, including low amniotic fluid. Amniotic fluid is the fluid that surrounds the fetus in the uterus and helps to protect and cushion the baby. When the level of amniotic fluid is low, it can cause the umbilical cord to become compressed, which can lead to variable decelerations in the fetal heart rate. Other factors that can cause variable decelerations include cord prolapse, placental abruption, and fetal distress. If variable decelerations are detected during labor and delivery, it is important for healthcare providers to closely monitor the situation and take appropriate action to ensure the safety of both the mother and the baby."
why can you not take grapefruit with felodipine,Talk to your doctor about drinking grapefruit juice or eating grapefruit while taking felodipine.
Please summerize the given abstract to a title,Will the NHS ever get its complaints system right?
Answer this question truthfully,"A complex partial seizure, also known as a focal seizure with impaired awareness, is characterized by abnormal electrical activity that is localized to one hemisphere of the brain and impairs consciousness. Symptoms include behavioral arrest, automatisms (lip smacking, chewing), sensory hallucinations, and/or repetitive clonic movement."
Please summerize the given abstract to a title,Trends in the Prevalence of Hypertensive Heart Disease in China From 1990 to 2019: A Joinpoint and Age-Period-Cohort Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you had blood in semen (hematospermia) during sexual intercourse following abstinence for 3 weeks and was investigated thoroughly to detect the cause for same which turned out to be inconclusive, normally during long period of abstinence there is stagnation of semen and sperms in reproductive organs (epididymis, seminal vesicle, ejaculatory ducts etc.) resulting into congestion of these organs. sudden release of pressure and congestion of these organs during first intercourse after incontinence causes what is called as rebound bleeding giving rise to hematospermia.there's nothing to be worried about it. it is a normal phenomenon. practice regular sex at least thrice a week to avoid such situation to recur again.  chatbot."
Answer this question truthfully,"Delirium tremens may be suspected in a patient who develops confusion, agitation, diaphoresis, and tremors three days after being admitted to the hospital following a motor vehicle accident, with physical exam revealing tachycardia, tachypnea, and hypertension. Delirium tremens is a severe form of alcohol withdrawal that typically occurs in patients with a history of heavy alcohol use who abruptly stop drinking. Symptoms can include confusion, agitation, diaphoresis, tremors, tachycardia, tachypnea, and hypertension, among others. Treatment involves supportive care, including benzodiazepines to control symptoms and prevent seizures, as well as monitoring for complications such as dehydration, electrolyte imbalances, and respiratory failure. It is important to identify and treat delirium tremens promptly to prevent serious complications and improve outcomes."
Answer this question truthfully,"Metyrosine is a tyrosine analog that is used in the treatment of certain medical conditions, such as pheochromocytoma and neuroblastoma. It works by preventing the conversion of tyrosine to L-DOPA, which is a precursor to the neurotransmitter dopamine. By inhibiting this conversion, metyrosine can help to reduce the levels of catecholamines, which are hormones that can be produced by these tumors and can cause symptoms such as high blood pressure and heart palpitations. Metyrosine is also sometimes used in research studies to help understand the role of dopamine in the brain and how it affects behavior and cognition."
Please summerize the given abstract to a title,"Face masks against COVID-19: Standards, efficacy, testing and decontamination methods"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Experience with the use of recombinant humanized monoclonal antibodies to the human receptor for interleukin-6 in patients with CoVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regarding the weight gain, hair fall and skin chatbot.  sometimes if the thyroid function is normal then they might want to evaluate for other endocrine problems. regarding the slightly high wbc level, what matters is whether these are normal abcs. the differential wbc count and peripheral smear examination should be able to answer that question most of the time. the jaw pain, headaches and neck soreness has to be evaluated by a family physician. if he/she suspects any problem then they will refer you to the appropriate specialist. the swollen neck nodes are a concern and again, a family physician needs to examine you to find out if they need any further evaluation. regards."
Please summerize the given abstract to a title,Recent Advancements in Materials and Coatings for Biomedical Implants
Please summerize the given abstract to a title,State Policy and Mental Health Outcomes under COVID-19
Please summerize the given abstract to a title,eHealth to redress psychotherapy access barriers both new and old: A review of reviews and meta-analyses
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot in case of anxiety or depressive disorder, you need antidepressant as well as benzodiazepine. you should carry on with antidepressant. it would help to control depressive and anxiety symptoms. in case, you want to use herbal product, you can. there is nothing harm in it. there is no interaction between chatbot.  you can also try some relaxation exercise that would help to control anxiety symptoms. in case, you need further help, you can ask. thanks"
Please answer with one of the option in the bracket,C: Defective spectrin in the RBC membrane
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your partners situation and problem. beta blocker is known to cause dizziness. but we need to rule out cardiac cause first.  as palpitations, left sided chest pain and arm pain are seen mostly in heart disease. so better to consult cardiologist and get done1. ecg2. 2d echo3.  stress test. if all are normal, then no need to worry much for cardiac cause. your partner might be having anxiety. so better to consult psychiatrist and start appropriate treatment."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this is not the forum on which to provide patients with questions photos or uploaded files as your request is asking.  however, your problem of repetitive stress and strain upon particular joints of the body due to work related activities is a common one. my suggestion is that you see a physical therapist or a physical medical rehabilitation specialist where your posture and integrity of the musculoskeletal system can be assessed to do what is possible in order to correct the poor posture that may have developed as well as to reduce the pain and discomfort of what already has happened.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,S1 glycoprotein gene analysis of infectious bronchitis viruses isolated in Korea
Please summerize the given abstract to a title,"Social, financial and psychological stress during an emerging pandemic: observations from a population survey in the acute phase of COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. it is very likely that the rash can be related to prednisone with chatbot.  i suggest to use antihistamines instead of prednisone such as loratadine 10 mg daily. i also suggest using a steroid cream for local application such as advantage cream. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!"
Please summerize the given abstract to a title,Adoption of telemedicine services by substance abuse treatment facilities in the U.S.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, primulot will not harm your fetus. the side effect we are worried about with primula is masculinization(male like) of female fetus, as primal is a progesterone with an chatbot.  but this affect is seen when primal is taken from the 45 day of pregnancy, not before that. as it is only after the 45 day that the sex organs of the fetus are formed. so, just discontinue the primal and carry on with the pregnancy. please be reassured. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello & thanks for your sorry to hear re recent mishaps. i hope you are better from accident nowfertisure f is vitamin supplement with folic acid which is given as preconception boost. other tablet must be closed/ clomped which is ideally taken from d2/3 of cycle for 5 days - this helps to stimulate ovulation. i can reassure that treatment given is correct. it may take few(usually 2/3) cycles before conception happens with closed. hope this helps
Please summerize the given abstract to a title,Effects of a cycling intervention on adolescents cycling skills
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to ask a doctor service. i have reviewed your query and here is my advice. an ear infection can easily spread to brain and in your case signs of meningitis are present. vibrations, tingling, numbness all are may due to affected corticospinal tract. i suggest you to go to a general physician as soon as possible because clinical examination is necessary. hope i have answered your query, let me know if i can assist you further. stay healthy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. neither liver cyst nor partial liver removal does not cause diarrhea. it does not work that way. there can be removed 2/3 of the healthy liver, and it still won't disturb liver function. it's because the liver has great ability to regenerate. that is why liver transplantation is possible. your diarrhea and warm sensation can be caused by anxiety itself. diarrhea can be also caused by intestines' infection, pancreatitis (fatty foul smelling stools, weight loss), partial bowels' obstruction. i suggest you to visit your doctor and have stool tests, blood work, liver tests, amylase. your high blood pressure is called hypertension and should be treated (bike riding is not a solution). hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. can understand your concern. as per your complaint cold sores are caused by viral infection, and it is a herpes simplex virus 1. the virus can remain dormant within the nerves and can get re-activated at any point of time and can cause an outburst. the severity of the symptoms depend upon the severity with which the infection has occurred, and it is not always necessary to have mild or severe symptoms and can vary at every outburst and in cases when there is some reduced immunity of the body the infection can occur with higher severity. as the antibiotics acts only against bacteria so taking an antibiotic for viral infection can no way cure the infection. swollen lip and submental lymphadenopathy or swelling can be due to infection outbreak only. i would suggest you to consult an infectious disease specialist or a dermatologist and get evaluated. you will be prescribed with oral anti viral like acyclovir and acyclovir for preventing further outbursts. although the antivirals do not cure the current infection, but it prevents the further outbreaks of the infection. applying rivera which is a topical antiviral ointment can help and should be continued. avoid making intimate contact wit other individuals as it can cause them infection as well as use personal things like towels, utensils etc. without sharing with others to prevent transmission of infection as it is a communicable disease. hope this information helps. if you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. thanks and regards. chatbot."
Please summerize the given abstract to a title,Modifiable lifestyle factors and severe COVID-19 risk: a Mendelian randomisation study
"If you are a doctor, please answer the medical questions based on the patient's description.",dear friend. welcome to chatbot. i am chatbot. i understand your concern. for sinus problems you can stop augmenting now. i advise you to follow
Answer this question truthfully,"Symptoms include:
Abdominal discomfort or pain ranging from mild to severe Passing of blood in the stool
Symptoms often occur during the first few years of life, but may not start until adulthood."
Please summerize the given abstract to a title,Marketability of building energy efficiency systems based on behavioral change: A case study of a novel micro-moments based solution
Answer this question truthfully,"Complications from Acute retinal necrosis arise from indefinite symptom worsening and spread of the infection past the retina:
Retinal detachment: The thin layer of light-sensitive tissue that is crucial for vision may come unattached, causing vision loss Brain inflammation Meningitis Permanent damage to the eye nerve Shrinking of the eye"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. latuda is duration, and it is definitely not an anti-depressant. probably your wives' diagnosis is either psychosis or bipolar depression. the side effect that you have reported is an extrapyramidal side effect and this will require either shenanigan or pakistan to improve. this is reversible and will take some 1-2 days to recover. there is no emergency, if she is troubled take her to er and one shot of shenanigan 25 mg im will settle her down. or else visit your psychiatrist at the earliest possible time. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, high blood pressure is one of the most important risk factors for stroke and heart attack. brain damage may have occurred from lack of oxygen due to the heart stoppage. i would need more information in order to assess his condition. however, you should be able to speak with the doctor in charge of his case and get this sort of information just as well since they also have the advantage of being able to physically examine him, look at test results, and call in specialists to help guide treatment. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,"Inflammatory challenge increases measures of oxidative stress in a free-ranging, long-lived mammal."
Please summerize the given abstract to a title,"Characteristics and Outcomes of Children With COVID-19: Evidence From West Nusa Tenggara Province, Indonesia"
"If you are a doctor, please answer the medical questions based on the patient's description.","h thanks for asking question. you are suffering from liver disease and with jaundice. the most likely cause is hepatitis. it could be viral hepatitis, so do serum viral marker. depending on type of hepatitis prognosis varies. hepatitis a recovers fully usually. but hepatitis b and c can get convert into chronic infection or carrier. so regular follow up is necessary. if viral hepatitis not present then other cause searched. here are few suggestions to you. avoid refined sugar and food. green leaf veg and fruits useful to you. avoid trans fat like butter, cheese, cookies. cake etc.omega-3 fatty acid oil can be used like olive or sunflower. regular exercise necessary. carrom seed and cumin seed powder with water taken twice daily. licorise with honey helpful. papaiya seed with lemon juice best remedy. with these suggestions you will benefit most. after 5 to 6 months if still liver enzymes elevated then it is case of chronicle c hepatitis and consultation to gastroenterologist done for starting antiviral therapy. i hope you will get well soon faster. chatbot."
Please summerize the given abstract to a title,MLKL contributes to Western diet-induced liver injury through inhibiting autophagy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, losartan is an angiotensin receptor blocker commonly prescribed to treat high blood pressure and other conditions. its common side effects include low blood pressure, increased blood potassium and sometime chatbot.  it is not known to cause high pulse rate which could be due to other causes for which you are advised to consult your doctor. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... welcome to chatbot . as you mentioned you notice swelling at side of tongue that one may be because of any trauma or bite injury or other reasons. access lead to pus accumulation...for treatment of access can be done by chatbot. . consult an oral surgery or dentist for oral examination and diagnosis. after oral examination of affected site diagnosis can occur. maintain proper hygiene of oral cavity. avoid trauma by using soft brush. avoid hard food. use a mouthwash. i hope this will help. get well soon. thank you.
Please summerize the given abstract to a title,Preliminary Realization of an Electric-Powered Hydraulic Pump System for a Waste Compactor Truck and a Techno-Economic Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. i have gone through your concern - the answer for your question about the hard thing you are feeling could be scar tissue formation.2. usually post-operative period different stages of healing is seen, and finally it will form a scar tissue which is usually hard compare to surround tissue. 3. i may take up to 6 weeks for complete healing process.4.however there will be some trace / features of post-operative will be there, unless it's a cosmetic surgery.5. previously the swelling was subcutaneous edema - post procedure. i would recommend getting a followup appointment with operating doctor to see the status. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
Please summerize the given abstract to a title,Coordinated multi-sectoral efforts needed to address the COVID-19 pandemic: lessons from China and the United States
Please summerize the given abstract to a title,"Variation in Risk of COVID-19 Infection and Predictors of Social Determinants of Health in Miami-Dade County, Florida"
Answer this question truthfully,"Call your health care provider if you are in an auto accident, even if the accident is minor.
Call your doctor right away if you have bleeding during pregnancy.
See your health care provider right away, call your local emergency number (such as 911), or go to the emergency room if you are pregnant and have vaginal bleeding and severe abdominal pain or contractions during your pregnancy.
Placental abruption can quickly become an emergency condition that threatens the life of both the mother and baby."
Answer this question truthfully,Pleuritic chest pain is a type of chest pain that is observed in pulmonary embolism due to infarction and inflammation of the lungs and pleura.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the rash could most probably an urticaria. other conditions such as tina, popular urticaria etc. could be ruled out after proper examination by a dermatologist.  you could take an antihistamine tablet for a week. if you do not get improvement in a week or if your symptoms worse during the course, you must consult your dermatologist for proper management. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the abscess could be because of the tooth or gum infection. if it is gum or tooth infection you can take a course of antibiotics and analgesics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days(if you are not allergic).  after taking antibiotics you can get the tooth treated with rct(if bone support is fine) for tooth infection or extraction of the tooth(if it is completely gone).if it is gum infection then get your teeth cleaned once and maintain the oral hygiene. if needed grafts can be placed to make the tooth firm. do saline gargling.  we have to treat the cause.i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. cause and plan of treatment-in my opinion on the given data, you seem to have hematoma with resolving lump from yellow to purple in the hit area, as its 6 days past the hit you had.treatment-would be-anti-inflammatory voltaren gel / with tomophobe point locally for 5 days period would resolve it.don't guess more. i would advise er surgeon consultation to avoid further complications with it. hope this would resolve your issues. act fast. so keep cool and consult your er surgeon, if need be, who would treat it accordingly. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to chatbot and be comfortable to resolve your health issues. welcome for any more query in this regard to chatbot. write good reviews and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
Answer this question truthfully,"When a growth factor binds to its receptor, it triggers a series of intracellular signaling events that ultimately lead to changes in gene expression and other cellular processes. One of the key players in this process is the small GTPase protein Ras, which is activated by the binding of GTP. When a growth factor binds to its receptor, it stimulates the exchange of GDP for GTP on Ras, causing it to become activated and trigger downstream signaling pathways. This activation of Ras is a critical step in the transduction of signals from the cell surface to the nucleus, where they can influence gene expression and other cellular processes."
Please summerize the given abstract to a title,Children’s Reality Status Judgments of Digital Media: Implications for a COVID-19 World and Beyond
Answer this question truthfully,"Old people: Muscle weakening and loss of elasticity as people age. Pregnacy: Intra-abdominal forces exerted in pregnancy. Persistent and intense pressure on the surrounding muscles, such as when coughing, vomiting, or straining during a bowel movement or while lifting heavy objects Chronic constipation Western, fiber-depleted diet Obesity Chronic esophagitis Abdominal ascites"
Answer this question truthfully,The primary symptom of hyperhidrosis is wetness.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Class I antiarrhythmics typically have no effect on the action potentials of the SA and AV nodes. They only affect Na+-dependent action potentials.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i understand your concern and would explain that her palpitations are related to the high heart rate. this clinical scenario may be related to a metabolic disorder (thyroid dysfunction, anemia, inflammation, etc.) or a cardiac arrhythmia. anxiety could also be associated to this clinical situation. i recommend consulting with your gp for a careful physical examination, a resting ecg and cardiac ultrasound, a chest x-ray study and some blood lab tests"
Answer this question truthfully,"A likely diagnosis for a small, mobile, firm mass with sharp edges is a fibroadenoma, which is a benign tumor."
Please summerize the given abstract to a title,Vaccines are not always perfect: adverse effects and their clinical impact
Please summerize the given abstract to a title,Stability of bovine coronavirus on lettuce surfaces under household refrigeration conditions
Please answer with one of the option in the bracket,B: Anti-Jo-1
"If you are a doctor, please answer the medical questions based on the patient's description.","this is tricky without actually being there. sciatica is classically in buttocks and down legs... the distribution of the sciatic nerve. can also be just sore muscles from being immobilized such a while. cannot say in your particular case, but there are a few general principles"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori understand your concerns but don't worry. the long-lasting diarrhea episodes with high spikes of fever and mucus in stools can be due to bacterial or amoebic gastroenteritis. so, go for a stool examination and give him a course of ofloxacin-ornidazole along with zinc supplement such as spy and or zirconia and entertogermina for early relief. hopefully it will be of help. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry much. you are gay and gay people are supposed to be more careful. because they are not aware of the sexually transmitted diseases. stds do happen to them also. your rashes could be due to just chatbot.  definitely it is not due to masturbation. i think you should involve your parents into this. you might need psychological counseling., i am more than happy to provide telephone psychological counseling through chatbot. contact me through customer care, www.chatdoctor .com. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, there are few anti psychotics which has very less potency to cause tardive dyskinetic. the best one among them is clozapine. it is sometimes even use in tardive dyskinetic for psychosis. other medicines like olanzapine, quetiapine are also useful in this condition. there are limited data available for lurasidone or laura as it is recently available still it has some risk for td. hope you find the answer helpful."
Answer this question truthfully,Activation of the α2 adrenergic receptor causes decreased levels of intracellular cAMP.
Please answer with one of the option in the bracket,"E: Continue breastfeeding
"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i read carefully your question and understand your concern. you should know that the main tests for this disorder are the electroneurography and spinal tap, followed by the exam of the cerebrospinal fluid. other tests to consider are blood work to exclude any other systemic conditions (complete blood count, sedimentation rate, ana, anna, rheumatoid factor, genetic testing for charcot marie tooth disease, etc.). anyway, treatment with ivg can help distinguish between the other causes of neuropathy. so, if you have already performed some blood lab tests, an electroneurography and a spinal tap, i would strongly encourage you to start ivg therapy. hope you will find this answer helpful! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. it is difficult to say for gland because scientifically it is not proven for infertility.... you can take this if it is not harmful to your body. certain medicines are required to increase the sperm count like b12,folic acid, zinc,copper, selenium,molybdenum, l-lycin, minerals,vitamin-e and other supplements. go for usg ovulation study and plan accordingly. you will definitely get conceive. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos per condition explained by you, it seems you are suffering from severe pyorrhea. (a gum disease in which your gums recede, there is loss of teeth, bad breath, burning in mouth and may be bleeding gums.) it is a time to see a specialist i.e. periodontist, if you want to save rest of your teeth. for symptomatic relief try this1. warm saline rinses four times a day2. start using some on the counter available gum paint best"
Please summerize the given abstract to a title,Spatiotemporal variations in urban CO(2) flux with land-use types in Seoul
Please summerize the given abstract to a title,Evaluating participants' experience of extended interaction with cutting-edge physics research through the PRiSE 'research in schools' programme
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. i suggest you to get your follicular study done to know the cause of your irregular cycles, and also you are ovulating or not.  along with that get thyroid profile, fsh, lh and prolactin levels. the treatment depends on cause. but since your age is more i suggest you to discuss with your doctor regarding ovulation inducing chatbot.  this will help multiple follicles to mature and rupture. thus increasing chances of pregnancy. you can try 3 to 4 cycles with this"
Please summerize the given abstract to a title,Methodology to investigate indigenous solid waste systems and practices in the rural areas surrounding maseru (Kingdom of lesotho)
Please summerize the given abstract to a title,Dysfunction of epithelial permeability barrier induced by HMGB1 in 2.5D cultures of human epithelial cells.
Answer this question truthfully,"1α-hydroxylase is the renal enzyme that facilitates the conversion of 25-OH vitamin D3 to 1,25 (OH)2 vitamin D3."
Answer this question truthfully,"CT scan using iodinated contrast (CTA) may be diagnostic of aortitis. Findings on CT suggestive of acute aortitis include: 
Thickening of the aortic wall Periaortic inflammation
Findings on CT suggestive of aortitis due to giant cell arteritis and Takayasu arteritis include: 
Aortitis due to specfic disease CT scan findings Giant cell arteritis Mural thickening Frank aneurysm Long segment thickening with smooth distal tapering, commonly found in the descending aorta and subclavian arteries Annuloaortic ectasia Ascending aortic dilation Takayasu arteritis A “double ring” appearance, due to a brightly enhanced outer ring of inflamed media and adventitia surrounding poorly enhanced edematous intima"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello10 mm nodule in chest x-ray be due to many causes like granuloma, hamartoma, mass etc. you may need contrast ct scan of thorax for proper evaluation. you may also need to follow up for lesion as it is important to observe its doubling time etc. ultrasound findings suggest multiple gall bladder calculi. you should plan for definitive treatment of gall bladder calculus. definitive treatment of gall bladder calculus is cholecystectomy(surgical removal of gall bladder). gall bladder calculus are prone to obstruction and infection. you should consult surgeon for its management. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the pod is one of the treatable causes of infertility.pod is routinely seen these days due to altered lifestyle and stress. main problem in pod is absence of ovulation. so ovulation induction chatbot. they are successful in ovulation induction most of the time. the follicle size of 17 mm on 17th day is not so bad. the injection might help in inducing the ovulation. nothing to worry even if the cycle failed because the success rate in first cycle of treatment is very rare. iam sorry my aim is not to disappoint you but just trying to explain to you the probability. so relax. avoid stress. weight reduction in case of overweight or obesity is first and most important in pod. metformin is a good medicine which increases the chances of conception. adapt healthy lifestyle like exercise and healthy nutritional diet. laparoscopic ovarian"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems that bleeding from gums can be due to inflammation of the gums secondary to infection and as the inflamed tissues have more premature blood vessels that tend to bleed easily therefore slight stimulation as well as at times even no stimulation can cause bleeding. more bleeding at night can be due to mouth breathing habit. i would suggest you to consult a dentist and get evaluated, and he can do a thorough scaling of the teeth and remove all the infectious deposits and along with a course of antibiotics, anti-inflammatory painkiller and topical application of gum paint, antiseptic mouthwash gargles and massage with antimicrobial oral ointment. hope this information helps. thanks and regards. chatbot."
Answer this question truthfully,"The recommended initial management for an unstable patient with suspected vertebral osteomyelitis and focal neurologic deficits is to administer empiric antibiotics. Vertebral osteomyelitis is an infection of the bone and marrow within the vertebral column, which can cause severe pain and neurological deficits. In unstable patients, immediate treatment with empiric antibiotics is necessary to prevent the infection from spreading and causing further damage. Once the patient is stabilized, further diagnostic tests such as blood cultures, MRI, and biopsy may be performed to confirm the diagnosis and guide further treatment. Treatment for vertebral osteomyelitis typically involves long-term antibiotic therapy and may require surgical intervention in some cases. Close monitoring of the patient's symptoms and response to treatment is necessary to ensure optimal management of the infection."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows
Please summerize the given abstract to a title,329. Severe Obesity: A Critical Risk Factor for In-Hospital Complications and Mortality in the Hispanic Population
Answer this question truthfully,Paragonimus westermani is a helminth that can cause chronic cough with bloody sputum.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your husbands situation and problem. yes, this can be due to cancer. chronic acid reflux causes constant, persistent inflammation in esophagus. this can lead to metastatic changes in esophageal mucosa. and this causes mass like lesion with narrowing of the esophageal lumen. so his endoscopic finding like straw sized opening and fibrosis can be due to esophageal malignancy. biopsy isn't needed for confirmation. so collect biopsy report. also get done ct scan. this will also tell you about size and extend of the mass if present. hope i have solved your query. i will be happy to help you further. wishing good health to your husband. thanks."
Answer this question truthfully,"Differential diagnosis of intracerebral hemorrhage may include ischemic stroke, SAH, TIA, acute hypertensive crisis, sentinel headache, sinusitis, hypoglycemia, cerebral venous thrombosis, spontaneous intracranial hypotension, and reversible cerebral vasoconstriction syndrome.      It is clinically difficult to distinguish ICH or subarchnoid hemorrhage (SAH) from an ischemic stroke. However, the symptoms like headache, nausea, vomiting, and depressed level of consciousness should raise the suspicion for a hemorrhagic event compared to ischemic stroke."
Please summerize the given abstract to a title,Efek hand hygiene terhadap dermatitis tangan
"If you are a doctor, please answer the medical questions based on the patient's description.","hello hope the answer helps you. as you mention that without prior trauma noticed bruised lumps in arm twice. i think a detailed history as for any bleeding diaeresis as baleen, hematochazia needs to be sought, but otherwise you are healthy fit person and any bleeding disease in family and not on any anticoagulants then better you sit and wait to see it resolved out as not associated with fever to clue anywhere. if still happens again in future then needs consultation"
Please answer with one of the option in the bracket,C: Cystoscopy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, your history and symptoms are suggestive of fungal infection, and it is more common in the genitals, as they are the normal comedians of this area which will be kept under control by helpful organisms. whenever there is an imbalance in the environment it will produce its symptoms. i would suggest you to follow1. keep they are clean and chatbot. topical application of antifungal cream like ketoconazole cream3. oral single dose of tab rifleman, 150 mg.4. oral anti histamines. thank you."
Please summerize the given abstract to a title,Thermal Comfort Of The Outdoor Transition Space In the Dean’s Office Building
"If you are a doctor, please answer the medical questions based on the patient's description.",hello have read your query.please mention your age.it can be due to several reasons like
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. absolutely true. the anxiety can increase your problems and the problems in turn increase the anxiety. this is called a vicious cycle. i would suggest you to all the fresh investigations for knowing the status at the moment. upper gi endoscopy, ultrasonography of the abdomen to rule out other problems at gall bladder, pancreas and other organs, which may be directly or indirectly related to the present problem. you have to start soft bland diet, in the form of small frequent meals. no aerated chatbot. oral medicines"
Answer this question truthfully,"Based on the duration of symptoms and the outcome of the disease, rheumatic fever may be classified into either acute or chronic.   
Types Characterestics Acute rheumatic fever Group A beta-hemolytic streptococcal pharyngitis Lesions in the endocardium, myocardium, or pericardium Aschoff bodies (histology) Chronic rheumatic fever Pancarditis Cardiac abnormality Heart failure and/or stenosis MacCallum plaques (Mural endocardial lesions in the left atrium due to regurgitant blood flow jets from incompetent mitral valve. Cardiac valvular lesions Postinflammatory marginal fibrosis of valvular leaflets/ mitral stenosis"
Answer this question truthfully,Leptospirosis is an infection that occurs when you come in contact with Leptospira bacteria.
Please answer with one of the option in the bracket,C: Great saphenous vein
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your ct picture is more suggestive of early interstitial lung disease (old). better to first get done pft (pulmonary function test) to know if any restrictive lung defect present or not. treatment for old is as follows. 1.  avoidance of smoking if you are smoker. 2. avoidance of chemicals, fumes, dust at work place if you have this exposure. 3. start bucolic, expectorant and antioxidants chatbot.  4. start anti-fibrotic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, cerebral atrophy may be age-related or alzheimer's disease or multiple infarcts or stroke or multiple sclerosis. multiple sclerosis associated atrophy can be treated, and they may recover early and attain a normal life expectancy of others. alzheimer's disease patients may not recover completely, their life expectancy is less than 10 years even with treatment. therefore, give him supportive care along with that regular exercise and green leafy vegetable consumption are recommended. please consult your euro physician, he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Two dimensional echocardiography plays an important role in the diagnosis of bicuspid aortic stenosis. Bicuspid aortic stenosis is important to diagnose because of the associated risk of endocarditis and the risk of progressive valvular stenosis.
Please answer with one of the option in the bracket,D: Cryotherapy or podophyllotoxin (0.15% topically)
Please summerize the given abstract to a title,Molecular basis of binding between the global post-transcriptional regulator CsrA and the T3SS chaperone CesT
Please summerize the given abstract to a title,Unveiling COVID-19-associated organ-specific cell types and cell-specific pathway cascade
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i will advise you mri spine and if there is any cord compression with lower limb weakness. if there is no neurological involvement then conservative brace or rest is sufficientlater on follow rehabilitation and physiotherapy. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. following surgical removal of the wisdom teeth, it takes5-7days for the wound to heal. you can start normal food diet after 3 days of extraction. nothing to worry the chatbot.  it occurs within 3 days of extraction. for first three days you have to take soft diet and not eat hard and spicy food for first 2 days after extraction. i hope my answer will help you, take care."
Answer this question truthfully,"Pathologic Q waves are a type of abnormality that can be seen on an electrocardiogram (ECG) and are typically observed in the context of a myocardial infarction, or heart attack. Specifically, they tend to appear late after a STEMI, or ST-elevation myocardial infarction, which is a type of heart attack characterized by a blockage in one of the coronary arteries. Pathologic Q waves are indicative of permanent damage to the heart muscle and can be used to help diagnose and monitor heart conditions."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Please answer with one of the option in the bracket,C: Urgent percutaneous coronary intervention
Please summerize the given abstract to a title,Brief Version of the Ryff Psychological Well-Being Scales for Children and Adolescents: Evidence of Validity
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallbladder surgery and recent occurrence of abdominal pain. low fat diet is recommended in post-cholecystectomy patients, to lessen the risk of stone recurrence anywhere in the hepaticopancreaticobiliary tract area. retained vs recurrent stone must be ruled-out in your case if your symptoms are persistent/progressive. it is best to consult with a doctor, preferably a gastroenterologist or a general surgeon for physical examination and clinical evaluation. diagnostics (such as ultrasound, ercp, liver function tests, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","earle understand your concerns went through your details. i suggest you not to worry much.  i sincerely do not think that you have any memory problems. this simple forgetfulness are normal and take heart that you are not forgetting their names. that is a blessing. if you be obsessive these thoughts, you shall lead yourself into trouble. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. fungal infection usually requires a long time therapy. duration or treatment varies according to severity of the infection. but average three to dour month treatment is required to completely clear the infection. in addition to treatment good hygiene keeping by frequent cleaning and chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i think that this can be epigastric hernia or rib injury. in both condition there is pain and discomfort and patient is not feel well after eating. sometimes there is mass protruding from the abdomen. i would suggest you to get ultrasound of the abdomen and x-ray to confirm this diagnosis. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to worry much for your symptoms because you are young, healthy and exercising normally. so possibility of lung related diseases is very low. itching in lungs with coughing are seen in lung infection and bronchitis. so better to get done chest x-ray and pft to rule out lung infection and bronchitis respectively. if both are normal then no need to worry about lung diseases. some deny chatbot.  so"
Answer this question truthfully,"Cutaneous T cell lymphoma arises from T-cell lymphocytes, which are normally involved in the cell mediated immune response. The tumor cells originate from memory T cells or skin homing CD4+ T cells expressing cutaneous lymphocyte antigen (CLA) and chemokine receptors CCR4 and CCR7. It is understood that cutaneous T cell lymphoma (maycosis fungoides, Sezary sydrome) is the result of malignant T cell that derived from a mature CD41 CD45RO1 memory T cells. Malignant T cell express adhesion molecules such as CCR4 and CLA.  Malignant T cell in Sezary syndrome (Sezary cells) have a different phenotype, they express CCR7 and L-selectin 4.  Immunohistochemistry shows expression T-cell antigens such as CD7, CD5, CD26, CD2 and CD3.  Malignant T cell express adhesion molecules such as CCR4 and CLA. The exact pathogenesis and mechanism of pruritus in CTCL is not completely understood.
Cutaneous T cell lymphoma is chromosomal changes event linked to DNA repair deficiencies, which in a subpopulation of T cells leads to CTCL development over years pattern.
Development of cutaneous T cell lymphoma disease is the result of multiple genetic mutations.
Genes involved in the pathogenesis of mycosis fungoides include: Deletions or translocations involving a gene, NAV3, at 12q2 (helicaselike activity) Deletion in 42 regions and amplification in 21 observed with meaningful amplifications of 8q (MYC) and 17q (STAT3) and deletions of 17p (TP53) and 10 (PTEN, FAS)
Other deletion such as: ZEB1 ARID1A DNMT3A CDKN2A FAS ATM CTCF STAT5B PRKCQ somatic mutations (NFKB2, CD28, RHOA) observed in gene sequencing.
The development of cutaneous T cell lymphoma is the result of multiple genetic mutations such as:
There is not a classic chromosomal translocation in cutaeous T cell lymphoma(MF and SS) significant chromosomal instability has been noted. Losses on 1p, 10q, 13q, and 17p and gains of 4, 17q, and 18 have been identified Deletions and translocations in different chromosomes or chromosomal segments Chromosomal amplification of JunB at 19p12 observed in mycosis fungoides and Sezary syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. the accident was unfortunate.  you seem to be having minor concussion, it does not exactly warrant a ct scan. it's advisable to wait for 4-5 days. meanwhile, you may consider taking mild painkiller and hot water bag. avoid mental stress, alcohol, smoking. take rest and try to sleep well. eat a soft non-spicy diet with plenty of fruits. keep a watch for any new symptom.  you should recover soon with above precautions in a week. hope i solved the query. thank you so much. take care, wish you speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.",what they are talking is to put an endotracheal tube inside her lungs & she will be made to respire on artificial ventilator which will give & control the breathing of her from outside so no worries of her lungs being weak or anything. secondly she may be weaned of the ventilator once she starts taking efficient breaths by herself. secondly they may be putting her in icu to observe & give her appropriate bronchodilators & antibiotics. thanks to contact chatbot. hope i helped to clear your query.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorno need to take any medicine unless you have some pathological problem which causes erectile dysfunctions, otherwise do not take any medicine for erection, the impulses of erection in fact comes from the cerebral cortex and this area depends upon the stimuli like visual, hearing, touch, more over age also plays the greater role, hope this information helps you, take care and enjoy the life."
Answer this question truthfully,The treatment for neurogenic shock is the administration of fluids and pressors.
Answer this question truthfully,Corynebacterium diphtheriae will produce a gray pseudomembrane on the posterior pharynx and upper airways.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, i do empathize your situation. it is a positive finding that your ultrasonography has not detected any organic lesion in the uterus. for the hormonal imbalance, you will have to take hormonal treatment. if you do not take it, the imbalance may interfere in your conception. if you are keen on getting pregnant, you need not defer for the hormonal treatment. retroprogestational preparations of progesterone will help you regularize your menses without affecting the egg formation and release. you may request your gynecologist to prescribe you retroprogestational preparation. of course, i would like you to get your coagulation profile done, keeping in mind the history of missed abortion. please get following tests done"
Answer this question truthfully,"The enzyme responsible for catalyzing the formation of a phosphodiester bond between Okazaki fragments is called DNA ligase.

During DNA replication, the lagging strand is synthesized in short, discontinuous fragments called Okazaki fragments. These fragments are then joined together by DNA ligase, which catalyzes the formation of a phosphodiester bond between the 3' hydroxyl group of one nucleotide and the 5' phosphate group of the adjacent nucleotide.

DNA ligase is an essential enzyme in DNA replication and repair. It plays a crucial role in sealing nicks and breaks in the DNA backbone, which can be caused by various factors such as radiation, chemical damage, and errors during replication. Without DNA ligase, the DNA strands would remain fragmented and the genetic information would be lost or altered.

There are several types of DNA ligase found in different organisms, each with its own specific functions and properties. For example, bacterial DNA ligase is involved in DNA replication and repair, while eukaryotic DNA ligase has additional roles in DNA recombination and chromatin remodeling."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. about 20 percent of people using irena can develop absence of a period or amenorrhea. however, if there is more than 6 weeks interval since the last period pregnancy should be excluded, as this is the first time. if amenorrhea is established, there is no need to worry. in the current scenario, therefore, i would ask you to go for a pregnancy test and a sonogram of the pelvis, preferably in the trans-vaginal route to clarify. hope this helps."
Please summerize the given abstract to a title,Engineering a multi epitope vaccine against SARS-CoV-2 by exploiting its non structural and structural proteins
"If you are a doctor, please answer the medical questions based on the patient's description.","ecg is the representation of your heart activity for that 30 seconds.  like all test it helps us detect many problems of your heart, however like other test it's not always true. if at all you want to investigate for ectopic beats consider below. i'd the symptoms do occur every day, get a 24 hour holder.  if they are very rare once in a month or so and troublesome, an event recorder is a better investigation .  before you embark of such a tedious job let me assure that 85% population has at some point of time in life ectopic s, however most 99% of there are benign and not relevant clinically, so you should be worried it there are no associated symptoms regards"
Please summerize the given abstract to a title,Impact of COVID-19 in early breast cancer management: a summary of the current evidence
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as she is diagnosed with ganglion neuroma, and you want to know will she have to undergo x-ray or ct? well, i think she might be advised for x-ray followed by mri.  also, there is a difference in the ganglion neuroma and ganglion cyst as well. ganglion cyst can occur in tendons of the joints and the ganglion neuroma occurs in the peripheral nerves.  based on the diagnosis made that whether it is nerve or tendon the treatment will be guided. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Please answer with one of the option in the bracket,D: Superior gluteal nerve
Answer this question truthfully,"Diverticulosis is a condition in which small pouches or sacs (diverticula) develop in the lining of the colon. It is believed that diverticulosis is related to wall stress, specifically a condition called pulsion diverticulosis, which is caused by increased pressure within the colon. This pressure can be caused by factors such as constipation, straining during bowel movements, and a low fiber diet. In addition to these factors, obesity has also been linked to an increased risk of developing diverticulosis. Other factors that may contribute to the development of diverticulosis include aging, smoking, and a sedentary lifestyle. It is important to maintain a healthy lifestyle and diet to help prevent the development of diverticulosis and other gastrointestinal conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome to chatbot. based on the facts of your query, you seem to suffer from-igouty tofu of the ear penna with hyperglycemia. white crystals and soreness to touch is classic of the gouty tofu of the penna. second opinion from surgeon would differentiate it by clinical and physical diagnosis. hope that this reply would help you to plan treatment with your doctor soon. good day!!  chatbot. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir, thanks for your questions. it seems that her lupus is active now, and she had lupus vasculitis/enteritis leading to rupture colon, and she recovered from it. now she is having pneumonia. differentials in present condition are chest infection secondary to immunosuppression or lupus pneumonitis. i suggest doing appropriate cultures, bad and hrct thorax for work up of same. hope i could solve your query."
Answer this question truthfully,"The [HA] form of the bicarbonate buffer is CO2, which is in equilibrium with H2CO3."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. any form of smoke can damage airways. smoke causes inflammatory reaction in airways. it is known as bronchitis. and this causes breathlessness. so better to first quit smoking habit. consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test). pft is must for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i did review your concerns would advise you to consult a ent doctor and get the lesion evaluated. the purple lesion which is localized can be anything from a blood vessel problem to that of melanocytes. common lesions that can present like this include smokers melanesia (since you have smoking habit) and also hematoma(blood vessel proliferation) or nevus. the doctor will examine it clinically and if required will take a tiny biopsy to rule out anything worrisome. i would meanwhile recommend you to quite smoking as good as you can. i hope this yellowish you all the best. thank you for using chatbot.
Answer this question truthfully,"1.Increased central venous pressure (CVP) that can result from decreased venous compliance (e.g., caused by sympathetic venoconstriction) or increased thoracic blood volume.
The latter can be increased by either increased total blood volume or by venous return augmented by increased respiratory activity, increased skeletal muscle pump activity, or gravity (e.g., head-down tilt).
2.Increased ventricular compliance, which results in a greater expansion of the chamber during filling at a given filling pressure.
3.Increased atrial force of contraction resulting from sympathetic stimulation of the atria or from increased filling of the atria and therefore increased atrial contractile force through the Frank-Starling mechanism.
4.Reduced heart rate, which increases ventricular filling time.
5.Increased aortic pressure, which increases the afterload on the ventricle, reduces stroke volume by increasing end-systolic volume, and leads to a secondary increase in preload.
6.Pathological conditions such as ventricular systolic failure and valve defects such as aortic stenosis, aortic regurgitation (pulmonary valve stenosis and regurgitation have similar effects on right ventricular preload)."
Answer this question truthfully,"Granulomatosis Infantiseptica is a rare and severe complication of Listeria monocytogenes infection in neonates. It is characterized by the formation of disseminated abscesses and granulomas in various organs, including the liver and lungs. These abscesses and granulomas can cause a range of symptoms, including fever, poor feeding, respiratory distress, and lethargy. Granulomatosis Infantiseptica is a life-threatening condition that requires prompt diagnosis and treatment with antibiotics. In some cases, surgical intervention may also be necessary to remove the abscesses and granulomas and prevent further complications."
Answer this question truthfully,"The superior gluteal nerve is commonly injured due to intramuscular injection to the upper medial gluteal region (iatrogenic). The superior gluteal nerve is a nerve that supplies the gluteus medius, gluteus minimus, and tensor fasciae latae muscles in the buttocks. It arises from the sacral plexus and runs through the greater sciatic foramen, along with the superior gluteal vessels. When an injection is given too high in the upper medial gluteal region, the needle can damage the superior gluteal nerve and cause injury. This can result in weakness or paralysis of the affected muscles, which can lead to difficulty walking or standing. It is important for healthcare providers to be aware of this potential complication and to use proper injection techniques to minimize the risk of injury."
Please summerize the given abstract to a title,Recent advances in the discovery of novel marine natural products and mycosporine-like amino acid UV-absorbing compounds
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, they can be the cause of many problems, one of the most common being an allergic reaction; this could be almost anything and often proves impossible to find the cause. triggers could be anything from something you have eaten to something simple like the material of maybe a new item of clothing. also, some soaps or detergents can cause rashes, so think about if you have used a new product or even a new fragrance. antihistamine tablets can be purchased over the counter and these will help with the itching. if you prefer not to take medication then you can purchase lotions or creams that will also help with the itching and redness. you will still need to see your doctor, especially if the rash does not go away, gets worse or starts to spread. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i carefully passed through your question and would explain that your symptoms seem to be caused by a metabolic disorder (chronic anemia, thyroid gland dysfunction, low fasting glucose, or a chatbot.  anxiety can also trigger this situation. regarding stimulants, i would not recommend taking them, because they can exacerbate anxiety and all this clinical situation. i would recommend consulting with your attending physician for a careful physical exam and some tests"
Answer this question truthfully,"In an elderly person, the first sign of hospital-acquired pneumonia may be mental changes or confusion. Other symptoms are:
A cough that may produce mucus -like, greenish, or pus-like phlegm (sputum)
Fever and chills
General discomfort, uneasiness, or ill feeling (malaise)
Loss of appetite
Nausea and vomiting
Sharp chest pain that gets worse with deep breathing or coughing
Shortness of breath"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, troponin level could be raised because of lots of conditions including severe anaphylaxis, post-surgery apart from cardiac disease.  but an ecg change along with raised troponin level is highly suspicious of cardiac disease (blockage in arteries of the heart) and also you had the chest pain. plus you are a diabetic. i could not think of anything other than a cardiac-related problem. we do not recommend doing a stress echo in patients with positive troponin, dynamic ecg change and with chest pain. i will advise you to see another cardiologist and get an angiography done soon. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,An Unsupervised Machine Learning Approach to Assess the ZIP Code Level Impact of COVID-19 in NYC
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your grandmother has stomach cancer. treatment depends on type and stage of cancer as well as spread of cancer. in early stage surgical removal is possible. in late stage chemotherapy and radiotherapy is the treatment of choice. however, it is just palliative treatment. it can not cure the cancer. consult your doctor and plan accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear rubyalicebutcheryou are probably suffering from seborrhea dermatitis an antihistamine can be added to your current treatment to alleviate itching. and a topical antibiotic can also be added to the current cream that has been prescribed. i am assuming that there is no topical antibiotic in the cream given to you and have patience. if the above were prescribed by your dermal then you may follow up with him. if no dermal was consulted then do visit him to see if the cream prescribed was correct regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. actually when there is infection in the tooth which has spread to the apical region of tooth causes an abscess and swelling in the gum region of the tooth. and when this infection becomes chronic in nature this pus tries to come out and causes a pinpoint white area on the red swelling of gums. this condition will be well diagnosed in an x-ray. so better you should visit your dentist nearby and get a root canal treatment done of the tooth. hope it will help you"
Please summerize the given abstract to a title,Regulatory T cells: A potential weapon to combat COVID-19?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! i read carefully your query and understand your concern. if your foot is swollen, tender,red and hot when you touch it, these are all signs of inflammation and i think the wound in your toe might be infected. well, i can tell this is not normal because after two weeks your foot should have been healed and this signs i described you above are happening in you foot it is definitely an infection. you should see a doctor, he will prescribe you an antibiotic. hope i was able to help you. take care chatbot."
Answer this question truthfully,The type of miscarriage that presents with vaginal bleeding and a dilated cervical os without expulsion of products of conception is known as an inevitable abortion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sending query in chatbot as you suffer from lower back pain, and you have to consult your doctor. and he said that you have compressed l1-l2. as can i know which reference this diagnosis put? either mri or x-ray, if not done then conform the diagnosis firs and then consult to euro surgeon for proper line of treatment either it can cure by medicine or need surgery. that decision will take after the reporting properly. and the medicine which you have taken is on of the painkiller group. so it can give only relief in some extension and for some time only not give complete cure. and for diarrhea take anti-diarrhoeal medicine, and chatbot.  and ors powder.  get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. this occasional pain abdomen too could be because of this innocuous viral illness itself. regards - chatbot."
Please summerize the given abstract to a title,Physiotherapy management of acute transverse myelitis in a pediatric patient in a Nigerian hospital: a case report
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. i have reviewed your query and here is my advice. the reason for your feeling of numbness are threefold. one the medicines effect which will subside within 3 days. two the stress of extra blood flow. three the stress you created because of your apprehension. forget all these. you should feel well within a week max. hope i have answered your query. you can contact me for treatment options. let me know if i can assist you further.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. in diarrhea, parents require a lot of patience than treatment for kids. child will continue to have loose motions for at least 3_4 days post treatment. do not panic. keep child hy chatbot.  only if child has blood in stool revisit your doctor. otherwise, he seems to be on right treatmentdisclaimer\""this provisional advice provided by me stands subject to the patient undergoing a physical examination and is based entirely on inputs provided by patient/attendants. the patient is advised for physical examination at earliest\"
Answer this question truthfully,Acute interstitial nephritis affects the interstitium and the renal tubules.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. breathlessness and tachycardia (rapid heart rate) are commonly seen in bronchitis and lung infection. so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray to rule out lung infection. 3. put (pulmonary function test) to rule out bronchitis. if all these investigations are normal than probably anxiety is the cause. stress, tension and anxiety can also cause similar symptoms. so avoid stress and tension. be relax and calm. don't worry, you will be alright. first rule out pulmonary causes. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,When Following the Rules Feels Wrong
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern for the compound nevus with moderate atypical. you haven't told your age and the time period of mole which was present as well as the site of mole. the biopsy shows not exactly the features exactly of the malignancy, but it shows some features which are very much basic to diagnose the initial one. moderate atypical is a word which should always be taken care of properly and carefully. i suggest you to go for a conservative re-excision including 1 centimeter area around the previously excised mole. this will take care of all your stress. do not forget to go for biopsy of they are and so the histopathological examination will reduce all your anxiety. all the best."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,B: Homologous recombination
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for writing to us at chatbot i suggest a possibility of fungal infection. this is not related to thyroid nodules. the anatomy of body folds is such that it provides an ideal environment for fungus to proliferate, because of moisture and humidity that prevails in body folds, specially in hot and humid weather of summers. a koh wet preparation made by scraping a small amount of scale from the surface of skin lesions to look for fungal elements (hype) would confirm the diagnosis. i would suggest a topical antifungal cream, twice daily for 4-6 weeks. an otc antifungal e.g. clotrimazole 1% cream can be used twice daily or one of the prescription antifungals e.g. ketoconazole, fluconazole or bifonazole may also be used. oral antifungal e.g. fluconazole or terminating would be useful for faster symptomatic relief and faster clearance. an otc oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from itching. regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Intravenous immunoglobulin as an important adjunct in the prevention and therapy of Coronavirus 2019 disease
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi kim. the symptoms and the history you have given are self-explanatory. most of the time the cause of the bloating and burning sensation is related to the stress, anxiety and tensions. you have to continue medium and get a prescription for anxiety too, and you may be fine. if there is no effect you will have to undergo upper gi endoscopy and other tests to find any other concomitant medical or surgical problems ..."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... you have pain in kidney area and frequent urination... rule out infective etiology by your urine routine microscopic examination for pus cells and cast ...usg abdomen also done to look for kidney inflammation and swelling.... it will also rule out cystitis if present ... per rectal prostate palpation also done. if prostate enlargement present then also more urination can occur.... your fatty liver is because of alcohol chatbot. ... for that take low fat diet... fruits more. consult physician for proper examination... take care
Answer this question truthfully,Delayed growth and development Irregular heart rhythms (arrhythmias) Seizures during periods when there is not enough oxygen. Death
Please summerize the given abstract to a title,Imaging Enterobacterales infections in patients using pathogen-specific positron emission tomography.
Please summerize the given abstract to a title,Assessment of the Effect of Cleanliness on the Visual Inspection of Aircraft Engine Blades: An Eye Tracking Study
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, obsessive-compulsive disorder (ocd) is a common mental health problem. symptoms typically include recurring thoughts and repetitive actions in response to the recurring thoughts. a common example is recurring thoughts about germs and dirt, with a need to wash your hands repeatedly to clean off the germs. however, there are many other examples like sexual thoughts, counting, checking, orderliness, et cetera. the usual treatments are cognitive behavioral therapy (cbt), a selective serotonin reuptake inhibitor (ssri) antidepressant medicine, or both. treatment often works well to reduce the symptoms and distress of ocd greatly. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are 2 options here"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctoran ultrasound abdomen should be done for pain in left lower abdomen. a history of colonoscopy and cyst removal has a doubtful relation with the pain. i would like to know the site and cause for removal of the cysts. an numbness in left foot can be due to nerve injury in hysterectomy. however, exact cause for pain and numbness cannot be found out without a complete clinical examination and investigations. so, visit your doctor for further investigations and thus management. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting. you don't have to worry... ultrasound is a widespread method all over the world. it is cheap, fast and harmless method. but it is not an exact method. ultrasound images sometimes are fallacy, like in your case. an ultrasound technician with work experience can easily find mistakes. mri is a sophisticated and exact method. if mri is negative, there is no reason to worry about. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking in chatbot forum as you do not have any itching/burning sensation/lesion and your reports are negative it is unlikely to have an infection. so, i would suggest you to have plenty of fluids normally and more if you have alcohol to prevent concentrated urine and possible infection later. if you have any discharge which is persistent, then please visit dermatologist for investigation. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i do care for your condition. the blood pressure will fluctuate according to a persons current behavior, whether calm agitated etc. but it will not vary to the extent that you have mentioned. i would advise taking at least 5 readings every 2 hours apart in a single day to confirm the correct blood pressure. and then taking medicines according to result will definitely help. hope i have answered your question, if you have more feel free to ask. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a daytime blood pressure above 130/80 (either one of those numbers) is considered to be high blood pressure, which is a known risk factor for stroke. so if your bp continues to have a lower number higher than 80, i would consider talking with your doctor about how to manage that. diet and exercise can often lower it without medications as well. that being said, if this is your only risk factor for stroke, and your cholesterol is good, and no diabetes, i would consider your risk for stroke to be very low. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Intussusception is a medical condition characterized by the telescoping of a proximal bowel segment into a distal segment. It is commonly associated with a presenting feature of an ill-defined, ""sausage shaped"" mass in the right upper quadrant (RUQ) of the abdomen. Other symptoms may include severe abdominal pain, vomiting, and bloody stools. Intussusception is a medical emergency and requires prompt diagnosis and treatment to prevent further complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for writing to chatbot. i think that you have chest pain. there are a few possible causes of chest pain but the one to be most worried about is related to heart related chest pain. since the ecg did come back negative, i would recommend that you get a stress ecg done or a treadmill test done. this will help you get to the cause. if that is negative, i would think that you have a chest or lung infection. we will need to follow up to confirm this. hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks like your injury is too old now, and you are suffering from frequent pain issues. at present this can be due to"
Answer this question truthfully,"Cranial nerve III (oculomotor) is responsible for controlling several muscles of the eye, including the muscles that control pupil size and the muscles that move the eye. Lesions, or damage, to this nerve can result in a range of symptoms, including ptosis (drooping of the eyelid), diplopia (double vision), and loss of the motor limb of the light reflex. The motor limb of the light reflex refers to the ability of the pupil to constrict in response to light, which is controlled by the oculomotor nerve. It is important to seek medical attention if you experience symptoms of a potential CN III lesion, such as changes in vision or difficulty moving the eye."
Please answer with one of the option in the bracket,D: Huntington's disease
Answer this question truthfully,"Blastomycosis is a fungal infection that can affect various parts of the body, including the lungs, skin, and bones. Dissemination of blastomycosis from the lungs is most likely to occur in the skin and bones. When the infection spreads beyond the initial site of infection, it can lead to a range of symptoms, depending on which organs or tissues are affected. Dissemination of blastomycosis to the skin can cause the development of skin lesions, which may be painful and may resemble other skin conditions such as eczema or psoriasis. Dissemination of blastomycosis to the bones can cause bone pain, joint pain, and swelling. Other symptoms of disseminated blastomycosis may include fever, cough, chest pain, and weight loss."
Answer this question truthfully,"Shingles may develop in any age group, but you are more likely to develop the condition if:
You are older than 60 You had chickenpox before age 1 Your immune system is weakened by medications or disease
If an adult or child has direct contact with the shingles rash on someone and has not had chickenpox as a child or a chickenpox vaccine, they can develop chickenpox, rather than shingles."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of a bloody thigh lump, i would come up with only one and one possibility that is a sebaceous cyst! nothing to worry about this and try not to get infected there! i suggest you to go for an fnac test of the lump for confirmation and to relieve your concerns! hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
Please answer with one of the option in the bracket,D: Smudge cells
Please summerize the given abstract to a title,Exploring Perceptions and Acceptance of Minimally Invasive Tissue Sampling among Bereaved Relatives and Health-Care Professionals in Rwanda
"If you are a doctor, please answer the medical questions based on the patient's description.","i think it would be appropriate to get a mri of the spine and an usg of the part that you feel has this ball like sensation. there are 2 possibilities for which i have suggested the tests. one is a nerve/spine damage that may be ruled out by testing an mri of the lumbosacral spine. the more probable possibility is that you may have formed a diverticula like condition which gives you the ball like feeling. why the tests? you need some extensive examination, like pr examination and a neurological examination. so suggesting a test. best of luck chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello may have good relief with physiotherapy like it [inferential therapy] and tens[transcutaneous electrostimulation] along with ultrasound. so if possible you can start that. mri spine and image guided fact injection may help you. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, to help you understand better, gallbladder adenomyomatosis is a term used when the inflamed gallbladder wall thickens. usually, it is asymptomatic, but as in your condition, you have right upper qua chatbot.  in view of the 2 cm echogenic loci in the left kidney, it could be a lipoma (aggregation of fat), hemorrhagic cyst or benign tumor. a ct scan of the abdomen will help you a lot in understanding the extension of the contrast of the lesions and also relate to the lymph node status.  be strong, and it can be treated by surgery or medications. visiting a nearby physician as soon as possible to do what is necessary would be of great help. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"As the COVID-19 pandemic affects the nation, hires and turnover reach record highs in 2020"
Please summerize the given abstract to a title,Replacing Paper Informed Consent with Electronic Informed Consent for Research in Academic Medical Centers: A Scoping Review.
Please summerize the given abstract to a title,"Minimal SARS-CoV-2 Transmission After Implementation of a Comprehensive Mitigation Strategy at a School - New Jersey, August 20-November 27, 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.",helloplease note down these things about allergic rhinitis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, r-cinex is a combined medicine (rifampicin+ isoniazid) commonly prescribed for the treatment of tuberculosis. common side effects of rifampicin include orange discoloration of the urine / saliva / sputum, flu like symptoms, and liver dysfunction. common side effects of isoniazid include peripheral neuritis, hemolysis, and liver dysfunction. you should take vitamin-b6 containing supplements to prevent isoniazid associated peripheral neuritis. yes, you can conceive while taking these medications as they do not cause any harmful effects on your unborn child. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,Legg-Calve-Perthes disease usually occurs in boys 4 - 10 years old.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the simple tests of urine pregnancy test and ultrasonography can confirm whether you are pregnant or not. the pain in the lower abdomen can be due to may other reasons, pregnancy can not cause pain unless there is threatened abortion or so. appendicitis, salpingitis, ovarian cysts, pid. colitis and enteritis all can cause similar pains. i would advise you the following"
Answer this question truthfully,"Physiologic gynecomastia may occur in newborn, pubertal, and elderly males."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...vomiting after a head injury in a 5-year-old is concerning but as he is not doing it consistently and otherwise active, you can wait. i will suggest you the other danger sings you need to look for - 1. vomiting continuously2. seizures3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. if none of them are present, i don't think you should worry about his trivial head injury. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your question. abortion, also known as pregnancy termination, is a medical procedure that is done to end pregnancy. there are 2 main ways to do an abortion"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, a lump in the groin near to the abdomen can be due to lymph node enlargement or soft tissue lesion. lymph node enlargement can be due to infection, inflammation or neoplastic growth. aspiration cytology of the lymph node needs to be done. in this investigation, the cells are aspirated from the lump, spread on glass slide and stained with appropriate stains. after studying the cells, the origin and nature of the lesion. further management will depend on the result of the investigations. thanks and take care chatbot."
Answer this question truthfully,"Low calcium intake is associated with low phosphate levels. Calcium and phosphate are two minerals that are essential for bone health and other bodily functions. Calcium is required for the absorption and retention of phosphate in the bones, and low calcium intake can lead to decreased phosphate levels in the blood. This can result in a number of health problems, including weakened bones and muscle weakness. Therefore, it is important to ensure an adequate intake of both calcium and phosphate in the diet to maintain optimal health."
"If you are a doctor, please answer the medical questions based on the patient's description.","his had gone through your query. relax dear. all are rubbish and masturbation won't cause such problem. throw all material from your mind masturbation is normal physiological function of our body it is one of the method to satisfy sexual pleasure in absent of partner both sex and masturbation has same and has same end result to get satisfactions no need to worry masturbation doesn't lead to any problem in your married life but constant thinking and feeling of guilt of masturbation will effects don't think much. it is physical act, and it consumes normal calories like walking and running. so it won't lead to any bad effect on your body. psychological stress nd thinking will cause such effect. eat healthy food and calories food. healthy lifestyle make you healthy. still if you have query then feel free to ask. thank you."
Answer this question truthfully,Simple diffusion causes the secretion of urea in the thin descending limb (Henle's loop) of the nephron.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot. thanks for sharing your concern with us. infectious mononucleosis spreads through saliva that is why it is known as kissing disease also. sharing chatbot.  once a person got this infection then virus remains in body for all life in dormant stage and time to time its infections others, so it means that person is not contagious all time, but sometimes virus gets activated from dormant state. there is also possibility that a person never got clinical manifestations of mono but carries the virus in saliva and can spread it. most of the people get this infection in their childhood and develop acquired immunity. this infection is self limiting and rarely cause any complication. paracetamol should be taken for fever and corticosteroid can be prescribed by your doctor for throat pain, if severe. any strenuous work or exercise should not be done for 6 weeks following the infection. i would suggest you to consult with your pcp further. best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it's not an emergency, but her bp medicine needs to change. i would have increased the dose of amlodipine to 5 mg twice a day. or triamterene is not an effective antihypertensive, so it can also be changed to telmisartan if bp is high. so you can discuss these issues with your local doctor.  she should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. get her lipid profile and sugars tested once."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history & investigations and would like to make suggestions to you as follows
Answer this question truthfully,Nasopharyngeal carcinoma often presents with involvement of cervical lymph nodes.
Please summerize the given abstract to a title,Impact of COVID-19 Pandemic on the Implantation of Intra-Cardiac Devices in Diabetic and Non-Diabetic Patients in the Western of Romania
Please summerize the given abstract to a title,Small-world effects in a modified epidemiological model with mutation and permanent immune mechanism
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. femur is the name of the thigh-bone. if you are feeling pain in the thigh it can be due to so many causes, like pinched nerves around the back or thigh, hip problems. kindly take painkiller tablet ibuprofen 200\u00a0mg twice a day after a meal if you are ton any other painkillers. apply warm soaks for pain relief. get an orthopedic consult as soon as possible for proper diagnosis and treatment."
Please summerize the given abstract to a title,A meta-analysis of the incidence of venous thromboembolic events and impact of anticoagulation on mortality in patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms seem to be related to cluster headache or sun ct. i recommend consulting with a neurologist for a careful neurological exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if pain is continuous day and night and range of motion is painful reason may be rotator cuff tear in shoulder. i would like to advise"
Please answer the letter of option truthfully,A
Answer this question truthfully,The urea cycle begins in the mitochondria of the cell.
Please answer with one of the option in the bracket,D: Fingerstick blood glucose
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. cramps in the whole body are usually due to lack of sodium and calcium in the body. so you need to check if your calcium and sodium are normal. if you are on high blood pressure medicines then chances of salt deficiency are higher. so go through this test. you can also take salt with juices and water.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","what's your age? is it approaching menopause. so all your symptoms like nausea vomiting headaches etc. can be explained by your anemia, which can be taken care by iron supplements. however under medical supervision iv iron can also be given so that u quickly recover from anemia. panic attacks can be due to your hormonal problems however u should seek psychiatrist for the symptomatic relief. you\u2019re hormonal problems can be taken care by gynecologist and endocrinologist so u seek both. hypertension can be treated with beta blockers which will be helpful for both hypertension and anxiety. or else other antihypertensive can be tried. the prerequisites are u should make the bp chart and show it to local physician. u should also get your sugars, sr cortisol levels tested."
Answer this question truthfully,"Although diabetes was a well-known disease as from the 2nd century AD, no clinician attempted to link this endocrine disorder with eye-pathology before the middle of the 19th century. In 1846, the French ophthalmologist and Professor of Hygiene in Paris, Appolinaire Bouchardat (1806-1886), reported the development of visual loss in the absence of cataract in diabetics. This was partly reversible and in most cases improvement was associated with better control of diabetes. A few years later, François Tavignot made similar observations.  However, no histopathological specimens were examined and the implication of macular disease in diabetes remained tentative until the invention of the ophthalmoscope.
Jäger had inexhaustible patience and exemplary precision in ophthalmoscopy and, in illustrating his findings, meticulously incorporated the smallest details into his pictures. He used the newly developed direct ophthalmoscope in order to produce one of the first atlases containing 21 colour plates of fundus paintings, which were drawn after 20-40 clinical sessions per patient. He described ‘roundish’ or oval, yellowish spots and full or partial thickness extravasations through the retina in the macular region of a diabetic patient.  His findings were controversial at the time and Albrecht von Graefe (1828-1870) claimed that there was no proof of a cause-effect relationship between diabetes and retinal complications. Von Graefe’s scepticism was adopted by many of his colleagues, with the exception of Louis Desmarres (1810-1882) in 1858.
No further evidence was presented until 1869, when Henry Noyes (1832-1900) published an article in the USA supporting the link between diabetes mellitus and maculopathy. His observations were confirmed in 1872 by Edward Nettleship (1845-1913) in London, who expanded on this theme in his paper entitled ‘On oedema or cystic disease of the retina’ and presented the first histopathological proof of a cystoid degeneration of the macula in diabetic patients.Five years later, Nettleship published another article with Sir Steven Mackenzie (1791-1868), which described in detail the abnormal retinal changes induced by diabetes. n 1876, Wilhelm Manz (1833-1911) published his seminal paper on ‘Retinitis proliferans’ containing several drawings of fibrovascular degeneration of the optic disc and vitreoretinal adhesions in the retina. Fourteen years later, in 1890, Julius Hirschberg (1843-1925) classified diabetic retinopathy into four types (retinitis centralis punctuate, haemorrhagic form, retinal infarction, and haemorrhagic glaucoma), thus describing the full natural history of diabetic retinopathy. The descriptive term, diabetic retinitis, though erroneous since the disease is not of inflammatory origin, continued to be used for several years.
At the beginning of the 20th century there was still the unresolved debate as to whether macular changes were directly related to diabetes or whether they were caused by atherosclerosis and hypertension. Arthur James Ballantyne (1876-1954) of Glasgow suggested that diabetic retinopathy represents a unique form of vasculopathy and his work showed for the first time the role of capillary wall alterations in the development of diabetic retinopathy, as well as the presence of deep waxy exudates in the outer plexiform layer.
Today the retinal manifestations of diabetes are classified as Early Non-proliferative Diabetic Retinopathy, Advanced Non-proliferative Diabetic Retinopathy, and Proliferative Diabetic Retinopathy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough clinical examination is advised. as you are good at your exercise and now facing pain in legs while climbing the stairs, one thing should be understood that too much of anything is not good. this is the first thing in the fitness training. also, gym injuries are more common and may come with any movement as well. if the pain in the leg is tingling, numbness, etc. than it could be related to the spine issue for which a thorough assessment is advised. also, you need to give a break in your exercise plan, as too much of anything will land up into injury. going slow and steady will help improve the overall health and fitness. in my clinical practice most patients come having gym injuries and after thorough assessment, they respond well to the new exercise plan to be followed in the gym. regardsjay in chatbot."
Answer this question truthfully,"Transudative pleural effusions are characterized by a low pleural/serum LDH ratio (< 0.6), which indicates that the fluid accumulation is caused by non-inflammatory conditions such as heart or liver failure."
Please summerize the given abstract to a title,Data Assimilation in the Latent Space of a Neural Network
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your question. fever with loose stools in a 11\u00a0month old baby is most likely due to viral cause. in such a case heavy antibiotics like taxi o are usually not indicated. also, if it is a viral infection then the fever and loose stools usually take 5-7 days to resolve completely. the fact that the fever spike and loose stools have decreased indicates that the infection is slowing getting into control. apart from the mentioned symptoms, if your child have blood in stool, toxic look, behavior changes like lethargy or irritability then considering antibiotic would be logical. all that needs to be done for now is monitoring of urine output, fever spikes, presence or absence of blood in stool and behavior of your child along with proper maintenance of hy chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you might be having allergic asthmatic bronchitis giving rise this problem. try to identify the allergen causing this problem and avoid them. pollen bodies, scent, spray, cosmetics and atmosphere can cause this problem. take respiratory antihistamine like monte lc tablet for 2-3 weeks. do deep breathing exercise daily. when you get attack, take nebulizer or stalin inhaler. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. your problem can be most likely bartholinitis which bartholdi gland infection. it can be from any bacteria. it can be from fecal side or from your pet. hot fomentation will be helpful for this. if there is no improvement then antibiotics will be required. i usually suggest combination of antibiotics like ofloxacin and ornidazole for such cases. chlamydia is most unlikely as you never has intercourse. and z pack will cover chlamydia also. you can use intimate wash daily to normalize vaginal bacterial flora and ph which will help you to prevent getting such infections. hope this may help you. let me know if anything is not clear. thanks.
Answer this question truthfully,"You may take acetaminophen (Tylenol) every six hours as needed for pain in the area where the catheter was placed. If pain is not relieved with acetaminophen, contact your doctor. Please be sure you are not taking more than one product containing acetaminophen, and don’t take more Tylenol than what is recommended on the label."
Please summerize the given abstract to a title,"Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID-19 pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of ongoing myocardial ischemia leading to after lateral wall mi. i advise you to get an ecg,2d echo of your heart, lipid profile, hscrp. troponin i immediately to confirm the diagnosis. monitor your blood pressure, heart rate immediately. chatbot. avoid stress and anxiety. avoid smoking and alcohol. i also exercise daily for 30 min. coronary angiogram with or without stenting will be the procedure of choice. consult your cardiologist for expert management and follow up. post your further queries if any, thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. yes, but this is rare. some features of possible malignancy may be seen on ultrasound but ct scan should be done for more accurate diagnosis. also, for any polyps it is recommended to do cholecystectomy. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health. chatbot."
Answer this question truthfully,"In traumatic brain injuries to children under 2 years old, non-contrast CT is indicated in patients with nonfrontal scalp hematomas and palpable skull fractures."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello lakshmi! welcome on chatbot ! i would like to directly review your performed test reports, in order to be able to give a more professional opinion. fibromyalgia does not cause limb or joint thinning. a peripheral neuropathy can lead to such clinical situation. i would also recommend performing inflammation tests (complete blood count, pcr, sedimentation rate), vitamin d and vitamin b12 plasma levels for possible deficiency. you should discuss with your doctor on the above issues. hope you will find this answer helpful! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. since you are spending a lot of time siting down working on a computer, the back muscles are getting strained, causing pain. this is one of the professional hazards that you are having. try to frequently change your posture and don't work continuously at a stretch. take frequent breaks to stretch your legs and relax your back muscles. avoid taking any painkillers, as they are harmful to the body."
Answer this question truthfully,The typical empiric treatment for patients with human bite wounds is amoxicillin-clavulanate.
Please answer with one of the option in the bracket,E: TATA Box
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatdoctorfirstly, your mother is very much fine so no need to worry. about you mothers bp of 60/40s was due to clonidine and of her bp 100/60 is perfectly normal. actually normal bp ranges from 100-120/80-60, some people have the tendency of having lower bp around 100.60 or 100/50 and in your mothers' case it is very much normal. and for her uti, urine culture and sensitivity is required according to which the antibiotic will be prescribed. till the time the report comes give her good antipyretic and some basic antibacterial like ciprofloxacin or ofloxacin. tell her to increase her water intake along with potassium citrate (200ml) syrup. hopefully it will resolve her problem"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. blisters on corners of lip is called charities. charities is mainly due to multivitamin deficiency or superficial infection at corners of lip. since, you have already given antibiotics, there is no need to give antibiotics now. in my opinion, you should give syrup devon 5 ml two times a day for 1 month and apply byte lotion locally at the corners of lip. since, our mouth is constantly in function that is why it takes more time to heal. it should take around 10 days to completely heal. i hope this has helped you. take care. regards - chatbot."
Please summerize the given abstract to a title,An RCT of oxycodone/ acetaminophen versus acetaminophen alone for emergency department patients with musculoskeletal pain refractory to ibuprofen.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the cause of soreness is most likely due to lack of lubrication or too much pressure. this can be alleviated by using lubricant creams, but, please remember that certain creams are harmful to the sperms. it is sufficient if you can have unprotected intercourse on alternate days during the fertile period. some precautions that can be taken are-do not move and lie in a supine position if you have an anteverted uterus and in prone position if you have a introverted uterus for at least half-an-hour after the act. you may visit a specialist for further suggestions. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking chatbot. my name is chatbot. you have mentioned your open gall bladder surgery and a wound which was although healing, but now it has developed pus and at times of removal of bandage, it bleeds slightly. let me clear your concept regarding some points of key importance-you have mentioned that you have a big cut which was a lauro hole, probably. laproscopic holes are quite small and most of the time they just need a single stitch enough for their approximation and healing and their scar are very small. one of the key purpose of lauro surgery is cosmetic which means avoiding big and visible scrap on patients skinsothis big scar which you are mentioning is due to open surgery which needs naked eye evaluation and proper exposure so that's why it needs much bigger scar than lauro. your second concern is regarding wound healing wound healing varies from patient to patient, generally it takes the duration in the range of 1-2 weeks and after that duration stitches are removed. some factors which are vital in wound healing,-sterilization and infection control during and after surgery -early mobilization of the patient-diet of the patient -post operative wound care your"
Please summerize the given abstract to a title,[The importance of strengthening the ability of fundamental disease prevention and control system from the perspective of the epidemic situation of COVID-19].
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. your worries are uncalled-for. leaking during sleep is a healthy sign as it clarifies sperm production. but why? such things happen only when you do not masturbate or engage in sex for a week or so and you are constantly aroused. semen is produced whenever you are sexually aroused, and it leaks if you do not masturbate or engage in sex for a week or so. for not getting pregnant, you should consult a gynecologist as soon as possible and get yourself and your wife checked for any problems. it is a better option than worrying self without any known reason. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,The cardiac complication associated with post-traumatic myocardial rupture is cardiac tamponade.
Answer this question truthfully,"A Colles fracture is a type of fracture that presents with a ""dinner fork deformity"", and it refers to a fracture of the distal radius."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The outcome is expected to be very good if the diet is closely followed, starting shortly after the child's birth. If treatment is delayed or the condition remains untreated, brain damage will occur. School functioning may be mildly impaired.
If proteins containing phenylalanine are not avoided, PKU can lead to mental retardation by the end of the first year of life."
Please answer with one of the option in the bracket,D: Protamine sulfate
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, you have tested for on bilirubin or other liver function and viral markers were also tested.maybe you have viral hepatitis, and it is showing decreasing trend, so it should clear of in 2 weeks time. if there is no other problem and taking normal diet you ma y resume light work. if there is any supportive therapy given continue to take the medicines. viral hepatitis should be tested for hbs ag to know it is viral hepatitis b or not as it has propensity to go in chronic hepatitis. if it is hepatitis e it should resolve in few days. as hepatitis is water born take care of water and diet. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, to put all the problems in perspective"
Answer this question truthfully,"The nerve involved in weakness of the extensor carpi radialis muscle of the hand is the radial nerve, and the spinal cord level affected is C6-C7. This muscle is innervated by the radial nerve, which arises from nerve roots C6 and C7 in the spinal cord. Damage or compression of the radial nerve at or below this level can result in weakness or paralysis of the extensor carpi radialis muscle."
Please answer the letter of option truthfully,B
Answer this question truthfully,"Daptomycin is bactericidal, meaning it kills bacteria by disrupting their cell membrane."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some enlarged lymph node or may have some tumor pathology.  your migraine and headache is not related to your lump mostly.  you should go for fine needle aspiration cytology or biopsy to search the cause whether it is lymph node or some benign or malignant tumor.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. with the available described symptoms, there appears to be high possibility of non-alcoholic steatohepatitis (nash) induced chronic liver disease. presence of diabetes and deranged liver function with already diagnosed history of cld suggests the diagnosis. you should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. he must have some degree of portal hypertension as he has cld with deranged liver function test. he can take liquid activate for increasing appetite. other appetizer available in markets contains cyproheptadine which has some sort of sedative effects; avoidable in liver disease. he should take normal diet. aptivate and normal diet will help your father. take care,"
Please summerize the given abstract to a title,Evaluation of air-free glassware using the ketyl test
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. noted cough and chest congestion present since two weeks... so here your respiratory examination first done with auscultation for rule out crepitation and rhonchi... if suspected chest x-ray done to rule out consolidation... and if consolidation present it could be pneumonia ... antibiotic needed for it. if you are not taking meal properly because of congestive symptoms then hypoglycemia may lead dizziness... take rest and balanced diet taken.... for relief from congestion take ben chatbot.
Answer this question truthfully,Iron deficiency anemia is the hematologic pathology that is associated with restless leg syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i require more information before commenting on the diagnosis and treatment. most importantly, i need to examine you. somehow, the mri brain findings do not correlate with your symptoms. if you can upload the complete mri report, it would be useful. so, as of now, i feel your problem can be treated. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. best treatment of bronchitis is inhaled bronchodilators. since you are not taking inhaled treatment, your cough is not improving. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will tell you about severity of the disease and treatment is based on severity only. you will need inhaled bronchodilators (formoterol or albuterol). better not to take methylprednisolone because it is a oral corticosteroid and having many side effects. don't worry, you will be alright with inhaled bronchodilators. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,The 2' carbon is the carbon in DNA strands that lacks a hydroxyl group.
Please summerize the given abstract to a title,Confidentiality of substance use disorder treatment records: Update
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. causes for lump below nipples in abdomen-cause is related with undisclosed supernumerary polynesia in few cases and is a congenital anomaly. so they are undisclosed breast tissues. so please consult er surgeon and gaec. this advice is based on the facts from the history you give and needs further clinical check. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to chatbot and be comfortable to resolve your health issues. welcome for any more query in this regard to chatbot. write good resume and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
Please summerize the given abstract to a title,Seroprevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection among Veterans Affairs healthcare system employees suggests higher risk of infection when exposed to SARS-CoV-2 outside the work environment
Please summerize the given abstract to a title,Deep Learning for Visual Analytics of the Spread of COVID-19 Infection in Crowded Urban Environments
Answer this question truthfully,"The preferred treatment approach for performance-only social anxiety disorder is a combination of cognitive-behavioral therapy (CBT) and pharmacotherapy. Performance-only social anxiety disorder, also known as selective mutism or performance anxiety, is a type of social anxiety disorder that is limited to situations where an individual is required to perform in front of others, such as public speaking or performing on stage. CBT is a form of talk therapy that focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety. Pharmacotherapy, such as selective serotonin reuptake inhibitors (SSRIs) or beta blockers, can also be effective in reducing the physical symptoms of anxiety, such as sweating and trembling. The combination of CBT and pharmacotherapy has been shown to be more effective than either treatment alone in reducing the symptoms of performance-only social anxiety disorder. It is important to consult with a healthcare provider to determine the most appropriate treatment approach for an individual patient."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that there is probability of infection. as it has pierced in the foot there is probability of anaerobic infections. i advise you should take metronidazole for these infections. also take the tetanus toxic vaccine injection. this will prevent you from getting tetanus. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
Please summerize the given abstract to a title,"Cas groupés d’infections au nouveau coronavirus (SARS-CoV-2) aux Contamines-Montjoie, Haute-Savoie, janvier–février 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","greetings from chatbot. thanks for posting your query.  well i feel there is a definite relevance between your tb and lymph nodes. it could be just a reaction to your tb in lungs, or it could be tb in your lymph nodes itself.  but the treatment is same for both. its anti-tubercular therapy (att). i hope you have been started on att for your lung tb, with att your lung tb and enlarged lymph nodes will resolve gradually.  if still not started on att kindly get it started. hope this information was useful to you. any clarifications feel free to ask."
Please summerize the given abstract to a title,Real-world Assessment of 2879 COVID-19 Patients Treated With Monoclonal Antibody Therapy: A Propensity Score–Matched Cohort Study
Answer this question truthfully,"Gonorrhea is an STI that is characterized by inflammation of the urethra, cervix, and prostate gland, as well as a creamy purulent discharge. It is caused by the bacterium Neisseria gonorrhoeae, which is transmitted through sexual contact. Gonorrhea is one of the most common STIs worldwide, and it can have serious complications if left untreated, including pelvic inflammatory disease, infertility, and an increased risk of HIV transmission. It can be treated with antibiotics, but there is growing concern about antibiotic resistance in N. gonorrhoeae, which highlights the importance of prevention through safe sex practices."
Answer this question truthfully,Primary biliary cirrhosis is the condition that causes fibrosis of intrahepatic bile ducts.
Please summerize the given abstract to a title,Bangladesh Endocrine Society (BES) Position Statement for Management of Diabetes and Other Endocrine Diseases in Patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. whatever you read here is correct. hand practice cannot cause any health problems if practiced with moderation. in your case you are masturbating thrice daily which is in excess, and you should reduce the frequency. masturbation is not unhealthy. but when you masturbate energy is spent. if you masturbate thrice daily thrice more energy is spent. naturally you will feel tired, and your health will deteriorate. but it is more trouble if you be anxious about masturbation. i suggest you to reduce your masturbation frequency to thrice or four times a week. you will see the result within a month. you should also engage in physical activities and games. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Response at the State and Local Level
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion no need to give oxygen if saturation on room air is 97%. as too much oxygen may cause side effects too. you should get done chest x-ray to rule out lung infection as cause of chest pain. get done ecg to rule out cardiac cause for chest pain. if bronchospasm is present than start inhaled bronchodilators. so try to search cause for chest pain and treat accordingly.  no need to give oxygen.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... i do not think that this is chickenpox. this could be any other simple viral erythematous illness. if she had fever before this rash we can be almost certain that it is a viral illness. but if it is subsiding by application of topical lotion then it could also be a simple allergy or eczema. from next time i suggest that you upload the images on this website so that we will be in a better position to guide you. i am telling this because skin conditions are best diagnosed by directly seeing them. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","hello the pain you mentioned arises in the flank and moves forward resembles to renal pain and as u stated that you had urinalysis which contained abcs which are actually dead white cells referred as pus cells signify renal infection. however you did not mentioned the actual no. of the abcs as they may be insignificant to yard a positive culture or if u had performed the culture and sensitivity test after using cipro and then u can get the false negative result. however for the current pain you are having which is more likely to renal pain i would recommend you to increase your fluid intake. repeat urinalysis and perform an ultrasound pelvis and ultrasound pub, thanks with regards chatbot."
Please summerize the given abstract to a title,"Lived Experiences and Challenges of the Families of COVID-19 Victims: A Qualitative Phenomenological Study in Tehran, Iran"
Answer this question truthfully,"The majority of patients with atelectasis are asymptomatic. Common symptoms of atelectasis include breathlessness, chest pain, and cyanosis. Symptoms in patients with atelectasis depend upon rapidity of bronchial occlusion, lung area affected and presence of any overlying infection.
Patients with atelectasis usually have non specific signs on physical examination. Physical examination of patients with atelectasis is usually remarkable for decreased chest expansion, mediastinal displacement towards the affected side and elevation of the diaphragm. Patients may develop dullness to percussion over the involved area, wheezing and diminished or absent breath sounds on auscultation.
Patients with atelectasis have hypoxemia with low levels of PaO2 and normal/low PaCO2 levels on ABG analysis. Raised peak and end-inspiratory plateau pressures due to decreased lung compliance are also present in these patients.
An x-ray may be helpful in the diagnosis of atelectasis. Findings on an x-ray suggestive of atelectasis include displacement of fissures, rib crowding, elevation of ipsilateral diaphragm, volume loss on ipsilateral hemithorax, hilar displacement and compensatory hyperlucency of the remaining lobes. Complete lung atelectasis and atelectasis involving different parts of the lung have their own characteristic appearance. While complete atelectasis of the lung may lead to opacification of the entire hemithorax and ipsilateral shift of the mediastinum, a right middle and lower lobe atelectasis may show subpulmonic effusions along with right hemidiaphragmatic elevation on X-ray.
There are no significant ultrasound findings associated with atelectasis.
CT findings suggestive of atelectasis include hilar displacement, elevation of ipsilateral diaphragm, rib crowding, displacement of fissures, and compensatory hyperlucency of the remaining lobes. CT findings associated with complete atelectasis of an entire lung include opacification of the entire hemithorax and ipsilateral shift of the mediastinum. Collapse of different parts of the lung have their own characteristic appearance. For example, a collapsed right middle lobe has a tilted icecream sign which appears as a triangular opacity against the border of the right heart with a laterally pointed apex. On the other hand, RUL collapse appears as a right paratracheal opacity, with a concave lateral appearance of the minor lung fissure.
MRI may be helpful in distinguishing obstructive causes of atelectasis from non-obstructive causes. MRI does not play a significant role in the diagnosis of atelectasis.
There are no other imaging findings associated with atelectasis.
Flexible fibreoptic bronchoscopy may be helpful in the diagnosis of atelectasis. This technique assists in determining the cause of obstruction and removal of mucus plugs. Biopsies taken during fiberoptic bronchoscopy helps in the diagnosis of malignancy and allergic bronchopulmonary aspergillosis."
Please summerize the given abstract to a title,COVID-19 in Rheumatic Disease Patients on Immunosuppressive Agents
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. you are having seasonal bronchitis. it is commonly seen in winters and monsoons. so you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) 1 week before starting of winter and stop once winter is over. this combination should be taken once a day at night before going to sleep. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query understand your concerns feel that that your headache and other aches could be related to tension headache. howe ever, i suggest you to get neurologically evaluated by a local neurologist who will help you through clinical and other investigations as required. if the evaluation and if needed scans are normal, you may try medications like amitriptyline which will help reduce your pain. please feel free and get back to me if you need any additional information best wishes"
Please answer with one of the option in the bracket,C: Rupture of the esophagus due to increased intraluminal pressure
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, coqforte contain essential mineral and antioxidant substances. it works by neutralizing the free radicals and protecting against cell damage; acting an antioxidant by fighting free radicals in the body, preventing the blood clotting and help in conceiving by reducing oxidative stress. you can take it for 2-4 months. high blood sugar may be due to insulin resistance and cause ovulatory dysfunction. you can ask for metformin to reduce blood sugar and also reduce insulin resistance. avoid stress, take healthy diet, chatbot. hope this may help you. contact further if follow up needed. best regards,"
Please answer with one of the option in the bracket,B: Anti-dsDNA
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, by what you say i feel that your child may be going through a viral illness. i will explain to you how a viral illness behaves so that you can be more confident. fever of a few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about the duration if the kid is active. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"The most common cause of acute back pain in a patient who presents with back pain after carrying heavy packages and physical examination reveals paravertebral tenderness is lumbosacral strain. Lumbosacral strain is a condition that occurs when the muscles and ligaments in the lower back are stretched or torn. It is a common cause of back pain, especially in people who engage in heavy lifting or other activities that place a strain on the lower back. Symptoms of lumbosacral strain can include back pain, muscle spasms, and paravertebral tenderness. Treatment for lumbosacral strain typically involves rest, ice or heat therapy, pain medications, and physical therapy to help strengthen the muscles in the lower back. It is important to diagnose and treat lumbosacral strain early to prevent further injury and improve outcomes."
Please answer with one of the option in the bracket,C: Fixing of complement
Answer this question truthfully,"The pain in migraines is caused by vasoactive peptides acting on meningeal vessels, which leads to vasodilation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. as you say you have the pictures please upload them on this website. you can approach me at the following link. please find the link below - www.chatdoctor .com/doctors/ chatbot.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,"The main symptoms of viral gastroenteritis are watery diarrhea and vomiting. The affected person may also have headache, fever, and abdominal cramps (""stomach ache""). In general, the symptoms begin 1 to 2 days following infection with a virus that causes gastroenteritis and may last for 1 to 10 days, depending on which virus causes the illness. Symptoms can be listed as follows:
Abdominal pain Diarrhea Nausea Vomiting
Other symptoms may include:
Chills Clammy skin Excessive sweating Fever Joint stiffness Leakage (incontinence) of stool Muscle pain Poor feeding Vomiting blood (very rare) Weight loss"
Answer this question truthfully,"Amyloid is an abnormal insoluble extracellular protein that deposits in the different tissues and causes organ dysfunction and a wide variety of clinical syndromes.  These abnormal amyloids are derived from misfolding and aggregation of normally soluble proteins. Amyloid deposition can disrupt tissue structure of involved organ and consequently leads to organ failure. 
In systemic amyloidosis, amyloid gradually accumulates and amyloid deposition is widespread in the viscera, blood vessel walls, and different connective tissues.  
Wild-type (senile) amyloidosis is a type of systemic amyloidosis as transthyretin (TTR) deposits can be found throughout the body.  The culprit protein responsible for the disease is TTR and it is deposited in the non- mutated form, hence the name ""wild-type"". TTR results in pathologies due to misfolding, breaking apart, and deposition of the amyloid fibrils in healthy tissue. The normal TTR protein, compared with the mutated form, is less likely to get deposited and cause pathology. This is believed to be the reason as to why this condition almost always affects the elderly (65 years of age or older). The condition mainly affects the heart. However, other organ systems, such as the nervous and musculoskeletal systems, can also be involved."
Answer this question truthfully,"IMAGe syndrome is characterized by 
Intrauterine growth restriction Metaphyseal dysplasia Adrenal hypoplasia congenita Genital abnormalities"
Answer this question truthfully,Triple therapy includes a PPI and either clarithromycin and amoxicillin or metronidazole.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, for controlling the blood sugar two possible ways are there, one is chatbot.  plasma glucose level needs to be maintained on the tight rule basis. as long as the diet is concerned, avoid taking high calorie diet, along with this exercise is equally important. here, in your case it seems that everything is alright and no need to worry. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, side sleeping may cause rotator cuff injury, or it may be a muscular pain or nerve compression like median nerve at elbow or radian nerve at radial groove. use three pillows while side sleeping. use diclofenac twice a day for five days. if no improvement you may consult with your physiotherapy he will examine and treat you accordingly. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your query carefully, and i understand your concern. the report indicates diffuse degenerative changes of the lumbar spine and a herniated disc at the l3-l4 level which causes narrowing of the neural foramina thus compressing the nerve roots bilaterally, data which corresponds to your symptoms. the first step in treatment is physical therapy and painkillers like ibuprofen. if symptoms don't subside local injections with corticosteroids and anesthetics are the next step. if still no success surgery could be considered, at times even earlier if there are new signs like motor weakness, saddle-like distribution sensory changes and micturition problems which could indicate caudal equine compression. you should also avoid heavy weight lifting if that is the case in your line of work. i hope to have been of help."
Answer this question truthfully,"Prematurity is considered the most significant risk factor for developing cerebral palsy. Babies who are born prematurely, before 37 weeks of gestation, are at higher risk for cerebral palsy due to the increased likelihood of brain injury or damage during development. Other risk factors for cerebral palsy include low birth weight, multiple births (such as twins or triplets), and infections during pregnancy. While not all cases of cerebral palsy can be prevented, it is important to receive proper prenatal care and to manage any medical conditions that may increase the risk of complications during pregnancy. Additionally, early intervention and treatment can help improve outcomes for children with cerebral palsy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query; how old is your mother? whether she is a diagnosed case of hypothyroidism, diabetes, hypertension (based on blood tests, symptoms & physical examination by a qualified doctor) & hence taking all these medications under proper medical supervision? also, whether she is constantly troubled by various poorly explained physical symptoms like indigestion, belching, gas, menstrual problems, frequent headaches, sleeping difficulties with requirements of sleeping pills like alprazolam, headaches, body pains etc.? if it is so, then your mother may be in fact suffering from depression. too many times' depression tends to occur with diabetes, blood pressure problems & thyroid problems & often gets undiagnosed, untreated with a poor quality of life. consult your gp/psychiatrist for assessment of depression, use of chatbot.  to treat her symptoms or get back to me for further assistance hope this helps; good luck"
Answer this question truthfully,"Yes, during systole there is relatively constant blood flow to the right ventricular myocardium."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some breasts abscess., benign proliferative breast lesion like fibroadenoma, fibroadenomas or fibrotic disease, or you may have breast cancer. you should go for mammography and biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Content-specific differences in Padlet perception for collaborative learning amongst undergraduate students: Association for Learning Technology Journal
Please summerize the given abstract to a title,Molnupiravir promotes SARS-CoV-2 mutagenesis via the RNA template
"If you are a doctor, please answer the medical questions based on the patient's description.","hello maria! thank you for asking on chatbot! i understand your concern, and would like to explain that your chest fluttering sensation may be related to a possible paroxysmal appearance of a cardiac arrhythmia. a careful medical evaluation should be done, including a physical exam, resting ecg, some blood tests (complete blood count, thyroid hormone levels, cardiac enzymes, blood electrolytes level, pcr, etc.). if suspicions are raised a cardiac ultrasound and an ambulatory ecg monitoring test should be done. only after a thorough evaluation, it would be possible to appropriately ad chatbot. hope to have been helpful! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. ulcer at the edge of tongue can be due to trauma, stress, food allergy, deficiency of it b12, zinc, etc. management consist of"
Answer this question truthfully,Adenocarcinoma is typically found in the lower one-third of the esophagus.
Answer this question truthfully,"If rectal prolapse is suspected but cannot be detected during physical examination, fluoroscopic defecography, MRI defecography or balloon expulsion testing (a 4-cm long balloon filled with warm water is placed in the rectum and asked the patient to expel the balloon. A stop watch is provided to assess the time required for expulsion) may be helpful for diagnosis.  
Pre-operatively, all patients should undergo anoscopy to rule out prolapsed internal hemorrhoids as the cause of the patient’s symptoms and colonoscopy to assure that there is no other colonic pathology that would take priority. 
Anorectal manometry may reveal low resting sphincter pressure (especially in complete rectal prolapse) which predicts poor postoperative continence."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos there is doubtful lesion in head of pancreas, i suggest you to go for further investigations. contrast ct scan of abdomen should be done to assess pancreas properly. it is the investigation of choice for assessing pancreatic abnormality. it may be the reason for your symptoms. you also need routine blood investigations, and it includes routine hologram, random blood sugar, liver function test, serum amylase, lipase. proper treatment depend upon findings. get well soon. take care chatbot."
Please summerize the given abstract to a title,A proximal-to-distal survey of healthy adult human small intestine and colon epithelium by single-cell transcriptomics
Please summerize the given abstract to a title,Multicenter Study of Susceptibility of Aspergillus Species Isolated from Iranian University Hospitals to Seven Antifungal Agents.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the reports adenoidal tonsils are prominent, that can be accidental finding. it has to be intervened based on the clinical symptoms you have.similarly, the subcortical white matter changes which indicates minor ischemic changes. one can assess the cause based on clinical symptoms, and risk factors (diabetes, hypertension, smoker, alcoholic and other)i would suggest you to consult neurologist for further plan and managementregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned not worry. lo holstein fe is highly effective in preventing the pregnancy. it has just 0.5 % failure rate. no chance of the pregnancy as you have taken regularly at the specific time. not to worry about unprotected sex was done on 9th day. you are completely safe, and also you did sex on the safe period of the cycle. make habit to take pill regularly on specific time every day by putting the reminder in the mobile. avoid stress, take healthy diet, chatbot. hope this may help you best regards"
Answer this question truthfully,Crystals and white blood cells on urine microscopy are findings consistent with crystal-induced acute kidney injury.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i am chatbot. is tidal test is done by tube test? because slide tidal test is not confirmatory for typhoid. is tidal test done after few days of first test?because rising(tier) result like 160 after few days 320 like. in this case according to your history it is mostly because of salmonella infection which is resistant to given antibiotics. so now you should go for culture examination of stool sample. because from other sample salmonella mostly will not come. if culture comes salmonella positiver than you should go with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, circumcision is a simple surgical procedure, and it can be performed by any surgeon and even in primary health centers it can be performed.  i am sure there are many surgeons near your apartment in bangalore. the circumcision surgical wound should be healing within 15 days.  your surgeon should be able to provide more accurate data and time frame. therefore, i suggest consulting a surgeon for physical examination, and treatment. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient what is your age? if pain is constant and on one side of the joint likely cause is infective cause or inflammatory pathology. i would like to advise x-ray of the pelvis with both hips anteroposterior views. please get it done from radiology center nearby you. meanwhile, start tab diclofenac sodium 50 mg twice a day for pain relief. if x-ray report is abnormal please consult orthopedic surgeon nearby your area."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your query. i have gone through your complaints in details. you are having pain in your ankle not the operated site. you are also having pain on non operated site. what was the reason for first revision surgery?  you need better clinical evaluation to rule out orthopedic and non-orthopedic causes of you pain. need to consult orthopedic as well physician. i have this is just helpful to guide you for further treatment. best luck
"If you are a doctor, please answer the medical questions based on the patient's description.",if you are detected to be bag positive first we need to confirm the test with elisa. if is positive there a few things we need to check first before we prescribe medications for the same.  you need to get done the following tests 1. igm anti hbcag2. hbeag3. anti hbeag4. egg anti bag you also need to undergo an ultrasound and liver function tests. you also need to have your family members checked for bag and have them take bag vaccine if they are negative.
Answer this question truthfully,"Musculoskeletal ultrasound is the recommended diagnostic test for a patient with a positive drop arm test. The drop arm test is a physical exam maneuver used to assess the integrity of the rotator cuff muscles in the shoulder. A positive test occurs when the patient is unable to maintain shoulder abduction after actively lifting the arm to 90 degrees. This can indicate a tear or other injury to the rotator cuff muscles. Musculoskeletal ultrasound is a non-invasive imaging test that can be used to evaluate the rotator cuff muscles and surrounding structures in real-time. It can provide detailed information about the size, location, and severity of any tears or other injuries. Other diagnostic tests such as magnetic resonance imaging (MRI) or computed tomography (CT) scans may also be used in some cases. The specific diagnostic approach will depend on various factors, such as the patient's age, overall health, and other medical conditions. It is important for patients with a positive drop arm test to receive appropriate medical evaluation and follow-up to prevent complications and improve their overall health outcomes."
Answer this question truthfully,"Common causes of chronic endometritis include retained products of conception, chronic pelvic inflammatory disease (e.g. from long-standing chlamydia), IUD, and TB."
Answer this question truthfully,Coccidioides is a systemic mycoses that is considered endemic to the Southwestern United States.
Please answer with one of the option in the bracket,D: In-laboratory polysomnography
Please summerize the given abstract to a title,Kinetic and theoretical study of the hydrodechlorination of CH(4-x)Cl(x) (x = 1-4) compounds on palladium.
Please summerize the given abstract to a title,Green supply chain game model and contract design: risk neutrality vs. risk aversion
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you writing to us at chatbot you seem to have developed irritation to the procedure. if i was the treating doctor i would suggest you to use a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily. use it for 3-5 days only and then stop. that should make it fine. this is a prescription steroid and i suggest you to talk to your dermatologist for a confirmatory diagnosis as well as the needfulavoid using soap on face. you may use a gentle cleanser for face wash e.g. detail cleansing procedure, twice daily. always wear a sunscreen whenever out in the sun. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having acute gastritis because appendicitis is much more severe. so take pantoprazole tablet on empty stomach twice daily. avoid hot and spicy food. avoid junk food.  chatbot.  your symptoms will definitely improve. if not improving in 2-3 days then get done ultrasound abdomen to rule out appendicitis. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Resting electrocardiography to assess risk
Answer this question truthfully,The murmurs of hypertrophic cardiomyopathy and mitral valve prolapse increase with standing and the Valsalva maneuver.
Answer this question truthfully,"There is no established system for the classification of disease name.
OR
Disease name may be classified according to classification method into number subtypes/groups: group1, group2, group3, and group4.
OR
Disease name may be classified into large number > 6 subtypes based on classification method 1, classification method 2, and classification method 3. Disease name may be classified into several subtypes based on classification method 1, classification method 2, and classification method 3.
OR
Based on the duration of symptoms, disease name may be classified as either acute or chronic.
OR
If the staging system involves specific and characteristic findings and features: According to the staging system + reference, there are number stages of malignancy name based on the finding1, finding2, and finding3. Each stage is assigned a letter/number1 and a letter/number2 that designate the feature1 and feature2.
OR
The staging of malignancy name is based on the staging system.
OR
There is no established system for the staging of malignancy name."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. antibiotics usually take a24 -48 hours to properly have a complete effect on the body, which may vary from many conditions and what kind of antibiotic is prescribed. i would advise you to just continue the medication properly as prescribed. do not apply hot bag externally. do salt water gargling. once the treatment of the tooth is started, swelling will also reduce. hope this was useful. thanks and regards."
Please summerize the given abstract to a title,The course of COVID-19 in patients with severe asthma receiving biological treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you may be having allergic dermatitis on both feet. there may be chatbot.  there may be secondary bacterial infection, that is why toes may be swollen and reddish. there may be some cause like.house dust, dander,grass, soap,socks, clothes,soap, shoes,leather, water...etc. you consult dermatologist for firm diagnosis and treatment. to relieve itching, antihistamines like levocetirizine or desloratidine may be taken. short course of antibiotics may be taken. if needed, steroids in tampering dose may be taken. application of mild steroid like mometasone might improve the lesions. avoid soap bath. you may use detail for cleansing the feet. you might improve after few weeks' treatment. i hope you got my answer. thanks."
Please summerize the given abstract to a title,COVID-19 in missiological and historical perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking i have gone through your question, you are very much upset with your child health. as per your question. your 7-month-old child is having respiratory symptoms since last 2 months(i not able to get what symptom she's having cough, difficulty respiration, nasal block, fever ????) your doctor give her inhalers. but she is not improved. and your worried that your homeopath told you that she developed fungal infection in chest.in my view you have been treated by trained pediatrician .all prolonged symptoms can be caused by asthma.  as he advised inhaler pumps. these pump take about 2 weeks for their full effect. so in my view we should give time to get full effect of inhaler pump therapy. if i was your treating pediatrician i would give you simultaneous nebulization therapy which is fast active and give relief till the full effect of inhaler therapy occur.  the fungal infection in chest occur in child whose immune system is sick. and is having severe breathing difficulty. and i was picked by your pediatrician .so in my view not to worry with your feeling of fungal infection in chest.  for iron deficiency, was your kid underwent hemoglobin estimation. talk with your doctor for iron supplement chatbot.  hope i able to solve your query have healthy family life"
Please summerize the given abstract to a title,Long term results on the severity of acute appendicitis during COVID-19 pandemic
Please summerize the given abstract to a title,A Mobile Intervention to Promote Low-Risk Drinking Habits in Young Adults: Protocol for a Randomized Controlled Trial
Please summerize the given abstract to a title,Selected social impacts and measures resulting from the Covid-19 epidemic in the Czech Republic on the specific example of the South Bohemian Region.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, sciatic pain has specific characteristics. back pain, radiating towards lower limbs, aggravated by stress and coughing accompanied by lower limb electric currents discharge sensation, weakness or paralysis and pain. a physical exam, x-rays and ct scan are sufficient to make a diagnosis. it can actually be aggravated by coughing, especially chronic cough. a physical examination, complete blood count for white blood cell levels and a chest x-ray shall be sufficient to make a diagnosis of a chest infection. i suggest you consult a neurosurgeon to appreciate the gravity and direct further management. thanks and kind regards. bain le, md."
Please summerize the given abstract to a title,The Advantages of an Independent Currency for Mitigating the Economic Impact of External Shocks Using the Example of the Coronavirus Pandemic: a Comparison of the Czech Republic and Slovakia
Answer this question truthfully,An abdominal X-ray is the imaging modality that is used to aid in the diagnosis of toxic megacolon.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned your mother has dementia, emotional outburst is common in this disease. the only way is to take a treatment for dementia with a good neurologist and make her feel comfortable. the presence of lung cancer also make her depressed and which will add to the emotional outburst. so if you have a biopsy of the lung cancer lesion, can go for efr testing. if it comes positive she may be started on oral tablets with ski inhibitor with medical oncologist opinion. she may also need counselling with antidepressants. try to continue meeting her every day till some these medications take action and then gradually you can reduce the number of visits."
Answer this question truthfully,Absence seizures are the type of generalized seizure that is characterized by a blank stare.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this type of pain is peculiar of two conditions, l4 nerve root compression or perineal nerve compression syn chatbot.  if not then it may be because of stress fractures or vitamin d deficiency. all you need to do is to get a thorough clinical examination done as the information you have provided is not enough to reach a diagnosis. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello miss, welcome to chatbot, from your history its most probably seems autoimmune progesterone dermatitis (apd). it is a rare skin condition in women that recurs in a cyclical manner corresponding to their menstrual cycles. it is thought to be a response of the skin to the hormonal changes that happen just before menses. characteristically, the skin eruptions occur during the luteal phase or the late pre-menstrual phase of the cycle. this is when the blood level of the sex-hormone progesterone rises. the skin rash happens as an autoimmune response to the bodies progesterone, hence its name. within a few days of menstruation when progesterone level falls, there is partial to complete resolution of the rash. it will recur during the next cycle. some patients have had previous exposure to external progesterone in the form of oral contraceptive pills. this is thought to pre-sensitize patients to react against their own internal progesterone. however, not all patients with apd are exposed to previous hormone therapy. it has been postulated that these patients produce an altered form of progesterone that incites an immunologic response against it. in another theory, progesterone is thought to heighten a patients' hypersensitivity response to another allergen. how does progesterone dermatitis present? a variety of rashes has been described. the most common are urticaria and erythema multiform. other presentations include"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. you need to do mri of the spine hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
Please summerize the given abstract to a title,Searching for target-specific and multi-targeting organics for Covid-19 in the Drugbank database with a double scoring approach
how is asthma diagnosed,"Asthma (Diagnosis): Physical exam To rule out other possible conditions - such as a respiratory infection or chronic obstructive pulmonary disease (COPD) - your doctor will do a physical exam and ask you questions about your signs and symptoms and about any other health problems. You may also be given lung (pulmonary) function tests to determine how much air moves in and out as you breathe. These tests may include:  Spirometry. This test estimates the narrowing of your bronchial tubes by checking how much air you can exhale after a deep breath and how fast you can breathe out. Peak flow. A peak flow meter is a simple device that measures how hard you can breathe out. Lower than usual peak flow readings are a sign your lungs may not be working as well and that your asthma may be getting worse.  A chest X-ray and high-resolution computerized tomography (CT) scan of your lungs and nose cavities (sinuses) can identify any structural abnormalities or diseases (such as infection) that can cause or aggravate breathing problems. Allergy tests can identify allergy to pets, dust, mold and pollen."
Please summerize the given abstract to a title,The Nebraska experience in biocontainment patient care.
Answer this question truthfully,"Pediculus humanus and Phthirus pubis are types of lice that infest humans. They are commonly known as head lice and pubic lice, respectively. Both types of lice can transmit several diseases, including Borrelia recurrentis, which causes relapsing fever; Rickettsia prowazekii, which causes epidemic typhus; and Bartonella quintana, which causes trench fever. These diseases are all caused by bacteria that can be carried by lice and transmitted to humans through bites or contact with feces or other bodily fluids. It is important to take measures to prevent and treat lice infestations to reduce the risk of these diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos doctor said that your son is having asthma, so i want to explain to you that, what is asthma. airways hyperresponsiveness that is secondary to inflammatory airways' disease that results in recurrent or chronic episodes of wheeze, shortness of breath, chest tightness, &/or cough particularly at night or in the early in the morning. this hyperresponsiveness causes bronchoconstriction, hence cough and cold. usually, dust, mite, fine dusting powder, sudden fall & rise of temperature, pollen molds are predisposing factors of asthma. when such type of case visit my clinic i prescribe them to take montelukast+ albuterol tablet (1/2 is sufficient for your son) one or two in day depending upon the condition of patient. hot coffee and steam inhalation also provide relief in such cases. when your child will attain 14-15 years age these attacks will subsides. good luck."
Answer this question truthfully,"Ovarian cyst rupture is commonly precipitated by strenuous activity or sexual intercourse. Ovarian cysts are fluid-filled sacs that can develop on or within the ovaries. Most cysts are benign and do not cause any symptoms, but in some cases, they can rupture and cause pain and discomfort. In addition to strenuous activity and sexual intercourse, other factors that can increase the risk of ovarian cyst rupture include pregnancy, hormonal imbalances, and certain medical conditions such as polycystic ovary syndrome (PCOS). Symptoms of ovarian cyst rupture can include sudden and severe abdominal pain, nausea and vomiting, and fever. Treatment options may include pain management, rest, and in some cases, surgery to remove the cyst."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for posting query at chatbot. usually alt or ast values higher than \""two times the upper normal limit\"", is considered abnormal (in some countries, alt or ast values of more than 100 are considered abnormal). value of ast or alt greater than 85 or above maybe investigated further. secondly, common causes for a high ggt are alcoholism and a medication side effect. if the common causes are ruled out, then you may visit treating physician or hepatologist to advice some blood test to rule out autoimmune causes. hope to answer your concern. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. after extraction, pain in the gums may or may not be present. tab reba gen is usually prescribed as a long term treatment for the authors ulcers. you can continue with it as your dentist may have prescribed it to you after a thorough examination. i would advise you to follow a few instructions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i would like to explain that a transient ischemic attack lasts less than 24 hours and normally less than one hour. your symptoms may be related to a transient ischemic attack or a stroke. i recommend you to go to the er and consult with a neurologist, perform a careful physical examination, blood pressure monitoring, routine blood test, kidney and liver function tests, blood electrolytes, ecg and a doppler ultrasound of the cervical vessels). a brain ct scan or mri scan if possible is necessary to establish the diagnosis. a transient ischemic attack must be monitored in the er as an alarm sign for future strokes. the cause of this event should be investigated (by a detailed check-up), in order to evaluate the risk for future strokes and start the proper therapy to prevent this. hope to have been helpful! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. you should be worried but not too much. you may easily exclude it by giving stool analysis for ova and cysts. if test were positive i would prescribe albendazole syrup-zibend 5 ml once time. the other possibility is undigested food due antibiotic therapy. in this case you can use probiotics- baby lac for 1 month. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you and baby good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i think this should be related to the cervical spine disc injury and the nerve is getting trapped leading to disturbance in the motor functions. using the soft cervical collar and using icing at the cervical region/neck region should help reduce the symptoms. once the pain level falls below 4-5 in visual analog pain scale of 0-10 then strengthening exercises will be advised. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,CAPRIB: a user-friendly tool to study amino acid changes and selection for the exploration of intra-genus evolution.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, what your kid is having is not diarrhea and is only gastronomic reflux. it is quite common for babies of this age group t pass a small amount of diarrhea or loose stools soon after feeds.  this need not be treated as diarrhea and especially antibiotics are not indicated. when the baby takes milk, the stomach expands - then when it is contracting it sets off a waveform which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out.  this is the basis for gastronomic reflex. do not worry. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot look, your semen analysis report indicates normal sperm count (normal is > 15 ml as per who 2010).  the motility is lower than normal limit (as per who 2010, grade a should be >25% or all total >50%).  the normal sperm count is also within normal limit (as per who 2010, normal sperm should be > 04%).  the pus cells, rbc's are above normal limit.(as per who 2010, normal semen should not contain any pus cells or rbc's).  so, overall, your report indicates low motility only. for this you have to take a coenzyme q and vitamin e. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read carefully your query and understand your concern. the way you describe it seems to be stomach issues(gastritis, acid reflux, ). you can try taking antacids or ppi chatbot. if the cause is stomach you will feel better after this. if your pain doesn't get relieved by antacids than another possible cause of these symptoms is gallbladder stones or cholecystitis. the diagnosis is confirmed by abdominal ultrasound. if the symptoms still persist and don't relieve from antacids i suggest consulting a physician and get some tests done to sort out the right cause and get the right treatment. hope my answer has helped. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your concern in the chatbot. i think you should immediately stop chatbot.  lower back pain may be due to numerous reasons including urogenital infection, spinal abnormalities, colonic pathology, anxiety disorder, mechanical back pain etc. a detailed history is needed also along with clinical examination. if you are having bright red blood in stool, it may be due to hemorrhoid or diverticular disease or inflammatory bowel disease or gi infection. the later three may be associated with back pain. if the blood is dark or altered, peptic ulcer disease must be ruled out, particularly because you have become alcoholic. you should consult a specialist in internal medicine at the earliest for further evaluation. you may also need to have the following tests done-complete blood count, urea, creatinine, electrolytesurine for routine examinationstool for routine examination and obt. xray ls spine- app/lat view usg lower abdomen should have plenty of oral fluid for the time being. you may also try relaxation session every day to beat stress. please also avoid prolonged sitting to avoid worsening of back pain. for any further questions, please write back."
Please summerize the given abstract to a title,A Bayesian - Deep Learning model for estimating Covid-19 evolution in Spain
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for your query. normally, metformin does have a side effect of nausea. however, there is no specific interaction with nearing. nuvaring itself is a hormonal substance, and can cause nausea.it could be the additive effect of both medications and not an interaction. you would do best to consult your health care provider, since nausea along with a mild temperature could herald the beginning of an infection. take care."
Please answer with one of the option in the bracket,C: CA-19-9
"If you are a doctor, please answer the medical questions based on the patient's description.",hiyour problem lies not in your head.but in your mind its necessary to know that our thoughts chatbot. .nice.and light looks like you are anxious worrisome by nature quit that at once.here are my suggestions1)get up early in morning try expose yourself to sun .this cause release of the feel good hormones in our body2)do breathing exercises.or aerobic exercises.this will ensure a good blood supply in your brain3)listen to some good cheerful music4)feel like a free bird and do whatever that keeps you happy5)have a good diet every day with lots of juices and fruits6)believe in yourself.nothing can go wrong unless you want .so be happy to be blood bless
Please summerize the given abstract to a title,Additive manufacturing in fighting against novel coronavirus COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, proluton is an injectable form of progesterone hormone given to prevent preterm/miscarriage. but, if you have brownish discharge and an ultrasound done showing the neck of the womb(cervical length)is more than 2.5 centimeters and not open, then you can avoid taking the progesterone. i would like to know if you have had previous pregnancies? were they full term or preterm? hope this helps. regards."
Please summerize the given abstract to a title,Barriers to physical distancing among healthcare workers on an academic hospital unit during the coronavirus disease 2019 (COVID-19) pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","dear amandafirst of all i need you to relax and understand that according to a research every 100th person on this planet is prone to having at last 1 seizure in his or her life span. it is a big number. secondly if your mri and eeg's are normal then the cause of your seizures is at neuron level. sometimes some part of our brain produce enhanced neurological activity that can lead to a seizure. now that as your seizure is grand mal type, it is most likely that it originates in the cerebral cortex of your brain. if i was your doctor i would recommend you take some anti-epileptic medication. i would also recommend you to get enough sleep. there is a more chance of having an epileptic fit if your brain is fatigued so yes it is related to less sleep. as for the injury to your neck; there are a lot of seizures that can develop post-traumatic to head injury, but mostly these seizures are focal because a certain part of brain is damaged. the pain you have prior to an epileptic fit could be an aura. auras are very common in grand mal epilepsy. but you should get it checked from a good neurologist/ neurosurgeon. i hope this answer was helpful. feel free to ask anything regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.",for severe lower back pain you can take some painkiller like ultracet-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shackled or toscal-gem once daily. take some multivitamin like spray or neurobian-plus once daily. do some physiotherapy exercises after an expert opinion of physiotherapist. i will also advise you to sleep on a plain surface.
Answer this question truthfully,Amlodipine and Nifedipine are the calcium channel blockers that have the most potent effects on vascular smooth muscle.
Please summerize the given abstract to a title,Single-Cell Analysis and Tracking of Antigen-Specific T Cells: Integrating Paired Chain AIRR-Seq and Transcriptome Sequencing: A Method by the AIRR Community.
Answer this question truthfully,The HSV-1 virus that causes oral herpes remains dormant in the ganglia of the trigeminal nerve.
Please answer with one of the option in the bracket,E: Bulimia nervosa
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your queryideally after a trauma to the head, at least one neuroradioimaging (ct/mri) is essential. this test tells us if there is anything that may have gone wrong after the trauma therefore suggest that you go for the same test. it will inform us if anything is structurally wrong inside hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. please feel free to ask another query. i would be glad to help you. looking forward to your return query with the details asked so that i can help you further. (if the answer has helped you, please indicate this)best of luck."
Answer this question truthfully,"Hypoparathyroidism should be differentiated from other causes of hypocalcemia. Causes of hypocalcemia other than hypoparathyroidism include:
Pseudohypoparathyroidism Pseudohypoparathyroidism type 1 Pseudohypoparathyroidism type 1a Pseudohypoparathyroidism type 1b Pseudohypoparathyroidism type 1c Pseudopseudohypoparathyroidism Pseudohypoparathyroidism type 2 Hypomagnesemia Hypovitaminosis D Chronic kidney disease Hypoalbuminemia (relative hypocalcemia)
Differential diagnosis of hyperparathyroidism on the basis of hypocalcemia Disorders Mechanism of hypocalcemia Laboratory findings Serum PTH Serum Calcium Serum Phosphate Other findings Hypoparathyroidism There is deficiency of parathyroid hormone in hypoparathyroidism. Deficiency of parathyroid hormone causes body to decrease: Reabsorption of calcium from bone Excretion of phosphate Reabsorption of calcium from distal tubules Vitamin D mediated absorption of calcium from intestine ↓ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D Normal urinary cAMP Normal urinary phosphate Pseudohypoparathyroidism    Type 1a Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Heterozygous GNAS inactivating mutations that reduce expression or function of Gα s. ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D ↓ Urinary cAMP ↓ Urinary phosphate Type 1b Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Familial - heterozygous deletions in STX 16, NESP55, and/or AS exons or loss of methylation at GNAS. ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D ↓ Urinary cAMP ↓ Urinary phosphate Type 1c Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Heterozygous GNAS inactivating mutations that reduce expression or function of Gα s. ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D ↓ Urinary cAMP ↓ Urinary phosphate Type 2 Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D Normal urinary cAMP ↓ Urinary phosphate Pseudopseudohypoparathyroidism Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Combination of inactivating mutations of GNAS1 and Albright's osteodystrophy. Normal Normal Normal -- Hypomagnesemia   Decreased parathyroid hormone (PTH) secretion. Skeletal resistance to parathyroid hormone. Inappropriately ↓ Normal/ ↓ -- ↓ Serum magnesium ↓ /Normal serum potassium Hypoalbuminemia Majority of calcium in blood is bound to albumin. So, when there is a decrease in concentration of albumin due to any condition, there is a relative hypocalcemia as well. -- ↓ -- ↓ Serum albumin Normal albumin -corrected serum total calcium Normal ionized calcium Hypovitaminosis D Decrease in vitamin D mediated calcium absorption from intestine. ↑ ↓ ↓ /Low-normal ↓ 25 Hydroxy vitamin D Chronic kidney disease Chronic renal failure leads to high serum inorganic phosphate and low serum calcium and deficiency of active form of vitamin D (1,25-dihydroxy vitamin D / calcitriol). ↑ ↓ /Normal ↑ ↓ Glomerular filtration rate"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, you are having brief psychotic breaks, which may be due to impending psychosis (schizophrenia) or due to other emotional situations, such as episodes of past trauma (ptsd), or severe depression or anxiety. i urge you to see an experienced mental health professional in order to investigate this further.  you have already checked for medical reasons, and have thus far come up with negative causes on that end.  it really seems psychological, and you should assess it with a caring and intelligent professional. i wish you good health an sound mind. warmest regards, elliott"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is a congenital condition affecting collagen synthesis which might cause different problems during the growth and development. the collagen based structures like ligament and bones will be brittle, and the child might be prone to develop fractures and injuries more frequently. there are various types and prognosis may vary between them. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.based from your description, it could be any of the following lesions"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are a active smoker, continuous cough with phlegm since 3 years should be investigated thoroughly. so consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out lung infection like tuberculosis and pneumonia. pft is needed to rule out asthma and bronchitis. all these diseases cause chronic cough with phlegm. you may need antibiotic, inhaled bronchodilator and inhaled corticosteroids (ics) on the basis of these reports. don't worry, you will be alright with these chatbot.  hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"The gram-negative bacteria that is often associated with wound and burn infections is Pseudomonas aeruginosa. This bacterium is commonly found in soil, water, and other moist environments, and it can cause a variety of infections in humans, particularly in patients with weakened immune systems or those who have suffered burns or other types of trauma. Pseudomonas aeruginosa is known for its ability to form biofilms, which can make it difficult to treat infections caused by this bacterium. Treatment typically involves a combination of antibiotics and supportive care, and prevention measures include proper wound care and infection control practices."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello siren my opinion, saw palmetto is basically the american dwarf palm tree. the extracts of its fruit have been used to treat benign prostatic hypertrophy in elderly. however, international guidelines as based on various large center clinical trials do not recommend its use. for atrial fibrillation, there is no role of saw palmetto. as a professional advice, i would recommend you to continue on oral anticoagulants. there are multiple options available suiting your affordability. pl discuss the same with your cardiologist. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i had gone through your query. it is necessary to sleep whole night or up to 7 hours in old age. depression is common after wake up, and it is called melancholic features.  avoid nap to avoid depression in afternoon.meanwhile, avoiding afternoon nap to achieve sound sleep at night. shifting dose of paroxetine to night is useful for sleep. avoid any medicine at afternoon to prevent nap. add on low doses of benzodiazepine like lorazepam in night for maintenance of sound sleep. psychological counselling will help her for depression. take advise from your treating doctor before taking any medicine. glad to hear from you. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, your friend has abdominal pain, vomiting, don't worry much, what happened is when you vomit your body fluid comes out, your body temperature goes low, that's why she feels cold, and pain can be to acidity problem also, give her some medicine, tablet metronidazole one tablet twice daily, along with tablet pantoprazole one tablet before breakfast, for three day give light food, avoid oily food, and junk food. take rest. if you don't get any relief then consult physician.  hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam, i am pretty much worried about the low platelet counts that you have and bruises the are developing. there are several causes for this problem, but as you were earlier treated with chemotherapy and radiation, there is high probability that you may have a blood cancer or a precursor of cancer (we call this condition as therapy related acute myeloid leukemia/ myelodysplasia syn chatbot.  risk of developing this problem depends on type of chemotherapy agents used during the prior treatment and dose of radiation. hence, exact figures cannot be given, and it is not necessary also. i suggest you to get your bone marrow tested at the earliest to know the reason for low platelet counts and also get admitted for platelet transfusions. remember that blood cancers can be treated and with proper treatment many get completely cured of disease. hope i have answered your question. if you have any further questions i will be happy to help. with regards,"
Answer this question truthfully,"In myelofibrosis, megakaryocytes produce excess platelet-derived growth factor (PDGF) and TGF-b, causing marrow fibrosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. have you got examined by a surgeon? he should be able to tell you whether they are lipomas or something else. lipomas are the commonest lumps in the body, and they are always harmless. get examined by a surgeon to know. medicines will not help if they are lipomas. you can request for a biopsy of one of the lumps tone sure what it is. do not worry. do let me know the report if you need further assistance. you will have to leave a specialist or a gp query for the same. take care.  chatbot."
Please summerize the given abstract to a title,Clinical Performance of a Lateral Flow SARS-CoV-2 Total Antibody Assay
"If you are a doctor, please answer the medical questions based on the patient's description.",why think of the worst-it is always better to trust a dermatologist instead of deriving own conclusions. eosinophils count has more value if absolute count is considered for eosinophils. skin allergy or infections may show some eosinophils in blood .it is common in allergies. some more tests may be advised by a skin doctor for diagnosing rashes whicchatdoctore in hun chatbot. to be aware is good but to apply on self or others is a doctors job.it will be all right with proper treatment.it is no leukemia.
Please summerize the given abstract to a title,"SARS-CoV-2 Seropositivity in Asymptomatic Frontline Health Workers in Ibadan, Nigeria"
Answer this question truthfully,"Necrotizing enterocolitis is a GI pathology seen in premature, formula-fed infants with immature immune systems."
Answer this question truthfully,"Disorders of secondary hemostasis typically present with re-bleeding after surgical procedures such as dental procedures. Secondary hemostasis refers to the formation of a stable blood clot through the coagulation cascade, which involves a series of clotting factors and platelets. Disorders of secondary hemostasis can result in bleeding disorders, which can manifest as excessive bleeding or re-bleeding after surgical procedures. Some examples of disorders of secondary hemostasis include hemophilia A and B, von Willebrand disease, and factor XI deficiency. Treatment of these disorders typically involves replacement of the missing clotting factor or administration of medications that promote clotting."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should definitely consult cardiologist and get done 2d echo and stress 2d echo to rule out worsening of mitral regurgitation(mr) (leaky mitral valve).you're all symptoms are more suggestive of heart disease. if your current 2d echo is showing worsening of mr as compare to 2009 report then mitral valve replacement is the only option. so you need to repeat 2d echoes as soon as possible. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. it is related it shows that the nerve is getting more irritated please consult your doctor immediately hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
Please summerize the given abstract to a title,A Bidirectional Subsethood Based Fuzzy Measure for Aggregation of Interval-Valued Data
Answer this question truthfully,Compression of the developing fetus in Potter sequence results in a flat face with low-set ears.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. operation of sinuses is probably not the reason you have ulcers on tip of reproductive organ. if you han unprotected sex or been in unhygienic conditions, there is good possibility that you have sexual transmitted disease. you should be examined by std specialist to determine diagnose and use treatment. treatment will improve quality of your life and stop spreading disease to others. do not hesitate. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i understand your concern regarding your skin problem and i hope i am able to help you in the same. your child seems to have developed tina wapitis which is a fungal infection of the hair which occurs mostly in young child chatbot. the most important part of its treatment is the intake of oral antifungals which your child will start taking in few days. for the associated pain, you can give a simple painkiller like paracetamol in the right dose which is determined by her weight. maintain proper hygiene of the surrounding hair also. avoid use of hair oil. wash the hair properly. this problem might take at least three to six weeks to completely heal. thank you."
Please summerize the given abstract to a title,Effect of multiple freeze–thaw cycles on the detection of anti-SARS-CoV-2 IgG antibodies
Please summerize the given abstract to a title,Management of COVID positive emergencies in department of gastrointestinal surgery & management algorithm
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Phagophobia is a psychogenic dysphagia, a fear of swallowing.  It is expressed in various swallowing complaints without any apparent physical reason detectable by physical inspection and laboratory analyses. An obseolete term for this phobia is choking phobia,  but it was suggested that the latter term is confusing and it is necessary to distinguish the fear of swallowing (i.e., of the propulsion of bolus) from fear of choking (fear of aspiration). 
Phagophobia is classified as a specific phobia and according to DSM-IV classification it belongs to the category of ""other phobias"". Phagophobia may lead to (and be confused with) fear of eating, and the subsequent malnutrition and weight loss. In milder cases a phagophobe eats only soft and liquid foods."
"If you are a doctor, please answer the medical questions based on the patient's description.","this could potentially be muscle strain with associated inflammation from overuse and or repetitive movement. alternatively, warfarin necrosis of the breast is a rare complication yielding similar symptoms (though not identical) however these symptoms usually present days after warfarin beginning. a white lump sounds to me as if it could be cyst-like; cysts being a very common manifestation of the female breast in general as individuals age and or reach certain age checkpoints. i would have a physical exam performed by organ and or primary care physician, explaining to them your symptoms and how the lump has come and changed in size and or consistency. from there they can pinpoint to you the likely diagnosis. i will also say that slightly painful is more often than not a good sign, if you are worried about cancerous potentialities. nonetheless, a checkup would be the best recommendation. many cysts come and go according to dietary and or hormonal causes; so really getting to the bottom of your habits with a physician will further help reach a diagnosis."
Please summerize the given abstract to a title,A Midwest COVID-19 Cohort for the Evaluation of Multimorbidity and Adverse Outcomes from COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there... thank you for such a detailed history. reading your description i did think of pulmonary embolism that is related to both she and breast cancer, but if your doctors have ruled that out then its shouldn't be a concern. i would still like to think of interstitial lung disease and pulmonary hypertension as a possibility. do discuss these differentials on your next visit to your doctors. regards chatbot."
Answer this question truthfully,"The medical insurance plan is called an exclusive provider organization (EPO). An EPO is a type of managed care plan that provides health insurance coverage to patients who agree to use a network of doctors, specialists, and hospitals that have contracted with the insurance company. Unlike a health maintenance organization (HMO), an EPO does not require patients to choose a primary care physician or obtain referrals from a primary care physician in order to see a specialist. However, if a patient chooses to see a doctor or specialist outside of the network, they may be responsible for paying a higher portion of the cost of care. EPOs are designed to provide cost-effective healthcare by limiting the number of providers that patients can see, and they are often offered by employers as part of their employee benefits package."
Please summerize the given abstract to a title,Polymyxin B hemoperfusion in coronavirus disease 2019 patients with endotoxic shock: Case series from EUPHAS2 registry
Please summerize the given abstract to a title,"Special report: Early use of ICD-10-CM code ""U07.1, COVID-19"" to identify 2019 novel coronavirus cases in Military Health System administrative data."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have to repeat your semen analysis after three days of abstinence. the pus cells elevation is mild and not raised to a significant level. so it doesn't seem to be due to a prostate problem as urine test also normal.  i suggest you investigate with semen culture as well to exclude infection.  you need to be given multivitamin and hey forte like a tablet for improving sperm motility. smoking also can be responsible, so avoid it if having a habit. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Comparing the Success Rate and Side Effects of Endovenous Laser Ablation and Radiofrequency Ablation to Treat Varicose Veins in the Lower Limbs: A Randomized Clinical Trial.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, in my opinion you are having mostly upper respiratory tract infection (uri). it is mostly viral infection. and treatment is symptomatic only because it is self limiting. antibiotics are given to prevent secondary bacterial infection. so no harm in taking flucloxacillin. along with this you need to follow these for better symptomatic relief. 1. avoid oily and spicy food. 2. avoid hard to chew food. 3.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. low thyroid hormone levels are common in women, so thyroid disease is not unusual to see in pregnant women. it is true that the mother provides most of the thyroid hormone for the baby until late pregnancy, and profoundly low levels can cause developmental problems in the baby. however, if the level is corrected with medication, there is no reason why you and your wife cannot have a healthy baby. so i recommend your wife to follow your doctors advice and take the medication as prescribed. the level should be checked again in 3-4 weeks to see if the dosage needs to be changed. i want to reassure you that with proper medical care there is no reason your child should have any developmental problems. i hope i was able to adequately answer your question today and that my advice was helpful. best wishes,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with us. as you have mentioned that your child is having cavities in deciduous teeth (milk teeth) and you don't want her permanent tooth to get cavities than first thing you should do is get the cavities removed and get the tooth restored as the infection can spread from deciduous tooth to permanent tooth. after that you should ask her to brush her teeth twice daily, and also prefer not to eat too much of snacks between the meals, if she feels like then she can take just after the meals. it will help her to maintain her ph of oral cavity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, i would suggest you to apply hegel oral ointment topically over the affected are, take lukewarm saline rinses and antiseptic mouth rinses. take multivitamin supplements od daily. maintain a very good oral hygiene. take complete balanced diet plenty of fluids which are rich in vitamin c like lemons, oranges. avoid hot spicy foodstuffs, acidic beverages, junky foods. hope you find this as helpful, take care!"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of nerve root there can be tingling numbness in your arm and pain.  i will advise you to mri cervical spine for better diagnosis. you can take reserve forte consulting your doctor then it will be more helpful. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. cramping abdominal pain is usually due to a food poisoning, specially if you happen to eat from outside. if you do not have any loose motions, i in case happen to be your doctor, would advise you with an anti-emetic, an antacid, a proton pump inhibitor, and a probiotic. if it proves to be a food poisoning, appropriate antibiotic would be an addition. i would also advise you for an lft test(liver function test) to rule out any chances of a jaundice. further management would depend on the result of the investigations. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thought it's started at indoor facility, because you had defibrillator already placed, it is safe to start you on stall at home, because in case of any rhythm disturbance, the defibrillator will help you out, at the same time the rhythm can be known through interrogation.  so don't worry about the same. however, i would like to point out carvedilol and stall are same group, though started for you for different indication, do discuss with your doctor on follow up, as i will suggest titration of carvedilol so you don't have chatbot.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most likely you are facing orthostatic hypotension which is why you are feeling dizzy with a change in position. it's recommended for you to starch your legs for 1 min before changing positions and take tab vermin twice a day. it doesn't help then kindly consult a physician personally for proper physical evaluation and treatment. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,Treatment before significant damage or severe complications occurs usually produces good results.
"If you are a doctor, please answer the medical questions based on the patient's description.","strep group bryan infection is worrisome if they are found in the blood stream or in urine, and if that happens it causes symptoms like poor feeding, irritability, and increase sleepiness or decrease activity. if any of these symptoms develop then it's an emergency. but eye swab culture of strep and a gunky eye will probably will not cause this, all you need to do is give her saline chatbot.  i also recommend high vaginal swab for you in the next pregnancy between 35-37 weeks if it's not a routine in your area. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot if he only uses it in this setting and this is the only instance that he experiences difficulty breathing then it is possible. more so if there is a rash in the area of contact. it would be important to determine if he has any other instance of shortness of breath with activity. his doctor may also to determine if he has any other symptoms such as chest pain or palpitations which may indicate a more serious cause. he should be taken to his doctor for an assessment to determine the cause of his symptoms. i hope this helps"
Please summerize the given abstract to a title,Chest computed tomography findings of COVID-19 pneumonia: pictorial essay with literature review
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query at chatbot! i am infectious disease specialist! i went through your query! had you had unsafe intercourse in the past? i suggest get an hiv test done. you can apply topical steroid+antifungal cream on lesion and oral antifungal. if you do not respond you can get culture/sensitivity at specialized centers for yeast infection. do treatment accordingly. what is blood sugar level? you also need to consult a psychiatrist. happy to take more queries! you can also write a review for me. if you would like some more information, i will be happy to provide. take care!"
Please summerize the given abstract to a title,Can COVID-19 induce governments to implement tax reforms in developing countries?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. pulled out or with chatbot. if you involved in sexual activity in the middle of her cycle (d12-d18) or fertile days, then i can suggest taking plan-b within 72 hrs to avoid minimal risk of pregnancy. otherwise, she may not need to take the pill. lastly, i suggest her to undergo home pregnancy test if she misses her next period date. review with the test result. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have what is termed as teratoasthenospermia. meaning thereby that percentage of active grade one motile sperm is 0%.(normal value 20-30%) and morphology of the sperm is also abnormal. truly speaking there are no medicines that can increase the sperm motility and improve the morphology of sperms. in such a situation it is unlikely to have natural pregnancy. please consult qualified infertility specialist for assessment and to explore possibility of pregnant with the help of newly assisted reproductive techniques like ivf or csi. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi actually in pro patients ovulation doesn't occur naturally so chatbot.  what you can do is to go for a natural cycle tracking of follicles on ultrasound. if ovulation is happening naturally you can try for 6 months to 1 year, and then you can opt for fertility treatment. but if you want to speed the process you will have to take medical support. hope i have answered your question. if you have any other query i will be happy to help."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .pacemaker is placed if pulse is slow as below 45 etc., but there are other causes also for which pacemaker is put so ask your cardiologist he will tell why pacemaker was put in your father when your doctor tells the reason for putting pacemaker you can come to this site if you are still not satisfied with his answer but come with diagnosis .we will help to clear your doubts with regards chatbot."
Please summerize the given abstract to a title,Angiotensin converting enzyme 2 abrogates bleomycin-induced lung injury
Answer this question truthfully,"Transformation is a process by which bacteria can take up DNA from their environment, allowing them to acquire new genetic material that may provide a selective advantage."
Please summerize the given abstract to a title,DC-SIGN targets amphotericin B-loaded liposomes to diverse pathogenic fungi
Answer this question truthfully,Patients with subclavian steal syndrome may present with arm ischemia in the affected artery upon exercise or lifting the arm above the head.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, global is an alpha glucoside inhibitor and reduces the glucose absorption from the gut. foliose is another alpha glucoside inhibitor and is a substitute for global (carbone). if you have difficulty in controlling your blood sugar, i can help you through my continuous care app. you can download it from the store where you get your apps. it is free. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello i have read your query, this can be due to carpal tunnel disease. in carpal tunnel there is edema over tendon at wrist below flexor retinaculum. due to increased pressure there is compression of median nerve leading to numbness. you can ask your physiotherapist for therapy for carpal tunnel. physiotherapy with ultrasound and tens will help you, for early healing you can take tab colin [it c] and antioxidant with anti-inflammatory [tab enzymic plus]. medication like methylcobalamine and pregabalin can be started consulting your doctor. another possibility of cervical disc bulge leading to wrist disease. clinical examination from your doctor will confirm diagnosis. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your pain is associated with eating, and you are also having vomiting, so possibility of herd (gastroesophageal reflux disease) related symptoms is more. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of chest pain and vomiting. so follow these steps for better symptomatic relief in herd. 1. avoid hot and spicy food. avoid junk food. 2. avoid large meals, instead take frequent small meals. 3. take pantoprazole and risperidone combination on empty stomach. 4. quit smoking and alcohol if you have these habits. 5. avoid stress and tension, be relaxed and calm. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Type 1 diabetes is commonly associated with other autoimmune diseases.

Type 1 diabetes, also known as insulin-dependent diabetes, is a chronic condition in which the immune system attacks and destroys the insulin-producing cells in the pancreas. This autoimmune response can also lead to the development of other autoimmune diseases, such as celiac disease, autoimmune thyroid disease, and Addison's disease.

In contrast, type 2 diabetes is a metabolic disorder that is typically caused by a combination of genetic and lifestyle factors, such as obesity and physical inactivity. While type 2 diabetes is not directly caused by an autoimmune response, it can increase the risk of developing other health conditions, such as cardiovascular disease and kidney disease.

It is important for individuals with type 1 diabetes to be aware of the increased risk of developing other autoimmune diseases, and to work closely with their healthcare providers to monitor for any signs or symptoms of these conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question with care and understand your concerns. let me try to help you question"
Answer this question truthfully,"Sporotrichosis is a chronic disease with slow progression and often subtle symptoms. It is difficult to diagnose, as many other diseases share similar symptoms and therefore must be ruled out. While within human and animal tissues, S. schenckii exists in its yeast form. Varying in size and shape, these curved cells typically have 2-6 μm diameters with cigar-like buds offshooting from a narrow base. Growing on Sabouraud dextrose agar, most S. schenckii strains become evident after 4 days. At this point, some strains lack dark pigment, while others have been infiltrated with dark pigment from the start. Upon transfer to Brain-Heart Infusion (BHI) agar, and cultured for 7 days at 37°C, the S. schenckii strains undergo dimorphism, manifesting as creamy off-white to beige colored colonies.  Patients with sporotrichosis will likely have antibodies against the fungus S. schenckii, however, due to variability in sensitivity and specificity, antibody identification may not be a reliable diagnosis for this disease. The confirming diagnosis remains culturing the fungus from the skin, sputum, synovial fluid, and cerebrospinal fluid. Cats with sporotrichosis are unique in that the exudate from their lesions may contain numerous organisms. This makes cytological evaluation of exudate a valuable diagnostic tool in this species. Exudate is pyogranulomatous and phagocytic cells may be packed with yeast forms. These are variable in size, but many are cigar-shaped. 

Definitive diagnosis of sporotrichosis occurs upon the isolation and identification of S. schenckii in culture. The etiological agent may be obtained when the specimen is cultured on Sabouraud agar with chloramphenicol or on mycobiotic agar.  Filamentous hyaline colonies begin to grow following 5-7 days of incubation at 25ºC, and may manifest with pigmented centers.  Ultimately, the isolation of S. schenckii is dependent on 5-7 day a subculture of the fungus on enriched agars, such as Brain Heart Infusion agar, at 35-37ºC. Isolation is verified following the demonstration of dimorphism.  In some cases, isolation requires multiple subcultures. While positive a culture is the strongest indication for diagnosis, this method may be more realistic in cutaneous forms of the disease than in certain systematic manifestations, due to greater lengths required for the collection of fungus in systematic forms. 
The gold standard for diagnosis of Sporotrichosis is with fungal culture. The tree below serves as an identification key for six Sporothrix species of clinical interest:
Though there is a scarcity of molecular methods of diagnosis for Sporotrichosis in standard care, researchers have identified a variety of detection systems. Molecular findings specific to specimens of Sporotrichosis: Detected particular nucleic acid probes that target large subunit rRNA genes from S. schenckii Additionally, the researchers extracted DNA from clinical specimens by boiling them in an alkaline guanidine-phenol-Tris reagent, amplifying a segment of the 28S rRNA gene with universal primers, and utilizing amplicon identification via probe hybridization. 
While the cutaneous sporotrichin skin test can serve as a helpful diagnostic tool, it is mainly utilized in epidemiological studies. The test detects the cellular immune response, delayed hypersensitivity. In roughly 90% of confirmed sporotrichosis cases, the test comes back positive.  A positive test result may also result following a previous S. schenckii infection. There is a lack of standardization in regards to antigen production, which may result in a variation in findings. 
Findings from antibody detection techniques merely establish speculative diagnosis for sporotrichosis. The use of additional methods of clinical and epidemiological associations is necessary for definite diagnosis.
Antibody detection in sera from infected hosts has been outlined as a diagnostic tool for cases of sporotrichosis. Precipitation and agglutination methods were among the first techniques. Double immunodiffusion does not typically display cross reactions with the sera specimens taken from hosts with other infectious diseases that have similar clinical findings, namely chromoblastomycosis and leishmaniasis. Researchers have found that an anodic arc, or S arc, upon immunoelectrophoresis is characteristic of cases of sporotrichosis.  Tube and latex agglutination have been used since the 1970's as a means of serodiagnosis, though this technique is less effective in cases of cutaneous sporotrichosis. Immunoenzymatic assays have been used as a means of serodiagnosis. An enzyme-linked immunosorbent assay (ELISA) was developed for specific antibody detection in serum specimens of patients with sporotrichosis.  In 2007, researchers discussed an enzyme-linked immunosorbent assay, also known as ELISA. ELISA functions by detecting particular antibodies in the serum samples from infected patients. Though ELISA demonstrated 100% sensitivity to all 35 positive serum samples, sera samples from patients with cutaneous leishmaniasis resulted in cross-results. In instances involving cross-results and false positives, ELISA may be use in addition to other diagnostic techniques. Exoantigens formed by a mycelial-phase S. schenckii strain were isolated amidst an epidemic in Rio de Janeiro, Brazil. This epidemic was the first that was rooted in zoonotic transmission. Researchers developed an enzyme immunoassay with these exoantigens. Researchers described and experimented with this antigen, finding no cross-results with sera taken from patients with other mycoses."
Please summerize the given abstract to a title,Low Circulating Vitamin D in Intensive Care Unit-Admitted COVID-19 Patients as a Predictor of Negative Outcomes
Please summerize the given abstract to a title,"CovidNeuroOnc: A UK multicenter, prospective cohort study of the impact of the COVID-19 pandemic on the neuro-oncology service"
Please summerize the given abstract to a title,"Effects of test timing and isolation length to reduce the risk of COVID-19 infection associated with airplane travel, as determined by infectious disease dynamics modeling"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, your problem is the ingrowing toenail, which was operated, and now the nail that has grown is not proper. what you need now is revision surgery followed by guided growth of the nail so that the next nail that comes will be near normal. i hope that answers your query. if you want any more clarification, contact me back."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, i had gone through your history and understand your concern, a colonial cyst or sinus is a cyst in the lowest part of the vertebral column or in tailbone area. it may contain inside hair or skin remnants. treatment is surgery under local anesthesia. usually there is no connection between the cyst and neurological symptoms. however, there are isolated cases reported of sacral or lumbar osteomyelitis and epidural abscess as a complication of colonial cyst. i suggest you to discus with your doctor the possibility of plain radiographs of your lumbosacral column. i also suggest treating the cyst surgically, it is a simple procedure under local anesthesia. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","there are many causes for chronic diarrhea and cramps abdomens yes one of them is irritable bowels but infections inflammatory bowels (esp crowns which affects the small bowels) food allergies and sensitivity infections hormonal issues and stress factors some medications also well colonoscopy won't just be an ideal thing. you might have to undergo few autoimmune disorder investigations, infections and allergies to be ruled out. even your intestinal flora changes due to allergies and infection be a major cause of diarrhea, lately due to no protocols in india, many such cases are treated as irritable bowels, but then the cause is something else like chronic bovine tuberculosis also even eosinophilic colitis thanks chatbot."
Please summerize the given abstract to a title,A case of imported COVID-19 diagnosed by PCR-positive lower respiratory specimen but with PCR-negative throat swabs
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you may have angular desmond in between your eyes.  or may have some other lesion.  you should go for fine needle aspiration cytology to check the lesion then you should go for surgery accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","a sinus tract is often the presenting feature of chronic osteomyelitis, which is unlikely to develop so early as per the history given by you which indicates that it is not related to the dog bite. if the dog was not immunized, you will have to take a series of injectable antibiotics and not oral ones. as for the osteomyelitis, it develops due to a chronic inflammation/infection of the bone and can be treated by certain surgical procedures."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since problem is from childhood and you don't have any complications like pain or difficulty in seeing or chewing there is nothing to worry much about. however, to cosmetically correct asymmetry following options are available like filler injections, implants, and bone reshaping. for this you need to see a cosmetic surgeon who will evaluate you for the possible changes that can be made. hope this stands helpful to you.  let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query in chatbot. the condition you suffered was anaphylaxis due to bee sting. the venom pushed by the bee into your blood causes mast cells in your body to release histamine which causes bronchospasm, vasodilation,hypotension and many multifactorial reasons lead you to suffocation, unconsciousness,bradycardia(low heart rate). though a bee sting is not always fatal, but again it depends on the type of bee and a human body. there are few insects you need to be aware of for now which can cause these symptoms are honeybees, bumblebees,wasps, yellow jackets and any stinging ants. now that you know you are sensitive to these insects carry antihistamine chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you had an abdominal surgery and now the blood reports suggest that you have increased wbc this might be alarming for any infection. also, for swelling of the feet and ankle i will advise you to raise the leg by keeping on the pillow. this will help correct the venous insufficiency. also, this occurs due to any of the weak cardiac endurance and needs a thorough assessment and physical therapy for the same. in my clinical practice most cases respond well to physical therapy. regards jay in chatbot."
what the treatment for bronchitis,"Most cases of acute bronchitis get better without treatment, usually within a week. Cases of bronchitis that are caused by viral infections do not need antibiotics. If doctors suspect that the infection is bacterial, they may prescribe an antibiotic. Sometimes, corticosteroid medicine is also needed to reduce inflammation in the lungs. Doctors may also recommend cough medicine containing  guaifenesin.  The following steps may help:  drinking plenty of fluids; getting rest; taking aspirin or acetaminophen case of  a fever; using a humidifier or steam in the bathroom; quitting smoking and avoiding secondhand smoke and air pollution; wash hands often to avoid spreading viruses and other germs."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, it is possible. you are having vigorous coughing and chest pain on inhalation. these are commonly seen after aspiration of a foreign body like sunflower seeds. so better to consult pulmonologist and get done chest x-ray and bronchoscopy. if both these are normal then no need to worry about aspiration of sunflower seeds. bronchoscopy is not only diagnostic, but it is therapeutic also. it will remove a foreign body if it is in the lungs. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the chances of pregnancy are less than the semen ejaculation was not done inside or around the vagina. the pre-cum on fingers and penis causing the pregnancy is very, very rare. nothing to worry.also, the symptoms of pregnancy are nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period in case of pregnancy. the first sign of pregnancy being missed period. it is too early to feel any pregnancy symptoms i.e., just a week after intercourse. the pain abdomen and bleeding might suggest the periods might start. so relax. the pregnancy appears to be a rare or nil possibility. hope this helps. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. any medicine can be allergic. so it is difficult to say which one. if you recently started a chatbot. so it is advised to stop the suspected one and replace that with an alternative by your treating doctor. i treat such allergic rash with antihistamines like cetirizine. if itching and rash is more severe i give short course corticosteroid also. i recommend calamine lotion for local application on the rashes. hope this may help you. let me know if you have any further query.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,A: Increased negative predictive value
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand his condition and problem. his symptoms like forgetfulness, weakness, loosing body functions etc. suggest possibility of brain metastasis. throat cancer is mostly squamous cell carcinoma. and it can spread to brain in some cases. so we need to rule out brain metastasis in his case. get done mri brain first to rule out brain metastasis. if mri is normal then following are the possible causes. 1. electrolyte disturbance 2. acute psychosis etc. so first get done mri brain to rule out brain metastasis and then consult psychiatrist."
Please summerize the given abstract to a title,An online survey: Assessing anxiety level among general population during the coronavirus disease-19 pandemic in indonesia
Please summerize the given abstract to a title,Virus Mimetic Poly (I:C)-Primed Airway Exosome-like Particles Enter Brain and Induce Inflammatory Cytokines and Mitochondrial Reactive Oxygen Species in Microglia
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori understand your problem, you really have multiple health issues and you're really fighting well with all of them, for your nausea and dizzy feel, if i would be your doctor then i would surely put you on the tab. \""triflupromezine\"" three times in day this is the very old tested agent gives very good result if the patient have nausea and dizzy feel along with some functional problems try it have nice day."
Please answer with one of the option in the bracket,A: Decreased alveolar pCO2 and increased alveolar pO2
Please summerize the given abstract to a title,Comparison of serologic and molecular SARS-CoV 2 results in a large cohort in Southern Tuscany demonstrates a role for serologic testing to increase diagnostic sensitivity
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for asking in chatbot the diagnosis of pus in lungs is different called lung aces, or empire. usually it is a complication after a pneumonia, infection of the lungs. the treatment is relatively long 4-6 weeks depending on the cause microbial agent. two or three antibiotics are used mostly. the better and the safe place to do this is in the hospital because the pulmonologist and sometimes the thoracic surgeon will treat you. thank you chatbot."
Answer this question truthfully,Tiagabine exerts its effects as an anti-epileptic by inhibiting GABA reuptake.
Please summerize the given abstract to a title,The New Coronavirus Disease (COVID-19): What Do We Know So Far?
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Diabetes-related acute metabolic emergencies in COVID-19 patients: a systematic review and meta-analysis
Please summerize the given abstract to a title,Coronavirus IBV-induced membrane fusion occurs at near-neutral pH
Please summerize the given abstract to a title,Manual bag valve mask ventilation performance among respiratory therapists
Please answer with one of the option in the bracket,A: Valproic acid
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear thanks for your query at chatdoctori understand your concern regarding son indication for adenoid surgery are like following1 adenoids causing snoring, mouth breathing, sleep apnea, speech abnormalities2 recurrent sinus infection3 chronic ear infection associated with adenoids4 dental malocclusionsyour child does not seem to have any above problems there is no need for surgery urgently now. take care to avoid child getting frequent nasal infections by avoiding cold items, dust, pollution. if any above-mentioned symptoms are there child might need surgery. for cold and cough give child plenty of water, no need for antibiotics, syrup minaret 6ml if not subsiding.regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir, you should control your hba1c to 6-6.5%.taking insulin is better than medicines. if you feel hypoglycemic reduce the dose according to your sugar levels. you should take all these medicines till your hba1c comes under control. avoid taking some fruits like mango, banana, dates, jack fruit and tender coconut and coconut. you can take other fruits since sugar levels is less in other fruits compared to those i mentioned. multivitamin is also necessary. thank you."
Please answer with one of the option in the bracket,A: Luminal obstruction due to a fecalith
Answer this question truthfully,"The causes of Dermatitis Herpetiformis are IgA Abs on transglutaminase. The symptoms include a pruritic vesicular eruption on the extensor surfaces of the body. The diagnostic and biopsy findings are anti-endomysial Abs or anti-transglutaminase Abs, and neutrophil abscess. The treatment is to remove gluten from the diet."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you can help your daughter by doing the things together with her. you should create a daily agenda for her with a lot of things but in short terms example 30 min music, 30 min reading, 30 min eating, 30 min cooking. but you must be present in most time in these activities. about the food, you can try to ask her to make a menu what she wants to eat during a week. let her choose. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Inferior petrosal sinus sampling
Answer this question truthfully,"Cerebral perfusion refers to the flow of blood to the brain, which is essential for delivering oxygen and nutrients to brain cells. The primary factor that drives changes in cerebral perfusion is the partial pressure of carbon dioxide (PCO2) in the blood. When PCO2 levels increase, blood vessels in the brain dilate (widen), which increases blood flow and ensures that the brain receives adequate oxygen and nutrients. Conversely, when PCO2 levels decrease, blood vessels in the brain constrict (narrow), which decreases blood flow and can impair brain function. Therefore, maintaining appropriate PCO2 levels is crucial for regulating cerebral perfusion and ensuring optimal brain function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that your symptoms could be related to anxiety. nevertheless, a simple ecg does not exclude a heart disorder.  for this reason, i would recommend performing an exercise cardiac stress test in order to exclude coronary artery disease.  is the pain triggered by deep breathing or pressure on the chest? this could indicate a musculoskeletal pain, including costco chatbot.  in such a case, ibuprofen and local hot packs would help. if the cardiac tests result normal and your pain is not modulated by ibuprofen, i would recommend considering anxiety as the main cause underlying your complaints.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. it seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. the main treatment of such pain is bed rest along with painkillers and muscle relaxants. muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. you can get the appropriate chatbot. meanwhile, you can follow these measures"
Answer this question truthfully,"Patients with multiple endocrine neoplasia type 2 usually appear tall, thin and have disproportionately elongated extremities. Physical examination of patients with multiple endocrine neoplasia type 2 is usually remarkable for episodic hypertension, thyromegaly, and anxiety."
Please summerize the given abstract to a title,"After Less Than 2 Months, the Simulations That Drove the World to Strict Lockdown Appear to be Wrong, the Same of the Policies They Generated"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your question and understand your concerns. i suggest you should have complete check up (physical examination and labs testing). if i am your treating doctor i would like to have complete history of your symptoms and tests like cbc, lfts, rats, esr, crp,cxr, usg abdomen, stool r/e, c/s, contour and hiv rapid testing. by than you should improve your intake of protein and healthy diet. hope i have answered your concerns. if you have any query do not hesitate to ask. wish you good health."
Please summerize the given abstract to a title,Novel Corona virus and its impact: A review
"If you are a doctor, please answer the medical questions based on the patient's description.","good day to you. welcome to chatbot. i am sorry about your condition. you have burning pain after exposure to paint thinner, this is allergic reaction to the chemical. i would advise you to wash thoroughly, change your clothes as your clothes have already absorbed the chemical. apply some mometasone cream (or any steroid topical cream)on the affected area. this is prescription medication. take antihistamine if you have itching. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint pain in inner thigh that is occurring on crossing the legs can be most probably due to strained or stretched adductor muscle that is an inner thigh muscle. it might have gut injured during running, stretching etc. other causes can be inguinal hernia, pubic dysfunction, osteoarthritis, kidney stones etc. i would suggest you to consult an orthopedic and get evaluated and a thorough clinical evaluation and investigations like palpation tests, x-ray, mri scan, electromyography, blood tests etc. can help in diagnosis and treatment can be planned accordingly. in case if it is due to muscle strain you can be advised to take anti-inflammatory painkillers, muscle relaxants, warm compresses, physiotherapy under trained physiotherapist, massage therapy etc. can be advised to relieve. avoiding strenuous exercises can help in faster healing. in case if it is due to other causes treating the underlying cause can relieve. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","tithe pain in the abdomen was not due to appendix as its removal did not result in relief. tonsils are present in the mouth. pain abdomen can be due to other causes like ovarian pathology, infection of gut, multiple mesenteric lymph nodes etc. she can go for diagnostic laparoscopy as her abdominal contents can be viewed by keyhole method. apart from antibiotics, antispasmodic like dicyclomine should be added. wish her good health and speedy recoveryregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. i know that it is advised to avoid raw or undercooked meat during pregnancy, but if the steak you ate was from a reputable restaurant or butcher, the meat is unlikely to be contaminated with toxoplasmosis. toxoplasmosis is present mostly in vermin and birds, which is why cats frequent y are carriers. it is also endemic in parts of europe, so imported meats sausages and cheese also should be avoided. furthermore, catching toxoplasmosis is really only harmful during early pregnancy. so you really do not have to worry about accidentally eating a small amount of undercooked meat. i hope i was able to adequately answer your question today and that this information was reassuring. best wishes for the rest of the pregnancy,"
Please summerize the given abstract to a title,Drug-drug interactions affecting drug levels of direct oral anticoagulants in the real world: A systematic review()
Please summerize the given abstract to a title,"Challenges, opportunities, and potential roles of the private primary care providers in tuberculosis and diabetes mellitus collaborative care and control: a qualitative study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hither should be blood examination for complete blood count, platelets, prothrombin time, hemoglobin levels to have a broad picture-the doctor may look to causes for swelling due to internal leaking of blood (hemorrhage). depending on blood report, treatment is required. only acetaminophen may be taken for leg, body pain 650\u00a0mg thrice a day, no other nsaids or cortisone should be taken as a precaution best wishes"
Please summerize the given abstract to a title,CD38 in the Age of Covid-19: a Medical Perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, inflammation of the appendix (appendicitis) presents with lower right back pain, pain in the lower right side of the abdomen. it can be accompanied by nausea or vomiting. if you have history of chronic cough, it could be neuritis (right side)/copd or even gastritis or ibs.  visit er, get physically examined. get investigations like cbc, urinalysis, x-ray, imaging tests, ct, mri done to rule out appendicitis or copd, get evaluated & treated at the earliest. in the meantime take antacids, ppi's, acetaminophen (tylenol) to get relieved. avoid junk food (oily/spicy food), stay away from anxiety & addictions if any.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Towards antiviral polymer composites to combat COVID-19 transmission
Answer this question truthfully,Pegademase is a recombinant Adenosine Deaminase used for the treatment of the second most common form of SCID. It works by replacing the deficient enzyme in patients with this condition.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot i can understand your situation. i appreciate your effort to seek online support. as per your details, you are possibly having underlying anxiety/depression. for this consult a psychiatrist for detailed evaluation. following treatment strategies would be helpful- 1) antidepressants/antianxiety agents like ssris (escitalopram, sertraline, paroxetine etc.)2) antianxiety agents like clonazepam, lorazepam, alprazolam etc3) psychotherapy/ counselling sessions4) relaxation techniques like yoga, meditation, deep breathing etc. hope it helps good luck regards"
Answer this question truthfully,The likely diagnosis for the patient's condition is lead poisoning.
Answer this question truthfully,"Patients with cryptogenic organizing pneumonia may have a positive history of connective tissue diseases, drug intake, malignancy and other interstitial lung disease. Common symptoms are dry cough, shortness of breath, fever, fatigue and weight loss. Less common symptoms are hemoptysis, chest pain and night sweats."
Please summerize the given abstract to a title,"A Large Impact of Obesity on the Disposition of Ivermectin, Moxidectin and Eprinomectin in a Canine Model: Relevance for COVID-19 Patients"
Answer this question truthfully,Cystic fibrosis may cause biliary cirrhosis and/or liver disease.
Answer this question truthfully,The monospot test for EBV looks for heterophile anti-sheep/horse RBC antibodies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for consulting chatbot ! there is chance for these being side effects of medicines. however, physical examination is mandatory to assess this. at this time, i believe that it is prudent to discuss review about all your medications with your treating doctor who had analyzed your problem better. anyhow, there are various other reasons as well which cause similar symptoms as yours. let me know if you have any clarifications. if you like my answers and wish me to answer in the future, bring it to my attention"
Answer this question truthfully,"Increased O2 binding to hemoglobin causes decreased affinity for CO2, a phenomenon known as the Haldane effect. When hemoglobin binds to oxygen, it undergoes a conformational change that reduces its ability to bind to CO2. This allows the oxygenated blood to transport more CO2 back to the lungs, where it can be exhaled. The Haldane effect is important for the regulation of gas exchange in the body, as it helps to ensure that oxygen and CO2 are transported efficiently between the lungs and the tissues."
Answer this question truthfully,All three zones of the adrenal cortex are stimulated by ACTH to increase steroid hormone synthesis.
Answer this question truthfully,"Beginning at ovulation, primary oocytes begin to complete meiosis I, a process by which the cell undergoes division to produce two daughter cells, each with half the number of chromosomes as the original cell. The resulting daughter cells are called secondary oocytes, which are haploid (having a single set of chromosomes). If fertilization occurs, the secondary oocyte will complete meiosis II to produce a mature ovum (egg) and a polar body. If fertilization does not occur, the secondary oocyte will degenerate."
Please summerize the given abstract to a title,In Service of the Society? Medical Associations as Agents of Social Change—Implications for Health Policy and Education in Israel
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.1. you haven't mentioned the duration and details of your present symptom viz. loose motion in the morning. anyway. taking for granted a short duration of this problem (maximum over a couple of weeks or so), it may have been caused by an endemic intestinal infection like amoebic colitis or subacute enteritis (viral) etc. it will be cured with appropriate treatment prescribed by your doctor.2. if your tubercular disease has been treated adequately surgically+medically, and if your innate immunity is good, then you will be able to live a normal life. however, there is a pitfall in this answer which needs to be discussed as you have not mentioned the exact segment of the intestine that was resected during surgery. if terminal ileum is resected, then malabsorption may result which in turn can lead to lose motions. you will be able to get this issue clarified easily from your physician/surgeon. thanks. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the commonest cause for the symptoms you describe is viral infections.  lymph node enlargement cane seen in both viral and bacterial infections. low grade fever with more nasal congestion and other symptoms are suggestive of a viral infection. something like infectious mononucleosis. you have a contact history also.(your son) strep infection would have high fever with other symptoms but less nasal congestion. also, your throat will have white plaques or pustules.  you can have adequate bed rest, loratadine or fexofenadine, paracetamol, warm beverages, after 4 days if symptoms are not subsiding, get your blood tested.  because if it turned out to be bacterial, strep needs antibiotics. hope this helps. thank you."
Please summerize the given abstract to a title,Converting to a Synchronous Virtual Nursing Research Conference Amidst a Pandemic: A Case Study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem.ruined is having rifampicin and isoniazid. both are essential for treatment of tuberculosis. the ideal way to take this is empty stomach. at least 1 hour before meals. but due to side effects like gastritis and vomiting, doctor prescribed it just before meals. but if you tolerate it on 1 hour empty stomach then take it 1 hour before meals. it will have the highest effect by this. and no need to worry if you take single dose after meals. it will not cause any trouble."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Chemical disinfectants in ophthalmic practice
Please summerize the given abstract to a title,"Role of Creativity, Innovations, Digital and Cognitive Technologies for Marketing of Family, Small and Medium Tourism Businesses in Regional Economic Development During and After Coronavirus Pandemic"
Answer this question truthfully,Peripheral neuropathy is a common neurological side effect associated with the use of vincristine.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query you have symptoms of red, warm and itchy rashes on the body which seems to be due to sensitivity to sunlight, frictional heat production, contact dermatitis can be caused by coming into contact with chemicals and poisonous plants, side effects or certain medicines, allergic reaction, eczema and psoriasis.  need not worry. i would suggest you maintain proper personal hygiene. you should take zyrtec once daily. you should consult a dermatologist for proper examination. the doctor may order skin patch test, blood test, test for allergy and physical examination. the doctor may prescribe corticosteroid ointment, antibiotics, anti-inflammatory and immunosuppressants. apply cold compresses to reduce the itchiness and inflammation. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello...... thanks for your query. simultaneous administration of three antidepressant that too at higher doses is not advisable. at the maximum only two antidepressants are recommended to be combined. it definitely carries the risk of serotenergic syn chatbot. self-medication is not advisable. request your psychiatrist to minimize number of medication and optimize the dosage. wish you speedy recovery. regards
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatdoctori have gone through your query. your problem can be due to sciatica or back muscle strain. an examination with an orthopedic will give clue for this and x-ray followed by mri of lumbosacral spine if needed to rule out this. in such cases i advise my patients with nsaids like diclofenac, muscle relaxants like thiocolchicoside and neurotrophic chatbot.  i also advise muscle strengthening exercises and physiotherapy if it last longer. hope this may help you. let me know if anything is not clear. thanks."
Please summerize the given abstract to a title,Hard-Hit Nursing Homes Face Catch-22 to Reopen.
Please summerize the given abstract to a title,Deep graph neural network-based prediction of acute suicidal ideation in young adults
Please summerize the given abstract to a title,World of EdCraft: Challenges and Opportunities in Synchronous Online Teaching
Please summerize the given abstract to a title,Effectiveness of psychosocial interventions in mitigating adverse mental health outcomes among disaster-exposed health care workers: A systematic review
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and. as a urologist, i can understand your concern. sperms are formed in the testis. heat is a known factor, to decrease the formation of sperms. especially before gui, it may have been advisable to avoid heat for a month. the exact effect of the heat over a month, is difficult to quantify, as is the effect on spermatogenesis.  ill depend on also, on the semen report. if you have any doubt, send the report to me, as a direct question. chatbot.  manga."
Please answer the letter of option truthfully,B
Answer this question truthfully,"A premature neonate who is experiencing perinatal distress and respiratory symptoms such as grunting or difficulty breathing is likely to be diagnosed with respiratory distress syndrome (RDS). RDS is a common condition in premature infants, particularly those born before 28 weeks of gestation. It occurs when the lungs are not fully developed and do not produce enough surfactant, a substance that helps to keep the air sacs in the lungs open. Without enough surfactant, the air sacs collapse and it becomes difficult for the baby to breathe. Treatment for RDS may include oxygen therapy, mechanical ventilation, and medications to help stimulate surfactant production. With proper treatment, most premature infants with RDS are able to recover and go on to lead healthy lives."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you.to come closer look to your symptoms that you have shortness of breath, fatigue, edema and weight gain. few things to understand here - the symptoms you are facing are all interconnected. as due to the embolism you are not able to have proper utilization of the lung fields, which is needed. due to which the oxygen is less in the body, and you feel fatigue. also, when you feel fatigue later it will restrict your cardiorespiratory endurance and lead to edema. to cut down all the bridges between the whole process, you need to focus on doing regular exercises. as once, you will do your most symptoms will come down. as exercise improve the metabolism and also the oxygen in the blood it will help further to recover and provide good functional abilities. i have seen cases with such issues and 99% have recovered well. i wish the same of you. god bless youregardsjay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Physical rehabilitation in Iran after international sanctions: explored findings from a qualitative study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i'm sorry to hear that your anxiety and depression problems are persisting despite trying different anti-depressants. though a majority of people respond well to anti-depressant medication, there can be a small proportion of people who do not have an adequate response. usually in such treatment-resistant cases, the management approach first involves investigating for any causes for treatment resistance. common causes include recurrent or ongoing stress, personality issues, or even certain medical causes, like thyroid problems, certain vitamin deficiencies, etc., which can cause treatment resistance. these complicating factors have to be looked into and treated appropriately, in order to improve treatment outcome.  don't get frustrated or dejected since there are still many treatment options available, like trying a combination of anti-depressants, thyroxine supplementation, augmentation the anti-depressant / antianxiety medication with other psychiatric medication like an anti-psychotic or a mood-stabilizer, etc. when medication is ineffective, psychological therapies like cognitive behavior therapy (cbt) can also be effective. regarding, your query about brain scans. imaging techniques, you must understand that these are only diagnostic instruments and have no therapeutic role. however, there are certain treatment methods like transcranial magnetic stimulation (tms), which can be effective in treating depression. so, i would advise you to discuss further treatment options with your psychiatrist. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are suffering from irregular spotting or bleeding for few days. there are several reasons like implantation bleeding, local blunt injury during sex, hormonal imbalance, mental stress/ tension, thyroid disturbance, uterine pathology (like polyp), cervical reason etc. these may hamper regular ovulation time and leads to conceiving problem. need to investigate properly to rule out underlying pathology by pelvic ultrasound, hormonal assay, endometrial biopsy etc. so consult with your gynecologist and take suggestive measures. avoid stress, take healthy diet with vitae & folic acid supplements, control body wt and proper sleep. in addition, you should monitor your ovulation time by using ovulation prediction kit (lh kit) to maximize chance of pregnancy. good luck."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please answer the letter of option truthfully,D
Answer this question truthfully,"The most common congenital male reproductive abnormality is cryptorchidism. Cryptorchidism is a condition in which one or both testicles fail to descend into the scrotum during fetal development. This condition occurs in approximately 1 in 100 male infants and is more common in premature babies. Cryptorchidism can increase the risk of infertility, testicular cancer, and other medical conditions if left untreated. Diagnosis of cryptorchidism may involve a physical examination and imaging studies, such as ultrasound. Treatment may involve hormone therapy to stimulate testicular descent or surgery to correct the anatomical abnormality. In some cases, cryptorchidism may resolve on its own within the first few months of life. It is important to seek medical attention if cryptorchidism is suspected to prevent potential complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the masturbation is safe and pleasure giving procedure. it doesn't cause weak penis and erectile dysfunction problem. you need to rule out high cholesterol, any cardiac cause, spinal or prostate problem, hypertension like cause of present. you should check your testosterone level and penile angiography by color doppler also can be done. furthermore, you need to stop smoking if having habit of it. hope i have answered your question. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...thanks for the query...as you said your gums are red and sore, so undoubtedly they are inflamed... and presence of local irritants like plaque and calculus is the most common cause...just get your scaling and root planing done... maintain good oral hygiene afterwards by brushing twice daily after meals (use soft tooth brush)... also message your gums using medicine gel twice daily for a week... symptoms should subside afterwards...donor stop your medicine...if symptoms don't subside go for blood examination i.e. bt, ct and platelet counts...take care..."
Please summerize the given abstract to a title,Contamination of multiuse eyedrop bottles by exhaled air from patients wearing face masks during the COVID-19 pandemic: Schlieren imaging analysis.
Please summerize the given abstract to a title,Reliability and External Validity of AMSTAR in Assessing Quality of TCM Systematic Reviews
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,APC is the tumor suppressor gene that is associated with both familial adenomatous polyposis (FAP) and colorectal cancer.
Please summerize the given abstract to a title,Radiology department preventive and control measures and work plan during COVID-19 epidemic-experience from Wuhan
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... by what you quote i put forth this possibility - congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). but the child will not struggle to breath and there will not be fast breathing and in- chatbot.  the sound will be more heard during sleeping and feeding. this is due to softness of tissues on the airway. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, human papillomavirus (hpv) affects only the skin, and it will be localized to the wart. once the wart is cleared by topical application of cream you will become free from infection. it is transmitted to your partner, if you indulge in unprotected sexual activity during the presence of lesion. once the wart is cleared by the topical medicines you can have normal sexual activity, and you will be non-infectious.5% mcquade cream is available in the chatbot.  before application of this cream you need to apply vaseline over the wart, and then you have to apply the mcquade cream.meanwhile you have to boost up your immunity which helps to clear your wart. to boost the immunity you need to take orally capsule lincoln, daily for 30 days. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloshadow in kidney is a non-specific finding, and it may be due to many causes. it is important to know how it appears in ultrasound means whether it is hypo or hyperechoic in appearance. it may be due to many causes like hypertrophied column of bernini, adenoma, abscess etc. you are rightly advised for contrast ct scan. ct scan is very helpful in assessment of lesions. ct or usg guided fnac can be done if needed. proper treatment depend upon findings. take care chatbot."
Please summerize the given abstract to a title,Induction of Antiviral Immune Response through Recognition of the Repeating Subunit Pattern of Viral Capsids Is Toll-Like Receptor 2 Dependent
Answer this question truthfully,"The long-term prognosis for patients with thoracic aortic aneurysm is determined by other medical problems such as heart disease and diabetes, which may have caused or contributed to the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it appears that you have minimal invasion of the disease r.a. it is more in winter. i advise you to consult an orthopedic surgeon for diagnosis and treatment.  i advise my patients with such symptoms prescribe, neurotropic injections for 10 consecutive days, and one injection every week, then one injection every month forever along with the available chatbot.  avoid taking potato, other tubers, tomato, egg, chicken, and seafoods during winter. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, an invasive breast cancer is managed by surgery-mastectomy. lumpectomy can result in recurrence of the lesion later. if the breast lump is associated with involvement of lymph nodes, chemotherapy is also needed. the presence of autoimmune hepatitis, intake of thyroxine or liver medication will not interfere with the type of surgery. lumpectomy is not done now-a-days because of chance of recurrence. you need to consult your surgeon for further management. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have not specified the birth control pill that you have taken, but in general, the effects of these pills revert once you stop taking them. there is data from long term use of most birth control pills that are generally prescribed and used. these do not suggest any evidence of harm on the chances of a future pregnancy. it might be worth discussing with your doctor, which method would be more suitable for your needs, given that the sex is infrequent. regarding the concern about the muscles in your bum area (i suppose that you are referring to gluteal muscles when referring to pussy) - their tome depends on exercise. with age, especially after 40 years, these muscles tend to go lax. the remedy lies in a diet with good protein content and structured physical exercise that focuses on toning and strengthening these muscles. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: A gram-negative bacteria transmitted via the Dermacentor tick
Please summerize the given abstract to a title,Pregnancy in times of Pandemic: a Look at Mental Health before and during the Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your urologist is right in suspecting infection arising in the ureter. usually any kind of abnormalities in renal physiology can cause frequent and recurrent urinary tract infection. urine test may be negative for microorganism since there is a minimum required level of bacteria are needed for a positive result. urine results may not be correlated with the level of symptoms experienced and this is particularly true for women. so she needs to take antibiotics when there are signs of uti. also consult your urologist for further course of action. bye"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have bleeding from mucosa don't worry you should consult dentist and go for oral examination.  bleeding can be due to periodontal problem as it can be age related also periodontitis.  not to worry consult dentist and go for examination, oral prophylaxis.  hope this will help you.  wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i think you need to get evaluated by a neurologist first. the cause of double vision needs to be confirmed. if you had weakness also, the thing whicchatdoctores to my mind is myasthenia graves. in this disease the muscles (including the one needed for moving eyes) become weak and so one starts having double vision. for evaluation tests like repetitive nerve stimulation test etc. are required which can be done under neurological supervision only. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. in my practice, i prefer giving a combination of comic acid, albumin, licorice extract, betray chatbot.  these ingredients work in different fashion to bring down melanin content in your skin and thus renders you fairer skin. also, i would suggest you to use a good broad-spectrum sunscreen in day time to prevent sun tanning. hope the answer was useful. let me know if i can help you further in any way. thanks"
Please summerize the given abstract to a title,How do Parents Manage Symptomatic Children? Social-Distancing Insights for COVID-19 and Seasonal Influenza
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. your symptoms are most likely caused by stones in the bile ducts. adhesions which has appeared after the surgery are also possible. i suggest you to have blood work, liver tests (ast, alt,gtp, ap), amylase, bilirubin, urine amylase and abdominal ultrasound. if stones will be found, ercp procedure will be necessary and will cure these conditions. if no findings in these tests, abdominal ct should be performed to see if the pancreas is fine and if there is no other things inside the abdominal cavity. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for trusting us with your health concern. i have gone through your query and would like to offer some suggestions. though it is mentioned that the pill should be taken at the same time every day, a few minutes up to half-an-hour irregularity is not a big problem. the first couple of cycles are irregular as the body adjusts itself to the altered hormone milieu. however, regular follow up including assessment of the cardiovascular function is essential to detect any side effects early enough. hope this helps."
Please answer with one of the option in the bracket,B: High-output cardiac failure
Answer this question truthfully,"Lewy body dementia is initially characterized by several symptoms, including fluctuating cognition/alertness, a REM sleep behavior disorder, visual hallucinations, and parkinsonian features. Fluctuating cognition and alertness can cause a person's attention and ability to think to vary throughout the day, while a REM sleep behavior disorder can cause a person to act out their dreams during sleep. Visual hallucinations may also occur, and these can be very vivid and realistic. Finally, parkinsonian features, such as tremors, stiffness, and difficulty with movement, may develop as the disease progresses. These symptoms can be difficult to diagnose, and it is important to seek medical attention if you or a loved one is experiencing any of them."
Please summerize the given abstract to a title,C-reactive protein in outpatients with acute exacerbation of COPD: its relationship with microbial etiology and severity
Answer this question truthfully,The diagnosis of asthma can be made in patients with normal or increased DLCO and a 12% increase in FEV1 following bronchodilator administration.
Please answer with one of the option in the bracket,C: Thrombocytopenia
Answer this question truthfully,A decrease in pulmonary markings on imaging indicates pulmonary undercirculation.
Please answer with one of the option in the bracket,D: Vascularized lymph node transfer
Answer this question truthfully,Hurler syndrome is also known as gargoylism due to the physical appearance of those afflicted by this disease.
Please summerize the given abstract to a title,The PRRSV replicase: Exploring the multifunctionality of an intriguing set of nonstructural proteins
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am sorry for your condition. i can understand your apprehension. based on your symptoms and investigation findings apart from some very rare serious conditions there is also a lot of possibility of problems which may be very benign or less harmful. according to some recent studies, due to the submucosal location of lesions, biopsy under endoscopic guidance may not always yield adequate tissue for making a proper diagnosis.  recent advances in ct(computerized tomography), ultrasound technology are helpful in making the diagnosis of gastroduodenal submucosal lesions easier.  kindly follow up with your doctor and be patient. hope it helps. take care!"
Please summerize the given abstract to a title,COLANGIOPATIA PÓS-COVID-19 - UMA NOVA INDICAÇÃO DE TRANSPLANTE HEPÁTICO: RELATO DE CASO
Answer this question truthfully,"Candidal endocarditis is a rare but serious infection of the heart valves caused by the Candida fungus. It occurs when the fungus enters the bloodstream and attaches to the heart valves, where it can grow and cause damage. Candidal endocarditis is commonly seen in intravenous (IV) drug users, particularly those who use contaminated needles or who have other risk factors for Candida infections, such as HIV/AIDS or immunosuppression. IV drug use can introduce the fungus directly into the bloodstream, increasing the risk of infection. In addition, IV drug users may have poor overall health and hygiene, which can further increase their risk of developing Candida infections. While Candidal endocarditis is rare, it can be life-threatening and requires prompt diagnosis and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has iron deficiency anemia.  she should take iron treatment as per doctors advice.  no need to worry about multiple myeloma. it has no relation with multiple myeloma.  don't worry. just be relaxed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. as a urologist, i can understand your anxiety. an ultrasound scan can detect stones in the kidney. a ct scan can accurately detect the stones on a plain film. an urine routine may give an indication of possibility of a stone. you need to get following blood tests done, in view of weight loss"
Please summerize the given abstract to a title,Protein Chip Array Profiling Analysis in Patients with Severe Acute Respiratory Syndrome Identified Serum Amyloid A Protein as a Biomarker Potentially Useful in Monitoring the Extent of Pneumonia
"If you are a doctor, please answer the medical questions based on the patient's description.","n i if the surgery was fine, no residual blockages remain, and she is comfortable she can fly as early as 2 weeks with no risk.  however, she should be strict with the time of medication and shouldn't miss any.  the whole purpose of keyhole surgery is so that the patient can get back to normal as soon as possible.  however, on final note the surgeon who did the surgery would be the best to take a call.  regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. i understand your concern.  your wife has severe back pain & is taking the lot of medicines for that in my view, the cause of the pain needs to be evaluated carefully with investigations & expert consultation & the specific treatment of cause would relieve her. the probable causes can be - calcium / vitamin deficiency & osteoporosis.  - pelvic inflammation, - arthritis of macro ilea joints, - nerve root compression at spinal level due to inflammation degeneration of vertebrae/ inter vertebral disc can lead to such pain.  * you need consultation of orthopedic surgeon / gynecologist. mri of the part would pinpoint the cause . this will follow specific treatment.  till then, you can try. taking rest/ applying muscle relaxants locally(no massage please)/ pain medicines over the counter/ avoiding bending or weight lifting while you can get appointment of a doctor, thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you a thorough clinical examination is advised. as you have this sudden pain in the arm. you need a thorough clinical examination. post which an mri may be suggested based on the examination of the shoulder or the cervical spine. post which treatment will be initiated by physical therapy to help reduce pain and improve muscle strength. regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","swelling of the leg may involve a noticeable distension of the shin or calf, ankles, feet or toes.  foot swelling may be a common occurrence which most of us will experience at some point in life after a long day of standing or sitting but may also be an indication of a more serious pathology as in certain cardiovascular disorders. recurrent or persistent swelling of the feet should be investigated by a medical practitioner especially if you have a history of cardiovascular disease or have noticed a change in color, sensation or mobility of the leg, foot or toe."
Please summerize the given abstract to a title,Automated detection of COVID-19 through convolutional neural network using chest x-ray images
Please answer with one of the option in the bracket,D: Leukotriene B4
Please summerize the given abstract to a title,Novel photonic methods for diagnosis of SARS‐CoV‐2 infection
Please answer with one of the option in the bracket,B: Hemin
Please summerize the given abstract to a title,"Association between COVID-19, mobility and environment in Sao Paulo, Brazil"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, no scientific data yet.in psoriasis nothing is avoided in food inspire of this you have to take more egg, fish, meat, curd, milk, paneer, soybean (high protein diet).in urticaria(allergy) some food item can cause allergy in some people. this should be identified and avoided. most common food allergens are seafood, peanut, egg, banana, etc.in acidity spicy thing should be avoided. hope this is helpful. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. based on the information you have given, looks like you may have non-alcoholic fatty liver disease (nafld). most patients with nafld are asymptomatic, however, abnormal liver function test (like in your case) and hyperlipidemia (particularly triglycerides) are common. i also see that your body mass index is about 37 (normal"
Please summerize the given abstract to a title,Making sense of the infodemic - a bibliometric analysis of publications on COVID-19 in trauma and orthopedics
Answer this question truthfully,"Hyperaldosteronism is a medical condition in which there is excessive production of the hormone aldosterone by the adrenal glands. This can lead to a variety of symptoms and clinical features, including hypertension (high blood pressure) and electrolyte imbalances. Specifically, hyperaldosteronism often presents with hypernatremia (high sodium levels), hypokalemia (low potassium levels), and metabolic alkalosis (an imbalance in the body's acid-base balance that results in increased alkalinity). These symptoms can cause a range of complications and may require treatment with medications to regulate aldosterone levels and manage electrolyte imbalances."
Please answer with one of the option in the bracket,D: Chronic myeloid leukemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your query in depth. i am feel concerned about the worry and fear expressed by you. dear please don't worry as things would resolve with my answer herewith. i would advise you not to self-medicate and hence stop it in future as i am there to help at my chatbot online clinic. i would advise-sputum-micro study, x-ray chest and cbc along with the check with your er doctor. i think its due to the-brochitis-urti-. prima facie- i would advise you today chatbot.  i would have advised-antibiotics and expectorant than the chetussin syrup /so stop chetussin syrup for now-as your cough is not.responding for 1 wk now. please take"
Answer this question truthfully,"LDLs, or low-density lipoproteins, are the main source of cholesterol delivery to peripheral tissues in the body. LDLs are produced in the liver and carry cholesterol and other lipids to cells throughout the body. However, high levels of LDL cholesterol in the blood can increase the risk of cardiovascular disease, as LDLs can contribute to the buildup of plaque in the arteries. It is important to maintain healthy cholesterol levels through a balanced diet, regular exercise, and, in some cases, medication."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. the frequency of dialysis is decided by a nephrologist on the basis of serum creatinine levels and stage of renal parenchymal disease. your father has been advised dialysis thrice a week suggest that he has grade 3-4 ckd. reducing the frequency of dialysis will lead to raise his creatinine levels in blood and may invite many further complications and progress his ckd. i would suggest you to convince him to have the dialysis thrice a week, and it is mandatory and is in the interest of his health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. as you do associate abdominal surgery with symptoms begin, you may be suffering from chronic intestines bacterial infection (if antibiotics were given before or after the surgery), partial bowels' obstruction (due to abdominal adhesions). your symptoms can be also appeared regardless the surgery and in such case inflammatory bowels' disease, rectal fissure or hemorrhoids(however it seems less possible) should be also considered. i suggest you to visit gastroenterologist, have physical examination and some tests performed. blood work, abdominal ultrasound, stool tests should be done at first. if all this tests will be negative colonoscopy and abdominal ct should be considered. sometimes it is worth to try rifaximine treatment (for chronic bacterial infection) as such therapy gives many positive responses. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi & welcome. i can understand your concern. incomplete data like age, gender, liver function tests and other serological tests for hepatitis b virus, etc...??? based on the history and the result of the lab tests given you seem to be suffering from early acute hepatitis b virus infection. since such type of infection usually resolves spontaneously and gives long-lasting immunity, hence there is no specific treatment for acute hepatitis b. care is aimed at maintaining comfort and adequate nutritional balance, including replacement of fluids that are lost from vomiting & diarrhea. there's no role of oral antiphon chatbot. however, you have to repeat the serological tests along with liver function tests after 6 months. the absence of igm antiphon or the persistence of bag for 6 months along with the presence of head, reactive hbv dna & total antiphon indicates chronic hbv infection. in such a case you may be evaluated by specialist experienced in the management of chronic hepatitis b infection. currently, regulated interferon alpha (peg-ifn-a), endeavor (etv), & tenofovir are the first-line agents in the treatment of chronic hepatitis b disease. hope the advice given above would be useful to you. a feedback is highly appreciated."
"If you are a doctor, please answer the medical questions based on the patient's description.","erythromycin doesn't suit you. still trying to continue is compulsion of doctors because of allergic reactions' possibility with other chatbot.  intestinal flora are bound to suffer and cause lose stools etc. abscess in gums is a problem. you cannot prevent side effects of erythromycin by default. to my own such patients, the best choice with me is arimedadi or irimedadi oil which is a herbal oil specially designed for mouth ulcers, abscesses etc. flavor may not be good, smell may not be good. but 100% efficacious, 100% safe. pure herbal. few ml. of it to be taken in mouth, swished here or there and gargles. few minutes later spit it out. keep mouth open. let saliva come out. even if it goes down the throat, it's not harmful except bad feeling. in few days abscess will be cleaned, swelling gone, healing done. may do twice to thrice a day too. good for gums, good for tooth roots too.it's common in india but elsewhere one has to try to find it on net. we may help you in that. hope it helps you a lot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello malayalam, i have gone through your query. thanks for using chatbot.i would like to know exact level of your current blood pressure. if it is below 140/90 then no need to add any medicines. if it is higher than you may add chlorthalidone 6.25 under supervision of your treating doctor.you should check your blood sugar to rule out diabetes. and you have no other reason for fatty liver you may take it. emy best wishes chatbot."
Please summerize the given abstract to a title,Understanding food delivery mobile application technology adoption: A utaut model integrating perceived fear of covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing. i pill reduces the chance of pregnancy by 89% if taken within 72 hrs. the delay in periods can be due to 2 reasons. one is maybe pregnancy otherwise it can be the side effect of i pill causing delayed periods. get a pregnancy test. if negative wait for a week and take primal n for 5 days. period will come in a weeks time.  hope i have answered your query. feel free to ask any doubts through http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i am chatbot. hope i have given appropriate guidance to you. fever with chills is caused by malaria & urinary tract infection both. so i suggest you to go for urine culture and peripheral smear examination and malaria card test. mother have more probable malarial infection because in green area like sooty mosquito are more so might they have bitten you are mother. and malaria has to be treated. this leg symptoms are probably by malarial arthritis. follow the sensitivity pattern of urine culture and malarial treatment if it is found positive by test under guidance of your physician. if you have any query you can consult me anytime. give me star rating, helpful vote & thank you according to your satisfaction level. thanking you."
Please summerize the given abstract to a title,Active virological surveillance in backyard ducks in Bangladesh: Detection of avian influenza and gamma-coronaviruses.
Please answer with one of the option in the bracket,B: Radioactive iodine ablation
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query, based on the symptoms that you have i think you have infection of the prostate (prostatitis)consult qualified urologist for clinical and digital rectal examination and get following basic tests done to help to establish diagnosis.1)urine routine and urine culture 2) ultrasound scanning of abdomen and pelvis 3)semen examination and semen culture. further treatment will be decided by him and will depend upon results of these test and final diagnosis. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, potiga (ibogaine) is a potassium channel opener used as an adjunctive therapy in treatment of partial onset seizures in individuals 18 years old and above. the starting initial dose is 100 mg three times a day given for a week and then gradually increased by no more than 150 mg in week. the optimum dose for treatment is between 200 mg three times to 400 mg three times a day, depending upon the therapeutic effect and side effects. your doctor would be the ideal and best person to decide the dose of the chatbot. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion you don't need to worry you may have overused your muscles and joints which is very common with athletics even those with osgood scatter disease. you may ice it after exercises, avoid over using it, always warm up before your exercises, massage it with topical gels will be effective for now. if pain persists at same spot visit your physician for x-ray and proper evaluation and management. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
Please answer with one of the option in the bracket,C: Normal TSH and normal T4
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank your for posting. after i saw very carefully your results i can say that you have light damage of your liver. the causes maybe are caused by viral infection, different intoxication, internal disease(this is related with other organs), etc. to complete your lab results you also need an ultrasound to see liver and gallbladder function. you should make functional proof of liver test, this shows if the disease is early or acute. you should eliminate spicy foods, animal fats, coffee, milk, salt, fried foods and alcohol from your diet. you should use a lot of soup, fruits, boiled vegetables and olive oil. you should contact a hepatologist. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the medicine like taste can be due to infection only and in case if you are taking any medicine then it can be due to the side effect of medicine also. but you need not worry; as the infection will subside the taste will gradually improve. for now, you can do warm saline gargles. use a tongue cleaner to clean the tongue as it will help in removing any particles from tongue and make the taste better. you can do soda bicarb gargles. you can also chew flavored sugar-free chewing gums to mask bad taste. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","extreme premature babies like this young lady have a chance of survival between 55%-80% according to advanced center statistics, unfortunately these babies have a 25% chance of disability due to the immature and underdeveloped organ systems. what happens to this young baby is called respiratory distress syn chatbot.  also prematurity in this case maybe due to unrevealed infection, so these premature are put on antibiotics to treat a presumed infection they also need nutrition which is can't be established in unstable infant, so they will give her parenteral nutrition and prepare her to receive her mothers milk only (formula milk is going to cause her many serious digestive problems) . i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. yeast infections such as candida were an indicator of much larger underlying diseases such as diabetes mellitus, malignant tumors, and chronic infections. (sort of the miners canary.) when antibiotics are used, there is a flip-flop in the balance of the natural occurring flora in the mouth (and elsewhere) where the normal flora is damaged by the antibiotic therapy to the advantage of the fungus, which then blooms. antifungal chatbot.  topical antifungal agents include statin and clotrimazole (or other closely related agents), either of which may be applied directly to the oral lesions as a dissolving lozenge or in a liquid wash. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough musculoskeletal assessment is advised. also, as the pain is in the knee joint which is a stiff kind of felling a clinical musculoskeletal assessment is advised. post which is needed than the mri or x-ray of the knee will be advised. usually, the pain can be due to any factor for which an assessment is needed. post which, with simple medication and physical therapy you should be back to work. strengthening the muscles are will help improve the knee biomechanics and also help further on a long run. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for sharing your concern with us and showing trust on us. there is no need to worry about the recent scratch from your dog. as your daughter already had proper verona vaccination done, so it gives immunity for years. and your dog also is updated with proper vaccination. treatment of rabies is discontinued if the dog /animal involved remains healthy in observation period of 10 days from bite. practically, for rabies exposed patients who have had their post exposure treatment in past should get 2 doses of vaccine separated by 3 days. in your case i don't think that any further action is needed. keep an eye on your dog for 10 days, if it's healthy after 10 days of bite then everything is fine. i wish you good health. best chatbot. omar"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear user! welcome to chatbot! high blood pressure is a condition which is together with most of the people of this age. there are many factors which may lead to a high blood pressure. in the most of the cases hypertension is essential (primary hypertension) where none is found to be a reason. stress is a very important factor which may lead to hypertension. you mentioned your husband lately gets easily upset, has sleep disorders, etc. the headache is the most common symptom of hypertension, that may be associated with dizziness, nausea, blurred vision, feet edema etc. other medical conditions such as thyroid problems, renal function disorders, etc., may cause hypertension. i recommend you to do a complete check-up for your husband including"
Please summerize the given abstract to a title,EDA aided Virtual Simulation Electronic Experiment Design and Implementation
Please summerize the given abstract to a title,Deaths in SARS-Cov-2 Positive Patients in Italy: The Influence of Underlying Health Conditions on Lethality
Please answer with one of the option in the bracket,C: Calcium channel blockers and nitrates
Please summerize the given abstract to a title,Changing perspectives in the training of endoscopic ultrasonography in Asia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. levonelle, which is one brand of the morning-after pill, is over 90% effective in preventing pregnancy if taken within 72 hours of unprotected intercourse. so if your girlfriend follow the instructions on the package and took the medication correctly there is a less than 10% chance that she will become pregnant.however, if her period is late, she should do a urine pregnancy test to make sure that everything is okay. it is not unusual for women to have some bleeding 2 to 3 days after taking the morning-after pill. this is not a real menstrual cycle, just evidence that the medication is working. her real cycle may be delayed as a side effect of the hormones in the medication. i hope that i was able to adequately answer your question today, and that my advice was reassuring. best wishes and good luck,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have infected wisdom tooth causing reduced mouth opening known as erasmus or reduced mouth opening can be related to tmj dislocation also don't be worried so much consult your dentist for medication antibiotic and muscle relaxant that will be helpful in opening your mouth. in meantime do warm saline gargle two - three times a day. you can take medicine like amoxicillin and myspace forte by consulting with your local doctor. hope this will help you."
Please summerize the given abstract to a title,Coprescribed Benzodiazepines in Older Adults Receiving Antidepressants for Anxiety and Depressive Disorders: Association With Treatment Outcomes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i appreciate your concern regarding hair fall. hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, chatbot. from your description, it seems you might be having halogen effluvium, which is hairball secondary to stress. if i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like cbc, blood sugar, thyroid function test. some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. i would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(q era etc.). i would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. avoid combing in wet hair and let them"
"If you are a doctor, please answer the medical questions based on the patient's description.","hiding worry. this is a normal trend in dengue patients. sometimes there can occur refractories in dengue patients. so platelets increases slowly. also, platelet levels can vary little on different cell counters. only treatment for dengue is symptomatic along with a lot of fluid intake.also, there is no need for transfusion. it is needed only if platelet count is less than 10k or patient bleeds.it takes 3-4 weeks for recovery.thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. if i were your doctor, i would advise you if you eat frequently from outside specially spicy, fried and fast food kind of eatables. such food could bring on intestinal infections, and also the intestinal mucosa could be sensitive to some components of the food. in both the case, you could get such symptoms in your abdomen. so avoid it and include enough roughage and liquids to your daily routine food at home. i would also advise you to get a routine stool test done for ova and cyst, and also a urine routine and microscopic test to rule out both intestinal and urinary infections, and treat these if found positive. this might relieve you of your symptoms. on the general medicinal part, i would advise you go for a proton pump inhibitor along with a prokinetic chatbot.  in case all these fail, i would advise you for an ultrasound whole abdomen to rule out chances of any gall stone disease, and if need be, would refer to a gastroenterologist for a possible endoscopic evaluation of your intestinal tract. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please summerize the given abstract to a title,"Acceptability, Effect and Cost of Mobile-Health on Art Adherence and Assessment of Covid-19 Knowledge Among Youths: A Mixed Methods Sequential Study in Kiryandongo. A Study Protocol Youth Trial"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Spatial inequality through the prism of a pandemic: Covid-19 in South Africa
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i will try to help you as much as i can. if he survived surgery then this is a good sign however, necrotic pancreatitis is serious disease especially in alcoholic and long recovery is expected in next few weeks. prognosis depends on his general condition, heart and lung function, and you can hope for best if he is not in sepsis at this point. chest fluids isn't good sign but it can be chatbot.  i believe that doctors will do everything to safe his life. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you good health."
Please summerize the given abstract to a title,The Innovation for Smart Patient Screening Platform via IoT System
Answer this question truthfully,"In cystic fibrosis the chest radiographic features may overlap with many other disorders, particularly those characterized by inflammatory or destructive changes of the airways. Atelectasis is common in infancy. Most patients with CF demonstrate some of the classic chest radiographic findings that reflect chronic bronchiectasis, including hyperinflation, peribronchial thickening and dilatation, peribronchial cuffing, mucoid impaction, cystic radiolucencies, increase in interstitial marking, and scattered nodular densities."
Please answer with one of the option in the bracket,E: Neurological exam with fundoscopy
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient thorn prick cannot lead to arthritis of knee joint. it can only lead to foreign body reaction an around thorn which is painful.  thorn was removed from knee or its still lying inside? if not removed it may be lying inside. i would like to advise mri of the knee joint to confirm diagnosis. mri also helps in ruling out other knee pathology and also identifies thorn if left inside joint. visit radiology center nearby you and get it done. you need to consult expert arthroscopic surgeon nearby you with report. all the best.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand your concern. the condition you are describing, is called euro encephalomalacia, which is a condition characterized by localized softening of brain tissues due to inflammation or hemorrhage. the softening may occur in a specific part of the brain or may be more widespread. the treatment for this disease mainly consists of detecting the underlying cause behind the change in brain consistency and dealing with it properly. in extremely severe cases, damaged brain substance may be removed by surgery. however, the brain consistency undergoes a considerable change due to the removal of the softened brain material.-regarding your questions, the space that was previously occupied by brain mass, now it is filled with cerebrospinal fluid. cerebrospinal fluid(csf) is normally produced by your brain, and has three main functions"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. atelectasis is partial collapse of part of lung. fibrosis is healed scars. so if you had lung infection in the past then possibility of fibrosis is more. but if you are having fever, cough, expectoration etc. then possibility of atelectasis is more. best way to clear the doubt is hrct (high resolution ct) thorax. so get done hrct thorax. if it shows atelectasis then chest physiotherapy and bucolic, expectorant chatbot.  if it shows fibrosis then nothing should be done because fibrosis is healed scar lesion. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Exam 4 Questions
Answer this question truthfully,"K+ sparing diuretics exert their effects on the cortical collecting tubules of the nephron. These diuretics act on the epithelial sodium channel (ENaC) in the cortical collecting tubules, which is responsible for reabsorbing sodium and secreting potassium. By blocking the ENaC, K+ sparing diuretics reduce the reabsorption of sodium and the secretion of potassium, leading to an increase in sodium and water excretion and a decrease in potassium excretion. This mechanism of action is different from that of other diuretics, such as loop diuretics and thiazide diuretics, which work by inhibiting the reabsorption of sodium in different parts of the nephron. K+ sparing diuretics are used to treat conditions such as hypertension, edema, and heart failure, and are often used in combination with other diuretics to achieve a more balanced electrolyte profile."
Answer this question truthfully,"Toxin A, also known as enterotoxin, is the exotoxin produced by Clostridioides difficile that functions to bind to the brush border of the gut.

Toxin A is one of the two main toxins produced by Clostridioides difficile, the other being toxin B. Toxin A is an enterotoxin, which means it acts on the lining of the intestines to cause fluid secretion and inflammation, resulting in watery diarrhea.

Toxin A functions by binding to the brush border of the gut, which is the microvilli-covered surface of the intestinal lining. Once bound, it can enter the cells and cause damage, leading to the symptoms of Clostridioides difficile infection (CDI).

CDI can occur when the normal balance of bacteria in the gut is disrupted, allowing Clostridioides difficile to overgrow and produce toxins. CDI can range from mild diarrhea to severe inflammation of the colon, and can be life-threatening in some cases.

Treatment for CDI typically involves discontinuing the antibiotic that may have caused the disruption of gut bacteria, and using antibiotics that are effective against Clostridioides difficile. In severe cases, hospitalization and other treatments may be necessary."
Please answer with one of the option in the bracket,A: Atherosclerosis
Please summerize the given abstract to a title,"Nexus Between COVID-19 Infections, Exchange Rates, Stock Market Return, and Temperature in G7 Countries: Novel Insights From Partial and Multiple Wavelet Coherence"
"If you are a doctor, please answer the medical questions based on the patient's description.","glad that your results have come good. everyone needs to understand that cancer and precancerous conditions are not sexually transmitted. true that cancer cervix is caused by viruses but once the virus enters the body, antibodies form and reinfection with the same virus doesn't occur. you must have transmitted the virus to your partner long back, and he too must have developed immunity. so it would be better to stop worrying over transmission now"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori completely understand your concerns but don't worry. the most likely reason for succhatdoctorplaints are recurrent viral infections which are usually self limiting and improve gradually over time. the frequency increases after tuberculosis due to low immunity. allergic coughs are not usually associated with fever spikes. use of inhaler therapy is purely guided by lung functions and clinical examination. so, i would recommend you the following measures to help him out"
Please summerize the given abstract to a title,"Erratum: Dark Matter Interpretation of the Neutron Decay Anomaly [Phys. Rev. Lett. 120, 191801 (2018)]."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read your question carefully and understand your concern. your past medical history is really concerning, and your symptoms seem to be related to acidosis. but i recommend performing some other tests like"
Please answer the letter of option truthfully,B
Please answer with one of the option in the bracket,C: It binds the 30s ribosomal subunit and inhibits formation of the initiation complex
"If you are a doctor, please answer the medical questions based on the patient's description.",hellos you mentioned that there is a tuberculosis in the back (in my opinion this may be extra pulmonary tuberculosis after fnac report). but dosage you mentioned of anti-tubercular medicine is not perfect (in my opinion). the dosage are adjusted according to weight wise as
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.where is the cyst located?if it is enlarging, symptomatic, interfering with your function and is bothering you, it is best if you consult with a general surgeon for medical and surgical management. your case and management is elective. you need not go to the er. it can be managed on out-patient clinics. it's not an emergency, but you need to have a sense of urgency in regard to the consultation since its starting to interfere with your daily function. hope this helps. good day!!~ chatbot."
Please answer with one of the option in the bracket,B: Inhibition of ferrochelatase
Please summerize the given abstract to a title,Outcomes of an Asynchronous Virtual Glaucoma Clinic in Monitoring Patients at Low Risk of Glaucoma Progression in Singapore.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your husbands' health concerns with chatbot!  well, if i were his treating doctor for this case of a painful upper thigh lump, i would come up with two or three possibilities as follows"
Answer this question truthfully,"Cotton fever is a syndrome that is often associated with intravenous drug use, specifically the use of cotton to filter drugs like heroin. The cause of the condition is believed to be endotoxin shed by the bacteria Enterobacter agglomerans which colonizes cotton plants. A condition very similar to cotton fever was described in the 18th century among cotton-mill workers. The term cotton fever was coined in 1975 after the syndrome was recognized in intravenous drug users."
Please summerize the given abstract to a title,Descriptive Bibliometric Analysis on Vaccine Supply Chain Management for COVID-19
Please summerize the given abstract to a title,Potential effects of noxious chemical-containing fine particulate matter on oral health through reactive oxygen species-mediated oxidative stress: promising clues
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, thanks for using chatbot.come have evaluated your query thoroughly.* seems related to bacterial or viral infection involving respiratory tract.  many times it takes certain duration to get full recovery depending upon the pathogens type, load.* relax, do not get panic. continue current medications along with - maintain room temperature.  - avoid taking to excess cold or dusty environments.  - maintain hy chatbot.  - maintain hygiene with care to see that baby does not put anything like toys or other stuffs in mouth which will increase the infection. hope this clears your query. always welcome for any further questions. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. the history of pain in the abdomen for couple of months and blood in the stools along with sharp pains like knife cutting through is suggestive of an indication to have the following
Please answer with one of the option in the bracket,C: Herpes simplex virus type 1
Please answer with one of the option in the bracket,A: Enterobius vermicularis
Answer this question truthfully,"Taenia infection usually does not cause any symptoms. However, some people may have abdominal discomfort.
People often realize they are infected when they pass segments of the worm in their stool, especially if the segments are moving."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. pain in testicle and left side of abdomen (loin) is mostly due to infection of either epididymis or testis (epididymis orchids). please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis. 1) urine routine and culture.2) ultrasound scanning of abdomen and scrotum. start taking broad spectrum antibiotic like definite along with anti-inflammatory chatbot.  further treatment will depend upon result of these tests and final diagnosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query. thanks for using chatdoctor.in your information there is some paradoxical information. echo can not be normal if heart is enlarged. but sometimes thickened wall of ventricles produce enlarge shadow on x-ray chest, this may be a possibility. commonest cause of such thickened heart walls is high bp.few normal readings of blood pressure do not rule out hypertension. i suggest you to get ambulatory bp monitoring ro rule out hypertension in your case.i need to review your ecg, echo to guide you properly best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain and the lump over the gums can be because of the infection in the tooth and gums. consult a dental surgeon and get the tooth removed. meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination(if you are not allergic). then consult your dental surgeon or oral physician and get the tooth removed as early as possible. i hope my answer will help you, take care."
Answer this question truthfully,"Retinitis pigmentosa is a painless, progressive vision loss beginning with night blindness."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos you mentioned that there was dengue and also liver impact. fluid is in the lungs, but what is the cause of this fluid in lungs in one or in both lungs. the causes of fluid in the lungs may be due to these reasons, these include"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having inflammatory cause for enlarged lymph nodes in maxilla. as your biopsy from breast mass is negative for cancer, i don't think lymph nodes are malignant in nature. znother evidence is pain in the lymph nodes. pain usually seen in infection, inflammatory nodes and not in malignant nodes. so chances of malignant nodes are very less but still i advise to get done biopsy and confirm the diagnosis."
Please answer with one of the option in the bracket,D: Patient has disorganized thinking
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, at the time of ovulation, little spotting for few hours is known. it is called as mittelschmerz. this is very little spotting for few hours. so after the spotting is over, there is no harm in having intercourse. bleeding on day 6 of the cycle cannot be mittelschmerz. it is just an extended menstrual bleeding. during menstrual bleeding, intercourse carries risk of infection since blood is a very good medium for the growth of pathogens. on this day intercourse is futile also since there is no egg present on this day. the fertile period is not around day 6 of the cycle. the egg is released 14 days prior to the next expected menses. the egg has life of 24 hours and the sperms are active for 72 hours. hence, a period of about a week around the day of egg release (ovulation) is considered as fertile period. those who are keen to have pregnancy should concentrate on this period for sexual relations. you are following further with bbt also to identify the day of ovulation. now you have more accurate methods available for locating the day of ovulation. ovulation kits available in the market are good for practical purpose. ultrasonography ovulation monitoring is a very good method. from day 9 of the cycle, daily ultrasonography informs about the development of follicle & endometrium and the event of egg release also. follicles which ovulate when they are between 18 mm to 21 mm size have best results of conception and continuation of pregnancy. for successful implantation of fertilized ovum, endometrium of 10 mm or more thickness is lucrative. considering the life of egg and sperms, you can definitely avoid the intercourse during mittelschmerz since it is a short phase of the day; and still have successful intercourse during or around the ovulation. i hope this helps you."
Answer this question truthfully,Rheumatoid factor may be elevated in patients with infective endocarditis.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chest pain with dizziness is commonly seen in high blood pressure and heart disease. so better to first get done blood pressure monitoring, ecg and 2d echo. if all are normal than no need to worry about hypertension and cardiac diseases. stress induced herd (gastroesophageal reflux disease) can also cause central chest pain and dizziness. so better to avoid stress and tension. start proton pump inhibitors.  chatbot.  you may need anxiolytic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have been indulged in doing masturbation since last 11 years and now getting varied symptoms which you attribute them to be due to masturbation.first there is myth in a mind of common man that excessive masturbation is the reason of all sexual and health problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety. following measure will help you to boost up your confidence and getting good erection. and delay ejaculation.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. please get yourself engaged in some activities like playing, reading,listening to music etc. so that you will not get free time to masturbate. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, constant abdominal pain with bloating for a long period of time should warrant a visit to the doctor. elevated liver enzymes and positive egg for arbovirus may correlate to inflammatory bowel disease or other bowel pathology. i suggest you visit the clinic"
"If you are a doctor, please answer the medical questions based on the patient's description.",to treat the fungal infections of nails of the toe its is very important to take a long term treatment with the proper antifungal oral as well as local which may extend to 1 to two years duration depending on the extent of nail involvement & the response you have to medication. choice of the medication is also important as antifungal such as griseofulvin won't work. so if you are receiving proper antifungal then it is important to stick to treatment without fail along with local application. regarding your breast discrimination problem you should have a physician & gynecologic opinion as the exact comment about the same can be given only after the visual impression of the condition. so it would be wise to consult physical earliest.meanwhile you can examine your enlarged breast by yourself for any kind of lump or swelling within. if found so rush to surgeon earliest.
Please summerize the given abstract to a title,Impact of Meteorological Parameters on COVID-19 Outbreak Using Machine Learning Techniques
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, lightheadedness usually is not a cause for concern unless it is severe, does not go away, or occurs with other symptoms such as an irregular heartbeat or fainting. lightheadedness can lead to falls and other injuries. protect yourself from injury if you feel lightheaded"
Please answer with one of the option in the bracket,C: Perform an HPV DNA test
Answer this question truthfully,"Physical examination of patients with Löffler syndrome might be normal, but is usually remarkable for wheezing, rash, and mild fever.         
Patients with Löffler syndrome might appear normal or ill.
low-grade fever Tachycardia with regular pulse or (ir)regularly irregular pulse Tachypnea
Skin examination of patients with Löffler syndrome s usually normal. Nevertheless, patients might develop a rash. Cutaneous features of hypereosinophilic syndrome
HEENT examination of patients with Löffler syndrome is usually normal.
Neck examination of patients with Löffler syndrome is usually normal.
Lung auscultation might have crackles on physical examination (common), with or without wheezing.
Pulmonary examination of patients with might be normal.
Fine/coarse crackles upon auscultation of the lung Rhonchi Wheezing may be present
Cardiovascular examination of patients with Löffler syndrome is usually normal.
Abdominal examination of patients with Löffler syndrome is usually normal. Patients subsequently might complain of abdominal pain or other complications of parasitic infections.
Back examination of patients with Löffler syndrome is usually normal.
Genitourinary examination of patients with Löffler syndrome is usually normal.
Neuromuscular examination of patients with Löffler syndrome is usually normal.
Extremities examination of patients with Löffler syndrome is usually normal.
Cyanosis is barely reported"
Answer this question truthfully,"The common receptor expressed by Hematopoetic Stem Cells, Interstitial Cells of Cajal, Mast Cells, and Melanocytes is the c-Kit receptor."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hellobartholin cyst if small, and not infected usually heal on its own. presuming you are taking antibiotics as prescribed by your doctor, the cyst should not cause you any concern. keep the area clean and chatbot.  if the swelling increases or becomes more painful or if there is pus discharge, do consult your doctor. cyst has no influence on the menstrual cycle. hope i have answered your query. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some coagulation disease. you should go for coagulation profile. your report does not suggest any leukemia. most of the leukemia have very high wbc count so no need to worry about leukemia. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","i don't know your country of origin and / or some herbal preparation are available or not? you can take care of your cold and asthma by increasing your immunity. cap. gilroy and cap. tulsa can be taken twice a day. home remedies-black pepper-2, cardamom-2, long pepper 1. chatbot.  boil it with a cup of water till 3/4 remains. filter and add sweetener as per your taste. sip it like tea two times a day."
"If you are a doctor, please answer the medical questions based on the patient's description.",it is happening at child in different cases
Please summerize the given abstract to a title,Immunogenicity and Safety of an EB66 Cell-Culture-Derived Influenza A/Indonesia/5/2005(H5N1) AS03-Adjuvanted Vaccine: A Phase 1 Randomized Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, thanks for writing in, seems you are suffering from spasm of abdominal muscles due to heavy work load. nothing to worry as rest and few medications will improve the condition.  you are advised not to strain or do any stressful activities like lifting things or bending your back etc., a course of muscle relaxant along with painkillers will help you a lot. hot packs at the painful site will reduce your pain too. rest and relaxation to spastic muscles is very important. discuss with your doctor and get clinically examined if the pain progresses or associated with any other symptoms like vomiting, nausea etc., get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","though you have not mentioned your age, you have been married for only 1.5 years, so just chill. you have been put on metronome as you have ovulatory cycles. metro should help. the tablets are to be taken together. moreover, it's just your second cycle. minimally, 6 cycles are advised. addition of hmg should help. follow the gynecologists' advice carefully. ovulation is necessary for conception. but you need not worry now. carry on the future cycles to know the response."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. what mainly directs the course of treatment is which toe is broken. generally if there is no external injury of the toe which is communicating with the fracture then conservative management is done. if it is the big toe which is broken, then casting is necessary as a majority of your weight-bearing is transmitted through the big toe.  if your fracture is not a bad one then you can put on a cr\u00eape bandage and see if that works for you, but i would still strongly suggest putting on a cast. whichever mode of treatment you choose to avoid putting any weight on the affected foot for a minimum of 6 weeks until the fracture unites. it might be worrying about someone who has not been put on a cast earlier, but with good care and following adequate precautions it is very safe."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"There is no cure for dermatomyositis. The goal of treatment is to relieve symptoms.
General treatment
Keep a regular exercise to maintain your muscle strength. Bedrest when you feel tied. Avoid exposure to sunshine: Use suncream and protective clothing may prevent your rash worse.
Medications
Corticosteroids: Corticosteroids can decrease swelling and inflammation by suppressing the immune system. Side effects of corticosteroids may include a decreased ability against infection, worse healing in the wound and osteoporosis. Immunosuppressants: Immunosuppressive drugs, such as cyclophosphamide, mycophenolate mofetil, or azathioprine, may be used if the patient has an inadequate response or excessive sensitivity to corticosteroids. Cytotoxic drugs: These kind of drugs may interfere with growth of normal and neoplastic cells by cross-linking of DNA or RNA or proteins and can improve signs and symptoms of dermatomyositis. Usual drugs include cyclophosphamide and azathioprine. Side effects include marrow suppression, liver damage, nausea and vomiting. Intravenous immunoglobulin (IVIg): High dose of immunoglobulin can inhibit the damaging antibodies to attack muscle and skin in dermatomyositis. Antimalarial medications: These type of drugs, such as hydroxychloroquine and chloroquine, can be used to trear a persistent rash.
Physical therapy: The physical therapist can make an exercise plan to help you maintain and improve muscle strength and flexibility. Surgery: Surgery may be used to remove local areas of calcinosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, by large leukocytes i think you mean many leukocytes. if so, coupled with blood in her urine it probably means she has a urinary infection that can happen in a little girl. i am sure your doctor will be able to manage the infection with appropriate antibiotics when the report of culture comes. only if required other tests may be conducted. regarding leukemia, i hope a routine blood examination was done which would have ruled it out. similarly, for diabetes a blood sugar if not already done will be done. but it seems unlikely since the urine does not show any sugar. please do not worry. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,obstetric homeostasis at term (40 weeks) with bile acids of 19 should be induced for delivery. there is no point waiting for labor to start, as every day more is an added risk for further rise in bile acid levels and may affect the baby. the problem of obstetric homeostasis is it can cause sudden death in a full term baby as the bile salt can cause problem with the heart rhythm of the baby. and at 40 weeks the baby is fit to survive, so delivery should be induced immediately. the risk though less than 1 in 100 is still very important to make note as the baby is absolutely normal and has reached 40 weeks and to be affected by bile salts at this stage would be tragic.also, the risk of passing meconium during labor or inter is higher and also is the chance of operative delivery (cesarean or forceps) in women with obstetric homeostasis.  the risk of bleeding after birth in mother is also slightly higher and kept in mind. vitamin k oral should be given to mother after 36 weeks. the liver function tests should be repeated 10 days after delivery as it takes that much time to get back to normal.also, the risk of repeat obstetric homeostasis in next pregnancy is very common up to 90% and should be informed to the doctor early in next pregnancy. hope this helps. regards."
Answer this question truthfully,"Acute PE is the sudden obstruction of the pulmonary arteries by an embolism, which may result in the immediate occurrence of symptoms. Acute PE can be either silent, symptomatic, or fatal. Acute PE can also classified by its severity (as discussed below) as massive PE, submassive PE, or low-risk PE.
Chronic PE, referred to as chronic thromboembolic pulmonary hypertension, is the presence of persistent pulmonary hypertension for at least 6 months following acute PE.  The episode of acute PE preceding the chronic thromboembolic pulmonary hypertension can be either symptomatic or asymptomatic."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. night fall or nocturnal ejaculation is a normal body process and no one can control it. this happens because of lack of masturbation or lack or sexual activity. semen will be produced whenever our body is sexually excited. once the semen is produced, it will be stored within our body and is a waste product now. body needs to throw the waste outside. if you do not masturbate or engage in sexual activities to throw the stored semen, body will try to throw it out. body ejects the waste through nocturnal ejaculation or through urine. your tiredness, other physical problems like sunken eyes could be due to some other organic troubles such as wasting diseases. please consult a physician for treatment. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Association between ABO blood groups and risk of SARS‐CoV‐2 pneumonia
Please summerize the given abstract to a title,Ebola Virus Disease: Ethics and Emergency Medical Response Policy
Answer this question truthfully,"Lung stretch receptors are specialized nerve endings located in the airways that respond to changes in lung volume. When the lungs are distended, such as during deep inhalation, these receptors are activated and send signals to the brainstem to decrease the breathing frequency. This reflex is known as the Hering-Breuer reflex and helps to prevent over-inflation of the lungs. The Hering-Breuer reflex is an important mechanism for regulating breathing frequency and maintaining adequate gas exchange in the lungs."
Answer this question truthfully,"Systemic lupus erythematosus (SLE) is an autoimmune disease, which means the body's immune system mistakenly attacks healthy tissue. This leads to long-term (chronic) inflammation.
The underlying cause of autoimmune diseases is not fully known. SLE is much more common in women than men. It may occur at any age, but appears most often in people between the ages of 10 and 50. African Americans and Asians are affected more often than people from other races.
SLE may also be caused by certain drugs. For information on this cause, see Drug-induced lupus erythematosus"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,Alcoholism Hypocalcemia Hypokalemia  Hypomagnesemia Pericardial effusion
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should test for occult blood in the stool. i suspect there is an internal hemorrhage in the intestines and which resulted in brown color because of the digestion of hemoglobin. if occult blood test or obt is positive, it is internal hemorrhage. the cause for hemorrhage must be known, in order to it colonoscopy must be done to diagnose and so to treat the cause. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Answer this question truthfully,11-deoxycortisol may be converted to cortisol via the enzyme 11β-hydroxylase.
Answer this question truthfully,"Varicocele is a condition where the veins in the scrotum become enlarged and twisted. It is most commonly associated with left-sided renal cell carcinoma, which is a type of kidney cancer that affects the left kidney. The exact relationship between varicocele and renal cell carcinoma is not fully understood, but it is thought that the increased blood flow and pressure in the veins may contribute to the development of the cancer. However, it is important to note that varicocele is a benign condition in most cases and does not necessarily indicate the presence of cancer. If you have concerns about varicocele or any other health condition, it is important to speak with your healthcare provider."
Please answer with one of the option in the bracket,C: High-dose dexamethasone suppression test
Please summerize the given abstract to a title,COVID-19: Has social isolation reduced the emission of pollutants in the megacity of São Paulo—Brazil?
Please summerize the given abstract to a title,Surfactant for the Treatment of ARDS in a Patient With COVID-19
Answer this question truthfully,"Inhalation injury can be caused by a variety of factors, including burns, CO inhalation, cyanide poisoning, and arsenic poisoning. Many patients with inhalation injury will present with symptoms such as coughing, wheezing, shortness of breath, chest pain, and difficulty breathing. The severity of the symptoms can vary depending on the underlying cause of the injury, as well as the extent of the damage to the respiratory system. In some cases, inhalation injury can be life-threatening and require urgent medical attention."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. visual hallucination usually occur after damage to brain. he may need imaging study of brain like mri to rule out any intracranial lesion. inhalants are known to cause neuronal dose. patient may also have visual hallucination during inhalant intoxication. there is need to rule out other substance use like cannabis in his case, as its use also associated with hallucination. there is need to stopped inhalant use first followed by investigation to find out its cause. no coping strategy work for hallucination. wish you good health and all the best. chatbot. 99doctor.com"
Answer this question truthfully,"The sinuses typically develop in the following order: maxillary, ethmoid, sphenoid, and frontal last. Sinuses are air-filled cavities located within the bones of the skull, and they play a role in humidifying and filtering the air we breathe. The maxillary sinuses, which are the largest of the paranasal sinuses, are present at birth and continue to develop throughout childhood. The ethmoid and sphenoid sinuses begin to develop around age 2-3 and are fully formed by adolescence. The frontal sinuses, which are located in the forehead, are the last to develop and may not be fully formed until early adulthood. It is important to note that the timing and order of sinus development may vary slightly among individuals."
Answer this question truthfully,"Common treatments for Mycoplasma pneumoniae infection include macrolides such as azithromycin and erythromycin, doxycycline, and fluoroquinolones such as levofloxacin and moxifloxacin."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Low radiation dose to treat pneumonia and other inflammations
How bad can endometriosis get?,"Symptoms of endometriosis include heavy menstrual bleeding, bleeding between periods, problems getting pregnant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through you question and understand your concern. vertigo can be central or peripheral with the second option being a benign situation and generally lasts from 2 to 6 weeks. it can be intermittent, but you should be symptom free for a period of time to be called peripheral. there are some other situations where vertigo is persisting, but it should be associated with tinnitus (noise inside the ear) and hypoacusia. the central nervous system involvement as well has different objective features like weakness or numbness of the face, difficulties swallowing or talking or even more moving. since it is persisting for such a long time it is mandatory to have a neurological consult to have you have a neurological objective examination to see if it is a real vertigo or unsteadiness or both, with the latter involving other neurological structures such as the posterior columns. once you have this consultation it will more clear about your situation. do not hesitate on scheduling a neurological consult. hope this helps. please feel free for further questions"
Answer this question truthfully,"Sialadenosis is a medical condition that refers to the non-inflammatory enlargement of the salivary glands. This condition is often seen in patients with malnutrition or advanced liver disease. Malnutrition can cause a deficiency in essential nutrients that are needed for proper glandular function, leading to the development of sialadenosis. Similarly, advanced liver disease can impair the liver's ability to metabolize nutrients and remove toxins from the body, which can also contribute to the development of this condition. Other conditions that may be associated with sialadenosis include diabetes, hormonal imbalances, and certain medications. Treatment for sialadenosis typically involves addressing the underlying cause of the condition, such as improving nutrition or managing liver disease."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. in my opinion your symptoms are mostly related to stress and anxiety because your chest x-ray and ecg are normal. so no need to worry much for organic causes. better to consult psychiatrist and get done counseling sessions. try to discuss all your problems and worries with him. and find out solution for them. you may require anxiolytic chatbot.  no harm in taking these
"If you are a doctor, please answer the medical questions based on the patient's description.","though it is certainly possible you could've suffered internal damage to organs from that sort of injury....from your description of things it sounds musculoskeletal.  nevertheless, if you are becoming so uncomfortable this far out for the initial injury then, i must advise you to see a doctor sooner rather than later.  they will determine if more in depth testing using ultrasound or mri scanning of the internal viscus were necessary.  please rate this a 5-star encounter and do not forget to contact me in the future at"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. neck pain and dizziness that you are having are suggestive of degenerative spondylitic changes of the cervical spine. this not seems to be due to leaking of spinal cord. x-ray of neck in lateral view or mri will help in the diagnosis. treatment includes 1. use of cervical collar helps in immobilization and brings relief. 2. medical chatbot. 3. cervical isometric exercises are beneficial to maintain the strength of the neck muscles. neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. hot fomentation helps in relieving acute symptoms.5. you can avoid using a pillow. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing in. i understand your anxiety. the pull-out method is not 100% foolproof. if your partner has a 26-day cycle, it means she would be due around the 18th. a delay does not always mean a pregnancy, it can also be due to the mental anxiety, illness etc. she can test for a pregnancy using a home pregnancy kit about 4-5 days after the date of the missed period (assuming she has regular cycles). ask her to use a morning sample preferably. if there is a doubt, better do a pelvic ultrasound the week after. do not worry, seek a gynecologist opinion in case it is positive. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, we should first rule out cardiac cause for your left sided chest pain. so get done ecg and 2d echo. if both are normal, then no need to worry about heart diseases. sometimes, stress and anxiety can also cause similar symptoms. so better to consult psychiatrist and get done counseling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  so avoid stress and tension, be relaxed and calm. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Streptobacillus felis, a member of the oropharynx microbiota of the Felidae, isolated from a tropical rusty-spotted cat"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to worry about this. this is immunological reaction. this kind of reaction does not suggest tuberculosis. for confirmation of tuberculosis, symptoms and bacteriological diagnosis are needed. only on the basis of manitou test, diagnosis of tuberculosis should be done. symptoms of tub are low grade, evening rise fever, weight loss, anorexia, decreased appetite, cough, expectoration, hemoptysis (blood in sputum) etc. if you are not having any of these symptoms then no need to worry about tuberculosis. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"What type of coagulable state do estrogen analogs induce? Estrogen analogs induce a hyper-coagulable state, which means that they increase the risk of blood clots forming in the blood vessels. This can be a serious health concern, as blood clots can lead to conditions such as deep vein thrombosis, pulmonary embolism, and stroke."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,Call your health care provider if your child has frequent nose bleeds or other signs of this disease.
Please summerize the given abstract to a title,Assistive Technology during the COVID-19 Global Pandemic: The Roles of Government and Civil Society in Fulfilling the Social Contract
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. you have been diagnosed as having a carotid artery dissection and this has been examined in detail by your neurosurgeon. since you are on plavix and aspirin, your neurosurgeon must be aware of these medications. since the er neurosurgeon has seen you at the er and found you fit enough for air travel after a week, i think there is no need to worry. i hope your air travel is on a domestic route, and you will not be inconvenienced during your flight. the pcp has given views which are of a general nature and someone having a more serious for of your condition might be asked not to fly. please do not worry and carry your medical records during your flight and visits."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion you are having musculoskeletal pain mostly.  but as a rule in left sided chest pain, we need to rule out cardiac cause first. so get done ecg. if ecg is normal then no need to worry much for cardiac cause. your symptoms are suggestive of musculoskeletal pain more. so better to follow these steps for symptomatic relief. 1. avoid heavyweight lifting. 2. avoid strenuous exercise. 3. avoid bad posture and movements in sleep.4. start painkiller and muscle relaxant. 5. apply warm water pad on affected site. don't worry, you will be alright."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have lung under the skin of upper abdomen.  it can be dermatofibroma, dermatofibrosarcoma proteins or some other soft tissue tumor.  gall stone has no relation with lump.  still you should go for ultrasound abdomen. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, history of total absence of menstruation followed by surgical (mostly dilatation and evacuation and curettage) termination of blighted ovum pregnancy is suggestive of adhesions formation in the uterine cavity due to trauma to the uterine lining and the musculature. this entity is known as sherman syn chatbot.  this could be the cause of failure of conception. hysterosalpingography / hysteroscopy can diagnose this condition. if sherman syn"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern. kindly do the following to overcome the infection in the naval area. 1. wash the area with warm water and mild antiseptic solution like salon twice daily. 2. apply aureomycin cream on the lesions after chatbot.  3. take anti-inflammatory medication like ibuprofen after food. keep the area under good hygiene. hope the information provided would be helpful. all the best."
Answer this question truthfully,"HPV has a predilection for stratified squamous epithelium. This type of epithelium is found in many areas of the body that are exposed to the outside environment, including the skin, mouth, and genital tract. The stratified squamous epithelium in the genital tract is particularly susceptible to HPV infection, as it is constantly being renewed and is therefore more likely to be exposed to the virus. HPV infection of the genital tract can lead to the development of genital warts, as well as an increased risk of certain types of cancer, including cervical, anal, and oropharyngeal cancer. It is important for individuals to take steps to protect themselves from HPV infection, including practicing safe sex, getting vaccinated against HPV, and getting regular screenings for HPV-related health conditions."
Please summerize the given abstract to a title,"Adherence with COVID-19 Preventive Measures and Associated Factors Among Residents of Dirashe District, Southern Ethiopia"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of either herd (gastroesophageal reflux disease) or bronchitis is more. since your symptoms are more with eating herd is more likely. smokers are at increased risk of herd. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause coughing, chest pain and breathlessness. so quit smoking as soon as possible. start proton pump inhibitors. avoid stress and tension. avoid hot and spicy food. do these things for at least 1-2 months and if you are still not improving than consult pulmonologist and get done pft (pulmonary function test) to rule out bronchitis. smoking cessation is must in your case. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,Vaccine market access pathways in the EU27 and the United Kingdom - analysis and recommendations for improvements.
Answer this question truthfully,There is no available screening test to diagnose ET.
Please summerize the given abstract to a title,Development of a Love-Wave Biosensor Based on an Analytical Model
Please summerize the given abstract to a title,'It all ends too soon' - Exploring stroke survivors and physiotherapists perspectives on stroke rehabilitation and the role of technology for promoting access to rehabilitation in the community
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot community. before elaborating on your husbands problem, let me tell you that there are no reported interactions between codeine and cilostazol. we prescribe cilostazol in patients with claudication. claudication occurs with narrowing of the arteries of the lower limbs. if the pain is back, it is better to visit your physician who will prescribe cilostazol along with antiplatelet chatbot.  cilostazol helps in improving the symptoms and increases the walking distance. antiplatelet"
Answer this question truthfully,"The most common genetic alterations associated with the development of diffuse large B-cell lymphoma are alterations in the Bcl-2 and Bcl-6 genes. These genes normally play a role in regulating programmed cell death (apoptosis) and DNA transcription, respectively. In diffuse large B-cell lymphoma, alterations in these genes can lead to the uncontrolled growth and proliferation of B cells, contributing to the development of the disease. While alterations in Bcl-2 and Bcl-6 are the most common genetic alterations associated with diffuse large B-cell lymphoma, other genetic and epigenetic changes may also be involved in the pathogenesis of the disease."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"A hernia is a medical condition in which an internal organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. This can occur in various parts of the body, but most commonly affects the abdominal and groin regions. The protrusion typically involves a portion of the peritoneum, which is the thin layer of tissue that lines the abdominal cavity and covers the organs within it. Hernias can be caused by a variety of factors, including congenital defects, physical strain or injury, chronic coughing or sneezing, or obesity. Symptoms of a hernia may include pain or discomfort, a visible bulge or swelling, and difficulty with bowel movements or urination. Treatment for a hernia may involve surgical repair to strengthen the weakened tissue and prevent further protrusion. It is important to seek medical attention if you suspect you may have a hernia, as untreated hernias can lead to serious complications."
Please summerize the given abstract to a title,Optimal use of tocilizumab for severe and critical COVID-19: a systematic review and meta-analysis
Answer this question truthfully,"Internal hemorrhoids (these hemorrhoids are located inside the anal canal and are covered by mucous membrane. They may not cause symptoms unless they become enlarged or prolapsed, and may cause bleeding or discomfort during bowel movements rather than pain)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is no conflict with these medicines. medical is generally taken three times a day with each meal. however, if taken along with althea and captopril it may reduce their absorption thus likely to reduce their efficacious in treating multicast ovaries and high bp respectively. to prevent this althea and captopril should be taken at least 2 hours before or after the administration of medical, such as at bedtime. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. since there is a specific history of almonds causing pain and nausea and chills, it must be allergy/intolerance to almonds and hence the treatment is stop eating them. if you stop eating almonds and if the problem is solved your diagnosis and treatment is certain. if there is no relief, you need further investigations as per the clinical evaluation and investigations to get a proper treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in my opinion the pain to your testicles was only a radiating referred pain of renal pathology which happens commonly with a renal stone or a gravel in a ureter i don't think the medicines you use are the reason for your pain i think you may need some lab investigations like sua, ascot, urinalysis, u/s abdomen and pelvis to exclude any underling renal pathology.  for now, i recommend for my patients hot foments with physiotherapy and massages with topical gels, painkillers like nsaids, muscle relaxants will be effective otherwise you may ask your neurosurgeon for further evaluation on your vertebral column. please consider some positive feedback if the information was helpful. hope the above information helps you. any further clarifications feel free to ask."
Please answer with one of the option in the bracket,D: Chronic myelogenous leukemia
Please answer with one of the option in the bracket,E: Unwashed fruits and vegetables
Please answer with one of the option in the bracket,E: Pralidoxime
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The mechanism of action of exfoliative toxin in Scalded-Skin Syndrome is that it destroys the intercellular connections between keratinocytes, which are the predominant cells in the epidermis. This results in the detachment of the outer layer of the skin, leading to the characteristic symptoms of the syndrome such as widespread skin redness, blistering, and peeling. Exfoliative toxin is produced by certain strains of Staphylococcus aureus bacteria, which can infect the skin and cause Scalded-Skin Syndrome. Understanding the MOA of exfoliative toxin is important for developing effective treatments and preventing the spread of the infection."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your heart related reports are normal, no need to worry much for heart related diseases. in my opinion, you are mostly having anxiety related chest pain. cryptomeria is amitryptillin. it is anxiolytic chatbot.  so your doctor is also thinking of anxiety related pain. so avoid stress and tension, be relaxed and calm. take cryptomeria as prescribed and you will be alright. sometimes, vitamin b12 deficiency can also cause similar kind of pin poking pain. so get done vitamin b12 level and if deficiency then you may need supplements too. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,The additional volume of air that can be expired below the tidal volume during a normal breath is called the expiratory reserve volume.
"If you are a doctor, please answer the medical questions based on the patient's description.","first, you are not too young. the peak of rheumatoid arthritis starting is younger than 40. then, there are two large groups of arthritis, osteoarthritis and inflammatory arthritis. osteoarthritis is wear and tear. as such it tends to be on the bing joints first, and it certainly is not even on both sides. rheumatoid is an inflammatory disease. it occurs mostly in the small joins of fingers and toes. it is generally the same amount on both sides but tends to skip large joints."
Please answer with one of the option in the bracket,E: Absent blink reflex
Please summerize the given abstract to a title,Effect of inverse ratio ventilation on hemodynamics and respiratory mechanics in obese patients undergoing laparoscopic sleeve gastrectomy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is possible that you might have developed allergy to any medicine or chatbot.  there is no obvious connection between rashes on the scalp and oophorectomy or breast lump surgery. you might have got the procedures done under anesthesia and taken cover of antibiotic and pain relief medicines. it is difficult to point out the exact cause unless it is clear that you have been having the symptoms right after using or taking a particular medicine. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot depression is a state of low mood and aversion to activity that can affect a persons thoughts, behavior, feelings and sense of well-being. depressed people can feel sad, anxious, empty, hopeless, worried, helpless, worthless, guilty, irritable, hurt, or restless. they may lose interest in activities that once were pleasurable, experience loss of appetite or overeating, have problems concentrating, remembering details, or making decisions. if you have above symptoms, better to consult a psychiatrist. thanks"
Please summerize the given abstract to a title,Cyanoamidine Cyclization Approach to Remdesivir’s Nucleobase
Please answer with one of the option in the bracket,D: Pyruvate dehydrogenase
"If you are a doctor, please answer the medical questions based on the patient's description.","**1.  after an injury, the knee is never \""normal.\"" thus for expert guidance kindly consult an orthopedic surgeon or sport medicine specialist for necessary instructions and rehabilitation2. the heat of a sun bed can increase the flow of blood through the skin, diverting blood from the main vessels and reducing the pressure in them and may cause postural hypotension, otherwise you can use it without any hitch.3. you can practice utkatasan (chair pose), trikonasan (triangle pose), utility parsvakonasan (extended side angle pose) to strengthen your knees, thighs, hips and ankles but only after consulting.4. if your knee takes a while to heal, see a doctor, so that it is professionally treated"
Answer this question truthfully,"Patients with a CURB-65 score of 1 or lower can be managed with outpatient treatment, meaning that hospitalization is not necessary."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Assessment of chemical libraries for their druggability.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Public perception and preparedness for the pandemic COVID 19: A Health Belief Model approach
Answer this question truthfully,"Primary prevention strategies to prevent adenoiditis include hygienic practices.
Secondary prevention involves usage of antibiotics to prevent recurrence of adenoiditis. It can be helpful in certain circumstances like history of rheumatic fever, to prevent pharyngitis cause by group A beta-hemolytic streptococci."
Please summerize the given abstract to a title,"Trends in Outbreak-Associated Cases of COVID-19 - Wisconsin, March-November 2020"
Please summerize the given abstract to a title,Comparing health care use and costs among new Medicaid enrollees before and during the COVID-19 pandemic
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i read carefully your question and understand your concern. i am sorry about your problems. you seem to have a very problematic cervical column. in my opinion you should consult with a neurosurgeon. it is not just a matter of pain. the signal change in the cord is indicative of a cervical myelopathy, which is caused by compression from the dislocated discs and the narrow spinal canal. with the progressive narrowing of the cervical canal you will also have gait problems besides the pain and difficulty in your everyday activities. so it is important to treat the problem before aggravating. for the pain i would recommend you to hold a cervical collar and start gabapentin or pregabalin which are two chatbot.  hope to have been helpful! greetings!"
Answer this question truthfully,Incidence of many cardiovascular diseases has increased after the use of anti-retroviral therapy in the treatment of HIV infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. yes this can be beginning of arthritis problem. but more likely it can be weakness of bone i.e. osteoporosis. you need to get your investigation of knee and hip x-rays to see for arthritis. bmd and vitamin d test can further be needed to investigate for osteoporosis. till then, you can take analgesic such as ibuprofen for pain relief. vitamin d3 can be of use to fulfill vitamin d deficiency. you can discuss with your treating doctor about it. hope i have answered your query. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. wishing you good health. take care."
Answer this question truthfully,A typical gross motor developmental milestone expected at 2 years old is the ability to begin walking up and down stairs with assistance.
Please summerize the given abstract to a title,Clinical and laboratory predictors of mortality in hospitalized COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you should get physically examined by a pcp and get an x-ray done to evaluate the cause of pain(fracture, nerve pinch, sprain or muscle strain). yes, muscle relaxants are effective, you can take carisoprodol(soma), diazepam or methocarbamol(robin). you can use pain sprays that relieve pain like voting, they are also effective. do not massage and keep your feet at rest for a couple of days.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Middle East Respiratory Syndrome (MERS) Infection in Hematological and Oncological Patients: A Case Series from a Tertiary Care Center in Saudi Arabia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you mentioned in history about the fall, did you vomit after the fall or fell unconscious? this is very important if there is any injury to the higher functions of the brain. if you didn't vomit or fell unconscious then it is nothing major about the central nervous system. you even mentioned scans and x-rays. you mean to say you took a scan of brain and x-ray of the neck? is that so? if you have taken a scan of the neck than it will spread some light over the complaints you are providing.  why don't you meet up a neurologist for these symptoms for a physical examination? i would have recommended the orthopedist for this but since you said there is slight pain behind the eye i thought better to meet the neurologist. you should now differentiate that there is a pain in the neck or there is a headache? if you can differentiate this we can guide you better. let's assume you have neck pain - in this case, we can suspect some injury to the cervical spine which needs an mri to be performed. post which the treatment will be planned accordingly in a combination of medicine and physical therapy. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
Please summerize the given abstract to a title,Oral health condition and dental care in children with congenital heart disease during the COVID-19 pandemic: A systematic review
Subcutaneous retrocalcaneal bursitis Haglund's deformity of the calcaneum.  I have this problem.  Can you please help to overcome this?,"Your provider may recommend that you do the following: - Avoid activities that cause pain. - Put ice on the heel several times a day. - Take nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen. - Try using over-the-counter or custom heel wedges in your shoe to help decrease stress on the heel. - Try ultrasound treatment during physical therapy to reduce inflammation. Have physical therapy to improve flexibility and strength around the ankle. The focus will be on stretching your Achilles tendon. This can help the bursitis improve and prevent it from coming back. If these treatments DO NOT work, your provider may inject a small amount of steroid medicine into the bursa. After the injection, you should avoid overstretching the tendon because it can break open (rupture). If the condition is connected to Achilles tendinitis, you may need to wear a cast on the ankle for several weeks. Very rarely, surgery may be needed to remove the inflamed bursa."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. tremors of hands are a side effect of valeryl (sodium valproate). i presume you are taking valeryl for control of seizures or bipolar disorder. please discuss with your doctor regarding this side effect. if the side effect is interfering with your daily life, there are two options. one option is to replace valproate with another chatbot. if we can not replace the"
Answer this question truthfully,"A cervical length of less than 25 mm on ultrasound during the second trimester of pregnancy suggests cervical insufficiency. This means that the cervix may be weak or unable to support the weight of the growing fetus, which can increase the risk of premature labor and delivery. Women who are found to have a short cervical length on ultrasound may be advised to undergo additional monitoring or interventions to help prevent preterm birth, such as cervical cerclage (a surgical procedure to reinforce the cervix) or progesterone supplementation."
Please summerize the given abstract to a title,Adherence to regular surveillance visits for hepatocellular carcinoma in patients with chronic hepatitis C virus infection who achieved sustained virologic response.
Answer this question truthfully,"Chlamydia trachomatis serotypes A, B, and C (trachoma) can be transmitted through hand to eye contact and fomites."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. based on the facts of your query, you seem to have post shave underarm folliculitis in early stage, which is remains inactive would go, as it is already invisible. it is non-cancerous but an infection of the axillary hair follicle. so don't worry. if it is troublesome check with surgeon and get second opinion on this. contact with a followup premium question to me. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. good day! chatbot. s. genl-cvts"
Please summerize the given abstract to a title,miR-30b Promotes spinal cord sensory function recovery via the Sema3A/NRP-1/PlexinA1/RhoA/ROCK Pathway.
Answer this question truthfully,"Risk factors include:       
Multiple sexual partners Prostitution Illicit drug use Unprotected sex Men who have sex with men Residence in highly prevalent areas HIV infection Presence of other STI s Previous history of STIs Intravenous drug use Health care professionals who are predisposed to occupational risk Low socioeconomic status"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,The recommended treatment of choice for non-functional or elderly patients with Parkinson's disease is carbidopa-levodopa.
Answer this question truthfully,CT scan is preferred over MRI for visualization of calcification in a meningioma or a craniopharyngioma Routine CT is insensitive to the diagnosis unless frank intracranial hemorrhage is present The pituitary mass may be evident and be hyperdense. Fluid debris levels may also be evident.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, follicular size of 20 mm does indicate that you may ovulate anytime. hence, you have been rightly advised having maximum sexual relations during this period. however, at this stage, in. chatbot would have helped you more. it would have caused ovulation within few hours and then sexual intercourse on this and the following day(s) would have increased the possibility of pregnancy. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. there is little medical evidence about the effects of hallucinogenic mushrooms on pregnancy, as there are many types and species used for this purpose. however, many people consume alcohol or other substances generally regarded as harmful for pregnancy before they realize they are pregnant. the period of the development of the major organs on the fetus does not begin until at least the eighth week, so any exposure before that time in pregnancy really does not have a chance to expose the fetus at a time critical to its development. so it is unlikely that this one exposure will have any significant effect on the fetus as long as you do not continue to use the mushrooms later in pregnancy. to help ensure the best pregnancy outcome, i recommend you begin taking a prenatal vitamin daily and discontinue any further use of alcohol or any other chatbot.  i hope i was able to answer your question adequately and that my advice was helpful. best wishes for the rest of the pregnancy,"
Answer this question truthfully,"Plantar Fasciitis is a condition that is characterized by heel pain, which is the main symptom associated with this condition. This pain is often described as a sharp or stabbing sensation in the bottom of the foot, particularly in the area of the heel. The pain may be worse in the morning or after periods of inactivity, and it may improve with movement or stretching. Other symptoms associated with Plantar Fasciitis may include stiffness or tenderness in the foot, swelling, and difficulty walking or standing for long periods of time. Proper diagnosis and treatment are important for managing symptoms and preventing further damage to the foot."
Please answer with one of the option in the bracket,A: Hepatitis B virus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for asking from chatbot. i can understand your concern. the tightness in calf can not be due to l5-s1 nerve as nerve damage here will cause soft, flaccid calf. however, cord damage at cervical region (c4-c6) can cause tightness in calf. the pain in right leg and sensory loss in middle toe can be due to both or either. to differentiate between two conditions, check whether"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your question here, i will try to answer it to the best of my abilities. brown discharge on its own is nothing to worry about, it is a common thing which happens to a lot of women after intercourse. another common reason for brownish discharge is that your endometrial lining didn't clear fully in your last period that's why the leftover lining from your last period, is flowing out now. this reason is only valid if you are having your period right now. anyway as far as i can tell there is nothing to worry about, unless you are feeling any other symptoms. i hope this answered your question."
Please answer with one of the option in the bracket,B: Methylprednisolone and methotrexate
Please summerize the given abstract to a title,NEWS COMMENT — Answering the telecom industry’s call
"If you are a doctor, please answer the medical questions based on the patient's description.","hi am chatbot and i will help you with your problem i have gone through your question and understood your concerns. it appears to be infected sebaceous cyst. when you pressed it, its contents came out, but its walls remains there which is the continuous source of the secretions. if such a patient walk into my clinic, i do excision of the sebaceous cyst under local anesthesia and prescribe tab augmenting 625\u00a0mg 1+1+1 and paracetamol 500\u00a0mg 2+2+2 followed by daily chatbot.  patients are usually better in matter of days. you need to see a general surgeon for treatment of your condition. wishing you rapid recovery. i hope my answer will help you. do rate it, if you like it. regards"
Answer this question truthfully,"The likely diagnosis for the patient's laboratory findings is euthyroid sick syndrome, also known as low T3 syndrome. Euthyroid sick syndrome is a condition that can occur in critically ill patients, including those with acute MI complicated by cardiogenic shock. It is characterized by low levels of the active thyroid hormone, T3, despite normal levels of thyroid-stimulating hormone (TSH) and free T4. This condition is thought to be due to alterations in thyroid hormone metabolism and transport, as well as changes in the hypothalamic-pituitary-thyroid axis that occur during critical illness. Euthyroid sick syndrome is generally a transient and reversible condition that does not require specific treatment. However, it is important to recognize this condition as it can affect thyroid hormone replacement therapy and the interpretation of thyroid function tests."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are mostly having bronchitis. it is inflammation of airways. and the most common cause is infection. you're all symptoms like cough, expectoration, wheezing etc. are suggestive of bronchitis only. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). for the diagnosis of bronchitis, pft is needed. it will also tell you about severity of the disease. you may need inhaled bronchodilators and inhaled corticosteroid (ics). oral expectorant and bucolic chatbot.  so consult pulmonologist and discuss all these. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,The mental health and well-being benefits of exercise during the COVID-19 pandemic: a cross-sectional study of medical students and newly qualified doctors in the UK
"If you are a doctor, please answer the medical questions based on the patient's description.",hello i have gone through your question and appreciate your concern. severe back pain and tenderness need to be investigated. i advise you to visit orthopedic spine specialist and get mri spine done.don't neglect it. do u have radiation of pain to your lower limbsdiarrhoea may be sometimes due to irritation of nerve roots. general measures to improve back pain avoid bending forward and lifting heavy weights lie on hard bed. muscle relaxants and analgesics will help. local analgesic gel for local application. hot fomentation thrice a day. muscle strengthening exercises will help in long term. thanks. u can write me back for any query.
Please summerize the given abstract to a title,Asthma and COVID-19: review of evidence on risks and management considerations.
Please summerize the given abstract to a title,Herbal Remedies Prevention of Covid-19
Please answer with one of the option in the bracket,B: Reassortment
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, considering the fact that your period was delayed by five days with uterine contraction and bleeding to chaotic. you had bleeding for two to three days and, then the bleeding stopped. there is no uterine contraction, the bleeding has stopped completely. it indicates that a possible pregnancy is completely ruled out. the confirmation would be after an ultrasound of the pelvis. please consult your gynecologist. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","dark urine and pale stools accompanied by gallstone pain (in the upper right abdomen) where gallstones have been seen on ultrasound is likely to be a blockage of the bile duct by one of the stones. this is usually treated by an invasive procedure called ercp. if you develop fever then this procedure becomes urgent since infection of a blocked bile duct is an immediately life-threatening condition - you must go to hospital immediately if this happens. if ercp or surgery are truly not an option, you could try ursodeoxycholic acid, a medicine which helps dissolve small stones. good hy chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear idiotic changes are a report of brain hypoperfusion which in most cases is caused from chronic illness such as arterial hypertension, mellitus diabetes or dyslipidemia. so if you want to treat the brain problem first you have to treat those disease. aspirin is needed at a dose of 100-300\u00a0mg per day. brain protector such as paracetamol 1000\u00a0mg per day or meantime 20 mg per day starting from 5 mg per day and rising the dose each week.don't hesitate to contact me for further advice, wishing you all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatdoctori am sorry to hear that you are having problems with boils. boils are signs of infection in the skin and trying to rupture them may actually cause the infection to spread below the skin. i recommend that you seek medical attention, so you can get and antibiotic. the doctor may also be able to lance the boils which will help them heal. hope i answered you question. please contact us again with your medical questions and concerns."
"If you are a doctor, please answer the medical questions based on the patient's description.","i studied your query in full details updated from you. i understood your health concernsbased on your query data, in my opinion, dear you seem to suffer from sebaceous cyst, as it is there for 2 yrs and not attached to testes.alerts-should check with your surgeon and treat it by surgical excision before it complicates with size increase. hope this would resolve your query and worry and anxiety accompanied by it. welcome for any further query in this regard to me. i would love to help you out.awaiting any further query. wish you fast recovery from this intriguing health problem. have a good day. chatbot. n.m.s. genl-cvts -senior surgical consultant"
Please summerize the given abstract to a title,Highly-chirped Bragg gratings for integrated silica spectrometers.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has very high esr and slightly high crp. both other are suggestive of some inflammatory disease. high esr can also be seen in tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies etc. however, chances of malignancy are low.  she should search for the cause of high esr and then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,The next-generation coronavirus diagnostic techniques with particular emphasis on the SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query. the inflammation inside your mouth may be due to- precancerous lesions like leukoplakia arose from smoking, tobacco chewing. nutritional deficiencies. immunologic abnormalities. chronic cheek biting. traumatic injury. get a thorough clinical as well as biopsy investigations. meanwhile, maintain good oral hygiene, brush your teeth twice daily, include nutritional rich food into your diet. stop using tobacco. get your medicines replaced if causing allergy. hope this helps,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that your symptoms could be related to possible cardiac arrhythmia.  anxiety or a panic disorder cannot be excluded either. coming to this point, i would recommend performing an ambulatory 24-48 hours ecg monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  i would also agree with your doctor on the recommendation of checking thyroid hormone levels, in order to exclude possible thyroid gland dysfunction.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query you have symptoms of large red rash on the stomach which is very common as dirt and moisture get trapped by your clothing and the friction that comes from sitting can cause pimple. it could be due to a systemic condition. need not worry. i would suggest you keep this area clean and chatbot.  you should apply cold compresses on the skin. wear loose cotton clothes.  if the condition doesn't get better than consult a dermatologist for proper examination. the doctor will examine physically along with blood test and sample for a lab test. the doctor may prescribe immunosuppressants and may prescribe benzoyl peroxide ointment.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be hi chatbot.  these lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. hair follicles get infected. inflammation and subsequent abscess formation may occur.  medical (proper antibiotic regimen) and surgical (excision or incision and"
Answer this question truthfully,Call for an appointment with your health care provider if ringworm does not improve with self-care.
Answer this question truthfully,"When total myocardial ischemia lasts less than 30 minutes and blood flow is restored, it leads to reversible contractile dysfunction."
Please answer with one of the option in the bracket,E: Membranous nephropathy
Please summerize the given abstract to a title,Cellular factors involved in the hepatitis C virus life cycle
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have condition called emilia. there may be whitish, small,round elevated lesions. the lesions are cystic containing whitish material. the condign is benign and harmless except cosmetic concern. you consult dermatologist for firm diagnosis. the emilia may be treated in old by removing the whitish material puncturing the cysts manually. or the lesions may be removed by electrocautery done under local anesthesia. i hope you got my answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. i think you should discuss with your treating doctor the possibility of arachnoids after epidural injection of steroids. it happens with accidental intrathecal injection (a rare complication of the procedure). treatment is symptomatic and very difficult. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
Answer this question truthfully,"This form of AVNRT accounts for 80% to 90% of cases of AVNRT. The retrograde P wave that is conducted retrograde up the fast pathway is usually burried within the QRS but less frequently may be observed at the end of the QRS complex as a pseudo r’ wave in lead V1 or an S wave in leads II, III or aVF.
Shown below is an EKG of AV nodal reentry tachycardia (AVNRT) terminated by adenosine injection. Note that the last complex of the tachycardia has a retrograde P wave. Termination by block in the slow pathway is typical for common type AVNRT.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org
Shown below is an EKG demonstrating AV nodal reentry tachycardia (AVNRT).
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org
Shown below is an EKG showing AV nodal reentry tachycardia (AVNRT).
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. your current symptoms could be most probably related to nerve compression in the neck and lower back. i agree ms could be a possibility. it may be better to repeat the mri of spine if your nerve conduction studies are normal. for symptom relief, you may pregabalin or gabapentin capsules. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot . i have gone through your query and can understand your concern... toothache after filling can be due to many reasons1. when a filling is done near to pulp tissue (which is present deep in tooth), it causes inflammation & necrosis of pulp causing severe pain2. sometimes a tooth is asymptomatic, but still has infection in it due to deep caries. in these tooth due to large cavity infection has a way to get out. but after filling, the way for infection to get out is blocked & this causes severe pain by increase in pressure inside the pulp.  if you have diarrhea, you could take probiotic medicines visit your dentist if problem persistent worry you would be finessing your query is solved."
Please summerize the given abstract to a title,Why is telerehabilitation necessary? A pre-post COVID-19 comparative study of ICF activity and participation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. you have tooth abscess and doctor prescribed you antibiotic and painkiller which is right choice of medication. swelling on face is because infection can spread to other parts of the oral cavity like floor of the mouth or tongue and leads to swelling. chances of allergic reaction is rare. i would suggest you to"
"If you are a doctor, please answer the medical questions based on the patient's description.","as per your explanation i understand you have lymph node swelling under your arm and below the breast area towards later side. here i suggest you need to understand lymphatic system is the one which carries waste metabolic end product from different part of our body to kidney and heart to get it filter here. and this lymphatic channels are present all over the body even in our fingers too. lymph node is an oval-shaped organ of the lymphatic system, distributed widely throughout the body including the armpit and stomach and linked by lymphatic vessels. lymph nodes are major sites of b, t, and other immune cells. lymph nodes are important for the proper functioning of the immune system, acting as filters for foreign particles and cancer cells. lymph nodes do not deal with toxicity, which is primarily dealt with by the liver and kidneys. if you feel there is a swelling in lemonade which is increasing and getting tender day by day then i suggest do not wait and visit your gone immediately along with a vascular surgeon to for having better idea on your issue. my aim is not to panic you but if there is anything related to cancer then early detection and treatment will help you to get cure easily. and neck pain can be possible with this. so i suggest first you need to evaluate on lymph node swelling and take treatment for it. later still if neck pain continue you can visit or tho and physio for further advice and treatment. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you've likely caused a strain to the ligaments or tendons in the patellar region.  though it's possible that the cooler temperatures may have played a role, 40 degrees is not that cold a temperature if you're a seasoned runner.  if you are someone who is just starting to run regularly (and depending on your usual running climate/temperature) maybe the 40-degree temperature was a bit more than you should've handled.  resting the affected leg/knee at this point along with ice wraps for the first 24-48 hrs. is what i would recommend.  you can then, switch to warm compresses several times daily after that time.  if the knee continues to be stiff or excessively painful after a week of conservative treatment then, you should see a doctor in order to get imaging of that area to be sure nothing is torn or otherwise abnormal. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum! thank you for the query, the symptoms you suggest are that of a flu, if it doesn't go down in a day, so please visit your gp and take the following precautions if you're in india since it's a rainy season 1.  chatbot.  avoid outside foods3. avoid meats4. take lighter meals5. take a lot of rest, as this helps your body to recoup and make to feel more energetic after you get well. however if this persists for a longer time kindly undergo blood tests and visit your doctorwishing you best of health"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the chances of the spread of decay from dentin to pulp cannot be predicted. it can take months to years... if the decay is too deep or approximating pulp then it can involve pulp in 5\u00a0weeks. if you think of insurance and delay the treatment, you might end up to go for root canal treatment rather than normal fillings. so i advise you to go to some educational dental institutes and get it restored. you need to take radiographs like iop ar to see the extent of decay. i hope my answer will help you, take care."
Please answer the letter of option truthfully,D
Answer this question truthfully,"The suggested diagnosis when an MRI shows widespread cerebral/cerebellar atrophy with enhancement of the cortex, putamen, and caudate head is Creutzfeldt-Jakob Disease (CJD)."
Answer this question truthfully,"The potential side-effects of Topoisomerase II inhibitors include alopecia (hair loss) and myelosuppression. Myelosuppression is a condition in which the bone marrow's ability to produce blood cells is suppressed, leading to a decrease in the number of red blood cells, white blood cells, and platelets in the blood. This can increase the risk of infection, bleeding, and anemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as this is happening due to the weakness of the muscles of the knee. doing knee stability exercises will help avoid such situations to occur again. a properly guided exercise like - core stability, spinal muscle strengthening exercises, hip muscle strengthening exercises, static hamstring, static qua chatbot.  hope i have answered your query. let me know if i can assist you further. jay in"
Please summerize the given abstract to a title,EEG power spectra and subcortical pathology in chronic disorders of consciousness
Please answer with one of the option in the bracket,B: Lipases
would you help me to fine article or jurnal about Cri du chat syndrome,"Cri-du-chat syndrome is caused by a deletion of the end of the short (p) arm of chromosome 5. Researchers believe that the loss of the gene, CTNND2, is correlated with the severe intellectual disability in some people with this condition. The effect of the loss of other genes in the region of the deletion is under current research."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for posting here. this a be an infection or muscle of the minor salivary gland. a clinical examination is necessary to help you. you did not mention if it is painful. so, it must be mostly a muscle. mucocele if persists for long must be removed surgically. you cannot remove it at home as it is a minor surgical procedure. you did not mention why you do not want to see a dentist. if you are scared about treatment, it is not painful procedure. gargle thrice daily with salt water. hope this helps."
"If oleandor was ingested by touching the plant stems inner part and then directly eating without washing hands, how long would u exspect symptoms would start? And how severe would you say symptoms may get.","The faster you get medical help, the better the chance for recovery. Symptoms last for 1 to 3 days and may require a hospital stay. Death is unlikely."
Answer this question truthfully,"Propranolol is the nonselective β-blocker that is contraindicated in asthmatics due to its potential to exacerbate bronchospasm. Propranolol works by blocking the action of epinephrine and norepinephrine, which can cause constriction of the airways in individuals with asthma. This can lead to wheezing, shortness of breath, and other respiratory symptoms. For this reason, individuals with asthma are typically prescribed selective β-blockers, which have less of an effect on the airways."
Answer this question truthfully,Hirschsprung disease.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Reversal of thrombolytic therapy may involve platelet transfusions or factor corrections (e.g. FFP, cryoprecipitate, PCC)."
Please summerize the given abstract to a title,Leveraging Artificial Intelligence (AI) Capabilities for COVID-19 Containment
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are micro and macro vascular complications for uncontrolled diabetes. micro complications are retinopathy, neuropathy, and nephropathy leading to visual disturbances, numbness and burning sensation, and kidney failure. to stop these complications, one's glucose levels should be in control. please consult planetologist for adequate control of sugar levels and ophthalmologist for retinal examination. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos perm leakage in urine may be due to many causes like straining in constipation, overexcited state, excessive fantasy etc. you should avoid provocative literature and videos. you should try to be calm and try to engage yourself in your job. take a lot of fibers in your diet in the form of salad, vegetables,fruits. you should take healthy and nutritious diet. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. first your low thyroid and swollen lymph node doesn't have any relation. there ate many causes of swollen lymph node.  most common causes are reactive lymph node and tuberculosis.  others are rare like lymphoma. if you don't have other features like liver and spleen enlargement then chances of cancer is very, very low. you should go for fine needle aspiration cytology to search for the cause.  then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Smooth muscle contraction is triggered by the entry of Ca2+ ions into the cells through L-type Ca2+ channels. Once inside the cell, Ca2+ ions bind to the protein calmodulin, which activates an enzyme called myosin light chain kinase. This enzyme then phosphorylates myosin, which leads to the activation of the contractile machinery and ultimately results in smooth muscle contraction."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand your problem, let me clear something about the prostrate, if it gets enlarged then it is to be seen whether this is symptomatic or not, mostly the prostate enlargement detected accidentally, otherwise when these glands start manifesting then only patient comes for the treatment till then it was too big, so the medical treatment of this is only depending upon the clinical complaint, and second if it is malignant, even medical treatment can not be given for long time even if it is benign, the, surgical removal is recommended, hope this information helps you, take care and have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatdoctori am sorry to hear that your husband is having problems with depression and erectile dysfunction. these two problems go together. as long as he feels depressed he is not wanting to be engaged with any sexual intimacy. he needs to get control of his depression first before he can feel better. i recommend that he be seen by his doctor and have him screened for low testosterone. a low testosterone level is very common in men with diabetes and this could also be at the root of his problem. if he is not having low testosterone i then recommend for him, i recommend either elena or wellbutrin. once these medication start working, and he still has erectile dysfunction he should then try viagra or cialishope this answers your question. please contact us again with your health care concerns and questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. best treatment of bronchitis is inhaled bronchodilators and inhaled corticosteroid (ics). since you are not taking these, you are not improving. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will definitely improve with inhaled bronchodilators (formoterol or albuterol) and ics (budesonide or fluticasone). don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have soft tissue tumor like lipoma, neurofibroma or some skin adnexal tumor or benign cyst. you should go for biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Two types of ultrasound exams can be performed to evaluate colon and rectal cancers:
Endorectal ultrasound
An endorectal ultrasound may be helpful in the staging of colorectal cancer. This test uses a special transducer that is inserted directly into the rectum. It is used to see how far through the rectal wall a cancer may have penetrated and whether it has spread to nearby organs or tissues such as lymph nodes. 
Intraoperative ultrasound
An intraoperative ultrasound may be helpful in the detection of liver metastasis.

It is performed during surgery after the abdominal cavity has been opened. The transducer can be placed against the surface of the liver, making this test very useful for detecting the spread of colorectal cancer to the liver."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i do not know your past medical history. severe abdominal pain can be caused by many reasons but bleeding per rectum and urethra is very alarming signs. if the previous cancer history and type of treatment were available to me, it will be easier to ad chatbot.  any tumor in bladder if invade rectum may give similar symptoms but to make sure at least an abdominal ultrasound to be done. please try to contact your treating oncologist. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you and give my opinion. you should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmhg. a person might have high value during emotional and physicals trees so it's mandatory to judge on mean values. of course your values are pretty high, so it is necessary to treat them. because of this high values you might experience headache, blurred vision, noise in your ear etc. hypertension is divided into two groups. essential hypertension, usually in older age that is a chronic disease without an identified cause and secondary hypertension meaning that is a secondary house of it. this might be a renal disease, an endocrine problem or a cardiovascular anomaly. so, if i was your treating doctor i will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to check renal function, an abdominal echo and a holder pressure monitoring to evaluate your values during day and night. after all this we can better judge what we are dealing with and how to treat it. hope i was helpful. best regards, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. this wetting could have become more an obsession than just habit. you should rethink your strategy. urinal incontinence is to be treated by nephrologist. in your case, it seems just obsession. learn to ignore those obsessive impulses and your problem should be cleared. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi & welcome. i can understand your concern. yes, sgpt level is raised in patient suffering from dengue fever. in addition to thrombocytopenia (low platelet count), leukemia (low white cell count), the liver enzymes are raised in a patient suffering from dengue. liver dysfunction is frequent in patients with dengue, developing in approximately one third of patients with typical disease. the liver enzymes are also raised if there is associated inflammation of the muscles (myositis) while having dengue. high sgpt levels are generally present in the first days of clinical infection and peak during the second week of illness. hope this clears your doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. it seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. the main treatment of such pain is bed rest along with painkillers and muscle relaxants. muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. you can get the appropriate chatbot. meanwhile, you can follow these measures"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. it is possible that you could have contacted with the influenza virus from your daughter, but you remain fairly asymptomatic except for the presentation of cough. it is a viral infection, which is self limiting and would require only supportive management. presently, since you do not have any other symptoms, kindly do the following to overcome the symptoms you are having. take syrup containing ambrosia, guaphenisin and chlorpheniramine male ate as ingredients for cough. do salt water gargling with warm water at least twice a day. you can also take chewable medicated lozenges to get relief of your throat and voice symptoms. hope the information provided would be helpful. all the best."
Please summerize the given abstract to a title,Assessing glaucoma deterioration using Spaeth/Richman contrast sensitivity test.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should not worry. it never causes harm. not shaking the bottle never harms you. vaccine is for the protection purpose. so if someone won't shake it, its effect are lowered, but it never harms you. you can check the title of the antibodies circulating in the blood of you to check the effectiveness of the vaccine administered. and accordingly if the further action is required can be taken. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Answer this question truthfully,"According to the American Academy of Pediatrics (AAP), pureed fruits and vegetables may be introduced to infants beginning at age 6 months. This is because infants' digestive systems are not fully developed before this age, and introducing solid foods too early can increase the risk of choking, allergies, and other health problems. Additionally, breast milk or formula provides all the necessary nutrients for infants until around 6 months of age, so there is no rush to introduce solid foods."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Some of the risks associated with vacuum extractor delivery for the baby include facial laceration and cephalohematoma, which can result in bleeding and swelling on the head."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. based on the symptoms it appears to be a viral infection, most probably dengue. bruising is due to to reduce platelet count usually seen in dengue.i would advise you to immediately admit your friend in a hospital. a complete blood picture, dengue serology, ns1 antigen for dengue are required. he would be required to be kept under observation for a few days. hope i have answered your query. have a nice day"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that the frequency of seizures is really low. this means that the treatment with lethal 600\u00a0mg twice daily seems to be effective in the management of the seizures. if your blood lab tests are normal and no complications related to lethal intake have occurred, i would not recommend starting korea xr, because it is not necessary. poly therapy (the concomitant use of tow or more antiepileptic chatbot.  it can lead to increased adverse effects. you should discuss with your doctor on the above issues. hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i think you should go for evaluation first. get a thyroid profile and prolactin level and an ultrasound done to see uterus and ovaries to find out the cause of inability to conceive. you can get a hsg test done to see the tubal patency. also get a semen analysis for your husband. if everything is fine, you can try 3 more cycles of closed with tracking of follicles growth on ultrasound.  when follicles reach a size more than 18 mm, take injection for rupture of follicles. be in contact with your husband for next 2 fays. take progesterone like austen or phaeton for next 2 weeks after rupture is confirmed on ultrasound.  do a urine pregnancy test after that.  hope it helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot ... you have diagnosed with fatty liver condition in which fat get accumulated in hepatocytes.... carbon chloride like chemical injury, high cholesterol level, low oxygen, protein energy malnutrition like condition can lead hepatocyte injury .... if food poisoning occurs treatment done according to culture report... for fatty liver ad\u00edlio tablet can be taken... fruits taken more excess fried foods, non veg food, cheese, burger, butter taken less... green leafy vegetables taken more and use sunflower oil. take care advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","hiit appears that your doctor has done all necessary investigations and now concluded that infertility is unexplained. how young are you?  you have done the right thing by undergoing these investigations. don't get concerned with your friends comments. i want to make it clear to you that laparoscopy you had is not going to affect your menstrual cycle. having 28 or 30 days cycle is normal. it does not amount to irregular cycles. once in a year or so if you had one irregular cycle, that is also fine. now coming to treatment of your unexplained infertility. if i were your doctor first i would recommend six cycles of gonadotropin stimulated gui. if you don't conceive with this i would advise ivf treatment. take one tab of folic acid daily. maintain normal bmi. if you both are smokers you need to quit smoking. to increase your chances of conception you need to have regular intercourse 2-3 times in a week and not just during ovulation period. good luck. if you have any further concerns, do write to me."
"If you are a doctor, please answer the medical questions based on the patient's description.","good evening, let me start by saying i am very sorry to hear about these symptoms your son is experiencing. having said that, from personal experience these symptoms may or may not be separate from the heart murmur itself. most diagnosed innocent heart murmurs are as their title suggests \""innocent.\"" they can and most will often go on throughout an individuals' life without causing any issue, except for that of a unique sound heard on physical exam. as for the symptoms you describe, these sound separate but nevertheless certainly more serious. very tired, pale stools, dark rings? it sounds to me like a systemic illness that requires complete workup with at a complete blood count and basic metabolic panel. these will let us know if he has an infection, if his blood is healthy and strong and sufficient, if there are any electrolytes and or nutrients out of balance, and or if particular organs and or tissues in the body are ill. based on his symptoms, and age, i must admit there are a variety of potential causes; viruses and infections such as mono or the flu typically can cause gastrointestinal and generalized effects such as those you describe. nonetheless, as it can indeed just be a virus, even more benign than the flu or mono, it can also be a completely different entity entirely, and thus a formal test really needs to be done to hone in on exactly what that is. my suggestion is to make sure your son hy chatbot.  i would not rush him to the emergency room unless a primary care physician could not be reached in an adequate period of time, or if your son starts to appear toxic and or the symptoms you are describing start to worsen. i truly hope for the best and believe you and your son will come out of this strong and well cared for. warm regards."
Please summerize the given abstract to a title,Do adipokines levels influence facial attractiveness of young women?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. do you have fever/ spasmodic abdominal pain/ nausea or vomiting/ acidic belching? with the available described symptoms, there could be possibility of acute viral gastroenteritis. myalgic is an integral pro chatbot.  you should consult with internal medicine specialist/ pediatrician and should go for thorough check up. you should also go for complete blood count, ultrasound imaging, and serum electrolytes. viral infection has also some effect on liver and that's why loss of appetite and fatigue is very common with viral infections. you should take complete antibiotic therapy, antispasmodics, probiotics, antipyretic. you should maintain your hy"
Please summerize the given abstract to a title,Evolving Insights from SARS-CoV-2 Genome from 200K COVID-19 Patients
Please summerize the given abstract to a title,Understanding Fc Receptor Involvement in Inflammatory Diseases: From Mechanisms to New Therapeutic Tools
Answer this question truthfully,Antigen loading onto MHC II occurs following release of the invariant chain in an acidified endosome.
Please summerize the given abstract to a title,Ad26.COV2.S Prevents SARS-CoV-2 Induced Pathways of Inflammation and Thrombosis in Hamsters
"If you are a doctor, please answer the medical questions based on the patient's description.","hi nisha, i think i have understood your concern. as such 99 degree f is just above expected normal 98.4. please get hologram and urine routine test done. also, esr, and montauk test is recommended if you have evening rise of fever. this rise can not be directly the reason for not conceiving. considering your pcs history, i will suggest indulging in a healthy diet and regular exercise regime. start on b12, folic acid when you are trying for pregnancy, as it will help prevent various risks. i hope this answer helps you. thanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.aaaa...have your fianc\u00e9e taken viagra...for how long...was the intercourse successful after taking that viagra...please consult another doctor....to whom you both are new....go to urologist and gynecologist ....u can take consultation from psychologist also after pro and gone rules out any organic problem.and...any doctor checked your hubbies nocturnal penile tumescence...what are the tests done for your fianc\u00e9e...? is semen analysis normal? have u ever had successful intercourse?have u ever felt orgasm? artificial insemination can be done but first have proper consultation...
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i read your question and understand your concern. i think that we should find out the cause of your fatigue first and then try to get the proper treatment. the cause may be different like a viral infection (common for abv) , trauma, depression, endocrine disorders, immune disorders. a vitamin deficiency may also cause these symptoms. i would recommend having a full blood work for inflammation, a vitamin b12 level, a thyroid hormone test, a kidney and liver function tests. if everything results normal it may be a chronic fatigue syn chatbot.  i would recommend an antidepressant like duloxetine or nortriptyline for the symptoms. if any cause is found it should be treated. hope to have been of help! thank you for using chatbot! best wishes!"
Please summerize the given abstract to a title,Coping with the third wave of the COVID-19 pandemic in Africa: implications for an improved outbreak response
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. only complaint of urge to urinate, frequency and chatbot.  i would advise the following"
Answer this question truthfully,There are no known risk factors.
"If you are a doctor, please answer the medical questions based on the patient's description.","well, it isn't our place to give advice counter to what you are apparently getting, nor to interfere with you and the two doctors. and, yes, generally people need a narcotic after surgery. it is tricky in the context of suboxone and the two ways to go are to go with the suboxone or to stop everything at least a day before surgery and to go with conventional narcotics around the surgery then go back to the suboxone afterwards. there is a limit to the pain effect of the suboxone that is less than the amount that can be obtained with conventional narcotics. and, this is a common context for tapering suboxone. someone winds up on 30 or less total mg of oxycodone or morphine equivalents, this is less than 10 mg per day of suboxone."
Please summerize the given abstract to a title,Nutrition Management in COVID-19 Quarantine: Hospital-Based Study.
Please summerize the given abstract to a title,Deep Sequencing for the Detection of Virus-Like Sequences in the Brains of Patients with Multiple Sclerosis: Detection of GBV-C in Human Brain
Please summerize the given abstract to a title,Obtaining Aromatic Extracts from Portuguese Thymus mastichina L. by Hydrodistillation and Supercritical Fluid Extraction with CO(2) as Potential Flavouring Additives for Food Applications
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i think, this is due to obsession. you had that disturbing sensation once. you expected it to happen again and tried. then you started experiencing it as you were expecting it. then your body brought the familiar symptom because you are expecting it. then you started worrying that the symptom is coming again and again and expect it. body brings it again as you are expecting it. you become worried and so on. that is obsession in simple terms. ignore it and the problem vanishes. many researches and researchers confirm that medicines alone cannot cure mental disorders. lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","it doesn't necessarily mean hepatitis again. pain in upper part of stomach could be local reasons, gastric problem, food heaviness etc. you haven't mentioned any changes in urine color and any loss of appetite etc. bile salts, pigment tests of urine is important as also serum bilirubin, esr. back and knee pain is due to muscle skeletal reasons and may go by physiotherapy, cycling, hot water bath, yoga etc. yoga is important for you. further progress of knee pain and back pain will halt and improve rather. so need is to investigate at least simple tests to rule out any possibility as per your apprehension about hepatitis. back and knee pain should be managed now without waiting for tests. hope it helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","fellow backache may be due to many reasons like genitourinary causes, musculoskeletal reasons etc. you need proper clinical examination and routine investigations. investigations include routine hologram, random blood sugar, liver function test, renal function test, urine re/me, ultrasound of abdomen, x-ray l/s spine (ap/lateral view), thyroid profile. it may also be due to low calcium level or muscle spasm. mri of l/s spine can be done after evaluation. proper treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is important to know if there is any infection in the area of stitches. if there is an infection then it must be treated first and then the wound healing will progress. by 6 weeks the stitches should have started healing. the time for complete healing of surgical wound is approximately 12 weeks. however since you have an open wound therefore first this wound must be cleaned and resutured. this will permit healing of the skin layers by first intention and progress to normal healing over the next few weeks. since there is a lemon sized hole in your abdomen therefore it must be repaired by putting additional sutures in the area. please discuss the open wound in detail with your doctor and when he is likely to close it. healing is not possible with a persisting open wound. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","your symptoms sound typical of plantar fasciitis. it's a common condition related to footwear and aging. basically the culprit is tight ankle flexors, i.e. the achilles tendon. this leads to microtears in the plantar fascia especially where it attaches to the heel. the inflammation and further microtears from a tight achilles tendon make the symptoms worse and worse.i would recommend"
Answer this question truthfully,The baroreceptors located in the carotid sinus are responsive to both increases and decreases in arterial pressure.
"If you are a doctor, please answer the medical questions based on the patient's description.",going the simple way it might be just tight hamstring muscles countered by strong qua chatbot.  go for hamstring stretching followed by strengthen. also you need to stretch other group of muscles.it would be better if you visit a physiotherapist. now going the other way round if self treatment doesn't work and leads to more pain probably there's an underlying injury that a gp can diagnose ok only after assessment
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear , thanks for the query. i went through the details of the query. i am of the opinion-that all your complaints indicate- intrathorasic extension of the throat swelling-which is the prime possibility. but its alarming combination of symptoms-which would need to be studied with the-chest ct and the barium bolus of the food pipe to clarify the combination of the herd/heaviness of the chest. you haven't given why the nose surgery was done? i would advise going the tertiary specialty hospital nearby and get the opinion of the surgeon/ thoracic surgeon / and the thyroid surgeon. this would resolve this complex combo issues. thnks. and welcome for any more queries. hope you are satisfied with the remedy suggested -is more investigation and the related correction as advised from the expert doctors in your local area."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . as per your complaint mild fever can occur during teething that is generally due to the tendency of the toddler to take anything in mouth to bite on as they have itchy and sore gums and needs to gratify themselves. it leads to infections and can cause mild fever. but in case if the fever is persistent then it is not due to teethe bit some other causes and as your baby already had upper respiratory tract infection, it is indicating towards viral infection and not just teething. getting a cbc done will help in ruling out the exact cause of fever and can be treated accordingly. as of now you can give her acetaminophen in syrup form to reduce fever. also get him clean and sterilized teething rings if she urges biting on and do not let her put anything else in her mouth not even her fingers. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, don't worry painful bump can be due to sinus opening present due to periodontal problem or periapical abscess due to carious tooth.  you should consult dentist and go for investigations iopaxray and go for treatment, periodontal problem go for scaling and root planning.  if periapical access go for root canal treatment if needed. hope this will help you."
Please answer with one of the option in the bracket,B: Isoniazid alone
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of breast cancer. you there are high chance that you have some metastatic breast cancer in your axillary lymph node. furthermore, you should go for examination. if needed go for biopsy of axillary lymph nodes. then take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Up to 2.2 million people experiencing disability suffer collateral damage each day of Covid-19 lockdown in Europe.
Please summerize the given abstract to a title,On the Wavelet-based Compressibility of Continuous-Time Sampled ECG Signal for e-Health Applications
Please answer with one of the option in the bracket,B: RNA polymerase II
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query and understood the concern. the cause of the delayed period and the breast tenderness is the high hormone content in the emergency contraceptive pill that you have consumed. this is also the cause of the with chatbot.  home pregnancy tests read well when performed 3-7 days after a missed period with a fresh early morning sample of urine. if you wish to exclude earlier, please get the estimation of the serum beta-chatdoctor titles. further, a trans-vaginal sonogram done a week or two after the missed period gives the status of the pelvic organs and excludes/confirms pregnancy. do not worry, you have very little chance of conception. remember that stress also can delay a period. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...by what you quote i feel that your kid might be having a starting stage of diarrhea which usually starts with vomiting and then progresses to diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. i suggest you use zinc supplements (z&d chatbot.
Answer this question truthfully,"If a disease has an X-linked dominant inheritance pattern, there is NO male-to-male transmission."
Answer this question truthfully,The backbone of Highly active antiretroviral therapy (HAART) are NRTIs (nucleoside reverse transcriptase inhibitors) such as Zidovudine.
Answer this question truthfully,Neomycin is the aminoglycoside antibiotic that remains active in the gastrointestinal tract.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should first consult gastroenterologist and get done upper gis copy. since you are telling that you have dysphagia (difficulty in swallowing) and feeling of lump in throat, any esophagus structural abnormality can present. so upper gis copy is needed to rule out structural abnormality. if this is normal than no need to worry much. it is heart burn only. it is due to reflux of the stomach acid into the esophagus and cause the symptoms. and reflux disease needs simultaneous approach of following steps.1. avoid hot and spicy food. 2. avoid large meals, instead take frequent small meals. 3. avoid stress and anxiety. 4. start proton pump inhibitor5. keep 2 - 3 pillows under head in the bed. 6. go for walk after meals."
Answer this question truthfully,"Relief of pain when lifting the testes, also known as Prehn's sign, is suggestive of epididymitis. Epididymitis is a condition characterized by inflammation of the epididymis, which is a coiled tube located behind the testes that stores and transports sperm. The inflammation can cause pain, swelling, and tenderness in the scrotum and testes, and may be accompanied by other symptoms such as fever, chills, and discharge from the penis. Prehn's sign is a clinical test that can help differentiate epididymitis from other conditions that may cause similar symptoms, such as testicular torsion or a hernia. If Prehn's sign is positive, it suggests that the pain is likely due to epididymitis rather than another cause."
Please summerize the given abstract to a title,"Product Characteristics, Market Competitive Strategies, and SMEs Performance: Testing Their Relationships"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in your mothers case the heart pumping of 35% (which is evaluated by doing echocardiography as left ventricular ejection fraction, lvef) is mostly likely to be due to old heart attack which she is not aware of. in heart attack some part of muscles of heart (myocardium of left ventricle) get permanently damaged due to lack of blood supply to that part of heart. this damage depends upon time duration of symptoms of heart attack and treatment received, and also on type of treatment received. some patients do not aware of symptoms of heart attack or neglect it and miss the symptoms as in your mothers case (this happens more in diabetic patients), these patient do not receive medical attention and due to lack of medications there is likely possibility of further deterioration of heart function (pumping).  though there are other possible causes of decreased heart pumping like infection, high blood pressure, diabetes in these case there is possibility of improved heart pumping after treatment. as you have been told that your mother had heart attack in the past by your doctor, this consideration must be based on echocardiography report. so there is really less chance of improvement in heart pumping in your mother, but we can definitely try to maintain current heart pumping by appropriate treatment. we can do following for your mother (depending on her current infection, her physical activity and tolerance)1) to start her on blood thinning medicine (antiplatelet)2) control her blood pressure, diabetes, cholesterol if problem present.3) coronary angiography which will tell about degree and number of blockages in different blood vessels of heart depending on which we can plan further management.4) start her on diuretics, b blockers, ace/arms, only if tolerated in current scenario."
what blood tests confirm celiac disease,"A health care professional may take a blood sample from you and send the sample to a lab to test for antibodies common in celiac disease. If blood test results are negative and your doctor still suspects celiac disease, he or she may order more blood tests.If a biopsy and other blood tests do not clearly confirm celiac disease, your doctor may order genetic blood tests to check for certain gene changes, or variants."
Answer this question truthfully,The association between helicobacter pylori and peptic ulcers was made by Barry Marshall and Robin Warren in the year 1984 for which they were awarded Nobel prize in 2005 in physiology or medicine.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, hcqs is a disease-modifying anti-rheumatic chatbot.  generally it is very well tolerated. however, it may cause nausea and diarrhea, which often improve with time. less common side effects include rash, changes in skin pigment, hair changes, muscle weakness and anemia in individuals with g6pd deficiency or porphyria. in rare cases, it can cause visual changes or loss of vision. such vision problems are more likely to occur in individuals taking high doses for many years, individuals 60 years or older, or those with significant kidney disease.  it is recommended that you have an eye exam within the first year of use, then repeat every one to five years. hope i have answered your query. let me know if i can assist you further. take care"
Please answer with one of the option in the bracket,A: Endothelin receptor antagonist
Please summerize the given abstract to a title,"COVID-19 infection: comparing the knowledge, attitude and practices in a sample of nursing students"
Answer this question truthfully,"The WikiDoc team has come up with the'calculator project' intended to solve these problems. The calculator project is focused on creating calculators for the risk assessment tools. With the use of calculators, a health care provider can rapidly determine the prognosis and treatment goals of a specific medical condition and institute appropriate actions based on the interpretation. This project is intended for interns, residents, attending physicians, hospitalists, specialists, nurses, nurse practitioners, and physician assistants to contribute their knowledge and clinical experience. This project aims at improving the quality of making diagnoses and treating medical conditions, reducing the variability in treatment, and to improve the overall quality of patient care. WikiDoc welcomes your involvement in contributing to this project."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thank you for trusting chatdoctori read your query and understand your concernfirst i am sorry for the symptoms you are suffering, but you have to be calm as your symptoms don't lead to any risky disease in my opinion it may be caused by soft issues damages and probably will go after some days major risk is that you have been caused a fracture during trauma which will be detectable by a physical exam or by scheduling a lumbar ct canyon may try painkillers and relaxants to avoid illocal nsaid are very effective to discuss with your doctor about my opinion hope i have been of hellish you good health and fast recovery feel free to ask for further questions or doubts best regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever of a few days without any localizing signs could as well a viral illness. usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. once the viral fever comes it will there for four to seven days. so do not worry about the duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms, and you need to be examined to determine the cause of your symptoms. the most important condition to be excluded is a brain stroke, if your symptoms are sudden in onset and of short duration. in addition, we also need to exclude electrolyte imbalance. investigations required would be ct scan of brain and serum electrolytes. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please answer with one of the option in the bracket,E: Increased release of fibrinogen
Answer this question truthfully,Patients with nephritic syndrome typically have increased levels of BUN and creatinine.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. pituitary gland is the master gland in the body which control all hormones in the body. so hormonal imbalance is likely in your case. so you need to take elton (thyroid hormone supplement) life long. you are advised creator mostly due to obesity. to control obesity, you need to follow strict diet, avoid snacks and exercise regimen. ford this better to consult dietician. avoid stress and tension. avoid oily and fatty food. avoid large meals, instead take frequent small meals. eat high fiber diet like green vegetables, fruits etc. do regular aerobic exercise like running, cycling, swimming etc. don't worry, you will be alright. you're willing definitely lose weight. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. sorry to know that your mother is having cancer in lungs which has spread to liver. this is stage 4 cancer lungs and is difficult to treat. patients are put on aggressive chemotherapy for controlling cancer spread and to give them an extended survival. with recommended treatment and good supportive care patients might survive for 2 years. beyond that survival is difficult because the disease progress is faster. pain relief is important for your mother, and she should be given enough pain reliever to make her comfortable. please discuss this with her doctors and try and provide adequate pain relief. please do not worry."
Answer this question truthfully,"In males, androgens are converted to estrogen primarily in adipose tissue and the testis."
Please answer the letter of option truthfully,A
Answer this question truthfully,"Red man syndrome is characterized by erythema, pruritus, and widespread flushing."
Please summerize the given abstract to a title,Effect of janus kinase inhibitors and methotrexate combination on malignancy in patients with rheumatoid arthritis: a systematic review and meta-analysis of randomized controlled trials
Answer this question truthfully,Fidaxomicin is an antimicrobial that inhibits the sigma subunit of RNA polymerase.
Please summerize the given abstract to a title,A combined experimental and theoretical study to explore the catecholase-like activity of a hepta coordinated dinuclear Zn(II) complex
Answer this question truthfully,Osteomalacia is a musculoskeletal disorder that is caused by impaired osteoid matrix mineralization.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. shortness of breath on minimal exertion, dizziness, rapid heart rate in old age (age more than 60 years) are suggestive of cardiac disease more. possibility of congestive cardiac failure or coronary artery disease is more. so better to get done ecg and 2d echo. if something is wrong in these tests than you may need coronary angiography to rule out coronary artery disease. so don't wait at home, first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
how do i prevent myself from having dementia,Dementia (Prevention): Most causes of dementia are not preventable. The risk of vascular dementia may be reduced by preventing strokes through: - Eating healthy foods - Exercising - Quitting smoking - Controlling high blood pressure - Managing diabetes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend, the symptoms you gave suggest that you have a food poisoning. you should not take chatbot.  the remaining pain is also a natural process of eliminating the toxic substances either through rectum in the form of diarrhea or through the mouth as vomiting. the fever also is a defense mechanism to eliminate the toxins that have already been absorbed into your body. best way is to wait with liquid food and rest. if your condition is still deteriorating, the medication you need is homeopathic which will only strengthen your constitution to eliminate the toxins from your body at the earliest. for that you may approach an expert homeopath at the earliest. with best wishes,"
Answer this question truthfully,How can extramammary paget disease of the vulva be distinguished from melanoma based on immunohistological features? Extramammary paget disease of the vulva can be distinguished from melanoma by the following immunohistological features: 1. PAS +   2. Keratin +  3. S100 -.
Please summerize the given abstract to a title,Severe Acute Respiratory Syndrome Coronavirus 2-Induced Neurological Complications
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot i think, i had panic attack. it happens due to stress. in that case, there is nothing to worry. it is not related to heart disease, but it is a psychological disorder. if you get repeated attacks, then you can take benzodiazepine on sos' basis. that would help to control the symptoms. you can also try some relaxation exercise. in case, you need further help, you can ask. thanks"
Please summerize the given abstract to a title,Frank Stinchfield Award: Does Bariatric Surgery Prior to Primary Total Hip Arthroplasty Really Improve Outcomes?
Please summerize the given abstract to a title,T-cell responses to SARS-CoV-2 in Multiple Sclerosis patients treated with ocrelizumab healed from COVID-19 with absent or low anti-Spike antibody titers
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. now that the chatbot.  the possible choices are sertraline or escitalopram or fluoxetine. these medicines need to be taken for 2-3weeks to assess their effects. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Please summerize the given abstract to a title,A Bibliometric Analysis of COVID-19 Vaccines and Sentiment Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome and thank you for asking on chatbot! i have gone through your question. as you have chest pain associated with breathlessness increasing/brought on by exertion, cardiac (heart) cause has to be ruled out first. an ecg and 2d echocardiography are the first and the primary investigations you have to undergo. depending on those test a tmt (treadmill test) or an angiogram may be needed. hope to have been helpful! wishing good health, chatbot."
Please summerize the given abstract to a title,WeTrace -- A Privacy-preserving Mobile COVID-19 Tracing Approach and Application
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
Please summerize the given abstract to a title,Amiodarone-Induced Pulmonary Toxicity—A Fatal Case Report and Literature Review
Please summerize the given abstract to a title,Identifying patients with psychosocial problems in general practice: a scoping review protocol
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, aspirin is good for heart if taken appropriately.in your case it seems right as your husband seems suffering from incompetent veins. so aspirin will in turn help. the palpitations and other complains as told by you may be related to other things in heart. the local doctor has done appropriate treatment at his level. but i suggest you show a cardiologist or an interventional radiologist who are expertise in it. sometimes a clot released from those veins can cause a blockage of arteries of heart, so you need to take appropriate action regarding the same."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a single spike in blood pressure could be related to anxiety or the discomfort that you have been experiencing. for this reason, i would recommend you to closely monitor your blood pressure values in the next days. if your blood pressure values are persistently high (above 125/85 mm hg), i would recommend consulting with your attending physician for a physical exam and some blood lab tests (thyroid hormone levels, complete blood count, pcr, esr, kidney and liver function tests, cortisol and aldosterone plasma levels, etc.) in order to investigate for metabolic disorders which could lead to secondary high blood pressure at this age.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. manitoba desolate [im] is used in the treatment of cm [chronic myeloid leukemia] and jaundice is one of the serious side effect and require urgent medical attention/evaluation.ps. remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects, thus alternate management can be continued side by side.2.  hepatitis b immunoglobulin-vf contains proteins called antibodies which can help prevent hepatitis b infection from developing in a person.3. adequate bed rest. fat free diet, no oil, ghee and fried foods. plenty of sweets, sugar, sugarcane juice. boiled water for all at home. all hematologic chatbot.  hepato protective"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, lupus as you rightly said is an autoimmune disease, and complete eradication of the condition is almost very difficult. however, compliance to treatment protocols and a step wise medication approach usually leads to complete stabilization and amelioration of clinical condition. appropriate medication controls symptoms and stops continues excessive hairless. chatbot."
Please summerize the given abstract to a title,"COVID-19, structural biology and the March of science"
Please answer with one of the option in the bracket,B: Elevated prothrombin time
Please summerize the given abstract to a title,Current status quo on COVID-19 including chest imaging
Please summerize the given abstract to a title,"An Analysis of Eight Family Cluster Cases in Wuhan, China: Peripheral Blood Lymphocyte Count May Predict COVID-19 Mortality"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has stage 4 ovarian cancer with distant metastasis in lung and chest wall.  treatment is chemotherapy. chemotherapy itself has many side effects.  her vomiting and diarrhea will mostly be due to chemotherapy.  symptomatic treatment like ondansetron and lop amide can be given to overcome side effects.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mam, your symptoms of increase in anxiety and insomnia have low chances of relationship with increase in dose of imran and bosnian. the anxiety could be an indirect manifestation of pulmonary hypertension. these medications have very low chances of cognitive side effects. i usually recommend such patients mizoram as this will take care of anxiety and doesn't cause sedation so that you can do your daily routine work properly. hope this will help. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot .... i can understand your concern.... in gall stone chronic discomfort can be present at right side abdomen... sometimes it might be asymptomatic.... for its diagnosis usg will be sufficient. ct scan done only if needed.... if stone is there than ad\u00edlio can be prescribed.... if it leads acute cholecystitis attack in future than cholecystectomy done.... if left side pain predominant than for gastritis pantoprazole taken... take paradise
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. honestly speaking stage 4 pancreatic cancer is having very poor prognosis. no question of five year survival rate as it is very negligible. life expectancy in stage 4 pancreatic cancer is less than 9 months. but when whipple procedure is failed, life expectancy will be decreased further. so in my opinion, in your husbands' case life expectancy is less than 4-5 months."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, a simple cold can not end up like this. for correct diagnosis, i need to get investigation reports including blood count, brain imaging and csf (fluid inside brain). acute encephalitis is a very dangerous condition that can rapidly progress to seizure, comma and death. this may behave initially similar to simple cold. even is diagnosed early, this condition has a very grave prognosis because of infection and swelling of brain. antibiotics have very limited role here. your doctor might have discussed the probable diagnosis. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. such lump is most likely a hemorrhoid. it's a kind of enlarged vein of the anus. it is usually soft and has dark red/purple color. can be painless however in case of inflammation becomes swollen and really painful. bleeding can also appear. the main reason of hemorrhoids is diet and lack of physical activity. that is why i suggest you to improve your diet (avoid fatty foods, increase fiber rich products). in a meanwhile please consult the surgeon. the only permanent solution for hemorrhoids is surgery. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, i understand your query and concern. your symptoms are suggestive of uncontrolled hypertension and diabetes. i advise you to get your blood pressure and heart rate monitored immediately. i also advise you to get your blood sugars fbs, ppbs,hba1c immediately to confirm diabetic mellitus. chatbot. metformin 500 for your diabetes. i advise you to get an ecg,2 d echo, lipid profile as a screening of your heart and renal function tests to look for your kidney function. i also advise you to get your eye examination. regular brisk walk for 30 min is mandated in your case. dietary management is important. diabetes and hypertension needs lifelong treatment. consult your cardiologist and endocrinologist for expert management. post your further queries if any, thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, it is advisable to take covers and novas instead of candace and nikolai. covers and novas are considered to be effective alternatives to candace and nikolai for the control of high blood pressure. covers may be started with 2.5 mg once daily along with novas 5\u00a0mg daily and the blood pressure should be periodically monitored to check their response. if blood pressure is not controlled with the initial doses then the covers dose may be increased to 5\u00a0mg. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. colon cancer has proved genetic cause, and it is hereditary.  in stomach cancer few are hereditary.  so overall you have chance of gi cancer.  you should go for regular colonoscopy and cea level to rule out possibility of cancer. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
who is at risk for contracting dengue fever? is there a certain age group or race that contracts dengue fever?,"40% of the global population are at risk of dengue fever, which is found in the tropics worldwide, especially in Southeast Asia, the Pacific region, and the Americas, Of the  50 to 100 million cases of dengue fever that occur yearly, 500,000 lead to hospitalizations, and 20,000 to death worldwide. Dengue hemorrhagic fever and dengue shock syndrome occur most often in children under the age of 15 years."
Answer this question truthfully,IV drug users are the demographic that is most commonly associated with acute endocarditis due to Staphylococcus aureus.
Please summerize the given abstract to a title,What Drives Land Abandonment in Core Grain-Producing Areas? Evidence from China
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your query. refluxes tend to resolve in the first year of life and resolution continues till 5 years age. your child needs to be on chemoprophylaxis. as far as serum creatinine is concerned, it is lower in the early days of life and gradually increases as the child grows. that is the normal trend. since his grades have gone down you should not worry. we would like to know whether his kidney is scarring or not. he will need a dms scan and then follow-up scans. we are more interested on the level at which his creatinine settles down. he also needs a few more tests like renal dynamic scan to comment on individual function of the kidneys and unobstructed passage of urine from them. if he has voiding difficulties we need to rule a posterior urethral valve and also improper functioning of the bladder. you can get a second opinion from a pediatric surgeon also. hope that helps god bless you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, the symptoms that you have described do seem to point towards an appendicitis or cause related to gall bladder or due to chronic gastritis. i would suggest you to take a full course of antibiotics for helicobacter infection along with antacids to receive you of the gastritis like symptoms and if it doesn't give you any respite, instead of getting the gall bladder removed it would be better to investigate for chronic appendicitis and get it removed. you could also take the small measures of have small frequent low fat and spice diet and going in for some kind of meditation or yoga to calm your mind and to get over the anxiety and tension that you seem to be suffering from due to this condition, it would also be worthwhile to get an x-ray pub done to rule out any ureteric stones as they can mimic an acute appendicitis attack. do not get disheartened and do try to get to the root of the problem. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, autonomic nervous system controls involuntary functions of the body like blood pressure maintenance, heart beat, breathing, sweating, bowel function etc. when this is disturbed it is known as dysautonomia. it presents with symptoms like high blood pressure, excessive sweating, flushing, bowel disturbances etc. the symptoms can be quite distressing for the patient which can lead to a secondary depressive disorder (depending on for how long she has been experiencing these symptoms and also the relationship between them and the depressive symptoms). this maybe the cause of her symptoms like early morning awakening, weeping and low mood etc. symptoms of excess sweating and flushing is not usually seen as a part of depressive disorder. this disorder is quite rare and can have primary causes. investigations would help make a diagnosis. if a cause is found then the treatment would target that condition, if not the treatment would be symptomatic, which means that treatment will be given to control each of her symptoms. medicines she is receiving right now is non-specific. discuss investigating her further by her treating doctor.  hope this helps, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. treatment for pcs begins with weight loss and metformin, if either or both are indicated, and then is individualized depending on the patients reproductive needs"
Answer this question truthfully,Mycosis fungoides typically presents in adults with dermatological symptoms.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dear thanks for your query on chatdoctoryou need to get an ultrasound of the neck to look for any other lump that is not palpable. followed by fnac of the lump which will give you pathological diagnosis following which the treatment can be started. complete blood count and manitou test if you're suspecting tb. if you have cough with sputum get the sputum test. chest x-ray pa view for any lung lesion
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the history and symptoms suggest that the lump what you are feeling could be the xiphisternum, which is normal anatomical condition - if there was a mass ultrasound would have been picked. 2. the pain in that region most commonly are gastric causes / ulcers and inflammatory condition.3. treatment in this case includes having small portions of food in frequent in in travel of time regularly will help. 4. avoid junk, spicy,fat containing food and take more of fruits and salads, fibrous diet for better bowel moment - that should help, you try at least couple of weeks.5. if you have a suspicion, and you want to clear once for all - then ct abdomen is right choice - that will clear all your suspicion and help to find any underlying pathology. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, when bees sting a person they will inject venom through their stinger into the skin of the victim. people stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. for any bee sting, following measures should be followed1. if the stinger is present remove it immediately. 2. apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. wash the area with soap and water4. take antihistamine such as ben chatbot. 5. pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. aforementioned measures should follow whenever there is a bee sting. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. but don't worry, it is quite normal for a 27 old female to have slow heart beat. it is quite known in medicine that young people, well-trained ones may have slow heart rates. this is normal. if you don't have any symptom and if you have done all the examination you should not worry. the heart is able to adapt her function to the body necessity. you may have slow heart rate, but the heart is able to maintain its frequency as the organism needs wile moving, walking, running etc. i hope i was helpful. wish you good health, take care"
Please summerize the given abstract to a title,Vagus nerve stimulation therapy in people with drug-resistant epilepsy (CORE-VNS): rationale and design of a real-world post-market comprehensive outcomes registry
Answer this question truthfully,The recommended treatment for a patient with vague symptoms that are concerning for appendicitis is to perform a CT scan while preparing for surgery.
Answer this question truthfully,"Critical Limb Ischemia is an advanced stage of peripheral artery disease that affects the blood vessels in the legs and feet. It is characterized by a triad of symptoms, including Ischemic Rest Pain, Arterial Insufficiency Ulcers, and Gangrene. Ischemic Rest Pain is a type of pain that occurs when the legs are at rest, and is caused by a lack of blood flow to the affected area. Arterial Insufficiency Ulcers are open sores that develop on the skin due to poor blood circulation, and are typically slow to heal. Gangrene is a serious condition that occurs when tissue dies due to a lack of blood flow, and can lead to amputation if left untreated. Critical Limb Ischemia is a serious condition that requires prompt medical attention in order to prevent further damage and preserve limb function. Treatment may include medications to improve blood flow, lifestyle changes, and in some cases, surgery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your question in detail and i know that you are very concerned about your child. by what you quote it seems that your child probably has got wheezing episode. due to wheezing episode he has difficulty in breathing at night. since, temperature is also low, you should take the child to emergency and get the child examined. i hope this will help you. wishing your child good health. take care. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. your husband s current x-ray report says he is having cavity with fresh infiltration.  these mean active tb infection. cavitory lesion on chest x-ray has high chances of having active, infectious tb. if he has previous tb than this can be a healed lesion. but for this you need1. ct thorax2. bronchoscopy and bad (bronchi alveolar lavage) analysis for tb. ct thorax gives excellent visualization of lung parenchymal and much better imaging modality than chest x-ray. so if both are negative for tb than this is probably due to past tb infection."
Answer this question truthfully,"ADHD, or Attention Deficit Hyperactivity Disorder, is a psychiatric condition that affects both children and adults. One of the hallmark symptoms of ADHD is difficulty paying attention, which can manifest as not seeming to listen when spoken to directly. Other common symptoms of ADHD include hyperactivity, impulsivity, forgetfulness, and disorganization. ADHD can have a significant impact on daily life, including academic and work performance, social relationships, and overall quality of life. While there is no known cure for ADHD, there are treatments available that can help manage symptoms and improve functioning."
Answer this question truthfully,Sulfa drugs can cause a drug-induced lupus.
Answer this question truthfully,The initial management for wound dehiscence includes binding the abdomen and limiting movement and straining.
Please summerize the given abstract to a title,Torus knots obtained by negatively twisting torus knots
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! based on the history of diarrhea in the recent past, you may be having simply a colitis (infection of the colon, specially on the right side in this case). you may have to go for a stool test and depending on the reports your family physician may advise you for some antibiotics for intestinal infection. however, one should keep in mind about a sub acute appendicitis, and the diagnosis can be done only by clinical examination by your family physician/surgeon assisted possibly by an ultrasound abdomen if need be. wishing you an early recovery."
Please summerize the given abstract to a title,Performance evaluation of hybrid crowdsensing systems with stateful CrowdSenSim 2.0 simulator
Please summerize the given abstract to a title,Elevated Rates of Indeterminate Results on QuantiFERON-TB Gold Plus in COVID-19 Patients
Answer this question truthfully,The likely diagnosis for the patient's condition is non-allergic rhinitis.
Please summerize the given abstract to a title,Impact of multiple complex plaques on short- and long-term clinical outcomes in patients presenting with ST-segment elevation myocardial infarction (from the Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction [HORIZONS-AMI] Trial).
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern to look younger than age. i can get from your history that you are 60 years of age and are smoker too. it is perfect that you quit smoking which is sole most important cause of aging lines to appear fast. in your kind of cases i generally analyze the skin and see for the aging lines and the appearance. i generally prescribe few anti-aging ointments containing glycolic acid and vitamin c serum or retinoid cream in various combinations. if at all the result is not seen with the use of above regimen then i go for chemical peeling and laser rejuvenation of face. i also suggest you to take best of nutritive diet to improve the nutritional reserves and replenish the vitamin contents. it not only rejuvenates the skin but also will give you the active status. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, it seems like you are having modulo cystic acne. this type of acne is usually resistant to the conventional medications and treatment. so i would say you are a candidate for isotretenoin therapy, this is it a derivative and proven to be very helpful, but you need to go to your dermatologist because this medication is not suitable for all people, and you have to be reviewed before staring the therapy. regarding the scars, i can understand your concerns, here again i would say there are many options, but you need to see a dermatologist to give you an option which best suits your skin and can have the maximum results, i hope you can understand my point. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it will be possible that he must have landed on the shoulder and gave some small injury to the muscle fibers for which he is getting pain. i will recommend doing some hot fermentation and move the shoulder slowly while lying down and chatbot.  gradually as the pain comes down try doing the same thing in sitting and the muscles will get stronger which will help him ease. for the bump behind the ear, kindly meet a physician as he will be the right person to answer on it. thank you"
Please summerize the given abstract to a title,Virtual Screening of Natural Compounds Targeting Proteases of Coronaviruses and Picornaviruses
Please summerize the given abstract to a title,Point-of-care ultrasound and COVID-19.
Please summerize the given abstract to a title,Vaccine Development Against Middle East Respiratory Syndrome
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. when was the appendix removed ? you can not take tuscan immediately after appendix removal. if it is more than a week you may take tuscan, but this indicates that you need to be seen by your operating surgeon as to why there is pain in abdomen. the reason has to be found out as there should be no pain in abdomen after appendectomy operation. stop anything orally, you may need to undergo x-ray of the abdomen in the standing position to see any intestinal obstruction and ultrasonography."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for posting query at chatbot.bag can not be completely eradicated in a patient suffering from herb.however, complications maybe prevented if proper medication is taken and proper diet plan is followed. treatment is advised if high values of liver enzymes and high viral load on a pcr. if hbv dna count in pcr are not high, liver enzymes should be monitored regularly while herb markers maybe checked every 6 to 12 months. as per your lab results, treatment is not necessary. avoid alcohol, junk food. limit beverages. eat healthy. hope to answer your concern. wish you good n sound health. regards chatbot. chatbot .com/doctors/"
Answer this question truthfully,"Specific phobia is a type of anxiety disorder that is characterized by severe, persistent fear or anxiety triggered by specific things, situations, or environments. The symptoms must persist for more than 6 months to meet the diagnostic criteria for specific phobia."
Answer this question truthfully,What is the equation used to calculate filtered load (mg/min)? The equation used to calculate filtered load is: Filtered load = GFR (mL/min) * [Px] (mg/mL).
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i have gone through your question and understand your concerns. spotting in early pregnancy can be due to threatened abortion, chorionic hemorrhage or some lesions in cervix or vagina. first ultrasound should be done to confirm the cause and then the treatment should be taken. ethamsylate is not advisable to take in pregnancy, however injection maintain is progesterone which is given to make the uterine environment more favorable for the fetus. it can be taken without any risk. hope you found the answer helpful. wishing you good health. chatbot."
Please answer the letter of option truthfully,B
Answer this question truthfully,Leptospira interrogans is the bacteria that is commonly associated with surfers who spend time in the tropics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thank you for your question. as per your history, it can be a renal calculi or stone. causing sharp pain and radiating to the back and groin area. i will advise you to consult your surgeon for physical examination and necessary investigations. i will also advise you're following"
Please summerize the given abstract to a title,Mitochondrial C5aR1 activity in macrophages controls IL-1β production underlying sterile inflammation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~i understand your concerns.  you are probably in the right place if you are seeking help in the form of advice.  i believe that what you had was a follicle which you did not treat correctly.  i think that you should also need to see a doctor that is giving you systemic medications to help prevent the reoccurrence of acne form lesions.  furthermore, i hope this helps.  take care and have a lovely day!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if your bp is well controlled then no need to take, but you need to frequently check it.  you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly, if bp is persistently more than 140/90 mmh, then you should be on medicines for it. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. hope this helps you and get back if you have any doubts."
spina bifida; vertbral fusion;syrinx tethered cord. can u help for treatment of these problem,"Some people with open spina bifida have additional physical and psychological conditions, including digestive, vision, sexual, social, and emotional problems; obesity; and depression. « Is there a cure? What are the treatments? »"
Please summerize the given abstract to a title,A Stochastic Model Depending on the Infection Rate :COVID19 Case in Djibouti
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you? my name is chatbot.  i am a liver transplant surgeon and i hope to answer your question today. by the history you have provided, i am worried that he might be suffering from hepatic encephalopathy which is a complication of liver cirrhosis. encephalopathy can be precipitated by a lot of things (infections, medications, etc.) but in most cases it is easily treatable. in your dads case, it could very well been brought on by the procyon tablet, but infections have to be ruled out. please let me know your geographical location so i can guide you to the nearest liver specialist. hope this helps and hope your dad starts to feel better."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to us with your health concern.first, calm down. you are just 16, and while it is a valid fear you have , on account of a family history of tumors and hormonal problems, reading up on the internet randomly often causes more panic than needed, and does not add to any real knowledge. yes, most reproductive organ cancers run in families, so you should be vigilant. if you are sexually active, you should start having regular pelvic screenings and pap smears. if you are not yet sexually active, go for vaccination against hpv. regarding the abnormal bleeding, it does not indicate anything particular. it could mean an abortion or miscarriage (again if you are sexually active). it could just indicate a cervical polyp or growth, or endometrial hyperplasia. please have a gynecological evaluation - per magnum and spectrum.also, get your tsh levels checkedstress, anxiety, weight gain, late nights - all can lead to such bleeding. take care."
Answer this question truthfully,"The death rate for untreated LBRF ranges from 10 - 70%. In TBRF, it is 4 -10%. With early treatment, the death rate is reduced. Those who have developed coma, myocarditis, liver problems, or pneumonia are more likely to die."
Please summerize the given abstract to a title,TOWARDS PERSONALIZED MANAGEMENT OF CHRONIC HYPERTENSION IN PREGNANCY
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, lump in the mouth can be because of several reasons, it can be because of abscess in the arising from the infected tooth, either it can be a gingival abscess due to accumulation of bacterial plague and calculus deep in the gum pockets, can be due to authors ulceration, can be due to irritation due to trauma or smoking and tobacco chewing. i would advise you to visit to dentist get checkup done. take an x-ray. get complete mouth scaling and polishing done . maintain a good oral hygiene. hope this helps out . regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallstones and frequent occurrence of symptoms. an acute vs chronic attack of cholecystitis (inflammation of the gallbladder) secondary to cholelithiasis (gallstones) must be considered. it is best if you consult with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. diagnostics (such as ultrasound, liver function tests, alkaline phosphatase, complete blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. definitive treatment is cholecystectomy or surgical removal of the gallbladder. it could be done laparoscopically (gold standard) or through open technique. also, an elective (scheduled) surgery (vs emergent surgery) has better outcomes and fewer risks of developing post-operative complications. anti-spasmodics may temporarily alleviate the pain. low fat diet is also recommended. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. in any case, beer and gut are unhealthy. you should not use them. no doctor shall advise the other way round. gut alone may not be reason for heart attack. sedentary lifestyle and other reasons must have caused it. as long your medicine is concerned, you should consult your doctor for further advice. he knows your physical and health conditions better than us and his advice should be treated as final word. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",suggestions
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you so much for wishing me for uganda. i would like to suggest you try some anti allergy medications like allegra if you have allergy. but most of the time it can be of some fungal infections that might be related to body parts like inner thighs, scrotal region, underarms, hairy parts of the body etc. try to consult a dermatologist if it persists and try to find out the reason. hope i was of some help."
Please summerize the given abstract to a title,"Device associated –health care associated infections monitoring, prevention and cost assessment at intensive care unit of University Hospital in Poland (2015–2017)"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. thanks for writing. i am chatbot.  i have read your question completely, i understand your concern and will try to help you in the best way possible. yes doctor was right deep wounds who usually need a stitch should not be left open they catch infections. according to your history you seem to be having an infected wound in which there is ongoing infection. i hope you are taking antibiotics suggested by the doctor regularly. this wound is not healing and still bleeding because when there is infection and inflammation in the wound it delays the healing process, as infection settles down healing will start to speed up automatically. i would suggest you to take care of your wound, keep a good hygiene, don't let it get wet, take antibiotics regularly, if you were my patient i would have suggested you to take augmenting 1 gram twice a day, i hope you are already taking antibiotic. for pain, you can take tylenol or broken. daily cleaning and"
Please summerize the given abstract to a title,"The Tiny Impact of Respiratory Masks - on Physiological, Subjective and Behavioral Measures under Mental Load"
Answer this question truthfully,Pentazocine is used for the relief of moderate to severe pain.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, welcome, and thanks for sharing your concern i went through your query, and i feel, this need a full evaluation of her symptoms and assessment of her function before any definitive treatment is formulated for her. consult a general physician and get her investigated first. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi chris. abdominal pain and loose stool without vomiting or blood in stools is suggestive of an intestinal infection called enteritis. the rumbling noises indicate harsh movements of the intestines for removing the infected material. i would advise you to consult a doctor to get a prescription of an antibiotic most suitable for such types of infection along with a probiotic. take curds and banana and soft diet. if there is no response, you may please need few investigations like blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, tidal for typhoid and whatever is thought by your treating doctor.urine-routine, microscopy, culture and sensitivity (before start of antibiotic)ultrasonography of abdomen. the further treatment will be dependent upon the reports."
Answer this question truthfully,"Patients with pericarditis typically present with pleuritic chest pain, which is relieved by postural changes."
Please answer with one of the option in the bracket,"C: Thoracic aorta, right posterior intercostal artery, right bronchial artery"
how is asthma diagnosed,"Asthma - children (Exams and Tests): The health care provider will use a stethoscope to listen to the child's lungs. The provider may be able to hear asthma sounds. However, lung sounds are often normal when the child is not having an asthma episode. The provider will have the child breathe into a device called a peak flow meter. Peak flow meters can tell how well the child can blow air out of the lungs. - Allergy testing on the skin, or a blood test to see if your child is allergic to certain substances - Chest x-ray - Lung function tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello against muscle pain are very common my advice for youtube plenty of water, fluid intake will dilute toxins. physiotherapy with ultrasound and tens will help you, yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. take potassium rich diet. hot and cold fomentation to leg. you need to continue you medication for a couple of month to see effects. add tab methylcobal 1500 once day. you may need mri spine. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your query....a sudden free fall on the abdomen can cause blunt abdominal trauma, .this is generally associated with splenic trauma or liver trauma. so blood can collect inside the free cavities of the abdomen. so this can give rise to swelling.....such injuries should be evaluated thoroughly through ct scan abdomen....and in such a case should be managed appropriately. therefore all swellings post trauma have to be examined without any delay. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. ast (got) and alt (sgpt) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. so the next step is to look for certain liver damage and most common case is fatty liver disease. it should be confirmed by ultrasound. other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. to verify exact cause, us, bilirubin levels and tumor markers should be additional done then appropriate treatment can be started. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Please summerize the given abstract to a title,Chlamydia pneumoniae Infection Induces Vascular Smooth Muscle Cell Migration and Atherosclerosis Through Mitochondrial Reactive Oxygen Species-Mediated JunB-Fra-1 Activation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. thanks for your query. this is very common condition when impacted tooth presses a nerve. this is the reason for pain. you should continue giving hot packs. such impacted tooth should be removed otherwise they keep troubling you with on and off pain episodes. it requires very skillful and experienced oral surgeon as there is involvement of nerve. i would suggest you to consult oral surgeon (as there is already an appointment) for proper evaluation of condition. doctor may take x-ray or ct scan to access the position of the tooth and may perform surgery under local anesthesia to remove the impacted tooth. for pain ibuprofen(if not allergic) or acetaminophen and do warm saline rinses. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. left sided chest pain and breathing difficulty in alcoholic patients should always be evaluated for heart diseases. so get done ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. acute gastritis due to alcohol can also cause similar symptoms. so take pantoprazole tablet on empty stomach twice daily. avoid alcohol in the future. avoid hot and spicy food. avoid junk food.don't worry, you will be alright but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. if you are first time pill user and starting for first month, then one missed pill will be quite risky for being pregnant if you involved in unprotected sex close to your fertile or ovulation day. another thing, you might get with chatbot.  it is quite early to confirm pregnancy. i suggest you to take two pills on the very next day and continue rest of the pills as earlier. do home pregnancy test if you miss your regular period. hope, it helps for you. good luck and take care."
Please answer with one of the option in the bracket,E: Inhibition of ALA dehydratase and ferrochelatase
"If you are a doctor, please answer the medical questions based on the patient's description.",hello... increased heart rate is called tachycardia. it has various type. transient and persistent. again these two have various subtypes. according to your description it is very unclear that your mom is suffering from which type. but if ecg is normal it means she is suffering from sinus tachycardia. sometimes spondylitis and blood pressure can effect heart rate also. and patient can suffer from sinus tachycardia but most of the times there is no specific cause for sinus tachycardia. so my advice is to control her blood pressure with neck pain can decrease the heart rate but if heart rate still more than 100/minute than start tab metoprolol 25 mg once a day and can increase the dose up to 100 mg according to response. thank you
Answer this question truthfully,The formula used to calculate the osmolal gap is the measured serum osmolality minus the calculated serum osmolality.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. the colonel contains the active ingredient proximal and the lexical contains the active ingredient meloxicam, both of which on non-steroidal anti-inflammatories used to treat pain and swelling. their side effects may include"
"If you are a doctor, please answer the medical questions based on the patient's description.","for mucositis, make him do gargles with xerox sachets. 1/2 a sachet in a glass of water twice a day. he may also do frequent gargles as much as possible with a pinch of sodium bicarbonate and a pinch of common salt. for pus secretion, you may have to take broad spectrum antibiotics like ciprofloxacin. if pus is persistent a pus culture should be done to determine the antibiotic which is susceptible. clean the wound area with warm saline or betadine solution. apply newsprint powder."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have bleeding tendency.  it can become dangerous during surgery.  you should go for complete coagulation profile before surgery.  you may have low platelet count or some other bleeding abnormality.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as per your history i feel this is related to nerve pathology due to compression of the nerve in the sciatic notch area due to which there are changes in the sensory system and the numbness is feeling. also, you should get your vascular system checked once as due to venous insufficiency there might be such symptoms as well. so a thorough clinical examination is advised. regards jay in chatbot."
Please summerize the given abstract to a title,Lithium Toxicity in Two Coronavirus Disease 2019 (COVID-19) Patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in my experience, if your blood urea and creatinine levels have come down to within normal limits after treatment for lithium toxicity, then you do not need to worry about lasting damage. i find lithium a very safe and effective medicine provided it is prescribed and taken correctly. i start lithium in low dosages and gradually hike up after serum lithium level monitoring. probably this was not done in your case. best wishes."
Answer this question truthfully,Lipoteichoic Acid is the molecule present on the surface of Gram Positive bacteria that drives the immune response to the organism.
Please summerize the given abstract to a title,Mechanisms of a sustained anti-inflammatory drug response in alveolar macrophages unraveled with mathematical modeling
Please summerize the given abstract to a title,A pH-engineering regenerative DNA tetrahedron ECL biosensor for the assay of SARS-CoV-2 RdRp gene based on CRISPR/Cas12a trans-activity
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i am very sure that you a passing through difficult times. but i also see that you have this \""one in a million\"" capacity to understand your problems and go through all the rituals without having any mental anxiety and stress. even though stress and anxiety are available, they are of mild degree. i shall give the credit to you, you alone. average people might have succumbed to their fate. people like you should also try to help others who are suffering, give them motivation, bring meaning to their life etc. nowadays, these services can be done through internet also. try and once you start, your stress and anxiety levels should come down. please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. from your description it seems to be a sebaceous cyst. it is characteristic for this lump to do not give symptoms right after it appears. it usually gives symptoms when it gets infected. if so, pus appears (can be with blood) as well as swelling and pain. once it is chatbot. to get rid of this lump, you should consult general surgeon and have it removed. otherwise, the symptoms can appear again. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot stomach ulcer is no way related to pregnancy.u can definitely conceive at age 37.u need to get an endoscopy to find out the cause for stomach ulcer and get it treated.as of now take tablet pantoprazole 40\u00a0mg half an hour before food.if still it persists its better u start on h-pylori kit.cut down spicy foods and alcohol.take plenty of water and fruits and vegetables.u will be fine.take care
Answer this question truthfully,Compression / neuropathy of the phrenic nerve results in uniform weak inspirations during maximal voluntary ventilation.
Please summerize the given abstract to a title,An integrated community and primary healthcare worker intervention to reduce stigma and improve management of common mental disorders in rural India: protocol for the SMART Mental Health programme.
Answer this question truthfully,"Adrenoleukodystrophy is a genetic disorder, so anyone with a family history of the disorder is at risk. Since the disease is passed down from parents to their children as an X-linked genetic trait, males are mostly affected."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. it appears that you are having a depressive episode along with the thyroxine deficiency. there are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram, and they are all very effective and mostly safe. you may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,Graves disease is the most common cause of hyperthyroidism.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i understand your concern. in my opinion your symptoms may be caused by multiple sclerosis. loss of vision in one eye is a very common finding in early ms. it is also called optic neuritis. not typical for lupus. your family history and the mri findings are other arguments in favor of ms diagnosis. multiple sclerosis can coexist with other autoimmune disease like lupus. your complaints do not support lupus diagnosis, but your blood analysis will determine the diagnosis. hope to have been helpful, thank you for using chatbot! chatbot."
Please summerize the given abstract to a title,Evaluation of SIGLEC1 in the diagnosis of suspected systemic lupus erythematosus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that since your father has diabetes and high blood pressure. such chronic illness can cause chronic damage to the kidney. once the kidney function is compromised it leads to rise in the creatinine which is usually filtered by the kidney. to remove the creatinine out of body it is necessary to take the diuretics under your local doctors guidance. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
Answer this question truthfully,"The smaller ribosomal subunit used in eukaryotic translation is the 40S subunit. It is composed of ribosomal RNA (rRNA) and proteins and is responsible for binding to the mRNA (messenger RNA) and initiating the process of protein synthesis. The 40S subunit joins with the larger 60S subunit to form the complete ribosome, which then proceeds to elongate the growing protein chain. The 40S subunit is also the target of several antibiotics that inhibit eukaryotic protein synthesis, such as cycloheximide and edeine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, these mri findings indicate that there are protrusions of the intervertebral discs in two levels of the lumbar spine. the narrowing at the l5-s1 level is mild, at the l4-l5 level is severe and nerves are compressed as well. mild contrast enhancement means that there are inflammatory changes in the disc. it depends on the symptoms and neurological findings, however, the severe stenosis at l4-l5 may require surgery. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please answer with one of the option in the bracket,E: Lithium
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can very well understand your health concerns. pemphigus vulgarism is an autoimmune disease which causes blisters over the skin surface as well as oral mucosa and can very much involve the gums. the blisters are fragile with a thin covering and can bleed on slight stimulation.therefore, bleeding on flossing can be due to it. as you have taken the steroid course and of the signs and if symptoms of disease are not present then bleeding can also be due to gum infection as a result of poor hygiene. you should consult a dentist and get evaluated as the oral lesions are many a times diagnostic tool for memphis vulgarism and if it is recurring you should get it treated again with steroids. in case it is poor hygiene scaling of teeth and antibiotics and gum paint can relieve. hope this information helps, and thanks for writing to chatbot . of you find the answer helpful please give a five-star review and click on found the answer helpful as a token of appreciation. thanks and regards. chatbot. ."
Answer this question truthfully,"Pleomorphic adenoma is a type of salivary gland tumor that consists of chondromyxoid stroma and epithelium. This tumor can cause swelling, pain, and other symptoms depending on its location and size."
Please summerize the given abstract to a title,The German Act on Autonomous Driving: Why Ethics Still Matters
Answer this question truthfully,"Individuals with psoriasis may develop the following complications: 
High-output cardiac failure in erythroderma  Psoriatic arthritis Infections Cachexy Amyloidosis
Anti-TNF medications given during the management of psoriasis may lead to: Progressive multifocal leukoencephalopathy Optic neuritis Transverse myelitis Multiple sclerosis Infections"
Please summerize the given abstract to a title,Potential interactions between antineoplastic agents and medicines used to treat Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this can be a cardiac arrhythmia like psv or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. usually ecg is normal as it is usually done in between the episodes. ecg done during episodes will show abnormality. you will need 24 hour holder monitoring. so visit nearby cardiologist for this investigation. also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard. is there any stress or anxiety associated. till the time your evaluation is complete, you can ask your local doctor for tab collar la 20 mg once a day. if none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases."
"If you are a doctor, please answer the medical questions based on the patient's description.","budecort is an inhalation corticosteroid(ics), its side effects include local candidiasis and dysphonia(hoarse voice). to reduce its side effects, ask the child to rinse her mouth after its use with swish and spit technique. usually all steroid can cause acute gastritis and vomiting, but the chances with ics is rare. stalin has not been known to cause such side effects. give your child a three-day course of tab landon junior 15 mg, one tablet daily empty stomach in the morning. also give an anti-emetic like spy ondansetron sos to relieve her of symptoms."
Answer this question truthfully,"The recommended next step in management for a patient with a gunshot wound in the right thigh, with a cool to the touch right lower extremity and feeble distal pulses is urgent surgical exploration. These signs and symptoms suggest that there may be significant vascular injury, and urgent surgical exploration is necessary to identify and repair any damage to the blood vessels in the affected area. Delay in treatment can lead to tissue damage and potentially limb loss. In some cases, amputation may be necessary if the blood flow cannot be restored. Therefore, prompt surgical intervention is critical to ensure the best possible outcome for the patient."
Answer this question truthfully,"The substance released by the sympathetic nervous system (SNS) that inhibits an erection (detumescence) is norepinephrine. During sexual arousal, the parasympathetic nervous system (PNS) is activated, leading to the release of nitric oxide and the dilation of blood vessels in the penis. This allows for increased blood flow to the penis, resulting in an erection. However, during detumescence, the SNS is activated, leading to the release of norepinephrine. Norepinephrine causes the contraction of smooth muscle cells in the penis and the constriction of blood vessels, reducing blood flow and leading to the loss of the erection. This process is important for maintaining sexual function and preventing prolonged or unwanted erections. If you are experiencing difficulties with sexual function, such as erectile dysfunction or premature ejaculation, it is important to speak with your healthcare provider."
Please summerize the given abstract to a title,SARS-Cov-2 seroprevalence and risk factors among health care workers: Estimating the risk of COVID-19 dedicated units
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query. based on your symptoms i would like to rule out coronary artery disease and arrhythmias?* do you smoke or consume alcohol?* do you have any other medical issues like diabetes, thyroid disorders for instance? * any family history of high blood pressure and heart disease? any chest pain must be immediately investigated. i recommend"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Zidovudine is used to decrease the vertical transmission of HIV, which is the transmission of the virus from an infected mother to her child during pregnancy, childbirth, or breastfeeding. The drug works by inhibiting the replication of the virus in the mother's body, reducing the amount of virus that can be transmitted to the child."
Answer this question truthfully,Diverticulitis is one of the pathologies that should be considered in the differential diagnosis of appendicitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, halcyon gets out of the body very fast. indeed, it is not there for most of the day if it is taken as directed only once a day.  but, people get used to having it and there is psychological panic from taking it. placebo (blinded administration) with patient consent and knowledge would be an option. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"Yes, cervical dystonia can be a painful condition. Cervical dystonia, also known as spasmodic torticollis, is a neurological disorder that causes involuntary muscle contractions in the neck and shoulders. These contractions can cause the head to twist or turn in uncomfortable positions, leading to pain and discomfort. In some cases, the pain associated with cervical dystonia can be severe and debilitating, making it difficult to perform daily activities. Treatment for cervical dystonia typically involves a combination of medications, injections, and physical therapy to help manage symptoms and reduce pain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you didn't mention what was your gestational age at the time of miscarriage? what was the reason for your miscarriage? whether genetic mapping of the fetus was done or not? some causes will be repetitive, so if the cause is known better advice can be given. anyhow, after having one miscarriage and undergoing d&c you have to wait at least for 3 months. in this period the endometrial cycle will become regular, and you can regain your hemoglobin status. take care"
Answer this question truthfully,"The stage of HIV infection that is characterized by recurrent bacterial infections is known as Stage 3, with a typical CD4+ count dropping to less than 350."
Answer this question truthfully,"Mutations of specific genes Congenital dysfunction of hypothalamus or pituitary Any damage to pituitary, such as tumor, surgery or radiation therapy for brain tumor Head injury or trauma Ischemic or hemorrhagic infarction from low blood pressure (Sheehan syndrome), or hemorrhage pituitary apoplexy."
Please answer with one of the option in the bracket,D: Oral vancomycin
Please summerize the given abstract to a title,Continuous positive airway pressure and pronation outside the intensive care unit in COVID 19 ARDS
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. though ad\u00edlio is prescribed for fatty liver, it may not completely resolve fatty. the same is the case with silicon. the common cause is nonalcoholic fatty liver disease. the treatment should be weight reduction if obese and check blood glucose and cholesterol levels and treat if they are found to be on the higher side. another common cause is alcohol intake. in this case, quitting alcohol will resolve the issue. i hope that answers your question. regards."
Answer this question truthfully,"A Pap smear may cause some discomfort, similar to menstrual cramps. You may also feel some pressure during the exam.
You may bleed a little bit after the test."
Answer this question truthfully,"The health care provider will perform a physical exam and look inside the throat. The doctor or nurse may gently rub the back of the throat with a cotton swab, so that a sample of tissue can be more closely examined. This is called a throat culture.
Other tests may include:
Complete blood count (CBC) CT scan of the neck X-ray of the neck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear friend, parkinsonism is a syn chatbot. parkinson disease is the disease representative of parkinsonism. other causes of parkinsonism can multi-infarct state, toxin exposure, corticobasal degeneration, multi system atrophy, progressive supra nuclear palsy. tremors in parkinson can be postural(while holding something) or rest. they can be in hands or legs. please visit a neurologist to get your diagnosis established. i hope it helped."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. your child is making deep breathing movements for 4 hours after coming from school, one common reason could be that she is worried about something which might have happened in school. other thing could be that she has some muscular pain at chest region. i advise you to take the child to doctor during the episode if she has it again so that proper check up should be done. i hope this has helped you. take care. regards - chatbot."
Answer this question truthfully,"Patients typically get exposed to Nitrosamines through consumption of certain foods. Specifically, smoked meats are the type of food consumption most commonly associated with this exposure."
Answer this question truthfully,"There is no real guideline on when to seek medical attention, because this condition is rare in the general community."
Please summerize the given abstract to a title,Defeating antibiotic-resistant bacteria with protein-resistant polyGGE film.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you had pre-eclampsia during pregnancy.  it was wise decision to have a cs as soon as the water broke. btw about 10 -20 percentage of patients who had hypertension during pregnancy may have persistent hypertension throughout and these are the patients who require long term medication for blood pressure.  however, as your pressure are just borderline we may wait and give diet and lifestyle changes ro take care of the slightly higher pressure.  also yes anxiety does push the blood pressure high and so treatment for the same may decrease the pressure is that's the predominant cause. what you are feeling is called post part um blues and its very common after a complicated pregnancy.  peer support would be ideal here. isospin can be taken with density. however please note that isospin should not be taken if you are breastfeeding.  also, the reason for acne in you would be hormonal imbalance and iso treating in is not the best chatbot.  hoping i could help. regards"
Please summerize the given abstract to a title,Translating Co-Design from Face-to-Face to Online: An Australian Primary Producer Project Conducted during COVID-19
Please summerize the given abstract to a title,Flipped Classrooms in Undergraduate Statistics: Online Works Just Fine
Answer this question truthfully,The McMurray test is used to identify injury to the meniscus (of the knee).
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. chest pain on deep inspiration is seen in pleurisy.  pleurisy is inflammation of pleura and can be seen in1. pneumonia2. pleural effusion3. tuberculosis. so ee need to rule out all these first. get done chest x-ray to rule out all these. if chest x-ray is normal than no need to worry much. it might be due to musculoskeletal pain only. so try to follow these.1. avoid strenuous exercise. 2. avoid heavy weight lifting.3. take good painkillers with muscle relaxant. 4. avoid bad postures in sleep.5. apply warm water pad to the affected part.
Please summerize the given abstract to a title,Pathogenic Human Coronaviruses
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot according to history anemia and cardiac cause seems first in mind as first impression, but they are not as per history no stress history present, so panic attack seems less likely hence now do work up for respiratory problem by. -auscultation -chest x-ray -spirometry if specific cause found than treated accordingly avoid smoking if having habit take care consult physician or pulmonologist for examination"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...by what you quote i feel that your kid i having an allergy problem. please do not give brandy. it is not good at this age. by what you quote i feel what your kid could be having viral associated wheeze or multi triggered wheeze. i have a few questions for you -questions
Answer this question truthfully,"This changes the blood's pH. A decrease in pH shifts the standard curve to the right, while an increase shifts it to the left. This is known as the Bohr effect."
Answer this question truthfully,"Waterhouse-Friderichsen syndrome is a rare but life-threatening condition that occurs when the adrenal glands are damaged by hemorrhagic necrosis, causing the gland to look like a ""sack of blood"". This condition is typically caused by an infection, most commonly meningococcal sepsis, which can lead to septic shock and multiple organ failure. Symptoms of Waterhouse-Friderichsen syndrome may include fever, chills, rapid heartbeat, low blood pressure, and skin rash. Treatment typically involves aggressive management of the underlying infection, along with supportive care to manage symptoms and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i value your concern regarding the symptoms. i have gone through your symptoms, and in my opinion you will need screening, of your joints and spine, maybe you are having degeneration changes there also. your age is prone to arthritis. but i would like to congratulate on leading an active life at 83 years. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health. special note-any medication prescribed needs to be taken after consultation with your personal doctor only."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. in one way everyone has their own anxiety symptoms. some are anxious to talk to strangers, to talking on stage, to write exams, to be in a high place, to insects, to water and so on. the list is end less. if you categorize by just anxiety symptoms, everyone in the world will come under anxiety disorder. therefore, to determine whether you have any social anxiety or not, first just ignore the symptoms for around 5 years. then, if you feel, you can consult a psychologist. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, flucloxacillin is an antibiotic commonly prescribed to treat infections caused by susceptible bacteria like skin and wound infections. its common side effects include nausea, vomiting, diarrhea, bloating and indigestion.  it is not known to cause delayed menstrual period. delayed period could be due to infection, stress, change of job or place, or hormonal disorders. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. wheeze means it's an asthmatic attack. if still after taking the medicine you are having an attack then i would suggest you to visit a pulmonologist who will adjust your medication after careful examination & relevant investigations. in the meanwhile you take montelukast one daily for one month. research has shown that it decreases the asthma attack.  hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. wishing you good health.
"If you are a doctor, please answer the medical questions based on the patient's description.","overweight is a deep understatement.  you are morbidly obese by medical standards, and need to quickly and thoroughly educate yourself about correct diet, and resolve to take this excess weight off.  my guess is that if you had the capability to get to a normal weight the rest of these problems would disappear.  best wishes in this endeavor, but do it as though your life depends on it, because it does.  the fact that you had a nice recovery means to me that you have not wrecked your body irreversibly and that you have the capability for a normal lifespan once you get the excess girth off."
Please answer with one of the option in the bracket,A: Francisella tularensis
Answer this question truthfully,"Naltrexone is a medication that works as a long-acting opioid antagonist, which means it blocks the effects of opioids in the brain for an extended period of time. It is used for relapse prevention in individuals who have been detoxified from opiates. Naltrexone works by binding to the same receptors in the brain that opioids bind to, which prevents opioids from producing their characteristic effects. By blocking the effects of opioids, naltrexone can help to reduce the risk of relapse in individuals who are in recovery from opiate addiction. Naltrexone is often used as part of a comprehensive treatment plan, which may include counseling, behavioral therapy, and support groups, to help individuals maintain sobriety and prevent relapse."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. burnt rubber smoke can cause lung damage through inhalation. it depends on duration of exposure, amount of smoke in the room and ventilation of room. in your case, i don't think it will cause much damage to your lungs. acute bronchitis is the most immediate complication of it. but you are not having coughing or wheezing with shortness of breath, so this is less likely. so better not to worry much for lung damage."
Answer this question truthfully,One function of secretin is to increase bile secretion.
Answer this question truthfully,Critical illness polyneuropathy is a complication of sepsis characterized by axonal injury of the peripheral nerves resulting in hyporeflexia.
Please summerize the given abstract to a title,The clinical value of ultrasound in the assessment of the severity of COVID-19
Answer this question truthfully,"H2O2, or hydrogen peroxide, can be neutralized by reduced glutathione, which is an antioxidant. Glutathione is a tripeptide molecule that plays a key role in protecting cells from oxidative damage by scavenging free radicals and reactive oxygen species (ROS). When H2O2 enters a cell, it can react with glutathione to form oxidized glutathione and water, thereby neutralizing the H2O2 and preventing it from causing further damage. The glutathione system is one of the body's primary defenses against oxidative stress, and disruptions in this system have been implicated in various diseases and aging processes."
Answer this question truthfully,"Some of the perfusion-related causes of prerenal AKI include hypovolemia due to bleeding, cirrhosis, or nephrosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, high wbc count can be elevated in any inflammation cause. it can be elevated in the physiological cause as well as by some chatbot.  it is important to know how much wbc elevation is present. so kindly attach your report so that i can check it. the large platelet is usually seen in case of pathology involving platelet destruction.  hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.usually the treatment for typhoid fever is 14 days. but as he was well for 12 days you need not worry. but the typhoid liters in the tidal test have not become more than 1
Answer this question truthfully,"The exact causes of panic disorder and agoraphobia are unknown.
Agoraphobia sometimes occurs when a person has had a panic attack and begins to fear situations that might lead to another panic attack."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the lesion on the tongue could not be a cyst, it can be a traumatic fibrous or lipoma. consult an oral physician and get it ruled out. if it is fibrous or lipoma, then consult an oral maxillofacial surgeon and get it surgically removed. if the lesion is on the floor of the mouth it can be a muscle, then it can be surgically enucleated. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum, the best way to solve your problem is healthy lifestyle habits as follows"
Please summerize the given abstract to a title,Developing a globally applicable cybersecurity framework for healthcare: A Delphi consensus study
Please summerize the given abstract to a title,Type I and III IFN-mediated antiviral actions counteracted by SARS-CoV-2 proteins and host inherited factors
Please summerize the given abstract to a title,Biocompatible Nanotube-Strontium/polydopamine-arginine-glycine-aspartic acid coating on Ti6Al4V enhances osteogenic properties for biomedical applications
"If you are a doctor, please answer the medical questions based on the patient's description.","as such if you have high blood pressure on frequent occasions you must take medicines. in almost 30% of cases it is silent. gastric complaints which you have may be due to hyperacidity and may not have any relation to high blood pressure .you may take pantoprazole 40 mg daily for 4 weeks for your stomach pain. and depending upon your blood pressure start medicine and titrate the dose in consultation with your doctor. your goal is to aim bp less than 140/90.medicines do have side effects, but not every patient has it. your doctor would know all possible side effects, so you should discuss with doctor and should not stop medicines. my best wishes."
Please summerize the given abstract to a title,SARS-CoV-2 re-infection versus prolonged shedding: A case series
Please summerize the given abstract to a title,Effect of alcohol consumption and the presence of fatty liver on the risk for incident type 2 diabetes: a population-based longitudinal study.
Please summerize the given abstract to a title,Recent Progress in the Development of Novel Mycobacterium Cell Wall Inhibitor to Combat Drug-Resistant Tuberculosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi according to your information your child is having some gastrointestinal problems mostly due to viral causes and settle by it own, but distinguishing features from bacterial illness is mucus containing stool or blood if it, so it might need antibiotics check your child s stool full report and channel a doctor you also mentioned that his urine also cloudy so better check his urinalysis as well thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. if i were your doctor, i would first advise you not to poke on the lump as it would increase the chances of recurrent infections and might increase the lump. i would prescribe a broad spectrum antibiotic along with an anti-inflammatory and a proton pump inhibitor chatbot.  an antiseptic cream might also be added to it. considering your poking the lump with a safety pin, i would also verify your immunization status for tetanus, and give a shot of anti tetanus vaccine if needed. in case the lump goes on increasing, i would advise you to see a general surgeon in your area for a clinical assessment to rule out any other missed diagnosis/pathology in the lower lip. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please summerize the given abstract to a title,Asymptomatic COVID-19 in a rehabilitation facility: evolution of the presence of nasopharyngeal SARS-CoV-2 and serological antibody responses
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, ok, i have non-functional opiate receptors. the conventional textbook information on fibromyalgia as non-functional opiate receptors works fine for me.  then again, the data imply that most people with fibromyalgia are depressed and trying a different anti-depressant is often needed for depression. so, lisinopril isn't necessarily effective and can both not work and lower the blood pressure too much.  https"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a rough spot on the scrotum skin in the perineal region is not a serious concern for the cancer. it might however be an infection or post radiation therapy skin change. the area between the rectum and testis is occupied by fat under the skin. usually any infection in the fat appears like a soft lump that can occasionally get painful. please get examined by your doctor should have any pain or discomfort in the area which can be due to an infection and requires proper treatment with antibiotics. if it is only in the skin then please get it examined by a dermatologist for any suspected fungal infection and get treatment. this is less likely to be a serious concern but must be examined and treated. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. one of the causes of thrombosis is a hypercoagulability, i.e. increased risk of coagulation.2. as you have a family history, and already suffered one episode and future risk is present, you need to be on anti-coagulants.3. hormones are responsible, yes. however, if you try to reduce the hormones, other complications will happen. you need to be on warfarin for life to avoid risks. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Grief loss and the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, first i want to warn you please don't take the pearls of ether, they are illegal tablets not more sold in the usa, they may cause blow out or fire. now come on your specific problem, before making a conclusion i want to ask about your age, your profession any history of spine or hip trauma, the cause of sore the radiation of pain from spine to any other regions. any weakness in lower limb. associated any other comorbiditiessoreness causes ulcer with free peripheral nerve endings with lots of inflammation that causes pain...now you reply me answers of above asked questions then i can suggest the treatment."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"P-glycoprotein is classically seen in adrenocortical carcinoma, a rare cancer that affects the outer layer of the adrenal glands. However, it is also expressed in various other cancers, including breast cancer, lung cancer, and leukemia. In these cancers, P-glycoprotein can contribute to drug resistance by pumping out chemotherapy drugs and reducing their effectiveness. Therefore, understanding the role of P-glycoprotein in cancer is important for developing new treatments and improving patient outcomes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. some wild flies can bite you such terribly. as you are diabetic this wound probably is infected. i understand that you don't have money. you can go for the grams staining, culture and sensitivity from the wound discharge. this can guide us for possible treatment. once the antibiotics is taken accordingly than you can be recovers from the infections at earliest. please take good care of wound hygiene as it is equally important in treating the infection. please do regular cleaning and chatbot.  betadine and detail can be used for the"
Please summerize the given abstract to a title,Data-driven estimation of COVID-19 community prevalence through wastewater-based epidemiology
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your query am sorry to hear of your pain. now your localization of the pain, if accurate brings us to a very limited number of problems. the first possibility is a calculus. now i would expect that more commonly in people much older, but incidents do happen in younger population, especially if their fluid intake is low, or if the infection may happen. the best way to detect this would be via an ultrasound of the affected area.also, you should have a lot and a lot of water. this will help your kidneys wash of the calculi more easily. it may also be due to constipation. taking lots of fluids and having high fiber diet is a good way to relieve the constipation. sometimes this is just gas. a plain antacid may help in such cases. i hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. please feel free to ask another query. i would be glad to help you. looking forward to your return query with the details asked so that i can help you further. (if the answer has helped you, please indicate this)best of luck. chatbot. mbbs, md (internal medicine), cc (diabetes mellitus), dnb (neurology)consultant physician and diabetologistjs hospital apollo hospital, delhi baileys hospital, noida"
"If you are a doctor, please answer the medical questions based on the patient's description.",i have gone through your question and appreciate your concern. u have back pain and increasing in severity day by day. i think it is better to take specialist opinion and get mri spine done. approtiate diagnosis is necessary to ensure effective treatment. general measures to improve back pain are avoid bending forward and lifting heavy weights. hot fomentation thrice a day. muscle relaxants and analgesics will help. lie on flat hard bed. local analgesic gel for local application. muscle strengthening exercises will help you in long term. thanks. u can write me back for any query.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, small cell lung cancer first treatment is not artifact. if it is limited stage disease chemo radiotherapy is the treatment but in extensive stage it is chemotherapy. getifact (gefitinib) normally given in maintenance till disease progression. without knowing exact treatment protocol it is difficult to comment on this issue but addition of artifact will not be harmful if it has prescribed earlier. consult with your oncologist as soon as possible."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. all in all these aren't good news. it is questionable is this primary liver tumor or a metastasis. but whatever it is she is definitely not able to stand liver resection or any other surgical procedure. chemo is also questionable. but you should give your best for palliative treatment and make all this easier for her. it is hard to predict anything but life expectancy is from few months till 1 year if this is malignant. wish you good luck.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you were bitten by a pet fully vaccinated dog it is very important to initiate the treatment as early as possible, as dog can transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. i would suggest you to follow 1. wash the wound immediately with soap and water. 2. active immunization with anti rabies vaccine on days 0,3,7,14 and 28. as it is a pet dog you can discontinue the last two doses on days 14 and 28.2. passive immunization with rabies immunoglobulin in and around the wound is required as it is on the face, we don't want to take risk with deadly disease like rabies.3. oral tab autoclave, 375 mg, twice daily for five days.4. if you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose. the aforementioned treatment will help to protect you against getting rabies. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have pain on the rib cage while breathing. well the symptoms you mention in query can occur due to may reason like muscle strain, myofascial pain, chest infection, acid reflux and lift something too heavy. it can also sometimes occur due to cardiac condition like angina.  consult orthopedic surgeon if there will be broken rib or muscle. for now continue taking advil, stay calm and apply warm compresses to back. i would suggest you to consult cardiologist also for proper examination and rule out serious condition like angina. doctor may order ecg, tmt along witchatdoctorplete blood profile and troponin t test. i to confirm the diagnosis. doctor may prescribe isosorbide initiate, beta blockers, furosemide, sedative and aspirin. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. from your history, there seems to be a cause for a recurrent infection of the post-operative wound. in case a mesh was used, this might have to be removed for control of the infection. there could be a non resolving suture inside which caused the recurrent problem. if i were your surgeon, i would explore the wound again and remove any foreign body over there including the mesh for control of the infection and then repair the defect under vigorous antibiotic cover without a mesh for the present. once the would heals up well without any infection, and in case of a second recurrence of the hernia, one could think of a laparoscopic repair of the defect with a mesh. these are all the possibilities only. however, the exact nature of the management would depend on after a physical examination of the defect, and the wound by the treating doctor/surgeon. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,"The recommended first-line treatment for hypersomnolence disorders is the use of stimulants. Hypersomnolence disorders are characterized by excessive daytime sleepiness and can be caused by a variety of factors, including sleep apnea, narcolepsy, and other sleep disorders. Stimulants such as modafinil and armodafinil can help improve wakefulness and reduce excessive sleepiness. These medications are often prescribed in combination with lifestyle changes, such as maintaining a regular sleep schedule and avoiding alcohol and caffeine. In some cases, other medications or therapies may be recommended depending on the underlying cause of the hypersomnolence disorder. Therefore, it is important to consult with a healthcare provider if you are experiencing excessive daytime sleepiness or other symptoms of a sleep disorder."
Please summerize the given abstract to a title,Rehabilitation pathway for Covid and post-Covid patients
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","abnormal creatinine levels in blood indicates kidney disease. normal levels of creatinine in the blood are approximately 0.6 to 1.2 milligrams (mg) per deciliter (dl) in adult males and 0.5 to 1.1 milligrams per deciliter in adult females. the most common causes of longstanding kidney disease in adults are high blood pressure and diabetes mellitus. the treatment for kidney diseases include diet modification, medication for blood pressure control etc., food supplements and dialysis. please consult a nephrologist."
Answer this question truthfully,"Mycophenolate Mofetil is a medication that is commonly used to prevent organ rejection in transplant recipients. The drug works by inhibiting the enzyme Inosine Monophosphate Dehydrogenase (IMP dehydrogenase), which is involved in the synthesis of purines. By inhibiting this enzyme, Mycophenolate Mofetil can reduce the production of purines, which are essential components of DNA and RNA. This can help to suppress the immune response and prevent the rejection of transplanted organs. Mycophenolate Mofetil is often used in combination with other immunosuppressive drugs to achieve optimal outcomes in transplant recipients."
Please answer with one of the option in the bracket,D: Increase her pain medication dose
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. considering your age and findings this looks to be just a boil. may settle on its own. do not handle/ fiddle with it otherwise it will grow and need antibiotic and anti-inflammatory medicines. if it is steady and silent - wait and watch. if it gives any symptoms of pain, redness, fever or increase in size - please consult a doctor and insist for a visual and clinical/ physical examination."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. it can be rotator cuff injury to shoulder which may need mri for confirmation. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. you may need to take rest for early healing. also check your it b12 and it d3 in your blood. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take disregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your concern in the chatbot. from the history, i think pied should be ruled out. you can have a x-ray of dorsal and ls spine to rule out any bony abnormality and change in disk space.  if the radiating pain persists you will also need mri of the affected region of the spine. for the time being you can have analgesics (tab paracetamol 500 mg sos, at least 6 hr interval should be maintained), a muscle relaxant (cyclobenzaprine 15 mg or thiocolchicoside 4 mg twice daily) and rest. these are for symptomatic relief. for definitive management you should have the imaging done and consult your local orthopedic surgeon. requirement of conservative management or surgery will be decided by him. for any further query please write back to us. regards."
Please summerize the given abstract to a title,The impact of the gut microbiota on prognosis after surgery for colorectal cancer - a systematic review and meta-analysis.
Answer this question truthfully,American Heart Association Recommendations for Lifestyle Modifications and Risk Reductions
Please answer with one of the option in the bracket,E: Knee to chest positioning
Answer this question truthfully,Friedreich ataxia is caused by a mutated frataxin gene located on chromosome 9.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, a certain degree of bloating is normal but in case of excessive bloating, it may be a sign of food allergy, hiatal hernia, ibs or inflammatory bowel diseases.  so you should do gastroenterology work up but first try to change your dietary habits, it means"
Please summerize the given abstract to a title,"Negotiating agency and belonging during the first lockdown of the COVID-19 pandemic: an interview study among older adults in England, UK"
Please summerize the given abstract to a title,Children's immunity at risk
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote it seems to be a viral illness or an enteric fever (commonly known as typhoid - but less likely). fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,The t-test is a commonly used statistical test to check for differences between the means of two groups.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, cannot say in your particular case, but generally, it is hard to have a reaction to vitamins since they are always in the body.  however, vitamins are generally made from yeast and some people might have a reaction to that. on the other hand, primrose is a flower and lots of people have allergies to flowers. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for writing to us. as you have poly cystic ovaries and your periods are irregular, you would need ovulation induction medications. you will also need to have the growth of the eggs monitored by ultrasound scan that is follicular or ovulation study. you can continue taking metformin. if you are overweight, you need to reduce weight by diet and exercise.also, along with this, your husbands' semen analysis and your tubal patency test need to be done. hope i have cleared your doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i am really overwhelmed that you are asking a question to doctors and also say that you do not want us to tell it is normal. if it is really normal, what do well tell you? should we tell it is abnormal? please try to understand. if you are in doubt you can check other penises which were circumcised during childhood. scar depends on many aspects like skin type, elasticity of the skin, tone, melanin content etc. a scar is a scar unless it becomes hard. you may consult a doctor in person to get your doubt cleared. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of your mother. as you mentioned your mother has sacralization and is under medication. since medicine can provide the chatbot.  also, you can ask her to do some breathing exercises and use hot water fermentation for lower back if she is having low backache .also, as you mentioned she has dysentery, she must have lost a lot of energy from the body. so for that you can provide her diet to cool the stomach and more fluids to keep the body cool. once she recovers slowly, and gradually you can put her on simple exercise under the physical therapist as it will help improve her metabolism and immune system too. with the grace of god i wish your mother a good health. if you have any queries you can ask me further. regardsjay in"
Please answer with one of the option in the bracket,"B: Colonoscopy: Continuous ulcerated lesions involving the mucosa and submucosa granular mucosa, crypt abscess, and pseudopolyps, Barium study: Lead pipe colon appearance"
Please summerize the given abstract to a title,The Impact of COVID-19: A Comparison of Nurses’ Turnover Intentions Before and During the COVID-19 Pandemic in Qatar
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you suffer from sleep paralysis i would recommend your seeing a sleep specialist in order to obtain a sleep study since you may be suffering from a sleep disorder which could be related to or even narcolepsy for which there is a specific medication that can help if not place into remission.  the other possible set of diagnostic studies that could be obtained would be imaging studies of the brain to include an mri of the head with gadolinium contrast looking specifically at the cerebellopontine angle to rule out the presence of a small mass lesion that may not be big enough to cause headaches, nausea, or vomiting but may be big enough to cause severe tinnitus.  i would also do an mra of the head and the neck. i might even recommend that a high-resolution mri on a 3 tesla (or higher) magnet be performed of the internal acoustic meats (iac) looking for any evidence of a cavernous fistula or breach of the cavernous wall or ceiling with an avm or similar which could cause bizarre and debilitating symptoms of tinnitus. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,"Peptide receptor radionuclide therapy (PRRT) with [(177)Lu-DOTA(0),Tyr(3)]octreotate in combination with RAD001 treatment: further investigations on tumor metastasis and response in the rat pancreatic CA20948 tumor model."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, i will explain to you briefly the difference between tumor suppressor genes and oncogenes. oncogenes are coded by proteins called proto-oncogenes. proto-oncogenes are encoded by two alleles. mutation of any one of the alleles converts proto-oncogene to oncogene. oncogene is responsible for particular malignancy. the role of proto-oncogene in health is to keep a check on uncontrolled growth of cells. tumor suppressor genes are encoded by two alleles. mutation of both these alleles is required for development of malignancy. tumor suppressor genes in health also prevent development of malignancy. mutation of these genes may be genetic or is caused by chemicals, physical damage like radiations, etc. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1.it's not complication, but it's seen in degenerative changes also (age related). disk bulge is not particular in trauma / trauma general shows with lysis / listless. 2.to also need to get an x-ray to find out if there are any fractures.3. i would recommend not to lift weight, it's contraindicated in back pain.4. do exercise on daily basis for low back pain - initially it will help, if not then you have to get the needful treatment done. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, having menstrual discharge in between 20-35 days is completely normal. so last menses came after 25 days is absolutely normal.  when menstruation occurs there is sloughing off of uterine wall hence no implantation and pregnancy cannot sustain. as she had menstruation 17\u00a0days following unprotected sex (again had progestin only pill 2hr later) so negligible chance of pregnancy. so don't worry everything is fine. thanks n regards"
Please answer with one of the option in the bracket,"E: Give first dose of diphtheria and tetanus toxoids, acellular pertussis (DTaP) vaccine at 2 months of chronological age"
Please summerize the given abstract to a title,"Limited Early Warnings and Public Attention to Coronavirus Disease 2019 in China, January-February, 2020: A Longitudinal Cohort of Randomly Sampled Weibo Users"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the information of your brother is reflective of delusional disorder. in his case he has suspicion over his family for ruining his business. such illness initially affects family life and relations of the patient, and it is not possible to convince them for treatment. usually, lately the health, self-care and work is also affected. there can be add-on depression or anxiety above the delusional disorder. the only way to treat such patient is by giving them medicines regularly. they should be brought back to family home and meds are given hidden in food or forcefully or by regular convincing them. with chatbot.  within few days there is good improvement in most of the cases but"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your baby was having congenital heart disease and developmental defect in spinal cord. heart diseases are common with nutritional deficiency of anti oxidants, minerals and other nutrients. spinal cord defect is common with vitamin b 12, folic acid and pyridoxine deficiency. chances of recurrence is high i next pregnancy. to avoid these defects, you should take proper care in diet before and during pregnancy. you should take multivitamin tablets containing folic acid, vitamin b 12, riboflavin, zinc, pyridoxine and other nutrients. also take anti oxidants tablets. eat healthy food like green leafy vegetables, fruits, high protein diet, pulses etc. with all these chances of recurrence in next pregnancy can be reduced. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Intolerance of Uncertainty and Health-Related Anxiety in Youth amid the COVID-19 Pandemic: Understanding and Weathering the Continuing Storm
Please summerize the given abstract to a title,Single-incision surgery with SILS port for anterior mediastinal lesions: initial experience.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, you should not start typhoid medications. your symptoms are not suggestive of typhoid. typhoid is actually an intestinal infection which give symptoms of abdominal pain, diarrhea, vomiting etc. since all these symptoms are not present in your case, no need for typhoid medicines. and weak typhoid test can be false positive. it is not 100% confirmatory. so, in my opinion, you are not having typhoid. you should investigate for other causes like anemia, migraine, back problems etc. and start treatment accordingly. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Strokes involving the anterior cerebral artery may cause paralysis and sensory loss of the contra-lateral lower limb.
Please summerize the given abstract to a title,COVID-19 Variants and Transfer Learning for the Emerging Stringency Indices
prostate cancer using seeds aimed at maligmem tumors is this a safe decision,"Brachytherapy is often used for small prostate cancers that are found early and are slow-growing. Brachytherapy may be combined with external beam radiation therapy for more advanced cancers. Brachytherapy involves placing radioactive seeds inside the prostate gland. - A surgeon inserts small needles through the skin beneath your scrotum to inject the seeds. The seeds are so small that you do not feel them. - The seeds are left in place permanently. Side effects may include: - Pain, swelling, or bruising in the penis or scrotum - Red-brown urine or semen - Impotence - Incontinence - Urinary retention - Diarrhea"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. tuberculosis lesion in lungs heal by fibrosis or calcification. this is normal phenomenon. these lesions are old, healed, non-active scars. they are permanent lesions seen throughout the life. no treatment is required or available for calcified lesions because they are inactive scar tissue. calcified lesions indicate previous tuberculosis, not actively tuberculosis. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Effects of purifiers on the airborne transmission of droplets inside a bus
Please summerize the given abstract to a title,State of the art in nonthermal plasma processing for biomedical applications: Can it help fight viral pandemics like COVID‐19?
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. excess masturbation is always energy consuming and therefore many areas of your body starts showing the symptoms of lethargy and fluid loss. among the first symptoms of fluid loss is muscular pain. you should stop masturbation for the time being, for a week. after that reduce your masturbation frequency to three times a week. to stop smoking, you should consult a addiction therapist. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,The first stage of labor starts from the onset of labor and ends when the cervix is completely dilated.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. at the time of ovulation some amount of spotting can be seen because of hormonal fluctuation. as you are having spotting for prolonged periods there could be some hormonal imbalance. increased endometrial thickness is also suggesting that. so you once get evaluated for hormonal profile. depending on that treatment can be taken. once periods become regular you may not have any problem in conceiving. for more details you can ask me through"
"If you are a doctor, please answer the medical questions based on the patient's description.",helloapply the gel twice daily but only in prescribed amount .... you should also go for scaling and curettage for your anterior teeth. after that take doxycycline 100 mg first day 12 hourly and 24 hourly from the second day for one week along with metronidazole 400\u00a0mg every 8 hourly and ibuprofen 400\u00a0mg 12 hourly..........burning of tongue may be a side effect of antibiotic or most probably overdose of mouth wash you were using. so be careful about that thank you
Answer this question truthfully,Montelukast and zafirlukast are especially effective at treating aspirin-induced asthma.
"what test do you do for rheumatoid ""arthritis?""","Rheumatoid arthritis can be hard to diagnose because the symptoms can be the same as in other kinds of joint disease, take time to develop fully, and there is no single test for the disease. To diagnose rheumatoid arthritis, doctors use medical history, a physical exam, x-rays and other imaging tests, and lab tests."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your question and i can understand your concern. despite the typo, i can figure out that you are talking about a persistent ear bone infection. it would have been more helpful if you have mentioned your age and sex. travelling by flight with an active ear infection can be uncomfortable especially if there is fluid accumulated behind your tympanic membranes/ ear chatbot.  the answer to your question would be yes you can fly; however, you must remember that there a chance where you might feel very uncomfortable during take-offs and landings. this is because of your body trying to balance out the difference in pressure. you can try a sterile ear plug or a good pair of headphones that can minimize the discomfort. the only time when you must try to avoid air travel is if there is severe fluid accumulation behind your ear"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question! you can use both of them, decade is more specific for acne prone skin, while the other, the attitude, contains green tea extract, jojoba oil, coconut oil, which is more moisturizing and pore cleaner, so if you are really concerned in treating acne you can use the decade, if you need just pore cleaning and moisture you can perfectly use the other one. have a nice day! please contact me if anything is unclear."
Please answer with one of the option in the bracket,E: Testicular atrophy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. it seems like you have bladder obstruction and urinary infection. you should do urinalysis and monoculture the rule this out. don't ignore this, it can lead to kidney infection. then antibiotic treatment may be performed. liver enlargement can be resulting from many disorders, and you must find the exact cause. most common are alcoholic, viral and autoimmune hepatitis. you should do liver ultrasounds and check viral markers. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have red pimples at the tip of your penis. these pimples could be due to inflammation of terminal part of urethra and external urinary meats secondary to acidic vaginal secretions of your female partner who is likely to have vaginal infection. please get her examined by a qualified gynecologist. since you do not have std proved on screening test you need not worry at all. you need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory chatbot. along with topical antibiotic ointment like newsprint twice daily. ensure to wash your genitals with warm water twice dailyensure to avoid sexual encounters till it heals up completely."
"I'm a 72 year old female, and have diverticulosis,gastritis, and esophagitis.  I tried to see three different doctors today, but all were booked.  I honestly don't know what to do.  It hurts in my chest, and I can hardly talk.","Your doctor will treat gastritis with medications to reduce the amount of acid in the stomach and treat the underlying cause. Acute gastritis caused by nonsteroidal anti-inflammatory drugs or alcohol may be relieved by stopping use of those substances. Gastritis caused by H. pylori is treated with antibiotics. Your doctor might recommend antacids or medications that block acid production and promote healing such as proton pump inhibitors, acid blockers - also called histamine (H-2) blockers. Antacids neutralize existing stomach acid and can provide rapid pain relief. Side effects can include constipation or diarrhea, depending on the main ingredients."
Answer this question truthfully,Oral candidiasis is a white deposit on the tongue that can be easily scraped away.
Please summerize the given abstract to a title,COVID-19 in transplant recipient children: An Iranian referral hospital-based study
Please summerize the given abstract to a title,Covid-19 pandemic: Impact of quarantine on medical students’ mental wellbeing and learning behaviors
Answer this question truthfully,"Liddle syndrome is a rare genetic disorder that affects the activity of epithelial sodium channels in the kidneys, leading to increased sodium reabsorption and decreased potassium and hydrogen ion excretion. This can result in hypertension, hypokalemia, and metabolic alkalosis. While Liddle syndrome is associated with increased activity of the renin-angiotensin-aldosterone system, serum aldosterone levels are actually decreased due to negative feedback mechanisms. Treatment for Liddle syndrome typically involves medications that block the activity of epithelial sodium channels, such as amiloride or triamterene."
Answer this question truthfully,"Probe position: from the parasternal long axis, move the probe apically and then angulate medically Echo/Diagram: view the right atrium, tricuspid valve, and right ventricle septal and anterior leaflets of tricuspid valve are visible appreciate entrance of coronary sinus entering the right atrium note the crista terminalis: muscular ridge running from the superior to inferior vena cava, dividing the RA"
Please answer with one of the option in the bracket,C: Obesity
Please summerize the given abstract to a title,Non-viral COVID-19 vaccine delivery systems
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the pain abdomen can be due to various reasons like preterm pains, muscle cramps etc. it needs physical examination to rule out the cause. in case of any preterm pains there can be cervical changes. you might need complete urine examination to rule out any infection. nothing to worry. it will subside with spontaneous treatment. avoid stress. take adequate fluids up to 2-3 liters per day. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, in your query you have not mentioned whether you are still continuing medication or not. i hope you eye on medications which can be tapered slowly before stopping with regular follow up from a qualified psychiatrist. experiencing mild difficulty in swallowing once in a while do not appear to be a part of panic attack. maintain good food, adequate hy chatbot. so as far as i can see, there is nothing in you that you should be worried of. hope i have answered your queries. feel free to write if you need further clarifications. get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, fever of a few days without any localizing signs could as well a viral illness. usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. metal contains metonymic acid which is an nsaid. it carries the risk of gastritis and renal problems in the long run. please do not use metal. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Charcot-Marie-Tooth disease is caused by defective production of proteins involved in the structure and function of peripheral nerves or myelin sheath. This group of nerve disorders affects the peripheral nerves, which are the nerves outside of the brain and spinal cord that control movement and sensation in the limbs. The myelin sheath is the protective covering around the nerves that helps to transmit signals efficiently. When there is a defect in the production of proteins involved in the structure and function of these nerves or myelin sheath, it can lead to a variety of symptoms, including muscle weakness, sensory deficits, and problems with balance and coordination. Charcot-Marie-Tooth disease is a genetic disorder, which means that it is caused by inherited mutations in specific genes. There are several different subtypes of Charcot-Marie-Tooth disease, each of which is associated with different genetic mutations and patterns of symptoms. Treatment may include physical therapy, orthotics, and other supportive measures to manage symptoms and improve quality of life."
Answer this question truthfully,"P.D. Evans, ""Octopamine"", in Comprehensive Insect Physiology, 11, 499, Oxford University Press 1985.
Template:Adrenergic and dopaminergic agents"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i have gone through your question. for hormonal imbalance you should get treatment for it first according to my advice. as hormonal imbalance will interfere in fertilization, implantation and in pregnancy also. contraceptive pills are prescribed to regularize the cycle. so consult gynecologist and take his/her advice for it. hope i answered your question. would be happy to help further. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Changes in sitting time, screen exposure and physical activity during covid-19 lockdown in south american adults: A cross-sectional study"
Please summerize the given abstract to a title,Immune correlates of protection by mRNA-1273 vaccine against SARS-CoV-2 in nonhuman primates.
Please summerize the given abstract to a title,Défis de l’action intersectorielle et pistes de réflexion pour renforcer la concertation dans les milieux ruraux du Québec en contexte de pandémie
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatdoctoras per your description you are having fissure that means small cut over anal mucosa(inner lining) which develops due to hard stools and causes blood in stools and pain during dedication. what you are feelings just a skin tag whicchatdoctores due to fissure. no need to worry, and no treatment is required for it. only try to eat lots of green vegetables and water. skin tag will not cause any problem to pregnancy. it will not grow if fissure does not recurred. if fissure is causing pain and its surgery is required at that time this tag can be removed. regards"
Please summerize the given abstract to a title,Longitudinal Trajectories of Study Characteristics and Mental Health Before and During the COVID-19 Lockdown
Answer this question truthfully,There are no particular laboratory findings in people with a melanocytic nevus.
Answer this question truthfully,"After organification of I2, coupling between two molecules of DIT may combine to form thyroxine (T4)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for asking. you are right about klonopin. in the first few months of start or restart of the pharmacotherapy, klonopin or another medication from its class should be added to the treatment. citalopram is a good medication for treating the panic attacks, and you may use another medication from its class like escitalopram, paroxetine or even fluoxetine instead of citalopram. i understand that citalopram may have some side effects on you, or even you may have become bored about using the medication. wellbutrin is not an appropriate medication for panic disorder and can increase the attacks. i should say that management of panic disorder includes the combination of medication and talk sessions. when you talk in free association about the issues currently happening around you with a psychotherapist and get gradually some feedback, you will be able to discontinue gradually the medication without any problem. i wish you the best health."
Answer this question truthfully,"Call your doctor if your symptoms of lupus nephritis develop. If you experience the following symptoms, seeking urgent medical care as soon as possible:
Urine output decreases even anuria."
Please summerize the given abstract to a title,Accounting conservatism and firm performance during the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having viral upper respiratory tract infection (uri) symptoms and hemoptysis (blood in sputum). it is commonly seen with bronchitis (inflammation of airways). bronchitis is also common after viral uri. best treatment for bronchitis is inhaled treatment. since you are not taking it, you are not improving. so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test) 3. chest x-ray to rule out lung infection. pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ics). don't worry, you will be alright. consult pulmonologist and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Precaution and management in handling dead bodies in covid 19 pandemic by the health care worker
Please summerize the given abstract to a title,The time course of chest CT lung changes in COVID-19 patients from onset to discharge
Answer this question truthfully,"Laboratory studies are not helpful in the diagnosis of the Zenker's Diverticulum (ZD), whereas they are used for the upper esophageal webs associated with iron deficiency anemia. The laboratory tests are done to differentiate the ZD from Plummer- Vinson syndrome. Laboratory findings consistent with the diagnosis of Plummer-Vinson syndrome include the presence of iron deficiency anemia."
Please summerize the given abstract to a title,Fecal microbiota transplantation as a tool to treat and reduce susceptibility to disease in animals
Please answer with one of the option in the bracket,B: Use of oral contraceptives (OCPs) for birth control
Answer this question truthfully,Call your health care provider if your child has significant separation anxiety after age 2.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not common for a baby to have simple febrile seizure at this frequency. usually they will get once in 2-3 months only. also, we have to think why the child gets fever once or twice every moth. if i were your treating doctor, i would suggest you to get an eeg (electroencephalogram), a basic metabolic workup and sometimes an mri brain. if all these are normal, we need not worry much. if eeg comes abnormal, it is possible for him to get seizure even without fever. to control this, we have to give anti-epileptics. usually i prescribe cloacae as intermittent prophylaxis (i.e. to be taken only for first 3 days of every fever episodes. child chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, thanks for posting your query on this website. i fully appreciate your concerns. firstly, sciatica results from compression over the sciatic nerves by bulging spine discs. your symptoms do not suggest so. post-operative adhesions can lead to dull pain later on in life. it would help me immensely to pinpoint the exact origin of pain and deciding the right course of action. kindly revert to me with all details; nature of pain; any other joint pains/swellings; your age and sex; family medical history etc... i am confident that you will certainly benefit from the advice. may i assure you that i am always available for your assistance and will try my best to cure your condition to the best of my experience and knowledge. please feel free to revert to me in case of further clarifications, if any. have a nice day and a speedy recovery. fond chatbot."
Answer this question truthfully,T-cells in the thymic cortex can express both CD4 and CD8 markers.
Answer this question truthfully,"Obesity is an important risk factor for insulin resistance, particularly abdominal fat."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are suffering from an chatbot.  medical treatment has only a transient effect. the effect lasts as long as you continue the treatment. make sure you are not having any other scalp problem along with aga. if yes, then treat it too. nowadays, people go for hair transplant for cosmetic purposes also. if this problem is troubling you more than you can opt for surgery after a consultation off course. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"For individuals with low risk of developing invasive breast cancer, LCIS is managed with tamoxifen. Tamoxifen is a medication that is used to block the effects of estrogen on breast tissue and reduce the risk of developing breast cancer. For individuals with a high risk of developing invasive breast cancer, LCIS is managed with tamoxifen and prophylactic bilateral mastectomy. Prophylactic bilateral mastectomy is a surgical procedure that involves removing both breasts to reduce the risk of developing breast cancer. This approach is typically reserved for individuals with a very high risk of developing invasive breast cancer, such as those with a family history of the disease or a genetic mutation that increases the risk of breast cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. according to your symptoms this looks as acute lumbar muscle/abdominal sprain in your lower back. most probably due to bad posture or sudden jerk. another differential diagnosis can be lumbar disc bulge leading to sudden onset of pain. intervertebral disc compresses spinal cord and leads to lower back pain. when such patient comes to our hospital we usually do x-ray to rule out any nerve compression. mri spine will show any disc bulge is there or not. and when muscle sprain is confirmed muscle relaxant, analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. if you find this answer helpful do not hesitate to rate this answer at end of discussion. wishing you good health. take care"
Answer this question truthfully,"In the collecting duct, the ratio of tubular fluid to plasma osmolality ([TF/P]osm) is less than 1 when there is a low level of ADH present."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote i feel that your son might be having a viral illness with co-morbid allergic manifestation going on. as of now this seems like a simple angioedema, but it may progress. be on the lookout for - respiratory distress/ strider/ red colored urine/ rash over the body especially lower limbs/ severe pain in the tummy. if these appear take him to the nearest emergency room as soon as possible. regards -"
Please summerize the given abstract to a title,Barriers and facilitators of productivity while working from home during pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","having gall-stone (stones in gal-bladder) most of the time remains asymptomatic but sometimes it may give u trouble. as you already got the pain attack the chances are high that you will get the problem again. i as a doc suggest you not to get it removed until you get serious troubles like, burst/perforation gallbladderjaundicesecondary infection obstruction in bile duct. till that time take some precaution measures like 1) avoid high fat diet2) don't take painkillers like morphine and other narcotics 3) alcohol must be avoided4) routine ultra sonography"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. doctors are trained to help you and not judge you so don't worry. the first step of course is to book an appointment with a doctor whom you trust. it is essential to get a test called complete blood count done because of your symptoms of browsability. complete blood count also called cbc for short is a laboratory test which indicates the quantity of the white and red blood cells, platelets & hemoglobin in your blood. your doctor may also order other blood tests for your bone pain such as serum protein electrophoresis, serum calcium etc. please remember that diseases detected earlier can be managed better. so please book an appointment with your physician and don't worry about the vaseline part. what is more important is that we have to do some tests to find out the cause of your browsability and bone pain. warmest regards & take care."
Answer this question truthfully,"Symptoms in a newborn baby may include:
Anemia Edema (swelling under the surface of the skin) Enlarged liver or spleen Hydrops (fluid throughout the body's tissues, including in the spaces containing the lungs, heart, and abdominal organs) Newborn jaundice"
Answer this question truthfully,"Patients who are taking Aminoglycosides are at much greater risk of developing ototoxicity if they are also taking a Loop Diuretic. This is because Loop Diuretics can increase the concentration of Aminoglycosides in the inner ear, which can damage the sensory cells and lead to hearing loss or balance problems."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot if you have allergic sinusitis then this may be predisposing you to infections of the sinuses. treatment of sinusitis involves avoiding any known allergen, use of oral antihistamines and topical steroid nasal sprays. allergy testing can help to specify the allergen. imaging of the sinuses may also be needed to see if there is any structural change that would cause sinusitis. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for the brief history of you. since you mentioned you had visited the physician, and he has advised an epidural injection as well which you feel it didn't work. if the mri has shown nothing then it is good to hear that your spine is intact. now coming to the chief complaint what you mentioned - pain in the upper back in between the shoulder blades? am i right?if the pain is in between the shoulder blades it will be interscapular muscle spasm. for which you may need some posture correction and post that a physical therapy sessions. the use of the therapeutic ultrasound and tens will help you get relief of pain. also on the later stages strengthening the interscapular muscles as to avoid any future pains. also to note that you can discuss the same with the physician you have been seeing you currently.a lot of the people face this issue of interscapular muscle spasm and are getting helped without the epidural injection. just a physical therapy. even you added you have a dull ache on the left side abdominal area, for which i will advise you to meet an internal medicine specialist and get checked once. he might ask for the ultrasound scan of the abdomen which can help us to rule out the systemic issues.it's always better to rule out the factors and possible cause will be reachable. with the grace of god i wish you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i value your concern regarding the symptoms. i have gone through your symptoms, and in my opinion swelling causes pressure on nerves leading to pain and numbness. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health. special note-any medication prescribed needs to be taken after consultation with your personal doctor only."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear brother, the phenomenon of displaying these sorts of mood swings and blaming you for the loneliness and sufferings are the classic symptoms of \""sibling rivalry\"" which is emanating from her inner mind. as a matter of fact, the elder offspring gets a sort of insecurity feeling, when the second one is taken birth since all attention is diverted towards the newborn which is beyond the comprehension of the firstborn. in this context, the child(your sister) construed that she was being avoided by her parents on your arrival, which hurts her in her inner mind. the inner mind of the first child is not so developed at that stage and is not expected to reason or rationalize the core fact. this could have been avoided, had her been given enough attention, care and a reassurance of the unconditional love of her parents in the midst of all your birth and growth. unknowingly, she displaces her anger towards you which was originally towards the innocent parents. the elder sister, all through her growtchatdoctorpares the love, care, attention, things, events etc. which you enjoy that of her and confirms her conviction in her inner world. these are all the unconscious process started from her childhood since your birth. the lingering thoughts emanated from the harbored emotions are the causes mood swings. whatever happened has happened. need not worry. everything will become alright. take her to a psychologist for intervention and for the mood swings, a psychiatrist can effectively prescribe some medication for a short duration. the psychological counselling and the unconditional family support will invariably help her mind coming in terms with the reality, and she can lead a peaceful life. in case you need any further clarification, please do check if you can contact me directly. i am from erode, tamil nadu. best of buckwheat days ahead. chatbot."
Please summerize the given abstract to a title,Impact of COVID‐19 on changing consumer behaviour: Lessons from an emerging economy
"If you are a doctor, please answer the medical questions based on the patient's description.","after surgery, there are a few problems that are common. quite commonly, an abnormally fast heart rhythm known as atrial fibrillation may occur. your doctor may already be aware of this and have him on appropriate medication but let the doctor know of the 132 heart rate just to be sure. hand numbness may occur after surgery due to changes in nerve function with medication and fluid shifts. if this does not disappear after 2-3 weeks testing should be done to be sure of the source of symptoms. often, all that is needed is a protective hand brace worn for a few weeks to achieve recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the description of the lesion suggest lipoma (painless hard lump). other possibilities lymph nodal enlargement, bony out growth (can be excluder with a lateral x-ray chest)2. but need to confirm with an easy and cheap investigation ultrasound of the lesion to find out the nature of the lesion, its sours and extensions.3. an fnac - to know the nature of the cells in the lump.4. depending on the findings - if it's not symptomatic, suggest you to monitor the lesion. if any discomfort you can get it excised.5. suggest you not to press or scratch the lump as possibilities of infection are there. good luck. hope i have answered your query.anything to ask do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. i am sorry about your son and this serious diagnosis. this is really unusual in his age, especailly that kind of aggressively. usually those cancers are found in stage 2 and 3. statistically the five-year survival rate for people diagnosed in this stage is about 8 percent but if he doesn't have verified metastasis yet and if he shows good reaction to chemo i think he really can hope for those 5 years. not more, unfortunately.wish you good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this free floating anxiety present always without any reason may be due to generalized anxiety disorder. i think you should start taking tablet paroxetine. also, you can try making daily anxiety diary in which you can write the things which provoke anxiety, what are timings which you get most anxious. this help you in identifying and dealing with the precipitating factors appropriately. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as these symptoms appear to me as fatigue. try doing core stability exercise daily which can help improve the metabolism and also strength to the core. do exercise for the lower limbs as well.  this will help improve the overall strength and the calf muscle pain will also reduce. improving endurance is the only way to avoid fatigue. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Please summerize the given abstract to a title,Interactive Mechanism of Potential Inhibitors with Glycosyl for SARS-CoV-2 by Molecular Dynamics Simulation
"If you are a doctor, please answer the medical questions based on the patient's description.","scar tissue of the lungs is not a disease. it is the tissue that can substitute normal lung tissue that suffered an inflammatory injury, as result of a severe infection for example. some diseases are difficult to diagnosis and sometimes clinical symptoms, signs and tests findings may be inconclusive or misleading. a strong relationship of trust with your physicians is extremely important to overcome the challenges of your treatment and rehabilitation. your physicians will not hide from you anything related to your condition if openly questioned about it. the anxiety in the presence of a condition that is not completely understood or that does not improve may sometimes lead us to look for opinions of many specialists. however, this conduct can also cause prejudice as sometimes it is difficult to establish and follow a sequence to diagnosis and treatment. talk to your attending physician, expose all your doubts and questions and if you feel assured that you are being well cared, continue your treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. from the history, it seems that you might have sustained some kind of trivial trauma while cutting woods resulting in oozing of blood in the tissue forming a collection of blood (hematoma). usually, small collections of blood get absorbed of their own. however, this may not happen in cases where the blood clotting is hampered by the intake of blood thinners as is in your case and the same might also get infected causing more pain due to an abscess. if i were your doctor, i would consult your physician who started your blood thinning agent for consideration of discontinuing these medicines for some time till it heals up. if it does not even then, i would refer you to a general surgeon for a clinical examination and further management. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot. if i were your doctor,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, gluten is a protein mainly found in wheat and bread is a rich source of gluten. if she is allergic to gluten then she must avoid foods made from wheat or its related grains, also avoid bread and meat like chicken, beef etc. allergy can be diagnosed only on the basis of patients history, although food allergic testing is done in laboratory but it's not reliable and also adds cost to the patient. the best way to cure allergy is to avoid contact with that particular allergen. she can go to dermatologist and ask for antiallergic chatbot."
Please answer with one of the option in the bracket,E: Fluid in the alveolar space
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the pain in legs which is radiating in nature is due to lumbar radiculopathy. an mri is advised. also, when there is a weakness of the muscles there are possibilities where the spinal column will have more pressure on the intervertebral disc leading to nerve root impingement and radiating pain symptoms.  post mri, rest, medicine, hot water fermentation, the exercise which will include - core stability, spinal muscle strengthening, hip muscle strengthening, lower limb strengthening will be advised. also for the cervical region, you need to do exercises which helps improve the stability of the cervical spine and also the shoulder. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand from your query that you are having some rash on you body. from your description, i would consider the diagnosis of p.rose and p.tricolor. p.rose is an allergic skin reaction which occurs with red patches with scaly borders which appears in a\"" christmas tree\"" pattern like a mirror image. it resolves spontaneously within 6 weeks. you could apply a cream with 1% hy chatbot.  you could also take an antihistamine like ben"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. cancer once confirmed, it is incurable.  no chatbot.  radiotherapy and chemotherapy can decrease the tumor size and thus reduce the sufferings. so better to accept the situation and fate regarding uterine cancer. since her uterine cancer is inoperable, it has reached to 3b or 4 ruth stage. five year survival in these stages is very low. less than 20%. life expectancy is less than 1 year. so better to discuss end of life issues with her."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears that you have hyper acidity due to the chatbot.  which in turn may cause the increase in pains.  i advise you to consult your doctor for the sake of gastric hyper acidity, and relief.  i usually advise to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically.  avoid taking potato, other tubers, tomato, egg, chicken, and seafoods till you get the relief of pains.  wishing for a quick and complete recovery."
Answer this question truthfully,The mesencephalic nucleus of V receives proprioceptive input from the face.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... rajen chatbot. .,thanks for choosing chatbot., psoriasis....it is paulo squamous inflammatory disorder with., genetic predisposition., so no cure, only controllable., according to you\u2019re history. u have erythematous type., with auspices sign...(bleeding occurs while scratching., good treatment is available.,1) avoid non-veg, spicy and junk foods.,2) apply solvate .it is calcitriol with clobetasol., on nighttimes., (glen mark) morning times use good moisturizing cream...lover.(grace well)3) tab... mext 7.5 mg .1 month pack for 3 months course.good respond., meet is methotrexate..... wallace company... if affordable..., acitritin., it is accretion...1 strip cost about. rs...640thanq.,"
Answer this question truthfully,An X-ray (of sacroiliac joints) is typically the initial imaging modality used for the diagnosis of ankylosing spondylitis.
Please summerize the given abstract to a title,Epidemiologic Assessment of Pediatric Inflammatory Bowel Disease Presentation in NYC During COVID-19
Please summerize the given abstract to a title,Clinical characteristics and in-hospital mortality of COVID-19 adult patients in Saudi Arabia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through your query i came to know that you are suffering from simple chronic backache. it may be due to muscle and bone weakness due to lack of exercises, vitamin and trace element deficiencies specially vitamin d and vitamin b 12. you need to do mri to rule out other causes. you also got your ultrasound of abdomen done to rule out kidney related causes. you also have constipation problems. back exercises, neurotrophic such as mecobalamine and analgesics (diclofenac 100 mg slow release tablets) give relief. sometimes vitamin d deficiency can aggravate this so serum vitamin d test is advised if it is lower than vitamin d supplementation will be required. avoid long continuous standing. sit in a straight posture. eat milk, fruits and green leafy vegetables daily. you are advised to take the lot of fibers in diet. you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
Answer this question truthfully,"The medication used to treat serotonin syndrome is called cyproheptadine, and it is a type of drug known as a 5-HT2 receptor antagonist. This means that it works by blocking the action of serotonin at the 5-HT2 receptors in the body, which can help to reduce the symptoms of serotonin syndrome and restore normal serotonin levels in the body."
Please summerize the given abstract to a title,B cell genomics behind cross-neutralization of SARS-CoV-2 variants and SARS-CoV
"If you are a doctor, please answer the medical questions based on the patient's description.","helloendometrium thickness must be around 11 mm to conceive, but in your case it is 8 mm but still you can conceive (your endometrium thickness is somewhat thin but need not worry). but the cause of concern is sperm motility is only 15 %, so in my opinion also take treatment for your husband. as you mentioned that you are already taking treatment as omega and bison, so take it regularly. still no conception then consult an infertility specialist and get his opinion. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. dexolac is good as a formula milk. once you feed proper quantity at desired intervals after correctly preparing the milk as per instructions, definitely he will do well. you babies weight is within normal range. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
Answer this question truthfully,"The most common vitamin deficiency in the U.S. is folate (vitamin B9) deficiency. Folate is an essential vitamin that is important for many bodily functions, including the production of red blood cells and the synthesis of DNA. Folate is found in many foods, including leafy green vegetables, citrus fruits, and beans, but many people in the U.S. do not consume enough folate in their diet. Folate deficiency can lead to a range of health problems, including anemia, birth defects, and an increased risk of heart disease and stroke. To prevent folate deficiency, it is recommended that adults consume at least 400 micrograms of folate per day, either through their diet or through supplements. Pregnant women are advised to consume even more folate to reduce the risk of birth defects."
Answer this question truthfully,"When taken during early pregnancy, Trimethoprim can cause the baby to develop neural tube defects."
Please answer with one of the option in the bracket,E: Case series
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read the history about your boyfriend and understood it. there is a history of gall bladder removal 2 months back. and now a bruise on the same - right side of the abdominal wall for no apparent reason. the possible cause can be reactivation of an infection in the abdominal wall post-surgery. get an ultrasonography of the abdominal wall, x-ray to see if there is any gas shadow. this indicates infection. consult a general surgeon and start on the treatment of antibiotics. if this does not settle with medicines, may need a chatbot."
Answer this question truthfully,Stomach adenocarcinoma may be classified by Lauren's criteria into 4 groups:  Intestinal type Diffuse type (linitis plastica) Mixed Indeterminate types
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. your daughter is already 19. erratic behavior pattern as you mention here are uncalled-for. she could be going through a rough patch in her life. but the given description is not enough for a correct diagnosis. consulting a psychologist should help. remember, psychiatric help is required when the matter is beyond the scope of psychology. if you still need my help, please describe the whole problem in detail and post a direct question to me. i shall definitely help you with psychotherapy techniques to overcome your problems. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"Aspergillus forms conidiophores, which are structures that contain fruiting bodies. These fruiting bodies produce spores that can be dispersed by the wind and can cause infections in humans, particularly in people with weakened immune systems. Aspergillus is a type of opportunistic fungus that is commonly found in soil, water, and decaying plant matter. When viewed under a microscope, Aspergillus appears as septated hyphae that branch at acute angles. In humans, Aspergillus infections can cause a range of symptoms, depending on the type of infection and the location of the fungus in the body. Treatment typically involves antifungal medication and supportive care."
Answer this question truthfully,"Patients with chlamydia infection usually appear to be well. A fever may be present. Physical examination of women with chlamydia infection is usually remarkable for a cloudy, yellow mucoid cervical discharge; friable appearance of the cervix; and cervical motion tenderness.   Common physical examination findings of chlamydia infection among men include a clear or white urethral discharge, testicular tenderness, and testicular swelling."
Please summerize the given abstract to a title,"Expression, Glycosylation, and Modification of the Spike (S) Glycoprotein of SARS CoV"
Please summerize the given abstract to a title,Ex vivo and in vivo suppression of SARS-CoV-2 with combinatorial AAV-RNAi expression vectors
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. diet is an important part of maintaining creatinine levels in kidney patients. vegetable that are to be taken includes bottle gourd/white pumpkin, cabbage, cauliflower, green peas, potatoes, carrot, spinach, french beans, brinjal / eggplant, ladyfinger, pumpkin yellow, mushroom, fenugreek leaves, capsicum, ridge gourd. fruits which can be taken are apple, red grapes, cranberries, blueberries, raspberries, strawberries, cherries, pineapple, pomegranate. please give vegetables and fruits in required quantities and cooked with less oil and salt. making it spicy should also be avoided. please discuss daily water and fluids intake with the doctors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think closed is fine, but you can take some other progesterone instead of primal n like austen or phaeton. talk to your doctor regarding this. track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles.  be in contact with your husband for next 2 to 3 days. you can try like that for 3 to 6 months.  hope i have answered your question.  if you have any other query i will be happy to help. regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Malaria should be suspected in ill patients who have traveled to endemic regions, especially those with cyclic fevers. Malaria is a parasitic infection that is transmitted by the bite of infected mosquitoes. It is endemic in many regions of the world, particularly in sub-Saharan Africa, South Asia, and parts of Central and South America. The symptoms of malaria can vary, but typically include fever, chills, headache, and muscle aches. In some cases, patients with malaria may experience cyclic fevers, where their temperature rises and falls in a repeating pattern. If a patient has traveled to an endemic region and presents with symptoms of malaria, it is important to consider this diagnosis and perform appropriate diagnostic testing to confirm or rule out the infection."
Answer this question truthfully,"Innate immunity (this type of immunity is the first line of defense against pathogens and is present from birth. It includes both physical and chemical barriers, as well as various cells and proteins that can recognize and eliminate pathogens in a non-specific manner)."
Answer this question truthfully,The 3rd arch gives rise to the stylopharyngeus muscle.
Please summerize the given abstract to a title,Cytoplasmic short linear motifs in ACE2 and integrin β3 link SARS-CoV-2 host cell receptors to endocytosis and autophagy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have sharp snapping sensation at the back of the head. well the symptoms you mention in query can occur due to may reason like occipital neuralgia, blood pressure fluctuation, tumor, sinusitis or migraine. i would suggest you to consult neurologist for proper examination. doctor may order ct scan or mri to confirm the diagnosis and rule out problem like tumor, cervical spondylosis and migraine . doctor may prescribe muscle relaxant, vitamin supplement for quick recovery vasograine, beta blockers or frusamife. . for now take proper rest and apply warm compresses to your back. do light exercises. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Echocardiography is used in the diagnosis of MRSA endocarditis. The findings on an ECHO include:
Irregular echogenic mass attached to valve leaflet Large vegetations occur with staph. aureus endocarditis. The hemodynamic effects are mostly due to valvular regurgitation as a result of valve destruction.
The minimum size of a vegetation that is identifiable on trans thoracic echocardiography is 3 mm and by transoesophageal echocardiography route is 2 mm."
Answer this question truthfully,"A possible diagnosis for a patient who presents with post-trauma, widened mediastinum, left-sided hemothorax, and tracheal deviation is aortic rupture/injury. These findings are suggestive of aortic injury, which is a serious and potentially life-threatening condition that requires immediate medical attention."
Answer this question truthfully,"Gram positive bacteria are a type of bacteria that have a cell wall composed of a thick layer of peptidoglycan. This cell wall structure makes them susceptible to β-lactam antibiotics, such as penicillin and cephalosporins, which work by inhibiting the synthesis of peptidoglycan. Unlike Gram negative bacteria, which have an outer membrane that contains porins that can limit the entry of certain antibiotics, the cell wall of Gram positive bacteria does not require the presence of porins to be penetrated by β-lactams. This makes Gram positive bacteria more susceptible to β-lactam antibiotics, and is an important consideration in the selection of antibiotics for treating bacterial infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, without an exam, i can only give general information cannot say in your particular case, but generally, injections neither help nor hurt. building up the surrounding supportive muscles has some of the best data supporting it. there are a wide variety of other medicines for pain. these include anti-epileptics, anti-depressants, lidocaine and even topical irritants. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello chatbot. a few more queries in my mind. are tremors worst at rest of while you are doing something? are they also affecting your right side?  or if none at all on right side. do you feel any heat or cold intolerance as compared to other people? one-sided tremors usually indicate start of parkinsonism. if they are present only when you use your hand they are secondary to cerebellar problems. have you experienced other features of parkinsonism like slowness of your gait, difficult starting a walk, any rigidity in your muscles. and unbalanced posture ?so it's better to follow the neurologist advise of doing mri and eeg. hope i have answered your query. let me know if i can assist you further. take disregards."
Please summerize the given abstract to a title,Development of an SPE–HPLC–MS method for simultaneous determination and pharmacokinetic study of bioactive constituents of Yu Ping Feng San in rat plasma after oral administration
Answer this question truthfully,"Cellulitis is a bacterial skin infection that is typically caused by Streptococcus pyogenes (nonpurulent) or Staphylococcus aureus (purulent). Nonpurulent cellulitis is characterized by redness, warmth, and swelling of the skin, while purulent cellulitis is associated with the formation of pus-filled abscesses. Other bacterial strains may also be responsible for cellulitis in some cases, and the specific cause may vary depending on the individual patient and the location and severity of the infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. most possible painless lesions in that region are adnexal cysts (ovarian cysts).2. normally it's not felt, unless it's quite big.3. quite young to think something bad. don't get tensed.4. in your case if you are my patient, i would ask for an ultrasound scan to find out presence of lesion, and where it is extending from, what it is involving.5. it could be your feeling in some cases. so get confirmed. hope it helps you. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question. what you described, like a constrictive feeling in the chest is suggestive of angina or cardiac pain. did the feeling move onto your neck and jaw or your left arm?  the pain does not necessarily indicate a heart attack. though it would be prudent for you to get an appointment with your cardiologist in order to rule out anything serious. i hope this answer has helped you."
Answer this question truthfully,"Smoking, specifically nicotine and carbon monoxide exposure, is the leading cause of low birth weight in developed countries. Smoking during pregnancy can lead to a range of adverse outcomes, including low birth weight, premature birth, and stillbirth. Nicotine and carbon monoxide can restrict blood flow to the fetus, which can lead to growth restriction and other complications. It's important for pregnant individuals to avoid smoking and exposure to secondhand smoke to promote the health of the developing fetus."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear parent, heat rashes are very common in summers and in humid environments. they usually subside by exposure to cooler environments, wearing light cotton clothes, using cool packs and cool showers. however, if your rash is not going away with home treatment above or getting worse after 3-5 days you should consult a pediatrician who can examine your child and make sure there is not a bacterial infection or other cause. if your child has fever, headache, nausea, dizziness, or vomiting, you should immediately seek medical help."
Answer this question truthfully,Diastolic murmurs are abnormal heart sounds that occur during the relaxation phase of the cardiac cycle. They are always pathologic and can indicate a variety of underlying heart conditions.
Please summerize the given abstract to a title,Stakeholder engagement in the health policy process in a low income country: a qualitative study of stakeholder perceptions of the challenges to effective inclusion in Malawi
"If you are a doctor, please answer the medical questions based on the patient's description.","physiotherapy is also very important for your sister after the surgery it is very difficult to say how much it will help her without examining her take your sister to see an orthopedic and then for intensive physiotherapy/ as advised by the or tho. if you go to a medical college and the orthopedic feels that you just need physiotherapy then the total cost might be 100-150 rs per day for the physiotherapy if the or tho feels that you might need more - then the cost may vary according to what is done from what you have told, she will most probably need physiotherapy for 2-3 months at least. st. johns is a wonderful and very professional, well-equipped hospital you can definitely take your sister there for an examination most people feel that medical college hospitals are not the best option. but actually they are excellent"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the most possible cause could be ganglion - usually exist from the nerve, tendon and joint space.2. they are painless, asymptomatic, does not need any acute treatment.3. usually seen in the sports persons involving active limb movement.4. if you feel any growth in the lump - an ultrasound is investigation of choice to evaluate the nature of the lesion, its source and extensions.5. suggest to monitor the lesion for any changes, and no active intervention is needed. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
Please summerize the given abstract to a title,Establishing a SARS-CoV-2 (COVID-19) Drive-Through Collection Site: A Community-Based Participatory Research Partnership With a Federally Qualified Health Center.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,A normal WBC count is approximately 5 - 10 K/μL.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello diabetes is a major risk factor for coronary heart disease as it promotes atherosclerotic changes throughout the body vasculature but again if your control on diabetes is good that risk comes down to minimum. so i would suggest you to maintain a healthy life style and do not indulge in smoking (if you do). now answering your question
Please summerize the given abstract to a title,Nonviral pulmonary delivery of siRNA.
"If you are a doctor, please answer the medical questions based on the patient's description.","if i was a doctor treating you, i'll like to know the following-any nausea, vomiting, fever?- where are you in the menstrual cycle? it could be appendicitis, muscle strain given you've just worked out, or some pelvic pathology(such ovarian). you can take ibuprofen (if no allergy) and see how it goes, if its muscle strain it should getter better. if no change or worse, go to the hospital and get evaluated. you're likely to need ct scan of the abdomen and pelvis. hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hai welcome to chatbot you could get your period after one week of last dose. here the dose may be low. you can take sharon 5\u00a0mg 3 times daily for 5 days to get your period. before that check your urine for pregnancy. tubal patency should be checked. day 2 fsh, lh,prolactin and thyroid and serum insulin fasting and postprandial level to be checked to know the severity of pod.metformin can be taken to reduce the insulin resistance."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, and thanks for the quertle pain and irritation you are getting are due to the stones and possible urinal track infection. get your routine urine examination done and if needed urine culture can be done. if done before please let me know the report. to get rid of the pain and irritation please follow steps"
Please summerize the given abstract to a title,Guillain-Barre syndrome in patients with coronavirus disease-2019: Report of six cases and review of literature
Please summerize the given abstract to a title,Induction of LTD-like corticospinal plasticity by low-frequency rTMS depends on pre-stimulus phase of sensorimotor μ-rhythm.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a muscle is a common condition experienced in the mouth. this can be due to trauma and pooling of liquid causing a blister like appearance often due to damage to a salivary duct. if persistent with noticeable swelling, you may need to see an oral surgeon for removal. other types of growths are possible. please make sure to monitor your condition and describe your symptoms to your dentist at your routine dental visit.  try warm salt water rinses, avoid all irritants and do not attempt to pop the area. your description does not sound like you need urgent attention at this time. thank you for your inquiry. i hope the area will continue to improve and resolve on its own."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Please summerize the given abstract to a title,A pioneer in preslaughter animal welfare
Answer this question truthfully,"Can you identify the microorganism that is most frequently responsible for subacute endocarditis in native valves that have been damaged? The answer is viridans streptococci, a group of bacteria that are commonly found in the mouth and upper respiratory tract. When these bacteria enter the bloodstream, they can cause infections in various parts of the body, including the heart valves. In cases where the valves have been damaged, such as by rheumatic fever or congenital heart defects, the risk of infection is increased. Subacute endocarditis is a serious condition that can cause fever, fatigue, and other symptoms, and can lead to complications such as heart failure or stroke if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are suffering from what we call recurrent uti. it's not related to the arm implant. since it is recurring frequently you need some investigations to find the cause. you need urine culture, vaginal swab culture, ultrasound of abdomen. check your blood sugar. you may need an x-ray call voiding cystourethrogram to look for reflux of urine into the kidneys. if everything is normal you may be a person more susceptible for infection because of your genetic make-up. it may be related to sexual intercourse. empty your bladder before and after intercourse. you might need to be put on long term prophylactic antibiotic. consult a urologist."
Please summerize the given abstract to a title,Psychological impact of the COVID-19 crisis on young swiss men participating in a cohort study: Differences due to socioeconomic status and work situation
Please summerize the given abstract to a title,Pandemic data challenges
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i think we should rule out cardiac cause first in your case. risk factors in your case are1. old age2. female3. chest discomfort with radiation to arm. so get done1. ecg2. 2d echo to rule out cardiac cause. if both are normal then no need to worry much for cardiac cause. you may have compression of nerves momentarily which gives you feeling of paralyzed upper limbs. no need to worry much for these."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellowelcome to chatdoctori would like to ask you few questions like
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in.some symptoms of throat cancer include change in your voice. trouble swallowing. weight loss. sore throat. persistent cough (may cough up blood)swollen lymph nodes in the neck.wheezing.ear pain. you might not have any of the striking symptoms of throat cancer but if you are having a difficulty to swallow then it should be discussed with the doctor. this will help to decide if you require any specific test like barium swallow or endoscopy. in most people these symptoms are for a short duration and said to be functional. since you are having the sensation for a week and half therefore having a cancer is less likely. please do not worry."
Answer this question truthfully,The second messenger that is increased by TSH is cAMP.
Answer this question truthfully,"When a blood vessel is added to a system in series, the total resistance increases."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,PCV cap proteins fused with calreticulin expressed into polymers in Escherichia coli with high immunogenicity in mice
Please summerize the given abstract to a title,A Sharp Decline in Burden of Stroke in Rural China During COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having anxiety related panic symptoms mostly. but as a rule in chest pain, we need to rule out cardiac cause first. so get done1. ecg2. 2d echo. to rule out cardiac cause. if both are normal than no need to worry much. it is mostly anxiety related only. i advise you to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on it. you may need anxiolytic chatbot.  so better to avoid stress and tension. be relax and calm."
Answer this question truthfully,DiGeorge syndrome is associated with the 22q11 microdeletion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, large adenoids and tonsils are the usual cause of a children snoring. because you mention disturbance of sleep and breathlessness, obstructive sleep apnea, which is another cause of snoring, should be considered. signs of this disorder include"
Please answer with one of the option in the bracket,A: Hypertension
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot don't ignore these symptoms... it seems to be early pulmonary embolism secondary to deep vein thrombosis of leg work up needed with... -color doppler -d dimer -ct angiography if needed -2d echocardiography embolism present low molecular weight heparin needed if above work up normal than elective investigation regarding liver disorder, hypoproteinemia, kidney disease and heart failure can be done hope you will be benefited by my answer consult pulmonologist or cardiologist for examination take care"
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are 22 years old and are smoking for few years. you have considerable stress and also have receding hair line. due to stress you developed psychosomatic complaints in back, abdomen, pelvic area and head. hair loss may be linked to tension, but it has other causes like familial hair loss, male pattern baldness etc. but definitely if you quit smoking and reduce stress and tension. try relaxation exercises, progressive muscle relaxation exercises, breathing exercises etc. for quick relief. yoga and meditation will also help. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there after going through the medical details provided by you, i would like to tell you that as you have done more than 12 mins that means you have completed stage 4 on tmt test which is an athletic level activity. if you did not felt any kind of chest discomfort and if you don't smoke and don't have any family history of any heart disease then it's fine.there's no need to go for any further evaluation. just keep up with your healthy lifestyle habits. its advisable that you should consult a cardiologist personally and discuss this. i wish you good health"
Please summerize the given abstract to a title,Impact of the COVID-19 pandemic on urban human mobility - A multiscale geospatial network analysis using New York bike-sharing data
Please answer with one of the option in the bracket,B: Heart sound prior to S1
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, what is her age? can you post picture of a lesion? ringworm is a fungal infection, and usually responds well to above said medicines. it may take 7-10 days to see the result. if no response visible by 7 days, kindly get back to your dermatologist, as this indicates either the organism is resistant to the above chatbot.  testing skin scrapings from the lesion will help to confirm diagnosis. also, extensive ringworm may suggest underlying immunodeficiency conditions like uncontrolled diabetes. meanwhile, try changing to ketoconazole ointment instead of shampoo, as this has more retention time. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your question and welcome to chatbot. i read your query and i understand your concerns. the description you are making, makes me suspect of jaundice, also referred to as citrus, which is the yellow staining of the skin and sclera (the whites of the eyes) by abnormally high blood levels of the bile pigment, bilirubin. except the yellowish color and weight loss, does your son have any signs or symptoms, in order to make me easier helping you? the lifestyle of your son makes me suspect of hepatitis, which could be type a due to the ingestion of infected food, hepatitis b or c if your son has had unprotected sex or injected chatbot.  with such a presentation on my clinic, i would perform at least liver function tests, complete blood count (cbc), electrolyte panel, lipase levels, and urinalysis. blood testing for exposure to hepatitis may also be ordered. additional blood testing may be ordered based on the initial results. depending on the results of initial blood tests, further studies may be needed to help diagnose the underlying disease process. hope i helped with my answer. for further concerns or follow-up questions feel free to ask again. kind"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion your epistaxis (bleeding from nose) can be due to untreated hypertension.  and not due to malignancy. front most part of nose is having reach blood supply and capillaries are very fragile to high blood pressure.  so they can easily break and cause bleeding. so control of hypertension is must for you. better to consult cardiologist and start antihypertensive chatbot.  your eye problem mostly due to hypertension only. so control of this is needed along with anxiety treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks that you are suffering from a condition known as erasmus, and it is the cause for difficulty in opening mouth. it can occur due to infection and abscess formation and can also be due to muscle spasms. you should continue taking antibiotics and muscle relaxant and also try to gently open the mouth as much as you can. let the infection get reduced as it will help in reducing swelling and then the mouth opening will also get improved. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Weil's disease is the name of the disease caused by Leptospira interrogans that can result in azotemia and jaundice. Weil's disease is a severe form of leptospirosis that can cause kidney and liver damage, leading to azotemia (excess nitrogenous waste products in the blood) and jaundice (yellowing of the skin and eyes). Other symptoms of Weil's disease can include fever, headache, muscle aches, and vomiting. Weil's disease is spread through contact with water or soil contaminated with the urine of infected animals, and it can be treated with antibiotics. Early treatment is important to prevent complications and improve outcomes. Prevention of Weil's disease involves avoiding contact with contaminated water or soil and practicing good hygiene."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. mrsa is methicillin resistant staphylococcus aureus which is a bacterium causing skin infection. i am suspecting an allergic reaction to the antibiotics prescribed for your infection. i suggest you take tab atari 25\u00a0mg twice daily. if your symptoms do not decrease within 6 hours, get in touch with your treating doctor as soon as possible. i suggest you stop taking the antibiotics prescribed. thanks."
Please summerize the given abstract to a title,Glossary on free trade agreements and health part 2: new trade rules and new urgencies in the context of COVID-19.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. any woman having unprotected sex is at risk for pregnancy, so it certainly is possible that you may have conceived your first month.  however, 80 percent of couples will conceive within one year, so if you divide that by 12 (for each month) you have about a 6 percent chance of conceiving per cycle. sperm live in the female genital tract for up to 72 hours, so it is generally recommended when trying to get pregnant to have sex every other day between the time your period finishes and the time you feel pms symptoms (which means you have already ovulated and can no longer conceive that cycle).  so i would try to be patient and understand that it sometimes can take some time to become pregnant.  in the meantime, i recommend you try to eat a healthy diet, get plenty of rest, avoid alcohol and smoking and begin to take folic acid, which is a b vitamin that has been shown to help prevent birth defects. 400 micrograms daily is the standard dose, which can be purchased alone or in prenatal vitamin preparations. i hope i was able to adequately answer your question today and i wish you the best of luck getting pregnant! best wishes,"
Please summerize the given abstract to a title,The Lived Experience of Myasthenia Gravis: A Patient-Led Analysis
Please summerize the given abstract to a title,VaNGuard assay protocol for SARS-CoV-2 detection
Please summerize the given abstract to a title,Accelerating joint relaxation-diffusion MRI by integrating time division multiplexing and simultaneous multi-slice (TDM-SMS) strategies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dark hair on the forehead of the infant abnormally is a peripheral marker of hypothyroidism. if the kid also has constipation, the possibility increases. i suggest you get her thyroid status checked and then proceed further. if it is hypothyroidism as i suggested, treating it will take off that hair. otherwise, if it is not then you need not worry, as this could be physiological, and it will reduce by itself as she grows up. regards -"
Please summerize the given abstract to a title,Penerapan art therapy untuk mengurangi kecemasan mahasiswa usia emerging adulthood pada masa pandemi
Please summerize the given abstract to a title,Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. if your stool is black like a tar and has strange smell (not like regular stool, more like digested iron) this can indicate bleeding from peptic ulcer. macro bid is mild antibiotic which like every medicine can irritate digestive tract. however, bleeding from peptic ulcers seems to be unrelated. upper right abdominal pain can be also caused by gallstones, however usually it radiates to the back, gives nausea and vomiting. it appears after a meal. i suggest you to visit your doctor as soon as possible. bleeding should be ruled out (blood work and upper gi endoscopy should be done). abdominal ultrasound should be performed in case of gallstones possibility. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good morning-from india. i am chatbot. n.here to take of your health query from chatbot virtual clinic. thanks for your health-query to chatbot clinic.-i studied your query in-depth and i understood your concerns.-my opinion-this combination you have is mostly due to the -genital infection with lymphadenopathy ? --there are many causes of associated lymphadenopathy. mri study would lead the cause of it -if associated with-lymphoma? sarcoidosis?she? erythema nodosum-with viral /bacterial/candida infection-as the inciting case of the generalized lymphadenopathy at distant sites-post ear and groin. advise-right doctor to consult is -surgeon and gaec- who would treat after clinical examination accordingly-a-tb-nsaids-to reduce the cellulitis and pain associated with it.b-antibiotics-according to the severity or mildness of the infection in the boil. so don't worry -this vaginal discharge would go after treatment very soon.-still if it worries you, consult your family doctor or surgeon which would re-assure you. hope this would help you recover fast out of the butt cheek lump anxiety. wellcome to chatbot again for better health and living."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, your symptoms suggests me that you may be having allergy to some pollen, which is causing all these problems. i would advise testing for absolute eosinophil count (aec) to confirm the presence of allergic reaction, and then you can proceed with the skin prick test for the most prevalent pollen in your garden. if you identify the pollen causing these symptoms you can avoid this pollen and protect yourself from getting allergic reactions. for your present symptoms you can take combination of antihistamine and mast cell stabilizer like tab monte lc. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this recurrent breast infections. there is enough reason to suggest that this infection is never fully eradicated. you may need a longer duration of antibiotics or probably a surgical incision to chatbot.  ask your doctor what he thinks is the possible reason for this recurrence and what his plan is. also, mention the above possible causes to him/her and hear what the response is. i hope this helps and ad"
Please summerize the given abstract to a title,Infiltración ecoguiada articular de plasma rico en factores de crecimiento como terapia regenerativa en lesiones del manguito rotador
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...thanks for sharing your problem here in this forum.... as you said that there are two lumps each of size 1/2 of egg size...to give you most probable diagnosis i need to know some history like duration, pain,increase or decrease in size, any tenderness, mobility,...all these points are important... even then the history you provided it seems like these are non cancerous lesions may be lipoma\u2019s, or they may be venous dilatation... i will advise you to consult your surgeon to give you proper diagnosis and treatment option...thanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there can be pain in your back of hip, calf. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please answer with one of the option in the bracket,B: Serum glucagon
"If you are a doctor, please answer the medical questions based on the patient's description.","hi lash an lewis! welcome to chatbot !  i have gone through your query and understand your concern towards stress at your workplace.  i can suggest you to try to find some solution that can help in the present job. furthermore, i can help you to get relief from stress through some stress relief techniques like chatbot.  in the meanwhile, you can start on medication i.e. antidepressants like escitalopram, which would help in dealing with your current situation.  hope this information is helpful.  take care"
Please summerize the given abstract to a title,Anticipated impacts of Brexit scenarios on UK food prices and implications for policies on poverty and health: a structured expert judgement approach
Answer this question truthfully,The conversion of oxaloacetate to phosphoenolpyruvate requires a molecule of GTP.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some ganglion cyst. you should go for examination. if needed go for fine needle aspiration cytology. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,The type of immunity associated with the treatment of Rabies virus is known as passive-active immunity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are implanted with implant this is long term contraception, which is etonogestrel(progestin), you have it for almost 2 years. if you plan to become pregnant after removal of device its level goes down rapidly may be with in week, and start ovulation in 4 to 6 weeks. fertility returns to the level which was there before implant, also depend on your age. you had c section in previous delivery, you will be required close ante natal monitoring and possibly c section again, but it is not absolute depends on various factors, your gynecologist and obstetrician, would be the best person to decide about that. if you decide to become mother again, wish you safe motherhood. take care, best of luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should be investigated for an infection in the tongue. i am afraid that your tongue will be infected much and resulting in serious consequence. till that time you can use diclofenac for swelling and pain associated with tongue. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting, well i am not sure your itchiness is related with your fatty liver diseases or the fact that you are a hep b carrier (with no symptoms or liver problem related to that). the skin affection may just be local and could be as a result of eczema and in order to remedy that you might need some medications. at the moment, you can start by taking a cold bath, then get otc antihistamines which you can readily fine. i usually prescribe chlopheniramine for itches and may associate it to steroidal anti-inflammatory such as dexamethasone or prednisone. you might require a doctors script in order to get a hold of those. i suggest that you see a dermatologist for immediate relief. best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, based on your description, your doctor has prescribed you tab signora for relieving pain and decreasing swelling of your foot. usually along with this medication, you would have been advised to go slow for giving the joint rest and to heal the inflammation. although the medication is safe, i would recommend you to take it only if the pain is severe as you have already taken it for 10 days now. i would also suggest you to take plain paracetamol instead and consult your doctor as per your scheduled visit. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, any blood pressure medicine may lower the blood pressure too much and people may feel faint.  the only way to try to minimize this is exactly like your doctor did go with one medicine at a time and at a low dose and seeing if it is enough in a few days to a week. novas has only one frequent side effect otherwise which is it working by opening up the vessels and the blood can fall to the feet and cause puffy ankles.  this is not all that serious of a symptom. it's a pretty good and safe and effective medicine. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing in. your primary problem looks like hypothyroidism. i am sure you have your t3, t4, and tsh levels. you have mot mentioned your thyroid levels and if you are taking thyroxine tablets. i would suggest that you also get thyroid ultrasound to look for any surgical cause. there are many complications of hypothyroidism, and you may consult an endocrinologist for proper guidance. your vision defect may be a result od enlarged pituitary sand your doctor may ask you to get ct scan or mri scan of brain to be done. you also take immediate help from a psychiatrist for your depression if it is affecting your daily activities. please consult your endocrinologist, and he may change your medicines. his opinion would be final. hope this helps."
Please summerize the given abstract to a title,CXCL10 could drive longer duration of mechanical ventilation during COVID-19 ARDS
Answer this question truthfully,DVT is a common cause of an embolic ischemic stroke in a patient with a patent foramen ovale.
"If you are a doctor, please answer the medical questions based on the patient's description.","hiyou are a patient of asthma, allergic rhinitis, and poorly controlled asthma...........now asthma is not curable nowadays but soon will be...... you are you that's the age os asthma......i totally agree that sometimes u fee lull die due to shortness of breath... but at least study your body ......feels like you are in bargaining and depression phase of acceptance......as a doctor ill tell u at least one member of every family is suffering from asthma....studying your body means see wht makes u bad wht makes u good.....have pfr flow meter at house.step up treatment .....there are so many different medications.....treating asthma is easy ........after doing above steps ........you will have as normal life as non.asthmatic.......and on/off will need high dose steroids.antibiotics, long acting bronchodilators......take care"
Answer this question truthfully,"When temperatures drop below 30*C, IgM AIHA antibodies may bind RBCs and activate complement."
Please summerize the given abstract to a title,"Opening of Large Institutions of Higher Education and County-Level COVID-19 Incidence - United States, July 6-September 17, 2020"
Answer this question truthfully,"CIN2/3 (HSIL) has the highest risk of progressing to cervical cancer.

Cervical intraepithelial neoplasia (CIN) is a precancerous condition of the cervix that is caused by the human papillomavirus (HPV). CIN is classified into three grades based on the extent of abnormal cell growth and changes observed in the cervical tissue: CIN1, CIN2, and CIN3. CIN2/3, also known as high-grade squamous intraepithelial lesion (HSIL), is considered the most severe form of CIN and has the highest risk of progressing to cervical cancer. It is important to detect and treat CIN2/3 early to prevent the development of cervical cancer. Regular cervical cancer screenings, such as Pap tests and HPV tests, are recommended for early detection and treatment of CIN. HPV vaccination is also recommended to prevent HPV infection and reduce the risk of developing CIN and cervical cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good evening. thanks for the query to my chatbot virtual-clinic. i studied your query in-depth.-in my opinion-you mostly have a chronic lympadenitis-?tb?infectious mono? by its site you appear to have worry about the lymphoma or cancer.-i would advise you not to worry at all. i don't think as you do and assure you to relax.-still i would advise-excision biopsy of the peas sized lump-which would help your doctor to treat it accordingly with anti-tb chatbot. -a surgeon would help you in this treatment planning. this will help you to discuss and plan treatment with your doctors. wishing you fast-recovery. wellcome to my chatbot clinic again. good night."
Answer this question truthfully,"The Global Burden of Disease Study reports a prevalence of 251 million cases of COPD globally in 2016. According to WHO estimates, 65 million people have moderate to severe chronic obstructive pulmonary disease (COPD) worldwide. COPD occurs in 34 out of 1000 greater than 65 years old. In England, an estimated 842,100 of 50 million people have a diagnosis of COPD; translating into approximately one person in 59 receiving a diagnosis of COPD at some point in their lives. In the most socioeconomically deprived parts of the country, one in 32 people were diagnosed with COPD, compared with one in 98 in the most affluent areas. In the United States, the age adjusted prevalence of COPD is approximately 6.4%, totalling approximately 15.7 million people in USA, or possibly approximately 25 million people if undiagnosed cases are included. COPD is the third cause of death among adult population in the United States."
Answer this question truthfully,Other diagnostic studies for myelodysplastic syndrome include bone marrow biopsy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. in my opinion it could exaggerate the previous 2 past injuries. especially the one with fracture of carpal bones that may show that you are liable to fractures so falls on bones or even origin of muscles especially towards you hip joint and sacrum can cause some difficulty in standing. i suggest proper imaging by pxr, ct and some investigations to diagnose the main cause. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Neck CT scan may be diagnostic of parathyroid cancer.
Please summerize the given abstract to a title,Mask Use in Community Settings in the Context of COVID-19: A Systematic Review of Ecological Data
Answer this question truthfully,An aortogram involves placement of a catheter in the aorta and injection of contrast material while taking x-rays of the aorta. The procedure is known as aortography.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. even though your systolic blood pressure (upper number) is high too, it can be considered normal due to your age being 43 years. your diastolic blood pressure (lower number) is surely high as your friends are pointing out, and it needs to be corrected. normally it should be 80 mm hg while your is about 100 mm hg. the facial flushing and thumb numbness might be due to higher blood pressure, too. i advise you to visit your physician or cardiologist for physical examination and needful treatment to lower the blood pressure. i hope this information helps you. thank you for choosing chatbot. take care. best,"
Answer this question truthfully,1st generation cephalosporins can be used to treat GAS pharyngitis and cellulitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. your pain is due to arthritis. when bone is not able to take weight due to arthritis than it has to be shared by muscles. it causes pain in thigh and hip muscle.also, some time it can be due to nerve compression. you can judge your self. if your pain increases on walking and relieved with rest, it is suggestive of nerve related pain. arthritis pain is present even when you are taking rest. i will suggest you following. hot water fomentation. volition ointment tablet pregabalin m one daily at nighttime. calcium and vitamin d3 daily. tablet tramadol one daily. please consult your doctor before taking those medicines. hope this helps. let me know if you have any more concern. warm regards."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of viral upper respiratory tract infection (uri) is more likely. so take cold total or minaret tablet. bothering these are available otc (over the counter). along with medicine, also chatbot. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello alex, thank you for writing to us. your dust allergy is steadily worsening up to the point now that you have developed respiratory problems from just nasal blockage and sneezing. skin prick tests or the specific ige blood test is recommended against the inhalant panel to delineate what your allergies are. lung function tests with reversibility studies are also required. the treatment involves dust avoidance (wear a mask while cleaning), keep the room well lit by natural sunlight and remove soft toys, allegra 180\u00a0mg in the morning, alone 2 sprays/nostril once daily and montelukast 10\u00a0mg at night with stalin inhaler as stand by. this should be continued for 3 months and a review undertaken again. best wishes."
Answer this question truthfully,"In early HIV infection, HIV gains entry into macrophages via binding to CD4 plus the coreceptor CCR5."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post can be attributed to ringworm (tina) infection. management includes"
Please summerize the given abstract to a title,What grows from a pandemic? Toward an abolitionist agroecology
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have hpv virus infection. it can cause wart. but sore throat and enlarged tonsil is not indicated cancer. you may have tonsillitis or other upper respiratory tract infection. you should take a course of antibiotics like azithromycin or amoxiclav. for symptoms, you can take antihistamines chatbot.  warm saline water gargles are also useful. consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi jason, welcome to chatbot. varicocele in itself cannot stop you from having a family but if your sperm count is severely affected by it then it definitely will be a problem in making your wife pregnant. varicocele usually results in a low sperm count of low quality. you will need semen analysis to be done to determine the condition of your sperms and if necessary you may need surgery to correct varicocele. wish you all the best."
Answer this question truthfully,"Extinction is a process in behavior modification where the reinforcement (positive or negative) that was previously provided for a behavior is discontinued, with the goal of eventually eliminating the behavior altogether. This process is based on the idea that behavior is reinforced by the consequences that follow it, and that if those consequences are no longer present, the behavior will eventually stop. Extinction can be used in a variety of settings, including in the treatment of problem behaviors in children and adults, as well as in animal training. However, it is important to note that extinction can be a challenging process, as the behavior may initially increase in frequency or intensity before it begins to decrease. Additionally, extinction may not be effective for all types of behaviors, and other behavior modification techniques may need to be used in conjunction with extinction to achieve the desired results."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, usually liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn't require any specific treatment.  if this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case.  alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required.  also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. you need to check your viral markers and do liver biopsy if necessary. hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,There is no way to prevent varicoceles in adults or hydroceles in baby boys. Avoid injury to the scrotum to prevent hydrocele in adult males. Template:WH Template:WS
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if she has copd then it was surely confirmed by pft and x-ray chest and if there is hypoxia then she had low oxygen. 1. her arterial blood gas analysis tells what is her oxygen requirements2. if she is breathless then she has to use bipap and low oxygen 3. yearly flu vaccines and regular mdi use4. pulmonary rehabilitation hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. joint soreness can be related to rheumatoid arthritis. it should be excluded through examination such as rheumatoid factor. meanwhile, i suggest continuing using antihistamines to relieve the itching such as zyrtec. i also recommend using anti-inflammatory medications such as acetaminophen to relieve the join inflammation. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.welcome to chatbot.i analyzed your reports.my opinion is that,1)your semen analysis report is normal except that of increased pus cells. normal pus cells in semen analysis should be up to 2.but you have 8 pus cells.2) increased pus cells in semen analysis test suggests some infection in your genital tract.3)kindly consult your treating doctor. he will advise you an antibiotic course. thank you. hope my answer will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i understand your concern and would explain that vitamin b12 deficiency is not directly related to the heart rate, but it may cause chronic anemia, which is one of the most common causes of heart palpitations. i would recommend performing some tests to exclude other possible causes of cardiac arrhythmia"
"If you are a doctor, please answer the medical questions based on the patient's description.","i understood your problem. look osteoporosis is an aging disorder as age advances it happens in each and everyone's life. it can't be revert it's a natural phenomenon . one thing we do is we just slower down this phenomenon with medications. yes although there are some tests to detect how severely you're having osteoporosis or better to say your bone quality affected some of them are dexa scan. i generally suggest my patients having weak bone just to modify lifestyle avoid heavy works and avoid sudden jerky activities, take calcium and vitamin d supplements, milk and some time medications bisphosphates by chatbot. . hope ill be helpful happy to help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concern chance of pregnancy is nil as you had sex just after ending of period (safe period) and tool i pill with in 5 hours. vaginal bleeding is a breakthrough bleeding and due to high progesterone in the pill. next period will be delayed by 7-8 days from normal expected period date. for safer side, 12-14 days after missed period pregnancy test should be done. hope this may help noncontact chatbot for further health query best regards"
Answer this question truthfully,"Another name for Vitamin B9 is folate. Folate is a water-soluble vitamin that is essential for human health. It plays a key role in the production of red blood cells, the synthesis of DNA and RNA, and the metabolism of amino acids. Folate is particularly important during periods of rapid growth and development, such as during pregnancy and infancy. It is found in a variety of foods, including leafy green vegetables, citrus fruits, beans, and fortified cereals. While folate is important for overall health, it is particularly important for women who are pregnant or planning to become pregnant, as a deficiency in folate can lead to birth defects such as spina bifida."
Please answer with one of the option in the bracket,D: Granulomatous vasculitis of small and medium-sized vessels
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to chatbot, i am chatbot. this word \""tight\"" is not a scientific term as such but doctors in general use it after stress testing when there is an artery which has some blockage, usually this blockage is not significant to ask for a stenting, but it is significant to cause some ecg changes in the stress testing. you and your husband do not have to panic, this kind of arteries just need care, by care i mean taking regular medication, physical activity, keeping check at your diet and staying in contact with doctor and pay regular follow-up visits as advised by the doctor. this slight tightness will only get worse if care is not taken otherwise it will regress and things will keep getting better with time. i hope this answered your question, if you have more queries i am happy to answer you. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i can see the problem you are in. but positive phrases and statements do good to only those who keep a positive way of life. you must learn life before saying positive phrases. there must be a basic cause of these negative thinking and anger. some sort of disappointment in life. such a disappointment or the cause of that disappointment should be ad chatbot.  this can be successfully done with the help of a psychologist. consult a psychologist. even online consultation should suffice. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to the chatbot you have been prescribed antibiotic for your upper respiratory tract infection if no improvement than further work up needed like chest x-ray to look for any consolidation if present is needed spirometry also done to assess severity like in bronchitis and guiding further treatment sputum examination done along with culture if needed to choose proper medication take care consult pulmonologist for examination again and accordingly if needed above discussed investigation can be done hope your concern solved
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorhere in your case, because you are female, so hormone imbalance could be the cause of this, and this need to be check out, some endocrine disease also need to be rule out, reproductive hormone profile is must, thyroid function test is also necessary, rule out the fungal infection of hair, till then take great care in diet, have a fresh fruits, no stress, hope this information helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of your daughter. as he had past surgeries of spine, hysterectomy and performs muscle the pain in the hip is due to the nerve dysfunction in the lumbar spine. as she is 38 and suffering from hip pain i will advise to undergo physical therapy. in my clinical practice most cases with spine injuries, post spine surgeries, have always responded well to physical therapy. in fact i should say, they are functionally active and even age has not restricted them to achieve the best quality of life. try out physical therapy. the process may be longer, but the recovery is for sure. if you have any particular query on how and what i can surely help you. regardsjay in chatbot."
Answer this question truthfully,"Xanthine Oxidase inhibitors can be used for prophylaxis of Uric Acid stones. Uric acid stones are a type of kidney stone that form when there is too much uric acid in the urine. Xanthine Oxidase inhibitors work by reducing the amount of uric acid that is produced in the body, which can help to prevent the formation of uric acid stones. In addition to medication, changes in diet and lifestyle can also be effective in preventing the formation of kidney stones. Drinking plenty of water, avoiding foods high in oxalate, and maintaining a healthy weight are all important steps that can be taken to reduce the risk of kidney stone formation."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for writing to chatbot i understand your concernchickenpox (varicella) is a viral infection that causes an itchy rash with small, fluid-filled blisters. it is highly contagious to people who haven't had the disease or been vaccinated against it. chickenpox is most easily spread from 2 to 3 days before the rash appears until all the blisters have crusted over, and it usually takes about 10 days after the first symptoms before this happens (all blisters have crusted over). after you have had chickenpox, you aren't likely to get it again. but the virus stays in your body long after you get over the illness. best regards"
Please summerize the given abstract to a title,Kidney Biopsy Findings in Patients with COVID-19.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the ulcers what you are getting repeatedly are nothing but recurrent authors ulcers, these can come secondary to stress or nutritional deficiency. nothing to be panic, lead a stress-free life, take proper nutritious diet. if i am your treating doctor, i would have suggested you to take topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. do saline gargling. if the lesion does not heal in 5-7 days then consult an oral physician and get it examined. regarding you tobacco chewing habit, when you know it can cause cancer, you better quit it gradually. otherwise, once the changes occurs in the mucosa its irreversible. so better quit it. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","first history of yours is little confusing. because february does not have date \""30\"". but yes what i understand the misses a period, and you had sex once during past cycle. now there are many reasons for missing a period and pregnancy is one of it and most common one. so do urine pregnancy test and see if it turns out to be positiver than she is pregnant and if it is negative than it is delayed menses.in case of positive result you have to do sonography for confirmation. this is the best way to see whether see is pregnant of its delayed menses. for delayed menses also she may have to take medications sometimes. so consult nearby gynecologist, and he may prescribe oral tablets like progesterone for menses to come. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you something and give you my opinion. you should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmhg. a person might have high value during emotional and physicals trees so it's mandatory to judge on mean values. it is normal to have high blood pressure values during physical exercise. but it is not normal to suffer from hypertension and not treat it. becouse left untreated it slowly modifies the heart and during exertion it goes up even higher and might house hypertensive crisis with several side effects. according to heart rate, you should know that your maximal heart rate is 220 minus your age. so, for a 23 years old we expect a maximal heat rate up to 197 beats for minute. of course, you should not go above this limit. if you have a lot of time without exercising it is normal to have such high rates. it needs time to adapt. so, i encourage you to keep training and don't worry about the heart rate, its normal. but keep monitoring your blood pressure and discuss with your doctor if you find high mean values. hope i was helpful. best regards, chatbot."
Answer this question truthfully,"The recommended treatment for this presentation, which is suggestive of Scarlet Fever, is penicillin."
Please summerize the given abstract to a title,"Effects of health-promoting leadership, employee health on employee engagement: employability as moderating variable"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your concern. as per your query it seems that your treatment is progressive and as the teeth moves they may come cusp to cusp, and you have difficulty in chewing but when the treatment will complete and teetchatdoctores in correct alignment you can very well chew of your teeth... when the teeth re-align they become tender and chewing may be painful and pressure in the ear may be due to pressure created by the elastics placed in your mouth to move your teeth... if your front teeth have started hitting the bottom visit your dentist and tell him the problem, he can very well solve your problem by raising the height of your teeth by overfilling your molars with filling materialyour problems can get solved but if you are still doubtful about your treatment you can visit an orthodontist for second opinion. hope your treatment becomes a success. all the best. thanks and regards. chatbot. ."
Answer this question truthfully,"Yes, early diagnosis and treatment of strep throat can prevent rheumatic fever."
Please summerize the given abstract to a title,"Autologous fat grafting in the face and neck: Multinational trends and knowledge of the safety, applications, and indications considering oncologic risk potential"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to this forum. can understand your concerns.* green stuff in eye in a 7-month-old child can be due to conjunctivitis which can be due to bacterial or viral infection.* in viral conjunctivitis, there is running nose and fever can be present. it usually involves both eyes.* in bacterial infection, there can be involvement of only eye. the discharge is not clear. fever can be present.* an examination by ophthalmologist should be done so that proper diagnosis and treatment can be advised.* do not touch eye of child frequently, it will lead to infection in the eye. i hope this will help you. wishing your child good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, see this thing shouldn't be confusing. if your daughter had a very high level of ige in blood with high eosinophils then only sputum culture or blood culture will make diagnosis clear like aspergillus fumigators. if she had been done blood allergic testing for aspergillus was positive then one thing is clear that she is having allergic bronchpulmonary aspergilli. now bronchoscopy is an invasive procedure and carries more risk during operation and there are other safer investigations should be tried first like chest x-ray or ct thorax. bronchoscopy can be done as a last option and mainly to rule out any obstructive disease or bronchiectasis or any tumor or foreign body. i think this all will make u clear to understand."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i understand your concern. xanax contains clonazepam. it helps in anxiety and panic attacks. increase in serotonin level can prevent further panic attacks. medicines like ssri can help. in ssri sertraline / escitalopram / paroxetine in mild doses are advisable to control it. there are very minimal level of serotonin in foods like chocolate / banana etc. it can help to reduce stress but can not prevent panic attacks. discuss with your treating doctors for further options. psychotherapy and psychological counselling can help. maintain proper sleep and diet. exercise and meditation can be useful. i hope i have answered your question. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","is there any h/o hypertension or diabetes, is he taking any medicine on regular bases if he is not on any medication it may be simple vertigo with gastroesophageal reflux disease.  if he is hypertensive or diabetic then it might be fluctuation of blood pressure or blood sugar. so give any proton pump inhibitor like pantoprazole and tab vermin 8 mg twice a day if dizziness persist, and do basic blood test to rule out diabetes. and check his blood pressure and ecg to rule out any cardiac problem."
Answer this question truthfully,"Risk factors for the development of atrial flutter are:
Presence of heart disease Past history of cardiac surgery Hyperactive thyroid gland Abnormal heart valves Elderly age Chronic alcoholism Caffeine addiction Chronic use of diet pills and cold medications History of chronic pulmonary disease Stress and anxiety"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, let me advise you, that aml(angiomyolipoma), is not cancer. this is almost diagnostic on the active, with typical features.there are three approaches to its management.1. needle biopsy of the tumor, to confirm, it's an aml.  if aml, leave it alone.2. surgery, send the tumor for a biopsy. if aml, nothing more to do.3. observation with regular ct scans, at 6-12 monthly intervals. surgery, only if any changes noted. so, ct alone isn't conclusive. if you've any doubt, send it to me, as a direct question, for expert opinion. chatbot.  manga."
Please summerize the given abstract to a title,Homage to Prof. M.G. Replacement: A Celebration of Structural Biology at Purdue University
Answer this question truthfully,"Thrombosis is caused by abnormalities in one or more of the following (Virchow's triad): the composition of the blood (hypercoagulability or thrombophilia), quality of the vessel wall (endothelial cell injury), and/or nature of the blood flow (stasis, turbulence)."
Answer this question truthfully,"Vitamin A has been found to be effective in the treatment of certain medical conditions. For example, it may be used to treat measles, a highly contagious viral infection that can cause a range of symptoms including fever, cough, and rash. Additionally, Vitamin A has been used in the treatment of acute promyelocytic leukemia (APML), a type of cancer that affects the blood and bone marrow. In this case, Vitamin A is used as part of a combination therapy that also includes chemotherapy drugs. While Vitamin A can be beneficial in these specific cases, it is important to note that excessive intake of Vitamin A can be toxic and lead to a range of health problems. Therefore, it is important to consult with a healthcare professional before taking Vitamin A supplements or using it to treat medical conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. it is very difficult to ascertain sans visualization or analysis of the water to state that your tank water can have caused this problem. the itchy rash may be unrelated & will require you to visit a dermatologist or /& upload photographs here to help you better. use a topical steroid lotion such as mometasone furnace twice/daily for the affected areas & see if it responds in 48 hrs together with systemic fexofenadine tablets 180\u00a0mg taken once/day. cheers & good luck!
Answer this question truthfully,"The myogenic mechanism of renal autoregulation is a mechanism by which the renal system regulates its own blood flow. According to this mechanism, renal afferent arterioles contract in response to increased stretch on the arterial wall."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. side effect of piglet [pioglitazone] is weight gain, leg swelling [edema] even with diet and regular exercise, moreover since weight is not mention thus it can be one factor for high blood sugar due to insulin resistance.2. check with your doctor for possible echo cardiogram and lung function test to know the health status of heart and lungs.3. your doctor may stop the medicine and change it with some other option since it is banned in many countries.4. one must see a diabetes specialist, who will look clinically for"
Answer this question truthfully,"Loop diuretics cause decreased hypertonicity of the renal medulla. The renal medulla is the innermost part of the kidney, and it plays an important role in regulating water and electrolyte balance in the body. Loop diuretics work by inhibiting the reabsorption of sodium and chloride ions in the ascending limb of the loop of Henle, which leads to increased excretion of water and electrolytes from the body. This results in decreased hypertonicity of the renal medulla, which can have both beneficial and harmful effects on the body depending on the individual's medical condition. In some cases, decreased hypertonicity of the renal medulla can help to reduce fluid buildup in the body, while in other cases it can lead to electrolyte imbalances and other complications."
Please summerize the given abstract to a title,Antibody response to mRNA SARS-CoV-2 vaccine among kidney transplant recipients – Prospective cohort study
Please answer with one of the option in the bracket,A: Isolation of affect; Repression
Answer this question truthfully,"Although the use of fibrinolytic therapy was associated with significant reduction in mortality, it was soon demonstrated to be overcome by a number of limitations. An analysis from the TIMI-9 registry demonstrated that 10.3% of patients have contraindications to fibrinolysis which consisted of prior stroke or transient ischemic attack, recent cardiopulmonary resuscitation, trauma, surgery, recent bleeding, persistent hypertension and significant illness . Its efficacy in the management of patients with cardiogenic shock complicating acute STEMI is not proven. In addition, not all patients who are treated with fibrinolysis undergo coronary angiography. This results in patients with significant coronary stenosis or three vessel disease not receiving the appropriate revascularization therapy.
The benefit of fibrinolytic therapy decreases as time progresses after the onset of symptoms. Pre-hospital administration of fibrinolysis was beneficial if administered within 70 minutes in terms reduction in the composite score of death, stroke, serious bleed and infarct size (p=0.009) . Further studies suggest that significant mortality reduction is seen in patients treated with fibrinolytic therapy within the first 2 hours of symptom onset compared to those presenting later .
Stroke remains a catastrophic complication of fibrinolytic therapy. The FTT collaborators analysis demonstrated that fibrinolysis was associated with an increase in stroke rates compared to control patients (1.2% vs. 0.8%, p<0.00001) . An analysis from the GUSTO I (Global Use of Strategies to Open Occluded arteries in Acute Coronary Syndromes) study demonstrated that the overall incidence of stroke after fibrinolytic therapy was 1.4% (95% of stroke occurred within 5 days). Combination treatment with streptokinase (SK) and tissue plasminogen activator (TPA) was associated with significantly more stroke than SK alone (1.64% vs. 1.19%, p<0.007). Of these in 41% of cases the stroke was fatal. Intracranial hemorrhage (ICH) occurred in 0.46% of cases who received SK and 0.88% of cases who received combination therapy (p<0.001) . Another analysis demonstrated a slight increase in ICH among patients receiving TPA (0.95%) .
In addition to the above limitations, early patency of the infarct related arteries is not demonstrated in all patients treated with fibrinolytic therapy. Angiography following fibrinolytic therapy demonstrates that TIMI flow grade 3 is achieved in only ~40-60% of cases. In an analysis from the GUSTO trial, the patency of infarct artery (TIMI flow grade 2/3) at 90 minutes was achieved in 81% of cases in the accelerated TPA group compared to only 54% in the SK group (p<0.001). Normal flow (TFG 3) was achieved in 54% of patients who received TPA compared to 40% among those who received the other treatments (SK + subcutaneous heparin, SK + intravenous heparin, combination SK, TPA and heparin) . The mortality at 30 days was significantly increased among those who had reduced flow compared to those who had normal flow (8.9% vs. 4.4%, p=0.009).
Fibrinolysis is also limited by frequent occurrence of recurrent ischemia, reocclusion of the infarct artery (reocclusion within 5-7 days occurred in 4.9-6.4% cases in the GUSTO analysis) and reinfarction . Reinfarction occurred in 4.3% of cases following thrombolysis at a median of 3.8 days after fibrinolysis. Gibson et al have reported higher short term and long term mortality associated with reinfarction ."
Please summerize the given abstract to a title,"Ruxolitinib-Associated Infections in Polycythemia Vera: Review of the Literature, Clinical Significance, and Recommendations"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your wife is experiencing something referred to as vertigo.  this is a feeling of movement, spinning, tumbling, or being pushed to the side.  there are many potential causes.  if she is standing up to 10 min. before this actually starts to happen then, in fact, blood pressure problems (i.e. chatbot.  she should be tested for what is called orthostatic blood pressures and perhaps, even better yet, get tested on a tilt table which usually takes about 30 min. and is even a more precise way of measuring this phenomenon.  there are other potential problems including side effects or interactions of medications that she may be taking that are new within the past 4-6 weeks.  with the pain of the scalp (wallonia) she may be experiencing pseudoaura symptoms to an aborted migraine headache so that another possible diagnosis may be atypical vertiginous migraine headache.  it is atypical in the sense she doesn't have vegetative symptoms such as nausea, vomiting, etc. otherwise, this is what the diagnosis may be as well in which case you need to consult a headache specialist or neurologist for further assistance so that proper testing and medication may be prescribed. hope i have answered your query. let me know if i can assist you further. take care"
Please answer with one of the option in the bracket,A: Gs protein coupled receptor activates adenylyl cyclase and increases intracellular cAMP
Please answer with one of the option in the bracket,E: Trapped thrombus in the pulmonary vasculature
Please summerize the given abstract to a title,Human immunodeficiency virus hematology.
Answer this question truthfully,Vitelline fistula is the congenital anomaly that presents with meconium discharge from the umbilicus.
Answer this question truthfully,"Symptoms may include itching.
The rash begins as a small area of red, raised spots and pimples. The rash slowly becomes ring-shaped, with a red-colored, raised border and a clearer center. The border may look scaly.
The rash may occur on the arms, legs, face, or other exposed body areas."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you are known allergic to tree pollen, you should be very, very careful during the blooming period it may be dangerous to the life. i would suggest you to undergo absolute eosinophil count (aec) which will be raised in the allergic condition. for the present symptoms you can take tab zyrtec, which you are having which helps to control the symptoms, but it is temporary. you need to avoid these pollen allergens to protect yourself from getting these allergy symptoms.otherwise, you have to prefer immunotherapy either with subcutaneous immunotherapy (suit) or sublingual immunotherapy (slit). thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, the hard lump can be due to lymph node enlargement. the needle biopsy is an office procedure wherein cells are aspirated using a needle, cells are spread on slide, stained with appropriate stains and examined microscopically. this investigation will determine the origin and nature of the lesion. treatment will be planned after getting results of the investigation. thanks and take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hellowelcome to chatdoctoryour symptoms points towards a clear-cut diagnosis of disc prolapse i.e. bulging of intervertebral discs from their normal position...you should get an mri of lumbosacral spine and consult an orthopedic for prescribing you the required treatment....for immediate relief you should visit a physiotherapist for spinal traction and other modalities which will provide instant relief from painregardschatdoctor
Answer this question truthfully,The prothrombin time (PT) value is typically normal in patients with abnormal hemostasis due to chronic renal failure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctorthanks for your query there are so many cause for frequent urination including hyperplasia of prostate, other causes are uti, cystitis and some time emotional causes as you mentioned your husband prostate was examined and it was normal then forget about hyperplasia of prostate it would be better if you visit nearby nephrologist for further evaluation of condition as for as some natural herbal pill is concerned chan chatbot."
Answer this question truthfully,"GVHD (graft-versus-host disease) of the liver can present with similar histologic findings to primary biliary cholangitis, an autoimmune disease that affects the bile ducts in the liver. Both conditions can cause damage to the intrahepatic bile ducts, leading to inflammation, fibrosis, and cholestasis. However, the underlying mechanisms and clinical features of these diseases are distinct. GVHD of the liver occurs when immune cells from a transplanted graft attack the recipient's liver, whereas primary biliary cholangitis is thought to be caused by a combination of genetic, environmental, and immunologic factors. Additionally, primary biliary cholangitis is typically diagnosed in middle-aged women and is associated with elevated levels of autoantibodies, whereas GVHD of the liver can occur in any age group and is often accompanied by systemic symptoms such as rash, diarrhea, and fever."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing me an opportunity to answer your query. based on the history what you provided it doesn't seem that something is connected to the viral conjunctivitis. it will be related to your spine as you have mentioned you had sciatica symptoms twice. i don't think these symptoms will stay for long duration. a little care taken will get you away from the symptoms. kindly do some neck and back strengthening exercises and avoid using big pillows and soft surface to sleep, i wish you recover with this and do best in future with your health. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient. thank you for your question. let me start off by saying i am not chatbot. post replacement steroids is rare as steroids decrease immunity by increasing blood sugar and inhibiting the production of white blood cells which fight off infection. post replacement the chances of infection increase. the only conditions where steroids should be given is1) your mother os a patient of rheumatoid arthritis and was on steroids before the operation2) she was on steroids for a different reason.steroids, post replacement if given should not be given for more than 3 days and that too low dosage, so please ask your doctor the reason for giving steroids and to stop them before 2 weeks are up"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i had gone through your problem. already you had been told that you have gum problems i.e., gingivitis and receding gums. these problems will not cause white spots on the gums, which are painless. second thing and important thing in your query is you deal with a lot of stress daily. because of that stress some kind of white spots which are pain less, may form not only on the gums but also on the entire mucosa of the oral cavity. i strongly suspect that white spots may be because of that stress. anyhow you kindly visit the dentist one more time. if those spots are same what i suspected, then the treatment is required apart from stress relieving methods. i think my answer would satisfy your query."
"If you are a doctor, please answer the medical questions based on the patient's description.","tithe most common side effects are nausea, vomiting, diarrhea, stomach pain, upset stomach, headache, rash, palpitations, tremor, and increased heart rate. most of these are temporary and usually resolve with time. contact your doctor straight away if you are at all concerned about any of these side effects. hope i have answered your query. let me know if i can assist you further. regards chatbot."
Please summerize the given abstract to a title,"Tiktok, a vehicle for Pro-Ana and Pro-Mia content boosted by the COVID-19 pandemic"
Please answer with one of the option in the bracket,D: ↓ ↑ ↓ ↓
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for writing to us. in your case, as there were 2 follicles after camphene, and you took chatbot for rupture of follicles, there is a possibility of pregnancy. your urine pregnancy tests have been negative for 2 times and usg showed thickened endometrium, so i would suggest you to get blood levels of b chatbot to be sure about pregnant or not. you have not mentioned any medication you are taking at present. hope to have cleared your doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. after reading the history you have provided, the occurrence of headache above the left eye may not be associated to other symptoms and can be due to supra-orbital neuralgia. the lower abdominal pains, nausea, weakness, numb limbs and sharp pains on the left side of the chest with normal sugar, ecg liver and blood counts can be due to intestinal infection or ibs giving the symptoms of inappropriate absorption which lead to other symptoms of weakness and all others. missed abortion might have instigated the changes and enhanced the problems. i would advise you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query on chatbot. i appreciate your concern for the cat bite in fact scratch by its claws. it is unlikely to transmit the rabies virus, if any. rabies virus is found in the brain and the salivary secretions of these animals. so a cat bite by animals teeth with saliva is more likely to transmit the virus if the animal is found to be carrying the virus. but in your case you had scratches by the animals claws resulting in bleeding, so it is unlikely to result in the transmission of the virus and hence no chance of getting the rabies. what you need at the most is cleaning of the wound with soap and water or antiseptic like provide and a booster dose of injection tetanus toxic and maybe you need a course of appropriate antibiotic from the doctor. hope this answers your query. kindly rate this answer, if you are convinced."
Please summerize the given abstract to a title,Mapping and Identifying Community Risk Factors for COVID‐19 Nursing Home Deaths
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. as your child already has wheezing for more than one week, i would consider nebulization with albuterol & oral montelukast. i would definitely advise you to consult a pediatrician who will examine the child & suggest a suitable schedule of nebulization. i would also advise light, warm diet & fluids to the child. hope my answer would be helpful to you. wish your child a faster recovery & the best health. chatbot."
Answer this question truthfully,"The genome of HDV (Hepatitis Delta Virus) is circular. HDV is a defective RNA virus that requires the presence of the hepatitis B virus (HBV) to replicate and cause disease. The genome of HDV is a single-stranded, circular RNA molecule that is about 1.7 kilobases in length. The circular configuration of the HDV genome is thought to be important for its replication and packaging into virions. Understanding the structure and replication of HDV is essential for the development of effective treatments for hepatitis D, which is caused by HDV infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i believe your friend needs to be assessed for having suffered a concussion or traumatic brain injury since he is exhibiting many of the symptoms of this problem.  any time someone suffers a blow to the head with significant injuries to the face as your friend a concussion assessment should be performed.  your friend should be assessed by someone with expertise in this area as soon as possible. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","you may be having a dental decay in your right molar which would have persisted long to cause such a pain. usually such pain arises when the infection spreads below the roots and thus in that case pain can be manifested both while biting and also on opening of the jaw. instead of trying to chew from the other side i would suggest you to get the problem on the right side corrected by visiting a dentist because ignorance in case even if your pain subsides would only lead to further problems such as gum infections, bad breath etc."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned you have a herniated disc in the cervical spine and also having pain with limitations to functions i will advise you to undergo to a physical therapist, and he will help you with ultrasound therapy and tens for pain relief and spasm. also, you will be put further into the exercises for the neck and upper limb. also the upper back will be made to focus for better stability of spine. also perform the exercises later on by yourself for long term maintenance usury people recover with 99% success. with the grace of god i wish you a speedy recoveryregardsjay in chatbot."
Answer this question truthfully,"MRI is better than CT for detection of acute ischaemia, and also detection of acute and chronic hemorrhage. Therefore it should be the preferred test for accurate diagnosis of patients with suspected acute stroke. 
T2 susceptibility-weighted MRI are as sensitive as CT for detection of acute blood and are more sensitive for identification of prior hemorrhage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your query as your son is 7 years of age that is a mixed dentition stage that means when some milk teeth are present and some permanent teeth. as he has some lost milk teeth and permanent teeth are erupting it means his milestones are going on well. so do not worry as gradually the milk teeth will fall, and permanent teeth will erupt. as far as blackening and breaking of teeth is concerned it is due to severe decay in teeth. for this you should consult a periodontist and get appropriate treatment done as per the condition of teeth. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i did review your concern i would advise you to consult an immunologist or a rheumatologist who is expert in this field. positive ana test can be present in other autoimmune disorders too other than lupus. most specific for lupus is ds dna ag or anti smith antibody test. also back pain can occur in condition like ankylosing spondylitis, so get an hla b27 assay done in case you have not done that hope this suggestion yellowish you all the good luck"
Please summerize the given abstract to a title,"Science, Technology and Innovation Policies Looking Backwards, forwards and beyond: Developmental Challenges and Opportunities for Ibero-America in the Era of COVID-19"
Please summerize the given abstract to a title,Russian-Language Mobile Apps for Reducing Alcohol Use: Systematic Search and Evaluation
Please answer with one of the option in the bracket,A: Random point mutations within viral genome
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i had gone through your query and understand your concerns. i would come up with the possibility of diverticulitis may be the cause for your sufferings.-inflammation of balloon-like protuberance due to excess gas pressure in intestines. often caused by additives in food, or low blood sugar. diet to follow;-high fiber diet which produces large volume of feces requiring wider diameter of colon, and gas. -refined food lead to hard stool. softer stools do not strain the gut. x-ray with barium enema may confirm the diagnosis.  i hope this is helpful for you, thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you have got pain abdomen, more on stretching, getting up from bed, the pain could be of anything, if in the upper abdomen, may be due to gastric irritation due to peptic ulcer, or irritant foods. gallbladder pain, or pancreas pain.  if in the middle, may be due to worms in the intestine, kidney or urinary tract infection, or infection in the ascending or descending colon.  if in the lower abdomen, may be due to urinary tract infection, or stones in the urinary tract or urinary bladder.  i advise you to consult a surgeon for diagnosis and treatment. you may need to have m.r.i. besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot acute vomiting and diarrhea is normally caused by a viral or bacterial infection but the exact cause (exact bacteria or virus) would not be known without testing. most types of viruses and bacteria that cause this infection can be transmitted hand to mouth, meaning contact with the hands, the eating food or chatbot.  handwashing and disinfecting surfaces would definitely help. i hope this helps"
Please summerize the given abstract to a title,COVID-19 Infection and Acute Kidney Injury: Cause or Complication?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. dizziness is because of antihistamines taken by you. there is nothing to worry since mosquito bite never causes any complication it will be treated without doing anything. i advise you to stop your antihistamines. it can cause dizziness symptoms as mentioned by you. maintaining hygiene can help you better. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, need an mri of the cervical spine to check if any spinal nerve root is involved or not. also, as the pain is behind the ear and jaw issue i will advise for the ent examination and also the cranial nerve examination. the pain symptoms are giving combined symptoms of cervical spine nerve entrapment and also the cranial nerves. with having a proper and precise clinical examination it can help us understand the pathology of the involved nerve and diagnosis. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum.  pain is from many years and age 70 years. colonoscopy and c t scan five year back. agree five years is sufficient for a disease to spread. you have not mentioned in your query, where is the exact site of pain? is burning during urination, constipation or loose motion, consistency of stool?, is blood in urine?is repeated urination during nighttime?however, pain may be due to amoebic colitis, but without symptoms prediction is not possible. consult a physician /surgeon and get in complete examination and take treatment. hope i have answered your question. if further any question i will help. good luck."
Answer this question truthfully,"Contact your health care provider if you develop constant, burning pain in an arm, leg, hand, or foot."
Please summerize the given abstract to a title,Lung semiotics ultrasound in COVID-19 infection
Answer this question truthfully,"The lung volume that cannot be measured using spirometry is called the residual volume. The residual volume is the amount of air that remains in the lungs after a maximal exhalation. This volume cannot be measured using spirometry, which is a pulmonary function test that measures the amount of air that can be forcefully exhaled after a maximal inhalation. The residual volume can be measured using other techniques, such as body plethysmography or gas dilution."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to chatdoctoras you have described that your job is concerned with lifting heavy weights that point towards one of the following cause for your pain(1) musculoskeletal i.e. due to stretching of muscles of chest wall(2) costco chatbot. e inflammation of bones/cartilage of the ribs so you just need to take a course of analgesic + muscle relaxants...take the following medicines for 1 week(1) tablet ibuprofen 3 times a day after meals(2) tablet tizanidine 2 mg three times a day after meals avoid lifting heavy weights n operating machinery for 1 week till u take these medicines regards
Please answer with one of the option in the bracket,D: Hysterosalpingogram
Please summerize the given abstract to a title,The changing health needs of the UK population.
Answer this question truthfully,"Chronic overuse of your wrist i.e. activities like wringing out a cloth. Direct injury to your wrist or tendon Inflammatory arthritis, such as rheumatoid arthritis
It can be prevented by
Avoid to overuse or eccentrical load on the wrist. Stretching may help you improve muscle flexibility."
Answer this question truthfully,Renal papillary necrosis presents with gross hematuria and colicky flank pain.
Please summerize the given abstract to a title,Construction and Validation of a Machine Learning-based Nomogram: A TOOL to Predict the Risk of Getting Severe Corona Virus Disease 2019 (COVID-19)
Answer this question truthfully,"Crohn's disease is the type of IBD that is often associated with perianal disease, phlegmon/abscess formation, and strictures.

Crohn's disease is a type of IBD that can cause inflammation in any part of the digestive tract, from the mouth to the anus. One of the distinguishing features of Crohn's disease is that it can affect multiple layers of the intestinal wall, which can lead to complications such as strictures (narrowing of the intestine), fistulas (abnormal connections between different parts of the intestine or between the intestine and other organs), and abscesses (collections of pus). These complications can occur anywhere in the digestive tract, but they are particularly common in the perianal area (around the anus). Treatment for Crohn's disease typically involves medications such as corticosteroids, immunosuppressants, or biologic agents, as well as lifestyle modifications such as dietary changes and stress management. In severe cases, surgery may be necessary to remove damaged portions of the digestive tract."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint there is a possibility that your brother is suffering from viral infection leading to fever and blisters on tongue. i would suggest you to consult an infectious medicine specialist and get evaluated, and he can advise you anti-viral chatbot. . continue taking paracetamol for reducing fever. he can be advised to gargle with a numbing mouthwash containing lidocaine for relief from pain in sores in mouth. take multivitamins daily. take a soft diet. take ample of fluids and appropriate rest. hope this information helps. thanks and regards."
"Hello,   I have a scoliosis problem plz help me I want its treatment I can send my x.ray also",Studies indicate that the following treatments for scoliosis are ineffective: - Chiropractic manipulation - Electrical stimulation of muscles - Dietary supplements
Answer this question truthfully,"Swallowing a battery, magnet, or sharp item is managed with endoscopic removal."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should go for culture and sensitivity testing for stool. the symptoms resemble those of thiobacillus infection, but further confirmation can be done by microscopic examination, culture and sensitivity. you can take tab doxycycline with lactobacillus spores. it will help clear up residual infections. take much of curd in diet. do not eat irritant food so not to cause diarrhea. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Answer this question truthfully,Ubiquitination of proteins recruits the proteasome to degrade them.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, in my opinion you are having pleurisy (inflammation of pleura) mostly. because chest pain on coughing with yellow sputum and bubbling sensation can be seen in pleurisy. following ate tge possible causes of pleurisy. 1. pneumonia2. tuberculosis3. pleural effusion. etc. so get done chest x-ray to rule out all these causes. so consult pulmonologist and discuss all these."
Please summerize the given abstract to a title,"Mesenchymal Stem Cell-Derived Extracellular Vesicles in the Management of COVID19-Associated Lung Injury: A Review on Publications, Clinical Trials and Patent Landscape"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that she is having recurrent urinary tract infection. this might be due to resistant bacteria or less sensitive to antibiotics. this might be due to poor local hygiene. go for routine and microscopic urine check up.if you require go for culture and sensitivity test. go for ultrasound of kidneys for having any problem in kidneys. after reports go for treatment accordingly. clean the genital parts properly while giving shower. give her enough water. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would like to explain that it is normal to have tachycardia and palpitations during physical activity and anxiety. waking up is a kind of stressful activity for the human body, because you change your situation from silence and deep rest to daily activity full of stimuli.  physical exercise can help you manage better this physiological changes, and reduce tachycardia. i recommend continuing to perform physical activity, as it is very helpful for good function of all your organs and your mind. hope to have been of help! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i had gone through your question and understand your concern. you should be worried, but not too much. after stress kids usually sleep, let her. apply pile ointment or tomophobe on her lump three times a day with light massage hope i answered your question. if you have any following questions, please don't hesitate to contact us. i am always happy to help. wishing you and your daughter good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, for eczema, patch testing is done to rule out other skin diseases. get physically examined with the biopsy test. do continue to take the steroids and creams prescribed.  you may require oral or injected medications like methotrexate, cyclosporine or medications that alter immune response under a pcp. other treatments are uvb phototherapy, ackerman phototherapy, laser therapy, etc. after evaluating disease you have.  eczema is not a contagious disease, it causes patchy chatbot.  there is no permanent cure for eczema, but it can be controlled by treating damaged skin. topical corticosteroid creams and ointments, antibiotics along with antivirals are effective. phototherapy also works well.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Vaccine-induced immune thrombotic thrombocytopenia in a male after Ad26.COV2.S vaccination presenting as cerebral venous sinus thrombosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, fertyl 50 tablets contains camphene citrate, which is used to induce ovulation in case of poly cystic ovary syn chatbot. bigmet is metformin, which is an insulin sensitizer used to treat insulin resistance in pcs. bromotine is bromocriptin which is ergot derivative, it is dopamine agonist used as an adjuvant therapy in pcs. with this treatment most of the symptoms of pcs get cured and there is more chance to get pregnancy. if medical therapy fails surgical options are also available. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the bleeding can be due to period or due to pill effect. ipill causes hormonal imbalance leading to irregular bleeding or spotting. i suggest you to consider doing a urine pregnancy test after a week of expected period if the period is missed. if the test is negative the chances of pregnancy is unlikely and the bleeding is supposed to be due to pill. the breakage of first condom might not be there. so relax and check for the period. the pill is effective if taken within 72 hours of unprotected sex. as you have taken it within time the chances of pregnancy are rare. best regards..."
Please summerize the given abstract to a title,Evaluation of the efficacy and safety of Melatonin in moderately ill patients with COVID-19: A structured summary of a study protocol for a randomized controlled trial
Answer this question truthfully,Mutations in hox genes can cause appendages to be placed in wrong locations during development.
Answer this question truthfully,The DCC gene is a tumor suppressor that is frequently mutated in advanced colorectal cancer.
Please summerize the given abstract to a title,"Link between Viral Infections, Immune System, Inflammation and Diet"
Please summerize the given abstract to a title,"Factors influencing measurement for improvement skills in healthcare staff: trainee, and trainer perspectives"
Please summerize the given abstract to a title,Iatrogenic Pneumothorax and Pneumomediastinum in a Patient with COVID-19.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there could be a few reasons to your symptoms. since your blood pressure was so low, the first thought is that you were simply not getting enough blood to your brain. from you symptoms it sounds like your left hemisphere of the brain was affected given that you couldn't move your right leg and arm. language also resides most commonly in the left hemisphere, so speaking would also be difficult. you didn't mention your age, but when symptoms are isolated to a side of the brain, what needs to be done is an mr-angiogram (blood vessel imaging with mri) or ct-angiogram (blood vessel imaging with a ct) of the arteries in the neck and brain to make sure that there is no narrowing of the blood vessel that could result in the symptoms just affecting one side of the brain. if neither of those tests are possible, then as a bare minimum a carotid ultrasound should be done. alternatively, but much less likely is that you could have a migraine that caused paralysis and focal neurological symptoms. they are very rare, but still a possibility. the symptoms usually resolve in a few hours to a day. lastly, a seizure could have also occurred which caused you to lose consciousness. there is a condition where after the seizure, it takes the brain time to recover and there can be difficulty with movement and language. again, i feel that that is less likely. none-the-less you need more testing done to make sure the blood vessel are open. also, they need to investigate the cause of your low blood pressure. it can be due to a chatbot.  you should definitely speak with your primary care physician to have all of that investigated. i hope this helps. sincerely, kristoffer mission"
adrenoleukodystrophy A child I have been asked to work with has been diagnosed with this condition.I am so far unable to find info pertaining to this illness. Can you help??,"X-linked adrenoleukodystrophy (X-ALD) is an inherited  condition that occurs mostly in males, and  affects the nervous system and the adrenal glands  located on top of each kidney.   Treatments for X-ALD are not currently available. ,Eating a diet low in very long-chain fatty acids (VLCFA) and taking special oils can lower the blood levels of VLCFA, which might reduce damage to the adrenal cortex and myelin.  Bone marrow transplantation (BMT) may be an option for boys and adolescents in early stages who have evidence of brain involvement on MRI .  Adrenocortical insufficiency is treated with cortisone replacement."
Please answer with one of the option in the bracket,A: Cyanide toxicity
Please summerize the given abstract to a title,Impfungen für Schwangere und Frauen mit Kinderwunsch Vaccinations for pregnant women and women attempting to become pregnant
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  i would like to know how did you come to know you have avoidant personality disorder? even experienced psychiatrists find it difficult to diagnose personalities just because there are only about 16 thoroughly researched and mentioned. but can you imagine how many are there? please do not diagnose mental disorders yourself. that can create more anxiety and stress than you imagine. such a diagnosis can make you obsessive. let a psychiatrist or psychologist do it for you. please. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you mentioned the dislocation in the past and the other leg getting pain at the present then the pain you are having is the stress on the muscle. human body is designed to function correctly even if the conscious level of mind can recognize the ability of its subconscious level. you need to meet a physical therapist and get to undergo proper strengthening of the muscles of the lower limb to have uniform balancing of the weight. also, if the pain is too much than meeting an or tho is advice. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot your cramps in leg is a matter of concern but is a common phenomenon faced by every 2nd person at some time or the other in life. cramps are sudden, painful involuntary contractions of muscles of leg or any muscle. the cramp usually only lasts a few minutes, sometimes a few seconds. in most cases, leg cramps are nothing to worry about, and it usually just has to do with deny chatbot.  other causes include, standing for long periods, or muscle fatigue from walking on a hard surface. both can result in nocturnal cramps. the toxins ingested by heavy smokers and the electrolyte imbalances that can result from excessive alcohol consumption may also be a source of sudden muscle cramps. avoiding smoking, alcohol, fast bookkeeping well hydrated, a balanced regular diet including essential nutrients little stretching or gentle jerk, muscle-strengthening exercises before going to bed may give relief. taking homeopathic cup rum met 30 2 doses helps to relieve the tendency of cramps. hope this helps solves your query. take care, all the best. wish get well soon.don't hesitate to get back tf have any further query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, low sperm count and other sperm disorders are complex and first, you should do more detailed sperm analysis that includes number, morphology, and motility of sperms. there are plenty of causes and treatment options for men with low sperm count vary depending on the cause of the condition. for example, surgery is the most common treatment for men suffering from varicocele.  for low sperm count due to infections of the urinary/reproductive tract, antibiotics can be prescribed to help clear the infection. medication and hormone replacement treatment options can also be used when the cause of low sperm count is related to a hormone imbalance.  in cases of low sperm motility, assisted reproductive technology (art) treatments would be used to facilitate conception by inserting sperm into the female reproductive tract. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Whole body bone scan or PET-CT scan are widely available and most sensitive and specific methods to detect metastasis to bones.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ali. thank you for asking at chatbot. i went through your history. you can continue to use allergen as anti-allergic medicine. however, personally i would not recommend debone or dexamethasone as they are oral corticosteroids and their long term use have many side effects. it is important to know that allergy medicines like anti-histamines and corticosteroids do not cure allergy. so you need to take them continuously as long as you are having symptoms. personally i would suggest you to consult an allergist-immunologist for allergen specific immunotherapy (vaccine) again. nowadays, it is available in most countries and its quality and practice has also improved compared to days in the 1980s. sublingual form of immunotherapy is also available which does not require injections. i would suggest you to take immunotherapy (vaccines) at least for 3-5 years which will minimize your requirements of allergy medicines and also corticosteroids. hope this will be helpful to you. wish you the best of the health. should you have any query, please feel free to ask at chatbot. thank you & regards."
Answer this question truthfully,"No, malignancy is rare in hot nodules found in toxic multinodular goiter."
how to prevent diabetes,"Keeping an ideal body weight and an active lifestyle may prevent or delay the start of type 2 diabetes. If you're overweight, losing just 5% to 7% of your body weight even helps. Some medicines can also be used to delay or prevent the start of type 2 diabetes. At this time, type 1 diabetes cannot be prevented. But there is promising research that shows type 1 diabetes may be delayed in some high risk people."
Answer this question truthfully,"Osteoarthritis is a musculoskeletal disorder that is associated with narrowed joint space, osteophytes, and subchondral sclerosis visible on radiographs."
Please summerize the given abstract to a title,"Household Transmission of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Alpha Variant—United States, 2021"
Please answer with one of the option in the bracket,C: Ruptured abdominal aortic aneurysm
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"The outcome is usually good with treatment, but poor without it. Modern improvements in diagnosis and treatment have led to a reduction in mortality."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! thank your for the question ! i understand your concern. i would recommend bed rest, use of heat procedures in the lumbar region during the pain. you should also take inflammatory chatbot.  i would also recommend a lumbar brace to be held for some time. you should avoid holding heavy things, staying for a long time sitting on a desk. finally, if the pain persists or interferes most of the time in your every day life, you should be seen by a spinal surgeon , to rule out a probable intervention. it will be certainly based on your spine ct scan and your clinical examination. i wish to have been helpful to you best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there can be many reasons for recurrent symptoms of food poisoning after taking treatment.1. the first reason can be that the medications and antibiotics did not clear the bacteria. this can happen because the bacteria are resistant, or the antibiotics were not taken for a duration long enough to cause elimination of infection.2. the second reason can be that there is still some contamination around in food or chatbot. 3. the third can be due to severe form of infection like typhoid and this requires long duration treatment for 2 - 3 weeks.4. the symptoms of food poisoning might be potentiated by underlying irritable bowel disease.5. there can be an underlying surgical cause like diverticulitis that is causing the symptoms. an ultrasound scan or ct scan abdomen might be required for persistent symptoms."
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Segmental and global longitudinal strain differences between children with paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 pandemic and Kawasaki disease
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concern... as per your complaint and presentation of symptoms it seems that you are suffering from dental abscess which has occurred due to deeply infected tooth and when the infection progresses from the tooth via root canals to the area below root tips there is pus formation and formation of dental abscess. at times the pus perforates the bone and get accumulated in the soft tissues leading to swelling and pain. you should take higher antibiotics like augmenting 625 mg [amoxicillin 500 mg + clavulanic acid 125 mg] thrice a day and in place of tylenol you should take a higher painkiller that can control severe pain like tramadol 50 mg thrice a day. do cold compress over the swelling. as some swelling and pain improves you should consult back your endodontist who can perform root canal treatment in which a hole will be made in the tooth and an escape way will be created for pus chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","greetingswelcome to chatbot. upper respiratory infection is a very common problem. especially as the winters have arrived. therefore, there is nothing to worry about as long as you take the right medication. your medication seems to be good enough to relieve the infection. but i think there are few medication missing.this medication will help relieve the headache and the ear pain. upper respiratory infection also involves the nose and the ears if they speared further. this usually results in headache due to acute sinusitis and ear ache due to infection spreading to the ear. but this is nothing serious as long as it is corrected quickly. the antibiotic is right. if i had known your weight i would have correctly mentioned the dose of azithromycin. with this antibiotic it is always advisable to have antihistamine like basting 10\u00a0mg at bed times and painkiller such as acetaminophen. this will reduce the ear ache and headache and shorten the duration of recovery from the infection. i hope the answer was helpful. in case you need any further assistance, feel free to contact in writing. regards. chatbot."
Please summerize the given abstract to a title,An approximation-based approach for periodic estimation of effective reproduction number: a tool for decision-making in the context of Covid-19 outbreak
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for the query it is true that the serum great is altered. but i guess your doctor has forgotten that he is 72 and s great of 1.8 is normal in them but the s urea is raised indicating acute renal failure which is reversible. if he is throwing more than 900ml f urine per day then he will be hereafter getting his s bytes checked he can be put on tab lasix 20 mg 1-1-0. but please meet a good nephrologist before this has a healthy living
Answer this question truthfully,"Glycopyrrolate is used preoperatively to reduce drooling when given orally, and to reduce airway secretions when given parenterally."
Answer this question truthfully,The high pressure within a Type II dural AV fistula causes blood to flow in a retrograde fashion into subarachnoid veins which normally drain into the sinus. Typically this is because the sinus has outflow obstruction. Such draining veins form venous varices or aneuryms which can bleed. Type II fistulas need to be treated to prevent hemorrhage. The treatment may involve embolization of the draining sinus as well as clipping or embolization of the draining veins.
Please summerize the given abstract to a title,Microglial Activation in the Right Amygdala-Entorhinal-Hippocampal Complex is Associated with Preserved Spatial Learning in AppNL-G-F mice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your clinical history, is concerned please follow like this-1) do a clinical examination by your doctor [ent] and do a throat culture and discuss with your doctor about specific antibiotics.2) do gargle throat in warm saline three times a day. do follow lifestyle modification like this -1) try to clean your hands. proper hand cleaning is the best way to prevent all kinds of infections. that's why it's important to clean your own hands regularly and to teach your child chatbot. 2) teach your child"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling to chatbot. forum.  you got main inserted 6 months ago, 5 days back after having sex with your husband you are feeling sharp pain before passing urine, or having gas. after passing, it goes away.  it appears that you might be having urinary tract infection, stone in the bladder. or marina might be slipping slightly. i advise you to consult a urologist for confirmation.  you may need to have m.r.i. besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello fizz ah, i can understand the stress which you are facing. this problem of depression is awful. but excellent treatments are available. you need to start with antidepressant chatbot. few other important things are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, elevated levels of platelets and white blood cells suggests myeloproliferative disorder. jak 2 mutation is a mutation seen in myeloproliferative syn chatbot. however, negative jak 2 mutation does not rule out myeloproliferative disorder. elevated ldh levels are due to increased turn over of cells. you need to consult your hematologist for further work up. thanks and take care"
Please answer with one of the option in the bracket,A: Between scalp and galea aponeurosis
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the condition of your friend needs further studies. many soldiers do have emotional and stress related problems. they are posted to far away and difficult places and their way of living is always troublesome. they do not have enough emotional support from near and dear. of course, we have telephones now, but in some military camps, telephones or mobiles are not allowed. once they live in such circumstances under continuous stress, some sort of temper tantrums are bound to occur. if the conditions do not get under control, medical intervention may be necessary. request your friend to undergo relaxation techniques and breathing exercises. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,Knowledge in Transition in Healthcare
Please summerize the given abstract to a title,COVID-19 pandemic and stent thrombosis in a post percutaneous coronary intervention patient-a case report highlighting the selection of P2Y12 inhibitor.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you had foreplay with your girlfriend and there both of you had enough secretions which is natural during foreplay. you did not have penetrative intro vaginal sex neither you ejaculated in her vagina. normally pregnancy results only in a situation when semen is ejaculated deep in vagina and not otherwise. do not worry looking at the facts that you neither had intro vaginal sex nor ejaculated in her vagina there is no possibility of your girlfriend getting pregnant. chatbot.
Answer this question truthfully,"The likely diagnosis for a patient with systemic sclerosis who presents with renal failure and malignant hypertension is scleroderma renal crisis. This is a rare but serious complication of systemic sclerosis that can lead to irreversible kidney damage. The recommended treatment for scleroderma renal crisis is to promptly initiate therapy with ACE inhibitors, which have been shown to improve outcomes by reducing blood pressure and improving renal function. It is also important to closely monitor the patient's blood pressure and kidney function, and to provide supportive care as needed. Early detection and treatment of scleroderma renal crisis is critical for improving outcomes and preventing long-term complications."
Answer this question truthfully,"The prognosis of prostate cancer depends on the stage of the cancer, PSA level and Gleason score. The factors are shown in the following list:
Patient's general health The level of PSA The stage of the prostate cancer Whether or not the tumor can be removed by surgery Whether the cancer has just been diagnosed or has recurred"
Answer this question truthfully,"For a 14-year-old patient with a clean, minor wound and an unknown immunization history, the recommended management is active immunization with Tdap."
Please summerize the given abstract to a title,Implementation of a regulatory food policy to reduce availability of energy-dense foods in Costa Rican high schools
Please summerize the given abstract to a title,Development of Population and Bayesian Models for Applied Use in Patients Receiving Cefepime
Answer this question truthfully,Children whose parents have allergic rhinitis or other conditions that are caused by allergies have an increased risk. Individuals who already have some conditions that are cause by allergies such as asthma are at a greater risk. Exposure to tobacco smoke and air pollutants can also increase the risk of having rhinitis. Children who attend daycare also have a higher risk of getting the rhinitis caused by infections.
Please summerize the given abstract to a title,Exploring Factors of Mobile Device Adoption in Nursing Education
Answer this question truthfully,"Immediate echolalia is when a word or phrase is immediately repeated. In some autistic and Asperger's cases it may be a method of buying time to help process language. In an instance a child with autism is asked, ""Do you want dinner?"" The child echoes back ""Do you want dinner?"" followed by a pause and then a response, ""Yes. What's for dinner?"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hi jennifer, thanks for the query. as you might have already searched & know; multiple sclerosis (ms) has plethora of signs & symptoms. but it can present in various ways including tingling numbness, urinary incontinence or even frank psychiatric problems like depressive symptoms, manic states etc. usually the common ones like tingling numbness, gait imbalance, urinary incontinence are screened for by doctors. but you do need to know that ms is not strictly a hereditary disease. hence, you are at a slightly higher risk, but it does send mean you are having ms for sure based on having some symptoms like tingling numbness, incontinence (you mentioned). hence, try to relax first. then visit your neurologist who with help of your history, clinical examination & mri brain (if needed) will diagnose or rule out ms! lastly, ms is no longer a disease with grave prognosis as it used to be once upon a time & with advent of new chatbot.  hope this helps.good luck"
Please summerize the given abstract to a title,Civic and Political Engagement during the Multifaceted COVID‐19 Crisis
Please summerize the given abstract to a title,Which hematological markers have predictive value as early indicators of severe COVID-19 cases in the emergency department?
Please summerize the given abstract to a title,Vaccine-Induced Immune Thrombotic Thrombocytopenia with Disseminated Intravascular Coagulation and Death following the ChAdOx1 nCoV-19 Vaccine
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, by history and description, you are mostly having asthma. asthma is allergic disease which causes rhinitis (sneezing and running nose) and bronchospasm (cough, wheezing, breathlessness). so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test). pft will not only diagnose asthma, but it will also tell you about severity of the disease and treatment of asthma is based on severity only. you will need inhaled bronchodilators and inhaled corticosteroid. intranasal spray containing steroid is also useful in rhinitis. oral combination of antihistamine and anti-allergic chatbot.  don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,The blood transfusion reaction that can be caused by cytokines which are created and accumulate during the storage of blood products is called Febrile nonhemolytic transfusion reaction.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatdoctormost people with factor v leiden never develop abnormal clots. however, some people with factor v leiden develop clots that lead to long-term health problems or become life-threatening. both men and women can have factored v leiden, but women may have an increased tendency to develop blood clots during pregnancy or when taking the hormone estrogen. if you have factored v leiden and have developed blood clots, medications can lessen your risk of developing additional blood clots and help you avoid potentially serious complications. factor v leiden mutation and pt 20210 tests can be performed for your daughter to check for deficiency. test for the factor v leiden gene mutation is performed on the affected persons dna, both to confirm the diagnosis and to determine whether the person has one or two copies of the mutation (is heterozygous or homozygous for the mutation). some studies have found an association between factor v leiden mutation and recurrent miscarriages."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your problem and situation. in my opinion we should first rule out cardiac cause for your chest pain. you are having left sided chest and chest x-ray is normal, so possibility of cardiac cause is high. so get done1. ecg2. 2d echo to rule out cardiac cause. if both are negative then no need to worry much for cardiac cause. but better to rule out cardiac cause first."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i would like to know if you measured your blood pressure during this episode. your troubles could be related to low blood pressure, or in toleration to lisinopril. antihypertensive chatbot. ). i recommend you to closely monitor your blood pressure and regulate the doses of lisinopril based on these values (in order to avoid possible low or high blood pressure). hope you will find this answer helpful! kind regards,"
Please summerize the given abstract to a title,Long-Term Consequences of Repeated School Closures During the COVID-19 Pandemic for Reading and Mathematics Competencies (preprint)/ en
Answer this question truthfully,"Esophageal carcinoma, which is a type of cancer that affects the esophagus, can be subclassified into two main types: adenocarcinoma and squamous cell carcinoma. Adenocarcinoma is the most common type of esophageal cancer in the United States and is typically found in the lower part of the esophagus. This type of cancer is often associated with gastroesophageal reflux disease (GERD) and Barrett's esophagus, a condition in which the cells lining the lower esophagus change and become more like the cells lining the stomach. Squamous cell carcinoma, on the other hand, is more common in other parts of the world and is typically found in the upper part of the esophagus. This type of cancer is often associated with smoking and heavy alcohol use. Treatment for esophageal carcinoma will depend on the stage and location of the cancer, as well as the individual patient's overall health and medical history."
Please summerize the given abstract to a title,Sweden's Constitution Decides Its COVID-19 Exceptionalism
I am suffering from Kartagener's syndrome and wanted information from you or from Dr. . for this syndrome. (About fertility) and if possible other symptoms. Thank you.,"The long-term outlook for people with Kartagener syndrome varies widely and largely depends on timely diagnosis and treatment. ... with appropriate treatment, the progression of lung disease can be slowed and other complications such as hearing loss can be avoided."
Please summerize the given abstract to a title,Social media as the rising voice of ICU nutrition
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i think that this pain is due to maynard phenomena. in this there is spasm of the vessels when this is exposed to cold. and as soon as there is warmth vessels get dilated. i would recommend you to avoid cold weather and wear socks all the time. also, you should wash your feet with warm water whenever there is lushness. if still there are symptoms then you need to show it to a vascular surgeon. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the causes of pain over back part of pelvis are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has hepatitis a. rest and diet control is very important for treatment. he should take low fat diet or fat free diet.  high protein diet should be taken.  supplements of multivitamin tablets and liv 52 tablets are helpful. he can take steamed rise. he should take diet which are easily digestible. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Assessment of filipino higher education students’ readiness for e-learning during a pandemic: A rasch technique application
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. thrombophilia is increased risk of thrombus formation.2. when you are with thrombophilia, you will be on anticoagulants. increased risk of bleeding will be present due to the medications.3. avoiding contact sports, long traveling hours, prolonged bed rest, deny chatbot.  4. routine followup of inr is essential and to maintain it within normal range, medication adjustment would be necessary. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellopneumonia is many types and caused by bacteria, virus etc. and the severity of disease depend on the causative organism. as far as concerned about life-threatening, it depends on treatment and condition of patient, but most pneumonia responded very well to treatment. while the treatment of tuberculosis is very simple, accurate and according to who, patient have to take treatment for 6-9 months. in india popular treatment is dot\u2019s. so this patient is just 40 years, and he will respond very well. i advise my patient to take heavy protein diet and other immunity enhancer products. so take full treatment and your partner will be alright within short period. treatment for pneumonia is usually for 14 days to 28 days but nowadays patient recover within 3-5 days. good luck."
Answer this question truthfully,"Chief cells are located in the body of the stomach and their primary function is to secrete pepsinogen, which is an inactive enzyme that is later activated to break down proteins."
Answer this question truthfully,The bilaminar disc is formed during the second week of gestation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear , thanks for the query to chatbot. i studied your query in-depth. in my opinion -diagnosis is-lipomatosis ? spider bite popular lumpy-rash ? or bed-bug bite popular lumpy rash. consult your er doctor who would take care of it with proper medicines -like -tb nsaid, tb cetirizine, or if lipomatosis-being benign one should neglect-if worrysome-excision biopsy is done. hope this would resolve your query. well come again for any more query."
Answer this question truthfully,There is insufficient evidence to recommend routine screening for hepatocellular adenoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorisolated vomiting episodes with aversion to eating in toddlers can be due to viral gastroenteritis, gastritis, or worm infestation commonly. you may try following measures"
Please summerize the given abstract to a title,The effect of in-person primary and secondary school instruction on county-level SARS-CoV-2 spread in Indiana
Please summerize the given abstract to a title,3-D printed protective equipment during COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query are suffering from sun burns, you have not mentioned whether you are still having sun exposure, and the duration for which you have used mo mate lotion. however the following may be of help"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. i read your query. this type of wisdom tooth is called as impacted tooth. over the period of time gap develops around its gums and there is food lodgment and infection. this is called peritonitis. in mild case, it can be cured by antibiotics and warm saline gargles. but if it is reoccurring, removal of tooth is permanent treatment. it is removed by small surgery under local anesthesia and stitches are given for 7 days. medicine helps control pain postoperatively. if you have any bp or blood sugar, you need to have it controlled and consult your physician (if seeing any for any regular treatment) before extraction. besides this maintain good oral hygiene. use mouthwash. do warm saline gargles. hope the answer helps you. thank you!"
Please summerize the given abstract to a title,Obesity and COVID-19: what makes obese host so vulnerable?
Answer this question truthfully,"In early postrenal azotemia, the urine osmolality is typically greater than 500 mOsm/kg, which is considered within the normal range."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is 100 % fatal, but it is 100% preventable by proper and adequate treatment. as your child was bitten by vaccinated pet dog, but it is necessary to give at least 3 doses of antirabies vaccine to your child. as you cleaned the wound thoroughly with soap and water it will wash away the virus if it is present in the biting site. the symptoms of fever are may be due to presence of some other infection in the body.  i would suggest you to consult your pediatrician at the earliest. thank you."
Please summerize the given abstract to a title,Impact of online social capital on academic performance: exploring the mediating role of online knowledge sharing
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Innate immunity (this type of immunity is the first line of defense against pathogens and is present from birth. It includes various cells and proteins that can recognize and eliminate pathogens in a non-specific manner, such as NK cells, which can directly kill infected or abnormal cells)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i appreciate you for quitting smoking and masturbating which itself ad chatbot. it will also indirectly improve your hair growth by improving the testosterone levels. since you have been masturbating for few years it has created few looped networks in your brain that rewards you when you fantasize sexy things. dopamine, is the rewarding neurotransmitter. you can rewire your brain by staying happy by rewarding your brain with activities you like, music, food etc. slowly and steadily you will get out of your inferiority just by ignoring obsessive sexy thoughts. and don't feel depressed, at sometimes it's okay to have sexy thoughts spontaneously without thinking. we should just try to ignore it. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot from your description it seems like you have a condition known as erythema multiform (em). in em there are targeted lesions with central necrosis, edema and peripheral red rim. there may be fluid filled lesions if inflammation is intense. the lesions are commonly distributed on arms, legs and face. it is a type of hypersensitivity reaction to various triggers, most commonly herpes simplex virus in people who have a history of cold sores. treatment is with topical steroid+antibiotic cream combination and once daily oral antihistamine e.g. cetirizine 10 mg once daily. in those cases who are preceded by an episode of cold sores, a course of an antiviral is also warranted. since the lesson on your nose is also discharging yellowish fluid and had crusted lesions therefore likely it has developed secondary bacterial infection. in view of that i would also suggest a week of an oral antibacterial for a week e.g. either flucloxacillin or cephalexin. i would suggest that you visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment. regards"
"I am 23yr boy,i have knock knees i want treatment. Please help me.",Rare complications of knock knees include difficulty walking and self-esteem changes related to appearance of the knees. Untreated knock knees can lead to early arthritis of the knee.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. pain in back with blood in urine is most likely to be due to presence of stone either in kidney or ureter and needs to be investigated. please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis.in the meanwhile take broad spectrum antibiotic like definite along with anti-inflammatory chatbot. get the prescription of medicines from your family physician. ensure to
Answer this question truthfully,"Hormone secretion from the anterior pituitary gland is regulated by hormones secreted by the hypothalamus. Neuroendocrine neurons in the hypothalamus project axons to the median eminence, at the base of the brain. At this site, these neurons can release substances into small blood vessels that travel directly to the anterior pituitary gland (the hypothalamo-hypophysial portal vessels)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is 100% fatal, but it is 100% preventable with proper and adequate treatment as she was bitten by a dog previously for which she was given full course of antirabies vaccine and now once again scratched by the dog, according to who classification it is classified as re-exposures. the re-exposures prophylaxis includes two doses of antirabies vaccine on days 0 and 3. the vaccine should be taken to the shoulder by intramuscular route. even it is a cat iii bite it will not require the antirabies serum. thank you."
Answer this question truthfully,"Neurofibroma is genetic disorder of the nervous system that results in the growth of non cancerous tumors along nerves. Studies suggested that the cause of neurofibroma is related to gene mutations. There are two main forms of neurofibroma: peripheral neurofibromatosis and central neurofibromatosis.
Peripheral neurofibromatosis is common. Usual signs of peripheral neurofibromatosis includes more tan spots on the skin, freckles, lumps on the skin and a variety of bone defect s, such as bowing of the legs below the knee. Biopsy is the best way for diagnosis. In some cases, genetic testing of a blood sample is needed to confirm the diagnosis. For treatment, surgery can curative. However, they often grow back.
Central neurofibromatosis is rare. Severity of symptoms varies greatly. They depend on the nerve infiltrated. Acoustic nerve is the most commonly affected. Nervous system examination, hearing tests, computed tomography (CT) and magnetic resonance imaging (MRI) may help the diagnosis. In some cases, genetic testing is done to help confirm the diagnosis. Treatment of central neurofibromatosis includes surgery, radiation therapy, chemotherapy, or a combination of them."
Answer this question truthfully,The underlying cause of cholestasis must be treated.
"If you are a doctor, please answer the medical questions based on the patient's description.","testing is usually done to answer a question. none listed are done for high blood pressure. the question comes from a symptom or observation. in some instances, the tests are done to provide some idea as to how the heart might respond if a surgery or other procedure is done. if your doctor wants tests, ask why and what might be done with the finding. if you have no interest in pursuing a result, you may refuse the test but you and the doctor who is asking need to have common ground."
Answer this question truthfully,"Stress fractures can present with point tenderness in the anterior shin. A stress fracture is a type of overuse injury that results from repetitive stress on a bone, causing tiny cracks to form. Point tenderness, or tenderness at a specific location, is a common symptom of stress fractures and is often felt in the area of the fracture. In the case of a stress fracture in the anterior shin, the tenderness may be felt on the front of the lower leg, near the shinbone. Other symptoms of stress fractures may include pain that worsens with activity, swelling, and redness."
Please summerize the given abstract to a title,A Method of Filter Implementation Using Heterogeneous Computing System for Driver Health Monitoring
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot with your medical questions am sorry to hear that your son has chicken pox and that the rest of the family is now exposed. the chicken pox virus is extremely contagious and at this time the entire family has been exposed and if they never had chicken pox will probably get it. for the child chatbot.  for the adults it could be more serious. it is possible though that you and your husband had chicken pox when you were child
Please summerize the given abstract to a title,Drugs4Covid: Drug-driven Knowledge Exploitation based on Scientific Publications
Please answer with one of the option in the bracket,C: Subcutaneous crepitus
Please summerize the given abstract to a title,Student experience in times of crisis: A chilean case study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your question on chatbot! i can understand your problem regarding infertility. you had descended testes on both the sides. normally the testicles are formed in the abdomen during fetal development. during the last couple of months of normal fetal development, the testicles gradually descend from the abdomen through a tube-like passageway in the groin (inguinal canal) into the scrotum. in order for testicles to develop and function normally, they need to be slightly cooler than normal body temperature. the scrotum provides this cooler environment. if the testicles do not descend they remain in the abdomen or in groin. in order to prevent the complications of descended testes like infertility and testicular cancer later, a surgical operation (orchiopexy) is done to correct their position and fix them in the scrotal sac. this is usually done between 3 months to 12 months of the age to reduce the risk of complications. low sperm counts, poor sperm quality and decreased fertility are more likely to occur among men who've had an descended testicle. since the surgical operation was delayed in your case, that could be reason behind azoospermia. you are advised to consult your doctor for the follow-up. best regards!"
Please summerize the given abstract to a title,COVID-19 and Tropical Infection: Complexity and Concurrence.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. as your daughter is having bells palsy, one side of her face is weak. it can cause the mouth to chatbot.  in that case, due to inability of the jaw muscles to work and overactivity of the other side of muscles, jaw pain is usually felt in bells palsy patients. for relief, your daughter can take otc available analgesics such as acetaminophen 500 mg or ibuprofen 400 mg up to three times in a day. in addition, massaging the jaw area of the affected side and going for physiotherapy of the facial muscles will also give relief in the situation. i hope this information helps you. thank you for choosing chatbot. i wish your daughter gets well soon. best,"
Please answer with one of the option in the bracket,C: Administer intravenous sodium bicarbonate
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot ... what was your diagnosis??? you have taken antibiotic and responded to it... so it could be by pneumonia like infection ... let me know you spitting blood in sputum may be by pneumonia, bronchitis, mitral stenosis like cardiac condition, pneumoconiosis etc... but the common cause that is bronchitis and pneumonia ruled out first. for that chest x-ray done to rule out consolidation and prominent vascular marking... by such infection pleura can be involved and so there might be pleuritic chest pain... if needed ecg and pft done... take rest ... no need for further antibiotic... keeping these work up in mind consult physician.... chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  she has lump in armpit with milky discharge.  it increases in size at time of pregnancy.  so it can be pregnancy induced changes in axillary breast or galactose.  she should go for fine needle aspiration cytology and if needed go for mammography.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Erb palsy is caused by traction or tear of the upper trunk and specifically the C5-C6 nerve roots.
Answer this question truthfully,"Nephrotic syndrome results in hypoalbuminemia, which manifests as pitting edema."
Please answer with one of the option in the bracket,E: Hypokalemia
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the painful lump with pus discharge will suggest a bacterial infection. 2. mostly the hair follicular infection / inflammation (carbuncle and fur uncle). 3. advise your son not to interfere the lumps / lesions, no pressing, scratching should be done it will only delay the healing process and complicate.4. a course of antibiotic will help ti treat the bacterial infection, keep area clean and clean it with antiseptic liquids, avoid clothing that cause irritation to that location. if any suspicion - that it is from inside the scrotum - an ultrasound scrotum will help.5. the other symptoms you have mentioned seems like some systemic cause, possibly blood - complete blood picture and culture may help. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,"Obligate intracellular bacteria are a type of bacteria that are unable to synthesize their own ATP, and therefore depend on the host for supply. They are called ""obligate"" because they can only survive and replicate within host cells, and ""intracellular"" because they live inside the host cell. This dependence on the host for ATP is due to the loss of metabolic pathways that are required for ATP synthesis. Obligate intracellular bacteria can cause a range of diseases, including chlamydia, rickettsia, and mycoplasma infections. Treatment typically involves antibiotics that can penetrate host cells and target the bacteria directly."
Please summerize the given abstract to a title,Elevated Serum Endothelial Cell Adhesion Molecules Expression in COVID-19 Patients
Answer this question truthfully,The viral genetic phenomenon characterized by virus A and virus B exchanging genes between two chromosomes is recombination.
Please summerize the given abstract to a title,Home-Based Physiological Monitoring of Patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot i think your husband need continue medicine for rest of his time. if he takes medicine regularly, this kind of episode would decrease, and it would help you to stabilize your relationship as well as life. you could consult a psychiatrist for treatment. in case, you are feeling problem in handling him at home, you can get him admitted. you can connect us anytime, and we are happy to help you. regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot after going through your query i concluded that you you are suffering from probably disc prolapse. it can be confirmed by mri scan. there are two treatment options. first option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (diclofenac three times a day after meals is effective). sometimes strong analgesic(such as tramadol three times a day after meals) is required. omeprazole before meals prevent acidity caused by analgesics. second option is go for surgical operation(discectomy). you can discuss your doctor about it. hope your query get answered. if you have any clarification then please don't hesitate to write to us. i will be happy to answer your queries. you can also write to me directly on below link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot, i am chatbot. stone are many types like calcium phosphate, calcium oxalate, cysteine etc...it causes severe pain that can lead to nausea an n vomiting and also hematuria. if u were my patient i would like to do usg abdomen pelvis again n do urine r/e and also do ct if needed bcs some stone are only visible on ct m may easily miss by usg. after dx then i'll give some antibiotic for infection that caused by stone, painkiller n ask to"
Answer this question truthfully,Ketoconazole is the antifungal medication that is used in the treatment of Cushing syndrome.
Please summerize the given abstract to a title,Transmission modes of COVID-19 disease pandemic in the light of ancient wisdom of Ayurveda medicine: a review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. uncontrolled diabetes mellitus has led to diabetic neuropathy. it has also led to early stages of nephropathy.2. control of blood sugar within normal range is essential to prevent further damage. for neuropathy additionally alpha biopic acid with it b12 will be helpful.3. for mild anemia, it b12 and iron supplements will be helpful. add more protein to diet. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,"A case of SARS‐CoV‐2 infection in an untreated HIV patient in Tokyo, Japan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the most common causes of numbness and tingling in feet is due to diabetic peripheral neuropathy, alcoholic neuropathy, hypothyroidism,lack of it b 12,lack of calcium etc. you must get yourself investigated for the above-mentioned causes. the treatment would depend upon finding the cause and treating it, along with injections of it b 12 for few days. since part of stomach and colon has been removed, then most likely the cause is deficiency of essential vitamins and minerals. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you can definitely take chance by partial spleen embolization. you can actually go for therapeutic splenectomy. also enroll in liver transplant waiting list because he is a ideal candidate for liver transplant. future complications are likely in his case. so you can expect 1. hematemesis 2. intestinal bleed 3. lower gastrointestinal bleed (hemorrhoids) 4. hypoproteinemia and infection 5. ascites 6. hepatic encephalopathy 7. hepatomegaly syn chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, abdominal pain on left with vomiting could be due to infective like gastroenteritis, esophagitis or crohn's disease, peptic ulcer, food allergies etc. you must be evaluated for routine blood count, esr,electrolytes, creatinine,amylase, lipase with ultrasound of abdomen. treatment is mainly depended on the underlying cause. you may require oral antibiotics (quinolones with antiprotozoals) with antiemetic and antihistamines with other fluid and electrolytes. consult gastroenterologist for further advise immediately."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your husband has lump on his back.  it can be due to some soft tissue tumor like lipoma, neurofibroma or dermatofibroma.  ot it can be some other mass.  he should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then he should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. there are so many factors responsible for relapse for breast cancer. sometimes small tumor cells can be removed during surgery, and they may be responsible for recurrence .bone pain may be due to metastasis of tumor cells to that site . you need to consult oncologist to receive chemotherapy regular. steeroid are not associated with this spread, but you should not take steroid to receive pain .take care."
Answer this question truthfully,Preterm birth Blood loss during phlebotomy for laboratory investigations
Answer this question truthfully,The most common cause of osteomyelitis is Staphylococcus aureus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. even though you have already shown to most of the specialists, if i were your doctor, i would go for a general clinical examination of yours in detail followed by a fnac (fine needle aspiration cytology) of the lump to have a cytological diagnosis. further management would depend on its report. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. you don't have to worry. slow heart beat may be quite normal in young people and in well-trained persons. if you tell me that you are a former runner, athletic one than we don't have to worry. it is quite known in cardiology that athletic people have slow heart rates. as a well-trained person you have as you say a slow heart rate and this is quite normal. if you don't have any symptoms like fatigue or syncope you have nothing to worry. of course, as you are a 65 years old its quite normal to do a cardiac check up with echo and even a holder monitoring. it will show us better your rhythm tendency during the day. but as far as you tell me, my opinion as a cardiologist is that you should not worry and of course you don't need a pacemaker. this will be obvious of course after our holder exam. hope i was helpful. wish you good health. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello esr or erythrocyte sedimentation rate is normally 2-5 mm in 1st hour. when someone got an infection, it effects on red cells (erythrocyte) and they sediments and this rate is known as esr, more serious disease(infectious) elevate level. previously this was a standard parameter for the infectious disease, nowadays most of the doctors call it as irrelevant and don't take it serious. as i mentioned that high esr means any chronic infectious disease (maybe any e.g. tuberculosis, bronchiectasis, intestinal infection, osteomyelitis etc. this is only example) .esr high or low don't causes any disease, rather high esr may be due to some chronic infectious disease. so in my opinion consult a physician and get his consultation regarding this as clinical history and physical examination is important. hope this will help you."
Answer this question truthfully,One positive screening test for Cushing syndrome is an increased free cortisol on 24-hour urinalysis.
Please summerize the given abstract to a title,Evidence-Based Management of the Critically Ill Adult With SARS-CoV-2 Infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have read your inquiry and understand your confusion. i would need more details to give you my opinion. i can tell from the opinions expressed that you must have a large discrepancy between your jaws. do you have an under bite or overbite? do you have a very narrow upper jaw? for adults, this is a common jaw relationship that i see which can not be corrected with just braces. in child chatbot.  yes, as an adult serious surgery would be necessary and braces alone would not be able to alter the jaw relationship. no, pulling your teeth does not solve the jaw relationship, and you risk difficulty with functioning of the dentures. you need additional opinions to decide the risks and benefits of such a surgery. i can not tell without x-rays, photos, models and clinical exam why the surgeon fed there is a risk of your situation getting worse. you are not getting a report of a damaged joint needing joint surgery which means anything you do to prevent stress on the joint is beneficial. follow your suggestions of your dentist. this is a common treatment that i recommend to my patients. you need to relieve some pressure on your jaw. you most likely grind your teeth at night adding stress. the guard slows down wear and reduces muscle spasms. this can take weeks to notice relief, adjusting of guard and may need a stronger medication for relief initially such as flexeril which is one for muscle relaxation or steroids. consider an opinion from the dental specialist called a prosthodontist. thank you for your inquiry. i hope my opinion gives you some guidance and that i have been helpful. i hope you will feel better with use of a mouth guard."
Please answer with one of the option in the bracket,B: Have the baby sleep in supine position
Answer this question truthfully,Insomnia is a sleep disorder that is commonly associated with the use of bupropion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for putting up your query on chatbot. as per your history, you are suffering from hair loss for which you are already on medication.i would like to inform you that, yes it may take time for your hair to regrow. but you will be able to see some results at least in 6 months. since, you are getting no results, i would advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","you must see treating doctor. muscle weakness and pain may be related to medicines you are on. sometimes, other causes may be there too like vitamin b1,b6,b12 deficiency, calcium and vitamin d deficiency etc. which can be evaluated by blood test if your doctor considers. if you smoke or have excess alcohol, that may also need to cut on gradually. next is blood sugar, obesity, overweight cause if any, to be screened for."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i have studied your case. i would like to ask few questions so that i can help you betterswelling is on both feet? swelling is reducing after lying down? any history of injury? both feet involvement differential can be swelling due to exertion; swelling can be cardiac /renal origin, early inflammatory arthritis. you may need to do x-ray and blood investigation after clinical examination from your doctor. swelling can be cardiac or renal disease related. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,A Sliding Window Approach to Optimize the Time-varying Parameters of a Spatially-explicit and Stochastic Model of COVID-19
Please answer with one of the option in the bracket,B: Multiple myeloma
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. the injection which is given two years before is not valid now. you have to take anti rabies vaccine now also. immunoglobulin won't be needed as it is domestic dog and just scratch. wash the area thoroughly with antiseptic soap and water and approach your doctor for anti rabies vaccine. hope this may help you. let me know if anything is not clear. thanks.
Answer this question truthfully,
Answer this question truthfully,"Risks for any surgery are:
Blood clots in the legs that may travel to the lungs. Blood loss. Breathing problems. Infection, including in the lungs, kidneys, bladder, chest, or heart valves. Reactions to medicines.
Possible risks from having open-heart surgery are:
Heart attack or stroke. Heart rhythm problems. Infection in the cut, which is more likely to happen in people who are obese, have diabetes, or have already had this surgery. Memory loss and loss of mental clarity, or ""fuzzy thinking."" Post-pericardiotomy syndrome, which is a low-grade fever and chest pain. This could last for up to 6 months."
Please answer with one of the option in the bracket,E: Fasciotomy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, well, it is not the best way to replete your vitamin d and you are overdosing on vitamin a, a fat soluble vitamin stored in your tissues causing a toxic buildup. this is what i would suggest if you were my patient. to replete vitamin d you need to supersaturate for a good 6 weeks with 10,000iu d3 per day for 5 days per week and then be re-checked for levels. if levels are normal then chatbot. fish oils are good for asthma control if you are not allergic to fish. also, the cod liver oil should be free from contaminants and be of a high grade if taken. i personally feel it would be safer to take omega-3 fatty acids to reduce airway hyperreactivity seen in asthma although eating fish has been shown to cause similar reductions in asthmatic symptoms. again, the concern with cod liver oil is the excess vitamin a and inadequate vitamin d for repletion. the different brands of cod liver oil will yield varying amounts of vitamin a and d, but since a can be toxic over time, cod liver oil daily may not be the best route. for example, 1 teaspoon of cod liver oil will give you 100% of your vitamin a needs, but will provide less than 500 iu of vitamin d.in regard to your asthma, an increased intake of fruit with a high vitamin c intake from these foods may reduce phlegm and mucous seen in asthmatics. eating whole grains rather than white refined grains is also beneficial for asthma. i hope this ad"
Answer this question truthfully,"Strep throat is spread by person-to-person contact of nasal secretions or saliva. As a result, strep throat is most prominent during flu season, around the winter. People with strep are contagious for 24-48 hours after starting antibiotics, and should not go to school or work.
To prevent spreading the illness to others, anyone with strep should practice good hand washing, especially if preparing food for others. One should also get a toothbrush, and start using it after no longer being contagious but before finishing antibiotics. Bacteria can stay on the toothbrush and pose a risk of reinfection."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir, welcome to chatbot, i understand your problem, yes sir, cronin can give for fever. but why don't u use solo 650 tabs thrice a day with antibiotic extract plus200 twice a day after food... maybe your dad have gastritis also, please use patrol dsr once before breakfast... and your dad hemoglobin is low, use iron sucrose iv in weekly once, it will increase his blood, and make him stronger. he need 10 in weekly once... hope u satisfy with my answer, thank u"
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for using chatbot premature ejaculation is most common sexual dysfunction. for this u can take tab paroxetine 12.5\u00a0mg and with time gradually increase dose up to 25\u00a0mg after two weeks. it would help u get longer duration and decrease your anxiety while sex. may be you are not getting sufficient erection due to underline anxiety. this chatbot.  take and in case u need our help, connect us. thanks"
Answer this question truthfully,"An elderly white female with muscle aches in shoulders and hips who has a rapid response to low-dose steroids is suggestive of polymyalgia rheumatica, which is associated with giant cell arteritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friends you have lost your father you are feeling like this.don't worry this happens with every one when we lose our near and dear one. but we have to think about our future and remember the morals taught by parents to come up in life. so you need to forget the sad moment and try to come out of it. start going to school as you need to become well-educated and settled in future which might be yours fathers chatbot. do meditation daily this stabilizes your mind and increases your concentration. you are young, be bold and courageous. always think positive and work hard surely you will be on top one day. all you need is will power and determination."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and thanks for question. many times we see that person with stroke will present with behavior disturbance.it is mainly due to lost control over emotion and due to disorientation. so during that time sedative will give for treatment. you are very much anxious regarding how u controlled when he will come home.i suggest u to continue seroquel. if he has leg pain along with he has salivation more than prior than consult psychiatrist nearby u.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have undergone surgery for removal of stone in kidney and d. j stent has been placed in your renal unit. the bladder spasm that you are getting are due to the irritation of the trig one by lower end of the stent. please continue taking oxybutynin. these spasms will get subsided after the stent is removed. chatbot."
Answer this question truthfully,Sjögren's syndrome is characterized by bilateral enlargement of the parotid glands.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatdoctoracitrom is an anticoagulant that helps in prevention of formation of any blood clot so minimizes the risk of stroke or anywhere arterial occlusion by any thrombus. the present problem of numbness feeling of foot is the peripheral neuropathy where your peripheral nerves are affected. you are telling after a long walk of 1.5 to 2 km you get the numbness feeling. so it means when you walk for a long time your legs muscles require more blood circulation and also there is muscular contraction during a constant walking. so the muscular contraction and little feeble circulation due to weakness of arterial wall of aging process combined put some stress on your peripheral nerves, so you feel numbness. if you have diabetic history that also another cause of peripheral neuropathy. those are the expected cause of your neropathynow regarding its treatment if you are following the below-mentioned things will be very helpful1) do the yoga regularly for 30 minutes. it will help to keep active all your hormonal system. it will also help to give some mobility support to all muscles, tendons, cartilages. furthermore, it will help to maintain a normal blood circulation to all parts which is very much required2) add more fruits and raw vegetables with your daily diet menu. take all seasonal fruits. it will help to provide all natural micronutrients to your body. avoid all sorts of artificial, fast, junk foods. avoid all types of nicotine or alcohol. avoid taking raw coffee or strong coffee if taking. you can take green tea. take your meals in time.  chatbot.  3) daily 30 to 45 minutes morning walk. do the panama daily which will help to proper oxygenation of all your cells by stretching your lungs alveoli. 4) take homeopathic treatment for your numbness of foot complain. homeopathy will help to relieve the symptoms in a short days' duration. here is homeopathy medicine you can take for the peripheral neuropathy symptoms. chamomilla-cm - take one dose just before walking for constant 4 days then give a gap 3 days, again take 4 days. then stop and can communicate with me further. no more reputation. 5) you can continue citron. hope it will be helpfulthank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i have gone through your and being your physician i completely understand your health concerns. for how long you're suffering from it? any other associated problem like diabetes or hypertension?  are u obese? what is your bmi? any other abnormality of upper respiratory tract infection? any history of asthma or bronchitis? do u smoke?  what is your he level?  as far as cirrhosis of liver is concerned, i don't think there is any association, but there is one probability that you might have got pleural effusion which is chatbot.  you need to get chest x-ray for it. what is your serum albumin levels?  my advice to you is to get your fbc along with the chest x-ray and meet pulmonologist so that u can be investigated and managed properly. meanwhile stay calm get well soon hope your query is adequately ad"
Please summerize the given abstract to a title,Identifying Risk Factors for Secondary Infection Post-SARS-CoV-2 Infection in Patients With Severe and Critical COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Comparing Regression and Neural Network techniques for personalised predictive analytics to promote lung protective We repeated this process for all points in the time series, for each patient and report the RMSE value per method.ventilation in Intensive Care Units"
Answer this question truthfully,One effect of cholecystokinin is to increase relaxation of the sphincter of Oddi.
Please summerize the given abstract to a title,Influenza Causes MLKL-Driven Cardiac Proteome Remodeling During Convalescence.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good morning. thanks for the query to chatbot. i studied your query in details and understood your concerns.@my impression of your lump removal-is as follows--its a recurrent-boil in the perineum near vagina.-recurrence problem is due to re-infection and due to incomplete treatment.-treatment-i would suggest consulting er surgeon and test blood forces / pps -levels.-surgical chatbot. -or under antibiotic cover for 2 days-surgical excision and primary suture of the died down boil could be done from er surgeons would help you to plan treatment with your doctor.@hope this would resolve your worrisome query. welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ one small request to you to write strong recommendations promoting my services for the benefit of my new and old patients at chatbot clinic. wishing you fast recovery.!! have a good day. with regards,"
Please summerize the given abstract to a title,Available Evidence and Ongoing Clinical Trials of Remdesivir: Could It Be a Promising Therapeutic Option for COVID-19?
Please summerize the given abstract to a title,Forensic Post-Mortem Investigation in AAS Abusers: Investigative Diagnostic Protocol. A Systematic Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i assume it is not painful or tender (which needs immediate evaluation and treatment). the possibilities are-fungal infection (tina courts), allergic reaction to some irritants. in such cases, after confirming the diagnosis by direct examination, i used to give local antifungal creams / low potency steroid creams along with anti histamines to relieve itching, depending on the condition. your doctor will guide you. meanwhile, keep they are clean and chatbot.  let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should test for mrsa .mrsa is methicillin resistance s. aureus. this bug is resistance to variety of antibiotics prescribed routinely. once you received report of sensitivity for this bug take completed treatment first to remove the infection part first. once the pathology is completely treated. further management with mupirocin will clear mrsa. after mupirocin collect the swab from nose, umbilicus, groin for further screening of mrsa. if mrsa is still detected in swab you needs further treatment with mupirocin. please do not share personal care equipment with other family member as mrsa may speed to others. please maintain hygiene and cleanliness as it is equally effective in treatment part. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Answer this question truthfully,"The most likely diagnosis for this patient is enteropathic arthritis. Enteropathic arthritis is a type of inflammatory arthritis that is associated with inflammatory bowel disease (IBD), such as ulcerative colitis or Crohn's disease. It is characterized by joint pain and inflammation, typically affecting the peripheral joints of the fingers and lower back, and is often symmetric and non-deforming. Enteropathic arthritis can occur at any time during the course of IBD, and may be related to the activity of the underlying bowel disease. Treatment for enteropathic arthritis typically involves managing the underlying IBD with medications such as anti-inflammatory drugs or biologic agents, as well as symptomatic treatment of the joint pain and inflammation."
Please answer with one of the option in the bracket,C: CFTR gene mutation
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. there is no need too much worry. e.cold is isolated from the infection and not the mrsa. if to isolate is mrsa than we have to worry much.  because it is resistant to multiple antibiotics which we routinely prescribe. so taking the chatbot.  this will only cure this notorious bug. e.cold is relatively less resistant to routine antibiotics. even in this case if you take the"
Answer this question truthfully,"Sarcoma botryoides is a rare subtype of embryonal rhabdomyosarcoma. The botryoides subtype of embryonal rhabdomyosarcoma accounts for about 10% of all rhabdomyosarcoma cases and arises from the sub- mucosal surface of body orifices such as the vagina, bladder and cervix. The most common clinical finding is vaginal bleeding. Sarcoma botryoides was first described by Guersant in 1854. Genes involved in the development of sarcoma botryoides include K-RAS gene and P53 oncogene. It is more commonly observed among girls aged 3 to 8 years old. If left untreated, patients with sarcoma botryoides may progress to develop direct extension to pelvic soft tissue structures. The mainstay of therapy for sarcoma botryoides is surgery and adjuvant multi-agent chemotherapy."
"If you are a doctor, please answer the medical questions based on the patient's description.","good morning i am sorry to hear about illhealthmasses in liver which are large and causing symptoms need to be surgically removed before doing that it's very important to know the cause and nature of these masses. this is done by a procedure called biopsy involving putting a needle in the liver mass. commonly they may be cysts (simple or parasitic), mass containing a lot of blood vessels, rarely cancer. your symptoms of bloating, constipation and pain could be from the mass pressing on your stomach and colons if i were your doctor i would exactly know what is this mass and then venture upon further treatment hope this would answer your questions you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the description you game, this does not seem to be a physiological illness. most probably it is just an anxiety related happening. but there is no description in your details. please consult a psychologist for further help. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Therapeutic Targeting of Rab GTPases: Relevance for Alzheimer’s Disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern.  you were one week late in taking pills (that means you started between 7th to 12th day of menses.  during this period you had sex on 5th day which is notion fertile days... so you apparently do not have any risk if pregnancy (unless you had it again on 11th. 12th or 13th day... for by this time ovulation is expected within 3 days (and mature ovum is valid up to 3 days at the most).  * in spite of scarce possibility of pregnancy... you would have delayed period this month due to late starting of pills.  in case of doubt. you should exclude pregnancy & in case it runs +ve you have to get it terminated (oral contraceptives taken during pregnancy cause congenital fetal abnormality).  thanks."
Answer this question truthfully,"During the recovery phase of acute tubular necrosis, BUN and serum creatinine levels decrease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, any amount of bleeding during any stage of pregnancy should not be taken lightly. it may indicate unwanted conditions like abortion, ectopic pregnancy, etc.; or may be even just a false alarm. ultrasonography will inform you whether there is any risk to the baby or pregnancy resulting in bleeding. please report to your obstetrician asap. till that please take complete bed rest. probably, if the babies heart beats are seen, you may be put on some progesterone preparation which helps to stabilize the pregnancy. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i carefully read your question and would explain that your friend symptoms seem to be related to tension type headache. the normal ct and mri results are another argument in favor of this diagnosis, coupled with the clinical characteristics of his headache. i would recommend consulting with a neurologist and discussing the possibility of starting an antidepressant (amitriptyline, mirtazapine, sertraline). it will help relieve his symptoms. hope to have been helpful. let me know if i can assist you further. kind regards,"
Psoriasis for past 7-8 years I had psoriasis on my scalp for nearly 10 years. Please give suggestions and medications.,"Most of the time, psoriasis is treated with topical medicines that are placed directly on the skin or scalp. These may include cortisone creams and ointments, creams or ointments that contain coal tar or anthralin, creams to remove the scaling, moisturizers, dandruff shampoos, and prescription medicines containing vitamin D or vitamin A (retinoids.) If you have severe psoriasis, your provider may recommend medicines that suppress the immune system, such as methotrexate or cyclosporine. Newer drugs called biologics are used when other treatments do not work. Biologics approved for the treatment of psoriasis include adalimumab (Humira), etanercept (Enbrel), infliximab (Remicade), ustekinumab (Stelara), secukinumab (Cosentyx), apremilast (Otezla), ixekizumab (Taltz.) At home, taking a daily bath or shower may help. Try not to scrub too hard because this can irritate the skin and trigger an attack. Sunlight, relaxation and anti-stress techniques may help your symptoms go away. Limiting the alcoholic beverages you drink may help keep psoriasis from getting worse."
Answer this question truthfully,"Complete blood count - Platelet counts may be low. Liver enzymes - Liver function tests (liver enzymes) may be high. Renal function and electrolytes Coagulation studies. Often, fibrin degradation products (FDPs) are determined, which can be elevated. Lactate dehydrogenase is a marker of hemolysis and is elevated (>600 U/liter). Proteinuria is present but can be mild. A positive D-dimer test in the presence of preeclampsia has recently been reported to be predictive of patients who will develop HELLP syndrome.  D-dimer is a more sensitive indicator of subclinical coagulpathy and may be a positive before coagulation studies are abnormal."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the reason behind your sweating may not be anxiety / nervousness. sweating related to anxiety / nervousness do have other symptoms such as palpitation, breathlessness etc. only excess sweating without any other symptoms of anxiety / nervousness need to be further investigated by a health care professional. do consult a general physician. regarding your stress / anxiety, you can post a direct question to me in this website. include every detail as much as you can. i shall prescribe some psychotherapy techniques to control your condition. i am sure that the techniques should be a success. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"Effect modification refers to a situation where an external variable modifies the direction or strength of an association between a risk factor and disease. This means that the effect of a risk factor on the development of a disease may be different depending on the level of the effect modifier. For example, if smoking is a risk factor for lung cancer, the effect of smoking on the risk of lung cancer may be modified by other factors, such as age or exposure to air pollution. Effect modification is an important concept in epidemiology, as it can help to identify subgroups of the population that may be particularly vulnerable to the effects of a risk factor or that may benefit more from a particular intervention."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi babies with initial damage to lungs during neonatal period may have wheezing episode later like happy wheeler. as the name suggests happy wheezes are happy. they grow normally, and they have normal activity and appetite. if your child has poor activity and poor feeding it is more likely an infection which causes spasm of airway leading to wheezing. let him get treated for acute episodes. if these episodes are frequent he may require metered dose inhaler."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your consultation at chatbot!  i have gone thoroughly through your entire history and all the investigation that you have done do far.  to me most of the diseases have been ruled out with your investigations... but if you have got stressful life and altered bowel habits then you might be suffering from irritable bowel syn chatbot. .your attending physician will take appropriate through history and necessary examination in light of your investigations.  second you should have done ct abdomen with pancreatic protocol to rule out recurrent pancreatitis... for time being if you are in stress and have sleep disturbances do take alprazolam .25 mg at night daily it will help relieve your symptoms.... also meet a consultant of internal medicine too.  hope your question has been answered appropriately.... if u still got any query feel free to ask... regards
Answer this question truthfully,"Small bowel obstruction (SBO) initially presents with colicky abdominal pain, positive gas/stool, and borborygmi."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would like to know more information such as what procedure was done and why you are able to see muscle which is unusual. is it not sutured? is there any discharge? it is usually seen that in such cases that it takes longer than a week to heal and close. if you get pierced by a belly button there are chances of it getting infected, and it is best to avoid it and wait for the cut to heal and close completely. if it doesn't, you should see a doctor who can do the needful to see that it heals and closes."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Novel Insight Into Nutritional Regulation in Enhancement of Immune Status and Mediation of Inflammation Dynamics Integrated Study In Vivo and In Vitro of Teleost Grass Carp (Ctenopharyngodon idella): Administration of Threonine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. in case you are sexually active, i would advise you for a serum chatbot and possibly an ultrasound of the abdomen to rule out either an undiagnosed pregnancy or a pelvic pathology. otherwise, this could be the starting of pre-menopausal symptoms as you are around that age group. the exact situation could be assessed by a physical examination and related investigations and so you might have to see at least your family physician for help. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,"The causes of splenomegaly vary widely and range from increased splenic function (such as hemoglobinopathies), splenic congestion due to abnormal blood flow (such as venous obstruction), and splenic infiltration (such as storage disorders and malignancies)."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have been known to have inguinal hernia. the severe bouts of pain that you are getting repeatedly is most likely to be due to hernia getting obstructed in inguinal canal (obstructed inguinal hernia)there is no medicine that can can cure hernia. the only treatment option for hernia is surgery of sternotomy and herniorhaphy. consult qualified general surgeon for clinical assessment and get operated at earliest to avoid facing an emergency situation. chatbot.
Answer this question truthfully,The average age of presentation for lung cancer is 60 years old.
how do you get a prolapse bladder,"Pelvic organ prolapse: Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder, or rectum) become weak or loose."
Please summerize the given abstract to a title,Markedly heterogeneous COVID-19 testing plans among US colleges and universities
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you should go for operation for stricture. for pre-operative fitness you should take antibiotics to control your total count. consult your doctor and take a course of antibiotics to control your infection and total count. then go for surgery. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,The palatoglossus muscle is the only tongue muscle innervated by CN X.
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question. i understand what you are going through, and usually hip joint infections are a very uncomfortable and impeding working abilities.  well tb of the joint is very uncommon infections in the developed parts of the world but are prevalent in the developing world where pulmonary tb are very common. and as lung tb are curable so are tb infections of other sites.  treatment of tb infections usually take 9 months of therapy. with 4 chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as this electric shocks will be due to nerve root entrapment and need an mri for the same to rule out any nerve pathology. any inflammation causes in the nerve will do such misbehavior of the nerve functions.  using a neck collar will be good and lump will be due to muscle spasm but need a clinical examination as well by a physician to find the possible causes. if the cause found due to nerve root entrapment then with simple conservative management you should do well. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,"Yes, hepatosplenomegaly is a common presentation of Gaucher disease. Gaucher disease is a rare genetic disorder in which a fatty substance called glucocerebroside accumulates in cells and organs throughout the body, particularly in the spleen and liver. This can cause enlargement of these organs, known as hepatosplenomegaly. Other symptoms of Gaucher disease may include anemia, bone pain, and easy bruising or bleeding. The severity of the disease can vary widely, and treatment may include enzyme replacement therapy or bone marrow transplantation."
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Involvement of Interleukin-1 Receptor-Associated Kinase 4 and Interferon Regulatory Factor 5 in the Immunopathogenesis of SARS-CoV-2 Infection: Implications for the Treatment of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after review of your query facts, in my opinion you seem to have-this painless leg lump mostly due to the varicose veins, which is associated with increased intra-abdominal pressure from enlarged spleen and enlarged lymph nodes in the abdomen. i would suggest doppler study of the leg veins. history of old cervical cancer, needs also to be studied, for any relation to developed painless leg lump. hope this would help you to plan the treatment with your doctor and would help you to resolve the issue which is a cause of anxiety for you. will appreciate if you hit thanks and write review comments for the needy patient visitors at chatbot like you. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. low eosinophil count may be due to steroids treatment.  however, low eosinophil count is mot a cause of concern no need to worry about that.  just be relaxed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health. don't forget to click, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you should see your doctor to prescribe a medication for blood pressure. if you have medications at home, you can write what you have, and we will help you what to take until you see your doctor.also, you should know, that pain also causes high blood pressure, if your pain is well controlled, it will lead to the decrease of blood pressure. hope i could help nourishing you good health in case of further questions don't hesitate to ask"
Please summerize the given abstract to a title,"Spirituality, religiosity and the mental health consequences of social isolation during Covid-19 pandemic"
Answer this question truthfully,"Brucellosis caused by Brucella spp. typically presents with undulant fever (a recurring fever that rises and falls), anorexia (loss of appetite), and fatigue. Other symptoms may include joint pain, muscle pain, headache, and sweating. Brucellosis is a bacterial infection that can be transmitted to humans through contact with infected animals or animal products, such as unpasteurized milk or cheese. Treatment may involve a combination of antibiotics, and prevention involves proper handling and cooking of animal products."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. actually when there is only a small bone fragment fractured in the jaw, it heals only within 20 to 30 days. but when there is a big fracture in the jaw you have to go for the treatment. the type of fracture is confirmed in a dental x-ray known as opg. better you visit another dentist and get this x-ray done for confirmation of fracture. hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are currently on pregabalin, escitalopram and collided since 2009. for last few days you have developed sweating, headache, uneasiness and restlessness. the problem increases on thinking about train or plane journey. most likely the problem is due to anxiety. non-specific fear can develop in anxiety. i would advise you to visit your psychiatrist again for any increase in doses of medicines if required. for quick relief of symptoms you can try relaxation methods like breathing exercises or progressive muscle relaxation exercises or yoga. these methods will help to increase your confidence. thanks, hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may marry, but be sure that your spouse immunized against the hepatitis b virus (hbv) before having sexual relations. hbv cannot be treated completely, but complications and transmission prevented. liver enzymes and viral dna examined regularly. secondly, avoid sexual relationships if bag and head are high in your blood or high viral dna copies. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for writing! are your daughter airways free, is her nose free or is it congestioned? for how long has she had the cough? try to measure her temperature. usually if the cough isn't accompanied by temperature the situation isn't so bad. but in order to be assured better visit your doctor to a mediated in order to do a physical examination and an auscultation with stethoscope. if there is no problem then you can use a syrup in base of the type of the cough. if it with sputum and it seems like your daughter has difficulty to clear her airways from the sputum you can use ambrose hy chatbot.  from 0-3 years 2x 2,5 ml from 3-6 years 3 x 2,5 ml and over 6 years 3 x 5ml. for the moment better visit a mediated. wish you good health. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for asking in chatbot. i am trying to understand your concern. according to your history you have just few days discharged from the hospital for pulmonary embolism. i think that it is a short period and maybe to wait some other days given the fact that the tests you have repeated are negative. but the most important fact is the reason of pulmonary embolism, it may from deep vein thrombosis os others??? so i recommend you to be careful with sharp movements and if the symptoms persists you have to recons ult the pulmonologist. wish you good health thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. if i am your treating doctor i would like to advice you that you should start with the iron therapy. anemia is a condition of low oxygen carrying capacity by blood. because of this you are getting a low blood supply to your back and legs, you feel weakness. to treat the condition according to your hemoglobin and ferritin you should start the iron treatment. if the hemoglobin level is much lower you should start with injectables in moderate cases you should be started with the oral iron therapy. if you have anything else to ask please contact me. than. chatbot"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for your query. i understand that you are going through a difficult time due to your problems. from the description of your symptoms, it appears that you are suffering from social anxiety disorder. all the symptoms that you have described such as trembling, sweaty palms, nausea, vomiting, etc. are all anxiety-related. even the nausea and throwing up are physical manifestations of anxiety. since your problem is quite disabling, i would suggest that you seek professional help. there are effective treatment options in the form of medication or psychological therapy which can help you overcome your problems. so, please consult a psychiatrist for a detailed evaluation and further treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you suffer from pharyngitis with infected hypertrophic tonsillitis.cause-most common is bacterial infected tonsil with swollen jd neck glands. adviseconsult ent surgeon or surgeon. your doctors' treatment is advised as your lump has extended infection to neck glands.a- do alone gargles.b- take antibioticsx5 days c- liquid diet for 1 day tb anti-inflammatory x 5 days- tb antihistamines would resolve your throat lump soon. e- get cbc, cxr ppd skin test and fnac of neck nodes if need be to rule out tb throat infection with advise from your doctor. this would rule out repetitive lung infections. but act fast as advised above in consultation with doctors script. wishing fast recovery to you. wellcome for further query to my chatbot clinic. have a good day."
Answer this question truthfully,"Class I "" 1. Creatinine clearance should be estimated in UA/NSTEMI patients and the doses of renally cleared medications should be adjusted according to the pharmacokinetic data for specific medications. (Level B)"" "" 2. Patients undergoing cardiac catheterization with receipt of contrast media should receive adequate preparatory hydration. (Level B)"" "" 3. Calculation of the contrast volume to creatinine clearance ratio is useful to predict the maximum volume of contrast media that can be given without significantly increasing the risk of contrast-associated nephropathy. (Level B)""
Class IIa "" 1. An invasive strategy is reasonable in patients with mild (stage 2) and moderate (stage 3) CKD. (Level B) (There are insufficient data on benefit/risk of invasive strategy in UA/NSTEMI patients with advanced CKD stages 4, 5.)"""
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot your sperm count is totally normal.... normal semen have at least 40% motility and 32% should be at least actively motile... so provide me exactly how much actively motile sperm present to give more comment on motility don't worry about 15% abnormal morphology of sperm.... here 85% sperm morphology normal, so will not lead problem in conception hope i have solved your query provide me motility report, vitality report for giving more comment take care"
Please summerize the given abstract to a title,The non-pharmaceutical interventions may affect the advantage in transmission of mutated variants during epidemics: A conceptual model for COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. it appears you are possibly having megaloblastic anemia. it b12 deficiency commonly leads to increased mcv, anemia and leukemia.2. it b12 serum assay will confirm it. multiple systemic symptoms suggest nutritional deficiency rather than oncology problem.3. however, do get a bone marrow biopsy done to rule out any malignancies in blood. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.thanks for trusting the chatbot doctors for your health related queries. i guess your concern is about.how can u get pregnant.right.my answer is.u can get pregnant by natural methods as u had got pregnancy in past (your first baby). so don't worry.relax.u have high chances. because u have the following plus points-1. u r come under reproductive age group(age from 15-45 years are come under this group). in this age group chances of getting pregnant is high.2. u r already gave birth a healthy baby,5 yrs back. so there is no problem in u n your husband. along with above points if u have regular menses then chances are highest in getting pregnancy. secondly u told that you are feeling that your husband penis is not going deep inside, and semen immediately flowing out. these are not much affect your chances of getting pregnant. because for getting pregnant a very small amount of semen is required. lastly u told that there is pain at a stick site. for u can take painkillers. it also does not much affect your chances of getting pregnancy. with the above discussion u can try out my suggestions-1. try to do sex during the fertile period(it is from 10th to 16th day of menses), during this period chances of getting pregnancy is high.2. as u told that semen is immediately flowing out after ejaculation.right. for that u should elevate your leg after ejaculation for 15 minutes, so that seamen will remain inside your vagina.3. if u r in hurry then visit nearby infertility specialist. he/she can help u. i hope the above information is useful, informative and helpful for u.regards- chatbot. .u can get pregnant soon. i pray the god that u will be blessed with a cute n healthy baby again)"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Growing Precarity, Circular Migration, and the Lockdown in India"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, idiopathic thrombocytopenic purpura (itp) can be present in more than one family member since it is a kind of autoimmune problem. so no one can really predict if the offspring of your friend will or will not get itp, although this might be a possibility. as time goes by, itp does settle down in several patients. nevertheless, your friend should continue regular follow-ups with her physician and repeat blood tests as requested by her doctor. many a time the platelet count might be low and still there may be no signs externally (such as bruises). she should also take some precautions to prevent injuries, since these can lead to serious bleeding if her platelet count is very low. for e.g., she might not want to travel on a bike without a helmet, etc. if her headaches are very painful and the platelet count is very low then she might want to see her physician to find out if she has bleeding. regards and best of luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for asking. the dose backs to the clinical improvement. the medical treatment for ocd is usually long term, but if the clinical improvement is reached, the dose can be decreased to the minimal level. if you wish to discontinue the medication, you should take advantage of behavioral therapy for your compulsions. the advantage of behavioral therapy is that does not have any possible side effect and also its positive effect (when is achieved) is lifetime, because it is a skill which you learn. its concept is easy, and it needs several weeks to practice. you can ask your doctor to guide you to the person who can work it with you. please let me know if you have any question in this regard."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. cyst on the gallbladder, it is not very clear at which part, this cyst is having, please mention. as far as concerned about nausea, gassy stomach, vomiting. may be due to hyper acidity, gastritis, tension, indigestion, fatty food (not digest due to cyst in gallbladder). may be due to ulcer in stomach. these symptoms didn't indicates towards cancer of stomach. consult a physician/ surgeon (stomach problem & gallbladder) and get their opinion and help. hope i have answered your question. if further any question i will help. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since her ecg is normal, and she is young, no need to worry about heart diseases. in my opinion, she is having panic disorder. this is very common in teenage. so consult psychiatrist and get done counselling sessions. try to identify stressor in her life. she may need anxiolytic chatbot.  don't worry, she will be alright with counseling and"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of your husband. a thorough clinical neurological examination is advised. as he is having parkinson's and its already been 15 years, a mri of the brian will help understand the possible brain tissue status. usually, such pain in the top of the forehead and scalp can be due to headache or abnormal neural activity leading to tightness of the mentioned area. as, to understand that most parkinson's case have restricted neck mobility this pain might be due to muscle tightness as well. but to understand in deep we need an mri of the brain to understand things better. maybe a neurological examination as well should provide some inputs. regardsjay in chatbot."
Answer this question truthfully,"What gene mutation is responsible for familial melanoma, and what is the resulting effect on the tumor suppressor gene? Familial melanoma is commonly a result of mutations in CDKN2A on chromosome 9, which causes loss of p16 (tumor suppressor gene)."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Improvement of shallots (Allium ascalonicum) cultivation on paddy fields to increase shallots yields and farmers’ income during the Covid-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello no doubt you are having allergic rhinitis or allergic bronchitis, but allergy is the predisposing cause of your problem. since fluticasone + elastin is the chatbot. but this is a steroid treatment. when such patient visit i advise my patient to take montelukast+ levoceterizine tablet one or two in day (according to severity of symptoms i.e. sneezing). when patient also feels breathlessness (not uncommon in this type of patient) i advise them to take montelukast+ albuterol tablet once or twice in day. avoid, fine dusting powder, mite, pollen, mold, sudden change in temperature, hay, fodder as these are predisposing factors for allergy. hope this will help you. steam inhalation also help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms need more elaboration but the things you have put here if considered together then the inference is - you are suffering from moderate depression, which gradually affecting your working capacity. being lazy - it might be your lifestyle or a symptom of depression called loss of energy and loss of concentration. again when ever you decide to become happy after some time, your poor confidence (because of depression) you can't.  depression is a clinical condition because of neurochemical problems in the brain, and needs medicines to correct the biological changes in the brain. so, don't waste your crucial time in sufferings. either go for treatment or see counselor at least.  set life goals and try to achieve them. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. so many people eat raw rice. this has become a habit and urge because your body is deficient in some of the nutrients which raw rice have plenty. raw rice contains so many minerals and is rich in iron content. so you must get yourself checked up medically and find out which essential mineral your body lacks. taking proper treatment to overcome mineral deficiency can only overcome your raw rice eating habit. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi your sister has tingling in her left hand and twitching in her (l) eye. in my opinion the tingling in her hand could be caused by 1. carpal tunnel syn chatbot. 2. cervical spine where there could be pressure on one of the nerves. i would suggest that you get 1. x-ray cervical spine 2. ncv both upper limbs and s it b12. occasional twitch in the eye in common and there is nothing much to worry about it. in the meantime i suggest that you start taking gabapentin, it b 12 supplementation."
Answer this question truthfully,"There is no specific treatment available for SWS.
Antiepileptics are the mainstay of the management of seizures associated with SWS. The most commonly used antiepileptics are phenobarbital, carbamazepine, oxcarbazepine, and levetiracetam. Carbamazepine and oxcarbazpine associated with the better seizure control than levetiracetam.  In untreated cases of intractable seizures surgery is indicated, through hemispherectomy, lobectomy or transection of corpus callosum.
For the facial Port-wine stain the treatment with pulsed dye laser is the treatment of choice. .
The early-onset glaucoma can be treated with surgical methods like trabeculectomy or geniotomy. For the late-onset glaucoma the topical medications to lower the intraocular pressure are used. In newborns with a high risk of development of glaucoma should have an ophthalmological check-up every 3 months for the first year of life, and then annually throughout the life of an individual.
Patients with cognitive deficits may benefit from behavioral psychology.
There are no primary preventive measures available for SWS.
The patients diagnosed with SWS should be started on the antiepileptic before the first seizure especially in those with extensive leptomeningeal involvement, the prophylactic use of antiepiletics may decrease the risk of cognitive impairment. . Low-dose aspirin 3-5 mg/kg/day can be used to in all children diagnosed with SWS to lower the risk of hypoxic-ischemic neuronal injury, as aspirin has antithrombotic effects."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the flesh colored bump on the bottom lip can be due to many conditions. it can be wart, papilloma, hematoma, sub-mucus cyst. to get the correct diagnosis i would advise you the following"
Answer this question truthfully,"The most common type of inguinal hernia is the indirect inguinal hernia. This type of hernia occurs when a portion of the intestine or other abdominal contents protrudes through a weak spot in the abdominal muscles, near the inguinal canal. Indirect inguinal hernias are more common in men than in women and are often caused by a congenital weakness in the abdominal wall. Symptoms of an inguinal hernia may include a bulge or swelling in the groin area, pain or discomfort during physical activity, and a feeling of pressure or weakness in the groin. Treatment for an inguinal hernia may involve watchful waiting, wearing a supportive device, or undergoing surgery to repair the hernia."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.",dear mania. in the ultrasound report the diagnosis of the liver must he come. as to what has happened to the liver. and if the doctor says the medicines are having a bad effect then u shut b stopping it.along with aloopatchatdoctoredicines i will advise you to opt for homeopathy.homeopatchatdoctoredicines will be of great help to her in relieving the pain n making the liver healthier.god bless. chatbot. com ph
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. back pain can be due to muscle strain or gall bladder disease or renal calculi. you may need x-ray and ultrasonography. and also check your it b12 and it d3 level. medication like methylcobalamine and analgesic will reduce pain. you can do yoga exercises and focus on spine extension exercises. you may consult physiotherapist for guidance. he may start tens, or ultrasound which is helpful in your case. if required you may need mri spine. hope this helps. wish you a speedy recovery.  take care"
Please summerize the given abstract to a title,Evaluating the Clinical Reasoning of Student Health Professionals in Placement and Simulation Settings: A Systematic Review.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot normally spleen size is up to 11 cm... here it is 11.4 cm in size, so borderline enlargement there clinical correlation needed in your case if she has any symptoms then cbc, ps examination etc. like further investigation planned if she is totally asymptomatic and on examination lymph nodes are normal then i think no further work up needed to take care hope your concern solved"
Please summerize the given abstract to a title,Evaluation of neuroprotective effects of Canna indica L against aluminium chloride induced memory impairment in rats
Please answer with one of the option in the bracket,A: It contains all the layers of the GI tract
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. if i were your doctor, after a clinical assessment of the area including the thyroid gland, i would instead of waiting more would go for a fnac (fine needle aspiration cytology) of the lump to have a cytological diagnosis. further management would depend on the report of the fnac. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please summerize the given abstract to a title,"Mesenchymal Stem Cell-Derived Exosomes for COVID-19 Therapy, Preclinical and Clinical Evidence"
Answer this question truthfully,"Diagnosis of mastitis is mainly clinical however, some patients with mastitis may have a positive bacterial culture of breast milk  although culture is rarely used to confirm bacterial infection of the milk because positive cultures can result from normal bacterial colonization, and negative cultures do not rule out mastitis.  Complete blood count may show an elevated neutrophil count although this is not specific to mastitis."
Please summerize the given abstract to a title,The time is now for public health to lead the way on addressing financial strain in Canada
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, for benign prostate enlargement, you have been prescribed correct medication that is finasteride and tamsulosin to relive your urinary symptoms and to decrease prostate size.  your concern is regarding the usage of cooled chemotherapy in which microwave used to destroy prostate tissue.  so it can be used as a treatment modality, and it is one of the safe procedure. you can discuss with your urologist regarding that.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Clinical laboratory characteristics in patients with suspected COVID‐19: One single‐institution experience
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. there are few possibilities in your case.1. herd (gastroesophageal reflux disease)2. stress and anxiety related (mood disorder)birth control pills can cause herd and mood swings (anxiety). and you are taking it since 1 year. so chances of side effects are high. and herd and anxiety are very well known side effects of birth control pills. so better to consult gynecologist and discuss these side effects. at present take good proton pump inhibitor and avoid stress and anxiety. you are too young for cardiac disease. so possibility of cardiac cause is very less. side effects of birth control pills appears more in your case.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i sincerely think this may not be related to ocd. every human being comes with some peculiar habits when they indulge in work which requires extreme concentration or medium amount of concentration. these habits normally can be termed as mannerism. in a way the mannerism is of compulsive type, it is not related to ocd. you watch yourself, and you will find some mannerism in you also. you can post a direct question to me in this website. include every detail as much as you can. i shall prescribe some psychotherapy techniques to control your condition. i am sure that the techniques should be a success. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. your fasting sugar is normal.  fasting sugar level below 100 mg per dl is considered as normal.  your sugar levels do not suggest any diabetes or hypoglycemia in fasting state.  you should go for hac level.  it will give you exact idea of your sugar level for last 3 month.  then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health. don't forget to click, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, with risk factors for coronary disease like diabetes or hypertension or abnormal lipid profile, we recommend our patients to get themselves screened for the possibility of having coronary heart disease. if the person is symptom-free or does not have any risk factor we do not recommend the same. so i'll advise you to get it done just to be safe for the future. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query at chatbot. i am sorry that your baby is not doing well. it would have been easier for me to comment had i known if your child is suffering from common cold. often, an internal tube that connects our throat with our ear gets blocked during cough and cold, and it could be a reason. you have also not indicated whether the doctor also looked at her left ear and/or cleaned the wax from it. she could, he's having wax in her left ear too. please get back with the details and i would be happy to help you further."
Please summerize the given abstract to a title,Probable vertical transmission identified within six hours of life.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. a painful indentation on the gum can be due to an ulcer formation over the gum, or it can also be due to injury or tear over the gum with hard foods. it does not look like to be due to the gum graft, rather can be due to infection. so first get it clinically checked so that the cause can be ruled out and treated accordingly. for now to relieve pain and discomfort you can apply lidocaine gel over it and avoid eating hard foods. start doing warm saline gargles as it will help in reducing inflammation and pain. you can also take ibuprofen if pain in continuous. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the uncomfortable feeling in the abdomen might not be a major problem. it might be muscular origin as muscle cramps are quite common in pregnancy. the tripling of chatbot is a good sign. nothing to worry. avoid physical strain and intercourse. take rest. consider getting an ultrasound in the next appointment. take paradox if pain is severe. constipation might also cause similar problem so see to that the bowel movements are normal. take adequate fluids up to 3 liters per day and healthy nutritional diet. best regards..."
Answer this question truthfully,"Shown below is a pre-intervention angiogram with occlusion at the mid left circumflex artery.
Shown below is an angiogram with ongoing intervention on the significant lesion described above.
Shown below is a post-intervention angiogram with filling defect in the mid left circumflex artery distal to the site of intervention due to distal embolization."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear-thanks for using our service and understand your concern. if you have extra ribs they should be seen in the plain front rib x-ray. your bones were very small when you were a child, and sometimes it is hard to see those details in a plain film. the area can hurt due to inflammation of the rib cage, costco chatbot.  you can try anti-inflammatories as ibuprofen to relieve the pain. avoid very tight clothes and keep your back straight. i hope that my advice has been helpful"
Please summerize the given abstract to a title,Correspondence on gender disparities in the initial psychological impact of the U.S. COVID-19 pandemic
Answer this question truthfully,"Common risk factors in testicular seminoma include:       
Caucasian race Undescended testicle Family history of testicular cancer Personal history of testicular cancer (previous tumor in contralateral testis) Klinefelter syndrome Impaired spermatogenesis Hypospadias Testicular microlithiasis Testicular dysgenesis
Testicular feminization Klinefelter syndrome
Infections such as HIV, orchitis History of trauma Organ transplant immunosuppression Canabis exposure"
Please answer with one of the option in the bracket,C: Methotrexate
Answer this question truthfully,"Lactose intolerance is a condition in which the body is unable to properly digest lactose, a sugar found in milk and dairy products. It can be diagnosed using a variety of methods, including the lactose hydrogen breath test. This test involves drinking a solution of lactose and then measuring the amount of hydrogen in the breath over a period of several hours. If the body is unable to properly digest lactose, the lactose will ferment in the colon and produce hydrogen gas, which can be detected in the breath. High levels of hydrogen in the breath may indicate lactose intolerance. Other methods of diagnosing lactose intolerance include blood tests, stool tests, and elimination diets. If lactose intolerance is diagnosed, dietary changes may be recommended, such as avoiding or limiting dairy products, or taking lactase supplements to aid in digestion."
Answer this question truthfully,"Kidney stones are a common condition that can cause severe pain and discomfort. There are several types of kidney stones, each with its own unique characteristics. The second most common type of kidney stone, accounting for around 15% of cases, is an ammonium magnesium phosphate stone. These stones are also known as struvite stones and are typically caused by bacterial infections in the urinary tract. Due to their large size and tendency to form quickly, struvite stones can cause significant damage to the kidneys if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot and i will help you with your problem i have gone through your question. it appears to be hematoma; collection of blood beneath the skin, as a result of the trauma. in this case it is necessary to elevate her for intracranial bleed. clinical evaluation includes, 1) history of loss of consciousness after injury, 2) vomiting, 3) ear, nose or throat bleed, 4) history of fits, 5) swelling or bruising around the eyes (called as raccoon eyes) or behind the ears. if any of these symptoms is present, she needs ct scan brain to rule out any pathology. if not, she can be managed conservatively with spy paracetamol 1tsf 8 hourly and icing the swelling. the swelling will disappears in a week or so. i hope my answer will help you. do rate it, if you like it. regards"
Please summerize the given abstract to a title,"Analyzing Indian general public's perspective on anxiety, stress and trauma during Covid-19 - A machine learning study of 840,000 tweets"
Please summerize the given abstract to a title,Frequency and Impact of Preadmission Digestive Symptoms on Outcome in Severe COVID-19: A Prospective Observational Cohort Study
Please summerize the given abstract to a title,"Estimation of the percentages of undiagnosed patients of the novel coronavirus (SARS-CoV-2) infection in Hokkaido, Japan by using birth-death process with recursive full tracing"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms are not suggestive of a blood clot. instead, i would think about compression of the femoral nerve. for this reason, i would recommend performing nerve conduction studies in order to examine the femoral nerve. other tests to consider would be"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. based on the facts of your query, you seem to suffer from very tricky side ear lump, and the black dark mark on the lump, indicates nevus developing in to melanoma. a wide margin surgical excision biopsy of this lump would resolve this mystery about the diagnosis and treatment of this side ear lump.hence, i would suggest you to go to surgeon / or dermatologist to rule out the risk melanoma in such a lump by excision biopsy.hope this reply would help you to plan further treatment with your doctors. contact with a followup premium question to me. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. good day!!  chatbot. s. genl-cvts"
Answer this question truthfully,It may be normal in the first few days of life.  “Egg on a string” is the classic X Ray finding of this condition. It is so called as the arteries form a pedicle due to transposition. Pulmonary vascular markings are often normal or increased if the condition is associated with ventricular septal defect. Ascending aorta occupies the left border of the cardiac silhouette and has straight profile in L -TGA.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.dear stevens., thanks for choosing chatbot., ercp is.... endoscopic retrograde cholangiopancreatography is a technique that combines the use of endoscopy and fluoroscopy to diagnose and treat certain problems of the biliary or pancreatic ductal systems. through the endoscope, the physician can see the inside of the stomach and duodenum, and inject dyes into the ducts in the biliary tree and pancreas, so they can be seen on x-rays..., here using dye contains iodine, it will be allergic to few members..., so u got this., u consult good dermatologist, he can treat and follow up the case., so meanwhile use... tab.allegra 180 mg daily..., apply clobetasol and gentamicin cream....than"
Please summerize the given abstract to a title,"The Effects of Gamified Flipped Learning Method on Student’s Innovation Skills, Self-Efficacy towards Virtual Physics Lab Course and Perceptions"
Please summerize the given abstract to a title,Modular Single-Stage Three-Phase Flyback Differential Inverter for Medium/High-Power Grid Integrated Applications
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for writing to according to report, you are suffering from degenerative disc disease of lumbar spine. degenerative changes occur in spine due to aging and development of weakness in annulus fibrosis. findings are early in your case.1. at l5 level, there is disc bulge. satus on nerve compression is not mentioned in your query. majority of the cases of degenerative spine disease are benefited by physiotherapy, so physiotherapy should be tried first. surgery should be the last option. there are also medicines like capsule pregabalin available for pain relief. d3 rise tablets are vitamin d tablets. it can be taken empirically. however, ideally serum vitamin d3 level should be evaluated priorly. treatment can be planned after consultation with neurologist. get well soon. take care"
Answer this question truthfully,"There are a vast number of causes of palpitations, including namely any condition that causes the heart to be rapidly, forcefully, or irregularly. In general, palpitations may be caused by primary abnormalities in the heart (tachycardia or forceful heart beating), reductions in oxygen carrying capacity (anemia), reductions in the volume of blood circulating (dehydration), sympathetic nervous system stimulation (fever, exertion, panic attacks, drugs), excess hormone production (hyperthyroidism). Pharmacological causes should also be taken into consideration."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your mothers details. i am glad to note that your mother is recovering from the effects of brain stroke, despite her old age. based on the description, she seems to have suffered an infarction (blood clot) on the right side of brain, resulting in weakness of left side of body. the treatment received by her is along correct lines and the medications should be continued. selma (telmisartan) is a good medication for bp control. deplatt cv would prevent the chances of stroke in the future. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please summerize the given abstract to a title,Bedside wireless lung ultrasound for the evaluation of COVID-19 lung injury in senior nursing home residents.
Please answer with one of the option in the bracket,D: Fasciotomy
Please summerize the given abstract to a title,To Study the Barriers in Palliative Care to Nonmalignant Cases in COVID-19 Crisis in a Tertiary Health-Care Center
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome,obesity is the first most cause of amenorrhea, disturbed cycles and thereby resulting in infertility and other chronic diseases also. so if the periods start with some or the other hormonal pills, u might face the recurrence of the same, so please be careful, as you're a young married lady. being a homeopathic practitioner i would suggest u to go for homeopathic treatment. you will have to be diagnosed for different hormone levels and also for thyroid profile(for hypothyroidism), then only the treatment will be started, which may take few months. till that time start reducing the weight, by diet control, regular walk/exercise etc."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you are doing well after those therapy interventions. that is definitely a positive sign. feeling irritated, angry, worthless are all common symptoms of neurosis. you should understand, creative activity alone can bring you out of your condition. that is a slow process. change happens slowly and when it becomes a habit, the past habit of neurosis will become extinct. have a positive attitude and work with your therapist. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,"Determinants of Spike Infectivity, Processing and Neutralization in SARS-CoV-2 Omicron subvariants BA.1 and BA.2"
Please summerize the given abstract to a title,Legionella and Biofilms—Integrated Surveillance to Bridge Science and Real-Field Demands
Answer this question truthfully,"In response to decreased atmospheric oxygen, such as at high altitude, there is a decreased Pao2."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, another round of antibiotic will not help you. inhaled treatment is the best treatment for bronchitis. you are taking only var (inhaled corticosteroids). mainstay of treatment in bronchitis is inhaled bronchodilator (formoterol or albuterol). so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will tell you about severity of the disease and treatment is based on severity only. you may need additional inhaled bronchodilator along with var. don't worry, you will be alright with appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking chatbot.  my name is chatbot.  it seems you have got common perineal nerve injury due to fracture of fibula. as there is numbness kindly get emg/ncs to get the status of nerve firing and then visit to neurosurgeon.  meanwhile, you can take gabapentin 150\u00a0mg bd,painkiller sos.i hope you will feel complete recovery as soon. kindly get visit to some neurosurgeon for further neurosurgical intervention. hope this may help you. let me know if anything is not clear. thanks."
Answer this question truthfully,Mini-pill is composed of only progestin and acts locally.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello due to prolong period and injudicious the malaria (plasmodium viva) has developed resistance. so numeral and qst will not work at all. numeral is acting against only falciparum form. when such resistant case visit my clinic i prescribe as following treatment .1st day chloroquine 600 mg followed by 300 mg after 6 hour.300 mg on day 2 & 3. prophylaxis 300 mg once weekly starting first week before exposure, continuing throughout on a weekly basis & for at least 4 weeks after exposure. concomitantly tablet \""primarying 15 mg daily for 14 days. but in your case you can increase the dosage of primarying 30 mg daily for 14 days. this is a complicated treatment and should be taken under strict medical supervision, so consult a physician and get his opinion. as plenty of intravenous fluid required during this period. hope this will help you. also get in ultrasound of spleen for enlargement."
Please summerize the given abstract to a title,Mechanisms of viral mutation
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome. thanks for sharing your concern. can you please mention since when do you have this bone spur in your palate? as you have mentioned it is non-painful neither obstructive in nature then you wait and watch for time being. it could be a small tori in your palate. which is often harmless. you can take an x-ray and attach it here for further suggestions in this regard. thanks. take care.
Answer this question truthfully,"Macrolides are a class of antibiotics that are commonly used to treat bacterial infections. However, one potential side effect of these medications is that they may increase the serum concentration of other drugs, such as theophylline or oral anticoagulants. This can be problematic, as it may lead to an increased risk of side effects or toxicity. Therefore, it is important for healthcare providers to be aware of this potential interaction and to monitor patients who are taking macrolides along with these other medications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have itching and redness of the glans penis and foreskin. many a time it is a presenting symptom of diabetes and due to much cutaneous genital candidiasis. please get your blood sugar tests on fasting stomach and 2 hours after lunch done to rule out diabetes. take antifungal medication like fluconazole and topical antifungal jelly for local application. ensure to wash your genitals with warm water twice daily chatbot."
Answer this question truthfully,The differential diagnosis of aortic regurgitation includes other valvular abnormalities and diseases that can cause a similar clinical presentation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, though family history of epilepsy is significant, what is important is whether you have similar episodes in the past.  myoclonus refers to involuntary jerky movement of a part or whole of the body. this is a benign, harmless condition which occurs especially during a sleep. presuming you are perfectly alright preceding and following the episode, you need not be concerned. however, if these episodes are recurring or if you had any physical disturbances during the episode, you would need to get investigated. the primary set of investigation that is needed is radio imaging of brain (ct/mri scans) and eeg. management will be needed if any of the tests reveal significant abnormality. hope this answers your query. wish you good health. regards"
Answer this question truthfully,Direct inguinal hernia (this type of hernia is caused by weakness in the abdominal muscles and connective tissue in the inguinal region and is typically characterized by a bulge in the groin area that may be painful or uncomfortable).
Please summerize the given abstract to a title,Methylnaltrexone for the treatment of opioid-induced constipation and gastrointestinal stasis in intensive care patients. Results from the MOTION trial
Please summerize the given abstract to a title,"Knowledge, Attitude, and Practice of High-Risk Age Groups to Coronavirus Disease-19 Prevention and Control in Korem District, Tigray, Ethiopia: Cross-Sectional Study"
Please summerize the given abstract to a title,MACER: A Modular Framework for Accelerated Compilation Error Repair
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. can understand your concern. as per your complaint a painful lump at the site of injection can occur due to inflammatory reaction due to irritation caused by the injection medicine leading to formation of a hard lump as a result of inflammatory process. it can also be due to infection caused at the site of injection and the bodies defense mechanism tries to wall off or confine the infection and there is formation of a small abscess which can appear as a hard painful lump. in case if it has occurred due to inflammation it will gradually resolve itself. you can apply a steroid based ointment over it for reducing inflammation and pain. you can take over the counter painkiller like advil or motrin which will reduce inflammation and provide pain relief. cold compresses can also be helpful. in case of abscess formation antibiotic therapy and painkillers can provide relief. i would suggest you to consult a physician and get evaluated to rule out the exact cause of the lump formation and get treated accordingly. hope your query is solved. if you find the answer helpful please write a positive review and click on find this answer helpful as a token of appreciation. thanks and regards. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the history of stroke, heart attack and pacemaker indicates that your father must be taking some medicines for thinning blood. this may be the reason for blood in the urine. immediately get the coagulation profile done and consult a doctor to get the other investigations and treatment to be done. the stomach pains can be due to constipation itself. miralax should have helped. you can try enema, and if still has pains as he is already not taking anything orally, it is better to get an opinion of a doctor to see and examine the abdomen. get the following investigations"
Please answer with one of the option in the bracket,E: Gastrocnemius/soleus-tibial nerve
Answer this question truthfully,"Exclusion from work and social activities should be considered for symptomatic, and asymptomatic people who are food handlers, healthcare/daycare staff who are involved in patient care and/or child care, children attending unsanitary daycare centers, and older children who are unable to implement good standards of personal hygiene. The exclusion applies until two consecutive stool specimens are taken from the infected patient and are reported negative."
Please summerize the given abstract to a title,Telepsychiatry in Psychotherapy Practice
Answer this question truthfully,"The medical condition characterized by the age-related hyperplasia of prostatic stroma and glands is known as benign prostatic hyperplasia (BPH). This condition is common in older men and can lead to symptoms such as difficulty urinating, increased frequency of urination, and a weak urine stream. While BPH is not cancerous, it can still cause significant discomfort and may require medical treatment. Treatment options for BPH can include medications, minimally invasive procedures, or surgery, depending on the severity of the symptoms and the patient's overall health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, stiff neck and intracranial hypertension are very concerning symptoms. this deserves a formal exclusion of a bacterial meningitis. under close supervision and monitoring, a lumbar tap might be useful to make a proper diagnosis of bacterial meningitis. late diagnosis and treatment could complicate outcome. blood culture and antibiotic sensitivity tests could be helpful. kind regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. the possible illness that your boyfriends' son is having is an antisocial personality disorder and this illness requires intensive psychotherapy. mood stabilizer and antipsychotics may also help in reducing the problem. behavioral therapy should also be tried intensively. he should be given privileges only when he behaves appropriately with restriction when he doesn't behave appropriately. be care and seek help soon otherwise he may land up with other forms of strong chatbot.  hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, or want to know any further details about your query, you can use the below-mentioned link"
Answer this question truthfully,"The recommended approach for managing solitary pulmonary nodules that have remained stable in size and appearance for more than 2-3 years on imaging is reassurance, and no further testing is required.

Solitary pulmonary nodules are small, round growths in the lung that can be detected on imaging tests such as chest X-rays or CT scans. While these nodules can be concerning, particularly if they are new or growing in size, nodules that have remained stable in size and appearance for more than 2-3 years are unlikely to be cancerous. In these cases, the recommended approach is simply to provide reassurance to the patient and avoid further testing, which can be expensive and carry risks of complications. However, it is important to note that this approach applies only to nodules that are truly stable and have been monitored closely over time. If there are any changes in size or appearance, or if the patient develops symptoms such as coughing or chest pain, further evaluation may be necessary."
Answer this question truthfully,The recovery phase of acute tubular necrosis typically presents with polyuria.
adrenoleukodystrophy A child I have been asked to work with has been diagnosed with this condition.I am so far unable to find info pertaining to this illness. Can you help??,"Adrenoleukodystrophy describes several closely related disorders that disrupt the breakdown of certain fats. These disorders are passed down (inherited) in families. ... The condition results in the buildup of very-long-chain fatty acids in the nervous system, adrenal gland, and testes. This disrupts normal activity in these parts of the body. There are 3 major categories of disease: - Childhood cerebral form -- appears in mid-childhood (at ages 4 to 8) - Adrenomyelopathy -- occurs in men in their 20s or later in life - Impaired adrenal gland function (called Addison disease or Addison-like phenotype.) - adrenal gland does not produce enough steroid hormones ... Adrenal dysfunction may be treated with steroids (such as cortisol) if the adrenal gland is not producing enough hormones. A specific treatment for X-linked adrenoleukodystrophy is not available. A bone marrow transplant can cure a people of the condition. The childhood form of X-linked adrenoleukodystrophy is a progressive disease. It leads to a long-term coma (vegetative state) about 2 years after nervous system symptoms develop. The child can live in this condition for as long as 10 years until death occurs. The other forms of this disease are milder."
Answer this question truthfully,Damage to the watershed zone between the middle and posterior cerebral arteries results in defects in higher-order visual processing.
Answer this question truthfully,Lymphocytic hypophysitis is the autoimmune disorder that may cause hypopituitarism during these times in women.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, by doing pelvic therapy and practicing keels, you can help control your ability to start and stop. this may help delay ejaculation. certain medications.  you may use a topical desensitizing cream which will reduce stimulation and help to delay orgasm. i suggest you to visit your doctor for complete checkup and look into this matter thoroughly. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the multiple problems of known urinary tract infection under treatment, constipation under medication and the pain in abdomen which increases on menstruation indicate that you meet a proper evaluation of all the problems. i would suggest you the following"
Please summerize the given abstract to a title,Public discourse and policy change: Absence of harm from increased oversight and transparency in OPO performance
Answer this question truthfully,"Pyrimethamine inhibits dihydrofolate reductase in protozoa, but not in bacteria."
"If you are a doctor, please answer the medical questions based on the patient's description.",a perforated ulcer causes peritonitis which gradually involves all intro abdominal organs. fluid gets collected and infection sets in. these causes increased intro abdominal pressure. ultimately the diaphragm gets involved making the infection reach pleural cavity and in turn causes pleurisy which is infection of pleura. as a result septicemia sets in and the patient dies. this could be a probable cause of rudolph valentino's death. good to see such an ardent fan!!
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, it seems that your motivation is not enough for doing a special thing. it is natural, because motivation needs time to be built, and it should be related to your needs. your good self-esteem also helps for persistence on what you decide to do. for working on your self-esteem, you may focus on your physical appearance or some achievement, and also you should keep in you mind that the goals you set for yourself should not be too far from your standing point. then you can pursue them in a steady pace. please do not hesitate to ask me if there is any question."
Answer this question truthfully,"Yes, Salmonella spp. are motile. They are able to move through their environment using flagella, which are whip-like structures that extend from the surface of the bacteria. This motility allows Salmonella to swim towards nutrients or away from toxins, and helps them to colonize different parts of the host organism during infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are two common reasons, one is gastritis and acidity problem. does this heaviness occur on heavy activities and subsides with rest, if yes then its likely cardiac. is it associated upper abdominal pain, nausea feeling, sour water feeling in throat, increases after food etc. then it's likely a gastritis and acidity. still during heaviness if you are able to get ecg done then it would be better. till the time, maintain healthy lifestyle, avoid fatty, oily food. avoid smoking, alcohol. get one lipid profile, sugars test done. you can try pantoprazole before breakfast. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Compression of renal cortex and medulla
Please summerize the given abstract to a title,Containing COVID-19 contagion: Comparative lessons
Answer this question truthfully,Bencyclane is a calcium channel blocker.
Answer this question truthfully,"The anterior pituitary gland is the source of secretion for both prolactin and growth hormone. Prolactin is primarily involved in lactation and milk production in females, while growth hormone is involved in the growth and development of bone, muscle, and other tissues. The secretion of both hormones is controlled by complex feedback mechanisms involving the hypothalamus and other organs in the body. Abnormalities in the secretion of these hormones can lead to various health problems, such as acromegaly (excessive growth hormone secretion) or infertility (inadequate prolactin secretion)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question in chatbot.first don't worry about your condition. it is totally treatable. continue using your antibiotic course that is mainly containing amoxicillin, clarithromycin and omeprazole. follow certain suggestion given below. chatbot. continue with semisolid diet. avoid alcohol and smoking. avoid excess spicy food. certain herbal remedy is helpful like oregano oil capsule found to be very effective. mastic gum helpful in restoring healthy bacterial balance. berberine is natural antibiotic for h.pylori. cooked oatmeal will sooth the stomach. i hope my suggestion will help you. wish you good health."
Answer this question truthfully,"If a malpractice case is successful, the patient can receive compensatory damages and punitive damages."
Answer this question truthfully,An ultrasound of a patient with hypertrophic pyloric stenosis shows a thickened and lengthened pylorus.
Answer this question truthfully,"Obstructive sleep apnea is sometimes considered a risk factor for metabolic syndrome. It may present as sleep disturbances, snoring and day-time drowsiness. Polysomnography can act as an important tool in diagnosing these conditions."
Answer this question truthfully,"Iron can be seen on an x-ray, while aspirin cannot be seen on an x-ray."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, these swellings are nodes and are sign of infection, but possibility of it being from the donor do occur if you have received the plasma, but don't be scared, consult your doctor, and he will start you on antibiotics, and get you cured. i hope that answers your query. if your want any more clarification, contact me back."
Please summerize the given abstract to a title,Identification of Market Gap as a Chance for Enterprise Development—Example of Polish Raw Materials Industry
Please answer with one of the option in the bracket,B: Hemoglobin electrophoresis
Answer this question truthfully,"Streptococcus sanguinis is the species of Streptococcus viridans that is commonly associated with subacute endocarditis. This bacterium is a normal inhabitant of the human oral cavity and can enter the bloodstream during dental procedures or other activities that cause bleeding in the mouth. In some individuals, S. sanguinis can cause infections of the heart valves, leading to subacute endocarditis. This condition is characterized by a slow onset of symptoms and can be difficult to diagnose. Treatment typically involves a combination of antibiotics and, in some cases, surgery to repair or replace damaged heart valves."
Please answer with one of the option in the bracket,E: Chromosome 16
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, thank you very much for your question. as you mentioned, during oral sex glans penis due to its high sensitivity can be easily irritated by friction. however, it is hard to diagnose without examine a patient.  some infections can cause inflammation of the head of the penis or atlantis that may cause pain and a foul discharge.  my advice is to see a doctor soon. also try to be responsible for your sexual health. abstain from unprotected sex and limit your sexual activities to one partner who has tested free for sexually transmitted diseases. do not think that oral sex is disease free. oral sex can transmit infections like chlamydia, gonorrhea and even hiv with a negligible risk.  therefore, an unprotected oral sex is not 100% disease free, and it still poses a risk of contracting an std.  if you have any other questions, please let me know. i hope that i answered your question. good luck!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query.  although it might need a physical examination to opine on this, it seems that you have stretched your abdominal musculature while lifting heavy article. also, if you were not careful in supporting the testes with properly fitting undergarments, the testes might have got inflamed testis resulting in epididymis orchids giving rise to such symptoms. as there was no bulge or swelling, a hernia could be excluded for the present pending a personal physical examination. till the diagnosis was confirmed, i would advise you with some anti-inflammatory chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,"Secondary prevention strategies following MALT lymphoma include urease breath test, performed 4-6 weeks after completion of the course of antibiotic therapy, and endoscopy with concurrent biopsy, performed 3-6 months after the treatment is finished."
Please summerize the given abstract to a title,Tricuspid Valve Anterior Leaflet Strains in Ovine Functional Tricuspid Regurgitation
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. we should first rule out valvular heart diseases like aortic stenosis and aortic regurgitation because both of them causes intermittent severe chest pain and dilatation of pupils with heart beat. so first get done ecg, 2d echo to rule out these valvular heart diseases. if any of these is present than he needs surgical correction of valvular defect. if these reports are normal than sometimes stress and anxiety can cause similar symptoms. so ask him to avoid stress and tension. don't worry, he will be alright but first rule out valvular heart diseases. hope i have solved your query. wishing him good health. thanks."
Answer this question truthfully,"A pressure ulcer starts as reddened skin that gets worse over time. It forms a blister, then an open sore, and finally a crater.
The most common places for pressure ulcers to form are over bones close to the skin, like the elbow, heels, hips, ankles, shoulders, back, and back of the head.
Pressure sores are categorized by how severe they are, from Stage I (earliest signs) to Stage IV (worst):
Stage I: A reddened area on the skin that, when pressed, does not turn white. This indicates that a pressure ulcer is starting to develop. Stage II: The skin blisters or forms an open sore. The area around the sore may be red and irritated. Stage III: The skin breakdown now looks like a crater. There is damage to the tissue below the skin. Stage IV: The pressure ulcer has become so deep that there is damage to the muscle and bone, and sometimes to tendons and joints."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. as you are mentioning that you are having pain in your soft palate, there dan be two reasons for this pain-first it can be possible that one of your tooth adjacent to that area of palate may be infected, and now it has formed an abscess in the apical region of tooth which might be spreading towards palate. -second it can be possible that there is a soft tissue cyst in that region of palate. but there is nothing to worry in both the cases, as you should visit a dentist who will take a full mouth x-ray and confirm the condition. and treatment will be planned accordingly. thank you."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i have gone through your query and being your physician i completely understand your health concerns.  for how long you're suffering from it? any other associated problem? like diabetes or hypertension? any history of tb in past or exposure to tb? are u having fever? any other lymph node swelling in your body? is swelling on both sides of neck or not?  all u need is to start the treatment, i strongly urge you that you should initiate the treatment so that tb get heal with minimum scarring.  the shadows which you're talking about is due to active tb.  a stitch in time saves nine. meet your doctor and initiate the treatment as soon a possible.meanwhile, stay calm and use acetaminophen to relieve painted well soon hope your query is adequately ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and, the semen analysis is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. since your cardiac and pulmonary investigations are normal, no need to worry much for your symptoms. in my opinion you are having anxiety and related symptoms. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may also require anxiolytic chatbot. so better to avoid stress and tension. be relax and calm. don't worry, you will be alright."
Please answer with one of the option in the bracket,D: Sitagliptin
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thanks for the query. pain in shoulder and under rib is expected and commonly seen due to pneumoperitoneum which is done during laparoscopy. it should be treated by standard painkillers and there is no other specific cure. it may persist up to 2 weeks sometimes. if there is constant abdominal pain or jaundice and fever then you should visit doctor. wish you good health. regards
Please summerize the given abstract to a title,Transformation of the Educational Process within Online Technologies Implementation in the Period of the Global Crisis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi every patient with chf does not need a pacemaker there are some indications for peacemaking in a patient iof congestive cardiac failure i am mentioning some of them, it depends on the stage of chf and how well it is controlled by medicines, thirty to 50 percent of patients with advanced congestive heart failure have major intraventricular conduction defects, chf along with intraventricular conduction defect is an indication forpacemaking, especially complete left bundle branch block have been shown to be independent predictors of mortality. delayed activation of the left ventricle as a result of left bundle branch block has been shown to produce significant synchrony in left ventricular contraction and relaxation. the synchrony can be minimized by biventricular pacing. so every patient with chf is not helped by pacemaker, your mother must not be having stage 4 chf and her interventricular conduction system would have been normal, so peacemaking is not required in her case"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi tachycardia is a condition in which the heart beats faster than the normal rate, it can be because of anxiety, anemia, medicines and a number of causes, infection can also be a cause of tachycardia. mild tachycardia is not a problem but if heart rate is more than 120 in that case low dose propranolol should be taken with ent medicines. exercise daily for 45 miutes, walk for 30 minutes, avoid too much stress, dont eat heavy food thank you"
Please summerize the given abstract to a title,Evaluating the efficacy and safety of human anti-SARS-CoV-2 convalescent plasma in severely ill adults with COVID-19: A structured summary of a study protocol for a randomized controlled trial
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...a kid who eats peanuts and stays healthy cannot behave allergy to peanuts. other food allergies may co-exist. but what you are quoting could be an insect bite allergy -the lesions which are now there. by what you quote it seems rather like a skin allergy which is unlikely to be food allergy. food allergy apart from skin manifestations might have some sort of gastrointestinal manifestations like vomiting or diarrhea or pain in the tummy. regards -
Answer this question truthfully,There are no other diagnostic studies associated with gallbladder carcinoma.
Please summerize the given abstract to a title,Comparison of clinical characteristics and outcomes between COVID-19 pneumonia and H1N1 influenza
"If you are a doctor, please answer the medical questions based on the patient's description.","1. can you please let us know your country of origin because fish antibiotics are not approved by fda in us for human use and giving them to your sister will be unlawful and moreover without any license.2? as long as supply of human antibiotics is available, don't go for fish antibiotics.3. direct evidence is lacking about its safety and suitability for human use, thus talk with your health care professional about the same.4. most people because they don't have health insurance, or are unable to pay the expenses they just go to pet stores and buy antibiotics meant for fish, as your sister is very poor i think taking fish antibiotic for that matter will be good for her.5. most importantly tetracycline for fish is used for external diseases while in humans it is used internally."
Answer this question truthfully,"In the United States, most cases of syphilis are recognized and treated before this eye condition develops. However, interstitial keratitis remains the most common cause of blindness in the world."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. this looks to be serious if there is a referred pain from the abdomen to the shoulders and arms and needs urgent investigations and clinical correlation. since you have dull or kicked like pain in the center of the abdomen, too much farting and burping, always hunger pains it is mandatory that you need an upper gi endoscopy, ct scan of the abdomen and the tests of blood, urine and stool to get a clinical correlation by your treating doctor to get a proper and early diagnosis and to institute a proper management."
Please summerize the given abstract to a title,Multi-scale Convolutional Neural Networks for the Prediction of Human-virus Protein Interactions
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... you are right. this happens when the baby sucks at the breast or nipple of bottle very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there - 1. best is to stop the bottle abruptly and give the feeds by spoon or canada. i know its difficult and the baby will initially struggle a lot, but it is needed as a permanent solution for the problem.2. to deflate his tummy you can turn him on to his tummy and tap his back lightly till his flatus comes out. other option is after each feed, putting him on shoulder and burping him. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by history and description, possibility of allergic bronchitis is more. breathlessness, chest pain, reddish skin lesions etc. are seen in allergic bronchitis. cat scan will be normal because it is not structural lung disease. it causes functional lung impairment. so pulmonary function test (pft) should be done in both daughters. they may need inhaled bronchodilators and inhaled corticosteroid (ics) along with antihistamines and anti-allergic chatbot.  hope i have solved your query. i will be happy to help you further. wishing good health to your daughters. thanks."
Answer this question truthfully,"There are no x-ray findings associated with colorectal cancer. However, a chest x-ray may be helpful in the detection of lung metastasis. Lung metastasis on chest X-ray normally appears as peripheral, rounded nodules of variable size, scattered throughout both lungs.  Atypical features include consolidation, cavitation, calcification, hemorrhage, and secondary pneumothorax."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, any pain in the flank area could be associated with the kidneys however usual kidney pain is not related to movement and is usually comes and goes even if you're just sitting down or lying down. however, to really confirm if this is not a kidney problem then you need to do an urinalysis and kidney urinary bladder ultrasound. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot.  apple cider that has been boiled down to syrup, taken by tablespoon as a tonic, can ease enlarged spleen.  milk thistle supplement, in the form of a capsule or tablet supports liver and spleen function. the two organs work closely together, and an enlarged spleen is often caused by an overworked liver.  a diet high in fruit, along with plenty of water, will help keep the lymphatic system clean. increase intake of high-fiber fruits such as apples, bananas and blueberries. when suffering from an enlarged spleen, avoid fatty and processed foods. these foods are difficult to digest and put significant strain on the liver and spleen.  increase water intake to shrink spleen.  also add dark green leafy vegetables, such as spinach and kale, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint herpes is a recurring infection and recurring episodes commonly occurs in individuals who have low immunity states like any debilitating disease, stress, diabetes etc. a long term course of antiviral medication can help in prevention of recurring episodes and along with it, you should also take immunity boosters like vitamin c supplements, antioxidants, zinc and lysine supplements. you should also avoid intimate contact with other individuals who are suffering from herpes although you may not have any erupting lesions presently. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello fairbanks for using chatbot.come have evaluated your query thoroughly.* treatment of tb depend on the stage as well as causative organism and extent of pathology.* treatment plans are based on the guidelines of who (world health organization) recommendations.* even use of pesticide can be the issue of ill health of the lungs.* recommended getting expert advise with the pulmonologist dear . hope this clears your query. welcome for further guidance. regards dear take care.
Answer this question truthfully,The long thoracic nerve travels with the lateral thoracic artery through the axilla/lateral thorax.
Answer this question truthfully,"The immunoglobulin that has the highest avidity is IgM. Avidity refers to the strength of binding between an antibody and its antigen. IgM is a pentameric antibody that has ten antigen-binding sites, which allows it to bind to multiple epitopes on an antigen simultaneously. This results in a high-avidity binding, which is important for the effective clearance of pathogens. In contrast, other immunoglobulins, such as IgG, have lower avidity because they are monomeric and have fewer antigen-binding sites. However, IgG antibodies have a higher affinity for antigens, which means they bind more tightly to a single epitope. Both high-avidity binding and high-affinity binding are important for the effectiveness of the immune response."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i understand your concern. stress make you weak both physically and psychologically. emotional crying and mood swings can also suggest underlying depression. adolescent depression can be presented with confusing and disturbances in daily routine. dear need to consult psychiatrist and give him detail history. mental status examination is necessary to reach any conclusion. there are many modalities of treatment which can be useful.anti-depressant and anxiolytic medicines will help. meditations and exercise make you relax. sleep and diet is necessary. consult psychiatrist and get help. i hope i have answered your question. still if you have a query then feel free to ask. happy to help you. thank you.
Please answer with one of the option in the bracket,D: Right ventricular outflow obstruction
Please summerize the given abstract to a title,"Greenspace Interventions, Stress and Cortisol: A Scoping Review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. the lesions found by mr scan are of two types"
Please summerize the given abstract to a title,The innate immune system stimulating cytokine GM-CSF improves learning/memory and interneuron and astrocyte brain pathology in Dp16 down syndrome mice and improves learning/memory in wild-type mice.
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, i appreciate for quitting smoking. normally after quitting smoking 3 to 4 months will need to get regularize and healthy ovum from ovulation. in addition to that you should follow a healthy food habit, lifestyle etc. along with the medication. follow the below advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is a serious disease if cirrhosis is present and quitting alcohol is the most important thing that should be done. also, medications which are hematologic should be avoided. this is necessary to prevent disease progression which is lethal in most cases. at early stages, it can be treated with these measures but in case of progression. diet should be balanced and healthy and get regular exercise. limit high-carb foods such as bread, grits, rice, potatoes, and corn. and cut down on chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. it is very common that if the patient suffers from peptic ulcers, all tests(like blood work and ultrasound) are negative. it is because stomach mucous is hardly visible for the ultrasound. you have not mentioned what kind of surgeries you have had, but every abdominal surgery causes adhesions inside the abdominal cavity. such adhesions can cause partial bowels obstruction and give abdominal pain like yours. that is why it should be ruled out as well. i suggest you to have upper gi endoscopy performed to check for peptic ulcers and to rule out the cancer. discuss with your doctor about bowels obstruction and possible gallbladder disease. hide scan and abdominal ct with oral contrast should be considered if endoscopy will be negative. hope this will help. regards."
Please summerize the given abstract to a title,"Vaccine hesitancy due to vaccine country of origin, vaccine technology, and certification"
How bad can endometriosis get?,"In women with endometriosis, the tissue that lines the uterus grows elsewhere, e.g., on the ovaries, behind the uterus or on the bowels or bladder.  This tissue may cause pain in the abdomen, lower back or pelvic areas; infertility; and heavy periods.  Pain medicines and hormones often help. Severe cases may need surgery. There are also treatments to improve fertility in women with endometriosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, only a few spiders are dangerous to humans. most presumed spider bites are actually bites from other bugs. for your symptoms, i would suggest you to clean the site of the spider bite well with soap and water. apply a cool compress over the spider bite location. if the bite is on an extremity, elevate it. aspirin or acetaminophen and antihistamines may be used to relieve minor signs and symptoms in adults. talk to your doctor if you have concerns. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, in addition to the possibilities of asthma, chest infection which have been ruled out by x-ray etc., another possibility is herd(gastroesophageal reflux disease/gastritis). you might need to take a course of pantoprazole/omeprazole, if that is the case. it is possible that the stress(you said you were worried about your brothers' son) could have caused herd/gastritis.1. i would advise you to have frequent small meals. 2. avoid spicy,deep-fried, fatty food and carbonated beverages.3. do relaxation exercise/meditation.4. avoid sleeping/lying down immediately after a meal. wait for 2 hours before lying down after a meal.5. avoid smoking/alcohol. hope this helps. please let me know if you need any further advise.  chatbot."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Pulmonary vaccine delivery: An emerging strategy for vaccination and immunotherapy
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. during first sex, for boys, there should not be any complications like you are mentioning here. vagina is supposed to be lubricated before insertion of the penis. that lubricant causes smooth up and down movement of penis without any rashes. secondly, if the foreskin is easily retractable, it will not cause any pain or bleeding. practice retracting the foreskin. do not worry much about these aspects because such worries could boomerang into anxiety disorders. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,[COVID-19 Pneumonia in a Patient in Her Seventies that Improved without Antiviral Drug Treatment：A Case Study]
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. your mri says l5 s l disc protrusion causes which leads to compression of exiting nerve root which later on supply left lower limb [leg]. due to compression of this nerve root there may be tingling numbness in your leg and pain associated with it. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. mri shows disc compressing on nerve root, so surgical decompression is permanent solution if not relieved conservatively. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. your concern is understandable. as a urologist, i'm sure you are aware, he's on dialysis treatment for chronic kidney failure. fever with chills, develops with infection. confusion may be a symptom of salt imbalance.(electrolytes). you must convince him somehow, and take him to your nephrologist, at the earliest. if you've any other doubts, you may contact me by name. wishing him a speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query here. newborn jaundice which usually appears around day 3-5 of life is usually physiological. this is related to immaturity of liver and as the liver becomes more mature, the jaundice disappears. this type of jaundice is very common. not all the babies having physiological jaundice need treatment. i would like to know what his blood results were when he was first treated for jaundice? is there any mismatch between yours and your sons blood group? treatment helps to lower the jaundice levels, but it doesn't disappear completely. that's the reason that eyes did not clear.you've mentioned that his jaundice has increased and head is bigger. i would like to know his recent blood results - bilirubin and his cbc. have you been breast-feeding him exclusively? is he gaining weight? also, for increased head size, please get is measured and discuss with your current doctor whether that is normal for his age or not. there are a lot of things to consider - clinical examination, blood test results etc. before diagnosing what's exactly wrong. please do return with the results of blood test and further answers to questions i want to know, and i will be able to guide you further. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your doctor i suggesting you that diabetes is not infection, but you can be infected with hiv or hepatitis b, c. squeezing a finger after prick is wrong practice. it causes pathogen to enter the body. you can check the hiv and hepatitis b and c status by laboratory test of the patient. if he is positiver than you should worry, otherwise there is no point of worry to you. if you have to ask me anything you can contact me. chatbot. infectious disease specialist. thank you."
Answer this question truthfully,Oseltamivir and Zanamivir work by inhibiting Neuraminidase.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for writing your query, redness and bleeding of the gums around the erupting tooth is normal, and it is a sign of eruption. nothing to worry about, as the tooth will erupt in the oral cavity the swelling will subside and the gums will confirm to the tooth. though you need to maintain good oral hygiene to prevent gingivitis and infection. i would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or betadine which will give soothing effect and helps in preventing infection.  i hope this helps, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have toothache and sensitivity don't worry these symptoms are of periodontal problem may be due to periodontal pocket causing sensitivity in tooth, or it can be due to peritonitis for this i will suggest you to consult oral surgeon and go for oral prophylaxis if needed go for curettage. hope this will help you. wishing you good health."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, egg release takes place 14 days prior to next expected menses. the life of egg is 24 hours and the sperms are active for 72 hours. hence, if your conception has taken place on 12th february; i.e. your ovulation was 11th or 12th february, you can conceive by the intercourse on 8th of february and definitely not by the intercourse on 4th of february. how did you case to the conclusion that the conception had taken place on 12th february is a million-dollar question. were you undergoing ovulation monitoring? for further confirmation of for legal purpose, dna test is the final test. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear. blood on coughing is always abnormal. there are other causes also, other than cancer, for such symptoms e.g. tuberculosis, book, ulcers etc. as your previous biopsies were normal, so chances are less that it will be cancer. if your age is less than 50 years, chances are less for cancer. if you are a nonsmoker and female chances are lesser. so i think that the bleeding is related to your previous pathology rather than cancer. but you should consult a chest physician to treat the underlying cause."
Answer this question truthfully,"Urgent medical care should be sought when:
Symptoms of malaria manifest while traveling to a country where malaria is endemic Travelers who become ill with a fever or flu -like illness, either while traveling in a malaria -risk area, or following their return home (for up to 1 year). For this reason, is essential that individuals report travel history to their health-care provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. gall stones need to be operated. if stones are present with in gall bladder, it can be done as elective procedure, not to worry, avoid fatty food in diet. if stone is causing obstruction of biliary duct that needs to operated on emergency basis. if you notice jaundice, itching of skin, further severe pain abdomen need to consult doctor immediately. consult your doctor for examination and management. hope i answered your question. feel free to ask me if you have any further queries. wish you good health. take care. regards"
Answer this question truthfully,"In acute aortic insufficiency symptoms of heart failure often develop acutely. Chronic aortic insufficiency is usually insidious and progressive and the patient may remain asymptomatic for years. Once left ventricular dilation and left ventricular failure occur, dyspnea on exertion and exercise intolerance begin to occur. Later symptoms such as angina, syncope, and other symptoms of heart failure are present. There are two main parameters that reflect the overall outcome in patients with aortic insufficiency: ejection fraction (the lower the ejection fraction, the poorer the outcome) and end systolic diameter. Left ventricular dysfunction develops in patients with aortic insufficiency after decades of the onset of the symptoms. This lag period is longer than that of mitral regurgitation. A detailed history and physical exam and diagnostic techniques like electrocardiogram, chest X-ray, echocardiography and a cardiac MRI can be used to diagnose aortic regurgitation.The prognosis and survival of patients with symptomatic aortic regurgitation has improved significantly over the last decade. The five year survival rate for symptomatic patients is now more than 80 percent. The prognosis among patients with aortic insufficiency is poor with a high mortality and morbidity due to the acute onset of left ventricular failure, pulmonary edema, or myocardial ischemia due to the abrupt rise in LV wall stress and sudden cardiac death. Early surgical intervention improves the prognosis in these patients."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for using chatbot. read your query. pan masala causes stains and the intensity of the stains depends on your tooth conditions. it is difficult to get back your normal tooth color by the usual cleaning procedures. you can consult your dentist about bleaching(if you're very much keen) and it can help you. the dentist can determine whether this bleaching will help you or not. for the sensitivity of teeth you can use a desensitizing toothpaste for a while. thanks and warm regards.
Answer this question truthfully,"Excisional biopsy is the recommended procedure for treating an ugly duckling pigmented skin lesion. An ugly duckling lesion is a pigmented skin lesion that looks different from the surrounding moles or freckles on a person's skin. It may be a sign of melanoma, a type of skin cancer that can be deadly if not detected and treated early. An excisional biopsy involves removing the entire lesion, along with a small amount of surrounding tissue, and examining it under a microscope to determine if it is cancerous. This procedure is typically done under local anesthesia and can be performed in a dermatologist's office or outpatient surgery center. If the lesion is found to be cancerous, further treatment may be necessary, such as additional surgery or radiation therapy. It is important to have any suspicious skin lesions evaluated by a healthcare professional as soon as possible to ensure early detection and treatment of skin cancer."
Please answer with one of the option in the bracket,E: Intravenous ciprofloxacin
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would like to make the following suggestions to you"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i have gone through your query and being your physician i completely understand your health concerns. for how long he is suffering from it ?  based upon the history it appears that he has got risk factors like hypertension along with diabetes. he needs a proper workup and proper follow up.  he should meet his doctor so that baseline workup can be done including fbc rbs lipid profile urea creatinine ecg and echo.  your doctor will decide whether there is need for stress ecg or not.  as far as symptoms are concerned it is difficult to comment. it points more towards low blood sugar level, meet cardiologist for proper workup so that appropriate management can be done timely.  meanwhile, stay calm and use acetaminophen to relieve pain and continue with your medications.  get well soon hope your query is adequately ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",yes certainly working out will result in spread of infection to the local spaces and may cause a larger swelling which is due to the riding of teeth and stress that could be associated with working out. if the concerned wisdom tooth has to be removed because of no space for it to come out or decay either of which may have caused infection then i would suggest you get it removed wait for 15 days and then start your workouts. if it does not have to be removed then i would suggest wait for another week and then start your work-outs in a gradually increasing manner.
Please summerize the given abstract to a title,Using Community Ecology Theory and Computational Microbiome Methods To Study Human Milk as a Biological System.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. your question is not clear. i presume you mean seminal fluid touched your sex organ. you have not mentioned the date of your last period. if it was in the first week of your period or a week before you were expecting your period, then it is unlikely that you could get pregnant, which is called safe period. even in unsafe period if the seminal fluid did not enter the vagina, then you are not likely to get pregnant. if the fluid entered your vagina possibility of becoming pregnant is always there. in such case if you miss your next period then you will need to do pregnancy test with urine, to find out if you are pregnant.don't worry most likely you will get your next regular period, which will exclude pregnancy. all the best."
Please summerize the given abstract to a title,Global Impact of COVID-19 on Nuclear Medicine Departments: An International Survey in April 2020
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you should also go for examination. you may have sexually transmitted disease. go for examination and make sure that you are safe. if you have infection then take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query. an eosinophil is a type of white blood cell. eosinophils are produced in the bone marrow and are normally found in the bloodstream and the gut lining. common causes of high eosinophil counts are parasitic infections, asthma,hay fever & allergies to chatbot.  though the list of causes is exhaustive it is good idea to repeat the counts after 2-3 weeks before proceeding for further work up."
Answer this question truthfully,"Intestinal peristalsis occurs in response to the binding of 5-HT (serotonin) to intrinsic primary afferent neurons (IPANs). These neurons are located in the intestinal wall and are responsible for sensing changes in the environment of the gut. When 5-HT binds to IPANs, it triggers a series of events that ultimately lead to the contraction of smooth muscle in the intestinal wall. This contraction creates a wave-like motion that propels food and waste products through the digestive tract. The process of intestinal peristalsis is essential for proper digestion and elimination, and disruptions to this process can lead to a range of gastrointestinal disorders."
Please summerize the given abstract to a title,"COVID-19 pandemic: pain, quality of life and impact on public health in the confinement in Spain."
Answer this question truthfully,"The area postrema, also known as the chemoreceptor trigger zone, is a region of the brainstem that is involved in the regulation of vomiting. It is located adjacent to the nucleus tractus solitarius in the fourth ventricle, which is a fluid-filled space in the brainstem that is continuous with the central canal of the spinal cord. The area postrema is unique in that it is not protected by the blood-brain barrier, which allows it to detect toxins and other substances in the bloodstream that may trigger vomiting."
Answer this question truthfully,"Usually after one week, when the puncture site is healed. This usually takes about a week. You may shower on the day after the procedure after removing the Band-aid over your puncture site."
Answer this question truthfully,"The standard treatment for advanced ovarian cancer is exploratory laparotomy followed by chemotherapy, such as cisplatin and paclitaxel.

Exploratory laparotomy is a surgical procedure that involves making an incision in the abdomen to examine the abdominal organs and tissues. It is used to diagnose and stage ovarian cancer and to determine the extent of the disease. Following surgery, chemotherapy is typically recommended to kill any remaining cancer cells. Cisplatin and paclitaxel are commonly used chemotherapy drugs for advanced ovarian cancer. The specific chemotherapy regimen may vary depending on the individual patient's condition and other factors. In some cases, radiation therapy may also be used to treat ovarian cancer. It is important to discuss the risks and benefits of these treatment options with a healthcare provider to determine the best course of action for the individual patient."
asthma Question. What is the consensus of medical doctors as to whether asthma can be cured? And do you have an article discussing whether asthma can be cured?,"You and your doctor should work as a team to manage your asthma. Follow your doctor's instructions on taking medicines, eliminating asthma triggers, and monitoring symptoms.  ...  Know the asthma symptoms to watch for .... Know which triggers make your asthma worse and what to do when this happens. - Know how to care for your asthma when you exercise. Asthma action plans are written documents for managing asthma. An asthma action plan should include: - Instructions for taking asthma medicines when your condition is stable - A list of asthma triggers and how to avoid them - How to recognize when your asthma is getting worse, and when to call your provider"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. i have gone through your query and can understand your concern. as per your complaint it seems an ulcer on retromolar trig one can be a canker sore or can be an abscess caused due to infection. it can also be due to traumatic injury caused by some hard or sharp foods. i would suggest you to consult an oral physician and get evaluated. as of now take anti-inflammatory painkillers like ibuprofen and apply numbing gel containing lidocaine over it especially before eating to ease in eating. do cool water rinses. do cool compresses over the cheek. you can also do warm saline gargle for relief. take a soft diet and avoid any hard, spicy and sharp foods. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are diagnosed to have l5 s1 disc prolapse, and you have severe neuralgic pain because of it. lyrica dose to be increased for relief from neuralgia. cymbalta contains duloxetine which is a selective serotonin and norepinephrine reuptake inhibitor which when used reduces neuralgic pain, dose range from 20 mg to maximum 60 mg daily. if symptoms still persists you should consult neurosurgeon, for epidural steroids. hope this will help regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","wheezing could occur due to narrowing of the respiratory tracts, what we call bronchospasm. if not due to cold, it could also occur due to exertion as during playing. but i would not consider it normal and would suggest you to consult a doctor who can examine the chest and may be also get an echocardiography done if he feels required (to rule out any congenital heart disease that could be a cause)."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. small quantity of white clear fluid seen on tip of the urethra and burning urination strongly suggests inflammation of urethra (urethritis). get your routine urine test done to rule out active infection. please take broad spectrum antibiotics like cefuroxime along with urinary antiseptic like nitrofurantoin twice daily and urine alkalizer thrice daily. get the prescription of medicines from your family physician. ensure to chatbot. to keep your urine dilute this will help to control dysuria. it should get cured within a week.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understood your query.  - chatbot.  it happens when baby is not fed for a long time, it overflows. it's not a sign of milk duct problem.  - stagnation of milk in breast may cause little pain.  - mastitis is a condition of swelling, hardness, painful/tender breast-which is many a time following some trauma / hard push to a lactating breast. many times it is associated with fever.  a healed mastitis is not known to cause defect in milk ducts unless it was treated by incision &"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello swath, sneezing after using a nasal spray is not unusual, and it is possible your technique of using the spray is incorrect. steroid nasal sprays take about 4 weeks to start working and therefore using it up to (minimum) 8 weeks is recommended as a course. you can restart again but continue to use it for at least 8-12 weeks is ideal. while antihistamine or atropine nasal sprays can be used on and off also on a regular basis. you also need to get your allergies checked and only then we will be able to tell you when to start and stop the sprays. hope that helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi & welcome. i can understand your concern. incomplete data like age, gender, alcohol intake, etc. the raised liver enzymes (got & sgpt) could be due to liver disease, gall bladder disease, or alcohol intake. the underlying cause should be detected and treated accordingly.besides you need to have certain lifestyle changes like1. avoid taking alcohol (if you consume), avoid smoking.2. avoid taking fatty meals, fast & junk foods.3. eat home cooked foods, increase the intake of fruits and vegetables.4. do regular exercise, reduce your body weight if you are overweight.5.  chatbot. hope the suggestions given above could be useful in reducing the raised liver enzymes and the body weight."
Please summerize the given abstract to a title,Widening cancer care disparities in the adoption of telemedicine during COVID 19: who is left behind?
Answer this question truthfully,"By including your email address as an editor, you can connect with the thousands of students, physicians and patients around the world who view your contributions each year."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you have pain while walking underneath the toe, have you ever taken an x-ray. because i feel x-ray should be the best choice to look upon the bone segments and joints for any signs of joint inflammation.  also, how is your footwear? is it flexible or hard? if the hard switch to flexible ones. now as you complain pain is only while walking i think your muscles of the feet are weaker now as it's a long time.  strengthening those muscles is of utmost importance now because if left untreated than may land into other joint troubles for this, dip the feet in hot water fermentation and along with this, add some marbles to it.  post which you should try taking the marbles out of the water with the help of toes. use acupressure mat and stand over it. it will be painful but will stimulate the muscles of the foot to start activating.  in my clinical practice of 12 years, we have advised people facing similar pain the above recommend exercise. most of them have good outcome score. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Please summerize the given abstract to a title,System and method for applying physiotherapeutic focused ultrasound
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. his blood pressure is very high.  he should take salt restricted diet and antihypertensive medicine. many options are available.  losartan is the chatbot.  calcium chanel blocks like nifedipine or beta blocker like atenolol can be used in combination according to need.  all are prescription based medicine so consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"von Gierke disease is a genetic disorder that is associated with several metabolic abnormalities, including increased serum lactate, triglycerides, and uric acid. The deficiency of glucose-6-phosphatase in individuals with von Gierke disease leads to an accumulation of glycogen in the liver and kidneys, which can cause hepatomegaly, renomegaly, and other complications. The excess glycogen also leads to increased lactate production, which can cause lactic acidosis. Additionally, the inability to produce glucose from glycogen leads to increased triglyceride production and hyperlipidemia, which can contribute to the development of atherosclerosis and cardiovascular disease. Finally, the excess uric acid production can lead to gout. It is important to consult a healthcare provider for proper diagnosis and treatment of von Gierke disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have abscessed, pyelonephritis, adenoid or renal cell carcinoma.  you should go for ultrasound abdomen.  if needed go for ultrasound guided fnac or biopsy of that mass.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. hypokalemia (low potassium) can produce symptoms on heart and muscles... it can cause arrhythmias and other conduction abnormalities on the heart. it can produce muscle weakness resulting in flaccidity and paralysis of the muscles, difficulty in passing urine, constipation. on severe potassium loss can result in breathing difficulties. cardiac arrhythmias can be life threatening condition and needs immediate attention."
Please answer with one of the option in the bracket,D: Reflex tachycardia
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot. you have problem of partial meniscus torn can be treated by surgically and nonsurgical. take a rest .... ice can apply over this area... physiotherapy is helpful ..... in partial meniscectomy torn part is removed by surgery.... treatment is depended on injury site. ... if meniscus torn at outer layer side that can heal easily after surgery. if torn at inner side of meniscus that has lack of blood supply so delay healing. consent a physician for further diagnosis. i hope my guidance is helpful to you. take care. thanks.
Please answer with one of the option in the bracket,B: Physostigmine
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. pain is not due to playing because he plays regularly every day. he has to go for complete investigations to rule out pain as well as fertility test. cbc, urine and usg abdomen will guide for renal stone, gall bladder stone and other abnormality in abd. semen analysis is necessary. if he wants child than his wives investigations are also necessary. better go to hospital for checkup and further diagnosis and management."
Answer this question truthfully,Ranolazine does not have any significant effect on heart rate and blood pressure.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorin a newborn baby, you will see many patterns of frequency, color and consistency of poops. so don't worry. your child is in transition phase from meconium to yellowish brown stools at present. since the gut is getting colonized by healthy bacteria from environment, this pattern is normal for a newborn. approach your doctor, if"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in order for accurate advice to be given more information would be needed, starting with patient sex and age, symptoms and current state, prior medical conditions, tests he's had to diagnose this clot and to determine its origin. it is such information which would allow an evaluation of whether everything has been done for him/her. speaking in general about brain damage due to a blood clot in the brain what your doctor has told you is correct. such brain damage is permanent. improvement is hoped when damage is not too extensive, but it is due to the undamaged brain compensating for the damaged cells, that process requires months, and it is usually a partial improvement not 100% of the previous state. it is not a question of medications, medication is prescribed mainly to prevent other clots with more severe consequences of happening in the future, little can be done for the cells permanently lost by the clot. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Endothelial damage in systemic sclerosis causes release of self antigens and cytokines, which induces self-reactive lymphocytes and CD4+ T cell infiltration, respectively."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your query at chatbot!in my opinion you are possibly suffering from yeast infection like vaginal candidiasis/ thrush caused by candida africans. get investigated for vaginal wet mount microscopy, microbial culture, and antigen tests for fungus. get your pregnancy test done if needed. get your blood sugar fasting and post radial checked. hiv may also get tested by elisa. you are advised to take oral agent fluconazole as a single dose along with your current treatment. i would like to know have you been taking antibiotics ? as this could be risk factor. i hope i was of help. take care!"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, these symptoms could come from the back, there could be compression on the nerves arising in the back and traveling to the leg, you should follow these points1 do not exert too much, 2 consult your doctor and get investigated.3 mri of the ls spine needs to be done.4 continue analgesics and pregabalin under supervision of your doctor. i hope that answers your query. if you want any more clarification, contact me back."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected sir, i have understood your concern, i know you are passing through tough time. see as you mentioned, you had injury previously so due that, muscles of whole body may weak, or you have neglected to do so-called physical therapy properly. now ankle joint which is less stable outside than inside, so due to recurrent injury to ankle joint makes outer ligament weaken, so subsequently chances are higher to rein jury, if we do strengthen muscles surrounding ankle joint properly. you need to take physiotherapy treatment for 1 month, use stability tools like boot to prevent ankle twist again. see to that you don't walk on uneven terrain. i hope satisfied with this answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in above type of sexual activity, chance of being pregnant is quite less. though it depends on fertile days or ovulation time. precum or ejaculatory fluid on tip of penis contains small amount of sperm and may cause pregnancy in some percentage of women. here, you need to wait for next coming period. if it is delayed more than 7 days, you need to undergo one home pregnancy test to be sure. practice safe sex in the future. good luck."
Please summerize the given abstract to a title,"Airborne inflammatory factors: ""from the nose to the brain""."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. cough of more than 2 weeks duration seen in bronchitis and lung infection. get a chest x-ray done if it is normal, no need to worry about lung infection. possibility of bronchitis is more in your case. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). vomiting could be due to gastritis. take lots of liquids.don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"Due to having overlapping presenting symptoms with other hematologic disorders, Autoimmune lymphoproliferative syndrome in children should be excluded from infection, autoimmune disease, inherited immune disorders, and lymphoma."
"treatment options versus migraine types Migraine seems to be a spectrum of conditions rather than only one easily diagnosed affliction.  Many innovative migraine treatments are now in use, but it seems that each treatment only addresses a narrow set of conditions; for example, my daughter has tried many different treatment options (QEEG, HEG, TMS, topamax, ...) without success.  Has any research been done to characterize which treatment types are effective against which migraine types?","There is no cure for migraines. There are methods for treatment and prevention. A headache diary can help you identify triggers, and you  and your doctor can help you plan to avoid those triggers. Your doctor can also prescribe medicine to reduce the frequency of attacks. This includes antidepressants, blood pressure medication, seizure medication, and Botulinum toxin A. Mineral and vitamin supplements may provide relief. For  treatment of symptoms, acetaminophen, ibuprofen, or aspirin are helpful. If these do not help, talk to your doctor about prescription medicines, such as triptans."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearthanks for writing to chatdoctori suppose the little girl must be having a cold or running nose for some time. for the typical mark on nose may be a flag sign as it is called. a chronic cold with little wheeze or cough or breathing difficulty may cause chest pain or myalgic.first a mild analgesic may be coquitlam as per her body weight along with anti-cold like minaret af is advisable apart from home remedies like ginger tea, decongestant balms and hot soup. for a chronic persistent symptom we need a clinical examination. hope this helps"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Synthesis and Biological Evaluation of 5′-O-Fatty Acyl Ester Derivatives of 3′-Fluoro-2′,3′-dideoxythymidine as Potential Anti-HIV Microbicides"
"We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?","Frozen shoulder is more likely to occur in people over 40,  particularly women, and  in those who have thyroid disease, diabetes, cardiovascular disease, tuberculosis, Parkinson's disease, had shoulder injury,  or are unable to move their arm due to cast or stroke."
Answer this question truthfully,Full recovery is expected for mild Rh incompatibility.
Answer this question truthfully,Screening for high blood pressure should begin at around 18 years old.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, thanks for the query to chatbot. i studied your query and understood your health concerns. remedy and cause-of your problem-in my opinion your lump and sore neck is due to the sore throat. fatigue you have is of active infection with the bacteria and dm. i would ask you to consult er surgeon. i suggest you following -treatment -a-consult er surgeonb-tab-nsaidsc-if no relief i would advise fnac biopsy and needful treatment by its excision with proper chatbot. revert to your doctor on this advise-who would help you. this would help you to resolve your query. welcome for any further query in this regard. write review asap, with strong recommendations for me and chatbot to benefit old and new patients. have a good day. with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. you are not alone as following gallbladder removal, there can be the dumping of bile which is now not as easily regulated and can send someone running to the bathroom immediately after eating. a more common side effect is a decrease in the secretion of bile. if the bile produced by the liver becomes thick and sluggish, painful symptoms and bile stones can occur. bile stones can form in the liver as well as the gallbladder. the pain can occur even in the absence of stones any way in the biliary tract."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having chronic cough (cough for more than 2 weeks). lung infection (pneumonia, tuberculosis) and bronchitis are common causes for chronic cough. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). yoi may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ics) on the basis of reports. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","sounds like bronchial spasm in the lungs.  lungs can not open and deliver oxygen to the blood, so you are tired, and your heart hurts a little too.  i would think that is your asthma acting up.  you can ask a pharmacist for something over the counter, but you should see your doctor. asthma can be aggravated by pollen and dust outside, or dust inside, too.  a thorougchatdoctorplete cleaning, vacuuming, dusting of your house or apartment is a very good idea.  also, clean air filters for the a/c.  its possible your carpet pad is severely decorated and dusty, if it is very old. you can also run a good hepa air filter in the house to pull allergens out of the air."
Please summerize the given abstract to a title,The Impact of Recent Developments in Electrochemical POC Sensor for Blood Sugar Care
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in ayurvedic medicinal texts this disease is mentioned as tanya patina. the etiopathology of the disease is considered due to vitiated blood (rasta dust) along with vitiated kafka and data. vitiated kafka blocks the normal excretory function of skin and get the waste material stagnated inside, producing symptoms like itching, pustules and nodules formation. vitiated rasta that also get stagnated and produces multiple irruptions, redness, raised local temperature, thick bloody discharge from the boils and abscess formation. then irritation, blackish discoloration and ugly scar formation is worked out by vitiated data.  raktamokshan (blood letting) is a well-accepted treatment for vitiated rasta doha. much better results can be obtained with supplementation of internal medicine and local application of leap (face pack). face pack made up of lora(symbols racehorses), dacha(acorns calais), dhanbad(dorian chatbot.  smooth paste of intifada(mystic fragrance) will help to remove black spots of remnants of acne. blood purifiers like saliva(hemidesmus indices), tarantula(xylophone asthmatic), duchy(diaspora cordelia) and manisha(rubin cordelia) are used for internal medication. for more information you can call me on my mob.no.9424883137 good luck"
Please summerize the given abstract to a title,Using an ARIMA Model to Forecast GDP Until 2031 for Portugal and Germany
Please summerize the given abstract to a title,The genetics of obesity: from discovery to biology
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, depression and suicidal tendencies is an alarming situation, and you should consult psychiatrist as early as possible. if suicidal tendencies are very then admit in psychiatric nursing home and start electroconvulsive therapy. also medication helpful but ect helps in faster relief. there is no worry with prolapse of uterus. and have you suffered first time with succhatdoctorplain?any family history of psychiatric illness? thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern. it appears what has happened to your friend could be terminal stage of illness which is associated with jaundice. as such, there is no precise treatment for infective type of jaundice. what could be given is only supportive care. some types of obstructive jaundice can be treated by means of surgery. it would be advisable for you to consult hepatologist or gastroenterologist in corporate or super-speciality hospitals for appropriate management. hope the information provided would be helpful. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot... yes according to history it seems to be acid reflux ...... by acid reflux referred chest pain can occur... continue using omeprazole on empty stomach ...before meal.... head elevation while sleeping....don't get sleep immediately after taking meal.... fruits more .... excess spicy avoided... coffe, pastries, chocolate less.... avoid precipitating postures like bending, stooping forward etc. heavy fatty meal restricted... if still no benefit investigate for hiatus hernia by x-ray and manometry or endoscopy. if needed surgical correction needed... if resp symptoms appear like fever, dyspnea, cough then chest x-ray needed for rule out resp causes. consult physician with keeping this in mind. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sir, the tablets are not responsible for your complaints. the diabetes is; diabetes causes the complaints over feet due to neuropathy. to stop the progression of this, you have to control your blood sugar level, exercise and lifestyle modification .and it has to be measured every month and also the status of you control can be estimated by doing hac evaluation. kindly consult your planetologist for sugar control. thank you"
Please summerize the given abstract to a title,[Prognostic value of myocardial injury in patients with COVID-19].
Please summerize the given abstract to a title,Interstitial lung disease after receiving the mRNA-based COVID-19 vaccine tozinameran
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. as per your history it looks swelling of soft tissue which can be lipoma or benign tumor. i will advise consulting surgeon for clinical examination. bone scan may help for diagnosis. benign swelling giving rise to pain can be excised. osteoporosis needs to be treated adequately. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi iron deficiency is not known to cause neural problems. however, similar neurological findings can be seen in b12 deficiency and that also causes anemia. it could also be due to multiple other reasons. a full workup is what i would advise like blood tests for he, cbc, it b12 levels and then emg and ncs to see for other causes ruling out sensory naturopathies. i hope this helps wish you a healthy life ahead do let me know if you have any more questions for me"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, you will need an x-ray of your elbow to see if you have done some damage to the joint, also in some cases if there is only ligament injury you may need an mri to get it cleared. meanwhile keep it elevated, and take tablet diclofenac 50 mg three times a day, and apply a cr\u00eape bandage over it. i hope that answers your query. if your want any more clarification, contact me back. chatbot."
Please summerize the given abstract to a title,Developing a Multi-variate Logistic Regression Model to Analyze Accident Scenarios: Case of Electrical Contractors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. polio is a sequela of post infection paralysis to muscles of a limb. this is not related to chemotherapy or its outcome. the recovery after chemotherapy remains unaffected irrespective of whether a patient had polio. the polio is an irreversible paralysis due to an infection which you probably had during childhood. the manifestations of polio will no longer matter in the present scenario. since you have weakness of muscles from before due to polio therefore it might take a little longer to get yourself in to normal physical work. this is not due to the effect of polio but a generalized reduced ability to adapt yourself for normal regular daily activities. please do not worry."
Please answer with one of the option in the bracket,C: Increased stroke volume
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, numbness in the joints of the hand can be due to arthritis or carpal tunnel syn chatbot.  numbness in the knee followed with lightheadedness is commonly due to developing arthritis, spinal disc issues, peripheral neuropathy, etc. you are suggested to get clinically examined by a neurologist, get nerve function & imaging tests done.  get cbc, urinalysis & blood tests done to detect the pathology causing the discomfort. in the meantime take food rich in vitamin b1, b6, b12 or supplements. do regular exercises, walking. avoid addictions if any. your treatment will depend on the pathology detected & your clinical condition. hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sachs, from the description of your disease it appears that blood was coming not from your lung, but from the back of your nose or the sinuses. during sleep this blood would be collected in throat and coughed out on waking up. probably you are having bacterial or fungal infection of the sinuses (paranasal sinuses) on left side. it is causing pain on left eye, nose, forehead. you will require treatment with antibiotics and nasal chatbot. the disease can be confirmed by proper examination of nasal cavity, by x-ray of sinuses, or by nasal endoscopy. sometimes ct scan of sinuses will be required. you will require treatment for an ent surgeon. sometimes minor surgical procedure may be required to remove pus from sinuses. also investigate for risk factors like diabetes"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Prostatic adenocarcinoma is characterized by the infiltration of small glands into normal tissue and nuclei that contain dark nucleoli. This cancer arises from the cells that produce the fluid component of semen and can spread to other parts of the body if left untreated. In addition to infiltration of normal tissue and dark nucleoli in the nuclei, other characteristics of prostatic adenocarcinoma may include an elevated prostate-specific antigen (PSA) level, abnormal digital rectal exam findings, and symptoms such as difficulty urinating or blood in the urine. It is important to detect and diagnose prostatic adenocarcinoma early in order to provide the best possible treatment and improve outcomes for patients."
Please summerize the given abstract to a title,"Attitudes, behaviours and barriers to public health measures for COVID-19: a survey to inform public health messaging"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern and would explain that your symptoms could be related to a pinched nerve (ulnar nerve compression) which could be a bulging disc in the cervical vertebral column (probably residual from your spine surgery). coming to this point, i would recommend performing a cervical spine x-ray study, a shoulder x-ray study and nerve conduction studies to investigate for pinched nerves. in the meantime, i would recommend starting gabapentin or pregabalin for the pain.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your querythese sound a lot like possible seizure episodes. ideally i would have liked to know the exact medical history that she has like possible diabetes, hypertension or cardiac conditions. the other chance is a possible neural involvement. does she have stool or urine complaints? i would like the answers before i can give a suitable response. i would suggest testing an mri of the spine and eeg to be sure of the possibilities i have suggested. the treatment would of course vary as per the reports. i hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. you can upload them on the site. you can upload them with the query, or if you have a problem, send them to attachments@chatdoctor .com with sub"
Please summerize the given abstract to a title,Genome-wide Prediction of microRNAs in Zika virus Genomes Reveals Possible Interactions with Human Genes Involved in the Nervous System Development
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot.  the rare many other reasons he is cardiac enzymes could be elevated.  if your kidneys do not clear the enzymes from your body they will be elevated. congestive heart failure can cause your cardiac enzymes to be elevated.  if you do not take in enough oxygen especially at night, and you have like obstructive sleep apnea, this can cause your heart to be starved of oxygen and therefore leaked cardiac enzymes.  if you want heart is working very hard due to hard breathing, on infection, this can raise your cardiac enzymes.  as long as you had a full workup, which it looks like you have, i would keep an eye on it and not worry about it.  if you however started to have shortness of breath with minimal activities, then you will need to show up to a cardiologist or the emergency department for further workup. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for putting up your query on chatbot. as per your query, you may have tina corporal or friction dermatitis.my treatment advise for the same would be"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome to chatbot. based on the facts of your query, you seem to suffer from-globus pharyngeus-with herd. hurting chest confirms reflux acidity with herd. anxiety could be due to the toxic goiter at the teeming age. this tumor in the throat is not cancerous / and the one felt by you with hurting chest is not related to the swelling on adams apple of yours. you should check with ent surgeon and physician to check out other possibilities, who would rule out the many possibilities and would fix the treatment according to the proved cause of your swallowing difficulty with swelling in the throat.usg/ fnac biopsy and thyroid ct with second opinion from ent surgeon would fix the cause of this lump. hope this reply would help you to plan further treatment with your doctors. contact with a followup premium question to me. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. suggests good day!!  chatbot. s. genl-cvts"
Please summerize the given abstract to a title,Revisiting the Built Environment: 10 Potential Development Changes and Paradigm Shifts Due to COVID-19
Please answer with one of the option in the bracket,C: Folic acid
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i am glad to note that your father has been gradually improving after suffering from brain stroke. the key to more improvement is regular physiotherapy. it may take 1-2 years to see a good benefit from physiotherapy. regarding the bent ankle, we need to exclude a contracture or increased spasticity. please ask the physiotherapist to evaluate this. the pain in left hand could be neuropathic and would respond to pregabalin capsules. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to a muscle strain. i suggest using a muscle relaxant such as baclofen three times a day. i also suggest using magnesium supplement for muscle relaxation. warm compresses can also be helpful. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please summerize the given abstract to a title,The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",try out hot water fomentation twice a day. consult a physio try out these simple exercises. static back and static abs physio modalities will help you. back mobilization by trained physio. follow these simple precautions
Please summerize the given abstract to a title,Clinical laboratory characteristics of severe patients with coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis
Please summerize the given abstract to a title,[Impact of COVID-19 on patients from from FACT or autism teams].
Please summerize the given abstract to a title,The effect of COVID-19-related school closures on students’ well-being: Evidence from Danish nationwide panel data
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to us with your health concern. in pcs periods are erratic. ovulation is very unpredictable.hence, it is natural to be confused regarding the probable dates of ovulation. there are two ways ahead for you. first is that you remain sexually active every alternate day all through your cycle. the second option is to consult a fertility specialist. go for follicular monitoring.this is serial ultrasound scans done throughout the cycle, tracking the growth of your mature egg follicles.the day of ovulation is exactly confirmed this way, so you can remain sexually active around the per ovulatory period. many predictor tests like i sure are also available in the market, but they are not as reliable as a folliculometry. all the best and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. the possible causes for your brown discharge are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. this may be is caused by urinary infection including kidneys infection or urinary stones, so you should do urinalysis, monoculture and kidneys ultrasound to rule these out which are the most common causes. you should chatbot.  you should reduce salt in your diet as well, alcohol and carbonated"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. doing so many pregnancy tests is not going to help, you have to get an ultrasonography and other relevant test to see why no periods. now you have pain in the lower abdomen and the right side. you also have painful motions with constipation. you have to go other tests"
Answer this question truthfully,"Patients with Behçet disease usually appear normal. Vital signs of patients with Behçet disease are usually normal. The presence of mouth sores, genital ulcers, and vision problems on physical examination are diagnostic of Behçet disease. Skin examination of patients with Behçet disease shows erythema nodosum lesions typically occur on the extremities, especially the lower legs, but they can also be observed on the face, neck, and buttocks. The lesions are painful and resolve spontaneously, although some may ulcerate or leave hyperpigmentation. A folliculitis like rash, resembling acne vulgaris, appears on the face, neck, chest, back, and hairline of patients. Some lesions become more pustular; 24-48 hours after a sterile needle prick, some patients develop erythema with a nodule or pustule at the prick site. Ophthalmoscopic exam may be abnormal with findings of retinal vasculitis, and vaso-occlusive lesions. Uveitis of anterior and posterior chambers diagnosed with slit-lamp examination. Erythematous throat with tonsillar swelling, and exudates. Ulcers 2-15 mm in diameter, with a necrotic center and surrounding red rim. A white or yellow pseudomembrane covers the surface of the ulcer. The ulcers are typically painful, nonscarring, and found on the lips, buccal mucosa, tongue, tonsils, and larynx. Most last 7-14 days and occur in crops. Hypopyon may be observed in the anterior chamber. Genitourinary examination of patients with Behçet disease will show ulcers on the scrotum and vulva, painful and heal with scarring. Genital ulcerations tend to be deeper and larger than the oral lesions. Females can have asymptomatic ulcers. Neuromuscular examination of patients with Behçet disease will show CNS involvement in 25% of the cases. Immune-mediated meningoencephalitis predominantly involves the brainstem. Meningitis, encephalitis, focal neurological deficits, and psychiatric symptoms can be present. Irreversible dementia can occur."
Please answer with one of the option in the bracket,A: ATP-sensitive potassium channels
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your question. tumors of uterus are called fibroid. these are benign tumors and grow very slowly. you can conceive with fibroid inside your uterus and can complete pregnancy safely but sometimes it can become a cause for infertility. you can get your fibroid removed before planning pregnancy, if it interfere with conception or after completing pregnancy. however sometimes it causes bleeding during pregnancy leading to abortion and may also become a reason for postpartum hemorrhage. so there is nothing to worry you can take decision according to your convenience. hope this answers your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot forum hi.omar. there is no particular medicine which increase the growth of the sperm.but good nutrition is needed... other cause for low sperm count is hot bathing for more than 30 mins, wearing synthetic underwear, using laptops on lap for many hours, these will increase temperature on the testes and lead to impaired production of sperm. avoid these things and see the results after a month.  take care."
Please answer with one of the option in the bracket,C: Galactorrhea
"If you are a doctor, please answer the medical questions based on the patient's description.","first of all, you didn't mention why she is taking valium. valium (diazepam) in elderly can cause confusion and loss of memory.  it can also cause motor incoordination (loss of balance)if your mother is prescribed for sleep disturbance- then she can take it only at night if for anxiety-she can take other medication like etizolamplease consult your psychiatrist for exclusion of diagnosis-dementiahope this helps and clarifies your concern. wishing you and your mother good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, i understand your concerns, so you need to take care of your back... see in this type of case pain is the main factor which troubles him due to irritation of nerve roots. no need to worry, you need to take it and traction therapy for your back in physiotherapy clinic... if any localize pain is present then take ultrasonic therapy.... you need 15 days to this therapy!! then only start with various exercise... till that time wait for pain to reduce...."
Answer this question truthfully,"Bacillary angiomatosis is a complication of Bartonella henselae transmitted via cat scratches. Bartonella henselae is a type of bacteria that can be found in the saliva of infected cats and can be transmitted to humans through bites or scratches from infected cats. While most people who are infected with Bartonella henselae do not develop symptoms, in some cases, the bacteria can cause a range of illnesses, including cat scratch disease, trench fever, and bacillary angiomatosis. Bacillary angiomatosis is more commonly seen in people with weakened immune systems, such as those with HIV/AIDS."
Please summerize the given abstract to a title,Graphene Quantum Dots (GQDs) Nanoarchitectonics for Theranostic Application in Lung Cancer.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would advise reducing the dose of medicines that you are taking. although the given symptom of dizziness is not due to gabapentin, the present complaint of dizziness could be due to vestibular dysfunction, or it could be due to some functional disorders. you have not provided the complete information, else much better could have been advised. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Clinical activity changes in the neurology department of Wenzhou during the COVID-19 pandemic: an observational analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello he is showing symptoms of anxiety, restlessness, emotional turmoil, crying spells. he is smoking pot for two years. these features are common in some susceptible individuals who smoke pot. also, as you have mentioned that he felt he would die, or he felt that those around him are in danger. he is showing bizarre behaviors. he is also suicidal. these are psychotic features seen with pot or cannabis. if not stopped at this state he may land up in some psychotic disorder. i will advise you to take him to a good psychiatrist for treatment of anxiety. motivate him to stop taking cannabis. for immediate relaxation medicines like mizoram, clonazepam etc. can be used in consultation of psychiatrist. thanks"
Answer this question truthfully,"Pauci-immune glomerulonephritis is a type of glomerulonephritis, which is a group of diseases that affect the glomeruli, the tiny blood vessels in the kidneys that filter waste products from the blood. It is called ""pauci-immune"" because there is little or no immune complex deposition in the glomeruli. This means that there is no immunofluorescence pattern seen in renal biopsy samples. Pauci-immune glomerulonephritis is often associated with rapidly progressive glomerulonephritis (RPGN), a severe form of kidney disease that can lead to kidney failure if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, he could be having herd or gastroesophageal reflux disorder. while lying flat some milk may be returning from the stomach to the feeding tube and into the throat. a few chatbot.  the solution is to keep him in an upright position for as long as possible after feeding, and when you keep him down, maintain an angle of 45 degrees, using pillows. antiemetic medication like risperidone would also help. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"COVID-19 infection: epidemiological, clinical, and radiological expression among adult population"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you may have some infection in your salivary gland. it may be acute abscess forming infection or chronic infection.  you should go for a course of antibiotics.  if your lump doesn't respond to treatment then you should go for fine needle aspiration cytology. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot, spider bites are actually rare occurrences and bites from most spiders cause local redness, irritation and pain that usually can be treated at home. these local reactions usually resolve without treatment over a period of 7-10 days. i would suggest you to follow wash the site of the spider bite well with soap and water. apply a cool compress or ice pack over the spider bite location. over the counter pain relievers may be used to relieve symptoms. thank you."
Please summerize the given abstract to a title,Genetically Diverse Coronaviruses in Wild Bird Populations of Northern England
"If you are a doctor, please answer the medical questions based on the patient's description.","hellogenerally after fusion surgery and harrington instrumentation, precautions are taken by avoiding jerks and unusual bouncing as the metal struts as well as spine are subject to stress break on unusual sudden vibration and therefore, it may be inadvisable for trampoline or sparing activities. you may also consult your spine surgeon for activities that are permissible depending on patients general physique and amount of movement his physical shape can permit without danger. usually muscle strengthening exercises are advised both active and passive under a trained physiotherapist best wishes"
Please summerize the given abstract to a title,Coping strategies in obsessive-compulsive patients during Covid-19 lockdown
Answer this question truthfully,Monopril®-HCT containing Fosinopril Sodium and Hydrochlorothiazide
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient back pain generally increase as months of pregnancy increases because increased weight of uterus puts stress in lower spine. so you might expect your back pain to worsen. secondly much chatbot.  so you should take proper rest. start physiotherapy to strengthen your back from expert physiotherapists. and practice it on regular basis. this will help you during pregnancy and in the future.  so only option is to wait and practice physiotherapy till pregnancy is over.
Please answer with one of the option in the bracket,D: Administration of magnesium sulfate
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting chatbot ! i do not think that the scars got worsened by masturbation. you need a physical examination to know why bumps have been formed. you need an evaluation by a urologist to check the presence of infection and treatment accordingly. stay healthy, and thank you for consulting! you can contact me again anytime, if you need clarifications or further assistance in the future. kindly rate the answer if you are satisfied."
Please answer with one of the option in the bracket,D: Paralysis of the right lower lip
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is unfortunate that you have suffered from pain for several years, are disabled, and despite this, no definite treatment plan is told to you. at present, you are on various painkillers, but taking neuropathic pain medications may be more helpful, as the pain in your case may be due to pinched nerves in the neck and lower back regions. these medications include pregabalin and gabapentin capsules. you may also discuss the possibility of epidural injections and surgery with your consultant. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. from the history, it seems that she has got a hematoma formation which usually takes about 2- 3 weeks time to get absorbed unless it increases in its size. but she needs to be examined by your family physician/general surgeon of your area to rule out any chances of a submental infection, which could also give rise to similar findings and needs to be treated soon. so take care. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,The outcome is likely to be excellent if the condition is diagnosed and treated quickly.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. as your history is of a chronic long duration, and all the routine investigations are normal, if i were your doctor, i would go for a fnac (fine needle aspiration biopsy) under the guidance of a surgeon/ent specialist after a full physical examination. further management would depend on the report of biopsy. till then, you can go for some anti-inflammatory chatbot.  there is no need to be in stress at present and be patient. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot have you been having irregular cycles. delayed periods could be due to many reasons like stress, hormonal disorders as well. anyway get a pregnancy test to rule out pregnancy. if the test is negative for pregnancy you need to get yourself evaluated by gynecologist for hormonal disorders. usually for such hormonal disorders, you would be out on oral contraceptive pills to regularize your cycles, but this is not the treatment for every case as specific management is warranted in certain conditions. try to do relaxation exercises like yoga, panama. avoid stress at work or home, try to relax more. eat plenty of fresh fruits and green leafy vegetables.  chatbot.  exercise every day to keep fit and for good stress relief."
Answer this question truthfully,"Scabies must be differentiated from the following pathologies:        
Disease Skin Lesions Areas of Predilection Crusting Itching Age Group Atopic dermatitis Edematous, erythematous papules or plaques May exhibit vesicles and oozing Scalp in children Face (especially cheeks and around the eyes) in children Skin creases and flexural areas in adults — ✔ Usually children Eczema Edematous, erythematous papules or plaques May exhibit Vesicles and oozing Depends on the type of eczema ✔ ✔ No specific age group Arthropod bites Papules Plaques Nodules — — ✔ No specific age group Tinea corporis Annular, erythematous plaques with central clearing Can also vesicular or verrucous Trunk Extremities — ✔ No specific age group SLE Red, scaly patches Mostly sun-exposed areas — — Usually middle-aged adults Bullous pemphigoid Tense bullae Flexural areas: Armpits Lower abdomen Upper thighs ✔ ✔ Usually older adults Langerhans cell histiocytosis Papules Pustules Vesicles Scalp Postauricular area Diaper area ✔ — Mostly children aged 1-3, but can occur at any age Urticaria pigmentosa Hyperpigmentation: red and brown spots of various sizes Chest Forehead ✔ ✔ Mostly children Seborrheic dermatitis Erythematous plaques with greasy, yellowish scales Sebum -rich areas: Face Scalp Central chest ✔ ✔ Can occur at any age, but most commonly in infancy and adults 30 to 60 years of age Psoriasis Erythematous plaques with silvery scales Scalp Postauricular area Umbilicus Extensor surfaces over bony prominences, such as elbows and knees ✔ ✔ Bimodal age distribution: 20-30 and 50-60 years of age"
Answer this question truthfully,"Pneumonia is a medical condition that can be a respiratory complication of drowning, particularly when the water is contaminated."
Answer this question truthfully,"The bending of cilia in response to basilar membrane vibration is an important mechanism for converting sound waves into neural signals in the ear. This bending produces a change in the ion conductance of the hair cell, specifically an increase in the potassium (K+) conductance. This change in conductance leads to depolarization of the hair cell and the release of neurotransmitters, which ultimately results in the transmission of auditory information to the brain. This process is essential for normal hearing, and any disruptions or damage to the hair cells or associated structures can lead to hearing loss or other auditory disorders."
Please answer with one of the option in the bracket,D: Elongated and thickened pylorus on abdominal ultrasound
Answer this question truthfully,"Thiazide diuretics are considered a first-line treatment for mild or moderate hypertension. Thiazide diuretics work by reducing the reabsorption of sodium and water in the kidneys, which leads to a decrease in blood volume and a lowering of blood pressure. Thiazide diuretics are effective in reducing blood pressure and have been shown to reduce the risk of cardiovascular events such as stroke and heart attack. However, thiazide diuretics may not be appropriate for all patients and should be used under the guidance of a healthcare provider. Other medications and lifestyle changes may also be recommended to manage hypertension."
Please summerize the given abstract to a title,Respiratory Mechanics
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern, and me too would like to avoid surgery at an eleven yrs old boy. my advice is that since you have doubts you should take another opinion. which means clinical examination and a review of radiological examinations from another expert. it could be nerve, spinal medulla compression which cause sensation, muscular force alteration mainly of legs and difficulty in urinary control. in both cases it is very important for this young boy to avoid these complications during his life. hope this could help you to make the right decision."
Please answer with one of the option in the bracket,D: Histological evidence of arteriosclerosis
Please summerize the given abstract to a title,CB1 cannabinoid receptor-mediated plasticity of GABAergic synapses in the mouse insular cortex.
Please summerize the given abstract to a title,Digitalisierung in der Rheumapraxis
Answer this question truthfully,The bifurcation of the ICA and ECA typically occurs at around the level of C3-C4.
"If you are a doctor, please answer the medical questions based on the patient's description.","fever with runny nose is often caused due to certain viral infections. it is usually self limiting and not a cause of concern. giving steam inhalation and some antiallergic like cetirizine should provide relief. giving ibuprofen or paracetamol to bring down the temperature is the right thing to do. if the child is active and playful, you need not worry. however, if the child starts wheezing or becomes lethargic, if the temperature is beyond control, or if the condition lasts more than 7-10 days - you would need to visit a doctor without delay."
Answer this question truthfully,Increased VA/Q results in alveolar dead space.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. i think your kid is having habitual constipation. i have certain questions and suggestions for you. questions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the anal intercourse is always a risk factor for parotitis. there may be inflammation and infection to the anal canal which may be causing you the problem. taken a course on antibiotics to eradicate the infection. take a lot of water and fiber rich diet to prevent constipation. repeated constipation will irritate the anal canal and cause inflammation, and it is prone for recurrent infection."
Please summerize the given abstract to a title,Community Masks-from an Emergency Solution to an Innovation Booster for the Textile Industry
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you have symptoms mentioned here, all cannot be connected to one single issue. having pain in the back region around the kidney region posterior aspect i feel you may need an ultrasonography of the abdomen to rule out the renal stones. due to which the backache is common. also, due to the backache, there might be a change in the spinal column anatomy and biomechanics leading to pathomechanic changes in the spine and compression on the nerve roots which leads to radiating pain. besides, headache is somewhere needing a neurological examination and may be due to acidity it can persist. but only after a thorough examination things can be concluded. treatment will be totally symptomatic and based on the treatment the prognosis will be understood. regardsjay in chatbot."
Answer this question truthfully,"Chronic hemolysis, which is the destruction of red blood cells, can lead to a deficiency in folate, a B-vitamin that is important for the production and maintenance of red blood cells. Folate is required for the synthesis of DNA and RNA, which are essential for cell division and growth. When red blood cells are destroyed, the body requires more folate to produce new red blood cells to replace those that have been lost. If there is inadequate folic acid intake, or if the body is unable to absorb or utilize folate properly, this can lead to a folate deficiency, which can further exacerbate the effects of chronic hemolysis. Treatment for folate deficiency may involve increasing folic acid intake through dietary sources or supplements, as well as addressing the underlying causes of chronic hemolysis."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot! i carefully passed through your question and would explain that your fathers symptoms could be related to different possible causes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. from what you have stated it is quite clear that you are having a depressive episode. depression can occur with regular stress, and it can also occur biologically without any stress as well. you need proper treatment for the same. there are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram, and they are all very effective and mostly safe. you may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  the other possibility is you having an adhd which will improve with methylphenidate or bupropion etc. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"For patients who have been diagnosed with breast cancer, the preferred method of contraception is a copper intrauterine device (IUD).

Breast cancer is a type of cancer that develops in the breast tissue. Treatment for breast cancer can include surgery, radiation therapy, chemotherapy, and hormonal therapy. Hormonal therapy, which is often used to prevent the recurrence of breast cancer, can interfere with the effectiveness of some forms of contraception.

The copper IUD is a highly effective, long-acting form of contraception that does not contain hormones. It works by preventing fertilization and can remain in place for up to 10 years. The copper IUD is a safe and effective option for women who have been diagnosed with breast cancer and want to prevent pregnancy while undergoing treatment.

It is important for patients with breast cancer to discuss their contraceptive options with their healthcare provider to determine the best method for their individual needs and medical history."
Answer this question truthfully,"A medical condition that may be suggested by a patient who presents with symptoms such as bradykinesia, resting tremor, cogwheel rigidity, postural instability, and shuffling gait is Parkinson's disease. Parkinson's disease is a neurodegenerative disorder that affects movement, leading to symptoms such as tremors, stiffness, and difficulty with balance and coordination. Treatment for Parkinson's disease may involve medications, physical therapy, and in some cases, surgical interventions. It is important to seek medical attention if you experience any persistent symptoms, especially if they affect your ability to perform daily activities."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello....for hodgkin lymphoma prognosis is good.he will respond well to chemotherapy(cancer chatbot.  however first the diagnosis should be confirmed early. to start with you should get an fna done (fine needle aspiration cytology). if it is suggestive of hl, then you need to undergo excisional biopsy of the lymph node. if this turns out positive, immediately take him to cancer institute where chemotherapy can be started. he will also have to undergo usg abdomen look for axillary and inguinal lymph node enlargement to assess the extent of disease.don't worry... it has good prognosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, looking to the history as lump disappears while lying down position and appears while standing indicates that you might be having developing direct inguinal hernia called bubonocele. consult surgeon and get examined. avoid constipation and cough reflex. go for abdominal recto muscle and pelvic floor exercises daily. this exercises might cause complete disappearance of bubonocele. ok and take care."
Please summerize the given abstract to a title,Treatment of severe human metapneumovirus (hMPV) pneumonia in an immunocompromised child with oral ribavirin and IVIG.
Answer this question truthfully,"Risk factors in the development of goiter include non-iodized salt, age over 45 years, female gender, drugs and radiation therapies."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. i would advise you to stop using the corporal, if the soreness is increased as it a more common side effect. or you can use a more diluted form of the corporal.*get your teeth cleaned first, and then you can reuse it for a few days as prolonged continuous use of mouth wash is not recommended.* use salt water gargles. relax and get the treatment done. thanks and regards."
Answer this question truthfully,"When in the hypophosphorylated state, Rb sequesters E2F transcription factor, which is necessary for transition to the S phase."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern.  conception needs basically - good semen quality & regular menstruation with ovulation.  you need to get investigated (ovulation study semen analysis after 3 days abstinence) to confirm the basic normality... after that you should have un protected sex (determined by lhs urge test)2 days before after ovulation day.  if there is no result within 1 year of marriage... you should consult a fertility expert for detailed investigations.& cause specific treatment.  thanks."
Please answer with one of the option in the bracket,A: Amphiphysin
Please answer with one of the option in the bracket,E: Optic nerve
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you herpes is usually very painful condition it will never be a pain less. secondly you can take acyclovir as prophylaxis. calamine lotion will relieve you by giving relieve from pain. for severe pain you can. take tramadol also.  i will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
Please summerize the given abstract to a title,Interferon receptor 2 (IFNAR2) regulates the host damage response during aspergillus pulmonary infection
Answer this question truthfully,"A patient experiencing low pH, high pCO2, low pO2, bradypnea, and bradycardia following surgery may be indicating delayed emergence from anesthesia. Delayed emergence from anesthesia is a condition in which a patient experiences a prolonged recovery period after surgery, often due to the effects of anesthesia still being present in their system. Symptoms such as low pH, high pCO2, low pO2, bradypnea, and bradycardia may be observed in such cases."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloincreased alt, ggt and ast with slightly enlarged liver may indicate liver injury, and it may be due to many causes like hepatitis, altered lipid profile, alcoholism,metabolic disorder etc. you may need few more investigations like routine hologram, random blood sugar, lipid profile, urine re/me and ultrasound of abdomen. i suggest taking tablet ursodeoxycholic acid 30 mg twice daily for three months. it helps in regeneration of liver cells. you should avoid alcohol if you take it. you should avoid high fat food like red meat, high fat milk products etc. take a lot of fibers in your diet. you should increase your physical activity and go for brisk walk regularly. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. nutritional anemia is the presentation here. it is not too worried about. she is weak, achy because of anemia.2. the lab tests are also showing severe iron deficiency. she needs to take diet rich in iron like fish, eggs, green leafy vegetables, pulses, legumes etc.3. yes, the problem with her son could have been caused by her - the possible reason, both are malnourished and diet is not nutritional. they need to concentrate on diet. improvement through diet and iron supplements will improve anemia. overall improvement can be seen within a month. hope it helps. any further queries, happy to help again."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mam / sir...thanks for contacting us...from what you say, it looks like an insect bite reaction, with secondary bacterial infection. so she should do fine with a local antibiotic ointment like t-b act / mupirocin (local application) every 8 hrs for 5 days. oral antibiotic with penicillin / amoxicillin is needed if you hail from a place where acute post streptococcal glomerulonephritis is rampant....or else local antibiotics will suffice, if lesions are localized and not spreading regards, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as your cyst was removed and again the chatbot.  there won't be clots as per me.  i will recommend you to keep the leg elevated and try icing the lower back.  icing the lower back will desensitize the nerve and the sensory system will be having an anesthetic effect due to which the pain will be felt less.  if the wound is healed then you can apply close to the wound to desensitize and the pain will reduce. usually, it takes some time for the healing to occur. but as per me, there shouldn't be any clots now. hope i have answered your query. let me know if i can assist you further. take care jay in"
Answer this question truthfully,Call your health care provider if you have traveled in an area where dengue fever is known to occur and have developed symptoms of the disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting at chatbot. in view of your young age and symptoms of chest tightness and breathlessness, the suspicion points more towards asthma than a cardiac cause. please do a pulmonary function test which requires you to blow into a machine and your lung capacities are recorded. next thing recommended is a chest x-ray. pft will show functional capacity of the lungs and x-ray will show if there are any associated lung issues. i do not suspect ant cardiac issues here but if you are very concerned you can do an ecg. please do the above tests and revert with the results. wishing you good healthregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint a boil over the gum can be due to a number of causes like a gum abscess or a periodontal abscess secondary to gum infection. in case if tooth is decayed it can also be a dental abscess secondary to pus formation below the root tips of the tooth. i would suggest you to consult an oral physician and get evaluated, and he can examine clinically as well as take an x-ray if required. in case of gum abscess scaling followed by gum paint application and taking a course of antibiotics and painkillers will help. in case of dental abscess either root canal treatment or extraction of tooth followed by antibiotics and painkillers will help. hope this information helps. thanks and regards. chatbot."
Please summerize the given abstract to a title,COVID-19 Information Sharing with Blockchain
Please summerize the given abstract to a title,Improving outcomes of surgery in advanced infiltrative thymic tumours: the benefits of multidisciplinary approach.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. your symptoms can be probably due to some sort of stress or psychological problems. sand paper like feeling of tongue along with slight swelling and black spots can be due to mouth breathing habit that can cause chatbot. . so my suggestion is to consult an oral physician and once get an oral examination done. if you have mouth breathing habit then you can follow a simple trick by pasting a vertical strip of micropore tape over the closed lips, but do only if you do not find it difficult to breathe through nose. use a tongue scraper to clean your tongue daily and do warm saline gargles. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i would explain that dizziness is quite common after a head concussion, even in the absence of stroke. but, we can not exclude intracranial bleeding like a delayed subdural hemorrhage. for this reason, i would recommend having some rest and avoiding physical activity. if the dizziness does not improve, or even worsens, or she experiences symptoms like gait disturbances, confusion or nausea, i would recommend bringing her to the er for a brain ct scan, to exclude intracranial bleeding. hope you will find this answer helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, what is your age? it is normal to experience such behavior and try different things in teenage and adolescence. it is definitely wrong of you to do such acts in front of your sister. try and curb that habit. also, keep masturbation to about 2 to 3 times a week as excessive masturbation can lead to problems later on. try and get involved in outdoor fun activities like sports and adventure games which are a much healthier hobby than your present one. as far as thinking about men and women at different times happens, it's a matter of choice which you will subsequently make on your own. so don't worry or pressurize yourself to do that right now. take care, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, according to your history, the endometrial polyp is responsible for heavy bleeding and thus anemia. endometrial polyps which are small are usually asymptomatic and do not require treatment. however, in your case the endometrial polyp is large and is causing heavy bleeding and anemia. in such a situation it is advisable to get the polyp removed since it removes the cause of bleeding and thus resolves anemia also. consult your gynecologist for further work up. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand you distress. from what you have mentioned, it seems that you have symptoms of anxiety and depression. getting tired, not able to relax, difficulty in concentration, anxiety with restlessness can all result from underlying depression. i would advise you to seek a psychiatric consultation. treatment with selective serotonin reuptake inhibitors like sertraline would be helpful. in addition, benzodiazepines like clonazepam will decrease your restlessness initially and can be given for a short period of time. you should also start exercising daily as that will help you feel relaxed. hope this information was helpful. best wishes."
Please summerize the given abstract to a title,"Experimental reproduction of poult enteritis syndrome: Clinical findings, growth response, and microbiology"
Answer this question truthfully,"Duchenne muscular dystrophy is considered to be the more severe form of muscular dystrophy when compared to Becker muscular dystrophy. Duchenne muscular dystrophy is a genetic disorder that primarily affects boys and leads to progressive muscle weakness and wasting. Symptoms usually appear in early childhood and worsen over time, eventually leading to difficulty with walking, breathing, and other basic functions. Becker muscular dystrophy is also a genetic disorder that affects muscle function, but it is generally milder and progresses more slowly than Duchenne muscular dystrophy. Symptoms of Becker muscular dystrophy may not appear until adolescence or adulthood, and some individuals may have a normal lifespan."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there is no link between sciatica and high blood pressure as such. if you have been taking any painkillers for the sciatica, they can sometimes impair the effects of the medications used to treat high blood pressure. we should also be looking at issues like dietary habits, exercise and sleeping pattern. you may need a different set of medications along with vigorous lifestyle changes. i hope i have ad chatbot. regards"
Please summerize the given abstract to a title,COPD and social distancing in the UK
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot, i had gone through all the information you have posted. your bmi is good, all the bp recordings that have mentioned are good. some recordings again the range of prehypertension. systolic blood pressure 120-139 diastolic 80 to 89 mm (bp check up)hg is called as prehypertension. these people should regular screening every 6 months as they have risk of progression into hypertension. so you can continue all your medications same as far as conspiring, clopidogrel are concerned. for prehypertension medications are not required unless there is chronic kidney disease or special risk factors. you need lifestyle modification changes like major non-pharmacological therapies that aid to decrease blood pressure are"
Answer this question truthfully,"Lymphomas are malignancies of mature leukocytes, while leukemias are malignancies of immature leukocytes. Both lymphomas and leukemias are types of cancers that affect the blood and lymphatic system. Lymphomas specifically affect the lymphatic system and are characterized by the abnormal growth of mature lymphocytes, whereas leukemias affect the bone marrow and blood and are characterized by the abnormal growth of immature leukocytes. The type of leukocyte affected in each condition is what distinguishes between lymphomas and leukemias."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, hpv infections are common in sexually active women in child bearing age. usually this is a transient infection which resolves on its own in 90% of the women in less than 2 years. in the remaining 10% it could be persistent and in such women monitoring by cervical smears is necessary.hpv infections have no cure as such. but they can be prevented before a girl becomes sexually active by taking hpv vaccine. so, there is nothing for you to do right now in pregnancy. after delivery, you could get the hpv dna status and cervical smear done to reevaluate. it will not affect your unborn child or mode of delivery in any way. hope this helps. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Diagnosis of Epipericardial Fat Necrosis on multimodality imaging in a pediatric patient: a case report and review of the literature
Answer this question truthfully,"A 12 month old infant is expected to say their first words aside from ""mama"" and ""dada"" as a language developmental milestone."
Answer this question truthfully,"Call your health care provider or mental health professional if you or a member of your family is losing contact with reality. If there is any concern about safety, immediately take the person to the nearest emergency room to be seen by a doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. central chest pain is mostly due to acid reflux. so telling her to follow these steps. 1. avoid hot and spicy food. avoid junk food. 2. avoid large meals, instead take frequent small meals.3. take pantoprazole tablet on empty stomach twice daily.4. avoid stress and tension, be relaxed and calm.5. keep 2-3 pillows under head in bed to prevent reflux.don't worry, she will be alright with all these. hope i have solved your query. i will be happy to help you further. wishing good health to your wife. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would like to explain that acetaminophen and ibuprofen are just painkillers with an anti-inflammatory effect. they have no effect on cardiac arrhythmia and palpitation. i recommend to closely monitor your heart rate and your blood pressure. if you feel chest pain and your chest pain is modulated by respiratory movements or body movements, your symptoms may be related to musculoskeletal pain. in such a case ibuprofen and acetaminophen would help to relieve your discomfort. if you have tachycardia or ectopic heart beats, you should go to the er for a resting ecg and a careful physical examination. in that case acetaminophen or ibuprofen wouldn't help. i strongly recommend performing a 24-hour ambulatory ecg monitoring to exclude possible arrhythmia. hope to have been of help! best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the surgery has been done well, however, your son has not had the expected clinical improvement. large ventricles could be prominent ventricles without causing pressure effect on the surrounding brain parenchymal. however, then headaches and vomiting would not occur. since his symptoms are persisting, you may take a second opinion just to be sure. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"Cretinism is a condition that occurs in neonates and infants who have severe and prolonged hypothyroidism, which is a deficiency in thyroid hormone production. The lack of thyroid hormone can lead to stunted growth, intellectual disability, and other developmental abnormalities. Cretinism is a preventable condition that can be treated effectively with early detection and treatment of hypothyroidism. Understanding the relationship between cretinism and hypothyroidism in neonates and infants is important for its prevention and management, as it can have serious consequences for the child's physical and cognitive development."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, tightness in the chest may be due to acid reflux or cardiac pain or infection of lung or bronchial asthma or anemia etc. until the examination is done it is difficult to say what it is. please get it done ecg, chest x-ray, echocardiography and spirometry. please consult your physician/cardiologist they will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Coronavirus pandemic and spirituality in southwest Nigeria: a sociological analysis
Please summerize the given abstract to a title,Serum Phosphate and Mortality in Incident Dialysis Patients in Australia and New Zealand
Answer this question truthfully,"Post-streptococcal glomerulonephritis typically occurs 2 weeks after a person has been infected with GAS (Group A Streptococcus). This is a type of kidney disease that can develop as a complication of a GAS infection, such as strep throat or impetigo. It is important to seek medical attention if you suspect you may have a GAS infection, as prompt treatment can help prevent complications such as post-streptococcal glomerulonephritis."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Exploring compassionate managerial leadership style in reducing employee stress level during COVID-19 crisis: the case of Nigeria
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. there are no side effects or after effects to cessation of smoking as you are experiencing. these are just obsessions. you are trying to relate all these things to cessation of smoking and such thoughts become obsessive, and you fail to perform. ignore the thoughts. strongly believe that these symptoms are not related to cessation of smoking. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatdoctorgastrointestinal side effects are most common with azithromycin like abdominal pain diarrhea dyspepsia if its unbearable please request your doctor to change over to other antibiotics for the chest infections better alternative is penicillin group of antibiotics like amoxyclavhe can be given some probiotics and tab pantoprazole 40 mg fir immediate reliefthankwish you good health regards
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have small lump on under surface of foreskin. mostly this could be a sebaceous cyst.however, this can be confirmed only on clinical examination by a qualified general surgeon or urologist. penile skin is rich in sebaceous glands hence more prone to get sebaceous cysts due to accumulation of sebum beneath the skin. normally it fades away without treatment however need to be excised in toto if it increases in size. chatbot."
Please summerize the given abstract to a title,[Caution with the use of dexamethasone in patients with COVID-19 in its initial phases]./ Precaución con el uso de dexametasona en pacientes con COVID-19 en sus fases iniciales
Answer this question truthfully,"Binge eating disorder is a type of eating disorder that is characterized by regular episodes of excessive, uncontrollable eating without inappropriate compensatory behaviors. This means that individuals with binge eating disorder often consume large amounts of food in a short period of time, and feel a loss of control over their eating during these episodes. Unlike other eating disorders such as bulimia nervosa, individuals with binge eating disorder do not engage in behaviors such as purging or excessive exercise to compensate for their overeating. Binge eating disorder can lead to a range of physical and emotional health problems, and often requires treatment from a mental health professional."
Please summerize the given abstract to a title,World on Fire
Please answer with one of the option in the bracket,B: Increased calcium influx into the sarcoplasm
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query from you to my chatbot clinic. i have gone through your query and after in-depth study on it, in my opinion-i would advise you to stop the exercise and consult er orthopedic surgeon for treating -and that should be your priority-if you want to avoid more trouble in time to come. for the temporary relief-you can wear knee-supports but should not delay anymore, as the knee-miniscal/ligamental-damage will increase. so i would advise consulting er surgeon/orhtosurgeon who would treat it properly. hope this would resolve your worrisome query for now. wellcome-to my chatbot clinic for any more query."
Please summerize the given abstract to a title,The rapid shallow breathing index as a predictor of successful mechanical ventilation weaning: clinical utility when calculated from ventilator data.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, tips for your health1. avoid oily, spicy food.2. eat plenty of green leafy vegetables.3. do at least 30\u00a0min. of sweat inducing exercise daily (walking/running/skipping/swimming)above 3 things will help reduce your weight. even if your weight is not reduced much, these will help in making periods regular, also help in avoiding diabetes (pro women are at high risk for diabetes). regarding infertility problem, you are having irregular periods & mostly not making eggs monthly(an ovulation), for which you can try ovulation induction with simple tablets in consultation with your doctor if your tubes are ok & husbands semen analysis is fine. this advice should help you to get pregnant fast."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello there i have read through your question and can understand your concern. it seems you have developed atlantis which is inflammation of the penis head. it may be due to infection or too much friction. if there is no discharge you may apply a steroid cream to relieve the itching. if there is discharge i would advise you to get tested for stds. i hope that answers your question. if you have any further questions please feel free to write. thank you for choosing chatbot.
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a possible cervical lymphadenopathy (inflamed lymph node) probably secondary to your recent upper respiratory tract infection. it will resolve as soon as your infection is controlled. a consult with your doctor will be of great help. further diagnostic examination such as neck ultrasound, ct-scan or x-ray and subsequent management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for using chatbot. i read your question and understood your concern. from the signs that you explain it looks like you have tarsal tunnel syn chatbot. the second probable diagnosis is plantar fasciitis which is chronic inflammation of the fascia in the heel. the treatment for this includes stretching exercises of the plantar fascia and achilles tendon, use shoe inserts, night splints to sleep with and in severe cases cortisone injection in the heel and shock wife therapy"
Please summerize the given abstract to a title,From SIR to SEAIRD: a novel data-driven modeling approach based on the Grey-box System Theory to predict the dynamics of COVID-19
Answer this question truthfully,Patients with polycythemia vera commonly take low-dose aspirin to decrease their risk of thrombosis.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. they are possibly looking for the following
Please answer with one of the option in the bracket,D: Do not transfuse the mother and transfuse the boy
Answer this question truthfully,The recommended treatment for pancreatic head cancer is the Whipple procedure.
Please answer with one of the option in the bracket,C: Pelvic inflammatory disease
Answer this question truthfully,Pituitary surgery is usually successful in limiting growth hormone production.
Answer this question truthfully,"Secondary prevention strategies following preeclampsia include blood pressure monitoring, repeated assessment of proteinuria if the result is negative, clinical evaluation about clonus, measurement of blood test twice weekly for hemoglobin, platelet count, uric acid, liver enzyme test, renal function test."
Answer this question truthfully,"During a physical exam, a healthcare provider may look for signs of pneumonia, which can include decreased breath sounds and dullness to percussion. These findings suggest that there may be fluid or inflammation in the lungs, which can interfere with normal air movement and resonance. Other possible physical exam findings may include fever, increased heart rate, and crackling or wheezing sounds in the lungs. However, it's important to note that the signs and symptoms of pneumonia can vary depending on the underlying cause and individual patient factors, so additional diagnostic testing such as chest X-rays or blood tests may be necessary to confirm a diagnosis."
Please summerize the given abstract to a title,US Centers for Disease Control and Prevention and Its Partners’ Contributions to Global Health Security
Please answer with one of the option in the bracket,E: It is a type B adverse drug reaction.
Please answer with one of the option in the bracket,C: VHL gene deletion
Please summerize the given abstract to a title,Attitudes of ageing passengers to air travel since the coronavirus pandemic
Answer this question truthfully,"The recommended treatment for pyloric stenosis is surgical excision, also known as pyloromyotomy. This procedure involves making a small incision in the muscle of the pylorus, the valve between the stomach and small intestine, to relieve the obstruction and allow for proper digestion and passage of food. Pyloromyotomy is a safe and effective treatment for pyloric stenosis, and most infants recover quickly and without complications. It is important to seek medical attention if symptoms of pyloric stenosis, such as vomiting and poor weight gain, are present."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. based on the description, i suspect that you could be having cough headache which usually results from increases intracranial pressure during coughing causing headache. the other possibility is a sinus infection, for which a x-ray of the pns or a ct scan will establish the diagnosis. based on the severity of involvement a course of an antibiotic along with anti-inflammatory agent or a surgical chatbot. so, a detailed clinical examination and appropriate investigations are needed for further management. hope this information is helpful. good day"
Answer this question truthfully,The ratio of G6PD isoforms is elevated in neoplasia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of acute upper respiratory infection. i advise you to get an x-ray pns and ct pns to confirm the diagnosis.meanwhile, i advise you to take tab. amoxiclav 625 mg twice daily for 1 week, tab.exocet twice. avoid allergic foods like tomato, brinjal etc. chatbot. avoid cold baths. consult your physician for expert management and follow up. hope i have answered your query at the moment. post your further queries if any, thank you"
Answer this question truthfully,"A transient ischemic attack (TIA) is a temporary episode of neurologic dysfunction caused by focal brain, spinal cord, or retinal ischemia, without acute infarction."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of musculoskeletal pain is more. since you are massage therapist, muscular strain is common in you. but better to rule out internal lung causes for your chest pain. so get done chest x-ray first. if chest x-ray is normal then no need to worry about lung disease. your pain is mostly due to musculoskeletal pain. so avoid strenuous exercise and heavyweight lifting. avoid movements causing pain. avoid bad postures in sleep. apply warm water pad on affected site. start painkiller and muscle relaxant chatbot.  don't worry, you will be alright in 1-2 weeks. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, a skin hanging from the site where wisdom tooth was extracted can be due to normal healing process. the extraction site is initially filled by blood. slowly a hematoma is formed. hematoma is collection of blood, and slowly it undergoes organization to heal up and form a ridge of soft tissue. infection of the extraction site needs to be controlled. in case there is pain or pus collection at the site, you need to see your dentist immediately. the skin that has grown over the extraction site is new to you, so it is appearing troublesome. thanks and take care chatbot."
Please answer with one of the option in the bracket,D: Schistocytes
"If you are a doctor, please answer the medical questions based on the patient's description.",hi ! good afternoon. i am chatbot answering your query. from the history of something white coming out on pressure points to the tentative diagnosis of a benign sebaceous cyst of the scalp. i would suggest you to consult a general surgeon in your area who might advise your wife for an excision biopsy for a definitive diagnosis and cure. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are having erectile dysfunction and premature ejaculation problem as per history. i suggest you rule out hypertension, prostate problem, high lipid level, obesity like cause for your problem. you should get checked your blood pressure and blood sugar level first. additionally, ultrasonography can be planned with special emphasis on testes and prostate. avoid smoking if having habit of it. serum testosterone also need be checked. revert with reports once done hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Tuberkulose - Wann daran denken, wie diagnostizieren?"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Increased risk of lung cancer is seen in uranium miners, due to increased exposure to radon."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear-thanks for using our service, i understand your concern and will help you with my medical advice. you have had multiples studies that have eliminated other possibilities. however, you might need to have mri of lumbosacral to see if there herniated disc that is pinching sciatic nerve which has roots going to the pelvic area and can be causing the pain. other possibility is irritable bowel syn chatbot. this condition gives the bloating and abdominal pain. shoulder pain could be secondary to bursitis or osteoarthritis. i recommend a shoulder x-ray for better evaluation. i hope that my advice has been helpful, please hit thanks if it was."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  treatment depends on many factors.  she has stage 3 ovarian cancer.  she has taken chemotherapy followed by surgery.  but her ca 125 level is very high.  so she may have relapse of ovarian cancer.  she should go for ultrasound abdomen to check spread of cancer. if needed go for ct scan.  then she should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"When signs and symptoms occur, they usually begin in adulthood and result from the skin becoming overly sensitive to sunlight. Areas of skin exposed to the sun develop severe blistering, scarring, changes in pigmentation, and increased hair growth. Exposed skin becomes fragile and is easily damaged. People with porphyria cutanea tarda also have increased iron levels in the liver. They face a higher risk of developing abnormal liver function and liver cancer."
Please answer with one of the option in the bracket,B: Omalizumab
Answer this question truthfully,"It is thought that Peutz-Jeghers syndrome is the result of deletion or partial deletion of STK11 (LBK1) gene, located on chromosome 19p13.3.   STK11 protein plays an important role in second messenger signal transduction and is found to regulate cellular proliferation, controls cell polarity, and responds to low energy states.
In Mammalian studies, STK11 is shown in the inhibition of AMP-activated protein kinase (AMPK), and signals downstream to inhibit the mammalian target of rapamycin (mTOR). The mTOR pathway is dysregulated in Peutz-Jeghers syndrome.
Pathogenesis of mucutaneous pigmentation (macules) Caused by pigment -laden macrophages in the dermis.
Peutz-Jeghers syndrome is inherited in an autosomal dominant pattern."
Answer this question truthfully,"Mitral stenosis is associated with decreased LVEDP, which can lead to decreased cardiac output and symptoms such as fatigue and dyspnea."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. in peripheral edema mostly leg swelling us present... no abdominal swelling... you could simply have inflammatory edema. liver condition, kidney problems also can lead edema, but you have history of it after surgery, so these are less likely... hypoalbuminemia also can lead it. so rule out it... low salt diet with diuretic could be helpful. take care ... chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot.  as a urologist, i can understand your anxiety. your wife has a kidney infection with ckd(chronic kidney disease). you should write her age, body weight, b.p. and cause for the ckd. kidney infection is treated with a course of culture specific antibiotics. her salt intake can be up to 5g/day and 40g protein, with 2000 calories diet. the electrolytes and creatinine decides the actual amount of salt needed. fluid intake should be, urine output plus 400ml/day. no fresh fruits allowed. if she takes more fluids, she may develop swelling and get breathless. chatbot.  manga."
Answer this question truthfully,Phlegmon is a spreading diffuse inflammatory process with formation of suppurative/purulent exudate or pus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is unlikely that you can get pregnant, even without any contraception, on the 8th day of your cycle, if you have regular 28-30 day cycles, as you are in the safe period. added to this, there should be no problem due to late insertion of the ring too. so, please do not worry about the possibility of conception, even if the condom broke. your chances of conception are very, very slim. you may expect your next period to get delayed if you retain the ring for three weeks, as you inserted it late. hope your query has been clarified. wish you good health."
Answer this question truthfully,Topiramate is an anti-epileptic that may be helpful in the treatment of impulse control disorders.
"If you are a doctor, please answer the medical questions based on the patient's description.","good evening, thanks for given information, according to your tachycardia symptoms i suggest you medicine might helpful for relief tablet furosemide 40 mg release pressure from heart tab.  propranolol 10 mg control heart beat tab.  xanax 0.5mgrelaxe the nerves associate with heart also you need to investigate ecg chest xraykindly also consult with cardiologist as soon as thanks for consult chatbot.  md"
Answer this question truthfully,"The primary treatments for pseudogout are NSAIDs, glucocorticoids, and colchicine."
Please answer with one of the option in the bracket,A: Fetal head compression
Answer this question truthfully,The rooting reflex is the primitive reflex that is characterized by nipple seeking or the movement of the head towards one side if the cheek or mouth is stroked.
Please summerize the given abstract to a title,"Protection Motivation During COVID-19: A Cross-Sectional Study of Family Health, Media, and Economic Influences"
Please summerize the given abstract to a title,Computational investigation on Andrographis paniculata phytochemicals to evaluate their potency against SARS-CoV-2 in comparison to known antiviral compounds in drug trials
Please summerize the given abstract to a title,"Long Term Physical, Mental and Social Health Effects of COVID-19 in the Pediatric Population: A Scoping Review"
Answer this question truthfully,The likely diagnosis for the patient's condition is idiopathic thrombocytopenic purpura (ITP).
"If you are a doctor, please answer the medical questions based on the patient's description.","this is a hypersensitivity reaction that you have developed due to an allergen that could have been present in a product that you have used or in food that you have consumed. yes, your doctor is right when he says that allergies are forever. the golden rule is to never touch the causative allergen again. however, it is important that you identify the allergen. a proper history of yourself should help you to zero in on this. many have allergies to different things ranging from pollen, dog hair, cat hair, sesame, peanut butter etc. you will have to identify the allergen that you have come into contact with in the recent past. although there are tests to identify this, you should understand that you cannot possibly test yourself for the 900+ allergens that are out there. this is where a proper history of yourself will come into picture. if your condition has become better after avoiding the lipstick, it is possible that the lipstick could have caused the allergy."
"If you are a doctor, please answer the medical questions based on the patient's description.","the life expectancy for stage 4 pancreatic cancer is very low and is worst among all forms of cancers. the median chances of survival for patients with stage 4 pancreatic cancer is about 3 to 5 months. the reason for the low life expectancy for stage 4 pancreatic cancer is that the cancer is not confined only to the pancreas. prognosis of stage 4 pancreatic cancer is thus not very good. unfortunately, the cancer does not show many symptoms in its early stages and is only diagnosed in advanced stages. regards and take care"
Please summerize the given abstract to a title,The family check-up 4 health: Study protocol of a randomized type II hybrid effectiveness–implementation trial in integrated primary care (the healthy communities 4 healthy students study)
Please summerize the given abstract to a title,[Pregnant women complicated with COVID-19: a clinical analysis of 3 cases]
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatbot with your health care concerns are concerned about passing out with vomiting. this is actually a very common condition, and it is called vasovagal response. when you become nauseous your bodies nervous system overacts and chatbot.  there is nothing you can do other than lay down and wait for the low blood pressure to resolve. when you are nauseous and vomiting it is very important that you prevent deny"
Please summerize the given abstract to a title,The Impact of COVID-19 on Neuro-Ophthalmology Office Visits and Adoption of Telemedicine Services
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. i understand your concern. if i am your doctor i suggest you that it is suggestive of malignancy of prostate. psa is prostate specific antigen it is produced by the cancer cells of the prostate. so if their level is increasing it is necessary to do trans rectal ultrasonography of the prostate. i will be happy to answer more of your concerns, kindly know me, wish you a very good health at chatbot. chatbot. infectious disease."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thanks for consulting chatbot. it can be due to me some infection.sometimes upper respiratory tract infection can also have these symptoms. minor cough and cold can cause mouth problems like sore tongue and lips. if i were your treating doctor i would advise you to 1. maintain a good oral hygiene2. rinse mouth with an antiseptic mouthwash3. take vitamin supplements like nitrogen b plus for 15 days normal cold goes away after 5 - 7 days. so you don't have to panic. wait for some time it will be alright. hope this answers your queryregards
Answer this question truthfully,"The size of the ribosome used in eukaryotic translation is 80S. Ribosomes are complex molecular machines that play a critical role in protein synthesis. They consist of two subunits, the small subunit and the large subunit, which come together during translation to form a functional ribosome. In eukaryotes, the small subunit has a size of 40S, while the large subunit has a size of 60S. When the two subunits combine, they form an 80S ribosome that is capable of translating mRNA into protein. This process is essential for the survival and growth of eukaryotic cells. In contrast, prokaryotic ribosomes are smaller, with a small subunit size of 30S and a large subunit size of 50S, resulting in a total ribosome size of 70S."
Please summerize the given abstract to a title,Fenestrated aortic arch stent-graft malfunction with endovascular salvage.
Answer this question truthfully,"Irreversible competitive inhibitors bind to the active site of the enzyme. When an irreversible competitive inhibitor binds to an enzyme, it forms a covalent bond with the enzyme, which permanently blocks the active site and prevents the substrate from binding. This is in contrast to reversible competitive inhibitors, which can be displaced by increasing the concentration of the substrate. Because irreversible competitive inhibitors form a stable complex with the enzyme, they are useful tools for studying enzyme function and for developing drugs that target specific enzymes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most probably an acidity, gastritis and reflux disease. do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms? still there is no harm in getting ecg and stress done to rule out cardiac cause. you should avoid fatty, oily and spicy diet. have some walk after having food instead of taking rest. have multiple small meals instead of heavy meals. have regular sleep habits and avoid stress. avoid smoking and alcohol if any. you can get prescribed tab pan dsr 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. if not adequately relieved, then you should add genus two teaspoon three times a day for a week.  hope this helps you get back if you have any doubts regards"
Please summerize the given abstract to a title,"Social inequalities and COVID-19 mortality in the city of São Paulo, Brazil"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. steroid medications given by inhalers are usually safe, as there are less systemic side effects (side effects on other body systems). both forecourt and decor are steroid medications. i would like to know"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, since your dentist has suggested root canal treatment for your 3 teeth, you have to get it done as soon as possible. the pain is due to the infected pulp remaining within the pulp canals of 3 teeth. analgesics can relieve pain only temporarily. so i would suggest you to get the infected pulp removed at the earliest for relief from pain. avoid intake of hard, solid foods. intake of very hot or too cold fluids has to be limited as it can aggregate pain. always maintain good oral hygiene. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint a purple blotch over gums on teeth can be a bruise caused by some injury to the gums and toothbrush bristles can be one of the most common cause of injury to the gums, or it can be due to some hard food like chips that can cause injury to the gums and rupture of small blood vessels can cause blood accumulation below the soft tissues leading to formations of red to purple bruises. as it is not painful there and is localized to only front three teeth you need not worry as gradually it will resolve on its own. in case if it spreads or there is pain in the area you should consult a dentist to get ruled out for infection in the gums or teeth. as of now there is nothing to worry as nothing seems serious. hope this information helps. thanks and regards. chatbot. ."
Answer this question truthfully,"Call for an appointment with your health care provider or ophthalmologist if symptoms of farsightedness develop and you have not had an eye examination recently.
Also, call if vision begins to get worse after you have been diagnosed with farsightedness.
If you have been diagnosed with farsightedness or suspect you may have farsightedness and you suddenly develop severe eye pain, eye redness, or decreased vision you should see your eye doctor immediately."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Ethanol is an intoxicant that has a direct toxic effect on the acinar cells of the pancreas and can cause spasms of the sphincter of Oddi.
Please summerize the given abstract to a title,Effects of corruption and unaccountability on responses of frontline health workers to COVID-19 in Nigeria: Lessons and considerations for the social work profession
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialists, responding to you. the wound that you described is normal. it is normal healing procedure. the black spot will disappear by its own. though it takes some time. but till that time you have to be patients. i will be glad to answer your further query. thank you for your contact to chatbot. wish you the best health. thank you, chatdoctor."
Please summerize the given abstract to a title,Checklist for infection control in the emergency department
Please answer with one of the option in the bracket,B: Generation of superoxide
Answer this question truthfully,"The defining symptom of primary syphilis is a painless genital chancre, which is a small, firm, and round sore that develops at the site of infection. This is the most common and recognizable symptom of primary syphilis. In addition to the genital chancre, other symptoms of primary syphilis may include swollen lymph nodes in the groin area. However, many people with syphilis may not experience any symptoms at all. If you suspect you may have been exposed to syphilis, it is important to get tested for the infection, as early detection and treatment can help to prevent the infection from progressing to more serious stages."
"If you are a doctor, please answer the medical questions based on the patient's description.",hip ain and swelling(pus) after root canal of teeth should not occur. its reappearance shows that the infection in teeth is still there which means that your root canal treatment is not completely done. consult a dentist for radio graphical examination of the teeth to rule out whether a canal has been left or is incompletely debrided. treatment for this is react. follow your antibiotic coverage along with an antacid. take plenty of fluids. take care
Please summerize the given abstract to a title,"Correlation between Land Surface Temperature and Urban Heat Island with COVID-19 in New Delhi, India"
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, emailtogupta, i am not sure how young your wife is. since different conditions cause different symptoms depending on the age and sex, it shard to guess. however, based on the information you have provided, i think the doctor may be treating her for h.pylori infection that can affect the stomach and cause ulcer involving the duodenum.(beginning portion of the small intestine). usually, three antibiotics along with a ppi (such as omeprazole)are used for at least ten days to cure this bug. if this is not treated properly, the infection will come back. the other possibility is some kind of gastroenteritis or infection caused by eating some contaminated food or chatbot. i think you should discuss this with her doctor and have her get some blood tests and also stool examination. there is a stool antigen test for h.pylori, if positive will indicate active infection that needs treatment. lower abdominal pain, fever, diarrhea, can indicate diverticulitis, inflammation of one of the pockets or pouches on the large bowel. this is more common after the age of 55-60. hope this information helps your wife. wish her well."
Please summerize the given abstract to a title,An ensemble predictive analytics of COVID-19 infodemic tweets using bag of words
Answer this question truthfully,"According to the Lugano classification, there are four stages of splenic marginal zone lymphoma (SMZL) based on the number of nodes and extranodal involvement."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma.  or it may be some other benign or malignant tumor.  you should go for fine needle aspiration cytology or biopsy of that lump.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,School closure in response to epidemic outbreaks: Systems-based logic model of downstream impacts
Answer this question truthfully,"Some chronic liver diseases cannot be prevented but one can reduce the risk by adopting the following measures:
Do not drink excessive alcohol. Alcohol is one of the most common causes of chronic liver disease in North America. Avoid high risk behaviour. If you do use intravenous drugs, do not share needles or syringes. Never have sex without a condom with a stranger and avoid multiple sex partners. If you plan to have tattoos or have your body pierced, choose a place which has a reputation for cleanliness and safety. Get vaccinated against epatitis A and B. it is highly recommended that one get vaccinated against hepatitis B. This chronic infection is highly contagious and one of the complications is liver cancer. Do not use multiple medications or illicit drugs unwisely. Never mix alcohol with medications. Always talk to your physician about your medications and get your liver enzymes checked to make sure that the liver is functioning fine. If you have any member of the family of friend who is sick, avoid contact with blood or bodily fluids. Many infections can be transferred through body fluids include HIV, hepatitis and even herpes. Do not make it a habit of sharing personal care products with anyone, even household members. If you work in an environment where there are chemicals, wear a mask. Take protective measures when spraying weed killers, insecticides or using other toxic chemicals. If you work with hazardous chemicals, change clothes before you go home. If you work in the garden and use chemicals, wear long sleeve shirts, gloves and a hat. Eat healthy exercise and keep your weight down. Obesity is a well known cause of chronic fatty liver disease ."
"If you are a doctor, please answer the medical questions based on the patient's description.","succhatdoctorplaints are more commonly due to anemia. however, heart diseases, respiratory diseases can also cause succhatdoctorplaints. to confirm diagnosis investigations like 2d echo, x-ray chest, put, cbc etc. are required. for 2d echo you need to consult cardiologist. cardiologist will to 2d echocardiography which may identify exact lesion in the heart responsible for murmur and breathlessness etc."
Answer this question truthfully,"Colonic polyps are growths that develop on the lining of the colon. Adenomatous colonic polyps, in particular, are due to a neoplastic proliferation of glands. This means that the cells in the glands have undergone changes that cause them to grow in an abnormal way. Adenomatous polyps are considered to be pre-cancerous, as they have the potential to develop into colon cancer over time. It is important to have regular colonoscopies to identify and remove any polyps that may be present, as this can help to prevent the development of colon cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in to us. your girlfriend need not be mentally stressed. she has taken right precautions against pregnancy after unprotected sex. home pregnancy test kits are available to confirm pregnancy in privacy. this test will confirm pregnancy 15 days after having unprotected sex with 95% accuracy. so if she had sex on 24-08-2013, the test must be done after 08-09-2013. coming to with chatbot.  the pill contains high hormone levels and there can be early or delayed periods for up to two months. the pill should be taken only in emergency and not regularly. taking pill regularly can cause cysts in ovary. hope this helps"
Please summerize the given abstract to a title,COVID-19: the epidemiology and treatment.
Please summerize the given abstract to a title,"Effectiveness of low-dose amitriptyline and mirtazapine for insomnia disorder: study protocol of a randomised, double-blind, placebo-controlled trial in general practice (the DREAMING study)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot . as far as soreness and swelling in left side of upper jaw region is concerned this can be due to temporomandibular disorder or wisdom tooth impaction. don't be worried so much i will suggest you some measures"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. the stomach pain under rib-cage in middle and slightly on the right side with feeling like burping but unable to burp, and bloating can be due to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. since you mentioned you had disc herniation and have undergone surgery for the same. post surgery the pain hasn't come down. so this shows it is a failed back syn chatbot.  apparently now what you need to understand is the herniated disc is out of the body as the surgeon planned. post this, the need is to undergo a graded planned exercise rehabilitation, which had to be performed under the specialist. now since the pain hasn't come down, and it is increasing that means that the spinal muscles are not strong enough to hold the spinal column at required intervertebral disc space, and any little weakness is leading to nerve entrapment again. i will advise you to undergo a fresh mri and compare with the pre-surgery mri. any comparative study at this point will be of great help. along with painkiller if your surgeon wish to prescribe you can go ahead with it. also you need to now totally focus onto the physical therapy only. as reoperating the same level again as per my thinking will not give any benefit. the physical therapist will help you firs with therapeutic ultrasound therapy which will lose the scar tissue in the back. later on the use of tens will be symptomatic and as per the need. the physical therapist may apply the myofascial release of the spinal muscle spasm. which will help to get some mobility of the spine. now moving ahead you need to undergo a strong rehabilitation plan. as you core should become like 8 packs but over a period of time and with the limits of you physiological pain. you will even need to strengthen the spinal muscles to get the intervertebral disc space back to release the compression on the nerves. post that strength conditioning has to be planned as the body functions as a unit. strength conditioning will help the unit to function in equilibrium which will be of great input. i have seen the cases like this and all have responded well with pre-planned and graded rehabilitation process. also to mention that it is slow and steady, but gradually you may get to see the difference. i have myself treated cases with 99% of success rate. now it's my luck or the effort of the patient that he recovered, but i have 99% scorecard. the one who kept patience all recovered even with an abnormal mri my patient can climb 13 floor in 100 seconds without a pause. well to cut down the story and come to help you, please organize physical therapy and get treated. with the grace of god i wish you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","your daughter is probably suffering from chronic sinusitis. it is a condition that can be very disturbing and resistant to most medications if not handled well. the condition always interferes with mucus chatbot. it could be caused by an infection, growth in sinuses or nostrils like nasal polyp, deviation of the nasal septum or allergies. it may at times give thick and discolored discharged from nostrils and this can explain the greenish mucus you saw. treatment however will depend on the cause of the condition. some lab and imaging investigations may at times be needed to know the exact cause"
Answer this question truthfully,T cell deficiency is associated with an increased likelihood of superficial Candida infections.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, multiple sclerosis is a desalinating disease of the central nervous system. today, there are a lot of effective chatbot.  tablets approved by fda include dimethyl fumarate and trifluoride. both these tablets came within the past 6-7 years. 25 years ago (1995), interferon injections were in use. for some, azathioprine tablets were used. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Nephron sparing LESS: technique and review of the current literature.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of severe pain under the left rib cage, i would come up with three possibilities, these include"
Answer this question truthfully,"Third-degree AV block must be differentiated from Mobitz type II, Junctional rhythm, and sinus bradycardia, Paroxysmal supraventricular tachycardia. The following table summarizes the differential diagnosis of third-degree AV block.
Arrhythmia Rhythm Rate P wave PR Interval QRS Complex Response to Maneuvers Epidemiology Co-existing Conditions Atrioventricular block  First degree   Regular Normal Prolonged PR interval (>200 msec) Less than 0.12 seconds, consistent, and normal in morphology. No treatment required Prevalence: 650 to 1600 per 100,000 individuals in the united states. Heart failure Coronary heart disease Cardiomyopathy Sarcoidosis Lyme disease Defenerative muscle disorders as Lev's disease and Lenegre's disease. Overly active vagus nerve. Second degree   Regular irregular Normal Mobtiz I: Progressive PR prolongation Mobitz II: Normal PR interval QRS is normal but dropped as the following: Mobitz I: QRS complex is dropped after a progressive lengthening of PR Mobitz II: QRS complex is dropped after a normal PR Can be reversed by using a pacemaker. Prevalence: 3 per 100,000 individuals in the united states. Third degree   Regular Normal but no relationship between P wave and the QRS. More P waves than the QRS complexes. Varies Normal QRS Can be reversed by using a pacemaker. The prevalence: 20 per 100,000 individuals worldwide. Atrial Fibrillation (AFib)   Irregularly irregular On a 10-second 12-lead EKG strip, multiply number of QRS complexes by 6 Absent Fibrillatory waves Absent Less than 0.12 seconds, consistent, and normal in morphology in the absence of aberrant conduction Does not break with adenosine or vagal maneuvers 2.7–6.1 million people in the United States have AFib 2% of people younger than age 65 have AFib, while about 9% of people aged 65 years or older have AFib Elderly Following bypass surgery Mitral valve disease Hyperthyroidism Diabetes Heart failure Ischemic heart disease Chronic kidney disease Heavy alcohol use Left chamber enlargement Atrial Flutter  Regular or Irregular 75 (4:1 block), 100 (3:1 block) and 150 (2:1 block) beats per minute (bpm), but 150 is more common Sawtooth pattern of P waves at 250 to 350 bpm Biphasic deflection in V1 Varies depending upon the magnitude of the block, but is short Less than 0.12 seconds, consistent, and normal in morphology Conduction may vary in response to drugs and maneuvers dropping the rate from 150 to 100 or to 75 bpm Incidence: 88 per 100,000 individuals Elderly Alcohol Atrioventricular nodal reentry tachycardia (AVNRT)     Regular 140-280 bpm Slow-Fast AVNRT: Pseudo-S wave in leads II, III, and AVF Pseudo-R' in lead V1. Fast-Slow AVNRT P waves between the QRS and T waves (QRS-P-T complexes) Slow-Slow AVNRT Late P waves after a QRS Often appears as atrial tachycardia. Inverted, superimposed on or buried within the QRS complex (pseudo R prime in V1/pseudo S wave in inferior leads) Absent (P wave can appear after the QRS complex and before the T wave, and in atypical AVNRT, the P wave can appear just before the QRS complex) Less than 0.12 seconds, consistent, and normal in morphology in the absence of aberrant conduction QRS alternans may be present May break with adenosine or vagal maneuvers 60%-70% of all supraventricular tachycardias Structural heart disease Atrial tachyarrhythmias Multifocal Atrial Tachycardia   Irregular Atrial rate is > 100 beats per minute Varying morphology from at least three different foci Absence of one dominant atrial pacemaker, can be mistaken for atrial fibrillation if the P waves are of low amplitude Variable PR intervals, RR intervals, and PP intervals Less than 0.12 seconds, consistent, and normal in morphology Does not terminate with adenosine or vagal maneuvers 0.05% to 0.32% of electrocardiograms in general hospital admissions Elderly Chronic obstructive pulmonary disease (COPD) Paroxysmal Supraventricular Tachycardia Regular 150 and 240 bpm Absent Hidden in QRS Absent Narrow complexes (< 0.12 s) Breaks with vagal maneuvers, adenosine, diving reflex, oculocardiac reflex Prevalence: 0.023 per 100,000 Alcohol Caffeine Nicotine Psychological stress Wolff-Parkinson-White syndrome Premature Atrial Contractrions (PAC)   Regular except when disturbed by premature beat(s) 80-120 bpm Upright > 0.12 second May be shorter than that in normal sinus rhythm (NSR) if the origin of PAC is located closer to the AV node Ashman’s Phenomenon: PAC displaying a right bundle branch block pattern Usually narrow (< 0.12 s) Breaks with vagal maneuvers, adenosine, diving reflex, oculocardiac reflex Infants Cardiomyopathy Myocarditis Elderly Coronary artery disease Stroke Increased atrial natriuretic peptide (ANP) Hypercholesterolemia Wolff-Parkinson-White Syndrome   Regular Atrial rate is nearly 300 bpm and ventricular rate is at 150 bpm With orthodromic conduction due to a bypass tract, the P wave generally follows the QRS complex, whereas in AVNRT, the P wave is generally buried in the QRS complex. Less than 0.12 seconds A delta wave and evidence of ventricular pre-excitation if there is conduction to the ventricle via ante-grade conduction down an accessory pathway A delta wave and pre-excitation may not be present because bypass tracts do not conduct ante-grade. May break in response to procainamide, adenosine, vagal maneuvers Worldwide prevalence of WPW syndrome is 100 - 300 per 100,000 Ebstein's anomaly Mitral valve prolapse: This cardiac disorder, if present, is associated with left-sided accessory pathways. Hypertrophic cardiomyopathy: This disorder is associated with familial/inherited form of WPW syndrome. Hypokalemic periodic paralysis Pompe disease Tuberous sclerosis Ventricular Fibrillation (VF)    Irregular 150 to 500 bpm Absent Absent Absent (R on T phenomenon in the setting of ischemia) Does not break in response to procainamide, adenosine, vagal maneuvers 3-12% cases of acute myocardial infarction (AMI) Out of 356,500 out of hospital cardiac arrests, 23% have VF as initial rhythm Myocardial ischemia / infarction Cardiomyopathy Channelopathies e.g. Long QT (acquired / congenital) Electrolyte abnormalities (hypokalemia / hyperkalemia, hypomagnesemia) Aortic stenosis Aortic dissection Myocarditis Cardiac tamponade Blunt trauma (Commotio Cordis) Sepsis Hypothermia Pneumothorax Seizures Stroke Ventricular Tachycardia   Regular > 100 bpm (150-200 bpm common) Absent Absent Initial R wave in V1, initial r > 40 ms in V1/V2, notched S in V1, initial R in aVR, lead II R wave peak time ≥50 ms, no RS in V1-V6, and atrioventricular dissociation Wide complex, QRS duration > 120 milliseconds Does not break in response to procainamide, adenosine, vagal maneuvers 5-10% of patients presenting with AMI Coronary artery disease Aortic stenosis Cardiomyopathy Electrolyte imbalances (e.g., hypokalemia, hypomagnesemia) Inherited channelopathies (e.g., long-QT syndrome) Catecholaminergic polymorphic ventricular tachycardia Arrhythmogenic right ventricular dysplasia Myocardial infarction Torsades de pointes is a form of polymorphic VT that is often associated with a prolonged QT interval"
Please summerize the given abstract to a title,Hunting Hantavirus: A Quick Guide for Healthcare Professionals before It Invades the Globe unlike COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Chlamydia Pneumoniae and Atherosclerosis: From Koch Postulates to Clinical Trials
Answer this question truthfully,The criteria for diagnosing neonatal hypoglycemia is a glucose level of <40 mg/dL.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks fir writing in. it is important to know the echocardiography details and cancer stage to get a better idea of patient condition. however, in an 88-year-old with copd and congestive heart failure, the heart functioning might be seriously compromised. she is also coughing up blood which can be due to the lung cancer itself. in the above scenario, considering the heart dysfunction and lung cancer, the expectancy of life is less than a year, and might be less than even 6 months. in my opinion she should be spending time at the hospice and be given pain relief and supportive care so that she can feel comfortable. she might also be having a mild stomach infection which requires to be treated immediately and might be an emergency. please do not worry."
Please summerize the given abstract to a title,Single-cell RNA expression profiling of ACE2 and TMPRSS2 in the human trophectoderm and placenta
Please summerize the given abstract to a title,Identifying positive change within the NHS as a result of the COVID-19 pandemic
Answer this question truthfully,"P-glycoprotein is normally found in the intestinal and renal tubular epithelial cells. Its function in these locations is to eliminate foreign compounds from the body, such as drugs and toxins, by pumping them out of the cells and back into the lumen of the intestines or the urine in the renal tubules. This process is important for maintaining the body's homeostasis and protecting it from harmful substances. However, P-glycoprotein can also contribute to drug resistance in cancer cells by pumping out chemotherapeutic agents before they can reach their target, making it an important target for cancer research."
Answer this question truthfully,"A biochemical feature that is associated with Vitamin B12 deficiency is increased serum methylmalonic acid. Methylmalonic acid is a compound that is produced during the breakdown of certain amino acids and fatty acids. Vitamin B12 is necessary for the proper metabolism of methylmalonic acid, so when there is a deficiency of Vitamin B12, the levels of methylmalonic acid in the blood can increase. Measuring serum methylmalonic acid levels can be a useful diagnostic tool for detecting Vitamin B12 deficiency, especially in cases where the deficiency is mild or early. In addition to increased serum methylmalonic acid, other biochemical features of Vitamin B12 deficiency include decreased serum Vitamin B12 levels and increased homocysteine levels."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient you have got blunt trauma to your arm with contusion.  i would advise x-ray of involved arm anteroposterior and lateral views to rule out bony abnormalities.  if its normal fracture is ruled out. apply ice packs on swelling frequently. start tab diclofenac plus serratiopeptodase combination twice a day for 7 days. keep limb elevated. this will relieve you of pain and swelling.  all the best.
"If you are a doctor, please answer the medical questions based on the patient's description.","a person with head injury requires immediate attention and shifting to hospital. accidents in general require something called as basic first aid or something like that. we were taught in our workplace about it. you have to see that the person is breathing or not, check his pulse and put him in comfortable position. clean and chatbot.  for bleeding put pressure to stop it. and shift the person as early as possible to the nearest hospital, or in case of head injury or severe accident to a hospital with icu facility."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your doctor i suggesting you can wait for a period of 10 days to check, if dog disappears than you have to undergo vaccination. alternatively you can directly opt for vaccination and all the primary care. in my advice you should go for vaccination for rabies as well as tetanus and antibiotics to prevent wound infection. if you have to ask me anything you can contact me. chatbot. infectious disease specialist. thank you."
Answer this question truthfully,"Since cancers are capable of spreading to other parts of the body, it is crucial to see a doctor right away if any of the aforementioned symptoms arise."
Please summerize the given abstract to a title,Financing adaptation for resilient livelihoods under food system transformation: the role of Multilateral Development Banks
Please summerize the given abstract to a title,"Association between social support and anxiety among pregnant women in the third trimester during the coronavirus disease 2019 (COVID-19) epidemic in Qingdao, China: The mediating effect of risk perception"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Charcot-Marie-Tooth disease is also known as hereditary motor and sensory neuropathy (HMSN).
Please summerize the given abstract to a title,Beliefs and misperceptions about naloxone and overdose among U.S. laypersons: a cross-sectional study
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your mothers situation and problem. cancer chatbot.  another possibility is worsening of pancreatic tumor which is now involving stomach and cause blood vessel erosion and hematemesis. so better to get done ct scan of abdomen and upper gis copy to rule out above-mentioned causes. first diagnose herself and then start appropriate treatment. hope i have solved your query. wishing good health to your mother. thanks.
Please summerize the given abstract to a title,Diagnosis of COVID-19 infection using three-dimensional semantic segmentation and classification of computed tomography images
Please summerize the given abstract to a title,Energy markets – who are the influencers?
Answer this question truthfully,Call your dentist if you have symptoms of this condition.
Please summerize the given abstract to a title,Xenoimplant of Collagen Matrix Scaffold in Liver Tissue as a Niche for Liver Cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. osteotome and bowman pth are both trade names for a medicament called tripartite used to treat osteoporosis/ osteopenia (mineral bone loss) and prevent bone fracture. osteoporosis is diagnosed with imaging techniques (da) and only after that can be started treatment for this condition. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is not uncommon to need a bite adjustment after a restoration such as only, crown or filling. usually the new restoration is causing an interference. this often occurs on a movement from side to side called excursive movement. please make sure this is checked and adjusted. from your description, this may involve other teeth than the tooth recently restored and still require further adjustment. currently, you should stick to a soft diet. give your mouth a chance to adjust. take some tylenol or motrin, if necessary. long dental procedures with local anesthesia can cause stress on the jaw. do you grind your teeth? if so, do you wear a night guard? you could consider purchasing a soft night guard to reduce pressure on your teeth. these are available we are dental supplies are sold such as your pharmacy. this may offer you some temporary relief. if your discomfort does not begin to decrease with time, please consider having another clinical exam with a second opinion. this will determine if the restoration was done properly. if you have no contact with the tooth and your bite continues to feel off, the only may need to be redone. do you have any other dental treatment planned that may affect your bite? this may be a factor concerning the current restoration as well. thank you very much for your inquiry. i hope my suggestions are helpful and that you feel better soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, actually the temple itself maybe a small insect bite or a bruise you got while sleeping or such. topical gels or antibiotics application from 2 to 3 times per day will be enough if not you may need a doctor to physically check you up. the twitches and throbbing sensation is usually due to your stress with your daughters condition nothing more if it persists some b12 vitamin supplements will make them decrease. hope everything goes ok with the brain surgery which when done successful. i believe you will feel ok. hope the above information helps you. let me know if i can assist you further."
Please summerize the given abstract to a title,"Students' Perceptions towards the Experience, Quality, Challenges and Effectiveness of Online Teaching-Learning during Covid-19 Pandemic in Riyadh Elm University, Saudi Arabia."
Please summerize the given abstract to a title,Structural Proteins in Severe Acute Respiratory Syndrome Coronavirus-2
Answer this question truthfully,"Any one can have common cold but children, older population, people with decreased immunity are affected more commonly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, please do not worry, proton is given in pregnancy to prevent miscarriage and preterm births, you need not worry about any side effects to the baby. it is routinely given and is also recommended by the american college of obstetrics and gynecology for use in pregnancy to prevent preterm delivery. you need not worry. baby aspirin can be taken up till delivery without any harm to baby. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have tuberculosis.  you should go for x-ray chest and sputum afb examination. if you have tuberculosis then you should take anti-tuberculous treatment.  your cough and weight loss is due to tuberculosis.  your pimples may be some skin infection due to low immunity. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos the posting 2 tablet to be taken first tablet within 72 hours followed by second tablet 12 hours after. as you have taken first tablet at right time but second tablet little latter. still it will work, and it will prevent the pregnancy but not 100%every pill has not 100% effective, these are just preventive measures. but if it is combined used with the barrier contraceptive (like condom) are more effectiveoktake care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question... here before answering i need to know about whether you taking alcohol??? overweight ??? serum cholesterol value??? history of jaundice etc.....anyhow, here strict dietary control needed. avoid fatty food. fried food taken less. only good oil in little amount used like sunflower oil. fruits more. green leafy veg ... do one hour exercise regularly.... papaiya good fruit to be taken. licorice with honey one tsp good herbal remedy ... avoid trans fat food like cheese, meat, baked pastry, chips etc..... avoid alcohol chatbot. take care. if jaundice occur consult doctor..."
Please summerize the given abstract to a title,New Medical Device and Therapeutic Approvals in Otolaryngology: State of the Art Review 2020
Please summerize the given abstract to a title,Clinical Problem Solving: Decreased Level of Consciousness and Unexplained Hydrocephalus.
Please summerize the given abstract to a title,Factors that optimise the impact of continuing professional development in nursing: A rapid evidence review.
Answer this question truthfully,"The prognosis of meningitis depends on:
Whether the patient is diagnosed and treated early. The origin of the infection: Viral meningitis is usually not serious, and symptoms will disappear within two weeks. The patient's general condition: The prognosis of patients who have AIDS, leukemia, or other forms of immunodeficient diseases and immunosuppression is poor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your question to chatbot. sedentary lifestyle over long period of time can lead to muscular back pain. in my opinion your son is likely suffering from muscular back pain. he will need physiotherapy comprising muscle relaxation and strengthening of weak muscles. for the exact type of exercises he will need examination by a physiotherapist. local analgesic gels and anti-inflammatory medicines like ibuprofen will also help for pain relief. spondylolysis is a break in part of the bone of vertebra and is one of the causes of back pain in adolescents but related more to activity than sitting. also, this is not as common as muscle related causes of pain, so it is worth trying therapy first. if the pain is increasing despite all above suggested measures consultation with orthopedic surgeon for further imaging will be required. hope this is helpful. i would be happy to answer any questions. my best wishes for aditya future."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatdoctordepending on age there are many types of testicular cancers. almost all of these have a common symptom in the form of painless testicular enlargement. some tumors also manifest with virilization/ feminizing symptoms. apart from these, there can be other symptoms e.g. weight loss or lymph nodal enlargement (in case of a systemic lymphoma involving testis). in any case the best approach is by horus followed by biopsy procedures if clinically indicated. take care"
Please summerize the given abstract to a title,"Possible Role of Pineal and Extra-Pineal Melatonin in Surveillance, Immunity, and First-Line Defense"
Please answer the letter of option truthfully,C
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Iodine deficiency can cause a decrease in thyroid hormone secretion.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to our website. from your description, you could be suffering from a chronic or partially treated breast abscess, as you said you have had mastitis a number of times. however, i strongly advise you to visit a doctor at the earliest to rule out the possibility of cancer, as the lump is painless and hard.  abscess are not painless and hard in most casein any case, you do not need to discontinue to feed because of this. followup if you need to."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it may be contact allergic dermatitis. consult the dermatologist for the perfect diagnosis and proper treatment. there may be some cause. in your case, fingering may be responsible.  i would suggest. - tab cetirizine daily-tab deflazacort in tapering dose-apply tacrolimus 0.03% point- avoid fingering. hope i have answered your query. let me know if i can assist you further.  take care chatbot."
Answer this question truthfully,"The immunoglobulins that mediate type II hypersensitivity reactions are IgM and IgG. Type II hypersensitivity is an immune response that occurs when antibodies bind to antigens on the surface of cells or tissues, leading to destruction of those cells or tissues. IgM and IgG antibodies are both involved in this process. IgM antibodies are the first to be produced in response to an antigen, and they are effective at activating complement, a group of proteins that can destroy cells. IgG antibodies are produced later in the immune response, and they can also activate complement and mediate antibody-dependent cell-mediated cytotoxicity (ADCC), a process in which immune cells called natural killer cells destroy cells that have been marked by antibodies. Type II hypersensitivity reactions can lead to a variety of diseases, including autoimmune disorders, hemolytic transfusion reactions, and hemolytic disease of the newborn."
Answer this question truthfully,"You should seek medical care once each of the following symptoms are seen;
Hearing loss on one ear Ringing in one ear Balance disturbances"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concertgoer symptoms could be due to stress/anxiety/depression, relationship issue as you have erection in the morning. i would suggest consulting the psychiatric and take proper treatment. following advice will helpful"
Answer this question truthfully,"What condition should be considered in a patient who develops fever after anesthesia with halothane or succinylcholine, or has a fever above 104 degrees Fahrenheit? Malignant hyperthermia should be considered."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. most probable reason is gastrointestinal infection. it is a most common reason of diarrhea. if your pain is located in the upper right side and radiates to the back, stones in the bile ducts are also possible. as diarrhea is present for longer than 48 hours, i suggest you to do not wait any longer and consult your doctor. blood work, urinalysis, abdominal ultrasound and stool tests should be done. antibiotic might be necessary. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello rahul, thank you for asking at chatbot. i went through your history and would like to make following suggestions for you"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi read your questioner daughter is under weight according to u your daughter eat at regular interval for weight gain u have to give her all types of food and also pulses and cereals u have to give her chelcerol sachet (one sachet on every week for 10 weeks)also give her protein powder if not taking pulses in food give food regular intervals but healthy food not biscuits or refers and other junk food give daily morning paley(spinach) soup which contains iron also give her weather fruits and vegetable. if not gaining at properly then consult pediatrician and ask him/her for diary chart for your daughter
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i appreciate your concerns. when was your girlfriends last period/ was she in the unsafe period of her cycle? you have done the right thing by giving unwanted 72 at the earliest to avoid pregnancy. used in this way unwanted 72 is 95% effective. if her period is delayed by more than a week, get a pregnancy test done (there is a very small possibility of pregnancy due to method failure). to avoid such unnecessary stress i advise her to consult her doctor and start regular contraception like hormonal contraception or have an intrauterine devise fitted as they are more effective than unwanted 72 in preventing pregnancy. i hope i have answered to your satisfaction. if you have any further queries do contact me through chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have been taking opioid medicine for so long that it is very likely that now you are dependent on opioid, this is the reason the doctors are hesitant to prescribe you the opioid. it is advisable you get treated for opioid dependence by a qualified psychiatrist. methadone is an option, and you need to take it supervised. without opioid, you shall get with chatbot. ) and require indoor management. for you pain the reason has to be found out and treated subsequently but not with opioid. other options are pregabalin, amitriptyline, captopril, and others. hope it is helpful."
Please summerize the given abstract to a title,The Correlation of Comorbidities on the Mortality in Patients with COVID-19: an Observational Study Based on the Korean National Health Insurance Big Data
Answer this question truthfully,"Innate immunity (this type of immunity is the first line of defense against pathogens and is present from birth. It includes various cells and proteins that can recognize and eliminate pathogens in a non-specific manner, such as neutrophils, which are highly phagocytic cells that can engulf and destroy pathogens, and dendritic cells, which are specialized antigen-presenting cells that can activate the adaptive immune response)."
Please summerize the given abstract to a title,"Clinical Characteristics of the First 100 Patients of COVID-19 in Tobruk, Libya: A Brief Report From Low-Resource Settings"
Answer this question truthfully,"Rifampin is given with Dapsone because it delays the development of resistance to Dapsone, which is an antibiotic commonly used to treat leprosy and other bacterial infections. By using these two drugs together, the effectiveness of Dapsone can be prolonged, allowing for more effective treatment of the underlying infection. This combination therapy is often used in cases where there is a high risk of resistance to Dapsone, or in cases where other antibiotics are not effective. However, it is important to note that this combination therapy should only be used under the guidance of a healthcare provider, as there may be risks and side effects associated with the use of these drugs together."
Answer this question truthfully,Solitary plasmacytoma most commonly affects bone and causes pain or pathologic fractures.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have benign cyst, fibroadenoma or cancer. however, with short time history chances of cancer is low. you should go for breast mammography and fine needle aspiration cytology or core biopsy. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,COVID-19 response by the Hopi Tribe: impact of systems improvement during the first wave on the second wave of the pandemic
Answer this question truthfully,"PALM-COEIN is a classification system used to categorize abnormal uterine bleeding. The acronym stands for Polyp, Adenomyosis, Leiomyoma, Malignancy/Hyperplasia, Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, and Not otherwise classified. The ""PALM"" part of the acronym refers to structural causes of abnormal uterine bleeding, while the ""COEIN"" part refers to non-structural causes. The non-structural causes of abnormal uterine bleeding according to PALM-COEIN are: Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, and Not otherwise classified."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have gone through your mri reports and your complaints. the mri findings are not severe, and may cause neck pain and pain in the arms. you need to get examined by a neurologist, as well as a rheumatologist. a few blood tests such as rheumatoid factor, esr, c reactive protein, etc. would be required to find out the cause of joint pains and swellings. as of now, you can take naproxen or ibuprofen tablets for pain relief. i hope my answer helps. please get back if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have to option you could go for surgery to remove block at right tube. it is called hysteroscope cannulation and can then try naturally to conceive. or you could consider ivf .ivf is a costly option but with pcs you have two factors of infertility and this could help with both. do keep in mind that any surgery has complications and also that ivf has only a 40% chances of success in the best of hands. role of placenta in removing blockage of tubes is questionable. before deciding further you should go for a hysterosalphingography (dye test) to know the status of the tubes. hope this helps. regards"
Answer this question truthfully,Actinomycin D is the chemotherapeutic drug used for the treatment of pediatric tumors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your discomfort because of repeated headaches and the unsuccessful outcome of last. however, i would like to reassure you that the chance of any nerve damage during last is remote. also, the fact that regular headaches started almost a month after the procedure rules out any role of eye procedure in causing the headaches. headaches are unrelated to the eye problem/procedure and could be due to migraine/cluster headache. i hope your mri comes as normal. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have severe numbness all over the body. well there can be many reasons for symptoms you mention in query like peripheral neuropathy, vitamin b12 deficiency, anxiety disorder, medication reaction or side effect, panic attack, hyperhi chatbot.  i would suggest you to consult general practitioner for proper examination. doctor may order certain test like blood test, ecg and check vitals to confirm the diagnosis. doctor may prescribe vitamin supplement. for now keep yourself relax, take proper rest,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing your query. i read your problem, first thing i would like to inform you that wisdom teeth are vestigial, and they play very little role in chewing food and if they do not have enough space to come out in the oral cavity then there are chances of recurrent infection known as peritonitis which will cause pain and swelling again and again and destroy the underlying bone. so i will suggest you please visit an oral surgeon in your area as soon as possible and get the clinical examination done including x-rays and go for extraction of the same if needed. nothing to get worried,meanwhile you can use betadine mouthwash twice a day. take care."
Please summerize the given abstract to a title,Effectiveness of E-learning Environments in Developing Skills for Designing E-tivities Based on Gamification for Teachers of Technology in Gaza
Please summerize the given abstract to a title,Metagenomic study of bacterial microbiota in persistent endodontic infections using Next-generation sequencing.
Answer this question truthfully,"The likely diagnosis in a middle-aged female presenting with these symptoms is Sjögren's syndrome. Sjögren's syndrome is an autoimmune disorder that primarily affects the salivary and lacrimal glands, leading to dry mouth and dry eyes, respectively. Other symptoms may include dysphagia, oral thrush, and dental caries due to the lack of saliva to protect the teeth and gums. Diagnosis may involve blood tests to look for specific antibodies and imaging studies to evaluate the salivary glands. Treatment may involve medications to manage symptoms, such as artificial tears and saliva, as well as immunosuppressive therapy to manage the underlying autoimmune disorder."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your description indicates that your menstrual pattern is totally disrupted and in such a situation, it is difficult to predict whether you have ovulated or not. the only way out to know if conception took place due to that sexual intercourse is to get an estimation of the serum beta-chatdoctor titles 2 weeks after the act. this is the earliest and most predictable way. you can also get a hpt not earlier than 3 weeks after the incident. a trans-vaginal sonogram at the same time also helps. if negative, make sure your hormonal balance is returned too normal to ensure proper planning of contraception. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. they way you are describing your mothers breathing, possibility of chine strokes breathing is more. this is known as central breathing. it is commonly seen with brain diseases and sleep apnea. so your mom there should definitely consult sleep specialist first and get done detailed sleep study. she will also need detailed neurological examination and mri brain to rule out brain related diseases. if she is obese then she has to lose weight and stay fit and healthy. cpap (continuous positive airway pressure) machine will cure this breathing if it is due to sleep apnea. so first diagnose her and them start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have mild iron deficiency anemia.  so your raw is slightly high, and you have pencil cells.  continue with iron treatment. pinpoint rash may be due to some skin disease.  you need examination for that. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms could be related to possible cardiac arrhythmia. anxiety can not be excluded either.  but, before coming to this conclusion, i would recommend consulting with your attending physician for a physical exam and some tests in order to investigate the possible causes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. from your query, i suspect he may have gastric outlet obstruction or peptic ulcer. in gastric outlet obstruction, food can not pass through intestine from stomach due to obstruction. this results in accumulation of food in stomach and lead to recurrent omitting and abdominal pain. chronically it ends in loss of weight. there are many causes for gastric outlet obstruction. some are chronic peptic ulcer disease, gastric polyps and gastric cancer. it is essential to do an upper gi endoscopy to find the cause. also do h. pylori test. if it is a peptic ulcer disease with h. pylori, antibiotics and proton pump inhibitors like pantoprazole are the treatment. if it is found to be a polyp or cancer, it either needs removal or chemo and radiotherapy. depends upon the position and involvement and extent, treatment vary. kindly consult a gastroenterologist. hope this helps. take care. chatbot."
Please summerize the given abstract to a title,Signaling Through FcγRIIA and the C5a-C5aR Pathway Mediate Platelet Hyperactivation in COVID-19
Answer this question truthfully,"Excessive sweating Fever General ill feeling Jaw pain that comes and goes or occurs when chewing Loss of appetite Muscle aches Pain and stiffness in the neck, upper arms, shoulder, and hips Throbbing headache on one side of the head or the back of the head Scalp sensitivity, tenderness when touching the scalp Vision difficulties Blurred vision Double vision Reduced vision (blindness in one or both eyes) Weakness, excessive tiredness Weight loss (more than 5% of total body weight)
Other symptoms that may occur with this disease:
Bleeding gums Face pain Hearing loss Joint stiffness Joint pain Mouth sores
About 40% of people will have other, nonspecific symptoms such as respiratory complaints (most frequently dry cough) or weakness or pain along many nerve areas. Rarely, paralysis of eye muscles may occur. A persistent fever may be the only symptom."
Please summerize the given abstract to a title,Alu retrotransposons and COVID-19 susceptibility and morbidity
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. i understand your concern. first be reassured that your kid is normal. i will suggest you danger signs of head injury -1. vomiting continuously2. seizures3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. if none of them are present, i don't think you should worry about his trivial head injury. for pain, you can give oral paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Beyond COVID-19 deaths during the COVID-19 pandemic in the United States
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. treatment for painless lump on the penis-in my opinion you seem to have infected hair follicle causing lumps on the penis due to spreading infection to nearby follicles.hence, stop worrying about it but do check it up from er surgeon. for final diagnosis and treatment needs clinical data from a doctor. and hence for further treatment i would advise you to consult er surgeon, who would treat it accordingly. this advice is based on the facts from the history you give and needs further clinical check.hence, i would advise you to check with er surgeon. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. hope this would relieve your problem. welcome for any more query in this regard to chatbot. write good resume and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
Answer this question truthfully,Activating β adrenergic receptors causes increased levels of intracellular cAMP.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. yes, this sounds like abdominal hernia indeed. due to muscles and tendons weakness, abdominal cavity organs (fat most likely) can get out of it and cause a lump. hernia lump is usually less visible when lying down and gets more visible when standing up or coughing. i suggest you to consult general surgeon and have physical examination. hernia can be fixed with surgery. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,yes, it is safe to take the above medicines. a lot of women feel that in early pregnancy any and every medicine has to be avoided, but please remember that maternal ill health can also affect the baby. so if you are having a throat infection which is not improving better to take the medications and get well soon. off course the first 12 weeks of pregnancy are very crucial in the development of the fetus and any external factors should be avoided, but if the mother is unwell and will need medications it is important that the antibiotics and cough suppressants are taken in proper dosage immediately. all the medicines mentioned above are safe to be taken in pregnancy and should not concern you. get well soon. hope this helps. regards."
Please summerize the given abstract to a title,The importance of supplementary immunisation activities to prevent measles outbreaks during the COVID-19 pandemic in Kenya
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot high viscosity of semen or prolonged liquefaction could b due to various reasons and leads to infertility due to poor sperm transport. you have not mentioned the abstinence period before giving the semen sample. long duration of abstinence may cause high viscosity of semen. try to give semen sample after 2 days of abstinence. according to this report all other sperm parameters are within normal limit. as infection is one of the important causes which leads to high viscosity, get a semen culture and sensitivity done (although pus cells are within normal limit in this report).  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi shikarpur concern is an chatbot.  continue minoxidil 5%, once daily bedtime as long as you wish even after hair transplant.2. it will enhance nutrients to hair follicles.3. consider using finasteride tab after consulting a dermatologist nearby you. it will fetch you good results4. you can plan for hair transplant in complete bald areas.5. have reviews about prp and plan for few sessions accordingly.6. prefer protein rich diet. this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  i do hope that you are undergoing psychiatric treatment for dementia. but that is not enough. many researches and researchers confirm that medicines alone cannot cure mental disorders. lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"The anxiety disorder that is characterized by recurrent, unexpected panic attacks is called panic disorder."
Please summerize the given abstract to a title,The Myotis chiloensis Guano Virome: Viral Nucleic Acid Enrichments for High-Resolution Virome Elucidation and Full Alphacoronavirus Genome Assembly
Please summerize the given abstract to a title,Rhinovirus C Infection Induces Type 2 Innate Lymphoid Cell Expansion and Eosinophilic Airway Inflammation
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the pain caused by the herpes zoster viral infection will be very severe and untolerable. the virus will remain dormant for many years following the infection and whenever the immunity comes down it will activate and produces the symptoms like blisters, rashes and excruciating pain. the antiviral chatbot. it is a self limiting disease it will come down by itself. i would advise you to follow1. antiviral"
Please summerize the given abstract to a title,Continuous manufacturing technologies in upstream pharmaceutical supply chains: Combining engineering and managerial criteria
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in the current scenario, it appears that you have been experiencing hormonal imbalance following the demo shot. you may need hormonal supplementation for a couple of cycles, and please discuss with your doctor about this. if you are planning to conceive now, it is essential that your ovulation status is regularized to give you good and early results. to confirm/exclude pregnancy, you may go for the blood test. hope your query is answered. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of stress and anxiety related chest pain is more likely. but better to first rule out heart diseases because you are having left sided chest pain. so get done ecg and 2d echo. if both these are normal then no need to worry about heart diseases. better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",you probably had an attack of bronchospasm last night. you need to take bronchodilators at that time to get relief. such attacks are not common either due to cancer or due to chemotherapy. you need to get pulmonary function tests to check lung reserve. heaven is not know to cause such side effects. you probably had an allergic reaction. re check your diet and environment and list of medications carefully and try to identify the allergen which has precipitated the attack. be careful to avoid exposure to that allergen again
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are many medications that are not antiseizure medications which can be useful against tn such as tricyclics (nortriptyline, amitriptyline, desipramine, duloxetine, migraine), muscle relaxants (baclofen, tizanidine), and calcium channel blockers (verapamil, diltiazem, expletive).  tn is a very challenging problem to resolve.  i'm curious to know what they actually gamma knifed and hope that doesn't result in long-term chronic central pain syn chatbot.  no matter where in the brain they ablate nor for what reason. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Chest irradiation or prior cardiac surgery may lead to constrictive pericarditis due to scarring and fibrosis. Constrictive pericarditis is a condition in which the pericardium, the sac that surrounds the heart, becomes thickened and rigid, impeding the heart's ability to fill with blood. Chest irradiation or prior cardiac surgery can cause scarring and fibrosis of the pericardium, leading to the development of constrictive pericarditis. Symptoms of constrictive pericarditis may include shortness of breath, fatigue, and swelling in the legs and abdomen. Treatment for constrictive pericarditis may involve medications to manage symptoms, as well as surgery to remove or repair the affected pericardium."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have said that you have periodontal problem since long time, your dentist has prescribed you toothpaste president 5000 plus, it is fluoride containing toothpaste it contains 1.1 % sodium fluoride, it helps in prevention in dental caries and helps you in periodontal problems so go for it if your dentist has prescribed you, hope this will help you.  wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, he may have a form of dementia referred to as lewy body dementia or lewy body disease.  in this illness patients will often hallucinate.  they may also exhibit other behaviors such as unreasonable or unfounded fears, paranoia, the sense that people are following, watching, or even stealing from them.  if he's been tried on medications such as risperdal (risperidone), hall (haloperidol) he may get even worse, so i advise caution to the physician who may suggest this approach.  your best bet is to connect with a neurologist for an overall examination and review of the history to determiner what tests or imaging studies, as well as blood work, may be helpful.  i know you say that he has medications for memory, however, long term data has unfortunately not revealed very much efficacy of these medications and so approaches that are more proactive in getting him and keeping him involved in activities of a hands-on, as well as cognitive nature, may be helpful.  physical exercise is a terrific way to make things a bit more manageable aside from the cardiovascular and cerebrovascular benefits he may reap.  you may also look into dietary changes that include more antioxidants in his system and less complex sugars and carboy chatbot.  reduce saturated fats and oils, and you may witness some improvements. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. from your description, it seems you are having tina crisis, a kind of fungal infection. fungal infections are notorious for being persistent and recurrence if not managed properly. i would recommend you consult your dermatologist for proper management. i usually suggest a proper course of oral antifungals like fluconazole or itraconazole along with antifungal cream like fluconazole for local application. additionally, use antifungal dusting powder to keep those areas chatbot.  take antihistamines as required for itching. maintain hygiene and avoid tight undergarments. hope this will take care of your problem. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. by your history and description, possibility of bronchitis is more. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of bronchitis. it will also tell you about severity of the disease. and treatment of bronchitis based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid. if pft is normal than no need to worry much. stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright. first rule out bronchitis. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sp, let me explain the cycle for you to understand use of the medicine. for a lady with cycle of 28 days, around 6-7 follicles (eggs within them) are put forward. out of these only 1 will rupture in normal cycle, multiple if stimulated with hormone injections. around 13-14th day of periods(around 18-24\u00a0mm size), the follicle will be right size to rupture & push the egg out, it stays alive for 24 hrs. this is the time you should have intercourse & sperm meets egg. it forms the baby/ embryo. once follicle ruptures, remains of the follicle will produce progesterone hormone which will act on inner lining of uterus & make it right thickness for baby to sit, further it will maintain the embryo in uterus & prevent early pregnancy bleeding/ abortion. this support is required till 12 weeks of pregnancy, when the placenta appears. austen is this hormone progesterone. especially in pod these hormones are not well-formed naturally, so supplementation is required. i don't see any use of that follicle of 34 mm. once more than normal range, they are not healthy. only when right sperm, meets the right egg, at right time, at right place, in right hormonal status of body & reaches right thickness of uterine lining will healthy baby occur. every attempt will not lead to pregnancy. you have to patiently try for the right opportunity. you will surely get it, as luckily you are ovulating in spite of pro. furthermore, you have a good chance of pregnancy hope i have clarified your overall the best chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot regarding your query you both have tried for a baby, but not successful,in majority of cases the defect lies in the female only... consult infertility specialist and for your self undergo semen analysis.in that they observe the count and motility.both are extremely for fertility.regarding your wife menses are normal,,,,then hormonal tests,mostly they were also come as normal...they will do follicular studies. then they test for fallopian tubes patency test,if they are blocked or closed, then they will try to open them. infertility specialist will help you in this regard. hope you are satisfied with my answer. have a baby shorthand you chatbot."
Please summerize the given abstract to a title,Understanding Who Uses Whole Health Services: A Program Evaluation
Answer this question truthfully,The congenital anatomic defect that involves the extension of dura into the sella and leads to hypopituitarism is referred to as primary empty sella syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i went through your query. it is unusual to have so much pain and swelling after root canal therapy. if your right eye is black and blue- it definitely suggests sodium hypochlorite extrusion into the bone. swelling should come down in 4-5 days. if swelling doesn't subside in 4 days u should contact the dentist immediately. for the time being, i suggest - augmenting 625\u00a0mg three times daily(if you are not allergic to it) and tab enzoflam three times daily. apply ice packs from outside hope this helps."
Answer this question truthfully,"The majority of patients with folliculitis remain asymptomatic however sometimes it presents with pruritic or painful erythematous papule or pustule that is a self limiting entitiy. If left untreated,occasionally folliculitis may progress to develop furuncle. Multiple furuncles can coalesce to form carbuncles that become painful and fluctuant after several days.Sometimes rupture do occur with the discharge of pus and necrotic material. Common complications of folliculitis include cellulitis, furunculosis, scarring, sinus tract formation, permanent hair loss and recurrence in some cases. Sometimes,in dark skin people, folliculitis often resolve with post-inflammatory hyperpigmentation, which can take months to years to fade completely. Prognosis is generally excellent if the causative agent is accurately identified and treated."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi
Answer this question truthfully,"Unlike impetigo, ecthyma can sometimes result in scarring."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. based on your symptoms, we need to exclude a diagnosis of carpal tunnel syn chatbot.  where the median nerve (of hand) is compressed at the level of wrist. the diagnosis can be confirmed by nerve conduction studies. treatment would consist of gabapentin capsules. in some cases, a minor surgery may be required. please get back if you require any additional information. best wishes,"
Answer this question truthfully,"-vaptans (tolvaptan, conivaptan) are medications that are used to treat conditions such as hyponatremia, but they can also cause the adverse effect of hypernatremia, which is a condition characterized by high levels of sodium in the blood. This is because -vaptans work by blocking the action of a hormone called vasopressin, which can lead to increased excretion of water and a rise in sodium levels. Patients who are taking -vaptans should be monitored closely for this potential adverse effect and should discuss any concerns with their healthcare provider."
Please summerize the given abstract to a title,Associations Between Self-Reported Sleep Duration and Mortality in Employed Individuals: Systematic Review and Meta-Analysis.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Early response to COVID-19 in the Philippines
Answer this question truthfully,"The physical features of Fragile X syndrome is prominent around the time of puberty. Physical features include:
Large and protruding ears Elongated face Macroorchidism (large testicles in men after puberty) Flat foot High Arched palate Hyperflexible finger joints Low muscle tone
The common features in child with Fragile X Syndrome include low IQ with learning difficulties (intellectual disabilities). Behavioral abnormalities includes stereotypic movements (e.g., hand- flapping) hyperactivity, i nattention, poor social interaction, limited eye contact and poor memory. Child with Fragile X syndrome often presents with developmental delay (including delayed attainment of motor and language milestones). Approximately, 20% of boy with Fragile X syndrome develops seizures (mostly simple or complex partial seizures)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, diagnosis of disease does not confirm yet, seven-day fever can occur in typhoid fever, urine infection, etcetera so needs to repeat some blood test as complete blood count (cbc), tidal, blood culture, urine culture. after the test report, we will find the diagnosis, treat accordingly. cal pol is a safe medication, can be used for weeks in dosage prescribed by your doctor. hope i have answered your query. let me know if i can assist you further. regard,"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. sinece it has been from years together over 12 years - the probable cause could be benign lump in the testis.2. it should be started with examination and an ultrasound that would help.3. ultrasound will help to evaluate the nature of the lump, its source and where all it is extending. 4. if necessary you need to get an fnac - fine needle aspiration cytology done to know the nature of the cells involving.5. depending on the findings' treatment will go on. good luck. hope i have answered your query.anything to ask do not hesitate. thank you."
Please answer with one of the option in the bracket,A: Temporal arteritis
Please summerize the given abstract to a title,Largest democracy in the world crippled by COVID-19: current perspective and experience from India
Please answer with one of the option in the bracket,A: Check prolactin levels
Please summerize the given abstract to a title,The Consequences of the COVID-19 Pandemic on Smoking Behaviour: Evidence from the English Longitudinal Study of Ageing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. i have gone through your query and can understand your concern. as per your complaint it seems that the symptoms that you are experiencing are due to side effects of medications like antibiotics and painkillers that you are taking post extraction. it is a commonly seen side effect that is seen in some individuals provided you do not have medical problems. the symptoms are however temporary and will resolve once the medicine intake will be stopped.also, if it is already 3 days and if the extraction was simple and not traumatic you can even stop taking antibiotics after consulting your dentist. you should consult your dentist and get evaluated, and he can either reduce the dose of medicine or change the medicine. as of now chatbot. . take a nutritious and light diet. hope this information helps. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear , scotts, thanks for the query to my chatbot virtual online clinic.it's my pleasure to help you. after the in depth study of your query my diagnosis -lymphoma? or lymphadenitis-tb- due to 2 yrs history?. the numbness down the elbow is mostly due to the growing arm-lump and is a cause of concern for you. so i advise consultation with surgeon, who would treat it appropriately. the odor is normal due to saddening infection locally in the armpit. report to surgeon urgently.don't worry and act fast. this would solve your worrisome query. hope this would solve your query. wellcome to my chatbot clinic once again. have a good day."
Answer this question truthfully,Linezolid is the antibiotic that binds to the 50S ribosomal subunit and inhibits the formation of the initiation complex.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in the current scenario, please do get the pregnancy test done as you definitely need it and hope for the best. if you cannot read the urine test properly, you should go for the serum beta-chatdoctor titles along with a trans-vaginal sonogram to clarify the issue. the spotting could possibly be due to an implantation bleed, but, it needs to be clarified. if pregnancy is excluded, you could be having slight hormonal imbalance which is common now and then whenever there is some stress, infection, weight disturbance etc. such a disturbance usually gets corrected spontaneously. hope this helps."
Answer this question truthfully,"When testing for mixed cryoglobulinemia with the cryoprecipitation test, positive results are possible within 72 hours."
"If you are a doctor, please answer the medical questions based on the patient's description.",your description of your daughters' problem shows that she has anemia which you think might be sickle cell trait or thalassemia. first test which can be performed is a reticulocyte count. if this is high it is a hemolytic anemia. a peripheral smear should be done which will make the picture clearer. a bone marrow biopsy can be done to rule out plastic anemia or other bone marrow abnormalities. all these tests will help you to narrow down the diagnosis
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regarding the current issue of facial numbness and mild headache, i think it is safe to say that you can wait till your appointment with your neurologist next week, in order to discuss the issue with.  however, if you develop acute deterioration of your symptoms like loss of vision, one-sided body and/or facial paralysis, speech problems you have to visit the nearest emergency room.  hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,Pericarditis is a cardiac pathology that can be a consequence of uremia or renal failure.
Please summerize the given abstract to a title,Respecter les normes et posséder un sens du spectacle en communication orale en sciences: les deux aspects du sentiment d’efficacité personnelle d’étudiants postsecondaires en sciences
"If you are a doctor, please answer the medical questions based on the patient's description.","please indicate whether your hair loss is patchy or generalized. it would be good if you post some pics of the affected region. it looks more in favor of alopecia area ta which is generally a self limiting condition, but it can take several years to recover without treatment. you need not get anxious as there are effective remedies available to treat your problem even if it is something different from al area ta."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of your husband. as he has blood pressure and gout, he shouldn't be stopping his blood pressure medication. as most blood pressure medications are diuretics, and they help to remove most of the uric acid out of the body as the gout is a condition which is due to high levels of uric acid. in my personal opinion medicine shouldn't be stopped and for helping him understand this a physician should be met. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ms bight, dicorate er is extended release sodium valproate, one of the main mood stabilizers prescribed in bipolar disorder. usually it is used even after the patient recovers completely so that neither mania(excitement) nor depression comes back. the duration of continuation of decorate depends on various factors like number of previous attacks, severity of previous attacks, family history of psychiatric disorders etc. like all other medicines decorate also has side effects. the commonest among them are hair loss, reduced platelet count, pancreatitis, gastritis, nausea and vomiting and raised liver enzymes. most of these are rapidly reversible and some of these are dose-dependant and very unlike to appear at a dose of 500 mg daily."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum. aplastic anemia is an serious disorder but with prompt and proper care, many people who have plastic anemia can be successfully treated. blood and marrow stem cell transplants may offer a cure. the cause has to be found out and treated. if your periods are regular there may be many reasons to it, in your case it could be stressed of the disease which may cause amenorrhea. kindly get yourself evaluated by a gynecologist to rule out the exact cause so that you may be prescribed hormonal preparations to bring back your periods. wish you good health and good luck. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello report suggests borderline increased size of liver. it may be due to many reasons like infection, medications etc. it is important to know about alcohol intake, obesity. you need few other investigations like routine hologram, random blood sugar, complete liver function, lipid profile etc. it is good that echo texture of liver is normal. treatment for an enlarged liver depends upon the cause. other organs like gall bladder, pancreas,spleen and aorta are normal. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query at chatbot! i am infectious disease specialist! i went through your query! your fever has been persisting beyond 2 weeks. i suggest evening rise mostly is due to tuberculosis. get investigated for hologram, esr, chest x-ray and sputum culture. rule it out first to thing other differential diagnosis. happy to take more queries! you can also write a review for me. if you would like some more information, i will be happy to provide. take care!"
Answer this question truthfully,"Conversion of glyceraldehyde-3P into 1,3-BPG (glycolysis) produces a molecule of NADH."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi just read about your mothers condition. you have said that all her joints are swollen so then if it's the small joints of the hands with the other major joints you will need to check out for rheumatoid arthritis even though she is much older. swollen joints need elastic bandaging after pain cream applications. cold packs may be applied if the swelling is recent.in case this has been going on for a while then the hand and feet can be immersed in warm salt water for a while. excessive swelling means fluid collection which needs to be aspirated by a needle. apart from the regular painkillers she will need medications like celecoxib or meloxicam.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. since you know why it has happened, and it is not due to disease, discoloration of your penis is something you may accept as a part of yourself. please do not get worried and do not let your mind get preoccupied with it. however, you may choose to consult a dermatologist and get an opinion on procedures available locally, but that is just to give it you a cosmetic advantage."
Please answer with one of the option in the bracket,C: Cystoscopy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i do appreciate your concern for your brother. from what you have mentioned, your brother is having obsessions of doubts with checking compulsions. that's what is making his do things he is currently doing. you should seek a psychiatric consultation for him. treatment with medications like fluoxetine would be effective for him. in addition, he can also consider option for cognitive behavior therapy in form of exposure and response prevention. this will consist of multiple sessions focusing on overcoming the obsessions and learning to control them. it is a highly effective treatment option for obsessive compulsive disorder. i do hope that i was able to answer your query. wishing your brother speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the facts that you have posted it seems that your 4 months old son has metal stenosis the meats being covered with septum.however, precise diagnosis can be made only after clinical examination by a qualified general surgeon. he would dilate the ages of the foreskin gently and teach you to retract his foreskin gently every day while giving him bath, this will prevent him from developing mitosis. chatbot."
Please summerize the given abstract to a title,Fatal cerebral haemorrhage after COVID-19 vaccine.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with an orthopedic surgeon. that \""lump\"" on your left calf might just be an inflammatory reaction secondary to your strenuous activities, but it could also be a lump with an underlying pathology. a complete physical examination by your physician would be of great help. diagnostic evaluation such as an mri might also be indicated. hope this helps. good day!!~ chatbot."
Please summerize the given abstract to a title,Integrating trials into a whole-population cohort of children and parents: statement of intent (trials) for the Generation Victoria (GenV) cohort
Please summerize the given abstract to a title,A main event and multiple introductions of SARS-Cov2 initiated the COVID-19 epidemic in Greece.
Answer this question truthfully,Chlamydia trachomatis and Neisseria gonorrhoeae infections are the most common causes of acute cervicitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! looks like your wife has developed bronchospasm (constriction of her airways) due to metoprolol. also, her heart rate is 59 (bit below normal). hence, kindly review with your physician regarding the reason for starting on metoprolol (a beta blocker)and discuss regarding feasibility of shifting to some other safer medication. for symptomatically benefit for her breathing difficulty she might bronchodilator medications (chatbot."
Please summerize the given abstract to a title,Cholesterol Supplementation During Production Increases the Infectivity of Retroviral and Lentiviral Vectors Pseudotyped with the Vesicular Stomatitis Virus Glycoprotein (VSV-G)
Please summerize the given abstract to a title,"Rapid, accurate, precise and reproducible ligand–protein binding free energy prediction"
Answer this question truthfully,Amantadine and rimantadine are the two anti-influenza drugs that inhibit the M2 channels.
Please summerize the given abstract to a title,Transparency in Online Pedagogy: A Critical Analysis of Changing Modalities
Answer this question truthfully,Advanced maternal age is a potential risk factor for fetal growth restriction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern, this is an allergic constitution if i would be his doctor then i would surely treat him with the following treatment, 1) tab loratadine one tab three times in day2) tab prednisolone 20 mg three times in day for three day (reduce the dose by 10 mg every after third day till you reach the last dose of 10 mg three times in day for three days) after this regime it is better to have tab grenadine once in day for three months, hope this information helps you, have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should undergo culture, sensitivity and grams staining from the infection site. this test will tell you about the exact pathogen in it and its sensitivity status. once you have report exact treatment is possible. complete treatment can cure your infection. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Please summerize the given abstract to a title,"Early containment of severe acute respiratory syndrome (SARS); experience from Bamrasnaradura Institute, Thailand."
"If you are a doctor, please answer the medical questions based on the patient's description.","hey, these types of therapy like ozone therapy to treat blockage in heart vessels are not approved, and their efficacy is not yet proved by any study. still peoples are conducting this. i being a cardiologist do not recommend this and recommend you to take a decision for cabg(by pass surgery) which is a very good surgery and has excellent long term prognosis. it might sound little fearful for the patient as it is a major surgery but believe me it has very good results if the patient is fit for surgery. so you have to think over again & make a decision which is good for your health. thanks chatbot."
Please answer with one of the option in the bracket,B: Overflow incontinence
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting your query to chatbot. as i understand you are suffering form some kind of genitourinary system disease. catheterization is a predisposing factor for development of infection. antibiotic treatment only is not effective for relief .you need to change the cathay as and when required after examination by your surgeon. but if you are not getting relief you can try medically fosfomycin for treating enterococcus after consulting to your surgeon. for pain and discomfort fanatic acid with dicyclomine can be taken. for rest of the problem your neurosurgeon will guide you .take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","lady oral contraceptive pill are regular contraceptive pills. they have to be started ideally from second day of the menses and taken throughout the menses regularly. random consumption of these pills does not give you protection against pregnancy. to use them as post-coital contraception pill, the dose would be much higher, which you have not taken. now the best option for you is to wait for your menses. if you do not get them, then wait for further 8-10 days to get urine pregnancy test and/or ultrasonography to detect the pregnancy. these tests done earlier may not give reliable results. beta-chatdoctor tests are highly specific and sensitive. their results are reliable even 2-3 days after missed period. if you are pregnant, and you do not want pregnancy, you may terminate your pregnancy by medicines also. they terminate pregnancy safely up to 9 weeks of gestation. please remember these medicines have to be taken by obstetricians advice and under his/her observation lest the risk of incomplete abortion and/or infection. please do not take these medicines over the counter. i hope i have guided you fully."
Please summerize the given abstract to a title,[Compassion fatigue: an inevitable reality in the context of a pandemic crisis ?]
Answer this question truthfully,The recommended treatment for sphincter of Oddi dysfunction is sphincterotomy.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. history noted. i would suggest for a simple test of fnac= fine needle aspiration cytology. this will help immensely to confirm or rule out a sinister problem of lymphoma. blood picture would help for leukemia. towards the back of the jaw can be more of a parotid swelling than the lymph node. the treatment will be totally dependent on what will be reports.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, many patients have pfo, and it may be found during a routine examination with cardiac ultrasound. since you have had symptoms, especially in your pregnancy it may be considered to close this defect.  your heart looks in great form. the closure may be done without surgery, with a device that can go there through cardiac catheterization from an interventional cardiologist. it is less invasive and more safely. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your query, you have symptoms of lump on the upper palate. well, there can be many reasons for your condition such as muscle, constant irritation of mucosa, tooth infection, torus palatines, and sometimes cancerous condition. need not worry. i would suggest you avoid intake of sharp and spicy food. do not touch or press it. maintain complete oral hygiene. you should consult an oral pathologist for proper examination. the doctor may order ct scan, blood test, biopsy and examine it physically. the doctor may further extend the course of antibiotics along with the anti-inflammatory chatbot.  get it examined properly once and start treatment accordingly. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear friend if two test regarding pregnancy gives negative result then as a rational clinician i would say first you have to check whether you have urinary tract infection. because urinary tract infection almost always cause low abdomen pain.to confirm you have to undergo a routine urine microscopic check-up. tenderness in your breast has no relation with your urinary tract infection. perhaps brest engorgement due to hormonal disbalance is behind this condition. so don't worry too much on these.a general clinical check-up is what you need to get a fair idea about the cause of such breast tenderness and low abdominal pain.
Answer this question truthfully,"To decrease the risk of Zika virus infection in pregnant women, it is recommended to avoid travel to endemic areas."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. hay fever can be only prevented and controlled, but it is not possible to get rid of it completely. you can start taking tablet. montelukast with levicetrizine combination once a day 15 days prior to the season and continue it for 2 to 3 months as desired. along with it, you can use nasal corticosteroid sprays and decongestants to relieve nasal and throat symptoms. oral corticosteroids like prednisone can be taken for acute conditions and can be stopped by tapering the dose. best treatment for hay fever is to avoid substances that cause allergic reactions. hope the information provided would be useful. all the best and wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is hypersensitivity reaction in your body due to allergen (sap). so don't waste time and immediately take pheniramine male ate tab (evil)stat along with anti-histaminic twice a day with raiding for 3 days.  if the symptom aggravates like generalized rashes, etching, breathing difficulty, sweating, palpitation, chest discomfort etc. then don't waste time and rush to emergency dept for injectable steroid, evil, beta 2 agonists if required and other supportive management.  thanks n regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. the pathology of the enlarged node might not be possible to confirm only clinically without a fnac (fine needle aspiration cytology) or a biopsy. the pain to the ear might be due to involvement/pressure of sensory nerve supplying the ear due to the enlargement of the nearby lymph node. till the diagnosis is confirmed, i would advise you to go for an anti-inflammatory chatbot.  however, i would also advise you to get it assessed by a general surgeon at your earliest. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"I'm a 72 year old female, and have diverticulosis,gastritis, and esophagitis.  I tried to see three different doctors today, but all were booked.  I honestly don't know what to do.  It hurts in my chest, and I can hardly talk.","To treat gastritis caused by medications, such as aspirin, ibuprofen, or naproxen. your doctor might recommend stopping medications. Antibiotics may be used to treat chronic gastritis caused by infection with Helicobacter pylori bacteria. Your doctor might also recommend drugs that decrease the amount of acid in the stomach, such as antacids and proton pump inhibitors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i hope you are taking regular treatment for knee arthritis. i would recommend you following.1. avoid squatting and sitting cross leg.2. hot water fomentation.3. static qua chatbot. 4. volini gel local application5. tablet etoricoxib one daily at nighttime.6.calcium and vitamin d 3 regularly.  i hope these steps will be helpful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Development of a Clinical MALDI-ToF Mass Spectrometry Assay for SARS-CoV-2: Rational Design and Multi-Disciplinary Team Work
Please summerize the given abstract to a title,Motor adaptations to unilateral quadriceps fatigue during a bilateral pedaling task.
Please summerize the given abstract to a title,[Comment] Treatment strategies to fight the new coronavirus SARS-CoV-2: A challenge for a Rubik's Cube solver
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, understanding your concern. as per your query, you have symptoms of itchy scalp and hair fall which could be due to improper hygiene of scalp, nutritional deficiencies, dan chatbot.  need not worry. i would suggest you apply minoxidil solution and do oiling of scalp regularly. you should consult dermatologist once and get it examined.  you should get your hemoglobin, serum ferritin levels, serum vitamin b12, and serum vitamin d levels monitored and start treatment accordingly. avoid excessive exposure to sunlight and avoid using hard chemical containing shampoos. hope i have answered your query. let me know if i can assist you further.  take care"
Please summerize the given abstract to a title,An Insulin-Sensitive Circular RNA that Regulates Lifespan in Drosophila
Please answer with one of the option in the bracket,B: Endoscopy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernfirst you have to find the cause of the irregular period. as per treatment given, i think you have pcs that cause hormonal imbalance and infertility issue. you are on the correct treatment. metformin"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have gone through your query. i am really glad to know that you have stopped taking alcohol. congratulations on getting a government job coming to your problem, based on the symptoms you have mentioned it could be due to panic or anxiety disorder. it is just the environment and the work pressure at the place where you worked before(oneida company) that made you feel insecure. this insecurity leads to anxiety and panic attacks where you feel very nervous about even small things thinking too much about the consequences. you absolutely normal. you need not worry about the same being repeated at state government job. furthermore, you can happily take up the offer. furthermore, you don't even need medication. just forget about your life at oneida company. if you don't leave that, that keeps bugging your mind. be confident and just say to yourself that everything is going to be ok. as you have mentioned that your wife is a doctor, just share all your problems with her.  try to meditate. just because you were over pressurized in the previous job, it doesn't mean that you face the same kind of challenge everywhere you work. one more thing i would like to advice you are regarding tobacco chewing. please stop chewing tobacco as i would take a toll on your health. try nicoletta chewing gums. chew a gum whenever you feel like chewing tobacco. as you have stopped alcohol i think i won't be difficult to get rid of this addiction as well. you don't need any medicines at this stage. what is your need is a bit of counselling and a quality time with your family(they will always stand by you at all times).  stay positive and your life will definitely be beautiful. wish you a healthy life. take care"
Please summerize the given abstract to a title,ReSCoSS: a flexible quantum chemistry workflow identifying relevant solution conformers of drug-like molecules
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. there are two conditions because of which you can experience this metallic taste plus burning sensation on tonguefirst it can be possible that you are having burning mouth syn chatbot. second it can be possible that you are having a geographic tongue, it also causes burning sensation. on both the cases you have to start with good antioxidant.  better you consult a good oral medicine specialist. hope it will help you."
Please summerize the given abstract to a title,"The Virus, the Settler, and the Siege: Gaza in the Age of Corona"
Please summerize the given abstract to a title,Perception of Cosmetic Procedures among Saudis during COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi & welcome. it is suggestive of reynolds phenomenon. raynauds phenomenon is an important complication of lupus due to spasm of the smaller digital vessels of the fingers or toes. it causes the blood vessels of the hands and feet to spasm, especially upon exposure to cold. the blood supply to the fingers and/or toes then becomes compromised, causing blanching, whitish or bluish discoloration, and pain and numbness in the exposed fingers and toes. in view of the above i advise you to consult your treating doctor for further evaluation and possible use of certain medications like calcium channel blockers to prevent this complication. hope this will help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how do you do ? let me give you the positive part, you are still 31 yrs, till 35 yrs every lady has good chance of pregnancy. if your periods are irregular, it means you are not ovulating every month on time. this could be due to overweight - your weight has to be weight(in kg)= height (in cms)-100eg- if height 160cms, 160-100= 60-65 kg is expected weight. once you reduce weight to normal range, you won't need any medicine to get periods or to get pregnant & pregnancy will be healthy. to reduce weight -no fasting, no junk food/ fast foods/ red meat, reduce snacks in between mealshave low calories' food, high proteinsregular exercise, aerobics, yoga, brisk walking try to reduce 2-4 kg / month. don't hurry on weight reduction, it will be difficult to maintain. as soon as you reduce at least 5 kg, you will see changes. even if you are in normal weight range, try this schedule, it will help. other possibility is abnormal thyroid profile or serum prolactin level. this can be corrected by medications. any treatment for pregnancy needs correction of these problems as a pre-requisitetube is the bridge between uterus & ovaries, where the egg meets the sperms & baby is formed, from here the embryo moves to the uterus. if this is blocked 1. open or by laparoscopically clear the block2. as you want to avoid the surgery, only option is ivf / csi. here you will be given hormone injections to stimulate more eggs. once they are ready they are pulled out of body under scan guidance. the same day husbands semen is collected & each egg is injected with one sperm. this forms in the embryo or baby in the lab. once the embryo is of right size, 1 or 2 embryo are kept back into the uterus. remaining embryos are kept frozen in your name. it is not by surgery, just like a scan. after delivery of baby, you can have next baby with this frozen embryo. you can keep having baby till the embryos get over. age of embryos will be your present age. embryos age will not increase with your age. so you can have pregnancy irrespective of your age hope i have clarified your queries , do write back if anymore queries the best chatbot."
Answer this question truthfully,Fluoroquinolones are the class of drugs that are first line in the treatment of Bacillus anthracis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is a 100% fatal disease but 100% preventable by proper and adequate treatment. dog is the known reservoir of rabies virus and can transmit rabies by biting. as you were bitten by your pet dog for which your doctor has advised in tt, anti rabies vaccine by intradermal route and passive immunization by equine rabies immunoglobulin (eric) around the wound.eric is advised if there is bleeding from the site of bite. as you were bitten by your pet dog, i would suggest you to take three doses of anti rabies vaccine and to watch the dog for 10 days. if it is healthy you don't require serum. if dog develops any symptoms of rabies you need to take equine rabies immunoglobulin (eric) around the wound. thank you."
Please answer the letter of option truthfully,D
Answer this question truthfully,"Risk factors (conditions that increase your chances of getting pneumonia) include:
Cerebral palsy Chronic lung disease (COPD, bronchiectasis, cystic fibrosis) Cigarette smoking Difficulty swallowing (due to stroke, dementia, Parkinson's disease, or other neurological conditions) Immune system problem (See also: Pneumonia in immunocompromised host) Impaired consciousness (loss of brain function due to dementia, stroke, or other neurologic conditions) Living in a nursing facility Other serious illnesses, such as heart disease, liver cirrhosis, or diabetes mellitus Recent surgery or trauma Recent cold, laryngitis, or flu"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear spleen is a reticula endothelial organ. and it has few important function one is synthesis of antibodies and removal of antibody coated bacteria from the circulation. so increase in these function that happens in sickness may result in splenomegaly same thing is with liver also has cells that act as part of reticula endothelial system, so there will be some enlargement of liver whenever there is any infection in body. and as the infection will resolve it will be become normal again in size.so we can say its bodies normal response against infection. no need to worry about that if they have mentioned only hepatosplenomegaly only. hope this will help."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, in your case angiography is needed. and if block is there than angioplasty is needed. you had heart attack in 2007.  so you are having high risk for cardiac diseases. you are also having chest pain at present. so possibility of coronary artery disease is more in your case at present. and for the diagnosis of this, angiography is must. angiography is not only diagnostic, but it will also cure the obstruction by putting stent (angioplasty). so better to get done angiography and if needed angioplasty. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,Envisioning Educational Product User eXperience Through Participatory Design Practice
Answer this question truthfully,"β1-blockade results in decreased contractility, which in turn leads to a reduction in stroke volume (SV). β1-receptors are predominantly located in the heart and are responsible for mediating the positive inotropic effect of catecholamines, such as epinephrine and norepinephrine. When these receptors are blocked by β1-blockers, there is a decrease in the force of contraction of the heart, which reduces the amount of blood ejected per beat and ultimately leads to a decrease in SV. Therefore, β1-blockade is commonly used to treat conditions such as hypertension and heart failure, where reducing the workload of the heart can be beneficial."
Please summerize the given abstract to a title,"Isolation of human coronaviruses OC43, HKU1, NL63, and 229E in Yamagata, Japan, using primary human airway epithelium cells cultured by employing an air-liquid interface culture"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for contacting chatbot. i understand your concern. if no lump is there and mammogram is normal than you should not much worry. if still you have doubt in mind, you can consult surgeon. pain and fullness around your arm might be due to muscle pain. for that you can try simple analgesics like ibuprofen 400 mg 8 hourly. if you have trouble in raising hand, it might be frozen shoulder. you can consult physiotherapist for that. thanks."
Answer this question truthfully,The bacterial organisms vibrio vulnificus and aeromonas hydrophila may cause cellulitis related to freshwater/seawater exposure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot virtual clinic. i studied your query in all the details put forth by you. i understood your health concerns. but the query needs to be updated with more details, like-what is size/ hard or soft feel of the lumps under the armpit??is it your first period when lumps have got sore? any associated lump in the breast? what about the lumps along the bikini line in the groin (in the lemonade area)did you had any recent viral infection?(infectious mono viral)as the information about these lumps is not sufficient and as i don't have any first-hand information of these lumps as told above, i would advise you to consult er primary care doctor(pcp) or a surgeon, who would check it up and would rule out many other causes responsible for such lumps, and would treat accordingly. cause pf these lumps on the armpit-still from the data given from you, following causes need to be ruled out-- infectious mononucleosis viral infection or any viral fever / or acne with boils may cause such lumps. -if your period is to be related to these underarm lumps, then whether similar sore lumps are there in the breast(like fibroadenomas with axillary tail of the breast being affected with such a lump-a benign tumor of breast). moslty your lumps are of infective nature and need to be confirmed by second opinion from your doctors. to confirm other causes i would hence suggest you to consult er surgeon or pcp doctor. treatment-this would depend on the cause of these lumps, which would be decided by your treating doctor. if medicinal treatment is not useful from pcp, then er surgeon would do fnac biopsy with hpr, /x-ray chest/ct scan study and would fix the reasons and treat it according to its benign or malignant nature. so till the time you consult er pcp and or er surgeon and get his definitive opinion, don't worry at all about it being tumor, but you need to be worried as it would complicate into other problem associated with it. and act fast on the above suggestions, which helps you to plan treatment with your er surgeon. hope this would resolve your query with full satisfaction. welcome for any further query in this regard to me by direct question at chatbot. write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to chatbot. wishing you fast recovery. have a good day. chatbot. n. senior surgical consultant. m.s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, having unprotected intercourse during menstruation does not cause pregnancy as it is safe. the bleeding you are experiencing now is most likely due to the emergency pill usage. the bleeding should usually subside as the effect wears off. you may expect your next one or two cycles to be disturbed. if you do not attain your next period even after 10 days after it is due, you should consult a specialist for further suggestions. take care."
Please summerize the given abstract to a title,Estimating COVID-19 dynamics in Afghanistan
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain that his symptoms do not seem to be related to any cardiac disorder (including any heart attack). a pinched nerve could be the reason of the pain and numbness. a blood clot can not be excluded too. can you feel the pulse in his hand? is the hand warm and normal color? if there is pulse in the hand, and it is normal color and warm there is nothing to worry about, as we can exclude any possible blood clot. in such case, i would recommend consulting with his attending physician and performing a nerve conduction study to investigate for any pinched nerve. if the pulse is weak and his arm is cold, i would recommend going to the er for a physical exam, a doppler ultrasound of the arm vessels and some blood lab tests (complete blood count, d-dimmer levels, pcr, esr). hope you will find this answer helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorpregnancy is more natural phenomenon than the physiological one, and it is depends upon certain factors, like presence of ovum and the sperm at the time of intercourse (age is matter here) even one of these is absent then conception would not be possible, some time even after every thing is normal conception is not happening, but still try need to be continued, do not give off the hope, have a nice day, and good luck,"
Answer this question truthfully,The RDAI was tested for reliability by two of the original investigators. They reported weighted kappa of 0.9.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. i hope you have also done blood tests for thyroid function. increased thyroid hormones can give such symptoms. another reason can be abdominal tuberculosis, typhoid, chronic enteritis or colitis. you have to undergo the following tests"
Please summerize the given abstract to a title,Experience and satisfaction of outpatients in the development of a programme for home medication delivery
Please summerize the given abstract to a title,Does the robot navigation and intraoperative CT guidance help with percutaneous endoscopic lumbar discectomy: a match-paired study
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Salmonella Prevalence Alone Is Not a Good Indicator of Poultry Food Safety
Answer this question truthfully,Lesch-Nyhan syndrome is a medical condition characterized by hyperuricemia and can lead to skin picking or lip biting.
Answer this question truthfully,There are no CT scan findings associated with silent thyroiditis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have slightly high ast and alt levels.  it's not very high.  it can be due to some chatbot.  nothing to worry.  no treatment is required. just repeat your liver enzymes level after a month.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Virtual Gastroenterology Fellowship Recruitment During COVID-19 and Its Implications for the Future
Answer this question truthfully,"The most common non-surgical cause of primary hypoparathyroidism is autoimmune disease. In this condition, the immune system attacks the parathyroid glands, which are responsible for producing the parathyroid hormone that regulates calcium levels in the body. When the parathyroid glands are damaged or destroyed, they can no longer produce enough parathyroid hormone, leading to hypoparathyroidism. Other causes of primary hypoparathyroidism include genetic disorders, radiation therapy to the head and neck, and certain medications. Symptoms of hypoparathyroidism include muscle cramps, tingling or numbness in the hands and feet, and seizures. Treatment typically involves calcium and vitamin D supplements to maintain normal calcium levels in the body. In some cases, surgery may be necessary to remove or repair damaged parathyroid glands."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case.  due to microtrauma there may be fibrosis formation. you need to correct your ergonomics. do hot fomentation over sacrum. it will take weeks to months to subside. use ring cushion and take site bath [sitting in lukewarm water for 10 min]take analgesic like nicosia 90 once daily along with tab methylcobalamine 1500 mcg once daily consulting your doctor. if not relieved with all these methods then local injection may be required. you can take this consulting your doctor. clinically spinal origin of pain needs to be ruled out, if required mri spine can be done. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Answer this question truthfully,The recommended mode of delivery for a pregnant woman who is infected with HSV is via Caesarean section (C-section).
Answer this question truthfully,"What are some of the most common pathological changes that may be seen on a biopsy of a patient with giant cell (temporal) arteritis, such as the presence of intimal fibrosis, and how can these findings be interpreted in the context of other clinical and imaging data to help diagnose and classify the disease? Additionally, what are some of the treatment options available for managing giant cell arteritis, and how can these interventions be tailored to the specific needs and circumstances of each patient, such as age, overall health, and comorbidities?"
Please answer with one of the option in the bracket,E: Epinephrine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the best thing to do in the current scenario is to go for an estimation of the serum beta-chatdoctor titles and a trans-vaginal sonogram. this will conclude beyond doubt if there is any pregnancy. a complete hormonal profile also will help to check if there is any imbalance consequent to the nearing with chatbot.  please take the help of a specialist in person to help you conceive. ovulation may return in a couple of cycles and can be detected by accurate measurement of basal body temperature from day one of the cycle and also through follicular studies. hope this helps."
Please summerize the given abstract to a title,Outcome Measurements for Pain Relief in Elderly Patients with Spinal Stenosis Undergoing Epidural Steroid Injection: Is Conservative Approach an Option?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctorabscess in the surgery site is most commonly caused by left over sutures. so, the best way to treat it, is removal of these sutures. you complete your full course of antibiotics first, then only after infection has come down, surgery can be planned. if the suture material is not taken out, it will cause repeated infection and worsen the condition. hope you are happy with the answer. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... i don't think this is related to the prevent vaccination. this looks like a viral illness. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
Please answer with one of the option in the bracket,B: Cauda equina syndrome
Answer this question truthfully,LH (Luteinizing hormone) is responsible for developing a single dominant follicle.
Please summerize the given abstract to a title,"E-learning: Depression, anxiety, and stress symptomatology among Lebanese university students during COVID-19 quarantine"
Answer this question truthfully,"The main purpose of the surgery is to improve tricuspid valve function and there by increase the right heart output which can be accomplished by partial or complete closure of any interatrial communication, repair or replacement of the TV, and reduction of RA size.    
{{#ev:youtube|QjfJK1zY7BM}}"
Answer this question truthfully,"Pregabalin is a gabapentinoid that works by binding to the α2δ subunit of N-type voltage gated calcium channels. By doing so, it reduces the release of certain neurotransmitters, such as glutamate, substance P, and noradrenaline, which are involved in the transmission of pain signals and the development of anxiety and seizures. This mechanism of action is thought to underlie the therapeutic effects of pregabalin in conditions such as neuropathic pain, epilepsy, and anxiety disorders. However, as with any medication, the specific indications and dosages for pregabalin should be determined by a healthcare provider based on individual patient factors and medical history."
Answer this question truthfully,Prognosis of the disease is poor with a mean survival of 30 years. Prognosis is worse for X-linked and autosomal recessive forms compared to autosomal dominant form.
Please summerize the given abstract to a title,Open staple diverticulectomy for a large recurrent Zenker's diverticulum: still a valid procedure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to the injury. i suggest using cold compresses it the injured area. i also suggest using a painkiller to relieve the pain such as acetaminophen. you can go and get evaluated after finishing your shift. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Please summerize the given abstract to a title,Effect of restrictions imposed due to COVID-19 pandemic on the antenatal care and pregnancy outcomes: a prospective observational study from rural North India
Answer this question truthfully,"Treatment is symptomatic and supportive and includes treating pneumonia, curvature of the spine and respiratory infections if present. Also, physical therapy, orthotic supports, and rehabilitation are useful. Genetic counseling is imperative."
Answer this question truthfully,"Poliovirus can cause respiratory insufficiency. This is because the virus can attack the motor neurons in the brainstem, which are responsible for controlling breathing. As the virus damages these neurons, the affected person may experience difficulty breathing, which can lead to respiratory failure in severe cases. This is one of the most serious complications of poliovirus infection and can be life-threatening. Other symptoms of respiratory insufficiency may include shortness of breath, rapid breathing, and cyanosis (bluish discoloration of the skin and mucous membranes due to lack of oxygen). Vaccination is the most effective way to prevent poliovirus infection and its associated complications, including respiratory insufficiency."
"If you are a doctor, please answer the medical questions based on the patient's description.","this at least will help you to understand better the physiology of kids body. its important that you understand that you are brought to us pieces of a great puzzle.1)color stool frequently it's a result of what child are eating. example if he has a diet with lot of milk this can cause constipation and more white color. otherwise, this color can be a result of a food allergy or intolerance. or worst like born damage inside his liver.2) fever it's a sign not a disease, the most common cause are virus infection.3) yes could be bug bites. below 5 years kids has they skin with hypersensitivity, so cold or heat could do this too.4) when a child is with fever inside his body is created a substance that makes they eat less. 5)sleeping is a mix of genetic and environment, the range could be of fewer hours until 16 hours per day. i agree with you, its very important that parents be advising to do an appointment with a pediatrician to see if the child is growth and developing well."
Please summerize the given abstract to a title,From the Role of Microbiota in Gut-Lung Axis to SARS-CoV-2 Pathogenesis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the miscarriage in first pregnancy might not always hinder for further pregnancy. there are various causes of abortion. and as per your information the miscarriage was due to genetic problem. usually after miscarriage a gap of at least 3 months is essential to plan for next pregnancy. as it was a genetic problem you both the partners might need to undergo karyotyping to rule out any chromosomal anomalies. if you both are normal and that problem might not recur in further pregnancy. also take folic acid tablet daily one starting from one month before planning the pregnancy. nothing to worry. as most of the genetic anomalies does not recur. and abortion is the natural way of termination of abnormal embryo. so consider getting done karyotyping for both of you and start folic acid prior to planning of pregnancy. and a gap of 3 months is needed. bus journey daily might not affect. but once the pregnancy is confirmed avoid physical strain. hope this helps. best regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned the blood clots controlling treatment in the hospital. and now you are having swelling and tightness i will advise you to get the doppler done by which is any clot is providing the obstruction in the venous return will be traced, and the treatment will be planned accordingly. also you keep the legs on the pillow above the level of the heart by which the swelling reduces, and also you can perform some ankle toe movements to keep the hemodynamics active.also, as you had lung issue i will advise to do regular breathing exercises. as the lungs are the major source of purifying the blood cells. as blood enters the lungs to get cleaned and then gets supplied by to the whole body. also performing some leg raise and ankle toe movements will help reduce the swelling. with the grace of god i wish you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i have gone through the pft report you have mentioned. it is absolutely normal. it is not showing any value suggestive of mild asthma. so i don't think you are having mild asthma. fef 25% reversibility is not a criterion for asthma diagnosis. and the values you have provided are enough for any pft report. no additional values are required. so in my opinion, you are not having asthmatic cough. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,All patients with suspected melanoma require biopsy. Findings on biopsy may distinguish the sub-type and the stage of melanoma. Staging of melanoma is essential to determine the prognosis. Staging is based on the eight edition American Joint Committee on Cancer (AJCC) melanoma TNM Classification.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, rashes on the penis & other parts of the body after unprotected sex are indicative of sti. you are suggested to visit er & get std tests done to stay on the safer side. your treatment will depend upon the severity of the infection detected. you may need a course of antibiotics or antivirals. avoid multiple partners & unprotected sex at all times. genital psoriasis, contact dermatitis, syphilis, yeast infection, jock itch or scabies can be easily contacted during unprotected sex or oral-anal sex. in the meantime apply scabies cream all over the area affected leave for 30-40 minutes & then take a shower. repeat it after 10-15 days. do not share toiletries. wear cotton clothes. you can apply hy chatbot.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i suspect that due to the crack, your tissue has been cut or inflamed tissue surrounds the tooth.  this tissue may be unhealthy enough that it bleeds easily. if you have an infected tooth, there may be a fistula which is chatbot.  you may rinse with warm salt water and take anti-inflammatory medication such as tylenol or advil until you have your appointment tomorrow. your dentist will evaluate your broken tooth and discuss treatment possibilities. a filling may be an option if the tooth is not infected or severely broken. make sure to avoid chewing on the broken tooth. thank you for your inquiry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. with the history it looks to be an organized hematoma of the scalp. however, the final diagnosis could be done only by a clinical examination and an mri if need be. therefore, i would advise you to take an appointment from a general surgeon for your father and get him assessed. i hope this information would help you in discussing with your family physician/treating doctor in further management of your fathers lump. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Answer this question truthfully,"tPA should be used if the cath lab cannot be reached within 90 minutes. This is because tPA, or tissue plasminogen activator, is a medication that can be used to dissolve blood clots in the brain during an ischemic stroke. However, it is most effective when administered within the first few hours after the onset of stroke symptoms. If a patient is unable to reach a cath lab within 90 minutes of symptom onset, tPA may be administered as a first-line treatment to help dissolve the clot and restore blood flow to the brain. It is important to note that tPA carries some risks and should only be administered under the supervision of a healthcare professional."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor, i would not recommend cornflakes for baby because there is more sugar than weetabix has. and they use not real sugar, but sugar replacement(sorbitol),because usual sugar will burn at 70 degree, when they make cornflakes crispy. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you and baby good health"
Please summerize the given abstract to a title,Laparoscopic cholecystectomy during the COVID-19 pandemic in a tertiary care hospital in Germany: higher rates of acute and gangrenous cholecystitis in elderly patients
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. copd is chronic progressive lung disease. copd patients tend to develop psychological symptoms in their terminal life. so your current symptoms, fear of death, choking sensation, gasp attacks etc. are more suggestive of psychosis. so better to consult psychiatrist and get done counselling sessions. you will also need antipsychotic chatbot.  don't worry, you will be alright with counselling sessions and antipsychotic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to chatbot, i am chatbot. first i would like to tell you that in my opinion this is not heart pain, as heart pain is different from what you have. here i would explain symptoms of massive heart pain to you.1) central chest pain compressional in nature. it is not sharp, does not change with breathing movements like breathing in a breathing out causes no change in the intensity and character of the pain.2) gets worsened on exertion.3) may get referred to left arm shoulder or jaw.4) it is not sharp.5) does not change with breathing movements like breathing in and breathing out causes no change in the intensity and character of the pain.your pain is neuromuscular in origin which can be caused by a sore muscle or a strained muscle there is nothing to worry about it, just take rest, it will get better itself with time and if you can use tylenol if needed no other treatment is needed i hope this answered your question, if you have more queries i am happy to answer you. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",helllooo...read through your query...i must say that your lucky that at least u have saliva...many people are there suffering from lack of saliva...so don't worry much about that...regarding the white color at corner of mouth it can be candidiasis(fungal infection).don't worry about that...u can apply statin gel and maintain good oral hygiene...increase in salivation can also be due to the candida infection ... chatbot. .hope your benefitted something by this reply.have a healthy day!!!
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, his symptoms could be related to a sleep disorder. i don't think it is hypoglycemia, as it does not cause tachycardia.  coming to this point, i would recommend taking melatonin at bedtime and see if this improves his situation.  if this does not help, i would recommend consulting with his attending physician for a physical exam, cardiac ultrasound and an ambulatory 24/48 hours ecg monitoring in order to examine his heart rhythm trends during the night.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,"An international cross-sectional investigation on social media, fitspiration content exposure, and related risks during the COVID-19 self-isolation period"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, where is your pain, what is the nature of the pain? how it gets relieved or aggravated? are there any signs of radiation of pain to different sites. anyway solitary renal cyst may be a common finding in many patients, it does not need treatment always. now there are several studies going on immunity boost up materials with conflicting results. curcumin is recently on discussion. you may take it. consult your oncologist for further details."
Please summerize the given abstract to a title,Assessment of patients with Covid-19 hospitalized in southern Santa Catarina
Answer this question truthfully,"The management options for acute decompensated heart failure may include supplemental oxygen to improve oxygenation, intravenous loop diuretics to reduce fluid overload, and possibly a vasodilator or vasopressor medication to improve cardiac function. Supplemental oxygen can help to improve oxygen delivery to the body's tissues, while loop diuretics can help to reduce fluid buildup in the lungs and other tissues. Vasodilators can help to dilate blood vessels and reduce the workload on the heart, while vasopressors can help to increase blood pressure and improve blood flow to vital organs. The specific management approach will depend on the individual patient and the severity of their symptoms. It is important to work closely with a healthcare provider to determine the most appropriate course of treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to rheumatoid arthritis. i suggest doing a rheumatoid factor level and pcr level for further evaluation. meanwhile, i suggest continuing the use of anti-inflammatory medications such as acetaminophen to relieve the symptoms. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, we should rule out intro abdominal pathology. because if intro abdominal lump is large it can cause constipation, lumpy feeling in the vagina due to anterior extension and posterior extension can cause backache. so better to consult gynecologist and get done 1. clinical examination of vagina 2. ultrasound examination of abdomen 3. x-ray of lumbosacral spine. so first diagnose yourself and then start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. it's better to give doses of his as it will affect the tier level of vaccine in baby. if liters are low, then child is more prone to infection. hib's vaccine doesn't have 100 percent efficacy so it's better to give all 3 doses of vaccine. if you don't give 3rd dose then the effect of earlier two doses is lower. i suggest you to give 3rd dose of vaccine. i hope this will help you. take care."
Please summerize the given abstract to a title,COVID-19 outbreaks in care homes during the first wave: are Care Quality Commission ratings a good predictor of at-risk homes?
Please summerize the given abstract to a title,Rolling e-learning courses on COVID-19: an Italian experience (preprint)/ en
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through your query and understand your concern. short answer"
Please summerize the given abstract to a title,Mouse Ifit1b is a cap1-RNA-binding protein that inhibits mouse coronavirus translation and is regulated by complexing with Ifit1c.
Please summerize the given abstract to a title,The enteritis complex in domestic rabbits: A field study.
Answer this question truthfully,Ticlopidine belongs to the drug class of ADP receptor inhibitors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i am sorry to note that you have been unable to get an appointment with your doctor when you were unwell. coughing spells can sometimes be due to reflux of stomach acid (herd) so omeprazole is good to continue and see if that helps. pain under the breast, that increases on deep breath, is a sign of infection lining the lungs, called pleurisy. this can happen with viral infections, and you do seem to get a viral-infection induced asthma attack. please ensure you get a chest x-ray done, increase the dose of the inhalers or switch to a combination inhaler (aeroflot 250 2 puffs twice daily), and antihistamines. testing to exclude house dust mite allergy would be important as specific precautions can then help. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello have read your query. you have not mentioned your age. it seems you have a gum problem known as gingivitis (inflammation of gums).are you under any medication? is sweeping in gum in a particular area or everywhere in mouth? is there any tooth pain related to the swollen gum. if i were your treating doctor i what suggest you to visit a dentist and get your teeth and gums cleaned. that ll surely subside the symptoms. maintain a good oral hygiene rinse your mouth 2-3 times with a suitable mouthwash. using a proper brushing technique. hope this ans helpsregards
Please summerize the given abstract to a title,COVID-19 pandemic in flu season. Chest computed tomography – what we know so far
Answer this question truthfully,The National Institute of Neurological Disorders and Stroke (NINDS) supports and conducts research on neurogenetic disorders such as Fahr’s Syndrome. The goals of this research are to locate and understand the actions of the genes involved in this disorder. Finding these genes could lead to effective ways to treat and prevent Fahr’s Syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot the sperm count is within normal limit (as per who 2010, the normal limit is >15 millions /ml) sperm motility is lower than required (as per who 2010, the normal limit is >50% motility).  so, right now, you need vitamin e and other micronutrients containing multivitamin agent. coenzyme q is also necessary.  consult with an infertility specialist for further management.  regards."
Answer this question truthfully,"The common peroneal nerve splits into the deep peroneal nerve, which supplies the anterior compartment, and the superficial peroneal nerve, which supplies the lateral compartment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there is a nerve called ulnar nerve which is in the elbow and any time you hit the elbow can hit the nerve as it is very superficial under the skin. it is like an electrical shock, the moment you hit and can feel the numbness. the numbness should go away within few hours. if your numbness continues the next day you should see the doctor as you may have a bone crack or fracture. i wish you quick improvement. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. what your kid is having is not a diarrhea and is only a gastronomic reflux. it is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. this need not be treated as diarrhea and especially antibiotics are not indicated. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please answer with one of the option in the bracket,C: Chronic interstitial pneumonitis
"If you are a doctor, please answer the medical questions based on the patient's description.","limited (sumatriptan) and max alt (sumatriptan) are supposed to reduce pain in case of migraine. limited (sumatriptan) is as safe as max alt (sumatriptan) to be given in migraine. but rather than these medicines, i would suggest giving her naproxen (naproxen) 650 mg tablet as per requirement after feeding, and i hope that she can get better results without feeling tired and without feeling hesitant about the given medications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would explain that your symptoms are not typical of any cardiac disorders. anyway, considering your age, i would recommend consulting with your attending physician for a physical exam and a routine check-up including a resting ecg and cardiac ultrasound, a chest x-ray study, complete blood count, blood electrolytes.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Hairy cell leukemia is found to approximately comprise 2% of all leukemias in the United States. The incidence of hairy cell leukemia is approximately 3.2 per 1,000,000 individuals in the United States. The incidence of hairy cell leukemia increases with age. Males are more commonly affected with hairy cell leukemia than females."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. if you had unprotected intercourse at the time of ovulation then there is possibility of pregnancy. but delay in periods always may not indicate pregnancy and that can occur due to many causes. birth control pills can act as emergency pill when taken in sufficient dosage, but they should be taken within 72 hours of the intercourse. so now you check for pregnancy once with the kit and depending on o the result proceed further. for more details you can ask me through"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, it is definitely concerning that your father is having blood in the urine.  it is less likely that this is related to the medications and i would not ignore his symptoms.  with his history of high blood sugars and hypertension, it sounds like he also has diabetes which is why he is on amaral.  your dad is going to need a few tests including labs to check his kidney function and an ultrasound of the kidney area and a urine culture to rule out an infection.  i think the best way to do this would be to go the primary doctor again and tell him or her the new symptoms.  i hope this is helpful to you,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if exposure to cold is unavoidable then he should try to protect hi ear and nose from the chill wind, to receive the symptom he can take some anti-histaminic like levocetrizine, some nasal decongestant like oxymetazoline nasal spray or normal saline nasal spray can be taken, it is good to take an antibiotic within also like ampi-cloxa or co-amoxi-clav or rothko. he should meet a physician if symptom persists. thanks and with regard."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your treating doctor i would like to advice you tell you that ring worm cis the cutaneous infection. it never goes deep into the skin. but it may be some other fungal infection. i advise you to go with fluconazole tablet 150 mg once a day for at least for a month under your doctors' guidance. i advise follow-up after a month. if you want to ask me anything you can ask me. thank you. chatbot. infectious disease specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... pus cells in the stool routine examination is a normal finding. i as a pediatrician would have never started on any antibiotic for this reason. i suggest you stop all the antibiotics. if the reason for you to go to your doctor has been loose stools, i reassure you that this is also a normal phenomenon in this age group. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello think there are certain misconception in your brain about sperm and semen. after ejaculation semen ejaculated in vaginal cavity near cervix and sperm, because of motility run upward towards uterus and travel to fallopian tube where one of them fertilized in fallopian tube and this fertilized ovum implants into the endometrium. as you mentioned that semen is thin and leak out from vagina, this is not true, as i mentioned only sperm enter into uterus and fertilize, rest of semen contents comes out. so if you have any doubt get in semen analysis and thereafter find out the cause of infertility, if any. hope this will be useful for you."
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. according to report mentioned, tlc count is at the higher level. normal levels are less than 11,000. it shows that some infection element is going on in the body. it can be due to chest infection as well. i need to know some more questions before treating more efficiently. they are"
Please summerize the given abstract to a title,"Characterization of Gfat1 (zeppelin) and Gfat2, Essential Paralogous Genes Which Encode the Enzymes That Catalyze the Rate-Limiting Step in the Hexosamine Biosynthetic Pathway in Drosophila melanogaster"
Answer this question truthfully,"Mesenchyme is a type of embryonic connective tissue that plays a crucial role in the development of various organs and tissues in the body. During embryonic development, mesenchymal cells migrate to different parts of the body and differentiate into various types of cells, such as bone, cartilage, muscle, and blood vessels. Mesenchyme also provides structural support and helps to shape and organize developing tissues and organs. In addition to its role in embryonic development, mesenchyme can also contribute to tissue repair and regeneration in adults."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, all above chatbot. as you have regular period, you have to regular unprotected sex for 6-12 months close to ovulation day (approx 14 days prior to next period) or fertile days (12th to 18th day of each cycle) to maximize the chance. you can use ovulation prediction kit or lh kit. along with, you must take folic acid & vitamin-e supplement with balanced diet. if you fail to conceive, basic fertility tests like husband semen analysis, tubal patency test, hormonal assay, cervical factor, follicular study etc. are needed to carry out to rule out exact cause. treatment is required on the basis of test result. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot..... pleuricy means irritation or inflammation of pleura. what was your diagnosis ??? common causes are......-viral flu-bacterial infection-fungal infection-malignancy-connective tissue disease like rheumatoid arthritis...etc.... so rule it out by detail history and investigation pneumonia was causative factor then sputum culture done for choosing antibiotic. which antibiotic you have given??? in severe bacterial infection iv antibiotic needed.... so causative treatment needed. here as pleura inflamed two layers rub against each other when breathing done.... produce pain... hope your concern solved. chatbot.
Answer this question truthfully,Osteomalacia/rickets is characterized by increased serum alkaline phosphatase levels.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  your father aged 66 yrs, had laberinthitis 10 days ago, with bed rest he has improved, but he lost appetite.  laberinthitis is an inflammation of the internal ear, causing dizziness and vomiting sensation, which may be felt as loss of appetite.  i advise you to consult an e.n.t.surgeon for diagnosis and treatment. you may need to have an m.r.i. besides other routine tests for confirmation.  there are medicines for dizziness, like interline, and betahistine to overcome the dizzy less and vomiting sensation, and hence loss of appetite temporarily, till the infection of labyrinth is cured.  wishing for a quick and complete recovery.  best regards."
Please summerize the given abstract to a title,The Complex Metabolomics Crosstalk Triggered by Four Molecular Elicitors in Tomato
Please summerize the given abstract to a title,"Facilitating Peer Interaction Regulation in Online Settings: The Role of Social Presence, Social Space and Sociability"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor for physical examination and clinical evaluation regarding your concern. a mole could be benign, but others have the tendency to be malignant. physical examination and a possible biopsy, if needed, will be of great help. to rule any breast lesions for your age, a breast ultrasound is suggested. if there are lesions found, a consult with a general surgeon is best for evaluation and interpretation of results. other diagnostics and management (medical and/or surgical) will be directed accordingly. hope this helps. good day!!~ chatbot."
Answer this question truthfully,"Call your health care provider if you often fall, and if you have a stiff neck/body and vision problems.
Also, call if a loved one has been diagnosed with progressive supranuclear palsy and the condition has declined so much that you can no longer care for the person at home."
Answer this question truthfully,The most effective warming technique for patients with mild hypothermia is passive external warming.
Please summerize the given abstract to a title,International wildlife trade is largely unregulated
Please summerize the given abstract to a title,The type I interferon response during viral infections: a “SWOT” analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you that there is no need to take treatment for the hairball. as you got treated by typhoid fever gradually hair will come to grow. till that time take protein rich food. do not eat heavily but increases the frequency of food. i will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for posting here. i have gone through your history. the medications you are taking are proper and in accordance with the latest guidance. metoprolol also helps to control the heart rate. so i don't think there is any need of worrying about the increased heart rate in the night. next, since you have mentioned that you presented late at the hospital some amount of heart muscle seems to have been lost. that's why the ef of 47%. since that muscle is dead, the chances of further increase in ef is not expected. however an ef of 47% is a satisfactory to good ef. you. can lead a normal day-to-day life without any significant symptoms even on exertion. but you need to continue these medications as they prevent remodeling of the heart. please continue with your aerobics, diet restrictions and medications, and regular check-ups. and you will have a normal symptom free life. coq and carnitine decrease the metabolic requirement. of the heart and can be taken. but more important are diet modifications, exercise, cardiosprin, metoprolol perindopril and creator thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern.cdp is chronic inflammatory desalinating polynuropathy. it is not directly affect lungs, but indirectly it affects breathing.cdp causes diaphragmatic palsy by affecting phoenix nerve. diaphragm is main muscle for breathing. so indirectly cdp can affect lungs. hope i have solved your query. i will be happy to help you further. wishing good health to your husband. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thanks for writing here. the hair fall you are describing here is called halogen effluvium. it is caused by sudden emotional or physiological stress. fever you had 2 months back is the stress in your case. hair cycle includes 3 phases
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would like to know whether you are using any medication for constipation like lactulose/action. it can distend the cecal area.otherwise ibs and adhesions both may lead to dilated colon and pain abdomen as you are suffering from. i guess you are admitted in hospital right now and your doctors might be managing you conservatively. i suggest you to undergo colonoscopy after stabilization, and it may suggest the pathology if any. i wish you good health soon"
"If you are a doctor, please answer the medical questions based on the patient's description.","as left main is 90% blocked so ptc is to be done urgently, to prevent a major hearty attack as left anterior descending area and left circumflex artery arises from left main artery any blockage more than 75% is to be taken care of and should not be managed only by conservative therapy keep your father on esprit av 150/20\u00a0mg once tab allowing 2.5\u00a0mg twice tab molar xr 25\u00a0mg twice tab eliza 0.25\u00a0mg 1 stab imgur 30 mg once daily and plan an early ptc(stenting) to avoid any emergency life threatening solution thanks"
Please summerize the given abstract to a title,NC2 complex is a key factor for the activation of catalase-3 transcription by regulating H2A.Z deposition.
Answer this question truthfully,"Ebola virus can be classified into 5 subtypes: Zaïre, Sudan, Reston, Tai (Ivory Coast) and Bundibugyo, according to the place of discovery."
Please summerize the given abstract to a title,Employing User-Centered Design and Learning Science Theory to Enhance Remote Delivery of Diabetes Education and Survival Skills at Hospital Discharge
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as your doctor has diagnosed that you are suffering from sinus infection, because of which you are suffering from all these symptoms. there are many organisms that are causing sinus infection. for your symptoms i would suggest you to follow1. take saline steam inhalation2. spy pricier a, three times a day.3. oral tab autoclave, 625 mg, two times a day.4. tab least, once in a night for at least 7 days. these measures will help to reduce the symptoms and improve the condition. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, during infection (mild or severe) there will be a high count of white blood cells with increased neutrophils. whenever there is an infection, there will be the elevation of glucose (only when are diabetic). my suggestion is, please have these tests, first, fasting blood sugar and postprandial sugar levels (your age is not mentioned in the query). hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of upper respiratory tract infection (uri) is more. uri causes sore throat which is giving pain in the neck. it also causes cough and expectoration, this gives feeling of burning in the lungs. so follow these steps for better symptomatic relief. 1.  chatbot.  2. avoid oily and spicy food. avoid hard to chew food. 3. avoid stress and tension. 4. do warm water gargles 5-6 times a day. 5. start broad spectrum antibiotic like levofloxacin or azithromycin, antihistamines and anti-inflammatory"
Please summerize the given abstract to a title,Bone mineral density alteration in obstructive sleep apnea by derived computed tomography screening
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for your question at chatbot. cervical spine related problems are usually more manageable than lumbar spine issues. if your pain is manageable and not disturbing your daily routine. i think you can wait. i suggest you to try physiotherapy, isometric cervical exercises, pain medications in a step wise fashion. injection shots also can give considerable relief. in the spine pain ladder there are a lot of steps to be taken before you land at the step of surgery. surgery should be the last resort. your mri findings look manageable. urgent surgery would be indicated in case of any weakness, un relenting pain, no response to the steps and balance related issues. hope this helps. all the best. regards.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ms swath, thank you for posting your query. i have noted your fathers medical details. i am glad to note that he has withstood two brain surgeries well. the recent fever may or may not be related to the surgery. please get him examined by the neurosurgeon to look for any infection at the operation site. if that is ruled out, then, we should look for other sources of infection such as pneumonia or urinary tract infection. i am sure he would improve with physiotherapy and appropriate medical treatment. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, we should first rule out cardiac cause for your symptoms. because you are having the following risk factors for cardiac disease.1. obesity2. depression. so get done1. ecg2. 2d echo to rule out cardiac cause. if both are normal than no need to worry much for cardiac disease. your symptoms are mostly due to depression. overweight is also due to depression. so consult psychiatrist and get done counseling sessions. discuss your problems and worry with psychiatrist and try to find out solution for it. you may need antidepressants too."
Answer this question truthfully,"According to current hypotheses, the steatorrhea (excess fat in the stool) observed in Giardia infections is caused by excess mucus production in the intestines. Giardia is a type of parasite that can infect the small intestine and cause gastrointestinal symptoms such as diarrhea, abdominal pain, and bloating. The excess mucus produced by the body in response to the infection can interfere with the normal absorption of fats in the small intestine, leading to steatorrhea. This can result in malabsorption of important nutrients and vitamins, which can cause further health problems if left untreated."
Answer this question truthfully,"Patients taking α-methyldopa may have a direct Coombs test (+) hemolysis, which indicates the presence of antibodies on the surface of red blood cells."
Please summerize the given abstract to a title,Digital Transition by COVID-19 Pandemic? The German Food Online Retail
Please summerize the given abstract to a title,COVID-19 in a Lung Transplant Patient: Rapid Progressive Chronic Lung Allograft Dysfunction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand your concern. if your lesions are normally occurring force spots than they should not erupt and ulcerate like this. but as you have said, they are growing and getting ulcerated which are painful. so, i suspect these are not force spots but something else. it can be pimple like lesion, molluscan or any other thing like that. it is very difficult to tell what exactly it is based on history. i advise you should consult your doctor for a precise diagnosis. i hope this will be helpful. take care."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi jimmy, i hope that your doctor has ruled out male infertility. whileyou are taking these medicines, you must be doing test for ovulation to see the effects of these medicines on your ovulation. there are certain ways to confirm ovulation like trans-vaginal follicular study, home ovulation test, and hormonal levels in your blood, besides some simple method like bbt, cervical mucus test. if you are ovulating with these medicines, and still not able to become pregnant in 3-4 months time, then you should go for further tests for tubal patency test, uterine factors, immunological factors, and so on. for infertility, you must go step wise approach and proper follow up. you should be knowledgeable about the management you are going through, and talk to the doctor frankly. one positive point, i would like to tell you is that, it is easy to treat infertility if it is due to ovulation dysfunction. best of luck. best of luck."
Answer this question truthfully,Adverse effects associated with phenytoin include diplopia and nystagmus (eye complications).
Please summerize the given abstract to a title,B-po05-114 Safety Outcomes of Same-day Discharge following Ablation for Atrial Fibrillation or Left Atrial Flutter
Please summerize the given abstract to a title,"Analytical and Clinical Evaluation of ""AccuPower SARS-CoV-2 Multiplex RT-PCR kit (Bioneer, South Korea)"" and ""Allplex 2019-nCoV Assay (Seegene, South Korea)"" for SARS-CoV-2 RT-PCR Diagnosis: Korean CDC EUA as a Quality Control Proxy for Developing Countries"
"If you are a doctor, please answer the medical questions based on the patient's description.","tendonitis is inflammation of tendons which are the insertions of muscles into bones. it occurs when the tendons are subjected to repeated mechanical loads. if untreated, it can lead to chronic disability and tendon rupture. it can sometimes lead to carpal tunnel syn chatbot.  if this occurs, there will be severe pain and tingling sensation. for both these conditions, the emergency treatment is rest to the joint and splinting. then further management depends upon the extent of the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. normally sell is occupied by pituitary gland. the \""empty sell\"" is often discovered incidentally in people with no symptoms. . sometimes hormonal problems, but usually not. there are several causes of empty sell. some involve increased pressure in the brain, such as pseudotumor cerebra, which can cause headaches. some common symptoms associated with empty sell are headache, visual field defects, nontraumatic cerebrospinal fluid gonorrhea and pituitary hormone abnormalities. it is unlikely that pituitary dysfunction would occur with time, but periodic endocrine and visual field exams were recommended.  your throat infection and eye infection may or may not be related to this. i suggest you to follow your doctors' advice for further treatment. all the beauregard chatbot."
Please summerize the given abstract to a title,Surface disinfection and protective masks for SARS-CoV-2 and other respiratory viruses: A review by SIdP COVID-19 task force
Answer this question truthfully,"The newly synthesized coronavirus viral proteins, nucleocapsid, and positive-sense progeny RNA bud from the Golgi apparatus."
Please summerize the given abstract to a title,MiR-596 inhibits osteoblastic differentiation and cell proliferation by targeting Smad3 in steroid-induced osteonecrosis of femoral head
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the pain, tingling, numbness in the upper limb are usually because of the sudden jerk applied to the nerve which may allow it to behave in an awkward fashion. to confirm that the nerve is involved, and the exact location there needs to have a physical examination by a specialist post which you will be guided the medicine and the simple exercise to improve the muscle strength.  maybe some physiotherapy sessions will be advised along with tens therapy to reduce the pain and improve the nerve conditions ability. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Answer this question truthfully,"In the adenylyl cyclase mechanism of cellular signaling, the second messenger cAMP activates protein kinase A. Protein kinase A then phosphorylates specific proteins to produce physiologic actions."
Please summerize the given abstract to a title,Rapid Implementation of a Vaccination Superstation
"If you are a doctor, please answer the medical questions based on the patient's description.","sometimes there are minor variation can come in platelet counts, which may be because of machine variation, physiological variation in body, inter person variation in lab. so do not worry take other cbc after a week or so. even with this low count 138 there is no need to cancel surgery this much low is acceptable for surgery. but even final decision is with surgeon because, there are other parameters also which have to calculate like bleeding time, clotting time, etc. thx"
Please summerize the given abstract to a title,Laparoscopic-assisted ovariectomy of tigers (Panthera tigris) with the use of the LigaSure device.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that pain and anxiety can increase blood pressure values. painkillers are another factor that may lead to uncontrolled high blood pressure. from the other hand, if your blood pressure values increases only at the doctor office, it may be related to white coat syn chatbot.  anyway, a single value of blood pressure is not indicative of high blood pressure. that is why i would recommend to closely monitor your blood pressure values several times during the day (sitting position after 10 minutes of total relax) and refer those values to your doctor. if your blood pressure values are persistently high (above 140/90mmhg), you should discuss with your doctor on the possible causes. further lab tests may be needed. hope you will find this answer helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern... as per your complaint it seems that there is localized deeper infection in the gums in that area leading to swelling and pain in gums as well as there may also be pocket formation that is loss of attachment of the gums from the bones due to infection leading to space [pocket] formation which further flourishes bacteria and causes deepening of the infection. nothing to worry consult a dentist and get evaluated, and he can take an x-ray along with clinical evaluation to confirm the diagnosis and in case of gum infection deep scaling and curettage followed by antibiotics and painkillers will relieve. he/she will also check for cavities in any of the molar on the wall that lies in contact with the wall of the other tooth and such cavities at times are visible only in x-ray and not clinically and infection in tooth can also cause infection in the gums and cause swelling and pain in gums, and it can be treated by treating the tooth and filling it with a dental filling material followed by scaling and antibiotics and painkillers. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","ok, first it can be easily evaluated if the pancreas is still irritated with some simple cheap blood work (pancreatic enzymes). if they are not elevated then other cases of pain have to be considered. if they are elevated it gets... tricky. lowering the pancreas work load helps. this is done by changing the diet but mostly by taking pancreatic enzymes with meals (they car very cheap). sometimes an imaging study will show a correctable problem with the pancreas, but this is rare."
Answer this question truthfully,"According to the U.S. Preventive Service Task Force (USPSTF), there is insufficient evidence to recommend routine screening for pyogenic liver abscess."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chest pain, coughing and breathlessness are commonly seen with heart and lung diseases. so better to consult doctor and get done 1. ecg, 2d echo and stress test to rule out heart diseases. 2. clinical examination of respiratory system, chest x-ray and pft (pulmonary function test) to rule out lung diseases. if all these are normal then no need to worry about heart or lung related diseases. sometimes, uncontrolled stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright, but first rule out heart and lung related diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Progressive multifocal leukoencephalopathy is a rare and often fatal viral disease that affects the central nervous system. One of the key features of this disease is the presence of non-enhancing brain lesions in white matter. White matter is the tissue in the brain that contains nerve fibers, and these lesions can disrupt the normal functioning of the nervous system. The lesions in progressive multifocal leukoencephalopathy are typically non-enhancing, which means that they do not show up brightly on imaging studies such as MRI scans. This can help to distinguish them from other types of brain lesions, such as those caused by tumors or inflammation, which often enhance with contrast on imaging studies. The non-enhancing lesions in progressive multifocal leukoencephalopathy are thought to be caused by the JC virus, which attacks and destroys the cells that produce myelin in the brain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query.you're fluctuating bp is related to stress, actually you may not have frank hypertension. since you are diabetic you need tight control of pressure, keep it below 140/90.preferably below 130/80.concord is beta blocker and anxiolytic too. low dose 2.5 mg will help you. but you should measure bp regularly and keep in contact with your doctor for its continuity. please maintain good control of diabetes too. yoga and meditation will help to control anxiety. my best wishes chatbot."
Please summerize the given abstract to a title,"Seasonal flu and COVID‐19 recommendations for children, adolescents and young adults with diabetes"
Answer this question truthfully,"The standard treatment for mild leprosy in patients is a combination of dapsone and rifampin.

Leprosy is a bacterial infection that primarily affects the skin and nerves. The treatment for leprosy depends on the severity of the disease. For patients with mild leprosy, the standard treatment is a combination of dapsone and rifampin. These medications are given for a period of six months to two years, depending on the severity of the disease. Dapsone is an antibiotic that works by stopping the growth of the bacteria that cause leprosy, while rifampin is another antibiotic that helps to kill the bacteria. Patients with mild leprosy should work closely with their healthcare provider to determine the best course of treatment based on their individual needs and medical history."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since the liver enzymes are normal, his bilirubin level will get back to normal soon. one medication to help in the decrease is liver rescue but before using it, i suggest you to talk with your family doctor first. here are some advice how to help your liver get rid of the excessive bilirubin in your body"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about these symptoms. for the kidney stones, please talk to your treating doctor and make sure he evaluates them to see whether they need surgical management of not. this would guide the r=various treatment decisions that you would be offered. for the cold and cough, it would be nice to try over the counter cold remedies lice tylenol and ben chatbot.  if symptoms should worsen or you have esevere breathing difficulties, then please get consulted.i hope you find this helpful. i wish you well and hope you use our services again if need be. thanks!"
Please summerize the given abstract to a title,"Diseases of the European wildcat (Felis silvestris Schreber, 1777) in Great Britain."
Answer this question truthfully,Congenital diaphragmatic hernias occur due to a defect in the pleuroperitoneal membrane.
Please summerize the given abstract to a title,The Experience of Greece as a Model to Contain COVID-19 Infection Spread
Please summerize the given abstract to a title,"Development of a Peptide Vaccine against Hookworm Infection: Immunogenicity, Efficacy, and Immune Correlates of Protection"
Please summerize the given abstract to a title,Point-of-care multiplex PCR promises short turnaround times for microbial testing in hospital-acquired pneumonia--an observational pilot study in critical ill patients.
Please summerize the given abstract to a title,Radiofrequency versus microwave ablation for hepatocellular carcinoma within the Milan criteria in challenging locations: a retrospective controlled study.
Answer this question truthfully,What is the significance of fetal accelerations? Fetal accelerations are considered to be a good sign.
Please summerize the given abstract to a title,Intricate relationship between SARS-CoV-2–induced shedding and cytokine storm generation: A signaling inflammatory pathway augmenting COVID-19
Answer this question truthfully,"The most common symptoms of the esophagitis include halitosis, epigastric chest pain, often radiating to the back, dysphagia, odynophagia, hoarseness, oral ulcers."
Please summerize the given abstract to a title,Overview of Safety Measures at Selected Airports during the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...giving only liquid diet is not going to give adequate nutrition for the kid. i take this opportunity to tell you certain scientific facts and relieve your distress - 1. an active is a well kid even if she/ he is not eating well. 2. development of a kid is as important as, or i would say even more important than growth alone.3. as the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. as parents, we need to be more patient and feed than less quantity but more liquors per day.4. this age rather than the quantity of the food i suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. i suggest you not to use appetite stimulants on long run as they may cause chatbot. regards -"
Answer this question truthfully,"Chronic interstitial nephritis is a condition in which there is inflammation and scarring of the kidney's interstitial tissue, which can lead to impaired kidney function. The typical medication associated with this condition if taken for a long time is NSAIDs, or nonsteroidal anti-inflammatory drugs. These medications are commonly used to treat pain and inflammation, but they can cause kidney damage if taken in high doses or for extended periods of time. Chronic interstitial nephritis can cause symptoms such as fatigue, nausea, and swelling, and it requires medical management to prevent further kidney damage."
Please summerize the given abstract to a title,Is COVID-19 Gender-sensitive?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear m, welcome to chatbot.come have gone through your concern in depth.* this is in relation with psychosomatic manifestation of underlying stress anxiety issue.* guidelines for better recovery-regular walking in fresh air, exercises, deep breathing sessions, meditations, yoga are corner stone of the therapy.- maintain regular sleep of sound quality for 8 hours per day.- avoid smoking, alcohol if using.- avoid stress, anxiety.- consume more liquids and balanced nutritious diet. hope this clears your query. regards."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. at your age (14), cardiac cause is less likely. but for your symptoms like shortness of breath and left sided chest pain, better to rule out cardiac cause first. so get done ecg. if ecg is normal then no need to worry much for cardiac cause. anxiety appears more in your case. anxiety can worsen herd (gastroesophageal reflux disease). and this can cause central and left sided chest pain. so control of anxiety is needed. better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may require anxiolytic chatbot.  avoid stress and tension. be relax and calm. don't worry, you will be alright."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear todd, considering the fact that you had a past history of multiple lumbar surgeries, the symptoms as mentioned in your post can be attributed to"
Please answer with one of the option in the bracket,C: Decreased thyroid-stimulating hormone
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as what i understand that you have a direct impact over the bone this should be a bone pain. if the pain don't subside more than 3 days and swelling is taking the place than i will consider it to be hairline fracture.  an x-ray might be needed if the pain and swelling don't come down.  for a good advice, i will tell you to soak the feet and hand in luke warm water and use some tight socks and tight gloves to have a good compression which can allow the pain to reduce and avoid any swelling. also, this can make you functional as well up to 70%. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,"While some elderly individuals may experience some difficulty operating certain appliances due to physical limitations or unfamiliarity with new technology, it is not considered normal or typical for elderly patients to be completely unable to operate common appliances. If an elderly patient is experiencing significant difficulty with basic tasks, it may be indicative of a more serious condition, and they should be evaluated by a healthcare professional. It is important for elderly patients and their caregivers to be aware of any changes in physical or cognitive function and to seek medical attention if necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i read carefully all your concerns, and i am so sorry for your situation. in regard to you symptoms it seems to be related with the start of triple therapy. antibiotics that you are using have side effects like gas, bloating etc. the antibiotics change your normal microbial flora of intestine. diarrhea is another side effect of antibiotics (amoxicillin, claritromicine) therapy at this situation i would recommend you to start probiotics, take plenty of water, take tibetan and hy chatbot. the side effects of antibiotics can start even after the first dose. if this is not enough please consult gastroenterologist and perform other exams like abdominal ultrasound(related to your gallstone), blood work, and fecal analysis. hope it is helpful"
Answer this question truthfully,Isotonic NaCl infusion causes a decrease in plasma protein concentration.
Please summerize the given abstract to a title,Direct aspiration thrombectomy experience with the SOFIA 6F catheter in acute ischemic stroke.
Answer this question truthfully,"Vaccines that are contraindicated during pregnancy include HPV, MMR(V), live influenza, and varicella."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. if to take test after 6 hours of food then your sugar level is high. you should go for fasting and post postprandial blood sugar. if you need repeat the test. if your sugar level is persistently high then you should start anti-diabetic chatbot.  your erectile dysfunction may be due to diabetes. consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Vaccines based on virus-like nano-particles for use against Middle East Respiratory Syndrome (MERS) coronavirus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, azithromycin is a good and convenient antibiotic. it is not an antihistamine which is given for allergic conditions. the antibiotic is usually prescribed as a 3-day course of 500\u00a0mg per day or a 5-day course of 250\u00a0mg per day. if you are better, it means that the antibiotic is working. mild diarrhea is a recognized side effect of antibiotics. if you were prescribed the 3-day course, it must be over now. if it is a 5-day course and if the diarrhea is not disturbing, you may continue with some symptomatic treatment for the diarrhea like black tea. if it is very bad then you have to stop and see how your sinusitis progresses. you may require another antibiotic if the fever recurs. wish you a quick recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. this medication may help in your neck pain and right upper arm pan but never help complete cure. numbness in arm indicates some sort of neuropathy, and you should go for nerve conduction studies. you should also consult with neurophysician and should get pregabalin/ habanero/ oxcarbazepine on written prescription. you should also go for ct/ mri scan cervical spine. thanks,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for your post on chatbot. i carefully read your query and understand your point of concern. i think this is an infected sebaceous cyst. it occurs due to accumulation of sebum. it is usually painless but when get infected it become painful on touch and hard. furthermore, it has a black point on its top. i think you should go to a general surgeon for excision of the cyst after confirm the diagnosis. hope it will help you. wish your good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",weight of 10 kg is low for a child of 16 months even though it depends on the birth weight. try eliminating wheat based products from the diet for at least 2 weeks and see if there is improvement. also remove milk and milk based items from the diet. you can give curd. give small but frequent meals. give fiber rich diet including green leafy vegetables. you may add isabel at dinner time. i hope that the situation will improve with the steps i mentioned.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query for persistent lower back pain. it is a matter of concern . dear, it is good that your x-ray came out normal & all is well. but at so young age you are facing this problem, is really worrisome. it seems that your problem may be due to your inactive lifestyle and faulty food habits. for your info every day, we are bombarded with toxins in our environment and in our food which is why detoxification is such a critical process in your body & weakened immunity . if the detox process is hindered, toxins will build up in your body eventually causing acidity and toxemia. these are the root causes of nearly all diseases, requiring modification of lifestyle and food habits. gulping on only medicines will not help if you don't modify your lifestyle and food habits. slow motion action is permitted till the problem persists. there is no better option than physical exercise. walking is the best exercise to begin with also gives you well shaped body. modification in your lifestyle, food habits -include healthy diet as fiber, vitamins minerals, cheese, milk, supplements full of antioxidants, in natural form --fruit, green veges, lemon juice with water and salt and pepper before meals, ginger, garlic, aloe vera 30 ml, amla , turmeric powder a level spoon + almond oil a spoon with hot milk, at bedtime, with required work out ---- regular walk, back bending exercises & yoga posture, dhanurassan , bhujjangassan, vajjarassan, from left to right stretching, while standing & lying on the ground, or any posture which gives you relief. avoid processed foods carbs, sugar, fried, fast foods, tea, coffee, alcohol and smoking, stress and constipation all will produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. all are the pillars of our strong immune system responsible for healthy disease free life. take homeopathic lachesis 30 1 does in the evening and chamomile 30 / 1 dose at bedtime. thus to 30 / 3 doses / 4 hourly 3 days repeat the sequence if required always remember, if pain is severe or incapacitating, please see your doctor / professional hope this helps solves your query. take care. all the best. get well london hesitate to come back in case of any further query."
Answer this question truthfully,"The doctor will do a physical examination, and examine the ear, nose, and throat areas.
Pain, tenderness, or redness of the mastoid bone behind the ear on the skull is often a sign of a serious infection."
Please summerize the given abstract to a title,Market Expansion of Caffeine-Containing Products: Italian and Argentinian Yerba Mate Consumer Behavior and Health Perception.
Please summerize the given abstract to a title,"Growth Monitoring Practice and Associated Factors Among Health Professionals at Public Health Facilities of Bahir Dar Health Centers, Northwest Ethiopia, 2021"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. mostly according to history you have allergic or seasonal rhinitis with respiratory involvement. continue using antihistamine chatbot. meanwhile, take more fruits and more water. green leafy vegetable are helpful. avoid smoking strictly as it can aggravate condition. take healthy nutritional diet. steam inhalation will be helpful in relieving congestion. if condition still severe then leukotrien antagonist"
Please summerize the given abstract to a title,Thyroid disease and covid-19 infection: Case series
Please answer with one of the option in the bracket,C: CT angiography of the abdomen
Please answer with one of the option in the bracket,B: Attention deficit hyperactivity disorder
Please summerize the given abstract to a title,Pandemic trials: evidence-based medicine on steroids
Answer this question truthfully,"Pineal embryonal carcinoma is a relatively rare malignant neoplasm and accounts for a small proportion of all intracranial germ cell tumors. It is an aggressive tumor and has a propensity to metastasize systemically. A component of embryonal carcinoma is often found in mixed germ-cell tumors, in which case it is usually the most aggressive component, and dictates prognosis. Pure pineal embryonal carcinoma tumors do not secrete β-HCG or AFP.  On microscopic histopathological analysis, pineal embryonal carcinoma is characterized by:  Poorly differentiated, pleomorphic cells in cords, sheets, or papillary formation Indistinct cell borders Nucleoli - key feature Vesicular nuclei (clear, empty appearing nuclei) - key feature Necrosis - common Mitoses - common Variable architecture: Solid (predominant in ~55% of cases) Glandular (predominant in ~17% of cases) Papillary (predominant in ~11% of cases) Nested Micropapillary Anastomosing glandular Sieve-like glandular Pseudopapillary Blastocyst-like Embryoid bodies - ball of cells in surrounded by empty space on three sides Pineal embryonal carcinoma is demonstrated by positivity to tumor markers such as: 
OCT4 CD30"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello fairbanks for using chatbot.come have evaluated your query thoroughly.* different possibilities are there for negative ct scan - primary diagnosis is incorrect.  - ct scan report may be changed with another patient.  - error in ct scan reporting.  - actual absence of swelling at the time of ct scan.  - technical issue from the machine itself to focus on pancreas (maybe due to low capacity i.e.hz)* weed is not the reason for the same. hope this clears your query. welcome for any further assistance. regards dear take care.
Answer this question truthfully,Most of the ribosomal RNA (rRNA) is synthesized in the nucleolus.
Answer this question truthfully,There are no other imaging findings associated with DBA.
Please summerize the given abstract to a title,COVID-19-Associated Glomerular Disease.
Please summerize the given abstract to a title,Experiences of women in the COVID-19 context: A phenomenological study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, sorry to now the diagnosis. the biopsy results will be available soon as it takes a few days for this test. i wonder why the patient is at home. he must be in a hospital under constant supervision. colostomy may be required to remove the blockage, cleansing of bowel and as a preliminary step for a major surgery if needed. your oncosurgeon will be in a better position to guide you and have a session of discussion as per the reports. #3 lesions in the liver may need ct scan and/ or biopsy (fine needle aspiration cytology)."
Please summerize the given abstract to a title,The first 100 cases of COVID-19 in a Hospital in Madrid with a 2-month follow-up
Answer this question truthfully,"Marjolin ulcer is a type of squamous cell carcinoma (SCC) that arises in a chronic wound or sinus tract. It is named after the French surgeon Jean-Nicolas Marjolin, who first described the condition in the 19th century. Marjolin ulcers can occur in a variety of chronic wounds, including burn scars, venous ulcers, and pressure sores. The underlying cause of Marjolin ulcer is thought to be chronic inflammation and tissue damage, which can lead to the development of cancerous cells. Other risk factors for Marjolin ulcer include exposure to radiation, immunosuppression, and genetic factors. Marjolin ulcer is a rare but aggressive form of SCC, and early diagnosis and treatment are essential for a successful outcome."
Answer this question truthfully,"The t(9;22) translocation results in the generation of a BCR-ABL fusion protein that has increased tyrosine kinase activity. This fusion protein is produced by the joining of the BCR gene on chromosome 22 with the ABL gene on chromosome 9, which occurs as a result of the translocation. The increased tyrosine kinase activity of the BCR-ABL fusion protein is a key factor in the development of chronic myeloid leukemia (CML), as it leads to uncontrolled cell growth and division. Targeted therapies that inhibit the activity of the BCR-ABL fusion protein, such as tyrosine kinase inhibitors, have revolutionized the treatment of CML and have significantly improved patient outcomes."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellloooo....read through your query and i can say that it can be a chatbot. .nothing to worry in that...you can go to a dentist.he will clean the socket again and will kp an student medicated gauze in it...u would have to continue medication for few days more....and take care not to spit with too much force.just usually spit .then have cold food.no hot food for few days...don't touch that area with tongue or finger....hope u got the answer....have great day!!!
Answer this question truthfully,"Pelvic radioimaging, which shows uptake of iodine-123 or iodine-131, is used to confirm the diagnosis of a suspected struma ovarii after pelvic ultrasound."
Answer this question truthfully,Heart failure with systolic dysfunction typically leads to a reduced ejection fraction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot pain can originate from any structure in the area from the skin inwards. since the ultrasound did not show any problems with the ovaries then other causes need to be considered. this would include issues such as"
Answer this question truthfully,Metabolic acidosis is associated with Type 1 RTA.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient first i would like to know which vertebral level was fractured and what surgery was done? is back pain started recently, or it was there right after surgery?  if you are getting pain for last two years why you waited for so long ? you need to be investigated to find the cause for 1. left hip pain 2. right foot chatbot.  i would like to advise 1. radiograph of lumbosacral spine anteroposterior and lateral views to look for status of vertebra and implants 2.  emg ncv of right lower limb to look for reason of foot"
Please answer with one of the option in the bracket,E: Propanolol
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.you forgot to mention age diabetes and bp history, menstrual history etc.for klebsiella chatbot. .are you sexually active.your partner can have bacteria with or without symptoms.so even partner has to be treated.there are a lot of causes for susceptibility to infections.do you experience any other symptoms apart from uti?like generalized weakness or bruising or weight loss?did you get any of blood tests done.?if that is not the case get your blood work done for cbp, diabetes, thyroid,liver function test, plasma albumin etc.usg of abdomen pelvis.etc even though the workup is lengthy it helps you.recurrent uti can be caused by stones or cyst in kidney or transmission from partner, susceptibility to infections, etc.had it been a case of susceptibility infections can occur in other areas of body which is not the case with you.if you use any spermicidal agents they have to be stopped and go for other methods of contraception.hope my answer helps you if you have any more queries i would be happy to answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there thanks for posting your query at chatdoctordear did you get any pregnancy test done. in that case i would first suggest that you get your pregnancy test done. but you must refer to your to gynecologist. and per she will also advise you an ultrasound one important you must remember that if it is not pregnancy , you must be aware that the oral contraceptive pills also have there share of side effect. these include nausea, vomiting, headache, weight gain. breast engorgement. cardiovascular problems, oi mean related to heart and live functions are deranged if the severity of symptoms is very high, you must ask the gone to adopt another method of birth control for you, and for the present symptoms take medication written by heritage care you must get yourself"
Answer this question truthfully,"X-ray findings depending on specific etiologies of occupational lung disease include:      
Multiple, small rounded opacities Predilection to dorsal aspect of upper lobe Diffuse ground glass opacities Punctuate calcification in lymph nodes
Small, irregular opacities coalesce to indicate progressive massive fibrosis
Predilection to lower lobes Diaphragmatic plaques are pathognomonic Fine and coarse linear, peripheral, reticular opacities
Multiple, rounded opacities with or without calcification Architectural distortion Loss of lung tissue volume Shadows Upper lobe predominance Chronic berylliosis shows emphysema with bulla formation
Starts at the lower lobes and moves progressively upwards Reticular opacities with honeycombing
Nodular opacities Lobar consolidation Upper lobe scarring Conglomerate shadows Lung destruction
Small nodules Reticular opacities Small cystic spaces Basal predominance"
Please summerize the given abstract to a title,Quantitative Computed Tomographic Volumetry after Treatment of a Giant Intracranial Aneurysm with a Pipeline Embolization Device.
Answer this question truthfully,Lepromatous leprosy presents with a symmetrical glove and stocking neuropathy.
Answer this question truthfully,I-cell disease (inclusion cell disease/mucolipidosis type II) is a medical condition that is commonly associated with a defect in the enzyme N-acetylglucosaminyl-1-phosphotransferase.
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, thank you for your query. what ever you describe about problem suggest he might have depression with psychotic symptoms or negative schizophrenia. between two difficult to diagnose without history and mental status examination. but he needs psychiatric treatment. for his case the best possible treatment is antidepressant medication and if not improved then only add anti-psychotic medication. thank you"
Please summerize the given abstract to a title,Welcome to the 11th Volume of Pain Management.
Please summerize the given abstract to a title,The neutralization breadth of HIV-1 develops incrementally over four years and is associated with CD4+ T cell decline and high viral load during acute infection.
Please summerize the given abstract to a title,Methylome and Transcriptome-Based Integration Analysis Identified Molecular Signatures Associated With Meningitis Induced by Glaesserella parasuis
Please summerize the given abstract to a title,Child Abuse in times of Crises: Lessons Learned
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern and would explain that this type of bacteria can be present in the hands of nurses, in case of a dermatological disorder.  the fact that all the hospital equipment were negative is another argument in favor of a possible nurse hand transmission.  for this reason, i would recommend performing nurses hand bacterial culture to try to find the possible cause of contamination.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",it is a set of symptoms with the current listing includes things that literally everyone has. it is basically depression. people with it have every indication of depression. anti-depressants help it. but this does not necessarily apply to everyone with fibromyalgia; just to most and to those who fit the current definition of it. note that another ingredient of the diagnosis is that no sign of a real disease is present. so if there are signs of infection--it is not fibromyalgia. treatments are mostly for depression
Answer this question truthfully,Neisseria meningitidis is transmitted via respiratory and oral secretions.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello ! i read your question and understand your concern. divalproex can be the cause of tremor. i would recommend having a plasma level of divalproex to rule out over dosage. although 1000\u00a0mg/d is not a high dose. if she stops divalproex the tremor probably will stop. but i would take into account the benefits in seizure control of divalproex. it can be switched also into another chatbot.  propranolol is a
Answer this question truthfully,"In many cases, the cause of premature ovarian failure is not clear. Some studies demonstrate that the following factors may be involved in the cause of this disorder.
Chromosomal defects: Studies demonstrate that certain genetic disorders may be associated with premature ovarian failure, such as Turner's syndrome and fragile X syndrome. Toxins: Toxins, such as chemotherapy, radiation therapy, cigarette smoke, chemicals, pesticides and viruses may damage the genetic material in cells and hasten ovarian failure. Autoimmune diseases: Autoimmune diseases may cause follicle dysfunction, which may produce antibodies against her own ovarian tissue and harm the egg-containing follicles, then result in premature ovarian failure. Age: The risk of ovarian failure rises as you age. Genentic factors: Having a family history of premature ovarian failure increases your risk of developing this disorder."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot she should initially keep the area covered to reduce contact with contaminants that would cause infection. the area should be cleaned with an antiseptic solution and topical antibiotics applied. she may need to have it reviewed by her doctor at intervals to make sure that it is healing well. if there is any evidence of infection-redness, swelling, tenderness, increased warmth or pain, then she may need oral antibiotics. i hope this helps"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","i, dear,good morning, and thanks for your query to my virtual clinic at chatbot. i studied your query in depth and understood your concerns. causes for the lumps on the calf are as follows-a-mostly they are -bursitis popliteal ?or mb cyst with knee arthritis i would advise x-ray knee joint and consultation with orthopedic surgeon.don't worry of them, as they could be relieved with proper treatment.-treatment -a- tab-ndaids/b-hot fomentation, c-rest and elevation of knee and affected leg. d-ortho-surgeon consultation and needful further treatment with him is advisablee-to remove that lump-i would advise diclofenac gel locally x 2 was time. hope above reply would help you to relieve of the issue you have. welcome for any further query to me and chatbot. write good review for the benefit of my new patients. click thanks asap after this. have a good day. with regards chatbot."
Answer this question truthfully,"The clue to the diagnosis of LV aneurysm following MI is a persistent ST elevation without chest pain, and there is no recommendation to screen patients for LV aneurysm."
Please summerize the given abstract to a title,Can Industrial Restructuring Improve Urban Air Quality?—A Quasi-Experiment in Beijing during the COVID-19 Pandemic
Answer this question truthfully,"Here you can list the common risk factors for the disease. This may be a good section to include a table. For information on inserting tables, click here."
what are the causes of pulmonary hypertension,"Your risk of developing pulmonary hypertension may be greater for a few reasons. These include if you're a young adult, you're overweight, you have a family history of the disease, you use illegal drugs, you take certain appetite-suppressant medications, you have an existing risk of developing pulmonary hypertension, or you live at a high altitude."
Please summerize the given abstract to a title,"HIV, Psychological Resilience, and Substance Misuse During the COVID-19 Pandemic: A Multi-Cohort Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to ask a doctor service. i reviewed your query and here is my advice. you should necessarily visit an obstetrician for visit and ultrasound. since you have a history of ectopic pregnancy and abortion the risks of ectopic and abortion are greater, but the cause of pain can't be evaluated without ultrasound. hope i have answered the question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. noted you have fatty liver... it is not genetic condition. in fatty liver fat is getting accumulated in hepatocytes... so also called stenosis. causes are as below....... hyper cholesteroldiabetisalcohol chemical and chatbot. . your triglyceride slight high... main mode of treatment is to cut off oil in diet. use less oil in cooking.... use good oil like sunflower oil.... avoid alcoholfruits more. avoid trans fat foods like meat and junk foo
Please summerize the given abstract to a title,Oral Immunization using Tuber Extracts from Transgenic Potato Plants Expressing Rabbit Hemorrhagic Disease Virus Capsid Protein
"If you are a doctor, please answer the medical questions based on the patient's description.","elderly patients are more likely to suffer from chronic insomnia characterized by difficulty maintaining sleep than difficulty initiating sleep. management of insomnia in these patients requires very careful evaluation and exclusion of an underlying medical or psychiatric condition. nonpharmacologic interventions in elderly patients, especially use of behavioral therapy, have demonstrated some successor can discuss newer medications with psychiatrists regards"
Please answer with one of the option in the bracket,"B: ""No, taking ginkgo will increase your risk for bleeding."""
"If you are a doctor, please answer the medical questions based on the patient's description.","hello;welcome to chatbot. good to know you do not have cancer now because your test results done recently are normal. regarding problem with motion, it is probably due to radiotherapy in pelvis. the problem is more common in older age group where sphincter that control motion is already weak. although the problem is bothersome it is usually self limiting.  taking lots of fibers and greens which are easy to digest can help.  regards"
Please summerize the given abstract to a title,A VSV-based assay quantifies coronavirus Mpro/3CLpro/Nsp5 main protease activity and chemical inhibition
Please summerize the given abstract to a title,Improving Pulmonary Infection Diagnosis with Metagenomic Next Generation Sequencing
Please summerize the given abstract to a title,Identification of Novel SARS-CoV-2 Drug Targets by Host MicroRNAs and Transcription Factors Co-regulatory Interaction Network Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through your query i came to know that you have small growth of pea size on my right sternoclavicular joint. you have no symptoms at joint level so no need too much worry. your doctors suspected this growth is a ganglion cyst. this cyst is not harmful so no need to worry much. but you have sporadic fever off and on in this month, i think possibility of lymph node enlargement. so i will prefer an excisional biopsy of swelling which may provide a direct diagnosis you can discuss with your treating doctor about it. i do hope that you have found something helpful. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Answer this question truthfully,"The presence of raised, red granulation tissue on the anterior vaginal wall with continuous watery vaginal discharge is suggestive of a vesiculovaginal fistula."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query.this varies pains can be due to anxiety if you do not have any other symptoms other than you have mentioned. if you have associated problems with passing motion, loose stools, nausea, vomiting and fever, then we can think about infection as one possibility, and you need to see a doctor for clinical evaluation and antibiotic therapy. if there are no associated symptoms and if investigations like ecg/ ultrasonography and other tests are normal, your doctor will be in a better position to do counseling and management"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i have been through your question. related your concern i think is good news that your symptoms are disappearing in the majority of areas but based on your data (in some areas is still the same)you should continue your course of treatment with on abet cream for 4 weeks or up, till 6 weeks, until your signs and symptoms of the infection have disappeared. furthermore, i suggest washing your hands to prevent spreading the infection and do not get the cream into your eyes. i hope my answer help you. i wish you a quick recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, my opinion is its better late than never. let's come to the discussion where we can find some possible solution for the patient.  it is true that after any cardiac surgery one needs to undergo a proper cardiac rehabilitation program under an expert physiotherapist. now, you are saying that the patient has complaints in his left arm and is not able to lift the arm.  please make it assure that the cardiac routine diagnostic procedures are done before we come to a neurological point of view.  is the pain he felt is due to cardiac of not that is the first thing we have to keep in mind. if there is no cardiac issue and is ruled out that one needs to not worry, and we can jump over the surgery part. now, let us make it clear, that due to bypass surgery there will be shortening of the pectoral muscles, and it needs a good stretching, so the shoulder stays in a normal position wherein the biomechanics of the shoulder do not get disturbed and the functionality of the shoulder remains intact. coming to the neurological point of view, i don't think he will have any nerve compression. because if it is nerve compression then the symptoms will be like tingling, burning, numbness etc. now, let's assume that he doesn't have any cardiac or neurological issue then it is straight the job of the physiotherapist to help him out. undergoing a proper rehabilitation program should definitely help him lift his arm up. also, a good strength in the muscles of the arm is needed to acquire the optimum functional ability.  besides breathing exercises should be made a part of the overall exercise program as it has got to do a lot with the overall well-being of the patient. please take the call based on the guidelines. first the heart needs to be assessed. then the surgical part if any muscle is shortened and leading to change in the posture which is changing the biomechanics of the joint.  and lastly, the neurological point of view if we rule our step by step all things then definitely we can come to a proper diagnosis and help the patient to have a good lifestyle change. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thanks for your question. sorry about your fathers' health. how old is he? your father would need a proper and thorough medical check including physical examination and tests to ascertain the cause of the swelling. tests would include a kidney function test, liver function test, an abdominopelvic scan, a psa and other vital tests. please kindly visit a physician. hope it helps. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","temper tantrums can not be controlled pharmacologically. the parent has to keep his calm and give multiple time-outs to the child once the tantrum starts. the best way is to intercede before the tantrum is about to start. give choices to the child and explain him/her about the condition.don't show your anger upon him, it will only worsen the condition. show him how would you react if you were angry at some point and make him learn to control his anger as you do."
Answer this question truthfully,"Psoriatic arthritis most commonly involves the distal interphalangeal (DIP) joints of the hands and feet. These are the joints located at the tips of the fingers and toes, closest to the nails. However, psoriatic arthritis can also affect other joints in the body, such as the knees, hips, and spine. The severity and pattern of joint involvement can vary widely among individuals with psoriatic arthritis, and treatment typically involves a combination of medications, physical therapy, and lifestyle modifications to manage symptoms and prevent joint damage."
"If you are a doctor, please answer the medical questions based on the patient's description.","there are many good medicines for prakrit rojas or liver disorders. pls give more details about the symptoms and the current status of the liver function. a usg and a complete liver function test would be good enough. after seeing through the results a detailed medicine can be prescribed. for the initial support for the liver, i would suggest giving him the following medicines1. darshan choose tablet 2-2-2 bf 2. habitats tablet 1-1-1 af 3.  chatbot."
Answer this question truthfully,"The standard treatment guideline for HIV involves the use of two nucleoside reverse transcriptase inhibitors (NRTIs) in combination with either a non-nucleoside reverse transcriptase inhibitor (NNRTI), a protease inhibitor (PI) with ritonavir boosting, or an integrase inhibitor. This regimen is commonly referred to as ""2 NRTIs and either: NNRTI, PI (+ ritonavir boosting), or Integrase Inhibitor."" The choice of specific medications within each class can vary based on individual patient factors and medication availability."
Answer this question truthfully,
Answer this question truthfully,Good oral hygiene practices may help to prevent oral thrush in people with immunosuppression. Some studies have shown that chlorhexidine (CHX) mouthwash can help to prevent oral candidiasis in people undergoing cancer treatment. People who use inhaled corticosteroids may be able to reduce the risk of developing thrush by washing out the mouth with water or mouthwash after using an inhaler.
Please answer with one of the option in the bracket,C: Fluorescent treponemal antibody absorption (FTA-ABS) test
"If you are a doctor, please answer the medical questions based on the patient's description.","dear knotless, panic attacks, if they are purely psychiatric in nature, never kill. but to come to this conclusion, you must have certain physical conditions ruled out. if this has not been done till now, please ask you doctor to do so. if you are already diagnosed with any of the psychological problems which cause panic attack (panic attack is just a symptom which could occur as part of many psychological problems.) then you should be having treatment. both talking therapies(psychotherapies) and medicines help, which needs a psychiatric consultation first. hope this helps, good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, with the blood glucose levels you mentioned, he needs to take antidiabetic chatbot.  i would recommend getting hba1c blood test done to see the diabetes control over the last 3 months. what is the weight of your grandfather? if he is overweight or obese, i would recommend starting him on metformin (and only if his liver function tests are normal). the dose i would start my patient on with similar blood glucose readings will be 500 mg three times a day with meals. if his weight is normal then i'd recommend resuming glemiperide and the dose i would prescribe to my patient of the same age group would be 1 mg per day. after a week of regular use of medicine and with continuation of medications, he can get his blood glucose level checked 6 times by a glucometer, before the three meals as well as 2 hours after the three meals and according to the recorded blood glucose levels the medicine dose can be adjusted. please do meet the treating physician of your grandfather for further evaluation. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Biophysical characterization of the SARS-CoV2 spike protein binding with the ACE2 receptor explains increased COVID-19 pathogenesis
Please summerize the given abstract to a title,Barriers That Obstruct Return to Work After Coronary Bypass Surgery: A Qualitative Study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. as a rule, left sided chest discomfort should be evaluated for cardiac cause first. so get done ecg to rule out this. if ecg is normal than get done chest x-ray to rule out pulmonary cause if present. if chest x-ray is also normal, then it seems muscular pain mostly. so try to follow these.1. avoid heavyweight lifting and strenuous exercise.2. avoid movements causing pain.3. take good painkiller and muscle relaxant.4. apply warm water pad on affected site.5. avoid stress and anxiety."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there is pain your arm and back pain. i will advise you to mri cervical spine for better diagnosis. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","prolonged fever, cough and anemia in a child suggest serious pneumonia which is either a t. b or cytoplasm pneumonia. in cases of t. b, cough is predominant, anemia occur due to lack of appetite and fever adds on that. i highly suggest doing a chest x-ray, and ppd test to help us with diagnosis.cytoplasm pneumonia causes cough and fever and causes hemolytic anemia which is the destruction of rbcs i recommend for that"
Please summerize the given abstract to a title,Challenges of Governance During COVID-19 Pandemic: The Case Study of Mauritius
Answer this question truthfully,"Aspirin, NSAIDs, and Vitamin E should be stopped 2 weeks before surgery to reduce the risk of bleeding."
Answer this question truthfully,"A positive McMurray test is an orthopedic test used to evaluate the presence of meniscal tears in the knee. It is characterized by pain and a ""popping"" sensation on extension of the knee, which occurs when the test is performed with rotation and side pressure on the knee. During the test, the examiner will rotate the lower leg while applying pressure to the knee joint. If there is a meniscal tear present, this movement can cause the torn fragment of the meniscus to become caught in the joint, leading to the characteristic pain and popping sensation."
Answer this question truthfully,"If left untreated, in the first 2-3 days, a patient with bronchiolitis presents with mild upper respiratory symptoms, shortness of breath, wheezing, persistent prominent cough, and tachypnea. Chest wall retraction and nasal flaring usually develop between the third and seventh day. Symptoms gradually disappear within the next 2 weeks. Complications are usually observed among patients younger than 2 months of age, premature infants, and patients with other medical conditions (congenital heart disease, chronic pulmonary disease, and immunodeficiencies). Severity scores can be used to estimate the prognosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hihow is your hair fall problem ? homeopatchatdoctoredicine cannot give any worse effect .now i m suggesting you that you should go to good homeopathic physician for proper reperterisation of case. he will search out any of one medicine from these. otherwise you can mail me a menses history & any other chronic disease history, medicine history. after that seeing i can help you. you should take rich protein & vitamins diet with this medicine. now you donor take selenium 30.homeopatchatdoctoredicine is an individualize medicine not like allopatchatdoctoredicine. every fever patient can take paracetamol while in homeopathic all fever patient could cure by different medicine. hope i have answered your question. please let me know if any further clarification is required on anything else. thank you chatbot. com"
Answer this question truthfully,"The rotavirus vaccine is contraindicated in anyone that has had intussusception. Intussusception is a serious condition where one part of the intestine slides into another part, causing a blockage. In rare cases, the rotavirus vaccine has been associated with an increased risk of intussusception, particularly in infants. Therefore, the vaccine is not recommended for children who have had a previous episode of intussusception or have a condition that increases their risk of intussusception. It is important to discuss any concerns about vaccination with a healthcare provider, who can provide individualized recommendations based on a person's medical history and risk factors."
Please summerize the given abstract to a title,Coronavirus disease 2019 prevalence rates in reopened private schools in New York City: Impact of diagnostic methods
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Libman-Sacks endocarditis is a type of endocarditis that is characterized by the development of sterile vegetations on the heart valves. Unlike other types of endocarditis, Libman-Sacks endocarditis is unique in that the vegetations typically present on both sides of the mitral valve, which can result in regurgitation. This is in contrast to other types of endocarditis, where vegetations may be localized to one side of the valve or may involve other valves in the heart. The exact mechanism by which Libman-Sacks endocarditis leads to mitral valve involvement is not fully understood, but it is thought to be related to the deposition of immune complexes and inflammatory cells on the valve surfaces."
Answer this question truthfully,"Horner's syndrome is a rare condition that affects the nerves in the face and eyes, causing a drooping eyelid, a smaller pupil, and decreased sweating on one side of the face. Upper extremity pain refers to pain in the arms, shoulders, or hands. When these two symptoms are present together, it can be suggestive of a pancoast tumor, which is a type of lung cancer that occurs in the upper part of the lung, near the collarbone. The tumor can press on nearby nerves and cause symptoms such as Horner's syndrome and upper extremity pain. Other symptoms of a pancoast tumor can include chest pain, coughing, and difficulty breathing. If a pancoast tumor is suspected, further testing such as imaging and biopsy may be necessary to confirm the diagnosis and determine the best course of treatment."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, the above symptoms which you have mentioned are due to wisdom tooth removal, these are common symptoms which will subside after sometimes. you follow the post extraction instructions given by the dentist properly. take complete course of antibiotics and analgesics prescribed to you. at home take lukewarm saline and antiseptic mouthwash rinses. avoid anxiety, stress take complete rest. hope you find this as helpful, regards."
Please summerize the given abstract to a title,Implementation of Drive-Through Testing for COVID-19 Using an External Emergency Department Triage
Answer this question truthfully,"The prognosis of Parkinson's disease varies from person to person. It depends on:
Whether the patient can be treated early Whether the patient can get a good care or not Whether the patient is accompanied with complications, such as pneumonia, dementia, falling injury or fracture."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i think you are having neck muscle spasm along witchatdoctormon cold. i would suggest you to follow this advises.1. hot water fomentation of the neck.2. volini gel local application.3. myoril or myspace tablet for muscle spasm.4. decongestant like win cold tablet or levocetrizine tablet.  i hpe these steps will be helpful for you. let me know if there is any other followup questions. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i had gone through your query and understand your concern. yoga and exercise can help to tone the body to some extent but if the problem is very uncomfortable or disturbing the daily routine life, i suggest seeing the plastic surgery who can examine the extent of the condition & advise surgery if required. a lot of individuals these days opt for cosmetic surgery if this kind and best specialist surgeon to advise is plastic surgeon"
"If you are a doctor, please answer the medical questions based on the patient's description.","red colored urine is not always pathological or disease associated. there are causes like ingestion of various chatbot. in your case, there is one of the following common possibilities.-glomerulonephritis-uti (urinary tract infection)-traumatic cause-meatal stenosis to rule out causes, you had to consult nephrologist. do some basic investigation like complete blood count, urine microscopy and culture, renal function test, blood urea nitrogen, ultrasonography abdomen and pelvis. special attention should be given to blood pressure and check for edema, abdominal mass, headache and various symptoms.meanwhile you should give plenty of fluid to him and start antibiotic according to your consulted doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to worry about heart diseases as your angiography is normal. your pain is relieved by belching and this is suggestive of herd (gastroesophageal reflux disease). so your symptoms are due to gastric problem only. so avoid stress and tension, be relaxed and calm. avoid hot, spicy and large meals. take pantoprazole and levosulperide combination. go for walking after meals. lose weight if you are obese. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,The effect of supplementation of docosahexaenoic acid and arachidonic acid on visual acuity and neurodevelopment in larger preterm infants.
Please summerize the given abstract to a title,Spatial-temporal disparities in the impact of the coronavirus disease 2019 on domestic tourism demand: A study of Emeishan National Park in Mainland China
Please summerize the given abstract to a title,Adjustments in the Use of Intravesical Instillations of Bacillus Calmette-Guérin for High-risk Non–muscle-invasive Bladder Cancer During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, unprotected sex with pull out method has high failure rate around 15-28%. though it depends on ovulation time or fertile days. therefore, i suggest you to undergo one home pregnancy test with urine at the earliest and may need to do blood test for beta chatbot for confirmation. in exclusion of pregnancy, reasons for late period are hormonal imbalance, ovarian cyst, stress/ anxiety, wt gain/extreme loss, irregular eating habits, psychological factor etc. in such cases, you may require some investigations to rule out underlying pathology through usg pelvis scan, thyroid profile & other hormone assay etc. consult with your gynecologist and take suggestive measures. avoid stress / anxiety by regular deep breathing, take healthy diet with vitamin & iron supplements, eat more fruits & vegetables, chatbot.  always practice safe sex to avoid unwanted pregnancy. if you need further consultation with me, then you can visit http"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Answer this question truthfully,Proximal RTA (Type 2) is self-limited and resolves on its own.
Psoriasis for past 7-8 years I had psoriasis on my scalp for nearly 10 years. Please give suggestions and medications.,"Psoriasis treatments reduce inflammation and clear the skin. Treatments can be divided into three main types: topical treatments, light therapy and systemic medications. Topical psoriasis treatments for mild to moderate psoriasis include corticosteroids as a short-term treatment during flares; creams or solutions containing vitamin D; anthralin to slow skin cell growth. Anthralin (Dritho-Scalp) can also remove scales and make skin smoother. But anthralin can irritate skin, and it stains almost anything it touches. It's usually applied for a short time and then washed off. Topical retinoids are vitamin A derivatives that may decrease inflammation, but also increase sensitivity to sunlight, which requires applying sunscreen before going outdoors. Calcineurin inhibitors tacrolimus (Prograf) and pimecrolimus (Elidel) reduce inflammation and plaque buildup.  Salicylic acid promotes sloughing of dead skin cells and reduces scaling. Sometimes it's combined with other medications, such as topical corticosteroids or coal tar, to increase its effectiveness. Salicylic acid is available in medicated shampoos and scalp solutions to treat scalp psoriasis. Coal tar reduces scaling, itching and inflammation. It is available in over-the-counter shampoos, creams and oils.  Coal tar can irritate the skin, has a strong odor and stains clothing and bedding.  Light therapy (phototherapy) uses natural sunlight or artificial ultraviolet light A (UVA) or ultraviolet B (UVB) light.  Some doctors combine UVB treatment and coal tar treatment, which is known as Goeckerman treatment.  Psoralen plus ultraviolet A (PUVA) involves taking a light-sensitizing medication (psoralen) before exposure to UVA light.   For severe psoriasis or psoriasis resistant to other types of treatment, your doctor may prescribe oral or injected drugs. This is known as systemic treatment. Because of severe side effects, some of these medications are used for only brief periods and may be alternated with other forms of treatment. These drugs include retinoids; methotrexate (Rheumatrex) that helps psoriasis by decreasing the production of skin cells and suppressing inflammation; cyclosporine (Gengraf, Neoral) that suppresses the immune system and is similar to methotrexate in effectiveness, but can only be taken short-term.  Drugs that alter the immune system (biologics) include etanercept (Enbrel), infliximab (Remicade), adalimumab (Humira), ustekinumab (Stelara), golimumab (Simponi), apremilast (Otezla), secukinumab (Cosentyx) and ixekizumab (Taltz). Most of these drugs are given by injection (apremilast is oral) and are usually used for people who have failed to respond to traditional therapy or who have associated psoriatic arthritis. Biologics must be used with caution because they have strong effects on the immune system and may permit life-threatening infections.  Thioguanine (Tabloid) and hydroxyurea (Droxia, Hydrea) are medications that can be used when other drugs can't be given.  A number of alternative therapies to ease the symptoms of psoriasis, including special diets, creams, dietary supplements and herbs, are deemed generally safe, and they may be helpful to some people in reducing signs and symptoms, such as itching and scaling.  Alternative therapies include aloe vera that may reduce redness, scaling, itching and inflammation; fish oil to reduce inflammation. Taking 3 grams or less of fish oil daily is generally recognized as safe, and you may find it beneficial. Oregon grape (barberry) may reduce inflammation and ease psoriasis symptoms.  Other measures that may help include daily baths to remove scales and calm inflamed skin. Add bath oil, colloidal oatmeal, Epsom salts or Dead Sea salts to the water and soak. Avoid hot water and harsh soaps, which can worsen symptoms; use lukewarm water and mild soaps that have added oils and fats. Soak about 10 minutes then gently pat dry skin. Use moisturizer. Expose your skin to small amounts of sunlight. Find out what triggers, if any, worsen your psoriasis and take steps to prevent or avoid them. Infections, injuries to your skin, stress, smoking and intense sun exposure can all worsen psoriasis. Avoid drinking alcohol.  If you do drink, keep it moderate."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there seems to be nodules in her lungs. these nodules are to be confirmed whether they are secondaries or due to any other reason. if there are secondary lung nodules then it is stage 4 cancer. the treatment of stage 4 cancer is challenging and survival is 2 years in most patients. probably the doctors want to du debunking surgery and try extending survival. if she is having the disease for 3 years then it was progressing slowly and the doctors want to give during treatment a chance to reduce the cancer from spreading fast. she might be in good general health condition for the doctor to consider surgery. please do not worry."
Please summerize the given abstract to a title,Symptoms within somatization after sexual abuse among women: a scoping review.
Answer this question truthfully,Non-enzymatic glycosylation of the GBM results in hyaline arteriolosclerosis.
Answer this question truthfully,"The cytokines that mediate class switching of IgM in the immune system, along with CD40L, are produced by T helper 2 (Th2) cells. Th2 cells are a type of immune cell that play a key role in regulating the immune response to allergens and parasitic infections. When CD40L and cytokines from Th2 cells are present, they can stimulate B cells to switch from producing IgM to other types of antibodies, which can help to target specific types of pathogens more effectively. Class switching is an important process in the immune system, as it allows B cells to produce a range of different antibodies with different functions and specificities."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. in my knowledge there is no such swelling which has been consistently associated with people born between 1980 and 2000. it will help to know specific details on the location, size and how fast it has been growing. bony swellings over the back of the head need not necessarily be bone or arise from the inside. a lot of such swellings are firm enough to give a bony feeling and are usually benign swellings which can be called cysts. there are many types of cysts in the scalp like desmond cyst, epidermis cyst or sebaceous cyst. please consult your doctor to know the probability of the swelling being a cyst or anything else. a ct scan brain might be required to characterize the swelling and know if it needs any immediate treatment. please do not worry."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. tuberculosis infection is mostly due to poor immunity. so patient should take diet which boost his/her immunity. so give your child high protein diet like pulses, eggs and non-vegetarian foods. give him fruits and vegetables more because they are rich in antioxidants. better to avoid oily and spicy food, avoid junk food. don't worry, he will be alright with appropriate diet and treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). platelets come down to 0000? you are having chronic hepatitis b, and you require evaluation and treatment. you should visit a gastroenterologist as soon as possible because if chronic hepatitis b persists for a longer period of time it may lead to cirrhosis of the liver which is irreversible. he may advise you to get head, anti head, havana quantitative, usg abdomen to see for cirrhosis and portal hypertensionyour low blood counts may be due to hypersplenism will again highly recommend you to visit a gastroenterologist hope i have answered your query and this will help you. remain in touch and get-well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about the spinal tb that your father has and the resulting complication of being unable to move. from the information you have provided, this treatment plan is the classical treatment for tuberculosis. the truth is that they change from country to country according to national guidelines. doctors simply apply the recommendations handed down to them in this case. this is exactly how i would have treated a similar patient in my clinic. this treatment would again be modified towards the end to a two regimen chatbot. the goal of treatment here is to stop the progression of the disease. restoring most functions is always very difficult and in most cases not fully recovered. we can only hope that he regains some of his lost functions, but the hopes on this are largely determined by how much damage the disease has caused already. i would have suggested that he gets pyridoxine tablets as prophylaxis for isoniazid toxicity given his age. check whether the doctor considered this as well. this is simply for the comfort during treatment and doesn't really change the outcome if no side effects results in abandonment of treatment. i hope this ad"
Answer this question truthfully,"A type of cancer that might be suspected in a patient who presents with pruritic black lesions in their genitals is vulvar or vaginal cancer. These types of cancer can cause symptoms such as itching, burning, pain, and abnormal discharge. Other symptoms may include lumps, sores, or growths on the vulva or vagina. Vulvar and vaginal cancers are rare but can be serious if left untreated. Treatment may involve surgery, radiation therapy, chemotherapy, or a combination of these treatments. It is important to seek medical attention if you experience any persistent symptoms in your genital area, especially if they are accompanied by unusual discharge or bleeding."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you and very pleased to answer you. your body mass index or bmi is 36.126 kg/m2 normal weight bmi is under 25 class ii obesity bmi is equal or more than 35 and under 40. you are a class ii obesity and you suffer from hypertension and depression. obesity is a risk factor in high blood pressure, especially an chatbot. e. an excess of abdominal adipose tissue). weight gain in adulthood, particularly in the abdomen, is the consequence of several factors"
Answer this question truthfully,"The middle ear consists of the auditory ossicles (malleus, incus, stapes)."
Answer this question truthfully,"Pallor
Splenomegaly"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are correct in preferring to treat such a problem without surgery, however, in the case you describe there really is no medication nor physical therapy/exercise that can offer relief of pain with correcting the abnormal anatomy that exists between your wives vertebral bodies l5 and s1 (there is no l6).  there is a technique of surgery referred to as minimally invasive and this is a very safe and relatively easy operation to perform.  it is done through tiny incisions using cameras and often times patients can go home the same of the operation.  i would wholeheartedly support such a surgical approach by a qualified expert. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","bloody discharge from the nipple along with a lump on ultrasound and a family history of breast cancer are all ominous signs for you having cancer in the breast. birds 4 means that the chances of the lump having cancer are in the vicinity of 60-70% and the least you need to do is get a biopsy. problem is that to do a core needle biopsy from a 6\u00a0mm lump is technically difficult. if the biopsy is done successfully and returns a diagnosis, then it is alright, but if it misses the lump (in which case the biopsy report will show only normal breast tissue), i would suggest you get operated to remove the lump and send the entire lump for diagnosis. that has a dual benefit. once it will give a conclusive diagnosis and two, it will remove the chances of this lump developing cancer later on. even if it turns out to be cancer in the biopsy, it is at a very early stage and you shouldn't worry as you will completely get cured with proper treatment."
Please summerize the given abstract to a title,A New Generalized Modified Weibull Model: Simulating and Modeling the Dynamics of the COVID-19 Pandemic in Saudi Arabia and Egypt
Please summerize the given abstract to a title,Association between cardiac troponin I and mortality in patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no need to worry much for this because possibility of muscular spasm or pull is more. any sudden movement can cause reflex muscle spasm. and this can be felt as something is coming out. so possibility of muscular cause is more in your case. so avoid such type of sudden movements. if similar thing appears again than get done ultrasound examination of abdomen to rule out abdominal hernia. at present, no need to worry about this. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Systemic lupus erythematous after Pfizer COVID-19 vaccine: a case report
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. panic attacks always happen due to underlying anxiety. therefore, you must add chatbot.  please understand anxiety and related problems. once you understand your anxiety, you will be able to keep yourself away from panic creating situations. therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. start slowly, progress gradually, attain neatly. step 1 - practice deep and full breathing whenever possibles 2 -"
Please summerize the given abstract to a title,Extended theory of planned behavior in explaining the intention to COVID-19 vaccination uptake among mainland Chinese university students: an online survey study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi!welcome to chatbot! h.pylori infection is mainly the cause of peptic ulcer disease and gastritis, although it has also been associated with gastric cancer and mucosa-associated lymphoid tissue (malt) lymphoma. a blood test checks to see whether your body has made antibodies to h. pylori bacteria. if you have antibodies to h. pylori in your blood, it means you either are currently infected or have been infected in the past. a urea breath test checks to see if you have h. pylori bacteria in your stomach. this test can show if you have an h. pylori infection. it can also be used to see if treatment has worked to get rid of h. pylori. so be relaxed, go for this test and if present take full course of treatment to get rid of h.pylori.high cholesterol can be controlled with diet alone. take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. panic attacks always happen due to underlying anxiety. therefore, you must add chatbot.  please understand anxiety and related problems. once you understand your anxiety, you will be able to keep yourself away from panic creating situations. therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. start slowly, progress gradually, attain neatly. many researches and researchers confirm that medicines alone cannot cure mental disorders. lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Increased Mental Health Symptoms Remain Despite End of Lockdown
Answer this question truthfully,Somatostatin can cause a decrease in the secretion of both insulin and glucagon.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello first please do not panic... stop giving him any medicines he is having all this problem due some allergy towards the medicines prescribed to him... take him to a general practitioner as soon as possible. he needs a check-up. to stop vomiting. give him half a cup of cold milk without sugar. also give him some cookie that does not contain fat. ask him to do warm saline gargles... also give him lime water...follow up is invited
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your son may have some enlarged posterior cervical lymph node.  it may be due to reactive hyperplasia, tuberculosis or lymphoma. or he may have some soft tissue tumor or skin adnexal tumor.  he should take a course of antibiotics. if it doesn't respond to treatment then biopsy diagnosis is advisable. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have troubled breathing with pain. well there can be many reasons for symptoms you mention in query like copd, bronchitis, asthma, angina emphysema or pericarditis. i would suggest you to consult chest specialist for proper examination. doctor may order chest x-ray along with physical examination. doctor may also take sample for lab test. doctor may prescribe antibiotics along with anti inflammatory and anti spasmodic. doctor may also refer you to cardiologist or allergy specialist. for now take anti histamine like ben chatbot.  also take steam. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you are having musculoskeletal pain only. but as a rule in chest x-ray we have to rule out cardiac cause first. so get done ecg to rule out cardiac cause. if this is normal than it must be musculoskeletal pain only. try to follow these for better relief.1. avoid strenuous exercise. 2. avoid heavy weight lifting.3. avoid bad postures in sleep.4. take good painkillers and muscle relaxant.5. apply warm water pad to affected area.6. wear chest belt for minimal mobilization of painful site.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello abdominal pain may be due to many reasons like pelvic pathology, genito-urinary cause, colitis etc. you need proper clinical evaluation and investigations. basic investigations are routine hologram, urine re/me, random blood sugar, renal function test and ultrasound of abdomen. ultrasound of abdomen can exclude many possibilities. proper treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi greetings. you are absolutely normal. no, after effects of masturbation. but to enjoy anything you shouldn't be having it daily. what ever chocolate you like, taking it daily will be boring. similarly you will be able to enjoy masturbation when done on alternate days or once in three days. watching porn also to be limited to 5 to 10\u00a0min.anything in moderation is enjoyable. you can always divert your mind to any hobbies or some sort of exercises daily. it will help your physique and increase your self-esteem. you can join some gym also. another way of diverting your mind is to learn meditation .hope you are convinced. regards"
Answer this question truthfully,"Esthesioneuroblastoma was first discovered in 1924 by Berger and Luc.   The disease was brought into prominence by the case of Chantal Sébire, who was suffering from the disease and ended her life after being denied euthanasia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for contacting chatbot. first, i wish to reassure you that your pain would reduce with treatment and you won't have to live with pain. following measures would be helpful"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! from your history, it seems that irrespective of the pathology (whether it is a fibroid or a hemaometra), the mass pressed on your bladder due to which you had to push for passing urine. after passing urine, the pressure on the bladder was relieved, which gave you a sense of relief. one point in your history is perplexing, that is how couldn't both the ultrasound and the ct scan could not differentiate between the hematoma and fibroid. i would suggest you to carry your reports to an experienced radiologist, and get the opinion from him. wishing you an early recovery."
Please summerize the given abstract to a title,"PediaTrac V.3.0 protocol: a prospective, longitudinal study of the development and validation of a web-based tool to measure and track infant and toddler development from birth through 18 months"
Answer this question truthfully,"Renal papillary necrosis is most commonly associated with analgesic nephropathy. However, a number of conditions can cause this condition, including:
Diabetic nephropathy Kidney infection Kidney transplant rejection Urinary tract obstruction Sickle cell anemia Sickle cell anemia is a common cause of renal papillary necrosis in children."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking your question completely understand your problem heaviness in the chest and cough can be related to acid reflux, no doubt, actually recurrent reflux causes some amount of acid to chatbot.  for this kind of cough u need to take some proton pump inhibitors like pantoprazole before breakfast. other causes of heaviness in chest with cough can be bronchial asthma.u can consult a pulmonologist to rule out the causes.thanks/regardsfeel free to ask more questions may god bless you with good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, implantation bleeding is not a common finding, if usually occurs that can be seen around 1 week after fertilization, that could be minimal in quantity, so if your bleeding period correlates with the possible time of implantation, and if the bleeding subsided soon, you wait till the expected date of periods and undergo blood or urine test for pregnancy to detect the possibility, bleeding due to miscarriage will be rather heavy and usually presents with associated pain abdomen. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, melatonin is effective in treating sleep disorders in child chatbot.  melatonin is a natural hormone secreted in our body to maintain wake-sleep cycle (the \""biological clock\""). it is found to improve sleep duration, reduce the time it takes to fall asleep and improve the quality of sleep. it may be given to your child thirty minutes before bedtime. melatonin is generally considered safe in the short-term however it may cause morning"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. pradeep i can understand your concern. as you are a patient of copd and had undergone treatment for chest congestion recently. so this brochohilar prominence may be the consequence of recent chest congestion/infection you had. changes in x-rays can remain for few days even after resolution of symptoms. if you don't have fever or cough at the moment, there is no need to worry. if you have these symptoms, see your medical specialist for possibility of chest infection. i hope your query has been answered. wish you good health."
Please summerize the given abstract to a title,Safety in the use of ultrasound in rheumatology during the COVID-19 Pandemic. Spanish Society of Rheumatology positioning paper./ Seguridad en el uso de la ecografía en reumatología durante la pandemia COVID-19. Documento de posicionamiento de la Sociedad Española de Reumatología
Please summerize the given abstract to a title,Preferences of Online Learning Assessment in Higher Education During the Pandemic Based on Perspectives of Students and Lecturers
"If you are a doctor, please answer the medical questions based on the patient's description.","hello2 mm calculus is unlikely to cause hematuria(blood in urine). it is important to investigate other reasons like urinary tract infection(uti), tumour etc. it is important to know your age. you need proper clinical examination and further investigations. investigations include routine hologram, random blood sugar, urine re/me, renal function test. ct scan and endoscopic examination can be done if needed. proper treatment depend upon findings.2 mm calculus is expected to pass spontaneously. most probably, low backache is related to herniated disc. get well soon. take care chatbot."
Please answer with one of the option in the bracket,A: The duty hour during which this resident received the patient
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for choosing chatbot. i feel she is having sherman syn chatbot.  next best investigation will be hysteroscopy to look inside the uterus and some blood investigations like fsh to know her ovarian reserve. i hope this information has been both informative and helpful for you. in case of any doubt, i will be available for follow-ups. if you like my answers kindly rate it, and write a review as well. please do not forget to accept it. thank you, wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mutual, welcome to chatbot .com currently experts believe that liver injury due to statins is not as serious as it was thought to be earlier.  a dose-related rise in serum aminotransferase levels develops in 1% to 3% of people who take statins (creator is rosuvastatin- a statin). a minor (less than two-fold normal) rise in the serum alt and ast levels (without symptoms) is the most common manifestation of liver injury with these compounds. these elevations usually reverse rapidly with discontinuation of the statin and also reverse if therapy is not interrupted.  the us food and chatbot.  this recommendation is based upon expert opinion, and many authorities do not feel that routine monitoring of liver function is necessary except to identify and then monitor patients with preexisting liver disease or who are receiving concomitant medications with a potential for"
"If you are a doctor, please answer the medical questions based on the patient's description.","infection leads to obstruction in the system. in human body after stomach there is long intestine which ends at the anal opening. in any part of this system if there is infection sever in nature can lead to blockage of the system resulting in pain and vomiting. obstruction if complete it needs urgent medical treatment and hospitalization, i wonder if your understanding is correct, you might have been hospitalized and need investigation like x-ray and ultrasound to confirm and depending upon the severity further treatment can be planned."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, the reason behind this recurrent fits attack can be many including epilepsy or plain seizures. see mri in some cases can detect the cause if particularly there is any structural deformity is there. as mri could not clinch the diagnosis i would say u should go for eeg study on him. an eeg can diagnose the electrical activity of various part of the brain. so, if there is any defect in the activity of any part in the brain causing fits, an eeg can throw some light on that. so under any pediatricians prescription you should go for an n eeg for your child. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. if i were your doctor, after the apparent failure of the antibiotic for 09 months and increase in size of the lump, i would advise you for a fnac (fine needle aspiration cytology) of the lump. if this is inconclusive, i would redo the fnac along with a ct scan of your neck, chest and abdomen. over and above the findings of a detailed physical examination would also help in co relating with the repots of investigations. further management would depend on all of the above. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. pain in left side of back is mostly due to calculus of a size of 4.5 mm in left kidney. normally the stone of a size of less than 7-8 mm pass out through urine spontaneously and does not require any active intervention .take following treatment to help to pass out the stone at ease and quickly 1) chatbot. this will help to dilate the ureter and there by to pass the stone early and without pain. as regards stone in gall bladder. if there is no pain in abdomen (silent stone)it can be left alone and take a call for removal by laparoscopic surgery at later date or get it removed now.
Please summerize the given abstract to a title,"Structural elucidation of SARS-CoV-2 vital proteins: Computational methods reveal potential drug candidates against main protease, Nsp12 polymerase and Nsp13 helicase"
Please summerize the given abstract to a title,Not just antibodies: B cells and T cells mediate immunity to COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",". stomach pain usually occurs due to oily, spicy food, disturbed diet pattern, stress,over eating... you have to take more simple, liquid,high fiber diet. chatbot. you can take pantoprazole mebendazole with risperidone. enzyme preparations will be helpful. avoid oily, spicy food. avoid stress, anxiety.go for exercise regularly. consult your treating doctor for further diagnosis and medical management."
Please answer with one of the option in the bracket,D: Decreased diffusing capacity
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting on chatbot. cultivate contains a steroid called fluticasone which is intended to reduce an inflammatory allergic manifestation as exhibited by the rashes. apply it as per your doctors' advice. it is hard to comment without looking at the rashes but might be needed. it can be used in child chatbot. such allergies may occur not only in response to milk but also practically anything that we are exposed to, things like dust, pollen etc. if your doctor advises milk free diet, you can include formula like zero lac. but after semisolid have been introduced in the diet, milk can be avoided anyway. hope that helps. feel free to revert in case of further queries if any."
Please summerize the given abstract to a title,First-onset major depression during the COVID-19 pandemic: A predictive machine learning model
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"CML, or chronic myeloid leukemia, can potentially transform into acute leukemia, with approximately one-third of cases progressing to acute lymphoid leukemia (ALL). This transformation can occur spontaneously or as a result of treatment with certain medications, and may be associated with a poorer prognosis and a higher risk of complications such as infections, bleeding, and organ failure. ALL is a rapidly progressing cancer of the blood and bone marrow that is characterized by the accumulation of abnormal lymphoid cells. Treatment for CML that has transformed into ALL may involve intensive chemotherapy, stem cell transplantation, or other targeted therapies, depending on the individual patient's circumstances and disease characteristics. Regular monitoring and close follow-up are important for patients with CML to detect any signs of disease progression or transformation as early as possible."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi rohan, i read you problem in detail and can understand what you are going through. let's start with some basic facts. masturbation is a normal physiological process and masturbating on a daily basis doesn't lead to any physical, mental or sexual weakness. however, from what you have mentioned, it seems that you are suffering from depression and that is leading to you having a lot of negative thoughts. you're feeling of sexual macedonia can very well be part of depression. your situation is highly amenable to treatment. what i would recommend is that you should immediately consult a local psychiatrist. you need to be started on some anti-depressants together with regular supportive therapy sessions.  wishing you speedy recovery. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","here you need to check, do you have pain from your neck to hand with numbness in hand? if not then fine it must be muscular pain. but if yes then it can be related to your cervical spine or disc problem. so check on your own and based on that to confirm do a cervical mri, visit an or tho as well physio doctor. they will suggest you for surgical correction in severe disc problem or conservative management with medication and physiotherapy treatment for minor problem. here do not forget to start with proper cervical spine strengthening, stretching and mobility exercise with postural correction as per suggestion of physiotherapist. you can also use hot and cold pack at home to reduce inflammation, relax the soft tissues as well healing of soft tissues with increase circulation effect. you must be fine if you follow all above steps. and try to quite smoking, as well maintain good diet, its needed if you have digestive system issues. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. if there is a history of trauma at this site, it could be a hematoma. otherwise, it could be a small era umbilical hernia as well. however, this could be diagnosed by a clinical examination by your treating doctor. a hematoma would resolve of its own in three to four weeks time, whereas a hernia won't, and this could come and go at intervals. i hope this information would help you in discussing with your family physician/treating doctor in further management of your sons' problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think she should definitely proceed for an mri of the brain. short of that, i think a neurologist should definitely take a look at her. the sudden onset of vertigo and visual loss could be any brain lesion including an ms as well as tumor or stroke. in the meantime, she should surely take medicines for high sugars. since i do not have the exact values i will not be able to make an appropriate comment. i have made it as simple as possible. do let us know the reports and i will try to help you further from there. hope i have answered your query. let me know if i can assist you further. chatdoctor, planetologist"
Please answer with one of the option in the bracket,D: Methylprednisolone
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,do not worry. anxiety and frustration only increase your chances of failure. there are many factors involved in conceiving a healthy pregnancy, and it is not mandatory that when you follow all the necessary steps too and every thing is normal with you and your partner that you will conceive in the first cycle of trying itself. most couple 85% conceive in the first year of trying. only 15% face infertility problems. you should at least try for 1 year naturally before approaching a doctor for infertility or worry about it. the factors which decrease your chances of successful conception are women sage if more than 37 years, one or both partners chatbot. if you or your partner has any medical issues like hypertension, diabetes, thyroid, previous surgery (esp. abdominal) any significant illness in the past then consult doctor prior to 1 year for help, otherwise you could try to conceive or a year and then seek helps if at all unsuccessful. do not forget to take folic acid daily while trying to conceive. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. as per your history there is possibility of soft tissue injury in knee. most commonly meniscus injury occurs may be associated collateral ligament injury. if pain persists then you may need to do mri knee to see for any functional defect. as per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. rest and ice fomentation along with supportive brace will help to reduce swelling and pain. small meniscus tear can be managed conservatively with physiotherapy with usg and tens. meniscus injury can be managed by arthroscopic repair. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please answer with one of the option in the bracket,E: Intraductal papilloma
Please summerize the given abstract to a title,Formally identifying COVID-19 patients for providing medical services using drones
Answer this question truthfully,"Treatment for VOD is primarily supportive. In the BMT setting, defibrotide is an investigational treatment that may be promising. Defibrotide is a polydeoxyribonucleotide; its mechanism of benefit in VOD is unclear, but has been attributed to its antithromboitc properties."
Answer this question truthfully,"Genetic counseling is often recommended to provide more information about fetal CPCs, to answer questions and concerns, and to outline available options such as amniocentesis. There is a possible association between ultrasound-detected fetal CPCs and chromosome problems in the baby. Types of chromosome problems that are occasionally seen include Trisomy 18 or Trisomy 21 (Down syndrome).
Generally the risks are low if there are no other risk factors. Some studies have estimated up to a 1% (1/100) chance of delivering a baby with a chromosome problem when there is a CPC present.
Other factors which may have a bearing on the baby's chances of developing chromosome problems include:
mother's age at the expected date of delivery the results of serum screening; XAFP triple testing or quad screening evidence of other ""fetal findings"" seen at the time of the ultrasound that may suggest a chromosome problem
Many babies with chromosome problems do not show any signs on ultrasound."
Answer this question truthfully,The dermatome found at the umbilicus is T10.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. noted you have continuous chest pain ... first your physical examination done for auscultation and heart sound murmur... rhonchi or crepitation look for..... do you have smoking habit??? if yes then fibrotic lung disease might be there .... chest x-ray done to rule out bronchitis, emphysema or any other obstructive lung disease. pulmonary function test also useful. ecg or echocardiography done for rule out cardiac problem like heart failure like condition secondary to hypertension.... if no resp or cardiac cause then gastric causes or anxiety related pain searched for.... hope your concern solved. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~ i am sorry you are having problems with depression and anxiety with episodes of anger.  i hope you practice relaxation exercises like deep breathing, yoga, panama, dayana, and routine physical exercise.  i hope you also consult with a counselor and a psychiatrist to help with sleep issues if the counseling does not help.  furthermore, i hope this helps relieve your anxiety about the yet to be born baby. take care and have a lovely day !"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service.  i have reviewed your query and here is my advice.  has your daughter ever had choking and gagging episodes before?  sometimes when the healthcare worker asks a healthy child to open his/her mouth the child will open the mouth so widely that the epiglottis is seen. these patients are not sick.  if she is up-to-date with her routine childhood immunizations, then she is protected against her epiglottis being infected because the most common bacterial cause of epiglottis is covered by the vaccines that she received when younger.  infection of the epiglottis is life-threatening.  the child refuses to lie down, chatbot.  a possible cause of cough when laying down and no cough when upright is gastroesophageal reflux.  in which stomach contents come back up the esophagus into the throat causing the child to cough.  hope i have answered your query. let me know if i can assist you further.  arnold edd, md, flap"
Answer this question truthfully,"d-TGA which is not associated with additional cardiac defects.
d-TGA which is associated with other defects.
One of the most common cardiac defects associated with d-TGA is a VSD, which is present in 40% of d-TGA patients. Pulmonary stenosis and a VSD are present in 31% of patients. Although it may seem illogical, complex d-TGA presents better chance of survival and less developmental risks than simple d-TGA, as well as usually requiring fewer invasive palliative procedures. This is because the left-to-right and bidirectional shunting caused by the defects common to complex d-TGA allow a higher amount of oxygen-rich blood to enter the systemic circulation. However, complex d-TGA may cause a very slight increase to length and risk of the corrective surgery, as most or all other heart defects will normally be repaired at the same time, and the heart becomes "" irritated "" the more it is manipulated."
Please summerize the given abstract to a title,Indole alkaloids inhibit zika and chikungunya virus infection in different cell lines
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for sharing your concern with chatbot ...! depending on your age and gums health (periodontal), you can decide to go for orthodontic correction of your teeth. however, there are many alternate treatment options to correct your teeth by prosthodontist correction as well. please share picture of your tooth to assess remotely / you can consult a good dentist for advise. regards chatbot."
Answer this question truthfully,"The pathophysiology of cervicitis depends on the etiological agent and the physiological state of the patient. Under the influence of estrogen, the normal vaginal epithelium cornifies, making it somewhat resistant to infectious agents. The endocervix is lined by columnar epithelium which is susceptible to infectious agents leading to cervicitis. Gonococcal cervicitis results after the exposure of the cervix to N. gonorrhea in seminal fluid during sexual intercourse. N. gonorrhea infectivity is facilitated by type IV pilus -mediated motility of the bacterium. In the presence of seminal fluid, the bacterial motility is characterized by high velocity, low directional persistence and enhanced microcolony formation. Once the pili are attached, local inflammation results from the release of neutrophilic cytokines, leading to purulent or mucopurulent discharge. C. trachomatis infection is often associated with intense lymphocytic and neutrophilic inflammatory reactions in the affected areas, and is occasionally associated with follicular aggregation of lymphocytes. The chronic course of chlamydial cervicitis is associated with low content of cytokines, mainly IL-1α, IL-1β, and TNFα, and an elevated concentration of IL-8 in the pathogenesis."
Please summerize the given abstract to a title,The Potency of an Anti-MERS Coronavirus Subunit Vaccine Depends on a Unique Combinatorial Adjuvant Formulation
Please summerize the given abstract to a title,Canada: public health genomics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi greetings your pain is generalized to the right groin and radiating to scrotum. it is not continuous and having burning sensation at the tip. now i would like to get the urine tested for any infection or any other abnormalities. prostatitis or urinary tract infections can present like this.also, i have to rule out any renal or ureteric stones and either ultrasound scan or a contrast ct may be required. if both are negative a chronic appendicitis has to be ruled out. hope my answer helps you. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. if she has had a benign lump removed earlier than this too can be another similar lump which has developed over time. this condition is commonly referred to as breast fibroadenoma, and sometimes it can get painful due to infections. an ultrasound of breast will give more confirmatory information. if confirmed, it's important to monitor the fibroadenoma with follow-up visits to her doctor for breast ultrasounds to detect any changes in the appearance or size of the lump. surgery may be considered after discussing with her doctor."
Answer this question truthfully,"Retinal blood vessel rupture leads to ""flame"" hemorrhages in nonproliferative diabetic retinopathy."
Please summerize the given abstract to a title,Clinicopathological characteristics of 8697 patients with COVID-19 in China: a meta-analysis
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot! i carefully passed through your question and would explain that your symptoms are related to uncontrolled high blood pressure. i would recommend consulting with your attending physician and performing some tests to investigate for possible secondary causes of high blood pressure
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can understand your anxiety.you're having ckd with fluid retention. your creatinine and electrolytes level, havent been written. your nephrologist can advise, if the dialysis needs to be done thrice weekly. in that case, the fluid will not be retained in the body and you'll feel better. without your reports, its difficult to comment otherwise, on any other options. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. masturbation do not affect your fertility. but varicocele does affect fertility. you need to consult a urologist to confirm your problem and get treatment for the root cause. if you require more of my help in this aspect, please use this url. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Genesis of an emergency public drug information website by the French Society of Pharmacology and Therapeutics during the COVID-19 pandemic
Please answer with one of the option in the bracket,E: Glucose-6-phosphate spectrophotometry
Answer this question truthfully,"HSV encephalitis mainly affects the temporal lobe of the brain. This is the part of the brain that is responsible for memory, language, and emotion. When the virus infects the temporal lobe, it can cause a range of symptoms, including seizures, confusion, and memory loss. Treatment typically involves antiviral medications and supportive care to manage symptoms and prevent complications. It is important to seek medical attention promptly if you suspect that you or someone you know may have HSV encephalitis, as early treatment can improve outcomes."
Please summerize the given abstract to a title,Detection of classical swine fever virus in boar semen by reverse transcription-polymerase chain reaction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is good to note that your son is recovering well from the traumatic brain injury. also, he has withstood five surgeries! regarding the flickering of lips and tongue, they could be due to partial (or focal) seizures. this is often due to scar in the brain caused either by the trauma or the effect of surgery. treatment would be with anti-epileptic medications. please discuss these issues with his doctor. best wishes, chatbot."
Please summerize the given abstract to a title,Cellular self-cannibalism helps immune cells fight the flu.
Please summerize the given abstract to a title,Reflections at the Time of Covid-19: The Doctor Becomes the Patient
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, read your query, as you have abscess in your tooth there is infection in gums and tooth it can be periapical or periodontal infection so for this you should go for proper treatment, there is nothing to be worried so much this lesion can be sinus opening from where your pus is chatbot.  i will suggest you to consult your dentist and go for oral examination and investigations iowa x-ray or opg and discuss with your dentist go for root canal treatment or oral prophylaxis. in meantime, you can do warm saline gargle two - three times a day.  maintain proper oral hygiene, do betadine mouth rinse. hope this will help you.  if you have further queried i will be happy to help."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi nancy. thanks for your query. the cause of the pain above the waistline on the right side has to be diagnosed on physical examination by a surgeon and diagnostic tests undertaken to prove or to rule out the probable causes. the probable causes are
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, having constant diarrhea, pain lower abdomen, had burn of legs and feet, have colon cancer, had pancreas polyps and removed.  you are already under the treatment, and you know all the facts, i to my patients with such symptoms give medicines for temporary relief, as sanitizing 300\u00a0mg, and dicyclomine hy chatbot.  when the diarrhea is frequent a combination of ofloxacin and ornidazole. thank you."
Please summerize the given abstract to a title,Diminished COX-2/PGE(2)-Mediated Antiviral Response Due to Impaired NOX/MAPK Signaling in G6PD-Knockdown Lung Epithelial Cells
what are the causes of headaches,"What causes Headaches - danger signs? Problems with blood vessels and bleeding in the brain can cause as a headache. These include: - Abnormal connection between the arteries and veins in the brain that usually forms before birth. This problem is called an arteriovenous malformation, or AVM. - Blood flow to part of the brain stops. This is called a stroke. - Weakening of the wall of a blood vessel that can break open and bleed into the brain. This is known as a brain aneurysm. - Bleeding in the area between the brain and the thin tissue that covers the brain."
Answer this question truthfully,"Uterus didelphys is an anomaly of the uterus where there is complete failure of lateral fusion of the müllerian ducts during fetal development. This leads to the formation of two separate uterus, each with its own cervix and vagina. Uterus didelphys is a rare condition that can be asymptomatic or can cause issues with fertility, pregnancy, and childbirth. It is usually diagnosed through imaging studies such as ultrasound or MRI."
Please answer with one of the option in the bracket,D: NAPDH oxidase defect
Please summerize the given abstract to a title,Socially responsible investing: from the ethical origins to the sustainable development framework of the European Union
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, although you have not mentioned your husbands age and how he got the injury, what i can infer from your description is that he may have an insufficiency fracture of tibial metaphysics. now, in plain laymen words, it means a fracture which occurs spontaneously or with little injury when the bone has become weak due to aging, osteoporosis or other disease. so the bone does not have the normal strength which is required to absorb the normal stress and strain of daily movements. the fracture will heal by itself in most of the cases, however a work up is required to know the cause of lucency or weakening of the bone. is it related to old age, osteoporosis or some other condition? the best way to treat this injury is to be off loading, that is to avoid weight-bearing in that leg and depending upon the severity a plaster may be put. usually recovers in 6 weeks to 3 months. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  as you describe it appears to be the hypothyroidism, which is causing the bulky stomach.  as you are taking tamoxifen since 5 years, the uterus should be screened regularly, as it may cause the uterine cancer.  i advise you to consult a gynecologist for diagnosis and treatment. you may need to have an m.r.i. for diagnosis.  avid taking fatty foods, junk foods, oily foods.  wishing for a quick and complete recovery. thank you."
Answer this question truthfully,"The personality disorder characterized by unstable mood and relationships, as well as a sense of emptiness, is called Borderline personality disorder (cluster B)."
Answer this question truthfully,"A complication that can occur in acute pyelonephritis is renal papillary necrosis, which may result in impaired urine concentration and excretion, leading to renal failure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot placing gauze in this area would not have an impact on the course of the infection and would not affect your ability to transmit the infection to your partner. it would be best to avoid sexual contact at the moment. your partner should be aware of this infection because transmission can occur even when there is no active outbreak. barrier protection (condoms) reduce the chance of transmission. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello sweetie;welcome to chatbot the scanning report suggests that there is presently no follicle seen and there is minimal amount of free fluid in pod(pouch of douglas). the free fluid can be present as a remaining part of infection in the pelvis which may have happened recently or in the near past. if there is no pain or discomfort there is no reason to worry about the fluid in pod. just carry on with the imaging of the follicle. thanks
Please summerize the given abstract to a title,"COVID-19 pandemic and blood transfusion services: The impact, response and preparedness experience of a tertiary care Blood Center in southern Karnataka, India"
Answer this question truthfully,"Incidence and prevalence differ based on cause. 
The incidence of DCM has been estimated to be 5-8 cases per 100,000 population, with a prevalence of 36 per 100,000. This could be explained by the incomplete disease expression, which goes unrecognized.  The prevalence of HCM in the absence of aortic valve disease or systemic hypertension is at least 200 per 100,000 of the adult population.  RCM is much less common than either DCM or HCM in the developed world, but is a frequent cause of death in the tropical countries, primarily because of the high incidence of endomyocardial fibrosis in those regions.  African–American individuals are approximately three times more prone to development of dilated cardiomyopathy. Hypertrophic cardiomyopathy has a prevalence of 400-800 per 100,0000 in adults. This prevalence seems to be similar in all races, but the disease age is mainly considered to be in adolescence and you adults.  Dilated cardiomyopathy has an approximate incidence of 4.58 per 100,000 in children less than 1 year old. The incidence decrease when the child ages and is 0.34 per 100,000 between 1 to 18 years old. 
The incidence of dilated cardiomyopathy was estimated to be 400-800 cases per 100,000 individuals worldwide."
Please summerize the given abstract to a title,The belief in health in the adoption of COVID-19 prevention and control measures
Answer this question truthfully,Thalassemia is a cause of microcytic anemia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome appreciate your concern. i would advise a physical exam to look for a hernia, an ultrasound abdomen to look for enlarged spleen if you are worried. a cbc to look for decreased platelet count and anemia. i would empirically recommend a two-week course of ppi such as pantoprazole and a pro kineticlike topside to see for improvement your symptoms persist please fix an appointment with your doctor so that a physical exam is performed after a complete history and the necessary investigations are done to look for any other cause wishing you best of healththanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. at your age (19 years), heart diseases are not mucchatdoctormon. but your symptoms are more suggestive of heart disease. and you also had slightly elevated blood pressure. so first consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test. if all these are normal then no need to worry about heart diseases. sometimes stress, anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. try to lose weight and stay fit. avoid junk food. do regular exercise. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Acute abdomen in COVID-19 disease: the pediatric surgeon's standpoint.
Please summerize the given abstract to a title,Cerebral venous sinus thrombosis and thrombocytopenia after COVID-19 vaccination – A report of two UK cases
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the question. your spine problem may require surgery for all findings stated by you. you also need to stabilize the bp first before any surgery. you may consult a physician who shall investigate for cause of hypertension and as it needs monitoring with medicines response, it is safer to be in touch with the doctor periodically than to be prescribed online since bp has to be periodically monitored with other tests. as of now, spinal lumbosacral brace should be worn and pain medicines like ibuprofen 600 thrice a day after meals, chloraxazone 500\u00a0mg twice a day after meals and pantoprazole 20 mg once a day on empty stomach in the morning may be taken. avoid bending forwards or lifting weighty things and rest in hard bed is required. consult a spine specialist for complete evaluation and surgical options for future"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. the impact of the tooth brush trauma will not usually lead to the tooth to be dead, though it may have caused the gums to get bruised and cause the bleeding. relax, and do not try to hurt it more. do salt water gargling. application of an oral topical gel will help relieve the symptoms. once the dentist office opens you can have it reviewed. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have high mcv that suggest larger size of rbc. that is commonly seen in vitamin b12 deficiency, liver disease and hypothyroidism.  you also have upper right qua chatbot.  so it suggests some liver disease, but your tests are normal except slightly high bilirubin.  you should go for ultrasound abdomen, serum b12 level and t3,t4 and tsh level.  this will help you find the exact cause. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,E: Segmented nuclei
Please summerize the given abstract to a title,Tough Love Lessons: Lateral Violence among Hospital Nurses
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i did review your concern but if the mrsa infection has been adequately treated there is no need to worry about. mrsa or for any other staphylococcus stays in nose as a carrier in some patients and the best way to avoid transmission is frequent handwashing with soap and water or alcohol based sanitizers after handling or touching the teen. keeping yourself clean and eating a healthy diet always will always go long way in preventing an infection of any sort. i hope this helped me know if you have any more questions or concerns. wish you all the best.
Please summerize the given abstract to a title,"Personal protective equipment (PPE) pollution driven by the COVID-19 pandemic in Cox's Bazar, the longest natural beach in the world"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Existential Implications of Internet Gaming Disorder (IGD)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, there are many medical illnesses your father have, so treatment of psychiatric illness must not affect medical part. as you described your father suspicious over your mother and frequent violent episode suggest that he has psychotic disorder and need treatment.is there any other features associated with it?any sleep disturbance, hearing of voice, abnormality of speech and behavior etc...for proper diagnosis detail history is must. so consult psychiatrist for detail history and treatment. thank you"
Answer this question truthfully,Very low Mg2+ levels correspond to low PTH levels which in turn results in low Ca2+ levels.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in.it's not clear what causes simple kidney cysts. one theory suggests that kidney cysts develop when the surface layer of the kidney weakens and forms a pouch (diverticulum). the pouch then fills with fluid, detaches and develops into a cyst. this is common after age of 60 years and two cysts in each kidney are acceptable as normal variation at that age. blood in urine once in a while should be investigated in detail by doing ultrasound scan and urine tests for presence of blood. this can be due to problems in kidney, urinary bladder, prostate and urethra. to know exactly where the blood is coming from requires to be detailed clinical examination and investigations. bubbles in urine are a routine occurrence and usually normal in the first urine of the day. if there are too many bubbles in urine then doing urine protein estimation might be required. benign prostatic hypertrophy (bph) is an extremely common condition in elderly men and is a major cause of outflow obstruction. it happens due to hormonal changes with advanced age and the prostate gland which is located at base of urinary bladder gets enlarged in size causing difficulty in passing urine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. it seems you are suffering from tina courts and corporal, a kind of fungal infection. i would suggest you to consult your dermatologist for proper management of the condition. i usually recommend proper course of oral antifungal chatbot.  you can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. take oral antihistamines for itching as required. maintain hygiene over those areas and avoid wearing tight undergarments. hope your queries are resolved and wish you best of health. kindly spare some time to rate my answer and"
Answer this question truthfully,"SGLT2 inhibitors, such as canagliflozin, work by causing increased excretion of urinary glucose, also known as glucosuria."
Answer this question truthfully,"Microtubules are cylindrical structures found in cells that are composed of a helical array of polymerized heterodimers of α- and β-tubulin. These structures play a critical role in cell division, intracellular transport, and maintaining cell shape. Microtubules are dynamic structures that are constantly undergoing assembly and disassembly, allowing cells to rapidly reorganize their internal architecture in response to changing environmental conditions. Because of their importance in cellular function, microtubules are a target for a number of drugs used in cancer chemotherapy and other medical treatments."
Answer this question truthfully,"In 2009-2013, the prevalence of Budd-Chiari syndrome was estimated to be 8 patients cases per 100,000 individuals in South Korea. Budd-Chiari syndrome is a rare disease. The annual incidence of Budd-Chiari syndrome was estimated to be about 11 cases per 100,000 individuals in Sweden. The annual case fatality rate of Budd-Chiari syndrome is approximately 2800 per 100,000 patients. Budd-Chiari syndrome commonly presents in the third or fourth decade of life. The median age at diagnosis is 51 years. Budd-Chiari syndrome is rare in children. Females are more commonly affected with Budd-Chiari syndrome than males. The female-to-male ratio is approximately 1.8 to 1. Budd-Chiari syndrome in the United States is predominantly seen in women and is commonly associated with hematologic disorders. Congenital membranous form is the most common cause of Budd-Chiari syndrome worldwide and particularly in Asia."
Answer this question truthfully,"Myeloperoxidase deficiency is a common genetic disorder featuring deficiency, either in quantity or function, of myeloperoxidase, an enzyme found in certain phagocytic immune cells, especially polymorphonuclear leukocytes.
It can appear similar to chronic granulomatous disease on some screening tests."
Answer this question truthfully,Heart failure Endocarditis
Answer this question truthfully,Both Prader-Willi and Angelman syndrome are due to a mutation or deletion of genes on chromosome 15.
Answer this question truthfully,"The likely diagnosis for the patient's condition is atrophic vaginitis, also known as genitourinary syndrome of menopause."
Please answer with one of the option in the bracket,C: Inpatient treatment with azithromycin and cefotaxime
"If you are a doctor, please answer the medical questions based on the patient's description.",his had gone through your query. yes dear you need to consult neurologist. dizziness and blurred vision both are neurological symptoms. need to do detail neurological work up and examinations. dizziness can be due to change in blood pressure so need to go for routine check up and examination also. investigations like funds examination/ ct scan/ mri will be useful to reach more confirmatory diagnosis. treatment is depended upon final diagnosis so consult neurologist for further assistance. get well soon. thank you.
Answer this question truthfully,Call your health care provider if you have signs or symptoms of this condition.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a detailed assessment of the lungs, respiratory muscles and musculoskeletal assessment is advised. as you have both ra and oa, you need to undergo physical therapy, as they will help you perform exercises to strengthen the muscles involved. also, as you said you get breathless, means your cardio respiratory endurance is slow and needs to get boost up. for ra and oa, medical works only symptomatic, and needs physical therapy along with it for optimum results. you can find research articles supporting the optimum functional abilities by implementation of physical therapy. also, the physical therapist will help you to understand how the process will work and how your overall health will improve along with weight loss too. in my clinical practice i see many oa and ra, but the end result we get is jogging without any breathlessness or pains and aches. regardsjay in chatbot."
Answer this question truthfully,"It is recommended to evaluate the bleeding risk before starting anticoagulant treatment for patients.  One of the most trusted tool to predict risk of bleeding has been introduced the ORBIT bleeding risk score, based on NICE guideline. It has higher accuracy and specificity compared to HAS-BLED and ATRIA scores.   In patients who are not taking any anticoagulation due to high risk of bleeding, checking for stroke and bleeding risk should be repeated every year.  The following tables are a summary of ORBIT bleeding risk score and score interpretation:"
Please summerize the given abstract to a title,Predictive role of perioperative neutrophil to lymphocyte ratio in pediatric congenital heart disease associated with pulmonary arterial hypertension
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is common to have that plugging sensation after a cold. this occurs because of eustachian tube dysfunction from mucosal edema. for such cases i used to give antihistamine like levocetirizine 2.5\u00a0mg at night, along with a nasal decongestant for 5 days. also, frequent swallowing(chewing gum helps) valhalla maneuver (maybe difficult for a child) are helpful. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,Hyperthyroidism presents with anxiety.
Answer this question truthfully,"Diagnostic tests are rarely needed to confirm the diagnosis of acute bronchitis. In very specific conditions, serologic tests, viral cultures or sputum analyses may be applied. Generally, inflammatory markers such as CRP rise during the course of acute bronchitis."
Answer this question truthfully,Heart failure is the most common cause of death in patients with acromegaly.
Please summerize the given abstract to a title,Chloroquine dosage regimens in patients with COVID-19: safety risks and optimization using simulations
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the person you have mentioned definitely seems to be suffering from social phobia. it is suggested that a psychiatric consultation is sought and accordingly treatment initiated. medicines like paroxetine work well in social phobia. in addition, option of cognitive behavior therapy can be considered which will focus on changing the avoidant behaviors, learning relaxation and changing any maladaptive thoughts that is leading to the current symptoms. i do hope that i was able to answer your query. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot if your period is normally regular and is now delayed, and you are sexually active then it is possible that you are pregnant. you should consider a pregnancy test first if this is the case, to determine if you are pregnant. the flu would cause headaches, muscle or joint aches, sore throat, fever and other cold symptoms. it would be treated with rest, fluids and painkillers. i hope this helps"
Please summerize the given abstract to a title,Covid-19 Related Topic Detection in Catering Industry with Online Review and Embedding
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Call your health care provider if your child has symptoms of this syndrome. If you have a family history of Ellis-van Creveld syndrome and your child has any symptoms, visit your health care provider.
Genetic counseling can help families understand the condition and how to care for the patient."
"If you are a doctor, please answer the medical questions based on the patient's description.","the steroid and bronchodilator combo in adverse has made you dependent on it, and you could not afford to live without it for a day even. to my own patients i would suggest taking steam inhalation by putting eucalyptus leaves in water when boiling. if leaves are not available, eucalyptus oil or picks vapor (also contains eucalyptus oil) may be added. tulsi (holy basil) leaves, ginger pieces may be boiled in a glass, allow becoming lukewarm, add little honey and little turmeric powder to it. sip it daily once at least - empty stomach. make it a habit. may continue long. if any irritation occurs, ginger may be discontinued intermittently. after about four weeks you will find if you miss adverse, you will have enough immunity not to feel discomfort. further, slowly you will not feel frequent need of adverse in the future. hope it helps."
Answer this question truthfully,"Fatigue Fever and chills that come and go Itching all over the body that cannot be explained Loss of appetite Soaking night sweats Painless swelling of the lymph nodes in the neck, armpits, or groin (swollen glands) Weight loss that cannot be explained
Other symptoms that may occur with this disease:
Coughing, chest pains, or breathing problems if there are swollen lymph nodes in the chest Excessive sweating Pain or feeling of fullness below the ribs due to swollen spleen or liver Pain in lymph nodes after drinking alcohol Skin blushing or flushing
Note: Symptoms caused by Hodgkin's lymphoma may also occur also with other conditions. Talk to your doctor about the meaning of your specific symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a small bump on the inside of lower lip can be due to a mucous cyst or muscle formation. it can also be an overgrown sebaceous gland. other cause can be cold sores caused by the herpes simplex virus. so, first, you should consult an oral physician and get evaluated, and a clinical examination can be done along with oral swab culture can be done for confirmation of the cause. for now, do warm saline gargles and also do cool compresses over the sores. avoid spicy and irritant foods. hope i have answered your query. let me know if i can assist you further."
what are autoimmune blood disorders,"An autoimmune disorder occurs when the body's immune system attacks and destroys healthy body tissue by mistake. There are more than 80 types of autoimmune disorders. The blood cells in the body's immune system help protect against harmful substances. These substances contain antigens. The immune system produces antibodies against these antigens that enable it to destroy these harmful substances. When you have an autoimmune disorder, your immune system does not distinguish between healthy tissue and antigens. As a result, the body sets off a reaction that destroys normal tissues."
Please summerize the given abstract to a title,COVID-19 and CAR-T cells: current challenges and future directions–a report from the EPICOVIDEHA survey by EHA-IDWP
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Acute pericarditis is defined as inflammation of the pericardium.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious disease specialist, answering your concern. it may be because of the deficiency of the enzyme erythropoietin. it is produced by the interstitial of the kidney. as your child has transfused the kidney, may be donors kidney has stopped producing the enzyme. exact cause of the anemia can only be diagnosed after the proper laboratory investigation. but till that time you can take the blood transfusion done to maintain the normal level of hemoglobin. i advise you to take erythropoietin level of your child done before you meet at appointment. i will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ chatbot.  thank you, chatdoctor"
Please summerize the given abstract to a title,"Mortality analysis of COVID-19 infection in chronic kidney disease, haemodialysis and renal transplant patients compared with patients without kidney disease: a nationwide analysis from Turkey"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i have gone through your question. as a consequence of tuberculosis your fallopian tubes get blocked, it happens in tb infected patients. i would advise going for laparoscopic recanalization of tubes after consulting surgeon with reports. you can also go for ivf (invited fertilization). so consult gynecologist for these treatment options. hope i answered your question. would be happy to answer your further queries. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello....... thanks for your query. i can understand your concern with your behavior. it is possible that you are suffering from a milder form of adjustment disorder successive to life events that is manifesting behaviorally. all you require is to learn anger management techniques and stress management strategies from a psychological counselor. i do not find any need for psychotropic medication at this stage. hope you find my suggestions useful. regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",if the allergy occurred after taking the medicine sit might be due to medicine sand mismatching of salts because you are taking allopathic and sindhi medicines because of high creatinine and kidney problem we can't give medicine high dose of or even low dose of medicines because of kidneys malfunction urea and creatine itself can cause allergy just apply local topical ointments like histocalaminemometasone and petroleum jelly if skin irritates because you have not specified particularly the skin if any other form of allergies you can take tab portion and try to treat route cause for which you are giving ruined and stop sii medicine
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and pleased to answer you we need some informations to be more precise
Please answer with one of the option in the bracket,D: Serum creatinine
Please summerize the given abstract to a title,"Competence-Oriented, Data-Driven Approach for Sustainable Development in University-Level Education"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i can near from your complaints is that you are suffering from a pinched nerve root in the back with radiculopathy. if you have not got an mri scan done then i would suggest you to get one, as it will show the amount of nerve pinched in the back. till then, i would suggest you to undergo physiotherapy and stretching exercises. i would also suggest you to take gabapentin tablets after consulting your physician.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,The amino acids lysine and arginine are positively charged at body pH (basic).
Answer this question truthfully,"Baroreceptors are stretch mechanoreceptors located within the carotid sinus and the aortic arch. These specialized cells are responsible for monitoring changes in blood pressure and relaying this information to the brain. When blood pressure increases, the baroreceptors are stretched and send signals to the brain to decrease heart rate and dilate blood vessels, which helps to lower blood pressure. Conversely, when blood pressure decreases, the baroreceptors are less stretched and send signals to the brain to increase heart rate and constrict blood vessels, which helps to raise blood pressure. This feedback loop is critical for maintaining stable blood pressure and preventing dangerous fluctuations that can lead to cardiovascular complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi charts advisable that you should consult a cardiologist personally and get yourself evaluated properly with general examination, basic blood tests and an ekg. if it turns out be just a sinus tachycardia you can discuss your options regarding starting you on a low dose beta blockers. if your blood reports show low hbo or some thyroid dysfunction that's probably causing the fast heart rate then it could be treated accordingly. i wish you good health"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to the forum. it is nice to know that your investigations have a normal report. the symptoms of asthma can be controlled and discomforts reduced, but there is no clear-cut cure of the ailment. it is important for you to take care of your lifestyle, quit any kind of addition as it may trigger your symptoms. stay stress-free and have a good sleep.  it is caused by allergy of any kind, cold, pollen, food, etc. some have a history of asthma as a family ailment. the people who are psychologically sensitive are affected by it. asthma is a medical condition that results due to the inflammation, swelling or narrowing of the airways (bronchioles) in the lungs. it may cause over-production of mucus sometimes. iit results in shortness of breath, difficulty in breathing. when the episodes of asthmatic attacks (coughing, shortness of breath, wheeze) get quite occasional, steroids, bronchodilators, anti-inflammatory medications and nasal sprays have to be taken (after consultation with your treating doctor).  asthma is not a disease. a normal, active life should be lead. have a good day, take care."
Please summerize the given abstract to a title,Translation and cultural adaptation of IPOS (integrated palliative care outcome scale) in Estonia
Please summerize the given abstract to a title,Side-by-Side Comparison of Three Fully Automated SARS-CoV-2 Antibody Assays with a Focus on Specificity
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, normally,deep cleaning will not cause any kind of pain or swelling over gums and cheek other than sensitivity unless any trauma occurred during the procedure while using ultrasound scale and hand instruments. have you got checked for any decay or impacted wisdom tooth in your right side?without clinical examination, we cannot decide your diagnosis and treatment plan. if you have severe gum infection, or gingivitis, i advice you to take tab.doxycycline.100\u00a0mg once a day for 3-7 days depending on severity of the problem. please give your medical history like epilepsy, cardiac disease etc. to your dentist so that doctor can give a proper diagnosis. hope you get well soon."
Please summerize the given abstract to a title,The Impact of COVID-19 on the Optimal Management of Osteoporosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your question. progestin is progesterone which supports the pregnancy by making uterine environment more favorable for conception. it also causes delay in the periods or sometimes no periods at all. i would suggest you to get a urine pregnancy test, of it is negative, then do wait for 7-10 days after stopping the progesterone for the proper periods to occur. glucophage is metformin which is given to improve the glucose metabolism and hence increase the chances of conception in pcs patient. cerophine is camphene citrate which is an ovulation induction chatbot. hope you found the answer helpful. wishing you good health."
Please answer with one of the option in the bracket,C: All-trans retinoic acid
"If you are a doctor, please answer the medical questions based on the patient's description.","hello foot fracture bones are aligned right, purpose of boot is immobilization. only thing is cast shouldn't be loose enough to permit movement of fracture site. if not, then nothing to worry, if loose, then padding or change may be needed, so see an orthopedic doctor. if only crack fracture and no displacement requiring re aligning fracture ends, no worry even if boot oversized-the idea is only to take weight off the foot on standing or walking, it will heal fine. if initial fracture displacement required setting of fracture ends, then do visit hospital to review with check x-ray if alignment is disturbed and may require resetting and correct size snug boot best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding conservative treatment for the prolapsed disc, these are a few things you should follow.1. avoid bending forward and weight lifting.2. sleep on the hard bed and always sit straight with back support.3. use a lumbosacral belt in the daytime.4. give hot fomentation on the affected part.5. apply diclofenac gel and give massage to the part.6. do spinal extension exercises as tolerable.7. take gabapentin and nortriptyline.8. take any good muscle relaxant. try these all for 1 month and still your pain is not relieved then there is no option other than surgery. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history for some patient who is a female of 27 and taking anti-tubercular treatment for the last 3 months for abdominal rocks (tuberculosis) .her weight is just 42 kg. now she has developed severe abdominal pain in spite of proper att, the akt. relieved by intravenous fluids and tramadol. the most probable causes of such a condition can be"
Answer this question truthfully,"Heliox - a combination of helium and oxygen - is currently being studied for efficacy in treating croup. It works by reducing upper airway resistance to gas flow, relieving respiratory distress. There is early evidence that it is as effective as racemic epinephrine in treating moderate and severe croup. Further randomized trials and investigational studies are being pursued."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear parent, its a good thing that you have accepted her condition and trying to help. you need to be extremely patient and persistent regarding her therapies. i will suggest you shall learn things yourself (both parents) to help her and teach her, without getting disheartened. you can help other parents to cope with the situation. please continue with all the required therapies, it will take long but will be helpful in long run."
Please summerize the given abstract to a title,New Challenge for Initial Training of Mathematics Teachers: The Planning Phase of Mathematics Distance Learning
Please summerize the given abstract to a title,Trajectories of Clinical and Laboratory Characteristics Associated with COVID-19 in Hemodialysis Patients by Survival
Please summerize the given abstract to a title,Association of Patient-Centered Medical Home designation and quality indicators within HRSA-funded community health center delivery sites
how do i stop using rasagiline,"Talk to your doctor about stopping your use of rasagiline. Your doctor will likely decrease your dose gradually, which is very important, because if you stop taking it suddenly you may experience withdrawal symptoms. These include fever, muscle stiffness, lack of coordination, or changes in consciousness. Immediately tell your doctor if you experience any of these symptoms when your dosage is decreased."
Please summerize the given abstract to a title,"Does liuzijue qigong affect anxiety in patients with chronic obstructive pulmonary disease, even during the COVID-19 outbreak? A randomized, controlled trial"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellosildenafil citrate (viagra) is used for erection of penis.however, it is not clear in your history, what do you want. as you mentioned that you are now 20 years old and erection is a common thing, while when penis is erected naturally testicles (balls) become tight, so need not worry. still you think you have any problem without any hesitation consult a psychiatrist and get his opinion as physical examination is very important. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",dearwelcome to chatbot understand your concerns went through your details. i suggest you not to worry much. i sincerely do not see any problem with this except for your obsessive thinking in this matter. everyone carries a song or some thoughts with them. sometimes people sleep with a song lyrics in mind and gets up singing tht song next morning. every day different songs come and go. all these are normal. happens to everyone. but why are worried about it. worry about some normal happening again and again creates obsession and obsession in turn creates anxiety. that is what you are in. please describe the whole problem detail and post a direct question to me. also include how this obsession caused loss of your job. i shall definitely help you with psychotherapy techniques to overcome obsessive thoughts. hope this answers your query. available for further clarifications. good luck.
Answer this question truthfully,"Abnormal walk (gait) Blindness Confusion Dementia Depression Headache Incontinence Inability to walk Irritability Numbness in the toes, feet, or legs Poor concentration Seizures Stiff neck Tremors Visual disturbances Weakness"
Answer this question truthfully,"What is the possible diagnosis for a patient with a fluid-filled endometrial cavity, no gestational sac, and lower than expected increase in β-hCG levels? This presentation is suggestive of an ectopic pregnancy."
Answer this question truthfully,"The classic ""3"" sign on chest x-ray created by indentation of the aorta is suggestive of coarctation of the aorta."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot. i read your query. you did not mention if the cysts are related to that particular tooth only or are they occurring in different parts of mouth. if its occurring in that tooth, i suggest you to visit an oral surgeon and get an x-ray done. if the tooth and bone condition allows, it can be treated by appendectomy of that tooth. it's a minor surgical procedure under local anesthesia. a new crown of good quality can be placed after that procedure after some crown cutting. or there are other ways like post and core etc. for crown restoration. all this requires oral and radiographic check up by a dentist. hope the answer helps you. thank you."
Please summerize the given abstract to a title,Allergens of Regional Importance in Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no, streptococcus miller is not the virus, but it is bacteria. it grams positive cocaine infection caused by these bacteria is pneumonia. viral infection may be primary agent of infection, but chances of pneumonia is caused by streptococcus miller is more. i advise you to get bacteria sensitivity done. and take the chatbot."
Answer this question truthfully,Obstructive lung disease is characterized by an FEV1/FVC ratio < 70% of predicted.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, according to your clinical symptom i suppose that you have developed a swelling and inflammation around canine tooth due to trauma from retainer.don't worry apply colonel oral ointment topically over the affected area. take lukewarm saline and antiseptic mouthwash rinses. maintain a very good oral hygiene. visit to the concerned orthodontist and get the appliance modified if causing any problem. hope you find this as helpful, regards..."
Please summerize the given abstract to a title,COVID-19 and bank performance in dual-banking countries: an empirical analysis
Please summerize the given abstract to a title,Targeting the glycan of receptor binding domain with jacalin as a novel approach to develop a treatment against COVID-19: Jacalin-RBD COVID-19 interaction
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user about your complaint of pneumonia with cough you should follow simple steps you should see your doctor for clinical examination and discuss with him to do chest x-ray and blood culture to confirm diagnosis if diagnosis confirmed you should do antibiotic sensitivity test to detect most sensitive antibiotic with good result pneumonia has resistance to antibiotic, so tests should be performed sometimes we choose to give penicillin plus aminoglycosides as gentamicin because it will give great results with pneumonia chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. merkel cell cancer is a rare and aggressive form of skin cancer. it is influenced by sun exposure and appears as a painless nodule in the skin. if there are lymph nodes involved then it is stage 3 cancer. since the reports have come as inoperable, surgery might not be the best treatment of choice for him at present. chemotherapy and radiation therapy are two important strategies that might have to be planned by his doctor and given in a regulated manner. radiation will limit the aggressiveness of the cancer and reduce tumor size. the chemotherapy will destroy the cancer cells. please do not worry."
Please answer with one of the option in the bracket,C: Smoking cessation
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot .1. the symptoms suspect more towards renal calculus (stones) - when there is calculus obstruct the way and pass through ureter such pains are experienced and gets relief after some time.2. the second possible causes could be pelvic pathology (uterine / ovarian).3. mean wile you can take some painkiller and take an appointment with your doctor and get an ultrasound abdomen pelvis get done to find out the cause.4. possibilities are (renal calculus / appendicitis / intestinal obstruction / ovarian pathologies)hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",wheel problems are usually due to calcaneus spurs (growth of beak in heel bone called calcaneus). the best course of treatment is wearing a cupped heal of soft inner cushion while walking. do contrast bath dipping foot in a tub of hot and cold water alternately every minute for 10 minutes twice a day. apply anti-inflammatory gel like dfo gel locally after contrast bath. take advil tablets after meals for 3-5 days.it should improve in a week. if doesn't then get x-ray of heel and visit orthopedic doctor. local infiltration of injection hy chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","helloplease do not worry and think positively. you will conceive. just have patience and the correct tests and treatment will help you conceive. it is very difficult to give you any advice before looking at all your reports in detail. either you can go back to your gynecologist and understand the complete thing, or you can consult an infertility specialist/gynecologist at another clinic. u can come to my clinic for advise as well."
Please summerize the given abstract to a title,Global pattern of COVID-19 research
Please summerize the given abstract to a title,Excessive lysosomal ion-trapping of hydroxychloroquine and azithromycin
Please answer with one of the option in the bracket,B: Oxycodone
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. there are few reasons for swollen legs in her case.1. spread of cancer in lower limb lymphatic system can cause obstruction to the flow and cause edema.2. liver metastases if not treated can cause liver failure and thus protein (albumin) produced by liver is low. hypoalbuminemia can cause lower limb edema. 3. liver failure also cause severe anemia. low hemoglobin can also be the cause for this. but in any of the reason, prognosis is very poor. she is running towards end stage disease. in my opinion life expectancy is less than 2-3 months."
Please summerize the given abstract to a title,The Implementation of Telepractice in Speech Language Pathology in Hong Kong During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. noted your family members have different kinds of cirrhosis..... hemochromatosis and autoimmune hepatitis have different kinds of genes involved.ex.he gene and are gene mutation respectively. this two condition not interlinked. hemochromatosis comes under metabolic liver condition. the only link is both can be congenital... your mother and sister who have non-specific cirrhosis could be biopsy done to rule out cause..... for genetic mutation study fish or pcr can be done..... regular follow up is necessary... take care... chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you? where are you writing from? the above set of labs suggests there is blockage of the bile duct (the pipe which empties bile juice from liver into the intestine) at some level. there are multiple reasons for this and can include something as simple as a stone inside the duct or could be something dangerous like cancer. the cause can be very easily found by doing a scan of the belly (ultrasound, ct, mri etc.) and some simple blood tests to look for cancer. you could be treated based on that. also, an endoscopy (ercp) and stenting of the bile duct will bring down your jaundice levels. medications usually will not work for this kind of jaundice. hope this helped and hope you feel better soon. please do not hesitate to contact me for further details or for sharing any scan reports - rxsuresh@gmail.com"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, any sore in mouth that is present over a month and is not healing should be checked. if there is any associated factor like tongue bite, any sharp tooth or anything else then it should be immediately corrected or managed. if not, then a biopsy of the sore should be done to rule out the exact cause of the sore. so my suggestion is to consult an oral physician and get evaluated, and a thorough clinical examination should be done. if needed, a biopsy can be done for confirmation. for now, you can apply analog oral paste over it and take vitamin b complex supplement. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Sulfonylurea drugs increase insulin secretion by closing the ATP-dependent K+ channels in pancreatic beta cells. This leads to depolarization of the cell membrane and subsequent activation of voltage-gated Ca2+ channels, which triggers the release of insulin. The increased insulin secretion helps to lower blood glucose levels in individuals with type 2 diabetes. However, this mechanism can also lead to hypoglycemia if too much insulin is released, which is a potential side effect of sulfonylurea therapy."
Please answer with one of the option in the bracket,"E: Recommend weight loss, more exercise, and a salt-restricted diet."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, high eosinophil counts normally seen in allergic conditions, parasitic infections, larva migrant and asthma. however, if this is not the case, there are some blood cancers or malignancies that could present themselves with high eosinophil counts. this can also be seen in hodgkin lymphomas and in acidosis. i suggest you visit a hematologist to redo the test and confound the results with those from and blood film. remember that doing another complete blood test to confirm these results could also be very useful. thanks and best regards, luchuo, md."
Please summerize the given abstract to a title,Immunocompromised patients and coronavirus disease 2019: a review and recommendations for dental health care.
Please summerize the given abstract to a title,Evaluation of a Social Media Campaign in Saskatchewan to Promote Healthy Eating During the COVID-19 Pandemic: Social Media Analysis and Qualitative Interview Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. since the diagnosis of disease had produced after thorough investigation and biopsy report, the disease may be of tubercular infection. this usually affects lateral side of neck. take complete course of medicines as prescribed. meanwhile, visit a dentist and get the fractured root canal treated tooth replaced. re-rct has to be done if required. if tooth cannot be retained, get it extracted. swish with lukewarm saline frequently. take care."
"congenital diaphragmatic hernia I need to know if CDH can be passed down to future generations.  I just learned that this condition most likely caused the death of my first child back in 1971.  I was then told it was merely a fluke.  I had NO trauma during the full-term pregnancy, and I and my then husband were in very good health.  Now my son (from a different husband) and his wife are due to have fraternal twins in  2015.  Does the term 'congenital' mean that it could be passed down to another generation?  I do not want to alarm my son and his wife.  I just would like to inform whatever pediatrician is caring for these babies as to my experience.  Unfortunately my son and I are estranged.  And I do not know who is their pediatrician.  My child's CDH was very severe.  I know there are far less severe cases that can go undetected &/or undiagnosed unless there is a reason to suspect such a condition.  Please respond to my concerns.","Congenital diaphragmatic hernia has many different causes. In 10 to 15 percent of affected individuals, the condition appears as a feature of a disorder that affects many body systems, called a syndrome. ...  Some of these syndromes are caused by changes in single genes, and others are caused by chromosomal abnormalities that affect several genes. ... More than 80 percent of individuals with congenital diaphragmatic hernia have no known genetic syndrome or chromosomal abnormality. In these cases, the cause of the condition is unknown. ...  Environmental factors that influence development before birth may also increase the risk of congenital diaphragmatic hernia"
Answer this question truthfully,"Zika virus was first isolated from a Rhesus Monkey in 1947 in Uganda. The virus was first isolated from humans in 1968 in Nigeria. Since then, viral circulation and outbreaks have been documented throughout Asia and Africa. The most recent outbreak occurred in Brazil in April 2015."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for the query. i have understood your concerns. the chances of getting pregnant in your case are very low but keep it mind that if you get worried in this manner you may miss your period unnecessarily due to stress so just keep in mind that you have took the pill and done unprotected sex by pulled out method, so there is a rare chance of being pregnant but not a common thing to happen. if you have any doubts wait for your periods and if they didn't come have a home pregnancy test done and then consult your gynecologist. thank you"
Please summerize the given abstract to a title,"Insights From Deep Sequencing of the HBV Genome—Unique, Tiny, and Misunderstood"
"If you are a doctor, please answer the medical questions based on the patient's description.","helots is known as night fall in common term (semen ejaculated in sleep). this is a common feature in young adults after 16 -17 years. this is absolutely normal and nothing to do with laziness or inactive activities. so don't try to read or see sex related material. always be positive and try to do something good. still feel something bad, consult a psychiatrist and get his opinion and treatment. here one thing i want to tell you that you are normal, so don't trust over quacks. good luck."
Answer this question truthfully,"Carcinoid tumors are a slow-growing type of neuroendocrine tumor that can remain asymptomatic for many years, even after they have metastasized to other parts of the body. However, when carcinoid tumors metastasize to the liver, they can cause a group of symptoms known as carcinoid syndrome. This is because the liver is responsible for processing many of the hormones and neurotransmitters that are secreted by carcinoid tumors, including serotonin and other vasoactive substances. When these substances are not properly processed by the liver, they can cause a range of symptoms, including flushing, diarrhea, wheezing, and heart valve damage. The time frame for carcinoid tumors to become symptomatic can vary widely depending on the location and size of the tumor, as well as other individual factors. Therefore, regular monitoring and surveillance are important for the early detection and management of carcinoid tumors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi you have bad hacking cough, and you have probably pulled a back muscle causing back pain on getting up from bed and difficulty in chatbot.  in prolonged hacking cough, slipped disc is a very common problem which causes severe back pain. i would recommend you take a muscle relaxant along with ibuprofen, do hot fomentation of back and muscle strengthening exercises for your lower back. if there is no relief in 10 days then go for mri lower spine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, as you stated, you are experiencing pain in your lower left tooth, but have not mentioned whether the pain is intermittent or continuous, does it radiate or not, what are the aggravating or relieving factors. therefore, i assume that the pain might be quite intolerable and that must be the reason why your dentist suggested root canal treatment. rct is performed when the nerves and vessels of your teeth get infected, in such a case, rct is the only treatment or in severe cases extraction of the concerned tooth.i would suggest you go for rct quite soon before the pain becomes severe., delay in the treatment can cause spreading of infection to the surrounding tissue(gums, jaw,etc.) also. kindly visit a dentist who is specialized in acts.i wish you good health. take care."
Answer this question truthfully,"Some children have infections with few or minor symptoms.
Bronchiolitis begins as a mild upper respiratory infection. Over a period of 2 - 3 days, it can develop into increasing respiratory distress with wheezing and a ""tight"" wheezy cough.
The infant's breathing rate may increase (tachypnea), and the infant may become irritable or anxious-looking. If the disease is severe enough, the infant may turn bluish (cyanotic), which is an emergency.
As the effort of breathing increases, parents may see the child's nostrils flaring with each breath and the muscles between the ribs retracting (intercostal retractions) as the child tries to breathe in air. This can be exhausting for the child, and very young infants may become so tired that they have difficulty maintaining breathing.
Symptoms include:
Bluish skin due to lack of oxygen (cyanosis) Cough, wheezing, shortness of breath, or difficulty breathing Fever Intercostal retractions Nasal flaring in infants Rapid breathing (tachypnea)"
Please summerize the given abstract to a title,A 10-Year Social Media Analysis Exploring Hospital Online Support of Black Lives Matter and the Black Community
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,E: Vancomycin and ceftazidime
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. i am chatbot answering your query. if i were your doctor, i would go for a liver function tests, and an ultrasound of abdomen to rule out any pathology in the liver due to the anti cholesterol medications. apart from that, i would also like to examine you clinically to rule out any pathology in the abdomen. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Please summerize the given abstract to a title,0093 State driver licensing agency policy adaptation during COVID-19: a content analysis
"If you are a doctor, please answer the medical questions based on the patient's description.",you first need to stop examining your anal and rectal regions yourself and in case you have discomfort in perianal region please consult qualified gastroenterologist and get photocopy or other necessary copies done. you fought against cancer and won and these small issues shouldn't be of any concern. its children to say that you don't want to get treated. you have won a hard battle and small things should upset you
"If you are a doctor, please answer the medical questions based on the patient's description.","its clearly lumbosacral spine involvement. the nerves emanating from this region of spinal cord, give a feeling of pain where ever they supply. joint pains are because of arthritis. i do not know your age to comment better. no appetite, no desire to eat and tonsil related thing is arc - upper respiratory catarrh. in ayurveda this bunch of symptoms is covered under vat oaf vicar. if my patients had it, i would treat them with decoction of pancake powder, tab rumply and liquid dashmularishta (excellent formula in ayurveda prepared by combining 10 kinds of roots mainly acting on lumbosacral region and git. any ayurveda doctor can guide you details. four weeks will be enough for slow acting but pure herbal med. gut cleaning is essential by oral trifle capsules. this formula has helped many patients. no side effects. hope you will also be benefited."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, stress and anxiety can cause breathlessness breathlessness. but we need to first rule out organic causes for breathlessness. so first consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). if all these are normal then stress can be the cause for your breathlessness. so consult psychiatrist and get done counseling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  so avoid stress and tension, be relaxed and calm. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to an allergic reaction. everything can cause an allergy. i suggest using antihistamines such as cetirizine 10 mg daily. if the symptoms continue, i suggest consulting with your doctor for further evaluation and specific treatment. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the cannabis, if you have taken as smoke, then it can aggravate the infection. this can occur secondary to the heat and the negative pressure created by the smoke. so nothing to be panic, consult an oral physician and get it evaluated. do not use vaporizer also. you can take a course of antibiotics like amoxicillin and metronidazole(if you are not allergic). do not disturb the abscessed area by touching or applying pressure, because this can worsen the condition. so consult the oral physician and get the tooth treated as early as possible. i hope my answer will help you, take care."
Answer this question truthfully,"Fructose-1,6-bisphosphatase is regulated via negative feedback by fructose-2,6-bisphosphate and AMP."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and. as a urologist, let me assure you that, the color changes you're seeing, are quite normal after treatment of arianism. you could've reported to er much earlier.  the discoloration is due to the congestion and blood clots, that had collected inside. one complication that may occur after treatment, is erectile dysfunction.i'm sure the er doctor may have told you that. the black color you describe, is difficult to make out. you should see a urologist for that. you can send a photo of the penis to me, for an expert opinion. chatbot.  manga."
Please summerize the given abstract to a title,"The heathen, the plague, and the model minority: Perpetual self-assessment of Asian Americans as a panoptic mechanism"
Answer this question truthfully,"The absence of active vWF makes intestinal angiodysplasias rupture much more easily, resulting in GI bleeding and Iron Deficiency Anemia."
Please answer the letter of option truthfully,D
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you said you suffer from psoriasis... i would like to say few things about psoriasis.... psoriasis is a chronic relapsing and autoimmune disease. you may be having scaly plaques on various parts of the body, scaly lesions on the scalp. exact cause is not known. genetic tendency, autoimmunity, stress, chatbot. .etc. may be responsible for precipitation and exacerbation of psoriasis. you consult dermatologist for firm diagnosis and treatment. i usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. this may be taken for long time till good response. blood tests may be done to monitor the treatment. for itching, you may take antihistamines like levocetirizin... avoid steroid, as there may be severe flare up after stopping it. you may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. you may apply moisturizer to improve the skin texture. she should avoid soap bath for few weeks. and you should be free of stress and worries as that might worsen psoriasis. you might get good result. you contact nearby general practitioner and ask him for experienced dermatologist ....ok hope you got my answer. thanks."
Please summerize the given abstract to a title,155 Establishing A Community Frailty Unit During the COVID19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! yes, your concern is very true. this distension can be due to obstruction in intestines or also as very correctly mentioned by you, due to some tumor. in females, commonly ovarian tumor is the culprit for big distension of abdomen. in my clinic, many such patients do come to whom i advise, ultrasound abdomen & pelvis, urine & stool routine, cbc. treatment is done accordingly. it is advisable to get an ultrasound done before you fly, as if it's an obstruction in intestines (subacute), it may progress to complete (acute) obstruction, which is a medical emergency. hope this information is useful. wish you a good health. thanks. regards."
Please summerize the given abstract to a title,"COVID 19 era: a beginning of upsurge in unwanted pregnancies, unmet need for contraception and other women related issues"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient cranberry pills has no relation to back pain. if uti is ruled out possible cause will be back pain of muscular origin or instability.  i would like to advise x-ray of lumbosacral spine anteroposterior and lateral views. please get it done from the radiology center nearby you. meanwhile, start tab ibuprofen 400 mg twice a day for pain relief. local application of hot water bag will help in pain relief. if x-ray is abnormal you need to consult orthopedic surgeon nearby your area."
Answer this question truthfully,"Tricuspid stenosis is mostly associated with mitral valve abnormalities. Common symptoms include dyspnea, peripheral edema, and fatigue. Tricuspid stenosis (TS) is the narrowing of the tricuspid orifice that obstructs blood flow from the right atrium to the right ventricle. Almost all cases result from rheumatic fever. Symptoms include a fluttering discomfort in the neck, fatigue, cold skin, and right upper quadrant abdominal discomfort. Jugular pulsations are prominent, and a presystolic murmur is often heard at the left sternal edge in the 4th intercostal space and is increased during inspiration. The diagnosis is by echocardiography. TS is usually benign, requiring no specific treatment, but symptomatic patients may benefit from surgery."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of stress and anxiety related symptoms is more. but better to first rule out cardiac cause. so get done ecg and 2d echo. if both are normal than no need to worry about heart diseases. hormonal imbalance is another cause for breast pain and lumpy feeling. so get done hormone levels. if this is also normal than you are mostly having stress and anxiety related symptoms. so consult psychiatrist and get done counseling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  so avoid stress and tension. be relax and calm. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Please summerize the given abstract to a title,Improving Pandemic Response: Employing Mathematical Modeling to Confront COVID-19
Answer this question truthfully,"The orbital or horizontal part of the frontal bone (pars orbitalis) consists of two thin triangular plates, the orbital plates, which form the vaults of the orbits, and are separated from one another by a median gap, the ethmoidal notch.
The inferior surface of each orbital plate is smooth and concave, and presents, laterally, under cover of the zygomatic process, a shallow depression, the lacrimal fossa, for the lacrimal gland; near the nasal part is a depression, the fovea trochlearis, or occasionally a small trochlear spine, for the attachment of the cartilaginous pulley of the obliquus oculi superior. The superior surface is convex, and marked by depressions for the convolutions of the frontal lobes of the brain, and faint grooves for the meningeal branches of the ethmoidal vessels. The ethmoidal notch separates the two orbital plates; it is quadrilateral, and filled, in the articulated skull, by the cribriform plate of the ethmoid. The margins of the notch present several half-cells which, when united with corresponding half-cells on the upper surface of the ethmoid, complete the ethmoidal air cells. Two grooves cross these edges transversely; they are converted into the anterior and posterior ethmoidal canals by the ethmoid, and open on the medial wall of the orbit. The anterior canal transmits the nasociliary nerve and anterior ethmoidal vessels, the posterior, the posterior ethmoidal nerve and vessels.
In front of the ethmoidal notch, on either side of the frontal spine, are the openings of the frontal air sinuses. These are two irregular cavities, which extend backward, upward, and lateralward for a variable distance between the two tables of the skull; they are separated from one another by a thin bony septum, which often deviates to one or other side, with the result that the sinuses are rarely symmetrical. Absent at birth, they are usually fairly well-developed between the seventh and eighth years, but only reach their full size after puberty. They vary in size in different persons, and are larger in men than in women. They are lined by mucous membrane, and each communicates with the corresponding nasal cavity by means of a passage called the frontonasal duct."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot .......... get her to a pediatrician and get her evaluated for constipation.1) medical conditions like hypothyroidism can cause constipation which needs to be ruled out, because it affects children growth and development.2) if no other causes of constipation is detected, then she can be put on dietary management plenty of water, fruits and vegetables. avoid too much of chocolates and fat rich foods .if this does not work then syrup lactulose can be given in increasing doses beginning from 3 ml .but but but before starting on lactulose please consult a pediatrician and rule out other causes of constipation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for choosing chatbot. i have read your query carefully and understood that you were advice citalopram 20\u00a0mg/day and clonazepam 0.5\u00a0mg twice daily. and now you have stopped taking clonazepam. i would like you to know that for your depression/anxiety, citalopram is the primary medicine and usually clonazepam is used as an adjuvant with it for a short period of time because citalopram can increase anxiety in initial few days/weeks of starting treatment. i would like to advice you that you can continue your night dose of clonazepam at 0.5\u00a0mg for a week, and then you can reduce it to 0.25\u00a0mg for a week, and then you can stop. or if you have already stopped it for more than 2 days, you can use it as and when required. but i would also advise you to discuss all this with your psychiatrist in detail. hope i answered your query, let me know if you need any further information. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, numbness in the area after surgery could imply some trauma to the nerves around this area. the nerves that supply this particular area have common branches originating from the whole genital region, called the urogenital nerve. frequent urinating could imply problems with the bladder innervation. depending on when you started experiencing this symptom, it might be necessary to exclude other common causes of such symptoms. diabetes and a urinary tract infection should also be checked for. kind regards"
Answer this question truthfully,A thrombotic ischemic stroke is a type of stroke caused by a blood clot that forms in an artery supplying blood to the brain. It typically results in a pale infarct at the periphery of the cortex.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chances of conception are very rare in such an instance. if she happens to be during the fertile period and if there is any pre-ejaculate, it is possible that conception may occur as even the pre-ejaculate contains adequate sperms to cause conception. if nothing like that has happened, you can rest assured. she should wait for her next period if she has regular 28-30 day cycles or get a blood test for pregnancy 10-14 days after the act, if exclusion is needed. hope this helps."
Please summerize the given abstract to a title,"Use of alternative data: High frequency readout of the situation -- COVID policies, mobility, and R-Number"
Please summerize the given abstract to a title,Development and Characterization of Antimicrobial Textiles from Chitosan-Based Compounds: Possible Biomaterials Against SARS-CoV-2 Viruses
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, age of your daughter is not known. if it's less than five years, you may try following safe but simple-looking, effective pure herbal formula"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,The saphenous branch of the femoral nerve provides sensation to the anterior thigh and medial leg.
Answer this question truthfully,"Cauda equina syndrome is a condition that can cause compression of the nerve roots at the lower end of the spinal cord, leading to a range of symptoms. Some possible clinical signs of Cauda equina syndrome include lower back pain, weakness or numbness in the legs, loss of bladder or bowel control, and sexual dysfunction. In addition, a physical exam may reveal absent knee and ankle reflexes, as well as decreased sensation in the saddle area. These signs can help to differentiate Cauda equina syndrome from other conditions that affect the lumbar spine, such as herniated discs or spinal stenosis. Early recognition and treatment of Cauda equina syndrome are important to prevent permanent nerve damage and disability."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. according to your description, you totally missed one pill. so now the complete protection cannot be expected. so you have to use some additional contraceptive measure like condoms till you complete this pack. you can continue the remaining tablets. after completion of this pack, you can start next pack as usual. for more details you can ask me directly through the premium forum. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking you question completely understand your problem this feeling of heaviness or soreness can be due to work out or any injury during workout. i there am pain or pain persists for more than a week you should get chest x-ray done and consult a pulmonologist and regarding your ear problem, don't use any object like matchstick to clean up your ear you can use some branded cotton buds to clean that too occasionally.seems like this bleed was from external ear .and regarding other ear you should consult an ent specialist to rule out the cause and before the infection flares upthanksmay god bless you with good health feel free to ask, iff you have more queries"
Please summerize the given abstract to a title,Education environment and the impact of pandemic COVID-19 in student perspective
Please answer with one of the option in the bracket,A: Type II hypersensitivity reaction
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the arachnoid cyst is, in most cases, an incidental finding, during imaging examinations done for other reasons. probably it was there since birth, and in most of the cases, it does not cause any symptoms. only in rare cases when there is evidence of adjacent brain compression, it needs neurosurgical attention. so, see a neurosurgeon for this issue. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, on which anti-depressant you are?what are the symptoms you have?there are many medication nowadays which helps you like ssri(selective serotonin re uptake inhibitor), sari(serotonin and nor epinephrine re uptake inhibitor) nasa (nor epinephrine and serotonin antagonist).discuss above medication with your doctor. are you having thyroid problem?whether you test for thyroid any time? thank you"
Answer this question truthfully,The diagnostic method for diagnosing a pancreatic pseudocyst involves performing a CT scan.
Answer this question truthfully,The name of the dermatologic lesion is Vesicle.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned are not protected against the pregnancy as you took after 2 days. it contains low dose of progesterone compared to the pill. now i would suggest to wait for the period. if period will delay by the 8-10 days from the expected period date then go for urine pregnancy and or blood chatbot to confirm the pregnancy. if you will be pregnant then still you can terminate it by abortion pill under the supervision of the gynecologist.meanwhile, avoid stress, take healthy diet, do regular exercise, chatbot. hope this may help noncontact chatbot for further health query best regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Clostridium is a Gram-positive bacterium, meaning that it retains the crystal violet stain in the Gram staining procedure. It is a rod-shaped bacterium, which can be either straight or slightly curved depending on the species."
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for your query. fertyl contains camphene citrate, which helps to stimulate formation of eggs (follicles) in the ovary, in cases of ovulatory infertility and unexplained infertility.almost 50 % of women on camphene conceive successfully, specially after 2 - 3 cycles of treatment, (if other factors like hormonal analysis, semen testing and fallopian tube patency are normal). you will have to undergo follicular monitoring, and when the lead follicle reaches a size of 20 mm (normally on day 14 of a regular cycle), ovulation occurs, after which it is advisable to be sexually active daily for at least 4 - 5 days. side effects are minor, and not noticeable with single cycle treatment. rarely, hyperstimulation of ovaries, nausea, color vision changes etc. may occur. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mannheim, the pain in lower gums can be due to-vigorous brushing resulting in gingival recession as well as attrition of teeth. periodontal diseases. vitamin deficiencies. i would advise you to visit your dentist and get scaling and root planning done. exposed tooth or root portions of teeth has to be restored using tooth colored filling materials. use soft-bristled toothbrush and clean your teeth involving all aspects of teeth. use chlohexidine mouth rinse to gargle. take vitamin rich diet. hope these suffices."
Answer this question truthfully,Patients who have tuberous sclerosis should be screened for angiomyolipoma. Abdominal CT scan is recommended for screening angiomyolipoma.
Answer this question truthfully,"Prognosis depends on the cause of confusion.
Confusion due to metabolic derangement like hypoglycemia and hypokalemia can be rapidly corrected and will typically have a good prognosis. Confusion due to underlying structural lesions of the brain may not have a very good prognosis. Confusion caused by chemicals and poisons need a thorough assessment of the condition. Detoxification will result in a good prognosis. Other underlying diseases can precipitate confusion, annd in such cases, the prognosis depends on the severity of the causative disease. Some symptoms can persist as long as 6 months.  Patients who developed confusion during a hospital stay can prolong their time in the hospital."
Answer this question truthfully,"A ""steppage gait"" secondary to foot drop is often caused by L5 radiculopathy and common peroneal neuropathy."
Please summerize the given abstract to a title,Impact of National Containment Measures on Decelerating the Increase in Daily New Cases of COVID-19 in 54 Countries and 4 Epicenters of the Pandemic: Comparative Observational Study
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, irregular bowel movements can not cause chest pain in night. in my opinion, your chest pain specifically at night is mostly due to smoking with chatbot.  no need to worry much for this kind of pain. don't pay attention to it. divert your mind from such night symptoms. take simple painkiller like paracetamol or ibuprofen if pain is more. this kind of pain will gradually subside by its own in 2-3 weeks time. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you should go for evaluation first.  do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. also, a semen analysis of your husband should be done. if everything is fine, you can take these medicines.  track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days.  take progesterone for 2 weeks after the rupture. do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months. hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, very less possibility of seizures. as you described the events, episode of vomiting, no remembrance of events, it is not associated with gastroenteritis, so possibility of seizures should be ruled out. need some additional information"
Answer this question truthfully,"When performing a maternal serum quadruple screen, accurate estimation of gestational age is very important to determine whether levels of analytes are abnormal."
Please summerize the given abstract to a title,No findings of SARS-CoV-2 in conjunctival swabs from patients at an emergency outpatient ophthalmological healthcare facility in a swedish county hospital: A cross-sectional study
Answer this question truthfully,"Weak pelvic floor muscles, chronic constipation, cystic fibrosis, and whooping cough are some common causes of rectal prolapse. Rectal prolapse occurs when the rectum protrudes through the anus due to weakened or damaged pelvic floor muscles. These muscles are responsible for supporting the rectum and keeping it in place. When they become weak, the rectum can slip out of place and protrude through the anus. Chronic constipation, cystic fibrosis, and whooping cough can all contribute to rectal prolapse by putting pressure on the pelvic floor muscles and weakening them over time. Other factors, such as aging, childbirth, and previous pelvic surgery, can also increase the risk of developing rectal prolapse."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","good afternoon.!! painless hard bump slightly above the left temple persisting for over a year in your two-year-old child could be a desmond / any bony swelling / calcified lymph node / enlarged mole. you need to worry only when it increases in size / there is any change in color of swelling / appearance of new swellings etc. so if persisting, it's better to visit pediatric surgeon for further evaluation and management. thank you, have a nice day.!!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no surgery is not the first choice of treatment for collar bone. you should first try the medications, if the medication won't work than you can think for the surgery. in medication, you can try diclofenac with chlorzoxazone for pain and muscle relaxation. antibiotics doxycycline 100 mg two times a day and pantoprazole can work for your pain. avoid severe exercises on that joint, but you can continue the mild physiotherapy exercise. heat therapy, electron therapy etc. can also help you can also try it. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. welcome to chatbot. i have read your question and understand your concerns. shortness of breath and seizing sensations in the center or left side of chest can be due to decrease in blood supply to heart or angina. proper evaluation of the heart function and its blood supply is required. you should visit a cardiologist and ask him for 2d echo study of your heart. you may also require trade mill stress test which can show ecg changes while walking if you have any problems in blood supply of heart. so, kindly visit your doctor and get all investigations done which i have suggested. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot team. understanding your concern. as per your query ulcers on gums on regular basis area recurrent authors ulcers which mainly occurs due to stress and due to decreased immune system of body. need not worry. i would suggest you to use eucalyptus essential oil as that has antimicrobial, astringent properties. apply colonel cream on your oral mucosa at least three times a day. use coconut oil, honey, and clove oil dipped on cotton and apply for 10-15 minutes. warm saline gargles on daily basis to clean oral cavity. eat yogurt in diet. avoid acidic food in diet as that will cause delayed healing. use aloe vera gel on these sores, and it acts as antiseptic agent. do floss one time a day and use antimicrobial mouthwash. use multivitamins rich in vitamin b12. visit dentist once if symptoms keep son persisting and get complete examination done. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Molecular docking studies on SARS – Protease extracted from Wuhan COVID_19 strain by antiviral drugs
Answer this question truthfully,Pregnancy is the non-pathologic state that is associated with an increased risk for pyelonephritis.
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of back pain radiating to the leg, the most probable diagnosis is herniated disc. to confirm the diagnosis is necessary study imaging of your lower vertebral column (mr scan). abdominal pain may be related to disc problem depending on the level damaged, or may be a different problem that needs further investigation. i suggest you to consult a physician and get an ultrasound of abdomen. you can consult your local doctor to discuss a plan of treatment, leaving the problem unsolved may worsen your condition. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
Please summerize the given abstract to a title,Mechanical Ventilation during Extracorporeal Membrane Oxygenation in Acute Respiratory Distress Syndrome: A Narrative Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have tooth sensation due to infected tooth. well there can be many reasons for symptoms you mention in query like tooth abscess, pulpits or gingivitis. need not worry.  i would suggest you to consult dentist and get complete examination done. doctor may perform oral prophylaxis. doctor may order x-ray of tooth to confirm the diagnosis. doctor may also check the tooth for tenderness and check level of infection. if infection has already affected the pulp then doctor may recommend root canal therapy along with crown on it. for now do warm saline rinses several times a day and maintain proper oral hygiene. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, your results are pretty much within the normal range except got, sgpt and to some extent fasting sugar which should be <95. elevated got, sgpt signify the liver function compromise, and it could be due to alcoholism which is the most common cause besides infections, biliary disease, metabolic disorders etc. you will need to cut down on alcohol intake if you do take some, you need to also get an ultrasound of the abdomen done to rule out any biliary cause of raised enzyme levels. your diet must consist of less fat and carboy chatbot.  if you are overweight then weight reduction should be the next move by taking in some form of aerobic exercise. take care."
Please summerize the given abstract to a title,"Association of Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Blockers With Severity of COVID-19: A Multicenter, Prospective Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatdoctori am sorry to hear about your mother and her recent diagnosis of adipose dolores. this is a disease where fatty tumors or lipomas cause pain. there are little evidence for treatment of these painful lesions. several trials on removal of painful lipomas, traditional anti-inflammatories and steroids. there has been some improvement by injecting the painful lipomas with lidocaine which may help from 10 hours to several months. i wish your mother luck in finding relief from her adipose dolorosahope this answers your question. please contact us again if you have questions or need help."
Answer this question truthfully,"Alemtuzumab is a medication with the mechanism of action of being an anti-CD52 agent, meaning it targets and binds to CD52 antigens on the surface of cells to induce cell death."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you have been indulged in masturbation frequently. and want to stop it. please note that to masturbate is a normal at the age of adolescent in order to get sexual satisfaction in absence of a female partner and is a surest and easiest mode to fulfill it.however, as law of nature everything done in excess leads to addiction and results into having psychological and sex related problems. there are no medicines whatever to quit this addiction. you should have your own determination to stop it. please try to reduce the frequency of masturbation by keeping yourself busying activities like sports, reading , social work etc. so that you will not get free time to masturbate. chatbot. ."
Answer this question truthfully,"Hemorrhage is the most common complication of both gastric and duodenal ulcers. Ulcers are open sores that develop in the lining of the stomach or the upper part of the small intestine, and they can cause symptoms such as abdominal pain, nausea, and vomiting. Hemorrhage can occur when the ulcer erodes a blood vessel, leading to bleeding into the digestive tract. This can result in symptoms such as black or bloody stools, dizziness, and weakness. Other complications associated with ulcers include perforation, which occurs when the ulcer creates a hole in the stomach or intestine, and obstruction, which occurs when the ulcer blocks the passage of food through the digestive tract. Treatment for ulcer complications typically involves addressing the underlying cause of the ulcer, such as infection with Helicobacter pylori bacteria, as well as supportive care with medications to reduce acid production, antibiotics, and sometimes endoscopic or surgical intervention."
Answer this question truthfully,"The main symptom is sudden swelling below the skin surface. You may also develop welts or swelling on the surface of your skin. The swelling usually occurs around the eyes and lips. It may also be found on the hands, feet, and throat. The swelling may form a line or be more spread out. The welts are painful and may be itchy. They turn pale and swell if irritated. The deeper swelling of angioedema may also be painful.
Other symptoms may include:
Abdominal cramping. Breathing difficulty. Swollen eyes and mouth. Swollen lining of the eyes (chemosis)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. usually such strong pain as you have described might be caused by a stuck in ureter. this pain is described as sharp strong pain, radiating from back side to groin. it can be associated with symptoms like nausea, sweats and fever. this pain can come and go spontaneously as it only appears when little stone is migrating from kidney to urinary bladder. abdomen ultrasound should answer if there are any stones in kidney (but no always does) and if there is any hy chatbot.  urine tests might be normal when there are no symptoms, but recently after pain attack there should be some erythrocytes if you are dealing with kidney stones. your symptoms might be also caused by ovarian cyst. trans vaginal ultrasound should tell if there are any. if these two diseases will be ruled out, there are other possibilities, that is why full blood work should be performed, and abdomen ct if necessary. hope this will help. regards"
Answer this question truthfully,"Hyperandrogenism:
Acne Amenorrhea (absence of menstrual periods) Changes in female body contours Decrease in breast size Increase in body hair in a male pattern (hirsutism) such as on the face, chin, and abdomen Oily skin
Virilization:
Clitoromegaly (enlargement of the clitoris) Deepening of the voice Increase in muscle mass Temporal balding (thinning hair and hair loss)"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, in view of the fact you have diabetes, you might be developing a form of \""neuropathy\"" a painful condition of the nerves. topical application of ointments containing capsicum (red pepper) has given some of my patients' relief. if overweight, lose the weight. try not to sit too long. use a sacral or social tuberosity support cushion to help alleviate the weight on joints as you sit. the doctor can properly evaluate you and if it is nerve pain, there are medications to help with that as well. best wishes to you, kathryn shatter, ms, rdn"
Answer this question truthfully,"Epithelioma of the skin can present in any form, usually easy to diagnose. Some of the presentations may include: New mole/growing mole/mole changing color New or growing warty lesion Painless swelling Indurated or ulcerated lesion Chronic scar that starts bleeding or changing Epithelial tumors of the organs can present in any way ranging from swelling or mass to symptoms related to involved organ system
Physical examination for epithelioma of the skin may be remarkable for: Non tender swelling Hard, waxy nodules with pearly borders Ulceration or Induration
There are no specific laboratory findings associated with epithelioma. However tests can be performed to rule out other causes of skin lesions like syphilis, lupus vulgaris, allergies etc.
Any suspicious skin lesion should be biopsied. Histopathology is the most accurate way of diagnosing a skin condition or identifying or ruling out a malignancy of the skin."
Answer this question truthfully,"Among patients who have chest discomfort or an anginal equivalent, coronary angiography carries a class I recommendation to evaluate for the presence of obstructive coronary artery disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, i am sorry you were bitten.  i can give you recommendations for rabies vaccinations as they are done in the united states according to the centers for disease control here. there are a total of 4 rabies vaccine injections, on days 0, 3, 7, 14.  so there is one more injection of vaccine you will need. here we also recommend one dose of rabies immune globulin (rig) in addition to the rabies vaccine.  rabies immune globulin is not a vaccine.  it is an injection of antibodies to the virus itself.  it should be given at the site of the attack and any remaining volume of the injection should be given i'm (in a muscle) at a site distant from where the vaccine is given. also, rig should not be administered in the same syringe as vaccine. because rig might partially suppress production of antibody, no more than the recommended dose should be given. the cdc recommends that people be given rig even if initial treatment with it has been delayed. here is a link to their information"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the technique you are referring to is- dix-hallpikes maneuver. however, as you mentioned, it should be done by trained medical personnel, as if not done properly, it can aggravate the symptoms of dizziness and patient would take a long time to recover. for further details on this, you may want to visit the following link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, , the jennifer is an iron and vitamin b12 supplement, given to women who are anemic. the join and nail are antibiotics, these could be either given due to the surgical procedure of laparoscopy being carried out or if some intra-abdominal infection was noted. i would like to know from you the findings of the laparoscopy and any other tests done on you and your partner for fertility. as prior to treatment, it is essential that we identify the cause of infertility. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read carefully your query and understand your concern. if this pain happens only once in a while it might due to constipation, if it happens near your menstruation time it might due to that, or it might be a muscular pain. you don't need to worry because if the pain was caused by a serious condition it would be there all time and would be accompanied by other symptoms. usually pancreatitis cause a severe pain in upper abdomen that irradiate in the back, nausea,vomits and a very sensitive abdomen when you touch it. so i don't think it is pancreatitis. if the pain get worse, or lasts for some days, and you have other symptoms such as fever, vomits,diarrhea then i should consult a physician for diagnosis and treatment.meanwhile, you can use ibuprofen and tuscan to relieve this pain. hope my answer has helped. take care. chatbot."
Please summerize the given abstract to a title,Development of a complex intervention to support parents of adolescents with chronic illness transferring from pediatrics to adult care (ParTNerSTEPs)
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is true that emergency contraceptive pills have to be used with very much restriction and only once or twice a year, but taking more than those at large intervals is also harmless. this is because spacing out the medication lessens the side effects. so, please do not worry. instead, if you can club another form of regular contraception in addition to condom usage, you will feel much better and are safer. if possible, you can go for either oral pills or an iud. hope you find this information useful. wish you good health."
Please summerize the given abstract to a title,Pfam: The protein families database in 2021
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot. i appreciate your concern for the rusty nail injury. a puncture wound doesn't usually cause excessive bleeding. often the wound seems to close almost instantly. but this doesn't mean treatment isn't necessary. the rusty nail injury you sustained can be dangerous because of the risk of tetanus infection. if you have had a tetanus shot in the past five years you need to take a booster dose of injection tetanus toxic within 48 hours of the injury. hope this answers your query.
"If you are a doctor, please answer the medical questions based on the patient's description.","looks like u were involved in a pretty serious accident. well your features are quite serious. ask your chatbot. t. also make a note of all d symptoms like headache etc., in d order they appear. scale of intensity in pain. also assess whether u have blurred vision, loss of body positioning, her i.meant balancing. remember there are recorded incidents of fatalities of people who have had accidents years ago."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for the query. tonsililitis chronic is an infection and oval shaped swelling of the lymph gland tissue located on both sides on the back of the throat caused because of the bacterial or viral infection. presence of infection in the teeth and the tonsils are usually because of the same bacterial flora but the possibility of transfer from the teeth to the tonsils is very much less. soo it indicates infection of the teeth itself. see your dentist and get the teeth treated."
Please summerize the given abstract to a title,"Epidemiology of COVID-19 outbreak in Ghana, 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and reports with diligence. osteoporosis may be associated leading to diffuse pain in back. periodic flare up of arthritic pain can be due to seasonal changes, due to excess activity, lack of exercises, excessive travelling. check your bone strength with dexa scan and you can start medication according to level of osteoporosis, and also check your it b12 and it d3 level. you can reduce pain by doing regular exercises and medication. i will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. you may consult physiotherapist for guidance. he may start tens, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin d. along with the pain you have depressive symptoms as well and that needs to be taken care of. cognitive behavioral therapy is a good option. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. if you find this answer helpful do not hesitate to rate this answer at end of discussion. wishing you good health. take care."
Answer this question truthfully,"Herpes zoster usually clears in 2 to 3 weeks and rarely recurs. If the virus affects the nerves that control movement (the motor nerves), you may have temporary or permanent weakness or paralysis. Sometimes, the pain in the area where the shingles occurred may last from months to years. See: Postherpetic neuralgia"
Please summerize the given abstract to a title,Use of feature engineering to predict COVID-19 mortality
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there is no medication which can cure or prevent chicken pox. tampico is an antibiotic, something that affects bacteria & chicken pox is a virus !! how can it help. it only reduces secondary infections after you get chicken pox. if your partner has chickenpox, better you delay attempting for pregnancy till fully healthy. when male gets infections-their sperm count, motility & health is reduced. so pregnancy chances are low. in women - ovulation may not occur due to fever. but incidentally if you get pregnant, the virus in chicken pox & fever itself will cause certain irreparable damages in the baby. either it will end in abortion or baby with certain defects warranting abortion. so i would advise you to wait for the infection to completely leave your house for you to try for pregnancy. hope i have cleared your overall the best chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","the skin has several layers. the pigment layer is not the lowermost layer of the skin. there are other layers as well as a layer of subcutaneous tissue which is made of fibrous tissue. this fibrous tissue looks white. if blood vessels are not ruptured, you can see this later if the upper layers of the skin are damaged or broken. probably that is what you mean by white flap inside. the skin that normally acts as a barrier to infection. in case of breach, it is preferable to use some antibiotic so that some infective agent does not enter."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"One consequence of renal failure is the retention of sodium and water, which can lead to hypertension, heart failure, and pulmonary edema."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i understand your concern. auditary hallucination can be a part of psychotic illness like schizophrenia or it can be also seen in bipolar disorder. treatment is different in both the cases. for proper treatment it is necessary to have confirmed diagnosis. it can be treated with medicine like anti psychotics. if it is part of bipolar disorder then treatment with mood stabilizer is necessary. psychotic illness require long term treatment and prognosis is not good as bipolar disorder. discuss with your treating doctor and get help. medicines are must and regular follow up will bring good results. consult psychiatrist and get help. thank you. glad to hear from you.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. fluid in the lungs is known as pleural effusion. and infection is the most common cause for this. bacterial pneumonia and tuberculosis are common infection which produce effusion. your fever and cold are also due to this infection. to decide the nature of infection whether bacterial or tubercular, you need to get done aspiration of fluid and investigations of fluid. on the basis of this, further treatment can be planned. so better to consult pulmonologist and discuss all these. first diagnose the cause for effusion and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Risk factors include diseases of the small intestine that may require surgery, such as Crohn's disease. Necrotizing enterocolitis is a common cause of short bowel syndrome in infants."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were the treating dentist for this kind of severe pain along with abscessed i would come up with these possible treatment plan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. you have sustained injury to frenulum during intercourse and as aresultther was a bleeding from penis. this is likely to be due to the fact you have a band of adhesion between frenulum and glans penis which gets turned during sex, consult qualified urologist for clinical examination. you need to get this adhesion excised. this is a simple surgery done under local anesthesia as an out patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.",since her fasting sugar and random sugar are on higher levers suggest that you get her hba1c value at the earliesthba1c test to be done once in three months to check the sugar value consistency in the body for three months. it is very good test to see how well the sugar is controlled in diabetic patients if i were her treating doctor would have tried glimipride 1\u00a0mg once daily and monitor for 6-7 weeks (however hypoglycemia need to be monitored regularly)she can do exercise/walking for 45 minutes daily at least 5 days a weeks can take sufficient vegetables and limit the rice content in the distrait and exercise plays a vital role in controlling diabeteswish her good healthregards chatbot.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, so you had an ankle fracture and had surgery and there is a plate with 6 screws. this will be mostly on the outer side of the ankle where there is a thin bone called the fibula. when the ankle breaks there is injury to the bone, the ligaments attached the tissues around and also to two small nerves which runs along the inner and outer side of the foot.  these nerves can be stretched and this could be the cause of the feeling of cramps. apart from that the surgery and subsequent swelling all will result in some stiffness. please exercise your ankle by moving it in all planes several times a day. try to get rid of swelling by using compressive socks, icing,and using local cream applications for swelling. keep the limb elevated while at rest. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Capturing the wisdom of the crowd: health professions’ educators meet at a virtual world café
Answer this question truthfully,"Hepatic steatosis is the alcoholic liver disease that presents with macrovesicular fatty change and a heavy, greasy liver."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Glanzmann thrombasthenia presents with increased bleeding time.
Answer this question truthfully,"The symptoms of head and neck cancers may include a lump or a sore that does not heal, a sore throat that does not go away, difficulty in swallowing, and a change or hoarseness in the voice. These symptoms may also be caused by other, less serious conditions. It is important to check with a doctor or dentist about any of these symptoms. Symptoms that may affect specific areas of the head and neck include the following:
Oral cavity. A white or red patch on the gums, the tongu e, or the lining of the mout h; a swelling of the jaw that causes dentures to fit poorly or become uncomfortable; and unusual bleedin g or pain in the mouth.
Pharynx. Trouble breathing or speaking; pain when swallowing; pain in the neck or the throat that does not go away; frequent headaches, pain, or ringing in the ears; or trouble hearing.
Larynx. Pain when swallowing or ear pain.
Paranasal sinuses and nasal cavity. Sinuses that are blocked and do not clear; chronic sinus infections that do not respond to treatment with antibiotics; bleeding through the nose; frequent headaches, swelling or other trouble with the eyes; pain in the upper teeth; or problems with dentures.
Salivary glands. Swelling under the chin or around the jawbone, numbness or paralysis of the muscles in the face, or pain in the face, the chin, or the neck that does not go away."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, nothing to worry, this is very common with newly married persons. due to highly sex excitement one gets quick ejaculation and even not having full erection. no medicine required. go for foreplay for some time before penetration like kissing, pushing, verbal. this will give you full erection and high excitement to your partner too. after full erection go for penetration. if possible while doing intercourse change your mind else where other than sex. this will prolong your sex act. do not feel guilty thinking my partner will think he is not powerful. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","your recent travel suggests long hours of legs in a dependent weight-bearing (standing) which aggravates varicose veins. start wearing above knee compressive stockings plus reduce long hours of standing and walking for a week.  elevate your legs with the help of a stool when sitting for durations more than one hour. additionally., learn exercises from a physical therapist.  hope that helps.  all the best"
Please summerize the given abstract to a title,Establishing Mayo Clinic's Coronavirus Disease 2019 Virtual Clinic: A Preliminary Communication.
Answer this question truthfully,"Blindness or severe vision impairment in infancy Dark patches of skin (acanthosis nigricans) Deafness Impaired heart function (cardiomyopathy), which may lead to heart failure Obesity Progressive kidney failure Slowed growth Symptoms of childhood-onset or type 2 diabetes
Occasionally, the following can also occur:
Gastrointestinal reflux Hypothyroidism Liver dysfunction Small penis"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  the reason for the vertigo is nausea, and headache may be due to the infection of the internal ear, and confirmed by the c.t. scan.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health and resistance.  i advise you to consult an e.n.t. surgeon for diagnosis and treatment of vertigo.  regarding the chatbot positive in a woman of 52 years may be due to the gestational triploblastic disease.  it is a term used for a group of pregnancy-related tumors. these tumors are rare, and they appear when cells in the womb start to proliferate uncontrollably.  i advise you to consult a gynecologist for diagnosis and treatment.  wishing for a quick and complete recovery. thank you."
Please summerize the given abstract to a title,"Prenatal stress, health, and health behaviours during the COVID-19 pandemic: An international survey"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and i hope i can help you today. you do not need to take an additional birth control pill because of diarrhea.  diarrhea may make you lose water, but it does not wash out medication you have taken.  the only situation where you need to replace a pill is if you vomited within a few hours of taking it. so you can go about your routine as usual and start the next pack at the normal time.  i would advise you also to chatbot."
Please summerize the given abstract to a title,Limitation or Derogation? The Dilemma of the States in Response to Human Rights Threat during the COVID-19 Crisis
Answer this question truthfully,"The disorder may begin during the teen years or in early adulthood. Like other forms of depression, it occurs more often in women than in men.
People who live in places with long winter nights are at greater risk for SAD. A less common form of the disorder involves depression during the summer months.
Other factors that may make SAD more likely include:
Amount of light Body temperature Genes Hormones"
Please answer with one of the option in the bracket,D: Acute gout
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are breast cancer survival, we need to investigate your collar bone enlargement thoroughly. breast cancer is known to metastasize to bones. so cancer spread to collar bone must be rule out first. another possibility is enlarged subcuticular lymph node due to cancer spread. this can also give feeling of enlarged collar bone. so better to get done ultrasound examination of local part to rule out all these. if this is normal then no need to worry much. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for the query. jaundice for itself is not a contraindication for chemotherapy but if there is seriously decreased liver function or poor general health, heart disease and lung disease, then chemotherapy may be contraindicated. unfortunately, even if behemoth is started, liver cancer poorly regress on chemo. but it may be beneficial as palliative care. wish you good health. regards"
Answer this question truthfully,TAPVR causes a dilated right atrium and ventricle.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, firstly, regular ovulation must be established. fertile period or ovulation period is 2 weeks prior to the onset of the next period. regular unprotected intercourse during this period is needed for conception. rest flat for 30 minutes after the intercourse to help proper ascent of the sperm. rest on your abdomen if you have a introverted uterus. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"In ethanol metabolism, NAD+ acts as the limiting reagent. Ethanol is primarily metabolized in the liver through a process called alcohol dehydrogenase (ADH) pathway. In this pathway, ethanol is converted into acetaldehyde by the enzyme alcohol dehydrogenase, which requires NAD+ as a cofactor. Acetaldehyde is then further metabolized into acetate by the enzyme acetaldehyde dehydrogenase, which also requires NAD+ as a cofactor. However, the availability of NAD+ is limited in the liver, and as a result, it becomes the limiting reagent in ethanol metabolism. This can lead to the accumulation of acetaldehyde, which is toxic and can cause symptoms such as nausea, vomiting, and headache in individuals who consume alcohol."
"If you are a doctor, please answer the medical questions based on the patient's description.",theseaeall allergies there might be more acid production or your missed inhaler can cause this painkillers also increase acidacidiry can also increase asthma you take montage fx bd for getting mucus under control and antacid 2 sf start inhaler as they work as preventers take the lot of warm water non oily and non greedy food no spicy foods you acid control can decrease your these symptoms and asthma symptoms
Please answer with one of the option in the bracket,B: Anomalous origins of multiple renal arteries
how is congenital heart disease passed down,"Congenital heart disease can describe a number of different problems affecting the heart. heart defects may be part of genetic and chromosomal syndromes. Some of these syndromes may be passed down through families. Examples include: - DiGeorge syndrome - Down syndrome - Marfan syndrome - Noonan syndrome - Trisomy 13 - Turner syndrome Often, no cause for the heart disease can be found."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, though mri brain does not meet criteria for desalinating disease, but mri brain is not normal, it has two small hyperintensity in r) frontal lobe which can produce pain and weakness in left half especially l) lower limb(leg), this area also precipitate seizure hence episodic headache can be the only manifestation at times.hence, this lesion to be considered as ischemic and should be treated with antiepileptic especially sodium valproate with antiplatelet.further, blood sugar, thyroid profile and lipids to be checked and treated accordingly. regards"
Answer this question truthfully,"Call your health care provider if symptoms of duodenitis develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:
Severe stomach pain Bleeding from the intestine"
Please summerize the given abstract to a title,142 Improving Functional Outcomes During Covid-19 for Both COVID-19 and Non COVID-19 Positive Older Adults Through the Introduction
"If you are a doctor, please answer the medical questions based on the patient's description.","hi joycewelcome to chatbot. the symptoms you mention don't specify to a single diagnosis, but i will try to give you an idea about the possibilities. considering your age, you could be having a pain due to hernia or an ovarian disease.it's unlikely that this could be due to your medication or cardiac problem. i advise you to visit your surgeon or gynecologist and get examined. examination can bring these symptoms to a definite diagnosis. take care."
Answer this question truthfully,"IV regular insulin is useful in the management of hyperkalemia, a condition characterized by abnormally high levels of potassium in the blood. Insulin can help lower potassium levels by promoting the uptake of potassium into cells, thereby reducing the amount of potassium in the bloodstream. IV administration of regular insulin is often used in emergency situations where hyperkalemia is causing severe symptoms such as cardiac arrhythmias or muscle weakness. However, the use of IV insulin must be carefully monitored, as it can also cause hypoglycemia (low blood sugar) and other complications."
Answer this question truthfully,"The most important risk factor in the development of legionellosis is recent exposure to either aerosolized water or contaminated water. Other risk factors include old age, concomitant lung disease, active smoking status, and immunosuppression."
Please summerize the given abstract to a title,"Discourses on ag(e)ing individuals, social inequality, and the effects of social distancing in times of covid-19/ Discursos sobre os idosos, desigualdade social e os efeitos das medidas de distanciamento social em tempos de covid-19"
Answer this question truthfully,"Prognosis of SIADH depends on the severity of the disease and the promptness of treatment. Prognosis of syndrome of inappropriate antidiuretic hormone (SIADH) also depends largely on its cause. If the cause is drugs, SIADH usually improves after stopping a drug. If SIADH is associated with some infection, treating the infection may be important. For those SIADH with cancers, the outcomes may be poor."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, thank you for your consultation. generally people feel metallic taste in some vitamin and ion disbalance in the body. you probably need a complete check-up for these in your blood. if you find any irregularity then probably this is the cause of your metallic taste, lethargy and motivation. for your lower back problem i am telling you this can be due to muscle spasm in the back region. you should go for a regular physiotherapy consisting of back strengthening exercise like flexion exercise.it will help to decrease your pain very much. so i sincerely believe taking these two steps will solve your problem in a comprehensive way.my best wishes for you. thank you."
Please summerize the given abstract to a title,COVID-19: Current Trends in Invitro Diagnostics
Please answer with one of the option in the bracket,D: Major depressive disorder
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion there might be no chance of pregnancy in your case. there are chances of pregnancy when semen is ejaculated inside or over the vagina during the fertile period. as nothing such happened you need not worry and there was no need of emergency pill. the plan b is effective if taken within 72 hours of unprotected sex. you have taken it within 53 hours.don't worry. there is no chance of pregnancy. relax. but plan b might delay the period. i want to suggest you to restrict plan b to real emergency situations but not for frequent use to avoid complications. best regards..."
Answer this question truthfully,"The likely diagnosis is gastroparesis, which is a condition where the stomach is unable to properly empty its contents into the small intestine. This can occur as a complication of diabetes, due to damage to the nerves that control the stomach muscles. Symptoms may include nausea, vomiting, bloating, and early satiety, particularly after meals. Treatment may involve dietary changes, such as smaller and more frequent meals, medications to promote stomach emptying, and insulin therapy to better control blood sugar levels."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this association of medications is indicated very frequently in medical practice, the adverse effects that may occur are"
Answer this question truthfully,"Inhalation injury can result in the development of chemical tracheobronchitis, pulmonary edema, and pneumonitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. gone through your history. since you are a known patient of pancreatitis, ulcers and diabetes with a history of surgery on pancreas, the probable reason for your symptoms is pancreatitis. i would suggest the following"
Please summerize the given abstract to a title,"Successful online learning factors in covid-19 era: Study of islamic higher education in west papua, indonesia"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, possibility of enlarged cervical lymph nodes is more likely in your case. and ct scan of neck will definitely diagnose cervical lymphadenopathy. so get done ct neck. for your breathlessness, i would like to undergo pft (pulmonary function test) for bronchitis. so consult pulmonologist and get done clinical examination of respiratory system and pft. you may need inhaled bronchodilators and inhaled corticosteroid. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Culturing the unculturable: human coronavirus HKU1 infects, replicates, and produces progeny virions in human ciliated airway epithelial cell cultures."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. his change in behavior is difficult to comment on with such small information available, but it is probably due to depression. depression can occur due to an earlier fever and needs treatment with anti-depressants such as fluoxetine or escitalopram or mirtazapine etc. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"One clinical feature of Cushing disease involves hyperpigmentation, due to increased levels of MSH cleaved from proopiomelanocortin."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. i understand your concern.1) as you have taken morning after pill following unprotected sex, you will get more than 95% protection against unwanted pregnancy. your chance of pregnancy is quite low. 2) you have gotten with chatbot.  it will stop automatically within 2 to 3 days. just maintain genital hygiene properly. however, you may face irregular or late period for next 1 to 2 cycles due to hormonal imbalance and associated mental stress.3) i suggest you to undergo one home pregnancy test if your next period delays more than 1 week. review with test result for next management. hope, it helps for your information. good luck and take care."
Please summerize the given abstract to a title,Signaling through FcγRIIA and the C5a-C5aR pathway mediates platelet hyperactivation in COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, you are absolutely right.it's an aseptic inflamed traumatic bursitis of gluteal muscle. it may be due to localized pressure given by purse to the buttock muscles. rest, icing and anti-inflammatory such as ibuprofen will give immediate relief. hope this helps. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, the first cardinal symptom of pregnancy is missing a period, which you have. the other cardinal symptoms are nausea & vomiting with pica, frequent urination and breast symptoms; of which you have nausea and vomiting, but the rest two are missing. of course, they appear about 10 days after the missed period. anyway, cramps in the abdomen is not a classic symptom of pregnancy. since, even 8 days after the missed period your pregnancy tests are negative twice, you are not pregnant. still if you want to endorse the diagnosis by some other test, you may opt for beta chatbot test on your blood. the cramps you are having in lower abdomen are more indicative of impending menses. if you do not start menses within next 4 days, you may take some progestational preparation for 5 days with the advice of your gynecologist. then within 4-7 days you will get with chatbot.  i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, no, this is not anything to be worried about. the stretch marks are a result of damage occurring to the deeper layers of your skin as you rapidly gain weight during pregnancy. after pregnancy the layers of skin will heal, but there will be some scarring of these deeper layers. this will be felt as lumpiness. now that you are pregnant again, the changes to your skin will start again, and it will feel the previous scarring. about 8 in 10 women develop stretch marks and there is no totally effective cure for them, unfortunately. i hope this has helped you.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hit hanks for using chatbot.come have evaluated your query thoroughly.* actually your son is having respiratory along with gastrointestinal infection.* suggestions for better recovery - allow plenty of liquids in sessions.- soft, light diet at intervals.- avoid all oily, spicy, non veg, junk foods, excess caloric, dairy items chocolates, candies, hot beverages etc.- no prolong fasting, over eating.- avoid exposure to excess cold.- intake of decongestants, antibiotics, bronchodilators or other molecules have to be decided by the clinical examination. hope this clears your query. welcome for further assistance. regards."
Answer this question truthfully,"Pericardiocentesis is often performed to assist in the diagnosis of a patient who has accumulation of fluid in the pericardial sac. Pericardiocentesis can help distinguish whether the fluid collection is due to infection, spread of cancer, or possibly an autoimmune condition.   

Cardiac tamponade is a condition in which an accumulation of fluid within the pericardium creates excessive pressure, which then prevents the heart from filling normally with blood. This can critically decrease the amount of blood that is pumped from the heart, which can be lethal. The removal of the excess fluid reverses this dangerous process. Pericardial effusions larger than 250 mL. Pericardial effusions in which size increases despite intensive dialysis for 10-14 days."
Answer this question truthfully,"In a 5 year followup, it was shown that a non-ischemic stenosis as determinted by FFR assesement could be safely managed medically as there was no symptomatic or prognostic benefit. The death and myocardial infarction rate was <1% per year ref4."
Please answer with one of the option in the bracket,D: Perform colposcopy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello as you mentioned that you are having allergy and for this used nasal spray. you got relief and now symptoms recurs, this is an indication of allergic rhinitis and your doctor prescribed novelized i.e. albuterol. these symptoms are due to bronchoconstriction and novelized (albuterol) is bronchodilator, hence you got relief. you can use this medicine, even for years without any side effects.however, in the beginning few patients feel fine skeletal muscle tremors, palpitation, tachycardia hypotension but once medicine adjusted in body, patient don't feel such side effects. so you can take this chatbot. coffee (hot) and steam inhalation also provide relief. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. symptoms of your father are more suggestive of herd (gastroesophageal reflux disease). and murine (n acetyl cysteine) is known today cause herd. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of bloating, stomach pain, chest heaviness, tightness etc. so tell him to follow these steps for better symptomatic relief. 1. avoid hot and spicy food. avoid junk food. 2. avoid large meals, instead take frequent small meals. 3. avoid stress and tension, be relaxed and calm. 4. take pantoprazole tablet on empty stomach. 5. go for walking after meals. don't worry, he will be alright with all these. hope i have solved your query. i will be happy to help you further. wishing good health to your father. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. self motivation can be achieved through self hypnosis or cognitive behavior therapy. you are doing well with your progress in life and treatment of your mental disorder. if you are trained in meditation and yoga, you are well off. you can do meditation to have positive metabolism effect and also teach your subconscious mind to control and divert your thoughts in accordance with what you want. please understand you are doing well and that is the first step of self motivation. i will help you in the requested matters. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"The following table summarizes common differential diagnosis for basal cell carcinoma: 
The following table summarizes other differential diagnosis for basal cell carcinoma:
Clinical variant Differential Diagnosis Nodular BCC Intradermal nevus Sebaceous hyperplasia Fibrous papule Molluscum contagiosum Keratoacanthoma Superficial BCC Discoid eczema Psoriasis Actinic keratosis (solar keratosis) Lichen simplex Bowen's disease Seborrhoeic keratosis Pigment BCC Melanoma Sclerodermiform (morpheiform) BCC Scar tissue Localized scleroderma"
Please summerize the given abstract to a title,Pentoxifylline: An immunomodulatory drug for the treatment of COVID-19
Please summerize the given abstract to a title,Case-control study of neuropsychiatric symptoms following COVID-19 hospitalization in 2 academic health systems
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. high food pressure can be house of bleeding from nose. you are probably using aspirin or some other pills against blood clots. concerning your problems about foley catheter, if there is puss inside and itching, you have to visit your doctor and remove that catheter. after that the doctor will insert new catheter and give you antibiotics for urinary infection.also, you should do lab tests to see the extent of infection. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.",yes pain killers like pcm broken vitamins calcium multivitamins diet supplements cause thesethereis herd hyperactivity and reflux which uses symptoms written by youtube gomez d capsule in morning empty stomachs yp aristotle 1 sf mistake for 3 weekday metro 20 0 mg bd for 5 days to counter infection if anglo of warm water non oily congress and nonstick food fat free dietmeftal spas sos for gainsay take 3 wk
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of non hodgkin lymphoma and films tumor. now your igm increased igm level in blood. it can be seen in waldenstrom macroglobulinemia. it is also a type of lymphoma, and it affects the bone marrow or lymph node. so you should go for protein electrophoresis and if needed go for bone marrow biopsy. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Preliminary investigation into the identification and management of catatonia in patients admitted to adult inpatient units
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to us.  the chances of pregnancy have always been there with unprotected sex.  the chances of pregnancy are less in your case because you had plan-b after sex. don't take so much pills and repeat pills because they already disturbed your cycle, you should wait till your next period will come.  you should consult a gynecologist for examination to rule out any infection because of the condom.  good luck.  take care."
Answer this question truthfully,"If left untreated, patients with endocarditis may progress to develop congestive heart failure. Complications of endocarditis can occur as a result of the locally destructive effects of the infection. These complications include perforation of valve leaflets causing congestive heart failure, abscesses, and disruption of the heart's conduction system. Endocarditis may also cause embolization to the brain (causing a stroke), to the coronary artery (causing a heart attack), to the lung (causing pulmonary embolism), to the spleen (causing a splenic infarct), and to the kidney (causing a renal infarct). Prognosis of endocarditis is generally poor and the overall mortality rate for both native and prosthetic valve endocarditis ranges from 20-25%. The mortality rate for right-sided endocarditis in injection drug users is approximately 10%. The 5-year survival rate for native valve endocarditis is 70-80% and 50-80% for prosthetic valve endocarditis."
"If you are a doctor, please answer the medical questions based on the patient's description.","his would advise to have x-rays of chest, measurement of bp, lungs auscultation with stethoscope and an 2d-echocardiogram to evaluate breathlessness which could be from heart or lung conditions which, in my, opinion , must be checked for to rule out at least. a chest and heart specialists must be consulted to r/o cad (coronary artery disease)also serum lipid profile should be done also with blood sugar estimation"
Please summerize the given abstract to a title,COVID_SCREENET: COVID-19 Screening in Chest Radiography Images Using Deep Transfer Stacking
"If you are a doctor, please answer the medical questions based on the patient's description.","hello all the symptoms mentioned by you in the query seems to be due to allergic rhinitis. usually, dust, mite, molds, smoking (active & passive) , fine dusting powder, hay, fodder are certain predisposing factors, so avoidance play an important role. whenever you get allergy and start sneezing, take steam inhalation. take hot coffee. also take doxophyllin +montelukast, once or twice in a day according to intensity of sneezing.don't get tension as this is common. when above-mentioned don't help, take montelukast+bambutertole, once in day. as soon as relief, don't take medicine anymore. further any question regarding such allergy i will reply."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot! no, exercising and walking on treadmill does not cause nail infection. however, keep your foot unhygienic by not washing after sweating might cause fungal infection. also, try and remember if you had trauma/injury to your toe as it might be a cause of infection. nevertheless, apply antibacterial and antifungal cream to the affected area and keep it chatbot. hope this information helps. with warm regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, looks like either pro chatbot.  whatever amongst the two you must sleep well as this itself will cure you more than 50%. the diagnosis only gets clear with time in most cases. i find collided 12.5\u00a0mg gives good sleep at night. if not, then patients usually sleep with lorazepam 2-4\u00a0mg. take whatever suits you-for a week and maintain a regular sleep pattern. avoid alcohol or smoking completely as they will increase the problem many folds if in between you develop increased anger, desire to command or overconfidence, want to spend more money unnecessarily pr pick more fights-then.it is mania disorder, and you must see a psychiatrist near you and get through evaluation. it is a common problem which usually develops after a stressful event and can be handled nicely if intervention is done in time. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for sharing your concern with us. the first thing you need to do is to stay away from any hot or spicy foodstuffs. keep gargling with cool water if you have sores due to burns. swishing milk in your mouth will help soothe the affected area, and prevent it from further damage. intake of vitamin b-complex supplements can also help in healing the sore roof of the mouth faster. if you are having fever blisters, then take lysine tablets and apply ice to the affected area. you can perform yoga or meditation every day to control your stress level, and reduce the occurrence of sores in the mouth. use a soft toothbrush for brushing. replace your toothbrush every month for better dental hygiene. you can contact me again directly through my profile. regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. you seem to have developed contact irritant dermatitis to the ink used in tattooing. there may be no initial reaction, repeated contact with chemicals in the dye used for the tattoo can cause eventual sensitization and reaction to the product. so this did not happen with prior tattoos. take oral anti histamine for a few days to control itching. apply antibiotic and steroid combination cream twice a day for a week to 10 days. it may take 2-3 weeks to settle. hope this helps you. wish you a speedy recovery"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. i understand your concerns. it depends on the exact cause of liver failure and generally 25% is something man can live with for more years, but if there is cirrhosis or tumor present then the prognosis is very poor and may take from few weeks till few months. jaundice and ascites are generally bad prognostic factors, and i am afraid that you should not be very optimistic, but it is hart predict sch things and in every case you should be with him and give him all necessary support. i hope i have answered you querykindly regards. wish you a good health."
Please summerize the given abstract to a title,Designing a Prospective COVID-19 Therapeutic with Reinforcement Learning
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it can be the case of rheumatoid arthritis in which patient feels pain in the joints, morning stiffness and difficulty in standing after long rest. as you have already mentioned that you have a high cholesterol level and blood pressure, which may be due to overweight. you are advised to take rx tab. talking d. control your weight by brisk walking daily for 30 minutes. for proper evaluation and treatment strategy, you are advised to see nearby physician. hope i have answered your query. let me know if i can assist you further."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Preserving and advocating for essential care for women during the coronavirus disease 2019 pandemic
Please summerize the given abstract to a title,Exploratory Study on Application of MALDI-TOF-MS to Detect SARS-CoV-2 Infection in Human Saliva
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. painful gums can be a symptom of gingivitis (inflammation of the gums) or, more likely, periodontitis (inflammation of the attachment fibers of the teeth and supporting bone), which can arise due to a number of different causes. painful gums can also arise due to localized sores on the gums, such as abscesses or authors ulcers. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear kirankumaraec stands for absolute eosinophil count in blood. it is a test done to find out if a person is suffering from any allergic disorder. a value of up to 350 cells/ mm3 is termed normal. if you had high aec counts now you are susceptible for allergic reaction in your body is there any other symptoms you are facing in case of your treatmentayurvedic medicine are very successful for treating any allergic syn chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatbot your symptoms of hot flushes could be due to your per menopausal females when they become per menopausal usually gets these types of problems.we can do blood tests to rule out diabetes.fbs, ppbs,hba1c can be done. we can also think of doing glucose tolerance test to rule out relative hypoglycemia.don't worry about the skin lesion if biopsy already had been done. thank you..."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. if the blood flow has stopped, there is nothing to worry about for the time being. you can stop ice application once the blood stopped. now you should examine the wound. if the wound is just a scratch, you may just apply some antiseptic lotion or ointment. examine the wound thoroughly. if it is even a little deep, you should consult a surgeon for tetanus shots or may be for stitches. if you feel the deep-seated pain or contusion or progressive swelling, you should consult a surgeon. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Recent progress in adjuvant discovery for peptide-based subunit vaccines.
Answer this question truthfully,Red flags for physical abuse include a history inconsistent with degree or type of injury.
Answer this question truthfully,"Emphysema is a chronic lung disease that is often caused by smoking or exposure to air pollution. It is characterized by damage to the alveoli, the tiny air sacs in the lungs that are responsible for exchanging oxygen and carbon dioxide. This damage leads to a loss of elasticity in the lungs, making it difficult for the patient to exhale fully and causing them to retain air in their lungs. As a result, the patient breathes at a higher lung volume and will develop a barrel-shaped chest, with an increased anterior-posterior diameter. This can cause a variety of symptoms, including shortness of breath, coughing, and wheezing. Treatment for emphysema may include medications to manage symptoms, pulmonary rehabilitation to improve lung function, and in some cases, surgery to remove damaged lung tissue."
"If you are a doctor, please answer the medical questions based on the patient's description.",sellotaped on your query1. the swelling/ lump you seem to be noticing is probably hemorrhoids. they are engorged veins which become prominent on sitting or straining.2. yes one of the reasons for hemorrhoids is constipation. sitting for long time/ straining at stools are possible causes3. another reason is having less fiber content in your diet.4. get it examined to confirm/ rule out hemorrhoidsregards
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you fir asking chatbot, i understand your concern. regarding your symptoms, it seems like you are having problems with your thyroid gland. in your case, hyperactivation. my suggestion is to visit your gp and test your thyroid hormones. if thyroid gland is the problem, then you will get proper medication which will make your symptoms disappear. i hope this answer was helpful to you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. in most cases this is just a swollen lymph node which doesn't require any specific treatment. also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibrous or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. then it there is doubts it can be sent to the patohistologic analysis. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and can assure you that shortness of breath is not due to with chatbot.  i would suggest you to get chest x-ray as chronic smoking may have damaged your lungs.  other common cause of breathless can be due to anxiety. nerve compression in the back never causes such symptoms.  i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Acute stroke from paradoxical embolism of dense fibrous tissue following pacemaker lead extraction: salvation by mechanical thrombectomy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, acute pain in shoulder without trauma can be due to calcific tendinitis of rotator cuff tendons. if there is trauma pain can be due to cuff tear. diagnosis needs to be confirmed by clinical examination. 1. x-ray of involved shoulder anteroposterior and axillary views.2. mri of the shoulder.  x-ray helps in identifying calcific tendinitis. mri is sensitive and specific for diagnosis of soft tissue pathology. please get it done from radiology center nearby you. treatment depends on cause.  for pain relief you can take tablet attract twice a day. visit to orthopedic surgeon for detailed clinical examination is recommended.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. rash under your nose, swelling tonsils, burning chest;ares signs of infection(upper airway infection/lower airway infection). you must go to your doctor, he will examine you and, if he deems it necessary, will request additional test to establish correct diagnose and treatment. now you can take paracetamol or ibuprofen to improve your symptoms. i wish you good health.(in case the answer would have been useful please indicate this)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome hsg may cause pain lower abdomen, but you have not mentioned the month in which the procedure was done. premarin is a conjugated estrogen, so it is better to take evasion which contains estradiol vale rate. estrogens are taken from 6th to 9th day of the cycle along with camphene citrate which is given from second to 6th day of the cycle. you can take tablet metal spas for the cramps and thigh pain under doctors prescription. get proper investigations done for the infertility treatment like fsh, lh, estradiol, progesterone, prolactin, thyroid profile and follicular studies etc. best wishes and good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read your history and understood your problem. you have got a lower abdominal pain that travels across the abdomen and becomes sharp on standing up after sitting for a long time. thinking of sons muscle. yes, this is a possibility and a clinical examination of a sons test will confirm or rule out the diagnosis. if the test is positive, you have to undergo mri scan for the spine as the sons muscle comes from it and its affection in any way causes such a pain. another possibilities are"
Please summerize the given abstract to a title,COVID-19 crisis and minimally invasive surgery: a narrative review on intraoperative aerosol viral transmission and their impact on guidelines and clinical practice in Austria
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! i passed carefully through your question and would explain that his symptoms are not related to any heart attack. so, relax and don't worry about it! he seems to have an infection, probably a viral infection. this is causing chest pain and muscular pain in his limbs. but, if the fever persists, he may need to take antibiotics. performing some lab tests is necessary to investigate for a possible infection"
Answer this question truthfully,"Since the right ventricle has a remarkable tendency to recover function rapidly, diagnostic tests are most reliable when performed soon after presentation. Clinical suspicion and a careful physical examination demonstrating the signs are the first step."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,what you are experiencing could be preterm labor, and it is essential for you to go to a gynecologist and get yourself checked, if you are in labor or not. it is very necessary to rule out preterm labor, especially since the pain is severe and radiating from abdomen to the thigh. preterm birth can lead to problems for your baby, and it may require nicu admission and help with breathing. hepatitis c has nothing to do with the pain, and it has a less than 20% chance to be passed on to the baby. if you have only hepatitis c infection with no infection of hepatitis b virus then it is absolutely safe for you to go for a normal vaginal delivery. only if you have coinfections with either hepatitis b or hiv that it is necessary for you to undergo a cesarean to decrease risk of transmission of virus to baby. inform your neonatologist about the hepatitis c infection so that appropriate care of the baby can be taken at birth. do not neglect the pain and see a doctor immediately. hope this helpsregards."
Please summerize the given abstract to a title,Genomic characterization of a novel bat-associated Circovirus detected in European Miniopterus schreibersii bats
Please summerize the given abstract to a title,"Prediction of epidemic peak and infected cases for COVID-19 disease in Malaysia, 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking. understand your concern.  yes. with ovulation +ve & unprotected sex before on the day of ovulation . there are good chances of pregnancy.  actually the possibility can be extended till 3rd day past ovulation.  avoid excess physical or psychological stress. take comparative rest. eat light ... you can get + ve pregnancy report after 8 days delay in periods by hpt.or by blood chatbot test around expected date of menses.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read your query and can understand the distress you must be having due to your symptoms. from what you have mentioned, it seems that you are suffering from a depressive episode. feeling low and anxious, sleep and appetite disturbances, getting tired easily are symptoms of depression. however, some of these symptoms as well as depression itself can be result of hypothyroidism as well. i would recommend that you seek a psychiatric consultation for complete evaluation and initiating treatment. blood investigations in form of thyroid profile and complete mammogram would be required to rule out any underlying medical condition. you would treatment with anti-depressants for your depressive symptoms.  other than medications, you should also start exercising daily, as that will help you feel relaxed. best wishes for a speedy recovery."
Please summerize the given abstract to a title,Investigating the Impact of Covid19 on Vulnerability to Various Jobs
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i have gone through your query and can understand your concern. dear, your case seems to be spoiled due to extremely mishandling. osteomyelitis is an infection of the bone, a rare but serious condition. bones can become infected in a number of ways"
Answer this question truthfully,"Lithium is almost exclusively excreted by the kidneys. Lithium is a medication used to treat conditions such as bipolar disorder and depression. It is important to monitor lithium levels in the blood to ensure that they remain within a therapeutic range and do not reach toxic levels. The kidneys play a crucial role in removing lithium from the body, with almost all of the drug being excreted through the urine. In patients with impaired kidney function, lithium levels can accumulate in the body, leading to potential toxicity. Therefore, regular monitoring of kidney function and lithium levels is essential in patients taking this medication. If you have questions or concerns about lithium or its use, it is important to talk to your healthcare provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. your query has been assigned to me, and i am happy to assist you today for the health issues you raised. in pregnancy, it is normal to have some indigestion issues. you need to improve your diet in the first place and add more dietary fiber and seafoods, fewer fats. add more fluids and fruits, vegetables and salads. no junk food. avoid western diet and take dietary fiber as a supplement easily available from market (fiber all, citruses etc. brands). it is the poor quality intake of food that is causing issues. once you will improve diet, things will start getting better accordingly. referral by your organ to some gastroenterologist is needed in case you don't get better with the above-mentioned remedies. hope it was all you needed the answer for. if you have some more questions or doubts in mind, please let us know to help you. we are all a team of the best experts from all over the world to assist patients online. give your feedback to help us make this service even better. healthiest regards!"
Please summerize the given abstract to a title,The effects of smoking on adolescent trauma patients: a propensity-score-matched analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. since you have been taking the pills for the past five years, inhibiting ovulation, your hormone system needs time to return to the normal state. you can expect ovulation to return in a couple of months. you can wait for six months with sincere trial for pregnancy after return of ovulation before seeking help from a specialist. meanwhile, maintain a healthy diet, healthy weight and regular exercise. ovulation can be tracked through recording of basal body temperature or follicular studies. hope this helps."
Please summerize the given abstract to a title,The Effectiveness of Technology-Based Interventions for Reducing Loneliness in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Please summerize the given abstract to a title,Biofortification of Cereals and Pulses Using New Breeding Techniques: Current and Future Perspectives
Answer this question truthfully,"The risk of fetal loss is lower in amniocentesis compared to chorionic villus sampling. The risk of fetal loss in amniocentesis is approximately 0.5%, while the risk of fetal loss in chorionic villus sampling is around 1%. Amniocentesis and chorionic villus sampling are both prenatal tests that are used to diagnose certain genetic conditions in the fetus. However, they carry a small risk of causing fetal loss, which is a concern for many expectant parents. It is important for patients to discuss the risks and benefits of these tests with their healthcare provider in order to make an informed decision about whether to undergo testing."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. as per your case-history we need to rule out certain things-whether rash has itching? how the rash look like-elevated lesions, flat or fluid-filled? probable diagnosis may be- bronchitis induced viral exanthem or urticaria rash. in both cases - take non-sedative antihistamines like tab. levocetrizine 5\u00a0mg once at night and calamine lotion application on rash. thanks. chatbot. b.b.s, d.d.v.l"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i understand your concern. that code is a disease classification code that means non specified condition of the brain. it may be everything like a stroke, or a structural anomaly, a desalinating lesion, a vascular lesion, or an infection. further exams may be needed like a stereotactic biopsy, lumbar puncture, routine and specific blood tests to find out its nature. hope to have been helpful! thank you for using chatbot! best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chances of reoccurrence of kidney stone is high if you have got in the past, i usually advice strict diet avoiding red meat, spinach,tomatoes, chatbot. the blood spot you notice, and abdominal pain is highly suggestive that you have renal colic most probably due to kidney or ureteric stone, you will have to undergo some blood test like ultrasound abdomen pelvis, and urine routine and microscopy, for this visit a urologist hope this information helps"
Please summerize the given abstract to a title,"Chapter 3 Bacteria, Viruses, and the Microbiome"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. here you have elevated alt and ast, suggestive of liver disease like hepatitis. here possibility of chronic hepatitis or carrier of bag has to be ruled out. for that viral markers are useful. if bag positive more than 06 months than chances of carrier is present. if hepatitis is present viral markers will be elevated. if still cause for hepatitis unknown then liver biopsy can be taken according to patients examination. second here neck pain and knee pain may be because of some bone condition like osteoporosis or arthritis related changes. you should check your vitamin d and calcium level, if they are low calcium and vitamin d supplement needed. take regular milk. if you are obese weight has to be reduced. regular light exercise helpful in arthritis related change. knee x-ray can be taken to search for pathology. i hope you will understand my concern. wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. first, don't worry, you do not have carpal tunnel syn chatbot.  cts mainly presents with dull aching pain over the wrist and hand, it's more in the night and certain group of people-commonly diabetics, pregnant ladies, chronic alcoholics, patients suffering from thyroid disorders are the ones who are more susceptible to have this condition. the person suffering from cts gets multiple pins and needles like sensations over the palm. what you could be having may either be a sign of a muscle fatigue of your thumb flexor muscles, or you could be having a trigger thumb, which are again both really benign problems, and you need no worry about it."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, tooth sensitivity after composite restoration mostly depends upon the cavity depth and the type of dentin bonding agent. restoration with shallow or medium depth cavity usually have less sensitivity. crackers are sticky substances due to improper bonding between tooth and the restoration creates pressure and sensitivity in the tooth. there should be presence of protective layer of calcium hy chatbot.  i would suggest you to remove the restoration and place zinc oxide eugenol"
Please summerize the given abstract to a title,Genetic pre-screening for glaucoma in population-based epidemiology: protocol for a double-blind prospective screening study within Lifelines (EyeLife)
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. if you need to get a tooth removed, you need to get an injection containing local anesthesia. since the tooth is root canal treated, it does not mean that that tooth will be numb. while removing the tooth, there will be tearing of the gums and surrounding bone. so there will be pain arising from these structures. so you need to get the tooth removed under local anesthesia. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. i can understand your concerns. hypertension"
Answer this question truthfully,"Early diagnosis of atrial fibrillation and proper prophylactic treatment can prevent numerous related complications, such as stroke and mortality. Since patients older than 65 are more prone to atrial fibrillation and the aforementioned complications, it has been recommended to perform screening at least in this age group. Electrocardiogram (12-lead ECG) has been introduced as the gold standard method for atrial fibrillation screening. Nevertheless atrial fibrillation screening can be done by simply checking pulse. The other reason to support atrial fibrillation screening is the cost effectiveness of it."
Answer this question truthfully,"Presence of subclavian steal syndrome: it prevents the risk of vertebral embolization Isolatated stenosis Recurrent angina following an internal mammary coronary bypass
Percutaneous transluminal angioplasty appears safe and efficient therapy for subclavian artery stenoses is not only an effective initial treatment, but also successful over the short- and long-term results."
Please answer with one of the option in the bracket,E: RET
Please summerize the given abstract to a title,Evaluation of Modified ATRIA Risk Score in Predicting Mortality in Hospitalized Patients with COVID-19
Answer this question truthfully,"This form of long QT syndrome most likely involves mutations of the human ether-a-go-go related gene (HERG) on chromosome 7. The HERG gene (also known as KCNH2) is part of the rapid component of the potassium rectifying current (I Kr). (The I Kr current is mainly responsible for the termination of the cardiac action potential, and therefore the length of the QT interval.) The normally functioning HERG gene allows protection against early after depolarizations (EADs).
There is a possibility, that like in LQT1 mutations, the location of the mutation may have a differing impact on the individual who is affected. A study of 201 patients showed that persons with mutations in the pore region had a greater risk of cardiac events and sudden cardiac death, and that these manifestations occurred earlier than in persons with mutations in the non-pore regions .
Seizures - due to oxygen deprivation that occurs during arrhythmia. Fainting - fainting or syncope is the most common symptom LQTS. A prodrome may occur before losing consciousness, which may consist of lightheadedness, heart palpitations, blurred vision or weakness. Sudden death - a fatal arrhythmia that is not quickly intervened on, may cause sudden death. In LQT2, syncope, prodrome, or other events may particularly occur in the post-partum period, or in response to auditory stimuli. Undiagnosed LQT2 may be present in certain individuals who develop acquired long QT syndrome in response to certain medications.
Beta-blockers are the first line treatment in LQTS, even in asymptomatic carriers, as they reduce the incidence of syncope and sudden cardiac death. Other medications to control non-malignant arrhythmias. Electrolytes should be repleted as neccesary. Avoidance of triggers (drugs, supplements, loud noises, exercise). LQTs is one of the few diseases where genetic testing can provide important guidance, such as in whom to place an AICD (defibrillator) for the primary prevention of cardiac events.  Placement of a pacemaker may be indicated. Left stellectomy is not a cure, but is a second line therapy to reduce the risk of sudden cardiac death and is indicated if the patient does not tolerate beta blockers, as well as in young patients under the age of 12 where beta blockers are not deemed protective enough and AICD is not appropriate. Patients with long QT syndrome should undergo secondary prevention with AICD implantation if they sustain an aborted cardiac arrest or sudden cardiac death."
Please summerize the given abstract to a title,"Animal Agriculture, Wet Markets, and COVID-19: a Case Study in Indirect Activism"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear !! thanks for your query to chatbot. read and reviewed query. based on facts of your query, you seem to suffer frogger with angina. check up with physician specialist with ecg and cardiac stress test urgently, as it could be impending hd signal. to avoid heart attack rush to er cardiac and get angiography done. if need be gone for coronary stents to prolong active and healthy life. follow this to recover soon. hope this would resolve your health issues earlywelcome for any further query in this regard. good day !! chatbot. n. senior surgical specialist and thoracic / chest surgeon. s. genl-cvts"
Please summerize the given abstract to a title,Predicting the possibility of COVID-19 infection using fuzzy logic system
Please summerize the given abstract to a title,Pre-Existing Characteristics Associated with Covid-19 Illness Severity
Please summerize the given abstract to a title,Controversies and Challenges of Mass Vaccination against SARS-CoV-2 in Italy: Medico-Legal Perspectives and Considerations
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome. thanks for sharing your concern. please note that the redness in your tongue could be due to inflammation. this should go away within a week. for that you need to start with vitamin b complex. continue it for a month and look for results. in any case if you find the symptoms persists then please visit your dentist as it requires clinical examination. maintain good oral hygiene and do warm saline rinses twice daily. hope it helps. thanks. take care.
Answer this question truthfully,"Osteoid osteoma must be differentiated from other diseases that cause night-pain, soft tissue swelling, and bowing deformity such as other osteogenic tumors, osteoblastoma, bone abscess (Brodie abscess), osteosarcoma, and enostosis.    
Differential Diagnosis Similar Features Differentiating Features Osteoblastoma Benign, male predilection, and also present in long bones In osteoblastoma, differentiating features include uncommon tumor, affect the axial skeleton more frequently, lesions are typically larger than 2 cm, but more importantly, osteoid osteoma can only be distinguished from osteoblastoma by imaging features Brodie abscess Present in children, limb pain, and occasionally affects long bones In Brodie abscess, differentiating features include: fever, subacute onset, and the location usually affects the metaphysis of tubular bones Osteosarcoma Affects the same group of population (children and adolescents), patients usually present with bone pain, and the location is usually long bones In osteosarcoma, differentiating features include: malignancy, infiltration to surrounding tissue, and elevation of serum alkaline phosphatase (ALP) Enostosis Affects the same group of population (children and adolescents), small size, and the location is usually long bones In enostosis, differentiating features, include: Pathognomonic radiological appearance and incidental finding"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on your statement it seems that you have attempted to cut your foreskin yourself with rusted blade which got infected. better you consult qualified general surgeon or urologist for clinical assessment and to know the present status of fore skin. if needed he may advise you to get circumcised. this is a simple surgery done under local anesthesia as about patient procedure and offers permanent cure. chatbot. .
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having stress and anxiety related symptoms mostly. but better to rule out cardiac cause first for your chest pain. so get done ecg. if ecg is normal than no need to worry much for cardiac cause. anxiety can cause chest pain. it can also cause herd (gastroesophageal reflux disease) which is causing stomach pain. it is due to laxity of gastroesophageal sphincter. because of this, acid of the stomach tends to come up in the esophagus and cause the symptoms. try to follow these steps for better symptomatic relief.1. avoid stress and anxiety.2. avoid large meals, instead take frequent small meals.3. avoid hot and spicy food 4. start proton pump inhibitor.5. lose some weight as you are slightly obese."
Answer this question truthfully,"Teriparatide is a PTH analog used to treat severe osteoporosis when given in a pulsatile fashion by increasing the activity of osteoblasts, leading to an increase in bone density."
Answer this question truthfully,"Valacyclovir is a prodrug of acyclovir that has better oral bioavailability than acyclovir. This means that when valacyclovir is taken orally, a greater proportion of the drug is able to enter the bloodstream and reach the site of infection where it is needed. Valacyclovir is commonly used to treat viral infections such as herpes simplex virus (HSV) and varicella-zoster virus (VZV). While acyclovir can also be used to treat these infections, valacyclovir may be preferred in certain situations because of its improved bioavailability, which can lead to more effective treatment. However, the choice of which drug to use should be made by a healthcare professional based on individual patient factors and the specific condition being treated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief description of your injury a thorough neuromuscular assessment is advised. as mentioned by you the mechanism of injury i will advise to first get it clinically assessed. as we need to see any muscular or bony injury is present. also, as you mentioned you were not able to close the jaw, there may be an inflammation of the joint as well as the muscles of the post. may be to come closer to the diagnosis the ct or mri may be advised to see the bone and the soft tissue status. as head and neck are really an important part of the body, negligence is not advised. usually due to injury there may be three possibilities - no injury at all, injury to the bone or injury to the muscle & nerves. for coming closer to the issue, a proper assessment is advised. also, in the front of the neck there is a presence of cartilages which needs an attention. post that clinical assessment & if needed an mri or ct the next treatment plan will be initiated based on the symptoms and signs. i wish you a good health and advise avoiding such fights in the future. life is very important and precious.regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your mother s situation and problem. by her reports, in my opinion she is having breathing difficulty due to renal (kidney) failure. all the reports, high urea, high creatinine, low sodium and high potassium, favor possibility of renal failure. in renal failure, ability of kidneys to excrete water and other harmful substance is reduced. so there is metabolic acidosis and fluid retention in the body. this fluid can accumulate in lungs and pleural cavity. these causes pulmonary edema and pleural effusion respectively. both these cause breathing difficulty. so better to consult nephrologist and start appropriate treatment for her renal failure. hyperkalemia (high potassium) can be fatal due to cardiac side effects, so immediate treatment is required for this. hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern.in my opinion there are very, very fewer chances of neural tube defects as you have taken the folic acid right before the conception. as there is twin pregnancy the requirement of folic acid or any supplement is doubled. so consider taking 10 mg of folic acid. take healthy nutritional diet to meet the requirements. take green leafy veggies which are rich in folic acid. also detailed namely scan done between 18 -20 weeks and nt scan at 11-13 weeks rules out any anomalies.don't worry. best regards..."
Please summerize the given abstract to a title,Sustained vaccination coverage during the coronavirus disease 2019 epidemic in the Republic of Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you are having an infected foot following the accidental nail injury 6 weeks back, and now you are having painful sore foot, which suggest me that you are having infection of the foot. for your symptoms i would suggest you to follow1. regular chatbot.  2. tab augmenting, 675\u00a0mg, twice daily for 5 days.3. topical tb act ointment 4. oral analgesics to relive the pain. thank you."
Answer this question truthfully,No. Swine influenza viruses are not transmitted by food. You can not get swine influenza from eating pork or pork products. Eating properly handled and cooked pork and pork products is safe. Cooking pork to an internal temperature of 160°F kills the swine flu virus as it does other bacteria and viruses.
Please summerize the given abstract to a title,Feasibility of Virtual Optimization of Guideline Directed Medical Therapy in Hospitalized Patients with HFrEF During the Covid-19 Pandemic: The IMPLEMENT-HF Pilot Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, seems like a pinched nerve is causing your symptoms. since you had scoliosis surgery, in rare cases, a hardware failure may result in such symptoms. i think that there is a need for an evaluation by your surgeon and by image studies of your spine in order to understand better your condition. painkillers may help in reducing symptoms. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Patients with decompensated liver cirrhosis are usually candidates for liver transplantation. Liver transplantation may be carried out based on MELD score and assessment of the patient’s quality of life, absence of contraindications and disease severity. In cases where transplantation is contraindicated, a patient may undergo the TIPS procedure. A transjugular intrahepatic portosystemic shunt, also TIPS, is an artificial channel in the liver from the portal vein to a hepatic vein, created via the jugular vein. The main purpose of the TIPS procedure is to decompress the portal vein which would in turn help to prevent rebleeding from varices, and also prevent ascites formation. TIPS is used to treat portal hypertension which is often due to cirrhosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you are reporting another seizure has occurred to you then, you are not cured and should contact your original doctor to inform them of what happened.  you may wish to see a neurologist (or epidemiologist) who may have other suggestions to the dilation which has been largely replaced by other medications which are as effective in controlling seizures but without many of the side effects that can be produced (especially in women).  however, you still require medication of some type and another neurological workup (your brother as well) and you should do all of this as quickly as possible. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Teaching Reference Interview Skills with Improv
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion iron supplements are known to cause constipation or hard stools. constipation is routinely seen complaint in pregnancy. to prevent the constipation"
Answer this question truthfully,"Uncorrected left-to-right shunting can eventually result in reversal, which presents with late cyanosis known as Eisenmenger syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, howlingcraneestell, i can understand your frustration. you mention that you have had abdominal surgeries including gallbladder and also mesh insertion hernias. your symptoms of pain and fullness in the upper part of the abdomen may indicate slow passage from the stomach into the intestine of your ingested food. this could happen indifferent circumstances. if you have some scarring at the lowered of the stomach opening from an old healed ulcer, that could cause mild blockage. if you are a diabetic and not well controlled you can have a condition called gastroparesis that would slow down the stomach. but my best guess in your case, is \""adhesions\"". especially after multiple abdominal surgeries, scar tissue develop sand in some, this can cause kinking of the intestine and cause intermittent blockage or obstruction. if you get relief after passage of gas or after belching, this could be a cause. it is very difficult to identify adhesions but some cases a gi series and a small bowel follow through x-rays show abnormalities, if there is significant kinking. in some cases mesh itself can cause reaction and scarring with pain. hope you have had complete blood work. you can discuss these with your doctor and get tested. i wish you well."
Answer this question truthfully,"Desmopressin, with intranasal administration preferred over oral, is the preferred first-line treatment for central diabetes insipidus.

Central diabetes insipidus is a condition that occurs when the body is unable to properly regulate the balance of fluids, leading to excessive urination and thirst. Desmopressin is a synthetic hormone that acts on the kidneys to reduce urine output and increase water reabsorption.

Desmopressin is considered the first-line treatment of choice for central diabetes insipidus. It can be administered either orally or intranasally, with the intranasal route generally preferred due to its faster onset of action and lower risk of side effects.

In addition to desmopressin, other medications such as thiazide diuretics or nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used to manage central diabetes insipidus. However, desmopressin is generally considered the most effective and well-tolerated first-line treatment option."
Answer this question truthfully,"On X-ray, Fournier gangrene is characterized by  subcutaneous gas or soft tissue swelling (specific x-ray finding) seen extending from scrotum and perineum to the inguinal regions, anterior abdominal wall, and thighs, and increase in the soft tissue thickness and opacity.
On X-ray, Fournier gangrene is characterized by: 
Subcutaneous gas or soft tissue swelling (specific x-ray finding) seen extending from scrotum and perineum to the inguinal regions, anterior abdominal wall, and thighs Increase in the soft tissue thickness and opacity
Plain x-ray is a poor screening study for Fournier gangrene because:
Subcutaneous emphysema is an insensitive finding and is present in a minority of patients In the early stages the findings are similar to cellulitis"
Answer this question truthfully,"The symptoms include decreased growth hormone (GH) secretion, very short stature, weight that is inappropriate for the height, and immature skeletal age. This disease is a progressive one, and as long as the child is left in the stressing environment, his or her cognitive abilities continue to degenerate. It is often seen in feral children and in children kept in abusive, confined conditions for extended lengths of time. It can cause the body to completely stop growing but is generally considered to be temporary; regular growth will resume when the source of stress is removed.
Symptoms of psychogenic dwarfism vary greatly. Because these disorders affect overall growth, many of them result in poor development in one or more body systems.
Short stature: Short arms and legs, with particularly short upper arms and upper legs. short fingers, often with a wide separation between the middle and ring fingers. Weight that is inappropriate for the height Immature bone age, an adult height around 4 feet (about 122 centimeters)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your husbands history and would like to make suggestions for him as follows"
Please answer the letter of option truthfully,D
Answer this question truthfully,"Lindane works by inhibiting the GABA-A channel in scabies and lice. This channel is responsible for transmitting nerve impulses in these parasites, and by blocking it, Lindane is able to paralyze and kill the scabies and lice. However, Lindane is a potentially toxic medication and is not recommended as a first-line treatment due to its potential side effects. Other treatments, such as permethrin or malathion, may be safer and more effective options for treating scabies and lice infestations."
Please summerize the given abstract to a title,Psychological stress responses to COVID-19 and adaptive strategies in China
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. yellow penile discharge can be related to a chlamydia infection. doxacycline itself does not change the color of the penile discharge. it is the indicated antibiotic to treat the chlamydia infection, so i suggest to you to continue the treatment as prescribed by your doctor. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards! chatbot."
how to prevent atherosclerosis,Treatments for atherosclerosis have reduced the deaths due to the disease. These treatments also have improved the quality of life for people who have these diseases. You should follow your treatment plan and take all of your medicines as your doctor prescribes. Your doctor will let you know how often you should schedule office visits or blood tests.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. stem cell therapy is newer advance in treatment of cancer. cancer is basically group of cells which are constantly and vigorously growing. so in brain cancer brain cells are growing rapidly and causing mass lesion. so the main idea behind stem cell therapy is to develop new cells in the body which replace cancer cells. stem cells are progenitor cells, from which all cells of the body develop. so by giving stem cells, possibility of development of new cells in place of cancer cells can be expected. so this is encouraging option in cancer treatment. you need to discuss in depth about its effectiveness and cost benefit ratio with your doctor. hope i have solved your query. wishing good health to your brother. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","see, itching and stomach pain and pain on tip of penis are totally unrelated symptoms. you may have itching because of some allergy as you visited a foreign place. and as far as stomach ache is concerned, you guessed it right, because of the fountain water. for stomach ache, you can take gastric antibiotics (like norfloxacin) and antispasmodics (like cyclops). and if itching is intense, you can take antihistamines (like cetirizine). and for pain in tip of penis, you should not take anything right now. if the problem persists, then you can consult your physician."
Please answer with one of the option in the bracket,A: Acute kidney failure
Answer this question truthfully,"The chromosomal abnormality associated with these features is trisomy 13, also known as Patau syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the cause of infertility can be due to both male and female factors. as you are on higher side and if your cycles are irregular then it needs to be evaluated for any thyroid abnormalities, polycystic ovarian disease(pod) etc. early ejaculation might not be a in chatbot. so i suggest you to consult urologist for your husband.otherwise, if your cycles are regular and no other problem then there are good chances of pregnancy. avoid stress and anxiety as they cause hormonal imbalance and delay fertility further. practice regular intercourse to increase the conception chances. nothing to worry. usually infertility treatment is started when pregnancy does not occur even after 1 year of unprotected intercourse. so relax. best regards..."
Please answer with one of the option in the bracket,E: Supravalvular aortic stenosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i feel your wife is having gastritis or acid peptic disease. she needs to follow some lifestyle tips.1. do not eat spicy food2. take medications for gastritis- panto/gomez/rantac3. take little food at frequent intervals. breakfast around 8am, small snack at 11am, lunch at 1pm, small snack at 4pm and dinner at 8pm4.  chatbot.  do not smoke, take alcohol or tobacco and even excess of coffee and tea 6. do not take much of stress. stress aggravates gastritis7. do regular exercise. at least half an hour per day8. learn meditation techniques9. follow this regularly for 21 days. it is said that anything you practice regularly for 21 days becomes a habit regards-"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult blood specialist (hematologist). as your platelets are decreasing. causes of these are1. viral infection like dengue2. hemolysis3. liver disorder4. disorder of platelets itself 5. malignancies consult hematologist. about your chest pain and heaviness in chest, i advise you to get done ecg and 2d echo to rule out cardiac causes."
Please summerize the given abstract to a title,"Blood flow, capillary transit times, and tissue oxygenation: the centennial of capillary recruitment"
Please summerize the given abstract to a title,ASSURE Research and Development: The Documentary Video of Reog Dance to Enhance Learning Outcomes in History Learning
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.escitalopram is not so famous (or infamous) to induce sleep, but olanzapine is.and olanzapine increases hunger, thus may worsen your metabolic profile.so you require periodic check-up and also regular exercise.also some dietary modification may be required.you can also try to take it in the evening so that it would not delay your arousal in the morning.discuss the issues with your psychiatrist.have a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you mentioned that post 1 year of tkr the pain is still persisting regardless of undergoing all protocols. it is sad to hear this. well, let me help you further, the first thing you should is to visit the one who performed tkr and get the thorough orthopedic assessment. as the one who operated the knee has seen inside your body well, so he is the one to comment. now to look further, total knee replacement, is it a bicompartment or compartment or unicompartment? this makes a lot of sense in understanding the surgical procedure. to look ahead, post tkr how many weeks the physical therapy was performed, i personally recommend my patients at least 12 weeks of protocol and post that as per the assessment the next number of weeks will be designed. also, to understand that prior to tkr you had a lot of weakness in the muscles of the thigh, hip and core. now if this three area are not strengthened to muscle grade 5, then you need some more input of the physical therapy. usually, my cases post tkr can perform 40 squats in 60 seconds. also, they can perform, sprinting, running, jogging, jumping etc. i get 100% knee stability. also, in tkr your internal structures of the knee are removed to provide a new implant. as the role of the implant is to just hide the knee joint sensory system to sensation less. the degenerative changes of the bone is irreversible. also, as the internal structures of knee are removed, the joint is super immobile and only the strength in the muscles can hold the joint intact and get you rid of pain. there is a lot to understand about the tkr, as what i mentioned is just a few points. with my patients i initially spend a lot of time making them understand the arthritis of knee, how to avoid tkr, what is the tkr procedure, what are the plus and minus of tkr, how to get the best joint stability and how the whole process will be followed with strenuous exercises. by this, my 50% of job is done as they understand their joint better and perform the best possible exercises advised under supervision. within 12 weeks of time we get 80% stability and the last 20% we go slow but painful procedures and again in another 8 weeks all is settled. i wish you get your doubts clear by sitting down with a surgeon and the physical therapist as well to get the best results. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. forum.  since 2 days you had stomach pain, and motions, you are always tired, have headache. you had miscarriage on 14-2-13, two weeks latter you had period. since then period is late by one month.  the present symptoms suggest, infection of the genitourinary system. the cause may be the previous miscarriage, anemia or something else.  i advise you to consult a doctor for diagnosis and treatment. you may need to have u.s.scanning besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
Please answer with one of the option in the bracket,A: Behavioral therapy
Answer this question truthfully,The typical ESR and CK levels in steroid-induced myopathy and polymyalgia rheumatica are normal.
Answer this question truthfully,"The recommended limits for heavy drinking in men are 14 drinks per week or more than 4 drinks per day. For women, the recommended limits are 7 drinks per week or more than 3 drinks per day. It's important to note that these are general guidelines and may not apply to everyone. Factors such as body weight, metabolism, and overall health can affect how alcohol is processed by the body and how much is safe to consume. Additionally, heavy drinking can have serious health consequences, including liver disease, high blood pressure, and an increased risk of certain types of cancer. If you are concerned about your drinking habits or are experiencing negative effects from alcohol use, it's important to speak with a healthcare provider or a qualified addiction specialist."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Posterior hip dislocations present with a hip that is flexed, adducted, and internally rotated."
Answer this question truthfully,Lack of ATP.
Please summerize the given abstract to a title,Development of a standard treatment protocol for severe acute respiratory syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,first, do not panic. i will suggest you feed the baby in a propped up position. taking the baby with a semi-reclining position and patting on the babies back after completing feeding for a few minutes by holding the baby in an upright position, will help to avoid vomiting. lazol is acid production blocking medicine. please seek prescription support from your treating doctor for liquid risperidone, which is antiemetic and acts by preventing upward reflux and propelling the food forward. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,E: Supracondular humerus fracture
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot after going through your query i concluded that you are having backache. your vitamin d3 level is low. treatment of it is vitamin d3 supplements. analgesic such as ibuprofen is helpful for pain relief. as your doctor has asked to stop simvastatin, stop it. back exercises will be started after once pain relief is achieved.  you can discuss with your treating doctor about it. hope your query get answered. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. you can also write to me directly on below link"
Please summerize the given abstract to a title,Practical management of inflammatory bowel disease patients during the COVID-19 pandemic: expert commentary from the Gastroenterological Society of Australia Inflammatory Bowel Disease faculty
Please summerize the given abstract to a title,Predicting Patient-Centered Outcomes from Spine Surgery Using Risk Assessment Tools: a Systematic Review.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, welcome, and thanks for sharing your concern i went through your query, and i feel, these could be vitamin deficiency or neurological disorders, you need to inform of any other associated condition you have, any history of illness in the past, history of increased blood pressure, i feel you should consult a neurologist early. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most of the medial meniscus tear does not heal by itself. healing depends on location of tear. if you are not symptomatic i.e., not feeling pain on movement of knee, no history of locking of knee, no problem with movement of knee then you may skip surgery, although best judge is your doctor, you may discuss various aspect of your problem with your doctor. hope i have answered your question. let me know if i can assist you further."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. the causes of abdominal pain after tb treatment are
Please summerize the given abstract to a title,"Epidemiology of Respiratory Viruses in Acute Respiratory Illness in Malaysia: Patterns, Seasonality and Age Distribution"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i value your concern regarding the symptoms. i have gone through your symptoms, and in my opinion your concern is valid, the lymph nodes are usually either due to infection or as times due to malignancy, and breast and lymph carcinomas are one of the main causes, the best way out is to remove one node and get a biopsy done to clear all doubts. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health. special note-any medication prescribed needs to be taken after consultation with your personal doctor only."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. neck stiffness and headache should not be related to the procedure itself, but can be related to the sedation used during the procedure. if fever should add to these symptoms, and the headache with neck stiffness persist, you should definitely seek medical care. otherwise, you should not worry about. hope this helps. please feel free using mhc again"
Please answer with one of the option in the bracket,C: β-glucosidase
"If you are a doctor, please answer the medical questions based on the patient's description.","here i understand you have damage in spine with spinal curve loss as well you was operated in 2008 but since then the issues are more and now there is no stability with left ankle as well you also have issue with left sciatic nerve. here i suggest you visit spinal surgeon for secondary opinion and then also take suggestion from a good physiotherapist. here based on current physical evaluation and report they will suggest you conservative management with physio treatment to heal the soft tissue and strengthen the back muscles. also, may need to do some treatment for ankle instability and sciatic nerve pain. you can also use hot and cold pack on your back for some more relief and reduce inflammation. for major issue like soft (annular) tissue tear(major) you need to go for surgical repair or immobilization of spine for giving it time to heal. however the treatment will be suggested by spinal surgeon only. here i suggest you can also take opinion from two different spinal surgeons to have proper idea on safer treatment planning. here i have given you general guideline since i am not able to assess as well see all your past report. but i suggest following it step by step, and i am sure his will be useful for you. take care"
Answer this question truthfully,"In twin-twin transfusion syndrome, the recipient is polycythemic, overloaded, and at risk for heart failure."
Answer this question truthfully,Astrocytes are glial cells that are responsible for reactive gliosis in response to neural injury.
Please summerize the given abstract to a title,Low Incidence and Mortality from SARS-CoV-2 in Southern Europe. Proposal of a hypothesis for Arthropod borne Herd immunity
Please summerize the given abstract to a title,Increased COVID-19 mortality in patients with rheumatic diseases: results from the CONTROL-19 study by the Italian Society for Rheumatology.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of sinusitis and bronchitis is more likely. so chatbot.  do steam inhalation and warm water gargles 5-6 times a day. take broad spectrum antibiotic like levofloxacin or azithromycin once a day for 5 days. also take levocetrizine and paracetamol combination twice daily. don't worry, you will be alright with all these. if not improving in 1 week, consult doctor. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Disaster Neurology Update: Focus on the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. breathlessness on exertion is mostly seen with heart and lung diseases. so better to take him to hospital and get done ecg, 2d echo and stress test (trade mill test) to rule out cardiac diseases. he will need pft (pulmonary function test) to rule out bronchitis (lung related disease). so better to consult doctor and diagnose cause for his breathlessness. he might need cardiac supportive chatbot. hope i have solved your query. i will be happy to help you further. wishing good health to your husband. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,Call your health care provider if you are pregnant and you have symptoms of diabetes.
Please summerize the given abstract to a title,Abstract
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a blood test to check out for the platelet count and wbc is advised. also, are you under any of the blood pressure medication, as this may also be a cause for it. i will advise for a complete blood test to rule out the infection in the body which isn't healing and also the blood pressure monitoring. with proper diagnosis with the help of the laboratory tests and proper medical advice, you should be fine. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you seem to suffer from -varicose veins of the forearm under stress only. you may need to treat them by endogenous laser ablation(evlt-endo-venous-laser-treats) of the specific incompetent section. these are for cosmetic purpose only. lesser for any thrombotic dvt complications-as in leg veins. consult your surgeon and vascular surgeon after the doppler dual image study. this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
Answer this question truthfully,"You are more likely to develop a corneal injury if you:
Are exposed to sunlight or artificial ultraviolet light for long periods of time Have ill-fitting contact lenses or overuse your contact lenses Have very dry eyes Work in a dusty environment
High-speed particles, such as chips from hammering metal on metal, may become embedded in the surface of the cornea. Rarely, they may pass through the cornea and go deeper into the eye."
Please summerize the given abstract to a title,Biomarkers and antithrombotic treatment in cervical artery dissection - Design of the TREAT-CAD randomised trial.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"What are the stages of female puberty and at what age do they typically occur? Female puberty occurs through the following stages: breasts (thelarche) at 8 years, axillary hair (adrenarche) at 9 years, growth spurt at 10 years, and menarche at 11 years."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, a history of ear infection followed by lymph node enlargement behind the ear suggests reactive hyperplasia of the post-auricular (behind ear) lymph node. the lymph node behind the right ear could also be reactive in nature. investigations- especially aspiration cytology of the lesion is required to confirm the reactive nature of these lesions. soreness of throat could be due to infection and this could lead to lymph node enlargement. thanks and take care chatbot."
Please summerize the given abstract to a title,Students’ Perception towards COVID-19 Vaccination Program in Bangladesh: A Study on University Students
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, by what you quote i feel that your kid is having a breath holding spell. the best way is to break the spell. you can achieve this by pinching the kid so that it, the pinching will cause the baby to cry and to cry the baby has to take a breath first and so the breath holding spell will be broken. but to prevent the spell, you need to be clear in not bending to all the whims and fancies of the kid because, kids usually develop this sort of tendency when they are adamant and the adults start accepting their requests when they cry inconsolably. this sort of behavior might in future lead on to adamant behavior. so please curtail it now itself. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. as pr your history your son who is just 12 years underwent cholecystectomy, and has chest pain and upper abdominal pains. history of medications and endoscopy, eosinophilic esophagitis noted. i would advise the following in such a case."
Answer this question truthfully,"Septic shock typically leads to a decreased afterload, as measured by systemic vascular resistance (SVR)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. you have given the classical history of farting after pain. also noted that you have pain in the lower abdomen and groin and the mid-part of the abdomen. i would advise you the following. to get the x-ray of the abdomen when you have pain and when there is bloating. most probable diagnosis is partial volumes of the colon or sigmoid colon. once the diagnosis is made further treatment can be planned. if required further investigations like colonoscopy, ct scan of the abdomen can be done only if required. consult the general surgeon for clinical evaluation and investigations and further management."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,Zinc deficiency is a trace mineral deficiency that is associated with hypo-gonadism.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. after going through your query i came to know that you probably are suffering from lumbar disc prolapse. it is confirmed by mri scan. there are two treatment options. first option is rest in position of relief(generally lateral position with both knee bend), nurokind gold once daily and analgesics (diclofenac three times a day after meals is effective). sometimes strong analgesic(such as attract three times a day after meals) is required. omeprazole before meals prevent acidity caused by analgesics. this method needs patience as it take longer treatment times sometimes up to 6 months. second option is go for surgical operation(discectomy). you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
Answer this question truthfully,"MRI may be helpful in the diagnosis of neurofibroma MRI signal characteristics include:  
MRI sequence Characteristics T1 Hypointense Homogeneous low signal intensity Center demonstrating a higher signal intensity than the periphery (reverse of target sign on T2) T2 Hyperintense Homogeneous high signal intensity (higher than fat) Target sign (plexiform neurofibromas) Low signal intensity centrally with a ring of high signal intensity peripherally Due to a dense central area of collagenous stroma Highly suggestive of neurofibroma but occasionally also seen in schwannomas and malignant peripheral nerve sheath tumors Fascicular sign Plexiform neurofibromas may appear as a larger and more infiltrating mass with lobulated borders with inhomogeneous enhancement Myxoid stroma enhancement helps differentiating the high signal intensity at T2- weighted imaging from cystic change or necrosis T1 C+ (Gd) (with gadolinium contrast) Heterogenous enhancement"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dear user., thanks for choosing chatbot., acne on chest and arms..., it won't give any problem.but looks ugly., dont squeeze., it may infect.ok., follow....1) frequent washes with triclosan soap.on affected part.,2) tab doxycycline 100 mg daily for 15 days.,3) benzoyl peroxide 5%-persol 5% -wallace apply on affected part ., daily 2 times...,4) low fat diet, fresh fruits and fresh vegetables.ok.good luck"
Please summerize the given abstract to a title,Political identity over personal impact: Early US reactions to the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have hypertension and hyperlipidemia, but that doesn't mean you will have heart attack sometimes. likelihood of heart attack is less at this age group.  you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. if bp is persistently more than 140/90 mmh, then medicine needs to be hiked up. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. hope this helps you and get back if you have any doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query think your asthma control has been compromised and exercise induced asthma is itself an indicator of poorly controlled asthma. therefore, your asthma treatment should be stepped up. please go through a spirometry testing and record the fev1. you should start your treatment with a formoterol-budesonide combination inhaler 200 at 2 puffs twice daily along with montelukast 10 mg daily at night. you should have to use them on regular basis. buy a peak flow meter and record your peak flow daily in a chart to self-monitor your asthma. consult a good pulmonologist for that and treat under his guidance and make a periodical visit to his clinic for proper monitoring. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good evening. thanks for the query to chatbot. i studied it in depth and i understood your health concerns.-causes -for lumps on the shoulder blades-with swelling and aches-1- mostly it appears to be -sebaceous cysts ?furuncles-a boil?2-surgeons consultation would fix the diagnosis -who would treat it by excision biopsy.2-a-relation with the sweat boils-is true and is due to spread of infection or fresh infection of the sweat glands.3-dont get scared and uneasy, but be cautious and act fast. hope this would help you a lot to relieve you. wish you fast recovery-and healthy life. wellcome to chatbot with more queries till you are satisfied. have a good day...!! chatbot. n.m.s.genl-cvts, super specialist and senior consultant-and expert in non-curable-disease therapy for cancer, asthma,etc., rejuvenation therapy and tissue failure -reversal therapies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign cyst. it's common to have benign cyst. you may have some soft tissue tumor. you need examination for exact site, size and nature of lesion. it will help to reach the correct diagnosis. then you should take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of stress and anxiety related symptoms is more. but better to first rule out heart diseases for your palpitations and left sided discomfort. so get done ecg and 2d echo. if both these are normal then no need to worry about heart diseases. no need to consult neurologist. better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you will definitely improve with anxiolytic (depressor) chatbot.  you can continue b 12 and propranolol till you consult psychiatrist. don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Allopurinol is the gout medication that can cause rash, eosinophilia, and systemic symptoms. This is a rare but potentially serious side effect known as drug reaction with eosinophilia and systemic symptoms (DRESS), and it can cause fever, rash, lymphadenopathy, and multi-organ involvement. DRESS can occur with other medications as well, but allopurinol is one of the most common drugs associated with this reaction. Patients who are prescribed allopurinol should be monitored closely for signs of DRESS, particularly in the first few weeks of treatment. If DRESS is suspected, allopurinol should be discontinued immediately."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your blood pressure is very high.  however, single reading of high blood pressure is difficult to judge. you should check your blood pressure 2 to 3 times at interval of 2 to 3 days. if your blood pressure remain persistently high then you should take treatment of hypertension. salt restricted diet should be strictly followed. chatbot.  this all is prescription based medicine so consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read your question carefully and understand your concern. your symptoms may be related to an inner ear problem. are your dizzy spells triggered by the head movements? as you refer all your lab tests have resulted normal. i would recommend consulting with the ent specialist and perform an electronystagmography and labyrinthine test to exclude the inner ear as a possible cause of this symptomatology. another issue is your blood pressure. an orthostatic hypotension would cause lightheadedness and dizzy spells, exacerbated by standing up. a head up tilt test would be useful to rule out this possible disorder. meanwhile, i recommend betahistine twice daily for some days. hope to have been of help! best regards,"
Please summerize the given abstract to a title,Post-COVID-19 Longitudinally Extensive Transverse Myelitis with Myelin Oligodendrocyte Glycoprotein Antibodies
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot side effect of birth control pills can be pain abdomen, nausea, vomiting, tiredness, weakness, headache, loss of libido, menstrual irregularities, etc. 1. get your gf clinically assessed by a doc. she is getting blurry vision, it can be dizziness that she is unable to define, it can be due to weakness, headache can be due to eye-sight problem, she may need an eye check-up.2. it is important to get her hemoglobin (hbo) level checked, get her blood tests done to confirm fitness. low blood pressure often results in headache.3. she should take vitamin or mineral supplements.4. she can take some other substitute for the birth control pill that suits her better after consultation with a gone.5. abdominal pain can be due to gastritis. antacids will give relief. abdominal pain can also be due to some infection, pelvic inflammatory disease, cysts, fibroid, etc. a usg will help to confirm diagnosis.6. she should avoid smoking, alcohol or addiction of any kind, avoid oily spicy food. healthy nutritious, rich in minerals and proteins is what she needs, she should keep bowels clean and properly hy chatbot.  take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you can do gardening with shoulder pain. but i will advise you to do in multiple breaks. as you may not be habitual with this work so the pain comes. usually, when people don't have the habit of doing certain work and when they tend to do it leads to does (delayed onset muscle soreness). so you should do less work and make it a habit.  regarding the shoulder pain, i will advise you to do shoulder exercises by which you develop some endurance which can help you to the job with ease. in my clinical practice of over 12 years, most patients who are doing a job once in a while i advise them to do in multiple breaks and also take sufficient rest. meantime i even advised them to improve the endurance of the muscles so the pain doesn't bother much. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,"New Generation Vaccines for COVID-19 Based on Peptide, Viral Vector, Artificial Antigen Presenting Cell, DNA or mRNA"
Answer this question truthfully,"Vitamin K is essential for the process of gamma carboxylation, which involves the addition of a carboxyl group to specific glutamic acid residues in certain proteins. This process is particularly important for the activation of blood clotting factors II, VII, IX, and X, as well as for the regulation of proteins C and S that are involved in blood clotting. Without sufficient Vitamin K, the carboxylation process may not occur properly, leading to bleeding disorders or other health issues. Therefore, it is important to consume adequate amounts of Vitamin K through diet or supplements to support proper bodily function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. i have gone through your available history. you have not mentioned and obsessive compulsive symptoms. all your symptoms are suggestive of depression. depression is common co-morbidity of ocd. you should consult psychiatrist for detailed psychological evaluation. you may get benefit from either of anti-depressant chatbot. your psychiatrist may advise counselling for your symptoms.meanwhile, you can try stress management and relaxation techniques like yoga, meditation. thanks"
Please summerize the given abstract to a title,Speech and Anxiety Management With Persistent Stuttering: Current Status and Essential Research
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since the rash is spreading & you have itching with irritation it can be due to pin-worms, untreated yeast infection, allergic rash (lichen sclerosis), genital warts & std. get physically examined & have all std screening tests done.  you may need antibiotics, antivirals, avoid sex for a couple of days. get treated along with your sexual partner. avoid unprotected sex. in the meantime you can take albendazole or mebendazole under a pcp. apply hy chatbot.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your sons situation and problem. in my opinion, you should immediately take him to hospital and start treatment. nose bleeding, coughing and breathlessness suggest possibility of bronchitis more. but chest x-ray is needed to rule out lung infection. detailed examination of nasal cavity is also needed to rule out internal cause for bleeding. he may need antibiotics, antihistamines and inhaled bronchodilators with inhaled corticosteroid (ics). so better to consult doctor, first diagnose himself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi siri have gone through your question and understand your concerns. according to the history you provided, it appears that your suffering from panic disorder. but, coming to treatment history, your diagnosis and treatment are not matching properly. mostly treatment for panic disorder consists of a combination of an ssri and benzodiazepine(clonazepam/lorazepam/ etilzolam....soon). here, benzodiazepine to prevent the current attack and ssri to stop the panic disorder completely. but, in your case ssri is missing and antipsychotic was added(risperidone). i don't know the purpose for addition of the antipsychotic. so, i feel that the diagnosis may be incorrect. you didn't provide regarding your complaints. so, i couldn't come to a decision regarding your diagnosis to confirm whether you're suffering from panic disorder or some other psychiatric issue. so, please provide me complete history."
Please summerize the given abstract to a title,A macroeconomic model of an epidemic with silent transmission and endogenous self‐isolation
Please summerize the given abstract to a title,Long-term feeding issue and its impact on the daily life of congenital diaphragmatic hernia survivors: results of the first patient-led survey
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for positing your query to chatbot . as understand you are worried about your son. so i just want to explain to you that hepatitis carrier are always found positive with hepatitis b surface antigen along with egg antibody for hepatitis b core antigen, so your father is not carrier, and again you are right as presence of hbs antibody indicate past infection or due to vaccination. so no need to worry about your father and son both . hope i have solved your query. feel free to contact me. regards chatbot."
Please answer with one of the option in the bracket,B: Decreased haptoglobin levels
Please summerize the given abstract to a title,Lung Ultrasound in Children with Cystic Fibrosis in Comparison with Chest Computed Tomography: A Feasibility Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi grimmettnancy, welcome to chatbot .com you are diagnosed to have nash progressing to cirrhosis, and you are currently experiencing an enlarged stomach. please let me know the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i did not understand your problem. swollen scrotum could be due to many reasons like inflammation. your urologist must have told you the reason for the swollen scrotum and the treatment, without knowing that reason, we here, will not be able to tell you anything further. please post more details. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Optimizing Airway Surgery in COVID 19 Era
"If you are a doctor, please answer the medical questions based on the patient's description.","hellosign your lymph nodes are enlarged and diagnosed tuberculosis of lymph nodes (tubercular lymphadenitis) . your treating doctor advised you akt-4 (rifampicin, isoniazid, ethambutol and pyrazinamide) . this is the best treatment, and it takes some time to respond. when such case visit i also advise my patient to take levofloxacin 10-12 mg / kg body weight in the night with pantoprazole -d for to avoid nausea.akt-4 must be as a regular medicine. since few patients feels loss of appetite so advised them to take some appetizer. so need not worry, wait for another 10 days, and you will respond to this anti-tubercular treatment. before starting any medicine (levofloxacin) , consult your treating physician and get his opinion. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query and an elucidated history. great to know that you think of the ileo-caecal valve. well, this does never cause a pain as such. i would advise you the following in a case where the symptoms of right lower abdomen pain are present and can be due to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. from what you have stated it is quite clear that you are having a depressive episode. depression can occur with regular stress, and it can also occur biologically without any stress as well. you need proper treatment for the same. there are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or escitalopram, and they are all very effective and mostly safe. you may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  if you are averse to the chatbot.  this therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (thoughts) and try to correct them. they are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Please answer with one of the option in the bracket,B: Seizures
Answer this question truthfully,
Answer this question truthfully,"Folliculitis usually responds well to treatment, but may come back."
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. i guess it is form of anxiety disorder with panic attack. to be very frank 1st line of treatment is medicine in these disorders. the medicine that given to you is appropriate, and it will improve all symptoms.besides, this you have to do exercise regularly. take proper sleep. healthy diet. keep yourself busy. do stress-free work and pleasurable activities. but all this is supportive management and can not replace chatbot. so do consideration and get well soon. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear friend thanks for sharing your concern. your history is suggestive of pulpits. if rct is done successfully then there is no question of spreading infection further to ear or anywhere else. have you got your x-ray done? i would suggest you to go for a second opinion too along with your x-ray of treated tooth. also get an opg done to see the surrounding bone and tissues for any infection there. you can get a x-ray done for tmj to see if any problem lies with that? your x-ray will suggest you the underlying cause and accordingly treatment can be planned. hope this helps. thanks.
Please summerize the given abstract to a title,Country Level Socioeconomic and Health System Indicators Explain COVID-19 Mortality Worldwide
Please summerize the given abstract to a title,One-shot analysis of translated mammalian lncRNAs with AHARIBO
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. lesion / lump / swelling at the ankle region - probable cause could be ganglion arising from the tendon, joint and nerve sheets.2. they are normally painless lumps, in inflamed status symptoms might be seen.3. if its erosive and tenderness on touch, we can think in terms of factorial infection, infection of hair follicle - if lump is big a small incision and chatbot. 4. generally if you have no history of been in outdoor experience some insect can think, but home spiders bugs may not give such conditions.5. you need to get an appointment with your gp let the lesion get examined, and then some treatment can be suggested.6. meanwhile as a remedy - do not press, scratch the lesion, maintain local hygiene, keep clean with antiseptic liquid. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,"Tropical sprue is a rare diagnosis nowadays, and the highest prevalence is seen in the tropical countries."
Answer this question truthfully,"There is insufficient evidence to recommend routine screening for linitis plastica.  However, for familial cases of inherited diffuse gastric cancer genetic screening for CDH1 gene mutation is available. Screening for gastric cancer s is usually carried out via endoscopic biopsy, however, in the case of linitis plastica, barium study may be more effective than endoscopy. The indistensibility of the gastric wall is detected easily with barium."
Answer this question truthfully,Aortic regurgitation can arise due to aortic root dilation (such as syphilitic aneurysm or aortic dissection) or valve damage (such as infectious endocarditis).
Answer this question truthfully,Call your health care provider if symptoms of Evans syndrome develop.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more because your pain is associated with heavyweight lifting. so follow these steps for better symptomatic relief. 1. avoid heavyweight lifting and strenuous exercise. 2. avoid movements causing pain. 3. avoid bad postures in sleep. 4. apply warm water pad on affected areas. 5. take painkiller like ibuprofen. don't worry, you will mostly improve with all these in 1-2 weeks. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, dear natasha, i have understood your concern. i will suggest you the best possible treatment options.1) sorry to hear about your previous pregnancy losses. 2) please do not worry.  the pain you are describing appears to be of large bowel origin.3) i will suggest you to opt for a healthy diet and regular exercise regimen. include more portions of fruits, salads and vegetables in daily diet.  chatbot.  avoid deep-fried foods, bakery products and refined sugars. cap vibrant ds once a day for ten days will be of help.  also, if pain is unbearable use of antispasmodic tablet like tuscan is advisable aa needed. 4) please keep cool, do not worry, think positive. all things will be fine. i hope this answer helps you. thanks"
Answer this question truthfully,"Common cold can effect people of all age, gender, and ethnic group."
Please summerize the given abstract to a title,Food insecurity and coping strategies in international migrants in transit through Mexico
Answer this question truthfully,"Usual symptoms include:
Hematuria or blood in urine
Flank pain
Abdominal mass
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible. Oncocytosis is one such condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query to chatbot.-i studied your query in depth and understood your concerns.-cause and treatment-of the bump on the lip--in your case the cause mostly is - mucous-retention cyst of the lip -post-trauma. this would help you to plan treatment with your doctor.don't worry and things will settle hope this would resolve your query. welcome further for any query in this regard. wishing you a fast recovery.don't forget to write a good and strong review asap for the benefit of other patients. have a good day."
Please summerize the given abstract to a title,"Gastroenterology manifestations and COVID-19 outcomes: A meta-analysis of 25,252 cohorts among the first and second waves"
Please summerize the given abstract to a title,Feasibility and safety of intracorporeal esophagojejunostomy after laparoscopic total gastrectomy: inverted T-shaped anastomosis using linear staplers.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,The potential impact of enhanced hygienic measures during the COVID-19 outbreak on hospital-acquired infections: A pragmatic study in neurological units
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to ask a doctor service. i have reviewed your query and here is my advice. you are having jaundice and cause for it should be ruled out. viral hepatitis, alcoholic liver disease etc. can be possibility and attach reports to comment on that. take low fat diet. sugar cane juice and apple juice can be taken more. take rest for few days. close monitoring needed for bilirubin value. i suggest you to consult gastroenterologist for examination. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","as per details given by you, these uncontrollable and irrational thoughts which seem to bother you could be manifestation of obsessive compulsive disorder. it is recommended to restart sertraline for an early control of these symptoms. it is also recommended that you should stop these medications gradually after consulting your psychiatrist. if you have any additional queries please feel free to raise them."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dairy understand your concerning sperm analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, `welcome to chatbot. there are certain medicines which damage stomach when given or taken inappropriately.orbit can be an additional symptom, of a coexisting ailment with urinary tract infection, manifesting now. take tablet pantoprazole for few days. you can take antacids during acute phase. avoid spicy food, coffee, alcohol and constipation. if constipated, take mild laxatives.if you do not improve in 3-4 days contact your doctor. good luck."
Answer this question truthfully,"The Na+ reabsorption mechanism of the thick ascending limb is load-dependent, which means that increased Na+ delivery causes increased reabsorption."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain can be because of the tooth infection. if the decay is involving the third layer that is pulp, where the nerves and blood vessels are present, if the filling has been done over that, then you will get pain. so consult an endodontist and get the tooth treated with root canal treatment. nothing to be panic, meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days (if you are not allergic) and analgesics like diclofenac 50\u00a0mg with serratiopeptidase. do saline gargling. once the pain comes down you can get the tooth treated. i hope my answer will help you, take care."
Answer this question truthfully,"Abdominal pain, usually in the left lower abdomen but can be anywhere Chills Fever Nausea Vomiting Weight loss"
Please summerize the given abstract to a title,Small bowel exploration and resection using single-port surgery: a safe and feasible approach.
Answer this question truthfully,"There are usually no symptoms, except that the testicle cannot be found in the scrotum (this may be described as an empty scrotum)."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot.  hope you are doing good. we often gain weight rapidly without knowing it the cause could be eating habits, limited physical activity and much more. bromine tablets are not effective if you don't have control over your diet and do not physically active (i mean enough exercise to burn fats). advance re-search also shows that one of the cause of weight gain is not proper functioning of liver. but in your case i think don't blame the liver.  let me give you simple plan"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the size of your testicles are always unequal. they are never equal in size or texture. it is normal you feel pain when you press it and the pain will be eased when you release the pressure. there is nothing to worry about the coating. keep the area clean and chatbot.  don't obsess with it or else you may have to face anxiety disorder. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for the query. this is scar due to healed lesions. when abscess forms there develops swelling and this causes stretching of adjoining skin, when it heals (subsides) there develops fibrosis and from scar. when there is itching take levocetrizine 5 mg, whenever require. in my opinion this is a permanent scar, and it will remain forever. only surgery can help but in my opinion this is not good. if you don't feel anything wrong (about cosmetic purposes) forget about this. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,these painful foot lumps need to be reviewed and consulted by your er surgeon. the lump in the throat seems to be abscessed of the plantar tissue of the foot. take antibiotics / anti-inflammatory chatbot. so consultation with er surgeon would fix solution to your intriguing lump problem at the site. this would resolve your query. write excellent review if you feel that this reply has helped you a lot. welcome for any further query in this regard to chatbot and to me. have a good day."
Please summerize the given abstract to a title,"Metabolic health, menopause, and physical activity—a 4-year follow-up study"
Please summerize the given abstract to a title,"SPECT/CT-Guided Surgical Removal of a Positive External Iliac Sentinel Node in Primary Umbilical Melanoma: Report of a Case, and Up-to-Date Review of the Literature."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Contrast Computerized tomography CT is moderately sensitive to Choledocholithiasis with a sensitivity of 65-88%, while CT cholangiography with biliary excreted contrast agents are highly sensitive and specific with 88-96% and 88-98%, respectively."
Answer this question truthfully,What condition is euvolemic hyponatremia suggestive of? Euvolemic hyponatremia is suggestive of SIADH.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... by what you quote i think that your kid is having scalp seborrhea. this could be because of a mild fungal infection. but usually skin conditions are best diagnosed after directly seeing them. so i suggest that you upload the images of the skull of your kid with the black heads. in this way we will be in a better position to help your kid with accurate diagnosis. the other suggestion is to consult a pediatric dermatologist regarding this. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.",sunburn over top of feet would not usually have pain on the soles. the pain in feet may be radiation from above top of feet but not to the extent as told by you. its arthritis of foot bones or bony spurs is causing pain. it's a chronic condition which doesn't go easily. combining foot exercises and medication for pain is the answer. sunburn on top of foot is to be managed by different anti sunburn measures.
"If you are a doctor, please answer the medical questions based on the patient's description.","if you have had the symptoms evaluated and found no underlying heart disease or dangerous rhythm, the primary concern is to relieve your symptoms and anxiety. finding nothing dangerous does not necessarily mean that heart rhythm is not the source of what you feel. i usually recommend a long term monitor to try and catch the abnormal rhythm and tie it to the symptoms that you feel. your doctor can arrange this. there are also tools that allow you to record your rhythm with the telephone. if a monitor finds nothing, you may want to look into one of these apps. if your symptoms only occur every few months, it's great to try and catch it with the electronic device that goes everywhere that you go."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. you were talking about anxiety and took medicines for it. in that case, you must have undergone tests in regard to your heart and its proper functioning. i hope your heart and lungs are in good condition, and you knew it. anxiety is usually fight or flight syn chatbot.  in that course, stomach produces more acid and body muscles are stretched to make it ready for any eventuality. stretched muscles may be sore for over two or three days. in your case, the chest muscles were stretched, and you are feeling the pain next day. if you have never visited any doctor to assess your heart condition, please do it now, and then you can have a sigh of relief and peace of mind for next two years. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"The name of this tumor is glioblastoma multiforme, and it is also sometimes referred to as a ""butterfly glioma"" due to its characteristic crossing of the corpus callosum."
Answer this question truthfully,"Class A antiarrhythmic drugs can cause QT interval prolongation, which is a measure of the time it takes for the heart to recharge between beats. If the QT interval becomes too long, it can lead to a type of arrhythmia called torsades de pointes, which is a potentially life-threatening condition. Torsades de pointes is characterized by a rapid, irregular heartbeat that can cause dizziness, fainting, or even sudden cardiac arrest. While Class A antiarrhythmic drugs can be effective in treating certain types of arrhythmias, their use must be carefully monitored to avoid the risk of QT interval prolongation and torsades de pointes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. there are many type soph glomerulonepritis and its prognosis and treatment is greatly variable, so it is hard to prognoses anything. in many cases there is permanent disease which is controlled with medications such as steroids and antibiotics and complete cure is rarely achieved. this is possible only through kidneys transplantation. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health. chatbot."
Please summerize the given abstract to a title,First fully laparoscopic donor hepatectomy for pediatric liver transplantation using the indocyanine green near-infrared fluorescence imaging in the Middle East: a case report.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. small cell lung carcinoma is very notorious in spread as well as behavior.  it secrets hormones and cause paraneoplastic syn chatbot.  so we need to treat it as soon as diagnosed otherwise it will be rapidly spreading. the same happened to her case. in my opinion you should give her palliative chemotherapy trial after nutritional stability. life expectancy will be very low. less than 8-9 months. so nutritional support is must with multivitamins, proteins and hepatitis. palliative chemotherapy should be given if tolerated well."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i don't think taking felon will have any long term effects on fertility. there may be some other problems.  do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  if everything is fine you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after injection.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  discuss with your doctor regarding this.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. cancer of thyroid like papillary carcinoma have good cure rate if treated early. as you have got surgery and are taking radioactive iodine, it will help in your recovery. married life is one based on trust, emotions, love and faith. it is certainly possible to start a married life after recovering from papillary carcinoma of thyroid. please be clear to tell your prospective spouse that you had a medical condition in the past and have taken complete treatment. it is important to note that cancers are difficult to treat, and you must keep a close watch on your health for some years and get regular health check done as a precautionary measure. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi in erb's palsy, usually both sensations and supply to the arm muscles are affected. it takes about 6 to 12 months for recovery. since the usage of that limb is not as much as the other limb, the growth will be affected-so the length and girth might be small. please have regular follow up with your doctor. good to know that he does some action with that limb. massage and exercise should be continued. your doctor will examine your kid-look for improvement- if improvement is not adequate he will recommend some minor surgeries.  some kids have a full recovery and some are left with permanent issues- it depends on the severity of nerve damage. please have a regular follow up with your doctor. hope my answer helps you. wish your baby a speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. you are mostly talking about hilary lymph node. bronchitis can cause enlargement in hilary lymphadenopathy. and this gives spot on chest x-ray. it is common on child chatbot.  so no need to worry much. it resolves itself once bronchitis is resolved. so don't worry about this spot. hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... i'm chatbot. . based on your blood glucose level... it suggests day you are a diabetic in d first place... secondly your right kidney is normal... but in your left kidney... its shows a few small cysts in d cortex and cmd being decreased... was is cmd... it is portico medullary differentiation... it ind differentiation of the putter portion of the kidney called cortex and the inner portion called medulla due to specific cellular and tissue structures. this cmd decreases in medical conditions like diabetes n hypertension. so this causes tissue changes wit reduced renal functions. so was do we do next. u should first get your sugars under control. n secondly a blood test for serum urea and creatinine should be done to assess the kidney function. and a urine routine should also be done. these tests r done to rule out diabetic nephropathy. after dat u can go and visit a urologist for further management. but your sugars should b controlled. hope this info was helpful for you.
Please summerize the given abstract to a title,The repurposed use of anesthesia machines to ventilate critically ill patients with Coronavirus Disease 2019 (COVID-19)
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. development of such a large lump overnight without any symptoms is a very rare occurrence. the few possibilities i can think about are
Answer this question truthfully,"ECG is essential in diagnosis of atrial fibrillation. If paroxysmal atrial fibrillation is suspected and 12-lead ECG is normal, usage of a 24-hour ambulatory ECG monitor is recommended.    ECG is helpful to identify: Rhythm (verify atrial fibrillation (AF)) LV hypertrophy P-wave duration and morphology or fibrillary waves Preexcitation Bundle-branch block Prior MI Other atrial arrhythmias To measure and follow the RR, QRS, and QT intervals in conjunction with antiarrhythmic agent ECG also could be used as a predictor of atrial fibrillation. One of the strongest predictors is the P index, which is an estimation of disorganized atrial depolarization. 
Absent P waves Irregularly irregular ventricular response rate. Regular RR intervals are possible in the presence of AV block or interference due to ventricular or junctional tachycardia. An atrial rate that ranges from 400 to 700 BPM. Sometimes lead V1 may look as though there is atrial flutter. This may be because the electrode overlies a portion of the RA with rhythmic activity. Some authors believe that fine f waves (<.5 mm) are associated with coronary artery disease and that coarse f waves are associated with LA enlargement and rheumatic heart disease. The ventricular rate is usually between 100 and 180 BPM. If the atrial rate is greater than 200 BPM, then consider Wolff-Parkinson-White syndrome (WPW) or an accessory pathway. In the presence of AV junctional disease, the ventricular rate may be below 70 bpm. A rapid, irregular, sustained, wide- QRS-complex tachycardia strongly suggests atrial fibrillation (AF) with conduction over an accessory pathway or atrial fibrillation (AF) with underlying bundle-branch block. Complete AV block is indicated by a slow ventricular rhythm with a regular RR interval. In patients with electronic pacemakers, diagnosis of atrial fibrillation (AF) may require temporary inhibition of the pacemaker to expose atrial fibrillary activity. Differential diagnosis includes an ECG artifact such as a tremor. The oscillations in this case are largest in the limb leads.
The SAFE trial found that electronic software, primary care physicians and the combination of the two had the following sensitivities and specificities: 
Interpreted by software: sensitivity = 83%, specificity = 99%. Interpreted by a primary care physician: sensitivity = 80%, specificity = 92%. Interpreted by a primary care physician with software: sensitivity = 92%, specificity = 91%.
If paroxysmal atrial fibrillation (AF) is suspected but the electrocardiogram shows a regular rhythm, episodes may be documented with the use of Holter monitoring (continuous ECG recording for 24 hours). If the symptoms are very infrequent, longer periods of continuous monitoring may be required. 
Shown below is an ECG showing rapid ventricular response (short R-R interval) and no P waves suggestive of atrial fibrillation.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an ECG showing a rapid ventricular rate (short R-R interval) and no P waves suggestive of atrial fibrillation.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an ECG showing absent P waves with a slow ventricular response suggestive of atrial fibrillation.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
Shown below is an ECG showing absent P waves throughout the precordium, suggestive of atrial fibrillation.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page
For more ECG examples of atrial fibrillation click here."
Please summerize the given abstract to a title,Evidence of Better Psychological Profile in Working Population Meeting Current Physical Activity Recommendations
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  the kidney stent is really a horrible experience, difficult to bear.  ask you your doctor for a sedating painkiller.  take more of green leafy vegetables, pulses, sprouts,and protein rich foods, for resistance to bear the pain.  avoid taking spices, junk foods, and oily foods, to avoid acidity of the urine which may increase the irritation.  wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i am chatbot answering your query. i can understand your concern. after 3.5 or 4 months of treatment, fever is not very common. though rifampicin has side effect of flu like symptoms. please a temperature chart so that the pattern of fever can be interpreted. she should also get tested for any other associated infection like urinary tract infection. hope i have answered your query. if anything else you are welcome. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your kid have symptoms of cough which seems to be due to upper respiratory infection (bacterial or viral). need not worry. i would suggest you to consult pediatrician/ pulmonologist once and get complete examination done. doctor may order certain test like nose or throat culture and test, blood test and chest x-ray to confirm the diagnosis and rule out other condition like viral infection. doctor may prescribe antibiotics, anti-inflammatory and decongestants. avoid intake of outside food. for now take over-the-counter cough medicines, cough suppressants, or expectorants, which give relief from coughing. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,"How did autistic children, and their parents, experience school transition during the Covid-19 pandemic?"
Please summerize the given abstract to a title,Topic Analysis of Superconductivity Literature by Semantic Non-negative Matrix Factorization
Answer this question truthfully,Glucocorticoids may cause peptic ulcers as an adverse GI effect.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear! i understand the very stressful situation you are in.i'm sorry for that! treating high blood pressure requires a combination of methods that can be used.first try to manage your stress because it is e very important component which affect your life a not only your blood pressure. take walks every day, have a balanced diet, avoid lipids, and reduce salt in your diet. include more vegetables and water in your diet. the medication method can be used when you have no improvement even you have tried the methods above. in that case i would recommend you enalapril twice daily starting at low dose. anyway if you want a more accurate therapy you may consult a cardiologist first at your healthcare center! take care and i hope you will be fine soon. if you are glad about this answer please kindly rate it as helpful and write a review about this experience with me. kind regards! chatbot."
Please summerize the given abstract to a title,"The need for early referral to palliative care especially for Black, Asian and minority ethnic groups in a COVID-19 pandemic: Findings from a service evaluation."
Please summerize the given abstract to a title,A Fluorometric Method of Measuring Carboxypeptidase Activities for Angiotensin II and Apelin-13
Please summerize the given abstract to a title,Rice husk ash and Zr-MOF nanoparticles improve the properties and ultrafiltration performance of PVDF nanomembranes
Please summerize the given abstract to a title,Role of DC-SIGN and L-SIGN receptors in HIV-1 vertical transmission
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is a disease transmitted by dog bite which is 100% fatal, but it is 100% preventable by proper and adequate treatment. as you were bitten by street a dog on your leg which has led to bleeding from that site, according to who it is categorized into cat iii which requires following treatment.1. wound should be properly washed with water 2. in tt3. active immunization with antirabies vaccine on days 0,3,7,14 and 28.  you can take the anti rabies vaccine as early as possible, and you need to avoid consumption of alcohol during the course of treatment as it may interfere with the antibody production.2. passive immunization with rigs around the wound.3. oral antibiotic like tab augmenting, twice daily.4. topical tract ointment. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  as you describe the reason for chatbot.  i advise you to consult a urologist for diagnosis and treatment. you may need to have mri, and culture and sensitivity of urine for diagnosis.  i usually prescribe to my patient with such symptoms' fluconazole, lifetime, ornidazole, and diclofenac sodium, till the investigations are completed.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have blood, good health and resistance against the infections.  wishing for a quick and complete recovery. thank you."
Please summerize the given abstract to a title,"Six-month pulmonary impairment after severe COVID-19: a prospective, multicenter follow-up study"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting query at chatbot. noted that you have complete resolution from hcv infection after treatment. at present, your treating physician prescribed steroids. he maybe not knowing your hcv history. exogenous steroids decrease immunity and may cause reactivation of hcv infection.i advice you to take a second opinion from your treating hepatologist. though low dose steroid may not increase hcv rna tier but it's better to avoid taking steroids .you may take anti histamine medication to counter the rash, hope to answer your concern. wish you good health. any further queries are welcomed. health professionals aim to diagnose properly and manage patients according to their limited knowledge. cure is blessed by the one who created us, whose power and knowledge is unlimited .wish you good health. regards, chatbot."
Please summerize the given abstract to a title,"Highly Pathogenic Avian Influenza A(H5N8) Virus Clade 2.3.4.4b, Western Siberia, Russia, 2020."
Answer this question truthfully,"There is no special preparation for the biopsy. You may want to take ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol) 1 hour before the procedure to reduce cramping."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The effect of meditative movement on the quality of life in patients recovering from COVID-19: A protocol for systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question completely understand your question first thing you need to do is quit smoking if you smoke. consult a pulmonologist, he can request for a chest x-ray and a sputum examination if needed and a spirometry seems like bronchitis with lower resp / upper respiratory infection continue with the treatment and discuss the above-mentioned diagnostic modalities and if needed do discuss if there is a need to add inhalers thanks feel free to ask more questions may god bless you with good health"
Please answer with one of the option in the bracket,C: Hepatitis B virus - integration of viral DNA into host hepatocyte genome
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the question, passing out blood as such is somewhat a medical emergency. it is imperative to exclude a gastrointestinal bleeding of hemorrhage. uncontrolled bleeding could cause hypotension and shock in some cases. other causes of bleeding like hemorrhoids and infections are possibilities. consulting a gastroenterologist for a clinical evaluation, stool exams and endoscopic examinations to exclude bleeding is urgent and very important. hope this helps, thanks and best regards, luchuo, md."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. if you are from india there is no need to worry about a positive manitou as we all are exposed to tuberculosis one way or the other, and it does not mean you have tb. as in india tb is an endemic disease. if your cough is settled and x-ray is normal do not worry.don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the pain in the area you have mentioned can be due to intestinal infection or cystitis (bladder inflammation) /sonography would help to differentiate the diagnosis. what are the other symptoms you have - like loose motions, burning urination, nausea, vomiting, fever. please provide this information for us to help you better. any tests ? please post reports. continue antibiotics for 7 days and take painkillers also."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your question. halitosis or bad breath is caused from a wide range of conditions of the oral space, throat or even the stomach. the first step can be to consult a dentist to evaluate the health of your teeth and gums. the next step i would suggest is to consult an ent specialist (ear, nose,throat). he/she will check your tonsils, which can also cause bad breath. the inflammation of the esophagus or even the stomach should be considered by a gastroenterologist. i hope this helped. best wishes,"
Answer this question truthfully,The lymphohistocytic cells in lymphocyte-predominant Hodgkin lymphoma express CD20 and CD19.
Answer this question truthfully,"Adenosine deaminase deficiency is a genetic disorder that results in the buildup of adenosine, which is toxic to lymphocytes. Lymphocytes are a type of white blood cell that plays an important role in the immune system. When adenosine levels are high, it can cause lymphocyte death, which can lead to the development of severe combined immunodeficiency (SCID). SCID is a condition in which the immune system is severely compromised, leaving individuals vulnerable to infections and other health problems. Adenosine deaminase deficiency is a rare condition, but it can be very serious if left untreated. Treatment may involve bone marrow transplantation or enzyme replacement therapy to help restore immune function."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Acute insomnia is commonly caused by psychological stress or jet lag. Chronic insomnia is typically secondary to psychiatric conditions, medications/substances, or medical problems."
Answer this question truthfully,"Ebola virus is able to infect someone by the following mechanism:
Ebola is introduced into the human population through close contact with the blood, secretions, organs or other bodily fluids of infected animals. In Africa, infection has occurred through the handling of infected chimpanzees, gorillas, fruit bats, monkeys, forest antelope and porcupines found ill or dead in the rainforest. It is important to reduce contact with high-risk animals, including not picking up dead animals, found lying in the forest or handling their raw meat.
Once a person comes into contact with an animal that has Ebola, it can spread within the community from human to human.
Infection occurs from direct contact (through broken skin or mucous membranes with the blood, or other bodily fluids or secretions (stool, urine, saliva, semen) of infected people. Infection can also occur if broken skin or mucous membranes of a healthy person come into contact with environments that have become contaminated with an Ebola patient’s infectious fluids, such as soiled clothing, bed linen, or used needles.
People are infectious, as long as their blood and secretions contain the virus. For this reason, infected patients receive close monitoring from medical professionals and receive laboratory tests to ensure the virus is no longer circulating in their systems before they return home. When the medical professionals determine it is okay for the patient to return home, they are no longer infectious and cannot infect anyone else in their communities."
Please summerize the given abstract to a title,Astaxanthin and its Effects in Inflammatory Responses and Inflammation-Associated Diseases: Recent Advances and Future Directions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your problem is due to braces. there is a lot of calculus deposition that makes the gums to swell and get inflamed. please use an orthodontic brush and a plaque removing mouthwash always till you have the braces on. for immediate relief, please use a gum astringent e.g. detained astringent. this will reduce the puffiness and bleeding of the gums. please get scaling done for better results. take care!"
Please summerize the given abstract to a title,"The COVID-19 nephrology compendium: AKI, CKD, ESKD and transplantation"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. figs (or fsgn) as you may call it can have recurrence after transplant. if the transplant failed very soon (less than one year after transplant it may not be worth trying again for transplant but if it lasted more than 3 to 5 years you may want to go again for transplant. life expectancy is 5 to 10 year on hd and 10 to 20 yrs on transplant. you can have kids. test for semen analysis. can go for in vitro fertilization if not able to get pregnant naturally
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your problem and situation. pleurisy is inflammation of pleura. and pain on coughing is characteristic of pleurisy. following are possible, common causes for pleurisy.1. pneumonia2. tuberculosis3. pleural effusion.4. pulmonary contusions etc. so chest x-ray is must rule out these above-mentioned causes. since your pain is worsened (it is now in front also), it is better to get done chest x-ray. as listening to chest is not 100% correct all the time. so consult doctor and get done chest x-ray."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query at chatbot. your son is likely to be suffering from a gastrointestinal infection. the fever is indicative of infection. the lethargy is not a good sign and needs to be investigated. i would suggest you to get a blood count and a crp (c-reactive protein) done and to visit a pediatrician (with the reports if available). if the reports are not ok, he might need to be admitted and treated with antibiotics and iv fluids. in any case ors should be given to reduce the effects of salt and water loss and to correct deny chatbot.  syrup odem (ondansetron) can be given preferably half an hour before food intake to reduce the vomiting. feeding should be continued. continue cal pol 250 and also give sponging (with water at room temperature) to reduce the temperature. hope that answers your query. feel free to revert in case of further queries if any."
"If you are a doctor, please answer the medical questions based on the patient's description.",liver functionless and thyroid function tests needed if your us abdomen is normal and no gall bladder problem or appendixthink of any medicine took for any other disease like pam broken diet supplements start with ad\u00cdlio 1 tab bd non-oily non greedy and non-spicy woodlot of warm watermen d empty stomach mornings yp aristotle 1 sf tds after mealsnorflox 2- days bd to counter any stomach infecionget tests and treat accordingly
Answer this question truthfully,"Reflex sympathetic dystrophy, also known as complex regional pain syndrome, is a condition characterized by pain after a trauma."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i understand your concern. zoloft is used to treat anxiety disorder like panic attacks. but it has side effects. side effects can be avoided by start medicine in low dose and gradually increase dose as per response. other medicines are escitalopram / paroxetine. anxiolytic and benzodiazepine like clonazepam and mizoram can be useful. behaviour therapy like cbt means cognitive behavior therapy is become choice for panic disorder in new era of treatment. exercise and meditation /relaxation methods /deep breathing /yoga can help. ensure proper sleep and diet.stress-free activity and work. psychological counselling and support are necessary. i hope i have answered your question. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. normally, urine contains many dissolved substances. at times, some materials may become concentrated in the urine and form solid crystals. these crystals can lead to the development of stones. stones formed in the kidney are called kidney stones.  ureteral stone is a kidney stone that has left the kidney and moved down into the ureter. surgical treatment of stones include shock wave lithography (esl), ureteroscopy (urs), percutaneous nephrolithotomy (pnl) and open surgery. in your case stones are not so big and mild to moderate hy chatbot.  if your son kidney function is good your doctor may suggest conservative treatment. if stones resist coming in urine, they might suggest esl. but do remember this your urologist only can decide after complete examination of your son. there is no need to be tensed by this, and it is easily treatable condition. kidneys come back to their normal size gradually once the root cause is treated. tell your son to"
Answer this question truthfully,Hypo-osmotic volume contraction is a condition characterized by a decrease in both the volume and concentration of body fluids. Adrenal insufficiency is one potential cause of this condition.
Please summerize the given abstract to a title,Retroviruses of Bats: a Threat Waiting in the Wings?
Answer this question truthfully,"CT scan is not the imaging study of choice for patients with adiposogenital dystrophy, however, it may be used in emergencies. It may reveal tumors, suprasellar calcifications, or pituitary destruction  ."
Answer this question truthfully,A typical gross change that occurs in the months following an MI is the formation of a white scar.
"If you are a doctor, please answer the medical questions based on the patient's description.","missing or absent tail bone can be a serious issue depending on the type. actually what happens in this is that there is developmental defect in the lower spine which is of several types like partial absence of tail bone, complete absence, absence associated with surrounding structures and bones. symptoms can be absent in mild form to devastating in its severe form. symptoms are like poor bowel and urinary control, incontinence and poor urinary control which can appear later than in this age group the control is not achieved. more severe symptoms are lower limbs deformities to various levels. first thing is to assess that how much structural defect is present, which can be best picked by mri scan. then only the prognosis will be clearly made to you. do not lose hope first get the mri report, there are various treatment options available for the condition physiotherapy medical and surgical."
"If you are a doctor, please answer the medical questions based on the patient's description.","this is so-called seborrhea in which the patient has excessive functioning of seborrhea glands.first cut down all the oily food and dairy products, stick to skimmed milk.don't apply any oil in your hairs.try tar or salicylic acid with steroid containing shampoos and lotion after dermatologist prescription.for face use salicylic acid containing face wash even if it remains than you can go for salicylic acid peels under a dermatologist supervision...thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi overthinks for posting your query o chatbot you are developing diabetic nephropathy which is a long term complication of diabetes. to avoid kidney dysfunction following should be done.1. round the clock sugar control with target hba1c 2. use of ace inhibitors or arb chatbot.  avoid nephrotoxic agents like antibiotic niacin, radio contrast decor further evaluation get usg kidney, urinary blade and ureter. this not only gives you information regarding structural changes of kidney but can rule other causes of raised creatinine for example stone, sometimes it happens raised creatinine in the presence of diabetes take as diabetic nephropathy and later on turn out obstructive myopathy which can be corrected by releasing obstruction hope this information may be helpful to you. take care"
Please summerize the given abstract to a title,COVID-19: Lessons From the Disaster That Can Improve Health Professions Education
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. cramping pain in right side need not always from appendix, get usg abdomen done to check for any kidney stones or gall bladder stones. your pain could be due to increased intestinal movements. consult your doctor for examination and management. hope i answered your question. feel free to ask me if you have any further queries. wish you good health. take care. regards"
Answer this question truthfully,The D1 dopamine receptor is coupled to Gs protein.
"If you are a doctor, please answer the medical questions based on the patient's description.","after cutting appendix, it has to be caught in a forceps to bring it out or put it into a bag. in this process, the appendix may be torn. it can happen sometimes. but, the cause of high fever and chills is due to infection. pain is due to some fat getting adhered to incision site inside the abdomen. it may pull sometimes leading to pain. nothing to worry, use antibiotic like cefuroxime,anti-inflammatory chatbot. wish you good healthregards"
Answer this question truthfully,"The tenth (X) cranial nerve, also known as the Vagus nerve, is the most responsible for talking and coughing."
Answer this question truthfully,"Stimulation of the dorsomedial nucleus of the hypothalamus can result in savage behavior and obesity. This brain region plays a critical role in regulating feeding behavior and energy balance, as well as other bodily functions."
Answer this question truthfully,"When the diaphragm contracts, the abdominal contents are pushed downwards."
Please summerize the given abstract to a title,"Wahrnehmungen zum Umgang mit Opioiden: Fokus COVID-19 : Freitext-Analyse einer Umfrage in Anästhesiologie/Intensivmedizin, Innerer Medizin und Palliativmedizin Perceptions on the use of opioids: focus on COVID-19Free-text analysis of a survey in anesthesiology/intensive care, internal medicine, and palliative care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query.these lumps are most likely hair follicles inflammation. it is more possible if you have been shaving this area recently. due to bacterial infection of hair follicles, pus appears and creates small bumps. i suggest you to start with keeping this area clean and chatbot.  wash it with water and soap. if it seems to be caused by shaving, please try to use sterile shavers. if the bumps won't disappear, please consult dermatologist. hope this will help. regards."
Please answer with one of the option in the bracket,A: Coronary artery bypass grafting (CABG)
"If you are a doctor, please answer the medical questions based on the patient's description.","my dear friend, your report says that you are having diabetes and dyslipidemia (lipid disorders).hence, there is possibility that you are having diabetes related kidney disease. in most of the cds kidney size decreases, diabetes is an exception to this rule.the same is your report. look, for diabetic kidney disease, renal biopsy is not at all recommended nowadays, unless any other type of renal disease is suspected in a diabetic patient. you are prone to have urinary tract infection because of diabetes. so the first thing you must do is to do a culture sensitivity of your urine and if it comes positive then take antibiotic as per the report(after consultation with a reliable doctor because for your renal problem dose adjustment is necessary). urinary tract infection is a very common cause to decompensate the stable status of diabetic kidney disease.in the meanwhile have an eye check up-fundoscopy to rule out diabetic retinopathy. have your blood sugar, pressure and lipid tightly controlled. there are some chatbot. consult a nephrologist or good internist for detailed follow up. you can get them in your country or if you wish you can come to india. good luck. by the way, your problem is very common among plentiful diabetic patients so don't panic."
Please summerize the given abstract to a title,A Chemographic Audit of Anti-Coronavirus Structure-Activity Information from Public Databases (ChEMBL)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. there must have been a hematoma over the trauma site which has started organizing now becoming a firm not and with reduced inflammatory signs. if i were your doctor, i would advise you not to fiddle with it, and prescribe you with an anti inflammatory, a serrano peptide, along with a proton pump inhibitor which would give both symptomatic relief, and would also cause it to reduce gradually. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please summerize the given abstract to a title,The transfusion service laboratory in virtual reality.
Please summerize the given abstract to a title,Assessing COVID-19 Impacts on College Students via Automated Processing of Free-form Text
Please summerize the given abstract to a title,From Life in the Sea to the Clinic: The Marine Drugs Approved and under Clinical Trial
Please summerize the given abstract to a title,Modern technology for evaluating measures to optimize and improve the working of teacher and staff
Please summerize the given abstract to a title,Sex differences in adaptation to intermittent post-exercise sauna bathing in trained middle-distance runners.
Answer this question truthfully,
Please summerize the given abstract to a title,Call for More Effective Regulation of Clinical Trials with Advanced Therapy Medicinal Products Consisting of or Containing Genetically Modified Organisms in the European Union.
Please summerize the given abstract to a title,Comparison of Attitudes of Wisconsin Health Care Providers and Pharmacists Toward Vaccine Administration and Perceived Barriers.
Please summerize the given abstract to a title,The broad spectrum host-directed agent ivermectin as an antiviral for SARS-CoV-2 ?
"If you are a doctor, please answer the medical questions based on the patient's description.","i am glad tony has done well enough to be on his own after tbi. his taking sepra is mandatory, and it seems he has finally found control on his seizures which is a huge battle won. the option of adding a cheated copper supplement is not a good idea as sepra is known to alter the metabolism of copper and this could cause issues in the body and lead to fresh onset of seizures. my recommendation would be to avoid changing any balances which has kept him seizure free for some time. best wishes to him"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. yes, this condition is like other non-obstructive disease. but management of this condition is possible. here sector cells can only differentiate and other cells never differentiates. you can manage it by sperm retrieval through testicular sperm extraction (these), micro-surgical testicular sperm extraction (these), or testicular biopsy. on retrieval of viable sperm this could be used in intracytoplasmic sperm injection on ovum. so you can become father by this method also. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor"
Please summerize the given abstract to a title,Vmeasur: A Software Package for Experimental and Clinical Measurement of Mesenteric Lymphatic Contractile Function Over an Extended Vessel Length
Please answer the letter of option truthfully,B
Answer this question truthfully,"Color blindness is a life-long condition. Most persons are able to adjust without difficulty or disability.
Although those who are colorblind can succeed at many jobs, they may not be able to get a job that requires color vision. For example, a pilot needs to be able to see color"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i will advise abstaining from taking supplements. try keel exercise. avoid smoking and alcohol. have healthy balanced diet. if still the problem persists, we need some tests to find out the cause of erectile dysfunction.  the tests include physical examination of your private organs by the doctor, blood test for sugar and some hormones and sometimes ultrasound scan. please do not take any over the counter medicines, as they can do more harm than good.  hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Computationally repurposed drugs and natural products against RNA dependent RNA polymerase as potential COVID-19 therapies
"If you are a doctor, please answer the medical questions based on the patient's description.","you may consult a spine doctor or an orthopedics surgeon. compression fracture has to be treated preferably with a spinal brace immobilization along with anti-inflammatory medicines for few days...this has to heal with avoiding forward bending, and avoiding weights . you can obtain over the counter pain medicines like advil or tylenol for relief till you get appointment for prescription meds. avoid all movements, bending, especially. best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","the pain radiating down your neck, into your left upper limb, can not be caused by the low back injury. you might have sustained an injury to your cervical spine (neck vertebrae), at the same time, commonly referred to as a\"" whiplash injury\"". this requires separate evaluation by an mri of the cervical spine, to gauge the nature & extent of the same, if any. using a soft cervical collar, avoiding jerky movements & avoiding a pillow at night (though a rolled up towel or bedsheet as neck support, may help), along with simple painkillers may help till then."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it would be a very good bet that you are suffering from some degree osteoarthritic degenerative change in the spinal column that is irritating or squeezing either a disc or nerve root in the area of the arthritic changes.  it is very possible that the changes are calcifications or the presence of what are called osteophytes that are commonly found in these kinds of situations.  an mri of the lumbar spine would be much more helpful than ultrasound or any other type of imaging study.  the arthritis foundation of america has a website that is just full of great suggestions for explanations as to what happens in these types of situations along with suggestions for exercises including stretching regimens, physical and aromatherapy.  there are also dietary recommendations that they make which the foundation describes as being helpful in patients with osteoarthritis. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. usually fatty liver do not cause jaundice. your symptoms sound more like gallstones and bile ducts stones. assuming that your fatty liver is caused by bad diet and obesity, gallstones are very probably as well. it would also explain your nausea, low appetite. it is advisable for you to have abdominal ultrasound, liver tests(ast, alt,gtp, ap), amylase, crp. if no findings in these tests, hbv and hcv antibodies levels in the blood should be performed. you should also have upper gi endoscopy performed. hope this will help. regards."
Please summerize the given abstract to a title,Case-Based Curriculum for Pediatric Residents in Diabetes Fundamentals
Please answer with one of the option in the bracket,E: Nonselective glomerular
Please summerize the given abstract to a title,Modification of teaching during the COVID-19 pandemic at the Department of Medical Education of Jagiellonian University Medical College.
Please summerize the given abstract to a title,"Monochrome Camera Conversion: Effect on Sensitivity for Multispectral Imaging (Ultraviolet, Visible, and Infrared)"
Please summerize the given abstract to a title,Tipiracil binds to uridine site and inhibits Nsp15 endoribonuclease NendoU from SARS-CoV-2
Answer this question truthfully,"Eclampsia is a serious complication of pregnancy that is characterized by the development of seizures in women who have previously been diagnosed with preeclampsia. Preeclampsia is a condition that can occur during pregnancy and is characterized by high blood pressure and damage to organs such as the kidneys and liver. Eclampsia is defined as preeclampsia with seizures, and it is a medical emergency that requires prompt treatment to prevent further complications for both the mother and the baby."
"If you are a doctor, please answer the medical questions based on the patient's description.",hiiiiu seem to have gadded with mild depressive featuresgenerelised anxiety can affect all urs routine activity have unconcerned fear etc. u have to start medication in low dose for ex escitalopram 10 mg along with mizoram .5 mg in morning not only medication can help but u have to stick on your routine stake proper sleep stress free activities regular exercise and healthy diet do meditation get well soon thank still u have consulted psychiatrist for further assistant
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. yes, chemotherapy can cause memory loss and the case appears to have progressed to the level of dementia. he will need chatbot.  for such severe cases one should consider semantic 5 mg and then gradually increase it to 20 mg. it's an fda approved"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. you don't have to worry about it. but needs attention and evaluation.2. the way you are explaining it seems for me like, brachial cleft cyst (its disorder by birth - developmental abnormalities), lymph nodal mass (after any infection / inflammation)3. only thing you have to do is, get an appointment with your doctor and get an ultrasound neck and soft tissue swelling done.4. the ultrasound will help in reaching to an appropriate diagnosis, by knowing where it is arising from and what it contains and how it is involving adjacent structures. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Please answer with one of the option in the bracket,D: Increased venous valve reflux
Please summerize the given abstract to a title,Coronavirus infection of the bovine respiratory tract
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some viral infection.  it leads to low wbc count.  moreover, your bilirubin level is high.  you should go for complete liver function test. like got, sept, alkaline phosphatase and ultrasound abdomen if needed.  it will give you exact diagnosis.  then you should take treatment accordingly.  once your treatment start four wbc count will increase automatically.  florid (iron) doesn't increase your total wbc count. if you have iron deficiency then you should take it according to advise. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. eye conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friendwelcome to chatbot. i feel taking dominant should not be the first concern. first concern should be that is he having a bronchial asthma, allergic rhinitis or bronchitis. if yes appropriate treatment would be decided. and if not no point in giving the medicine now. i suggest a clinical examination and if required chest x-ray and pulmonary functions test. be sure, get treated correctly. discuss with us when you get the reports. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should avoid heavy exertion and take rest at home. get done tmt (trade mill test) first to rule out cardiac cause. there are many causes for fluid in lungs but when it is due to cardiac cause, we call it as pulmonary edema. so we need to rule out cardiac causes first. i advise you to get done 2d echo also for evaluation of heart function. as decreased heart function lead to pulmonary edema."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. well, without a clinical evaluation it would be difficult to determine the cause of the lump. possibilities that may need to be considered include enlarged lymph node, lipomas, cysts, growths from underlying connective tissue etc. i would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. you may get the x-ray of the area affected and fnac (fine needle aspiration cytology) of lump under his/her guidance. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please summerize the given abstract to a title,Influence of Protective Face Coverings on the Speech Recognition of Cochlear Implant Patients
"If you are a doctor, please answer the medical questions based on the patient's description.",you have multiple system involvement the allergies also invade different systems and medicines for allergy also gives symptoms on other organs i think you must go for allergy tests consult some allergy specialist he will do some tests to tell you the allergens which are causing allergy then can go for immunotherapy which can cure your allergies and the immunotherapy has no side effect sand your other medicines will also be reduced which are caused by allergy medicines
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you feel that you was wrong for that incident, in that case you should ask sorry from your mother-in-law. it will give relief to you, your mother-in-law and your husband. as you told that rest of the time your husband is loving, then try to not repeat behavior which provoke him.  sometime others may be wrong too. in that case you can seek help of other family members for conflict resolution. if problem is more than supportive and marital counseling will help you. i hope this information has been both informative and helpful for you. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you again got severe anemia require giving attention. if hemoglobin level is too law, then you have to go for blood transfusion. if level is moderate or not much low then iron capsule with folic acid will give improvement from anemia. go for causes of having this deficiency like worms infestation, chronic blood loss etc. take high protein nourishing diet. go for b12 deficiency test as well. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear thank you for sharing your mri result with us. as family history with cerebral disease i think it is more important to understand the lost of use of the right arm. the result of mri isn't conclusive. i would recommend to discus with your neurologist the possibility of doing an anglo mri(venous phase) or much better a brain arteriographic which with show the complete brain basal structure. hope my answer will help, wish you all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern you have not given the exact blood report because you said the low count, but this is won't clear the thing in practical it required complete test report then, and then i would come to know the exact clinicopathological condition if the hemoglobin level is okay then no need to take iron therapy, no need to become too much conscious, just take it easy, have a nice day."
Please summerize the given abstract to a title,Risk and Ambiguity in Turbulent Times
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as in most cases, the swelling of ankles are due to various reasons, and we definitely need to know more details about the cause of it. or any past medical history like blood pressure, diabetes etc. if there is no past medical history like mentioned above then this swelling will be related to ligament weakness which usually happens in most cases without knowledge.  doing hot water fermentation, keep the feet elevated over the pillow while lying down, performing ankle toe movements along with straight leg raise should help reduce the swelling. if the swelling happens while you stand for long or walk for long then using compression bandage is advised. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,Sri Lanka: The Return to Ethnocracy
Answer this question truthfully,"The sinuses are formed in the following order: maxillary, ethmoid, sphenoid, and frontal."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as due to having non-stabilization of the joints doing weight training may lead to small inflammation due to abnormal movements and lead to pain. i will advise stopping weight training and undergo joint stability exercises which will help to make the joint more stable and avoid injuries.  unless and until the joints are stabilized it is not advised to undergo weight training as this may damage the joint more. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post is attributed to either infection or inflammation in the gastrointestinal tract. presenting with such symptoms, i usually treat my patients with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, my main concern after listening to you is to rule out any infection in your joint. arthritis just means inflammation of joint which could be due to infection or degeneration, or some autoimmune disease process, i would advise you to go through cbc, esr and crp blood investigations and get x-ray of your joint, these will help me rule out infection, and come to conclusion on the type of arthritis you have."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that you should start with tablet liven z for the treatment it includes all the vitamins, irons and all other necessary minerals. it will gradually increase your hemoglobin. but as you have fibroid your bleeding will also be little high so to compensate it you require to take three tablets a day. it is a long treatment and should not be with chatbot.  once you reach the optimum level of hemoglobin take three months more treatment to replenish the iron.i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
Please summerize the given abstract to a title,Chest tubes in COVID-19 times: a safe way to protect the team
Please summerize the given abstract to a title,Cardiac Tamponade in a Patient With Myocardial Infarction and COVID-19 Infection; Electron Microscopy Findings
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, bad breath can be because of various problems like sinusitis, oral infections, tongue coating, eating of food stuffs like onion, cumin, starvation, git disturbances. according to your clinical history it appears to be sinusitis. i would suggest you to visit ent specialist and get the checkup done. go for symptomatic treatment of complete mouth scaling and polishing. maintain a good oral hygiene. use antiseptic mouthwash gargles twice daily. hope this helps out. regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot, diabetes is not a disease which is transmitted by blood contact. diabetes is due to decreased insulin in the body either due to resistance to the insulin and decreased insulin. so it is not transmitted by the contact with the blood. regarding urinary tract infection it is also not known to transmit by contact with the blood. accidental needle prick injuries are known to transmit hepatitis b and c along hiv. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, acne is a common inflammatory disease of the pilosebaceous follicles seen in adolescents.  the general health should be checked, anemia and hypothyroidism.  avoid certain foods like pies, fried foods nuts etc. wash the face frequently with soap. this reduces flora and removes the excessive oil.  i suggest that, aloe vera is the best choice for acne, aloe vera , acting as an anti-inflammatory and wound healing. add turmeric powder + need leaf powder , make paste and apply on the face. turmeric powder is an antiseptic and the need leaf is an antibacterial agents. it can also help to reduce acne."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Glucocorticoids act as a potent stimulator for gluconeogenesis, which is the process of producing glucose from non-carbohydrate sources such as amino acids or fatty acids. They are considered essential for survival during periods of fasting because they help maintain normal blood glucose levels when dietary glucose is not available."
Answer this question truthfully,"Protozoa are classified as eukaryotes. Eukaryotes are organisms whose cells contain a nucleus and other membrane-bound organelles. Protozoa are a diverse group of single-celled organisms that can be found in a variety of environments, including soil, water, and the bodies of plants and animals. They are an important part of many ecosystems and can play both beneficial and harmful roles in the environment. Some protozoa are parasites that can cause disease in humans and animals, while others are important decomposers that help to break down organic matter in the soil."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are having pvc's (premature ventricular contractions) and mvp (mitral valve prolapse), we should definitely rule out heart diseases first for your chest pain. so get done ecg, 2d echo, stress test and holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about heart diseases. sometimes uncontrolled stress and anxiety can also cause similar kind of chest pain. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. avoid stress and tension, be relaxed and calm. first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,E: Fat embolism
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot i have gone through your concern and i have understood it. tanning seems to the problem that is bothering you. i would suggest you to use a sunscreen, regularly. uv a part of the electromagnetic spectrum is mainly responsible for tanning. therefore, a good sunscreen should have broad spectrum uv a coverage in addition to uv b coverage, in order to be able to prevent tanning, and it needs to be applied in sufficient quantity and every 2-3 hourly. a sunscreen with minimum 30 spf would be adequate. it should mention both uv b and uv a coverage. therefore, it is important to select the right sunscreen for desired effects it should be applied in the following quantity"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... by what you say i feel that these are the possibilities in your kid - 1. stomach flu, or it might be the starting stage of watery diarrhea which could most probably be viral in origin. if that is the case - then you need to give her oral rely chatbot. 2. if there has been any family history of kidney or gall stones this is also a possibility. whatever it is, as she is rolling over in pain i suggest that you take her to the nearest emergency room and get her evaluated by physician or pediatrician. regards -"
Please summerize the given abstract to a title,Probiotics in Treatment of Viral Respiratory Infections and Neuroinflammatory Disorders
Please summerize the given abstract to a title,Guest editorial
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most common cause for fibrotic lesions in lung is previous lung infection like tuberculosis or pneumonia. so, you might be having tuberculosis or pneumonia during childhood which is now showing fibrotic lesions. since, your sputum is negative for tuberculosis, no need to worry about active lung infection. you should take broad spectrum antibiotic like azithromycin, paracetamol and multivitamin tablets. you will be alright with all these in 1 to 2 weeks. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it's a very common phenomenon to have pain in ribs and shoulder blade. this is basically because of the weakness of muscles and the point where it is attached at ribs and other bones, it gets pulled and there is inflammation. so there are two parts of treatment. one is to get relief now. for that you can start with ultrasonic therapy and if no relief then laser therapy. if still no relief then you can get trigger point injections from any pain specialist or orthopedic surgeon. for long-term relief, you need to build up your muscles. for that start with walking daily and regularly and increase distance gradually till you reach up to 4 km. then start brisk walking and continue it.  it will take around 5-6 months for muscles to strengthen. in between when pain increases, get those injections again. these injections are totally safe. but don't stop walking. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Responding to COVID-19 by building health workforce capacity across eleven countries in Sub-Saharan Africa (preprint)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatdoctorpull out method or also called coitus interrupts method is a crude method, and it has high failure rate. it's usually not recommended by doctors as a method of contraception. the fluid which is secreted by male partner before ejaculation may also contain sperms which can lead to pregnancy. take a pregnancy test once again and if it is still negative and periods are not happening then please consult a local doctor. if test is positive and you don't wish to continue pregnancy, please consult a good obstetrician to terminate safely. some safe methods of contraception are condoms, oral contraceptive pills, copper t (if u have one child). i advise you to communicate this your partner and ask him to use condoms. all the best chatbot."
Answer this question truthfully,Anaerobic bacteria is facilitated by areas of necrosis and diminished blood supply.
Answer this question truthfully,"The LAD can be divided into four main segments (L1, L2, L3 and L4) according to the origin of the septal arteries. The LAD segments are the following:
The proximal left anterior descending artery is referred to as L1. It extends from the bifurcation of the left main coronary artery to the origin of the first septal artery.
The mid left anterior descending artery is referred to as L2. It extends from the origin of the first septal artery to the origin of the third septal artery.
The distal left anterior descending artery is referred to as L3. It extends from the origin of the third septal artery to the apex of the left ventricle. If there is no third septal branch, then the third segment begins halfway between S1 and the apex of the left ventricle.
The left anterior descending artery terminus on the inferior wall is referred to as L4. It represents the continuation of the left anterior descending artery beyond the apex of the left ventricle in the event that the LAD is a wrap around variant.
Shown below are an animated image and a static image depicting the LAD. The first image is an angiograhic view of the left system, the image at the right illustrates the different segments of the LAD (L1, L2, L3 and L4).

LM= Left main; L1= Proximal left anterior descending artery; L2= Mid left anterior descending artery; L3= Distal left anterior descending artery; L4= The left anterior descending artery terminus on the inferior wall; D1= First diagonal artery; D2= Second diagonal artery; D3= Third diagonal artery; S1, S2, S3= Septal arteries."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. left sided chest pain and back pain in old age patient should be evaluated for cardiac cause first. so consult cardiologist and get done 1. ecg 2. 2d echo 3. coronary angiography if required. if all of the above are normal then no need to worry about cardiac cause. pancreatitis can be the cause for back pain. so better to get done serum amylase and lipase to rule out this. acute gastritis can also be the cause in some cases. so consult another doctor and discuss all these.
Answer this question truthfully,Both gray matter and white matter can be affected by subacute sclerosing panencephalitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. normal blood pressure is 120/80 mmh. your blood pressure is 114/67. so your diastolic pressure is slightly low. but no need to worry. if you don't have any symptoms then no treatment is required. take plenty fluid with salt. if you have dizziness or blurring of vision then consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in my opinion that could be cervical disc herniation due to a chiara malformations which is very rare, while cysts, ganglia, aging, over lifting heavy objects, vigorous movements are more common. for my patients i recommend x-rays, mri for proper diagnosis and evaluation but for now some hot massages with topical muscle relaxants, physiotherapy and yoga and some bed rest will be fine. please consider positive feedback if the information was helpful. hope the above information helps you. any further clarifications feel free to ask."
Answer this question truthfully,"The likely diagnosis for the patient's condition is secondary spontaneous pneumothorax. This is a condition in which there is a sudden accumulation of air in the pleural space, which can cause the lung to collapse and result in symptoms such as dyspnea, chest pain, and decreased breath sounds on the affected side. In patients with COPD, the risk of developing secondary spontaneous pneumothorax is increased due to the underlying lung disease and the potential for weakened lung tissue. Diagnosis may involve imaging studies such as chest x-ray or CT scan, as well as physical examination to assess for decreased breath sounds and other signs of pneumothorax. Treatment may involve interventions such as chest tube insertion to remove the air from the pleural space and allow the lung to re-expand, as well as supplemental oxygen and other supportive measures. In some cases, surgical intervention may be necessary to prevent recurrence of the pneumothorax."
Please summerize the given abstract to a title,Higher Education during the Quarantine Pandemic: Perception of Teachers about Telematics
Please summerize the given abstract to a title,"Susceptibility and infectiousness of children and adults with SARS-CoV-2 variant B.1.1.7 deduced from three daycare centre outbreaks and related household situations; Germany, 2021"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. the first sign of pregnancy is missed period. other symptoms of pregnancy are nausea, vomitings, increased urination, sore breasts which start 2 weeks after missed period around 6 weeks of pregnancy. the pregnancy is confirmed by doing a urine pregnancy test, blood chatbot test and ultrasound. the blood chatbot test detects the pregnancy earlier than all others right before missing the period around 10 days after the ovulation. the urine pregnancy test gives accurate results a week after missed period. the ultrasound detects the pregnancy around 5-6 weeks and helps in knowing the status of pregnancy. so in case there is missed period i suggest you to go for a urine pregnancy test. the cramps, sore breasts can be present even in premenstrual phase, so the test helps in diagnosis. hope this helps. best regards...."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have soft tissue tumor like lipoma, neurofibroma, dermatofibroma or some other tumor. you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. surgical excision is the treatment of choice for most of the soft tissue tumor. consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Dandy-Walker malformation typically presents as a massively dilated 4th ventricle and an absent cerebellum.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. if pain remains persistent then i will advise you to further investigate i will advise you to do x-ray and ultrasound of back. you may need medical attention if pain persists. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Answer this question truthfully,"Herpes Zoster, commonly known as shingles, is a viral infection that can cause a painful rash. In some cases, the pain can persist even after the rash has cleared, and this is known as post-herpetic neuralgia. Post-herpetic neuralgia is a type of nerve pain that can last for months or even years after the initial shingles outbreak. It is caused by damage to the nerves that were affected by the virus, and can be difficult to treat. However, there are several medications and therapies that may help to manage the pain associated with post-herpetic neuralgia, and it is important to seek medical attention if you are experiencing persistent pain after a shingles outbreak."
Answer this question truthfully,Brucella spp. is a facultative intracellular zoonotic bacteria that is commonly found within macrophages of the reticuloendothelial system.
Answer this question truthfully,Tertiary syphilis disrupts the vasa vasorum of the aorta with consequent atrophy of the vessel wall and dilatation of the aorta and valve ring.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello;thanks for your query. the cost of surgery depends upon the city, hospital and the class in which you get admitted during the time of surgery. so the best person to give you the idea regarding the expenses will be the operating surgeon. first decide on the hospital and the doctor under whom you are going to get admitted, and he will tell you the cost of the treatment. hope that answer is helpful. thanks"
Answer this question truthfully,"The name of the gram-negative obligate aerobe that is often associated with nosocomial pneumonia is Pseudomonas aeruginosa. This bacterium is commonly found in hospital environments and is a leading cause of hospital-acquired infections, particularly in patients with weakened immune systems or those who have undergone invasive medical procedures. Pseudomonas aeruginosa is known for its ability to form biofilms, which can make it difficult to treat infections caused by this bacterium. Treatment typically involves a combination of antibiotics and supportive care. In addition to pneumonia, Pseudomonas aeruginosa can also cause a variety of other infections, including urinary tract infections, sepsis, and skin infections."
Please answer with one of the option in the bracket,A: Hearing loss
"If you are a doctor, please answer the medical questions based on the patient's description.","hello prashant, as you are young firstly all secondary causes of hypertension should be ruled out.  after that lifestyle modifications like cutting salt in diet, exercise, losing weight should be at priority.  presently iso believe you should continue with the meds and what with time if bp normalize we may slowly titrate down the dose.  sudden stopping would increase the pressure again lastly i think for you an ace inhibitors /arb with chlorthalidone, would be a better antihypertensive than empress considering long term protection of the heart and kidney by the above medication as compared to.  so discuss it with your doctor.  regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot forum. allergy only on head (i assume scalp) is not a very common condition. i assume that the doctor has provided you with a diagnosis like atomic dermatitis. infants having scaly, itchy lesions in scalp can also have a seborrhea dermatitis or some infection like fungal or bacterial. lozisoft lotion is just a moisturizer containing liquid paraffin and algebra and is safe for infants. it is usually given for chatbot. however, if your baby is not responding well to it, she can possibly have an allergy to any of the ingredients or fragrance used in the lotion.also, if her scalp lesion is not resolving then please consult your doctor again for reviewing the diagnosis and providing an alternative medication. there are many similar emollients or moisturizers available of different brands like aqua soft, closest, nmf_e, your doctor may prescribe an alternative for solving your problem. wishing your daughter a speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your doctor i suggesting you vomiting is because of some underlying cause. you can get rid of vomiting by taking promethazine tablet one fourth part of the tablet to your child. but definite cure requires complete examination and diagnosis. as he is vomiting give him as much ors you can to him. if you have to ask me anything you can contact me. chatbot. infectious disease specialist. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. first, no need to worry much for any major cardiac or pulmonary diseases because you're all reports like ecg, chest x-ray are normal. possibility of musculoskeletal pain is more. so start painkiller and muscle relaxant chatbot.  avoid movements causing pain. avoid bad postures in sleep. avoid strenuous exercise and heavyweight lifting. apply warm water pad on affected areas. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,E: Inhibition of serotonin receptors on the vagal and spinal afferent nerves from the intestines
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, warm welcome to chatbot.come have evaluated your query thoroughly.* this seems more in relation with muscle skeletal issue than cardiac case, still one check up with physician is mandatory to rule out any underlying abnormality.* primary relief with tab. ibuprofen(400) mg, later if pain persist can rush to hospital or else tomorrow get doctor consultation. hope this will help you for sure. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for using hm. i understand your concern. dear only confirmatory way to diagnose dementia is clinical evaluation.more detail we have to do muse means mini mental status examination. you can download it from net. brain imaging can only give supportive idea to diagnose. but final decision and treatment depend upon clinical presentations. proper and systemic clinical evaluation by psychiatrist or neurologist can give better conclusion. if still you have a query then feel free to ask. happy to help you. do not forget to say than if you are helped.
Please summerize the given abstract to a title,Befriending Older Adults in Nursing Homes: Volunteer Perceptions of Switching to Remote Befriending in the COVID-19 Era.
Please answer with one of the option in the bracket,A: Duodenum
Answer this question truthfully,"Symptoms of heart failure are most common. Usually, they develop slowly over time. However, sometimes symptoms start very suddenly and are severe.
Common symptoms are:
Chest pain or pressure (more likely when you exercise) Cough Fatigue, weakness, faintness Irregular or rapid pulse Loss of appetite Shortness of breath with activity or after lying down (or being asleep) for a while Swelling of feet and ankles (in adults)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... vinod., thanks for choosing chatbot., desmoplastic tumor... it is round cell tumor..... commonly seen in abdomen, rarely seen in stomach..., it is aggressive type of cancer., that affects the surrounding., lymph nodes easily..., metastasis also common..., common symptom is obstruction....treatment is unfavorable... so take care and consult good oncologist., for further information...about the tumor...contact., dsrct research center, stehlin foundation in houston...., usafounder was patrick canton... better to contact. chatbot. .ok.best of luck.,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. heart diseases can cause similar symptoms like left sided chest pain and dizziness. so better to consult card and get done1. clinical examination of heart. 2. blood pressure monitoring. 3. ecg 4. 2d echo. 5. stress test. if all these are normal then no need to worry about heart diseases. sometimes stress and anxiety can cause similar symptoms. so better to consult psychiatrist and get done counseling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. but first rule out cardiac diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Melanocytic nevus is a benign growth on the skin (usually tan, brown, or flesh-colored) that contains a cluster of melanocytes and surrounding supportive tissue."
Please answer the letter of option truthfully,B
Answer this question truthfully,"Wolff-Parkinson-White syndrome is caused by an abnormally fast accessory conduction pathway from the atria to ventricle via the bundle of Kent, which bypasses the slower AV node."
Please summerize the given abstract to a title,Comprehensive Virtual Screening of the Antiviral Potentialities of Marine Polycyclic Guanidine Alkaloids against SARS-CoV-2 (Covid-19) (preprint)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if the fungal spread is really bothering you, please go ahead and use the antifungal. topical applications of antifungal can be used in pregnancy, it is oral antifungal that should not be used. at 32 weeks the fetus is almost fully developed and very unlikely that any medicine could harm its development, unless it's a proven teratogen. get an opinion from a different dermatologist. herbal remedies have questionable benefits and ingredients, better avoided. hope this helps. regards."
Please summerize the given abstract to a title,Prevalence of COVID-19 in children affected by allergic rhinoconjunctivitis and asthma: results from the second “SIAIP rhinosinusitis and conjunctivitis committee” survey
"If you are a doctor, please answer the medical questions based on the patient's description.",hi! good morning. i am chatbot answering your query. i would agree with your doctor that it could be infection of the hair follicles due to picking at them resulting in several of the infected bumps/sores in your scalp. the lymph nodes swelling on your neck might be due to the spread of the infection to the chatbot.  the nodes would remain there till the sores were treated appropriately by antibiotics and anti-inflammatory along with proton pump inhibitor
Answer this question truthfully,HHV-8 is the cause of Kaposi Sarcoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i passed carefully through your question and would explain that these blood pressure values are really abnormal at your age. anxiety, caffeine intake and straining physical activity may trigger this clinical situation.  anyway, i would recommend first performing some tests in order to investigate for possible metabolic disorders, which can trigger high blood pressure values"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query in full details updated from you. i understood your health concerns. based on your query data, in my opinion, dear you seem to suffer from back lipoma mostly as its non-tender and is common site for big lipoma. sebaceous cyst needs to be ruled out by usg study of the lump and by a second opinion from surgeon. if the lump is on the heels as said in the heading, which exposes the confusion by oversight/or typing mistake. still if it is in the back of heel, tendoachilles bursa needs to be ruled out, from or tho surgeon. treatment-would vary depending on the cause of the lump on the back or on the back of the heels. surgical excision if it troubles you is advisable. else it is a benign tumor and need not worry unless its of cosmetic or pressure symptoms, for which i would suggest you. hope this would resolve your query and worry and anxiety accompanied by it. welcome for any further query in this regard to me. i would love to help you out.awaiting any further query. wish you fast recovery from this intriguing health problem. have a good day. chatbot. n.m.s. genl-cvts -senior surgical consultant"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, ginkgo is a very good herbal medicine used more commonly to cure brain degenerative changes.  there is however no proven therapeutic claim, some conditions show significant improvement, but the study is still limited to memory related problems. in your case, speech problems are usually traced back to childhood development, such that, any management done currently might not have high success rates. while it is not a hopeless case, speech therapy is still the main management of choice in your case. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, no, insomnia is not a side effect of anesthesia that given 3 weeks ago. i think fatigue is because of the physiotherapy advised after knee replacement. as iron tablets also prescribed which help to reduce fatigue, if it is because of anemia. i will advise you to continue physiotherapy and iron tablets. you can also take syrup zirconia. for insomnia, do not be anxious, and you can start tablet restyle for short duration after physician consultation only. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* according to your narration, it seems to be ligament tear / rib fracture most likely.* can consume analgesic tablet for primary pain relief, but highly recommended checking with doctor and get an x-ray of chest done as first step of evaluation if negative may require mri also according to the concern of the consultant. hope this solves your query. welcome for any further assistance. thanks for using chatbot .com & giving me an opportunity to assistwishing you fine recovery from the same. regards dear take care."
Answer this question truthfully,"There are a number of known risk factors and protective factors for developing breast cancer. 
The following are known risk factors of developing breast cancer:
Older age A personal history of breast cancer or benign (noncancer) breast disease A family history of breast cancer Inherited gene changes Dense breasts Exposure of breast tissue to estrogen made in the body Taking hormone therapy for symptoms of menopause Radiation therapy to the breast or chest Obesity Drinking alcohol Being white
The following are protective factors for breast cancer:
Less exposure of breast tissue to estrogen made by the body Taking estrogen-only hormone therapy after hysterectomy, selective estrogen receptor modulators, or aromatase inhibitors and inactivators Estrogen-only hormone therapy after hysterectomy Selective estrogen receptor modulators: In the MORE trial, the relative risk reduction for raloxifene was 76%.  The P-1 preventative study demonstrated that tamoxifen can prevent breast cancer in high-risk individuals. The relative risk reduction was up to 50% of new breast cancers, though the cancers prevented were more likely estrogen-receptor positive (this is analogous to the effect of finasteride on the prevention of prostate cancer, in which only low-grade prostate cancers were prevented).   Aromatase inhibitors and inactivators Risk-reducing mastectomy: Bilateral prophylactic mastectomies have been shown to prevent breast cancer in high-risk individuals, such as patients with BRCA1 or BRCA2 gene mutations.  Ovarian ablation: Prophylactic oophorectomy (removal of ovaries), in high-risk individuals, when child-bearing is complete, reduces the risk of developing breast cancer by 60%, as well as reducing the risk of developing ovarian cancer by 96%.  Getting enough exercise"
Answer this question truthfully,"Patients with the hyperosmolar hyperglycemic state may usually appear dehydrated, lethargic, disoriented and in shock. Physical examination of patients with the hyperosmolar hyperglycemic state is usually remarkable for hypothermia, hypotension, tachycardia, tachypnea, nausea, vomiting and seizures or other focal neurological signs."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting on chatbot, i understand your concern, according to the history you have given the nemesis is a bit unlikely due to persistent reflux as in which gastric content is not large and not very forceful ejection. because he has not passed stool for a couple of days it's very crucial to exclude any obstruction as you have already thought of. in kids with sensory integration issues its common to have intestinal problems than others. i recommend your kid to have barium studies of small intestine and colonoscopy test. hope the answer is useful. if you need any more you are welcome to ask."
Answer this question truthfully,The hydroxyl radical (OH-) is considered the most damaging among the oxygen-derived free radicals.
Please summerize the given abstract to a title,The Perspective of Thailand Economy After the Effect of Coronavirus-19 Pandemics: Explication by Dynamic I-O Models and Agent-Based Simulations
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. duphaston is a hormonal pill that will help regulate your cycle, and if at all you are breastfeeding, fluctuations in your menstrual cycle are normal, and i would not worry too much about it. as for the c-section, the procedure cannot block your tubes, and you should be safe to conceive, it may just be a slight fluctuation in your hormone levels that is making it a little difficult. continue to try to conceive, and write to me using our premium service, so i can guide you in a more accurate manner with some fertility tips and medications. best wishes."
Please summerize the given abstract to a title,Molecular Evolution and Genomic Characteristics of Genotype H1 of Measles Virus.
Please summerize the given abstract to a title,"COVID-19 associated atrial fibrillation: Incidence, putative mechanisms and potential clinical implications"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. post intubation following are the possible complications that can cause similar symptoms. 1. bronchitis2. tracheal injury and stenosis. so get done chest x-ray and pft (pulmonary function test) to rule out bronchitis. get done bronchoscopic evaluation of trachea to rule out tracheal injury. so better to consult pulmonologist and discuss all these. possibility of tracheal stenosis is more in your case. so get done bronchoscopy."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for follow up. i understand vomiting happens when he is in bed only in horizontal position. we should differentiate gastroesophageal reflux, acetone mic cycling vomiting, high intracranial pressure. you should consult him at gastroenterologist and neurologist. what we can do ? at the first we can give risperidone 1 tab 3 times after 15 min before meal 1 month for increasing bonus of stomach sphincter, it will prevent vomiting2. flax seeds-boiled 1 tablespoon for 1 glass water, give to chatbot. 3. give to him less chocolate, dal, spinach, cocoa, market juices4. before night don't give liquid, water, give only food for chewing. best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, i would like to tell you that wisdom tooth extraction is not a simple procedure and often associated with post extraction complications like pain, swelling, difficulty in mouth opening, numbness, fever, malaise. you don't worry about the symptoms they will subside after sometimes. follow the post-operative instructions given by the dentist properly. take lukewarm saline and antiseptic mouthwash rinses. take complete course of antibiotics and analgesics. maintain a good oral hygiene. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",you are suffering from allergy and smoking is making it worse. you seem to be suffering from copd as well. your description suggests that you may have had a bout of chest infection which is not completely cured and hence you have developed symptoms again. you need to undergo some tests like a basic blood count and a chest x-ray to start with. it will help in ruling out pneumonia or any other pathology. consult a pulmonologist who can advise you correctly and also treat you properly.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i sincerely suggest that you are victim of your own negative thinking. you cannot term your current state of mind as clinical depression. rather, this is just disappointment. over and above, you are imagining things which are common to all people. the \""bacteria\"" in your vision area is a common sight for everyone. regarding your stomach gurgling - we broadly call it obsession. you had that disturbing sensation once. you expected it to happen again and tried. then you started experiencing it as you were expecting it. then your body brought the familiar symptom because you are expecting it. then you started worrying that the symptom is coming again and again and expect it. body brings it again as you are expecting it. you become worried and so on. that is obsession in simple terms. ignore it and the problem vanishes. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","please keep in mind that the constellation of symptoms you mentioned are certainly present to some extent in nearly all patients who have meningitis. however, we have all had the experience of having any of those symptoms together or separately and know that we do not have meningitis. you point to an extremely important piece of information which is that you have no fever. not only that but you are lucid enough to write this note and send it on your computer. you would not likely be able to do such a thing if you had meningitis. certainly, if things were to change, and you did develop a fever, nausea, vomiting, severe sensitivity to light or sound with terrible headaches, then, a trip to the emergency room may be recommended."
Please summerize the given abstract to a title,Nursing workload in burn intensive care unit
"If you are a doctor, please answer the medical questions based on the patient's description.","there are a few things that i did, and it benefitted me. i set up a reminder in my outlook calendar to remind me every 10-15 minutes to get up from my pc and move around in the room. another thing which i did was started stretching exercises in the morning and also for some time in the evening. you may find the following link useful"
Please answer the letter of option truthfully,B
Answer this question truthfully,Testosterone supplementation may enhance intellectual performance and induce weight loss when testosterone levels are low.
Please summerize the given abstract to a title,"Kanglexin, a novel anthraquinone compound, protects against myocardial ischemic injury in mice by suppressing NLRP3 and pyroptosis"
Please summerize the given abstract to a title,By the light of the corona (virus): revealing hegemonic masculinity and the double bind for men in responding to crises
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you have normal regular ovulatory periods and your tubal patency as well as sonogram are normal, you can go for it straightaway. please monitor your ovulation and time intercourse around that period, at least on alternate days. you can monitor ovulation through follicular study, basal body temperature measurements and ovulation kits. if there is no success in 2- months, you may need further assistance like gui. please get properly assessed before you try. your husband also may need to be tested if necessary. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",having rhb with mild mitral stenosis and regurgitation require life long or up to 45 yr age penicillin injection every 21 days to slow down progression and protection from recurrent rheumatic fever. sometimes almost in 30%cases penicillin may cure the disease. she requires regular followup to assess disease progress if it becomes severe stenosis then balloon valvoplasty may be sufficient without opening chest or if regurgitation progress then valve replacement is the answer.
Answer this question truthfully,"Effective measures for the primary prevention of ileus include:    
Early mobilization Avoid routine insertion of Ryle's tube (nasogastric tube) Prior oral feeding with high carbohydrate solid or liquid solution (preferably six hours prior to surgery) Administration of clear fluids within 2-3 hours of surgery Limited parenteral fluids Utilizing a minimally invasive surgical method if possible Avoidance of pain medications such as opiates Epidural catheter (spinal anesthesia) for post operative analgesia Post operative gum chewing, which may increases the intestinal peristalsis due to the cephalovagal reflex and inflammation (level Ia evidence)"
Answer this question truthfully,Free radicals are chemical species that have an unpaired electron in their outer orbit. They are defined as highly reactive molecules that can cause damage to cells and tissues in the body.
"If you are a doctor, please answer the medical questions based on the patient's description.","therefore, there is a lump between your stomach and chest; it is not painful; it is enlarging; it causes breathing problem; it causes coughs; you have significant surgical/antibiotic history! thanks for sharing all details with chatbot! i think you got hernia-king of lesion could be hiatal hernia or epigastric hernia. it is not tumor or infection; some portions of your gut have entered into the chest cavity causing all symptoms; a simple chest x-ray /usg can confirm this!therefore, please visit us with the reports asap; regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dairy admire you for positive outlook. restyl contain alprazolam which has the highest habitual potential. please avoid it if possible. there are many other anti stress medicines which has less addictive potential. for ex. mizoram .5 mg you can use it as and when required. some natural ways to treat anxiety and daily stress are exercise meditation deep breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence all this will help you to counter daily stressed well shorthand you
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, masturbation is normal. it is the same process as sex, only difference is that during sex what happens in vagina, occurs in hand or against any surface during masturbation. so there are no any side effects of masturbation. but when a person do it frequently and regularly, it can cause thinning of semen and gradually decrease in sperm count as sperm production requires some time. so gradually it becomes habit of a person. there is no harm in doing masturbation before going to sleep, but you need to be cautious of not getting addicted to it. i think you linked sleep with masturbation and that is why you are not getting sleep without masturbating. do following things"
Please summerize the given abstract to a title,Calibration and Testing of the Integrated Ventilator Scalar Measurement Module for a Bag-Valve-Mask-Based Emergency Ventilator
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, there is a chance of nerve compression. it's good to show a gp. but it would be better if you go to an orthopedic clinic. x-ray spine would be required, and you may need to have a mri done, that depends on how does the clinical examination presents. you may need some medication to strengthen your nerves. and you may need a belt to immobilize your affected area of spine that assist healing and protects from worsening"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it will help to know the status of the kidney stone which you have. a stone in a strategic location might cause a lot of pain and discomfort until it is treated. having a kidney infection due to a stone requires complete treatment and follow up. if the antibiotics do not give you relief then please get your urine culture and sensitivity test done to know if there is resistant infection which requires change of antibiotics. for the pain you might ask your doctor to prescribe alpha blockers or anti spasmodic and this will control the spasm causing pain. please continue chatbot.  the pain might be more consistent because of the movement of the stone along the urinary tract. this requires review ultrasound or ct scan to know the location of the stone. please do not worry."
Answer this question truthfully,"The mother does not usually die from this condition.
However, all of the following increase the risk for death in both the mother and baby:
Closed cervix Delayed diagnosis and treatment of placental abruption Excessive blood loss, leading to shock Hidden (concealed) uterine bleeding in pregnancy No labor
Fetal distress occurs early in the condition in about half of all cases.
Infants who live have a 40-50% chance of complications, which range from mild to severe."
Answer this question truthfully,"The actions of GHRH are opposed by another hypothalamic hormone, somatostatin, also known as ""growth-hormone-inhibiting hormone"" (GHIH).
Somatostatin is released from neurosecretory nerve terminals of periventricular somatostatin neurons, and is carried by the hypothalamo-hypophysial portal circulation to the anterior pituitary where it inhibits GH secretion by hyperpolarising the somatotropes.
Somatostatin and GHRH are secreted in alternation, giving rise to the markedly pulsatile secretion of GH. However recently it had been discovered that somatostatin does not affect the secretion of GH."
Please summerize the given abstract to a title,A Review of Graphene: Material Synthesis from Biomass Sources
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, getting braces and the burning could / could not be connected. it could have been due to some food trauma as you might still be getting used to your new braces. in a similar scenario, i would advise my patients to stop eating any spicy food in the meantime, start with warm saline rinses 4-5 times a day. apply topical mccoppin gel or a similar formulation before having food. try this for next 1 week, and you should be fine. regards."
Please summerize the given abstract to a title,"Mass Screening for SARS-CoV-2 Infection among Residents and Staff in Twenty-eight Long-term Care Facilities in Fulton County, Georgia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot she most likely got the infection from hot tub. i will keep a possibility of \""hot tub folliculitis\"". hot tub folliculitis is an eruption of scattered small red itchy or tender bumps, some of which are pustular. they mainly occur in areas that were covered by the swimming costume. hot tub folliculitis is an opportunistic bacterial infection of the skin by the bacterium, pseudocodes aeruginosa. pseudocodes can survive in warm water, even when adequately chlorinated. if i was the treating doctor i would suggest oral ciprofloxacin twice daily for a ectopically she can use either 2% mupirocin ointment or newsprint ointment, twice daily. regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand and appreciate your concerns about your fathers health.hyperkalemia is common in setting of chronic renal disease.the most chatbot. i would like to take urgent ecg to see if there are any effects of high potassium on heart. if present in calcium gluconate iv will definitely help.as far as k bind is concerned it all lower potassium levels by decreasing absorption from intestine .but it may take time.also avoid fruits and juices like tender coconut water in details ply check if your father is on any tablets known to increase potassium levels like enalapril, spironolactone,pain killersalso it is likely that your father may require dialysis in near future at present ecg reading will help u to decide acute managementhope i tried to answer your problem.thanks"
Answer this question truthfully,"While Aztreonam is usually nontoxic, patients can experience the occasional GI upset."
Please summerize the given abstract to a title,Early initiation of corticosteroids in patients hospitalized with COVID-19 not requiring intensive respiratory support: cohort study
Answer this question truthfully,Actinomyces is commonly transmitted in the setting of dental procedures.
Answer this question truthfully,"If you are receiving cefazolin in your vein or under your skin, you need to know the symptoms of a catheter-related infection (an infection where the needle enters your vein or skin). If you experience any of these effects near your intravenous catheter, tell your health care provider as soon as possible:
tenderness warmth irritation drainage redness swelling pain"
Please summerize the given abstract to a title,Investigating the moderator effect of fear of COVID-19 in the relation between communication anxiety and self-efficacy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the chances of pregnancy might be rare in your case. because usually the urine pregnancy test gives accurate results a week after missed period. so by this time it should have been positive. as it is negative there might be no pregnancy. i suggest you to consult doctor as you might need medicines for periods.also, ultrasound might help in confirmation of no pregnancy and the cause for delay of periods. avoid stress. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the presence of swelling in right foot more than left foot is a normal finding. because the uterus slightly rotates to right side this causes compression over the veins over the right side leading to swelling on right side. the swelling of feet is due to various reasons"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,High-grade dysplasia on a pap smear is characterized by dark nuclei with a high nuclear:cytoplasmic ratio. This indicates that the cells have abnormal growth patterns and may be indicative of precancerous or cancerous changes. High-grade dysplasia is considered a more serious abnormality than low-grade dysplasia and may require further testing or treatment to prevent the development of cancer. Regular pap smears and follow-up testing are important for detecting and treating dysplasia and other abnormalities in cervical cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, tingling sensation and electric shock-like sensation of the tongue tip can be due to causes like tongue inflammation. it can also be due to a nerve related problem. in case if there is no redness or inflammation of the tongue. so my suggestion is to consult an oral physician and get evaluated. a clinical examination and investigation like mri scan can help in ruling out the exact cause and treatment can be done accordingly. for now, take anti-inflammatory painkillers like advil and take a vitamin b complex. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hey, the rise in bp after any intervention including dental extraction is a normal body response to stress condition. taking medicare and sumo must be enough for controlling the bp. the use of augmenting (antibiotic) along with generally do not rise your bp. so yoy can safely use augmenting for the duration prescribed by your dentist. if the bp remains high i.e. >150/90 mm hg, you can change medicare to medicare - h in the morning which consist one additional chatbot.  rest don't worry the bp will get controlled. you also have to decrease the salt intake in diet for the optimal bp control. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i can understand your concern... yes, carol disease is genetic disease. it may be simple dilatation of bile duct, or it is associated with hypertension and fibrosis known as carol syn chatbot. .... let me know you condition is dangerous .you can consult surgeon for treatment.... ursodiol can be used. if limited to one lobe then lobectomy might be done. liver transplantation is also another option... patient usually die by complications like repeated cholangitis.... death usually within 5 to 7 year according to various literature... take care..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi;welcome to chatbot modern day antibiotics are designed in a way that they have minimal side effects unlike previously used antibiotics like tetracycline which used to cause yellowness of teeth. the recent antibiotics will just help treat infection and do not affect the complexion of baby. secondly the most important point is complexion is governed by genes that run with in a family, so he will have complexion like his father or mother so don't worry. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. i have never seen in my clinical practice two tail bones and also never read about two tail bones. you can get your x of sacrococcygeal joint to confirm this. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  from the description, your son might have come across some negative happening (type of shock) while at his hostel. that happening changed his thinking pattern, and then he was habituated with the new habit. we need to understand what happened at the hostel. then change his pattern of thoughts and habits. programming or tuning his neural network is what the treatment is all about. a trained psychologist can do the treatment with the help of psychotherapy techniques. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,Are You for Real? Perceptions of Authenticity Are Systematically Biased and Not Accurate.
Please answer with one of the option in the bracket,A: A
Please summerize the given abstract to a title,Changes in air quality during the lockdown in Barcelona (Spain) one month into the SARS-CoV-2 epidemic
Answer this question truthfully,"Secondary hemostasis is the second stage of blood clotting, which involves the activation of a series of coagulation factors that work together to form a fibrin clot. This process is essential for stabilizing the platelet plug that forms during primary hemostasis, as the fibrin clot helps to reinforce the plug and prevent it from dislodging. Secondary hemostasis is a complex process that involves multiple steps and factors, and any disruption in this process can lead to bleeding disorders or other health problems. Treatment for bleeding disorders may involve medication to manage clotting factors, as well as lifestyle changes or other interventions to reduce the risk of bleeding episodes."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear matt, welcome, and thanks for sharing your concern i went through your query, and i feel, how long has it been since you smoke and what is the number of cigarettes you take in a day, both frequency and quantity affects our body and these can lead to changes in the nervous tissue causing such symptoms, i would advise you to see your doctor and discuss your concern with him. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! the white spot on the area of the kidney would be a calcification or a stone in the kidney since cysts in the kidney would not show in an x-ray. to be sure you my need to get a kidney ultrasound or a ct scan of the kidneys since the latter two imaging modalities has a better chance of detecting kidney stones. if you are having chills and fever, i am urging you to go to a medical specialist to get proper treatment because it is fairly dangerous to have an infected kidney that is obstructed by stones.  i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
Answer this question truthfully,"Prognosis of congenital hypothyroidism depends on whether the baby starts thyroid hormone replacement therapy early.
The earlier the treatment begins, the better outcome the baby will be."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should first consult pulmonologist and get done1. chest x ray2. put (pulmonary function test). shortness of breath can be due to bronchitis and lung infection. so pft is needed to rule out bronchitis. chest x-ray is needed to rule out lung infection. if both are negative than cardiac cause should be rule out for breathlessness. so get done ecg and 2d echo to rule out cardiac cause. if everything is normal than no need to worry much. shortness of breath can be due to anxiety. so ask him to avoid stress and tension. he will be alright.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have developed splenomegaly, ascites and might be thrombocytopenia that can cause bleeding as well.  for edema, you can be prescribed diuretic medication. you have developed all these due to port hypertension for which beta-blocker can be prescribed.  but all these medications are not a permeant solution. so if your mother fit for transplantation than liver transplantation will be the best treatment option, but it is costly one also.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. detergents are powerful cleaning products that may contain strong acids, alkalis, or phosphates. usually for a child, if ingested with detergent, we always say \""do not make a person throw up unless told to do so by poison control or a health care professional\"". the symptom may not be present, or the child may not be able to identify the symptoms due to his playful mood. i suggest you should consult a health care professional asap. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. it seems to be tennis elbow. tennis elbow is a form of overuse syn chatbot.  so, the more you are involved in lifting weights with the affected hand, the more you experience pain due to stretching of the extensor tendons. so, adequate rest is necessary for the affected limb (avoid lifting weights) for the soft tissues to heal. analgesic medications are to be taken as and when needed. if the symptoms are not resolving, then a local steroid injection is indicated, which provides significant pain relief for a few months. consult an orthopedic surgeon for a detailed evaluation and further management. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,"Cutaneous abscess must be differentiated from other causes of lower limb edema like chronic venous insufficiency, acute deep venous thrombosis, lipedema, myxedema, lymphatic filariasis and causes of generalized edema.
Diseases Symptoms Signs Gold standard Investigation to diagnose History Onset Pain Fever Laterality Scrotal swelling Symptoms of primary disease (Cellulitis -erysipelas- skin abscess) Acute painful swelling Fever Acute + + Unilateral - - Tenderness, hotness, and may be fluctuation if abscess formed. Lymphangitis in nearby lymph nodes. Toxemia and fever in severe cases. Cellulitis involves the deeper dermis and erysipelas involves the upper dermis.  Usually it doesn't need any laboratory tests to diagnose.  Blood cultures are warranted for patients in the following circumstances:  Systemic toxicity Extensive skin or soft tissue involvement Underlying comorbidities persistent cellulitis In patients with recurrent cellulitis, serologic testing for beta-hemolytic streptococci is a good diagnostic tool.  Lymphatic filariasis History of living in endemic area or travelling to it Chronic + + Bilateral + - Hepatomegaly Lymphedema Elephantiasis Lymphangitis Hydrocele Scrotal elephantiasis Lymphadenopathies Rhonchi may be present in patients with Pulmonary tropical eosinophilia syndrome. Preparing blood smears Thick smears Thick smears consist of a thick layer of dehemoglobinized (lysed) red blood cells (RBCs). Thick smears allow a more efficient detection of parasites (increased sensitivity). Thin smears consist of blood spread in a layer such that the thickness decrease. By the ultrasound, the following findings can be observed: Dilated lymphatic channels Living worms tend to be in motion which called ""filarial dance"" sign. Chronic venous insufficiency History of untreated varicose veins Painful bilateral lower limb swelling that increases with standing and decreases by rest and leg elevation. Chronic + - Bilateral + (If congenial) - Typical varicose veins Skin change distribution correlate with varicose veins sites in the medial side of ankle and leg Reduction of swelling with limb elevation. Duplex ultrasound will demonstrate typical findings of venous valvular insufficiency Acute deep venous thrombosis History of prolonged recumbency Classic symptoms of DVT include acute unilateral swelling, pain, and erythema Acute + - Unilateral - May be associated with primary disease mandates recumbency for long duration Dilated superficial veins Difference in calf diameter is twice as likely to have DVT (most impotant sign)  Calf pain on passive dorsiflexion of the foot (Homan's sign) isn't realiable sign. Compression ultrasonography (CUS) with doppler is the diagnostic test of choice D-dimer level is used for unprobable cases Lipedema Family history especially in women; X-linked dominant or autosomal dominant condition.  Abnormal deposition of fat and edema and easy bruising. Chronic + - Bilateral - - Tender with palpation Negative Semmer sign to differentiate from lymphedema.  Pinching the skin on the upper surface of the toes. If it is possible to grasp a thin fold of tissue then it is negative result. In a positive result, it is only possible to grasp a lump of tissue. MRI offers strong qualitative and quantitative parameters in the diagnosis of lipedema  Myxedema History of untreated hypothyroidism. Infiltration of the skin with glycosaminoglycans with associated water retention. Chronic + - Bilateral - + (hypothyroidism) Pretibial myxedema Thyroid function tests. Other causes of generalized edema History of chronic general condition (cardiac-liver-renal) Chronic - - Bilateral - + According to the primary cause (Echo- LFTs - RFT)

Disease Clinical features Folliculitis Hair follicle inflammation, presents as pruritic rash or pustule.   Suppurative hydradenitis Inflammation in intertriginous areas (axillae, inguinal area, inner thighs, perianal and perineal areas, mammary,..) Presents as painful inflamed nodule, sinus tract and commedons. Associated with systemic symptoms. Needs surgical debridement and systemic antibiotic.  Epidermoid cyst Cyst or nodule presents with central punctum. May be secondarily infected.  Nodular lymphangitis Subcutaneous swelling along with lymphatics. mostly due to Sporothrix schenckii.  Myiasis Enlarging nodule secondary to insect bite and due to penetration of fly larvae into subdermal tissue. caused by Dermatobia hominis, the botfly and Cordylobia anthropophaga, the tumbu fly."
what are the causes of childhood obesity,"There are many factors that increase the risk of obesity. Some of these factors can be mitigated, such as unhealthy lifestyle habits and environments. Others, such as age, family history, genetics, race, ethnicity, and sex, cannot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. there can be coccyx bone injury for resistant coccydynia sacral local block injection may be helpful. phototherapy [local injection] may also work for sacral pain. consult your doctor for injection. physiotherapy like ultrasound and inferential therapy will give relief. i will advise checking your it b12 and it d3 level. continue site bath and use of ring cushion. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,Novel Antimicrobial Peptides Designed Using a Recurrent Neural Network Reduce Mortality in Experimental Sepsis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would like to tell you that possible causes for palpitations can be cardiac arrhythmia, chronic anemia, thyroid dysfunction or anxiety. so i will recommend you to consult with your doctor for a physical exam and some tests"
Answer this question truthfully,"Symmetric fetal growth restriction is a condition in which a fetus experiences slowed growth throughout the entire body, resulting in a smaller than average size for gestational age. This condition typically begins in the first trimester of pregnancy and can be caused by a variety of factors, including chromosomal abnormalities or intrauterine infections such as TORCH (Toxoplasmosis, Other, Rubella, Cytomegalovirus, and Herpes simplex virus). These factors can affect the fetus's development and lead to a range of developmental disorders and birth defects."
Answer this question truthfully,Eosinophils.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, atrial fibrillation (af) can be hereditary. af is actually defected in conduction system of heart. and this defect is genetic and hence can transmit in family members. your current symptoms are also suggestive of af. you are having strong family history of af. so better to consult cardiologist and get done ecg, 2d echo and holder monitoring (24 hour continuous monitoring of ecg) to rule out af. you may need chatbot."
Answer this question truthfully,"ACD commonly is diagnosed postmortem, by a pathologist.
Sometimes ACD is diagnosed clinically.  This is common when there is a family history of ACD, but rare otherwise. A clinical differential diagnosis of ACD excludes fetal atelectasis. 
ACD is not detectable by prenatal imaging. However, some babies with ACD have associated congenital malformations that are detectable by imaging. The identification of genes involved in ACD offers the potential for prenatal testing and genetic counseling."
Answer this question truthfully,The most common cause of mitral regurgitation in developed countries is mitral valve prolapse.
Please summerize the given abstract to a title,A distinct group of hepacivirus/pestivirus-like internal ribosomal entry sites in members of diverse picornavirus genera: evidence for modular exchange of functional noncoding RNA elements by recombination.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i would like to review your brain mri findings for a more professional opinion. you should know that ms is an autoimmune disorder, which may coexist with other autoimmune disorders like thyroid dysfunction and connective tissue disorders. have you performed a spinal tap to check for the presence of oligoclonal bands? this would be another step in the diagnosis of ms. from the other hand, i would also recommend performing a cervical and thoracic spine mri study to be sure of ms diagnosis. steroid treatment may be needed considering your connective tissue disorder. a follow-up with brain mri to study the progression of those lesions is necessary too, before starting treatment for ms. hope you will find this answer helpful! kind regards,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Symptoms include severe pain in areas connected to the ninth cranial nerve:
Back of the nose and throat (nasopharynx) Back of the tongue Ear Throat Tonsil area Voice box (larynx)
The pain occurs in episodes and may be severe. It is usually on one side, and feels jabbing. The episodes can occur many times each day, and awaken the person from sleep.
It can sometimes be triggered by:
Chewing Coughing Laughing Speaking Swallowing"
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot !!! there is pain and discomfort that is to be expected after lithography. it is good that pain medications are helping. you may observe for one to two days and gradually the pain would be gone. the pain could be the stone fragments that are going down the ureter after lithography. if you developed severe pain not controlled by pain medications, fever, or intractable vomiting then you should go to the emergency room to be properly assessed. i hope i have answered your question satisfactorily."
Please summerize the given abstract to a title,"Therapeutic Efficacy of Anti-Bestrophin Antibodies against Experimental Filariasis: Immunological, Immune-Informatics and Immune Simulation Investigations"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your symptoms improve with the coquitlam (painkiller), possibility of musculoskeletal pain is more likely. so apply warm water pad and ice packs alternatively on the affected areas. avoid heavyweight lifting and strenuous exercise. avoid movements causing pain. avoid sudden jerky movements of the shoulder. take coquitlam twice daily. you will mostly improve with all these in 5 days. if not improving then consult doctor. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. the symptoms of 4 years of pain on left upper abdomen, like a murmur and enhances after bending is suggestive of a subacute intestinal obstruction. i would suggest you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum. acne is a universal problem bothering the majority of population male and female. effecting most of the anemic and oily skin people in adolescence. non-vegetarian, oily foods, and sweets mostly influence the situation. i advise you to consult a dermatologist for diagnosis and treatment of the acne.  besides i advise you some diet recommendations as take more of green leafy vegetables, pulses, sprouts, milk egg, fruits, juices, and chatbot.  wishing for a quick, and beautiful recovery, and thanks for calling."
Answer this question truthfully,Cutaneous involvement in blastomycosis commonly manifests as a verrucous lesion with irregular borders that may mimic squamous cell carcinoma.
Answer this question truthfully,"Creatinine increase is the characteristic finding in CIN, kidney injury occur with in minutes of exposure to contrast agents, however clinical manifestations such as oliguria or elevation of serum creatinine are generally observed within 24 to 48 hours after contrast exposure."
Please summerize the given abstract to a title,"Minocycline Might Be an Adjunctive Therapy Option for the Treatment of COVID-19: In Silico Screening, Structure-affinity Relationship, and Literature Review"
Please summerize the given abstract to a title,Smoking and COVID-19: A Scoping Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, usually it is advised to wait for a year before seeking medical interference. but i understand your concerns and that you don't want to wait for a whole year. i recommend that your husband get a semen analysis done. i also recommend that you get a hormonal profile test done (estrogen, progesterone, lh, prolactin, tsh, t3, t4, fsh) and a pelvic ultrasound done to make sure everything is ok. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to the chatdoctori understand your concerns but don't worry.  it can be due to local bacterial infection known as fur uncle or hematoma. anything definitive can be said only after proper clinical examination. hematoma occurs due to vascular malformation. it doesn't require any immediate treatment. in most cases it gradually improves with age. sometimes it may persist and need surgical treatment for cosmetic reasons. fur uncle needs proper antibiotic treatment for proper resolution. hopefully this will be useful. take care
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should take preventer inhaler regularly. what you are facing right now is acute exacerbation of asthma. if you use preventer chatbot.  so better to consult pulmonologist and get done pft(pulmonary function test). pft will tell you how severe is your asthma. based on severity, you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). oral bucolic and expectorant, n acetyl cysteine (nac) is also recommended in your case. so consult pulmonologist and take your preventer inhaler regularly. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"A sentinel event is a type of unexpected occurrence that involves death or serious physical/psychological injury and requires immediate investigation. These events can occur in various settings, such as healthcare facilities, workplaces, and public spaces, and are typically considered to be preventable or indicative of underlying systemic issues. Examples of sentinel events in healthcare include wrong-site surgeries, medication errors, patient suicides, and infant abductions, among others. When a sentinel event occurs, it is important to conduct a thorough investigation to identify the root cause(s) and implement corrective actions to prevent future occurrences."
Please summerize the given abstract to a title,The Cost of Caring: Compassion Fatigue Among Peer Workers in Overdose Response Settings in British Columbia
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...there could be two possibilities in infants crying like this suddenly - first and foremost being - otis media or middle ear infection. secondly could be due to excessive gaseous distension in the intestines. for the fist - i suggest you see your pediatrician and for the second i am giving an explanation here which might help you - this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. regards -
Please answer with one of the option in the bracket,B: Loss of cortical bone mass and thinning of trabeculae
Please summerize the given abstract to a title,Significant increase in quantity and quality of knee arthroplasty related research in KSSTA over the past 15 years
Please answer with one of the option in the bracket,"C: """"""I would like to assess your symptoms causing you the most distress and schedule monthly follow-up appointments."""""""
Answer this question truthfully,"Lacunar strokes most commonly involve the lenticulostriate vessels, which results in small cystic areas of infarction."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient what is your age ? it seems you are past middle age since three steroid injections already are given most probably for osteoarthritis of the knee.  you ate having symptoms of osteoarthritis of knee and this needs to be investigated.  i would advise x-ray of involved knee anteroposterior(standing) and lateral views and skyline view of patella. this will help in confirming diagnosis. if x-ray report is showing arthritis you need to consult expert orthopedic surgeon with report. meanwhile, avoid squatting and cross-legged position.  take tab diclofenac 50\u00a0mg sos for pain relief. all the best."
Answer this question truthfully,"In atmospheric sciences (meteorology, climatology and related fields), the pressure gradient (typically of air, more generally of any fluid) is a physical quantity that describes in which direction and at what rate the pressure changes the most rapidly around a particular location. The pressure gradient is a dimensional quantity expressed in units of pressure per unit length. The SI unit is pascal per metre (Pa/m)."
Answer this question truthfully,"Gout is characterized by needle-shaped crystals with negative birefringence under polarized light, which can be observed in synovial fluid."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i guess your concern is-can appendix operation interfere you from being pregnant and in spite of not using contraceptives for 6 years, why you are not getting pregnant, right?  yes, you can become pregnant. you said you were on demo for 3 years. this might have changed your normal hormonal pattern. but you have stopped it in 2009 and moreover for past 6 years, you are not at all on contraceptives, so this has nothing to do with. you haven't shared how old are u now? what is your exact age? women from 18-40 years are of reproductive age group, where chances of pregnancy are high. i suggest you and your husband to have sex/intercourse in the fertile period. try doing this for next 5-6 months. hopefully you will get result.2. if you are in a hurry to get baby, i suggest you to visit a nearby gynecologist or infertility specialist to get expert opinion. it would be wise if you take your husband along with you. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Streptococcus pneumoniae is the most common cause of community-acquired pneumonia. Community-acquired pneumonia is a type of pneumonia that is acquired outside of a hospital or healthcare setting. It can be caused by a variety of bacteria, viruses, and other microorganisms, but Streptococcus pneumoniae is the most frequent cause. Other common causes of community-acquired pneumonia include Haemophilus influenzae, Mycoplasma pneumoniae, and Legionella pneumophila, among others. The specific cause of community-acquired pneumonia can vary depending on a person's age, underlying health conditions, and other factors."
Answer this question truthfully,"The recommended management for Tetrodotoxin and Ciguatoxin poisoning is supportive care, which includes ensuring adequate ventilation, maintaining hydration and electrolyte balance, and providing symptomatic relief."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand your problem what ever test you go for that all will come unremarkable because you do not have any disease all you have to do is control your negative thoughts, keep your stress level low there is nothing wrong with you just take it easy your weird ideas, otherwise you will have to see the psychiatrist, hope this information helps you have a good day."
Please summerize the given abstract to a title,N-terminal pro-brain natriuretic peptide and short-term mortality in acute aortic dissection: A meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question in chatbot... here you are having high ggt...these enzymes present in biliary calculi.... so when damage to biliary calculi then it is released in blood.... here so fatty liver, gall stone, cholangitis has to be ruled out....usg abdomen helpful.... if needed magnetic resonance cholangiopancreatography helpful... avoid high fat diet... green leafy veg more like ...spinach, arugula, dandelion, mustard green etc... spinach and carrot juice good to take.... avoid alcohol.... and yes smoking is strictly avoided... hope your concern solved. consult gastroenterologist for detail examination... take care. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of pain after l4-l5 fusion, i would ask for imaging study of your lumbar spine because you may have developed fiscal hernia at the upper level of fusion (l2/l3), or the level below it (l5/s1) witchatdoctorpressive elements. you should have a ct scan or mr (if the hardware is compatible) scan of your lumbar column. the decision how to treat your problems should become clear after this. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your query in depth. i feel concerned about it. in my opinion, this symptom complex and indicates --severe head injury-with bad bruising and headache. your daughter certainly needs observation in er-under surgeons care, for critical signs of head-injury needs control by specific medications-under close observation. the head injury is not too serious but certainly needs special care. treatment would be-a-observation with liquids-by mouth for 24-48 hrs more, b-tb-nsaids,c-tb-serropeptidase -for caring-extensive swelling of headd-observation for vomiting, nausea , pupillary signs, and others is needed for another 48 hrs-under surgeons care-in er.d-antibiotics if required. investigations ugly required are-skull x-ray in different angles, cat-scan for the skull anatomy-as the facial look is distorted much. a opinion of the neurosurgeon as per surgeons need and advise. all this care would take care of your daughter and i hope she should come out without any eventuality. hope this would help you. but first thing you should do is to shift the patient to er-and start the treatment ugly. i pray fast recovery for your daughter. wellcome to chatbot for any more queries."
Please summerize the given abstract to a title,Predicting the Willingness of Nurses to Work with COVID-19 Patients: The Impact of Knowledge and Attitude
Answer this question truthfully,"When you or your child develops a cold that includes a prolonged or severe cough, it may be pertussis. The best way to know is to contact your doctor."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. running and bleeding nipple has no connection. it may be possible that you may bleed because of the chatbot.  you can get the chest x-ray done. this will help you diagnose any tumor or any other pathology. once the pathology is diagnosed you can be treated as per the pathology. i will be happy to answer your further concern on bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. mild swelling and soreness after rct might be because of over extended filling, improper cleaning of root canals during canals, the diseased tissue may not be completely removed results in re infection. contact your endodontist right away if you develop any of the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, well, there is really no way to predict without an x-ray what the status of your skeleton is since it sounds as if you took a pretty could clobber falling to your buttock.  you likely have a condition known as coccidynia (extremely painful bruising of the coccyx or tailbone).  this is usually not treatable, even if fractured because it is such a small and inaccessible bone. whether you may have suffered a bone chip or compression fracture of one of the lumbar vertebrae can only be known if you get an x-ray.  you would be making a smart move to call your doctor in the morning to get an order for some testing and maybe even a good physical exam as a follow-up to what happened. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,Meningitis produced by Listeria monocytogenes can be treated with ampicillin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, liposarcoma is a malignant tumor arising from the adipose tissue. the tumor is known to recur after removal. the surgical excision of the tumor depends on size of the tumor, location (superficial or deep), relation to underlying structures, etc. an inoperable liposarcoma can be managed by chemotherapy and/or radiotherapy. you need to consult an oncologist for further work. the treatment is expensive but this work up is mandatory. thanks and take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer with one of the option in the bracket,E: Prednisone
Answer this question truthfully,"Echocardiography can provide:
Direct visualization of the defect in a subcostal 2-dimension view A visualization, when right ventricular volume overload is present, of:
Pulmonary arterial dilatation Right ventricular dilatation Anterior systolic/paradoxic septal motion
Imaging of an associated anomalies. Identify associated anomalies Evaluate atrial enlargement Evaluate ventricular enlargement Locate and size of defects
Doppler flowechocardiography can identify:
Shunt ratios Shunt volume Direction of shunt Pulmonary artery pressure
If the individual has adequate echocardiographic windows, it is possible to use the echocardiogram to measure the cardiac output of the left ventricle and the right ventricle independently. In this way, it is possible to estimate the shunt fraction using echocardiography."
Please summerize the given abstract to a title,"Perceived HIV Stigma, Depressive Symptoms, Self-esteem, and Suicidal Ideation Among People Living with HIV/AIDS in China: a Moderated Mediation Modeling Analysis"
Answer this question truthfully,First generation H1 receptor antagonists may cause dizziness and hypotension due to their anti-α1 adrenergic effects.
Please summerize the given abstract to a title,Embedding mentoring to support trial processes and implementation fidelity in a randomised controlled trial of vocational rehabilitation for stroke survivors
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot.... you had viral flu of respiratory tract.... but here after that you developed bacterial infection secondary to viral.... it could be bronchitis like condition that can lead blood in sputum... you might have excess cough and over effort can lead irritation and blood in sputum...don't self-medicate.... it is better to use levofloxacin like broad spectrum antibiotic.... more water taken.... steam inhalation also useful for cough chatbot. ... if needed and congestive symptom more than antihistamines
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query, and uploading the mri report of your spouse. the choice of treatment depends not only on the findings of mri, but also patients symptoms and findings of clinical examination. if he has severe leg pain, or bladder symptoms, or leg weakness, then surgery may be required. however, if pain is the only symptom, then surgery can be postponed. in this case, treatment would consist of bed rest, physiotherapy and medications such as pregabalin. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question with care and understand your concerns. let me try to help you the symptoms you describe denote two problems 1. problems of joints (i can't make a fist or bend my fingers or hand back hardly. ) 2. problems of nerves (foot numbness and loss of grip in hand) you need to first consult a neurosurgeon and then, if needed an orthosurgeon and rheumatologisthope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. let me know if i can assist you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. neuroblastomas is brain tumor seen mostly in child chatbot.  treatment depends on stage of tumor. in early stages (stage 1-2) surgery is advised followed by chemotherapy and radiotherapy. in late stages (stage 3-4) only chemotherapy with or without radiotherapy is advised. chemotherapy and radiotherapy are given in cycles. usually 7-8 cycles are given. time interval of 21 days is kept between two cycles. so usually treatment lasts for 3 months. hope i have solved your query. wishing good health to your nephew. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i think that she might be having disc herniation with nerve compression in the back leading to leg pain. i would suggest you to get spine mri to see how bad is the nerve compression. according to that she will need physiotherapy and medicines. tablet pregabalin and methylcobal one daily. also, if there is more than fifty percent compression and medicines are not effective than you might think of surgery. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Clinical Results with a B Cell Activating Anti-CD73 Antibody for the Immunotherapy of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. yes, you are right, it seems to be an allergic reaction which may be due to food, dust, pollen, medicines, infections, insect bites etc. since your children left ankle is hurting, try to look for any mark suggestive of insect bite. he might require a short course of steroids and anti histamine syrup. i suggest you to consult a pediatrician for proper examination and treatment. hope this solves your query."
Answer this question truthfully,Betoptic® Betoptic S®
Please summerize the given abstract to a title,Circulating angiotensin-converting enzyme 2 activity in patients with chronic kidney disease without previous history of cardiovascular disease
Please summerize the given abstract to a title,The mitochondrial protein Opa1 promotes adipocyte browning that is dependent on urea cycle metabolites.
Answer this question truthfully,"Phentolamine is a medication that acts as a non-selective reversible adrenergic receptor antagonist. Specifically, it blocks the effects of both α1 and α2 adrenergic receptors in the body. This can help to lower blood pressure and manage certain medical conditions, such as hypertensive crisis or pheochromocytoma. However, because it is non-selective, phentolamine can also have some unwanted side effects, such as dizziness, nausea, and blurred vision. It is important for patients taking phentolamine to be aware of these potential risks and to follow their doctor's instructions carefully."
Answer this question truthfully,Magnesium is an ion that may be used as an antiarrhythmic to treat torsades de pointes.
Please summerize the given abstract to a title,Immediate Functional Outcomes of Survivors with Critically-ill COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! breast pain is usually caused by the female hormones called estrogen, the female breast is very sensitive to estrogen.  however since you also said you gave birth 6 months ago it is also important to know whether you are still lactating/breastfeeding, which can also cause the lumps/tenderness/soreness.  if you have lumps on your breast, i suggest you get a breast ultrasound to rule out any masses (which could be due to cysts, milk ducts, etc.).  for now, you can place warm compress over the painful areas for 15 minutes to decrease the swelling, and take the medicine prescribed to you, while you are scheduling for further diagnostic exam."
Please summerize the given abstract to a title,Studying SARS-CoV-2 vaccine hesitancy among health professionals in Tunisia
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
Answer this question truthfully,"Filamentous fungi
Aspergillus fumigatus Fusarium spp. Yeasts Candida"
Answer this question truthfully,"Cord factor is a type of glycolipid that is found in the cell walls of Mycobacteria tuberculosis, the bacterium that causes tuberculosis. Cord factor is unique in that it allows for the clumping of Mycobacteria tuberculosis in a serpentine-like formation. This clumping is thought to play a role in the virulence of the bacteria, as it allows them to evade the host immune system and form granulomas, which are characteristic of tuberculosis infections. In addition, cord factor has been shown to have toxic effects on host cells, contributing to the tissue damage and inflammation that are hallmarks of tuberculosis infections. Understanding the role of cord factor in tuberculosis infections is an important area of research, as it may lead to the development of new treatments or vaccines for this disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms and based on the description, your injury seems to be minor, and no important structures seem to have got injured. the red line is possibly due to skin trauma/rupture and would heal on its own in a few days. if there is pain in that region, an mri scan may be done to look for any slipped disc. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please summerize the given abstract to a title,"[Face Mask Usage, Knowledge and Behavior of Face Mask Usage in Older Adults Living Alone in the COVID-19 Era]"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, chromium is helpful in pregnancy. it is actually considered as trace element. deficiency of trace elements can cause abortion. since she has history of abortion, better to give trace elements like chromium during current pregnancy to avoid risk of abortion. so no harm in it. she should definitely take chromium medicine in current pregnancy. green leafy vegetables, milk, fruits etc. are also rich sources of chromium. so she can take also take all these. hope i have solved your query. i will be happy to help you further. wishing good health to your wife. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. these symptoms are due to allergic contact of fly with your skin. if a patient comes to me with similar symptoms then i would suggest cetirizine 10 mg at night for 5 days & acetaminophen for pain. apart from that take a cloth piece and warm it over flame and then place it over the area of pain. it will give soothing effect. report to hospital if
Please summerize the given abstract to a title,Investigating the Pharmacological Mechanisms of SheXiang XinTongNing Against Coronary Heart Disease Based on Network Pharmacology and Experimental Evaluation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint the symptoms of sneezing and cold like symptoms does not seem to be due to infection, but it seems more to be due to allergic reaction, and it seems that there are some irritants in your sleeping place that are leading to sneezing. i would suggest you to consult an allergist and get evaluated, and he can do a clinical examination and also advise you investigations like patch test, last test etc. to rule out the exact cause of allergic reaction and preventing exposure to allergen can prevent the symptoms. common allergens are pollen, animal dancers, dust, mold, certain grasses and trees can also be a cause. as of now you can take anti allergic like levocetrizine and steroid nasal spray to relieve the symptoms. hope this information helps. thanks and regards. chatbot."
Please answer with one of the option in the bracket,A: Gastric fundus in the thorax
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i had gone through your query. sorry to say but asperger has no cure. only we can do that treatment of behavior abnormalities and rehabilitation. but you have to go for re-evaluation of your diagnosis because only head circumference is not a parameter to diagnosed it. it is syn chatbot. so 1st go for proper diagnosis and then treatment. consult psychiatrist and get help. happy to help you further. thank you.
Answer this question truthfully,"Necrotizing enterocolitis (NEC) is a serious gastrointestinal condition that primarily affects premature infants. The diagnostic method used to confirm NEC is typically an X-ray or babygram, which will show the presence of pneumatosis intestinalis, or air in the wall of the bowel. This is a characteristic finding in NEC and is caused by the presence of gas-forming bacteria in the intestine. Other diagnostic tests may also be performed, such as blood tests to check for signs of infection or inflammation, or stool tests to check for the presence of blood or other abnormalities. Prompt diagnosis and treatment of NEC is critical to prevent complications such as bowel perforation, sepsis, or death."
Please summerize the given abstract to a title,"Floor Plan Recognition and Vectorization Using Combination UNet, Faster-RCNN, Statistical Component Analysis and Ramer-Douglas-Peucker"
Answer this question truthfully,"Gonadal sex is the biological sex of an individual that is determined by the presence of either testes in males or ovaries in females. The gonads are the primary sex organs that produce the gametes (sperm and eggs) and sex hormones (testosterone and estrogen). The development of the gonads is determined by the presence or absence of the Y chromosome during fetal development. In males, the Y chromosome triggers the development of testes, while in females, the absence of the Y chromosome allows the ovaries to develop. Gonadal sex is an important determinant of an individual's reproductive capacity and secondary sexual characteristics."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, according to your clinical symptoms i suppose that you have developed infection in the region this could be due to infection i the tooth, trauma due to food product or something else i would suggest you to get a checkup done by a dentist take a radiograph of the region to give a clear review, take tab almost -c tds tab diclofenac p tds for 3-5 days, at home take lukewarm saline nad antiseptic mouthwash rinses, take multivitamin supplements, maintain a good oral hygiene, hope you find this as helpful,take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friendwelcome to chatbot i read your concern and i would like to share my thoughts about his present symptom of difficulty in reading .1) is this symptom arises at present, or he has difficulty in reading since seizure. if symptoms arises at present then it can be due to progression of seizure complication involving parietal lobe. as you know parietal lobe is meant for touch perception, the integration of sensory information and in visual perception of spatial relationships among objects (visuospatial processing). parietal lobe epilepsy is rare to happen, but i would suggest you to do repeat ct imaging study and consult a neurophysician to get his heath back to normal. you can ask me if you have further queries ... i am here to health you . regards chatbot. kingston john david"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear-thanks for using our service and will give you my medical advice for this situation. you might be having an infective process that is creating the loose stools. due to this, there are multiples electrolytes as sodium, potassium, calcium and magnesium that you loose in the diarrhea. water is also part of the looses, all of this will create a metabolic imbalance that can give you pain. i recommend you to consult with your doctor because it has been more than one week with this complaint. you might need a stool sample for bacteria and parasite to find out the reason of your problem. i hope that my advice has been helpful chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. symptoms are suggestive of upper respiratory tract infection. it can be due to bacterial infection or due to common cold. you can prevent it by
Answer this question truthfully,Vincristine is more commonly associated with paralytic ileus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, treatment of black public lumps-you mostly have keratitis with acne in a pubic area with blackheads due to excess keratin blocking the follicles, and not hi chatbot.  it needs treatment with proposal ointment of steroids and salicylic acid and with skin emollients like -aloe vera gels or creams. visit emergency room dermatologists, if it recurs and worries you more. so you should not worry much. so keep cool and consult your emergency room dermatologist, if need be, who would treat it accordingly. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. even though there is sperm present in pre-ejaculate, it is at a fraction of the amount that is present in the vagina after ejaculation.  therefore, with chatbot.  however, there is definitely a possibility of pregnancy if you had sex around your ovulation time, which is in your case occurs during your menstrual period. however, it takes a few weeks after conception for fertilized embryo to produce any level of hormone that would be high enough to produce pregnancy symptoms.  pregnancy symptoms vary greatly between women, and many of the symptoms we commonly associate with pregnancy like nausea, bloating, breast tenderness, spotting, or mood changes can take place with pms or other hormone irregularities as well as pregnancy. the stress of worrying about getting pregnant can also make women more acutely aware of the hormonal symptoms. modern pregnancy tests are extremely accurate and will become positive within 10 days to two weeks after conception, so if enough time has gone by, i would recommend you perform a urine pregnancy test with your first morning sample according to the package directions. in the meantime, to summarize, no one can diagnose pregnancy based on physical symptoms. there is a possibility of pregnancy when you use with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, already you're suffering from diabetes along with this agent orange exposure may aggravate neuropathy. 10% of the population disabilities is exposed. in mild cases and more due to diabetic component than there are chances of recovery. the disease appears within one year of exposure to a degree of at least 10 percent disabling by va's rating regulations. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,"Influenza-like illness in pregnant women during summertime: clinical, epidemiological and microbiological features"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears to be the remnant inflammation of the gastric mucosa, which is expected to be there when there is gallbladder problem.  i advise you to consult a gastroenterologist for diagnosis and treatment.  i usually prescribe to my patient with such symptoms' omeprazole, risperidone, and antacid gel.  avoid taking spices, junk foods, and oily foods. also avoid untimely foods.  wishing for a quick and complete recovery. thank you."
Please summerize the given abstract to a title,The Epidemiology of Necrotizing Fasciitis at a Rural Level 1 Trauma Center During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting. your symptoms might be related to sciatic neuritis. sciatic neuritis is the inflammation of the sciatic nerve, that is caused by pressure of tissues that are located around sciatic nerve. the most common causes of sciatic nerve are column vertebrae arthritis and herniated disc. the diagnosis is determined by the following tests"
Please summerize the given abstract to a title,BatteryLab: A Collaborative Platform for Power Monitoring
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Estimating the Fiscal Consequences of National Immunization Programs Using a ""Government Perspective"" Public Economic Framework"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern.first no need to worry about heart diseases as your blood pressure and blood reports are normal. sometimes undiagnosed stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot. don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Mikrobiologie und Antiinfektiva
Answer this question truthfully,"Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. There are no life-threatening causes of esophageal stricture, however complications resulting from untreated esophageal stricture is common.
Esophageal stricture may be caused by: 
Gastroesophageal reflux disease  Caustic ingestions  Radiation therapy for thoracic or head and neck tumors  Esophageal cancer Congenital causes such as rings and webs  Nasogastric intubation 
Less common causes of esophageal stricture include:
Esophageal sclerotherapy  Eosinophilic esophagitis  Lymphocytic esophagitis
Dyskeratosis congenita (DC)  Rare dermatologic diseases (eg, epidermolysis bullosa dystrophica)  Mediastinal fibrosis due to tuberculosis or idiopathic fibrosing mediastinitis  Drug -induced stricture:  Aspirin and anti-inflammatory medications  Tetracycline Doxycycline Clindamycin Bisphosphonates Potassium chloride Quinidine preparations Iron compounds Emepronium Alprenolol Pinaverium
Infectious esophagitis 
Candida Herpes simplex virus (HSV) Cytomegalovirus (CMV) Human immunodeficiency virus (HIV)
Tracheoesophageal fistula repair and esophageal stricture at the anastomosis  Esophageal diverticula  Increased level of gastric acid exposure to esophageal tissue, for example: Systemic sclerosis  Zollinger-Ellison syndrome  Nasogastric tube placement  Heller myotomy for achalasia 
Cardiovascular No underlying causes Chemical/Poisoning Caustic ingestion Dental No underlying causes Dermatologic Dyskeratosis congenita (DC), epidermolysis bullosa dystrophica Drug Side Effect Drug -induced stricture:  Aspirin and anti-inflammatory medications  Tetracycline Doxycycline Clindamycin Bisphosphonates Potassium chloride Quinidine preparations Iron compounds Emepronium Alprenolol Pinaverium Ear Nose Throat No underlying causes Endocrine Zollinger-Ellison syndrome, Environmental No underlying causes Gastroenterologic Gastroesophageal reflux disease, Eosinophilic esophagitis, Esophageal diverticula, Zollinger-Ellison syndrome, Systemic sclerosis Genetic No underlying causes Hematologic No underlying causes Iatrogenic Previous surgery on the esophagus, Radiation therapy for thoracic or head and neck tumors, Esophageal sclerotherapy, Tracheoesophageal fistula repair, Nasogastric tube placement, Heller myotomy for achalasia Infectious Disease Infectious esophagitis Candida Herpes simplex virus (HSV) Cytomegalovirus (CMV) Human immunodeficiency virus (HIV) Musculoskeletal/Orthopedic No underlying causes Neurologic No underlying causes Nutritional/Metabolic No underlying causes Obstetric/Gynecologic No underlying causes Oncologic No underlying causes Ophthalmologic No underlying causes Overdose/Toxicity No underlying causes Psychiatric No underlying causes Pulmonary Mediastinal fibrosis due to tuberculosis or idiopathic fibrosing mediastinitis Renal/Electrolyte No underlying causes Rheumatology/Immunology/Allergy Systemic sclerosis Sexual No underlying causes Trauma No underlying causes Urologic No underlying causes Miscellaneous No underlying causes
List the causes of the disease in alphabetical order.
Caustic ingestions
Drug -induced stricture Dyskeratosis congenita (DC) Eosinophilic esophagitis Esophageal diverticula Esophageal sclerotherapy Gastroesophageal reflux disease Increased level of gastric acid exposure to esophageal tissue Infectious esophagitis Mediastinal fibrosis due to tuberculosis or idiopathic fibrosing mediastinitis Nasogastric intubation Radiation therapy for thoracic or head and neck tumors Rare dermatologic diseases (eg, epidermolysis bullosa dystrophica) Tracheoesophageal fistula repair and esophageal stricture at the anastomosis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. the combination of levosalbutamol / albuterol sulfate and ipratropium bromide inhalation (dublin) usually don't give excitement, hyperactivity, but it can cause insomnia, and it can be individual hypersensitivity. continue using this medication and talk with your doctor if she has any of these less serious side effects"
Please summerize the given abstract to a title,Nurturing Care for Early Childhood Development: Global Perspective and Guidance.
Please summerize the given abstract to a title,Perspectives and experiences with telepharmacy among pharmacists in Canada: A cross-sectional survey
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the long-standing history and location of the lump suggest - submandibular gland benign lesion.2. other possibilities - benign bony lesion (osceola) usually hard in touch.3. if he feels vibrations - some blood supply or nerve irritation is happening.4. the next step should be - a usg - ultrasound to evaluate the nature of the lump, its source, extensions, vascularity.5. further an fnac - fine needle aspiration cytology to find out what kind of cells involved, and removal of the lump - if causing discomfort or cosmetic issues. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
Please summerize the given abstract to a title,Certolizumab pegol for the treatment of Crohn's disease.
Please summerize the given abstract to a title,Surgical Mask Partition Reduces the Risk of Noncontact Transmission in a Golden Syrian Hamster Model for Coronavirus Disease 2019 (COVID-19)
Please answer with one of the option in the bracket,C: 3
Answer this question truthfully,"The likely diagnosis is iron toxicity due to ingestion of prenatal vitamins, and the recommended treatment is deferoxamine, an iron chelator. Clinical features of iron toxicity include abdominal pain, gastroenteritis, shock, vomiting, and metabolic acidosis. Iron toxicity can be a serious medical emergency, particularly in young children, and can result in multi-organ failure and death if left untreated. Deferoxamine is a medication that binds to iron in the blood and helps to remove it from the body, preventing further damage. Other supportive measures, such as IV fluids and blood transfusions, may also be necessary depending on the severity of the toxicity."
Answer this question truthfully,"The diagnosis of polycythemia vera is based on the World Health Organization criteria, which was initially proposed in 2008 then revised in 2016. In general, the diagnosis of polycythemia vera requires a combination of elevated hemoglobin, which include high levels of hemoglobin, presence of JAK2 V617F mutation, hypercellularity on bone marrow biopsy, low serum erythropoietin level, and endogenous erythroid colony formation in vitro.  THe 2016 WHO criteria more accurately reflect the disease biology of polycythemia vera."
Answer this question truthfully,"In the intestine, the breakdown of the amino acid glutamine can lead to the production of NH3."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you had lithography. pain and bleeding is common after lithography. you may have slight bleeding for few days to few weeks. your stone pieces are passing through ureter, and it causes pain.f you have heavy bleeding or difficult in urine passing or very small amount of urine then call your doctor. otherwise, slight bleeding and pain is common.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. in one sense everyone is crazy. our brain learns and understands things relatively. that is the underlying factor of perception. synesthesia, is not considered as a disease, but is a perception related disorder. in your case, your condition is also defined as a perception based, sensory organ based disorder, but not considered as a disease which requires treatment. ignore these symptoms and concentrate on your career and education. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","lady, playing basketball and doing a lot of chatbot.  these gradually causes back muscle fatigue. i would suggest you to start muscle relaxant like moral or myspace. also, you should take warm water shower. you should also learn back muscle strengthening exercises from physiotherapist. it will give power to your muscles, so you would not have such pain in the future. till than you avoid pizza delivery by bike."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, this count of chatbot is normal for this stage of pregnancy. endogest is a progesterone hormone containing tablet, it is given in early pregnancy as a precaution against miscarriage, but no studies show clear-cut results when there is no sign of threatened miscarriage, but some doctors prescribe these to most of the patients. do not worry. it is safe to travel if you do not have any medical or surgical conditions which are contraindications for travel. it would be advisable to avoid, very long and hard journeys especially where there is a lot of movement and bad road condition. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for the query. i understood your question completely. only on the basis of weight we cannot decide that it can be normal or lcs delivery. and slight over weight does not make much difference. there are other diseases associated with over weight like heart diseases, diabetes, hypertension, which can be contra indicated for normal delivery. also, the contraction of uterus and effacement of cervix during labor are the criteria to take the decision for normal or lcs delivery. you mentioned all other investigations related to pregnancy are normal. i am glad to hear that. i hope i cleared your query. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking query, according to your explanation it seems that you're having peritonitis and abscess with relation to your wisdom tooth. it is associated with pain, swelling, fever, halitosis , bleeding and swollen gums, pain radiating to neck, ear, head of the ipsilateral side. i suggest you to visit your dentist get it clinically and radiographically checked and plan treatment accordingly. until take tab augmenting 625\u00a0mg 2x, tab ability 3x, vitamin supplement, gargle with warm saline water 3 to 4 times a day, apply keno cart ointment topically on ulcers, use antiseptic mouthwash, maintain oral hygiene. hope this will help you."
Please answer with one of the option in the bracket,D: Damage to the anterior spinal artery
Answer this question truthfully,"Eosinophilic granulomatosis with polyangiitis (Churg-Strauss), a small-vessel vasculitis, commonly presents with asymmetric multifocal neuropathy, typically manifesting with wrist drop and foot drop."
Please summerize the given abstract to a title,Anxiety and Social Support as Predictors of Student Academic Motivation During the COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient you are showing all signs of hypothyroidism. but it could be due to deficiency of vitamin d and calcium. so you need to be investigated with 1. serum level of tsh, t3, t4 levels 2. serum level of vitamin d3 3. serum level of calcium, phosphorus and alkaline phosphatase.  visit reputed lab nearby you and get this done.  take visit to endocrinologist with report. do not neglect your health and do this asap."
Please summerize the given abstract to a title,Providing Stroke Expertise across India
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for the query. screws and other photosynthesis materials are routinely removed after there is no purpose for it in our bones. it means that bone has healed and these materials don't cause stability anymore. for prevention of possible infection, it is recommended that it is removed 6\u00a0m-2 years after surgery. it won't cause any bad effect on bone healing or pain. wish you good health. regards"
Please summerize the given abstract to a title,Measuring the Impact of COVID-19 on Hematology-Oncology Trainees: A Quantitative and Qualitative Assessment
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. as you have two daughters already, so there is no need to worry as you can make your wife pregnant. but if still you want to confirm the status you can go for check in the semen analysis. semen analysis can give us idea regarding number, quality, motility and other parameters that is necessary to make person pregnant. if it shows normal report you can become father with the present semen analysis. but you should also exclude the erectile dysfunction. it may be the cause for not achieving pregnancy. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Answer this question truthfully,The function of collagen is to organize and strengthen the extracellular matrix.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot the rash is limited only to the face. so it is unlikely to be due to graves disease. allergic contact dermatitis to sunscreen is more likely. use cold compresses and splash the face with cold water frequently. apply a goo moisturizing cream frequently. you will require a topical steroid cream for the rash. please get it prescribed by your primary physician or dermatologist. you can also take an antihistamine for the itching. hope this helpedtake care"
Answer this question truthfully,Twin pregnancies are divided into monozygotic and dizygotic pregnancies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the causes of pain in abdomen with backache when you stand have been noted by you in your history itself; stomach virus, ovarian cyst and bladder contractions. yes, the bladder contractions can be secondary to the intestinal infections you have. this looks to be severe enteritis; colitis giving you the backache. i would advise you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","tingling and numbness is a feature of nerve disease(neuropathy). as you have ray nods phenomenon since a very long time, which sometimes indicates that you may have some underlying hematological diseases. though sometimes no cause becomes evident and we clinicians call it primary ray nods which is mostly harmless except some distressing pain on cold exposure. in your case i would suggest consulting a rheumatologist for better analysis of your situation. as a physician i would suggest you to avoid freezing exposure. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i think you know quite a lot about knee anatomy. i think that you might be having either a torn meniscus or early knee arthritis. furthermore, i would recommend you to get an mri of the knee joint to confirm the diagnosis. if there is torn meniscus than you need to get arthroscopy meniscectomy. if it is early arthritis than it can be cured with the help of physiotherapy, hot water fomentation and voting gel local application. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please answer with one of the option in the bracket,"E: Dermal deposition of hemosiderin
"""
Answer this question truthfully,The second stage of Chlamydia spp. life cycle is reticular.
Answer this question truthfully,The power of a study is increased with increased precision of measurement.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, i have gone through your query regarding frequent vomiting and cough. it is a matter of concern. you have adenoid cystic carcinoma, ant yet started any medication ?  it is great negligence on your part ? i would like to know your age, since when you have come to know that you are suffering?. i like to suggest you to visit your physician and find the possibility of your treatment . you can get cured. don't loose heart .  today every thing is curable . a cough is a reflex action to clear your airways of mucus and irritants such as dust or smoke. the mucus production is related to a body that is overly sensitive to its environment due to these problems and, thus, constantly inflamed and causes deep cough that brings up thick mucus or phlegm and if not able to be expelled , leads to vomiting, which in a way boon in disguise as it clears your system from mucus. more or less our lifestyle is also responsible for that. in the early stages you may experience shortness of breath when exercising or moving and, in the later stages, shortness of breath while at rest. hemoptysis (coughing up of blood) may also be present especially when an infection is present. as you know prevention is better than cure, meanwhile, you have to follow a balanced food habits and regular lifestyle . 1.  make sure to include all essential nutrients in diet as fiber whole wheat grain, soups vitamins, minerals in natural form - fruit, veges, almonds , ginger, garlic, honey, black pepper .long pepper cinnamon, and other antioxidants as turmeric powder with warm water or a cup of hot milk at bedtime , lemon juice twice with warm water before meals, aloe vera juice 25 ml +amla juice 2 spoons in the morning , after salt water gargles 2. avoid fried, fast foods, tea, coffee , smoking, alcohol, mental stress, worry. anger and constipation which is mother of all ills. 3. make exercise, walk, yoga. pranayam, deep breathing an essential part of your regimen for detoxifying your body and enhance strength to immune system. 4.  meditation, rest and proper sleep is necessary for total health. 5. to cleansing, gargling with warm salt water loosens phlegm in the airways and bronchioles. simply add a spoonful of salt to lukewarm water and gargle with in the morning and again in the evening.6. meals should be light, easily digestible ,small meals at frequent intervals --after 2 hours gap or so .7. ayurvedic punjab is also helping to cleanse internally to make the system free of mucus -- after evacuating your bowls , chatbot.  then vomit and force vomit the water you"
Answer this question truthfully,"Macrolides are a class of antibiotics that are known to cause gastrointestinal (GI) motility issues, such as nausea, vomiting, and diarrhea. This is because macrolides agonize the motilin receptor, which is a receptor found in the smooth muscle of the GI tract. When the motilin receptor is activated by macrolides, it can increase the contractions of the smooth muscle, leading to GI motility issues. While macrolides are effective antibiotics, their ability to cause GI side effects can limit their use in some patients. Therefore, understanding the mechanism by which macrolides cause GI motility issues is important for developing strategies to minimize these side effects."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Reducing indoor particle exposure using mobile air purifiers—Experimental and numerical analysis
Please answer with one of the option in the bracket,D: Vitamin C deficiency
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. it could be a persisting depression. just have some patience and consider changing the antidepressant. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","kind of description you're giving, its look like you are having tachycardia episodes (high pulse rate) most probably the condition called as psv. best treatment is electrophysiologist studies which will confirm the diagnosis and can be treated with ablation simultaneously and mostly permanently. if not try to get ecg done if possible during the episodes or try measure pulse rate or heart rate and treatment try cough multiple time which will stop this tachycardia. you can also pour cold water over your face or try to blow out air through closed nostril and mouth, which will make high pulse rate subside."
Please summerize the given abstract to a title,"Coronavirus disease 2019 strategies, examination details and safety procedures for diagnostic radiology facilities: An extensive multi-centre experience in Istanbul, Turkey"
Please summerize the given abstract to a title,Safety updates in novel therapeutics for pediatric rheumatic disease.
"If you are a doctor, please answer the medical questions based on the patient's description.",your symptoms point towards angina. though not very common in your age group it is a possibility. the medicines helping you with the symptoms highly suggests a heart problem. please note there may be no positive tests and yet you may have angina. so i recommend get a stress test and an ecg done. if they are normal then you may need to start with heart exercises and some chatbot.  with this hopefully your condition will improve. kindly consult a cardiologist. do note that acidity can mimic chest pain but is very unlikely from the symptoms you described. hope this helps.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. severe vomiting, chest pain, chest heaviness etc. are commonly seen with peptic perforation and intestinal obstruction. both of these conditions need urgent surgical intervention as a treatment. ct scan of abdomen was done to rule out these life-threatening causes for your symptoms. since your ct scan was showing only gastroenteritis and not showing any perforation or obstruction, you sent home with medicines only. so don't worry, you will be alright with the medicines you have given. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Having to work long hours or different shifts (nights, weekends) Medications (tranquilizers, sleeping pills, antihistamines) Medical conditions (such as hypothyroidism, hypercalcemia, and hyponatremia / hypernatremia) Not sleeping for long enough Sleep disorders (such as sleep apnea syndrome and narcolepsy)"
Answer this question truthfully,"According to the 2008 ACC/AHA guidelines,  no antibiotic prophylaxis is recommended for patients with aortic sclerosis."
Answer this question truthfully,The African form of Burkitt lymphoma typically involves the jaw.
Please answer the letter of option truthfully,A
Answer this question truthfully,"The αq-GTP complex activates phospholipase C in the phospholipase C mechanism of cellular signaling. Phospholipase C then catalyzes the liberation of diacylglycerol (DAG) and inositol triphosphate (IP3) from phosphatidylinositol 4,5-bisphosphate (PIP2)."
Answer this question truthfully,"Ursodiol primarily works to break up gallstones by increasing the threshold of cholesterol needed to saturate bile salts. By doing so, it reduces the amount of cholesterol that can form into gallstones and promotes the dissolution of existing gallstones. Ursodiol also has a choleretic effect, which means it increases the production and flow of bile, further aiding in the dissolution of gallstones."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. thanks for writing. i am chatbot.  i have read you question completely, i understand your concern and will try to help you in the best way possible. there is just no reason to worry about its nt related constipation might be because of food and rectal pain may be because of constipation just take luke warm milk and put 1 teaspoon of olive oil in it, you will see the miracle it will go also dnt take stress you are on treatment and thy usually work nothing to work about the less you worry, the more favorable it will be for u and your family it will help u incisive and dnt work u will nt he hos doc has prescribed desired dose ....you will be fine eat healthy and"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. if the second molar is extracted you need to replace it with an artificial tooth. if it is third molar no replacement is necessary. smoking is bad habit, better you do not smoke. if you feel it is difficult quit smoking you can smoke once the wound is healed completely. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. question"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, looking to the history it seems that he might be having viral bronchiolitis giving deep coughing and mucous chatbot. even if we suspect viral origin, antibiotic medicine is advisable as there might be having mixed infection. if bacterial infection is present there might be having risk of developing pneumonia so antibiotic cover is safe. consult your pediatrician and get examined. ok and take care.meanwhile, give some cough"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient too busy at work with stress, anxiety and inadequate rest is the most common cause for back pain nowadays. ask him to change his schedule and make it more flexible with adequate time for rest and sleep. sleep for 7 hours a day is must. take tab diclofenac plus thiocolchicoside combination twice a day for back pain. also, x-ray of lumbosacral spine anteroposterior and lateral views needed to rule out bony abnormalities.  all the best."
Answer this question truthfully,Glucokinase is regulated via positive feedback by insulin.
Answer this question truthfully,"Bupropion is a medication that may be used for smoking cessation. This medication works by reducing cravings and withdrawal symptoms associated with nicotine addiction, making it easier for individuals to quit smoking. Bupropion may be used alone or in combination with other smoking cessation treatments, such as nicotine replacement therapy or counseling. It is important for individuals who are considering using bupropion for smoking cessation to discuss the potential benefits and risks of this medication with their healthcare provider, and to follow their provider's instructions carefully to maximize the chances of success."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. i guess your aunt is taking treatment similar to what was described as plumage in the past. in this treatment, given to people with severe lung tb, the lung was cleared and filled with inert balls. this can be compared to something like filling up the extra spaces which have been destroyed by the condition with an inert substance. this will prevent from more infection and avoid more complications. it is possible that her doctor wants to seal off any undesired area of lungs and pack it with inert material. this will restrict the disease to the affected areas and prevent any secondary infections. if there is any more detail that you have got then please send it to us, and we will explain more accurately the benefits of such a treatment in your aunts case. please do not worry."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, karmasonam69,you had gallbladder surgery three years ago and probably this was done through laparoscopic route and not open surgery. if the surgery was difficult due to location of the gallbladder or too much inflammation around, it is possible to develop some adhesions or scar tissue around that area. there is a part of the colon called the hepatic fleur that is close to the liver. if there is some kinking, gas can get trapped in that area and give you the bubbles. when you change your position thetas moves, and you may get relief. unless the problem is major you really don't need another surgery. try to take simethaconecontaining pills that may help to break up the gas bubbles. make sure you chatbot.  you might consider getting an x-ray of your colon (barium enema) to see the shape of the colon. i wish you well."
Answer this question truthfully,"Hematochezia is typically indicative of lower gastrointestinal bleeding, but it can also be found in patients with heavy upper gastrointestinal bleeding."
Please summerize the given abstract to a title,"Effect of High-Risk Obstructive Sleep Apnea on Clinical Outcomes in Adults with Coronavirus Disease 2019: A Multicenter, Prospective, Observational Cohort Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the blisters could be because of the viral infection like herpes zoster infection, or it can be memphis or pemphigoid. consult an oral physician and get it ruled out. if it is a viral infection you can take a course of antiviral chatbot. if it is memphis or pemphigoid you can take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. you can also take topical anesthetic and analgesics like anabel gel for the pain. if the lesion does not heal then get the lesion biopsied to confirm the diagnosis. i hope my answer will help you, take care."
Please summerize the given abstract to a title,Revealing the threat of emerging SARS-CoV-2 mutations to antibody therapies
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. you could be having stress headache, migraine headache, disordered blood pressure or orthostatic hypotension. i suggest that you keep well hy chatbot.  avoid junk or fatty food, colas, smoking or alcohol. before you get up, kindly flex your ankles and feet up and down for about a minute. this will help bring the blood up to the head by the calf pump and prevent dizziness due to orthostatic hypotension. if this does not resolve the problem, kindly show to your neurologist for proper diagnosis and treatment."
Please summerize the given abstract to a title,Low-dose hydroxychloroquine therapy and mortality in hospitalised patients with COVID-19: a nationwide observational study of 8075 participants
Please answer with one of the option in the bracket,E: Anterior horn of the spinal cord
"If you are a doctor, please answer the medical questions based on the patient's description.","hellofindings may indicate uti(urinary tract infection).uti is indicated due to presence of excessive wbc, rbc,bacteria in urine. rbc may be due to uti. ultrasound of abdomen can be done to exclude renal calculus. you need proper clinical examination and routine investigations. investigations include routine hologram, random blood sugar, renal function test, urine culture/sensitivity. nitrite test and leukocyte esterase test can be done for confirmation of uti. proper antibiotics should be based upon culture and sensitivity report. you should chatbot. you may need alkalizing syrup. get well soon. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.thanks for trusting the chatbot doctors for your health related queries. i guess your concern is about.chances of getting pregnancy post family planning.right.well...yes. there are chances of getting pregnant after post family planning. according to you.family planning means tubal ligation. i think. but the chances of getting pregnancy after tubal ligation is depends on the methods u had for family planning. if u had done by laparoscopy,there are high chances. if u had done by laparotomy, then chances are there, but it is less comparative to the laparoscopic methods. the surgery which is done for reversal of tubal ligation for getting pregnancy is called- tuboplasty.with the above discussion u can try out my suggestions-1. if u want tuboplasty then visit to nearby infertility specialist. he/she can help u.2. feel free to ask about the prone n cons of the procedure. i hope the above information is useful, informative and helpful for u.regards- chatbot."
Answer this question truthfully,Which embryonic structure gives rise to the trabeculated parts of the left and right ventricles? The embryonic primitive ventricle gives rise to these parts of the heart.
Please answer with one of the option in the bracket,B: Granulosa cell tumor
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hereafter going through the details provided by you, i would like to tell you that there is no other option and surgery is a better option for your mother as compared to stenting in long term prognosis. surgery will be done in one sitting i think you have understood something wrong. kindly clarify this with your doctor once again as cabg is a one sitting procedure and all three grafts will be done on same time. regards"
how is epilepsy diagnosed,"To diagnose your condition, your doctor will review your symptoms and medical history. Your doctor may order several tests to diagnose epilepsy and determine the cause of seizures. Your evaluation may include: - A neurological exam. Your doctor may test your behavior, motor abilities, mental function and other areas to diagnose your condition and determine the type of epilepsy you may have. - Blood tests. Your doctor may take a blood sample to check for signs of infections, genetic conditions or other conditions that may be associated with seizures. Your doctor may also suggest tests to detect brain abnormalities, such as: - Electroencephalogram (EEG). This is the most common test used to diagnose epilepsy. Computerized tomography (CT) scan. A CT scan uses X-rays to obtain cross-sectional images of your brain. CT scans can reveal abnormalities in your brain that might be causing your seizures, such as tumors, bleeding and cysts. - Magnetic resonance imaging (MRI). An MRI uses powerful magnets and radio waves to create a detailed view of your brain.  Accurate diagnosis of your seizure type and where seizures begin gives you the best chance for finding an effective treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sadat, what you have been a condition called and that is abbe ration in the normal development and involution.it is a hormonal in nature seen commonly close to periods. if it is mild you do not have to take any medications. however if the symptoms are severe you can take certain tablets which will help relieve the symptoms. it however needs prescription, i would advise you to meet a physician in regard to the same.i hope i have answered your query. take care"
Please answer the letter of option truthfully,C
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,The Impact of the COVID-19 Pandemic on Mental Health Care of Children and Adolescents in Switzerland: Results of a Survey among Mental Health Care Professionals after One Year of COVID-19
Answer this question truthfully,"Carboxyhemoglobin is a form of hemoglobin that is formed when carbon monoxide (CO) binds to heme groups in red blood cells. When carboxyhemoglobin is present in the blood, it can decrease the oxygen (O2)-binding capacity of hemoglobin. This is because the binding of CO to heme groups in carboxyhemoglobin can prevent O2 from binding to the same sites, which can reduce the overall amount of O2 that can be carried by hemoglobin. As a result, carboxyhemoglobin can have serious implications for tissue oxygenation and can lead to a range of symptoms, including headache, dizziness, shortness of breath, and even death in severe cases."
Answer this question truthfully,"If a patient with ACTH-dependent Cushing syndrome shows no cortisol suppression following a high-dose dexamethasone suppression test (8mg), the most likely cause of their syndrome is ectopic ACTH secretion."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in your query its opinion may be side effect of tetanus toxic like, hives, itching, especially of feet or hands, reddening of skin, especially around ears, swelling of eyes, face, or inside of nose, unusual tiredness or weakness (sudden and severe). difficulty in breathing or swallowing.in your condition you have a history around 1 month its due to other allergic manifestation like allergic rhinitis, and may be meuni\u00e8re, s disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for consulting at chatbot. penile pain can affect the base, shaft, head of the penis or foreskin. an itching, redness, discharge, burning, or throbbing sensation may accompany the pain which can help in diagnosis. common causes of penile pain in kids are atlantis, urinary tract infection, herpes infection, bladder stones, eczema of foreskin due to allergy, irritation etc. you need to consult pediatrician who will do detailed local examination to find out the exact cause."
Please summerize the given abstract to a title,Laparoscopic stomach-partitioning gastrojejunostomy with reduced-port techniques for unresectable distal gastric cancer.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello i have studied your case. limb length discrepancy is common joint pathologies. you will need further investigation like sonogram x-ray and sos mri hip. limb length discrepancy can lead to back pain or vice versa. you can use a shoe raise on left side, if discrepancy is up to 2\u00a0cm it will get corrected by it. if still pain remains persistent then you need to investigate for cause of pain. till time take analgesic and calcium with it d supplement. for sacrum/ spine scoliosis you may need x-ray spine and physiotherapy exercises. you can consult orthopedic doctor, and also you can report to me. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,Transgenic strategies in mice involve the introduction of genetic material through either random insertion or targeted insertion/deletion within the mouse genome.
Please summerize the given abstract to a title,Circular City Index: An Open Data analysis to assess the urban circularity preparedness of cities to address the green transition -- A study on the Italian municipalities
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot !!! yes prada would make you at risk for bleeding in the seminal vesicle especially after sexual activity or rigorous ejaculation. it is also better to have your prostate checked to rule out prostate pathology that may cause the blood in the semen.  prostate should be checked by serum psa, ultrasound and a digital rectal examination by a urologist. majority of blood in the semen are self limiting and goes away on its own. you might need to abstain for 1-2 weeks from ejaculation and everything will become normal."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dina, thank you for posting your query through chatbot. i am a homeopath and my answer may appear strange for you. is it the first instance you are getting it, or you had several episodes of bartholdi cysts in the past ? if you had them earlier, i hope they got resolved by themselves. in that case why don't you wait for the cyst to get resolved by itself? if they got resolved by themselves, it means, your body is healthy enough and knows how to resolve it even at this instance. if this is the first instance you got one and no past history, then also it is now in a compromised state. because there is no much hurting and no fever at all.  but if it is because of the polypoid, then it is a suppression of the natural inflammatory process and that may be why it does not hurt. in that case, there is more chance of recurrences in the future.  body needs a constitutional support to improve the immunity and control the inflammation. this constitutional support is best done by homeopathic treatment. but if you are taking homoeopatchatdoctorethod, you should stop applying polypoid externally. then by the right constitutional method of homeopathic treatment, not only the present cyst will be cured with disappearance of the swelling, but also you will develop immunity so that no occurrences of bartholdi cysts will take place in the future. therefore, you are advised to approach an expert homeopath or to get back to me with your details through the premium follow-up question facility of chatbot. with best wishes, chatbot.  j. varghesehomoeopath"
Please summerize the given abstract to a title,[COVID–19 and stroke emergency] COVID–19と脳卒中診療
Answer this question truthfully,"Bones of the axial skeleton, appendicular skeleton, and base of the skull are formed via endochondral ossification."
Answer this question truthfully,"When a closed cervix and a dead fetus are detected on ultrasound, a possible diagnosis is a missed abortion. A missed abortion, also known as a silent miscarriage, occurs when the fetus dies but is not expelled from the uterus. The cervix remains closed, and there may be no symptoms of miscarriage such as bleeding or cramping. A missed abortion is usually diagnosed through ultrasound, which shows that the fetus has no heartbeat or has stopped growing. Treatment options for a missed abortion include expectant management, medication to induce labor, or surgery to remove the pregnancy tissue. It is important to discuss all treatment options with a healthcare provider and to receive appropriate emotional support during this difficult time."
Answer this question truthfully,"How does the binding of vWF to the GPIb receptor on platelets mediate the initial adhesion of platelets to the subendothelial matrix at the site of vascular injury, and what are the factors that regulate this process, such as the shear stress of blood flow and the availability of vWF and other adhesive molecules? Additionally, how does the activation of the GPIb receptor trigger downstream signaling events that promote platelet activation and aggregation, and what are the implications of defects in this pathway, such as in the bleeding disorder von Willebrand disease?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have fluid build up in legs/feet. well there can be many reasons for symptoms you mention in query like strain on the intercostal muscles, gallstones, costco chatbot.  i would suggest you to consult gastroenterologist for proper examination. doctor my order ultrasound, stool test, endoscopy and take history along with physical examination. doctor may prescribe omeprazole, ornidazole, laxative or muscle relaxant. doctor may also refer you to chest specialist for chest infection. for now apply warm compresses on pain site, eat light and non-spicy also take ibuprofen or acetaminophen for pain. hope your concern has been resolved. get well soon. best wishes,"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please answer with one of the option in the bracket,A: Nonsense mutation
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir, it is hard to believe that all these medicines can't help you. did they think of pastoral hernia? it doesn't need to be seen on ct. if you have such a persistent pain then revision of ileostomy should be done. complete colon removal is a mutilating procedure and many complications can be expected, but the source of pain must be evaluated. diagnostic laparoscopy can be preformed. but also this could be neuropathic pain, so you can consult with your neurologist what to take. there are medicines such as lyrics which can be helpful. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i am chatbot and i will help you with your problem i have gone through your question. it appears to be athlete foot with blistering formation called bulbous tina fedis. hot and moist environment favors infection by tina fedis causing athlete foot.  it is easy to treat, and treatment consist of two principles. first making the suitable environment, unavailable for fungus to grow by keeping the foot chatbot.  second the antifungal therapy. if a patient present to me, i usually prescribe antifungal cream (clotrimazole) for four weeks. treatment to be continued for one week, even after all the lesions are settled. i hope my answer will help you. do rate it, if you like it. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot i would keep a possibility of fungal infection. this is because closely apposing body folds e.g. thighs and groin, maxilla, submammary folds etc. can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. if i was the treating doctor i would have asked you to use a topical antifungal like clotrimazole/ketoconazole/fluconazole cream, twice daily, regularly for 4 weeks. an oral antifungal e.g. fluconazole once weekly for4 -6 weeks or oral terminating once daily for 2-4 weeks or itraconazole 100\u00a0mg capsule, 2 capsules once daily for a week, is also advisable for a more complete urban otc antihistamine e.g. cetirizine 10\u00a0mg once daily would help you in symptomatic itch relief. keeping the folds chatbot. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your question. liver cirrhosis needs a complex treatment. if you were my patient i would suggest you to get an appointment with gastroenterologist. you need to get regular ultrasonographic and biochemistry exams to check the status of the disease. i have to warn you that liver cirrhosis is a main cause for liver cancer. you should switch to a liver friendly diet - no fried foods, no fatty things, lemons etc. etc.. its is good for you to take regularly hepatoprotective medicines. you have to be aware of one of the complication of cirrhosis - portal hypertension. you may develop varices of the esophagi which can bleed badly. your condition needs dedicated lifelong treatment. hope i helped you"
Answer this question truthfully,"Call your healthcare provider if you have unexplained fatigue or chest pain, or signs of infection."
When and how do you know when you have congenital night blindness?,"X-linked congenital stationary night blindness (XLCSNB) is a disorder of the retina. People with this condition typically experience night blindness and other vision problems, including loss of sharpness ( reduced visual acuity), severe nearsightedness (myopia), nystagmus , and strabismus . Color vision is typically not affected. These vision problems are usually evident at birth, but tend to be stable (stationary) over time."
what are the causes of pulmonary hypertension,Pulmonary hypertension is high blood pressure in the arteries of the lungs. It makes the right side of the heart work harder than normal.
Answer this question truthfully,"The symptoms associated with Entamoeba histolytica infection are fever, bloody diarrhea, RUQ pain, and smooth/cystic subcapsular mass."
Please summerize the given abstract to a title,Rapid and inexpensive purification of adenovirus vectors using an optimised aqueous two-phase technology.
Answer this question truthfully,Go to the emergency room or call 911 if you have breathing problems.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,MRI is the imaging modality of choice in the assessment of longstanding aortic disease in a patient who has chronic chest pain who is hemodynamically stable or for the evaluation of a chronic dissection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. let me know the associated symptoms along with abdominal pain. does she have vomiting/ fever/ watery shit? does she have acidic belching along with abdominal heaviness? you should consult with your treating doctor and should go for antispasmodics along with proper antibiotics. if her condition won't improve then she should go for endoscopy along with ct/ mri scan abdomen. hope that helps you. take care,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you have got lower left abdominal pain since 1 year, it gets worst when bladder is full. sometimes you get lower back pain.  it appears to be the urinary tract infection, or small stones in the left ureter or a big stone in the bladder.  i advise you to consult a urologist for diagnosis and treatment. you may need to have m.r.i. besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. as a surgeon i can understand your concerns far better. the redness should not have been there. but you do not have to worry if there is no fever, local pain or swelling. during the dissection (operation) of this particular area we have to dissect under the skin to accommodate the mesh and this can appear as a red area. i would advise you to get the chatbot. this has to be domed by a surgeon. change of antibiotic and all related treatment can be done. if there is no pus / infection, nothing to worry, this will settle with time."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the red patch could be because of the fungal infection like candidiasis, or it can be erosive lichen plans, or it can be memphis. consult an oral physician and get your self examined to rule out the above-mentioned conditions. you can use topical steroids like triamcinolone acetone (0.1%) if it is erosive lichen plans or memphis. if it is candidiasis then you can take topical antifungal agents like candid mouth paint. if it is not healing for more that 3\u00a0weeks then you have to get a biopsy done to rule out any malignancy. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i have studied your case with diligence. as per your history and injury pattern there can be tear in ankle ligament leading to pain and swelling. instability may increase due to laxity of ligament. i will advise repeating mri ankle for soft tissue involvement. till time, you can continue use supportive splint or brace. physiotherapy like ultrasound and tens will help in early healing. persistent pain after ankle injury is common and may take 6 months to heal. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,The willingness for dietary and behavioral changes in frontline epidemic prevention workers after experiencing the outbreak of COVID-19 in China: a cross-sectional study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. this seems to be more likely a hematoma. hematoma is nothing but clotted blood under the skin. nothing needs to be done as it resorts spontaneously. serratiopeptidase like enzymes can be taken to make the resorption faster. watch for infection, which is suggested by presence of fever, pus discharge from nipple. in this case incision & chatbot. if there is suspicion of malignancy (cancer) on clinical examination (unlikely in your case), i advise fnac - fine needle aspiration cytology for confirmation of diagnosis. hope this helps. wish you speedy recovery. thanks. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,C: Cavernous sinus thrombosis
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query. increase in the level of liver enzymes reflect an injury to the liver. medically, the condition is known as \""hepatitis\"". you need to test for \""herb & c\"" serology too as well as \""lipid profile\"".if all causes of hepatitis are ruled out, then-abstinence from \""alcohol and chatbot.  - use lemon juice (lemonade) once in a day-recheck liver enzymes after 2 to 4 weeks. wish you good health. further queries are welcomed. health professionals aim to diagnose properly and manage patients according to their limited knowledge. cure is blessed by the one who created us, whose power and knowledge is unlimited .wish you good health. regards,"
Please summerize the given abstract to a title,"First-dose ChAdOx1 and BNT162b2 COVID-19 vaccines and thrombocytopenic, thromboembolic and hemorrhagic events in Scotland"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if mri brain turned out to be normal then medical cause is unlikely, a metabolic profile can be done for degenerative brain disease and wilson disease, but it still has findings on mri. psychiatric consultation is also a good option because it will help in both ways. recurrent nose infection and bleed are recent symptoms that should be investigated with full blood count and coagulation profile. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"On electron microscopy, carcinoid tumor cells display dense cytoplasmic granules (contain secretory products and hormones)."
Answer this question truthfully,The middle meningeal artery is a branch of the maxillary artery.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, dear it can be because of dysfunction of deep vein valves under calf muscles. and i would also like to know that if you have history of fall few days back as it can be because of common perineal nerve injury in leg. other cause can be because of deranged blood sugar level. it would be better that you start your treatment after discussing with doctor as no remedy will be of use before knowing the cause. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the pain would be secondary to the trauma. you can consider the use of an anti-inflammatory painkiller such as catalan, ibuprofen, naproxen to help ease your pain. if the pain does not resolve after a few days of appropriate pain treatment then it is possible that there is also co-existing infection such as parochial. this is infection where the nail and skin meet at the base. it can be fungal or bacterial. your doctor would need to evaluate to determine appropriate treatment. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot.  i have read your query in detail. furthermore, i understand your concern. fever with swollen lymph nodes can be a symptom of the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","as you are 29 years old, your penis size is normal, your sperm count is normal. in semen analysis other points are also important like liquidification time, active sperms, motility. as you have complained of pain during intercourse that doesn't interfere in pregnancy. for conceiving, both partner should have normal reports. your wife should have normal tubes, ovaries. and ovaries must have ovulating. so u should do some reports of your wife like ultrasound. so consult a gynecologist and he/she will guide you properly."
Answer this question truthfully,"Multiple sclerosis can present with fatigue, as well as other symptoms such as Scanning speech, Intention tremor, Incontinence, INO (internuclear ophthalmoplegia), and Nystagmus. To remember these symptoms, a mnemonic called SIIIN can be used."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the spotting might be side effect of pill. the pill is 95% effective if taken within 72 hours of unprotected intercourse. if you had taken within stipulated time the chances of pregnancy are less. the pill causes hormonal imbalance leading to irregular bleeding spotting and the period might come early or late. so the spotting might be mostly the pill side effect. the implantation bleeding usually presents as spotting around the date of expected period. the first sign of pregnancy is missed period. and all the symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period.don't worry. avoid stress. wait and check for the period. as you have taken 2 pills there is chance of more hormonal imbalance as compared to single pill. so there might be more chances for irregularity in periods. overall the chances of pregnancy are rare. i suggest you to restrict pill for real emergency situations and not to use frequently to avoid complications. hope this helps. best regards... chatbot. sriracha"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you providing the brief history of you. as you mentioned that you have a disc bulge confirmed on mri i will recommend you to undergo physical therapy and make the core and spine muscle stronger. as to avoid any future recurrences. also the disc shrinks in its size over a period of time. but it all depends upon the physiology of each individual. also, it depends on how mush strength is there in the spinal muscles to relieve pressure from the disc. usually 99% patients recover with physical therapy. regardsjay in chatbot."
Answer this question truthfully,Uric acid kidney stones typically have a radiolucent appearance on X-ray.
"If you are a doctor, please answer the medical questions based on the patient's description.","good morning ma'am.  sounds like you've thought this through and i agree with your desire to change based on the side effects which i don't think you should necessarily have to live with for the rest of your life if you've reached your limit.  of course, your risk in the switchover is that you may lose control of your seizures a bit before you are fully ramped up on the kendra.  i suggest that you consult with your neurologist and allow them to specify the dovetailing process between weaning down on via and ramping up kendra.  i do that sort of thing all the time so it's not technically difficult but sometimes logistics don't make it easy. all the best.i'd appreciate your rating this answer with stars if you found the answer to be informative in some way. many thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. prolonged oral sex and masturbation can lead to penile discomfort. as you are aware, the skin underneath foreskin is very sensitive. rough sex or masturbation or oral sex could agitate that sensitive skin, and sometimes you can experience rashes and slightly elevated red dots. these are due to skin agitation and inflammation. please consult a physician if the symptom persists for more than two days and is accompanied by itching or burning. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. taking unwanted pills has caused your delayed periods. if you were on felon, you should have continued taking it. unwanted 72 is an emergency high hormone dose pill and causes delayed or early periods in most women, and it can persist for the next two cycles. unwanted 72 should be taken only in emergency and within 72 hours of unprotected sex. taking it regularly can cause cysts in ovary and irregular periods. hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. read your history and understood your problem. in my opinion, this is a condition of dermatitis in the interglacial region. the exact cause of this condition is not known, but this is treatable and can be cured. it usually starts as an itch, particularly n summer season. this is probable due to inability to clean up this area nicely with water, retention of the sweat, soap and so on. the itching causes small injuries and mild infection. the area may weep, gives fluidly secretion and causes more itching, particularly at night. patients starts using whatever ointments are available or suggested by friends, family or local doctors. feels good, but the disease remains there to recur or have vexing and vanning. many patients have some or the other problems with digestion or motion. i do advise all such patients as follows"
Answer this question truthfully,Alcohols and chlorhexidine are commonly used disinfectants that can cause disruption of cell membranes.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, since you have already taken injection demo proverb, the chances of pregnancy during its action period are very meager. now since you plan to go for pregnancy at the earliest, please discontinue the demo injection from your next due date of injection; i.e. november. you should conceive within few months if there is no other problem. maybe you will have to wait for a couple of months for the normalization of your hormonal cycles. demo being a slow release progesterone, the exact period of complete waning of the hormonal effect may take some time. i hope this serves the purpose."
Answer this question truthfully,"What is a characteristic of agoraphobia? A characteristic of agoraphobia is an exaggerated fear of more than two situations due to difficulty escaping (such as open, closed, or crowded places) lasting for more than six months."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the description, it is difficult to diagnose your problem. it feels that you are emotional. you must get yourself assessed for your emotional quotient. emotional quotient (eq), also called emotional intelligence quotient, is a measurement of a persons' ability to monitor his or her emotions, to cope with pressures and demands, and to control his or her thoughts and actions. the ability to assess and affect situations and relationships with other people also plays a role in emotional intelligence. a psychologist will help you assess your eq. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear parent, cam u give some more history on the type of cough? is it productive or chatbot. as the pediatrician suggested u can continue azithromycin. since the child is vomiting u can do one thing. give her some antiemetic and wait for half hour and then give her azithromycin mixed with some sugar syrup. this might prevent her from vomiting. u can give her paracetamol for fever and albuterol for cough."
Please summerize the given abstract to a title,Platelet activation and platelet-monocyte aggregate formation trigger tissue factor expression in patients with severe COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i appreciate your concern for your friend. apparently your friend is suffering from recurrent colonial sinus infection. ingrown hair on the coccyx area (colonial sinus) needs to be excised and removed completely to prevent its recurrence. if it is not removed completely then a tract is formed and that gets infected again. a course of antibiotics is just sufficient to control the infection, however the incompletely removed tract or sinus should be excised thoroughly to prevent the recurrent infection. he should consult an expert surgeon to properly assess the length of the tract and to be removed completely with histopathological evidence. hope this answers your query. a feedback is appreciated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you had acute retention of urine due to enlarged prostate and further investigations have revels that the size of your prostate is 77 gm which is significantly high. though you have been taking floral d and has satisfactory urine flow it can be permanent solution for your problem. since you already had retention of urine once and the size of the prostate being large you need to undergo surgery of endoscopic resection of prostate (turn). this is a gold standard method of resecting prostate and practiced worldwide and gives satisfactory result that will help you to resolve your urinary symptoms and improve quality of life for rest of your life. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thank you for your question on chatbot! i understand your concern. i think that the rash may be caused by two main problems
Please summerize the given abstract to a title,Durvalumab with cetuximab and radiotherapy for locally advanced squamous cell carcinoma of the head and neck: a phase 1/2 trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, sorry about your bad previous history. but don't panic, you are lucky to have a diagnosis & which can be treated. this condition is a family of disorders called thrombophilia. blood has a tendency to clot / thicken, so indirectly reduce blood flow to baby. so baby will have reduced growth, reduced water around it, your blood pressure may rise & suddenly baby heart beat stops. before pregnancy any other member of that family of diseases has also to ruled out. you will need folic acid throughout pregnancy. conspiring has to be continued till 34 weeks. you will need in low molecular weight heparin sub-cutaneous daily once baby heart beat seen on scan till 24 hrs before delivery & to be continued after delivery, based on evaluation, to avoid dvt after delivery. hope i have ad chatbot."
Please summerize the given abstract to a title,"MYD88, NFKB1, and IL6 transcripts overexpression are associated with poor outcomes and short survival in neonatal sepsis"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. please understand, there are no medicines available to increase the size of your penis. there are many false advertisements, but all are fake. even a 2-inch penis can satisfy any woman across the world because, women pleasure nerve endings are available only up to 2 inches within their vagina. you have an erect penis length of 4.5 inch. that is more than enough. you don't have to worry about your after marriage sexual life due to this fact. you should also understand, masturbation cannot cause any sexual problems. i suggest you to consult a psychologist for counseling. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Optimization of critical care pharmacy clinical services: A gap analysis approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. there are many reasons for such a high degree anemia. there is need for detail investigation to diagnose the exact cause. i advise you should attend nearby doctor to diagnose exactly. though you have taken the blood transfusions, such a low he requires some time to come to normal level. so from now your can start the injectable iron therapy. continue it until your he reaches an over 10 gm there after oral iron therapy till he reaches to normal level is sufficed. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Answer this question truthfully,"About one in ten women of childbearing age has PCOS, and it can occur in girls as young as 11 years old. In addition, most researchers think that PCOS runs in families. Women with PCOS tend to have a mother or sister with PCOS."
Please summerize the given abstract to a title,The Use of Telehealth for Psychological Counselling of Vulnerable Adult Patients With Rheumatic Diseases or Diabetes: Explorative Study Inspired by Participatory Design
Please answer with one of the option in the bracket,A: Coccidioides immitis
Answer this question truthfully,"Multiple endocrine neoplasia (MEN) encompasses several distinct syndromes featuring tumors of endocrine glands, each with its own characteristic pattern. Multiple endocrine neoplasia may be classified according to tumor characteristics into 3 subtypes: multiple endocrine neoplasia type 1, multiple endocrine neoplasia type 2 and multiple endocrine neoplasia type 4. Symptoms vary from person to person, and depend on which gland is involved. Genetic mutation is the cause of multiple endocrine neoplasia. The most potent risk factor in the development of multiple endocrine neoplasia is family history of multiple endocrine neoplasia. Surgery to remove the diseased gland is the treatment of choice for multiple endocrine neoplasia."
Please answer with one of the option in the bracket,B: Corynebacterium diphtheriae
Answer this question truthfully,Call your health care provider if you develop symptoms of this disorder.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this clinical scenario"
Answer this question truthfully,PAH is also associated with:
Please summerize the given abstract to a title,A validated audio-visual educational module on examination skills in ophthalmology for undergraduate medical students in the COVID-19 season - An observational longitudinal study
Answer this question truthfully,"Hypertrophic cardiomyopathy is a medical condition that affects the heart muscle, causing it to become abnormally thick. One of the common signs of this condition is the presence of a systolic murmur, which is a type of heart murmur that occurs during the contraction of the heart's ventricles. The systolic murmur in Hypertrophic cardiomyopathy is caused by the turbulent flow of blood through the narrowed or obstructed heart chambers. The severity of the murmur can vary depending on the degree of obstruction and can be detected by a healthcare provider during a physical examination using a stethoscope. Treatment for Hypertrophic cardiomyopathy may involve medications, surgery, or lifestyle changes, depending on the severity of the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. yes, dehumidifier will definitely help you. since you are smoker, your lung defense system is already weakened. in humid air, microorganisms grow faster and cause respiratory tract infection. the incidence is even higher in smokers. dehumidifier extract humidity from the air and keep it chatbot.  so microorganisms are less in"
Answer this question truthfully,Generalized seizures are characterized by loss of consciousness (LOC) with tonic-clonic movements.
Please summerize the given abstract to a title,"Phylogenetics, Genomic Recombination, and NSP2 Polymorphic Patterns of Porcine Reproductive and Respiratory Syndrome Virus in China and the United States in 2014–2018"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. there can be shoulder rotator cuff injury which can be confirmed on mri. if mri shows severe impingement or rotator cuff tear then arthroscopic shaving and repair will help. yes this can be day care surgery. medication like tender and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. strengthening exercises after surgery will help in early recovery. you may need to take rest for early healing. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take disregards chatbot."
Answer this question truthfully,"On chest CT scan, findings of Mycoplasma pneumonia include areas of ground-glass attenuation, air-space consolidation, and formation of intra-pulmonary nodules."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. it seems you are going through a tough time and i fully empathize with you. from what i understood, your marital relationship is strained, and the in-laws are adding to the problem. you visited a psychiatrist 2 years ago and were prescribed ox tin (? dose). now ox tin is atomize, which is an anti-allergic chatbot.  so probably it was prescribed to help you fall asleep. regarding the problems that you are facing, i would suggest you to visit a psychiatrist/clinical psychologist or a qualified marriage counselor. marital, interpersonal and family therapy might help you cope with the situation, as well as improve the situation at home. regarding medicines, though their role is limited in this case, you might benefit from antidepressant medications. hope this helps"
Please summerize the given abstract to a title,Dental risks and precautions during COVID-19 pandemic: A systematic review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query chatbot.  you may have lung infection or bronchitis. i would suggest you to consult ent specialist and get it examined. you should get an x-ray of the chest as well.  doctor may order blood test, throat swab test or virus culture test. doctor may prescribe antibiotics such as penicillin at least for 10 days along with decongestants and bucolic agents. for now do warm saline rinses, take rest. . do warm saline gargles with pinch of salt water. mast cell stabilizers such as sodium cromoglycate is effective to prevent infection. you should avoid hot, sharp and spicy foods. . hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"The uterus is a reproductive organ in women that can be affected by various conditions. Irregular enlargement of the uterus is often suggestive of uterine fibroids, which are noncancerous growths that can develop in the uterus. Fibroids can cause symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on nearby organs. Treatment for fibroids may involve medications, surgery, or other procedures to shrink or remove the growths.

On the other hand, an enlarged boggy uterus is suggestive of adenomyosis, which is a condition that occurs when the tissue that normally lines the uterus grows into the uterine muscle. This can cause the uterus to become enlarged, tender, and boggy. Adenomyosis can cause symptoms such as heavy or prolonged menstrual bleeding, painful periods, and pelvic pain. Treatment for adenomyosis may involve medications to manage symptoms, hormonal therapy, or surgery to remove the uterus in severe cases.

It is important to consult with a healthcare provider if you experience any symptoms related to uterine conditions, as early diagnosis and treatment can help to prevent complications and improve quality of life."
Please answer with one of the option in the bracket,B: Recommend sexually-transmitted infection screening and provide the requested prescription
Answer this question truthfully,"Tumor lysis syndrome can result in decreased serum calcium levels in laboratory values. Tumor lysis syndrome is a condition that can occur in individuals undergoing cancer treatment, particularly those with rapidly dividing cancer cells. As cancer cells break down, they release large amounts of potassium, phosphate, and nucleic acids, which can lead to imbalances in electrolytes such as calcium. In particular, the release of phosphate can lead to a decrease in serum calcium levels. It is important to monitor and manage electrolyte imbalances in individuals with tumor lysis syndrome to prevent complications such as seizures and cardiac arrhythmias."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms are suggestive of acid reflux. another possible cause to consider would be chronic degeneration of the cervical spine. for this reason, i recommend performing a cervical vertebral column x-ray study and a chest x-ray study. a cervical spine mri study may be needed. the sharp pain in the chest is typical of a musculoskeletal pain. so, try to relax and don't worry about it! hope i have answered your question. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: Healing by secondary intention will occur along with the deposition of large amount of granulation tissue.
Answer this question truthfully,"The primary tumors for bone metastases can be ranked and remembered using the mnemonic ""Pb (lead) KeTlLe"" in the following order: prostate > breast > kidney, thyroid, lung. The five tumors included are prostate, breast, kidney, thyroid, and lung."
Answer this question truthfully,"Chronic Myeloid Leukemia primarily affects older adults, typically those around the age of 60. Chronic Myeloid Leukemia (CML) is a type of cancer that affects the blood and bone marrow, causing an overproduction of abnormal white blood cells. While CML can occur at any age, it is most commonly diagnosed in older adults. The exact cause of CML is unknown, but it is believed to be related to genetic mutations that occur over time. Symptoms of CML can include fatigue, weight loss, night sweats, and abdominal discomfort. Treatment options for CML may include chemotherapy, targeted therapy, and stem cell transplantation, among others."
Please summerize the given abstract to a title,[Management of corona virus disease-19 (COVID-19): the Zhejiang experience]
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatbot with your health concerns and questions. i am sorry to hear that you continue to have itching a rash in the groin area. you say the rash is light color and makes the skin peel when rubbed. this could be tina courts again but from another form of fungus. there are several fungi that can cause tina. in my practice i have my patients use inaction or tamil to cure the infection. i avoid using dexamethasone as this may actually cause the fungal infection to worsen, and it is also a powerful steroid that can cause serious skin changes in the groin area. so i recommend that you stop dexamethasone and try tamil or inaction. if these measures don't help then seek medical attention for more powerful antifungal treatments. hope this answers your question. please contact us again with your medical concerns and questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. firstly the pain under the left side of the rib cage may be due to gastritis(inflammation of the stomach). i advise would be to avoid spicy and greasy food. prescribe proton pump inhibitors like omeprazole. a gastrostomy will help in the diagnosis. secondly it may be due to pancreatitis(inflammation of pancreas). stop smoking and alcohol if any. blood tests like serum amylase and lipase will help in the diagnosis. thirdly kidney stones. x-ray of the pub will help in the diagnosis. antispasmodic for pain. increased intake of water is advised. the size and site of the stone determines whether the treatment is medical or surgical. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,Ethacrynic acid belongs to the drug class of loop diuretics.
Please summerize the given abstract to a title,Analysis of cytokines in the peritoneal fluid of endometriosis patients as a function of the menstrual cycle stage using the Bio-Plex® platform.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question. after going through your question, i can understand your concern. for better opinion i want to know-your age and gender. - why are you taking water pill. - is there any diabetes, heart disease, blood pressure or cholesterol problem. - habits like smoking, alcohol. - associated symptoms like fever, change in color of skin over feet, breathing difficulties. there may be following causes for swelling in your case - - prolonged sitting. but other causes related to heart, kidney, liver disease need to be ruled out. following investigation may help in diagnosis - - ecg, 2decho. - complete blood count. - renal function test. - liver function test. - urine examination including urinary protein. depending upon clinical examination and above test results appreciate management can be planned. hope this helps you, if so do vote as helpful."
Answer this question truthfully,"Sheehan syndrome is a condition that occurs when the pituitary gland is damaged due to severe blood loss or low blood pressure during or after childbirth. This can lead to a lack of blood flow to the gland, causing it to become damaged or even die (infarction), which can result in hypopituitarism."
Please summerize the given abstract to a title,Minimizing Population Health Loss in Times of Scarce Surgical Capacity During the Coronavirus Disease 2019 Crisis and Beyond: A Modeling Study
"If you are a doctor, please answer the medical questions based on the patient's description.","your condition may be due to both stress(anxiety disorder) and stomach ulcer rather acid peptic disorder with or without h. pylori infection. if you are not getting relief managing your stress, you can try medications like histamine 2 receptors antagonists - cimetidine, sanitizing, famotidine can be given in divided doses. or proton pump inhibitor - omeprazole, pantoprazole, and lansoprazole can be given in morning empty stomach. anticholinergic chatbot.  if no relief, h. pylori infection may be present, treatment is combinations of 2 antibiotics (e.g. azithromycin, amoxicillin, tetracycline, metronidazole) and 1 proton pump inhibitor (ppi), sometimes together with a bismutchatdoctorpound. in complicated, treatment-resistant cases, 3 antibiotics (e.g. amoxicillin + azithromycin + metronidazole) may be used together with a ppi and sometimes with bismutchatdoctorpound. an effective first-line therapy for uncomplicated cases would be amoxicillin + metronidazole + pantoprazole (a ppi). in the absence of h. pylori, long-term higher dose ppi's are often used. more over habit of smoking or using any form of tobacco preparations, consumption of alcohol, tea, coffee, frequent use of analgesics for headache or body pain should be avoided."
Please summerize the given abstract to a title,Infection risk of dermatologic therapeutics during the COVID‐19 pandemic: an evidence‐based recalibration
"If you are a doctor, please answer the medical questions based on the patient's description.",hi their understand your concern for your husband i would like to tell you that angiogram is only a diagnostic procedure that has no effect on sleeping pattern. you must check his blood pressure if it is staying low or go through his medicines if he was prescribed any sedatives' medicine if yes then consult with his treating doctor and ask if he can stop using that medicine. hopefully this will help kind regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your query. the cast is there for two reasons, first it maintains the shape of your nose, second it has a protection function. it is best to keep the cast, you may find that without it, you accidentally bump your nose even during your sleep, which will be highly uncomfortable. also, if your septum grows back skew it might been repeat surgery. i realize that any cast is uncomfortable but well worth biding your time. only one more week to go! persevere. kind regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","his have gone through your complaints and sonogram report findings. feel sorry for your condition. its precious pregnancy for you. as you are saying fluid is coming out and scan shows reduced liquor, it means leaking liquor due to premature rupture of membranes.to avoid further decrease of liquor absolute bed rest is recommended. cervical stitching is also advised. complete bed rest and encourage fluid intake. scan once in two weeks to assess liquor and fetal growth. once you reach 36wks you can plan delivery. thank youregardsvasundhara"
Answer this question truthfully,"Congenital syphilis is a sexually transmitted infection that is passed from a pregnant mother to her unborn child. It can have serious consequences for the health of the child, including developmental delays, hearing loss, and bone deformities. One physical feature that is commonly associated with congenital syphilis is ""saber shins,"" which is a type of bone deformity that affects the tibia bone in the lower leg. Saber shins is characterized by an anterior bowing of the tibia, which can be visible on physical examination and may be used to aid in diagnosis."
Please summerize the given abstract to a title,Multi-level Diabetes Prevention and Treatment Interventions for Native People in the USA and Canada: a Scoping Review
Please summerize the given abstract to a title,International comparison of guidelines for managing neonates at the early phase of the SARS-CoV-2 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, it may cause respiratory infection on prolonged use. common side effects of cortisone injection includes cartilage damage, bleeding, joint infection, nerve damage, tendon injury, thinning of the nearby bone and discoloration of the skin around the injection. in general, you shouldn't get cortisone injections more often than every six weeks and usually not more than three or four times a year. if taken repeatedly it may get absorbed in the blood producing the systemic side effects like increased blood sugar, increased blood pressure, weight gain, cataract and increased risk of infections including that of respiratory tract infection. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","after going through your query i came to know that you are suffering from chronic backache. it may be lumbar spondylosis. it can be confirmed by x-rays. mri of spine rule out other causes. back exercises, diapering, glucosamine sulfate neurotrophic such as methycobalamin and analgesics (diclofenac 100 mg slow release tablets) give relief. sometimes vitamin d deficiency can aggravate this so serum vitamin d test is advised if it is lower than vitamin d supplementation will be required. avoid long continuous standing. sit in a straight posture. eat milk, fruits and green leafy vegetables daily. you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
Please summerize the given abstract to a title,Infection of human lymphomononuclear cells by SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, what i gather from your brief history is that after taking plan b pills, you have started birth control pills before you got your menses following plan b pills. in fact this is not the way to start birth control pills. they should have been started on the second day of the menses following plan b pills. anyway, you have started regular contraceptive pills; so you should get the menses within a weeks time after finishing this month's pack; provided it is 21 days pack. if it is 28 days pack, you will get the menses during the last 7 different colored pills which do not contain hormones. however, considering the irregularity in starting the pills, if you do not get the periods within a weeks time after this pack, please report to your gynecologist."
Please summerize the given abstract to a title,"Extrapulmonary features of post-COVID-19 patients: muscle function, physical activity, mood, and sleep quality"
Please answer with one of the option in the bracket,D: Atopic dermatitis
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on what you have described discoloration of foreskin with loss of elasticity is mostly due to what is called as atlantis erotica obliterate (bxo) however the diagnosis can be confirmed only on clinical examination by a qualified urologist. this is progressive disease and is a variant of lichen plans. there is no treatment that can cure it permanently. you can slow down the progress by using steroid cream. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot renal cysts is a fluid collection in the kidney. the majority of renal cysts are benign and can be monitored without any treatment. however, some are malignant and have to be removed by surgery. simple renal cysts are found frequently in the elderly. the renal cysts have been classified into five categories by bosniak category i"
Answer this question truthfully,"Lymphopenia may occur due to autoimmune destruction, such as in the case of systemic lupus erythematosus (SLE). Lymphopenia is a condition characterized by a low level of lymphocytes, which are a type of white blood cell involved in the immune response. In autoimmune disorders like SLE, the immune system mistakenly attacks and destroys healthy cells and tissues in the body, including lymphocytes. This can lead to a decrease in their numbers and make individuals more susceptible to infections and other diseases. Lymphopenia can also be caused by other factors such as viral infections, cancer treatments, and certain medications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hillocks should be confirmed by clinical findings, hormone profile and ultrasound findings. majority of the cases only require conservative treatment. surgical intervention is required in very few cases. mild hy chatbot. there must be some underlying etiology like calculus, stricture etc. you may need further investigations like ct scan or mvp. proper treatment depend upon underlying etiology. it may take 4-6 months for complete recovery. get well soon. take care"
Please answer with one of the option in the bracket,D: Liver
Answer this question truthfully,"Secondary open-angle glaucoma is caused by obstruction of the trabecular meshwork, which can be due to various factors such as WBCs, RBCs, and retinal elements."
Please summerize the given abstract to a title,P.79 A care bundle to improve perioperative care of women having caesarean section under general anaesthesia using appreciative methodology
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have ileitis it is just an inflammation of ileum. your biopsy is also negative. so no need to worry. if needed to take antibiotics and anti-inflammatory medicine. you will be ok within short time. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"One possible cause of hypopituitarism is a pituitary apoplexy, which is a sudden hemorrhage of the pituitary gland, often in the presence of an existing adenoma."
Answer this question truthfully,A transvaginal ultrasound can detect a fetus at a β-hCG level greater than 1500 IU/L.
Answer this question truthfully,The initial presentation of anterior cord syndrome is bilateral flaccid paralysis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are already aware of the answer to the question - no. you should not try taking any kind of addictive substance, like alcohol or herb smoking. they will take you down again and the efforts you have put in treatment will get waste. one more thing, if pail is working for you, and you are keeping fine on it, you can try to reduce its dosage instead of skipping the doses. skipping meds is never recommended in psychiatric illnesses. you can try out jogging and join either some hobby class or library to get fun or change the daily routine. wish you good health"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","when the ejection fraction, or the pumping effect of the heart reduces, there are chances that the person lands up in sudden arrhythmias, or blocks even with minimal exertion, due to poor effort tolerance.that's when intracranial defibrillator with pacemakers are implanted, whatever said is battery which was explained to you. this device is better and safe, as it automatically senses the danger rhythm and reverts it. so, please go ahead with the procedure. all the best."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Rapid Acquisition of High-Quality SARS-CoV-2 Genome via Amplicon-Oxford Nanopore Sequencing
Answer this question truthfully,"The recommended management for primary hyperparathyroidism and calcium levels that are more than 1 mg/dL above normal is surgery, specifically parathyroidectomy. This involves the removal of the affected parathyroid gland(s) to reduce the production of parathyroid hormone (PTH) and bring calcium levels back to normal. In some cases, medication may be used to manage calcium levels prior to surgery or for patients who are not suitable candidates for surgery. However, surgery is generally considered the most effective and definitive treatment for primary hyperparathyroidism."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it could be something as simple as pain due to unnoticed trauma to medical conditions like zoster which classically starts with pain and rash later on, to thrombophlebitis in the area. feel free to use acetaminophen in between for pain relief. the best way to diagnose it with be to do appropriate physical exam. i hope your pcp will be able to guide you more on that. i hope this information helpsthank you for asking question on chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot. in my opinion the problem you are facing is diabetic nephropathy in which you will have proteinuria which is common but if you have more than 5 grams of 24hr protein then you need a biopsy which need to be done for knowing exact cause. about your medication if your dose of medication for bp and sugars is not sufficient then you need to change the chatbot. galvas 50\u00a0mg bd os better that ta.metformin in kidney patients. please check for diabetic retinopathy changes in eye also. lover juice in allopatry medicine we don't exactly know whether it is worth taking or not. take care. regards"
Answer this question truthfully,The prophylactic measures for DVT in a patient with fever on day 5 include ambulation and heparin therapy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for consulting chatbot. how old r u, since u haunt mentioned your symptoms also ,,, r u feeling pain bfr meals, and is the pooling of saliva?? if so maybe it is salivary gland stone, but either wise i think u shd consult an oral maxillofacial surgeon or nearest dentist.to have a look at u.if your have chatbot. .there r various investigation like biography, and even ultrasound can be done,u can take lemon peppermints to increase your saliva flow if it is mild it will flush out the debris. hope it helps,,,if problem persists please consult a local dentist."
Answer this question truthfully,"Diphenhydramine is a medication that can be used as a sleep aid due to its sedative properties. However, it can also cause significant sedation and drowsiness, which can be a potential side effect. Additionally, diphenhydramine has significant anti-muscarinic properties, which can lead to dry mouth, blurred vision, and difficulty urinating. Despite these potential side effects, diphenhydramine is a commonly used medication for sleep and allergy relief. It is important to use this medication as directed and to speak with a healthcare provider if you have any concerns about its use or potential side effects."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. in my opinion we should first rule out cardiac cause for your symptoms. so better to get done ecg first. if ecg is normal then no need to worry much for cardiac cause. vitamin b12 deficiency can also cause pins and needle sensation in the body. so get done serum vitamin b 12 level and if it is deficient then start supplement. so better to consult your doctor and discuss all these possible causes and start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloanorexia nervosa is one of common psychiatric disorder seen in teenage girls. chronically decreased nutrition status in body results in a number of serious complications and amenorrhea is one of them. treatment consist of long term use of anti-depressant chatbot.  the complications improve with improvement in nutritional status. you are on treatment, and you have missed 6-7 cycles. see this will take time to get your menstrual cycle normal. wait for nutritional status to come in normal range, and you will see improvement. for change in mood and personality issues you should be given anti-depressants. consult a psychiatrist for proper management and evaluation of personality traits if any. most of the individuals improve without any serious complications, so there is no need to worry. thanks, wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can fully understand the trauma you're undergoing. if you can send the latest discharge summary with scans, kidney function tests, and the aerodynamic tests and all reports, present medication, i can certainly give you an expert opinion regarding further treatment. failure after second pyeloplasty, for re-stricture of pojo, is well known. send them in my name. keep a positive attitude. remain cheerful and wish you well."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! the enlargement of your kidneys and ureters is due to reflux of urine from the urostomy back to the kidneys and ureters. this is inherent to the surgery you underwent and nothing to be worried about as long as you stay away from urinary infection. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, well, it is really strange as the titanium plates are strong enough and do not get broken so easily. but an exception has to be always ad chatbot.  if the plate is now changed, i do not think that there will be a problem again or the plate will get broken, so you need not worry about it. also, if the scar is unaesthetic, you can consult a plastic surgeon and get her examined and can discuss scar revision surgery. she should also prefer softer meals and avoid stress. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you are having worsening of asthma only. better to consult pulmonologist and get done chest x-ray and pft (pulmonary function test) to rule out any worsening. chest x-ray is needed to rule out infection as it is the most common cause for worsening of respiration. pft is needed to see any deterioration in lung functions. you may need short course of antibiotic and long acting inhalers. newer inhaled bronchodilators like lab (long acting beta 2 agonist) and inhaled corticosteroids (ics) are more effective in symptomatic control.
"If you are a doctor, please answer the medical questions based on the patient's description.",rash after travelling occurs most of the time because of sweat. it is a fungal infection what we call it as dermatophyte infection. cracking of skin at the end of penis is also another type which is called candidiasis. since he is also feeling fatigue and had fungal infection get his blood sugar level done first and start treatment if his sugar raised. as far as infection is concerned apply on abet cream at night daily for 14 days along with tab.zyrtec at night. for prevention of recurrence use candid dusting powder at daytime for a month or more once you complete course with on abet cream.
Please summerize the given abstract to a title,The impact of SARS and COVID-19 on major trauma in Hong Kong
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put him in lying position after feeding till he burps out the swallowed air.2. if he is still crying - put her in prone position and keep patting his back gently so that he passes off the flatus and gets relieved. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i am chatbot. i will be answering your concerns. about 85% of couple conceive in the first year of marriage and 95% of couples conceive by the end of second year. so don't be stressed. give time. you will get pregnant. it would have been nice if you had provided me some more information like your age, bmi, regularity of menstrual cycles, whether your hormone assay, semen analysis are normal. if it is bothering you first get baseline investigations like hormone assay, sg, and semen analysis done. based on the results, you can be treated. to increase your chances of conception maintain normal bmi, quit smoking (if you're a smoker) and have intercourse at least three to four times in a week. take a tablet of folic acid daily. if you have any further concerns do contact me through chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sue, having history of pneumonia for several times, history of copd and having diabetes with the current symptoms of night fever with chills suggest he should undergo test to rule out pulmonary tuberculosis. i do not know which country you are from but the weak lungs and lower immunity due to less hemoglobin and long-standing diabetes makes one prone to get infections which general healthy public can resist. so i hope the test to rule out tuberculosis has been carried out on him. secondly, having low iron can make his legs very restless, so please get prescription for appropriate iron supplement to ease the symptoms. neuropathic and muscle pain can be treated appropriately by a planetologist and with optimum it d supplement. i hope he gets relief from his disturbing symptoms with appropriate evaluation and treatment. do get back for further queries. good luck."
Please summerize the given abstract to a title,Participation in Sports Activities before and after the Outbreak of COVID-19: Analysis of Data from the 2020 Korea National Sports Participation Survey
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the first week of your menstrual cycle comes under safe period. if you have unprotected sex during this period there is no possibility of getting pregnant. there was no need to take posting 2. after starting microgynon did you use back up contraception for the first 7 days or not?  this is important to have contraceptive coverage for this cycle. if you have used microgynon correctly as per instructions then your chances of pregnancy are less than 1%. this means that of 100 women using microgynon for one year less than one woman will get pregnant. the progesterone in the pill can also cause breast soreness and nausea. if you have not used back up contraception for the first seven days of starting microgynon then it is as good as not using contraception. your chances of getting pregnant will be like women not using contraception. i hope i have answered to your satisfaction."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. if you have synovitis then you need to get it biopsy done to make the diagnosis and treatment accordingly. you are advised to contact the orthopedic for this. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
Answer this question truthfully,The likely diagnosis for the patient's condition is granulomatosis with polyangiitis (formerly Wegener's).
Answer this question truthfully,"Diosmin is distributed in the U.S. by Nutratech, Inc. as a dietary supplement. The U.S. Food and Drug Administration does not approve dietary supplements, and cannot prevent a supplement from being marketed until there is strong evidence of harm. In response to Nutratech's premarket notification, the FDA concluded that there was an ""inadequate basis for reasonable expectation of safety.""  Nutratech argued that Diosmin has a long history of use in Europe.
Diosmin 95 is currently a prescription medication in Europe that has been used to treat Varicose and Spider veins. In May of 2006, Stragen International submitted an NDI with the FDA to market Diosmin 95 as a nutritional supplement. The NDI was approved and Diosmin 95 is now available exclusively through the Venacura brand daily supplement. (http://www.fda.gov/ohrms/dockets/dockets/95s0316/95s-0316-rpt0293-01-vol228.pdf)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. it is not necessary to get pregnant every time with unprotected sex. so even in the coil fell out, getting pregnant is not the norm. secondly the coil might just have moved upwards in the uterine cavity, and that is why the string might not be visible or palpable. if you are not having irregular periods or symptoms, chances of pregnancy are very low. only a scan will tell you if the coil is actually in position. take care."
Answer this question truthfully,A diet high in saturated fat may increase the risk for prostate adenocarcinoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. anxiety disorder lead to excessive health worry or fear of having some serious illness like in your case. you appear to have multiple anxiety symptoms. anxiety disorders can manifest not only with psychological symptoms but with a variety of physical symptoms also like"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your problem. first, i want to know about number of episodes of loose motion and vomiting. she had fever or not? in this case i will check her hy chatbot.  after that we can do probable diagnosis and can prescribe medications for your child. if probable diagnosis is acute gastroenteritis then i will prescribe spy. metro, spy. odem, spy. mintage sic p. as these are prescription medicines so better you consult with pediatrician for further management. i think this will be helpful to you. review back. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! mostly blood in the semen or hematospermia is a self limiting disease and is caused by inflammation in the spermatic cord or the tube where the sperm travels from the testis to the ejaculatory duct in the prostate. tell him to stop masturbation for one to two weeks, and it will return to normal. the body needs time to heal. if the symptoms persist then you may need to get a pub prostate ultrasound to be sure nothing is wrong. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain in the tooth could be arising from an infected wisdom tooth. usually infected wisdom tooth produces this kind of pain in the head neck and temporal area. you need to take a radiograph of that tooth and get it treated by extracting or rct. meanwhile, you can take a course of antibiotics like amoxicillin 500\u00a0mg tid, metronidazole 400\u00a0mg bid along with ibuprofen (if you are not allergic and sensitive to these chatbot.  do saline gargling. i hope my answer will help you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is possible that area that was bitten has been infection. this can sometimes occur with areas with itchy bites, bacteria can be introduced into the skin. infection can result in the formation of a painful lesion such as an abscess. it may be best to have the area looked at by your doctor. if it is an abscess, then it may need incision and chatbot. antibiotics may also be needed. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear user of chatbot! thank you for sharing your concerns with us! i understand your situation in which you are in, and i'm sorry for that. having palpitations, dizziness, unsteady balance, memory loss etc., make me think about heart or vascular diseases, like arrhythmia, heart failure, atherosclerosis, carotid arteries blockage and so on. so to determine the real cause of these concerns additional tests and examinations are needed. i would recommend you to go through following tests and examinations"
Answer this question truthfully,"During pregnancy, the placenta moves as the uterus stretches and grows. In early pregnancy, a low-lying placenta is very common. But as the pregnancy progresses, the growing uterus should ""pull"" the placenta toward the top of the womb. By the third trimester, the placenta should be near the top of the uterus, leaving the opening of the cervix clear for the delivery.
Sometimes, though, the placenta remains in the lower portion of the uterus, partly or completely covering this opening. This is called a previa.
There are different forms of placenta previa:
Marginal: The placenta is against the cervix but does not cover the opening. Partial: The placenta covers part of the cervical opening. Complete: The placenta completely covers the cervical opening.
Placenta previa occurs in 1 out of 200 pregnancies.
It is more common in women who have:
Abnormally developed uterus Many previous pregnancies Multiple pregnancy (twins, triplets, etc.) Scarring of the uterine wall caused by previous pregnancies, cesareans, uterine surgery, or abortions
Women who smoke or have their children at an older age may also have an increased risk.
Possible causes of placenta previa include:
Abnormal formation of the placenta Abnormal uterus Large placenta Scarred lining of the uterus (endometrium)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms of chest pain, palpitation and breathlessness on exertion are very commonly seen in hypertrophic cardiomyopathy. the symptoms of angina (like you are having heart attack) are real and occur not because there is decrease blood supply because of blockages but because the normal blood supply is nit able to provide enough blood to hypertropchatdoctoruscle, causing chest pain. medication and specific.treatment for hypertrophic cardiomyopathy should be considered and that will help resolve symptoms. any further clarification needed to let me know.  regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour problem seems to associated with difficulty to adjust to new environment. this is a usual problem so don't worry at all. make new friends with whom you can share and enjoy your college days. try to be attentive in classes and ask your doubts to the teachers. this will even help in getting closer to teachers, which will boost your confidence. you always keep in mind that you are a good student, and you can do well in your studies. involve in other activities of college like sports, entertainment, etc. these will help you in adjusting to the new circumstances am sure you are going to come up with flying colors in the future. take care. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have burning sensation on corner of your mouth, it is known as angular colitis, don't worry you take medicine for this take one capsule evil for twice daily for one week you will get relief, if you won't get relief then consult go to dentist and get proper diagnosis and investigations done, hope this will help you.  wish you good health."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,"Case of Prolonged Viral Shedding: Chronic, Intermittan COVID-19?"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, cervical or neck pain occurs because of compression over nerve roots, which will become agent only on mri, x-ray unless in expert hands proves not to be fruitful, sometimes compression over the nerve roots is exacerbated by muscle spasms and will be relieved by simple muscle relaxants topical or oral, so you need to get examined by an orthopedic before going on for any further investigations. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour tubes were ligated in 1998 i.e. your age should be around 45 years. as you mentioned in the query that there is mild degree pain inn lower abdominal region. scanty menstruation is there. so these symptoms may be due to these reasons, this includes.1 hyper acidity or gastritis, as you mentioned that there is mild pain with bloating, so such type of pain occurs due to gastritis. so take some antacid but if pain is severe you may need chatbot. 2 the nest reason of such type of discomfort may be due to hormonal imbalance due to peri-menopause. diagnosis can be confirmed by blood examination for estrogen, progesterone level with fsh/lh ratio.3 tension is one another such cause, which produces such type of symptoms. so consider this point also. in my opinion at present take some antacid or pantaloons. but if symptoms still persists then consult a primary care physician and get his opinion. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings suggests mildly increased sgpt. serum lunatic pyrrhic transaminase(sgpt)is an enzyme that is normally present in liver and heart cells. sgpt is released into blood when the liver or heart are damaged. liver related increased sgpt may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. increased got may be due to many reasons, it is non-specific. you need few other investigations like viral markers, lipid profile and ultrasound of abdomen.sgpt also increases during heart attack. it needs clinical correlation in your case. you may need to take some medicines after proper evaluation. get well soon. take care chatbot."
how to prevent lung cancer,"Lung cancer - small cell (Prevention): If you smoke, now is the time to quit. If you are having trouble quitting, talk with your provider. There are many methods to help you quit, from support groups to prescription medicines. Also try to avoid secondhand smoke. If you smoke or used to smoke, talk with your provider about getting screened for lung cancer."
Please summerize the given abstract to a title,Automated deep learning in ophthalmology: AI that can build AI.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. since your husband is having high blood pressure, we need to first rule out cardiac cause for his chest pain. so get done1. 2d echo2. stress test. many times ecg can be normal, but we can pick up cardiac problem by above 2 investigations. if both of the above are normal then no need to worry about cardiac cause. he is also having asthma and one lung fibrosis. so consult pulmonologist and get done1. chest x ray2. put (pulmonary function test)so better to first diagnose him and then start appropriate treatment."
Answer this question truthfully,"Quinolines are drugs that cause a build-up of heme intracellularly, which is toxic to Plasmodium spp. When Plasmodium spp. infect red blood cells, they digest hemoglobin and release heme as a byproduct. Normally, the parasite detoxifies heme by converting it into an insoluble crystal called hemozoin. Quinolines disrupt this process by binding to heme and preventing its conversion into hemozoin. As a result, heme accumulates within the parasite's cells and causes oxidative damage, ultimately leading to the death of the parasite."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi heartlands for asking your queryhistory provided shows that root canal done has developed some infectioneither some canal is missed to be cleaned, or infected pulp is not completely expiratedget a x-ray done to evaluate the ctif x-rays shows per apical infection then root canal treatment has to be repeatedmeanwhile maintain good oral hygiene salt water intestate your antibiotic and analgesic overconsume dentist for further evaluationthanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are multiple reasons for having blood in semen ranging from trauma to local area, infections, obstruction or any blood disorders.  i suggest you to get yourself checked and test yourself for above-mentioned issues. meanwhile, i suggest you to take plenty of water, avoid sexual activities and take over the counter analgesics for pain relief preferably paracetamol.  hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,"Calcitriol increases the absorption of calcium and phosphate in the intestine. When calcium and phosphate levels are low in the body, calcitriol can stimulate the intestine to absorb more of these minerals from the diet. This is important for maintaining the balance of calcium and phosphate in the body, which is essential for many physiological processes such as bone health, muscle function, and nerve transmission. Calcitriol achieves this by increasing the expression of proteins in the intestinal cells that are responsible for transporting calcium and phosphate into the bloodstream. Therefore, calcitriol is an important hormone for maintaining mineral homeostasis in the body."
Please summerize the given abstract to a title,"DeepABM: Scalable, efficient and differentiable agent-based simulations via graph neural networks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. it depends on how much sleeping pills has she consumed. in case if you cannot predict them correctly then it would be wise to take your mother to a physician and keep her under observation until she regains consciousness. taking extra sleeping pills can create problem with the respiratory centers and this has to be taken care of. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. meftal-p contains metonymic acid which is a nsaid. it carries the risk of gastritis and renal problems in the long run. please do not use metal. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. such high liver tests can be caused by liver viral infection (hbv, cv), blockage of liver ducts (ggtp and ap should be very high as well, urine should be dark and stool whitish), overdose of some liver involving medicines, large amount of alcohol intake, food poisoning (mushrooms for example) or even liver cancer. it is very hard to tell how long will it take to normalize this test not knowing the reason. you should have abdominal ultrasound performed as well as hbo and hcv antibodies tested, ggtp and ap tested. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern.  * pyridoxine is vitamin b6 along with dopamine.(an anti-allergic medicine) . the combination is frequently used in pregnancy to control morning sickness with excessive vomiting.it's reported to be safe in pregnancy without any adverse effects on pregnancy, mother or fetus. benson is a generic name of b6 & dopamine. obivoisly it is safe in pregnancy.  * the other three chatbot."
Answer this question truthfully,"As per the information provided, at low doses, dopamine stimulates D1 receptors, especially in the renal vasculature."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. white patches on chest x-ray should be evaluated for lung masses (cancer). smoking is the biggest risk factor for lung cancer. you smoked for almost 16 years. this duration is sufficient to produce lung cancer. so in my opinion, you should definitely consult pulmonologist and get done ct thorax. ct thorax is far superior to chest x-ray in diagnosing lung cancer. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult pulmonologist and get done pft (pulmonary function test). as diagnosis of bronchitis is not possible without pft. obstructive pattern on pft is needed to diagnose bronchitis. and treatment of bronchitis is inhaled bronchodilators.  you had not given any inhaled bronchodilators in the past, so your bronchitis is not fully recovered. so i advise you to consult pulmonologist and diagnose yourself first. you may need inhaled bronchodilators."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. in my opinion you should consult pulmonologist for your mother and get done1. clinical examination of respiratory system. 2. chest x-ray. since she is not improving with chatbot. chest pain on coughing is characteristic feature of pleurisy (inflammation of pleura). and pneumonia is the commonest cause for pleurisy. so better to rule out pneumonia first. so chest x-ray is needed for this. she may need antibiotic"
Please answer with one of the option in the bracket,C: Respect the patient’s advance directive orders
Answer this question truthfully,"Bourbon virus infection is caused by a type of thogotovirus, which belongs to Orthomyxoviridae family."
Answer this question truthfully,"Patients with type 1 diabetes may suffer an average of two episodes of symptomatic hypoglycemia per week, thousands of such episodes over a lifetime of diabetes, and one episode of severe symptoms per year. Hypoglycemia is less frequent in type 2 diabetes than it is in type1. Event rate for severe hypoglycemia range from 40 to 100 percent of those in type 1 diabetes. There is no racial or gender predilection of hypoglycemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query at chatbot. i am sorry that your granddaughter is not well. most of such fevers are caused by viruses. antibiotics are ineffective and all you need to do is to keep the temperature in control by cold sponging and use of medicines like paracetamol. there is a viral condition called infectious mononucleosis which looks similar to strep throat and should not be treated with antibiotics. gurgle with lukewarm water should help. only in case the blood work reveals raised wbc count, it would indicate a bacterial infection which can be treated with antibiotics. if the fever lasts for more than 7-10 days a test should be done to rule out typhoid. with the little information that i can get from your query this is all that i can say in order to guide you. feel free to revert in case of further queries if any."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* according to your narration, seems possibility of nasal polyp / deviated nasal septum giving mucus plugging * require ent check up with flexible nasolaryngoscope to confirm the diagnosis & management accordingly. hope this clears your query. welcome for any further assistance. thanks for using chatbot .com & giving me an opportunity to assistwishing you fine recovery. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms are consistent witchatdoctormon causes like migraine or tension headache, as first-line management, you can try analgesics like diclofenac or tramadol for pain relief.  if symptoms persist, better to consult a neurologist and plan for an mri brain to rule out possible intracranial (inside the brain) causes.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. avoid giving anything to baby other than milk for at least 5 months. weaning is started after 5 months. i would suggest you following things
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not that easy to identify swelling to be cowper's gland. yes, it can enlarge when there is obstruction / infection. doing an ultrasound scrotum can help diagnose the cause. to know the issue really with cowper's gland - you won't be getting the pre-ejaculatory fluid before you ejaculate. next time give a check before masturbation or sex. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Impact of SARS-CoV-2 Infection on Cognitive Function: A Systematic Review
Answer this question truthfully,Up to what age are children contraindicated from taking fluoroquinolones and why? Children < 18 years old are contraindicated from taking fluoroquinolones due to damage to growing cartilage.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot your increase in weight may have occurred as a result limited mobility due to your shortness of breath. this weight gain would then have a negative impact on your asthma. you are currently on the maximum dose of sere tide available. your doctors may consider checking for any factors that may be aggravating your asthma such as sinusitis or reflux. if there are any current infections that are affecting your lung function these also need to be treated. you need to consider visiting a pulmonologist to get better control of your asthma. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query you have symptoms of itching and lumps in check and upper arms which are known as demographic urticaria which could be due to increased skin sensitivity and compromised immunity of the body.  need not worry. i would suggest you to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, her blood pressure reading you just mentioned is 150/70, right? it's not a low reading. in fact, it's a high reading. no need to worry about bp. she will need bp lowering medicines. don't worry about lowering bp readings. monitor blood pressure and if it remains above 140 then needs treatment. avoid fatty, oily and high calorie diet, and low salt diet. regular exercises like walking, according to patient capacity at 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't be abdominal fat deposition or obesity. regarding medicines, you can ask local for tab amlodipine. this nausea feeling could be gastritis. avoid spicy foods. also maintain sleep habits regular. have some walk after meals instead of taking rest immediately. she can take acid suppressant like tab pantoprazole before breakfast. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. if i were your doctor, i would advise you against eating food from outside, if you do especially fast and fried food. next i would go for a routine test of stool for ova and cyst and treat it if positive specially for meiosis which is the unsuspected culprit many a time. along with this i would also prescribe you with a probiotic, a proton pump inhibitor and a prokinetic. if all these measures fail, i would then refer you to a gastroenterologist for a possible endoscopic evaluation of your intestines. further management would depend on the results of the physical examination and investigations by the gastroenterologist. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,"The symptoms usually appear within minutes of birth, although they may not be seen for several hours. Symptoms may include:
Bluish color of the skin and mucus membranes (cyanosis). Brief stop in breathing (apnea). Decreased urine output. Grunting. Nasal flaring. Rapid breathing. Shallow breathing. Shortness of breath and grunting sounds while breathing. Unusual breathing movement -- drawing back of the chest muscles with breathing."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,B: Serratia marcescens
Answer this question truthfully,"The history of HIT always involves exposure to heparin. Typical features of a patient's history depend on the type and location of thrombosis and whether the platelet count is sufficiently low to result in bleeding. Venous and arterial thromboses can result in variable symptoms. Symptoms of deep vein thrombosis include leg pain, swelling, and/or erythema. Symptoms of pulmonary embolism include dyspnea, pleuritic chest, and/or hypotension. Symptoms of arterial occlusion of a limb include limb pain and necrosis. Bleeding can occur spontaneously when the platelet count reaches very low levels, such as less than 10000 per microliter, though this is rare in HIT."
Please summerize the given abstract to a title,New Online Accommodations Are Not Enough: The Mismatch between Student Needs and Supports Given for Students with Disabilities during the COVID-19 Pandemic
Answer this question truthfully,"Acute dystonia can lead to laryngospasm, requiring intubation."
Please summerize the given abstract to a title,Under the Microscope: The Evolution of Surgical Loupes
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a lump inside my neck on right side with history of tonsillitis may be possible adenoid enlargement most likely. primary working tips for better home management are"
Please summerize the given abstract to a title,Perceived stress in Chinese patients with coronary heart disease: a cross-sectional study
Answer this question truthfully,"Some adverse effects of antimuscarinics include agitation, hallucination, and coma, especially in elderly patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query, read and understood your problems... you have pain in the right lower side of abdomen which is on and off. when it comes it can be severe enough to make you chatbot. during these many years you must have undergone many tests. if not get the following tests done"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend, i do not know the name of the clinic or the name of the doctor who treated your friend. but i can suggest homeopathic treatment for your fibromyalgia because, in homeopathy we do not treat the disease. but the patient is treated. i think you have not yet tried homeopathy. this is a hypersensitive reaction and in terms of homeopathy, it is a case of syphilitic miasma. an expert homeopath can take your case in detail and can prescribe for you your genetic constitutional remedy and cure you. once you are treated and cured, your sufferings will no longer exist. with best wishes,"
Answer this question truthfully,"Hepatitis B virus infection can lead to the development of hepatocellular carcinoma, which is a type of liver cancer. While cirrhosis is a common risk factor for hepatocellular carcinoma, Hepatitis B virus can also cause the cancer to develop without cirrhosis. However, in many cases, Hepatitis B virus infection can lead to cirrhosis of the liver, which is a progressive and irreversible condition that can increase the risk of hepatocellular carcinoma. Regular screening and monitoring may be recommended for individuals who are at high risk of developing hepatocellular carcinoma, in order to detect and treat the cancer at an early stage."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloo.read through your query...i suggest u follow this regularly, and it will prevent your sinus probs.1)do steam inhalation(with picks) for 15-30mins daily morn and night2)practice breathing exercise(panama)for 15mins3)practice yoga or any other exercise for 30\u00a0mins 4)avoid any allergic agents like dust, pollen,cotton etc.5) chatbot. .it will benefit you.i have experienced it...be happy and follow. hope your benefitted something from this reply.have a healthy day!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your daughter have symptoms of cough with stuffy nose and wheezing which is a sign of respiratory tract infection along with pulmonary wheezing. need not worry. i would suggest you to take short course of antibiotics such as amoxicillin or azithromycin for 5-7 days along with antihistamine such as chlorpheniramine. visit pediatrician once and get it examined. get chest x-ray done and start treatment after proper diagnosis.  you should use room humidifier and vapor rub that will give benefits to you. steam inhalation is very effective, but you have to be very careful while taking it. you should use throat lozenges and go rinses with warm saline water. take diet rich in vitamin b12. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hai you are a 32-year-old female with a busy life schedule? may i know your occupation please?the tingling n pricking sensation on n off especially overnight breast n rt arm probably suggests you may have a problem at lower cervical n upper thoracic spine. the cause may be compression of the spinal cord either by any spinal tumor, prolapsed intervertebral discs etc. are u diabetic?you're habituated to a lot of coffee n nighttime wine n both cause severe gastritis n along with it urs is a busy stressful life which further aggravates gastritis. occasionally this sort of pain may occur in angina(pain of cardiac origin).so i suggest you totally avoid coffee n wine n instead u can have milk, try to do meditation or yoga or some stress relieving measures daily n pls consult a neurologist n a cardiologist if the pain remains the same."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. you can differentiate the herpes from the others by the presence of the pain. if you are having burning pain at the tip than it is herpes. if its not burning pain or pain is absent you can count it as a non herpes or other infection. i advise you should do grams staining from the discharge. it gives us idea of what it is. if its bacterial infection grams staining will say about the infection. if it's viral than nothing will be seen on the grams staining. treatment taken as per the report will be great in curing the infections. but as per your description it won't look like the viral infections like herpes, but it looks like some bacterial infection. please avoid intercourse during the period. if sexually active both the partner should take the treatment. please maintain good local hygiene. you can do that by frequent cleaning. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.",helots is not normal you should consult your doctor. wax bath physiotherapy will help for early recovery. hy chatbot. you may have good relief with physiotherapy like it [inferential therapy] and tens[transcutaneous electrostimulation] along with ultrasound. so if possible you can start that. you may need methylcobalamin supplement. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are concerned about your sisters psychological problems. i have gone through the description of her symptoms in detail and my opinion is that she is likely to be suffering from an psychiatric disorder called obsessive compulsive disorder (ocd). however, a detailed history and psychological assessment is necessary to confirm this diagnosis.don't worry, there are effective treatment options for ocd - in the form of medication and psychotherapy, which will help her overcome these problems. usually medication called ssris are used as first-line treatment for this disorder. so, i would advise you to take her to a psychiatrist for further evaluation and treatment. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thank you for your question! as you mention statin, that is an antifungal agent, and your rash seems to disappear it could also be a dermatophytes (fungal infection). i would recommend you continue with statin twice a day for at least 2 weeks, and also a week after the lesion disappears. it could also be a dermatitis, and that's why it went away with aquifer. sometimes these two conditions can present together, that's why i also recommend you use a topical otc corticosteroid once a day for 1-2 weeks. you can also mix the two medications together. you can continue with aquifer, several times a day to hy chatbot. i hope you get better. please feel free to contact me again if anything is unclear."
Answer this question truthfully,"Based on the affected organ(s), mast cell tumor may be classified into either cutaneous mastocytosis or systemic mastocytosis. Mast cell tumor may be classified into seven subtypes based on WHO classification system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. vegetarians commonly have it b12 deficiency, but not necessary always. it b12 in vegetarians is usually produced in gut by bacteria. 2. also, green leafy vegetables are rich in it b12.3. no, all of them are not connected. itp is secondary to viral infection and usually affects only platelets. it does not affect it b12, neither does morphed.4. additionally, during deficiency, you can take it b12 supplements or injections, which will rapidly improve it. pernicious anemia will require evaluation, if it b12 does not get corrected after taking oral it b12 for a long time. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have gone to dentist, and he advised you root canal treatment you should go for it, blood can be due to gingival bleeding due to poor oral hygiene also you should go for proper treatment and oral prophylaxis if again you find blood in mouth then consult physician and go for investigations complete mammogram, hope this will help you.  wish you good health regards"
Please summerize the given abstract to a title,Fatal COVID-19 and Non-COVID-19 Acute Respiratory Distress Syndrome is associated with Incomplete Alveolar Type 1 Epithelial Cell Differentiation from the Transitional State Without Fibrosis
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics (soaking) unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
Please summerize the given abstract to a title,Novel coronavirus disease (Covid-19) jīngfāng prevention and treatment recommendations
Please summerize the given abstract to a title,Use of Indomethacin for mild and moderate Covid -19 patients. A Randomized Control Trial
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. your problem can be due to sacroiliac joint arthritis or due to muscle strain. an examination with orthopedic will give clue for that. sacroiliac joint arthritis will get relief by locally injecting corticosteroids. for muscle strain i treat my patients with nsaids like diclofenac and muscle relaxants like thiocolchicoside. if it is present for long term then physiotherapy also should be done to get relief. hope this may help you. let me know if you have any further queries.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having blunt chest trauma. and because of this, you are facing musculoskeletal injury. no need to worry much for this as it will gradually improve over the time of 1-2 weeks. follow these steps for better symptomatic relief in musculoskeletal pain. 1. avoid movements causing pain. 2. avoid bad postures in sleep. 3. avoid heavyweight lifting and strenuous exercise. 4. apply warm water pad on affected areas. 5. take painkiller and anti-inflammatory chatbot.  don't worry, you will be fine with all these. if not improving after 1-2 weeks then consult doctor and get done chest x-ray to rule out internal lung injury.  hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the tests to detect herpes infection are to detect antigen or antibody against this virus. the elisa tests are being done to detect these organisms. the p24 antigen of the virus is the earliest test to detect the organisms. there are many hospitals in bangalore which can identify and isolate these organisms. i would recommend you to visit either st johns hospital or aims, hospital bangalore, for complete evaluation. thank you."
Answer this question truthfully,Diabetes mellitus is the endocrine pathology that may cause renal papillary necrosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","if you truly have hepatitis c, it was just coincidence it was diagnosed at the same time as the glandular fever, not a cause or a result. you probably have had it all along, and your doctor did some tests to diagnose the glandular fever and found some abnormalities suggesting liver inflammation, which then caused him/her to check you for hepatitis c. it could have been there awhile as it often causes few symptoms. people go for years without noticing anything while it silently progresses into liver cirrhosis over decades. this is not aids and hepatitis c is rarely contracted via sex. it most often occurs with transfusions of blood or blood products, or from sharing needles to inject chatbot.  glandular fever can also cause inflamed liver, but if hepatitis c has definitely been diagnosed, you need to get it treated, even if the liver inflammation from the glandular fever got better. hepatitis c can cause low-grade inflammation for decades which slowly turns into liver damage. there are now some good treatments with a high cure rate that have few side effects. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain and fleshy growth (swelling) could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. if the space is not available then you have to get the wisdom tooth removed. meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days (if you are not allergic). do saline gargling. i hope my answer will help you, take care."
Please summerize the given abstract to a title,Sequencing of coronavirus IBV genomic RNA: three open reading frames in the 5' 'unique' region of mRNA D.
"If you are a doctor, please answer the medical questions based on the patient's description.","can be due to stone in urinary tract, causing blood in urine. also, pain in abdomen can be due to again same stone, may be stuck somewhere in ureter. but this pain is usually more severe which is not in your case as use mentioned. can be due to menstruation related pain.3 times motion can be normal but u haven't mentioned whether it was altered or routine. u can get an ultrasound of abdomen done & consult your chatbot."
Please summerize the given abstract to a title,Iota-carrageenan prevents the replication of SARS-CoV-2 on an in vitro respiratory epithelium model
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the swelling in between gums after root canal treatment could be because of the trauma cause to the gums while instrumentation, or it can be because of the gum infection. consult an oral physician and get it ruled out. meanwhile you can start with a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days (if you are not allergic). do saline gargling. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,E: Suppurative inflammation with interstitial neutrophilic infiltration
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in your sons' case painkillers for short duration are advisable for immediate pain relief. (but long term use of painkillers may impair kidney function.) your son requires details evaluation for the cause of multiple stones. he will require to consult nephrologist and endocrinologist for that. following investigations may help in decision making-1) complete blood count, renal function test, calcium, phosphorus, uric acid.2) urine test for infection, calcium, phosphorus, acid excretion.3) parathyroid hormone level, vitamin d3 level.4) arterial blood gas (abg).5) ultrasound of kidneys.6) if any stone flushed in urine it is better preserve it for analysis."
Answer this question truthfully,Tell your health care provider if there is any family history of myxomas or if you have symptoms of atrial myxoma.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer with one of the option in the bracket,E: Increased lipolysis in adipose tissues
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. i think whatever your dentist has suggested is right. when an old bridge pops off, it breaks some tooth structure also with it. exactly the same as happened in your case. in that case it cannot be cemented back on the previous location. the broken tooth has to be rebuilt so that it can support the crown and bridge placed on it. i would suggest you to take an x-ray and check for bone support around these teeth, if there is adequate bone support and your medical conditions are favorable, then you can go for implants also. treatment with implants is little costlier than bridge. you will have to check with your oral surgeon regarding its placement, duration and durability. hope it helps. thanks"
Please answer with one of the option in the bracket,C: Peptic ulcer disease treated with esomeprazole
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read facts of your query and reviewed it in context to your health issues submitted. i understood your health concerns and feel concerned about them. you seem to be suffering from following possibilities-mostly this is due to herd with acid reflux with bloated stomach. consult physician and ent surgeon to fix causes of herd with acid reflux and get stool ova / cyst for fixing accompanied contributing causes. other causes leading to dull chest pain which worsens on taking deep breath need to be verified. burping of gases relieves the pain which increases on taking deep breath. for this to verify second opinion from another physician / gi surgeon- as your case is more chronic in nature. just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. hope this would help you to treat your health issues in the best way possible. welcome for any further query in this regard to following link-http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. actually the vascularity of tongue is very good, so healing is very good in cases of tongue. but as you are mentioning that if there is a white spot on the tongue, it means that while process of healing some infection might have occurred, so better to visit a good dentist and get it irrigated with chemical solution. as it will help in removing of infection hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to my chatbot virtual online clinic. my diagnosis-chronic active hepatitis with enlarged tender heaptomegaly-the lump you feel below rt rib cage is of the tender enlarged liver, which needs care with expert doctor. would advise you to consult er-physician and get the hepatitis c vaccine-as a preventive treatment. treatment would be--good diet with bland and non-spicy non-oily food, rest 8 hrs a day, home food only, avoid street food. and continued followup if the symptoms persist. hope this would solve your query. wellcome to my chatbot clinic once again. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, had it been due to fits, the symptoms would have been episodic, lasting for only a few minutes. the description that you have given of symptoms persistent for last one month and associated with cold are more suggestive of inner ear dysfunction. the inner ear structures contain a fluid, and they are necessary for maintaining the balance of the body. any dysfunction results in dizziness and vertigo. it should improve with vermin (betahistine) tablets. please do not worry. it does not appear to be fits. best wishes."
Answer this question truthfully,"If you have leukemia, and have received chemotherapy, you may develop a fever that may reflect the fact that your blood counts are low, and you should seek medical care for antibiotics."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as this looks like a nerve root entrapment due to which there is radiating pain. i will advise you to strengthen the neck muscles, shoulder muscles, and triceps muscle.  this nerve entrapment can be considered as ulnar neuritis. and with the strengthening of the above-mentioned muscles will help reduce the pain. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Please answer with one of the option in the bracket,"C: Decreasing carbohydrate intake, increasing fat intake"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question.  in the setting of abnormal bleeding that is not being easily controlled with hormonal therapy, it is appropriate to undergo a more thorough evaluation that would include"
Answer this question truthfully,Enterohemorrhagic E. Coli (EHEC) - classic serotype is O157:H7.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello there the natural healing process would take a little while to lighten the lips.meanwhile you may try these natural ways use a mix of lemon juice with honey and apply over lips and leave it overnight. mix of almond oil with honey also helps. coriander and cumin. powder mix may be applied. rose water with rose oil can b applied.strawberry extract also helps. honey can b used twice daily and later ice cubes can also b rubbed. hope these home remedies help you out
Please answer with one of the option in the bracket,B: Lisinopril
Please answer with one of the option in the bracket,A: Microscopic polyangiitis
Please summerize the given abstract to a title,Childhood Schizophrenia
Please summerize the given abstract to a title,A hypothesized role for dysregulated bradykinin signaling in COVID‐19 respiratory complications
Answer this question truthfully,"A progesterone level greater than 25 ng/mL is suggestive of a healthy intrauterine pregnancy. Progesterone is a hormone that is produced by the corpus luteum in the ovary after ovulation, and it plays a critical role in preparing the uterus for implantation and supporting early pregnancy. In a healthy pregnancy, progesterone levels increase and remain elevated throughout the first trimester. A progesterone level above 25 ng/mL is considered a reassuring sign of a viable pregnancy, although other factors, such as fetal heart rate and ultrasound findings, are also important in evaluating the health of the pregnancy."
Please summerize the given abstract to a title,Broad-spectrum activity of 8-chloro-7-deazaguanosine against RNA virus infections in mice and rats
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain and swelling could be because of the gum infection from the wisdom tooth (periodontal infection leading to space infection). this can produce swelling over the face. consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. if the space is not available then you have to get the wisdom tooth removed. you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days (if you are not allergic). do saline gargling. regarding the hearing problem, you consult a ent surgeon and get an opinion. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. it is quite common for it to pain after severe cough. do not worry. it seems to be a viral illness.  fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose 500\u00a0mg per dose) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
Answer this question truthfully,"Some examples of forms of abuse that fall under the category of emotional abuse are verbal abuse, criticism, intimidation, and humiliation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, generally, taking antibiotics while taking oral contraception is safe. only a few antibiotics mostly use in the treatment of tuberculosis (such as vitamin) can cause changes in the metabolism of oral contraception and reduce their effect. in your case, final does not affect the metabolism of oral contraception and can be safely be used together. make sure you eat a lot of plain yogurt and also take probiotics to keep your bowel flora healthy while you use antibiotics. i hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Diffusion imaging and transcranial magnetic stimulation assessment of transcallosal pathways in chronic stroke.
Answer this question truthfully,Echinocandins are primarily metabolized via the liver.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, and thanks for posting your query here. the non-obstructive hoc generally doesn't cause choking sensation. it mainly remains asymptomatic in the majority of the patients. but it is the most common cause of sudden cardiac death that's the reason for aid. other that this, it causes exertional symptoms like dyspnea, syncope, palpitations and others. all these symptoms are more common in obstructive hoc except dyspnea which occurs almost equally in both the varieties and that too in late stages once the heart systolic dysfunction sets in. i hope this information would be of help to you. thanks and all the best."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as your six months old daughter is having discharge around her upper vaginal area now and then, and it is very little and the area around that looks like a light orange colored. this is a normal phenomenon in female child due to the influence of the hormone, and it is a physiological process, nothing to worry about these symptoms. it will reduce by itself it is mainly due to the influence of hormone estrogen which will leads to this problem in your daughter. i would suggest not worry about this and just ignore this.  thank you."
Please summerize the given abstract to a title,A Rare Case of Pembrolizumab-Induced Dermatomyositis in a Patient with Cancer of Unknown Primary Origin
Please summerize the given abstract to a title,Review of Mathematical Modeling of the Inflammatory Response in Lung Infections and Injuries
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i read your question carefully and understand your concern. scuba diving is a stressful activity for your body, but besides the physical activity, it imposes a severe pressure change to your anatomical structures, increasing even more the risk of bleeding from an aneurysm rupture. taking pascal, may be safe for a normal situation, but may increase the risk of aneurysm rupture during scuba diving stress. there are not many studies related to scuba diving and aneurysms. unruptured aneurysms, when in small diameters, have shown good results even when not treated with surgery (they have a low probability or bleeding, when unruptured). this is not a brain aneurysm, and i think that you can perform this activity with some restrictions regarding the depth of the diving, to avoid extreme pressure changes. (i would not recommend this activity in case of brain aneurysm, because the devastating consequences of possible intracranial hemorrhage). i recommend monitoring closely your blood pressure, before and after this activity and treat possible high blood pressure. hope to have been of help! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your brother has parkinson disease. dbs(deep brain stimulation) is approved in treatment of parkinson and essential tremor. there is also the potential for neuropsychiatric side effects, including apathy, hallucinations, compulsive gambling, hypersexuality, cognitive dysfunction, and depression. however, these may be temporary and related to correct placement and calibration of the stimulator and so are potentially reversible.however, increasing of essential tremor is not known side effects. he should check the electrode placement also. consult your doctor and take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Decoding The Smart City
Answer this question truthfully,"Rhabdomyosarcoma is a type of cancer that develops from the cells that make up skeletal muscle tissue. Specifically, it is a malignant tumor of skeletal muscle that can occur in various parts of the body, including the head and neck, urinary and reproductive organs, and arms and legs. Rhabdomyosarcoma is most commonly diagnosed in children and young adults, and symptoms can include pain, swelling, and difficulty moving the affected area. Treatment for rhabdomyosarcoma typically involves a combination of surgery, radiation therapy, and chemotherapy, depending on the location and stage of the tumor. The prognosis for rhabdomyosarcoma depends on various factors, such as the size and location of the tumor, the age and overall health of the patient, and the response to treatment."
Answer this question truthfully,"As the first wave of SARS began to subside, the death rate proved to have been about 14 or 15 percent of those diagnosed. In people over age 65, the death rate was higher than 50 percent. Many more were sick enough to require mechanical ventilation. And more still were sick enough to require hospitalization in intensive care units.
Intensive public health policies are proving to be effective in controlling outbreaks. Many nations have stopped the epidemic within their own countries. All nations must be vigilant, however, to keep this disease under control. Viruses in the coronavirus family are known for their ability to change (mutate) in order to better spread among humans."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mr robert, you mentioned that emg/ncv studies indicated chronic bilateral radiculopathy. is this report for upper or lower limbs? if it is for lower limbs, with your previous history of tgif fusion for l5-s1 and present mri showing small central disc bulge at the same region you need not worry about this as it is already a pre-existing problem. do you have such a severe neck pain n articular pain in both hands incapacitating your daily activities now ? do u have any difficulty in gripping things with hands or do u have any difficulty in combing your hair or buttoning n unbuttoning of shirt? if u don't have any of the above-mentioned, small ligamentous disc herniation at c4-c5 region, i always advise you conservative treatment in the form of wearing a hard cervical collar when u r at work, analgesics like tab diclofenac 100\u00a0mg twice daily after food, one tablet pantoprazole 40\u00a0mg on empty stomach in the morning half an hour before breakfast, a pregabalin tablet 75 mg per day and physiotherapy (it) n one week of bed rest is advisable."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello it can be a symptom of condition called plantar fasciitis. however, we have to rule out other conditions before making a diagnosis. as a first line of management you can take analgesics like ibuprofen or diclofenac for pain. soaking the foot in hot water will also help in symptomatic relief. if pain persist, you have to consult an orthopedic and get evaluated. in severe cases steroid injection to the soles may be required. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, creatine is not recommended by most of the physicians as it can cause serious adverse like renal dysfunction and infertility. rapid result is not anticipated and products which give faster results must have adverse effects as well. you can try good quality protein supplements without steroid contents for best results. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through your query and understand your concern. i think chances of these fresh symptoms are not related to previous mole removal procedure. sometimes it's possible that sore throat is associated with ear ache. i suggest you to wait for few more days. if symptoms are not reducing then please consult an ent specialist. hope this helps. if you have any other queries, feel free to ask.  chatbot."
Please summerize the given abstract to a title,Emotional Intelligence and Professional Boredom among Nursing Personnel in Greece
"If you are a doctor, please answer the medical questions based on the patient's description.","hellofindings suggests mildly raised alkaline phosphatase(alp)level. it may be raised in many conditions like biliary obstruction, bone disease, heart problem etc. its normal value may vary with laboratory, however it is safe to exclude all causes. you may need clinical correlation and investigations. you may need routine hologram, random blood sugar, complete liver function test, serum calcium, vitamin d level. ultrasound of abdomen should also be done to assess liver. treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. you gave diagnosed with bag in 2004. if it remained elevated after 6 months then you might be carrier for it. so you have not mentioned repeat test done or not. if you still have positive for bag then you have to take following lifestyle management with if appropriate can use interferon or lamivudine like specific antiviral chatbot. avoid processed food and refined sugar like white bread, pastry etc. green leaf veg and fruits useful. avoid bad trans fat like cheese, beef meat, butter, chips etc. use omega 3 fatty acid containing oil like sunflower or olive oil. use it to minimum. regularly do exercise. licorice powder with honey taken daily is good herbal remedy. i hope you will understand my concern. for consultation, you can consult any gastroenterologist in your city. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, asthma is a long-term disease that has no cure. the goal of asthma treatment is to control the disease. it is treated by two types of medicines long-term control and quick relief medicines. 1. medication may be administered using a nebulizer.2. inhalation corticosteroids are the most effective long-term control medicine. 3. bronchodilators may be used that quickly relax tight muscles around the airways which helps to flow the air through respiratory tree. thank you."
Please summerize the given abstract to a title,Good ethics cannot stop me from exploiting: The good and bad of anthropocentric attitudes in a game environment
Please summerize the given abstract to a title,Government Policies and Personal Decisions - Substitutes or Complements?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you will feel better with desvenalafaxine 25-100\u00a0mg, daily. the response usually starts coming in pms with in few days...one need to complete one menstrual cycle to know its effect or if there is a need to increase chatbot. i have seen many such patients in our poly clinic where the gynecologists refer them to me when there is no response to multivitamins and symptoms are troublesome. also getting tsh level and sr. it. b12 will help to make situation more clear. i also advice the females to see if they can stop oc pills (if they are on them) & use other modes of contraception. good luck"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"What are some of the most common pathological changes that may be seen on a biopsy of a lesion in syphilis, such as the presence of proliferative endarteritis of small vessels with surrounding lymphocytes and plasma cells, and how can these findings be interpreted in the context of other clinical and laboratory data to help diagnose and classify the disease? Additionally, what are some of the treatment options available for managing syphilis, and how can these interventions be tailored to the specific needs and circumstances of each patient, such as stage of disease, coexisting infections, and drug allergies?"
"If you are a doctor, please answer the medical questions based on the patient's description.",as you have mentioned in your narrative it is clear that you have develop contact dermatitis after wearing artificial ornaments. for this what you have to do is avoid wearing artificial ornaments as much as you can. apart from this you have to take cap doxycycline twice daily after meals with tab exocet or tab dealer twice daily after meals for itching with tab rant ac or tab carotid twice daily empty stomach. you have to use clop-g or valnerate-n cream for local application.
Answer this question truthfully,"Chronic carriers of Salmonella typhi, a type of bacteria that can cause typhoid fever, carry the infection in their gallbladder. This can lead to a range of complications, including chronic inflammation of the gallbladder (cholecystitis), the development of gallstones, and an increased risk of gallbladder cancer. In addition, individuals with chronic Salmonella infection may experience ongoing symptoms such as fever, abdominal pain, and diarrhea, which can be difficult to manage and may require long-term medical care. As such, it is important for individuals who are at risk of Salmonella infection to take steps to prevent infection, such as practicing good hygiene and avoiding contaminated foods and water sources."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  from your given history your swelling could be due to an old trauma, cardiac or renal problems.  if your edema is bilateral this is a sign of underlying systemic disease if cardiac output exceeds its output (heart failure) or your kidneys cannot wash or flush your venous system .in rare cases your medication may cause such symptoms if used for long periods.  you have to maintain leg elevation, avoid standing or bending your knees for a long time and use hot foments with topical gels of anti-inflammatory.wearing compression stockings will be helpful to push up blood towards the heart and increase your venous return.  if you have not examined your arterial system by doppler u/s you may need to check them up in very rare cases arterial system clots or atherosclerosis may occur and cause such edema.  i recommend full lab investigations and follow them up with your physician for proper evaluation and management of the exact underlying cause. please click and consider a 5-star rating with some positive feedback if the information was helpful. wish you good health, any further clarifications feel free to ask."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as what i understand from the history is, this tingling, numbness in the little finger is an indication to the nerve impingement happening in the cervical region.  nerve has got two functions - motor and sensory. motor functions are related to muscle movements and sensory functions are related to - pain, touch, tingling, numbness, temperature. in your case, it's the sensory and motor both are getting disturbed. taking up and mri should help understand the extent and level of soft tissue injuries in the cervical spine.  post which exercises therapy under a guided physiotherapist should give you excellent results. in my practice of 12 years a good diagnosis and management post it has helped people recover, and excellent results have come out.  hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,The effect of COVID-19 pandemic on port performance: Evidence from China
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
Please summerize the given abstract to a title,"Globularia alypum L. and Related Species: LC-MS Profiles and Antidiabetic, Antioxidant, Anti-Inflammatory, Antibacterial and Anticancer Potential"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,welcome to chatbot, and thanks for the query the treatment you are on contains acetaminophen which can cause liver damage if you take in large quantities and should always keep a watch on alcohol intake when taking this chatbot. .as both can damage liver in higher quantities it is always better to avoid alcohol or at least restrict the amount of alcohol to as minimum as possible for safety.hope this suggestion will help you bye"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. it is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.  based on the symptoms it appears to be contact dermatitis. treatment includes washing with lots of water to remove any traces of the irritant that may remain on the skin. you should avoid further exposure to known irritants or allergens. in some cases, the best treatment is to do nothing to the area. emollients or moisturizers help keep the skin moist, and also help skin repair itself. they protect the skin from becoming inflamed again. they are a key part of preventing and treating contact dermatitis. corticosteroid skin creams or ointments may reduce inflammation. carefully follow the instructions when using these creams. overuse, even of low-strength over-the-counter products, may cause a skin condition. i advise you to follow the conservative approach as mentioned and if symptom persists i advice you to see dermatologist for exact diagnosis.  hope i have provided the information you needed. wish you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, you should definitely consult doctor for these symptoms because these symptoms are more suggestive of heart disease, and he is having strong family history of heart diseases. so, consult doctor and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test). if all these are normal, then no need to worry about heart diseases. sometimes, simple muscle spasm can also cause similar symptoms. so, apply warm water pad on affected areas of chest. give him simple painkiller like paracetamol or ibuprofen. don't worry, he will be alright with all these but first rule out heart diseases. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Influenza Vaccine Does Not Increase the Risk of Coronavirus or Other Noninfluenza Respiratory Viruses: Retrospective Analysis From Canada, 2010-2011 to 2016-2017"
Please summerize the given abstract to a title,Development and Clinical Validation of Novel 8-Gene Prognostic Signature Associated With the Proportion of Regulatory T Cells by Weighted Gene Co-Expression Network Analysis in Uterine Corpus Endometrial Carcinoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it would be best not to use this medication for these complaints. steroids should never be used unless absolutely indicated, and they are not indicated for a common cold. they would suppress the immune system in this case anyway and would not help you fight off your infection. resting your voice will help it to return. additional treatment includes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank for choosing chatdoctori think it could be anxiety and depression and nothing else, because the present symptoms and the history of spinal surgery has nothing to take in it, or it may be hot flushes, (if your wives support it), moral support will give her mucchatdoctorfort, still i would advise you to rule out other pathological condition and for that you will have to see the physician, have nice day."
Answer this question truthfully,The first stage of the Chlamydia spp. life cycle is called elementary.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question. after going through your case there are following possibilities for your symptoms.1) cardiac arrhythmias"
Please summerize the given abstract to a title,Supervision for the Public Health Services for Older Adults Under the Background of Government Purchasing: An Evolutionary Game Analysis Framework
"If you are a doctor, please answer the medical questions based on the patient's description.","dear concerned, thanks for writing to us., in addition to being an atomic individual you may have other co morbid conditions such as dns(deviated nasal septum), turbinate hypertrophy, nasal polyps which may require ent surgeons intervention. investigate in detail including sinus endoscopic exam etc. and routine blood(aec inclusive) and urine investigations. an immunologists assessment regarding the allergen which has been responsible have to be found out by injecting various antigens. later they will do desensitization therapy for a period of time. pls avoid dusty places/vehicular smoke/passive/active smoking. regularly do steam inhalations. take anti-allergic medications such as oral fexofenadine/oral cetirizine/oral chlorpheniramine mallet tabs as per your mds prescription for a temporary relief. timely use of mast cell stabilizers(sodium chromoglycate spray) will prevent severity of allergy. steroidal inhalants such as fluticasone also helps many. wishing you a speedy recovery., best regards., chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, for my patients i suggest surgery after 4 months of epidural shots' failure after that decreasing weight and spinal straightening practices followed by surgery for unilateral sciatica involves the removal of part of the disc, which is known as a discectomy. while it results in short-term benefits, the long-term benefits appear to be equivalent to conservative care like nsaids, steroids, muscle relaxants, physiotherapy and massages with topical gels and even yoga is helpful. treatment of the underlying cause of the compression is needed in cases of epidural abscess, epidural tumors, and caudal equine syn chatbot.  nowadays stem cell implantation and other minor endoscopic interventions are made hope the above information helps you. any further clarifications feel free to ask. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Yes, atypical antipsychotics can be effective in treating both the positive and negative symptoms of schizophrenia."
Please summerize the given abstract to a title,Vertebrates on the brink as indicators of biological annihilation and the sixth mass extinction
Please summerize the given abstract to a title,Heterogeneity of the COVID-19 Pandemic in the United States of America: A Geo-Epidemiological Perspective
Answer this question truthfully,"The mainstay of therapy for acute diverticulitis is usually conservative medical management, including bowel rest, IV fluid resuscitation, and broad-spectrum antimicrobial therapy that covers anaerobic bacteria and gram-negative rods. Patients who have recurring acute attacks or who develop diverticulitis-associated complications, such as peritonitis, abscess, or fistula, require surgery either immediately or on an elective basis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post is attributed to acid peptic disease, caused due to increased acid production in the stomach. symptomatic relief can be obtained with intake of pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). they prevent formation of excess acid in the stomach & provide symptomatic relief. and it is also needed that you take certain precautions regarding your diet & lifestyle, such as"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern the fissure wound after surgery anomaly takes a bit more time (10=14 days) to heal because of it being soiled daily/often with incontinence of gasses/ stools.  a perfect care/ cleanliness & nursing is essential for healing along with regular medicines as per doctors advise.  you have been operated 3 weeks before, with green discharge in it.-which indicates infection.  - for this you need to be particular in cleaning the wound after each visit to washroom/mop it gently chatbot.  - visit your surgeon & ask for need of medicines in case there is no progress within 5 days of intensive care of wound.  - take vitamin b complex/ it. c helps to heal.  thanks."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, the effect of cigarette which is a newer progesterone only contraceptive is not much affected by tetracycline. if you have taken cigarette regularly there is very little chance that you could be pregnant. do not worry about the same. the home pregnancy test works if done on the day of the expected next period, if done earlier it can give false negative result. if you are too anxious you could do the home pregnancy test on the next date of expected period. do not worry, it's very unlikely that you are pregnant. hope this helps. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","fellow, kidney stones when gets impacted in ureter or pub causes colicky pain many a time with nausea and vomiting the pain classically radiated to back or groins. what you have mentioned is way back history of before seven years you need to get new ultrasound done for current position and size of stone. and usually a stone below 6-7\u00a0mm needs no surgical intervention. chatbot.  but actually it is hard to judge the time it will take to pass the stone. i recommend you to get your ultrasound of abdomen and pelvis done and get a urologist opinion"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more likely. but better to rule out lung related causes for your symptoms. so get done chest x-ray. if chest x-ray is normal then no need to worry. avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. apply warm water pad on affected areas. take simple painkiller like paracetamol or ibuprofen.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi josh, hexachlorophene is basically a disinfectant.  i would rather advise you to use more skin friendly and acne specific products to treat acne. use a salicylic acid based face wash and water based moisturizer. use topical antiacne creams like clindamycin/benzoyl peroxide/darlene gel etc. over acne lesions. if the need be oral antiacne therapy can also be started to treat acne. i would suggest you to fix an appointment with an expert dermatologist. merely using fishes would not help. it is as good as using detail or salon to keep your skin acne free. take care."
Please summerize the given abstract to a title,Opportunity Costs of Internal Promotions in Plastic Surgery: Are Women Given a Fair Shot?
Answer this question truthfully,Trochanteric bursitis is often seen more in women.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion, we should first rule out cardiac cause. as many times heart problems can also cause central chest pain. so get done ecg first. if ecg is normal then no need to worry about cardiac cause. it is a acid reflux mostly. along with chatbot. 1. avoid hot and spicy food 2. avoid large meals, instead take frequent small meals.3. avoid stress and anxiety.4. go for walk after meals.5. keep 2-3 pillows under head in bed to prevent acid reflux.6. lose weight if you are obese 7. quit smoking and alcohol if you have these habits."
Please answer with one of the option in the bracket,A: Cardiac cell sarcomere proteins
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.well, if this is clinically depression, you must try for proper management.combined approach of both pharmacotherapy and psychotherapy can work.visit a psychiatrist and let him prescribe anti-depressants in full dose first.also we have augmenting agents if they don't work.we have add-on regimens further.also ect and rms.so don't worry.about counseling, you should visit a clinical psychologist once again and request for some another form of psychotherapy like interpersonal therapy and cognitive therapy if neurofeedback fails.so we have enough of options left.so please don't lose heart.have a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi in your case it looks quite clear that low potassium is related to malabsorption secondary to any. but you may undergo 24 hr urine potassium test to see if you're losing potassium from kidney which needs detailed evaluation.if it is just related to decreased absorption i will advise u to increase dietary intake of potassium like tender coconut water, citrus fruits, bananas, apples etc.hope ny answer has made some differencethanks chatbot."
Answer this question truthfully,"Isoniazid hepatotoxicity results in an asymptomatic rise in aminotransferases (AST, ALT) on LFTs. Aminotransferases are enzymes that are found in liver cells, and their levels in the blood can be used as a marker of liver damage. In patients taking isoniazid, monitoring of liver function tests is important to detect early signs of hepatotoxicity. If elevated levels of aminotransferases are detected, isoniazid should be discontinued and further evaluation of liver function may be necessary. Patients with underlying liver disease or risk factors for hepatotoxicity may require closer monitoring while taking isoniazid."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi....by what you quote i feel that your kid is having a viral illness. 3 days of fever without localizing signs could be viral illness. if the kid is active in between 2 fever episodes on the same day you need not worry. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as mentioned by you baby had acute congestion (i.e. bronchospasm) which is an emergency condition which must be treated on urgent basis and def requires bronco dilator with steroids. through inhaler these chatbot.  as baby cannot co-ordinate with inhaler so spaced is prescribed. once your baby is fine doc may taper it n stop.  so have faith in your pediatrician and continue treatment. thanks n regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello metal spas is recommended for pain. it is not the medication for enlarged liver. for enlarged liver, you need clinical correlation and investigations like routine hologram, liver function test, random blood sugar, lipid profile and ultrasound of abdomen. for vomiting, i suggest tablet ondansetron or risperidone to my patients. you can discuss with your doctors. treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can understand your concern. in crf, maintainence of kidney function is, twice or thrice weekly dialysis. as your body weight is low,twice-weekly dialysis is sufficient. your blood routine, creatinine,electrolytes and b.p. should remain normal. after dialysis, headache is commonly due to anemia or electrolyte imbalance. dehy chatbot. maintain the intake-output chart. if you've any doubts, you may send the reports as a direct question."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. since your daughters cardiac work up is normal, no need to worry much about heart diseases. i think it is muscular pain mostly. so try to follow these for better symptomatic relief. 1. avoid heavy weight lifting and strenuous exercise. 2. avoid bad postures in sleep. 3. take good painkiller and muscle relaxant. 4. apply warm water pad on affected site. 5. wear chest belt to avoid mobilization of affected area. 6. if weight is more than try for weight loss."
Answer this question truthfully,"Acquired GnRH deficiency presents with decreased FSH, decreased LH, and decreased estrogen."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms do not seem to be related to the heart, but to panic attacks. you should know that panic attacks may mimic all this clinical situation.  for this reason, i would recommend consulting with a specialist in this field (psychiatrist, psychotherapist) to help improve your situation.  in the meantime, i would recommend practicing yoga and meditation. it is also important for avoiding caffeine and alcohol intake.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"The likely diagnosis is cholesteatoma. This is a type of abnormal skin growth that can occur in the middle ear, behind the eardrum. Cholesteatoma can cause symptoms such as persistent ear discharge, conductive hearing loss, and a feeling of fullness or pressure in the ear. The condition may not respond to antibiotic treatment, and granulation tissue and skin debris may be visible on otoscopic exam. Cholesteatoma can be caused by repeated ear infections or a perforation in the eardrum, and it can lead to complications such as hearing loss, dizziness, and infection. Treatment for cholesteatoma may include surgery to remove the growth and repair any damage to the ear. It is important to seek medical attention if a child is experiencing symptoms of cholesteatoma in order to manage the condition and prevent potential complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, pros tap is a chatbot.  while on this injection you will not get pregnant, no need of any other contraception. once you stop it may take few months for hormone levels to normalize & ovulation to start. it is given even when we do ivf.  hormones life is short & will not affect baby health. but don't take this injection after you get pregnant, it can cause some neurological problems in childhood (attention deficit disorder)all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i would recommend performing a brain mri to check for possible brain changes and an emg to check for possible myopathy (considering the fact that she can not swallow). consulting with an ophthalmologist is also necessary to check for possible eye or retinal disorders. there are many genetic syn chatbot.  consulting with a geneticist could be helpful too. hope you will find this answer helpful! kind regards,"
Please summerize the given abstract to a title,The Impact of the Covid-19 Pandemic on Taking up Socially Responsible Actions
Answer this question truthfully,"Athlete's foot is caused by a parasitic fungus and is a communicable disease. 
It is typically transmitted in moist environments where people walk barefoot, such as showers, bath houses, and locker rooms.    It can also be transmitted by sharing footwear with an infected person, or less commonly, by sharing towels with an infected person."
Please summerize the given abstract to a title,Cytokine Storm of COVID-19 and Its Impact on Patients with and without Chronic Liver Disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that she might be having worm infestation. worms coming out during nighttime and migrate to vagina producing itching and irritation on anal region and vagina. it is also possible when local hygiene is not maintained proper. apply triple action cream. keeplocal hygiene clean and chatbot. go for stool test for ova and cyst. after report go for anti-worm treatment after consulting your doctor. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. you are degenerative disc disease. its treatment is glucosamine and analgesic such as ibuprofen for pain relief. cervical exercises are helpful. meaning of this mri is that one of osteophytes is slightly pressing the rural space and spinal cord. on right side there is facet joint hypertrophy leading to mild foraminal stenosis. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
Please summerize the given abstract to a title,Nursing work in the COVID-19 pandemic and repercussions for workers' mental health.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. fluctuating bloating of abdomen for several months, tingling and burning sensation under the surface of abdomen and under right rib cage. known history of mild colitis, belching and tremendous stress. the causes are very obvious. this is type if ibs, meaning irritable bowel syn chatbot.  but before we say this to be ibs we must get you investigated"
Answer this question truthfully,"Porcelain gallbladder is a condition where the gallbladder becomes calcified, and it is associated with chronic cholecystitis."
Please summerize the given abstract to a title,"The implications of gig workers, COVID 19 pandemic, financial budget and budgetary control on digital transformation in Nigeria higher education institutions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what it appears to me is that you are a professional typewriter or maybe your job demands typing work a lot.  this kind of pain arises due to overuse of the forearm muscle for typing and which leads to fatigue.  there may be even a chance of the nerve entrapment in the cervical region due to which the possible ability of the muscle reduces and fatigue sets in faster.  but we can only confirm this with physical examination and if required an mri scan. you try some basic forearm muscle strengthening exercises and also some stretching exercises of the forearm muscles to overall improve the functionality of the muscles. rest assured, you will be fine if you follow these guidelines in about 2-3 weeks of time.  please note that if your job demands more of the physical work with a keyboard then follow these exercises regularly to avoid future injuries. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of post infectious bronchitis is more likely. bronchitis is very common after viral upper respiratory tract infection (uri). bronchitis causes bronchospasm and this in turn causes breathlessness, wheezing, cough etc. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to chatdoctorrecurrent urinary tract infections (otis), also known as chronic urinary tract infections, are defined as having at least 2 infections in 6 months, or 3 infections in 1 year. often, they are caused by a type of bacteria that is different from the infection before it, which means that the new infection is separate from the last infection. one treatment option for recurrent otis involves taking low doses of antibiotics daily for at least 6 months. steps that may help prevent otis include chatbot."
Please summerize the given abstract to a title,Dampak COVID-19 terhadap industri rumah tangga pangan di kota Padang
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of post infectious bronchitis is more likely. bronchitis (inflammation of airways) is common after viral upper respiratory tract infection (uri) like common cold. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these in 1-2 weeks. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your question and understand your concerns. irregular periods can be due to hormonal disturbances like hypothyroidism, hyperprolactemia or polycystic ovarian disease. these three are also the commonest cause for infertility. i would suggest you to consult an infertility specialist to get properly examined, investigated including hormonal profile and ultrasound and get appropriate treatment. hope you found the answer helpful. wishing you good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i will suggest you to get a laparoscopy and hysteroscopy done. this will help to know about the normalcy of the uterine cavity and patency of fallopian tubes and to ovarian relationship. if your fallopian tubes are patent then only ovulation induction medications can be started. exact day of egg formation can be determined by ovulation study. gui- intrauterine insemination or unprotected sexual activity on the day of ovulation can be planned. if fallopian tubes are not patent, or are damages then you can opt for test tube pregnancy- ivf. please start on folic acid and vitamin b 12 supplements regularly. this helps to prevent various complications during conception, pregnancy and childbirth. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. there is a possibility that the stinger is still embedded into the skin leading to the symptoms of allergic reaction and inflammation that you are facing. so once get it checked clinically to rule out what is the exact cause of it. for now, you can do cool compresses over it and apply steroid ointment like dexamethasone. avoid touching or scratching it to avoid spreading. if the inflammation increase or swelling increase a steroid shot can be advised. if the stinger is embedded it should be removed. hope i have answered your query. please let me know if i can assist you further. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your queenlier will be beneath the right rib cage in the upper abdomen. so, pain there may be due to some abnormality in the liver. it may be simple enlargement, infection,abscess, lesion etc. as your liver enzymes are elevated, you should be further investigated like blood tests for hepatitis a/b/c, ultrasound abdomen, repeat liver function tests and even ct scan of the abdomen. swollen abdomen indicates that there may be some collection in the abdominal cavity. it may be simple fluid or pus. you can ask your doctor to aspirate fluid from abdomen and send it for biochemical analysis. nothing to worry. there is treatment for the majority of liver disorders. wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","helloincreased sgpt indicates liver injury, and it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. increased sgpt in your case may be due to alcohol intake. you need few other investigations like viral markers, lipid profile and ultrasound of abdomen. you may need to take some medicines after proper evaluation. i suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily for three months. it helps in regeneration of liver cells. you should avoid alcohol completely. get well soon. take care chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","i welcome your here at chatbot! i feel sorry that the treatment didn't work for you. furthermore, i want to clarify that you need the treatment for years long. there is no defined period of time that you will take the medicine for and then stop and all is ok. you are suffering from an chatbot.  minoxidil for example when used continuously, starts kicking in and showing results after a lag period of 6 months or so. and its effects revert once you stop the medication. in male hairball has a strong genetic association. females have their own different reasons of the issue. dan"
Please summerize the given abstract to a title,Late onset pulmonary embolism in young male otherwise healthy COVID-19 patients
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","1. myopia or nearsightedness is the common refractive error seen in child chatbot. 2. astigmatism which is abnormality in cornea can result in association with myopia/hypermetropia if the condition goes on worsening.3. any symptoms of headache/eye strain or eye fatigue you noticed?4. in ayurveda, apart from herbal treatment we have specific panchkarma procedures related to eye which helps in improving eyesight and lessening the chances of developing squint."
Answer this question truthfully,Leptin inhibits the stimulation of the lateral area of the hypothalamus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. cancer is a difficult condition and curability depends on the response to treatment. sometimes one or more treatment methods have to be implemented to make sure that there is better survival. as you had no sign of cancer a year ago, the 4 lymph nodes might be a recent development and require immediate attention. it is best if you consult your treating oncologist and discuss the treatment in detail after a complete followup imaging. this might include chemotherapy with newer medication and that way your disease might be controlled. for widespread or significant lymph nodes radiation might also be indicated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that probably you may be having contact allergic dermatitis at ankle area. consult the dermatologist for the perfect diagnosis and proper treatment.  i would suggest you to find out the contact ant which triggers the disease and avoid that. it may be material of shoes, socks,the part of wheelchair, soap or other. take tab. cetirizine daily and apply mild steroid cream on affected area. swelling of knee may be due to arthritis of the knee. consult the rheumatologist or orthopedic surgeon. take rest with elevated leg about two pillows. hot compresses might improve.  hope i have answered your query. let me know if i can assist you further.  take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello yours one is taking sertraline 100\u00a0mg, clomipramine 25 mg and acetylcysteine 600 mg per day. he is suffering from ocd. he has developed pot-belly and compulsive sleepiness. furthermore, he is not able to devote time for studies. compulsive sleeping may occur due to psychopathology of ocd itself. he is taking medicines that can cause mild sedation, but sleepiness in such severity is most likely not due to chatbot.  i would advise you to consult his psychiatrist regarding increase in dose of"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. these are only slightly elevated got and sept, so you should not worry. it may stabilize on its own or some minor lifestyle changes should be done from your side. you should avoid alcohol and regulate blood sugar and body weight. also, sylvain supplement should be taken. if there instill elevation of liver markers then the next step is to look for certain liver damage such as viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. to verify exact cause, us, bilirubin levels and tumor markers should be additional done then-then appropriate treatment can be started. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
Answer this question truthfully,"Mild eyelid swelling with watery, serosanguinous, or mucopurulent eye discharge in a newborn between 5 and 14 days old is suggestive of Chlamydial conjunctivitis."
Please summerize the given abstract to a title,Insights into laser safety considerations during COVID 19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot sometime due to head injury, patients feel continuous pain and memory issues. memory loss would take time to become normal and that localized pain may be due to underline hematoma. sometime, hematoma get calcified due to calcium deposition and that may be reason in your case. you can conform by through ct scan. if ct scan comes normal, in that case, this pain may be psychological. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.difficile infection generally causes fever, abdominal cramps and watery stools and so your situation doesn't look like a c.difficile infection. your infection may be just due to disturbance of gut flora due to antibiotic use. take probiotics regularly twice a day for 10 to 14 days. you should be alright with these measures. if your symptoms don't improve, or they worsen then you may consult your doctor for the treatment. you may be given a course of metro 400 mg three times a day for 5 days. thanks"
Answer this question truthfully,"Histiocytosis X has typically been thought of as a cancer-like condition. More recently researchers have begun to suspect that it is actually an autoimmune phenomenon, in which immune cells mistakenly attack the body, rather than fight infections. Extra immune cells may form tumors, which can affect various parts of the body including the bones, skull, and other areas.
Some forms of the disorder are genetic.
Histiocytosis X is thought to affect roughly 1 in 200,000 people each year. It is most often seen in children ages 1 to 15. The rate peaks among children ages 5 to10.
Pulmonary histiocytosis X is a specific type of this disorder that involves swelling of the small airways (bronchioles) and small blood vessels in the lungs. It is most common in adults. The inflammation leads to lung stiffening and damage. The cause is unknown. It most often affects those ages 30 to 40, usually cigarette smokers."
Please summerize the given abstract to a title,Digital Inequality During a Pandemic: Quantitative Study of Differences in COVID-19–Related Internet Uses and Outcomes Among the General Population
Answer this question truthfully,Right-dominant circulation is when the posterior descending artery (PDA) arises from the right coronary artery. This occurs in 85% of cases.
Answer this question truthfully,"Death is the ultimate complication that can happen in heart failure patients having thrombosis. In the ATLAS (Assessment of Treatment with Lisinopril and Survival) trial , there were many Heart failure patients who underwent autopsy, providing an unique opportunity and answering many questions about the cause of death.
Various trials have been conducted to suggest surrogate markers of heart failure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you had regular unprotected intercourse during the fertile days, then you have pretty good chances of being pregnant. a single tablet does not and cannot cover all those days. yet, the fact that you had some bleeding points to a with chatbot.  i would suggest that you get help if you do not see your period within a week as pills can alter the menstrual cycle by disrupting the hormonal balance. hope you find this information useful. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. the general recommendations for lumbar disc prolapse are as follows -- usually 1-2 days of bed rest will calm severe back pain. do not stay off your feet for longer-take rest breaks throughout the day, but avoid sitting for long periods of time.- avoid lifting heavy weights as it imparts more strain on your back-change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen your back pain-use a lumbosacral back support to stabilize & strengthen the back musculature- use analgesics like advil or alive and muscle relaxants to relieve pain and muscle spasm, as needed. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should definitely consult cardiologist and rule out angina pain and other heart diseases. left sided chest pain and left shoulder tingling sensation (pins and needles) are commonly seen in heart diseases. so get done 1. blood pressure monitoring 2. ecg 3. 2d echo. if all these are normal then no need to worry about heart diseases. sometimes stress and anxiety can also cause similar symptoms. so avoid stress and tension, if you have and be relaxed and calm. don't worry, you will be alright. but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it may be atomic dermatitis. there may be many causes in the form allergens. ... house dust, house dust mites, leather,plastic, grass, soap, detergents, deodorant,clothes, wool,dog hairs, pollens, pollutants and so on. even dietary allergens may be responsible like eggs fish, chicken, banana, soya, yogert, curd cow milk.consult the dermatologist for the perfect diagnosis and proper treatment. i would suggest.- avoid contact with suspected allergens - avoid dietary allergens - apply mild steroid cream on the lesions - take antihistamines like tab. cetirizine 10 daily-oral steroid in tapering dose.if needed under doctors observation hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"Microorganisms gain initial access into the layers of the skin through the discontinuities and cuts in the skin. The body responds to these microbes as foreign bodies and their detection sets off an inflammatory response. The inflammatory response leads to redness, swelling, pain and itching of the area involved."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello normal fertility is associated with sperm counts > 48 million/ ml (normal volume of semen is 3-8 ml)with motility >63% and >13 % exhibiting normal morphology. in your case sperm counts are very less while motility is very low. varicocele is a state of varsity of cremaster and occasionally testicular veins. surgery is indicated for varicocele if there is serious depression of spermatogenesis (oligospermia) . you are having oligospermia so in my opinion consult a surgeon get a surgery for varicocele and this is important step for fertility. good luck.
Answer this question truthfully,"Gastric adenocarcinoma is a type of cancer that affects the stomach lining, and it may rarely present with the Leser-Trélat sign, which is sudden onset of multiple seborrheic keratoses."
Please summerize the given abstract to a title,Synthesis of Gold Nanoparticles by Using Green Machinery: Characterization and In Vitro Toxicity
Answer this question truthfully,"The recommended next step in management for an infant who has experienced a breath-holding spell is reassurance. Breath-holding spells are a common occurrence in infants and young children, and are usually not a cause for concern. They are typically a response to a strong emotional trigger, such as anger or frustration, and are not harmful to the child. However, it is important for parents to be aware of the signs and symptoms of a breath-holding spell, as they can be frightening to witness. Parents should be reassured that breath-holding spells are a normal part of development and do not indicate a serious underlying condition. In some cases, if the spells are frequent or prolonged, a healthcare provider may recommend further evaluation to rule out other potential causes."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. pain is due to post-traumatic effect. it will take some time to get back to normal state. in the meanwhile i would suggest you following things
Please summerize the given abstract to a title,Visualizing Knowledge Evolution Trends and Research Hotspots of Personal Health Data Research: Bibliometric Analysis
Answer this question truthfully,Anti-HBs IgG can be detected as a result of immunization against HBV.
Answer this question truthfully,"Acute lymphoblastic lymphoma, also known as T-ALL, is a type of cancer that affects the lymphocytes, which are a type of white blood cell. In teenagers, T-ALL typically manifests as a mediastinal mass, which is a tumor that develops in the mediastinum, the area between the lungs in the middle of the chest. This can lead to symptoms such as chest pain, coughing, and difficulty breathing. Other symptoms of T-ALL can include fatigue, fever, and weight loss. Treatment for T-ALL may involve chemotherapy, radiation therapy, and stem cell transplantation, and the prognosis for patients can vary depending on a range of factors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello....... thanks for your query. as you mentioned many of symptoms of hypothyroidism like extreme fatigue, generalized weakness can mimic depression. also, sometimes thyroid disorders can have onset after a still birth. hence, i would suggest going ahead with thyroid function tests and consult an endocrinologist. you would also require an evaluation for depression by a psychiatrist. hope you find the suggestions useful. regard chatbot."
Please summerize the given abstract to a title,Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting at chatbot. ecg,2 d echo and treadmill tests are non-invasive tests which can be false positive. an angiography is an invasive test which directly visualizes the arteries of the heart. it is a very sensitive test for heart blockages. since there are no blockages on angiography, there is nothing to worry about. ecg and stress test will remain abnormal in your case always. wishing you good health. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, consult a physician at the earliest and get evaluated.  she might require a urine routine and urine culture to evaluate the cause for her symptoms as urinary tract infections can cause similar symptoms.  an ultrasound scan also required to rule out any focal collection which can act as a focus of infection and can cause fever. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. in my opinion, you should take him back to the er of the nearest hospital for a review to rule out any surgical cause for the pain abdomen. for the present avoid repeating any more enema. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. repeated episodes of backache below the rib and blood in urine (hematuria) is mostly due to presence of stone in the kidney and needs to be investigated and confirmed. chatbot. please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis. further treatment will depend upon result of these tests and final diagnosis. .
Answer this question truthfully,"The Ridley Jopling classification and the WHO classification are the two most widely used systems to classify Leprosy. These classification systems are based on clinical, microbiologic and histopathological features, and are used to determine the patient's prognosis and the treatment regimen."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello praveen. thank you for asking at chatbot. i went through your history. although there are so many types of rashes, i guess you may be having chronic urticaria. chronic urticaria have so many causes. common ones are physical ones - excessive sweating, exposure to warmth/cold, physical activity, sun exposure, pressure over some part of body, etc. if these are not the causes, i would suggest you to consult an allergist who may advise you some investigations like cbc, esr, crp, thyroid function, thyroid antibodies, urine & stool examination, allergy testing, etc. this will help him to reach at some diagnosis and suggest treatment accordingly. till then, i would suggest you to take a chatbot. regarding blood sugar, it is very unusual for alex to cause elevation of blood sugar. this might be a chance finding. please do not worry if your one time blood sugar report is high, i would suggest you to get fasting blood sugar, postprandial blood sugar & hba1c reports which will help to know what is abnormal with your sugar levels and whether you are really diabetic or not. hope this will be helpful to you. wish you the best of the health. regards."
Please summerize the given abstract to a title,"Obesity, self-reported symptom severity, and quality of life in people with atrial fibrillation: A community-based cross-sectional survey."
Answer this question truthfully,Call your health care provider if symptoms indicate rhabdomyolysis may be present.
Answer this question truthfully,"The lipoprotein that performs this function is called chylomicrons. Chylomicrons are large lipoprotein particles that are formed in the small intestine after the ingestion of dietary fats. The intestinal epithelial cells package dietary triglycerides, cholesterol, and other lipids into chylomicrons, which are then secreted into the lymphatic system and eventually enter the bloodstream. Once in the bloodstream, chylomicrons can be acted upon by lipoprotein lipase, an enzyme that breaks down triglycerides into free fatty acids and glycerol, which can then be taken up by peripheral tissues for energy or storage. Understanding the role of chylomicrons in lipid transport is important for the prevention and management of cardiovascular disease."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. these symptoms are due to allergic reaction to spider bite. sneezing is part of that allergic response. so you do not need to worry until or unless it becomes aggravated. if a patient comes to me with similar symptoms then i would suggest
Please summerize the given abstract to a title,How to share vaccines
Please summerize the given abstract to a title,Phytosterols: From Preclinical Evidence to Potential Clinical Applications
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for brief history. since your physician has diagnosed you with fibromyalgia i think you should know a little deep about it. human skeletal muscle tissue is composed of muscle fibers. having inflammation in the fibers of muscles is called fibromyalgia. now since you are taking medication you need to look further by helping the muscle to become stronger and improve the metabolism of the muscle. you can meet up a physical therapist who might help by using tens for your pain relief and therapeutic ultrasound therapy for reducing the inflammation of the muscle fibers. later on you may be guided for some exercises which you can follow at home. also try doing meditation, yoga, breathing exercises and body conditioning. as i have seen patients with fibromyalgia, and they have been helped with this & all are much finer. taking high dose of medicine will not be good for future so avoiding high dosage or too much medicine is of recommendation. i hope you will get helped by my answer. with the grace of god i wish you a speedy recovery"
Answer this question truthfully,"The remnant of the ductus arteriosus is the ligamentum arteriosum, which connects the aorta and pulmonary artery."
"If you are a doctor, please answer the medical questions based on the patient's description.",psoriasis in newer studies is diagnosed as chronic inflammatory reaction to one or more of food components we eat dailystart with elimination of milk and diary proteins completely from your diet as it is most likely associated with this disease the ointments you apply are for subsiding nit cure get blood serum test for specific antibodies of milk wheat potato china egg rice nutseliminate them from diet completely you will recover after few weeks of with chatbot.
Please summerize the given abstract to a title,[Challenges for psychotropics in the context of the SARS-Cov-2 pandemic]./ Enjeux de l'utilisation des psychotropes dans le cadre de la pandémie au SARS-Cov-2
Please summerize the given abstract to a title,Antiviral activity of azithromycin (a synthetic macrolide) for next step of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear... the symptoms as mentioned in your post suggest that you might be having allergic rhinitis. montair is montelukast, which is used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma. so.the medicine given by your doctor is correct...please continue them as advised.also, antihistamine preparations like allegra can be taken for symptomatic relief. other than that...maintain adequate hy chatbot. also make sure that you are well protected from cold, dust & other allergens. wishing you a good health. thanks & take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have doubt about the size of your penis. if you are getting good hard erection the size of the penis in flaccid state does not have any significance. it is the hardness of penis on erection that matters for sexual satisfaction . please consult qualified endocrinologist for evaluation and hormonal assessment and further treatment if required. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. this could be due to impacted food with granuloma/ or could be mucous inclusion desmond cyst/ or could be abscessed at the pierced site. hope this would help you to resolve your query. else contact with a followup premium question to me. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. welcome with any other further query in this regard. good day!! chatbot. s. genl-cvts"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it may be due to nerve root compression or peripheral neuropathy or arachnoids or electrolyte imbalance etc. until examination is done, it is difficult to say what it is. neuralgia parasitic may also present like this.  permitted sign seen in cervical spondylosis or multiple sclerosis in which shock like sensation in the legs. please get mri spine, nerve conduction study and serum b12 level then consult your neurophysician, he will examine and treat you accordingly. let me know if i can assist you further."
Answer this question truthfully,"Call your health care provider if you have diabetes and a routine urinalysis shows protein. Call your health care provider if you develop symptoms of diabetic nephropathy, or if new symptoms develop, including little or no urine output."
Please answer with one of the option in the bracket,E: Glucagon
Answer this question truthfully,The coding strand is the strand of dsDNA that is not used during transcription but is identical to mRNA (with T substituted for U).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks and welcome to chatbot. waking up during night suggests it may be thread worm infection. usually the worms come out during night and lay eggs over the perineum. this causes intense itching and colicky pain. single dose ivermectin 0.2 mg/ kg at night will eradicate worms. a second dose may be given after one week if necessary. personal hygiene and simultaneous administration of the chatbot. of course uti and amoebic colitis have to be ruled out. hope this reply is ok for you. please feel free to ask further queries if any."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,cifran500 may not be effective to eradicate typhoid fever. iran (ciprofloxacin) was effectively used in the treatment of typhoid fever but unfortunately many of the typhoid bacteria (salmonella type) are no longer susceptible to antibiotics of this type due to widespread resistant. hence, your doctor has prescribed a combination medicine managed plus (definite + ofloxacin) which is found be effective against most of chatbot.  continue to take the medicine as prescribed under the follow-up of your treating physician. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Symptoms of an abscess depend largely on where the abscess forms. Some common symptoms include:
Pain at the site of the abscess Chills Fever Decreased function in the affected part of the body General discomfort, uneasiness, or ill feeling Headache Local swelling, hardening of tissue Loss of appetite Loss of sensation in the affected area Nausea and vomiting Swelling"
Please summerize the given abstract to a title,Telemedicine in the emergency department in the era of COVID-19: front-line experiences from 2 institutions
Answer this question truthfully,"When a closed cervical os and no parts are seen on ultrasound, it is suggestive of a complete abortion. A complete abortion is a type of miscarriage where all of the pregnancy tissue is expelled from the uterus. This can occur naturally or may be induced through medication or surgery. Signs of a complete abortion may include cramping, bleeding, and passing of pregnancy tissue. However, it is important to note that not all women may experience these symptoms. If a complete abortion is suspected, a healthcare provider may perform an ultrasound to confirm the diagnosis and discuss any necessary follow-up care. It is important to receive appropriate emotional support during this difficult time."
Please summerize the given abstract to a title,"COVID-19 Infection among People with HIV/AIDS in Africa: Knowledge Gaps, Public Health Preparedness and Research Priorities"
Please summerize the given abstract to a title,Neuroplasticity induced by general anaesthesia: study protocol for a randomised cross-over clinical trial exploring the effects of sevoflurane and propofol on the brain – A 3-T magnetic resonance imaging study of healthy volunteers
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question in chatbot. according to various studies done, it has shown that some wart resolve spontaneously, or it will remain stable or increasing in size. and removal of wart is not always necessary. so it is individual preference whether to remove it or not. here you have endurance of wart, so it can be removed as usual with freezing technique using liquid nitrogen. it is better to remove it with freezing technique rather than applying condoling first. and don't try to remove wart with any home base remedy as genital skin is very sensitive. i hope i have solved your query.thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. many a times' metronidazole won't affects the amoebae, it requires different anti-helminthic chatbot. it will cure the amoeba infections, but once it is treated you should take luminal amoebic dioxide furnace under your doctors' guidance. this will cure the infection remains in side the gut and prevent the reinfection. please adopt good hand hygiene practice, as it will prevent cross infection to other people. please take a filtered water or boiled water this will prevent the future infection. i will be happy to answer your further concern on bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting you query to chatbot.there are so many causes for fever. typhoid fever appear as continuous fever and never touches to baseline. your tidal report is also showing insignificant level of typhoid antibody level, so it could be due to some other infection. you need to tell me detail of your symptom and undergo some more investigations"
Answer this question truthfully,Creutzfeldt-Jakob disease (CJD) is characterized by rapidly progressive dementia with ataxia and myoclonus.
Answer this question truthfully,Ceftriaxone is the cephalosporin that can be used to treat disseminated Lyme disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot for your irregular periods you are prescribed parallel medications,it is a dopamine agonist(bromocriptine). from the given medication to you, i will tell you that you are suffering from hyperprolactinemia...that means your prolactin level is very high. high prolactin levels causes irregular periods and becoming pregnant is troublesome. continue the same medication according to dose,don't skip the dose.after the dose you may get regular periods and the chances of becoming pregnant is more. hope you understand my suggestion. thank you chatbot."
Answer this question truthfully,"Risk factors include:
Atrial fibrillation Blockage of the large bowel Chronic obstructive pulmonary disease Congestive heart failure Diabetes High blood pressure Irritable bowel syndrome Low blood pressure Past aortic surgery in which damage occurred to the artery that supplies the colon. Rheumatoid arthritis Use of medications that cause constipation"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient you have got neuropathy in left foot and lost a ke reflex is a part of neuropathy.  according to your history you have undergone back surgery what was done and why it was done. surgery was done at what spinal level? all things should be mentioned if you know about it. i think you have got compressive neuropathy which is leading to all problems.  kindly get a mri spine done ant it will help for diagnosis and planning further treatment.
Answer this question truthfully,Bowel ischemia leads to patchy areas of mucosal hemorrhage with neutrophilic infiltrate.
Answer this question truthfully,"Thiocyanate and perchlorate are competitive inhibitors of the Na+-I- cotransport pump, thus interfering with the synthesis of thyroid hormones."
Please answer with one of the option in the bracket,B: Escitalopram
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! your symptoms could be related to skin sensitivity and the levels of sensibility related to the pinched nerves. the fact that the rash has ends at a sharp levels, indicates a relationship with the damaged vasomotor mechanisms and reflexes of this region of the skin, probably related to the damaged nerves or spinal cord innervating this region of the skin. it can also be caused by skin hypersensitivity to the contact with the clothes in this level, because the damaged spinal cord. i recommend performing a cervico-thoracic spine mri study to examine for possible spinal cord compression in this region. hope you will find this answer helpful! best wishes,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i value your concern regarding the symptoms. i have gone through your symptoms, and in my opinion you should be examined, as the type of description you are giving can stem from causes of pain from arm to elbow, meanwhile avoid heavy work, continue with chatbot. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health. special note-any medication prescribed needs to be taken after consultation with your personal doctor only."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot. read your query, as you have gap in between tooth after extraction of molar tooth if you leave the gap between teeth there is medial shifting of next molar tooth present, it will tilt medially after few years. as your dentist as suggested for porcelain fused metal crown that is bridge made in support of teeth present next two extracted tooth that is fixed partial denture, if you don't want to go for fixed partial denture you can go for removal partial denture also. hope it will help you. wishing you good health."
Answer this question truthfully,A decreased blood volume (or venous tone) causes the cardiac output to decrease and right atrial pressure to decrease.
Please answer with one of the option in the bracket,A: Nucleotide excision repair
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","this is initial stage of cervical disc syn chatbot.  cds may, however be due to intervertebral disc space reduction due to any reason that restricts free movement of neck and exerting pressure on nerves emanating from cervical spine and going to arm. it may be due to osteophytes too but that's generally in later age. symptoms are similar. physiotherapy and herbal decoction are the best bet. otherwise, painkillers will make you dependable on them and cause side effects. painkillers will also render ineffective after some time. if interested, pl ask direct question to know more about cervical support, herbals and decoction etc. to keep life happy by prevention of progress of intervertebral disc disease. all the best.rajeshchoda@gmail.com"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",the pain in lower abdomen and frequent urination are the symptoms of urinary tract infection with cystitis (urinary bladder inflammation). the nausea and clammy skin is due to bacteremia or septicemia associated with sever infection. intercourse and sexually transmitted diseases (venereal) may not have to do anything with this. i would advise you the following
Answer this question truthfully,"As per the information provided, Autosomal dominant diseases are often due to defects in structural genes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, both asthma and hypertension are spastic disorders of smooth muscle, leading to narrowing of the respiratory tract and blood vessels. but as your doctor as examined and informed you that the increased blood pressure is not because of the symptoms. there are many modifiable and non-modifiable risk factors which can play a role in pathogenesis of hypertension. high blood pressure requires both lifestyle modification and medicines. i would suggest you to check bp regularly, if it is high consult a physician and take proper treatment. thank you."
Please summerize the given abstract to a title,Claudins in lung diseases
Please answer with one of the option in the bracket,C: Open emergency surgery
Answer this question truthfully,There are no established measures for the primary prevention of EoE.
Please summerize the given abstract to a title,The benevolent health worm: comparing Western human rights-based ethics and Confucian duty-based moral philosophy
"If you are a doctor, please answer the medical questions based on the patient's description.","i am a neurologist from the cleveland, ohio region of the world. this is not an infrequent problem among people of all ages and most likely represents overexertion of your upper limb muscles in carrying heavy grocery bags. this is not likely to be a vascular problem mainly based on the fact that you are feeling the symptoms in both upper extremities at the same time and with the same relative intensity. there is no vascular disease that would acutely come on in this way in an otherwise healthy woman. if you would like to discuss this problem at greater length then, you may write to me at"
Answer this question truthfully,"Granulomatosis with polyangiitis (Wegener) is a form of small-vessel vasculitis. This rare autoimmune disease causes inflammation of the blood vessels, particularly the small blood vessels in the nose, lungs, and kidneys. The inflammation can lead to tissue damage and organ dysfunction. The exact cause of the disease is unknown, but it is thought to involve both genetic and environmental factors. Symptoms of Granulomatosis with polyangiitis can include sinusitis, cough, shortness of breath, joint pain, skin lesions, and kidney problems. Treatment typically involves a combination of steroids and immunosuppressive medications, such as cyclophosphamide, to control inflammation and prevent organ damage. Regular monitoring by a healthcare professional is necessary to ensure that the treatment is effective and to manage any potential side effects."
Please summerize the given abstract to a title,"A Theoretical Model to Investigate the Influence of Temperature, Reactions of the Population and the Government on the COVID-19 Outbreak in Turkey"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, menstrual irregularity is a prominent side effect of the implant. the occurrence of prolonged bleeding after a phase of amenorrhea denotes the hormone imbalance created by the implant. ovulation can be expected to return in six weeks since you have had the implant removed. please see a specialist for further evaluation and treatment if the bleeding does not subside. you may need styptics and hormones in addition to blood profile and hepatic function tests. please maintain a healthy diet, genital hygiene and a healthy weight. take care."
Please summerize the given abstract to a title,"Summary of Guidance for Public Health Strategies to Address High Levels of Community Transmission of SARS-CoV-2 and Related Deaths, December 2020"
Answer this question truthfully,Dexrazoxane can be used to prevent the cardiotoxicity associated with anthracyclines such as doxorubicin and daunorubicin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot.comparing a red spot on the tip of penis is a matter of concern. such a spot may be caused by localized inflammation due to infection. though not associated with itch or pain, still there is a possibility of having a genital infection. such infections also increases chance of contracting sexual transmitted diseases. advice for you to is to consult a meteorologist and get an std screen done. thank you."
Please answer with one of the option in the bracket,B: Oxybutynin
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from what you said, it seems like your kid is having an allergic condition called asthma, where inflammation of airway causes their episodic constriction on exposure to cold, dust, microbes etc. for child chatbot.  but those having frequent or sever symptoms will definitely benefit from inhalers. i will explain why. when child develop asthma, airway constrict and when we give nebulization, it relaxes back. but when he gets repeated episodes, slowly the relax-ability decreases and finally a stage will reach, where we won't get adequate symptom relief even after nebulization. it is very important to regularly administer inhalers to indicated cases to prevent this irreversible damage. you need no worry much about side effects-compared to repeated courses of oral"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for providing a brief history. it is always good and one should be happy that they have no abnormality. but looks like you are unhappy with that. well, try performing some regular neck muscles strengthening and some gentle massage over the trapezius muscle as well.  you will get helped. since you mentioned purpura? well i don't think anything will be wrong in your neck region as it's the purpura which is troubling you and not the pain. so you need to go lightly. nothing is wrong with you, do some hot water fermentation over the region and some neck and trapezius muscle massage, you will be fine. thank you"
Please answer with one of the option in the bracket,B: Medullary sinus
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, protected sex with condom and taking i-pill give additional protection against unwanted pregnancy. here, chance of being pregnant is quite less. following taking pill, next period may be delayed up to 7 days or more. it occurs due to hormonal imbalance and mental stress. she needs to wait for few more days to get period. after that, one home pregnancy test is required to check pregnancy status. blood test for beta chatbot is needed to confirm the same. following above test report, you can consult with gynecologist for next line management. practice safe sex in the future. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should definitely consult gastroenterologist and get done upper gi (gastrointestinal) copy for the diagnosis. by your history and description, possibility of herd (gastroesophageal reflux disease). you are also having cough, this also favors reflux disease. along with chatbot.  1. avoid hot and spicy food. avoid junk food. 2. avoid stress and tension. 3. avoid large meals, instead take frequent small meals. 4. go for walking after meals. 5. keep 2-3 pillows under head in bed. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Streptozocin belongs to the class of drugs known as nitrosoureas, which are alkylating agents."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in.1. the decrease in sperm count can be a side effect of steroid treatment.2. you have not mentioned but are taking treatment with steroids for 1 year and this is a long duration.3. if you have 3 child chatbot. 4. pus cells can be seen in infection of the bladder and prostate from urinary infection. please get investigated and take required treatment.5. please discuss with your doctor if you should continue steroid treatment for any other problem. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi rachel. it is proud to know that you donated one kidney. but blood in urine and pain in the abdomen has to be taken very seriously as you have only one kidney. i would advise you to rush to the er / hospital, get admitted, investigated, and started on appropriate medicines the moment you have given your urine for culture and sensitivity. get blood tests, particularly for infection and urea and creatinine done; ultrasonography of the abdomen."
Please answer with one of the option in the bracket,C: Caspase
Please answer with one of the option in the bracket,D: Increased pulmonary capillary wedge pressure
Answer this question truthfully,"Once nitric oxide diffuses into muscle cells, it activates soluble (cytosolic) guanylyl cyclase, which converts GTP to cGMP."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! read your query. take a full week course of antibiotics(metronidazole and amoxicillin) and analgesics. do not chew anything hard on this side till you see your dentist(or you may break second molar further). take an x-ray for the wisdom tooth, removal is absolutely necessary. get the second molar restoration after the removal. warm salt water gargle thrice daily will help subside infection. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. if he has weakness during other activities as well it could well be the case of neuromuscular disease, a peripheral neuropathy or myopathy. in order to make such a diagnosis though a neurological exam is essential as there can be many such conditions with variable manifestations and causes, it's not an easy straightforward diagnosis.also, tests might be needed like nerve conduction studies/electromyography and some blood lab tests. i hope to have been of help."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir. since your wife has been diagnosed with nafld, and she had undergone gall bladder removal. so, the only way to prevent dyspepsia is avoidance of fatty food and oil. i know you already know this, but like all doctors i am saying the same because that is the only way out. she can continue on ad\u00edlio as it has shown to be beneficial in nafld. she can also take pantoprazole and domperidome combination if dyspepsia is lot troubling. other thing is that you should be aware of the fact that nafld can progress to liver cirrhosis. i am not saying that it always progress, but it can. so, it's always advised to be in regular follow up with your doctor. stay healthy"
Answer this question truthfully,"The dysplastic precursor lesion that is associated with HPV-related vulvar carcinoma is known as vulvar intraepithelial neoplasia (VIN). VIN is characterized by koilocytic change, disordered cellular maturation, nuclear atypia, and increased mitotic activity. These changes can be observed on a biopsy of the affected tissue and are indicative of abnormal cell growth that may progress to cancer over time. It is important for individuals who are diagnosed with VIN to receive appropriate treatment and to undergo regular follow-up care to monitor for any signs of cancer development."
Answer this question truthfully,"Griseofulvin activates cytochrome p450. Cytochrome p450 is a group of enzymes that are involved in the metabolism of many drugs and other foreign substances in the body. Griseofulvin is an antifungal medication that is used to treat various fungal infections, including ringworm and athlete's foot. One of the ways that griseofulvin works is by inducing the activity of cytochrome p450 enzymes, which can increase the metabolism of other drugs and substances in the body. This can have important implications for patients who are taking other medications, as griseofulvin may affect the way that these drugs are metabolized and eliminated from the body. Therefore, it is important for healthcare providers to be aware of the potential interactions between griseofulvin and other medications that a patient may be taking."
Answer this question truthfully,Hyposmotic volume expansion (e.g. SIADH) typically leads to an increased intracellular fluid (ICF) volume.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  pain at tail bone - coccydynia, is a very common problem related to posture, due to pressure of sitting on tailbone. aim of treatment is to relieve pain and build up the muscles in hip region, to allow weight to be transferred to other bones. i suggest painkillers, muscle relaxants, site bath(sit in a tub of hot water) twice daily, + exercises for spine and hip muscles. avoid constipation and sit on a cushioned surface for the time being. hope for all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-tb with blood in sputum? duodenal ulcer. you need to update more information before the reason for blood vomit is finalized. in absence of any further information investigation by oeso-phago-duodenoscopy, would help you to fix the treatment from surgeon treatment-as there is no history of chest complaints, but for your doctors' opinion of lung injury causing this blood omitting, i would suggest tab proton-d-6 weeksinj-vik +in calcium gluconate to treat blood in vomit. other causes need to be investigated and treated from surgeon /physician accordingly. hope this reply would help you to plan further treatment with your family and specialist doctors there. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you do not want to repeat the mistakes of your past, well said. as you said, dysthymia is often disappointing. years of research by eminent researchers (including me) do confirm that medicines alone cannot cure any depressive disorders. researches also conclude that psychotherapy and relaxation exercises and meditation have a very good effect on these. therefore, please consult a psychotherapist. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"Symptoms of Chronic obstructive pulmonary disease include: cough with mucus, shortness of breath (dyspnea) that gets worse with mild activity, fatigue, frequent respiratory infections, and wheezing. Since the symptoms of COPD develop slowly, some people may be unaware that they are sick."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear thanks for posting your query here. as your father had a heart attack 2 weeks back, so now if your father still gets angina and if the blockage of vessels is >50% in left main and >70% in the other vessels, then he definitely needs revascularization that can be either angioplasty or bypass operation depending upon the degree of blockage and number of vessels involved. but if your father doesn't get any angina now but has blockage in the vessels, then he can get a stress test to find out the significance of those blockages whether they need to be opened or not. i hope this will help you. all the best"
Answer this question truthfully,"Cyclothymic disorder is a mood disorder characterized by chronic, fluctuating mood disturbances. The characteristic symptoms of this condition are mild depressive symptoms and hypomanic symptoms lasting for at least 2 years."
Answer this question truthfully,"No, Reed-Sternberg cells are not typically present in Nodular lymphocyte-predominant Hodgkin Lymphoma."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello have gone through your question. i can understand your concern.it's true that diabetes affect even your sexual life, but there are some strategies that can help you for a better performance. taking care of your diabetes is the best sex strategy. good blood glucose control can prevent or ease sexual issues, so you can have a good healthy sex life. here are some helpful tips/strategies for you"
"If you are a doctor, please answer the medical questions based on the patient's description.",dors your husband has diabetes and on any medications for this? if so peripheral neuropathy should be suspected. does he have any neck pain or injury to the cervical region? if so cervical spondylosis is a possibility. he has numbness over the left side of the face and mouth which indicates probably 5th nerve involvement(trigeminal nerve) which may also occur in high cervical spine pathology or in case of possible brain tumor. it is better if he takes mri cervical spine to look for any pathology.
Please summerize the given abstract to a title,Adult PTSD symptoms and substance use during Wave 1 of the COVID-19 pandemic
Answer this question truthfully,Ceftriaxone is the 3rd generation Cephalosporin that is commonly used to treat meningitis and gonorrhea.
Answer this question truthfully,"Lumps in a woman are often caused by fibrocystic changes, fibroadenomas, and cysts.
Fibrocystic changes are painful, lumpy breasts. Fibrocystic breast changes do not increase your risk of breast cancer. Symptoms are usually worse right before your menstrual period, and then improve after your period starts.
Fibroadenomas are noncancerous lumps that feel rubbery. They move easily inside the breast tissue. Like fibrocystic changes, they occur most often during the reproductive years. Usually, they are not tender. Except in rare cases, they do not become cancerous later. A doctor can feel during an exam whether a lump is a fibroadenoma. The only way to be sure, however, is to remove or biopsy the lump.
Cysts are fluid-filled sacs that often feel like soft grapes. These can sometimes be tender, especially just before your menstrual period.
Other causes of breast lumps include:
Breast cancer
Injury -- sometimes if your breast is badly bruised, there will be a collection of blood that feels like a lump. These lumps tend to get better on their own in a few days or weeks. If they do not improve, your doctor may have to drain the blood.
Lipoma -- a collection of fatty tissue
Milk cysts (sacs filled with milk) and infections (mastitis), which may turn into an abscess. These typically occur if you are breastfeeding or have recently given birth."
Answer this question truthfully,"Yes, HIV has an envelope. The envelope of HIV is a lipid bilayer that surrounds the viral capsid and contains viral glycoproteins. The envelope is derived from the host cell membrane during the process of viral budding and plays an important role in the virus's ability to infect and evade the immune system."
Please answer with one of the option in the bracket,E: Narcissistic personality disorder
Please summerize the given abstract to a title,Workplace Contact Patterns in England during the COVID-19 Pandemic: Analysis of the Virus Watch prospective cohort study
Please summerize the given abstract to a title,The impact of Saudi lockdown to counter COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. if your mch is high then no need to worry. no, any treatment is required for that. for your on and off anemia you should go for anemia profile including serum iron, serum ferritin and serum b12 level. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot. i read your query. if the filling hurt you so much, i wonder why it wasn't taken out. it appears may be filling was quite deep and close to the pulp. over the years it caused irritation to pulp and infection. also, any overhanging filling can also impinge into gums. i suggest you to visit a dentist and get x-ray of tooth done. according to tooth condition and infection, it may need rct or extraction. get a prescription of antibiotics and painkiller from dentist and take it. do warm saline rinses. maintain oral hygiene. take healthy diet, multivitamin and mineral tablet one per day. avoid spicy and acidic foods till treatment is over. hope the answer helps you. thank you!"
Please summerize the given abstract to a title,"Vaccine suspension, risk, and precaution in a pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms are not typical of any cardiac disorders. in my opinion this situation could be related to a musculoskeletal pain or local inflammation (chostrocon chatbot.  anyway, before coming to this conclusion, i would recommend performing some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you already have chronic kidney disease stage-3, now you are experiencing swelling, shortness of breath and weight gain. all these symptoms could be related to your kidney problem. you need to have some tests done which are renal functions test urine for albumin creatine ratio/24 hour urine for protein quantification. you also need to visit nephrologist for further treatment as well. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot he needs to take an anti histamine as soon as possible. in addition, he should be assessed in the event that the swelling progresses and causes closure of the airway. after this episode, he may want to consider allergy testing to determine if there are any other allergens that he needs to avoid. he should avoid nuts in the future. his doctor may suggest an epi pen to have with him in case he has another severe attack. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is unfortunate that your trigeminal neuralgia has not responded to treatment thus far. if you have done mri and mr angiogram of brain, please upload the reports, it would be useful in deciding the best treatment option for you. treatment options other than medications include radio-frequency ablation and microvascular decompression. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"The initial treatments for transient ischemic attack involve improving blood pressure control, starting antiplatelet (aspirin leads to clopidogrel) and statin, and discontinuing smoking."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! possibly your father was feeling the pain of a mild attack of recurrent appendicitis off and on, and as it was left like that without any treatment, it has formed an appendicular mass with the momentum and intestines. this is an infected and inflamed mass which is thus painful to touch. the right management would be to report at an emergency room of a hospital, where they may admit him, and give intravenous antibiotics, iv fluids, and nil by mouth till it gets controlled and reduced. sometimes, the response is not good enough, and emergency surgery might have to be performed with all its possible difficulties. infrequently, the mass can be from other organs of the abdomen, like stomach, or retroperitoneal lymph nodes with super added infection, but all these can not be differentiated without clinical examination, and so i would advise you take him to a surgeon for an opinion on the management. good luck."
Please summerize the given abstract to a title,Baricitinib restrains the immune dysregulation in COVID-19 patients
Answer this question truthfully,"====Postmortem Examinations==== 
Post-mortem examination of hemorrhagic fever patient remains should be limited to essential evaluations only and should be performed by trained personnel. Personnel examining remains should wear eye protection, mask, gloves and gowns as recommended for patient care. In addition, personnel performing autopsies of known or suspected HF patients should wear a particulate respirator and eye protection or face shield, or a powered air purifying respirator (PAPR). When removing protective equipment, avoid any contact between soiled gloves or equipment and the face (i.e. eyes, nose or mouth). Hand hygiene should be performed immediately following the removal of protective equipment used during post-mortem examination and that may have come into contact with potentially contaminated surfaces. Place specimens in clearly-labelled, non-glass, leak-proof containers and deliver directly to designated specimen handling areas. All external surfaces of specimen containers should be thoroughly disinfected (using an effective disinfectant) prior to transport. Tissue or body fluids for disposal should be carefully placed in clearly marked, sealed containers for incineration.
The handling of human remains should be kept to a minimum. Take account of cultural and religious concerns: Remains should not be sprayed, washed or embalmed. Only trained personnel should handle remains during the outbreak. Personnel handling remains should wear personal protective equipment (gloves, gowns, apron, surgical masks and eye protection) and closed shoes. Protective equipment is not required for individuals driving or riding a vehicle to collect human remains. Protective equipment should be put on at the site of collection of human remains and worn during the process of collection and placement in a body bag. Protective equipment should be removed immediately after remains have been placed in a body bag and then placed inside a coffin. Remains should be wrapped in sealed, leak-proof material and should be buried promptly.
To read more about guidance for safe handling of human remains of Ebola patients, click here."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"When performing Immunohistochemistry, a Desmin stain can be used to identify Rhabdomyosarcomas, Leiomyomas, and Leiomyosarcomas."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i appreciate your concern regarding healthy lifestyle adopting after positive for hepatitis b. yes usually after getting acute hepatitis b infection approx.90 to 95 patient recovers. only 4 to 5 % can be carrier or chronic hepatitis. so continue with healthy lifestyle until viral marker comes negative. instructions for you.......-omega 3 fatty acid oil can be used in meal like sunflower or olive oil-avoid refined food and sugar-avoid smoking and alcohol-fruits more -green leafy veg useful-avoid trans fat like cheese, burger, meat, butter etc... continue regular exercise. cumin seed with milk taken daily. papaiya seed with lemon juice can also be good herbal remedy. mostly your report will be negative. if bag comes positive then repeat after 6 months. if it comes positive after 6 months then carrier state is present. i hope your concern is solved. take care. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. it is very unusual for the fluids used in the oral cavity during the root canal treatment to enter the nasal cavity as you have mentioned. even if the root of the tooth is in proximity of the sinus or have a direct access, small amount of solution used should not cause any damage. if there is sudden increase of swelling and pain, report back to the dentist and have it checked. careful monitoring may be required to be followed by a dose antibiotic, nasal decongestants and more required treatment. hope this was useful. thanks and regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Vasovagal syncope is a type of syncope caused by vagus nerve overstimulation which leads to bradycardia and hypotension, resulting in cerebral hypoperfusion and syncope."
"If you are a doctor, please answer the medical questions based on the patient's description.","generally ablation is effective in 95 % cases for effective long term treatment for certain type of svt.  so the common reasons of palpitation at this juncture would be 1) subjective. as part of the spectrum of ibs and associated anxiety 2) the medications you are on can also cause palpitation, though not very often. 3) there may be a recurrence of svt. the best way if the symptoms occur every day is to get a 24 hour holder monitoring.  based on the results we would get an idea about the morphology and would even help your doctor to decide the further plan of action. regards chatbot."
Please summerize the given abstract to a title,Sustainable Education Starts in the Classroom
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thank you posting your query on chatbot, first, i would like to appreciate that you did see the doctor for your babies symptoms. yes, when babies are teething they tend to get irritated, salivate, have fever sometimes, may not sleep well, and their gums are red and itchy which forces them to chew on stuff which gives soothing effect to their gums. it is completely normal for your baby to have temperature at this time, but giving them baby tylenol will be helpful. you could also, offer your baby with teething toys which are cold(kept in fridge), sooth their gums. i hope i answered your query, kindly feel free to write back any further questions, have a nice day, thank you"
Answer this question truthfully,Pelvic fractures injuring the anterior bladder wall can result in extra-peritoneal leakage of urine.
Answer this question truthfully,The first sign of jaundice is typically scleral icterus.
Please summerize the given abstract to a title,"COVID-19-Associated Candidiasis: Possible Patho-Mechanism, Predisposing Factors, and Prevention Strategies"
"If you are a doctor, please answer the medical questions based on the patient's description.","helloelevated liver enzymes may indicate raised sgpt, sgot. increased sgpt, sgot may indicate liver injury. it may be due to many causes like hepatitis, fatty liver, medicine side effect, metabolic disorder,autoimmune causes etc. increased liver enzymes in your case may be due to fatty changes in liver. you may need routine hologram, random blood sugar, liver and renal function test, lipid profile. you may need medicines like tablet ursodeoxycholic acid tablet 300 mg twice daily for three months. it helps in regeneration of liver cells. it is good that you don't take alcohol but also try to quit smoking. avoid saturated fat and take the lot of fibers in your diet. go for regular brisk walk regularly. get well soon. take care chatbot."
Answer this question truthfully,"In 2015, the incidence of non-Hodgkin lymphoma was estimated to be 24 cases per 100,000 individuals in the United States. In the United States, the age-adjusted prevalence of non-Hodgkin lymphoma is 131.1 per 100,000 individuals in 2011."
Please summerize the given abstract to a title,"Marine heatwave events near Weizhou Island, Beibu Gulf in 2020 and their possible relations to coral bleaching"
Answer this question truthfully,"Vigabatrin is an anti-epileptic medication that works by inhibiting the enzyme GABA transaminase. This enzyme is responsible for breaking down the neurotransmitter GABA (gamma-aminobutyric acid), which is an inhibitory neurotransmitter that helps to regulate the activity of neurons in the brain. By inhibiting GABA transaminase, Vigabatrin increases the levels of GABA in the brain, which can help to reduce the activity of neurons and prevent seizures."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Aggrandizement of fermented cucumber through the action of autochthonous probiotic cum starter strains of Lactiplantibacillus plantarum and Pediococcus pentosaceus
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. at your age of 23 years, no need to worry about heart diseases for your symptoms. in my opinion, you're all symptoms are due to stress and anxiety. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with counselling and"
Please summerize the given abstract to a title,Omnichannel Management in B2B. Complexity-based model. Empirical evidence from a panel of experts based on Fuzzy Cognitive Maps
Please answer with one of the option in the bracket,A: Separation anxiety disorder
Please summerize the given abstract to a title,Movement Disorders Associated with COVID-19
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the painful lumps with collection of pus within possible cause is a hair follicle infection, next possible cause could be subcutaneous abscess due to infective causes.2. lumps outside the labia, possible cause could be ductal dilatation- bartholdi cyst - does not need any treatment unless causing any discomfort.3. the lumps under arm can be treated with a course of antibiotics or a small incision and chatbot. 4. as a remedy do not squeeze the lumps, it will only complicate, (clean the arm pit area with antiseptic liquid to clear infections)5. suggest to see your gp get them examined and treated accordingly. good luck. hope i have answered your query.anything to ask do not hesitatehttp"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. yes the copper t may cause the similar symptoms like back pain.2. but in your case, it has been removed some time ago, still pain persist.3. i would start with a basic exercise and lying on the flat surface should relive general back pain. if not then.4. i would ask for an ultrasound abdomen to rule out intro abdominal causes which cause back pain.5. if you could not find anything then an mri spine will be the last option. anything to ask ? do not hesitate. thank you."
Please summerize the given abstract to a title,Is the Frontal Lobe the Primary Target of SARS-CoV-2?
Answer this question truthfully,Cetirizine belongs to the drug class of 2nd generation H1 receptor antagonists.
Please summerize the given abstract to a title,"Freedom of Movement, Migration, and Borders"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand your concern, you have to keep your moral high, because of the highly depressive state of mind such symptoms are very likely, you have to come out of this condition, apprehensiveness, obsession, these are not good for health, you have to be mentally fit, otherwise there would be no limits ibs is the near example of this, i hope this information helps you, take care and have good time."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Intestinal Microbiota—A Promising Target for Antiviral Therapy?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you are having itchy skin, raised bumps, pimples, rash under arms, pimples on collar bone. you have used prednisolone, antihistamines, and permethrin cream, but in vain. you have allergy that is right, but there is associated super infection.  when ever there is infection you are expected to use antibiotics along with medicines for controlling allergy. so i advise you to consult a dermatologist for diagnosis and treatment. if you have any doubts you can approach chatbot.  wishing for a quick recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. pneumonia is infective condition. and in acute infection, steroids are generally not given because steroids can worsen underlying infection as it causes immunosuppression. so ideally, prednisone should not be given in acute infection like pneumonia. prednisone can cause skin rashes as a side effect. so possibility of prednisone induced skin rash is more in your case. certain antibiotics can also cause skin rashes. better to consult dermatologist and discuss all these and if possible stop prednisone. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Sideroblastic anemia is characterized by increased ferritin levels. This is due to the impaired ability of the body to incorporate iron into heme, leading to an accumulation of iron in the blood and tissues. Ferritin is a protein that stores iron, and increased levels may indicate an excess of iron in the body."
Answer this question truthfully,"Yes, cases of child neglect or child abuse should be reported to local child protective services. Child neglect and abuse can have serious and long-lasting effects on a child's physical and mental health, and it is the responsibility of adults to protect children from harm. Reporting suspected cases of child neglect or abuse to local child protective services can help ensure that children receive the support and services they need to stay safe and healthy. In many places, there are legal requirements for certain professionals, such as teachers or healthcare workers, to report suspected cases of child neglect or abuse."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Can high quality listening predict lower speakers' prejudiced attitudes?()
Please answer with one of the option in the bracket,D: Osteochondritis dissecans
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of ongoing myocardial ischemia leading to evolving stroke in the brain. i advise you to get an ecg,2d echo of your heart, lipid profile, hscrp, ct brain immediately to confirm the diagnosis. monitor your blood pressure, heart rate immediately. chatbot. avoid stress and anxiety. avoid fatty foods, smoking and alcohol. i also advise you to get your bmi measured and reduce weight if you are obese. also exercise daily for 30 min. coronary angiogram with or without stenting will be the procedure of choice. consult your cardiologist for expert management and follow up. post your further queries if any, thank you."
Please summerize the given abstract to a title,Epidemiology and clinical course of viral respiratory infections in children aged 0-5 years
Please summerize the given abstract to a title,Mediating effect of resilience in the relationship between loneliness and life satisfaction during COVID‐19: A cross‐country study of Thai and Chinese college students
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. mini strokes are caused mainly by small vessel disease in hypertension and diabetes. the symptoms of mini strokes may be episodes of pure motor sign like difficulty using a limb, episodes of pure sensory signs like numbness, or dizziness and gait imbalance. they may also be asymptomatic and cause progressive gait and memory decline. in her situation i would think more about normal pressure hy chatbot.  but also a progressive small vessel disease like insaner can be the cause. i would recommend a brain ct scan or mri to find out the cause. hope to have been of help! greetings!"
Please summerize the given abstract to a title,Neurological and Neurosurgical Aspect of COVID-19 Pandemic
Please summerize the given abstract to a title,A novel method for intra-operative colonic decompression without contamination.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i value your concern regarding the symptoms. i have gone through your symptoms, and in my opinion there is surgical treatment available for this condition, consult a plastic surgeon in your area hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health. special note-any medication prescribed needs to be taken after consultation with your personal doctor only."
Please summerize the given abstract to a title,Change in orthopedic trauma practice under strict lockdown due to COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this elevated liver enzymes. autoimmune hepatitis is treated with chatbot.  talking of complete reversal of damage is unlikely. it will take months to years before the liver enzymes return to normal. what is guaranteed is that the progressive damage would be halted. after treatment, you should be able to start observing a downward trend in the liver enzyme numbers hope this ad"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may be having acute attack of gout. in this condition there is increase in blood levels of uric acid which gets deposited in the small joints of foot especially 1st metatarsophalangeal joint. uric acid forms needle like crystal in small joints which leads to inflammation and pain. usually deposit occurs acutely and hence pain. i would like to advise blood test for uric acid levels. keep yourself hy chatbot.  ice compression reduces inflammation and pain. treatment for reducing serum uric acid level should be started if blood levels are high. please consult physician nearby you after report.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot if you want to conceive you need to confirm with your doctor the chances of miscarriage again as it depends on the cause. you may be having infections, problem with your hormones or even chromosomal abnormalities which can cause first trimester miscarriages. hence, consult with your doctor, get required tests done, also assess health for hypertension, diabetes, apa syn chatbot."
Answer this question truthfully,"Similar to the thick ascending limb, Cl- is transported out of the cells of the early DCT and into the blood through diffusion down its electrochemical gradient, facilitated by membrane channels. The early DCT is the segment of the nephron in the kidney that follows the loop of Henle and is responsible for fine-tuning the reabsorption of ions and water from the filtrate. Chloride ions are transported across the apical membrane of the cells lining the early DCT through specific channels, and then diffuse down their electrochemical gradient across the basolateral membrane and into the blood. This process is critical for maintaining the body's electrolyte balance and regulating blood pressure."
Answer this question truthfully,"Neurofibromas arise from the nonmyelinating-type Schwann cells and can occur anywhere in the body. Gene involved in the pathogenesis of plexiform neurofibroma is NF1 which codes for neurofibromin that leads to loss of RAS control causing increased activity of downstream RAS pathways involved in increased cell growth and survival. Plexiform neurofibroma may be caused by the bi-allelic inactivation of the neurofibromatosis type I tumor suppressor gene. On gross pathology, a nonencapsulated superficial mass is the characteristic finding of localised or diffuse neurofibroma; whereas the ""bag of worms"" appearance is the characteristic finding of plexiform neurofibroma. On microscopic histopathological analysis, nerve fibers, schwann cells, spindle cells with wavy nuclei without pleomorphism, shredded carrot collagen, moderate increase of cellularity vis-a-vis normal dermis, blood vessels, mast cells, pseudomeissnerian bodies, and varying degrees of myxoid degeneration are characteristic findings of neurofibroma. However, plexiform neurofibroma shows a characteristic target sign on histopathology, representing a central core of collagenous and fibrillary tissue with peripheral less densely cellular myxoid tissue. Electron microscopy of neurofibromas shows Schwann cells enclosing axons in plasmalemmal invaginations (mesaxons)."
Please summerize the given abstract to a title,Cardiac complications associated with goal-directed therapy in high-risk surgical patients: a meta-analysis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, soil is lactose-free formula milk, given in babies with lactose intolerance (with symptoms like gaseous distension, excessive crying in the evening). blood in poop is due to infection only.  if you're breastfeeding from last 7 months with no symptoms, then it's less likely than its lactose intolerance in your baby. you need to give normal milk to the baby. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i would like to know your symptoms of social phobia. usually social phobia is a disorder of excessive & unwarranted fears of unfavorable scrutiny by elders, seniors, strangers which causes avoidance of social situations. are you suffering from any or all of these symptoms? if yes; you should consult a psychiatrist (cip ranchi is a very good institute nearby you) for detailed evaluation & diagnosis. social phobia is treated by combination of ssri group medications (escitalopram, sertraline, paroxetine etc.) along with anxiolytic medications like propranolol, clonazepam etc. on sos' basis. in addition, there are various talk & behavior modification therapies named as cognitive behavior therapy (cbt) where you will be taught how to control anxiety provoking thoughts; role plays, relaxation exercises etc. though bit long; but treatment is very effective & long-lasting. do revert for further help. good luck"
Answer this question truthfully,"As per the information provided, Aztreonam can be used in patients with penicillin allergies."
Answer this question truthfully,"Viral conjunctivitis is characterized by a burning, gritty sensation."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, though your symptoms point towards the diagnosis of arthritis, since most of the tests done to rule out arthritis are normal, it points towards the diagnosis of postural aches and pain. also, there are high chances that back pain is because of bad posture while small joint involvement is a part of initial stages of arthritis. you need to get an arthritic profile done that includes tests for specific arthritis along with x-rays and mri of back. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint in case if you are suffering from post concussion syn chatbot. . as far as rise in blood pressure during dental extraction is concerned, the extraction will be carried out only after proper evaluation of your vital signs like monitoring of your blood pressure, heart rate and other general signs. to avoid blood pressure complications the local anesthesia that will be given to you will be free from a"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there!  thank you for asking, liver modifies ammonia to urea thus detoxifies it. ammonia is lipid soluble and it crosses brain, so yes this ammonia cause encephalopathy and alopecia. but if the stimulus is not persistent. liver can compensate by regeneration, rest i didn't get what to say about prison and robbery thing, more like a human resource thing. but as far as ammonia is concerned it caused those symptoms leading to encephalopathy but liver failure can let that happen only, healthy liver cantregardss khan"
Please summerize the given abstract to a title,The potential impact of Covid-19 on the Irish housing sector
Please summerize the given abstract to a title,Pressure Injury Prevention in COVID-19 Patients With Acute Respiratory Distress Syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. in my opinion your symptoms are more suggestive of anxiety. but better to rule out cardiac cause first. so get done ecg and 2d echo to rule out cardiac cause. if both are normal then no need to worry about cardiac cause. anxiety appears more in your case. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. avoid stress and tension. you may need anxiolytic chatbot.  don't worry, you will be alright."
Answer this question truthfully,Low levels of dopamine can cause an increase in RBF.
Please summerize the given abstract to a title,Experimental infection of adult axenic rats with Parker's Rat Coronavirus
Answer this question truthfully,What is the fetal heart rate category associated with fetal bradycardia? Fetal bradycardia is associated with a fetal heart rate category III pattern.
Please summerize the given abstract to a title,Screening of Severe Acute Respiratory Syndrome Coronavirus 2 RNA-Dependent RNA Polymerase Inhibitors Using Computational Approach
Answer this question truthfully,There are no other diagnostic studies associated with Marburg hemorrhagic fever.
Please answer with one of the option in the bracket,A: Small vessel hemorrhage in mammillary bodies
Answer this question truthfully,"Enzyme immunoassay is a diagnostic test that uses enzymes and antibodies to detect the presence of specific antigens in a patient's sample. In the case of C. difficile infection, Enzyme immunoassay for glutamate dehydrogenase (GDH) antigen is one of the screening tests used to detect the presence of C. difficile in a patient's stool sample. C. difficile is a type of bacteria that can cause severe diarrhea and other gastrointestinal symptoms in infected patients. Early detection and treatment of C. difficile infection is important to prevent complications and improve outcomes for patients. Enzyme immunoassay is just one of the diagnostic tools available for the detection of C. difficile infection, and healthcare providers may use a combination of tests to confirm a diagnosis and guide treatment."
Please summerize the given abstract to a title,Universality Classes of Spin Transport in One-Dimensional Isotropic Magnets: The Onset of Logarithmic Anomalies
Answer this question truthfully,"The most likely diagnosis for the patient's clinical presentation is a non-functional (gonadotroph) pituitary adenoma. Pituitary adenomas are benign tumors that arise from the pituitary gland and can cause hormonal imbalances. In this case, the elevated prolactin level is likely due to compression of the pituitary stalk, which normally inhibits prolactin secretion. Additionally, the low LH and TSH levels suggest that the adenoma is not producing these hormones. A non-functional pituitary adenoma is one that does not produce any hormone, or produces hormones at levels that are too low to cause symptoms. Treatment may involve surgical removal of the adenoma, as well as hormone replacement therapy to manage any hormonal deficiencies caused by the tumor."
Answer this question truthfully,"""Aldosterone escape"" is a phenomenon that occurs in primary hyperaldosteronism, where the body's natural regulatory mechanisms eventually counteract the excess aldosterone production. This leads to a steady state of normonatremia (normal sodium levels), hypokalemia (low potassium levels), and hypervolemia (excess fluid volume). The mechanisms behind aldosterone escape are not fully understood, but it is thought to involve changes in the sensitivity of the kidneys to aldosterone and the activation of other hormonal pathways, such as the renin-angiotensin-aldosterone system. These changes can help to restore electrolyte and fluid balance in the body, but may also contribute to long-term complications such as cardiovascular disease and kidney damage. Treatment for primary hyperaldosteronism typically involves medications to manage blood pressure and electrolyte imbalances, and/or surgery to remove the affected adrenal gland(s)."
"If you are a doctor, please answer the medical questions based on the patient's description.","sorry to hear about your tailbone pain. tail bone pain, also known as coccydynia, can be quite debilitating. i would suggest obtaining x-rays of the sacrum and coccyx and then seeing an interventional pain physician. many times a procedure known as a ganglion impart block can help reduce the pain from coccydynia. if the block helps but is of short duration you may be a candidate for ganglion impart radiofrequency thermoregulation (burning the nerves of the ganglion impart). these procedures are safe, take a short time, and are all outpatient based. good luck to you and i hope this answer helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, gaurav.khan, i am glad that you are recovering from acute hepatitis-a. rest assured that you will completely recover from this without any residual damage to the liver. this does not go into a chronic phase like type-b or type-c hepatitis. your enzymes have been coming down and so will the serum bilirubin. usually, it takes about 4 weeks for all the lab results come back normal. i want you to make sure that you take a good super b-complex vitamin along with vital 1000 mg. daily. follow a good high protein diet, cutting back on fatty and greasy foods. i wish you well."
help with obesity I would like help on my obesity problem and if I can get help,"A healthy eating plan and regular physical activity may help you lose weight and keep it off over the long term. If these lifestyle changes are not enough, your doctor may prescribe medications. Some medications may help you feel less hungry or full sooner. Other medications may make it harder for your body to absorb fat from the foods you eat. Weight-loss medications are for people who may have health problems related to overweight or obesity. When combined with changes to behavior, including eating and physical activity habits, prescription medications may help some people lose weight."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of musculoskeletal pain due to coughing is more in your case. so follow these steps for better symptomatic relief. 1. avoid movements causing pain. 2. avoid bad postures in sleep. 3. avoid heavyweight lifting and strenuous exercise. 4. take painkiller like ibuprofen. 5. apply warm water pad on affected areas. 6. wear rib belt or chest belt to prevent minimal mobilization of affected areas. don't worry, you will be alright with all these in 1-2 weeks. if not improving after 1-2 weeks, consult doctor and get done chest x-ray to rule out internal pathology. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Localizer, 3 orientations Half-fourier single shot TSE or SSFP (one breathold, entire thorax). Axial orientation Axial T1-weighted TSE through aorta (for intramural hematoma, dissection) SSFP cine imaging in parasagittal plane parallel to aorta Option: Use 3-point piloting Evaluate aortic valve as per valvular protocol Contrast timing Option 1: Axial test bolus at level of distal abdominal aorta. 2 cc injection of Gadolinium (Gd)-chelate, followed by 20 cc saline. Determine time to peak contrast enhancement following injection. Option 2: Automatic triggering technique to time start of scan Option 3: Rapid multiphase 3D acquisitions without timing sequences 3D contrast enhanced MRA (0.1-0.2 mmol/kg Gd-based contrast) (Optional: ECG-gated acquisition) Use spatial resolutiong at least 1-1.5 mm Parallel acquisition if available At least 2 acquisitions after contrast injection Optional: Axial T1 weighted gradient-echo post contrast for aortitis Analysis: MPR reconstruction, MIP and thin slab MIP"
"If you are a doctor, please answer the medical questions based on the patient's description.","held your question as i understand is that massage will not help and rest will help, and your client is not convinced you give him choice of having a second opinion on this issue if you feel that following will not work. please explain to him that any wound(puncture area is a wounded small area) area if massaged will further open the wound and will hinder the healing. in fact when lp is done a small wounded area is created which gets inflamed also. rest to the part is advised to give it time to wounded and traumatized area to heal in my patient would explain as above and would advise in such a situation only bed rest with foot end slightly raised as some time air leaks through help needle and causes headache .with foot end raised air will come down from head being lighter in property and will get absorbed in a 2to 3 days .in any type of massage will make the area in the back more painful your clint will understand he needs proper expiation to be given to him hope you have done the job chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you something and give you my opinion. this kind of pains that you explain might be generated from heart. the first think to take in consideration is ischemic heart disease. this means possible problems with heart coronary arteries. ischemic pains have some characteristics. they in general are retro-sternal pains like heaviness, tightness. they irradiate to one or both arms, to the neck, jaw or between shoulders. furthermore, they last from 5 to 30 minutes. usually they begin during efforts. other heart problem that might give pains like these are aortic problems. they might give pains between shoulders like you explain. so, if i was your treating doctor i would recommend you to seek medical attention. your hereditary history all sow makes this mandatory. of course this might be nothing, but it is better to make a simple check up with an electrocardiogram, an echo-cardiograph, a blood analyses. after these doctor will decide what to do next. hope i was helpful. best regards"
Please summerize the given abstract to a title,Civil-military relations: a review of major guidelines and their relevance during public health emergencies.
Please summerize the given abstract to a title,"SARS-CoV-2 Is a Culprit for Some, but Not All Acute Ischemic Strokes: A Report from the Multinational COVID-19 Stroke Study Group"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatdoctorin my opinion this ct/mri report is very much with in normal limits. mild cerebral atrophy is a condition that causes some changes in the structure of the brain. several conditions can cause a brain to atrophy, including diseases and aging. hence this symptom is not a serious condition if it is mild, except that the patient might experience mild memory loss problems. cerebral atrophy is found in the majority of people as they age. it usually progresses with severity as a person gets older. what is more important than the presence of atrophy is whether the degree you have is appropriate for your age."
Please summerize the given abstract to a title,A Centralized Program with Stepped Support Increases Adherence to Colorectal Cancer Screening Over 9 Years: a Randomized Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised along with mri of lumbar spine. as the pain starts in midnight there are two possibilities here which i can understand. first - due to the back injury in the past now there's will help a pinched nerve, so is the symptoms and second - restless leg syn chatbot. i will advise you to undergo physical therapy like - tens therapy to reduce the pain and exercises on a later stage to strengthen the muscles of core, spine, pelvic floor and lower limbs. in my clinical practice, the majority of patients respond well to physical therapy. regardsjay in"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis is more. due to exposure with sand and humid environment, bronchitis can develop. and bronchitis can cause breathing difficulty and hemoptysis (blood in sputum). so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test). pft will tell you about severity of the disease and treatment is based on severity only. you may need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (budesonide or fluticasone). don't worry, you will be alright. consult pulmonologist and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"In terms of chemical structure, what is the substance that bisphosphonates are similar to, and what are the similarities between the two?"
"If you are a doctor, please answer the medical questions based on the patient's description.","letha, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. it is likely that there is some other focus of infection. it is because of this focus of infection, that your uti has recurred. in my advice you should search for the focus of infection. start curing this infection will also cure your uti. please chatbot. please wear cotton undergarments, wash your hands with increase in frequency. i will be happy to answer your further concern on bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor, preferably an orthopedic surgeon in regard to your knee. a medical and physical examination will be of great help. it might be the inflammatory or fibrotic reaction which brought the lump on your knee. but is best evaluated clinically. further diagnostics, such as imaging (x-ray or mri) and management will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. there are many causes of low platelet count. viral infection is the most common. malaria, dengue, malignancy all can lead to low platelet count. however, if she has no any symptoms then no need to worry. just monitor her platelet count. no treatment is required right now. if you notice any signs of bleeding then inform your doctor urgently. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. sorry to hear about your mother who is having gall bladder cancer which has spread to lungs. when the cancer spread from gall bladder to lungs, at that time it progressed from stage 2 to stage 4 cancer. this requires aggressive chemotherapy and the survival is usually two years after detection of metastasis to lungs. some patients might live for as less than 6 months and few other for slightly over 2 years. since she is in hospice, it is possible that the disease has progressed aggressively in her and chemotherapy is unable to control the disease proliferation. please try and keep her general condition healthy so that she might liver as long possible. more than 6 months survival in a bedridden patient is difficult. please do not worry."
Please summerize the given abstract to a title,Anti-SARS-CoV-2 Omicron Antibodies Isolated from a SARS-CoV-2 Delta Semi-Immune Phage Display Library
Please summerize the given abstract to a title,Fallen in the Face of COVID-19: Graduates of Cuba's Latin American School of Medicine (ELAM).
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the numbness(anesthesia or paresthesia) can be because of the pressure over the nerve by a wisdom tooth during extraction. the other possible cause can be any injury to the nerve by trauma or any injection at the site of nerve. nothing to be panic, consult an oral physician and get yourself examined and take a screening radiograph like opg to rule out the above said causes.meanwhile you can take a nerve regenerating chatbot.  take care of the part which is numb from hot, cold and sharp objects, because you will not be able to make out the sensation. this might take weeks to months for complete recovery. i hope my answer will help you, take care."
Please summerize the given abstract to a title,Bump2Baby and Me: protocol for a randomised trial of mHealth coaching for healthy gestational weight gain and improved postnatal outcomes in high-risk women and their children
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and thanks for your question. a good medication for depression for you that avoids acting on serotonin specifically is mirtazapine. this is classically used in older adults, does not act on serotonin directly, and is very effective. i recommend discussing this with your doctor. please remember to rate and close this answer thread when you are finished and satisfied. in the future, for continuity of care, i encourage you to contact me directly at my private web ad chatbot.  after you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. my name is"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to heath care magic after surgical operation for fistula you have to avoid constipation until lesion is not heal properly. homeopathy has the best medicine with good response without any side effect to cure all gastric derangement. i am suggesting some medicine you can start with following 1 nun com 6 10 chatbot. all the rashes and problem are due to repeated constipation. once that is cure and lesion is healed he will be alright hope this is clear to you have a good health thanks
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. horsefly bite is going to be healed soon as indicated by decrease in its size. i advise you to take care for wound in means of hygiene, please do chatbot. you can take betadine and prednisolone under your doctors' guidance. it will help your wound to get clear earlier. because it contains some antigenic material which will be cleaned by antihistamines"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot .... you have no abnormality in liver except fatty liver.... so here your pain could be by steatohepatitis.... take ad\u00edlio 300 mg tablet every day... low fat diet taken.... fruits taken more.... avoid alcohol and refined food. use less oil in food. sunflower like good oil can be taken. rest for few days then regular exercise. carrot, papaya, golden seal, spinach, mustard green, dandelion ,avocados taken more. with keeping this in mind consult gastroenterologist. take care. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","there isn't really enough for a clear answer. migraines, even ocular migraines are not uncommon. the same is said for palpitation. the mri findings have to be correlated with the reason the test was done. sometimes they are present with no clear explanation. you are correct in the report of you blood pressure, slightly high. it warrants attention. the simple diet and exercise recommendations are difficult but may be the most rewarding. your primary doctor is the best judge of the need for testing as opposed to the chicken soup recommendations."
Please summerize the given abstract to a title,Extracellular granzyme A in amniotic fluid is elevated in the presence of sterile intra-amniotic inflammation in preterm prelabor rupture of membranes.
Please summerize the given abstract to a title,Significant Unresolved Questions and Opportunities for Bioengineering in Understanding and Treating COVID-19 Disease Progression
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. in my opinion she requires more of counselling sessions for anger management. in such sessions the counselor tackles with the anger issues and provides her with the alternative ways to vent her anger which does not harm her or anyone else. in my opinion she does not require any anti depressants but the dose of risperidone can be increased up to 2 mg. but she will do best with an anger management program."
"If you are a doctor, please answer the medical questions based on the patient's description.","his admire your positive outlook and congratulate you for the attitude. now i guess you have some adjustment disorder, and it could be due to some stress in your personal life. in that case, you need some help. however, let me give my opinion here. i think a combination therapy of antidepressant and low benzodiazepine would help you. these chatbot.  you can try some relaxation exercise like jpmr or deep breathing exercise. that would keep you calm and relax. for this you need experts guidance by psychiatrist or psychologist. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi ! good morning. i am chatbot answering your query. it might not be possible to reach even at an approximate diagnosis only with your history over the net. i would suggest you to please visit a general surgeon in your area for a clinical examination and further management of the problem to avoid any related complication. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot.
Please summerize the given abstract to a title,City-Scale Agent-Based Simulators for the Study of Non-pharmaceutical Interventions in the Context of the COVID-19 Epidemic: IISc-TIFR COVID-19 City-Scale Simulation Team
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. your penis is curved towards left side because you are using your right hand for masturbation. if you use left hand, your penis will curve towards right. that is pretty normal, and almost every penis has curvature. you should not worry about it. curved penis will be able to make more friction inside the vagina than straight penis. in that sense curved penis is more pleasure giving and women like it very much. therefore, stop worrying about it and stop seeing doctors further. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. there are no tried and tested penis enlargement products or supplements which will provide you with chatbot.  there are no medicines or pills for that. you should not go behind those cheating people who give colorful advertisements to get your money. if you want to improve your penis size effectively, you should work out every day. when you do physical exercise, your body will be in good shape, your self-esteem is also improved. whenever you feel good, you will feel more satisfied about sex, and you will increase penis size accordingly. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","stage 4 lung cancer which has spread to brain has a very poor prognosis. palliative rt to brain may relieve some symptoms. if his type of cancer is adenocarcinoma then a particular test called efr mutation test from biopsy block may be of help. if efr mutation is positive then oral chemotherapy erlotinib, gefitinib can be given even in poor general condition of the patient. the main side effects of erlotinib and gefitinib is skin rash and diarrhea which can be managed with lactocalamine lotion and operative. the development of skin rash is good prognosis. for mood swings u can give haloperidol chatbot."
Answer this question truthfully,Guanfacine also is used in the treatment of migraine headaches and drug withdrawal symptoms. Talk to your doctor about the possible risks of using this drug for your condition.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please understand, masturbation is normal and natural, even animals masturbate. in any way, masturbation cannot affect your health directly. therefore, the stagnation in your growth during the current year, cannot be linked with your habit of masturbation. please do not link these two because such linking could cause unnecessary anxiety and obsession. you will grow in height. you have time up to the age of 22. before that, any period, you will experience a phenomenon called growth spurt. during growth spurt, you will grow by almost 3 to 4 inches within a year. concentrate on your education please. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. from your symptoms, it seems that you are suffering from plantar fasciitis. it happens due to inflammation of the plantar fascia. it hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. the best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. there are many things you can try to help your foot get better"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, chicken pox is a disease caused by varicella virus which is transmitted by chatbot. it is highly infectious and communicable 2 days before the rashes to 4 days after the rashes. the rashes and symptoms will be more in a patient with reduced immunity. as such there is no food restriction, but you have to consume food which boost your immunity. protein rich food helps to increase the immunity and fight against thus virus. thank you."
Answer this question truthfully,Tumor Lysis Syndrome is most commonly seen in patients undergoing treatment for lymphoma and acute lymphoblastic leukemia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,i had gone through your history and understand your concern. over 15 million sperm per milliliter is considered as normal. for couples trying to conceive we recommends having sex regularly, even when it's not your fertile time of the month. only because it takes time for sperm to both mature and to accumulate. sperm numbers are not everything. sperm must be able to swim in a sustained and a forward manner. regarding your query about the use of vitamins. vitamin c in high concentration protects sperm from oxidative damage and increases sperm volume and motility. antioxidant nature of vitamin c prevents the damage to the sperm. if you want to increase your sperm count you can avoid hot-tubs and even tight underwearregular exercise healthy beekeeping calmgarlicbananasvitamins rich in antioxidants. hope your doubts are cleared. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, by what you say i feel that your kid may be having a recurrent viral illness. i will explain to you how a viral illness behave so that you can be more confident. fever of a few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.  if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. this sort of fevers gets better as the kid progresses in age. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. menstrual irregularity can occur due to the intake of medicines also. tuberculosis medicines also by altering the metabolic state can affect the menstrual cycles. but if there is any possibility of pregnancy, better to rule out that first. after completion of the treatment your periods can become regular. then you undergo hysterosalpingogram once to test the patency of the tubes. for more details you can ask me through"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i am glad to offer some advice.  your continued discomfort raises the concern of an infection. an abscess can cause swelling that could appear as bumps and cause pain.  some swellings can chatbot.  the teeth can be evaluated by a dentist. x-rays can help diagnosis infections. if the bumps are hard and located on both sides of the mouth they may be tori. this extra bone that is of no concern and should not cause symptoms. a dentist can diagnosis this condition. you may have been treated with antibiotics and sometimes this disturbs the bacteria balance in your mouth. your gums can feel sore, sensitive and be red. this condition can require antifungal medicine. you may wish to check back with your treating physician since you report throat discomfort and voice change. some viruses can reoccur or be resistant. it is a good idea to rule out a dental infection with a dental visit. infections can put stress on your entire body, and you can experience general discomfort if left untreated. infections can be very serious. you are wise to question why you are not feeling much better. continued mouth breathing causes throat irritation. are your sinuses clear? i am more concerned with your dental health if you have not had a recent dental exam and are not current on your regular recall visits. as always, practice good oral hygiene"
Please summerize the given abstract to a title,Channel-Inactivating Mutations and Their Revertant Mutants in the Envelope Protein of Infectious Bronchitis Virus.
Please summerize the given abstract to a title,Transitioning out of the Coronavirus Lockdown: A Framework for Zone-Based Social Distancing
"If you are a doctor, please answer the medical questions based on the patient's description.",hi after going through your sisters' scenario two important problems needs to be tackled. habit of gambling and taking money in advance for that it indicates psychiatric disorder which needs to tackled first. second is her diabetes
Please answer the letter of option truthfully,D
Answer this question truthfully,"During the alveolar period of lung development, the terminal sacs form the adult alveoli."
Please summerize the given abstract to a title,Development and Characterization of Recombinant Vesicular Stomatitis Virus (rVSV)-based Bivalent Vaccine Against COVID-19 Delta Variant and Influenza Virus
Please summerize the given abstract to a title,Identification of Immunohistochemical Reagents for In Situ Protein Expression Analysis of Coronavirus-associated Changes in Human Tissues
Please summerize the given abstract to a title,HSSAGA: Designation and scheduling of nurses for taking care of COVID-19 patients using novel method of Hybrid Salp Swarm Algorithm and Genetic Algorithm
Answer this question truthfully,"Hip flexion, either in the form of flexion or extension, worsens the pain associated with hip septic arthritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your clinical history does not match with skin cancer still some questions need to be answered are you involved in a job where you have to stay under the sun for a long time?what is the color of the raised area?have these swellings increased in very short time ?depending on answers proper diagnosis can be made. anyway in case of any query a tissue diagnosis can be made. consult your dermatologists. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatdoctorit is highly unlikely for animus to spread to the whole body. you have mentioned a lot of diseases being ruled out but have not mentioned anything about the calcium status of the body. hypoparathyroidism- is a disease where parathyroid glands(very small) are removed during thyroid surgery, as a result, parathyroid hormone deficiency ensues resulting hypocalcemia(decreased blood calcium levels)my questions for you are-1)whether you have any tingling/numbness in addition to cramps?2)any other symptoms like lightheadedness, seizures, facial twitches etc.?3)has any doctor checked your blood calcium levels? please visit a doctor who can examine for signs of hypocalcemia, get a blood test done after prescription. you are always welcome for follow up with me at chatdoctorregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have gone through your detailed descriptions, and it helped me a lot in understanding your problems. it is unfortunate that you have severe neuropathic pain and limitation of daily activities. regarding your disease progression, there is little or no disease progression as per the mri reports. i agree surgery is not required at present. in addition to the treatments that you are having at present, medications such as pregabalin or gabapentin would be useful. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you can take closed for increasing the size of the follicles. track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after injection. take phaeton for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  phaeton helps in supporting the implantation.  closed helps in growth of your follicles.  so, these increase the chance of pregnancy.  be positive.  you can get pregnant. hope i have answered your question. regards chatbot."
Please answer with one of the option in the bracket,A: Retinol
Please summerize the given abstract to a title,Machine Learning based COVID-19 Diagnosis from Blood Tests with Robustness to Domain Shifts
"If you are a doctor, please answer the medical questions based on the patient's description.","mostly heart problem and hypertension are interred -linked. they are hereditary too. if any one of the parent have hypertension then there kid have chance of getting the same. coming to treatment point of view for your daughter, ya definitely it's a matter of concern as continuous hypertension may damage the heart leading to various heart problem. mostly hypertension may be due to obesity also, so see to it that the bmr should be within normal range. secondly get the thyroid profile done. yes the hypertensive medication should be started to prevent further complications"
Answer this question truthfully,"Uncontrolled diabetes, such as HHS and DKA, can cause a hyper-osmotic volume contraction."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear user! i have gone through your query and understood your concerns! thank you for sharing them on chatbot. such levels of blood sugar, excessive urination and thirst you are experiencing lately indicate an uncontrolled diabetes. unfortunately metformin you are taking seems to be unable to control blood sugar by itself. you will need a combination of chatbot.  i would recommend you to contact your endocrinologist as soon as possible to help you get the proper cure and lower the sugar level. don't stay at home waiting if it levels out. it won't. i hope this answer was helpful to you! please kindly rate it as helpful and write a short review about your experience with me! i would appreciate that a lot. thank you and best regards!"
Answer this question truthfully,"Poliomyelitis typically presents with bi-lateral asymmetric weakness. This means that the weakness affects both sides of the body, but is more severe on one side than the other. The weakness is caused by the destruction of motor neurons in the spinal cord by the poliovirus. The severity of the weakness can vary depending on the extent of the damage to the motor neurons, and in some cases, the weakness can be so severe that it leads to paralysis. Other symptoms of poliomyelitis may include fever, headache, muscle pain, and fatigue. Vaccination is the most effective way to prevent poliovirus infection and its associated complications, including bi-lateral asymmetric weakness."
"If you are a doctor, please answer the medical questions based on the patient's description.",asthma in childhood occurs due to antibiotics over use and paracetamol we use for fever you find out reason for allergy. all these problems are related to this food allergydefinately milk but you can get blood serum tested for milk and wheat go for elimination die the will recover from all symptompsyou just stop all milk and diary completely you problem will be solved with minimum medicine sand for cure you can go for desensitization therapy which is newer in the latest therapies
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! it would have been helpful if you had mentioned the area of the abdomen where she gets pain. anyway, pain must be of severe intensity to cause nausea and fainting. usually colicky type of pain cause this and one of the common colicky pain which can be thought of is ureteric colic. appendix pain could also be bad sometimes, but it may not be that severe enough to cause fainting attack. the second common colicky pain of this severity could be a gall stone/cbd stone colic. the liver tests in this case may be normal in initial stages. as it is a recurring in nature, i would suggest you to consult your family physician who may advise your daughter for an abdominal ultrasound for more clarity of the intro abdominal pathology. wishing your daughter an early recovery. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, the swelling of the right lower limb could be due to two reasons. first dvt that means blood clots in the veins which blocks the blood flow and increases the pressure inside the blood vessels. this leads to the leakage of the plasma into the tissues surrounding the veins causing swelling and pain. second cause could be an expanding hematoma, means an injury to the one of your leg vessels thereby leaking blood into the surrounding tissues. usually if this injury is not very severe, it heals spontaneously but as your blood pressure is high, it can interfere with the healing of the vessel and cause continuous leakage of blood. now coming to high bp, but you are not having any symptoms! could be due to the fact that the high bp could have been there for quite a time so that your body has adapted to it. but still it needs to be evaluated and treated. with these possibilities, i would like to get an urgent ultrasonography and a color doppler of your right lower limb and treat accordingly. simultaneously, to get an ultrasonography of the kidneys and renal doppler to rule out the secondary causes of the high bp. also get your kidney function tests and eye check up done. and then start antihypertensives as per the reports."
Please summerize the given abstract to a title,"Effect of heterogeneous risk perception on information diffusion, behavior change, and disease transmission."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, actually, catwalk is having the possibility to affect the fetus. so it should be avoided in pregnancy.  please discuss this with your treating gynecologist, follow fetal normality by anomaly scan in the 5th month have regular anc check-up & follow the advice given strictly. there are chances that she may skip off the bad effect. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Using simulations to improve skills needed for work-integrated learning before and during COVID-19 in Namibia
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, over all given history is suggestive of some functional conditions and may not be the pathological disease, fever may be due to viral infection and acne would be age related, he may be in need of some moral support, some time counseling would be helpful, else continue the medicines if he ever is given, hope this information helps, take care and have a nice day."
Answer this question truthfully,Nephrotic syndrome is defined as proteinuria (> 3.5g / 24 hr) with hypoalbuminemia and edema. These are the specific criteria used to diagnose the condition.
Please summerize the given abstract to a title,"Clinical picture, diagnosis, treatment and outcome of severe acute respiratory syndrome (SARS) in children"
Please summerize the given abstract to a title,COVID-19 classification using deep feature concatenation technique
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. thanks for writing in. lyme disease is caused by cordelia. it starts with skin rash which wax and wane for long periods after many years it can cause neurological features. a serological test for lyme disease can be helpful for diagnosis. a visit to dermatologist will allow confirmation of diagnosis and subsequent treatment. hope this helps. wishing you good health. regards.  chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,The chest wall gender divide: females have better cardiopulmonary function and exercise tolerance despite worse deformity in pectus excavatum
Answer this question truthfully,"Transmission results from exposure to infectious blood or body fluids containing blood. Possible forms of transmission include (but are not limited to) unprotected sexual contact, blood transfusions, re-use of contaminated needles & syringes, and vertical transmission from mother to child during childbirth. Without intervention, a mother who is positive for the hepatitis B surface antigen confers a 20% risk of passing the infection to her offspring at the time of birth. This risk is as high as 90% if the mother is also positive for the hepatitis B e antigen. HBV can be transmitted between family members within households, possibly by contact of nonintact skin or mucous membrane with secretions or saliva containing HBV.  However, at least 30% of reported hepatitis B among adults cannot be associated with an identifiable risk factor. 
The primary method of transmission reflects the prevalence of chronic HBV infection in a given area. In low prevalence areas such as the continental United States and Western Europe, where less than 2% of the population is chronically infected, injection drug abuse and unprotected sex are the primary methods, although other factors may be important.  In moderate prevalence areas, which include Eastern Europe, Russia, and Japan, where 2-7% of the population is chronically infected, the disease is predominantly spread among children. In high prevalence areas such as China and South East Asia, transmission during childbirth is most common, although in other areas of high endemicity such as Africa, transmission during childhood is a significant factor.  The prevalence of chronic HBV infection in areas of high endemicity is at least 8%."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot i have gone through your query and understand your concern. you are having two issues. one is backache. it can be due to deficiency of vitamin d. you can get your vitamin d level. if it is found low you can take supplements of vitamin d3. analgesic such as ibuprofen can be taken for pain relief. second issue is acidity problem which is causing heart burn you can take omeprazole before meals for it. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
Please summerize the given abstract to a title,"Detecting space-time clusters of COVID-19 in Brazil: mortality, inequality, socioeconomic vulnerability, and the relative risk of the disease in Brazilian municipalities"
Answer this question truthfully,"Eosinophilia is a hematologic complication that can arise from Loa loa infection. Loa loa is a parasitic worm that is transmitted to humans through the bite of infected deer flies. The infection can cause a range of symptoms, including itching, swelling, and eosinophilia. Eosinophilia is an increase in the number of eosinophils, a type of white blood cell, in the blood. It is a common finding in patients with parasitic infections, including Loa loa infection. The eosinophils are thought to play a role in the immune response to the parasite."
Answer this question truthfully,"C-reactive protein is an acute phase reactant that can be measured clinically as a nonspecific sign of ongoing inflammation. C-reactive protein is a protein that is produced by the liver and is involved in the immune response to infection and inflammation. During inflammation, C-reactive protein levels increase in response to cytokines and other inflammatory mediators. This increase in C-reactive protein can be used as a clinical marker to monitor the progression of inflammation and to assess the response to treatment. However, elevated levels of C-reactive protein can also be a sign of other underlying health conditions, such as cardiovascular disease or autoimmune disorders. Therefore, it is important to interpret C-reactive protein levels in the context of other clinical findings and to use them as a tool to guide clinical decision-making."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and yes it can be tia. if these symptoms persist then i would recommend you to meet neurologist and get clinical examination done. your neurologist may ask you to get a ct scan to confirm the diagnosis. tia is usually due to uncontrolled sugar or thyroid or diabetes. so i would recommend you to make sure that every thing is normal because it can become a bigger problem in the future."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms and the current list of medications. your medications- emilia (valproate) and kendra (levetiracetam) are safe anti-epileptic medications, and do not usually produce similar symptoms. please get your bp checked up in lying down and standing position. a significant chatbot. in addition, please also get an ent examination done, as dizziness could occur with vestibular dysfunction also. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health,"
Please summerize the given abstract to a title,Optiflow® et SARS-CoV-2 en réanimation : facteurs de risque de recours à la ventilation mécanique et devenir des patients
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion, you should consult pulmonologist and get done1. chest x ray2. put (pulmonary function test) to rule out bronchitis. if your pacemaker is working well and no issues with it than pulmonary cause should be looked in your case. you are also having reflux disease. this can also cause bronchitis. so better to consult pulmonologist and rule out bronchitis. pft will also tell you about severity of the disease. and treatment is based on severity only. you may need inhaled bronchodilators too. so consult pulmonologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for asking a question to chatbot. forum.  dermatographism is itchy bulges on the skin due to pressure on the skin of cloths scratches etc. due to allergy. of course the problem in the throat is also can be due to allergy, or infection. the difficulty in swallowing could be due to g.e.r.d. due to gastric irritation.  i advise you to consult a gastroenterologist for diagnosis and treatment of g.e.r.d. wishing for a quick and complete recovery.  best regards."
Please summerize the given abstract to a title,Pattern of Time-to-Surgery in Patients With Breast Cancer at Different Stages of the COVID-19 Pandemic
Answer this question truthfully,"Patients with congenital leptin deficiency are severely hyperphagic from early infancy and, although birthweight is normal, they rapidly become obese during early childhood. An increased susceptibility to infections has also been reported in these infants and appears to be associated with reduced numbers of circulating CD4+ T cells, and impaired T cell proliferation and cytokine release.
Other features of the disorder include
Hyperinsulinemia Advanced bone age Hypothalamic hypothyroidism Hypogonadotropic hypogonadism leading to a failure to undergo puberty.
Family history, severe hyperphagia and early-onset obesity may lead to suspicion of a monogenic obesity syndrome.
The diagnosis of congenital leptin deficiency can be confirmed by analysis of serum leptin levels or identification of mutations in the ob gene."
Answer this question truthfully,"Progressive multifocal leukoencephalopathy is a rare and often fatal viral disease that affects the central nervous system. One of the key characteristics of this disease is the presence of multiple lesions. These lesions can be found in various parts of the brain and can cause a range of neurological symptoms, depending on their location and severity. The number of lesions that are present in patients with progressive multifocal leukoencephalopathy can vary, but it is typically many rather than just one or a few. The lesions are caused by the JC virus, which attacks and destroys the cells that produce myelin in the brain, leading to the disruption of normal nerve function. The diagnosis of progressive multifocal leukoencephalopathy is usually made based on clinical presentation and imaging studies such as MRI scans, which can reveal the characteristic pattern of multiple lesions in white matter."
Answer this question truthfully,The defect in the ALAS gene that causes congenital sideroblastic anemia is an X-linked defect.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. his symptoms indicate an infection in the head/neck area. it might be tonsils infection (pain while swallowing), ear infection (ear pain), tooth infection or other infection in the close neighborhood to the lump which seems to be a lymph node. i suggest your husband to do not wait with it as complication of infection in this area can be life-threatening. he should consult palynologist. antibiotic seems necessary. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, temporary pill usage cannot protect you from unwanted pregnancy when taken in this manner. you should take them throughout the month in a regular pattern, else, your menstrual cycles tend to get disturbed due to irregular hormone pattern similar to what has happened now. please get a proper clinical evaluation by a specialist along with a trans-vaginal sonogram to check the status of the pelvic organs and also to rule out pregnancy. further on, you may need hormone course to induce a period. hope this helps."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear danny,first thanks for your consultation. i have read your problems very carefully.it is good to know that your blood report and x-ray report are normal. also your blood pressure is also under control. this back pain can be of neuropathic cause or spasm of muscles around vertebra in the back. you should go for a regular home regimen of physiotherapy like back strengthening exercise .also try not to bend forward too much and avoid lifting weights. if you follow these golden rules then i sincerely believe you will feel less pain the back and feel some improvement in your daily life. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. skull is so hard that any brain tumor does not grow outside and can not be palpated as a lump. moreover, brain tumor would not be tender when touching it. so the lump he has found is most likely some skin lump which has gotten infected. nausea can be a symptom of brain tumor. however, jaw pain when talking or eating is rather a symptom of something else like tooth abscess. blood work won't give any answer in case of brain tumor. head mri or ct is the first test which should be done. hope this will help. regards."
Please summerize the given abstract to a title,Case Report: Visual Rehabilitation in Hemianopia Patients. Home-Based Visual Rehabilitation in Patients With Hemianopia Consecutive to Brain Tumor Treatment: Feasibility and Potential Effectiveness
"If you are a doctor, please answer the medical questions based on the patient's description.","magnesium l-threonate is a relatively newer form of magnesium, and apart from helping one with sleep issues, it helps boost cognition and relieve anxiety. it is a safe medication but due to its higher absorptive rate, it is preferable to limit dosage to 300\u00a0mg/day. as it is providing you with the desired effect and having no side effects presently, you can continue the same. please note however that if you have a history of cardiac or kidney related problems, this line of medication should be stopped. also, on account of its adverse effects, if you have any symptoms such as weakness, shortness of breath, or confusion, then stop the supplementation and visit the nearest er for checking your magnesium levels and requiring immediate treatment for the same."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are having fibrotic scar due to old healed tuberculosis in the past. so i advice you to consult pulmonologist and get done1. ct thorax2. bronchoscopy and bad (bronchoalveolar lavage) analysis to rule out active tuberculosis. ct thorax is far better than chest x-ray for the evaluation of fibrotic scar. bronchoscopy and bad analysis is more superior than routine sputum examination to rule out active tuberculosis. if both are normal and negative for active tuberculosis, then you can argue with visa authority about not having active, infectious tuberculosis and your x-ray lesions are only healed, inactive scar lesions. so consult pulmonologist and discuss all these."
help with obesity I would like help on my obesity problem and if I can get help,"Children and adolescents could modify their diet to gradually lose weight through a healthy diet and increased physical activity. The diet should include fruits and vegetables, and cut back on cookies, crackers, prepared meals, sweetened beverages, such as fruit juice, fast food and eating out.  Sit down together for family meals, control portion sizes and discourage eating in front of a TV, computer or video game screen. Allow eaving food on the plate. Physical activity for at least an hour a day burns calories, strengthens bones and muscles, and helps children sleep well at night and stay alert during the day.  Physical activity doesn't have to be an exercise program: free-play activities, such as playing hide-and-seek, tag or jump-rope will get the child moving. The value and long-term outcomes of medications or surgery are unknown and need to be discussed with specialists."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should consult pulmonologist and get done1. chest x ray2. put (pulmonary function test). in your case we need to rule out lung infection and bronchitis. as both of these condition can cause chronic cough and mucus secretion. so chest x-ray is needed to rule out lung infection.pft is needed to rule out bronchitis. so better to first diagnose yourself and then start appropriate treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query, the possible reasons for bad death could be the deposits, gum infection, us formation in the oral cavity, decayed tooth, respiratory tract infection, diabetes. consult your oral physician to rule out all these things and get your teeth cleaned, and the decayed tooth filled and maintain oral hygiene. get your blood investigation done to rule out diabetes. i hope my answer will help you. take care"
Answer this question truthfully,Response to treatment varies.
Please summerize the given abstract to a title,"Premature mortality attributable to COVID-19: potential years of life lost in 17 countries around the world, January–August 2020"
Answer this question truthfully,One component of the glomerular filtration barrier is a basement membrane.
Please summerize the given abstract to a title,Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of incompetent great saphenous veins: 36-Month outcomes of the VeClose randomized controlled trial.
Please summerize the given abstract to a title,Primary care education during a global pandemic:implementation of telemedicine
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. yoi are might be having allergic reaction (angioedema) today food or aspiration (swallowing some part of food in trachea). so better to consult ent doctor and get done endoscopic examination of throat to rule out aspiration. get done detailed allergy testing to identify the causative allergens. antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) combination is useful in food allergy. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","1. as you haven't mentioned your age, it is not possible to answer about pms, is it pre or post menopausal syn chatbot.  you are just catching the fluid level which is wrong, instead check with your doctor about your renal function (blood urea, serum creatinine, bun,gfr) to make sure that kidneys are working properly.3. motrin (ezetimibe and simvastatin) is used to lower high blood cholesterol level (please mention your current lipid profile)?4. for how long you have been taking spironolactone and for what symptom did your doctor prescribed the same, any h/o hypertension?5. because you are taking spironolactone daily, please check your potassium level as it causes dangerous hyperkalemia, along with any noted acne, hirsutism,alopecia in you??6. side and severe effects of spironolactone are persistent cough, muscle weakness, and"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to chatbot, i am chatbot. ibs is a condition in which patient have changing bowel habit like sometime have diarrhea n some time have constipation...fatigue n muscle cramps u having is mostly due to electrolytes problem as u having diarrhea which may lead to loss of electrolytes n result having such features,if u are my patient i would like to do electrolytes test n tx it accordingly.for severe cramps u take otc analgesic like acetaminophen.family history of heart disease make patient pine to heart disease, but it is nt necessarily that u having or will have that disease in the future, thee symptoms are very much suggestive of electrolytes prob n u donor worry about the heart ... i hope this answered your question, if you have more feel free to ask. regards."
Answer this question truthfully,"A coagulation factor inhibitor is an acquired antibody that acts against a coagulation factor, resulting in impaired factor function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for writing to us ! if i were your doctor and had you presented to me with this problem of the hard and tender red lump with pulses on the side of your neck , i would like to consider following possibilities, as per my experience of ultrasound, ct scan and needle biopsies"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. you are just 20, and should not think about low testosterone level. the given conditions could be due to many other problems including stress and obsession. in your case, i am suspecting your stress and obsession. think about it. were you stressed? in the near past? do you think and obsess too much about sex and related problems? you may consult a sexologist and get your testosterone checked. but don't worry about it. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, please note that the headache may be due to high blood pressure (bp) as the diabetics are prone to develop high bp after few years as per some studies. so, go for bp checking if bp above 140/90 at more than three occasions, then you have to take tablet telmisartan. or it may be the result of side effects of antidiabetics you are taking .you can discuss this aspect with your treating physician. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi scabies is a parasitic infection caused by scopes scabei.it presents in early stage as papulovesicles over the finger web areas.groin.scrotum.maxillae and wrists and itching will be more in nighttime. as days passes on pustules may occur with severe itching.l think you're suffering only with necrosis of skin.it can be cured by attar ax 25 mg at night. antibiotic twice daily and application of moisturizer all over body twice daily and application of mo mate ointment over the spots
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The gene for the FSHR is found on chromosome 2 p21 in humans. The gene sequence of the FSHR consists of about 2,080 nucleotides."
Please summerize the given abstract to a title,What do primary care staff think about patients accessing electronic health records? A focus group study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as mentioned by you for the pain and the creatinine levels may be you will be consuming more medicines which has lead to the increase in the levels of the creatinine. also, by performing exercises for the like - core stability, pelvic floor strengthening, spine strengthening, etc. will help improve the pains. under the guidance of the physical therapy the exercises can be performed, and the muscle strength can be achieved. also, the use of physical agents like - therapeutic ultrasound therapy and tens therapy will help reduce the pain and spasm. usually if followed properly the rehabilitation plan, parents recover with 90-99% of the success rate. with the grace of god i wish you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","good day! congratulations on the successful renal stent placement. what was the reason for the blockage of both kidneys? theoretically the kidneys needs 6 weeks to fully recover from any form of obstruction, only then can we say that the kidney function has already stabilized after relief from obstruction. since renal stent placement are done endoscopically and is a minimally invasive procedure there is no actual physical restriction that is recommended. if you feel that your sister is still weak and fells dizziness from the elevated creatinine then she still needs to rest to let the now non-obstructed kidneys clear the toxins first in the body. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. there is no 100 % cure for blood cancer. as you mentioned your relative is in the terminal stage. in this condition there is no point in trying to treat the condition, rather more effort and money should be spent to make his remaining period of life more comfortable and less traumatic. just pouring in lakhs of rupees with no useful results but more pain and disability to the patient is totally unwelcome attitude. we must let common sense and logic prevail and not blindly follow the available high-tech options of treatment. wishing your relative a peaceful and comfortable time till it lasts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. after going through your query i came to know that your mother are suffering from chronic backache. it may be lumbar spondylosis. it can be confirmed by x-rays. mri of spine rule out other causes. back exercises, diapering, glucosamine sulfate, neurotrophic such as methycobalamin and analgesics (diclofenac 100 mg slow release tablets) give relief. sometimes vitamin d deficiency can aggravate this so serum vitamin d test is advised if it is lower than vitamin d supplementation will be required. avoid long continuous standing. sit in a straight posture. eat milk, fruits and green leafy vegetables daily. you can discuss with your treating doctor about it. i do hope that you have found something helpful, and i will be glad to answer any further query. take care."
Answer this question truthfully,"The mechanism by which Na+ is transported out of the cell of the early DCT and into the blood involves the Na+-K+-ATPase pump. This pump is a protein complex that is located in the cell membrane and uses energy from ATP to move ions across the membrane. Specifically, it pumps three sodium ions (Na+) out of the cell and two potassium ions (K+) into the cell. This creates a concentration gradient that allows Na+ to move from the lumen of the early DCT, where it was reabsorbed from the urine, into the cell and then out into the blood. This process is important for maintaining the balance of electrolytes in the body and regulating blood pressure."
Please summerize the given abstract to a title,PLGA nanoparticle entrapped killed porcine reproductive and respiratory syndrome virus vaccine helps in viral clearance in pigs
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is due to formation of small hematoma or due to contusion following the injection. nothing much to worry as it will subside by it own with conservative management. as of now you can take analgesics like ibuprofen or diclofenac for pain relief. warm compresses over the affected site can also help in reducing the pain. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"In Prader-Willi syndrome, the maternal gene is imprinted and the paternal gene is mutated or deleted."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, blood in the semen, or hematospermia is a cause for brown ejaculate. minor tear is small vessels during ejaculation can be a cause.  in most cases it will settle by itself even without any treatment. if symptoms persists better to consult a urologist and get evaluated. in that case we have to ruled out infective causes like prostates. hope i have answered your query. let me know if i can assist you further. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Galeazzi fractures account for around 3-7% of all forearm fractures in adults. Normally, 25% of the radial shaft fractures are true Galeazzi type injuries. The most common risk factors for the Galeazzi fracture are: sports (football and wrestling), osteoporosis, and post-menopausal time; consequently, These risk factors cause the highest occurrence in young males (10:10,000) and elderly females (5:10,000). The peak incidence in children is the age of 9 to 12."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. based on the description, i assume that you could be suffering from lumbar disc disease along with degenerative changes in the spine causing you back pain. if you are exclusively having back pain without pain in the leg (shooting pain with tingling & numbness), then there is no surgical management. an aggressive physiotherapy for strengthening the paravertebral muscles is necessary. also, you can try radio frequency ablation, which is said to provide good pain relief in low backache cases. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having herd (gastroesophageal reflux disease) and related symptoms. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning sensation in lower chest. so we should first treat herd in your case. for this, avoid stress and tension. avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. take proton pump inhibitors and prokinetic chatbot.  lose weight and stay fit and healthy. don't worry, you will be alright with all these. this is not serious condition. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Staphylococcus epidermidis is the cause of osteomyelitis that is more commonly associated with prosthetic joint replacement.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for using this forum on chatbot. firstly as per the description of the symptoms, your child should be under hospital care. infants present with varying symptoms specially relating to gastrointestinal infection, however since he is still vomiting, having diarrhea and being cranky, all points that the infection is still persistent. he has to be given nothing from mouth and only taking zofran would certainly not help. you should consult with your er doctor soon and ask for a second assessment with full checkup. feel free for further queries. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. when oral contraception is initiated, the first two cycles need additional protection. this is because there is a chance that ovulation may not be inhibited. since you took a break, this cycle is not protected. if the incident happened during your usual fertile period, you would need additional protection. if this happened during your usual safe period, you need not take any emergency contraception. please contact your consultant to plan further management. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. from the given information, the incident you had was panic attack and is due to your underlying anxiety disorder. you had all those checks and investigations and nothing physically was diagnosed. in that case you should be satisfied and at peace. anxiety disorder and panic disorder can be cured with the help of the current medicines and psychotherapy. please do not overthink and worry about your health. if at all anything need to be done, the doctors will take care of it. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of undissolved stitches which are causing pain around jaws is mainly due to local inflammation following the surgery might be causing numbness and pain and pressure effect on the area. i would suggest you to take few preventive measures such as be on soft diet and try to have liquids in diet maximum, avoid too cold beverages. you should not touch that area while brushing and don't touch with finger or tongue. do warm saline gargles as it will suppress infection soon. maintain proper oral hygiene. do rinses with listerine mouth wash. take painkiller such as motrin for pain relief. apply numbing gel and lidocaine over the stitches for numbing the area and causing relief discomfort. don't open mouth too wide. visit oral surgeon once and get it examined and start treatment accordingly. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understand your concern. first thing you have to do is to differentiate whether the lesion under your breasts are either rash or bruise. because if it is a rash, it may be an intertwine. it is an inflammatory skin rash that shows up between the folds of skin. it is a very common skin rash that can crop up throughout life. intertrigo is most commonly caused by loss of air circulation, moisture, and it is further enhanced by yeast infections. if it is not a rash, then it can be due to inflammatory breast cancer, coagulation disorders provided no history of any local injury or trauma. some time wearing ill fitted bras can cause the similar bruise under breast.thus, you need thorough breast examination and ultrasound breast to rule out any breast cancer.2. your blood reports shows that abnormal liver function. the results just indicate that you have liver damage, but the cause could be many. some common causes are fatty liver, hepatitis from any cause such as alcohol, virus, chatbot. thus, without proper clinical history and examination, it is not easy to diagnose the exact cause. further you can rule out any fatty liver of cirrhosis by ultrasound abdomen. you may need to check viral hepatitis by viral antigens for hepatitis viruses commonly b and c virus. hope this helps. please write back for further queries. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. any behavior which causes significant distress or impairment in a person social, occupational, personal domains is usually characterized as a disorder. similarly, if a particular behavior (ripping toenails) is causing significant distress to close ones, family members can also be termed as a disorder. based on this account; do you feel that your friend is getting into trouble because of repetitive ripping off toenails? are there any other repetitive behaviors like excessive need for cleanliness, orderliness, symmetry, any excessive religious beliefs, counting numbers, things or activities like repetitive hair pulling?? do revert with these answers. we may consider possibility of obsessive compulsive disorder (ocd) or impulse control disorder spectrum based on your answers to my queries. once confirmed, we shall proceed to treat this behavior/set of problem behaviors accordingly. hope this helps"
Answer this question truthfully,"No, red blood cells cannot use ketones as a source of energy because they lack mitochondria. Mitochondria are the organelles responsible for producing ATP, the main energy currency of cells, through the process of cellular respiration. Red blood cells lack mitochondria, which means they rely solely on glycolysis to produce ATP. Glycolysis is a process that breaks down glucose into pyruvate, which can then be used to produce ATP. Ketones, on the other hand, are produced by the liver during periods of fasting or low carbohydrate intake and are primarily used by other tissues, such as the brain and muscles, as an alternative energy source. Since red blood cells lack the necessary machinery to utilize ketones, they cannot use them as a source of energy."
Please answer with one of the option in the bracket,D: Emergency laparotomy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello steven! thank you for asking on chatbot! regarding your concern, i would explain that the brain lesions could be responsible for the numbing in face and tongue or mouth. but, it is necessary to perform a contrast enhanced mri study in order to investigate for active plaques of ms. another sign of the activation of the disease (and thus need for steroids) would be the increased signal in diffusion series of mri study. you should discuss with your neurologist on the above issues. kind regards,"
Answer this question truthfully,"How well you do depends on the cause of the problem. If there is no disease causing the problem, treatment can provide at least some relief.
However, the pain may become constant and severe in some patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i understand your concern. i appreciate that you are physically active. it will make much improvement. adjustment disorder require reassurance. psychological and social support. psychotherapy and counselling can help. if anxiety features prominent then it can be treated with benzodiazepine and anxiolytic. if depressive features are prominent then antidepressant like ssri can be useful. meditations will help. i hope i have answered your question. still if you have a query then feel free to ask. happy to help you, thank you."
Answer this question truthfully,"During the later phase of myocardial infarction (transmural infarcts), the ECG shows ST-segment elevation and Q waves. These changes are indicative of damage to the heart muscle and can help diagnose a heart attack. The ST-segment elevation occurs due to the injury of the heart muscle, while the Q waves are a result of the loss of electrical activity in the affected area of the heart."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is not safe to take emergency pills each time you have unprotected sex. it can cause cysts in ovary and other hormone related problems. your periods may also get delayed and irregular due to taking emergency pills. if you are in a relationship, i suggest you take low dose daily pills like male d. you have to start taking them from the first day of your cycle and continue as per directions. it can be taken for longer duration after discussing with your doctor. hope this helps."
Answer this question truthfully,"Strep. pyogenes (group A) pharyngitis typically presents with a positive fever, negative cough, and negative rhinorrhea."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the history is suggestive of a problem which is involving the lower chest and upper abdomen. i would advise you to go for a clinical / physical examination as this can detect better than the investigations ; for example the breathing sounds, rebound tenderness are the clinical entities and to be elicited by a doctor himself. after clinical examinations the relevant investigations can be advised ; which h in your case can be"
Answer this question truthfully,"Pulse is the throbbing of the arteries as an effect of the heart beat. It can be felt in any place that allows for an artery to be compressed against a bone, such as at the neck (carotid artery), at the wrist (radial artery), behind the knee (popliteal artery), on the inside of the elbow (brachial artery), and near the ankle joint (posterior tibial artery). The pulse rate can also be measured by measuring the heart beats directly (the apical pulse).
Pressure waves move the artery walls, which are pliable; these waves are not caused by the forward movement of the blood. When the heart contracts, blood is ejected into the aorta and the aorta stretches. At this point, the wave of distention (pulse wave) is pronounced but relatively slow-moving (3–6 m/s). As it travels towards the peripheral blood vessels, it gradually diminishes and becomes faster. In the large arterial branches, its velocity is 7–10 m/s; in the small arteries, it is 15–35 m/s. The pressure pulse is transmitted fifteen or more times more rapidly than the blood flow.
Pulse is also used, although incorrectly, to denote the frequency of the heart beat, usually measured in beats per minute. In most people, the pulse is an accurate measure of heart rate. Under certain circumstances, including arrhythmias, some of the heart beats are ineffective, and the aorta is not stretched enough to create a palpable pressure wave. The pulse is too irregular and the heart rate can be (much) higher than the pulse rate. In this case, the heart rate should be determined by auscultation of the heart apex, in which case it is not the pulse. The pulse deficit (difference between heart beats and pulsations at the periphery) should be determined by simultaneous palpation at the radial artery and auscultation at the heart apex.
A normal pulse rate for a healthy adult, while resting, can range from 60 to 100 beats per minute (BPM), although well conditioned athletes may have a healthy pulse rate lower than 60 BPM. Bradycardia occurs when the pulse rate is below 60 per minute, whereas tachycardia occurs when the rate is above 100 BPM. During sleep, this can drop to as low as 40 BPM; during strenuous exercise, it can rise as high as 150–200 BPM. Generally, pulse rates are higher in infants and young children. The resting heart rate for an infant is usually close to an adult's pulse rate during strenuous exercise (average 110 BPM for an infant).
A collapsing pulse is a sign of hyperdynamic circulation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, the spleen, the lymph nodes and the bone marrow constitute what we call the lymphopeoitic system. these structures are interrelated. he was certainly trying to exclude the possibility of a tumor. the spleen is very important in destroying worn out red blood cells and platelets. it's not surprising that the child s platelet count could be rising with time. however, patients without spleens fight encapsulated bacteria ineffectively. it shall thus be advisable to respect strict following up the hemophilia influenza, pseudo 23 and typhoid vi vaccines all the time against these three bacteria"
"If you are a doctor, please answer the medical questions based on the patient's description.","after the episode of severe sepsis/infection, next about 3-6 months are quite important in that immunity of the affected individual starts getting normal over that duration of time. you need not check temperature records so frequently. maintain good nutrition, fresh fruit, salads,personal & surrounding hygiene.crp levels may remain elevated for a long time. you may get her urine culture repeated. please do not get unduly concerned about her body temperature. best of luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. the problem of erectile dysfunction needs to be investigated to find out the cause of ed. with normal testosterone levels and unresponsive to viagra, the cause of e. d is most likely to be vasculogenic. consult qualified urologist for clinical examination and get color doppler scan of the penis done to confirm /rule out arterial insufficiency or venous leak as a cause of your ed. if proved to be due to arterial insufficiency it can be treated with newer modality called extra corporeal shock wave therapy (est)to penis. this helps to develop collateral vessels and thereby increase blood circulations to the erectile tissue to achieve hard erection. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. since you are having hoc (hypertrophic obstructive cardiomyopathy), better to rule out cardiac cause for your chest discomfort. so get done1. ecg2. 2d echoic both are normal then no need to worry much for cardiac cause. gastritis can be the cause for your symptoms.  and this can be due to the thing you have eaten yesterday. so start proton pump inhibitors. avoid hot and spicy food.  chatbot.  avoid stress and tension. don't worry, you will be alright. but first rule of cardiac cause."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Tailoring Time Series Models For Forecasting Coronavirus Spread: Case Studies of 187 Countries
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.",this is a case of sensory neural hearing loss which is caused by the damage to the nerve fibers which carry/process auditory signals. cochlear implants are generally useful in such condition however if you choose not to go for this then there is no other therapeutic option available. you may try stem cell therapy for this condition as an experimental alternate therapy which has shown some encouraging results however this is not a proven form of therapy(it does not require surgery)
Answer this question truthfully,"Like many congenital heart disease, the cause of cor triatriatum is not clear. Clinical studies suggest that both genetic and environmental factors may play a role during the pregnancy.
Viral infection Poor nutrition Genetic disorder"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. it seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. the main treatment of such pain is bed rest along with painkillers and muscle relaxants. muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. you can get the appropriate chatbot. meanwhile, you can follow these measures"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if your symptoms have only on recently after starting separate then, i would recommend asking your doctor to check your blood concentration levels to be sure that you are not running too high (50-80 is generally considered a good range) while toxicity may start to appear at levels >100.  now, it could also be your serum concentrations are normal but the chatbot.  these are all possibilities that your doctor can help you figure out. hope i have answered your query. let me know if i can assist you further."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
what are the risk factors of type ii diabetes,"It's not entirely clear why some people develop type 2 diabetes and others don't. It's clear, however, that there are certain factors that increase the risk. These include being overweight, fat distribution around your abdomen, lack of exercise, being of black, Hispanic, American Indian, or Asian American descent, and being above the age of 45."
Please summerize the given abstract to a title,An Evidence-Based Approach on Public Health Decisions in Low-Middle Income Countries: Use Case of Senegal at the Verge of COVID-19
Please summerize the given abstract to a title,Measuring Global Scientific Research On COVID-19: A Bibliometric Analysis
Please summerize the given abstract to a title,The impact of implementing the snis recommendations for the care of emergent neurointerventional patients in the setting of COVID-19 on patients undergoing mechanical thrombectomy
Please summerize the given abstract to a title,"Glomerular filtration barrier dysfunction in a self-limiting, RNA virus-induced glomerulopathy resembles findings in idiopathic nephrotic syndromes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thank you for your query. although vaginal discharge is listed as one of the side effects of birth control, it is also a sign of an infection. which is why you might have to report to your doctor to get examined, and rule out/diagnose an infection. a few of the other more common symptoms associated with an infection are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you had been indulged in masturbation since many years and now facing problems related to general health which you think them to be due to masturbation .first there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety. though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. chatbot."
Please summerize the given abstract to a title,The formation and function of extracellular enveloped vaccinia virus.
Please summerize the given abstract to a title,Inferring Expected Runtimes of Probabilistic Integer Programs Using Expected Sizes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some cyst or enlarged lymph node due to reactive hyperplasia, tuberculosis, lymphoma or metastasis carcinoma.  you should go for mri and biopsy of that lump if needed.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"An eye exam may show evidence of increased pressure in the brain (raised intracranial pressure), including swelling of the optic nerve or bleeding into the retina of the eye. A brain and nervous system (neurological) exam may show abnormal eye movement, speech, strength, or sensation.
The following tests may be used to diagnose cerebral aneurysm and determine the cause of bleeding in the brain:
Cerebral angiography or spiral CT scan angiography of the head to reveal the location and size of the aneurysm Cerebrospinal fluid exam (spinal tap) CT scan of the head Electroencephalogram (EEG) MRI of the head"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"The medical insurance plan that denies payment for any service that does not meet evidence-based guidelines is called a health maintenance organization (HMO). An HMO is a type of managed care plan that provides health insurance coverage to patients who agree to use a network of healthcare providers that have contracted with the insurance company. HMOs are designed to provide cost-effective healthcare by limiting the number of providers that patients can see and by requiring patients to choose a primary care physician who will coordinate their care and provide referrals to specialists if needed. In order to control costs, HMOs typically have strict guidelines for the types of services that are covered and the providers that patients can see. HMOs may deny payment for any service that does not meet evidence-based guidelines, meaning that the service has not been proven to be effective or necessary based on scientific research. This helps to ensure that patients receive high-quality, evidence-based care while also keeping costs under control."
Please answer with one of the option in the bracket,E: Clathrin
"If you are a doctor, please answer the medical questions based on the patient's description.",hello rearward welcome to chatbot.come have evaluated your query thoroughly.* there are different possibilities for this pain as - muscle pulling - ligament inflammation or irritation due to contusion - nerve endings irritation - hematoma related positional pain - secondary rib inflammation or pleural involvement .* recommendations for better recovery-alternate application of ice and heating pad.- local application of analgesic ointment or spray will help a lot.- tab. advil or other painkiller 3 times a day after meals.- avoid sudden bending or weight lifting. hope this will help you for sure. regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, dermatologist conditions are difficult to say much about without seeing them. and, a discoloration that lasts briefly without anything being there when it is gone is hard to be"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. since your extensive cardiac work up is normal, no need to worry much for cardiac cause. in my opinion, your symptoms are mostly related to anxiety only. and anxiety is the cause for worsening herd. so we need to control anxiety and herd symptoms will itself resolved. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life. and start working on its solution. you may need anxiolytic chatbot. so avoid stress and tension. be relax and calm.don't worry, you will be alright."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question... let me know you sept and got enzymes are present in liver hepatocytes cells.... so whenever hepatitis like condition it will release in good so value high.... you have mentioned normal viral hepatitis. so usually it will resolute with the time ... so with reversion of hepatitis sept and got value also comes low...here is no correlation with shot of yellow fever. if jaundice occur then contact doctor for viral marker study and further work up. take care.... chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your query and welcome to chatbot. i have gone through your query and understand your concern. i think you are having contusion. treatment of this is icing, elevation and analgesic such as ibuprofen for pain relief. there is not much to worry. it will take its own course to resolve. you can discuss with your doctor about it. hope your query get answered. if you have any other don't hesitate to write to us. wishing you a good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern for bulbous lesions on various parts of the body. you applied mometasone cream on face for psoriasis. kindly consult the dermatologist for the perfect diagnosis and proper treatment. psoriasis on face is not common. kindly have perfect diagnosis. mometasone does not cause bulbous lesions. so the bulbous lesions may be the due to something else. it may be bulbous impetigo. after thorough diagnosis you may be treated properly. thanks. chatbot."
Please summerize the given abstract to a title,Scalable live-attenuated SARS-CoV-2 vaccine candidate demonstrates preclinical safety and efficacy
Answer this question truthfully,"Decreased arterial pH (metabolic acidosis) causes compensatory hyper-ventilation, which leads to a consequent decrease in PCO2."
Please summerize the given abstract to a title,Carotid artery stenting before surgery for carotid artery occlusion associated with acute type A aortic dissection: Two case reports.
Answer this question truthfully,
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. the cramps could be a manifestation of urinary tract infection. many times the bladder infection can lead to this kind of problem. you can get a fresh urine test done to identify the same. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, or want any further details about this same issue you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you may be having some underlying problem like poly cystic disease or any hormonal abnormality, so better you once discuss with your doctor what is the actual cause of your problem and if needed to undergo hormonal evaluation, then depending on that you can plan your treatment, meanwhile you and your husband continue the tablets given by your doctor, if you get ovulation with the chatbot. take care."
Please summerize the given abstract to a title,Investigation of a COVID-19 Outbreak on an Aircraft Carrier: An Epidemic Model Based on Real Data
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you should first consult pulmonologist and get done chest x-ray to rule out pneumonia. as coughing out blood (hemoptysis) and chest pain indicates pneumonia. so chest x-ray is necessary to rule out this. pneumonia with diarrhea is commonly seen in glabella infection. so consult pulmonologist and discuss all these. you may need antibiotics and supportive chatbot.
Answer this question truthfully,"The mainstay of treatment for chronic myelogenous leukemia is medical therapy. Surgery is indicated for patients with splenomegaly.   Surgery is advised specially if the enlarged spleen is painful, and chemotherapy or radiation therapy does not shrink it. The spleen may also be removed to help improve blood cell counts.
Radiation therapy may be used to:   Shrink an enlarged spleen when chemotherapy does not work. Treat CML that is metastasized outside the bone marrow. Relieve pain caused by the buildup of leukemia cells in the bone marrow. Treat the whole body (called as total body irradiation) before a stem cell transplant."
Please summerize the given abstract to a title,Defining the Digital Self: A Qualitative Study to Explore the Digital Component of Professional Identity in the Health Professions
Please answer the letter of option truthfully,A
Answer this question truthfully,"The existence and effects of estrogen were established from 1923 to 1938 in which the formulation was led by a group of scientists instead of pharmaceutical companies. Thereafter, the market for hormonal drug research opened up.
The “first orally effective estrogen”, Emmenin, derived from the late-pregnancy urine of Canadian women, was introduced in 1930 by Collip and Ayerst Laboratories. Estrogens are not water-soluble and cannot be given orally, but the urine was found to contain estriol glucuronide which is water soluble and becomes active in the body after hydrolization.
Scientists continued to search for new sources of estrogen because of concerns associated with the practicality of introducing the drug into the market. At the same time, a German pharmaceutical drug company, formulated a similar product as Emmenin that was introduced to German women to treat menopausal symptoms.
In 1938, British scientists obtained a patent on a newly formulated nonsteroidal estrogen, Diethylstilbestrol (DES), that was cheaper and more powerful than the previously manufactured estrogens. Soon after, concerns over the side effects of DES were raised in scientific journals while the drug manufacturers came together to lobby for governmental approval of DES. It was only until 1941 when estrogen therapy was finally approved by the Food and Drug Administration (FDA) for the treatment of menopausal symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query. the swelling may be due to impacted wisdom teeth/deep dental caries at the effected area. an x-ray will help to evaluate the cause of swelling. the pus has to be chatbot. impacted teeth have to be removed as soon as possible. always maintain good oral hygiene. get your teeth cleaned. take antibiotics to relieve infection as per dentists prescription. hope this helps."
Please answer with one of the option in the bracket,B: Hyper-IgM syndrome
Please summerize the given abstract to a title,"Breast cancer risk stratification in women of screening age: Incremental effects of adding mammographic density, polygenic risk, and a gene panel"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is good that cancer of throat has been diagnosed at early stage. the chances for cure and post treatment survival are high in that case. if you have been unable to meet your known doctor then it will be best to take the patient to a tertiary cancer center like tata memorial hospital and get him evaluated in the head and neck cancer services. surgery is the choice treatment in stage 1 throat cancer. you also have to get detailed investigations like ct scan or mri scan and if possible pet scan after consulting the concerned doctor. this will help in accurate staging and planning of surgery. the surgery is done with removal of cancer area with a margin of normal tissue. after surgery the patient might also have to be treated with chemotherapy and radiation for a better treatment result. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... there are 2 issues in here - 1. a 4-year-old cannot say that complaint just like that to seek attention.2. in an active and otherwise well normal 4-year-old kid, it is not a very serious complaint. my suggestions for you - 1. unless the kid is having breathlessness or fast breathing or abdominal distension or swelling of feet and easy navigability you need not worry.2. no need to panic but get your kid examined by a physician.3. an innocuous simple issue like mitral valve prolapse can cause this sort of symptoms. regards -"
Answer this question truthfully,"Metastasis (Greek: displacement, μετά=next + στάσις=placement, plural: metastases), sometimes abbreviated mets, is the spread of a disease from one organ or part to another non-adjacent organ or part. Only malignant tumor cells and infections have the capacity to metastasize.
Cancer cells can ""break away"", ""leak"", or ""spill"" from a primary tumor, enter lymphatic and blood vessels, circulate through the bloodstream, and settle down to grow within normal tissues elsewhere in the body. Metastasis is one of three hallmarks of malignancy (contrast benign tumors).  Most tumors and other neoplasms can metastasize, although in varying degrees, barring a few exceptions (e.g., Glioma and Basal cell carcinoma never metastasize). 
When tumor cells metastasize, the new tumor is called a secondary or metastatic tumor, and its cells are like those in the original tumor. This means, for example, that, if breast cancer spreads (metastasizes) to the lung, the secondary tumor is made up of abnormal breast cells, not of abnormal lung cells. The tumor in the lung is then called metastatic breast cancer, not lung cancer."
Please summerize the given abstract to a title,"India’s pandemic: spectacle, social murder and authoritarian politics in a lockdown nation"
Please summerize the given abstract to a title,"Characteristics of the assistance to pilgrims in the National Sanctuary of Our Lady of Aparecida, São Paulo, Brazil, 2011-2014."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think you are suffering from acute backache after injury. treatment of it is rest and analgesics. diclofenac three times a day after meals is effective. sometimes strong analgesic such as tramadol three times a day after meals is required. pantoprazole before meals prevent acidity caused by analgesics. you can discuss with your treating doctor. there are three possibility, one is simple muscle injury, second is disc prolapse and third is compression fracture of vertebra. to further investigate mri of the region is advised. i think your query answered. welcome to any follow-up query."
Answer this question truthfully,"As per the information provided, Azoles can cause side effects of dizziness, nausea, vomiting, and hepatotoxicity."
Answer this question truthfully,"Central cyanosis is a condition in which certain tissues, such as the lips and mucous membranes, appear bluish or purplish in color due to a lack of oxygen in the blood. This condition is caused by low arterial oxygen saturation, which can occur for a variety of reasons such as respiratory or cardiovascular disease. Highly vascularized tissues are particularly susceptible to this condition, as they are more dependent on oxygen delivery from the blood. In addition to the lips and mucous membranes, central cyanosis may also involve other tissues such as the nail beds, conjunctiva, and skin. If left untreated, central cyanosis can lead to serious health complications and should be evaluated by a healthcare provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. it seems that there is a piece of gum mucosa that seems to be hanging and has not taken part in healing. when the tooth is extracted the gum mucosa gets hanged as it is not supported by tooth and in case if the flaps are not compressed properly they can get hanged and does not take part in healing. it will not fall off on its own, and you should consult an oral physician and get evaluated, and he can either remove it by a small incision or can stitch it to the remaining portion of gums. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend don't worry. the pain may be musculo-ligamental type, that may occur due to sprain after much walking/running. it will subside in few days by its way. you can take analgesic like ibuprofen or if severe pain combination of diclofenac + paracetamol + chlorzoxazon/serratiopeptidase for temporary relief. for severe symptoms got examined by your family doctor first. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon."
Please summerize the given abstract to a title,Childhood caries and hospital admissions in England: a reflection on preventive strategies
Answer this question truthfully,The recommended treatment of choice for hoarding disorder is cognitive-behavioral therapy (CBT).
Answer this question truthfully,"No, a portal vein thrombosis does not typically cause any histologic changes to the hepatic parenchyma. A portal vein thrombosis is a blockage in the portal vein, which carries blood from the gastrointestinal tract and spleen to the liver. While a portal vein thrombosis can cause a variety of symptoms, such as abdominal pain and ascites, it does not typically cause any structural changes to the liver tissue itself. However, if the thrombosis is severe and prolonged, it can lead to complications such as liver ischemia and infarction, which can cause histologic changes to the liver tissue."
"If you are a doctor, please answer the medical questions based on the patient's description.","sore breasts, nausea and vomiting could be pregnancy signs. it is not clear from your question whether the discharge is from nipples or from vagina. if it is from vagina, this could suggest non-viable baby inside the uterus trying to get aborted (missed abortion). if it is from nipples, the chances of pregnancy are very high. however, very scanty period 2 weeks ago is a tricky issue. if it was a real period, you cannot be pregnant and the breast changes and nausea, fatigue, etc. could be due to birth control pills. to me, this looks to be the most possible cause. however, you may get ultrasonography done to rule out the pregnancy. if it turns out to be missed abortion, then urgent termination has to be performed lest serious complications like serious bleeding due to bleeding disorder. your obstetrician will take care of it. now do not waste time and go to obstetrician."
Please summerize the given abstract to a title,"Evaluation of Invasive Ventilation Rate and Comorbidities, Clinical Signs and Lab Findings among COVID 19 Patients"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello thank you for writing to chatbot you can do a blood test to confirm a pregnancy - serum bchatdoctor test.  by now the blood tests will show a positive result if you are pregnant. it will give you an answer to the anxious moments you are going through. after that you can get a scan to help you arrive at a diagnosis for the pain you are experiencing on the left side wish you all the best chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot.... noted you have gas formation so problem off indigestion it can lead chest discomfort . so treat your constipation ...if you need laxative can take... chatbot. apple, beans, whole grain like fiber food needed... avoid sedentary lifestyle. fennel in tea useful.if you need digestive enzyme tablet or gas x tablet taken.... avoid cabbage, cauliflower like gas forming food. if still problem not solved then chest x-ray, ecg done for further work up.... keep this in mind and if your want can consult your doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would explain that it is not a rare finding when chronic limbs' edema complicates with skin irritation and superimposed infection. besides the advices given by dermatologist, i would recommend to promptly treat the predisposing substrate; that is edema (it leads to inadequate blood circulation to the surface tissues, predisposing to more readily skin inflammation). i would recommend adjusting chf therapy; especially loop diuretics. at least an intravenous root of administration would be preferred, to decrease congestion as soon a possible, and an appropriate oral maintenance dose should follow. a comprehensive clinical evaluation; physical examination, coupled with cardiac ultrasound conclusions, liver and renal function tests, blood electrolytes, chest x-rays would better guide optimization of chf therapy. you need to discuss with his cardiologist to review these data and make the best decision. hope to have been helpful. greetings!"
Answer this question truthfully,The anterior circulation stroke that causes paralysis or sensory loss of the face and upper limb with cortical signs such as aphasia or neglect is called a middle cerebral artery stroke.
Please summerize the given abstract to a title,Simultaneous portal and hepatic vein embolization before major liver resection
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend to diagnose your problem it needs more history from you. by the way, you are planning for the mri then it will rule out the underlying cause. after that treatment will be more specific. but temporarily you can take analgesic like ibuprofen or for severe pain take combination of diclofenac+paracetamol+chlorzoxazon/serratiopeptidase for pain relief. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon dear friend"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, vomiting after a concussion to head is quite common. if the child is having repeated vomiting, she needs to be evaluated by a doctor. trauma to the head can cause bleeding which can sometimes be on the inner side of the skull, resulting in pressure on the brain and hence vomiting. the doctor can advise only observation, x-ray skull or ct scan brain according to the condition of the baby. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,There are no x-ray findings associated with acinic cell carcinoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. one of the side effects of smoking cannabis (pot, weed, marijuana) is occurrence of cannabis induced panic attacks or also known as bad trips characterized by symptoms of intense anxiety, palpitations, feeling weird, numbness, intense fears of death. people have acted crazy, even done homicides (run mock) under influence of cannabis induced panic attacks. as cannabis is fat soluble & slowly cleared from body; these attacks can occur for a few days even after stopping smoking. hence, best way is stopping cannabis smoking altogether. as there are other health hazards like psychosis after cannabis use; it's prudent to stop using cannabis. you can use sos mizoram, clonazepam (benzodiazepines) as anxiolytic to control these distressing symptoms. hope this helps. good luck"
Please summerize the given abstract to a title,Distance tutoring: tutor´s actions in the Doctoral Training Strategy in the time of COVID 19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. you can wait and see your doctor tomorrow morning, this is not an emergency, and we should also be considerate to the medical staff working at the er, by not troubling them with cases that are not urgent. the odor could be related to the healing process, but could also be related to infection if the procedure was not conducted well enough. speak to your doctor about it when you meet him/her tomorrow. best wishes."
Answer this question truthfully,"Echo with doppler is the primary procedure used to diagnose hypertrophic cardiomyopathy. There is a prolonged isovolumic relaxation time, reduced peak E velocity, prolonged deceleration time, increased peak A velocity, and decreased E/A ratio as compared to normal controls.
Left ventricular asymmetric hypertrophy Parasternal long axis shows relationship of the septal hypertrophy and the outflow tract
Left ventricular diastolic dysfunction LV inflow across the mitral valve LA inflow in the pulmonary vein Myocardial Doppler tissue velocity Isovolumetric relaxation time
Dynamic outflow tract obstruction SAM (systolic anterior motion) of the mitral leaflet Mid-systolic closure of the aortic valve Late peaking, high velocity flow in the outflow tract Variability of obstruction with maneuvers (exercise, amyl nitrate inhalation, and post-PVC beats)
Doppler Techniques Use continuous wave doppler to measure the systolic flow velocity in the LV outflow tract and mid-cavity (both at rest and during maneuvers such as the Valsalva maneuver or during dobutamine administration.
Because of the turbulent, high-velocity jet in the left ventricular outflow tract (LVOT), the anterior mitral leaflet moves anteriorly in systole, exacerbating the outflow tract obstruction, and promoting mitral regurgitation. The following images show classic systolic anterior motion (SAM) of the mitral valve leaflets:
On parasternal long-axis view
{{#ev:googlevideo|-4301014230430356751}}
On parasternal short-axis view
{{#ev:googlevideo|8393870190048992602}}"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. i will try to explain you and give my opinion. you should know that when we treat hypertension our goal is to have mean value below 140 / 90 mmhg. a person might have high value during emotional, physicals trees or if he doesn't take a regular medication. you should not worry about the blood pressure value that you have found, it is nothing bad. stopping the chatbot.  hypertension is a chronic disease, and it should be treated all live long. stopping the medication will lead to high values. of course if your husband will start taking the medications regularly than every thing will come back as it was before. if he had stable values under treatment before than starting medication will bring back stable values again so don't worry. hope i was helpful. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concernlight bleeding, spotting and irregular period are common after inserting copper t for first 2-3 months. it is known side effect of copper t due to hormonal imbalance and foreign body reaction. after consulting the doctor you have to take following medicine to stop the bleeding"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows
Please answer with one of the option in the bracket,E: Ventricular fibrillation
Answer this question truthfully,"NNRTIs are associated with rash, which is a common dermatological side effect. This rash can manifest as a more severe pathology such as Stevens-Johnson syndrome."
Please summerize the given abstract to a title,Immunopathological Roles of Neutrophils in Virus Infection and COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that cervical spine trauma can lead to chronic headache, especially in the back of your head. this is caused by the muscle spasms in the neck, which extend to the back of the head. it can also lead to irritation of the occipital nerve, which lies in this region, causing this type of headache. but, a long time has passed from the accident, and you should feel better now. as your troubles persist, i would recommend consulting with a neurologist for a physical exam and a cervical spine ct scan or mri. you may need to hold a cervical collar if evidence of cervical disk protrusion are revealed in these tests. if this test result normal, you should consider post-concussion headache as a possible cause underlying your troubles. in such case, an antidepressant would help relieve your symptoms. hope you will find this answer helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mr vast, i have understood your concern as to why you should be having nafld inspire of being a teetotaler. i would say that your body habits and also genetic predisposition play an important role in getting nafld. kindly get your bmi tested, and probably you need to keep a watch on that .also get a lipid profile done and consult your physician . daily brisk walking for 30 min, 5 days a week would help ... you can continue the medications as advised by your physician. hope i was of help."
"Treatment for optic nerve atrophy.    Hello Name's case : Sex : Male  Date of Birth : 1964 Nationality : X Diagnosis :  optic nerve atrophy .  i am suffering from optic atrophy, which led to loss of vision and inability to see, I suffer from this case from 1998 saluting suffered a fall on the head, which led to began this case even lost look, and have been performed process surgery in  in 1998-1999 .  And then in 2009 cured by reactive optic nerve by Russian Professor .   i want know you hospital have treatment for optic nerve atrophy , and what this treatment  i need more information about treatment of optic nerve because now  16 years old I can not vision, and I wish  could belive hope for treatment of my case. And i want know the cost of treatment . Thank you  Regards /","If the underlying disease causing the damage to the optic nerve is not diagnosed, vision loss will continue. In rare cases this is treatable."
Please summerize the given abstract to a title,The impact of the COVID-19 pandemic on user experience with online education platforms in China
what are the causes of headaches,"Spinal headaches are caused by leakage of spinal fluid through a puncture hole in the tough membrane (dura mater) that surrounds the spinal cord. This leakage decreases the pressure exerted by the spinal fluid on the brain and spinal cord, which leads to a headache."
Answer this question truthfully,"A patient who is in a coma, has an absence of brainstem reflexes, and a positive apnea test may be suggestive of brain death. Brain death is the irreversible loss of all brain function, including the brainstem, which controls vital functions such as breathing and heart rate. In order to diagnose brain death, a patient must meet certain criteria, including the absence of brainstem reflexes and a positive apnea test, which involves disconnecting the patient from a ventilator and observing for the absence of spontaneous breathing. Brain death is a legal and medical determination of death, and it is important to consult with a healthcare provider and follow established protocols for the diagnosis of brain death."
Answer this question truthfully,"Physical examination reveals no abnormalities, but there may be muscle tenderness, weakness, as well as myoglobinuria."
Please summerize the given abstract to a title,Update on Febrile Neutropenia in Pediatric Oncological Patients Undergoing Chemotherapy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. shocking pain in left arm seems to be due to nerve compression during bending. to exactly diagnose this problem, you need an mri scan. for these symptoms analgesic and neurotrophic like pregabalin and methylcobalamin medication can be started consulting your doctor. till time, avoid lifting weights. you can consult physiotherapist for help. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi santosh, thanks for asking. based on your query, my opinion is as follows.1. it d deficiency can present with bony pains at multiple location.2. improve your diet with fish oil, egg yolk, it d fortified food and it d supplements. get adequate sun exposure. 3. once it d levels are improved, pains should disappear. in the meantime, do back and neck exercises to strengthen muscles. x-ray has showed no arthritis, so not to worry. it's all bony pain. once it d gets corrected, all pains will disappear. hope it helps. any further queries, happy to help again."
Answer this question truthfully,"Patellofemoral pain syndrome is a common knee condition that causes pain and discomfort around the patella (kneecap). It is often caused by overuse or repetitive stress to the knee joint, and is commonly seen in athletes or people who engage in activities that involve a lot of knee bending and movement. One potential complication of this condition is atrophy or weakness of the quadriceps, which are the muscles at the front of the thigh that help to extend the knee. This can occur due to disuse or lack of activity caused by the pain and discomfort associated with Patellofemoral pain syndrome. Other complications may include reduced range of motion, instability of the knee joint, or the development of arthritis over time."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, unexplained bruises on the body are pretty serious. as you did not mention a history of direct trauma, i assume that these bruises have been developed by themselves. this problem is not related to lyme, articular low back pain, increased blood pressure and anemia.  this is not a problem that you can ignore or treat by yourself. you should refer to an internal medicine specialist first to check for coagulation problems (disorders that increase the tendency to bleeding.) he/she will order some lab data such as pt, ptt, bt, cbc with plt and may be protein s a protein c. also, check your urine to see if its color is changed to orange or red.  in summary, bruises coming simultaneously in multiple areas might be serious and should be followed up by a specialist.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Factors affecting the risk of SARS-CoV-2 transmission to anesthesiologists performing endotracheal intubation in patients with SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. understand your concern. birth control pills contain 2 hormone estrogen & progesterone, some tablets contain any one hormone & some has combination. you can take it ny this generic name estrogen(ethiylestradiol) & progesterone(norgesterel, norethisterone, levonorgesterel, desogesrel, noroethin chatbot. you can take combo or only one hormone pill. all are pretty good effective. some brands are so cheap like male d, mala n, oral, ovral l, femilon, duoluton, diane 35,yasmin....your age is less, according to me, you should not to use these tablets long term, there are option like diaphragm, or try to convince your partner to use condoms it's better for your future. hope this will help you. best regards, stay safe."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, greetings from chatbot. from your description you may be suffering from folliculitis with abscess formation. insect bite is another possibility which can produce a raised red-hot swelling. you have to go to a surgeon and do a complete blood tests including blood sugar to rule out diabetes. if this is not settling with antibiotics and supportive treatment you have to undergo surgical chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you can get pregnant after taking these medicines.  let oval helps in growth of your follicles, and you can track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for 2 to 3 days after injection. take progesterone for next 2 weeks. do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. cds pain on breathing is commonly seen with pleurisy (inflammation of pleura). and common causes for pleurisy are bronchitis, lung infection (pneumonia), pleural effusion etc. allergy is not causing pleurisy. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). chest x-ray is needed for lung infection and pleural effusion. pft is must for the diagnosis of bronchitis. if all these are normal then no need to worry much, simple musculoskeletal pain will be there. so take painkiller like ibuprofen or acetaminophen. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Glomerular hematuria (this type of hematuria originates from the glomerulus, which is the filtering unit of the kidney. Glomerular hematuria is typically associated with proteinuria, which is the presence of excess protein in the urine)."
Please summerize the given abstract to a title,"INDUSTRY 4.0: A Comprehensive Review of Artificial Intelligence, Machine Learning, Big Data and IoT in Psychiatric Health Care"
Please summerize the given abstract to a title,COVID-19 cases prediction in multiple areas via shapelet learning
"If you are a doctor, please answer the medical questions based on the patient's description.","it is unlikely that you got pregnant if he did not ejaculate inside you.  however, it is possible that some semen was left on his penis.  although i think it is very unlikely that you got pregnant, you might consider taking a morning after pill just to make sure.  these are available without a prescription from a pharmacy, and they are very effective in preventing pregnancy as long as you take the medicine within 3 days after having sex.  it is great that you used a condom, and you always should to protect yourself from unwanted pregnancy and stds.  however, you should also talk to your doctor about starting a reliable form of birth control so you don't have to worry about pregnancy at this time in your life."
Please summerize the given abstract to a title,[The use of rehabilitation programs for patients in the early recovery period after total knee arthroplasty]./ Primenenie reabilitatsionnykh programm dlya patsientov v rannem vosstanovitel'nom periode posle total'nogo endoprotezirovaniya kolennogo sustava
"If you are a doctor, please answer the medical questions based on the patient's description.","hello finding suggests presence of multiple gall bladder calculi and wall of gall bladder is normal. it shows absence of acute infection. definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy). gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. finding also suggests fat deposition in the liver cells and this is called as fatty liver. it is a reversible condition. you should avoid fatty food and go for brisk walk regularly. there is also atelectasis(loss of aeration)in both lower lobes of lungs. it may be due to many reasons like persistent infection, secretions etc. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make following suggestions for your son
Please summerize the given abstract to a title,Development and randomized controlled trial evaluation of E-learning trainings for professionals
Please summerize the given abstract to a title,Inpatient telemedicine implementation as an infection control response to COVID-19: A qualitative process evaluation
Please summerize the given abstract to a title,Ceftobiprole Perspective: Current and Potential Future Indications
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. it sounds like some congenital liver animal disorder and usually this is not harmful at all and it won't cause serious consequences. but you should rule out some other more serious liver conditions such as hepatitis or autoimmune disorders. also gallbladder stones can cause periodic jaundice as well. hepatic diet and certain medicines may be helpful, but the right causes hold be established by extensive work up before any treatments you good health. regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,E: Immediate transfer to the emergency department for management
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer with one of the option in the bracket,A: Complication from femoral artery access
Please summerize the given abstract to a title,"Semiqualitative research protocol to explore cancer care workforce perceptions of the health system response to COVID-19 preparations in Southeast Queensland, Australia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, gym workouts can lean to elevated heart rate only during exercise. if your heart rate is fast during the hole day, then another reason should be considered. i would advise you to regulate your sleep, try to sit in front of computer and tv as little as it is possible, be much in fresh air, avoid stress, try to lose some weight (no strict diet). if you still experience elevated heart rate in 2 months, i would advise you to see your doctor to undergo some tests, such as ecg, blood electrolytes etc. wishing you good health in case of further questions don't hesitate to ask"
Answer this question truthfully,"Naegleria fowleri is found around the world. In the United States, the majority of infections have been caused by Naegleria fowleri from warm freshwater located in southern-tier states. The ameba can be found in:
Factors that can increase your risk of meningitis include: Bodies of warm freshwater, such as lakes and rivers Geothermal (naturally hot) water, such as hot springs Warm water discharge from industrial plants Geothermal (naturally hot) drinking water sources Soil Swimming pools that are poorly maintained, minimally-chlorinated, and/or un-chlorinated Water heaters with temperatures less than 47°C
Naegleria fowleri is not found in salt water, like the ocean"
Please summerize the given abstract to a title,Concepts and Solutions of the Digital Teams Platform to Support Mobile Work and Virtual Teams
Please summerize the given abstract to a title,A Cross-Sectional Study to Evaluate the Effects of Age and Duration of HIV Infection on Anxiety and Depression in Cisgender Men
Answer this question truthfully,A solitary pulmonary nodule is usually found by your health care professional when a chest x-ray is performed for some other reason.
Answer this question truthfully,"Fever Headache Loss of appetite Sore throat, or painful swallowing Ulcers in the mouth and throat, and similar sores on the feet, hands, and buttocks
The ulcers usually have a white to whitish-gray base and a red border. They may be very painful. Generally, there are only a few sores."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is probably from acute gastroenteritis or food poisoning. her bp readings are normal-no need to worry. the heart pounding (palpitation) and shaky legs indicates that she is going to have fever shortly.- just give her tab ondansetron 4\u00a0mg twice or thrice daily to control vomiting, and ors solution in frequent sips-give paracetamol also, will help both abdominal pain and fever. she will be fine in 2-3 days. if she continues to have high fever, vomiting not getting controlled, feels very tired, don't hesitate to see your doctor as she may need antibiotics and fluid infusion. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatdoctori would like to inform you that periodontitis is an inflammation of the periodontics, i.e., the tissues that support the teeth. you might have gone through scaling & root planing that involves removal of plaque & calculus resulting in empty space & loosening of teeth. its quiet natural after scaling. need not worry, just start with gum massage with some gum paint like rexidine-m gel for 15 mins,2 times a day. also start using 0.2% chlorhexidine mouthwash 10ml half an hour after brushing once daily. all this will definitely help you out. still if your problem persist than talk to your dentist about periodontal flap surgery. its also good option in severe cases. also maintain proper oral hygiene by regular brushing & interdental flossing for cleaning that gap. take disregards chatbot."
Answer this question truthfully,The HCV genotype is the primary factor that determines the treatment and regimen for patients with hepatitis C infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as you met an accident in the car crash, i think you landed up giving whiplash injury to the neck where the nerves have got irritated and the pain is now radiating in nature.  i request you to take a cervical soft collar for now and do an mri scan as we need to know the status of the soft tissue in the cervical region. using soft collar, hot water fermentation, static neck exercises and upper limb strengthening exercises will help reduce the symptoms. please take this little careful because any injury caused once takes times to heal and troubles more if not treated well. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please answer with one of the option in the bracket,"C: Eplerenone, when added to optimal medical therapy, decreases all cause mortality in patients with left ventricular dysfunction following myocardial infarction."
Please summerize the given abstract to a title,Prevalence of attention-deficit/hyperactivity disorder in people with mood disorders: A systematic review and meta-analysis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for the query. this isn't indicating anything serious, and it may be just temporary colon bleeding due to angiodysplasie or polyps. he should do red blood count and if this is normal he should not worry. if there is hemoglobin fall then he must do colonoscopy to verify is there some more serious colon lesion such as tumor recurrence or focus caused by behemoth.  wish you good health. regards"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. sega salaam is called premature ejaculation in english. i see that you are from kerala, india. most probably, your premature ejaculation problem should be due to psychological reasons. don't out-rightly reject such a possibility because at your age, such organic problems are rare.  you need to answer many questions regarding your sexual habits and sexual behavior. i assure cure to your problem. please provide more information. if you require more of my help in this aspect, please use this url. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your consultation at chatbot!  i have gone through your case but haven't mentioned your age? as far as my diagnosis is concerned you gave got urinary tract infection.  uti has got a lot of causes, if u have got enlarged prostate then it might be the cause... other probability is that you might have got any bladder stone which is giving you uti along with other symptoms.last but not the least is your sexual partner she should also be examined in order to reach diagnosis.  you should also be looked for prostatitis.you may need to urinalysis, full blood count, aerodynamic studies, cystoscopy, and semen analysis. do visit the urologist, and it will help you in diagnosing your case after proper history examination and investigations... coming towards the high blood pressure they probably were looking at your chatbot. .  hope your question has been answered appropriately but if. u still got one feel free to ask.  regards"
Answer this question truthfully,"Prognosis of hypothyroidism depends on:
Whether the patient is treated or not. In most cases, thyroid levels return to with proper treatment. Whether the complication such as myxedema coma appears, which may result in death."
Please summerize the given abstract to a title,Do Lockdown Policies Reduce Economic and Social Activities? Evidence from NO2 Emissions
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint in case if you have pain in any of the tooth that is filled, and you are taking antibiotics for it, but the pain will not be relieved as it seems that the nerves have been exposed during making a cavity in the tooth to remove decay and retain the filling material and the nerve irritation and inflammation is the cause of pain. for this consult your dentist again and get an x-ray done and in case if the nerves are exposed removal of the filling followed by root canal treatment can resolve the problem. the blood in saliva can be due to infection in the gums causing inflammation of the gums and bleeding which is evident through saliva. while in case if there is blood spots through nostrils it is possible that due to hard sneezing there is some rupture of minor blood vessels leading to blood spots. the other thing that is possible is that your blood pressure is rising leading to bleeding, or it can also be a side effect of certain medicine that you are taking. you should consult a dentist and get evaluated and also get the blood pressure checked. in case if the blood pressure is high consult your treating physician so that he can alter the doses of the medicine as per the requirement. in case if allergic reaction is found change of the antibiotics can help. hope this information helps. if you find the answer helpful please give me a five-star review and click on found the answer helpful as a token of appreciation. thanks and regards. chatbot. ."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello have read your query. there is possibility of lumbar canal stenosis leading to symptoms. i will advise you mri spine. in lumbar canal stenosis there is narrowing of spinal canal leading to burning sensation. epidural steroid shot may help you. physiotherapy like ultrasound and matrix therapy may help you. i hope i have answered your questions. if you have further questions please feel free to contact us. i will be happy to answer. take care.
Answer this question truthfully,Venlafaxine is an antidepressant that may cause a false positive for phencyclidine on a standard urine drug screen.
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting query. increased bilirubin presentation. liver enzymes level not mentioned. if liver enzymes are increased then you should visit your treating physician as your suffering from acute hepatitis. usually the cause is not worrisome but better to exclude certain causes of hepatitis. you need to be tested for bag, anti hcv and if possible anti had.after the results of these test, further management maybe advice. hav is a common cause of acute hepatitis and self limited.-\""recheck liver enzymes after 4 to 6 weeks\"".if only bilirubin level slightly increased then no need to worry. however, as a precautionary measure, you may get an abdominal ultrasound done to rule out any gall bladder pathology and also get a cbc test if your anemic. if any further questions, feel free to ask. health professionals aim to diagnose properly and manage patients according to their limited knowledge. cure is blessed by the one who created us, whose power and knowledge is unlimited .wish you good health. regards, chatbot."
Answer this question truthfully,"One class of post-translational modifications is covalent alterations, which include phosphorylation, glycosylation, hydroxylation, methylation, acetylation, and ubiquitination."
Please answer with one of the option in the bracket,C: Administer Tdap only
Please summerize the given abstract to a title,Education for just transitions: Lifelong learning and the 30th anniversary Human Development Report
"If you are a doctor, please answer the medical questions based on the patient's description.","there few reasons for swollen glands, the most common is an infection. however, most of the time when we take antibiotics and does not improve, it could be secondary to viral infection, as mononucleosis, cytamegalovirur. other possibilities are parasites or non-infectious as lymphoma and leukemia. you should consult with your doctor and get some basic laboratory test to evaluate your medical condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through the case and found that this pain might be due to coughing if you have which causes inflammation of intercostal tissue which irritate during coughing or breathing. but might be infection persist till now, so i will advise going for chest x-ray with hologram blood test to rule out the infection. after getting the correct diagnosis take proper treatment. meanwhile, take multivitamin for the weakness. hope my answer will be effective for you. thanks"
Please summerize the given abstract to a title,Discussion on Etiology and Pathogenesis of Corona Virus Disease 2019 from “Cold-dampness and Insidious Dryness”
Answer this question truthfully,The anterior drawer test is performed with the knee at a 90 degree angle to test for ACL injury.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you are having severe back pain on lower right side, started as dull pain in the hip, progressively increasing, increasing with inhalation.  as you have correctly assumed it might be urinary tract related, there might be infection or stone in the ureter at the lower end near the bladder.  other possibilities are orthopedic or infection of the soft tissues like abscess.  i advise you to consult a urologist for diagnosis and treatment, you may need to have m.r.i.besides other routine tests for confirmation.  avoid taking potato, other tubers, tomato, and egg till the pain persists.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to the chatbot your total cholesterol level is high, and you should get treatment for it, you can be prescribed antilipidemic chatbot. . so hemolytic anemia should be investigated for that get investigated with ps examination and reticulocyte count and serum ldh estimation if needed he electrophoresis done to rule out any hemoglobinopathy if present take low fat diet and fruits with green leafy vegetables more take care hope this will help you consult physician for examination and discuss your case"
Please answer the letter of option truthfully,C
Answer this question truthfully,Ependymoma is the type of CNS tumor that may have these features.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi pal, welcome to chatbot ! your liver function test does support the diagnosis of jaundice, although you have not told the got/sgpt report-if they are also normal then probably you don't have hepatitis also. but if is the liver enzymes are raised then your doctor is right that is the initial phase of jaundice. your fever and jaundice(if it is there really) are symptoms of the disease and not the disease itself. you may be having hepatotropic viral infection, malaria, cholangitis, enteric fever as a cause behind the syn chatbot. you need a physical examination by your physician and get baseline investigations like chest x-ray, electrocardiogram, complete blood counts, renal function test, repeat liver function test, ultrasound abdomen, urine compete examination. this work up is expected to detect the underlying problem, so a definite treatment could be started. i hope this advice would be helpful for you. still if you have any queries or doubts, please write me back, i would be happy to solve them. wish you a great health!"
"If you are a doctor, please answer the medical questions based on the patient's description.",many thanks.widely test is quite old test and not done in modern hospital. we are using blood culture test or egg or ig m.  if positive for typhoid or salmonella then needs intravenous treatment of antibiotic for 7 to 10 days according to culture sensitivity. then needs eradication of it with cap. amoxicillin 500\u00a0mg for 3 weeks. food advice is soft and non-spicy better more liquids should have given during illness. take more liquids and fruits.
Please summerize the given abstract to a title,Infektiologie 2003—Teil I: Epidemiologie
Please summerize the given abstract to a title,"Willingness to get the COVID-19 vaccine among patients with rheumatic diseases, health workers and general population"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hit hanks for using chatbot.come have evaluated your query thoroughly.* this is definitely upper respiratory tract infection with some type of virus not responding to usual allergy management protocols.* suggestions for better recovery-inhalation of vapors of boiled water with added tincture benson with blanket covered over the head each session of 5 min. 3 times a day.- gargles with salted lukewarm water and added peppermint oil 3 times a day.- deep breathing exercises with yoga.- avoid cold beverages, excess sweats, spicy.- plenty of liquids with balanced nutritious diet.- no smoking or alcohol.- maintain room temperature . hope this will help you for sure. welcome for any further questions. regards dear."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your daughters situation and problem. since her routine investigations are normal, no need to worry about major heart and lung related diseases. this kind of symptoms are commonly seen in psychotic diseases like panic attacks, attention deficit syn chatbot.  so better to consult psychiatrist and get done counseling sessions. try to identify stressor in her life and start working on its solution. she may need psychotic"
Please summerize the given abstract to a title,Ambient Assisted Living: Identifying New Challenges and Needs for Digital Technologies and Service Innovation
Answer this question truthfully,This condition can be life threatening. The risk for death is higher in people who have many liver abscesses.
Answer this question truthfully,"Common Causes Common malignant causes of pulmonary nodule include:  Primary lung cancer Non-small cell lung cancer Small cell lung cancer Lymphoma Carcinoid tumor Solitary metastasis Pulmonary sarcoma Common benign causes of pulmonary nodule include:  Inflammatory Granuloma Tuberculosis Fungal infection Pulmonary abscess Pneumonia Pneumocystis carinii pneumonia Nocardial infection Parasite infection Immunological Rheumatoid arthritis Wegener's granulomatosis Vascular Arteriovenous malformation Hematoma Infarction zone Miscellaneous Pulmonary sequestration Foreign body Pleural plaque Hamartoma Causes by Organ System Cardiovascular Arteriovenous malformation, Infarction zone, Pulmonary arterio-venous malformation, Pulmonary embolism, Pulmonary infarction, Varicose pulmonary vein, Vascular Chemical/Poisoning No underlying causes Dental No underlying causes Dermatologic No underlying causes Drug Side Effect No underlying causes Ear Nose Throat No underlying causes Endocrine Thyroid cancer Environmental Black lung disease Gastroenterologic Gastric cancer Genetic No underlying causes Hematologic Aneurysm of the pulmonary artery, Hemangioma, Hematoma, Non-hodgkin lymphoma, Pulmonary hamartoma Iatrogenic No underlying causes Infectious Disease Adiaspiromycosis, Aspergilloma, Aspergillosis, Berylliosis, Blastomycosis, Bronchogenic carcinoma, Bronchogenic cyst, Coccidioidomycosis, Cryptococcosis, Cryptococcus neoformans, Dirofilariasis, Echinococcus granulosus, Endometriosis, Fungal infection, Histoplasmosis, Hydatid cyst, Hystiocytosis x, Lipoid pneumonia, Lung abscess, Lymphocytic interstitial pneumonia, Mycobacterium tuberculosis, Nocardial infection, Nocardiosis, Parasite infection, Pneumocystis carinii pneumonia, Pneumonia, Pulmonary abscess, Round pneumonia, Tuberculosis Musculoskeletal/Orthopedic Multiple myeloma Neurologic Aneurysm of the pulmonary artery, Arteriovenous malformation, Neurofibroma, Neurogenic tumor Nutritional/Metabolic No underlying causes Obstetric/Gynecologic Breast cancer Oncologic Adenocarcinoma, Blastoma, Bronchial adenoma, Cancers, Carcinoid tumor, Chondroma, Fibroma, Gastric cancer, Granuloma, Hamartoma, Hamartomatosis, Hemangioma, Hypernephroma, Large cell lung carcinoma, Lung metastases, Lymphoma, Metastasis, Multiple myeloma, Neurofibroma, Neurogenic tumor, Non-hodgkin lymphoma, Non-small cell lung cancer, Primary lung cancer, Prostate cancer, Pulmonary inflammatory pseudotumor, Pulmonary sarcoma, Pulmonary sequestration, Sarcoma, Seminoma, Small cell lung cancer, Solitary metastasis, Squamous cell carcinoma, Thyroid cancer Ophthalmologic No underlying causes Overdose/Toxicity No underlying causes Psychiatric No underlying causes Pulmonary Black lung disease, Bronchial adenoma, Bronchial atresia, Bronchogenic carcinoma, Bronchogenic cyst, Churg-strauss syndrome, Hydatid cyst, Large cell lung carcinoma, Lipoid pneumonia, Localized scar, Localized pleural effusion, Lung abscess, Lung cavity, Lung metastases, Mucoid impaction, Non-small cell lung cancer, Pleural plaque, Pneumocystis carinii pneumonia, Pneumonia, Primary lung cancer, Pulmonary abscess, Pulmonary arterio-venous malformation, Pulmonary embolism, Pulmonary hamartoma, Pulmonary infarction, Pulmonary inflammatory pseudotumor, Pulmonary sarcoma, Pulmonary sequestration, Round pneumonia, Rounded atelectasis, Sarcoidosis, Sequestration, Small cell lung cancer, Squamous cell carcinoma, Tuberculosis, Varicose pulmonary vein, Wegener's granulomatosis Renal/Electrolyte Hypernephroma Rheumatology/Immunology/Allergy Amyloidosis, Churg-strauss syndrome, Fibroma, Granuloma, Immunological, Progressive massive fibrosis, Rheumatoid arthritis, Rheumatoid disease, Rheumatoid nodule, Sarcoidosis, Wegener's granulomatosis Sexual No underlying causes Trauma Foreign body, Localized scar, Lung cavity, Rounded atelectasis Urologic Prostate cancer Miscellaneous No underlying causes Causes in Alphabetical Order Adenocarcinoma Adiaspiromycosis Amyloid Amyloidosis Aneurysm of the pulmonary artery Arteriovenous malformation Aspergilloma Aspergillosis Berylliosis Black lung disease Blastoma Blastomycosis Breast cancer Bronchial adenoma Bronchial atresia Bronchogenic carcinoma Bronchogenic cyst Cancers Carcinoid tumor Chondroma Churg-strauss syndrome Coccidioidomycosis Cryptococcosis Cryptococcus neoformans Dirofilariasis Echinococcus granulosus Endometriosis Fibroma Foreign body Fungal infection Gastric cancer Granuloma Hamartoma Hamartomatosis Hemangioma Hematoma Histoplasmosis Hydatid cyst Hypernephroma Hystiocytosis x Immunological Infarction zone Inflammatory Large cell lung carcinoma Lipoid pneumonia Localized scar Localized pleural effusion Lung abscess Lung cavity Lung metastases Lymphocytic interstitial pneumonia Lymphoma Metastasis Miscellaneous Mucoid impaction Multiple myeloma Mycobacterium tuberculosis Neurofibroma Neurogenic tumor Nocardial infection Nocardiosis Non-hodgkin lymphoma Non-small cell lung cancer Parasite infection Pleural plaque Pneumocystis carinii pneumonia Pneumonia Primary lung cancer Progressive massive fibrosis Prostate cancer Pulmonary abscess Pulmonary arterio-venous malformation Pulmonary embolism Pulmonary hamartoma Pulmonary infarction Pulmonary inflammatory pseudotumor Pulmonary sarcoma Pulmonary sequestration Rheumatoid arthritis Rheumatoid disease Rheumatoid nodule Round pneumonia Rounded atelectasis Sarcoidosis Sarcoma Seminoma Sequestration Small cell lung cancer Solitary metastasis Squamous cell carcinoma Thyroid cancer Tuberculosis Varicose pulmonary vein Vascular Wegener's granulomatosis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi....... dear user., welcome to chatbot..., gone through your case... due to shaving of pubic hairs...you cut off ...hyperfollicles of serious ducts. now these are infected.....hence, our advice is don't shave the hairs at public point... only triggering that area with sterile scissors...... treatment for this .... 1) thorough washing with salt and soap water ...(don't use antiseptic) 2) tab doxycycline 100 mg daily after lunch for 15 days... 3) tab. levocetrizine.5 mg daily night ...for 1 week..., 4) fullback cream daily night application...o.k good luck...,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for your querypsoriasis is not likely in the case you mention. psoriasis is a common skin condition where the skin lesions are red with silver-white patches called scales. it does not present like a lump under the skin and has no relation with bone, except for the condition called psoriasis arthropathy which is an arthritis developing in some people having psoriasis. it involves joints of the body like upper extremities especially the hands, small joints of the feet, hips, knees, and ankles. i think that the only way you confirm the diagnosis is the scan that you are doing. so please do the investigations to be guided into the appropriate management. hope this is helpful. take care!"
Please summerize the given abstract to a title,"The NADase enzyme CD38: an emerging pharmacological target for systemic sclerosis, systemic lupus erythematosus and rheumatoid arthritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, what is your weight? and since when are you eating liking this? are you getting your menstruation on time? advice"
Please summerize the given abstract to a title,Current status of COVID‐19 (pre)clinical vaccine development
Answer this question truthfully,"Elderly patients may be more sensitive to the side effects of benzodiazepines, which include somnolence, confusion, and disorientation. Benzodiazepines are a class of medications commonly used to treat anxiety, insomnia, and other conditions. However, elderly patients may be more susceptible to the side effects of these medications due to changes in their metabolism and other factors. It is important to carefully consider the risks and benefits of benzodiazepines when prescribing them to elderly patients, and to monitor for any adverse effects. In some cases, alternative treatments may be more appropriate for this population."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i read carefully your question and would recommend first consulting with an ophthalmologist to exclude a possible eye disorder. if the ophthalmologist excludes an eye disorder, i would recommend performing further tests to investigate for the possible causes"
Answer this question truthfully,"Ohtahara Syndrome (OS) is the earliest-developing age-related epileptic encephalopathy. It is an extremely debilitating progressive neurological disorder, involving intractable seizures and severe mental retardation. No single cause has been identified, although in many cases structural brain damage is present.  The syndrome is outwardly characterized by tonic spasms and partial seizures, and receives its more elaborate name from the pattern of burst activity in an EEG."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is possible that she might have developed complications arising from endometrial cancer. the abdominal distension is possibly due to fluid accumulation and this is appearing bloated abdomen. she might also have developed bowel infection which is causing alternating diarrhea and constipation. you might try and give her more high protein foods with fiber content. this will increase the stool consistency and harden the stool. liver involvement is a cause of concern and this is also to be treated with chemotherapy. pain relief is important and adequate pain management. please do not worry."
Please summerize the given abstract to a title,Time Optimal Trajectory Planing Based on Improved Sparrow Search Algorithm
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and. as a urologist, i can understand your anxiety. you must get examined by a urologist. a tear in frenulum can lead to a scar there. you need not worry about it. it doesn't cause any ed.(erectile dysfunction). if you've any doubts, do the following tests before seeing the urologist"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. almost all lung insults whether tuberculosis, pneumonia or lung injury can cause lung scars after treatment. all of them heal with fibrosis and this fibrosis gives scar lesions on chest x-ray for lifelong. so your current scars on x-ray are mostly due to previous lung infection. since these are inactive, noninfectious lesions, no treatment is needed. these lesions will not go away with any treatment. so to get medical fitness for visa clearance, you should consult pulmonologist and get done 1. ct thorax 2. bronchoscopy and bad (bronchoalveolar lavage) analysis. if both of these are normal then you can argue with visa authority that your lesions on chest x-ray are old, healed, fibrotic, noninfectious. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient if adenomyosis is treated by all methods of conservative treatment and not relieved definitive treatment if you have completed your family is hysterectomy. family completed is married and having child chatbot.  severe pain so as there is interference with daily activities final choice after conservative treatment is removal of uterus. please consult expert gynecologist and take their opinion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. although you have not mentioned anything about your age, and other possible medical history, if i were your doctor, i would have performed a general physical examination along with a baseline ecg of yours, an ultrasound abdomen, and some routine blood tests like cbc, lft, blood sugar, serum amylase and a serum lipase. further management would depend on the reports of clinical examination and investigations. till that you can go for a proton pump inhibitor, a probiotic, i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,D: Local invasion via collagenase
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query in full details updated from you. i understood your health concerns. based on your query data, in my opinion, you seem to suffer from post op wound infection this time, which needs revaluation of the current treatment. thus second opinion from treating surgeon or pcp who would resolve this issue. hope this would resolve your query and worry and anxiety accompanied by it. welcome for any further query in this regard to me. i would love to help you out.awaiting any further query. wish you fast recovery from this intriguing health problem. have a good day. chatbot. n.m.s. genl-cvts -senior surgical consultant"
Answer this question truthfully,Streptococcus pyogenes is a type of bacteria that is often associated with necrotizing fasciitis. The pyrogenic exotoxin B produced by this bacteria is a specific substance that is commonly linked to this condition.
Answer this question truthfully,"Effective measures for reducing blood pressure as primary prevention of Hypertensive nephropathy include:  Lifestyle modification Weight reduction DASH diet sodium intake restriction Increase physical activity Pharmacological therapy for hypertension Among medications for controlling BP, Renin-angiotensin-aldosterone (RAAS) blockers such as ACEI or ARB play a significant role in preventing progression to ESRD by reducing proteinuria in hypertensive patients. According to 2017 guidelines, the goal of BP is < 130/80 mmHg for patients with hypertension and CKD regardless of proteinuria."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. this type of pain, which increases if the semen is not ejaculated is classical of prostatitis. this can be well determined by your classical history and supported by an examination - the per-rectal examination to palpate and know about the situation of the prostate. this can be helped by an ultrasonography of the abdomen, proton and if the facility is available, per-rectal ultrasonography o an mri. this is going to give a diagnosis. many times in such a case we give prostate massage for 2 reason;one to rupture is any small abscess is in prostate and secondly to get a specimen of prostatic fluid for analysis, culture and sensitivity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. it could be arthritis. i would suggest you to get yourself examined by an orthopaedician for multiple joint pains. you would be asked to undergo few blood tests like he, rbs, tlc, dlc, esr, ra factor, crp and thyroid profile along with routine urine examination. these investigations will help us find out the exact cause. discuss with your doctor. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please summerize the given abstract to a title,Intussusception in 2 Children With Severe Acute Respiratory Syndrome Coronavirus-2 Infection
Please summerize the given abstract to a title,Mobile Health Technology for Enhancing the COVID-19 Response in Africa: A Potential Game Changer?
Please summerize the given abstract to a title,Brazil variant reaches UK
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you are recently diagnosed with hypertension then it is recommended for you to adopt lifestyle modifications if after that your blood pressure will be high then you might require antihypertensive chatbot.  lifestyle modifications include"
Please summerize the given abstract to a title,"Assessment of the impact of COVID‐19 lockdown on the heavy metal pollution in the River Gomti, Lucknow city, Uttar Pradesh, India"
Please summerize the given abstract to a title,How Working from Home during COVID-19 Affects Academic Productivity
"If you are a doctor, please answer the medical questions based on the patient's description.",good day! your g.p. might need to adjust your medicine to decrease blood levels of uric acid and to decrease your liver enzymes. it is also important for you have a very healthy lifestyle if you are serious about your health. you should be on a low purine diet (the internet is full of resources and diet plans for it). if you consume a low purine diet then your uric acid will go down with the help of the medicines. good luck.
"If you are a doctor, please answer the medical questions based on the patient's description.","your child could be suffering from a viral infection which could manifest with the mentioned symptoms. usually it lasts for 5-7 days irrespective of use of antibiotics. medications that you are giving are proper. medicines that reduce pain (analgesics) and fever (antipyretic) are used to relieve headaches, body aches, and fever. the analgesics/antipyretic that are available otc are aspirin, tylenol, and non-steroidal anti-inflammatory chatbot.  gurgling with lukewarm water should help. you may add disdain dispersible tablets. please be patient. the condition should soon resolve. hope that helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. if the pain is initiated with certain foods this is an allergy and intestines respond by spasmodic contraction to get the thing removed out of the system. colonoscopy may be absolutely normal in such cases. it is possible that you are suffering from irritable bowel syn chatbot.  i would advise a contrast enhanced ct scan in all such cases to rule out any organic problem like appendicitis, lymph node enlargement, small bowel problems like thickening or obstruction due to a particular cause. the primary treatment is avoidance of all such food and beverages which enhance this problem. if the stress is a contributory factor, it has to be treated by psychotherapy, avoiding activities causing stress and anxiety and if required, some medicines,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of recurring vomiting and discomfort. well there can be many reasons for symptoms you mention in query like food intolerance or gastritis and due to underlying systemic disturbances. need not worry. i would suggest you to consult pediatrician for proper examination. doctor may order blood test, stool test and take history. doctor may prescribe antacids along with proton pump inhibitors such as ornidazole, operative along with omeprazole.  for now give your infant probiotic food and plenty of water to prevent deny chatbot.  avoid hot, sharp and spicy food. you can take banana on daily basis and light food. you should avoid taking dairy products in excess."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Mothers who are negative for the Kell 1 antigen develop antibodies after being exposed to red blood cells that are positive for Kell 1. Over half of the cases of hemolytic disease of the newborn owing the anti-Kell antibodies are caused by multiple blood transfusions, with the remainder due to a previous pregnancy with a Kell 1 positive baby."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i have read your query carefully & understood your concern.  congenital heart problems arise due to various causes like genetic (as you have already done both of your chromosomal analysis. the risk is lesser). if there is family history of such problem in both of your families. the possibility has to be checked in fetus / viral infection, rubella infection of mother in first 3 months of pregnancy/ type one or two diabetes in mother/ mother taking alcohol/ taking certain chatbot. . during pregnancy can affect heart development in fetus.  * while planning for child you should keep in mind the risk factors & prevent them as per possibility. taking anti rubella vaccine 6 months before pregnancy is advised.  * be in regular touch with treating gynecologist when she is pregnant. pregnancy fetal abnormality scan (in 5th month)/ triple guard test/ chromosomal analysis are few investigations which can indicate fetal abnormality ... if diagnosed in time necessary action can be taken in time.  hope, this helps you in planning. be careful & observant. instead of being scared & stressed. this will definitely give you positive results.  thanks,"
Please summerize the given abstract to a title,Assessing changes to adolescent health-promoting behaviors following the onset of the COVID-19 pandemic: A multi-methods exploration of the role of within-person combinations of trait perfectionism()
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned your symptoms it looks more of the pain towards the shoulder blade, and it is due to inflammation. you can under therapeutic ultrasound therapy and tens therapy for reducing the inflammation and pain. also performing myofascial release will help the muscle fibers relaxed. seems like, it is trapezius muscle spasm pain which can be latter helped by performing strengthening exercises. a physical therapist will help you further is needed any deep understanding. usually patients recover within a week of time under the physical therapist guidance. with the grace of god i wish you a speedy recovery. regardsjay in chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i have gone through your query.... here you can have .......-chemical bronchitis or-viral flu... you had used excess bleach which by inhalation can affect bronchi.... now pizza like junk and oily food avoided for few days. better to take fried and spicy food very less. more water.... soft and bland diet taken.... for relief from. inflammation antihistamines or short term steroid needed. avoid smoking. you will recover in few days. if condition worsen then contact doc for further work up like chest x-ray. take care. chatbot.
Please summerize the given abstract to a title,The impact of conjugation position and linker chemistry on the lymphatic transport of a series of glyceride and phospholipid mimetic prodrugs
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your query with chatbot, as such when your wisdom tooth was removed one cannot expect pus discharge from the socket since everything will be curetted after extraction if there is a periapical infection. as you describe that there is tender spot on cheek there might infection on the gums /soft tissue. nothing to worry about since you are already on antibiotics would suggest you to visit your oral surgeon for need full and thorough examination. hope i have answered your query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, masturbating has not any adverse effect on body. the process occurred during sex into the vagina is same that occurs during masturbation in hand or against any surface. but as you mentioned, you masturbate 3 to 4 times daily.so this will cause thinning of semen as production of new sperms take some time. from your query it seems like you are addicted to masturbating. to get rid of it, you should start doing the things that you like, stay away from porn or pornograpchatdoctoraterials, eat good diet, spend more times with family and friends. by doing these gradually your habit will go. you are feeling weak because of some other reason, or you have heard false things related to masturbating. so just don't worry. hope this helps you. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regarding your concern, i would explain that the low heart rate could be related to the fact that you have been an athlete. anyway, i would recommend performing a cardiac ultrasound and a resting ecg in order to examine your heart function and structure.  it is also advisable performing some other blood lab tests in order to investigate for the possible causes underlying chronic fatigue (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes, vitamin b12 and vitamin d plasma levels).  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,The bacterium responsible for causing Bubonic Plague is Yersinia pestis.
Answer this question truthfully,The posterior cruciate ligament (PCL) is a ligament located in the knee joint. It extends from the medial femoral condyle to the posterior tibia.
Answer this question truthfully,"Placental Aromatase Deficiency is a rare condition that can occur during pregnancy, and it is caused by a deficiency of the enzyme aromatase in the placenta. This enzyme is important for the conversion of androgens (male hormones) to estrogens (female hormones), which are necessary for fetal development. When the placenta is unable to synthesize estrogens from androgens, it can lead to a range of complications, including fetal growth restriction, preterm labor, and low levels of amniotic fluid. In addition, Placental Aromatase Deficiency can also cause maternal virilization, which is a condition in which the mother develops male-like characteristics such as excess hair growth, deepening of the voice, and acne. This can be distressing for the mother and may require medical intervention to manage symptoms. Treatment for this condition may involve hormone replacement therapy or other interventions to support fetal development."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the electric shock type of pain in the tongue could be because of the neuralgia of the lingual nerve. consult an oral physician to rule out neuralgia from other conditions like any lesions over the tongue. if it is because of neuralgia then you have to consult a neurophysician and start with carbamazepine therapy. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,"D: 46,XY"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. just a gas ! this can not be a lone problem, we have to find and treat the reasons"
Answer this question truthfully,Helicobacter pylori is a comma-shaped rod that produces urease in the Gram Negative Algorithm.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  lump in the neck can be enlarged lymph node due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. or it can be soft tissue tumor.  wait for your biopsy results. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,C: Mutation of gene on chromosome 15
"If you are a doctor, please answer the medical questions based on the patient's description.","viral fevers are usually self limiting and subside within a week or two. since its fever of more than 2 weeks duration along with headache and pallor, i would recommend you to visit a pediatrician for complete clinical examination and laboratory investigations. investigations such as complete blood counts with differential, peripheral smear for malarial parasite, tidal, dengue test, urine examination, chest x-ray and abdominal ultrasound may help for investigation if there are no specific localizing signs. treatment will depend upon the clinical examination and lab reports. hopefully this will help you. i would be happy to help you in any further questions. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i have gone through your description and noted about the blunt injury on your led where you had no fracture. there is a strong possibility that you have damages the muscles in the area which have not healed. the second possibility is that you may be having gout (increased uric acid in the blood) which will explain the painful swelling on your foot(big toe). i suggest you get s uric acid and mri leg to assess the causes of both. in the meantime you can start any painkiller to relieve you of pain.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. i have gone through your question. pain in ribs which is increasing in character is a matter of concern. it can be a contusion of skin and subcutaneous tissue which is causing you the pain. it can also be a minor hairline fracture in the ribs which is causing the pain(as you have mentioned cracking) and increasing pain. as there is no breathing difficulty, the pleura underlying the ribs is not injured it seems. since the ribs enclose the vital organs in our body it is always better to get a chest x-ray done to rule out any major injuries.also, you have to take adequate rest and analgesics for pain relief and faster recovery. thank you."
Please summerize the given abstract to a title,2019 Coronavirus Disease Applications Made During an Outbreak in a Chemotherapy Center: The Case of Turkey
Please summerize the given abstract to a title,SARS-CoV-2 infection serology: a useful tool to overcome lockdown?
"If you are a doctor, please answer the medical questions based on the patient's description.","dear-thanks for using our service, the back pain that you are describing could be secondary to a pinch nerve, irritation of the muscles surrounding the vertebra, that can create a knot from the contraction. you can try anti-inflammatory as ibuprofen and hot pad trying to relieve the inflammation and pain. physical or massage therapy can help this too. local cream that has menthol can improve your pain. if you don't feel better in one week, you should see your doctor for an evaluation with x-ray and possible mri of the area. i hope my advice has been helpful chatbot."
Please summerize the given abstract to a title,Formation of liquid core-polymer shell microcapsules.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi zulyreyna1, thanks for visiting chatbot. asthma can be exacerbated in the following conditions"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thanks you for your query. i am chatbot and i will try to help you as much as i can with my answer. yes it can affect and probably is since alcohol leads to liver damage and raises get levels. you should do liver ultrasound to rule out more serious conditions and reduce alcohol intake. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health.
Answer this question truthfully,"Watershed strokes result from hypoperfusion (a lack of blood flow), which can be caused by congestive heart failure, severe atherosclerosis of the carotid arteries, or systemic hypotension (shock). Because the brain's circulation is formed by small end-arteries branching from larger central blood vessels, poor perfusion of the brain most strongly affects tissues supplied by the most distal branches of these arteries, producing ischemia and infarction at the border of these watershed areas.
A watershed stroke in the region of overlapped distribution between the anterior cerebral artery and the middle cerebral artery classically presents with weakness of proximal arm and leg muscles and preservation of distal strength: colloquially, the man in a barrel presentation. This is because this particular region of the brain is responsible for such muscles."
Answer this question truthfully,"The viscosity of blood is a physical property that affects the flow of blood in the circulatory system. A decrease in viscosity of blood causes an increase in Reynolds' number, which is a dimensionless parameter that describes the flow of fluids in pipes and vessels. This is because a decrease in viscosity reduces the resistance to flow, making it easier for blood to move through the vessels. As a result, the velocity of the blood flow increases, which in turn increases the Reynolds' number. The increase in Reynolds' number can have important physiological effects, such as the development of turbulence and the formation of blood clots, which can lead to cardiovascular diseases. Therefore, understanding the relationship between blood viscosity and Reynolds' number is important for the diagnosis and treatment of cardiovascular diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello & welcomes your son was diagnosed with a benign lesion of head it does not mean that this is also the same thing, as being a benign lesion it will not migrate to the lip. if along with hair growth your son do complaint of pain, itching, or burning in that particular condition you should get it biopsied. rest without clinical examination it will be hurried to say anything, but its not looking anything dangerous or malignant. take care."
Answer this question truthfully,At what gestational age can external cephalic version be attempted for breech presentations? External cephalic version can be attempted for breech presentations at ≥ 37 weeks gestation.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient first negative pregnancy test do not rule out pregnancy and ultrasound of pelvis should be done to confirm or rule out pregnancy.  your back pain and leg pain may be related to pregnancy or may be due to disc bulge in lower lumbar spine. if you are pregnant x-rays cannot be done. also, painkillers are not to be given during pregnancy. i would advise consultation with obstetrician nearby you. meanwhile take rest on hard bed. keep pillow below your legs to maintain flexion at hip and knee. do hot water fomenting of your back to decrease pain. thanks."
Please summerize the given abstract to a title,Investigating Optimal Confinement Behaviour of Low-Strength Concrete through Quantitative and Analytical Approaches
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. from the given details, diagnosis is not possible. the symptoms could be due to many reasons including stress and anxiety. the best option is to consult a physician for clarity. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain that your symptoms are related to noethistersone with chatbot.  an electrolyte imbalance could also mimic this clinical scenario. coming to this point, i would recommend performing a resting ecg, a complete blood count and blood electrolytes. if these tests result normal, there is nothing to worry about. your situation will improve spontaneously in the next weeks. hope you will find this answer helpful! kind regards,"
Please summerize the given abstract to a title,Social Distancing and Transmission-reducing Practices during the 2019 Coronavirus Disease and 2015 Middle East Respiratory Syndrome Coronavirus Outbreaks in Korea
Answer this question truthfully,"Neonatal meningitis is a serious condition that can occur in newborns and infants, and is typically caused by bacterial infections. While group B streptococci is a common cause of neonatal meningitis, other bacteria can also lead to the condition. For example, neonatal meningitis is also commonly caused by infections with E. coli and Listeria monocytogenes. These bacteria can be transmitted to the baby during birth or through contact with contaminated surfaces or objects. Symptoms of neonatal meningitis can include fever, poor feeding, irritability, and lethargy, and prompt treatment with antibiotics is essential to prevent serious complications."
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for posting your query. insufficient history provided. does she suffer from any other chronic disease?is she taking any medication? does she have fever? abdominal pain? or blood in the stool?need further evaluation.meanwhile
Answer this question truthfully,"If left untreated patients with polycystic ovary syndrome may develop cardiovascular diseases due to elevated cholesterol and increased level of androgens. Increased lengths of time without a menstrual period leads to unopposed exposure of endometrium to estrogen which may be complicated by endometrial cancer. Complications that can develop as a result of polycystic ovary syndrome are insulin resistance/ type II diabetes, high blood pressure, dyslipidemia, strokes, miscarriage, and infertility. The prognosis for fertility in patients with polycystic ovary syndrome is good with treatment, unless there are other unknown fertility problems."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, corticosteroids are known to upset the normal hormonal balance, as well as menstruation. menstrual irregularities are quite common in people who take steroids, more so for those who have to take a big dose for flare-ups of asthma, eczema, and other disorders. if the flow is very heavy, then tranexamic acid will control it. but usually the flow settles down, and the periods normalize by the next month or soon after. there is no need to worry about it. best wishes."
Please summerize the given abstract to a title,The prevalence of uterine fundal pressure during the second stage of labour for women giving birth in health facilities: a systematic review and meta-analysis.
Please answer with one of the option in the bracket,"B: Low ventilation, normal perfusion and low V/Q ratio"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your symptoms could be related to a musculoskeletal issue or anxiety. is the chest pain triggered by deep breathing or pressure on this area? this would indicate possible musculoskeletal pain as the main cause of your complaints. anyway, your symptoms are not indicative of any serious medical disorder. so, just try to relax and don't worry too much! kind regards,"
Please summerize the given abstract to a title,"Measuring the hidden burden of violence: use of explicit and proxy codes in Minnesota injury hospitalizations, 2004-2014"
Please answer with one of the option in the bracket,E: Pseudoephedrine and follow up in 1 week
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised. as the mri confirms the avulsion fracture in the cervical region, we should check for the clinical signs like, pain, radiation, numbness, tingling etc., if the avulsion fracture is only giving pain in the neck region then stabilization of the neck is a must by using a hard collar. also, travelling should be avoided as it may lead to worsen the symptoms. as the avulsion fracture if very minor will heal on its own, nothing to be worried as such, but taking a proper care is important. in the majority of the cases' surgery is not planned until the clinical signs and symptoms are big. post the 8\u00a0weeks of collar, simple physical therapy will be needed to regain the strength and mobility in the spine. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, warm welcome to chatbot.come have gone through your concern in depth.* this is in relation with impinging of some neuronal or vascular structures involving the spermatic cord.* needs color doppler with or without mri evaluation for perfect diagnosis and management guidelines.* for primary relief can give tab. ibuprofen (400) mg 3 times a day after meals , avoid tight undergarments and any weight lifting, ejaculations. hope this clears your doubts. regards."
Answer this question truthfully,"The female remnants of the gubernaculum are the ovarian ligament and the round ligament of the uterus, which are both paired structures. During fetal development, the gubernaculum is a structure that helps to guide the descent of the testes or ovaries into the scrotum or labia majora. In males, the gubernaculum gives rise to the scrotal ligament and the cremaster muscle. In females, the gubernaculum gives rise to the ovarian ligament, which attaches the ovary to the uterus, and the round ligament of the uterus, which runs from the uterus through the inguinal canal and into the labia majora. Both of these structures are important in supporting and stabilizing the female reproductive organs."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your problem. in my opinion you should consult pulmonologist and get done chest x-ray first, to rule out lower respiratory tract infection (leti). because you are still having symptoms even after 3 days of symptoms. this suggests possibility of pneumonia (leti) more. and mucus production with wheezing can be seen in pneumonia. so chest x-ray is needed to rule out pneumonia. if consolidation is present than get done sputum culture and sensitivity to identify the causative organism and guide the antibiotic therapy. haphazard use of antibiotics can lead to chatbot.  so better to consult pulmonologist and first diagnose yourself and start appropriate treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, crying while passing stools in a child can be due to hard stools, infective stools, worm infestation. in most cases, the main reason for crying during passing motion is due to hard stools. since, in case of your child hard stools are not present we have to look for other causes of crying during passing motions. in case of infective stools, the stools become acidic and as a result when the child passes motion it causes burning sensation due to which child cries during passing motion. in worm infestation there can be pain while passing motions. kindly do stool for routine microscopy test and stool culture test. give more fluids to child. give soft diet to child. review with reports. are re-examination with doctor should be done so that we may not miss any important finding. an ultrasound abdomen is also recommended. take care."
Please answer with one of the option in the bracket,D: Crohn disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of injury, so it may be some hematoma formation.  you may have some internal injuries.  furthermore, you should go for ultrasound abdomen. then take treatment of your injuries if needed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health. don't forget to click, thank you."
Answer this question truthfully,"Central retinal artery occlusion is characterized by a pale retina with a ""cherry red"" spot at the fovea."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,A superficial partial thickness burn typically causes the skin to blister.
Answer this question truthfully,"Erlotinib therapy is associated with two main adverse effects, which are acneiform skin rash and diarrhea. Acneiform skin rash is a type of rash that resembles acne and can occur on the face, chest, and back. It can be itchy and uncomfortable, but it usually resolves on its own after treatment is stopped. Diarrhea is another common adverse effect of Erlotinib therapy, which can be mild to severe and may require treatment to manage. It is important for patients receiving Erlotinib therapy to be monitored closely for these adverse effects and to receive appropriate management to minimize their impact on quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.","the patient should remain on diuretics as long as he has ascites. however, he needs to be monitored with frequent laboratory studies to make sure his kidneys and electrolytes remain stable. therefore, he should get regular check up of at least sodium, potassium, creatinine, blood urea nitrogen. quitting alcohol will definitely help, so he should be referred to aa (alcoholic anonymous) or a support group. if he cants tolerate diuretics or if his kidneys / electrolytes worsen then there are other more invasive alternatives such as doing paracentesis as needed, or placement of a tips (transjugular intrahepatic portosystemic shunt). hope that helps."
Answer this question truthfully,"What are the treatment options for fibroids in women based on their desire for fertility? Women who desire fertility are treated with myomectomy, while women who do not desire fertility are treated with hysterectomy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your quarry on chatbot.  after reading your symptoms, i feel that it is some kind of allergic reaction as it is not limited to just shoulders. i would recommend you to take any anti-allergic medication for 2-3 days as it may solve your problem. you can also apply calamine lotion topically in the areas of the red marks and aloe via gel for symptomatic relief. if your condition does not improve then you must visit your dermatologist and undergo allergy tests or any other tests he deems necessary.  wish you a speedy recovery. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  it appears that you are diagnosed with the cholecystitis, due to the numerous gall stones.  if advised you can have the stones removed, by scope, without surgery. with this you can have relief for some time. but you may have relapse.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods for healthy maintenance of the gall bladder.  avoid alcohol, fatty foods, oils, fry foods. etc. but may not be very strict absence.  strictly avoid spices, junk foods.  wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have burning and itchy sensations in the feet and palm. well there can be many reasons for symptoms you mention in query like radiculopathy, cervical spondylosis, herniated disk, mononeuropathy, peripheral neuropathy, central pain syn chatbot.  i would suggest you to consult neurologist for proper examination. doctor may order certain test like block test, nerve conduction test and take history along with physical examination. doctor may prescribe pain medications or steroid injections or with surgical procedures. for the nerve pain of neuralgia or neuropathy, treatment depends on the cause of the nerve damage, or irritation. treatments may include painkillers, physical therapy. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Evaluation framework for improving 360 virtual tours user experience
Please answer with one of the option in the bracket,C: Heparin drip
Answer this question truthfully,"Shown below is an algorithm summarizing the treatment of Clinical depression:
Abbreviations: ECT: Electroconvulsive Therapy, MAOI = Monoamine oxidase Inhibitor, TCA= Tricyclic Antidepressant, SSRI = Selective Serotonin Reuptake Inhibitor

Presumptive diagnosis of Clinical Depression Determine the level of severity and functional impairment Is referral to mental health care indicated?: ❑ Unclear diagnosis ❑ Evidence of psychotic features, mania, hypomania ❑ Signs of co-morbid psychiatric conditions ❑ Unable to treat in primary care ❑ Need for psychosocial interventions ❑ Patient preference No Yes Discuss treatment options and patient's preferences Refer to mental health specialty care
Initiate treatment according to severity and follow-up in 1-2 weeks Severity PHQ-9 Score Functional impairment Initial treatment Mild 10-14 Mild Monotherapy - antidepressant or psychotherapy; or possibly combination of both Moderate 15-19 Moderate Antidepressant or psychotherapy; or possibly combination of both Severe >/=20 Severe May start with antidepressant or psychotherapy but prefer combination of both Follow up in 2 weeks: ❑ Symptoms improved ❑ Treatment is well-tolerated and no side-effects ❑ Patient is adhering to treatment Yes No Modify treatment: ❑ Increase dose ❑ Augmentation of the medication ❑ Switch to another agent ❑ Combine psychotherapy and pharmacotherapy ❑ Somatic intervention ❑ Inpatient/residential treatment ❑ Continue current treatment ❑Re-assess in 4-6 weeks Some indications for inpatient care: ❑ Presence of suicidal ideation ❑ Refusal to eat or drink ❑ Severe malnutrition ❑ Presence of psychiatric conditions or other general medical comorbidity that make outpatient treatment unsafe or ineffective ❑ Catatonia Yes Evaluate: ❑ Full remission ? ❑Continue current treatment to prevent relapse ❑ Possible long-term maintenance
The algorithm below shows the management plan in brief in case of mild, moderate, and severe depression:
Mild to moderate Depression Remission Psychotherapy Pharmacotherapy Remission No response No response Change to anti-depressant Partial Response Change to anti-depressant OR Switch to psychotherapy Optimize the treatment: ❑ Increase frequency of psychotherapy ❑ Give maximum tolerable doses of the anti depressant Change or give combination therapy: ❑ If patient is getting psychotherapy: Add antidepressant ❑ If patient is recieving antidepressant: Add psychotherapy or change the anti depressant Augmentation/Combination: ❑ If patient is recieving antidepressant: Add a second antidepressant OR augment the medication depending on tolerability and side effects
The algorithm below shows the management plan in brief in case of severe depression:

Severe Depression Assess the patient: ❑ Ask about patient's preference of treatment ❑ Past history of good response to treatment of ECT ❑ Recieving other treatment or high risk of drug interaction ❑ High risk of suicide ❑ Refuse to eat or drink ❑ Has catatonic features ❑ Has other features of psychosis ❑ Non responding to any other treatment Assess the patient: ❑ Ask about patient's preference of treatment ❑ Past history or family history of good response to treatment of ECT ❑ Low risk of drug interaction ❑ High risk of suicide ECT + Pharmacotherapy Pharmacotherapy No response Partial response Optimize the treatment: ❑ Give the maximum tolerable doses of the antidepressant No further response: ❑ Switch to a different antidepressant from same or different pharmalogical class ❑ Add ECT ❑ Add a second anti depressant ❑ Augment the medication
Medications used to treat Depression: 
Medications used to treat Depression Mechanism Name Dose Side effects Selective Serotonin Reuptake Inhibitor Fluoxetine Paroxetine Fluvoxamine Sertraline Citalopram Escitalopram 20-80 20-60 50-300 50-200 20-40 10-20 Sexual dysfunction GI disturbances Weight loss /gain Insomnia Anxiety Tricyclic antidepressant Amitriptyline Doxepin Imipramine Clomipramine 50-200 75-300 75-300 75-300 Sexual dysfunction Anticholinergic effect Drowsiness Weight gain Conduction abnormality Norepinephrine Serotonin Reuptake Inhibitor Venlafaxine Duloxetine Milnacipran Desvenlafaxine 75-300 20-60 50-200 Mild anticholinergic effect Drowsiness GI distress Non adrenaline and Specific Serotonin Inhibitor Mirtazapine 15-45 Mild anticholinergic effect Drowsiness GI distress Atypical antidepressant Trazodone Nefazodone 150-300 100-300 Anticholinergic effect drowsiness Weight gain Conduction abnormality Mono amine oxidase Inhibitors Phenelzine Isocarboxazid Tranylcypromine 45-90 30-60 20-60 Orthostatic hypotension Headache Insomnia Drowsiness Selective Serotonin Reuptake Inhibitor Vilazodone 20-40 Diarrhea Nausea Vomiting Insomnia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you have undergone the gall bladder surgery these symptoms of swelling and pain is a rare issue for the limbs like the upper limbs and the lower limbs. it could be due to lack of vitamins and also due to weak metabolism which can be possible due to post surgery status. you can discuss the same with your surgeon as in my opinion this should not be connected to the gall bladder surgery. also, you can discuss with him if you can perform some general exercises under the physical therapists' guidance for making the muscle property maintained for upper limbs as well the lower limbs. post gall bladder surgery there will be even weakness of the abdominal muscles due to the incision and may need physical therapy regards jay in chatbot."
Please summerize the given abstract to a title,A review on effectiveness of artificial intelligence techniques in the detection of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, long term use of steroids sometimes causes some side effects but since now you have discontinued it the side effects will some be overcome. (i hope you have discontinued it only after consulting your doctor as per the requirement of your basic disease). now for your existing symptoms like low back pain, weight gain, i feel you, first, get your calcium and vitamin d levels done. if they are low then you can try to increase calcium and vitamin d in your diet. milk and milk products like cheese and yogurt are excellent sources of calcium. even seafood, sardine fish, almonds, green leafy vegetables are rich in calcium. the minimum daily requirement of vitamin d is 800 iu units and calcium is around 1000 mg per day so that must be fulfilled. avoid smoking and alcohol intake as they further increase the risk of osteoporosis. go for some exercises like walking, running, swimming.  this will help you reduce weight and strengthen your body.be careful about your diet and avoid eating fatty food or junk food. besides, i feel if this does not work out go for some other investigation. get your complete blood count, done like tsh, cortisol, electrolytes done, so that we can reach a proper diagnosis. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Effect of socioeconomic inequalities and vulnerabilities on health-system preparedness and response to COVID-19 in Brazil: a comprehensive analysis
Please answer with one of the option in the bracket,E: Decrease protein intake
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised along with mri of lumbar spine. as you have a fall, and you completely bend over which made a crack sound i advise you to undergo an mri of the lumbar spine to see the soft tissue pathology. also, as you have symptoms like diffing breathing, abdominal pain and backache, mri should reveal something. since to understand here is, that the muscles of respiration like the diaphragm and the abdominal muscles are the supportive structure for the connecting the upper and the lower body along with spine. any injury occurring to the spine will directly affect the respiratory system. also, when one breathes there is a mobility in the abdominal muscles and also the spinal column. so that will be the reason you are facing with breathing issue and pain in the abdomen and back. as post mri we can come to closer look to the matter and plan the further management. as treatment may include - physical therapy as it is successful in the majority of patients. also, in my clinical practice patients respond well to physical therapy and recovery is achieved at the earliest. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can understand your anxiety. kidney cysts are seen after forty to fifty years age, if they're simple cysts. prominent renal pelvis will need evaluation, if there's associated infection. the renal cyst doesn't need treatment, but till not go away naturally. its harmless, as long as its uncomplicated and remains a simple cyst. similarly, dont worry about the bilateral renal pelvic prominence. wish you well. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how is your blood pressure is it controlled or not. take electronic bp apparatus and try to monitor bp and pulse rate and make a chart. considering your bp is normal and you are having angina, you should be started tab nitroglycerin 2.6 at 8 am and 4 pm. also, if your pulse rate is higher than 70 then dose of bisoprolol can be increased. simvastatin should not be stopped. first start nitroglycerin and review back. we can later modify other chatbot."
Answer this question truthfully,The anatomical feature that separates LN 1A from 1B is the anterior belly of the digastric muscle.
Please summerize the given abstract to a title,18F-FDG PET early response evaluation of locally advanced non-small cell lung cancer treated with concomitant chemoradiotherapy.
Please summerize the given abstract to a title,English Devolution and the Covid‐19 Pandemic: Governing Dilemmas in the Shadow of the Treasury
Please summerize the given abstract to a title,Transitions of care for hospital discharges in a primary care network.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, can i come to know your age? i want to ask whether there is any history of trauma or knee injury? as per your history its seems like a ligament injury. i will suggest doing an x-ray knee joint or mri after orthopedic consultation. now you can take tablet diclofenac. i will suggest you to review here after reports. use knee cap. don't sit in squatting position for long time. do regular physiotherapy after consultation. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,D: Lumpectomy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, meconium aspiration means that child passed feces during delivery and child ingested such fluid. usually fluid enters lung of child and causes infection. bcg may cause seizure. however, child passed 12 days later, may be due to meconium aspiration effect or some other disease. i am sorry to learn about the loss of the child. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern regarding safety of the prescribed medication. stamen is a combination of two medicines sitagliptin (50 mg) and metformin (500 mg) commonly prescribed to treat type 2 diabetes mellitus. generally it is well tolerated by most of our patients, however it may cause stomach upset, vomiting, diarrhea, cramps, hypoglycemia (low blood sugar) and rarely a serious condition called lactic acidosis. continue taking it as prescribed and report any side effects. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you have intense itching"
Please summerize the given abstract to a title,Conversion from pegfilgrastim with on-body injector to pegfilgrastim-jmdb: Cost-efficiency analysis and budget-neutral expanded access to prophylaxis and treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. there should be at-least two months gap between the emergency pills. so as you maintained the sufficient gap the symptoms you had may not be due repeat use of the pill.anyhow, sometimes emergency pill can cause side effects like bloating sensation of the abdomen, nausea etc. so you better go for demo as you decided. meanwhile, you can take symptomatic treatment. for more details you can ask me through"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from what you have mentioned, you seem to have symptoms of agoraphobia. agoraphobia can be managed with the help of medications and behavior therapy. i would suggest you to consult a psychiatrist. you might be started on one of the selective serotonin reuptake inhibitors like sertraline or paroxetine. you can also choose therapy like cognitive behavior therapy, if someone trained in it is available in your area. relaxation training in form of progressive muscular relaxation will also help you. hope this information was useful. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.",persistent post extraction swelling or development of swelling several days after tooth extraction surgery is usually due to infections. swelling due to infections can be distinguished from post-operative swelling by
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, causes of your difficulties may be neuropathy or ischemic issues. neuropathic are seen in diabetics or injury of spine nerves.  if this is not your case then these symptoms are indicating circulatory problems in legs which are common in this age and there may be present atherosclerosis that obstructs blood vessels and causes pain and blisters to form.  you should do doppler ultrasound of the leg or ct angiography to rule out such obstructive changes, and then it can be treated properly by medications or by surgical and radiological procedures. also, you should have aspirin and have elastic stockings applied, and should avoid cold environment and long walks. in most cases, it can be managed with medications, but sometimes surgery may be required in severe cases. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you there is possibility of infection in your git. you should contact the concerned hospital for your fever to get further management. you can take paracetamol tablet to allay from fever till you attend the hospital will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
Please summerize the given abstract to a title,Upcycling Single-Use Polyethylene into High-Quality Liquid Products.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since your child has enoch scholar purpura with mild jesuits, the initial treatment given by doctor was correct, but since pain abdomen is persisting your child may require steroids for 2 weeks to relieve the symptoms. for prescribing steroids we need exact weight of child, i suggest you to see your treating doctor to review the symptoms and starting of steroids. i hope this has helped you. take care. regards chatbot."
Please answer the letter of option truthfully,C
Answer this question truthfully,Adrenal atrophy is the shrinkage of adrenal gland due to reduce in size and number of adrenal gland cells.
Answer this question truthfully,"Some cephalosporins are susceptible to β-lactamases, while others are more resistant. Cephalosporins are a type of β-lactam antibiotic that are commonly used to treat bacterial infections. However, some bacteria have developed resistance to cephalosporins by producing β-lactamases, which can break down the antibiotic and render it ineffective. To combat this, newer cephalosporins have been developed that are less susceptible to β-lactamases, such as third and fourth-generation cephalosporins. It is important to note that even these newer antibiotics are not completely resistant to β-lactamases, and the development of antibiotic-resistant bacteria remains a significant concern in healthcare."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Effective measures for the primary prevention of myelodysplastic syndrome include avoiding exposure to tobacco smoke, ionizing radiation, herbicides, and pesticides."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. why not upload, x-ray report with query? whooping cough usually develops anti-antibody hence, a self limiting immunity develops in body and patient cured within 40-50 days without any chatbot. in x-ray may be some lesion, may be enlargement of heart hemoglobin is low, but, what is the cause? what is the iron binding capacity ? report upload. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  your patient is of 96 age, when flexes, his shoulder, cause extension of elbow, and arm internally rotates in right arm, and now the left arm also doing it. recently there is ataxic gait.  it appears to be the ischemia of the brain, probably due to the atherosclerosis, or neuritis, or necrosis of the muscles.  most probably these are irreversible changes.  i usually prescribe to my patient with such age and symptoms neurotrophic injections for 10 consecutive days, and then periodically. multivitamin tablets once daily. physiotherapy is the best way to recovery, from the contractures.  i advise taking more of green leafy vegetables, pulses, sprouts, and protein rich foods.  wishing for a quick and near complete recovery. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. first please avoid alcohol then medicines will work. consult your psychiatrist for addiction of alcohol. it is now very easy and will helpful in prevention and treatment of fatty liver. your doctor has given you proper medicines. please continue them and do regular follow-ups. you have started regular exercises is very good for fatty liver. make exercise schedule fix. minimum 1 hour brisk walking is necessary. take fresh fruits and green veg more. also take protein rich diet, beans etc. strictly avoid spicy and oily diet. hope these all will be helpful to you. thanks for contacting us. take care..."
"If you are a doctor, please answer the medical questions based on the patient's description.","acd surgery uniformly yield good result. the radiating pain in the arm may be related to nerve pain. however, it's difficult to establish the reason. i would suggest getting a fresh mri cervical spine to rule out any residual pressure on the nerve or may be adjacent level degeneration. another thing how frequently you have this pain. if possible please upload fresh mri to help you to understand your spine problem. thanks."
Please summerize the given abstract to a title,Psoriasis care during the time of COVID-19: real-world data on changes in treatments and appointments from a German university hospital
Please summerize the given abstract to a title,Examining the Change of Human Mobility Adherent to Social Restriction Policies and its Effect on COVID-19 Cases in Australia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. if your mother has tongue cancer then treatment of choice is surgical excision and reconstruction of tongue by plastic surgery followed by chemotherapy and radiotherapy.  if your mother has diabetes and hypertension then risk is high but if her general health is good then it is manageable.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. cause and plan of treatment-in my opinion on the given data, you seem to have moran bakers cyst-which occurs with arthritic knee effusion, whicchatdoctores out behind through the weakness in popliteal fascia posteriorly in few cases like you got it. consult er ortho-surgeon who would treat accordingly. so don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.instead, just ask a query to chatbot and be comfortable to resolve your health issues. welcome for any more query in this regard to chatbot. write good reviews and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the lower abdominal discomfort can be due to many causes, commonly low back pain / discomfort due to spinal degenerative causes - not associated with burning sensation while passing urine.2. other possible cause could be pid - pelvic inflammatory disease - which needs a pelvic ultrasound for evaluating the cause.3. the cough associated with the abdominal discomfort is due to musculoskeletal pain due to strain on the muscles while coughing.4. the painful area on touch in the inguinal region could be an enlarged lymph node - which can arise due to any infection / inflammation it can be localized or systemic.5.finally, i would recommend seeing your gp and get examined, pelvic ultrasound will give some conclusion to the condition. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
Please summerize the given abstract to a title,A Low-Cost Automated System for Manual Resuscitator for Emergency Covid-19 Care
Please summerize the given abstract to a title,Caring for a Child with Hypoplastic Left Heart Syndrome: Parent and Medical Perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","hi rosemary, i can understand your concern and pain. i would advise you to keep your legs raised and keep doing foot exercise to aid in your venous return, a pillow or two below your leg area of bed before you sleep is a good idea. also stockings do help especially when you are standing apart from this there are surgical maneuvers that many surgeons perform to aid in proper chatbot. you need to consult a surgeon for that especially one who has done the lot of surgeries for filariasis.i hope this helps do let me know if you have any more questions for me."
Please answer with one of the option in the bracket,B: Bilateral periorbital ecchymosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it is not at all a normal occurrence, it appears to be a cellulitis, due to the infection of the sutures.  i advise you to consult your surgeon for diagnosis and treatment.  i usually prescribe to my patient with such symptoms ofloxacin, ornidazole, serratio peptide, diclofenac sodium.  take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have good health and resistance.  wishing for a quick and complete recovery. thank you."
Please summerize the given abstract to a title,COVID-19 and Cardiovascular Disease: From Bench to Bedside
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. your father is suffering from stage 4 prostate cancer. at this stage surgery cannot be done for prostate. however, he requires either surgical removal of testes or medical management for inactivation of testosterone produced by the testes. then he will be requiring chemotherapy and hormonal therapy as a part of treatment. he also requires bone strengthening agents 9 bisphosphonates) hope that solves your query."
Please summerize the given abstract to a title,[Mental health problems among health care workers during the COVID-19 pandemic].
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you have swollen gums with pus discharge this can be due to deposition of plaque and calculus in region of bridge result in formation of periodontal abscess don't be worried so much i will suggest you to consult periodontist and go foe examination of gingival and investigations iowa x-ray of swollen area of gum and go for its treatment curettage. in meantime, you can do warm saline rinses, betadine rinses once daily. hope this will help you. wishing you good health."
Please answer with one of the option in the bracket,D: CT-guided percutaneous abscess drainage
Please summerize the given abstract to a title,"Financiamento do SUS e Covid-19: histórico, participações federativas e respostas à pandemia (preprint)/ pt"
Please summerize the given abstract to a title,Resilience Will Not Erase Structural Racism
Please summerize the given abstract to a title,In silico evaluation of marine fish proteins as nutritional supplements for COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.",hellooo...read through your query...accordingly i must say that it's very important to wear retainer till the dentist say otherwise the teeth may go back to position before treatment and all your money and handwork will all be wasted...regarding swelling nothing has to be worried.it will reduce once u finish this treatment phase(retainer is also part of treatment)it's just the muscles of cheek are reacting to the retainers action...if u have pain and ulceration etc. u should meet your dentist and get it adjusted...so as for now my advice would be continued with retainer and have a superb smile...happiness and calmness is the best part of life...be cool and happy...hope your benefitted something from this reply .have a healthy day!!!
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot it is sad to know that your husband has stage 4 disease. slight wall thickness in bladder is a usually normal finding. it can also occur in urinary infection or malignancy . if the images look doubtful he will be advised cystoscopy otherwise nothing needs to be done, colonic diverticulum is a small bulging sac pushing outward from the colon wall which is usually an incidental finding, and it requires no treatment except fiber rich diet. utakes in brain, myocardium, bowel loops and urinary collecting systems is normal finding. regards"
Please summerize the given abstract to a title,A Tabular Data Analysis Solution to help Improve the Quality of Data Relating to the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, after reading through your query it seems to be a cheek bite, the white line running through the inside of the cheek is usually from accidental biting on the cheek while chewing, it is sore and painful. you are not complaining of any toothache so i assume it is not from an infected tooth. for the gums i will advise you to follow a proper daily oral care regime. brush your teeth with a soft bristle tooth brush twice/day, use a mouth wash once/day, floss your teeth once/day. for the blister on the inside of the cheek i will advise you to see a dentist as it might require a thorough clinical check up followed by use of a topical ointment and try warm saline rinses(3-4 times/day).i hope i answered your query, i wish you good health, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","you have died many things must try my way of treating psoriasis it is due to consumption of following things wheat, milk,china, rice.egg, milk,potato gingery get your blood serum tested for specific antibodies for these after results just post i will tell you treating it with slit therapy for permanent curemeantime stop all ilk and diary products no use of mustard coconut walnut ground not soda oil use soap nike oil amla/olive for body cooking oil olive shampoo neural no creams/ointments at the moment ======================================= 2-3 glass of warm water empty stomach and to be repeated before sleep at nightmare methotrexate 2.5 mgm once weekly dose rhinitidine in morning tab allegra 120 mgm night do for time you get resultantly salicylic acid plus clobetasol combination and altar ointment mixed with petroleum jelly at night"
Please summerize the given abstract to a title,Prisons and COVID-19 Spread in the United States
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your son have symptoms of cough and stuffed nose which is due to severe upper respiratory tract infection. the infection is probably a strep throat. need not worry. i would suggest you to start with course of antibiotics and anti-inflammatory chatbot.  i would suggest you to consult pediatrician once without any delay. doctor may order blood test and throat swab test. you should get an x-ray of the chest. doctor may prescribe antibiotics amoxicillin at least for 10 days along with bucolic agents. go for complete blood count. you should avoid hot, sharp and spicy foods. for now do warm saline rinses, take rest. avoid giving cold beverages. you should take mast cell stabilizers to prevent from infection. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Measuring COVID-19 Effects on World and National Stock Market Returns
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i suggest that you follow instructions provided by your orthodontist. the rubber bands are necessary to help tooth movement. noncompliance will extend the time needed to wear braces. discuss your difficulty with wearing the rubber bands with your orthodontist. there may be an alternative such as a neck apparatus to wear at night that may be an option. if spacing can not be completely closed, there are options such as bonding, veneers, crowns or bridges to close the space. stabilization after removal of the braces is very important to avoid a relapse. wear retainers and follow instructions for the best long term result. bonded retainers on the tongue side of your teeth are very common and ensure that you do not forget as it is fixed in place. thank you for your inquiry."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. jaw pain can be because of many reasons like-first may be one of your lower tooth is infected of left side which is causing this-second may he your salivary gland of left is having stone which is causing this problem-third may be your tmj only is causing this-fourth can be your jaw bone is only infected. but to confirm all these you have to visit a dentist and get a full mouth x-ray done which will rule out the problem. hope it will help you."
Answer this question truthfully,"To screen for preeclampsia in pregnant women, blood pressure measurements are taken throughout the pregnancy. Preeclampsia is a serious pregnancy complication that is characterized by high blood pressure and damage to organs, such as the liver and kidneys. Regular blood pressure checks can help healthcare providers identify women who are at risk for preeclampsia and monitor their condition throughout their pregnancy. Other tests, such as urine tests to check for protein in the urine and blood tests to assess liver and kidney function, may also be used to screen for or diagnose preeclampsia. Early detection and management of preeclampsia is important for the health of both the mother and baby."
Please summerize the given abstract to a title,Mitigating Uncertainty in the Boardroom: Analysis to Financial Reporting for Financial Risk COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",hellooo...read through your query...accordingly i feel that it's the blood clots that's getting dislodged.these clots are very much important in healing...but don't worry.u shut try not to spit very hard while washing your mouth.(so that the clots won't be dislodged)don't touch the extracted area with your tongue or finger.don't bite hard food with that area.do salt water gargle as many times as possible as it fastens the healing process(at least twice daily).and continue the antibiotics which your dentist has prescribed...and wait for a week.if still problem continue meet your oral surgeon...so cheer up for now as it is healing...hope your benefitted something from this reply.have a healthy day!!!
Please summerize the given abstract to a title,Accurate structure prediction of peptide-MHC complexes for identifying highly immunogenic antigens.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,A: Topical clobetasol and/or topical calcipotriol
"If you are a doctor, please answer the medical questions based on the patient's description.","the only vitamin deficiency currently known to be directly offensive to epileptics and can cause seizures is vitamin b6 (pyridoxine).  otherwise, no other nutritional supplement or vitamin has that effect directly on the brain.  having said that the indirect effects of iron deficiency of anemia resulting in lower oxygen carrying ability of red corpuscles can have deleterious effects on the brain which over time theoretically could cause deterioration of brain tissue which in turn could make it more likely for seizures to occur, but this would have to be a very long process before such events would begin to happen. please rate this answer with stars if you found it useful to what you were looking for."
Please summerize the given abstract to a title,PPDTS: Predicting potential drug–target interactions based on network similarity
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have gone through your query. people with ovulatory cycles often tend to have irregular periods. but ovulatory cycles are seen even in people with regular periods. one of the most important cause of ovulatory cycles is pod (which you have been diagnosed with).  in people with ovulatory cycles, periods occur due to progesterone with chatbot.  but in people with ovulatory cycles periods occur due to estrogen with"
Please summerize the given abstract to a title,A Core Outcome Set for Research Evaluating Interventions to Prevent and/or Treat Delirium in Critically Ill Adults: An International Consensus Study (Del-COrS).
Please summerize the given abstract to a title,Sulcal effacement with preserved gray-white junction: a sign of reversible ischemia.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"While deep partial thickness burns do not heal without scarring, simple partial thickness burns do heal without scarring."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sorry to hear about your sister. treatment for stage iv esophageal cancer will be aimed at palliation and not cure. the treatment will be dictated by the symptoms she has and the type of cancer adenocarcinoma (chemo therapy)or squamous carcinoma (in this case radiotherapy can be given). in case she has difficulty in swallowing an esophageal metal stent can help to relieve her symptoms. all these treatments are to be decided after looking at the performance status and site of tumor. in case the performances taus is poor only symptomatic treatment can be offered hope this helpsregards"
Please summerize the given abstract to a title,Using multivariate models to examine the impact of COVID-19 pandemic and gender differences on health and health care
Answer this question truthfully,Minimal to no axillary or pubic hair development occurs in individuals with Androgen insensitivity syndrome (AIS) due to peripheral androgen resistance.
Please summerize the given abstract to a title,State of the art in risk analysis of workforce criticality influencing disaster preparedness for interdependent systems.
Answer this question truthfully,Cardiovascular disease is the most common cause of death in patients who are on dialysis or have undergone renal transplant.
Answer this question truthfully,The secondary messenger through which TSH exerts its actions on the thyroid gland is cAMP.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote i feel that this could be a submucus cyst. it is usually harmless. but i suggest you consult a pediatric dentist regarding this. but ot be more precise - i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",well before we can answer your question fully you need to provide the following details
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Compliance and perception about personal protective equipment among health care workers involved in the surgery of COVID-19 negative cancer patients during the pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, although the absolute eosinophil count is high, the total ige level is not very high which would probably suggest this may not be allergic asthma. however, i would recommend specific ige blood tests against aeroallergens to ensure he is not allergic to say house dust mite or cockroach as immunotherapy will help to a great extent if he has any specific allergies. otherwise, optimal medical management with fexofenadine, montelukast and combination inhalers will be enough to control the asthma. best wishes."
Answer this question truthfully,"Cabergoline and bromocriptine are medications that are commonly used to treat acromegaly, a condition in which the body produces too much growth hormone. However, they can also be useful in the treatment of hyperprolactinemia, a condition in which the body produces too much prolactin. Prolactin is a hormone that is normally involved in lactation, but when levels are too high, it can lead to a range of symptoms, including irregular periods, breast milk production in men and non-pregnant women, and decreased sex drive. Hyperprolactinemia can be caused by a number of factors, including prolactinoma, a type of pituitary tumor that produces prolactin. Cabergoline and bromocriptine work by binding to and activating dopamine receptors in the brain, which can help to reduce prolactin levels and alleviate symptoms."
Please summerize the given abstract to a title,The influence of hypoglycemia and hyperglycemia on the adverse outcome of COVID-19 combined with diabetes mellitus: A protocol for systematic review and meta-analysis
Answer this question truthfully,"No, the administration of the Toxoid vaccine itself does not have any potential for causing disease. Toxoid vaccines are made from inactivated toxins produced by bacteria, and they work by stimulating the immune system to produce antibodies against the toxin. These antibodies can then protect the body from the harmful effects of the toxin if it is encountered in the future. Because the toxins used in Toxoid vaccines are inactivated, they cannot cause disease. However, like all vaccines, the Toxoid vaccine can cause side effects such as soreness or redness at the injection site, fever, or muscle aches. These side effects are usually mild and go away on their own within a few days."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your question in detail and i know that you are very concerned about your child. pseudo dwarfism will not get benefitted by growth hormone therapy. the cause of bending of legs in your child could be calcium deficiency. in my opinion, you should do complete blood count, calcium levels and x-ray wrist to rule out calcium deficiency. if we give therapy for calcium deficiency then there are chances that bending of legs will get corrected to some extent. i hope this will help you. take care."
Answer this question truthfully,"CT scan should be done immediately if mucormycosis is suspected because it can help in delineating the extent of the disease. In rhinocerebral disease, the lesions are isodense to muscle and bone with a rim of soft tissue thickness around the paranasal sinuses if there is sinus involvement. There may be air fluid levels or complete sinus opacification. The reverse halo sign is an important radiographic finding on CT scan which indicates vascular invasion."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorthe number of passing stool (defecation frequency) and consistency is matter, the stool must not be watery, and does not go beyond two to three in half an hour (remember with watery diarrhea), the stool should not contain pus, mucus, blood undigested food, parasites (ovid larvae) bacteria, if these are the history then it needs treatment accordingly and if such history is nil then you need nor worry take care of your daughter have good day."
Please summerize the given abstract to a title,New realities for Polish primary school informatics education affected by COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for your query! i can help you to diagnose the worm and guide treatment if you can name the cyst that was identified earlier. what are your symptoms? he? get your stool examined for routine microscopy. you can give a try to albendazole 400 mg one dose orally is the chatbot. if you are passing worm then you can collect it show it to your local doctor for identification. take vitamin a supplementation with healthy diet. take care!
Please summerize the given abstract to a title,Rational engineering the DNA tetrahedrons of dual wavelength ratiometric electrochemiluminescence biosensor for high efficient detection of SARS-CoV-2 RdRp gene by using entropy-driven and bipedal DNA walker amplification strategy
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you have forces spots over scrotal sac, the scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. normally they fade away without treatment however they need to be treated if increase in size or get infected. please consult qualified general surgeon for clinical evaluation and further treatment. if needed some of them which are bigger may need to get excised in toto (completely along with the sac) chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i understand your concern, and would advise to rule out any possible triggering factors for fast heart beating, like anemia, thyroid gland dysfunction, other organ dysfunctions, etc. i recommend performing a medical check up with a careful physical examination, coupled with some blood tests (complete blood count, thyroid hormone levels, chest x-ray study, liver and renal function tests, etc.). if any suspicions for abnormally high heart rate is raised by the above examination, then an ambulatory ecg monitoring would be advisable.  if everything result ok by the above tests, and only normal sinus tachycardia is present, then an investigation towards diagnosis of anxiety should be sought. hope to have been helpful to you. greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing your query. aec count indicates absolute eosinophils count. eosinophils are type of cells which increase in allergic phenomenon in the body. they are also increased in presence of worms in the body. normal value should be less than 350 cells/micro. the symptoms you have mentioned are due to allergic reaction and needs urgent medical attention. antihistamines medicines are needed immediately and if clinical examination suggests, steroids in injectable form can be needed. i would suggest you that you should go to the emergency department and get yourself clinically examined. i hope this is helpful to you. thanks."
Answer this question truthfully,"Fenoldopam is a medication that is used to lower blood pressure in certain situations, but it can also cause adverse effects such as hypotension and reflex tachycardia. Hypotension is a condition characterized by low blood pressure, which can cause dizziness, fainting, and other symptoms. Reflex tachycardia is a condition in which the heart rate increases in response to the drop in blood pressure caused by fenoldopam, which can cause palpitations and other symptoms. It is important for patients who are taking fenoldopam to be monitored closely for these potential adverse effects and to discuss any concerns with their healthcare provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hihaemoglobin 5.9 at any age is suggestive of anemia. now low count can be due to1) low production of he due to multiple cause -nutrition deficiency(most common iron and or it. b12), hormonal (hypothyroidism common), or defect at bone marrow level where he production happens. complete blood count with rbc morphology will suggest the exact cause.2)rapid destruction of rbc due to hemolytic tendency in infectious and autoimmune cause. serum level bilirubin (specially indirect) will increase in hemolytic anemic condition.3)internal or external hemorrhage(like hemorrhagic) also falls the he level.in short, low he, is the just sign of many disorders.it has to be found out with proper investigations"
Please summerize the given abstract to a title,Steel Production in Poland with Pessimistic Forecasts in Covid-19 Crisis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.there are uncountable factors that play role for a female to conceive. first your menstrual cycles are delayed. you should get a pelvic ultrasound done to rule out pcs followed by ovulation study in close guidance of your doctor. ovulation study will help to approximate the time when the egg is released and when the chances are maximum for you getting pregnant. this is again a hit and trial method because this does not tell the status of your fallopian tubes.a six month ovulation study with timed intercourse, if doesn't work should be followed by a diagnostic laparoscopy."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. ideal way to treat pneumonia is identification of causative organism first and then start antibiotics according to the sensitivity report. so consult pulmonologist and get done sputum culture and sensitivity. if sputum is not available than bronchoscopy and bad (bronchoalveolar lavage) analysis is needed. bal is superior to sputum to identify causative organism. better not to take antibiotics without culture and sensitivity report, as you are not improving. irrational use of antibiotics may harm you. so consult pulmonologist and discuss all these."
Please summerize the given abstract to a title,Single cell analysis of M. tuberculosis phenotype and macrophage lineages in the infected lung
Answer this question truthfully,The most common cause of aortic dissection in older adults is hypertension.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your daughter s situation and problem. in my opinion, you should get done chest x-ray of her to rule out lower respiratory tract infection (leti). leti (pneumonia) is common after bronchitis and cold. she is also having high grade fever, plenty of mucus expectoration, crackling sound from chest and lower back pain. all these favor possibility of pneumonia more. so consult pediatrician and get done 1. clinical examination of respiratory system 2. chest x-ray. and start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks."
Please summerize the given abstract to a title,Could Deficiencies in South African Data Be the Explanation for Its Early SARS-CoV-2 Peak?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. restricted flexion at hip joint indicates possibility of hip arthritis. hip arthritis can be degenerative or due to avascular necrosis of femoral head [avn]. i will advise you do x-ray of hip, and you can consult me with reports or with your doctor. till time take analgesic and cartilage protecting medication like glucosamine sulfate. for hip arthritis joint flexion, extension and rotation exercises will help. physiotherapist will help you better to learn more exercises in proper protocol. diet rich in calcium and protein will help hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,Estrone is the form of estrogen that is produced in the adipose tissue.
Answer this question truthfully,"Among adults there may be no symptoms at all. Symptoms may appear or get worse with exercise or any activity that raises the heart rate. Symptoms may include: Chest discomfort: Patients may feel tight, crushing, pressure, squeezing, constricting, increasing with activity and decreasing with rest. The pain may radiate to the arm, neck, jaw, or other areas. Cough, possibly hemoptysis. Difficulty breathing during or after exercise or when lying flat. Fatigue. Frequent respiratory infections such as bronchitis. Palpitations. Swelling of feet or ankles. Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible. Among infants and children, symptoms may be present from birth (congenital), and almost always develop within the first 2 years of life. Symptoms include: Bluish discoloration of the skin or mucus membranes (cyanosis). Poor growth. Shortness of breath."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you had a direct hit on top of the knee cap which is the patella bone, you need a thorough musculoskeletal assessment and an x-ray on a safer side. as the pain is sharp in nature it could be either a hairline fracture or the patella tendon injury which needs a thorough clinical musculoskeletal assessment for coming close to diagnosis. as you are applying ice this can only act for time being. but as you are icing it kindly take an x-ray by which it can help to understand any major issues. in any of the case with proper care and attention if examination is done then help can be initiated by medical .in my clinical practice such cases undergo x-ray and proper line of treatment by which recovery is expected sooner. regardsjay in chatbot."
Answer this question truthfully,"The first-line mood stabilizers used for the treatment of bipolar disorder are Lithium and Valproic Acid (Depakote). These medications have been shown to be effective in stabilizing mood and reducing the frequency and severity of manic and depressive episodes in people with bipolar disorder. Lithium is a naturally occurring element that has been used for many years as a treatment for bipolar disorder. Valproic acid (Depakote) is an anticonvulsant medication that is also used as a mood stabilizer. Both medications can have side effects, and their use requires careful monitoring by a healthcare professional. Other medications, such as carbamazepine and lamotrigine, may also be used as mood stabilizers in certain cases. The choice of medication will depend on the individual patient's symptoms, medical history, and other factors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you must have had a laparoscopic appendectomy i guess. as you have said, the pains have reduced significantly. appendix once removed does not recur again. so you can have peace in mind that the same disease will not relapse again. but please keep in mind that having sex is a strenuous physical activity and may not be all that good until 3 months after surgery are over. please re confirm with your doctor. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely take him to emergency room (er). by your history and description, possibility of pulmonary edema (fluid accumulation in both lungs) is more likely. most common cause for this is congestive heart failure (chf). so he will need ecg, 2d echo urgently. treatment is oxygen and diuretics. don't worry, he will be alright but first diagnose him and start appropriate treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your husband. thanks."
Please summerize the given abstract to a title,Discovering Synergistic Drug Combinations for COVID with Biological Bottleneck Models
Answer this question truthfully,"S. schenckii is an apparent opportunistic pathogen, as severe clinical forms of this disease have been linked with immunodeficient patients. Resistance to S. schenckii is not linked to the host’s inherent ability to fight the fungal infection, but rather results from the level of immunity that the host acquires during the initial stage, which is characterized by a large pathogen presence within the organs.  Resultantly, depending on the host's immune system capacity (T-cell immunity is important in limiting the disease) at the time of diagnosis, the prognosis may vary. In immunocompetent patients, the prognosis for cutaneous and lymphocutaneous sporotrichosis is excellent. The majority of these patients are cured with one bout of therapy and relapses only occur in a low percentage of patients. As a result of its frequently delayed diagnoses and association with underlying immunosuppressive diseases, forms of extracutaneous sporotrichosis generally do not respond well to therapy. Pulmonary sporotrichosis does not respond well to antifungal therapy and is patients are prone to relapse.  The prognosis for disseminated sporotrichosis in immunocompromised patients is particularly poor."
Please summerize the given abstract to a title,A cross-sectional study of workplace measures against COVID-19 and psychological distress among Japanese workers
Please summerize the given abstract to a title,Factors Associated with SARS-CoV-2 Infection Amongst Healthcare Workers in a COVID-19 Designated Hospital
Please summerize the given abstract to a title,"Trajectories of depression and anxiety during enforced isolation due to COVID-19: longitudinal analyses of 59,318 adults in the UK with and without diagnosed mental illness"
Please summerize the given abstract to a title,"Expression of vimentin, TPI and MAT2A in human dermal microvascular endothelial cells during angiogenesis in vitro"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. masturbation does not lead to penis skin cancer.  masturbation has no relation with any related disorder.  it is a physiological phenomenon.  it's just like a sex in absence of other partner.  it is due to your routine sexual need.  so don't worry about that. just be relaxed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. if you are still coughing after 15 days of benzoate then consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3.  put (pulmonary function test). pft is needed to rule out bronchitis. chest x-ray is needed to rule out lung infection. you may need antibiotic, inhaled bronchodilators and inhaled corticosteroid (ics) according to the diagnosis. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there are organ transplantation guidelines which regulate organ donation. kidney donor is assessed medically and only if found fit then only donation is possible. your malignancy in breast is controversial, and a clearance has to be obtained from a pathologist in a cancer institute stating that your breast condition was normal, and now you do not have any sign of suspicious disease. please make a request to the organ transplantation board to consider your ability to donate a kidney to your brother after following recommended test procedures. hla typing has to be done and matched. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctordear, i can understand your concern for your info, all medications have side effects , good or adverse. you can contact your doctor for right advice. meanwhile, i suggest homeopathic arn ica 30 /2 chatbot. a level spoon of turmeric powder in a cup of hot cows milk at bedtime serves as natural antibiotic and anti-inflammatory agent, helps get rid of pains & accelerate healing process . hope this helps solve your query. take care don't hesitate to get back if you have any further query."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Patient and Healthcare Professional Perspectives from ESMO 2021 on Bladder and Kidney Cancer: A Podcast
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there's is no natural ways to cure diabetes. your blood sugar levels are already high. just diet modification and regular exercise may lead to the reduction of blood sugar a certain amount but not completely. you have to take a tablet otherwise no permanent cure. if you don't take medication there will be damage to kidney called diabetic nephropathy, damage to eye called diabetic retinopathy, damage to the cardiac vessel, which leads to myocardial infarction, brain strokes etc. antidiabetic medication may not cause side effects that lead to damage to organs. so please continue with it. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Urgent need for individual mobile phone and institutional reporting of at home, hospitalized, and intensive care unit cases of SARS-CoV-2 (COVID-19) infection"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is definitely possible that you have a sinus infection involving the left side of the face. most infections are viral though bacterial and less commonly, fungal infections are possible and occur as well. a bacterial infection would cause a prolonged fever along with a smelly discharge. treatment for a sinus infection involves the use of anti histamines and decongestants (both oral and topical) e.g. zyrtec d, allegra d, carnitine d, ben chatbot. example of topical decongestants include striving and normal saline painkiller such as ibuprofen or paracetamol can be used to help the headache. if the symptoms do not improve, or they are severe then you should see your doctor for assistance hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have developed an anxiety disorder which tends to persist even after you have given up ecstasy and lsd. both alcohol and benzodiazepines act on gaza receptors which have a role in anxiety and so make you feel better initially by cutting down anxiety. but when the blood levels fall, anxiety returns. the best treatment for you would be to start a ssri antidepressant like pail or zoloft or any similar medicine. it will cure the anxiety without the risk of becoming dependent again. best wishes."
Please summerize the given abstract to a title,Pilot Study On The Value of Echocardiography Combined With Lung Ultrasound In The Diagnosis And Treatment of COVID-19 Pneumonia
Please answer with one of the option in the bracket,C: Trochlear nerve damage
Please summerize the given abstract to a title,Stellector: a laser aided night sky explorer for teaching astronomy
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot... if gall stones are asymptomatic than no active action required. .... here if abdominal pain or any other complaint there than its removal is necessary by surgery.... you can take ad\u00edlio tablet for that .... clinical follow-up necessary.... and if pain or complicated gall stone surgical removal can be from laparoscopy or open method..... avoid fatty foods in excess. ... heavy meal restricted .... take care .... advise
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient considering your case its mechanical back pain reason being back instability.  in your age spondylosis is more common. you need x-ray of lumbosacral spine anteroposterior and lateral views to rule out spondylosis.  if its showing fracture you need consult expert orthopedic surgeon.  main treatment is rest tail fracture heals which is around one month.  avoid forward bending and weight lifting. wear lumbosacral belt. take tab diclofenac plus thiocolchicoside combination twice a day for pain relief.  all the best.
Answer this question truthfully,"Glucocorticoids increase peripheral lipolysis, which provides more glycerol to the liver for gluconeogenesis."
Please summerize the given abstract to a title,Comparative analysis reveals adaptive evolution of bat IFITMs and a novel antiviral determinant
Answer this question truthfully,The diagnostic finding for Giardia infection is the presence of trophozoites in stool.
Answer this question truthfully,Dehydration can cause an increase in filtration fraction (FF).
Answer this question truthfully,"The possible diagnosis for such a child is viral myocarditis, which is a condition in which the heart muscle becomes inflamed due to a viral infection. The symptoms of viral myocarditis can include fever, fatigue, chest pain, and shortness of breath, and in severe cases, it can lead to heart failure. The condition can be caused by various viruses, including those that cause the common cold and influenza. Treatment for viral myocarditis may include medications to manage symptoms, such as diuretics to reduce fluid buildup in the body, and antiviral medications to help fight the viral infection. In severe cases, hospitalization and supportive care may be necessary. It is essential to seek medical attention if a child is experiencing symptoms of viral myocarditis to prevent potential complications and ensure appropriate treatment."
what blood tests confirm celiac disease,"A health care professional may take a blood sample from you and send the sample to a lab to test for antibodies common in celiac disease. If blood test results are negative and your doctor still suspects celiac disease, he or she may order more blood tests.If a biopsy and other blood tests do not clearly confirm celiac disease, your doctor may order genetic blood tests to check for certain gene changes, or variants."
Please answer with one of the option in the bracket,E: Medullary carcinoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read and understood your problems. you have got abdominal pains, vomiting, headache and pain under the ribs. getting fatigues and getting worst if you swim. tests done for parasites, crowns and celiac and looks to be negative as per the history you have given. this looks to be due to intestinal infection and i would advise the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has lung and breast cancer. in cancer patient there is high chance of coagulation defect. or she may have thrombocytopenia. she should go for complete coagulation profile and platelets count. search the cause and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Inside intestinal epithelial cells, the products of lipid digestion are re-esterified to reform the ingested lipid. This process occurs in the endoplasmic reticulum of the intestinal epithelial cells, where the fatty acids and monoglycerides produced by lipid digestion are combined with a molecule of cholesterol to form chylomicrons. These chylomicrons are then transported through the lymphatic system and eventually into the bloodstream, where they can be used by cells throughout the body for energy or stored as fat. The process of re-esterification is important for the efficient absorption of dietary lipids, as it allows the body to effectively utilize the energy stored in these molecules."
Answer this question truthfully,"Exotoxin A is the name of the exotoxin produced by Pseudomonas aeruginosa that functions to inactivate EF-2 via ADP-ribosylation.

Exotoxin A is a virulence factor produced by Pseudomonas aeruginosa, a common opportunistic pathogen that can cause infections in immunocompromised individuals. Exotoxin A functions by inhibiting protein synthesis in host cells, which can lead to cell death and tissue damage.

The mechanism of action of exotoxin A involves ADP-ribosylation of EF-2, a protein involved in protein synthesis. ADP-ribosylation of EF-2 prevents it from functioning properly, leading to inhibition of protein synthesis and ultimately cell death.

Treatment of Pseudomonas aeruginosa infections typically involves the use of antibiotics that are effective against the bacteria. In severe cases, hospitalization and other treatments may be necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.",dearwelcome to chatbot understand your concerns went through your details. i suggest you not to worry much. self diagnosis is dangerous. you should undergo the psychometric tests of assessment. what if your worries about add and learning difficulties are just an illusion?. what if you were just imagining them and acting as if you actually have them? that is where you have to be careful. please visit a clinical psychologist and get yourself assessed and be peaceful and get treatment if the problems exist. hope this answers your query. available for further clarifications. good luck.
Please summerize the given abstract to a title,Erythroderme Psoriasis nach COVID-19-Erkrankung
Answer this question truthfully,"The recommended next step in management after manual replacement of the uterus in a woman with uterine inversion with a retained placenta is placental removal and uterotonics. This is because retained placenta can lead to postpartum hemorrhage, and uterotonics can help prevent excessive bleeding. The healthcare provider may administer medications such as oxytocin or misoprostol to promote uterine contractions and facilitate placental delivery. If the placenta cannot be removed manually, a surgical procedure may be necessary. Close monitoring of the woman's vital signs and blood loss is essential during this process. It is important to follow up with the healthcare provider to ensure that the woman's condition is stable and to monitor for any potential complications."
Answer this question truthfully,Bone pain or tenderness Carpal tunnel syndrome Numbness or tingling in one or both hands Pain in one or both hands Weakness in one or both hands Muscle weakness Tenderness and swelling of the arms and legs (occasionally including joints) Thickened skin with puckered appearance
Please summerize the given abstract to a title,Global patterns of mortality in international migrants: a systematic review and meta-analysis.
what is acute diverticulitis,"Diverticulitis occurs when small, bulging sacs or pouches that form on the inner wall of the intestine (diverticula) become inflamed or infected. Most often, these pouches are in the large intestine (colon)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, very frankly speaking, you can not be pregnant because 1st you had unprotected sex during your periods, which is the safest period and 2nd you took unwanted 72 within an hour. relax as pregnancy can not take place. as far as delay in your periods is concerned, it can be possible because of various reasons and the most important is stress.take good sleep, chatbot. if you don't get it, you can consult a doctor who can prescribe you progesterone, which can induce periods in you. thanks"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Oxygen is administered to the vast majority (98%) of patients with ST elevation myocardial infarction (STEMI). There is limited data to suggest that supplemental oxygen improves ST segment resolution (a surrogate endpoint)  The theoretical basis for oxygen administration is also based on the fact that there may be ventilation perfusion mismatch early in the patient's course 
Large scale randomized clinical trial data is lacking regarding its impact on mortality or other hard clinical endpoints. A recent review of available trial data indicated no benefit of supplemental oxygen, and in fact there was signs of a hazard . Three randomized trial have enrolled a total of 387 patients. There were 14 deaths. Oxygen administration was associated with non-significant 2.88 fold increase in mortality (95% CI 0.88-9.39). It should be emphasized that given the small numbers of deaths in the trials, the trend toward a hazard associated with oxygen could represent a play of chance, and was not statistically significant. Large randomized trials would be necessary to evaluate the risks and benefits of oxygen. Current guideline recommendations are based upon expert consensus, and not clinical trial data.
In general oxygen is administered via nasal canula or face mask to patients with an uncomplicated course to maintain an oxygen saturation greater than 90%. However, endotracheal intubation may be required in those patients with a clinical course complicated by severe pulmonary edema, cardiogenic shock or mechanical complications (e.g. papillary muscle rupture, free wall rupture, or acquired ventricular septal defect).
While the majority of patients may benefit from supplemental oxygen administration, excess oxygen administration may be harmful to those patients with chronic obstructive pulmonary disease. Administration of oxygen to these patients should be judicious and guided by periodic arterial blood gas values."
Answer this question truthfully,"When using blotting procedures, the probe determines what sequences are detected."
Answer this question truthfully,"The radial nerve may be injured by compression of the axilla, for example, due to crutches or sleeping with the arm over a chair (also known as ""Saturday night palsy"")."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello good evening, there is nothing possibility of getting pregnant, if you had your regular menstrual cycle after having sex. menstrual cycle is the cycle of changes that occurs in the uterus and ovary for the purpose of sexual reproduction. it is essential for the production of eggs and for the preparation of the uterus for pregnancy. if egg get fertilized with the sperm then fertilized egg get implanted in the uterus wall after some days, and next menstrual bleeding does not occur. it means you have your regular period on time then it means there is nothing like pregnancy. amenorrhoea (missed period) is the first and most important sign of the pregnancy, hence you are not pregnant. your symptoms are not related to pregnancy, you should consult to your gp, if they remain persist."
what are pancreatic enzymes?,Exocrine pancreas cells make enzymes that are released into the small intestine to help the body digest food.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello he is having symptoms like hyperactivity, anger outbursts, decreased sleep (decreased need for sleep), constant mood fluctuations and hyperplasia. these symptoms are most likely due to manic excitement. in some cases of mania delusions like grandiosity, paranoid delusions are also seen. even on medicines he is showing such symptoms and is not getting relief. i would advise you to take him to his doctor for reevaluation. in acute excitement medicines like haloperidol, olanzapine etc. can be used in injectable form. once his condition gets stabilized then maintained treatment in form of mood stabilizers can be given. thanks, hope this helps you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the average stool frequency at this age is 4-5 times per day, however in a breastfeeding baby 8 to 10 times passing stool is not uncommon. more important is the nature of the stool, whether too hard or watery. you can compare stool consistency by matching with bristol stool chart(search in google). if the stool consistency is not normal you should visit your doctor.moreover, good appetite and gaining normal weight (at 6 months her weight should be double her birth weight) is also an indicator of normal digestion and absorption. at this age you should take advice from your pediatrician regarding starting of complementary feeding. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear good evening, and thanks for the query to chatbot. cause of the red lump on the neck-i studied your query and understood your health concerns. in my opinion the red lump is mostly due to the non-specific lymphadenitis in jd area. its asymptomatic and hence you seem to be worried more. from the facts of the query, i assure you that it is not cancerous or of lymphoma. else they would have done further investigations and told you the severity of it to you. i would advise you to consult er surgeon who would help you out by fnac biopsy if need be. hope this would help in planning treatment with you doctor. welcome for any further query in this regard. plz write a good review-without fail, as it would help other patients coming to chatbot. with regards. chatbot. n."
Answer this question truthfully,"Conjunctivitis is most commonly caused by viruses, often adenovirus, but many other factors can lead to its occurrence. Other causes include:
Allergies (allergic conjunctivitis) Bacteria Certain diseases Chemical exposure Chlamydia Fungi Parasites (rarely) Use of contact lenses (especially extended-wear lenses)
Conjunctivitis is spread from person-to-person by:
Direct contact with the infected person’s eye drainage or drainage from the person’s cough, sneeze, or runny nose. Indirect contact with objects that may have the infected person’s drainage on them (e.g. eye makeup applicators, towels, shared eye medications). Contact with the infected person’s fingers or hands which may contain the virus or bacteria.
Newborns can be infected by bacteria in the birth canal. This condition is called ophthalmia neonatorum, and it must be treated immediately to preserve eyesight. Additionally, neonatal conjunctivitis is a red eye in a newborn caused by irritation, a blocked tear duct, or infection."
Please summerize the given abstract to a title,Reflections on Teaching General Music Online During Lockdown
Answer this question truthfully,"Cystitis is a common urinary tract infection that can cause painful urination, frequent urination, and lower abdominal discomfort. There are several infectious causes of cystitis, each with its own unique characteristics. The second most common infectious cause of cystitis is Staphylococcus saprophyticus, a type of bacteria that is commonly found in the genital area of women. This bacteria can travel up the urethra and infect the bladder, causing cystitis. Other common infectious causes of cystitis include Escherichia coli (E. coli) and Klebsiella pneumoniae. Treatment for cystitis typically involves antibiotics to clear the infection and relieve symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot cold temperatures can cause symptoms of rhinosinusitis and also provoke an asthma attack. this can occur in any persons with a history of these conditions due to effect of the cold on the respiratory tract. it would not be called an allergic reaction but one of the triggers of an attack, in the same way that the common cold is a trigger for an asthmatic attack. normally trigger responses are treated by avoiding the trigger and/or altering the dose of the preventer if possible. your doctor would determine if this is a possibility. the response to the cetirizine may indicate that rhinosinusitis is also trigger for your asthma. this can only be taken once daily. the use of a nasal spray may also help. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you hadn't mentioned the time of second surgery, type, site, duration and movements causing pain, these all are very important for a diagnosis. most of the time pain in there occurs due to impingement due to inappropriate rotation of the components, though sometimes trochanteric bursitis may because it. thigh pain occurs due to cemented prosthesis as well. vicodin is simply a painkiller and is not curative. you need a thorough examination only then we can reach for a diagnosis. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for consulting at chatbot. it is normal and physiological. you need not worry. heart rate increases while breathing in (inspiration) and decreases while breathing out (expiration). this is to compensate for the decreased left ventricular output while breathing in. during inspiration, more blood gets pooled in the lungs so that left ventricle gets less blood to pump out. by increasing the heart rate with a reflex mechanism, body maintains the cardiac output. in contrast, left ventricular output is higher in expiration and heart rate lower."
Answer this question truthfully,Symptoms of atherosclerosis generally present when 70% of a vessel has been occluded (stenosis).
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. it could be possibly a panic attack. this is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. especially serotonin, nor a chatbot.  medicines are the best options to take care of these symptoms. paroxetine is the most popular medicine and my"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to the chatbot i don't think only cold feeling in chest suggest any specific diagnosis if cold and congestion present then it could be bronchitis like condition you are having smoking history 2 to 4 stick per day is not mild smoking i encourage you to stop smoking and attend campaign for smoking cessation if needed you can investigate with chest x-ray as routine check up (because you are smoking) otherwise no need to worry about cold feeling hope your concern solved take care
Answer this question truthfully,"In 5% to 10% of cases, desmoid tumor s may run in families Gardner syndrome is a rare syndrome that runs in families People with this syndrome have a high risk of colorectal cancer and desmoid tumor"
Answer this question truthfully,The first step in all pathways of adrenocortical hormone synthesis is the conversion of cholesterol to pregnenolone by the enzyme cholesterol desmolase.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. this is simple. when diagnosed with mono people should rest for at least 6-8 months, and she should do it too. there is a reason why this is recommended. every infection which damage liver is treated by resting because then liver doesn't need to produce all these proteins and can heal spontaneously. mono attacks liver too, and she should check liver tests every month till normal range of it. there is no other way to avoid complication of mono infection. hope i have answered your query. if you have any further questions i will be happy to help"
Please summerize the given abstract to a title,Impact of COVID-19 Second Wave on Healthcare Networks in the United States
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. high cholesterol in child chatbot.  sedentary lifestyle is the key. there is no necessity of you getting alarmed. the high cholesterol level in your child is not going to affect his health adversely. but it is a warning sign for his later life. green tea could be helping a bit. but you must compel your child to play outside. physical activities is the best method to burn the extra cholesterol. another aspect is improving the hdl level. you can improve the hdl level with the help of pomegranate and nuts. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Auswertung der Umfrage der ÖOG-Kommission für Kataraktchirurgie und intraokulare Implantate für 2020
Answer this question truthfully,"Certain autoimmune disorders in sex glands Genetic disorders, such as Turner syndrome, Klinefelter syndrome. Infectionin sex glands Surgery or radiation therapy in sex glands Brain diseases, especially in hypothalamus and pituitary gland, including bleeding, trauma, tumors, surgery, radiation therapy, genetic problems, infections, nutritional deficiencies, and hemochromatosis. Liver and kidney disease"
Answer this question truthfully,"The recommended treatment for recurrent sialolithiasis is salivary duct dilation. This procedure involves using a small instrument to widen the duct and allow for easier passage of saliva, which can help prevent the formation of new stones. Other treatment options may include medications to increase saliva production or surgical removal of the affected gland or duct. The choice of treatment will depend on the severity and frequency of the patient's symptoms, as well as other individual factors."
Please summerize the given abstract to a title,Anxiety and Obsession among the Dentists after Covid-19 Vaccination - A Cross-Sectional Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, asthmatic attacks are experienced when someone, atomic (liable to overreact when exposed to certain substances or environmental conditions called allergens) presents with difficult breathing due to such exposures. it has a family history component. muscle fatigue could be caused by accumulation of lactic acid in muscle after exercise, lack of exercise, nerve disease or some metabolic disease like failures in proper regulations of potassium/calcium/magnesium levels in blood. kind regards"
Please summerize the given abstract to a title,A Case Report: Unexpectedly Earlier Recurrence of COVID-19 Infection with Severe Cardiac Involvement
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, these tablets are usually sold for sex, but it has another function, which is now used widely in medicine. it can lower the pressure in pulmonary artery. it is the vessel taking blood from the heart to the lungs. high pressures in that vessel may develop in patients with heart defects, such as yours, so we prescribe this medication, to decrease the pressure there. however, if the pressure went up in your pulmonary artery, i would recommend you to talk to your doctor about the possibility of the surgery. wishing you a good health. in case of any further questions don't hesitate to contact me."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history. as you have intercostal muscle spasm this will last for about a week or two. as there will be inflammation of the muscles and may be cochin chatbot. i will advise you to undergo some simple breathing exercises like -1. deep breathing exercises 2. diaphragmatic breathing exercises 3. costal breathing exercises 4. pursed lip breathing exercises 5. abdominal breathing exercises. as doing this breathing exercises will help improve the strength of the muscles of respiration and improve the lung capacities as well. kindly note that when performing this exercises you need to place the hand on the injured area, so the pain will be avoided. regards jay in"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. since your ekg and stress tests are normal than cardiac causes are unlikely. i advise you to get done pulmonary function test (pft). this will help in diagnosis of acute bronchitis as a cause of your symptoms. another possibility is anemia and hypothyroidism. in both these conditions' breathlessness on exertion occur. so get done he level and thyroid profile. if all of the above are normal than no need to worry. it may be related to stress and anxiety. so avoid stress and anxiety.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. this illness is called agoraphobia and this is treated with relaxation therapy. further paroxetine is also a good chatbot.  hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"Disseminated candidiasis is a serious fungal infection caused by the yeast Candida that can affect multiple organs and systems in the body. It occurs when the fungus enters the bloodstream and spreads throughout the body, leading to a range of symptoms and complications. Neutropenic patients, who have low levels of neutrophils, a type of white blood cell that helps fight infections, are more likely to develop disseminated candidiasis hematogenously. This is because neutrophils play a key role in the body's immune response to fungal infections, and a deficiency in neutrophils can make it easier for the fungus to invade and spread. Treatment for disseminated candidiasis typically involves antifungal medications and supportive care to manage symptoms and complications."
Please answer with one of the option in the bracket,C: Dietary aflatoxin exposure
Please summerize the given abstract to a title,COVID-19 and psychiatric education: From postgraduate to continuous medical education
Please answer with one of the option in the bracket,C: Clopidogrel therapy
Answer this question truthfully,"Combined estrogen-progesterone contraceptives, including oral contraceptive pills (OCPs), patches, and vaginal rings."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! regarding your concern, you should know that your symptoms could be related to an infection. for this reason, i recommend consulting again with your doctor for a physical exam. an x-ray study in this region is also necessary. a spine mri in this region would help examine better the soft tissues and the spine in this region and exclude any deeper disorder, which can not be seen during physical exam. hope you will find this answer helpful! best wishes,"
Answer this question truthfully,"A family history of multiple endocrine neoplasia, type I (MEN I) is a risk factor for islet cell tumors."
Answer this question truthfully,"A subdural hematoma requires emergency medical attention. Call 911 or your local emergency number, or go immediately to an emergency room after a head injury.
Spinal injuries often occur with head injuries, so try to keep the person's neck still if you must move him or her before help arrives."
Answer this question truthfully,"Call your health care provider if:
You develop any symptoms of MS Symptoms get worse, even with treatment The condition deteriorates to the point where home care is no longer possible"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. if i were your doctor, i would advise you for a blood cbc, serum chatbot specially if you are sexually active followed by an ultrasound to rule out a leaking ectopic pregnancy giving rise to fluid in the abdomen. this could be decided by a clinical examination of the abdomen along with the reports of investigations as noted above. further management would depend on after confirming the diagnosis. however, if you get another fainting attack later, i would advise you to visit the er of the nearest hospital instead waiting for your turn to come for the gynecologist. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your rbc count is slightly low. you may have mild iron deficiency anemia. you should check your serum iron and ferritin as well as it b12 level. if necessary take treatment for that. your differential wbc count is normal. no need to worry about that. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, perhaps it is an allergic contact dermatitis to the tattoo pigment. i suggest you to take an oral antihistamine e.g. tab. cetirizine. in addition, i suggest you to apply a moderately potent topical steroid and antibiotic combination ointment e.g. fluticasone propionate and mupirocin ointment, or mometasone furnace and juridic acid cream. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Pitfalls of possible reporting of same patients with COVID‐19 in dermatology journals
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for posting in chatbot. coarse echo texture of liver may be due to cirrhosis. cirrhosis is an irreversible condition.some common causes are chronic alcohol intake, hepatitis b and c infection. the only definitive treatment is liver transplantation. usually the treatment is aimed at preventing complications like upper hi bleed and fluid accumulation in the abdomen and legs. consult a gastroenterologist for further management. regards."
Please summerize the given abstract to a title,Erratum: Chest CT Findings in Cases from the Cruise Ship “Diamond Princess” with Coronavirus Disease 2019 (COVID-19)
Answer this question truthfully,Glucocorticoids prevent the activation of T cells and B cells by inhibiting production of proinflammatory cytokines (e.g. IL-2).
Please summerize the given abstract to a title,Rapid Conversion of an Outpatient Psychiatric Clinic to a 100% Virtual Telepsychiatry Clinic in Response to COVID-19.
Please summerize the given abstract to a title,Saving Electronic Health Record (EHR) in private and secure mHealth system with blockchain Smart contracts
Answer this question truthfully,"Tell your doctor if you have:
A family history of connective tissue disorders Chest pain or back discomfort"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...you have many reasons to be in a state where you are currently ,,,,but it's not the end, and you have to come out of it. what you can do is consultant psychiatrist get started on antidepressants as they may lift your mood. as you have mentioned you had panic attacks and got admitted for the same, you can consult the doctor there only.once your mood get better, start trying to come out of your problem one by one, not all together.don't hesitate to ask for help from your near or dear ones....and don't feel bad if they refuse as you are already aware that they may not help, but in this way you may get someone who can help. start to get busy once you get your energy back as it will further motivate you to come out of task your husband to take care of child chatbot.  use legal methods if he does not listen to you. make list of your problems and deal one by one based on your priority. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... your daughter having bronchitis or bronchiolitis like infective condition of respiratory tract. ... mostly in child it is because of virus... you are given correct treatment that is aerosol like bucolic and steroid nebulization as cough and wheezing that is bronchospasm present. prophylactic definite antibiotic also given. give her more fluid and semisolid balanced diet. she will gradually recover ... her vitals regularly checked ... take care.
Please summerize the given abstract to a title,Steering towards reglobalization: can a reformed G20 rise to the occasion?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, anytime there is a delay in the menstrual periods, it is best to have a pregnancy test to rule out pregnancy. if the pregnancy test comes out negative then the delay in the periods may be due to irregularity caused by the e-pill you have used, and should have your periods within the next couple of weeks. if you do not have the periods within the next couple of weeks you may need to see your doctor. i hope this answers your query. i remain at your disposal in case further medical assistance is needed."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Type 3 spinal AVF is a rare and complex arteriovenous fistula that is typically seen in juveniles. It has a poor prognosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. i am chatbot. you are affected by a condition called decompensated chronic liver disease due to alcoholism. it is a condition in which the liver is damaged, and the liver tissue is replaced by scar tissue. though in your case it is due to alcoholism, tests for hepatitis b and c should be done as these are the other common causes. this condition can lead to complications like blood vomiting, black stools, fluid collection in the abdomen called ascites (which you already have developed), leg swelling, altered sleep pattern due to involvement of the brain, kidney failure and infection of the fluid collected inside your abdomen. hence, you need to be under constant follow up with gastroenterologist/hepatologist. few tests need to do which include the following -1. hbsag2. anti hcv3. ascetic fluid analysis4. pt/inr5. upper gi endoscopy need to quit"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. whatever the lump might be from, the tingling sensation / numbness in your arm could be due to its pressure on the brachial plexus (nerves of arm and hand). if i were your family physician, i would refer you to a general surgeon, who after a local and general examination might consider a fnac (fine needle aspiration cytology) to arrive at the origin of the lesion. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,"The common risk factors associated with De Quervain Tenosynovitis are being a new mother (referred to as ""Mother's Wrist"") and typing on small handheld devices (referred to as ""Texting Thumb"")."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. it is the case of overdose of the viagra. it is not wise to take five chatbot.  your reaction is because of it. i suggest you to visit the hospital immediately. if the reaction remains for long time than it can cause necrosis to your penis. once necrosis starts taking the place in the body than it will not be reversed and surgical amputation is the only treatment left. please dip your shaft in to the ice which will cause vasoconstriction and so some soreness can be relieved. avoid intercourse in such a case otherwise soreness increases. i will be happy to answer your further concern on bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,tidal test is not a diagnostic test in typhoid but during the 2nd week of fever raising title of antigen from 1"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, as your mom is 55 years old, the most common reason for having high bp at this age is idiopathic. but we need to rule out other secondary causes as she suddenly developed high bp! first i would like to get her kidney function tests and ultrasonography pub done as she is on long term medications for osteoporosis which are likely to be vitamin d supplements and calcium. this is to rule out any kidney problem that can cause high bp. second, i would like to get her renal doppler done to rule out renal artery stenosis which is actually a good cause to have as it is curable in most of the cases. now if all these tests come negative, that would mean that your mom has got primary or idiopathic hypertension. then please get her eyes checked for any effect of high bp on her eyes."
"If you are a doctor, please answer the medical questions based on the patient's description.",as you describe above can be a migraine attack. it is a recurrent attack of dull or some time severe pain mostly one side of the head. it is associated with nausea and vomiting. the condition may be worse in the patient who is sensitive to light or high pitch sound. the attack will last for 2-3 hours and patient get relief after deep sleep. medication is not helpful for relief of acute pain. in my opinion first you recognize the pain aggravating factor and try to remove for the same.  some precaution you may take
"If you are a doctor, please answer the medical questions based on the patient's description.","wash genital organs more often, chatbot.  you can take bacteriological analysis from genital organs at gynecologist and see what kind of infection. also, we see adhesion when mother and their kids suffer from my.trachomas and chl.trachomas, but it can be excluded by blood test for igm, g for this infection. you can apply usual jonson cream with rolling massage for labia under diapers every day. connection between daughters can be genetic, but maybe they don't wash genital organs properly 2 times daily with usual wateriest regards"
Please summerize the given abstract to a title,Gewalt und Gewaltprävention in der stationären Altenpflege während der COVID-19-Pandemie
Please answer with one of the option in the bracket,B: Collecting ducts
Answer this question truthfully,"Flesh-colored to white, flat or raised, single or clustered warts may be seen anywhere on the genitals. In women, a pelvic examination may reveal growths on the vaginal walls or cervix. Magnification (colposcopy) may be used to see lesions that are invisible to the naked eye. The tissue of the vagina and cervix may be treated with acetic acid (dilute vinegar) to make the warts visible. A Pap smear may note changes caused by HPV. Women with these types of changes often need more frequent Pap smears for a period of time. An HPV DNA test can identify whether you have a high-risk type of HPV that is known to cause cervical cancer. This test may be done:
As a screening test for women over age 30 In women of any age who have a slightly abnormal Pap test result"
Please summerize the given abstract to a title,Hyponatremia and Oxidative Stress
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can can understand your concern. your father is having accelerated hypertension (blood pressure more than 200/120 mmh). and this much high blood pressure can damage kidneys and cause protein lose in urine. so we have to control his blood pressure to prevent further kidney damage. follow these steps for better control of blood pressure. 1. strict control of salt intake is needed. 2. avoid fatty and oily food. 3. do regular aerobic exercise like running, cycling, swimming etc. 4. start angiotensin receptor blocker (arb) like telmisartan, losartan. other antihypertensive chatbot.  if still not controlled then centrally acting"
Please answer with one of the option in the bracket,D: Schizophreniform disorder
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. blackish inky motions are known as galena. it is due to upper gi (castro intestinal) tract bleeding. the blood is altered by stomach acid and becomes black. so black stool in stomach cancer patient indicates poor prognosis.  it suggests worsening of tumor which causes bleeding. due to blood loss in stool, anemia is unavoidable. so get done cbc (complete blood count) and if hemoglobin is low then he may need blood transfusion. he should also undergo upper gis copy to control bleeding. overall the prognosis of stomach cancer with ischemic heart disease is not good. life expectancy is less than 1 year."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. as you are ovulating regularly and as all tests are normal, once check for semen analysis of your husband to rule out the male factor. sometimes ovulation induction can lead to hyper-stimulation. you have to rule out that and pelvic inflammatory disease as possible causes for your pain. if all are normal, you plan unprotected intercourse around the time of ovulation. this time possibly you will get positive result. for more details you can ask me through"
Answer this question truthfully,"The recommended first-line pharmacologic therapy for patients with fibromyalgia who do not respond to conservative management is tricyclic antidepressants (e.g. amitriptyline). Tricyclic antidepressants are a class of medications that can help to reduce pain, improve sleep, and alleviate other symptoms of fibromyalgia. In addition to amitriptyline, other tricyclic antidepressants that may be used to treat fibromyalgia include nortriptyline and desipramine. Other types of medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), may also be used to treat fibromyalgia, but tricyclic antidepressants are generally preferred as a first-line treatment due to their effectiveness, relatively low cost, and availability. It is important to work closely with a healthcare provider to determine the most appropriate treatment plan for fibromyalgia, as individual needs and circumstances can vary widely."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the symptoms which you are having is may be due to the infections or allergic to some daily used products. oral cavity will have the lot of organisms and these organisms are kept under control by the good organisms, whenever there is a change in the environment these organisms will multiply and produces their symptoms. to know whether there is any allergy in the body you have to test for absolute eosinophil count (aec), which will be increased in any allergic reactions. if the aec is increased you can undergo skin prick test to find out the allergen which is causing all these symptoms. i would suggest you to follow1. maintain good oral hygiene2. mouth wash with chlorhexidiene mouth wash3. mltivitamin for 1 monththank you."
Answer this question truthfully,The ADH-activated V1 receptor is coupled to the Gq G-protein receptor.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per my surgical experience, the issue with both sides breast swelling with supportive symptoms indicate possible hormone disturbances induced fibroadenomas of the breast. an ultrasound of both breasts with hormone levels evaluation is best recommended at this point. till that time, analgesic with anti-inflammatory action as ibuprofen with paracetamol serves best to relieve the pain and agony. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,The diagnostic test of choice for patients with suspected leprosy is a skin biopsy taken from the edge of a lesion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you say i feel that your son is having recurrent viral illness. i will explain to you how a viral illness behaves so that you can be more confident. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. kids going to czech are more prone to this sort of recurrent viral illness. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have a doubt that you have either epididymitis or spermatocyte. epididymitis is a painful swelling of the epididymis that occurs due to infection of epididymis and on self-examination can not be palpated separately from the testicle whereas spermatocyte is a painless oval shaped lump palpated above and separate from the testis. the diagnosis can be confirmed by clinical examination by a qualified general surgeon and doing ultrasound scanning of scrotum. if it is epididymitis it can get cured with antibiotic like trimethoprim spermatocyte is a benign cyst and does not require treatment. chatbot.
Please answer with one of the option in the bracket,B: Observation
Please answer with one of the option in the bracket,A: Nitric oxide
Please answer with one of the option in the bracket,E: Marburg virus
"If you are a doctor, please answer the medical questions based on the patient's description.","higher of the questions you need to answer like-how many times do you get up in night to pass urine. do you have to strain while urinating, stream of urine.? you should do some basic tests to find out if kidney problem exists like urine routine, ft. blood sugar, ultrasonography. you may be required to do some special tests like urine/ serum osmolarity test results may give some clue... consult your doctor. regards"
Answer this question truthfully,"Regurgitation murmurs, such as aortic regurgitation (AR), mitral regurgitation (MR), and ventricular septal defect (VSD), typically decrease in intensity with standing and the Valsalva maneuver. This is due to changes in preload and afterload on the heart, which can alter the degree of regurgitation. In some cases, the intensity of the murmur may increase with these maneuvers, particularly in the presence of severe regurgitation or other complicating factors. However, in general, a decrease in the intensity of a regurgitation murmur with standing and the Valsalva maneuver is a common finding."
Please summerize the given abstract to a title,Kyasanur Forest Disease Classification Framework Using Novel Extremal Optimization Tuned Neural Network in Fog Computing Environment
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i have gone through your query and being your physician i completely understand your health concerns.... based upon your history it is obvious that something is going wrong with your liver. if i am your attending physician i will definitely look for the cause of coarse texture of liver. this coarse texture is causing derangement in liver enzymes. you need to be screened for hbo cv autoimmune hepatitis and metabolic liver diseases.... meet hepatologist so that you can be managed properly....meanwhile, stay calmed well scorecards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctori am chatbot answering your query. i can understand your concern. the pain you are experiencing may be 1.post-operative and 2.back muscle spasm pain. hot water bag or heating pad will be very useful for constant use. if you are passing urine without any pain and obstruction, then it is all right, if not, please see your doctor. do mention your pain to the doctor during your follow-up visit. hope this suggestion will help you. good luck."
Please summerize the given abstract to a title,A comprehensive review on avian chlamydiosis: a neglected zoonotic disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regestron contain progesterone, and it is similar to progesterone secrete in body. it is safe and no any serious side effect. it will protect your pregnancy. inspire in case of hormonal imbalance it supports implantation and pregnancy. you can take prescribed progesterone before the expected period date. continue till date up to which you do not want period (maximum 2 weeks). bleeding will occur 4-5 after stopping pill. avoid stress, take healthy diet, chatbot.  let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot, and thank you for your question. i understand your concern. well, i would recommend you not to chatbot.  the heart takes up to 15-20 years of regular, moderate amounts of alcohol intake to enlarge (dilate). the positive thing is that there is a great chance of the heart assuming its regular chamber size, after discontinuing alcohol. if this does happen, it is only then when it would not matter if you have a"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! did you eat anything from outside ? in that case, it could be a mild attack of gastroenteritis unrelated to the surgery. you can consult your doctor who may after clinically examining you may confirm the diagnosis, and prescribe some anti-diarrhoeal antibiotics, an anti-spasmodic, and a probiotic. if the problem persists or increases, you may have to go for an ultrasound abdomen/ct scan after consulting your treating doctor. i wish you an early recovery."
Please summerize the given abstract to a title,"Predictive methodology of the probability ranges of total deaths from Coronavirus 19 (COVID-19) in China, Turkey, and Brazil"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, thanks for using chatbot.come have evaluated your query thoroughly.* this seems psychosomatic manifestation of underlying stress or anxiety disorder most probably.* guidelines for better recovery - avoid stress, anxiety - have regular, sound sleep of 8 hrs - avoid smoking, alcohol - regular walking in fresh air, deep breathing exercises, yoga, meditations are the only curative things for you.  - plenty of liquids, balanced nutritious diet. hope this clears your query. welcome for further questions. regards."
Answer this question truthfully,"The hypothalamus is a small but critically important part of the brain that plays a key role in regulating a variety of physiological processes, including body temperature, hunger, thirst, and sleep. The hypothalamus is divided into several regions, each of which is responsible for different functions. The anterior hypothalamus is the portion of the hypothalamus that is primarily responsible for sensing elevated body temperatures and initiating responses to dissipate heat. When the body temperature rises above a certain threshold, the anterior hypothalamus triggers a series of physiological responses designed to reduce body temperature, such as sweating, increased blood flow to the skin, and increased respiration. These responses help to dissipate heat and maintain a stable body temperature, which is essential for overall health and well-being."
Please answer the letter of option truthfully,D
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, joint pain is quite common after an episode of chikungunya. it will settle by itself with conservative measures. as a first line management you can take analgesics like diclofenac or tramadol for pain management. generally the symptoms will settle in a couple of weeks and if persists you can consult a physician and get evaluated. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. what you are seeing might be a salivary stone in the sublingual salivary gland. as kidney and tonsils develop stones, salivary gland can develop stone too which is white colored calcified mass. this mass causes pain at the meal times when salivary glands are stimulated. thus, it causes pain while eating, and otherwise it is painless. alternatively, it can be a manual, which is a type of cyst developing under the tongue area. i would advise you to arrange for a consultation with the dentist or periodontist, a dentist who specializes in dental treatment of child chatbot.  after the test results, confirmed diagnosis and management can be suggested. i hope this information helps you. thank you for choosing chatbot. take care. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are having tendency of stone formation and frequently get operated several times.  here i suggest you, when you get operated your stones this time than you must get checked up your kidney stones for their chemical composition and formation, that is what type of stones you are having either oxalate, phosphates or any other substance and try to avoid food containing those stone forming chemicals.  also, you take further consultation from homeopathic doctor, sometimes it works very well. good luck and take care"
Please summerize the given abstract to a title,Impact of the COVID-19 pandemic on voluntary terminations of pregnancy in an Italian metropolitan area.
Answer this question truthfully,"Insulinoma is a rare type of pancreatic tumor that produces excessive amounts of insulin, leading to low blood sugar levels (hypoglycemia). While most cases of insulinoma occur sporadically, about 10% of cases are associated with MEN 1 syndrome, a genetic disorder that causes tumors in multiple endocrine glands, including the pancreas. People with MEN 1 syndrome may develop multiple insulinomas or other types of pancreatic tumors, as well as tumors in the parathyroid and pituitary glands. Treatment for insulinoma typically involves surgical removal of the tumor, while management of MEN 1 syndrome may involve surveillance for other endocrine tumors and treatment of associated complications."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,A quantitative risk estimation platform for indoor aerosol transmission of COVID-19
Answer this question truthfully,The likely diagnosis for the patient's condition is systemic lupus erythematosus (SLE).
Please summerize the given abstract to a title,The atrial fibrillation epidemic is approaching the physician's door: will mobile technology improve detection?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. it seems he had complex partial seizures, occipital epilepsy. you can try calcium hopantenate 50\u00a0mg 1 tablet 2 times for 1 month. gloss is a process of scar formation as a response of the immune system towards the trauma or injury incurred in the brain and in the spinal cord.  this process is generally triggered by several factors that cause trauma and injury to the brain and the spinal cord. there are not a lot of studies done about gloss. no specific treatment has been identified for gloss and the therapeutic approach is aimed towards minimizing the proliferation of the astrocytes in the central nervous system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. though percent does not routinely cause burning urination, this side effect is not unheard of and rarely seen in patients taking it. this is not normal, and you must talk to your doctor about it. there are many other pain relief medications which you might take for your pains.some urination associated side effects of percent are the following decrease in the frequency of urination decreased urination difficult or painful urination greatly decreased frequency of urination or amount of urine increased urination of the above symptoms while taking percent 10 need to be watched for and discussed with your doctor."
Answer this question truthfully,Call your health care provider if you have jaundice and itching that do not go away.
Please summerize the given abstract to a title,Management of new onset loss of sense of smell during the COVID-19 pandemic - BRS Consensus Guidelines
Please summerize the given abstract to a title,"Don Lindberg, High Performance Computing and Communications, and Telemedicine"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, cavam 625 - this medicine is used for bacterial infection. the side effects include - nausea, rashes and fatigue. backside - this medicine has side effects like - nausea, fever and itching. i will advise you to have a word with the doctor. as the swelling in the ankle may need a medicine which is diuretic in nature. also, the above medicine is to be continued. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,"The exact cause of bladder cancer is uncertain. However, several things may make you more likely to develop it:
Cigarette smoking. Smoking greatly increases the risk of developing bladder cancer. Up to half of all bladder cancers in men and several in women may be caused by cigarette smoke. Chemical exposure at work. About one in four cases of bladder cancer is caused by coming into contact with to cancer-causing chemicals at work. These chemicals are called carcinogens. Dye workers, rubber workers, aluminum workers, leather workers, truck drivers, and pesticide applicators are at the highest risk. Chemotherapy: The chemotherapy drug cyclophosphamide (Cytoxan) may increase the risk of bladder cancer. Radiation treatment: Women who had radiation therapy to treat cervical cancer have an increased risk of developing bladder cancer. Bladder infection: A long-term (chronic) bladder infection or irritation may lead to a certain type of bladder cancer.
Some research has suggested a link between artificial sweeteners and bladder cancer. The evidence is weak."
Answer this question truthfully,"Adenosine is an antiarrhythmic medication. However, its effectiveness is reduced in the presence of theophylline and caffeine (methylxanthines)."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should consult pulmonologist for your friend. in lung infection, steroids are not given. steroids are actually lower the immunity and flare up the infection. your has been given prednisone. this is oral steroid. and this should not be given in lung infection. she also needs chest x-ray to quantity infection and parts of lung involved. if infection is more or the involved lung part is larger than she may need dual antibiotics support. so better to consult pulmonologist and discuss all these. hope i have solved your query. wishing good health to your friend. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for asking in chatbot. the return of menstruation after a progesterone injection like demo proverb is usually delayed. the cycles take many months to normalize and sometimes there may be complete suppression of periods. the increase of weight in the abdominal area is due to bulky uterus.  normally during period, the endometrial cells of uterus proliferate (multiply) resulting in thickening of endometrium (inner lining of uterus) due to the action of estrogen. when menstruation starts this endometrium is shed out as clots and the uterus reverts to the normal size. since you have not got the periods, the thickened endometrium has resulted in bulky uterus. also, the hormonal imbalance due to absent period has added to your problem of weight gain. an ultrasound of uterus will reveal the size of uterus and the endometrial thickening. since endometrial proliferation can be either simple or can result in problems like cancer, you should visit a gynecologist for a proper evaluation and to rule out problems like cancer. i hope this is useful."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi it was most probably a muscle . and definitely not cancerous for your doctor would have certainly made you go through a lot of screening if he suspected the same. lip muscle are common and whitish growth like you mentioned, but i do want you to know that they may be recurrent in many cases. since you have got it removed you will be ok rest assured and it certainly ain't cancer. do not worry. take care."
Answer this question truthfully,The likely diagnosis for the patient's condition is scabies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! your symptoms could be related to a tia (transient ischemic attack) or a partial seizure. for this reason, i would recommend going to the er for a careful physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","when doctors hear painful swollen calf, the first thought that pops in our heads are blood clot-assuming you don't have that as your leg would be red-hot and swollen with intense pain upon squeeze, and moving your foot to your ankle- it is also more common in pregnant, obese, female, above forty years olds, on contraceptives, not a young athlete like yourself. for normal cramps from overuse, it is usually based on an electrolyte imbalance. eating bananas, pickles, stretching, massaging, tonic water, gatorade all have helped."
Please summerize the given abstract to a title,Side-effects of COVID-19 on patient care: An INR story
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. the most probable reason of these lumps is hair follicle infection. such infection is usually caused by shaving with non-sterile razors. if you use an antiperspirant in this area, this might be also a reaction for this agent. the lumps if are painful and swollen, most likely contain pus. the best treatment for it would be an incision and chatbot.  i suggest you to consult general surgeon or dermatologist with this issue. next time you will be shaving, please try to use sterile razors. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. i understand your concern. if i am your treating doctor i advise you that it is not much contagious. in other words it is not as contagious as other disease like swine flu. if you come in contact with the lesion having high bacterial load of the staphylococcus bacteria than it is possible to have this infection. but it can be stopped spreading by taking due care that is proper handwashing, using sanitizer, using proper disinfectants etc. i will be happy to answer more of your concerns, kindly know me, wish you a very good health at chatbot. chatbot. infectious disease."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. your son has got bad injury and scar. you are likely to get benefited by antibiotics and analgesic such as ibuprofen for pain relief. even if your scar is not healed then it may require investigation such as x-ray to see any cause of this. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for using chatbot i don't know to whom u say panic attack. if any physical symptom like increase heart beat, hypertension or hypotension is there, then it may be due to adderall. i think you are taking adderall to get simulator effect ans zoloft to control underline anxiety. in your case either u can increase the dose of zoloft to decrease the anxiety symptoms or to gradually decrease dose of adderall to stop it. rest u can consult with your treating psychiatrist. thanks"
Answer this question truthfully,"If CO2 production is constant, the arterial and alveolar Pco2 is determined by alveolar ventilation. Alveolar ventilation is the amount of air that reaches the alveoli, where gas exchange occurs, per unit of time. The Pco2 of arterial blood is a reflection of the Pco2 of alveolar gas, which in turn is determined by the balance between CO2 production and alveolar ventilation. If alveolar ventilation decreases, CO2 accumulates in the alveoli, leading to an increase in alveolar and arterial Pco2. Conversely, if alveolar ventilation increases, CO2 is removed from the alveoli, leading to a decrease in alveolar and arterial Pco2."
Answer this question truthfully,"Hantavirus is a type of virus that is transmitted to humans through contact with infected rodents or their droppings. In some cases, Hantavirus infection can lead to a serious respiratory illness known as Hantavirus pulmonary syndrome (HPS), which can cause symptoms such as fever, muscle aches, and shortness of breath. One potential consequence of Hantavirus infection is pulmonary capillary leak, which is a condition in which the blood vessels in the lungs become more permeable and allow fluid to leak into the air spaces, making it more difficult to breathe. HPS can be a life-threatening condition and requires prompt medical attention."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the tooth abscess could be because of the tooth infection. consult an oral physician and get a radiograph done to rule out from other conditions like granuloma or cyst. meanwhile you can take a course of antibiotics like amoxicillin 500\u00a0mg and metronidazole 400\u00a0mg tid for 5 days (if you are not allergic). you can take analgesics like diclofenac 50\u00a0mg bid for 3 days. after completing the course, you can go for rct or extraction. do not be panic, take the course of antibiotics infection will come down, if it does not reduce then immediately consult an oral maxillofacial surgeon and get the abscess chatbot. do saline gargling. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for query on chatbot.belmont contains montelukast chatbot.  montelukast is used regularly to prevent the wheezing and shortness of breath caused by asthma and decrease the number of asthma attacks, allergic rhinitis. this medication does not work immediately and should not be used to treat sudden asthma attacks or other breathing problems, so it is used for long time to reduce allergic episodes. keep in touch with your doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","a lot of the behavior you just described is present in child chatbot.  if she is doing well in school and hasn't had a bad evaluation or decrease in her marks you shouldn't be concerned about this disorder entering puberty can cause these symptoms because of the hormonal gush. i recommend doing the basic tests like a blood test of cbc, thyroid function test to role out organic causes of mood changes. i hope this helps"
Answer this question truthfully,"Chest tubes are inserted to drain blood, fluid, or air and to allow the lungs to fully expand. The tube is placed between the ribs and into the space between the inner lining and the outer lining of the lung (pleural space).
The area where the tube will be inserted is numbed (local anesthesia). Sometimes you will be given medication to make you relaxed and sleepy (sedation) through a vein (intravenously).
The chest tube is inserted through a one-inch cut in the skin between the ribs into the chest. It is connected to a bottle or canister that contains sterile water. Suction is attached to the system for drainage. A stitch (suture) and adhesive tape keep the tube in place. After every chest tube insertion, a chest x-ray is done to make sure it is in the right place.
The chest tube usually stays in place until x-rays show that all the blood, fluid, or air has drained from the chest and the lung has fully re-expanded. When the chest tube is no longer needed, it can be easily removed. Most people don't need medications to sedate or numb them while the chest tube is removed. Antibiotics may be used to prevent or treat infection.
In certain people, the chest tube may be inserted using a minimally invasive technique guided by x-ray or ultrasound. Chest tubes are usually placed during major lung or heart surgery while the person is under general anesthesia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for contacting chatbot. i have reviewed your mri findings. these findings suggest that there is compression on the lumbar nerves (nerves originating from the spinal cord in lower back region, which travel to leg), due to bulging of discs and thickening of ligaments. this commonly causes pain in legs and lower back region. if left untreated, the severity of pain may increase. pain may increase further on walking. in addition, there may be weakness or numbness in legs.  in cases of severe compression of lumbar nerves, there may be problems with control of urination. i hope it clarifies. best wishes, chatbot."
Answer this question truthfully,Epidural hematoma is characterized by a hyper-dense lens (biconvex)-shaped collection of blood on CT.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, warm welcome to chatbot.come have evaluated your query thoroughly.* there are many reasons for the lung function problems, and the management depends upon the root cause.* you need expert opinion of pulmonologist for which you have to go doctors in india - pulmonologist - prefer area nearby you.  or can have assistance with our expert customer care dedicated team crews. hope this will help you for sure. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. although it isn't possible to diagnose your condition without an examination and a few tests, your history is suggestive of arthritis of thumb joint. i would suggest getting this evaluated by an orthopedic for detailed examination. you may get the x-ray/mri, some blood tests and joint fluid analysis under his/her guidance to reach the accurate diagnosis. use heat and cold to manage pain. both heat and cold can relieve pain in your joint. heat also relieves stiffness and cold can relieve muscle spasms. apply over-the-counter pain creams. creams and gels available at the chatbot. take diet rich in calcium, vitamin d3 and minerals. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,"James fibers originate in the low atrium and terminate in the low AV node. They connect the above atrial fibers with the below bundle of His. While penetrating the AV node, these fibers run as posterior internodal tract along with other fibers but make contact with the node more distally than the other posterior input fibers. Since they never completely bypass the AV node and found to exist in all hearts, he also described that these fibers may not be actual accessory fibers as we assume. They do not share the rate-slowing properties of the AV node, and may conduct electrical activity at a significantly higher rate than the AV node. This rapid conduction can lead to improper ventricular filling and emptying making the body hemodynamically unstable. If not corrected quickly, the ventricles can fibrillate causing ventricular fibrillation and sudden cardiac death."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case, i would like to ask few questions for your elbow pain. was there any history of injury to elbow? pain increases in lifting weight/working? pain in elbow could be due to tennis elbowstart elbow exercises consulting physiotherapist also physiotherapy like tens and ultrasound will help. take calcium supplement with it d. avoid lifting weight and screwing movement. waiting for your reply hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i am sorry to hear what you and your family are going through. it must be very tough. the duration of survival without feeding depends on the underlying person. if he has a lot of nutrient stores, then he could theoretically survive for several weeks. malnourished people on the hand may not survive as long without feeding. hospice care focuses on the patients comfort, and it is important to realize that feeding him may not necessarily add to his comfort level and would in fact prolong his suffering."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, blood clots can develop in legs immobilization. surgery is one of the cause of immobilization. blood clots are legs are characterized by pain especially on moving or raising the leg. if you are also experiencing similar symptoms then probably you have developed a clot in the legs. you need to consult your surgeon for clinical assessment and investigations like doppler ultrasound of the leg. in case any clot is detected, appropriate steps can be taken to clear the clot. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query, as you have pain in tooth pain in tooth can be due to carious tooth secondary to periapical abscess. i will suggest you to consult oral surgeon for examination of tooth, and you can do warm saline rinses, as you are asking about medicine azithromycin you should take by consulting with your doctor don't take medicine without consulting your doctor. if i am your treating doctor i will suggest you to take medici like amoxicillin or ampicillin if you are not allergic. hope this will help you."
Please summerize the given abstract to a title,A comprehensive review of partial opioid agonists for the treatment of chronic pain.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of headache and fever with a history of bacteremia which could be due to impaired immunity of your body and due to viral infection of body. need not worry. i would suggest you to boost your immunity by taking multivitamins and diet rich in vitamin a. you should take nsaid medication along with antiviral medications such as acyclovir. you should take plenty of fluids. try to divide your meals in small fractions rather than having bulk at a time. visit general pediatrician once and get it examined. go for blood tests as well. start treatment after proper diagnosis. avoid taking any sharp and oily food substances. you should take soft and bland food. you should take fresh juices in diet. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madams you have mentioned that there is obstruction in your cbd, i assume that you have done blood investigation and usg/ct/mrcp to diagnose cause of cbd obstruction. if you have not done any, then you should do evaluation for the same and undergo treatment as per the disease. right side abdominal pain, nausea, vomiting can occur due to cbd obstruction. but as you have mentioned that you have other medical issues as well, i would suggest you to undergo cardiac evaluation for tiredness, which is unlikely in cbd obstruction. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","it does sound like an obstructive lung disease like asthma. but asthma is mostly associated with cough, breathlessness, wheezing sound while breathing in, mucus production, chest tightness.sometimes anxiety can result in inability to take deep breaths but as you are not having other symptoms like sweating, fast heart rate and the fact that your symptoms are since 4 weeks, we can safely rule out anxiety as a probable causepneumonia can be another differential diagnosis, but we can safely rule that out as there is no fever or chest pain. other causes like obesity, heart attack are also ruled out from your history. but to make a definite diagnosis i would still suggest a visit to a pulmonary specialist. hope you are satisfied with the answer. thank you."
Please summerize the given abstract to a title,"A spectral clustering approach for the evolution of the COVID-19 pandemic in the state of Rio Grande do Sul, Brazil"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern. with most probability, it should be a fungal ring as is described by you rightly that candid b helps you. i would suggest you to take more precautions than just applying the cream.1. you should keep the area very chatbot.  and should wear the clothes which don't irritate the area neither rub against it.2. in the given conditions, you apply the same cream for 10 days regularly and see the result. if it doesn't help, you can revert to me with more details and possibly some pictures. regards"
Please summerize the given abstract to a title,Virucidal effect of povidone iodine on COVID-19 in the nasopharynx: an open-label randomized clinical trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. you can get blood chatbot or upt test done to know your pregnancy status. there will be spotting even in pregnancy due to implantation of fertilized ovum. once pregnancy is ruled out you can wait for few days for periods to start normally. hope i answered your question. consult your doctor for further examination and management. feel free to ask me if you have any further queries. wish you good health. take care. regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot forum. blood cancer is a very broad terminology. there are many types of blood cancer and the survival rate will depend upon type and severity of the cancers. nowadays many of the cancers are treatable, and we have bone marrow transplant. it is very difficult to tell that all blood cancers will lead to death or all can be cured, without examining the patient or seeing the patient blood reports and bone marrow result."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. it is very difficult to bring up a child. but if you learn parenting skills, it will help you a lot. there is term, positive parenting. in which you enforce the positive part of child chatbot. sometimes in certain way, you can punish but in certain methods. you should seek help of any psychiatrist who can give you advice about this parenting. it will help you a lot. hope i have answered your query,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. in my opinion you are having mostly herd (gastroesophageal reflux disease). hookah smoking aggravates and worsens herd. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the central chest pain. so better to avoid stress and tension. avoid hot and spicy food. avoid large meals, instead take frequent small meals. start proton pump inhibitors. quit hookah smoking as soon as possible as it is not good habit."
Answer this question truthfully,"Shigella is acid stable, meaning that it is able to survive in acidic environments. This is an important characteristic for a bacterial pathogen that must pass through the acidic environment of the stomach in order to reach the intestines and cause an infection. Shigella's acid stability is due to a number of factors, including the presence of protective proteins and the ability to regulate its internal pH. Understanding the acid stability of Shigella is important for developing strategies to prevent and treat shigellosis, as well as for understanding the basic biology of this important bacterial pathogen."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, a past surgery of hernia in no way can cause impotency. secondly i would like to differentiate between impotency and infertility. impotency means when your boyfriend cannot have an erection while infertility means that your boyfriend can have erection, but you cannot get pregnant due to some problem in the guys' sperm. both of them are not complications of a regular hernia surgery. hope this ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in to us. with a history of right frontal lobe seizures since 18 years, the date of last seizure is important. the concussion you suffered last june must also be evaluated in total. if your pain is over the skin along the jawline, the possibility of trigeminal neuralgia must also be explored. i would suggest you get examined by a neurologist and any soft neurological signs will be confirmed. this will help in deciding if a ct scan or mri scan is necessary. this is important as you have balance problems. any problem due to your recent concussion cannot be entirely ruled out without detailed examination. hope this helps."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Role of blood pressure dysregulation on kidney and mortality outcomes in COVID-19. Kidney, blood pressure and mortality in SARS-CoV-2 infection"
Answer this question truthfully,"Mucoepidermoid carcinoma may be classified according to location into 2 subtypes: salivary gland-confined carcinomas and other organ mucoepidermoid carcinomas. Based on histological features, it is divided into low, intermediate and high grade tumors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern. asthma is most common allergic disease which is not a curable disease but definitely controllable, by controlling the same you can lead a symptom free life. usually presents with cough, wheezing, difficulty breathing and chest tightness. if not treated appropriately can be life-threatening.don't worry, you will be alright. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of asthma. it will also tell you about severity of the disease and treatment is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics)hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. you were able to find a pattern and generality to your problem. that is heartening and shows your thirst for research. but in fact, there is no necessity. rapid heart beat could happen due to many reasons but the given rapid heart beat could happen only due to obsession with own heart beat. purely psychological. don't worry and don't be anxious about it anymore. if you require more of my help in this aspect, please use this url. http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, omit dash have gone through your question. i can understand your concern. your wbc count and platelets count are slightly low.  even simple viral infection can lead to this.  so no need to worry at this stage.  you should go for follow up complete blood count at monthly intervals.  if it goes very low then bone marrow examination is needed to search the cause. no, any treatment is required right now.  just be relaxed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. pain due to terminal stage cancer is very difficult to manage. we have to give centrally acting painkillers and sedative chatbot. transdermal fentanyl patch is very effective, and its effect lasts for 72 hours. low dose sedation also helped patient to reduce the suffering s from pain. discuss end of life issues with her."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  at 34 weeks pregnancy, when the baby has descended sufficiently down to exert pressure over vagina & rectum. passage of stools down the rectum becomes difficult & lady has to exert down causing pain as you have.  it's desired to have smooth & semisolid stool at this stage. so taking mild laxative like liquid paraffin 2 teaspoons twice a day twice a day before food (dose can be changed according to personal health with your doctors advise) take plenty of nutritive liquid diet along with routine food.  perineal exercises would help0.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the abnormal pregnancy like any miscarriage might be ruled out. the causes of brown discharge are thyroid abnormalities, progesterone insufficiency, any abnormal pregnancy like chromosomal abnormalities or any other, bleeding from cervix etc. so the above causes should be ruled out. ultrasound and thyroid profile might be needed. avoid stress, physical strain and intercourse. take rest. best regards..."
Answer this question truthfully,The CT findings that are indicative of ischemic colitis include colonic wall thickening (edema) and fat stranding.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have had a knee replacement 12 years ago and are having persistent knee pain. you will need to check on the possibility of infection by doing an aspiration of the knee fluid and sending the samples for lab tests. you will also need your doctor to check on the major tendon, the extensor tendon for damage and to check if the patella bone is moving in the right plane while the knee is bent and straightened. meanwhile, do try exercises in a heated pool and using a compression brace. your doctor should check your hip and spine to ensure you do not have a problem there which reflects in the knee. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot bloating and abdominal pain can be related to a number of different issues such as"
Please summerize the given abstract to a title,Adenovirus-Associated Disseminated Intravascular Coagulation
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. measuring the depth and breadth of add, bipolar disorder and depression comes under the purview of clinical psychology. clinical psychologists are trained to assess the disorders and the diagnosis should be by and large accurate. of course psychiatrists and psychologists are also trained. to assess and to get proper diagnosis, you can contact a trained clinical psychologist. hope this answers your query. available for further clarifications. good luck."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Clinician and staff perspectives on potential disparities introduced by the rapid implementation of telehealth services during COVID-19: a mixed-methods analysis
Answer this question truthfully,The underlying cause of hypercoagulability in patients with nephrotic syndrome is the loss of antithrombin III in urine.
Answer this question truthfully,"No, chlorination is not an effective method for removing Giardia lamblia from water. Giardia lamblia is a microscopic parasite that can cause gastrointestinal illness in humans. It is commonly found in untreated or inadequately treated water sources such as rivers, lakes, and wells. Chlorination is a common method of disinfecting water, but it is not effective in removing Giardia lamblia cysts. While chlorine can kill many types of bacteria and viruses, it is not effective against the tough outer shell of Giardia lamblia cysts. In order to effectively remove Giardia lamblia from water, other methods such as filtration or ultraviolet (UV) treatment may be necessary. Filtration can physically remove the cysts from the water, while UV treatment can damage the DNA of the parasites, rendering them unable to reproduce and cause illness."
Please summerize the given abstract to a title,Superspreading events suggest aerosol transmission of SARS-CoV-2 by accumulation in enclosed spaces
"If you are a doctor, please answer the medical questions based on the patient's description.","hello really appreciate your concerned course you need to be concerned and be careful while doing this looking at present condition you might have injured your foreskin during the action or may get infected if it was healthy previously. in my opinion you should keep it clean and apply any antiseptic ointmentapplication of hot packs will help in healing be careful you do it next time it doesn't improve or gets worsen than you must see your doctor for physical check up and a course of antibiotics if need be. hope this answers your question you have any more queries please feel free to write back to me, i will gladly answer you best wishes"
Please summerize the given abstract to a title,Possible therapeutic interventions in COVID-19 induced ARDS by cotinine as an ACE-2 promoter and AT-1R blocker.
Please summerize the given abstract to a title,Metropolitan wastewater analysis for COVID-19 epidemiological surveillance
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, in my opinion, you are mostly having systolic hypertension. only antihypertensive chatbot.  you need to follow certain below-mentioned lifestyle modifications also. 1. strict salt restrictions in diet. 2. avoid oily and fatty food. 3. start using sunflower oil in food preparation. 4. do regular aerobic exercise like running, cycling, swimming etc. 5. avoid stress and tension, if you are having stressful life. don't worry, your blood pressure will control with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"The two U.S. trials of PTCA versus CABG are the multicenter Bypass Angioplasty Revascularization Investigation (BARI) trial  and the single-center Emory Angioplasty Surgery Trial (EAST) .
In both trials, a majority of patients had two- rather than three-vessel disease and normal LV function. In the BARI trial, 37% of patients had a proximal LAD lesion. The results of BARI trial at seven year follow-up interval has shown that early and late survival rates have been equivalent for the PTCA and CABG groups. The subgroup of patients with treated diabetes had a significantly better survival rate with CABG. That survival advantage for CABG was focused in the group of diabetic patients with multiple severe lesions. The biggest difference in late outcomes was the need for repeat revascularization procedures and symptom status. 54% of PTCA patients underwent subsequent revascularization procedures during the five-year follow-up versus 8% of the CABG group. In addition, the rate of freedom from angina was better in the CABG group and fewer patients in the CABG groups needed to take anti-anginal medications."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatdoctorread your prob, first you should rule out the cause of infertility by getting blood test for gonadal n thyroid mormon. you should mention sonography have you pod or not. you should get sonography for follicular study so that you come to know about ovulation, as per its report you try to conceive. as you will come to know about your fruitful period. so discuss all of it with your doc n do as per his advice. do not worry it is curable n you will get pregnant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for asking from chatbot. i can understand your concern. if you are having repeated episodes of loss of balance along with history of multiple episodes of concussion, then your complete neurological examination is needed. your cerebellar and vestibular functions will be evaluated by neurosurgeon. after that you may be advised ct scan or mri of head to find out any lesion in brain. you might be prescribed medicines like beta-histidine to control vertigo, avoid going in dark, full hy chatbot. at home, you may follow few tips to evaluate yourself and get relief"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. acid reflux also called herd (gastroesophageal reflux disease) can result in barrett's esophagus. barrett's affects lower esophagus and gastroesophageal junction with change of epithelium (inner lining) of esophagus to that of stomach. this is called metaplasia which can also lead to dysplasia and adenocarcinoma. the recent increase in adenocarcinoma (cancer) in lower esophagus observed in western population is because of it. the good thing is that you have adapted lifestyle changes and your doctors' advice to settle acid reflux. discuss with your doctor whether there were any barrett esophagus changes and any biopsy done. if yes a follow-up endoscopy should be done to see improvement if any. i hope your question has been answered. i would be happy to answer any further questions if any. thank you for choosing chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, tremor is related to the involuntary muscle movements controlled directly by the brain. as the dopamine is the factor to look for. i am sure that your neurologist must have provided the dopamine supplement. now you need to focus on doing regular exercises with a physical therapist who can help you learn how to control the tremor and how to strengthen the muscles as well. you can even speak to your neurologist regarding the same. with the grace of god i wish you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a 4 mm lesion in the breast is too small to characterize. the needle fnac was offered probably to be more accurate in making a diagnosis. if the lump of cells in the 4 mm area was properly targeted then appearance of liquid confirms the presence of a cyst with fluid. even in the aspirated fluid, there would have been cells and i guess that slides were prepared and seen under a microscope in your case. if it was indeterminate then it means that no cancer cells were confirmed in the area. technically speaking even if the 4 mm area was burst with the needle then the cells were confined to a closed area and will not spill over to any other area. also, it might have been close to the skin surface. please be informed that breast cancer does not have a tendency to spread by a needle track. therefore, you are completely safe from this procedure. keeping in mind the indeterminate nature of the fluid from the cyst it is advisable to go for regular clinical examinations and also do self breast exam once every 15 days and consult your doctor should you have any doubts regarding any new breast lumps. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... your semen report is normal... except here rapidly progressive sperm not present ... sperm motility should at least 40% and progressively motile sperm should at least 32%... for that avoid stress... hot shower and tight under cloth restricted... vitamin and mineral supplementation helpful.... smoking and alcohol avoided.... healthy and balanced diet taken .... spinach, citrus fruits, blueberries more . do intercourse during around ovulation period to gain more chance of conception... if after one year of unprotected intercourse you can't conceive then investigate with.... female hologram, chest x-ray, esr, thyroid profile, usg and if needed diagnostic hysteroscopy.... take care ...."
Please summerize the given abstract to a title,Screening of anti-cancerous potential of classical Raudra rasa and modified Raudra rasa modified with hiraka bhasma (nanodiamond) through FTIR & LC-MS analysis
"Please let me know where I can get literature on Cardiac amyloidosis.  My uncle died yesterday from this disorder.  Since this is such a rare disorder, and to honor his memory, I would like to distribute literature at his funeral service.","Cardiac amyloidosis (Symptoms): Some people may have no symptoms. When present, symptoms may include: - Excessive urination at night - Fatigue, reduced exercise ability - Palpitations (sensation of feeling heartbeat) - Shortness of breath with activity - Swelling of the abdomen, legs, ankles, or other part of the body - Trouble breathing while lying down"
Answer this question truthfully,"Monozygotic twins, also known as ""identical"" twins, are a type of twins that arise from a single fertilized egg. Specifically, monozygotic twins are formed when one egg is fertilized by one sperm, and then splits into two separate embryos during early pregnancy. Because the embryos are derived from the same fertilized egg, they share the same genetic material and are therefore genetically identical. Monozygotic twins can be either same-sex or opposite-sex, and may share physical characteristics such as eye color, hair color, and facial features. While the exact cause of monozygotic twinning is not fully understood, it is thought to be a random occurrence that is not influenced by environmental or genetic factors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you have swelling and also undergone surgeries of spinal fusion in the past, this could be related to that as well. even vascular insufficiency is one of the other factor to look forward with. trying out physical therapy should help you strengthen the muscles of the core as well the lower limbs which will ease swelling as well. in my clinical practice such cases of past spinal surgeries face such issue, and they respond well to physical therapyregardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you are having allergic or irritant contact dermatitis. there may be so many causes. it is difficult to say the exact cause. there may be secondary bacterial infection. it may be the cause of swelling of joints. you take antibiotics for few weeks along with ant inflammatory chatbot. and also take anti histamines and short tampering course of steroids. apply antibiotic cream initially, then in combination with steroids. avoid soap bath., use detail liquid for washing the affected area. avoid worries and tension. still, you contact dermatologist for perfect treatment. i hope you got my answer. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you may have some desmond cyst or some other cystic lesion.  if it causes pain and discomfort then you should go for removal of that lesion. just consult your doctor and plan for surgery. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot there are different possible causes for enlargement of the spleen such as"
Answer this question truthfully,Delusions can be shared by individuals in close relationships; this phenomenon is termed folie à deux.
"If you are a doctor, please answer the medical questions based on the patient's description.","halloween come to chatbot dear patient, hope salads don't cause allergic reactions, this problem of lump in the throat and nausea seems to be more related to your acid reflux problem which might have got aggravated by the painkillers that you took after surgery, if you feel that the pain is persisting there, and you have vomiting also along with nausea then you can go and consult a doctor, otherwise if you are feeling ok, you need not worry, just make sure that you don't eat too much of spicy foods. hope to see you feeling better soon good luck thanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for your query. based on the facts that you have posted it appears that you have chronic renal parenchymal disease and expected to need renal transplant. you have been taking marijuana for some other illness and worried about the side effects of marijuana on kidneys. there are clear evidence of negative effect of marijuana on kidneys neither any clinical studies have been done on these subjects. you can take marijuana after consulting your nephrologist. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows
Answer this question truthfully,Uracil is the pyrimidine that is characterized by no amino group at the 12 o'clock position and no methyl group(s).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of liver abscess. yes, i would agree with the current management of your doctor. conservative management is done when the abscess size is not too large and chatbot.  usually, a repeat ultrasound will be done after completion of antibiotic treatment, to confirm if the abscess has resolved. along with this, your symptoms will also improve. a regular follow-up with your doctor is also recommended. hope this helps. good day!!~"
Answer this question truthfully,"Calcium oxalate kidney stones can be a painful and debilitating condition, and there are a number of different treatments that can be used to manage the condition. In addition to thiazides, which are a type of diuretic medication that can help to reduce the formation of kidney stones, patients with calcium oxalate kidney stones may also benefit from citrate supplementation and a low sodium diet. Citrate is a natural substance that can help to prevent the formation of kidney stones by binding to calcium and preventing it from crystallizing. A low sodium diet can also be helpful, as high sodium intake can increase the amount of calcium in the urine, which can contribute to the formation of kidney stones. Other treatments for calcium oxalate kidney stones may include increased fluid intake, dietary changes to reduce oxalate intake, and surgical procedures to remove large stones or correct underlying anatomical abnormalities."
Please summerize the given abstract to a title,Formation and validation of an acute care clinical pharmacist productivity model: Part 2
Please summerize the given abstract to a title,Vitamin K Insufficiency in the Indian Population: Pilot Observational Epidemiology Study
what are the causes of childhood obesity,"There are many factors that contribute to increasing your child's risk of becoming overweight. Regularly eating high calorie foods can cause your child to gain weight. Lack of physical exercise can contribute to childhood obesity. If your child comes from a family of overweight people, he or she may be more likely to put on weight. Personal, parental, and family stress can also increase a child's risk of obesity."
Please summerize the given abstract to a title,"The geographical impact of the Covid-19 crisis on precautionary savings, firm survival and jobs: Evidence from the United Kingdom’s 100 largest towns and cities"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. noted the history of a 62-year-old very active and fit person. there is probably no relationship between sinusitis and pain in abdomen. i think, the issues need different approaches"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your count is normal as it is more than 20 million per ml. the motility is slightly low though normal range is more than 32% as per who guidelines of 2010 which used to be earlier set at more than 50%. so the motility is slightly less. that could lead to the failure. there is a possibility of infection in the area which is one of the commonest causes of decreased motility. i suggest you get a semen culture done and if it is positive you take a course of antibiotics. if it is negative then you might require some other form of treatment for the low motility. take care, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot you could be having intertwine which is destruction of skin along with sweat accumulation and possible fungal infection. it is seen usually in obese patients. it is best to eat healthy and exercise daily to reduce weight in such a situation. get your blood sugar and blood lipids tested. consult a dermatologist for possible antifungal medication like clotrimazole which will work best.
Answer this question truthfully,"The medication associated with low suicide risk in individuals with schizophrenia is clozapine. Clozapine is an atypical antipsychotic medication that is often used in the treatment of schizophrenia and other psychotic disorders. It has been shown to be particularly effective in reducing symptoms such as hallucinations and delusions, and has also been associated with a lower risk of suicide compared to other antipsychotic medications. This is thought to be due in part to its ability to reduce aggression and impulsivity, as well as its effects on certain neurotransmitters in the brain. While clozapine can have some side effects, including weight gain and sedation, it is generally considered to be a safe and effective treatment option for individuals with schizophrenia who are at risk of suicide."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. feeling of pain can be reduced by methylcobalamine supplement. you can take in methylcobalamine consulting your doctor. exercises and stretches plays important role in maintaining symptoms of fibromyalgiaphysiotherapy like ultrasound and tens will help, along with knee exercises. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. cause and plan of treatment-in my opinion on the given data, you need to get to treat it by antihelminthic chatbot. so i would advise you to consult an er surgeon, who would treat it accordingly. hope this would resolve your issues. act fast. so keep cool and consult your er surgeon, if need be, who would treat it accordingly. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to chatbot and be comfortable to resolve your health issues. welcome for any more query in this regard to chatbot. write good reviews and click thanks if you feel satisfied with my advice. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. from your query i suspect, he may be suffering from frequent electrolyte imbalance or unusual fluid shift. this may be due to his liver disease. some medication also cause muscle cramps. vitamin b 1, b5, b6 deficiency also cause muscle cramps. please check his serum electrolytes and vitamin levels. usual electrolyte imbalance are low calcium, magnesium or potassium. low blood levels of calcium or magnesium excite the nerve endings and cause the muscle to contract. hope this helps. if any doubt, kindly reply. take care."
Answer this question truthfully,Patients with pemphigoid gestationis have autoantibodies against hemidesmosomal proteins.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the painful soreness on the tongue is because of the major authors ulcer or fissure tongue. this authors ulcer occurs secondary to the quitting the habit of smoking. this will go off gradually. nothing to be panic. consult an oral physician and get it evaluated. take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food. if the lesion does not after taking this, then you can topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. do saline gargling. maintain the oral hygiene. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this looks to me like so-called postcholecystectomy syn chatbot.  symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, persistent pain in the upper right abdomen. some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. postcholecystectomy syn"
"If you are a doctor, please answer the medical questions based on the patient's description.","a kind of fermentation inside the castro intestinal tract because of undigested food remaining in git and again eating before it digests fully. the food you took might also cause local reason such as infected, heavily oiled, spicy etc. giving way to spasm inside guts. now that it subsided, no concern. as a primary measure to my such patients i give little pinch of baking soda with warm water or warm lime water. in india common masses use carom seeds (again) by chewing with little salt and follow warm water chatbot.  this spice is found all over globe. hope it helps you well. pl chose your food well and do not eat before previous has digested. it's a common rule to stay fit at digestion."
Please summerize the given abstract to a title,"Smell and taste dysfunction in patients with SARS-CoV-2 infection: A review of epidemiology, pathogenesis, prognosis, and treatment options"
Please summerize the given abstract to a title,[Medical aid in dying in Quebec: Context analysis and analysis of nursing practice in palliative care]./ De l'aide médicale à mourir au Québec : une analyse du contexte et de la pratique infirmière en soins palliatifs
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should first consult pulmonologist and get done ct scan of thorax and bronchoscopy and bad (bronchi alveolar lavage) analysis for tb. if both of these are negative than you can argue with visa authority that you are not having active lung infection. any lung infection especially tb heals by1.  fibrosis2.  calcificationboth of these appear as scar tissue on chest x-ray. so we need to prove that this is not due to active infection, but due to old infection. to prove this you need ct and bronchoscopy.  so better to consult pulmonologist and discuss all these."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour problem has its origin in the malfunction of inner ear. inner ear assists our body in keeping balance and is in proximity to our hearing apparatus. your symptoms are suggestive of deniers disease. tests of hearing also are part of the work up. unfortunately there are not many good tests of balance which definitely assist in the treatment. you can discuss with your ent specialist regarding the utility of the tests that he wants to do. as for as treatment is concerned, avoid triggers which you already have realized. during periods of dizziness many medications can help. if problems persist in spite of that then there are surgical options available.  good luck."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Psychometric properties of the Farsi version of the Eating Pathology Symptoms Inventory (F-EPSI) among Iranian University men and women
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear as all your routine tests and serology are normal would go for some rare possibilities it can be infectious mononucleosis, a viral disease - a serology for cytomegalovirus is to be done endocarditis (inflammation of inner layer of heart can be a cause -2d echo is to be done to rule out you have not mentioned your chatbot. blood cancers like leukemia can be a cause of it, investigations should be done to rule out the possibility, especialy hopkins lymphoma is associated with metabolic disorders, such as gaucher disease and niemann-pick disease-are very rare, but genetic reading is to be done to rule out this rare cases are rare, but they do happen, a thorough investigation is to be done to find out the cause in your case"
Please summerize the given abstract to a title,Clinical characteristics of hospitalized patients with SARS-CoV-2 infection: A single arm meta-analysis
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Spike protein d614g and RDRP p323l: The SARS-CoV-2 mutations associated with severity of COVID-19
Answer this question truthfully,Osteopetrosis may present with facial paralysis due to cranial nerve VII impingement.
Please summerize the given abstract to a title,The Current Status of the Pharmaceutical Potential of Juniperus L. Metabolites
Please summerize the given abstract to a title,PCR in Integrated Microfluidic Systems
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, you seem to have vaginal infection which could be bacterial, fungal or trichomonal. these infections lead to vaginal itching and pain with discharge. since during pregnancy the immunological response is poor, these infections are commonly observed. if you are having curry discharge, it could be fungal infection. trichomonal vaginal discharge is frothy greenish white while the bacterial discharge is mucoid or yellowish pus. fungal infections can be treated with antifungal vaginal pessaries, metronidazole can take care of trichomonal infection while for bacterial infections, antibiotics are needed. both the partners should have the treatment simultaneously. please report to your obstetrician for proper diagnosis and appropriate treatment. during the treatment, please observe the following instructions"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear thanks for sharing with us your query. it difficult to find the cause with that lump without examination. first two examination you should do are blood tests and an ultrasound of the neck region. after the result perhaps a cervical mri need to be done! you have to worry but no too much, it can be even from a dental infection so no need for alarm, but examinations need to be done. hope i had helped you chatbot."
Please summerize the given abstract to a title,Pulmonary Rehabilitation in Patients Recovering from COVID-19
Please summerize the given abstract to a title,Blockchain for Internet of Medical Things: A Technical Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for sharing your health concerns! as per your blood report, you have possibly iron deficiency anemia, less number of neutrophils, and relatively larger number of lymphocytes! no comment about platelets! to summarize, blood components are overall reduced in your body; could be due to some toxicity, infections (like, viral infection) or some micro-nutrient deficiency or just idiopathic or normal pattern etc... if this continues, you have to perform a bone marrow examination. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. it is good that you have a great degree of suspicion, but in your case these are not the symptoms or signs of leukemia. the sure-shot diagnosis is made by very simple tests. please go for the blood tests to remove the doubts. lump at the neck can be a lipoma or a sebaceous cyst. simple excision will help to get the disease out of the body and help the perfect diagnosis by histology examination."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the history and symptoms ate suggestive of some infection in the body. as you are having the symptoms of fever, cold and the greenish tinge in the urine is indicative of some infection in the body. you need to undergo physical examination and urine examination to find out the exact cause for the symptoms. i would suggest you to consult your doctor for proper examination and for getting the prescription for the antibiotics and other medication. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your query. i have gone through your query. the gritty feeling in the teeth and the redness over the gums can be because of the gum infection like gingivitis or periodontitis. when there is recession of the gums the dentin of the teeth will get exposed and this results in sensitivity or gritty feeling when you sip fluid or hot and cold things. nothing to be panic. consult an oral physician and get your teeth cleaned and use desensitizing toothpaste like sensor or sending(strontium chloride and potassium fluoride). i hope my answer will help you. take care.
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,The success rate of online illicit drug transactions during a global pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.",hello thanks for asking from chatbot for your health related queries can understand your concern. schizoaffective disorder is a psychotic disorder in which symptoms of both schizophrenia and affective disorders are found in patients. most of the individuals suffering from schizoaffective disorder function normally and respond to medicines if taken proper under prescription. seroquel is quetiapine and the chatbot.  the
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient! don't be so depressed and disheartened. please visit an infertility doctor to find the cause. as knowledge of the cause of dead sperms will help to ascertain a line of cure. if, it is due to an infection, it can be cured by using an antibiotic. tab. doxycycline 100\u00a0mg (1+1) for 14 days the following medicine will help in activating and increasing sperm counts once any underlying infection is taken care of. tab. fertile/vertical/fertile (2+2 - for 1\u00a0week) and then (1+1 - for 1 month)but, if you kindly send me your sperm count, it will give a better idea of your situation. hope this will help your cause. awaiting your precious feedback."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting here. i have gone through your description. since a holder done months back is normal, a heart arrhythmia issue is less likely. i recommend you to get your thyroid function tests done. thyroid abnormalities can cause symptoms like palpitations and. irregular slow or fast heart rate. also get your it d levels checked which can also cause palpitations. wishing you good health. regards"
Please summerize the given abstract to a title,Phase Ib study of patients with metastatic castrate-resistant prostate cancer treated with different sequencing regimens of atezolizumab and sipuleucel-T
Please summerize the given abstract to a title,Seroconversion After Coronavirus Disease 2019 Vaccination in Patients Awaiting Liver Transplantation: Fact or Fancy?
Please summerize the given abstract to a title,Impact of COVID-19 on gynecologic cancer treatment in Japan: a nationwide survey by the Japan Society of Gynecologic Oncology (JSGO)
"If you are a doctor, please answer the medical questions based on the patient's description.","i have reviewed your concern my friend. you are doing right thing by going to hematologist. however, decreasing platelet count can be due to different causes. h pylori and labyrinthine should not ideally cause this problem, but it can be more due to a condition known as idiopathic thrombocytopenic purpura (itp). however, for this the hematologist needs to review your condition and probably do a bone marrow examination if required and rule out other cause. treatment is steroids which is generally good enough. i hope this helps. let me know if i can help you in another way thank you for choosing chatbot. may you have a super healthy life ahead."
Please summerize the given abstract to a title,A structural model for the Coronavirus Nucleocapsid
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot ... according to your history you have chest pain on moving and on touching ...you don't have cough or any other resp symptoms... so suggesting most likely musculoskeletal pain.... take ibuprofen for 4 to 5 days... sleep posture proper.... avoid strenuous work... rest done .... hot compress can be applied over chest... although no resp symptoms present, if in 2 or 3 days your condition not improved then chest x-ray done for rule out resp causes like bronchitis... take care... if congestion occurs with cough then consultation to doctor necessary. chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Angiographic embolization is the recommended treatment for an unstable pelvic fracture. Pelvic fractures can occur due to high-energy trauma, such as car accidents or falls from a height. Unstable pelvic fractures are those that involve significant disruption of the pelvic ring and can cause severe bleeding. Angiographic embolization is a minimally invasive procedure that involves injecting a substance into the blood vessels that supply the pelvis, causing them to clot and stop the bleeding. This procedure can help stabilize the fracture and prevent further damage to the surrounding tissues and organs. In addition to angiographic embolization, treatment for an unstable pelvic fracture may also involve surgery, pain management, and physical therapy. The specific treatment plan will depend on the severity of the fracture and the individual's overall health."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  the psychiatrist prescribe medicines after consulting your present and past condition and according to their experience in practice. you have not given the names of all those 4 medicines and therefore, i cannot comment on that. you should know that these problems are not mental diseases, but are mental disorders. many researches and researchers confirm that medicines alone cannot cure mental disorders. exercise, lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through you query and understand your concern. if i were your treating physician, i would look for other symptoms of allergic rhinitis like nasal irritation, nasal blockage etc. and rule out asthma(cough, wheeze or chest tightness, breathlessness etc.)if you had allergic rhinitis, i would then suggest"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernampicillin generally decrease effectiveness of the birth control pill and cause pregnancy. but you have used posting 2 with in 10 hours and also on regular use of the birth control pill, so there is no chance of the pregnancy. no chance of the pregnancy as you used double protection. avoid stress, take healthy diet, chatbot. hope this may help noncontact chatbot for further heath query best regards"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the question itself it is clear that you know something about the problem. the present scenario sounds as obsessive thoughts. just that. not ocd. but from the description, diagnosis may not be possible. thorough psychometric tests and diagnosis procedures may be utilized for correct diagnosis. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","is it a male or female child? if it is male, weight needs to be considered even more as it is going behind 5th gentile. if female, it's below 25th gentile. i can help you out with the following plan"
Please answer with one of the option in the bracket,A: Adenosine
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.welcome to chatdoctori am chatbot.  i understand your concern and will try to give the best possible guidance. i would like to know for what reason you have been advice for colonoscopy. as succhatdoctorplications are not common following colonoscopy. but it appears in your case that you got infected most probably due to injury to your bowel. as there are plenty of bacteria into gut they might have entered from injured gut walls into your blood and caused septicemia. you should inform this to your doctor who did the procedure. it is good to know that you are fine now but be watchful for any rise in temperature or fall in blood pressure. wish you a good health.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, rash on face stomach and legs in a 15-month-old child can be due to measles, insect bite, eczema. in measles, there is fever and the rash persist for one week. while an insect bite there is no fever and the rash is present on exposed parts of body. it will be better if you attach a picture of the skin lesion. also there is a possibility of scabies. i think you should get the child examine by a doctor. so that we may not miss any important finding. have a good day."
Please summerize the given abstract to a title,PKI is key to securing a post-Covid remote workforce
Answer this question truthfully,"In coagulative necrosis, there is an increased cytoplasmic binding of eosin stain. Coagulative necrosis is a type of cell death that occurs when cells are exposed to extreme heat or ischemia (lack of blood flow). During coagulative necrosis, the cells lose their structural integrity, but the basic outline of the cells remains intact for a period of time. As a result, the cells take up stains differently than they would in normal tissue. Eosin is a commonly used stain in histology that binds to acidic structures in the cytoplasm of cells, such as proteins and ribosomes. In coagulative necrosis, the increased binding of eosin stain to the cytoplasm is thought to be due to the denaturation of proteins and other cellular structures, which alters the chemical properties of the cytoplasm. This increased binding of eosin stain is one of the key features of coagulative necrosis that can be observed under a microscope."
Answer this question truthfully,High preload leads to a decrease in the intensity of HOCM murmur.
Answer this question truthfully,"Brain MRI is helpful in the diagnosis of oligodendroglioma. On brain MRI, oligodendroglioma is characterized by a mass which is typically hypointense on T1 - weighted images and hyperintense on T2- weighted images. Calcification is observed as areas of ""blooming"" on T2 decay component of MRI. T1 C + gadolinium shows heterogeneous contrast enhancement and diffusion weighted images help differentiate lower grade oligodendrogliomas from higher grade astrocytomas which have higher ADC values because of lower cellularity and greater hyaluronan proportion. MR perfusion (PWI) is 95% sensitive for diagnosis of oligodendrogliomas and 87% sensitive for distinguishing grade II from grade III oligodendrogliomas. On PWI, ""chicken wire"" network of vascularity results in elevated relative cerebral blood volume (rCBV) of grade II vs grade III and rCBV above the threshold of 1.75 demonstrates more rapid tumor progression."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","here good if you don't have pain while breathing in. this shows there is no internal damage. but as you have mention that there is pain while bending this shows there is a soft tissue micro level damage. here nothing to worry even if there is a crack in rib because the rib is supported with other bones like sternum in front and spine in back. as well, it is well bundled with soft tissues to support it.  so now you need to use regular hot and cold pack to reduce inflammation and relax the soft tissues. chances are rare but at any time if you have breathing difficulty with sever pain at affected rib area then do visit an orthopedic take an x-ray to test the damage level too. and last do not do activity which pains and take rest. take care."
Answer this question truthfully,One symptom of systemic lupus erythematosus (SLE) is rash.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello had gone through your question very diligently, and i can understand your concern a small lump followed by pus discharge might be related to inflammation or infection of the penis. here i would like further information for better assessment of the conditioning how long you have this problem any history of unprotected intercourse? if i were your treating doctor i would have advised you for battery of test like blood for hemoglobin, cbc, liver and kidney function test, blood sugar, urine testing for microscopy as well as culture. in my opinion you should clean it thoroughly with antiseptic solution and apply mupirocin or clotrimazole with dexamethasone ointment for 3 to 5 days.meanwhile, you should take plenty of fluids 3 to 4 liters a day. you can take ibuprofen for pain. avoid sex or use condoms until you recover fullyplease feel free to ask for more clarification, i will be happy to help you best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.",as you have mentioned in your history i can say you are suffering from severe chest infection. for this you have to take tab levofloxacine 500 mg once daily or tab ninefold 600 mg twice daily after meals for at least 5 days along with tab levocetrizine twice daily after meals with cap gomez or cap panto twice daily before taking meals with syrup bronzed or spy gerifen-sr 2 sf three time daily. you can also take steam inhalation as it will sometimes helpful to clear out of your chest from cough that is deposited inside.
Answer this question truthfully,Streptococcus pneumoniae is the most common cause of community-acquired pneumonia.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you should go for x-ray once.  if it is normal then no need to worry.  you can take anti-inflammatory and analgesic chatbot.  take some rest. no need to worry if x-ray is normal.  if it shows some injury then consult your orthopedic and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome with your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you mostly seem to suffer from-neurorfibroma / or neuro-lipoma ? other possibilities of dermatofibrosarcoma / or malignant shannon / or atypical fibroxanthoma/ kaposi sarcoma / or could be desmond tumors from scalp deep fascia with nerve involvement. hope that, this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist"
Please summerize the given abstract to a title,"The Role of Human Coronaviruses in Children Hospitalized for Acute Bronchiolitis, Acute Gastroenteritis, and Febrile Seizures: A 2-Year Prospective Study"
Answer this question truthfully,"Ovarian cancer has the worst prognosis among endometrial, cervical, and ovarian cancer. Ovarian cancer is often not diagnosed until it has spread beyond the ovaries, which makes it more difficult to treat. Additionally, ovarian cancer is more likely to recur after treatment than other gynecologic cancers. The five-year survival rate for ovarian cancer is lower than that of endometrial and cervical cancer. However, early detection and treatment can improve the prognosis for ovarian cancer, which is why it is important for women to be aware of the symptoms and to receive regular gynecologic exams."
Please summerize the given abstract to a title,Applying Experiential Learning to Career Development Training for Biomedical Graduate Students and Postdocs: Perspectives on Program Development and Design
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first, identify what kind of obsession is there. it is for cleaning, counting or something else. according to obsessional thought, we go for pharmacotherapy and psychotherapy. in my opinion, exposure and response prevention with relaxation therapy may help her a lot. for borderline personality, we have to go for management of the target symptoms and emotional control. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! thank you for your question on chatbot! regarding your concern, i think that it may be related to a nerve compression caused by a possible degenerative changes of the bones in this region. i would advise you to have a good physical examination and a ct scan of the lumbosacral region, to examine better the anatomical structures in this level. for the chronic pain i would recommend gabapentin, a very effective chatbot.  hope to have been of help! greetings !"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, fractured rib will cause more symptoms if you lift heavyweight at work. rib fracture needs conservative (no surgery) treatment only. so follow these steps for faster healing in rib fracture. 1. avoid movements causing pain.2. avoid heavyweight lifting and strenuous exercise3. wear rib belt for immobilization.4. take painkiller and anti-inflammatory chatbot. 5. apply warm water pad on affected areas of chest.don't worry, you will be alright with all these in 2-3 weeks. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. instant pain on eating is definitely suggestive of gastritis or stomach cancer or herd and so on. this can be diagnosed well by upper gi endoscopy. in addition, you need a ct scan of the abdomen to rule out gastrointestinal cancer, to see the status of the liver, pancreas and other organs of the abdomen. the treatment will solely be dependent upon the findings"
"If you are a doctor, please answer the medical questions based on the patient's description.","your problems could well be caused due to rapid gain in weight. the cause of such rapid weight gain needs to be evaluated. for weight gain to occur, the amount of energy taken in as food needs to be greater than the total amount of energy spent. so, needless to say that you need to cut down on the food intake. take high fiber diet. exercise regularly with regular morning walk. you may also opt for electrical muscle stimulation therapy that is available at many slimming centers. get your thyroid profile checked (if not done already) as hypothyroidism could also be a cause of rapid weight gain."
Answer this question truthfully,"The vision loss associated with giant cell arteritis (GCA) is caused by inflammation of the branches of the internal carotid artery (ICA), such as the posterior ciliary arterial branches of the ophthalmic artery.

Giant cell arteritis is a condition in which the medium and large arteries in the body become inflamed, leading to a range of symptoms such as headache, jaw pain, and vision loss. The inflammation can affect the blood vessels that supply the eyes, leading to ischemia (lack of blood flow) and damage to the optic nerve.

The posterior ciliary arterial branches of the ophthalmic artery are particularly vulnerable to inflammation in GCA, as they are small and have a high metabolic demand. When these branches become inflamed, blood flow to the optic nerve can be compromised, leading to vision loss.

Prompt diagnosis and treatment of GCA is critical to prevent permanent vision loss. Treatment typically involves high-dose corticosteroids to reduce inflammation and prevent further damage to the blood vessels. In some cases, additional immunosuppressive medications may be necessary to control the underlying inflammation."
Please summerize the given abstract to a title,"COVID-19 and Pregnancy: Risk, Symptoms, Diagnosis, and Treatment"
Answer this question truthfully,Symptomatic spinal epidural hematomas require urgent surgical decompression of the spinal canal and evacuation of the hematoma by laminectomy.
Answer this question truthfully,Spontaneous abortions are most commonly the result of fetal chromosomal abnormalities.
Answer this question truthfully,Increased LA pressure as a result of mitral stenosis may lead to pulmonary congestion with edema and alveolar hemorrhage.
Answer this question truthfully,"Neisseria gonorrhoeae is the species of Neisseria that is capable of fermenting glucose exclusively. This bacterium is responsible for the sexually transmitted infection gonorrhea, which can cause a range of symptoms including discharge, pain during urination, and pelvic pain. N. gonorrhoeae is typically treated with antibiotics such as ceftriaxone and azithromycin. Prevention measures include the use of barrier methods such as condoms during sexual activity, as well as regular testing for sexually transmitted infections."
Answer this question truthfully,"The standard treatment options for polycythemia vera are phlebotomy with or without hydroxyurea.

Polycythemia vera is a rare blood disorder that causes the body to produce too many red blood cells. The standard treatment options for polycythemia vera are phlebotomy with or without hydroxyurea. Phlebotomy is a procedure in which blood is removed from the body to reduce the number of red blood cells. Hydroxyurea is a medication that can also help reduce the number of red blood cells. It works by interfering with the production of DNA in the cells that produce red blood cells. In some cases, patients may receive both phlebotomy and hydroxyurea. The goal of treatment is to reduce the risk of complications, such as blood clots, and to improve quality of life. Patients with polycythemia vera should work closely with their healthcare provider to determine the best course of treatment."
Answer this question truthfully,"Clinical data has suggested that the development of brain tumor is related to several factors.
Radiation exposure Family history Immune system disorders Cell phone use: There has been a great deal of debate in recent years."
Please summerize the given abstract to a title,Shifting Perspectives in Polar Research: Global Lessons on the Barriers and Drivers for Securing Academic Careers in Natural Sciences
Please summerize the given abstract to a title,Communication and social capital in the control of avian influenza: lessons from behaviour change experiences in the Mekong Region.
Please summerize the given abstract to a title,Foot-and-mouth disease virus 3C protease: Recent structural and functional insights into an antiviral target
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you have history of cancer surgery.  but now your symptoms of tiredness and weight gain are due to hypothyroidism.  you should go for complete thyroid function test and take thyroxine treatment accordingly.  no need to worry about that. just be relaxed.  consult your doctor and start treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Evolution of virulence
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your children history and would like to know more details about abhimanyu such as - since when he has problems? does he have more of nose symptoms or more of chest symptoms or both? does he have any skin allergies like atomic dermatitis? does he have any food intolerance/allergy? from your given history, i would like to make following suggestions to your son"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. i thank you for posting your query here and i'm definitely going to help you out. i being a surgeon, we encounter so many such cases day in and day out. furthermore, i read your question completely and have understood it well enough. well, i will analyze all your points and provide necessary explanation. 1. unprotected sex and not on birth control. well this causes pregnancy only if there is proper ejaculation of entire semen into the vagina. this is not true in your case. so chill. 2. urination doesn't have any effect on pregnancy. forget it. 3. did not ejaculate you say. how sure are you? if you are 100% sure then even i'm 100% sure that your girlfriend will not be pregnant! 4. 5 seconds entry into vagina without ejaculation again suggests that there was no entry of sperm into vagina. and hence, no chance of pregnancy. 5. do not worry my dear friend, everything is normal, and she can not be pregnant by any slight chance. i'm 100% sure of this. hope this helps you, in case you need any further assistance, please let me know. take care and god bless you."
Please summerize the given abstract to a title,Kinetic Characterization and Inhibitor Screening for the Proteases Leading to Identification of Drugs against SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. as per the recent guidelines for malaria treatment, empirical treatments based on suspicion is not recommended. it is only reserved for the cases where diagnoses by blood examination is not possible. in your case, you have already sent blood for malaria testing. it should not take long to get the reports, so it would be wise to wait for the report and take definitive treatment based on the result. treatment will slightly differ for p. faliciperum and p.viva malaria. i would advise you to take medicines for fever and wait for the report followed by definitive management based on the report. hope this will be helpful. i would be happy to ad chatbot. thanks for using chatbot. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot ... noted you have bag negative and antibodies positive....here is no need for worry.... as you have form protective antibody to disease .... so you are in recovery..... maintain immunity with more fruits... green leafy vegetables... spinach, carrot, papaya like fruit juice good.... avoid alcohol.... for assurance as complete recovery repeat test for viral marker after six months... take care...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that she might have allergic bronchitis giving rise to this problem. for your this problem and having swollen ankle and legs requires evaluation. go for investigations like,1, chest x-ray,2, complete blood checking for allergy, infection or eosinophilic,3, cardiac check up. consult physician and get examined. ask her to do deep breathing exercise, breathing exercise with spirometer. avoid cold chatbot. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. to heal well wound must be clean with doing regular proper chatbot. take vitamin c containing food more which will fasten healing. antioxidents are helpful for healing. if you are taking steroid for any condition then stop it. overall healthy nutritional diet help healing fast. check about your diabetes condition .as in diabetes wound healing delayed. i hope i have solved your query
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this msg finds u in good health. i have gone through your complaints and understand your concern.  i wish u speedy recovery from your surgery.u seem to have strained some sort of soft tissues in shoulder region. i suggest u should get a x-ray done to find out what's wrong. take rest analgesics and anti-inflammatory tablets. physiotherapy nothing to worry about. hope your question has been answered. if u have any follow-up queries, feel free to consult me anytime.thanks take care god bless"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. from the given symptoms, the 66-year-old lady is showing typical paranoid schizophrenia symptoms, and therefore she needs psychiatric treatment. please convince her using any means. there must be someone whom she trusts. take their help. if you require more of my help in this aspect, please use this url. http"
could tetanus be a cause of death?,Tetanus is an infection of the nervous system with a type of bacteria that is potentially deadly
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your question. the receded gums and bleeding is because of the gum infection secondary to deposits. consult your dentist get your teeth cleaned. maintain oral hygiene, use mouth wash, brush twice daily. whatever damage has occurred till now, but further damage can be prevented. once in a year get your teeth cleaned. i hope my answer will help you. take care."
Please answer with one of the option in the bracket,"D: Large, myelinated fibers"
Please answer with one of the option in the bracket,C: Barium XR
Please answer with one of the option in the bracket,A: t(8;14)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot and i will help you with your query have gone through your question. you have pain in the leg and two lumps one over calf muscle and the other one in the thigh which is present there for years. i need to illicit some more in history and clinical examination. - are the lumps painful?- are they mobile or attached to muscles?- is there any pain in tibial bone and whether it increases with physical activity?anyhow, from available information the lumps appears to be lipoma, which ia a benign lesion, if small no intervention is needed. while the pain appears to be in tibia. if such a patient walks into my clinic without any history of trauma i give painkillers like diclofenac and calcium supplements. pain usually disappears is a week. if symptoms persists you need further evaluation like x-rays of leg. i hope my answer will help you, do rate it if you like it. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot .... you have smoking history positive and now left smoking that is good... but previous damage occurred by smoking esp. if fibrosis developed than it can't be reversible... your detail history of smoking duration and fever, chatbot. . investigate with chest x-ray and auscultation first.... if needed spirometry can be done to assess severity, if copd changes present... according to cause than further specific treatment can be guided your bruise at needle site could be thrombophlebitis, ice application and heparin gel useful consult pulmonologist for examination and further work up"
Please summerize the given abstract to a title,Sensitivity and identifiability analysis of COVID-19 pandemic models
Please summerize the given abstract to a title,Optimal Enteral Nutrition Support Preserved Muscle Mass in Critically Ill Children
Please summerize the given abstract to a title,Rapid and parallel adaptive mutations in spike S1 drive clade success in SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctorthanks for posting your query in chatbot. i understand your concerns. lanzol junior tablet is a proton pump inhibitor aimed at reducing the gastric acid secretion. it will help only if a bad acid reflux into the upper esophagus and the throat is precipitating the cough. as your son is having dysentery and not gastritis, it may not be the proper medication for your son. so, you need to consult your treating pediatrician for the change of medications for the above. usually a course of antibiotics containing ofloxacin and tinidazole will subside the symptoms. hope you are happy with the answer. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, he may be suffering from triple vessel disease along with that he may be having age-related aortic valve sclerosis. so maybe undergone valve replacement along with that bypass surgery.  so he may be travelled by doctors advice only. please consult your doctor he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, overactive parathyroid glands lead to formation of brown tumor in the bones. brown tumor are formed due to over activity of bone forming cells. brown tumor is a misnomer since it is not a tumor, and it is a manifestation of metabolic disturbance caused by hyperparathyroidism. a couple of investigations are required before diagnosis can be made and management can be done. an aspiration cytology of the swelling is required, and this investigation can differentiate between a bone tumor and brown tumor caused by hyperthyroidism. thereafter, blood tests for calcium and parathormone also need to be done to assess the function of parathyroid gland. in case these investigations suggest any abnormality of parathyroid gland, specialized scan for parathyroid will be required to assess whether there is enlargement of all parathyroid glands or enlargement of single parathyroid gland. you need to consult an orthopedic for these investigations and thus further work up. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user...to suggest remedy we must confirm diagnosis first....from your story we have to possibilities .first when the infection occurred caused lymphatic swelling as infection enhance blood and chemical factors that lead to that swelling .in this case you can use just ice packs on it and paracetamol, and it will be okay.....second purpose is that there is what is called cellulitis and in this case he will feel pain and tenderness when touching it .cellulitis is caused by bacterial infection, and he should take antibiotics such as amoxicillin we preferred injections to reach to inflamed tissue as oral antibiotics may not be effective ......simply no danger of that......hope that i helped you .wish you healthy life.thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. with the history of trauma, possibly the lump near your eyes is a hematoma (collection of blood) due to the hit. this might take at least three weeks for it to get absorbed by the tissues. if it does not, then you might have to consult a general surgeon to rule out any chances of a continuing accumulation of blood, or an organized hematoma, which might require some kind of intervention. the hematoma might reduce with aspiration and a pressure bandage for the present, but one can not rule out recurrent accumulation of blood in it. therefore, it would be better not to do any invasive procedure on it without any definite medical indication. i would rather suggest you to get it clinically examined by a general surgeon in your area for proper management. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you should first diagnose yourself for the lyme disease before you got treatment. you can get tested yourself with elisa, ifs or western blotting to confirm the diagnosis. if you are confirmed as having lyme disease you should take doxycycline 100 mg two times a day for 14 days to cure the disease. the causative agent bocelli burgdorferi a treponema bacterium is very sensitive to the chatbot. i will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
Answer this question truthfully,"The histological characteristic that is typically seen in the small intestine of individuals with celiac disease is flattening of villi. Celiac disease is an autoimmune disorder that is triggered by exposure to gluten, a protein found in wheat, barley, and rye. When individuals with celiac disease consume gluten, it triggers an immune response that damages the lining of the small intestine. This damage can be seen on a histological examination of the small intestine, which typically shows changes such as villous atrophy, increased intraepithelial lymphocytes, and flattening of villi. These changes can lead to malabsorption of nutrients and a variety of symptoms, such as abdominal pain, diarrhea, and weight loss. Treatment typically involves following a strict gluten-free diet to help alleviate the underlying cause of the damage to the small intestine."
"If you are a doctor, please answer the medical questions based on the patient's description.",good day!you have a stone lodged at the junction between the bladder and the ureter (tube where urine passes that connects the kidney to the bladder). depending on the size of the stone treatment options 1) conservative - wait for the stone to pass out on its own with adequate pain control 2) endoscopic treatment - put in a scope and remove the stone by basket or laser 3) esl - fragmentation by using shock waves (less invasive). like i said the treatment options would be determined depending on the stone size and availability of equipment and expertise in your area. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at
Please summerize the given abstract to a title,Preface: Globalisation and global logistics
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. this might be a bite indeed. it is really hard to tell not being able to see it. it is also possible that you have a callus or wart. both give pain while walking however it is hardly possible for both to appear suddenly. i suggest you to have it under observation. just wait and see if it will be getting larger and more painful or not. if yes, then consult a doctor. hope this will help. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Zenker diverticulum often presents with oropharyngeal dysphagia, obstruction, and halitosis (bad breath). Oropharyngeal dysphagia is difficulty swallowing food or liquids, which can lead to malnutrition and dehydration if left untreated. Obstruction refers to a blockage in the digestive tract, which can cause pain, discomfort, and difficulty passing stool. Halitosis, or bad breath, can be a social and psychological burden for individuals with Zenker diverticulum. These symptoms can significantly impact the health and quality of life of individuals with this condition and require appropriate medical management."
Answer this question truthfully,"In cases of pelvic trauma, the diagnostic steps involve: 1) performing a retrograde urethrogram if there is blood at the urethral meatus and a high-riding prostate, 2) performing a retrograde cystogram if the previous step is normal, 3) proceeding to ex-lap if the retrograde cystogram shows intraperitoneal extravasation, and 4) inserting a foley catheter if the retrograde cystogram shows extraperitoneal extravasation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, fever is persisting for 6 days, if i was your treating doctor i would have asked to do typhoon igm for typhoid, complete blood count and ns1 antigen test for dengue. i think your child should be started on treatment guidelines for typhoid but for this we need exact weight of child as antibiotics are effective in proper dosage only. secondly, do temperature charting that is record temperature every 8 hours and revert with records. hope this has helped you. if you have any more questions, i will be happy to help you. wish your child good health."
Please summerize the given abstract to a title,"Mink, SARS-CoV-2, and the Human-Animal Interface"
Please answer the letter of option truthfully,A
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"When lowering the cutoff point for a disease, the specificity and PPV will decrease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i understand that the knee is too weak now to take the weight of the rest of the bones below the knee. are you having any kind of pain? what is your age and are you having any signs of high blood pressure or diabetes?  kindly get it physically examined by an orthopedist and do an mri scan of the knee. the history sounds more of the full ligament tearing. taking immediate action will be good as if avoided later the knee internal structures which are of course soft tissue will get damaged and land into the early signs of osteoarthritis of knee and will demand knee replacement. the earlier, the better. take an mri and meet up and orthopedist at the earliest for the better outcome of the treatment. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thanks for writing to us. the results of the follicular study are not suggestive of ovulation. the follicles of at least 15-18mm size are needed for a successful ovulation. she needs a complete hormonal assessment to find out the cause of these ovulatory cycles. i hope this information has been both informative and helpful for you. you can consult me again directly through my profile url http
Answer this question truthfully,"After the first 10 to 12 weeks of development, the fetus' primary form of hemoglobin switches from embryonic hemoglobin to fetal hemoglobin. At birth, fetal hemoglobin comprises 50-95% of the child's hemoglobin. These levels decline after six months as adult hemoglobin synthesis is activated while fetal hemoglobin synthesis is deactivated. Soon after, adult hemoglobin (hemoglobin A in particular) takes over as the predominant form of hemoglobin in normal children."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Spontaneous Cerebrospinal Fluid Otorrhea from a Persistent Tympanomeningeal Fissure Presenting as Recurrent Serous Otitis Media.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned not worry. i pill was taken with in 1 hour. it is highly effective in preventing the pregnancy. it has 95-98% success rate to prevent the pregnancy. so it has just 0-5% failure rate. but i pill can cause disturbance in the menstrual cycle. menstrual cycle can come earlier, delayed by 1-2 week, or with excessive bleeding. if period will delay by the more than 2 weeks then go for urine pregnancy test and or blood chatbot test to confirm the pregnancy. if pregnancy will be detected then still it can be terminated by abortion pill under the supervision of the gynecologist. but i think you would not need all these as i pill was taken with in 1 hour of sex. avoid stress, take healthy diet, chatbot. hope this may help you best regards"
Answer this question truthfully,Decreased GFR and efferent constriction causes AKI in patients with bilateral renal artery stenosis taking ACE inhibitors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot and i will help you with your query i have gone through your question. there is a bump on left side of abdomen with previous history of hernia, and you are worried that it might be fallopian tube pregnancy, while her periods are regular.  the type of pregnancy you are talking about is called ectopic pregnancy; meaning pregnancy other than its normal position which is uterus. patient with ectopic pregnancy presents with severe pain and mostly with missed periods, but not with swellings. so it's not ectopic pregnancy.  to me, it appears to be hernia, most likely incisional if the swelling is in the previous scar. it may bulge on straining or coughing. you need to see a general surgeon, who after clinical examination will give you diagnosis and subsequent treatment. i hope my answer will help you, feel free to ask if you have any further queries. do rate my answer, if you like it. regards"
Answer this question truthfully,"Small bowel obstruction initially presents with hyperactive (high pitched ""tinkling"") bowel sounds due to abdominal peristalsis."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Professionals' understanding of their responsibilities in the collaboration with family caregivers of older persons with mental health problems in Norway.
Please summerize the given abstract to a title,COVID-19: review of case reports
Answer this question truthfully,"The recommended approach for managing a suspected theca luteum cyst in a pregnant woman with a complete molar pregnancy is suction curettage of the hydatidiform mole.

A theca luteum cyst is a type of ovarian cyst that can occur during pregnancy. In some cases, a theca luteum cyst may be associated with a complete molar pregnancy, which is a rare type of gestational trophoblastic disease. In cases where a pregnant woman has a suspected theca luteum cyst secondary to a complete molar pregnancy, the recommended approach is suction curettage of the hydatidiform mole. This procedure involves removing the abnormal tissue from the uterus using suction. This is important because a complete molar pregnancy can increase the risk of complications such as persistent gestational trophoblastic disease and choriocarcinoma. It is important for pregnant women with suspected theca luteum cysts to receive prompt and appropriate management to help ensure the best possible outcomes for both the mother and the fetus."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please understand, masturbation is normal and natural. masturbation cannot harm your health in any way directly. more over masturbation will not be the cause of your semen thickness. i suggest you to restart masturbation and read many articles about masturbation because you are anxious about the whole process and your knowledge is far too less. the color, volume, and thickness of semen may change due to so many factors. the standard mean ejaculate volume for testing is 3.7ml, and its considered normal even if its below 1.5ml. stress, anxiety, low water intake, outside temperature etc. can make your semen less watery. therefore, please stop worrying about this and concentrate on your education and career. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for your question at chatbot.2 months is quite early to comment on granulation tissue in mri after a disc surgery. i would recommend you to wait for another 1 to 2 months if the pain is manageable. any new pain in a different area after surgery needs further evaluation. whereas since you say you have pain in whole of spine and buttocks associated with the new associated pain i would suggest you to try physiotherapy, rehabilitation and back strengthening exercises over next 2 months. if you still have pain after that an mri then can guide as to source of pain. an mri within 3 months will show artifacts due to surgery you start having new onset numbness or tingling sensation with unmanageable pain that would need earlier intervention. hope this answers your question. all the best. with regards.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. platelet count reduction is very common in dengue fever. we can not stop it. just monitor the platelet count and if he has any sign of bleeding then consult your doctor urgently. his platelet count will increase automatically once the viral fever goes away. don't worry. just be relaxed. it will take 6 to 8 days to cure. take plenty of fluid orally or by intravenous route. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, toothache indicates infection of the tooth that had spread to the pupal tissue, such type of infected tooth need to be treated with root canal treatment to save it permanently. i would suggest you to visit the dentist and get an x-ray done, you have to go for root canal treatment of the tooth. as you cannot see the dentist right now i would suggest you to start with tab amoxiclav and tab diclofenac tds for 3-5 days. take antiseptic mouthwash rinses and maintain a good oral hygiene. hope this helps out. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. masturbation twice or thrice is a good and healthy practice. it does not have any negative health effects on you. your size of penis has nothing to do with the habit of masturbation. i do not know the size of your penis. but i can assure you, even a two-inch erect penis can satisfy any woman across the world because vaginal pleasure points are present only up to the first two inches. therefore, please don't worry about your penis size and become obsessed and anxious. if you do so, you may have to take treatment for anxiety related sexual disorders. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,Glycolysis occurs in the cytoplasm of the cell.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion you may need x-ray, ct and mri on your spine to exclude cervical disc herniation which may show same persisting pain symptoms.  for patients with severe disc herniation if medical treatments fail a minor endoscopic intervention or even spinal surgeries may be suggested by your neurologist if needed. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have painful bump on upper gum this can be due inflammation of gum due to deposition of plaque and calculus in sublingual areas of gums. there might be formation of periodontal abscess in gum causing swelling. for this i will suggest you to consult oral surgeon for examination of gums and in meantime do warm saline rinses, and you can apply ointment like gum paint on gums. hope this will help you."
Please summerize the given abstract to a title,"Behavioral Changes, Adaptation, and Supports among Indonesian Female Sex Workers Facing Dual Risk of COVID-19 and HIV in a Pandemic"
Please summerize the given abstract to a title,US Trends in COVID-19–Associated Hospitalization and Mortality Rates Before and After Reopening Economies
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Long-term orientation and demographics predict the willingness to quarantine: A cross-national survey in the first round of COVID-19 lockdown
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. coughing at nighttime with greenish mucus expectoration is commonly seen in bronchitis. so we should first rule out this. so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out other lung diseases like lung infection. pft is must for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). hope i have solved your query. wish you good health. thanks.
Please summerize the given abstract to a title,Neuroendocrine liver metastases: a contemporary review of treatment strategies.
Please answer the letter of option truthfully,B
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
how do i prevent myself from having dementia,"Most types of dementia can't be cured, but there are ways to manage your symptoms. The following are used to temporarily improve dementia symptoms. - Cholinesterase inhibitors. These medications - including donepezil (Aricept), rivastigmine (Exelon) and galantamine (Razadyne) - work by boosting levels of a chemical messenger involved in memory and judgment. Although primarily used to treat Alzheimer's disease, these medications might also be prescribed for other dementias, including vascular dementia, Parkinson's disease dementia and Lewy body dementia. - Memantine. Memantine (Namenda) works by regulating the activity of glutamate, another chemical messenger involved in brain functions, such as learning and memory. In some cases, memantine is prescribed with a cholinesterase inhibitor. Several dementia symptoms and behavior problems might be treated initially using nondrug approaches, such as: - Occupational therapy. An occupational therapist can show you how to make your home safer and teach coping behaviors. The purpose is to prevent accidents, such as falls; manage behavior; and prepare you for the dementia progression. - Modifying the environment. Reducing clutter and noise can make it easier for someone with dementia to focus and function. You might need to hide objects that can threaten safety, such as knives and car keys. Monitoring systems can alert you if the person with dementia wanders. - Modifying tasks. Break tasks into easier steps and focus on success, not failure. Structure and routine also help reduce confusion in people with dementia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, rib cage pain is common after running or jogging, especially in those who started these after long time. causes are multiple ranging from inadequate lung capacity to movement of organs. all you need to do is to go slow, start running for 10 min and then gradually increase it over a period of months and years and not over weeks or days. take care. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"About 40 genes are currently included in genetic testing; however, mutations in > 60 other genes have been linked to FCD, but are yet to be included."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query. in my opinion, you have to get the ct-skull / brain tissue, to rule out any sol-lesions-after last concussion in september. blood setting on bending more-is a serious complaint needs thorough investigation besides chest x-ray, which mostly would come normal. alert-fast investigation and treatment is advised as its with blood spitting and dizziness/blackouts by consultation-with surgeon / neurosurgeon/ chest-physician, which would fix the problem you have.tanks. hope you got the lead for treating your issue. wellcome again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. it all depends on the reason of jaundice. your jaundice can be caused by many reasons including bile ducts obstruction, liver viral infection, blood hemolysis, gilbert's syn chatbot.  so it is hard to answer how long you can have it not knowing the reason of it. you should have proper diagnostics to determine the reason of it. you should have abdominal ultrasound, liver tests (ast, alt,gtp, ap), amylase, lipase, direct and indirect bilirubin, bag, antioch, urinalysis. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... treatment of autism is more of psychological training than chatbot.  i suggest you get your son evaluated by pediatric clinical psychologist. after the assessment your son needs to be given psychological training and support. training will be directed even to the parents in the aspect of how to behave and improve your sons condition. he might also require hearing evaluation and speech therapy too. regards -
what does kidney disease look like,Polycystic kidney disease symptoms can include: - High blood pressure - Back or side pain - Headache - A feeling of fullness in your abdomen - Increased size of your abdomen due to enlarged kidneys - Blood in your urine - Kidney stones - Kidney failure - Urinary tract or kidney infections It's not uncommon for people to have polycystic kidney disease for years without knowing it.
Please summerize the given abstract to a title,Preparedness and Lessons Learned from the Novel Coronavirus Disease
Answer this question truthfully,"Stroke is the emergence condition of brain. There are two types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs when the arteries to your brain are narrowed or blocked, causing severely reduced blood flow. While hemorrhagic stroke occurs when a blood vessel in your brain leaks or ruptures. About 80 percent of strokes are ischemic strokes. Clinical studies show that the common risk factors of stroke are hypertension, diabetes, obesity and smoking. According to The U.S. National Institute of Neurological Disorders and Stroke (NINDS), five major signs of stroke are five “sudden”: sudden numbness or weakness of the face, arm, or leg (especially on one side of the body), sudden confusion, trouble speaking or understanding speech, sudden trouble seeing in one or both eyes， sudden trouble walking, dizziness, loss of balance or coordination, sudden severe headache with no known cause. Nervous system physical examination and head images may help diagnose. Treatment of ischemic stroke includes anti-platelet drugs, anticoagulants, and carotid endarterectomy. For patients with hemorrhagic stroke, surgery may be recommended to treat these disorders or prevent another one. Rehabilitation is needed for patients to recover the functions lost. The prognosis of stroke depends on the location and area the brain damage, the time from onset to emergence department, the complications and the treatment effect of the rehabilitation. Measurements such as keep a healthy lifestyle, control hypertension and diabetes may decrease your risk of stroke."
Please answer with one of the option in the bracket,B: Decreased FEV1: FVC and increased total lung capacity
Answer this question truthfully,The typical prognosis for newborns with Erb-Duchenne or Klumpke palsy secondary to shoulder dystocia is spontaneous resolution within 3 months in about 80% of cases.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"A Survey on Mathematical, Machine Learning and Deep Learning Models for COVID-19 Transmission and Diagnosis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ram welcome to chatbot. your girlfriend probably has an ulcer disease. the treatment plan would be a combined antacid(ppi s) and antibiotic to eradicate h.pylori, a biopsy of ulcer would be taken while gastrostomy is done. if this treatment cannot relieve the symptoms there are surgical option available. her doctor must have decided on surgery. please get back to us with more information on what she is planning for, and we can help you better. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should not worry much for pulmonary tuberculosis. as it will not cause back pain. rare possibility of spread of tuberculosis in spine. and this can cause back pain. but chances of these are very, very rare. there are other causes too, for back pain. like osteoporosis, spondylitis etc. so better to get done x-ray of spine. and consult orthopedic surgeon. but no need to worry about pulmonary tuberculosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, timodine cream is effective to cure nappy rash. nappy raschatdoctormonly goes away in 2-3 days. apply timeline cream(do not use too much cream, little is enough) on the affected part after gently cleaning & chatbot.  do not apply timeline cream for more than seven days. if it takes more time to heal, get the baby clinically examined. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post suggest that you might be having allergic tracheo-bronchitis. examination of the throat using a laryngoscope and x-ray of the chest will be helpful in clinching the diagnosis. management includes"
"If you are a doctor, please answer the medical questions based on the patient's description.","your description of the condition points to a diagnosis of gastric malignancy or severe peptic ulcer disease or its complication, though it's not confirmatory unless test results comes. if i was your treating physician/surgeon i would suggest you to hepper g i endoscopyfecal occult blood test usg abdomen other routine investigations. instead of visiting er i would suggest you to visit a gastroenterologist on a old basis which can solve your issue. hope you find my information useful. any further questions are appreciated. thanking you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. i can understand your concerns. it is not a vein but an artery, more specifically, the superficial temporal artery which pulsates. it is a branch of the external carotid artery. furthermore, it occurs in anxiety disorders. pulses can be abnormally strong when the patient has an elevated pulse pressure.  this would result in a strong, bounding pulse that could also be asymmetric due to anatomic variation. bounding pulse -commonly seen in hyperkinetic circulatory states where there is vasodilation and increased stroke output. the pulse volume is high (due to high pulse pressure) with increased blood flow. hyperkinetic circulatory states may due to excitement/anxiety. other causes of hyperkinetic circulatory states giving rise to bounding pulse are hyperthyroidism, severe anemia, beri berg (thiamine deficiency), arterio-venous fistula (e.g. pages disease or hepatic failure). the most rapidly rising bounding pulse is found in ar(aortic regurgitation), pda(patent ducts arterioles), coaptation of aorta. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have esophageal cancer with metastasis in to a chatbot.  so it is stage 4 tumor.  surgery is not possible in this case.  prognosis is very poor despite treatment.  life expectancy is very short.  to increase life expectancy chemotherapy and radiotherapy is helpful but despite this treatment life expectancy is not very good. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. varicella booster or shingles is a viral infection caused by human herpes virus iii. the lesions can present in any part of the body and distributed along the affected nerve dermatome. the virus remains as dormant in the nerve endings for very long period, when ever the body immunity comes down it will flare up produces the rash on the particular nerve distribution. this is a self limiting disease, and it will reduce by itself. i would suggest you to apply cold packs on the lesion which will reduces the hives and pain, you can apply antiviral and steroid cream on the lesion. oral antiviral chatbot. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,B: Sertoli-Leydig cell tumour
Answer this question truthfully,Stomatitis is the inflammation of the mucosal surfaces in the mouth. Various factors can contribute to the pathogenesis of stomatitis depending on the type of stomatitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.hope you are doing well. nicotine patches applied for cigarette de addiction has a side effect of increasing the bp a little. but taken everything in all, the smoking is much more dangerous than that little bp rise. if u had a heart attack then u must consult a cardiologist and be treated for that. but restarting smoking is not the solution as it will be more harmful to you. if bp is little high, then take antihypertensive for that after consultation with your physician"
Answer this question truthfully,"Call your health care provider, go to the emergency room, or call the local emergency number (such as 911) if you have:
Chest pain Chills Fever Shortness of breath Wheezing"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no, this pain has nothing to do with the hpv infection. the reason for such a vague pain are so many, and it requires proper examination to diagnose it. i suggest you to do usg abdomen that can help you diagnose the condition. once the diagnosis is confirmed we can decide the path of action. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Please summerize the given abstract to a title,"How effective is a blended web-based rehabilitation for improving pain, physical activity, and knee function of patients with knee osteoarthritis? Study protocol for a randomized control trial"
Answer this question truthfully,The recommended management for a patient with a positive PPD and negative X-ray is INH for 9 months.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history. as the history suggest that due to the fall in the past there will be some bony pathology which subsided in the past and also have a way for the soft tissues like the intervertebral disc to land into pathology which is one of the commonest reason i find in my clinical practice. having a thorough clinical examination and mri of lumbar spine will help further study of the lumbar and sacral spine along with the soft tissues. treatment of choice will be simple medication for pain relief and physical therapy like therapeutic ultrasound therapy and tens therapy. exercises will be recommended to improve the muscle strength and stabilize the spine. regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the wound or hole left out following extraction will get closed in 10-15days time by formation of granulation tissue from below, and later it calcifies to become callus that is soft bone in a period of 3-6months. the white portion over the hole may a pseudomembrane or food debris, nothing to worry. do saline gargling and maintain oral hygiene. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking chatdoctori think by now you know what is ischemic cardiac myopathy...its hardening of arteries.due to plagues...which accumulated due to excess consumption of fat. if we got to treat you...1. you should change your lifestyle avoid alcohol strictly no even a 10 ml of wine in case if you take .2. chatbot. 3 avoid caffeine less fat food and coming through treatment process seeing you ejection fraction and age consideration we can't perform surgery. after 3 to 4 weeks of observation in your health you may need a pacemaker to control your heart rate. and also myopathy leads to hearts failure to control you need metoprolol
Answer this question truthfully,"The primary diagnostic test for inflammatory bowel disease is colonoscopy. This involves inserting a flexible tube with a camera into the rectum and colon to examine the lining of the intestine for signs of inflammation or damage. During the procedure, the doctor may also take tissue samples, or biopsies, to examine under a microscope for further analysis. Other tests that may be used to help diagnose inflammatory bowel disease include blood tests, stool tests, and imaging studies such as CT scans or MRI. However, colonoscopy remains the gold standard for diagnosis and is the most accurate way to evaluate the extent and severity of the disease."
Please summerize the given abstract to a title,Clinical features of neurological patients with coronavirus 2019: an observational study of one centre
Please summerize the given abstract to a title,Adverse childhood experience and adult persistent pain and disability: protocol for a systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... henoch schooling purpura is not a virus, and it is an autoimmune disease. rarely it can affect the kidneys too. there are several treatment options and one of which is steroids, and it should be used only when the kidneys are getting affected. i am glad that the doctors there have started steroids after renal involvement. achy joints are usual in the natural course of this disease. i am glad that you are in right direction and safe hands. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... by what you quote i feel that this could be a viral infection associated cough and cold. as far as kids are concerned 95% of the time cough and cold or viral in origin. viral infections are not an indication for antibiotic. i do not suggest giving antibiotics at this stage. i would consider antibiotic if fever is there for more than 7 days or if the child has got definitive evidence for streptococcal sore throat. even then i will do a blood culture and then only start an antibiotic. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it contains female hormone similar to progesterone. you should always know that microbes is recommended for use in pregnancy only if the need is clinically established. in your case, it has been given for maintenance of early pregnancy under specific circumstances. as it has been prescribed to you for the maintenance of early pregnancy, it is recommended to take this tablet regularly as advised. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Regular nicardipine capsules may be taken with or without food. The extended-release capsules should be taken with food, but avoid high-fat foods or high-fat meals.
Avoid drinking grapefruit juice or eating grapefruit 1 hour before or for 2 hours after taking nicardipine.
Talk to your doctor before using salt substitutes containing potassium. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully."
Answer this question truthfully,"Osteoid osteoma is a benign tumor composed of osteoblasts, which make osteoid. The tumor is surrounded by a rim of reactive bone."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you have numbness and tingling along with pain on touch this could be related to the nerve pinch. as this is most of the time ignored and later stages comes with high impact. taking an mri of lumbar spine should provide us possible understanding by which proper exercises will be implemented to safeguard on the initial stages. also, you are a construction employee such spine injuries can be expected. you may have not directly impacted the spine but the stress and strain on the miscall system will lead later to other factors like numbness and tingling sensation will recommend you to undergo physical therapy as it will help you from the initial stages and avoid future injuries if the spine. being your profession demands high physical exertion making the stability of the spine in the initial stages is very important. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi linda and welcome to chatbot. i am sorry about your condition and want to encourage you for future. this is serious, but i am sure you will get used to this new situation. many people are afraid of colostomy, ureteroscopes etc. but they soon realize that there is no some big deal and problem about it. there will be a bag which can be easily and attached and removed form your stoma hole, and you should change it once in 2 days depending on size.it is usually not seen underneath the clothes. everything else is the same as before. you just won't need to go to bathroom. i am sure you'll adapt very soon. wish you good luck and good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, multiple lumps in neck could be due to infection, inflammation or neoplasm. a history of tiredness can be seen in chronic inflammation like tuberculosis and neoplasms. a history of pain suggests an infectious pathology. you need to get some investigations done. an aspiration cytology of these multiple lymph nodes is required. in this investigation, cells are aspirated from the lymph nodes, spread on glass slide, stained with appropriate stain. these cells are examined microscopically know the origin and nature of the lesion. along with aspiration of the lymph nodes or swellings, peripheral blood smear also needs to be done. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot.... first post ejaculation after sex urine examined. if shows sperm in urine problem is retrograde ejaculation....... if sperm not seen in urinary seminal vesicle abnormality and ejaculatory duct obstruction ruled out by transrectal ultrasonography..... also rule out cystitis like infection by urine examination and usg.... according to cause treatment guided. if pus cell present after ejaculate urine then antibiotic needed. there might be chance of obstruction of ejaculatory duct after infection with chlamydia or gonorrhea or tb.... so consult surgeon or physician for health check up and accordingly investigation... take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallstones with intake of medications. in early stages of gallstone formation, it is possible for the sludge or smaller stones to dissolve with the medication intake. but if it's already big and is numerous, the chance for it to dissolve is less, causing the symptoms to ensue despite medication intake. if the symptoms are bothersome, persistent, or increasing in frequency of occurrence, it is best to consult with a doctor with urgency, preferably a general surgeon, for physical examination and clinical evaluation. diagnostics (such as repeat ultrasound, blood count, liver function tests, etc.) and management (medical and surgical) will be directed accordingly. cholecystectomy (surgical removal of the gallbladder) is the definitive treatment, which could be done laparoscopically (gold standard) or through open technique. low fat diet is also recommended. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... if patient is having giddiness associated with vomiting. the source of the problem could be either peripheral(inner ear) or central(brain) in your case doctors have taken mri of brain to rule out clots. since your mri showed clots in brain they have started citron which is a blood thinner.  secondly they have started vermin which is a commonly used antihistamine for giddiness due to any pathology in inner ear such as bppv.  it will be advisable to continue citron and have regular followup with your neurologist since you have clots in brain, and you should consult a ent specialist to rule out ear pathology."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. she is in severe pain, so she may have fracture which can be excluded by x-ray of chest. she can be started with fentanyl patch to relieve pain. vitamin b and c help in recovery. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
Answer this question truthfully,"Large posterior fibroids, which are non-cancerous growths that develop in the uterus, can potentially cause a number of complications depending on their size and location. One potential complication of large posterior fibroids is obstructive constipation, which can occur if the fibroid presses against the rectum or colon and makes it difficult to pass stool. Other potential complications of large fibroids include heavy menstrual bleeding, pelvic pain or pressure, urinary frequency or urgency, and infertility. If you suspect that you may have fibroids or are experiencing any symptoms that could be related to fibroids, it is important to talk to a healthcare provider for further evaluation and management."
"If you are a doctor, please answer the medical questions based on the patient's description.","reclothe patient is 3 years old having eosinophilic. the normal count of eosinophils in body is 2-5 % while more than 8 % is suggestive of eosinophilic and the chatbot.  increase up to 6 mg / kg body weight. you can also add steroid, if not treated with above medicine. as far as concerned about acute disseminated encephalomyelitis, i recommend you consult a \""neurologist\"" and get his opinion because this is a disease covered by a super specialist or neurologist. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. your swelling around the ankle is due to reduced muscle activity of the calf muscles. if i am your treating doctor i suggest you tower a cr\u00eape bandage around the ankle. do a lot of icing to reduce swelling... keep your leg elevated and move your leg up and down... take an ice bottle roll it under your calf muscle.and over the outer side of your leg.once swelling comes down then suggest you to do ankle strengthening exercises.like calf raises . pushing a sand bag away by the foot...pushing the sand bag towards the other leg... glute stability exercises. bridging.clamshell.side leg lifts...also balance exercise like standing on single leg.perform toe touch from standing position in single leg . hope this information is helpful... kindly revert in case if you need further clarification...
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
Answer this question truthfully,"Isoniazid may also cause altered mental status and seizures (CNS toxicity). While isoniazid is generally a safe and effective medication for the treatment of tuberculosis, it can sometimes cause adverse effects, particularly in the central nervous system. CNS toxicity is a potential side effect of isoniazid, which can manifest as altered mental status, confusion, and seizures. These symptoms can be particularly dangerous in patients who already have underlying neurological conditions or who are taking other medications that can affect the CNS. Therefore, patients who are taking isoniazid should be monitored closely for any signs of CNS toxicity and treated promptly if these symptoms occur."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi carol, thanks for your question. the scoliosis y have now is not necessarily the same as what u had when u where young. treatment also differs for both. as a spine surgeon my main concern in a scoliosis of young is the cosmetic deformity associated and the risk of the curvature increasing in time. wheras in scoliosis presentation at your age my main concern in managing you is the relief in the amount of pain you have and whether u can manage to have a good quality of life with it. if you are not able to manage yourselves and the pain is not in control, it needs further action which might include surgery. but if your doing fine continue the same. also, if your assessment warrants surgery, it would be that easier to do it now, than later since you will get more frail with age. rest be assured that modern spine surgery techniques are safe and effective provided done in right indications.  hope this helps. all the best. with regards. chatbot."
Answer this question truthfully,"Patients with pneumothorax and emphysema typically exhibit decreased breath sounds and decreased tactile fremitus on the affected side of the chest. In addition, percussion of the chest may reveal hyperresonance, which is a lower-pitched, booming sound that indicates an increase in the volume of air in the lung or pleural space. These findings are consistent with the pathophysiology of both pneumothorax and emphysema, which involve a disruption in the normal exchange of air between the lungs and the environment. However, it is important to note that these findings are not specific to these conditions and can also be seen in other respiratory disorders, so a thorough clinical evaluation and diagnostic testing are necessary to confirm the diagnosis."
Answer this question truthfully,"A surgeon made a small incision (cut) in your chest wall and implanted an implantable cardioverter-defibrillator (ICD) under your skin and muscle. The ICD is the size of a large cookie. Leads, or electrodes, were placed in your heart and were connected to your ICD. The ICD can quickly detect life-threatening arrhythmias (abnormal heartbeats). It is designed to convert any abnormal heart rhythm back to normal by sending an electrical shock to your heart. This action is called defibrillation. This device can also work as a pacemaker."
"If you are a doctor, please answer the medical questions based on the patient's description.","i am sorry, but this pregnancy is very unlikely to be viable.  at chatbot level of 27000 a fetal pole with active heart beat should be seen.  with 2 weeks of passage of time, one would also expect normal progression of structures seen on ultrasound, from sac and yolk sac at 6 weeks to sac with fetal pole and heartbeat at 8 weeks.  generally a repeat ultrasound is ordered to assure parents that the diagnosis is correct, only because it is emotionally so difficult.  good luck."
Please summerize the given abstract to a title,Impact of COVID-19 on the Stock Market by Industrial Sector in Chile: An Adverse Overreaction
Answer this question truthfully,"The posterior inferior cerebellar artery (PICA) is associated with lesions that affect the nucleus ambiguus. The nucleus ambiguus is a group of nerve cells in the medulla oblongata that controls the muscles of the pharynx and larynx, which are involved in swallowing, speaking, and breathing. Lesions in this area can lead to a range of symptoms, including difficulty swallowing, hoarseness, and shortness of breath. The PICA is one of the main arteries that supplies blood to the medulla oblongata, and damage to this artery can result in a variety of neurological symptoms, including those associated with the nucleus ambiguus. Treatment for lesions in this area may include medications, speech therapy, or surgery, depending on the underlying cause and severity of the symptoms."
Answer this question truthfully,Ventricular fibrillation is a medical emergency and must be treated immediately to save a person's life.
Please summerize the given abstract to a title,An international characterisation of patients hospitalised with COVID-19 and a comparison with those previously hospitalised with influenza
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot and i will help you with your problem have gone through your question. needs answer to some questions to reach diagnosis- a swelling is single or there is group of swellings?- any history of fever, night sweats or weight loss?- any history of throat infection?- skin changes over the lump?anyhow, with available information it appears to be lymph node enlargement of post auricular group. it chatbot.  if it does not respond to antibiotics it might be some other pathology. you need to see a general surgeon, who might carry out biopsy of the lump and send it to histopathology to get a definitive diagnosis. i hope my answer will help you. do rate it if you like it. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have visited many doctors and everyone said, the semen leakage is not a disease. that is true. semen leaks or seeps when you strain your bladder. it is natural that semen discharges after urination. you cannot stop it. even you cannot stop night fall. therefore, i suggest consulting a psychologist for sex counseling. take care. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"Within the spinal cord, gray matter is located centrally while white matter is located along the peripheral aspect. Gray matter contains the cell bodies, dendrites, and axon terminals of neurons, as well as glial cells and other supporting cells. It is responsible for processing and integrating sensory and motor information, as well as controlling autonomic functions. White matter, on the other hand, consists of myelinated axons that transmit signals between different regions of the nervous system. The myelin sheath surrounding these axons gives white matter its characteristic color and helps to speed up the transmission of signals. Together, gray and white matter work in concert to enable the complex functions of the nervous system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, ecosprin av 75 contains aspirin 75 mg and atorvastatin 10 mg. i noticed that you are having dyslipidemia as your cholesterol 217. indication of aspirin mainly secondary prevention of cardiovascular risk (means you had angina, coronary artery disease, minor stroke). three is a limited role for primary prevention (for those who had risk factors for cvd such as smoking, dyslipidemia, diabetes, hypertension, etc.).if you have started for secondary prevention then you should continue taking aspirin and statin. for primary prevention, you can reassess your risk factors and then decide whether to take aspirin. the side effect of low dose aspirin is very few. peptic ulcer gastritis is one of them. to avoid that you can take aspirin after a meal. you make consider taking ppi such as pantoprazole 40 mg once a day if you have symptoms. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Is continuous positive airway pressure (CPAP) effective in the management of COVID-19 in patients aged 75 and over? A retrospective observational study of a respiratory COVID-19 CPAP unit through its second wave
"If you are a doctor, please answer the medical questions based on the patient's description.","peripheral neuropathy you're suffering from is due to which problem. do u have diabetes?along with b complex tabs, i suggest you also to have tabbed prothioden 0ne tab twice daily northeast once before going to bed.you're saying that u have pain in right lower limb. is it associated with back pain? is there any history of fall/trauma? u may be having lumbar disc disease. kindly consult a near by neurosurgeon for your problem"
Please summerize the given abstract to a title,Algorithm for Individual Prediction of COVID-19–Related Hospitalization Based on Symptoms: Development and Implementation Study
"If you are a doctor, please answer the medical questions based on the patient's description.","her symptoms of fever, joint pains and esr >110 suggests rheumatic disorders. i would like to know if she has visual complaints.also i would examine for temporal artery tenderness.if these findings are positive she is likely to have giant cell arthritis for which she should be started on corticosteroids and temporal artery biopsy needs to be done. another closely associated disease is polymyalgia rheumatic if she is complaining of stiffness of muscles.her detailed clinical examination will make things clear with investigations of complete blood count, ra factor and ana.last differential diagnosis of tuberculosis also to be kept at the back of mindthanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","lomela cream contains a mid potent steroid mometasone, hy chatbot.  it should be prescribed by a dermatologist who knows which condition to start it for and when to stop. we do not recommend it daily for more than a month following which we taper it and stop and add on a non-steroidal lightening cream. moreover, it is used in commentary disorders like plasma and not for improving skin tone. long term use can cause steroid induced rosacea, acne, thinning of skin, redness and increased sensitivity to sunlight. use a sunscreen with spf 30 or more every 2-3 hrs during the day even if you are indoors. avoid sun exposure as much as possible. apply non-steroidal lightening cream containing comic acid at night. hope this helped take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello normal fertility is associated with sperm counts >48 million/ml (while normal semen volume is 3-6 ml), but anyhow, this count is normal in your case. for normal fertility motility should be > 63 &, while in your case it is only 20 % (that too slightly) . after chatbot & fsh injections your sperm counts increases, but motility is too low. with this motility it is very difficult to conceive. in my opinion consult another infertility specialist and get his 2nd opinion. else, you can change your treating doctors treatment. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. this lump along with calf pain can be a symptom of veins thrombosis. especially if it is hard and painful when touching it. leg can be painful when walking and calf can be hard. please do not ignore it. veins thrombosis needs to be ruled out. please consult your doctor, have drivers checked and doppler's ultrasound done in case of elevated drivers. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","reclothe swelling you describe could be isolated bursitis. bursae are pouches around knee both in back of knee in popliteal region and under collateral ligaments on sides of knee, occasionally a sub-patellar bursa may be communicating inner knee joint, but shin swelling or bursa is unlikely to communicate to inner joint where you got the shot, so no chance for seepage down to upper shin. you may get checked up by the treating orthopedic surgeon who may diagnose by examination or backed by mri or aspiration of swelling. it is all curate by aspiration or excision as need be. arthritis symptoms may abate after 3 injections and remission of pain may occur for 6 months or even longer. best wishes"
Please summerize the given abstract to a title,Genomic characterization of SARS-CoV-2 in Egypt
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...nothing to worry about. seem like he has caught a viral pharyngitis. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine/ promethazine and for nose block, saline nasal decongestants will do. for fever - paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
Please summerize the given abstract to a title,Identifying predictors of digital competence of educators and their impact on online guidance
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he may have enlarged lymph node. it can be due to reactive hyperplasia, tuberculosis or lymphoma. most commonly it is due to reactive lymph node. he should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then he should take treatment accordingly hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are saying to discontinued taking less 2 months ago, and you are only 2 and half weeks late. as you had spotting in that time (due date), then, it could be period. it is common to have irregular periods after stopping less or other contraceptive pills. to my opinion, this is exactly what is happening to you"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the loose bowels and stomach upset could be because of the antibiotics what you have taken after tooth extraction. nothing to worry once you stop the medicines it will come down. for the loose motion you can take operative capsule once in a day. if the symptoms does not subside then consult a general physician. consume a lot of liquid. do not eat spicy food. i hope my answer will help you. take care."
Answer this question truthfully,Observational studies that compare a group of people with disease to a group without disease are called case-control studies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i think blood group is not a major issue in getting pregnant.  you have been operated for fibroid, but you have not mentioned regarding your tubal conditions and ovaries. also, you told the sperm count for your husband is low bit i would like to know regarding the exact count. if it's more than 15 million it is fine. if everything is fine for you, you can try with medicines for ovulation and gui for 3 cycles. if it doesn't work then you can go for ivf."
Answer this question truthfully,"PSA, or prostate-specific antigen, is a protein produced by the prostate gland. Elevated levels of PSA in the blood can be a sign of prostate cancer, but they can also be caused by other conditions such as benign prostatic hyperplasia (BPH) and prostatitis, or inflammation of the prostate gland. Because of this, there is a question of the risk/benefit of PSA screening for prostate cancer. On one hand, screening can help to detect prostate cancer early, when it is more treatable. On the other hand, PSA screening can lead to overdiagnosis and overtreatment of prostate cancer, as well as unnecessary anxiety and side effects from biopsies and treatment. Therefore, the decision to undergo PSA screening should be based on a careful consideration of individual risk factors and preferences, and should involve a discussion with a healthcare provider."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, as you are suffering from depression since last 8 years, and also you are on treatment, so you are known that in depression there are chances of anxiety features in between you feel like body suddenly get cold and sleepy and anxiety due to that. so not to worry it may be due to any upcoming anxiety, or it may be due to some underlying thoughts. consult your treating psychiatrist and ask about succhatdoctorplain. and if needed change medication. not to worry much. thank you"
Please summerize the given abstract to a title,Augmented Humanity: A Systematic Mapping Review
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. there are two issues here-1. whether we should do surgery for meningioma?2. the appropriate dose of dilation. meningioma can only be treated by surgery. there are no medicines to make it disappear. so, if the tumor is large or is in a critical part of brain, or it is growing in size, we should do the surgery for meningioma. the correct dose of dilation (phenytoin) is 5 mg per kg body weight. so, if your weight is about 60 kg, then, you should be on 300 mg per day-either 100 mg three times daily, or 200 mg pm and 100 mg am. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in lumber spondylitis, i will suggest you to apply hot pack twice a day and along with use lumber corset belt when you are travelling. avoid long journey, travel light, don't lift heavy weight, sleep on hard bed and try to sleep straight. do back strengthening exercises like back isometrics, exercises like cat and camel one can help you to regain the curve. have diet rich in calcium and proteins, and they are helpful for bones and muscle development. avoid fatty food. hope you find the answer useful. let me know if i can assist you further."
Please summerize the given abstract to a title,Artificial intelligence enabled preliminary diagnosis for COVID-19 from voice cues and questionnaires
Please answer the letter of option truthfully,C
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of nerve root there is pain in your thigh and knee. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hihope this msg finds u in good health. i have gone through your complaints and understand your concern. u seem to have strained your soft tissues in calf that cause indentation in the muscle tissue when actively moved. this is temporary and will heal up eventually. u can massage the muscle gently hope your question has been answered. if you have any follow-up queries, feel free to consult me anytime. thanks take care god bless"
Please summerize the given abstract to a title,Subset Node Representation Learning over Large Dynamic Graphs
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms seem to be related to a metabolic cause (chronic anemia, vitamin deficiency, electrolyte imbalance, thyroid gland dysfunction, diabetes, etc.). coming to this point, i would recommend consulting with your gp for a physical exam and some blood lab tests (complete blood count for anemia, thyroid hormone levels, blood electrolytes, liver and renal function tests, fasting glucose, inflammation tests). in the meantime, it is necessary to monitor your blood pressure frequently during the day to exclude low blood pressure as a possible cause of your troubles. hope you will find this answer helpful! wishing all the best,"
Answer this question truthfully,"Medulloblastoma (a type of PNET), ependymoma, GBM (glioblastoma multiforme), and oligodendroglioma are known to become multifocal through seeding."
Please summerize the given abstract to a title,Psychiatric co morbidity in patients being treated for COVID-19: A cross-sectional study in India
Please answer with one of the option in the bracket,D: Circumcision
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, welcome, and thanks for sharing your concern i went through your query, and i feel, your problems are more psychological than physical. take adequate sleepmeditate regularlyexercise regularly and keep your self engaged. you can take help of a psychiatrist if you feel soi hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The LDL receptor on the liver binds to ApoB-100 of the LDL particle, causing subsequent endocytosis. This process helps to regulate cholesterol levels in the body by removing excess LDL from the bloodstream."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i he been through your question and understand tour concern. your fathers diagnosed lesion in the brain stem is not responsible to none of the symptoms you described. it seems a more personal reaction to the finding which is hard to face, and it is considered a \""normal\"" reaction, but in case you have the same finding (which is not for sure) you might react not the same way. hope this helps. wish you the best health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... noted in ct scan large liver mass present... it is right that hormones can affect liver and can lead hepatitis like condition... but as large mass discovered ....it has to be investigated.... mostly triple phase ct or mri with afp estimation able to rule out malignancy.... but if you need detailed evaluation then usg or ct guided biopsy or fnac done.... according to cause treatment given... if it is non-malignant bacterial infection then antibiotic given....meanwhile, low fat diet taken... fruits more. for fever take paracetamol.... if needed then per spectrum and detail gynecological work up also done..... for liver mass keeping this in mind consult gastroenterologist..... hope my suggestion will be helpful... take care. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having herd (gastroesophageal reflux disease). it is common in lying down position (early morning) and improving with food. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause symptoms nausea, chest pain, breathing difficulty etc. so follow these steps for better symptomatic relief in herd. 1. avoid stress and tension, be relaxed and calm. 2. avoid hot and spicy food. avoid junk food. 3. take pantoprazole tablet on empty stomach. 4. keep 2-3 pillows under head in the bed to prevent reflux. 5. quit smoking and alcohol if you have these habits. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. please understand that schizophrenia is a mental disease. for a layman who reads the symptoms of schizophrenia, he may think that he has those symptoms, in actuality those symptoms could just be normal disappointment symptoms. moreover, from the given details it is very difficult to diagnose your problem. please do consult a psychologist for proper diagnosis. self diagnosis can create anxiety. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good afternoon. thanks for your query to my chatdoctor-virtual clinic.after in depth study of your query, in my opinion-the lump excision biopsy and or / ira test / or expert test-a new test for doubtful / smear negative cases of tb would resolve your issue. this would confirm if you had tb in the past or currently. hope this would relieve your worrisome query. wellcome to chatbot for more queries"
Please answer with one of the option in the bracket,E: Inhibits RNA-dependent RNA polymerase
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, thanks for writing to us. these symptoms are part of lumbar disc degeneration with pied where the nerves get compressed by the protruded disc. there are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. if you don't get better with this treatment, another option is surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms hope this helps you. wishing you good health... regards.  chatbot. orthopedic surgeon."
"If you are a doctor, please answer the medical questions based on the patient's description.","his may suggest that she should have a neurophysiologists work out with studies of electromyography and electrophysiologist studies if muscles and nerves of lower limbs, also spinal cord in back spine issues should be searched for to be causative of leg weakness. i am not clear as to what you call gagging...exactly how it occurred has to be elaborated. motoneuron diseases of nerves should be ruled out by a neurologist. all said and done, physical therapy, tens or muscle nerve stimulation therapy, exercises, massage should be carried out for maintaining strengthening of muscles. pregabelin or gabapentin tablets may be indicated to control nerve symptoms. serum cpm, ldh, lactic acid levels should be measured.csf examination test is a necessityconsult in a neurology institute best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  red spots could be due to chicken pox, but there are other causes also like chatbot.  but your history of your boyfriend was in the presence of a two-year-old who has chicken pox is significant. but in that case your boyfriend also should be having red spots. kindly inquire that and if he is also having spots then it's highly likely that you both are having chicken pox. in that case you need to consult a physician or infectious disease specialist and get treated.  but in case he is not having then it is unlikely for you only to have chicken pox. also spots in chicken pox doesn't happen only on the back, it happens all over the body. so wait for 2 days, if you develop red spots over your chest and arms then it's likely to be chicken pox. hope you find this information useful. any clarification feel free to ask. regards."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorthis could be sleep disturbances (insomnia) the reason of insomnia are wide, but the main causes are socioeconomic disturbances, and this brings the anxiety and depression first, you are the only person better knows the reason of it, you only can find out the solution of this, it is not hard or difficult you better can do this, meanwhile try alprazolam 0.5 mg at bedtime it will bring the sleep if every thing fails then you can think about the psychiatric help, have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, renovate cream is an anti-inflammatory steroid. topical corticosteroids creams should not be used without the prescription of a doctor. it is advisable to be applied not more than four weeks. you have been using the cream since three years, it is too long a period. commonly such long use of corticosteroid creams on the face result in weakening & thinning of the skin. this is a side effect, you are suggested to visit a dermatologist & get physically examined. in the meantime, you can apply cold compress for relieve. calamine lotion or tobramycin cream can be applied topically. you can take non sedating antihistamines to help reduce the allergic reaction. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Type I collagen.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. hi, i am chatbot, i have read your query in detail, i understand your concern.it is very difficult to comment on with these details. also need to know his age, alcohol status, and need to see the reports. vitamin d production in body involves liver also, if his liver is not functioning well, levels will fall down. if he is an adult possibility of chronic liver disease (cause can be alcohol, viral hepatitis) is high since he has enlarged spleen. let us know  if he has jaundice, esophageal varices, asciis. if you could give us detail history and also if you could share the reports, we would be able to guide you better. this is my personal opinion based on details available here.  if you want to discuss your issues further, you may please ask stay healthy. chatbot, md"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query.  i personally feel your evaluation for your problem is inadequate. i advise you to get your ears tested by an ent specialist, get an mri brain also.  also increase your salt intake, chatbot.  you can take tab vermin 8\u00a0mg as and when required for dizziness but do get these tests done and revert. also, please mention how much exactly is your heart rate and bp in sitting and standing position."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms are suggestive of an internal bleeding, probably due to the trauma. as you are feeling better and there is no fatigue, low blood pressure or dizziness, these changes could be due to the old blood and the bleeding seems to be stopped. anyway, i would recommend consulting with your attending physician for a physical exam and an abdominal ultrasound. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"On gross pathology, circumferential thickening of the lower esophageal wall are characteristic finding of esophageal stricture due to gastroesophageal reflux disease.  Pale mucosa with white exudate in lymphocytic esophagitis  Swelling and hemorrhagic congestion in caustic ingestion  Multiple yellow plaque s in infectious esophagitis due to Candida  Ulceration of the esophagus in viral esophagitis"
Please summerize the given abstract to a title,The need and rise of secondary smart cities: A case of Bhuj
"If you are a doctor, please answer the medical questions based on the patient's description.",these are symptoms of your irregular cycles. since you weren't ovulating pregnancy possibilities are low. you need to maintain a menstrual calendar for 3 months at least. unless your cycles are regular chances of timely ovulation are less. observe your cycles for 3 months at least. if you are ovulating properly you can definitely try for pregnancy. if you are irregular you need a complete work up to detect why the hormonal imbalance if occurring.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing to chatdoctoryou need proper clinical examination and investigations. there may be various reasons for pain. you need investigations like routine hologram, rbs,lft, lipid profile, urine re/me, ultrasound of abdomen, upper gi endoscopy, ct scan can be done if needed. investigations will exclude many conditions. better you consult your surgeon. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.here are the usual signs and symptoms of bowel problem (i.e. in cancer)
Please summerize the given abstract to a title,Environmental Sustainability Assessment of the European Union’s Capital Cities
"If you are a doctor, please answer the medical questions based on the patient's description.","pernicious anemia is a disease where large, immature, nucleated cells (megaloblasts, which are forerunners of red blood cells) circulate in the blood, and do not function as blood cells; it is a disease caused by impaired uptake of vitamin b-12 due to the lack of intrinsic factor (if) in the gastric mucosa. you are already taking it b12 injections, but the effect will take some time to come i will suggest to stick on to treatment and take some b12 rich food supplements (fish, pork liver, etc) also."
Please summerize the given abstract to a title,"The U.S. COVID-19 Trends and Impact Survey, 2020-2021: Continuous real-time measurement of COVID-19 symptoms, risks, protective behaviors, testing and vaccination"
Are there any researches indicating how early an individual may experience any signs or symptoms of Rheumatoid Arthritis?,The signs and symptoms of rheumatoid arthritis usually appear in mid- to late adulthood.  Many people have episodes of symptoms followed by periods with no symptoms for the rest of their lives. Some people have continuous health problems related to the disease.
Please answer with one of the option in the bracket,D: Increase in urine osmolality to greater than 264 mOsm/L
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your findings suggests almost normal semen analysis. however, you may need culture and sensitivity due to presence of few pus cells. you may need to take antibiotics if there is any growth. sperm motility is normal. normally sperm motility should be at least 55 %. your findings suggest 80 % motile sperms. sperm count is normal. normally it should be at least 20 millions/ml. other findings like semen volume, sperm morphology, liquefaction time etc. are also normal. take care chatbot."
Answer this question truthfully,The recommended initial imaging modality for patients with suspected chronic pancreatitis is an abdominal CECT scan.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot.com stress can cause somatic symptoms like heaviness in hands, head, limbs, difficulty to speak as well. usually our mind try to cope up with different stress through different mechanisms, however during stress overload when over conscious mind fails to control the stress, our unconscious mind comes into play.in order to seek support from external environment, our unconscious mind do illicit some physical or mental symptoms of which we are unaware of, in order to relieve the conscious mind. as you mentioned your exams are nearby, you are under stress, hence to cope up with your stress, your unconscious mind may develop this symptom. i would advise you to relax your self. try to maintain your sleep hygiene, sleep well for 6-8 hours, eat healthy, have healthy interaction with family and friends as well and don't let the exam worry catch you. further query in future do followup with me."
Answer this question truthfully,"Renal artery stenosis is most commonly caused by the development of atherosclerotic plaque in the renal arteries (termed atherosclerotic renal artery stenosis). Less frequently, it is caused by fibromuscular dysplasia."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello haziness in left basal region may be due to many causes like consolidation, fluid etc. this condition need clinical correlation and investigations. investigations include routine hologram, ultrasound of thorax(it can detect consolidation and fluid). you may need further investigations like ct scan depending upon clinical findings. it is also important to know your age. with these findings, i empirically suggest broad spectrum antibiotics after clinical evaluation. this is generally due to simple reasons. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. common causes for prolonged bleed are anemia and infection. it is not normal to get continued spotting after periods, which need to be investigated, not to worry correction of underlying problems helps to solve your problem. consult doctor for examination, may need to get complete blood test, swab test from vaginal secretions. chances of conception are less in this cycle, correction of problem will increase chances of conception in your subsequent cycle. hope this helps you, regards"
Answer this question truthfully,"The cause of BV is not fully understood. BV is associated with an imbalance in the bacteria that are normally found in a woman's vagina. The vagina normally contains mostly ""good"" bacteria, and fewer ""harmful"" bacteria. BV develops when there is an increase in harmful bacteria.
Not much is known about how women get BV. There are many unanswered questions about the role that harmful bacteria play in causing BV.
It is not clear what role sexual activity plays in the development of BV. Women do not get BV from toilet seats, bedding, swimming pools, or from touching objects around them. Women who have never had sexual intercourse may also be affected."
Please summerize the given abstract to a title,Huge carbuncle leading to necrotizing fasciitis in the COVID‐19 pandemic era
Answer this question truthfully,An anti-D antibody titer of 1:32 is considered adequate alloimmunization and indicates a protective level of antibodies against the Rh factor.
Please summerize the given abstract to a title,"On the role of tournament design in sporting success: A study of the North, Central American and Caribbean qualification for the 2022 FIFA World Cup"
Answer this question truthfully,"Pilocarpine belongs to the drug class of cholinomimetics, specifically muscarinic agonists."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, as narrated by you, mri with empty sell means either pituitary gland is absent or compressed to small volume. no problem occurs if the remaining gland is secreting enough hormones. pituitary gland secretes various hormones responsible for thyroid, parathyroid, a chatbot.  if you are having multiple systems involved then you must consult an endocrinologist for proper evaluation and investigation that may guide proper treatment. hope you find the answer helpful. wishing you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query. i feel extremely sorry for the state, your father-in-law is currently experiencing. cancer esophagus is associated with extremely poor outcomes irrespective of any treatment protocols.it tends to present with certain complications most important o which is dysphagia/difficulty in swallowing. the balls of blood and skin which you mentioned are a mixture of cancerous necrotic growths, blood,mucous, foo particles etc. they continuously generate as a part of the progressive disease process, they can occasionally block the feeding tube as well as the breathing tube, compromising the airway. this is actually not considered a good sign. this can worsen as well due to concomitant radiation.stenting of the diseased esophagus can be of help, in clearing the diseased balls of tissue. consult an expert oncosurgeon for further information. thank you."
Please answer with one of the option in the bracket,C: Transthoracic echocardiogram
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, according to your clinical history i suspect that you have developed a gingival polyp, i would suggest you to visit the dentist and get the checkup done, take an x-ray of the tooth. the tooth can be treated with root canal treatment and the polyp can be removed either surgically or with the use of certain chemicals. take complete course of antibiotics and analgesics. take lukewarm saline and antiseptic mouthwash rinses. maintain a good oral hygiene. hope this helps out. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. noted you had small white spot in x-ray chest.... this can be by pus filled alveoli or can be by fibrosis secondary to any resp parenchymal disease.... so antibiotic trial given to you... if it is by exudation like pus by bronchitis then it will disappear....after repeat chest x-ray.... here i would advise you to consult pulmonologist if density increase in size in x-ray.... take care. chatbot.
Answer this question truthfully,Weber christian disease. Adapted from Dermatology Atlas.  Weber christian disease. Adapted from Dermatology Atlas.  Weber christian disease. Adapted from Dermatology Atlas.  Weber christian disease. Adapted from Dermatology Atlas.  Weber christian disease. Adapted from Dermatology Atlas.  Weber christian disease. Adapted from Dermatology Atlas.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear good evening, and thanks for the query to chatbot. i studied your query and understood your health concerns. the lump your son had is not harmful as it's not with any concussion then and not painful to touch even now.-its hard and still there-indicates -that the hematoma formed then has resolved and fibrosis bump without any pain in it. hope this would resolve your query. welcome for any further query in this regard. plz write a good review-without fail, as it would help other patients coming to chatbot. with regards. chatbot. n."
Answer this question truthfully,"Burns can cause massive volume loss by altering the capillary permeability (Kf) in the affected area. This increased permeability allows for large amounts of fluid to leak out of the blood vessels and into the surrounding tissues, leading to swelling and edema. As a result, there is a significant loss of fluid volume from the body, which can lead to dehydration and shock. In severe cases, intravenous fluids and other interventions may be needed to manage the fluid loss and prevent further complications."
Please summerize the given abstract to a title,Antidepressant drugs as emerging contaminants: Occurrence in urban and non-urban waters and analytical methods for their detection
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. there is a possibility that pain is muscular in nature. if i were your treating doctor then i would have advised following things
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would suggest you go and check a psychiatrist, and probably make some psychiatric test. in case you already have done this, and in case they have already prescribed medicament s to you, i would highly suggest you take those prescription chatbot. i would suggest that you forget about demos and stuff, and if you are really worried in a friendly way i would recommend that you pray. pray to the lord, to jesus christ. if demos are real, then jesus is real for sure. anyway, do not lose the trust. be strong and remember you will pass this through. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening, i am chatbot answering your query. unprotected sex could give rise to a pelvic infection which might give rise to pain in the lower abdomen. however, an unsuspected pregnancy can not be ruled out, and so i would prefer a serum chatbot to rule this out and an ultrasound abdomen to be done to know the state of pelvic organs. therefore, i would advise you to get your self clinically assessed by a gynecologist, and go for the investigations as per her advice for further management. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot ...please see that bradycardia may be due to sport activity athletic activities please get accessed by echocardiography and thyroid status and if it is normal and your bp is normal, and you are not having symptoms then just relax if you have any further query then you can come back to chatbot i will definitely help you and guide you appropriately with regards chatbot."
Please summerize the given abstract to a title,Gambaran resiliensi karyawan swasta yang terkena PHK akibat pandemi COVID-19
Please summerize the given abstract to a title,Fbxo45 facilitates pancreatic carcinoma progression by targeting USP49 for ubiquitination and degradation
Answer this question truthfully,"As per the information provided, auditory hallucinations that directly tell the patient to perform certain acts are called command hallucinations."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. it seems that your daughter has been exposed to some substance that she is allergic to and has developed an allergic reaction. i would advise you to go for clinical examination to the pediatrician as you already have an appointment for that and get prescription of the antihistamines that can control the allergic reaction. i hope this information helps you. thank you for choosing chatbot. i wish your daughter feels better soon. best,"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. i understand your concern. if i am your doctor i advise you that taking an autologous (blood of self) blood for transfusion is better as there is low chance of heterogeneous antibodies. next you can take the homologous blood, which can be decided by the status of the patient and can be decided by the treating doctor. i will be happy to answer more of your concerns, kindly know me, wish you a very good health at chatbot. chatbot. infectious disease."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query.based on the symptoms of painful urination (dysuria) and itching in anus after unprotected sex is most likely to be due to infection of prostate (prostatitis) and needs to get evaluated please consult qualified urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture. 2) semen examination and semen culture .take antibiotics ike doxycycline along with diclofenac twice daily for 2-3 weeks. ensure to chatbot. this will help to reduce dysuria. ensure to avoid sexual intercourse till gets cured completely.
"If you are a doctor, please answer the medical questions based on the patient's description.",you may be allergic to something if you have left smoking it is not likely to have effect after so many years but as age goes the immune system goes down and many allergens in environment start reacting with body and causing mucus and fleetly this avoids using mustard coconut walnut groundnut almonds and soda oils use olive for cooking and application take a lot of warm water in morning apply newsprint h eye ointment in nose based water chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome and thank you for asking on chatbot! i carefully passed through your question and would explain that your symptoms seem to be related to hypoglycemia. i would recommend consulting with your doctor and performing some tests
Please summerize the given abstract to a title,Emerging small-molecule inhibitors of the Bruton's tyrosine kinase (BTK): Current development
Answer this question truthfully,"Cystic fibrosis can be detected through prenatal screening, but it can also present in various ways throughout a person's life. Some symptoms that may indicate the presence of cystic fibrosis include meconium ileus in newborns (a blockage in the intestine that occurs shortly after birth), recurrent pulmonary infections in older individuals, failure to thrive due to loss of pancreatic exocrine function, and a salty taste to the skin (often referred to as a ""salty baby""). In addition, individuals who are immigrants with limited access to healthcare may not have been screened for cystic fibrosis previously, and may present with symptoms later in life. Cystic fibrosis is a genetic disorder that affects the lungs, pancreas, and other organs, and can cause a range of medical complications throughout a person's life. Early detection and treatment are essential for managing the condition and improving outcomes for those affected."
Please summerize the given abstract to a title,The Dark Triad Traits and the Prediction of Eudaimonic Wellbeing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your clinical details. it is unfortunate that you have been left with multiple neurological deficits after brain injury seven years back. however, with proper medical treatment and physiotherapy, i expect you to get better over time. it is important to make your family, especially your wife understand the nature of your problem. if needed, please make her speak to your neurologist. with good family support, you would improve much faster. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir . i appreciate that you don't consume alcohol and avoid fatty food. fatty liver can be found due to some genetic and environmental factors. we call it non-alcoholic fatty liver disease. since your cholesterol reading s are also high, so i would advise you to add to your life a chapter of exercise. reduce a little weight, do moderate exercise s on regular basis.i'm supposing you are not a diabetic or hypertensive. if you smoke stop it. avoid potato, rice, trans fat. avoid unnecessary chatbot. i feel exercise will definitely help you improve your lipid profile. keep on regular follow up for fatty liver. stay healthy"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot. i understand your query and concern. tachycardia in your case could be related to stress and anxiety. irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. few chatbot. i advise you to have a complete 24 hour holder ecg which can accurately determine the cardiac conduction abnormalities. monitor your blood pressure and heart rate.
Please summerize the given abstract to a title,Analysis of Ink/Toner Savings of English and Thai Ecofonts for Sustainable Printing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear !! thanks for your query to chatbot. read and reviewed your query and health concerns. you friend seems to suffer from -?chd with hypertension? coarctation of aorta. other regular causes of hypertension needs to be ruled out and treated if any. nasal bleeding with chest pains and headache are due to hypertension. with history of heart condition and premature birth with history of chest pains during school days, coarctation of aorta needs to be ruled out, with expert opinion from cardiac surgeon. second opinion with chd expert-cardiac surgeon is advisable in your case who would investigate properly and would plan further treatment for you. hope this would help you to plan further care of this complex illness of yours. if need be, update any health issue 24 x 7 by a direct question to me, at following chatbot link-dear, if satisfied, dont forget to close this query with your pleasing feedback comments to rate this reply and service, to boost the morale of incoming emergency patients like you, at chatbot services. if you want to update more details and ask more update queries, you are most welcome herewith !! good day!! wishing good healthy life in time to come!! chatbot. n. senior surgical specialist. s. genl-cvts"
Please answer with one of the option in the bracket,A: Radial artery
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thank you for your question. there are many causes for chronic cough. the first thing that needs to happen is for his doctors to determine the cause of his cough. if it is allergies and antihistamine may help. if it is reflux then an antacid may help. if it is smoking he must quit. if it is from a medication then the medication must be stopped or changed. good luck and i hope he gets some relief soon.
Answer this question truthfully,"Necrotizing enterocolitis occurs when the lining of the intestinal wall dies and the tissue falls off. The cause for this disorder is unknown. However, it is thought that a decrease in blood flow to the bowel keeps the bowel from producing mucus that protects the gastrointestinal tract. Bacteria in the intestine may also be a cause.
This disorder usually develops in an infant that is already ill or premature, and most often develops while the infant is still in the hospital."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you are just 12. you are masturbating thrice day? i don't blame you and it is normal. but you should concentrate on education, and not on sex. you can masturbate once daily. that is enough. the pain could be due to some sprain arose out of the position and effort you took to masturbate. stop masturbation for two days, and the pain should stop. my advice is to lower masturbation schedule to once per day. concentrate on studies and that should be your priority. you might need psychological counseling. contact me through customer care at www.chatdoctor .com. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,The underlying cause of death in Potter sequence is pulmonary hypoplasia.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting your query in chatbot.personal dermatitis is named to skin disease that manifest as multiple pa pules pustules or vesicles found surrounding personal skin and nasolabial folds.it can be caused by many reasons like allergy to certain medication autoimmune disease nutritional deficiency habits like lip sucking or lip chewing or licking etc.as u told that u have near corner of mouth it can also be due to chatbot. .so i will suggest you to use antifungal mouth ointment on corner of mouth and antiseptic mouthwash.also take multivitamin supplements.hy
Please answer with one of the option in the bracket,D: Colonoscopy
Answer this question truthfully,"This condition is discovered during pregnancy. You may have noticed that your belly is getting large very quickly. You doctor or nurse measures the size of your uterus at every visit.
If your uterus is growing faster than expected, or it is larger than normal for your baby's gestational age, the doctor or nurse may:
Have you come back sooner than normal to re-measure Perform an ultrasound
If the health care provider finds a fetal abnormality (birth defect), you may need an amniocentesis to test for a genetic defect.
Women with polyhydramnios are also more likely to go into labor early. Mild polyhydramnios that shows up in the later part of pregnancy does not often cause serious problems. More severe polyhydramnios may be treated with medications or by having extra fluid removed.
The baby will be delivered in a hospital with specialists who can provide immediate evaluation and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatbot. i have gone through your query. uric acid crystals or small stone particles can give such irritation symptoms on tip of penis. taking more water, potassium citrate in water, barely water or cranberry juice will be helpful in alkalizing urine and minimizing such symptoms. if still symptoms persist consult your urologist for urinary antispasmodic like favorite. hope this may help you. let me know if anything is not clear. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear thanks for your query at chatdoctoryour doctor might have advised nebulization with bronchi dilator, because the spray you used might have caused irritation and constricted the respiratory system.airport is not a bronchi dilator it is corticosteroid used in allergic and asthmatic conditions, no need for that chatbot. take nebulization as doctor prescribed if you're having discomfort, otherwise no need for that also, it will resolve on its own in some time. regards"
Please summerize the given abstract to a title,Could an acute respiratory distress syndrome in COVID-19 infected patients be calmed down simply by iron withdrawal from lung tissues?
Please summerize the given abstract to a title,A Survey on Detection of Face Mask and Social Distancing Using Deep Learning
Answer this question truthfully,"Cardiologists do coronary angioplasties at hospitals. Cardiologists are doctors who specialize in diagnosing and treating heart diseases and conditions.
If your percutaneous coronary intervention isn't done as an emergency treatment, you'll meet with your cardiologist before the procedure. He or she will go over your medical history (including the medicines you take), do a physical exam, and talk to you about the procedure.
Your doctor also may recommend some routine tests, such as blood tests, an EKG (electrocardiogram), and a chest x ray.
Once the percutaneous coronary intervention is scheduled, your doctor will advise you:
When to begin fasting (not eating or drinking) before the procedure. Often you have to stop eating and drinking by midnight the night before the procedure. What medicines you should and shouldn't take on the day of the percutaneous coronary intervention. When to arrive at the hospital and where to go.
Even though percutaneous coronary intervention takes only 1 to 2 hours, you'll likely need to stay in the hospital overnight or longer. Your doctor may advise you not to drive for a certain amount of time after the procedure, so you may have to arrange for a ride home."
Answer this question truthfully,The psoas muscle combines with the iliacus muscle around the level of the inguinal ligament to form the iliopsoas muscle.
Please summerize the given abstract to a title,The continued advance of vaccine adjuvants - 'we can work it out'
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallstones and severe epigastric pain. how long have you been experiencing the epigastric pain? is it associated with food intake (specifically after a fatty meal), belatedness, etc.? it may or may not be related with your gastritis. but in gallstones, the most common area of abdominal pain is epigastric in location then right upper qua chatbot.  if your attacks are becoming more frequent, it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for complete physical examination and clinical evaluation. diagnostics (such as ultrasound, ercp, blood exams, etc.) will be recommended as needed. management (medical and surgical) will be directed accordingly. definitive treatment for gallstones is cholecystectomy or surgical removal of your gallbladder along with the stones. it could be done laparoscopically (gold standard) or through open technique. in your case, it is better to have it done as an elective or scheduled cholecystectomy (not as an emergent case but with urgency in terms of management), for lesser complications and better post-operative course. low fat diet is also recommended. hope this helps. good day!!~"
Please summerize the given abstract to a title,General population perceptions of risk in the Covid-19 pandemic: A Romanian case study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. if there is swelling of the ankle it is due to neurological problem. foot movements are necessary to keep blood going in to calf muscles and that reduces swelling. if there is increase in swelling it is because your muscles are not pumping blood from ankle to heart. you can wear compression bandage and keep your foot elevated over pillow. this will decrease swelling in the ankle. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Answer this question truthfully,"The typical age at which a child will be able to hop, play with other kids, and copy a cross is around 4 years old."
Please summerize the given abstract to a title,DNA markers and nano-biosensing approaches for tuberculosis diagnosis
Answer this question truthfully,"Atrial fibrillation is diagnosed with the electrocardiogram, an investigation performed routinely whenever irregular heartbeat is suspected. Characteristic findings are the absence of P waves, with unorganized electrical activity in their place, and irregularity of R-R interval due to irregular conduction of impulses to the ventricles. If paroxysmal atrial fibrillation is suspected and 12-lead ECG is normal, usage of a 24-hour ambulatory ECG monitor is recommended. Typical electrocardiogram findings in a patient with atrial fibrillation are absent P waves, irregularly irregular ventricular response rate, and an atrial rate that ranges from 400 to 700 BPM. A rapid, irregular, sustained, wide- QRS-complex tachycardia strongly suggests atrial fibrillation (AF) with conduction over an accessory pathway or atrial fibrillation (AF) with underlying bundle-branch block."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i can understand. her anxiety is purely due to her insomnia and vice versa. during those three months and even now, she must be taking pills for sleeping and possibly those pills are not working because of her brain wave pattern. doctors must have analyzed her brain too to determine any other possibilities. i suppose there no other possibilities or brain or neurological causes. in that case, she should be given counseling to educate herself about insomnia and related anxiety. if you become anxious and stressed, it is natural you don't get sleep. sleep depends on physical activities, exercise, mental physical fatigue, stress and anxiety. in my opinion she should get enough exercises, and meditation to relieve mental stress and physical rejuvenation. she should be educated about this and counseling given. please approach a psychologist as soon as possible. if you are interested, i may take up this case online. take care. if you still need my assistance in this regard, please use this link. http"
Please summerize the given abstract to a title,Micropulse Transscleral Cyclophotocoagulation as Primary Surgical Treatment for Primary Open Angle Glaucoma in Taiwan during the COVID-19 Pandemic
Please summerize the given abstract to a title,Hypothetical case replacement can be used to quantify the robustness of trial results
Answer this question truthfully,"Endemic Burkitt lymphoma is associated with EBV infection. Endemic Burkitt lymphoma is a type of cancer that is most commonly found in equatorial Africa and is associated with the Epstein-Barr virus (EBV). EBV is a type of herpes virus that is found worldwide and is associated with several types of cancer, including Burkitt lymphoma. In endemic areas, the incidence of Burkitt lymphoma is highest in children and is thought to be related to the high prevalence of EBV infection in this population."
Please summerize the given abstract to a title,Is Watching TV Series an Adaptive Coping Strategy During the COVID-19 Pandemic? Insights From an Italian Community Sample
"If you are a doctor, please answer the medical questions based on the patient's description.","hi....by what you quote, with everything put together i feel he's having a viral infection which is causing this. cough and cold are viral 95% of the times in child chatbot.  this doesn't warrant antibiotic therapy. for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
"If you are a doctor, please answer the medical questions based on the patient's description.",helloi have read your query. bad breath or halitosis is often caused by a buildup of bacteria in your mouth that causes inflammation and gives off noxious odors or gases that smell like sulfur.it can result from poor dental health habits and may be a sign of other health problems. smoking or chewing tobacco-based products can also cause bad breath.it can be a sign of gum (periodontal) disease. gum disease is caused by the buildup of plaque on teeth. the bacteria cause toxins to form in the mouth. yeast infections of the mouth can also cause bad breath. medical condition like chatbot. i suggest you to visit a dentist and get it checked out. hope this ans helpsregards
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. your mri says lateral recess foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb [leg]. due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. mri shows disc compressing on nerve root then surgical decompression is permanent solution. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
Answer this question truthfully,Aortic stenosis may cause symptoms of angina when the aortic valve area is reduced to 1cm2.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello madam, thanks for you worry.i want you to understand that at 36, you could very well get pregnant, however slight changes in the character (few days before the expected day or 3\u00a0days flow instead of 4 or 5) of your menses or lower abdominal cramps do not signify a pregnancy. you should go for a pelvic ultrasound which may be able to tell or rule out any problem. better still, you may talk with your gynecologistgoodluck"
"If you are a doctor, please answer the medical questions based on the patient's description.","after the implantation of pacemaker, there is no problem, and you mother can carry out all her a activity.  now coming to your case, extreme training would lead to bradycardia and your resting pulse rate will go low, which is rather a sign of healthy hearthowever 35 is too low, i would suggest you to get a 24 hour holder, which will help us detect pauses, which may be the reason of your dizziness, and during the day do maintain a chart for activities, to see if during exercise your heart rate goes up as expected, other test is treadmill stress test for phototropic competence, which too would give up an idea of the increase in heart rate with exercise, if it doesn't increase adequately with exercise means that the heart is incapable of the same, and that may cause dizziness. ."
Answer this question truthfully,"What category of symptoms of schizophrenia is described by flat or blunted affect, anhedonia, apathy, alogia, and lack of interest in socialization? Negative symptoms are the category of symptoms that are described by these characteristics."
Answer this question truthfully,"Hyperviscosity can occur when the percentage of red blood cells (RBCs) in the infant's blood,, called the hematocrit, is greater than 65%. This may result from various conditions that develop before birth, such as:
Birth defects Delay in clamping the umbilical cord Diabetes in the baby's birth mother Inherited diseases Not enough oxygen reaching body tissues (hypoxia) Twin-twin transfusion syndrome, which occurs when blood moves from one twin to the other.
The extra RBCs can block the flow of blood in the smallest blood vessels. This may lead to tissue death from lack of oxygen. This blocked blood flow can affect all organs, including the kidneys, lungs, and brain."
Answer this question truthfully,"Hepcidin is a hormone that plays a key role in regulating iron metabolism in the body, and it is primarily released from the liver. Chronic disease can have a significant impact on the release of hepcidin, leading to increased levels of this hormone in the bloodstream. This can lead to a variety of complications, including anemia, inflammation, and tissue damage. Therefore, it is important for individuals with chronic disease to receive appropriate medical care and management to help control their symptoms and prevent further complications from developing."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the details your mother is diabetic, and mri brain revealed multiple infarcts in brain the acute one being in facial calculus (brain stem) which is producing squint, with old microbleed, with small vessel disease of brainsuggestions for her are1) control of diabetes strictly2) diabetic diet3) esprit 150 mg daily post lunch4) statins 40 mg bed time5)anti-hypertensive ideal covers plus once daily6) citicholine 500 mg twice daily 7) fluids 3 l/ day8) exercisecheck her cholesterol levels, thyroid functions and kidney function you should consult neurophysican for further management and treatment planregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. that incidence might have injured the soft tissue of nipple and areola. this injury heals by fibrosis which gives hard feeling underneath your nipple. no need to worry about this hard disc like feeling. this can not cause heaviness in chest. so for your heaviness feeling, we should rule out heart diseases because you gained weight also. so get done ecg and 2d echo. if both these are normal then no need to worry about heart diseases. sometimes, simple stress and anxiety can also cause similar heaviness in chest. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Fatigue and Dyspnoea as Main Persistent Post-COVID-19 Symptoms in Previously Hospitalized Patients: Related Functional Limitations and Disability
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service. i have reviewed your query and here is my advice. i can understand your concern. yes, you should definitely go to emergency room. since you are a active smoker, left-sided chest pain should always be evaluated for heart diseases first. so get done blood pressure monitoring, ecg, 2d echo and stress test. if all these are normal then no need to worry about heart diseases. sometimes musculoskeletal pain can also cause similar symptoms. so apply warm water pad on affected areas of chest. take simple painkiller like paracetamol or ibuprofen. it is better to quit smoking as soon as possible.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Oxidative C-H/C-H Coupling of Dipyrromethanes with Azines by TiO2-Based Photocatalytic System. Synthesis of New BODIPY Dyes and Their Photophysical and Electrochemical Properties.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. if i were your treating doctor for this case of rash, i would come up with two possibilities, these include"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the query. from the symptoms that you have provided, your daughter is most likely suffering from a respiratory tract infection (probably viral cause). i would like to know her body weight and whether she is having any joint pain or rashes. right now, you should give her plenty for fluids orally (since high fever will deny chatbot.  you can give her paracetamol tablets (up to 1 gm, depending on her body weight, but not more than 3 gm/day). consult you pediatrician/physician as soon as possible. she may require some blood investigations like total blood count. if bacterial infection is suspected antibiotics will be required. hope this helps you out."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks like you have jaw joint related problem like tmj/tmd. it is the cause of grinding and popping sensation of the jaw joint along with pain and stiffness. so my suggestion is to consult an oral surgeon and get evaluated. a clinical examination and investigation like panoramic x-ray should be done to rule out the exact cause. you can be advised a combination of painkillers and muscle relaxant, mouth guards and physiotherapy for relief. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,The role of renal dipeptidyl peptidase-4 in kidney disease: renal effects of dipeptidyl peptidase-4 inhibitors with a focus on linagliptin
Please summerize the given abstract to a title,Clinical and epidemiologic characteristics of inconclusive results in SARS-CoV-2 RT-PCR assays
Please summerize the given abstract to a title,Lean Six Sigma as an organizational resilience mechanism in health care during the era of COVID-19
Please summerize the given abstract to a title,"SARS-COV-2 HERD IMMUNITY, INFECTIVE AND NAÏVE INCIDENCE IN FERTILITY CLINICS AFTER PANDEMIC LOCKDOWN. A MULTICENTER STUDY"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. lump in such location is usually a sebaceous cyst. it grows spontaneously so you could not cause it. it is usually rounded, painless, with smooth surface lump. however, it can get infected and due to pus accumulation can be painful. i suggest you to consult a surgeon with this lump. in case of doubts, soft tissues' ultrasound can be done to determine what exactly it is. cyst can be removed with small surgical procedure. hope this will help. regards."
Please summerize the given abstract to a title,"Differences in the Association of Anxiety, Insomnia and Somatic Symptoms between Medical Staff and the General Population During the Outbreak of COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellos you mentioned in the query that you are having pod. cysts are often caused by hormone changes.pod is recognized as an entity occurring in young females with chronic an ovulation with estrogen presence and having the following clinical and laboratory characteristics
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and i can understand your concerns. probable diagnosis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you are suffering from hives around substernal notch (jugular notch) which seems to be due to external stimuli such as environmental factors, cosmetic product or side effects of any medicine, food product. it is very important to find out what exactly causing hives or what factor is responsible for their occurrence, because treatment depends upon the causative factor. as such hives are harmless but when they start interfering in vital activities of life like breathing difficulty in your case then the condition become a kind of medical emergency. so i would suggest you to consult allergy specialist for proper diagnosis doctor may prescribe other steroid cream, anti-inflammatory chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain or soreness in the joint could be because of the new dentures. it can be because of sudden change from adventurousness to dentures, or any high points or fault in the denture. the soreness over the ridge could be because of the sharp edges of the denture impinging on the ridge. consult a prosthodontist and get yourself examined and correct the problems. i hope my answer will help you. take care."
Please summerize the given abstract to a title,Different dendritic domains of the GnRH neuron underlie the pulse and surge modes of GnRH secretion in female mice.
Answer this question truthfully,"Free nerve endings, specifically C and Aδ fibers, are the specific type of sensory receptors that sense pain and temperature."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, itchi rashes on face could be due to irritant dermatitis, allergy hives, eczema,fungal infection or during menstruation etc. it can be diagnosed only by clinical examination in most of the cases but scratch tests, patch tests or microbiologic culture of skin to rule out infection or allergy etc. treatment is entirely depended on the cause, so if your doctors are suggesting then you can go for biopsy or above-mentioned tests."
Please answer with one of the option in the bracket,C: Citrullinated peptides
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i welcome you to chatbot virtual clinic. i have understood your concern. pcs is a lifestyle disorder, and i will suggest you to indulge in a healthy diet and regular exercise regimen. avoid deep-fried foods, and bakery products and refined sugars. folic acid and metformin can be taken without any harm. folic acid taken 3 months before conception helps to protect pregnancy in many ways. metformin helps to reduce pcs effect and help on egg formation. i hope this answer helps you. thanks chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hereafter reading your question i want to tell you that this is a site which suggest treatment and advise about various disease and don't sell any product. you have to purchase medicine or any other products from chemist shop. now about your question, now stop masturbating, size of the penis is normal, need not worry. in sexual intercourse time play an important role, size does not matter. you mentioned that there are premature ejaculations, sperm leakage, erection problem (as mentioned in query). all these problems are curable, for this you should consult a psychiatrist and get his opinion and treatment. everywhere quacks advertising about sex and its related products without any scientific studies, so be aware these misleading ads. without any hesitation consult a psychiatrist and get his opinion. i prescribe my patient fluoxetine 20 mg twice in day for 3-6 months. fine tremors and diarrhea are side effects only for 3-5 days (initial) . no sex till complete cure. hope this will provide you desired information."
Please summerize the given abstract to a title,A Prospective Phase II Study on The Use Of Convalescent Plasma Monotherapy For The Treatment of Severe Covid-19 Disease: A Preliminary Report
Answer this question truthfully,"The Gram Positive Algorithm further classifies Staphylococcus Coagulase Negative based on Novobiocin sensitivity, which can be either resistant or sensitive."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, heart bigger by 3 times is a matter of concern. at his age of 33 years, hypertrophic cardiomyopathy (hoc) and dilated cardiomyopathy (dcm) can be the cause for his huge cardiomegaly. so better to consult cardiologist and get done 1. blood pressure monitoring 2. 2d echo 3. cardiac scan for functional ability of heart muscles. if all these are normal then no need to worry about his heart condition. but if he is having any of these diseases then he needs treatment. hope i have solved your query. i will be happy to help you further. wishing good health to your son-in-law. thanks."
"I am a current Gastroparesis fighter with a GJ feeding tube. I am also one of the admins for a GP support group and an advocacy group. I have become a volunteer advocater. I would appreciate any info you can share about Gastroparesis, Feeding tubes, and even TPN. Thanks","Gastroparesis occurs when food moves slowly from the stomach to the small intestine or stops moving altogether. In most cases, the causes of gastroparesis are unknown. Diabetes is the most common known cause of gastroparesis. The most common symptoms of gastroparesis are nausea; a feeling of fullness after eating only a small amount of food; vomiting undigested food, sometimes several hours after a meal; gastroesophageal reflux (GER);  pain in the stomach area; abdominal bloating; and lack of appetite. Your doctor will diagnose gastroparesis through a physical examination, medical history, blood tests, tests to rule out blockage or structural problems in the gastrointestinal tract, and gastric emptying tests. Treatment of gastroparesis may include medications, botulinum toxin, gastric electrical stimulation, jejunostomy (surgery to place a feeding tube through the abdominal wall directly into a part of the small intestine called the jejunum), and parenteral nutrition."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Drug Sites Prediction and Computational Drug Screening for SARS-CoV-2 Proteins
Please summerize the given abstract to a title,Facing the Next Pandemic: Ready or Not
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the incident happen is an accident and i think you are in a state of shock and disbelief. body and mind takes some time to relieve itself off the shock. in the meantime you also should be able to assist it positively. why don't you get yourself engaged in some tasks or hobbies? that way you will be able to forget the shock much more easily than being at your home and thinking about it. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have mentioned that recently you have given birth to your first child. for whole of the nine months u had carried 10-12 kg of extra weight over your abdomen, which causes it spine to develop forward bend, also many of the hormones secreted during pregnancy are responsible for lower backache and joint pain. nothing to worry about it, almost 70-80% female suffer from these symptoms post pregnancy. light exercise, correct sitting posture and yoga ll help a lot"
Answer this question truthfully,The major side effect of Palbociclib is neutropenia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query.8 years is pretty long time, please go for x-ray as per the advice and look for the cause. there could be some nerve compression at some level which is giving rise to pain and numbness that you have. after x-ray your doctor after examination will give you some medicines which can help you. at times further investigation like mri can be needed. do regular exercise to strengthen back muscles to avoid this from happening again. also get your blood sugar checked. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. typhoid generally occurs in poor hygienic conditions, and may recur frequently if adequate treatment is not delivered during the attack - as the typhoid bacteria become resistant and contribute to overall resistance in the community which it affects, and since reports were negative for the same it could be simple viral fever, or you can go for investigations like blood test for malaria parasite"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting in chatbot. if any person is already have been diagnosed with stage 5 chronic kidney disease then usually patients are quite sick as your doctors rightly told you. but are you able to pass urine normally and in usually quantities? we have seen some cases that even if they are passing urine normally, and they have fine blood pressures and cholesterol their blood picture is altogether different. you didn't mention your s. creatinine levels or urea levels. also, what about the abg readings? all these factors and plus clinical features are markers whether you need dialysis and renal transplant or not. so get back with me with the reports of s. creatinine, urine routine values and s. urea. i will guide you further on that. but generally speaking grade 5 ckd patient need dialysis. renal transplant can be done on later date. awaiting your response. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, tonic clinic seizure or for that matter any type of seizure is due to increased voltage or current in the brain which occurs suddenly because of brain cell membrane weakness or problem. so medicines are given to correct it. it is 96 to 98% curable after 3-5 years of continuous treatment with optimum dose of the chatbot.  there are various stimulating factors which cause the voltage in the brain to go up and one of it is sleep, so your friend is getting seizures only in sleep which we call nocturnal generalized seizures. please meet a good neurologist and get proper and early treatment as early the treatment the better is the outcome in epilepsy."
Please summerize the given abstract to a title,Preventive practices of ophthalmologists during COVID-19 pandemic
Please summerize the given abstract to a title,Telemonitoring in Chronic Pain Management Using Smartphone Apps: A Randomized Controlled Trial Comparing Usual Assessment against App-Based Monitoring with and without Clinical Alarms
Answer this question truthfully,"The medullary structure known as the nucleus tractus solitarius, or the vomiting center, receives main inputs from the GI tract, vestibular system, and area postrema (chemoreceptor trigger zone)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you lump in neck with pain and bleeding in mouth which is mainly due to infection in oral cavity which could be related to particular tooth which is leading to abscess formation and pus is not finding its way to eliminate which is leading to facial space infection in that area. it could be due to tonsillitis. need not worry about it. visit dentist once and get it examined. go for iowa (x-ray) of particular tooth and start root canal treatment as per level of pulp exposure. if it is due to enlarged lymph nodes or tonsils visit ent specialist once and go for course of antibiotics after proper prescription. do warm saline gargles. maintain oral hygiene by brushing and flossing. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Major histocompatibility complexes (MHCs) are a group of proteins that play a crucial role in the immune system. They are found on the surface of nearly all cells in the body and are responsible for presenting antigen fragments to T cells. MHCs bind to T-cell receptors (TCRs) and activate the T cells, which then mount an immune response against the antigen. This process is essential for the detection and elimination of foreign invaders such as viruses, bacteria, and cancer cells. There are two main types of MHCs, class I and class II, and they differ in their distribution and function. Understanding the role of MHCs in the immune system is an important area of research in immunology."
Please summerize the given abstract to a title,The 3D Facemask Recognition: Minimization for Spreading COVID-19 and Enhance Security
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make following suggestions to you
"If you are a doctor, please answer the medical questions based on the patient's description.","hello 1) try maintaining blood pressure upper under 135 and lower under 85\u00a0mm hg with lifestyle and medication as required 2) if overweight, losing weight should be a priority, try achieving bmi less than 25.3) 40-45 mins of aerobic exercise daily4) be regular with your life, eat and sleep at proper times5) in diet -low salt. max 3 gms a day. - avoid preserved food as all preservatives have salt. - no pickles, papas, chips, farley as all have hill salt and. - at least 2 serving of fresh fruits in a day. - 1 serving 35-40 gms of nuts like walnuts, almond to be included - if you take fish 2 serving of fatty fish per will like salmon. -avoid red meat, egg yellow, fried and spicy oily food - may shift to better oils like olive in cooking 6) may consider supplements, like cod fish oil capsules, flax seeds, chia seeds, krill oil as they have good content of omega 3 fatty acid. we generally know everything, its just following which is important. lastly if there is any stress event going on in life, dealing with it in a mature way so that it doesn't affect your health is important. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if the pain is exactly where the jaw joint is present or where the jaw connects then it is most probably due to disturbances in the jaw joint function only.  if it started suddenly then it can be due to an injury or due to biting something very hard. it can also be due to sudden excess mouth opening or external trauma to the jaw joint. so my suggestion is to consult an oral surgeon or an oral physician and get evaluated.  a panoramic x-ray can be done to rule out the exact cause of the symptoms and treatment can be done accordingly.  for now, take painkillers like ibuprofen and muscle relaxant like chlorzoxazone.  take soft meals and avoid excess mouth opening. massage the sides of the face in gentle round motion of fingertips.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, looking to the history given here, underlying cause of the cirrhosis is important here, because this could be due to viral infection, or could be due to alcoholic cirrhosis, here serum creatinine is high and this need to be taken in consideration, (renal function might be affecting) such case of curse need intensive medical care, some time may need some surgical minor procedures, better to have words with medical team, hope this information helps, take care."
Answer this question truthfully,"Typically, patients with leukemia present with an increased number of circulating WBCs. Leukemia is a type of cancer that affects the blood and bone marrow, leading to the abnormal production of white blood cells. The excess white blood cells can accumulate in the bloodstream, leading to an increase in the total number of circulating WBCs. However, the specific presentation of circulating WBCs can vary depending on the type of leukemia and the stage of the disease. Some types of leukemia may present with a normal or decreased number of circulating WBCs, while others may present with other abnormalities in the blood cell count. It's important to note that a definitive diagnosis of leukemia requires further testing beyond just the circulating WBC count."
Please summerize the given abstract to a title,Novel 3D printable powered air purifying respirator for emergency use during PPE shortage of the COVID-19 pandemic: a study protocol and device safety analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","heloo.pt.-a systematic review found that no treatments commonly used for leukoplakia have been shown to be effective in preventing malignant transformation. some treatments may lead to healing of leukoplakia, but do not prevent relapse of the lesion or malignant change. regardless of the treatment used, a diagnosis of leukoplakia almost always leads to a recommendation that possible causative factors such as smoking and alcohol consumption be stopped, and also involves long term review of the lesion, to detect any malignant change early and thereby improve the prognosis significantly. removal of possible predisposing factors and reviewbeyond advising smoking cessation, many clinicians will employ watchful waiting rather than intervene. recommended recall intervals vary. one suggested program is every 3 months initially, and if there is no change in the lesion, then annual recall thereafter. some clinicians use clinical photographs of the lesion to help demonstrate any changes between visits. watchful waiting does not rule out the possibility of repeated biopsies. if the lesion changes in appearance repeat biopsies are especially indicated. since smoking and alcohol consumption also places individuals at higher risk of tumors occurring in the respiratory tract and pharynx, \""red flag\"" symptoms (e.g. hemoptysis - coughing blood) often trigger medical investigation by other specialties. surgical removalsurgical removal of the lesion is the first choice of treatment for many clinicians. however, the efficacy of this treatment modality cannot be assessed due to insufficient available evidence. this can be carried out by traditional surgical excision with a scalpel, with lasers, or with electrocautery or cryotherapy. often if biopsy demonstrates moderate or severe dysplasia then the decision to excise them is taken more readily. sometimes white patches are too large to remove completely, and instead they are monitored closely. even if the lesion is completely removed, long term review is still usually indicated since leukoplakia can recur, especially if predisposing factors such as smoking are not stopped. medicationsmany different topical and systemic medications have been studied, including anti-inflammatories, antibiotics (target candida species), carotenoids (precursors to vitamin a, e.g. beta-carotene), retinoids (chatbot.  vitamins c and e have also been studied with regards a therapy for leukoplakia. some of this research is carried out based upon the hypothesis that antioxidant nutrients, vitamins and cell growth suppressor proteins are antagonistic to oncogenes is. high doses of retinoids may cause toxic effects. other treatments that have been studied include photodynamic therapy."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through your query i came to know that your friend got pain in middle of back, it hurt only when he eats. it does not seem to be related to muscle or bone. as it is related to food, it is gastrointestinal pain likely radiating to back. it is likely to be due to acidity. pantoprazole before meals is likely to help. he should not eat foods and fried food. he can be further investigated by doing ultrasound of abdomen. you can discuss with your treating doctor about it. i do hope that you have found something helpful. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. anxiety is not a mental disease. that is why it is usually called a disorder. anxiety disorder is a product of wrong thinking and behavior which were continuously pushed onto the brain and thereby the brain chemistry was forced to change itself. to cure anxiety disorder, along with medicines, you need to alter your cognition, change the lifestyle, learn relaxation, undergo psychotherapy and over and above impart dietary restrictions. that is a process and could take around 6 months. but results are guaranteed. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient if you are having disc prolapse and have to travel lot train is best option. if you can manage to reduce travel its also good option. also, proper treatment of disc prolapse is also must. avoid weight lifting and forward bending. start short wave diathermy for your back. do physiotherapy in form of back strengthening and back extension exercise. if this doesn't benefit you epidural steroid injection can also be given. you should visit expert spine surgeon nearby you and get yourself examined and treated completely. all the best."
Please summerize the given abstract to a title,APA poll finds nearly half anxious about getting COVID‐19
Please summerize the given abstract to a title,Topological Features of Multivariate Distributions: Dependency on the Covariance Matrix
how to loose weight,"Diet for rapid weight loss: Rapid weight loss diet is usually for people who have health problems because of obesity. Rapid weight loss diet is a type of diet in which you lose more than 2 pounds (1 kilogram, kg) a week over several weeks. To lose weight this quickly you eat very few calories. These diets are most often for obese people who need to lose weight quickly because of a health problem. People on these diets should be followed closely by a health care provider. Rapid weight loss is not safe for most people to do on their own. These diets are only to be used for a short time and are not recommended for more than several weeks. Some fad diets also severely limit calories to achieve rapid weight loss. In many cases, these diets are not safe."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. if you miss the pill and take two pills in the next day complete protection can be expected as per the manufacturers. taking the pills at the same time every day will increase the percentage of protection. if you take the pill three hours after the expected time the efficacy can decrease to some extent. but still oral pills are having very high protection rate. so the possibility of pregnancy is less. back pain etc. can occur as side effect of pills. so you better wait, possibly you will get the periods as usual. take care."
Please summerize the given abstract to a title,Surgical mesh for ventral incisional hernia repairs: Understanding mesh design.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. this is not early stage of jaundice! there is no diet to treat it. there is nothing you can do by yourself. it is strongly advisable for you to get medical help. your liver tests are very bad and can be life-threatening. such liver tests results can be caused by viral infection, bile ducts blockage, liver cirrhosis, liver cancer. you should have abdominal ultrasound, ggt and ap blood tests, amylase in urine and blood, had, hbv, hcv tests. do not neglect it and get medical help as soon as possible. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is possible that you have an occult source if infection, usually a urinary tract infection that can cause these symptoms. so please get a urine dipstick done and ask them to send for culture sensitivity studies as you are on immunosuppressants. normally if the urine dipstick was borderline abnormal, they won't send but ensure this is done due to the medications you take for lupus.also, a thyroid function, complete hologram, crp, uses must be done at the same time. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, unprotected sex soon after period is quite safe. chance of being pregnant is almost nil. taking morning after pill gives protection more than 95% if it is taken within first 24hrs following unprotected sex. you got 2nd time period (25th feb) due to with chatbot.  next cycle will be delayed up to 7-10 days due to hormonal imbalance & mental stress. if you do not get your period after 7 days, you need to undergo one home pregnancy test to be sure. consult with gynecologist for medication to induce your period in exclusion of pregnancy. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query.  as you yourself knows that b 12 is water-soluble vitamin, and it usually not forms in our intestine so extra supplements are necessary. cyanocobalamine is the name of this b 12 and plenty of amounts is found in cheese, meat,eggs, fish, dairy products. in your case it might happen that you have simple anemia in which hemoglobin level is usually less than 7-8 gms.  pernicious anemia is a disease due to deficiency of b 12, but hematologist will first firm whether it is pernicious or other form of anemia, so the best way is to approach hematologist. good luck for nice health."
Please summerize the given abstract to a title,Survivors of COVID-19 exhibit altered amplitudes of low frequency fluctuation in the brain: a resting-state functional magnetic resonance imaging study at 1-year follow-up
Please summerize the given abstract to a title,A Weakly Supervised Deep Learning Framework for COVID-19 CT Detection and Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, she is going through many stresses and due to all that she might have depression, and so she is suicidal. so best to consult her at psychiatrist and start medication. if she is tried many times or sever suicide also start ect (electroconvulsive therapy) which helps her very fast. what are other features associated like sleep and appetite disturbance, crying spells, easy irritability etc... consult psychiatrist. awaiting your response. thank you"
Answer this question truthfully,"Hepatitis E is a zoonosis that may be prevented by avoiding contact with the virus, and by immunization through vaccination. In order to avoid infection, measures such as appropriate sanitation, hygiene, and maintenance of the quality of the public water supplies should be observed. Also, thorough cooking of pork meat and avoidance of shellfish in endemic regions should be pursued. Blood transfusions represent a rare form of transmission that may be minimized by screening blood donations. Two vaccines have been developed so far, and one of them has been approved in China. However, no further studies have been conducted regarding the distribution of the vaccine worldwide."
Answer this question truthfully,The Triphenyltetrazolium chloride staining method can be used to observe infarcted tissue of the heart on biopsy.
Answer this question truthfully,Alcohol consumption can lead to a decrease in both REM and slow-wave sleep (N3).
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for contacting chatdoctori am sorry to hear about your mother has shingles as this can be a very painful condition. shingles is a reactivation of an old chickenpox virus in nerve endings. initially we start an antiviral medication at the onset of the shingles and then treat with pain management. we frequently use narcotics to help with pain and also use anti-seizure medication like gabapentin to help reduce pain and tingling sensations. this may take weeks to month to control. i recommend that you seek medical attention through her regular physician. hope this answers your question. please contact us again with your questions and concerns
Please summerize the given abstract to a title,Rust in je hoofd en beter onthouden dankzij mindmaps
Answer this question truthfully,"The presence of RUQ pain, elevated liver function tests, and hypoglycemia/thrombocytopenia in the third trimester of pregnancy is suggestive of acute fatty liver of pregnancy (AFLP)."
Answer this question truthfully,"Astrocytomas are the most common type of glioma in adults. Gliomas are tumors that develop in the glial cells, which are supportive cells that surround and protect neurons in the brain and spinal cord. Astrocytomas are tumors that arise from astrocytes, a type of glial cell that helps to maintain the blood-brain barrier and regulate the chemical environment of the brain. Astrocytomas are classified into four grades based on their appearance and behavior, with grade IV astrocytomas (also known as glioblastoma) being the most aggressive and difficult to treat. Risk factors for astrocytomas include exposure to ionizing radiation, certain genetic conditions, and a family history of the disease. Symptoms of astrocytomas can vary depending on the location and size of the tumor, but may include headaches, seizures, weakness, and changes in vision or speech. Treatment options for astrocytomas may include surgery, radiation therapy, and chemotherapy, depending on the type and stage of the tumor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello you have mentioned that she always tells lie, uses kids as leverage, has attention seeking behavior, projecting mistakes on others. she has habit of false accusations and her behavior is chatbot.  see such type of symptoms can be observed in any healthy individual but if they start affecting personal and social life of person then there is need to consult a psychiatrist. she might be having some personality disorder especially histrionic personality disorder or borderline personality disorder. but to label a person with personality disorder a detailed evaluation by a psychiatrist is needed. if possible then consult a psychiatrist for expert opinion. thanks"
Answer this question truthfully,"Myotonia congenita is caused by a change (mutation) to a gene. It is passed down from either one or both parents to the children (inherited).
Myotonia congenita is believed to be caused by a problem in the part of the muscle cells that are needed for muscles to relax. Abnormal repeated electrical discharges occur in the muscles, causing a stiffness called myotonia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting on chatdoctorgiven that one of the manifestations of glandular tb is the progressive enlargement of the glands, the original size of glands before infection may not be attained so easily given the chronic inflammation that already took place. the size is however expected to reduce in the course of the treatment. persistent minor swelling does not mean you still have the infection. however, after the treatment, a gland biopsy can still be sent for analysis before you are declared healed. you may see your doctor for a confirmation of healing if not yet done. hope this will help best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i am chatbot. rash in dengue comes in higher severe infection. there are many causes of fever with rash. one of it is dengue. we need to know is there other symptoms like joint pain, body pain, fever pattern, headache, any other site bleeding etc. i suggest you to go for investigation of your blood like complete and differential blood count. and visit your physician immediately before it may worsen. we need to be careful. dengue can be diagnosed by simple test which can be followed after primary investigation. if it is not dengue and if it is other we can conclude towards something. hope i have given appropriate guidance to you. if you have any query you can consult me anytime. give me star rating, helpful vote & thank you according to your satisfaction level. thanking you."
Please summerize the given abstract to a title,A Physician's Guide for Workers’ Return to Work During COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi the legs have two sets of veins, deep veins and superficial veins (close under the skin), blood goes from the superficial to the deep veins. clots usually form in the deep veins though they can occur in the superficial veins as well. whereas the arteries in our bodies have thin muscle our veins do not, and they rely on the contractions of the surrounding muscles to return the blood to the heart. some persons with a history of dvt can have a complication called post thrombotic syn chatbot. some symptoms of this include"
Please summerize the given abstract to a title,Antibody Response to mRNA-1273 SARS-CoV-2 Vaccine in Hemodialysis Patients with and without Prior COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot it is very difficult to control psychosis without antipsychotic or with ayurvedic medicine. better to take antipsychotic regularly. if you try to stop antipsychotic, chances of getting relapse would increase. being a psychiatrist, i would suggest you to take ayurvedic medicine instead of allopathic. rest, your wish. in case, you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i think you are having herd (gastroesophageal reflux disease), as your symptoms are related to eating only. but better to rule out cardiac cause by ecg. if this is normal, then herd is possible cause. it is due to laxity of gastroesophageal sphincter. so try to follow these steps for better symptomatic relief.1. avoid large meals.2. avoid hot and spicy food.3. avoid stress and anxiety.4. take proton pump inhibitor.5. go for walk after meals.6. keep 2-3 pillows under head in bed."
Please summerize the given abstract to a title,The Effect of Antioxidant and Anti-Inflammatory Capacity of Diet on Psoriasis and Psoriatic Arthritis Phenotype: Nutrition as Therapeutic Tool?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, according to your description it feels like you are either suffering from diabetic peripheral neuropathy, or peripheral vascular disease[pvd]. considering you are a diabetic for 2 yrs you are more pron to both of above. for diabetic neuropathy proffer control of diabetic is important as well to relive your pain there are medicines which will helps you. for pvd there are surgical interventions and to confirm this you may need to see a radiologist and undergo arterial duplex scan of lower limbs followed by vascular surgical opinions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. f.  you have got pain at the naves, the doctor told you that you have a small umbilical hernia. you also got a smelly, brown, bloody discharge as well.  hernia is entirely different, and you are getting discharge due to some other infection, most probably a bacterial infection. don't worry it will be cured soon with antibiotics and supporting medicines as you are already under treatment.  regarding hernia, you need not worry, if it is increasing or bothering you can go for operation.  wishing for a quick recovery.  best regards."
Answer this question truthfully,"The staging of cholangiocarcinoma varies depending on whether the tumor is primarily intrahepatic (ICC), hilar/perihilar, or extrahepatic."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi all diseases are curable except death. so do not panic. in yoga there are breathing exercises which will help you too much. you can see it on the internet. second press on your right palm on the line which is under your three fingers under the small finger. there will be pain [press and leave for 10 second repeats for 2 minutes] two to three times daily .......... do inhale daily [crush one full garlic and one tablespoon of black seeds] twice a day. morning and evening.
Answer this question truthfully,"Causes of Brain herniation can include:
Brain tumors Metastatic brain tumor Primary brain tumor Hemorrhage Abscess Stroke Hydrocephalus (""water on the brain"")"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! urinary tract infection is very common and most of the time we cannot explain it; however, there are some possible sources / explanations as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient your symptoms indicate diagnosis of nerve compression at the level of lumbar spine with articular pain in the right lower limb. reason may be disc prolapse. diagnosis can be confirmed by doing mri of the lumbosacral spine with screening of whole spine. please get it done from radiology center nearby you. gabapentin is chatbot.  if you are getting hyperacidity please take tab antacid 40 mg twice a day before meals along with gabapentin. you need to consult spine surgeon with report.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first, you should do some investigations, such as measuring blood pressure, lipid profile in the blood. if they were normal you need to take a vitamin b complex, chaotic acid, benfotiamine and folic acid. moreover, you should change your lifestyle, for example, you should stop smoking, chatbot.  if you do not respond to these measurements, you should ask a neurologist for further direct investigations. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Combination of rRT-PCR and Anti-Nucleocapsid/Anti-Spike Antibodies to Characterize Specimens with Very Low Viral SARs-CoV-2 Load: A Real-Life Experience
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Call your doctor if:
Your wound looks infected (redness, increased drainage, swelling, painful). You are having the symptoms you had before the pacemaker was implanted. You feel dizzy or short of breath. You have chest pain. You have hiccups that do not go away. You were unconscious for a moment."
Answer this question truthfully,"Tertiary hyperparathyroidism is a condition in which the parathyroid glands produce too much parathyroid hormone, leading to increased levels of calcium in the blood. In addition, serum phosphate levels are also typically increased in patients with tertiary hyperparathyroidism. This can lead to a variety of symptoms and complications, including bone pain, fractures, kidney stones, and cardiovascular disease. Treatment options for tertiary hyperparathyroidism may include medications, dietary changes, and surgery to remove the affected parathyroid gland(s). It is important to work with a healthcare provider to develop an appropriate treatment plan for this condition."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for using chatbot. read your query. the symptoms described suggests an abscess in relation to the erupting third molar. i would advise you to continue the motrin and warm saline gargling. visit your local dentist and get it a radiograph done for its position and get removed if necessary. you will also need antibiotic including amoxicillin and metro lag (if you are not allergic to any medicine.) antibiotics can be started with the prescription from your dentist. keep the area clean with proper brushing. hope this was useful. thanks and regards.
Please summerize the given abstract to a title,"Clinical manifestations, risk factors, and prognostic factors of cytomegalovirus enteritis"
Answer this question truthfully,"Echocardiography is the first line imaging modality of Eisenmenger's syndrome.
Findings on an echocardiography suggestive of Eisenmenger's syndrome include   :
Underlying cardiac lesion responsible for the shunt (e.g. ASD or VSD). Direct of the shunt (left-to-right or right-to-left). Elevated right ventricular systolic pressure. Elevated pulmonary artery diastolic pressure."
Please summerize the given abstract to a title,Genomic and Ancestral Variation Underlies the Severity of COVID-19 Clinical Manifestation in Individuals of European Descent
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, granuloma annular has no connection with your wbc count. sometimes granuloma annular is associated with autoimmune diseases like systemic lupus erythematous (she), and she is associated with neutropenia that is decreased wbc count. sle if positive is diagnosed by simple serum markers like antics dna or anti-nuclear antibodies. my suggestion is, please consult a general physician for more information. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you mostly have posterior cervical lymph node enlargement. itis due to some infection in head and neck area.  you should complete a course of antibiotics. if it doesn't respond to treatment then biopsy diagnosis is advisable. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",dearth ere are a number of medicines that can offer you good relief from your ailment. if you reside in india then ggul compounds are known remedies which should be administered under the care of ayurvedic practitioner. process of detoxification known as patch karma in ayurveda also helps a lot to get rid of painful symptoms. garlic and celery seeds taken with hot water are commonly used herbs for both ailments you are suffering from.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, thank you for your consultation.it seems that the pain in your lower back, neck all are bothering you very much. so first you should go for a complete investigation of the reason behind this pain. if it is caused by some bacterial or viral infection in the body causing muscular pain then a proper course of antibiotic and painkiller with some rest will help you to be cured. but if the pain is caused by local back muscle spasm caused by dislocation of disc between the vertebral bones then a week complete rest is needed. then home regimen of back muscle strengthening exercise like flexion exercise should be started. apart from that avoid bending forward and lifting heavy weight. i sincerely hope with following these advices you will get rid of this pain very soon. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, probably you may be having halogen effluvium. it may be due to some cause. most common cause is psychological upsets like anxiety, worries, tension or depression. other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anemia, other internal diseases, chatbot. .etc. and remember that normal hair fall in adult may be 100 to 150 per day. so, please avoid anxiety related with hair fall. you consult dermatologist for firm diagnosis and treatment. blood tests may be done to rule out internal diseases. for strong hair and hair growth, follow the tips as below...-you may take biotin containing tablets for long time.-vitamin e cap 400 mg daily may be helpful-you may apply mild steroid lotion like beclomethasone lotion on scalp at night. -mild herbal shampoo to cleanse the scalp.- almond oil or barbara amla oil may be used a"
"know more about My Daughter have Distal renal tubular acidosis. we are from Mexico, and we ae woundering if can send to us more infomation. maybe you can reccommend to us a association???? i don?t know","Both the autosomal dominant and autosomal recessive forms of SLC4A1-associated distal renal tubular acidosis are caused by mutations in the SLC4A1 gene. ... the acid builds up in the blood in most affected individuals, leading to metabolic acidosis and the other features of complete distal renal tubular acidosis. It is not clear why some people develop metabolic acidosis and others do not. Researchers suggest that in individuals with incomplete distal renal tubular acidosis, another mechanism is able to help regulate blood acidity (pH) and keep metabolic acidosis from developing.  ... Some people have nonhereditary forms of distal renal tubular acidosis; these forms can be caused by immune system problems or other conditions that damage the kidneys. These individuals often have additional signs and symptoms related to the original condition."
Please summerize the given abstract to a title,"Publisher Correction: Viral clearance after early corticosteroid treatment in patients with moderate or severe covid-19 (Scientific Reports, (2020), 10, 1, (21291), 10.1038/s41598-020-78039-1)"
"If you are a doctor, please answer the medical questions based on the patient's description.","your body has acquired a sort of tobacco dependency. you should try to lessen the qty of chewing tobacco gradually and leave it one day by determination. the neck region and l4-5 pain can best be managed by physio, yoga, deep breathing and taking simple precautions like not bending too much, avoiding jerks etc. herbal anti-inflammatory and pain managers like ggul and shirt capsules are best to your needs. these are not painkillers but gradually control pain by antiarthritic effects. 1/2 a spoon of turmeric powder in warm milk or water everyday once or twice additionally will also help. with all these take warm water. i would recommend a very light purgative tarunikusumakar chairman 1 tsp at night for consecutive three days. thereafter, once a week. commonly available in india. have leafy vegetables and light food. hope it helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query.bag +ve indicates \""active infection\"". hepb virus can not be eradicated completely by a person infected with it (usually early in life). bag becomes negative when virus goes in the dormant phase and its active when bag is +ve.you should be checking"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first, you need physical rehabilitation to avoid deformity of your muscles. because the brain could create other nerve pathways to compensate for the lost ones. to help the brain creating other pathways you need to take daily some vitamins such as b complex, folic acid and vitamin b12. the exclusion of hypertension and diabetes is important in your case, besides modification of your diet by increasing fish and vegetable intake and decreasing saturated fat intake, because omega-3 fatty acid and flaxseed oil may help the brain to build new pathways. you can add flax seed oil to your diet by putting one spoon of flax seed oil to your diet if you cannot eat fish regularly. the psychological factor is important in your case, so you should avoid negative feelings. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern. leprosy, also known as hansen's disease (hd), is a long term infection caused by the bacteria mycobacterium deprave and mycobacterium lepromatosis. the exact mechanism of transmission of leprosy is not known. it is known to spread from person to person by nasal secretions or chatbot.  however, the disease is not highly contagious like the flu. there are other possibilities such as transmission through insects which cannot be completely ruled out. some researchers now conclude that susceptibility to leprosy may be partially inheritable. initially, infections are without symptoms and typically remain this way from 5 to as long as 20 years. hence, it would be better to take precautions to avoid contacting with the organism by"
Answer this question truthfully,The acetylcholine from post-ganglionic neurons of the ANS binds to muscarinic (M) receptors.
Please summerize the given abstract to a title,Risk and Outcome of Breakthrough COVID-19 Infections in Vaccinated Patients With Cancer: Real-World Evidence From the National COVID Cohort Collaborative
Answer this question truthfully,"Bone marrow suppression: Reduced numbers of cells in the bone marrow Myelosuppression: Reduced number of myeloid lineage cells (RBC, neutrophils, basophils, eosinophils, monocytes, platelets, mastocytes) Immunosuppression or lymphosuppression: Reduced number of lymphoid lineage cells (T-cell, B-cell, NK cell)
Bone marrow proliferation: Increased numbers of cells in the bone marrow Myeloproliferation: Increased number of myeloid lineage cells (RBC, neutrophils, basophils, eosinophils, monocytes, platelets, mastocytes) Immunoproliferation or lymphoproliferation: Increased number of lymphoid lineage cells (T-cell, B-cell, NK cell)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of nausea, headache and fever which is because of viral infection to your body and impaired immunity of your body. it could be mono, but symptoms are more of viral infection. i would suggest you to start with course of antibiotics and anti-inflammatory chatbot.  you should take combination of amoxiclav along with levocetirizine. avoid giving cold beverages. keep him sipping lukewarm water whole day. if symptoms keeps on persisting visit ent specialist once and get it examined and start proper course of antibiotics. steam inhalation is another treatment option for resolving it. do warm saline gargles 3-4 times a day with lukewarm water. take diet rich in fruits rich in vitamin c as it will boost his immunity. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting. i have gone through your query and i understand your concerns. i think that you suffer from vertebral column arthritis. to confirm the diagnosis you need"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,A: Diabetes mellitus
Answer this question truthfully,"α-thalassemia is a genetic disorder characterized by the reduced or absent production of α-globin chains, which causes an imbalance in the production of hemoglobin. α-thalassemia due to a three gene deletion is characterized by the formation of β4 tetramers, known as HbH."
Answer this question truthfully,"Regulatory T cells are identified by the expression of CD3, CD4, CD25, and FOXP3. It is important to identify regulatory T cells because they play a critical role in regulating the immune system and preventing autoimmune diseases. These cells help to suppress the activity of other immune cells and prevent them from attacking the body's own tissues. By understanding the markers that are used to identify regulatory T cells, researchers can better study their function and develop new therapies for autoimmune diseases and other immune-related disorders."
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. in my opinion the symptoms are suggesting allergic reaction. did symptoms appear after taking some particular food, insect bite? if yes then these are most probably because of allergy. following measures will help to reduce the severity"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. you are on the right tract of diet and medicines. please take a course of tablet sanitizing 150 twice daily and tablet risperidone 10 mg at 8 hourly duration. (6am- 2pm - 10 pm. ) sucralfate has to be taken 3 sf at 3 hourly duration and particularly on empty stomach to cover the stomach mucosa. avoid oily and spicy food. the most important factor that everyone forgets is
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have incision hernia. your skin is weaker after healing and with increased intro abdominal pressure abdominal content protrude from that site. you should avoid weight lifting, avoid straining. consult your doctor and go for examination. surgery is the treatment of choice. meshplasty or other surgery can be done according to need. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,The Stress Axis in Obesity and Diabetes Mellitus: An Update
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... you and your mother seem to have halogen effluvium ..... there may be some cause....like anemia, vitamin and nutritional deficiencies, thyroid dysfunction, stress, anxiety, worries,travelling, any other internal disease, certain chatbot. ... ..etc. poor hygiene and poor nutrition may also be responsible for the halogen effluvium. you both consult dermatologist for firm diagnosis. investigations may be done to find out some cause. to control hair fall and to improve hair growth you both may take biotin 10 tabs daily for few months and apply mild steroid lotion on scalp at night daily. if there is dan"
Answer this question truthfully,The increased myocardial contractility and heart rate associated with thyrotoxicosis can cause systolic hypertension.
Please summerize the given abstract to a title,Lymphopenia is Associated with Severe Coronavirus Disease 2019 (COVID-19) Infections
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. even though it seems to be a benign condition due to its slow growth, if i were your doctor, i would go for a ct scan/mri of the head and neck area to rule out any possibility of the lesion communicating with the inside of skull however remote might be the chances. further management would depend on the report of the radiological investigation and a physical examination of the lesion. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Answer this question truthfully,"Chronic myeloproliferative disorders (excluding CML) are associated with V617F JAK2 mutations, which occur in a gene that encodes a tyrosine kinase. This mutation leads to tyrosine hyperphosphorylation and hypersensitivity of progenitor cells to cytokines, resulting in prolonged cellular growth. This abnormal cellular growth can lead to the development of conditions such as polycythemia vera, essential thrombocythemia, and primary myelofibrosis. The JAK2 mutation is thought to be a key driver of these disorders, and it is now commonly used as a diagnostic marker for them. Understanding the genetic basis of these disorders is important for developing targeted therapies that can improve outcomes for patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. disc herniation is uncommon in thoracic regions, however, it can occur, and your symptoms could well be related to that. surgery is often reserved for severe disc herniation and is not done for disc bulges. as of now, you can continue the same medications, and physiotherapy. if symptoms persist, then, you can get the mri of thoracic spine done. based on that, a definitive plan of treatment can be made. i hope it helps, please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  you have faced so many problems, and suffering with the p.t.s.d, and did crisis, and in pains like muscle pains, spasming,which is effecting, the mental health, ringing in the ears.  first you should get the treatment for the physical problems, once these are controlled, the psychological problems may come down to a maximum extent.  if you feel something is to be done then you can consult a psychologist.  take more of green leafy vegetables, pulses,sprouts, and protein rich foods to have blood, general health and resistance against infections.  wishing for a quick and complete recovery. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Splenic artery aneurysms are rare , but still the third most common abdominal aneurysm  (after aneurysms of the abdominal aorta and iliac arteries)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. noted you have growth in liver since long duration. if you are smoking and having history of oc pills then liver hematoma like growth may present. so if in usg it is vascular then care taken while doing biopsy. here it can be simple adenoid. it could be chronic inflammatory or infective condition. so after examination and according to suspicion usg guided biopsy can be taken to differentiate whether it is about infection, inflammatory or tumor condition. if you have bleeding and coagulation disorder then biopsy can be done very carefully. wish you good health. take care"
Please summerize the given abstract to a title,Performance-based risk-sharing agreements in renal care: current experience and future prospects.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please understand, schizophrenia treatment is a bit complicated. many underlying conditions and symptoms needs to be taken care of. illusions, paranoia, hebiphrenial symptoms etc. needs to be analyzed. the present psychiatrist knows your friends mental condition very well and therefore, you should stick to his treatment. opinions elsewhere differ mainly because many do not know the mental conditions perfectly. work with the present psychiatrist for a better treatment. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Effects of modulation on sodium and potassium channel currents by extremely low frequency electromagnetic fields stimulation on hippocampal CA1 pyramidal cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, did you have a history of trauma, fall, or long walking or running lately? from the information you gave, the first diagnosis that comes in my mind is arthritis of the foot bones, could be mid-foot, forefoot or hind foot. normally, in the x-ray that you did arthritis should have been visible. the second option is stress fracture of foot bones, but only if you had prolonged walking or running recently. this cannot be seen on x-ray, but only on bone ct scan or scenography. there is even more rare disease such as infection or tumors that need to be distinguished. maybe the podiatrist will order these examinations and blood work for you to diagnose and treat your condition. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have no obstructing stones of a size of 6-7 mm in both the kidneys. fullness of the rt kidney is not significant hy chatbot. there is no medicine that can dissolve the stones. they will either pass down over a period of time through ureter into bladder and urinary passage or may need endoscopic fragmentation in case you get repeated episodes of pain, vomiting and fever . ensure to repeat your scanning every month. ensure to"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, methyl folate is folate / folic acid. the other 2 that are mentioned are other vitamins, b12 and b6. as you stated, some vitamins such as those above help with the nerves. during pregnancy, particularly in the first trimester, all the babies nerves and brain are now developing. the use of these vitamins particularly the folate, reduce the chance of nerve issues developing women trying to conceive, and pregnant women are advised to use these to help the baby. hope i have answered your query. let me know if i can assist you further."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","hits not advisable to give anything apart from breastfeeding or formula feeds at this age. so please stop your friends from following such measures. there can be multiple reasons for poor weight gain and vomiting episodes. the most common reasons are improper feeds, hypertrophic pylori stenosis, electrolyte disturbances, inborn errors of metabolism etc. so, kindly advise them for a complete check-up be neonatologist and investigations as per examination. hopefully this will help. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello;welcome to chatbot during the first meal the stomach is empty and the symptom you are telling is due to acidity or even gastritis which may be causing you to throw up. please take antacid like ranitidine-300 mg and if required for nausea you can take risperidone 10\u00a0mg. both 1 tablets each before every meal three times a day for 1 week then you can reduce for 2 times a day and continue for 2 weeks and the problem will settle. thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand your problem, of course you are going to have a happy married life, no need to worry at all what ever you stated here are not the disease this just your functional problem and these will go way once you will get married, your confidence will return soon, stop worrying, just take it easy it all right your size of penis and other things, hope this information ease you, take care and cheer up bye."
Answer this question truthfully,"Pyrimidine nucleoside analogs, including Cytarabine and Gemcitabine, work by inhibiting the activity of DNA polymerase A/B. These drugs are structurally similar to the natural nucleoside building blocks of DNA, but they have modifications that prevent further DNA synthesis after they are incorporated into the growing DNA chain. This leads to the disruption of DNA replication and cell division, ultimately resulting in cell death. Pyrimidine nucleoside analogs are commonly used in cancer chemotherapy, as rapidly dividing cancer cells are particularly susceptible to their effects. However, these drugs can also have toxic effects on healthy cells, leading to a range of side effects."
Please summerize the given abstract to a title,Time to negative PCR in various disease categories of COVID-19 infection in Pakistani population
Answer this question truthfully,"Choriocarcinoma is a small, hemorrhagic tumor that is known for its early, diffuse hematogenous spread, especially to the lungs. Hematogenous spread refers to the spread of cancer cells through the bloodstream. Choriocarcinoma is a rare and aggressive cancer that can develop from the cells that would normally form the placenta during pregnancy. It can occur in both men and women, but is most commonly associated with gestational trophoblastic disease in women. The tumor is often small and can cause bleeding, which is why it is referred to as ""hemorrhagic."" Choriocarcinoma is known for its rapid growth and tendency to metastasize early, especially to the lungs, although other organs may also be affected. Treatment for choriocarcinoma typically involves a combination of chemotherapy and surgery, depending on the stage and location of the tumor."
Answer this question truthfully,The P wave in lead aVR on an ECG should always be negative (-).
Answer this question truthfully,Decreased CO2 (respiratory alkalosis) causes a decrease in HCO3- by mass action.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. heart rate is the number of times the heat pumps in a minute. the normal range is 60 to 100 times per minute with a mean of 72 beats per minute. if your heart beat is above 60 on most occasions then it is normal. however, the rhythm is to be carefully studied. the heart rhythm is known by looking at the ekg. this is a recording of the heart beats on a strip of paper and tells if there is any abnormal rhythm. heart rate fluctuates with time of the day and activity in a person. after rest the heart rate slows down and when doing any activity it will increase. heart rate is usually recorded at rest. therefore, if your heart rate changes with activity then it is normal. however, if there is an abnormal rhythm in ekg then you have to discuss with your doctor. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and very pleased to answer you. there are three types of hypothyroidism
Please summerize the given abstract to a title,Pharmacists’ clinical knowledge and practice in the safe use of contraceptives: real knowledge vs. self-perception and the implications
"If you are a doctor, please answer the medical questions based on the patient's description.","hi emma, thanks for the query. i understand your concern.  demo contraceptive being a long acting contraceptive . provides long time supply of hormones to suppress child bearing.  on discontinuation, it takes 4-6 months for regaining normal menstrual cycle.  very rarely in causes a long-standing menstrual problem...it's not a regular feature of the contraceptive. so don't be scared.  so waiting period for conception is about 4 to 6 months.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you may be having most probably an chatbot.  it is a condition of hair loss influenced genetically. it is also influenced by hormone... testosterone. you may continue treatment as you take under observation of dermatologist. still, i would like to give you few suggestions... - take tab finasteride 1 mg daily morning-take tab biotin 10 mg daily at night-continue minoxidil 10 % on scalp twice a day-shampoo containing ketoconazole may be used to cleanse the caliphate patience for the good result. thanks."
Please summerize the given abstract to a title,"Navigating Voice, Vocabulary and Silence: Developing Critical Consciousness in a Photovoice Project with (Un)Paid Care Workers in Long-Term Care"
Please answer with one of the option in the bracket,C: Clonazepam
Please summerize the given abstract to a title,Online trade in wildlife and the lack of response to COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a gelatinous type). it could also be a lipoma (fatty deposit) or a fibrous (fibrous tissue formation). these lesions can occur anywhere in the body and have the tendency to recur.  management (medical and surgical excision) will be directed accordingly. hope this helps. good day!!~ chatbot."
Please summerize the given abstract to a title,Treatment of Intracranial Aneurysms with Self-Expandable Braided Stents: A Systematic Review and Meta-Analysis.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Evaluating the contributions of strategies to prevent SARS-CoV-2 transmission in the healthcare setting: a modelling study
How bad can endometriosis get?,"Endometriosis occurs when cells from the lining of the uterus grow in other areas of the body. This can cause swelling and pain, and problems getting pregnant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good afternoon. i am chatbot answering your query. from your history, it seems that you have got an olecranal bursitis, a benign condition which occurs due to repeated friction on the olecranal bursa normally placed in the elbow just above the olecranal bone. if i were your doctor, i would advise you to avoid pressure on the elbow repeatedly to avoid accumulation of more fluid in the normally present olecranal bursa. in case of need, some patients might have to change their profession if need be to achieve this. apart from this, i might advise you for a ra factor test and a serum uric acid test to rule out rheumatoid arthritis and high uric acid levels in the blood. on the management part, i would treat any abnormality detected on the blood tests, and would give an anti-inflammatory and an antibiotic chatbot.  in case of no relief, i would suggest you to visit a general surgeon/orthopedic surgeon in your area, who after a physical examination, might go for an fnac, or an excisional biopsy both for diagnostic and therapeutic purposes. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Please summerize the given abstract to a title,Psycho-Educational Affirmations from the Qur’An on Sadness to Prevent/Treat Depression for Muslim Clients of Cognitive Behavior Therapy Approach
Answer this question truthfully,"The incidence of third degree block in the general population appears to be low, approximately 20 per 100,000 in USA.   
The prevalence of third degree AV block is approximately 40 per 100,000 worldwide.
Third degree AV block is more commonly associated with advancing age."
Please answer with one of the option in the bracket,A: Continued management of his burn wounds
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, this is scary. the best way is to for ultrasound and fnac- fine needle aspiration cytology. this just confirms what is us. there are chances that it may grow someday and cause more ugliness. why not excise it there are two benefits= one you become disease free and secondly one gets tissue diagnosis. i hope i have tried my best to explain. these swellings are usually lymph nodes pr sebaceous cyst or a lipoma."
Answer this question truthfully,"Legionella pneumophila is a bacterium that is commonly cultured in the laboratory on a medium called buffered charcoal yeast extract. This medium contains a variety of nutrients that are necessary for the growth of the bacterium, including iron and cysteine. These components are important because Legionella pneumophila requires a specific range of nutrients and environmental conditions to grow and replicate. Buffered charcoal yeast extract is a selective and differential medium that is commonly used to isolate and identify Legionella pneumophila from clinical and environmental samples. Other techniques used to detect the bacterium include PCR (polymerase chain reaction) tests, antigen detection assays, and serological tests."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for the query. as per the clinical history, you are a 29 yrs old lady, suffering form urinary tract infection, and have already received a course of antibiotics (ciprofloxacin). as per observation, your urine has sediments (white tissues/stringy particles). in this context i would like to advise you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. lethargy, tiredness etc. are symptoms of depression and anxiety. but slurred speech and distant eyes etc. are more suitable to physical issues like multiple sclerosis or anemia or other wasting diseases or neurological causes. you must consult a doctor for checking his vitals and for necessary further treatment. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"Infections such as encephalitis, meningitis Stroke Brain tumor Degenerative disorders: Corticobasal degeneration, dementia, diffuse Lewy body disease, multiple system atrophy, progressive supranuclear palsy Toxins: Manganese, carbon monoxide, and methanol Medications: Antipsychotics, metoclopramide, phenothiazine, overdose of anesthesia drugs"
Please summerize the given abstract to a title,Efeito Do Silício Na Intensidade Da Cercosporiose E Na Nutrição Mineral De Mudas De Cafeeiro
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, if there is a lump which is not responding to antibiotics the doctors may want to cut it out and check it under microscope (called biopsy) to make sure it's not malignancy or anything to worry about. i think you have done the right thing to take proper medical advice and so go for the biopsy and go according to the doctors advise. take care and remembering worrying too much will not help, so take things as they come.  regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, without seeing patient to treat is very difficult as for proper diagnosis detail history and mental status examination is necessary. you can take her forcefully to doctor once. what ever you describe about her suggest that she might have psychotic illness. there are many medications like typical anti-psychotic like haloperidol, chlorpromazine etc. and atypical anti-psychotic like risperidone, olanzapine etc.but without seeing patient difficult. consult psychiatrist. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for trusting chatdoctordear how old are you?? male or female??are you smoker??dear from your history possible causes are peripheral neuropathy, sciatica,compartmental syn chatbot. .above i mentioned possible causes from your history. is it muscular, neuronal, vascular, joint problem is come to know after examination. please consult your neurophysician he will examine and treat you accordingly. i think i answered to your question if you have more questions feel free to ask. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. what is the result / report of ct abdomen? ? i think she needs soap water enema as ct is showing full of stool. with the age the evacuation becomes a problem and impacted stool can give rise to pain / distension. one should get the colonoscopy done after a preparation (not now) meaning cleaning of bowl and rule out cancer or other possible causes. the other pains you say again can be due to impacted xenoliths. hearing - go for audiometry to know if this is age related. bp looks fine - not above normal
Answer this question truthfully,"The type of dysphagia indicated by symptoms such as coughing, choking, or nasal regurgitation during swallowing can be either oropharyngeal or esophageal dysphagia.

Dysphagia is a medical condition characterized by difficulty swallowing. Oropharyngeal dysphagia occurs when there is a problem with the muscles or nerves in the throat and the upper esophagus, which can cause symptoms such as coughing, choking, or nasal regurgitation during swallowing. Esophageal dysphagia, on the other hand, occurs when there is a problem with the esophagus itself, such as a blockage or a narrowing, which can cause symptoms such as chest pain, heartburn, or difficulty swallowing solid foods. The treatment for dysphagia depends on the underlying cause and can include medications, changes in diet, or surgical procedures."
"If you are a doctor, please answer the medical questions based on the patient's description.","it is not uncommon as we get older that our blood vessels continue to become stiffer, and as a result our blood pressure goes up, even if you are on medications. that being said, there are other causes for elevated blood pressure beyond old age. if this happens to be the first time your fathers blood pressure is this high, and that this is unusual for him, sometimes the blood pressure can be falsely high from things as simple as a wrong sized blood pressure cuff, crossing your legs while getting your measurement, or even having your blood pressure measured on a full bladder, among other things. so next time he gets his blood pressure measured, make sure he is calm, that he has been sitting for at least 5 minutes, with an empty bladder and legs uncrossed. other than having his blood pressure medication doses adjusted, if your father is particularly overweight or eats a lot of salty foods, aiming to reduce your salt intake and also losing as little as 10 pounds can cause your blood pressure to reduce in some instances. foods especially to avoid include canned soups, pickles, chips, frozen dinners, sandwich meats, ramen noodles. bottom line is, many things cause blood pressure to be high despite medications, but hopefully you will find these tips helpful."
Please summerize the given abstract to a title,Characterization of Influenza D Virus in Danish Calves
Please summerize the given abstract to a title,An Instructive Case of Cerebral Mucormycosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as your pet dog has bitten you in the morning and as by your history your pet is fully immunized against rabies. rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. i would suggest you to follow1. antirabies vaccine on days 0, 3, 7, 14 and 28.2. in tt, 0.5 ml intramuscularly.3. tab augmenting, twice daily for 5 days.4. oral antihistamines. thank you."
Answer this question truthfully,"An association has been established between Guillan-Barre syndrome (GBS) and Zika virus infection. It is difficult to determine if any particular pathogen or germ “causes” Guillain-Barré syndrome (GBS). The Brazil Ministry of Health has reported an increased number of people who have been infected with Zika virus who also have GBS. CDC is working with Brazil to study the possibility of a link between Zika and GBS. Zika outbreak in Colombia has been linked with confirmed GBS cases, hence supporting the idea that Zika Virus is associated with GBS."
Answer this question truthfully,"A Bartholin cyst presents as a unilateral, painful cystic lesion at the lower vestibule adjacent to the vaginal canal. The Bartholin glands are located on either side of the vaginal opening and are responsible for producing lubrication during sexual arousal. Sometimes, the ducts of these glands can become blocked, leading to the formation of a cyst. Bartholin cysts are typically painful and can make it difficult to sit or walk. In some cases, they may become infected and require drainage or antibiotics. If you suspect you have a Bartholin cyst, it is important to see a healthcare provider for evaluation and treatment."
Please answer with one of the option in the bracket,D: Schizophreniform disorder
"If you are a doctor, please answer the medical questions based on the patient's description.",dear friend. welcome to chatbot. i am chatbot. i understand your concern. asymptomatic cholelithiasis doesn't require surgery. indications for surgery are
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details.  i see that you are under treatment for schizophrenia. even then there is minimum possibility of lack of ejaculation. retrograde ejaculation, as its name implies, is a condition where the seminal fluid is ejaculated backward (retrograde) into the urinary bladder instead of forward. this usually occurs because the neck of the urinary bladder, which normally closes to block such retrograde flow, is unable to do so. such inability usually results from neurological or physical damage to the bladder neck, which in turn can result from a variety of clinical conditions. i suggest you to consult a urologist for further investigation and advise. if you require more of my help in this aspect, please use this url. http"
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Transitioning to online clerkship during unprecedented times: An innovative online flipped in-patient clerkship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. first you need to inform me about your gender. in case it seems to be a case of cystitis which can occur due to infection. but it could also be due to several other reasons like renal stones or uti. there can be different presentation of uti which may not necessarily involve burning micturition. you must visit a urologist to get diagnosis and further treatment. till than you must chatbot.  wish you good health."
Answer this question truthfully,"The typical wart is a raised round or oval growth on the skin with a rough surface. Compared with the surrounding normal skin, warts may appear light, dark, or black (rare). Most adults are familiar with the look of a typical wart and have little trouble recognizing it. Unusual warts with smooth surfaces or flat warts in children may be more difficult for parents to recognize."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! your symptoms could be related to occipital neuralgia. you should know that the occipital nerve lye in this region. their compression from the cpap machine or an uncomfortable pillow can lead to this type of headache. but, this is not a life threatening disorder. i would just recommend using an orthopedic pillow and maybe choosing another type of cpap machine, which does not cause compression in this region. ibuprofen or indomethacine can help for the pain too. hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","it is unusual to have these symptoms after toenail surgery. this treatment is being suggested on bases of the information provided. i would like to examine & investigate you in detail. rule out diabetes, hypertension or any other metabolic disorder. any way you may try---antibiotics to control infection.--.  looking plus (mankind) [diclofenac 100\u00a0mg +paracetamol 350\u00a0mg] 1 tab.  od & sos. x 5days.--. calcified plus (mankind) 1 tab od x 10days.(you may need help of your local doctor to get these medicines.)--. fomentation --. sleep on a hard bed with soft bedding.--. avoid painful acts & activities.--.(take help of a physiotherapist or visit www. chatbot. com). --. use no pillow under the head. do not ignore, let it not become beginning of a major problem. do ask for a detailed treatment plan. if no relief in 2-3 days, contact me again. (phone.91 9810012688)kindly make sure, there is no allergy to any of these medicines. (contact family doctor, if needed). for emergency treatment visit the nearest hospital.-hope i have answered your question, if you have any further question, i will be happy to help.-kindly rate the question.-wish you a quick recovery & good health."
Answer this question truthfully,Trichomonas vaginalis infection is associated with itching and burning.
Please answer with one of the option in the bracket,D: Right-heart catheterization
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your condition is called urticaria and most people (80%) do not have allergies although the raised ige level would suggest an underlying allergy. stress compounds the problem and causes the lesions to last longer but is not the cause. you will need tests such as full blood count, iron levels, crp, ana, tsh ft4, tpo antibodies to exclude a secondary cause. long acting antihistamines such as allegra 180\u00a0mg plus cetirizine 10\u00a0mg in the evening for 4 weeks is recommended. for an acute generalized eruption that does not respond to antihistamines, you will need a short course of steroids (omnacortil 40 or prednisolone 40\u00a0mg once daily after food for 5 days) as the last resort. i hope this helps. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. sorry to hear about the cancer your mother is having. cancer is a difficult condition, but she must fight till the end. unfortunately survival for more than 2 years is rare, but please do not give up hope and continue treatment. stage 4 stomach cancer is a difficult condition to treat, but she should be maintained on treatment to make the disease stable and prevent disease progression. it is difficult to do surgery in a patient having stage 4 cancer stomach. chemotherapy and radiation therapy are the choices available to extend her survival and slow the disease process. with limited choices, radiation therapy might help. please continue to give her nutritious food and also give her plenty of water and fresh juices. giving her soft diet will be beneficial for her digestion and help her to put on weight and feel stronger. please do not worry."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever has certain obvious reasons like infection, and it can be due to bacteria and virus, parasites. here in your case you have given the history of some abscess, and it is being chatbot.  it means that some bacterial infection is there that might have caused the abscess and staphylococcus can be the organism responsible for this. treating bacterial infection like staphylococcus is challenging. this type of bacteria is mostly resistant to some antibiotic, and pus culture sensitivity test is a must for complete eradication of infection. you can discuss this with surgeon, differential diagnosis for fever also is a matter of concern. hope i have answered your query. let me know for further assistance."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it seems you have had a severe laryngitis. until the vocal cords edema fully settles and nerves become normal, voice would not come totally. to hasten it steam inhalation to b done 3 times a daytona voice rest chatbot. antihistamine like fexofenadine, loratadinesmall dose of steroidsvitamin b since it seems your infection is settled no need of antibiotics. anyhow it would take about 3-4 weeks to recover your voice totally. hope this helps. thank you."
Please summerize the given abstract to a title,"Awareness, Views, Perceptions, and Beliefs of Pharmacy Interns Regarding Digital Health in Saudi Arabia: Cross-sectional Study"
Please answer with one of the option in the bracket,D: Low voltage and beat-to-beat variations in the height of QRS complexes
Please summerize the given abstract to a title,"Impact of vaccination by priority group on UK deaths, hospital admissions and intensive care admissions from COVID-19"
Answer this question truthfully,"Extreme bleeding during childbirth can often be prevented by proper medical care. Otherwise, Sheehan's syndrome is not preventable."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. the vomiting may be due to gastroenteritis as you have already stated. but vomiting within 48 hours of head injury indicates brain injury, and it needs consultation of neurophysician. brain scan may be required to rule out vomiting due to cns cause. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatbot. this is the expected result. your moms' hemoglobin was very low(5.49) and could have led to cardiac failure, so blood transfusion was given and reached 7.59 as can be expected after infusion of two bottles. now with the help of your doctor find out the reason as to why she had low hemoglobin at the first place because if the cause is not treated she will again develop low hemoglobin. also, to further raise her hemoglobin give her iron supplements which should provide at least 100\u00a0mg of elemental iron 2-3 times a day. regards"
Answer this question truthfully,"In the lungs, blood flow (Q) varies by zone. In zone 1 (apex) of the lung, blood flow (Q) is lowest."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. i advise you to get done chest x-ray to rule out pleurisy (inflammation of pleura). pleurisy is common after upper respiratory tract infection (uri). and chest pain on pressing can be seen in pleurisy. so better to rule out this by chest x-ray. if chest x-ray is normal then no need to worry much for pleurisy. avoid pressing chest as this can itself cause pain if force of pressing is more."
Answer this question truthfully,"In the absence of an obvious wound, an open globe laceration may be inferred by a peaked or teardrop pupil."
Please summerize the given abstract to a title,Red blood cell exchange for SARS-CoV-2: a Gemini of therapeutic opportunities
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, white discharge increases during intercourse and some amount of semen can come out of vagina after the act sometimes possibly that you have interpreted as excessive vaginal leak, cervix sometimes may not be visualized in examination due to difficulty in putting spectrum or because of position of uterus etc., so if it is anatomically normal no need to worry. you plan intercourse during period of ovulation which will increase the chances of pregnancy. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. upper abdominal pain has rather nothing to do with large intestine disease (if no bowels' obstruction). such pain can be caused by gallstones or pancreas disease. that is why, what you should have performed at first before any endoscopy is abdominal ultrasound, full blood work, liver tests (ast, alt,gap), amylase, bilirubin, urinalysis, abdominal x-ray. if gallstones are causing your pain, hot bath should ease it as well as soft muscle relaxing medicines. hope this will helpregards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make suggestions as follows
Answer this question truthfully,"People who are depressed are more likely to use alcohol or illegal substances.
Complications of depression also include:
Increased risk of physical health problems Suicide"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chest pain, throat pain and inflammatory feeling in chest is mostly seen in lower respiratory tract infection (leti). so better to get done clinical examination of respiratory system and chest x-ray. if both are normal then no need to worry about leti. left sided chest pain with shoulder pain can be seen in cardiac diseases also. so also get done ecg and 2d echo. if these are also normal then no need to worry about cardiac disease. you are mostly having upper respiratory tract infection (uri). you may need antibiotics, antihistamines and anti-inflammatory chatbot.  since all these"
Please summerize the given abstract to a title,Tracking Coronavirus Pandemic Diseases using Social Media: A Machine Learning Approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious disease specialist, answering your concern. masturbation never causes any problem to the penis or health. if you do it with dirty hand than you can have bump on penis. i suspect that you have done it with dirty hand so that you are having bump. cold therapy on penis can cause scar. this scar will now take a long time to get cured. i advise you to wait for a period. do not get stressed with the situation. take the healing procedure to take its time.meanwhile, you can practice the masturbation but with clean hand and with open pant. there are many false beliefs of the masturbation in the peoples mind. actually masturbation never causes any health problems. in fact, it can relieve the mental stress of yours. i will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ chatbot.  you can hit thank you button if you are helped. thank you, chatdoctorif you are satisfied with my answer rate me as five star and close the answer."
what are some of the treatments available to males with klinefelter's,"Testosterone therapy may be prescribed for individuals with Klinefelter syndrome. This can help increase body hair, sex drive, concentration, mood and self-esteem, and strength. Men with this syndrome may be infertile, but should talk to an infertility specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your weight loss seems to be related to the underlying stress that you mentioned. once that is treated, your weight will recover spontaneously. you should consult a psychiatrist for complete evaluation and initiating treatment. anti-depressants like sertraline will help to overcome your stress. alternatively mirtazapine can be used as anti-depressant which has one of the effects of weight gain. you should also start exercising daily. it will help you relax and feel better and also help in improving your physical health. i do hope that i was able to answer your query. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. great history. since you are very thing, it is normal to have and be seen the normal intestinal movements. intestines allow forward passage of its contents, the food, to move forwards by a process called peristalsis and can be felt or seen in some thin people. yet, it is better to confirm by a clinical examination by a gastroenterologist/ general surgeon to confirm this. you may need to undergo"
"If you are a doctor, please answer the medical questions based on the patient's description.","deary our adopted son already having been diagnosed as bile duct cancer, surgery will be the best option if found feasible by your once surgeon. this has to be followed if necessary by local radiation therapy and systemic chemotherapy. if surgery does not leave any residual disease then only systemic adjutant chemotherapy may be considered. the clear understanding will be there when we have post surgical and pathological details. surgery is the best option. if the disease is completely resected out he may need adjutant systemic chemotherapy. if residual disease was left after surgery n\u00e9 may need external radiotherapy as we. post surgical and histopathological details will give understanding about the further course of action. following the advice of your treating doctor will be the best help to your son. non-fatty foods and palatable liquid diets may be suitable for him. i wish your son best of luck and quick recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your chances of getting pregnant in the current scenario are almost nil. firstly, you had intercourse at the end of a period which is a relatively safe period even with irregular cycles. secondly, you took the emergency pill which offers additional protection. your next period may get delayed, and you may see some with chatbot.  please see a specialist for help if you do not see a period even after three weeks after the intercourse. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","eye twitching is often caused by fatigue and stress and can cease by its own. it can last for some days, weeks or even months. you have to avoid coffee and stressful or tiring situations and activities.  you can use lorazepam for some days, also. rarely it can be a sign of some disease such as bells palsy and tourette syn chatbot.  according to your concern about the relation of vertebral artery and facial nerve"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for asking from chatbot for your health related queries can understand your concern. his symptoms like anger outburst could occur due to some mood disorder like bipolar disorder or intermittent explosive disorder. evaluation by a psychiatrist is needed to confirm diagnosis. he is also having difficulty in narrating a particular incident and this could be due to some anxiety like social anxiety. in intermittent explosive disorder medicines like mood stabilizers are commonly used. medicines like sodium valproate, lithium can be used to reduce his anger spells, and he would feel better. psychological treatment like anger management, relaxation exercises etc. can help to reduce his symptoms. visit a psychiatrist for prescription of chatbot. thanks, hope this helps you. take care"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of chronic bronchitis is more. chronic bronchitis can cause lung scarring, breathlessness, edema feet etc. chronic bronchitis can damage right side of heart, and it will cause cor pulmonary. cor pulmonale causes fluid retention in the body. so you should first consult pulmonologist and get done clinical examination of respiratory system, put (pulmonary function test) and 2d echo (for cor pulmonale). you will need diuretics, inhaled bronchodilator and inhaled corticosteroids (ics) for treatment. don't worry, you will be alright with all these. quit smoking if you are a smoker. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, you feel pain in that cracked tooth and numbness, as you have cracked tooth infection can be there in periapical region, periapical pathology causes pain, numbers, and you are taking medication for pain ibuprofen, no need to take analgesic, now you should consult dentist, go for iowa (x-rays) and go for proper treatment.  hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i passed carefully through your question and would explain that it is important performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your mothers history and would like to make suggestions for her as follows"
Answer this question truthfully,"Antibodies are proteins produced by the immune system in response to foreign substances, such as viruses or bacteria. When an antibody encounters a specific target, called an epitope, it binds to it with a certain strength or affinity. The affinity of an antibody refers to the binding strength between the antibody and the epitope. A high affinity antibody binds strongly to its target, while a low affinity antibody binds more weakly. Affinity is an important characteristic of antibodies, as it affects their ability to recognize and neutralize foreign substances in the body."
Answer this question truthfully,The heart is the first organ to develop and become functional in vertebrate embryos.
Please summerize the given abstract to a title,Structure and drug binding of the SARS-CoV-2 envelope protein transmembrane domain in lipid bilayers
Answer this question truthfully,There are no MRI findings associated with tetanus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i had gone through your query. do not panic and relax. varicocele is associated with male infertility, and it is treatable condition. no medicine can help. only one treatment exist and that is surgical correction. only indication for surgery is infertility.10 million count still enough to be a father. if you tried and not able to do then go for surgeon opinion. there are reports that sperm count will increase after surgery. pain in scrotum can be treated with analgesic and wear tight undergarment or scrotal bike to reduce discomfort. i hope i have answered your query. thank you."
Answer this question truthfully,"The condition that is suggested by a child who develops OCD/tic disorder after a group A strep infection is PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections). PANDAS is a rare condition that is thought to be caused by an abnormal immune response to a strep infection, leading to the sudden onset of neuropsychiatric symptoms such as OCD, tics, anxiety, and behavioral changes. It is important to consult with a healthcare professional for a proper diagnosis and management of symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there is a possibility of grade i kidney trauma and that might be reason for small traces of blood in your urine. the pain during coughing and sneezing is probably associated with soft tissue injury to the abdominal wall muscles not related to kidney injury. since you have graded i kidney injury due to blunt trauma, the treatment is conservative and will improve with rest and medications. if ct scan has been done then any other serious condition is ruled out. since the injury is recent, healing will take time, and it is suggested that you do not stress yourself physically and take rest from mountain biking and other physical activities for about 15 days. you might get repeat blood test done to know if there is microscopic bleeding in the urinary tract. if present then a discussion with your urologist is required."
"If you are a doctor, please answer the medical questions based on the patient's description.","irina, all procedure apart from discectomy for these complain does not have a very strong scientific back up.  i mean these procedures (injection, or chiropractic) may or may not work in every individual.  i think if pain is tolerable than you can take it b 12 to make your nerves strong.  furthermore, i would also like to see mri because x-ray diagnosis can be misleading.  avoid heavy weight lifting and forward bending."
Answer this question truthfully,"Acquired or induced tolerance refers to the immune system's adaption to external antigens characterized by a specific non-reactivity of the lymphoid tissues to a given antigen that in other circumstances would likely induce cell-mediated or humoral immunity. One of the most important natural kinds of acquired tolerance occurs during pregnancy, where the fetus and the placenta must be tolerated by the maternal immune system. One model for the induction of tolerance during the very early stages of pregnancy is the eutherian fetoembryonic defense system (eu-FEDS) hypothesis.  However, another model suggests that the induction of tolerance primarily requires the participation of regulatory T cells .
In adults, tolerance may be induced by repeated administration of very large doses of antigen, or of small doses that are below the threshold required for stimulation of an immune response. Tolerance is most readily induced by soluble antigens administered either intravenously or sublingually. Immunosuppression also facilitates the induction of tolerance.
In clinical practice, acquired immunity is important in organ transplantation, when the body must be forced to accept an organ from another individual. The failure of the body to accept an organ is known as transplant rejection. To prevent rejection, a variety of medicines are used to produce induced tolerance.
One of the most important forms of acquired tolerance is oral tolerance.  Oral tolerance, the specific suppression of cellular and/or humoral immune reactivity to an antigen by prior administration of the antigen by the oral route, probably evolved to prevent hypersensitivity reactions to food proteins and bacterial antigens present in the mucosal flora.  It is of immense immunological importance, since it is a continuous natural immunologic event driven by exogenous antigen. Due to their privileged access to the internal milieu, antigens that continuously contact the mucosa represent a frontier between foreign and self components. Oral tolerance evolved to treat external agents that gain access to the body via a natural route as internal components without danger signals, which then become part of self. Failure of oral tolerance is attributed to the development and pathogenesis of several immunologically based diseases, including Inflammatory Bowel Disease (Crohn's Disease and Ulcerative Colitis)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint permanent retainers are used to maintain the teeth in proper alignment and to prevent relapse of misalignment of teeth that were actually present before treatment. in case if your retainer is broken, the pressure that it must be applying on your teeth is removed and in case if you do not get it repaired or replaced soon the teeth may start loosing alignment. as of now you can remove some portion of retainer so that you can get the discomfort relieved, but you should not delay and consult an orthodontist and get evaluated, and he can replace the retainers so that your treatment does not get in vain. hope this information helps. thanks and regards. chatbot."
Answer this question truthfully,"There is no established classification system for typhoid fever. However, typhoid fever may be classified informally as follows. 
Acute disease   
Sudden-onset Severe in nature Lasts < 12 months Mostly symptomatic
Chronic disease   
Lasts > 12 months Less severe Asymptomatic Spread infection to others
Mild disease  
Early diagnosis and treatment Antibiotic susceptibility Absence of complications
Moderate to severe disease  
Late presentation Presence of complications Antibiotic resistance
High virulence factors   
PhoP/phoQ genes CdtB protein Vi antigen-positive strains
Low virulence factors   
Absence of above factors Presence of following host factors
C282 mutation CFTR mutation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i must advise you not to go around searching for kayexalate. if it's not available, report to your nephrologist, and a dialysis will be done. the excess potassium is cleared by dialysis and is also safer than kayexalate. with end stage renal failure(esrf/ckd), any rise in potassium(hyperkalemia), must be controlled early. also be careful to avoid potassium rich foods, like fresh fruits, ripe bananas, coconut water, etc. if you want my expert opinion, you may send it as a direct question.  chatbot.  manga."
how to manage prostate cancer,"There are different types of treatment for patients with prostate cancer. These include surgery, radiation therapy, hormone therapy, chemotherapy, biologic therapy, and bisphosphonate therapy. New types of treatments are tested in clinical trials, which you may want to think about taking part in."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, when you are in the third trimester & approaching the expected date of delivery, you should count the number of times your baby moves. when the baby is in distress the movement becomes fewer, you need to visit your gynecologist to check the fsh, fetal heart sounds.  normal rate of fsh is 140/min, higher or lower rate needs medical attention. if you are getting pain in the vagina, watch for the show or get admitted under a gynecologist if contractions/pain are frequent.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. if you don't have hepatitis infection then the only way to prevent this is to avoid risky factors such as iv chatbot.  if you have hep b already then you need to take long term therapy and have frequent follow-ups by hepatologist. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Answer this question truthfully,"Before you take rivaroxaban, tell your doctor if you:
Have ever had bleeding problems Have liver or kidney problems Have any other medical condition Are pregnant or plan to become pregnant. It is not known if rivaroxaban will harm your unborn baby. Tell your doctor right away if you become pregnant while Taking rivaroxaban. If you take rivaroxaban during pregnancy tell your doctor right away if you have any bleeding or symptoms of blood loss. Are breastfeeding or plan to breastfeed. It is not known if rivaroxaban passes into your breast milk. You and your doctor should decide if you will take rivaroxaban or breastfeed.
Tell all of your doctors and dentists that you are taking rivaroxaban. They should talk to the doctor who prescribed rivaroxaban for you before you have any surgery, medical or dental procedure.
Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal supplements. Some of your other medicines may affect the way rivaroxaban works. Certain medicines may increase your risk of bleeding.
Especially tell your doctor if you take:
Ketoconazole (Nizoral®) Itraconazole (Onmel™, Sporanox®) Ritonavir (Norvir®) Lopinavir / ritonavir (Kaletra®) Indinavir (Crixivan®) Carbamazepine (Carbatrol®, Equetro®, Tegretol®, Tegretol®-XR, Teril™, Epitol®) Phenytoin (Dilantin-125®, Dilantin®) Phenobarbital (Solfoton™) Rifampin (Rifater®, Rifamate®, Rimactane®, Rifadin®) St. John's wort (Hypericum perforatum)
Ask your doctor if you are not sure if your medicine is one listed above.
Know the medicines you take. Keep a list of them to show your doctor and pharmacist when you get a new medicine."
Answer this question truthfully,Prophylaxis for wound infection includes good closure and wound care practices.
Answer this question truthfully,Collapsing pulse refers to a pulse with a fast upstroke and fast downstroke.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. glucerna and ensure are recommended supplements for nutrition in patients. sorry to hear your husband has throat cancer. hope he is having early stage of disease and is under recommended treatment. he can take lucerne and ensure in a consistency which is easy for him to swallow. having throat cancer means that he will have difficulty and pain during swallowing. please give him a watery consistency that will not stick to his throat and cause irritation. it should also not enter his airway and cause cough. in a fine liquid base with water or milk he might be given the feed in dose recommended for his nutritional needs. please do not worry."
Answer this question truthfully,"Ifosfamide, Cisplatin, and expired Tetracyclines may cause type 2 renal tubular acidosis (RTA), a condition characterized by impaired reabsorption of bicarbonate in the kidneys, leading to metabolic acidosis. This can cause symptoms such as fatigue, weakness, and confusion, and can lead to more serious complications if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for asking a question to chatbot. f.  you are 34 years old women, with 2 kids. recently you had pain in the left lower part of abdomen. sometimes extended to left leg, hand, shoulder, and right side ear. sometimes have swelling of hands, legs, whole body, and have heavy head. all the above are at different times.  the pain in the left lower abdomen suggests urinary tract infection, stones in the urinary tract, if infection is marked you can have all other pains. infection may also cause swelling of body sometimes. ear pain may be different.  i advise you to consult a urologist for diagnosis and treatment. you may need to have m.r.i.of left lower abdomen, besides other routine tests for confirmation.  wishing for a quick and complete recovery.  best regards."
Please summerize the given abstract to a title,Concurrent Treatment with Vitamin K2 and D3 on Spine Fusion in Patients with Osteoporosis-Associated Lumbar Degenerative Disorders
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. noted the history and understood your concerns. honey with roasted peanuts can cause, particularly the peanuts as they have tendency to develop gas in some people as it may contain antitoxin. you have tender abdomen making you hard to stand. i would advise you the following in such a situation"
Please summerize the given abstract to a title,The Royal College of Psychiatrists' Leadership and Management Fellow Scheme.
Answer this question truthfully,"Fanconi syndrome is a disorder in which the proximal tubular function of the kidney is impaired, resulting in decreased reabsorption of electrolytes and nutrients back into the bloodstream. Compounds involved include glucose, amino acids, uric acid, phosphate, and bicarbonate.
The reduced reabsorption of bicarbonate results in type 2 or proximal renal tubular acidosis, which may in some cases exist on its own, or more usually in combination with the Fanconi syndrome.
In many cases, the disease is developed in the context of multi-system genetic diseases(e.g Cystinosis, Galactosemia). And in many others, high exposure to toxic substances(e.g heavy metals, drugs) is discovered as the main risk factor. The disease can also develop as a consequence of other acquired diseases(e.g multiple myeloma, PNH) .
Patients mainly present with dehydration, growth failure, rickets (children) and osteomalacia (adults)  .
It is named after Guido Fanconi, a Swiss pediatrician; this may be a misnomer since Fanconi himself never identified it as a syndrome .
It should not be confused with Fanconi anemia, a separate disease ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi white matter hyper intensities(wmh) of brain indicate either ischemia or dementia. they usually represent small vessel disease. they are also useful to assess effectiveness of treatment they are associated with frontal hypometabolism and executive dysfunction.wmh have a stronger effect on glucose metabolism in that region and cortical atrophy, frontal wmh was associated with memory dysfunction in nondemented subjects. they are more likely to occur in bipolar disorder and major depressive disorder. so i hope this answers your query and if you have any further queries, you can ask us."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, zoloft may cause dizziness and light headache in few patients. it is a side effect of the chatbot.  the side effects may go away with in one or two weeks. but other causes of headache like migraine headache or tension headache or sinus headache treated separately. if headache not improved please consult with your physician, he will examine and treat you accordingly. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear. i understand your concern, and it would be appreciated that you have gone through psychotherapy. most of the time both the psychotherapy have same goal to reduce underlying emotional stress and modifying your behavior. in insight oriented psychotherapy main principle is to target emotional issues to give reality contact and give psychological meaning to your behavior. it helps people through understanding and expressing feelings and emotional problems, forbidden wishes, motivations, beliefs, fears and desires etc. while action oriented include behavior therapy mainly cbt.cbt is cognitive behavior therapy, and it is active therapy in which main principle is to identify underlying cognitive error and distortion and try to modify it along with change in behaviors. still have a query then feel free to ask. happy to help you. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a patient with a bipolar disorder should receive an intensive treatment during the exacerbation, then the patient should receive a prophylaxis treatment such as"
Please summerize the given abstract to a title,Impact of coronavirus disease 2019 on prevention and elimination strategies for hepatitis B and hepatitis C
I am suffering from Kartagener's syndrome and wanted information from you or from Dr. . for this syndrome. (About fertility) and if possible other symptoms. Thank you.,"Kartagener syndrome is characterized by primary ciliary dyskinesia and situs inversus totalis.  In people affected by situs inversus totalis, the internal organs including the heart, liver, spleen and intestine are on the opposite side of the body. This condition typically does not cause any health problems.  The signs and symptoms of primary ciliary dyskinesia  may include frequent respiratory infections that can lead to severe lung damage, chronic nasal congestion, frequent sinus infections, recurrent middle ear infections, particularly in early childhood, hearing loss, hydrocephalus, and Infertility."
Answer this question truthfully,"Iron is an essential mineral that plays a critical role in various physiological processes, including oxygen transport, energy production, and DNA synthesis. However, excess iron can be toxic and lead to oxidative damage and tissue injury. Predisposed individuals, such as those who receive frequent blood transfusions or have a genetic condition called hemochromatosis, are particularly susceptible to iron overload and associated complications. Interestingly, excessive intake of Vitamin C, which is a potent antioxidant, can enhance the absorption of iron from the diet and increase the risk of iron toxicity in these individuals. Therefore, it is important to avoid excessive intake of Vitamin C, especially in those who are predisposed to iron overload, and to consult with a healthcare professional for appropriate dietary and supplementation recommendations."
Please summerize the given abstract to a title,A study on self-diagnosis method to prevent the spread of covid-19 based on SVM
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you are 25 years old now, if you go for orthodontic treatment this time, treatment given to you is most probably fixed orthodontic treatment, so it takes time of at least minimum one year, for this i will suggest you to go orthodontist and ask for treatment plan, orthodontist will guide you in the best way, hope this will help you.  wishing you good health."
Please summerize the given abstract to a title,Longitudinal analysis of inflammatory biomarkers during acute rhinosinusitis
Please summerize the given abstract to a title,"Pandemics, Polycentricity and Public Perceptions: Lessons from the Djokovic Saga"
Answer this question truthfully,"XLA is an X-linked disorder, and therefore is almost always limited to males. It occurs in a frequency of about 1 in 100,000 male newborns, and has no ethnic predisposition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have soft spot on the head along with headaches. well there can be many reasons for symptoms you mention in query like migraine, follicullitis, fractured bone or hematoma. i would suggest you to consult dermatologist for proper examination. doctor may order ct scan, ultrasound and physical examination to check tenderness and consistency. doctor may chatbot.  for now apply warm compresses and take ibuprofen or acetaminophen for pain. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. the small lump in your armpit could be a lymph node swelling due to infection you had. if the swelling is not tender and not increasing in size, and mobile, there is no need for concern. it will reduce within few weeks. but if it is getting painful, increasing in size and becomes hard to touch and immobile, you need to get an fnac done to rule out any cellular changes in the lymph node. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. prostate cancers are mucchatdoctormon in his age than testicular, but cancers aren't the first thing to think about. this is probably prostatitis with enlarged prostate which is very often, and it is associated with pain in testicles. no matter, it should be frequently followed up by ultrasounds and psa check-ups and if any abnormality is show prostatectomy can be performed which is almost a routine procedure today. there is no need to be concerned. if he notices testicular swelling or redness it might mean something but pain isn't worrying symptom. wish you good health."
Please summerize the given abstract to a title,"Evaluating the serological status of COVID-19 patients using an indirect immunofluorescent assay, France"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  asthma is a chronic disease with lots of secretions every time you get attack. you should see that you use medicines till you get complete relief, till all the secretions are expelled or chatbot.  otherwise, the remnant secretions may aggregate at the bottom of the lungs. these may cause pain after few such attacks.  the pain could be due to gastric irritation caused by a number of"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. feet are generally the most undeclared for part of the body. it is in constant contact with the ground from which it can pick up millions of bacteria, one of them being mrsa. note that i said one in a million could be mrsa.  you have a sore in the toe mostly due to repeated trauma or single bruise on the foot and have ignored the injury, or you have a foot ulcer secondary to diabetes. there are multiple causes for an ulcer/sore.  but since you complain only of pain and no swelling or pus i do not think it has reached the stage of infection. mrsa is not your worry now. kindly give a cold pack and observe for two days. if the pain does not subside it is better to consult a surgeon, and he will have a better idea if it is a concealed infection. even if it turns out mrsa do not panic as we have sufficiently large antibiotic ranges to treat these resistant bacteria."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, thanks for the query, asthma is a chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction and bronchospasm, mostly episodes comes in the nighttime. the chronic inflammation is associated with airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and coughing particularly at night or in the early morning. you must go for spirometry (pulmonary function tests) to measure peak expiratory flow rate and which will help to make a clear diagnosis along with your symptomatology. now there are very good medicines like steroids, alpha a chatbot. if you are really having asthma symptoms then otc"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have two lumps on the bruised area of my leg. well there can be many reasons for symptoms you mention in query like keratitis polaris, folliculitis, eczema, allergy or insect bite. bruise must be due to hematoma or post inflammatory response. i would suggest you to keep area clean and chatbot.  doctor may prescribe antibiotics like azithromycin along with anti-inflammatory and corticosteroid cream. hope your concern has been resolved. get well soon. best wishes,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Natural Products-Based Drug Design against SARS-CoV-2 Mpro 3CLpro
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. mostly you could have fatty liver alcohol history present then hepatitis can be there. complete lft profile with viral marker done... yes dietary control will help you in normalizing liver.... take low fat diet. regular exercise.don't eat refined sugar more. use very minimal oil in diet. avoid trans fat diet like cheese, butter, meat, chips etc..... fruits more. with your lft reports further comments can be done. regular follow up needed for colon cancer detection as you have positive family history. take care. chatbot."
Please summerize the given abstract to a title,COVID-19 mRNA vaccines delay the onset of breakthrough infections with less radiographic abnormalities
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! you are very prone to arianism which is defined as unwanted erection lasting for more than 1-2 hours. if ever you have that symptom i would suggest going to the emergency room to relieve the erection. arianism may cause structural damage to the penis if left untreated. for now remain vigilant and erections for 30 minutes without pain is normal. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
Please summerize the given abstract to a title,"Health, Psycho-Social Factors, and Ageism in Older Adults in Spain during the COVID-19 Pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your daughters history and would like to make suggestions for her as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. but sweating is quite common in high blood pressure patients. you should consult your physician and check your blood pressure. if it is increased then take treatment accordingly.  otherwise, no need to concern. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Any prothrombotic event acquired or genetic is considered a risk factor for cerebral venous sinus thrombosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is the complication of the procedure. pseudoaneurysm is basically bulging of the wall of the artery where the puncture it to enter into the artery, most of the case it seals within a day or two. however, sometimes artery bulges out at the site leading to pseudoaneurysm. the treatment for this is tight pressure or compression at the site. from your site restrict her activities to minimal for few weeks. sometimes if its big then surgery is needed to repair it."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello . welcome to chatbot . i read your query, and it seems that headache and dizziness with nausea sensation makes me to think of possibility of benign paroxysmal positional vertigo (bppv)also a simple migraine can cause similar symptoms. i wound suggest you to get prescribed for 1) tablet betahistine 8\u00a0mg to reduce symptoms of dizziness. 2) tablet acetaminophen 650 mg to treat severe headache. you should also know to prevent bppv with some information"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. i have read your question and understand your concern. low grade fever for one month can or cannot be because of psoriasis arthritis. you need a complete work up for your fever. only after ruling out other causes can we be sure that the fever is because of psoriasis. for this i suggest you see a physician. both cyclone and methotrexate are immunosuppressants and could have led to flare up of some infection which needs to be ruled out. as for the treatment of psoriasis arthritis methotrexate is most commonly employed chatbot.  usually cyclone is not advised for long term management of psoriasis arthritis. i suggest you talk to your rheumatologist to reconsider cyclone. hope this answer helps. for further queries please get back to us. thanks.
Answer this question truthfully,"The deficiency of vitamin C, also known as scurvy, is characterized by these symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. you don't have to worry in this aspect. sperm is produced whenever you are sexually aroused. thus produced sperm is stored within your body and then the sperm is a waste product for your body. body throws any waste product out through any available means. urination is one such available means. this is a natural process and you don't have to worry about this. over and above, these instances do not any implications in your sexual life at all. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,"The effect of national public health interventions for COVID-19 on emergency general surgery in Northland, New Zealand"
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot here don't neglect this condition and consult physician or nephrologist nearby for examination...gfr here is only 26 that is very low (normal 120) and edema present suggestive of chronic kidney affection.... there might be acidosis that can lead trouble breathing for fluid retention diuretic might prescribe and if needed dialysis might have done only if nephrologist feels that so no need of become panic, i have here given opinion as per history but ultimately depending on your clinical situation further work up planned take care consult physician nearby for examination without delay"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it may be due to post-traumatic headache usually it may stay up to years after injury. reason behind this is counter croup injury of the meninges or brain lead to pain. other possibilities like neck muscles spasm or irrigation in nerves may also lead to this problem. please take mri brain and cervical spine is useful. pregabalin or gabapentin may also useful. if symptoms not improved, please consult your doctor, he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: He should continue with current treatment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. present complain suggest disc pain leading to tingling numbness. due to compression of this nerve root in spine there is pain in your thigh and leg. i will advise you to do mri spinor these symptoms analgesic and neurotrophic[pregabalin] medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. as it is just 3 days post-tonsillectomy, he should be admitted for observation, intravenous fluids and antibiotics, observation, preparation for unseen emergency and all. the stomach pain and vomiting can be due to irritation, unable to accept something which you might have given orally such as a particular thing to chatbot.  vomiting in this recovery phase is very bad as the stomach contents spoil the healing consular fossa. can cause infection, bleeding and so on. insist on admission to the hospital."
Please summerize the given abstract to a title,Forecasting US economic growth in downturns using cross-country data
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you should go for evaluation first.  do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries to find out the cause of irregular periods.  it can be due to some thyroid disorder or may be polycystic ovaries.  if anything is abnormal, it can be treated. you can track your ovulation by repeated ultrasound. it will tell you if ovulation is happening or not.  if ovulation is not happening, you can take some medicines like camphene for ovulation.  talk to your doctor regarding this."
Answer this question truthfully,"In response to strenuous exercise, there is decreased pH, secondary to lactic acidosis."
Answer this question truthfully,Tumors of fat are known as lipomas when benign and liposarcomas when malignant.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, vomiting once a day without fever, cough or diarrhea has very little significance. i think there is nothing serious. please make sure hygienic conditions are clean and after every feed or meal, your baby doesn't lay down on the bed. let him burp properly. if at any time you feel he is running fever or having diarrhea, then you see a doctor for consultation. wishing your kid a healthy life. hope i have answered your query. let me know if i can assist you further. best regards, chatbot."
Please summerize the given abstract to a title,Changes in Physical Activity and Sedentary Behavior Amid Confinement: The BKSQ-COVID-19 Project
Answer this question truthfully,"When patients who have been chronically taking PPIs withdraw from usage, they may experience rebound gastric acid hypersecretion."
"If you are a doctor, please answer the medical questions based on the patient's description.","on an online forum, it is impossible to recommend names of any specific hospitals or doctors. he has suffered from a lack of oxygen to his brain, and will need urgent referral to a developmental pediatrician at a large hospital. his development will have to be properly recorded so that further plans can be made regarding his treatment. the mainstay of treatment will be play therapy, counselling and physiotherapy, with medicines to stop the fits. he will also need assessment of hearing and vision - now, and periodically thereafter. he will need a head ultrasound to check if there are any cavities or holes inside the brain, pointing to damage to the brain or collection of fluid inside, which will need treatment."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Comparative Effectiveness of Commercial Bowel Preparations in Ambulatory Patients Presenting for Screening or Surveillance Colonoscopy
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should consult pulmonologist and get done pft (pulmonary function test) to rule out allergic bronchitis. your son is wheezing only in chennai, this means he is having allergic phenomenon due to atmosphere or allergen in chennai. so we need to rule out allergic bronchitis in his case. he may need antihistamine, anti-allergic and inhaled bronchodilators, whenever he is in chennai. all these chatbot.  so better to consult pulmonologist and discuss all these."
Answer this question truthfully,"In order to preserve line breaks and whitespace while still using wiki markup, put a space in front of each line of the block of text. Any series of one or more lines that each begin with a space will be placed inside a blue-dashed box. The layout and whitespace seen in the editing window will be preserved, while all the wiki markup (such as bold, italics, signatures, and links) will be interpreted normally.
For example, the following code in the edit window:
will produce:
This line doesn't have leading space. Whitespace is ignored.
Template:WH Template:WS"
Answer this question truthfully,"Heart failure is most often a chronic illness, which may get worse over time. Some people develop severe heart failure, in which medicines, other treatments, and surgery no longer help. Many people are at risk for deadly heart rhythms, and may need medicines or a defibrillator."
"If you are a doctor, please answer the medical questions based on the patient's description.","this is a very rare and serious problem. a few more points u need to write about is she bleeding from the injection sites and the vagina? it is a condition which is called dic(disseminated intravascular coagulation). the treatment for this is fresh blood and some medicines, along with critical support. the cause of this is not very clear, so treatment is complex, the essentials have been explained. it could be a complication of severe hypertension in pregnancy, or an infection or severe bleeding pv before or after delivery."
Please summerize the given abstract to a title,Coronary artery calcifications and 6-month mortality in patients with COVID-19 without known atheromatous disease Calcifications des artères coronaires et mortalité à 6 mois chez les patients COVID-19 sans maladie athéromateuse connue
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot learn can be associated with fatigue in 5% of persons using it and muscle aches (specifically neck and shoulder pain) in 3% of persons using it. if you are not currently using it any longer then it is unlikely that it is responsible for the effects that you are experiencing. if you are presently being treated for lyme disease, it is possible that your symptoms are related to that condition. you may want to consider speaking or visiting your doctor for an evaluation of your symptoms. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. my dear friend your platelets count is slightly high. patients with this platelets count are usually asymptomatic. no need to worry. there are not any relation with slightly high platelets, eosinophils and depression /stress. you did not mention your eosinophil count. i suggest you that reduce your stress with some mental relaxing exercise, meditation and yoga. you can also consult with psychiatrist for depression and stress if yoga and meditation not help you. thanx for query. always welcome for further question."
Please answer with one of the option in the bracket,D: Observation
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the report of your ultrasound scanning and color doppler study of your scrotum and semen analysis report that you have uploaded i would like to state that you have bilateral grade 2 varicocele. however, your semen analysis report is absolutely within normal range as per who standards. answers to your queries are detailed below .1) you have grade 2 varicocele 2) surgery for varicocele is advised only in a situation when person is infertile and have varicocele which is presumed to be a cause for infertility. you do not need surgery now 3)yes you can practice sport of your choice 4)avoid the exercise that will increase intro abdominal pressure like weight lifting, pull-ups etc. chatbot."
Please summerize the given abstract to a title,Clinical analysis and pluripotent stem cells-based model reveal possible impacts of ACE2 and lung progenitor cells on infants vulnerable to COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.based from your description, it could possibly be a fibrotic reaction secondary to the trauma you had. its like scarring process of your tissue, only on the inside. a consult with a doctor is best for clinical evaluation. diagnostics such as x-ray, mri, will help rule-out the presence of fractures, soft tissue swelling or mass. management (medical and/or surgical) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","you had not mentioned your age which is very crucial in case of back pain. for treatment, you can take some painkiller like attract or biozobid-plus only when pain is very worse or troublesome along with some calcium supplements like shackled or toscal-gem once daily. you can do some physiotherapy exercises after an expert opinion of physiotherapist. you have to sleep on plain surface as it will help you."
Answer this question truthfully,"Brodie abscess is first described by a British surgeon, sir Benjamin Brodie, in 1832. He severed the leg of a patient who had pain which was difficult to treat for a number of years. On examination of the amputated limb, Brodie found a cavity the size of a walnut filled with dark colored pus. The bone immediately surrounding the cavity was whiter and harder than the surrounding bone. The inner surface of the cavity appeared to be vascular. Since then, low-grade pyogenic abscesses of the bone have frequently been referred to as Brodie’s abscesses (Brodie 1832). Wiles reported Brodie abscesses as a specific form of osteomyelitis in 1951. Harris and Kirkaldy-Willis (1965) were the first to describe primary subacute osteomyelitis and present a radiograph diagnosing the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the condition of your wife may not be requiring a consultation of a psychiatrist. here you must act as a care taker and mentor. open talk should be able to reduce the behavior. if there is no respite, she may be taken to a psychological counselor for behavioral counseling / psychotherapist for behavioral therapy. i do not see any sort of psychiatric illness in her. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"When Parkinsonism is caused by antipsychotic medications, medications such as benztropine or amantadine may be used to manage the symptoms. These medications work by increasing dopamine levels in the brain, which can help to alleviate the movement problems associated with Parkinsonism. It is important to note that the use of these medications should be carefully monitored by a healthcare professional, as they can have side effects and may interact with other medications. If you are experiencing symptoms of Parkinsonism, it is important to speak with your healthcare provider to determine the underlying cause and develop an appropriate treatment plan."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  your pulmonary embolism may be due to blood clotting products.  your inr is also low. you are still at high risk. so you should take warfarin to prevent further attack.  it is prescription based medicine so consult your doctor and take treatment accordingly.  also check your inr regularly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good afternoon. thanks for the query to my chatbot online-clinic. i studied your query in-depth. i can understand your concerns.-in my opinion the lump-above the toe-is just due to the over dosage of the aspirin and plavix, which needs to be titrated under observation of your cardiologist.-advise-you need expert observation of your/or er physician / er cardiologist, who would admit you for the controlled dosage by titration over a weeks time.-hope this would resolve your worry-some query. wellcome again to chatbot. have a good day."
Answer this question truthfully,Based on pooled study data. Adapted from Recommendations of The PIOPED II Investigators.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, when bees sting a person they will inject venom through their stinger into the skin of the victim. people stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. for any bee sting, following measures should be followed1. if the stinger is present remove it immediately. 2. apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. wash the area with soap and water4. take antihistamine such as ben chatbot. 5. pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. aforementioned measures should follow whenever there is a bee sting. thank you"
Please summerize the given abstract to a title,An Updated and Focused Review on Heterocyclic Inhibitors for SARS-CoV and SARS-CoV-2 3CLpro
"If you are a doctor, please answer the medical questions based on the patient's description.",i am very sorry to hear that. really sorry for his condition. your next step should depend upon some factors like is he in intensive care unit (survival only with life support) ? or he is just unconscious but is alive without life support? but anyway gcs below 3 or unconscious for such a long period is really not a very good sign. but if you believe in god and fate then you may already know that we all will die one day. have your faith and please try to understand that regaining consciousness or death is largely dependent on fate at this stage apart from the doctors utmost tries. but i would really suggest if is in icu now which is really costly for you then put your trust on god and let him go.because at this stage regaining consciousness is really unlikely.
Please summerize the given abstract to a title,COVID-19 pandemic: A review of the global lockdown and its far-reaching effects
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, inflamed taste buds can be due to bacterial or viral infections, consumption of hot food, allergies to some foods, trauma from tongue biting or chipped tooth. i would suggest you to get the checkup done by the dentist take an x-ray of the chipped tooth and go for the treatment. apply colonel oral ointment topically over the affected area. start taking multivitamin tablets. take complete balanced diet and chatbot.  hope this helps out. regards."
Please answer with one of the option in the bracket,D: Heparin
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. elevated blood pressure on exertion is seen with early heart failure, coronary artery disease (cad) and valvular heart disease. since you are already having hypertension, possibility of heart failure and cad is more. so better not to perform cardio rehab. first consult cardiologist and get done ecg, 2d echo, stress test (trade mill test) and coronary angiography to rule out heart diseases. if it is cad then you will need angioplasty (stenting). you may need diuretics and other cardiac supportive chatbot.  don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,The aerobic metabolism of glucose in muscle produces 30 net ATP via the glycerol-3-phosphate shuttle.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. it is possible that your symptoms could be stress / anxiety-related since anxiety can manifest itself with both psychological and physical symptoms. however, it is also possible that they could be due to the hiv treatment also and article is known to produce a variety of side effects, including psychiatric symptoms. if you are having recurrent such symptoms or having difficulty managing your stress, then i would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. there are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. wish you all the best. -"
Please summerize the given abstract to a title,Preparation of an Immunoaffinity Column Based on Bispecific Monoclonal Antibody for Aflatoxin B1 and Ochratoxin A Detection Combined with ic-ELISA
Please summerize the given abstract to a title,A Mechanistic Link Between Selenium and Coronavirus Disease 2019 (COVID-19)
Answer this question truthfully,"The diagnostic procedure used to diagnose tracheoesophageal fistula (TEF) involves the placement of a nasogastric (NG) tube and an X-ray. The NG tube is inserted through the nose and down into the stomach, and then an X-ray is taken to assess the position of the tube. In cases of TEF, the NG tube may coil up in the esophagus instead of passing down into the stomach. This is because the TEF creates an abnormal connection between the trachea and the esophagus, allowing air to pass from the trachea into the esophagus and stomach. The presence of the coiled NG tube on X-ray can help to confirm the diagnosis of TEF. Treatment for TEF typically involves surgery to repair the abnormal connection between the trachea and esophagus."
Answer this question truthfully,"Nasal septal perforation is a condition in which there is a hole or opening in the nasal septum, which is the wall of cartilage and bone that separates the two nostrils. It may develop as a complication of septal hematoma, which is a condition in which blood collects between the cartilage and lining of the nasal septum. The pressure from the hematoma can cause the cartilage to become damaged or even die, which can lead to the formation of a hole or perforation in the septum. Nasal septal perforation can cause a range of symptoms, including difficulty breathing, nasal congestion, and frequent nosebleeds. Treatment options for the condition depend on the size and location of the perforation, and may include surgery or the use of nasal sprays or other medications."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,Aortic regurgitation can lead to an increase in systolic pressure.
Please summerize the given abstract to a title,Treatment and prognosis of COVID-19: Current scenario and prospects (Review)
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts and semen analysis report of your brother indicating that he has oligoasthenospermia. and presence of pus cells. i would like to state that oligoasthanospermia means his sperm count and percentage of active motile sperm is less than who standards which may because of infertility. the presence of pus cells is suggestive of infection either in seminal vesicle or prostate and needs to take antibiotics for long period of 6-8 weeks. please consult qualified urologist for evaluation and further treatment. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank yo u for asking at chatbot. i went through your daughters history and would like to know more about her as follows"
Answer this question truthfully,The levels of TBG and total thyroid hormone are increased with pregnancy and oral contraceptive use.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting here. transposition of great vessels or tga is a condition where the aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. in our body, the left ventricle supplies oxygenated blood via the aorta to the various organs of the body to provide oxygen for them to function. the right ventricle receives all this deoxygenated blood back from the organs and then pumps it into the lungs through the pulmonary artery to oxygenate the blood again which is then again directed towards the left side of the heart and the cycle continues. in tga, since the connections are interchanged, the deoxygenated blood from the right ventricle goes into the aorta and hence the organs of the body receive deoxygenated blood. this leads to symptoms like breathlessness, bluish discoloration of skin, multiorgan dysfunction etc. similarly the oxygenated blood from the lungs goes to the left ventricle and then into the pulmonary artery again into the lung. so body doesn't receive oxygenated blood. when the fetus is inside the mother, there is a connection between the aorta and pulmonary artery which closes after birth. this duct is called ducts arterioles which helps in mixing of oxygenated and deoxygenated blood when fetus is inside the mother. in infants with tga, it is necessary to keep this ducts arterioles (da) patent so that oxy- and deoxygenated blood can mix and the infant receives some amount of oxygenated blood. so in order to keep this duct patent some medications are given till corrective surgery is done. corrective surgeries basically reconnect the connections to supply oxygenated blood to organs and deoxygenated to lungs. also know there are two forms of tga, corrected and uncorrected. corrected is when there is transposition but left ventricle despite being connected to pulmonary artery, the pulmonary artery further supplies the body organs. therefore corrected gas are normally asymptomatic and don't require surgery. uncorrected gas are symptomatic and usually require corrective surgeries. i hope this solves your queries. it is very confusing initially to understand, i have used the best possible way to explain you. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read your query & understood your concern.  after embryo transfer. there will be some bodily reaction. you are already on chatbot. mild cramps are also seen in natural pregnancy.  vaginal discharge increases with pregnancy / pregnancy hormones you are given. the get you are applying daily would naturally come out in form of discharge.  * so don't be anxious/ stressful. try to follow instructions by your doctor, be positive, go for test when advised confidently... that will help you.  thanks.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.its one of the possibilities. when you've a gallstone problem, abdominal pain from it could radiate to your shoulder area. an abdominal ultrasound or a ct-scan could easily confirm the diagnosis. there's a higher probability if you also feel intermittent colicky abdominal pain especially after eating fatty food, abdominal belatedness. for now, if a gallstone problem is highly suspected, you could modify your diet to a low fat one. hope this helps. good day!!~ chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Common risk factors in the development of internal rectal prolapse include:  
Advanced age Female gender Obstetrical history (vaginal delivery, previous obstetrical trauma) Increase intra-abdominal pressure such as straining, constipation or chronic coughing
Less common risk factors in the development of rectal prolapse include:  
Hormonal status (onset of menopause) Systemic connective tissue diseases (dysfunction of the elastic fibers of the rectal wall)"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, oxycodone can not cause heart palpitations. so this is not a cause for your symptoms. sometimes, few patients do get cardiac arrhythmia (rhythm disturbances in heart) after surgery. and this can cause palpitations. so we should first rule out arrhythmia in your case. so get done ecg, 2d echo and holder monitoring (24 hour continuous monitoring of ecg). if all these are normal then no need to worry about arrhythmia. stress and anxiety related to surgery can also cause similar symptoms. so consult psychiatrist and discuss all these. you may need anxiolytic chatbot.  don't worry, you will be alright, first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. any activity you do that does not hurt you physically will not affect your ability to conceive nor will harm you if you are pregnant.  so you can ride the roller coaster, run, or do any of the activities you usually do to enjoy life and stay healthy, and it will not harm you or interfere with your fertility. the one thing that you may want to consider is that your uterus needs time to heal from a cesarean section, and it is generally recommended you wait one year to become pregnant again to allow the uterine scar to regain full strength.  women who get pregnant sooner after having a c-section are at increased risk of abnormal attachment of the placenta, and of rupturing their uterus if they go into labor.  i am sure after your last delivery you want to try to conceive right away, but the safest thing would be to wait until a full year passed since your c/section. i hope i was able to adequately answer your question today and that this information was helpful to you. best wishes for your next pregnancy,"
Please summerize the given abstract to a title,“I Like it Clean”: Brazilian Waxing and Postfeminist Subjectivity Among South Asian Beauticians in London
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. the gel like substance could be a normal secretion as well and the same comes from prostate or seminal vesicles or catholics gland. nothing to worry if he is sexually active and doesn't have any pain as such. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"For stable patients with intraabdominal bleeding, a CT scan is the recommended imaging technique. This non-invasive test can provide detailed images of the abdomen and pelvis, allowing doctors to identify the source and extent of bleeding. CT scans can also help to detect other injuries or conditions that may be contributing to the patient's symptoms. In some cases, additional imaging tests or procedures may be needed to confirm a diagnosis or guide treatment. However, for stable patients with suspected intraabdominal bleeding, a CT scan is often the first-line diagnostic tool."
Answer this question truthfully,The components of the bishop score include: 1. Fetal station 2. Cervical dilation 3. Cervical effacement 4. Cervical position 5. Cervical consistency.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  normochromic anemia is seen in blood loss or chronic renal disease. you should go for ultrasound abdomen to search the cause of bleeding.  and you should also go for serum creatinine level.  consult your doctor and take treatment according to diagnosis. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. all your symptoms are suggestive of cervical disc disease with radiculopathy (pressure on nerve roots). an mri scan of the cervical spine diagnoses the condition. treatment includes 1. use of cervical collar helps in immobilization and brings relief. 2. medical chatbot. 3. cervical isometric exercises are beneficial to maintain the strength of the neck muscles. neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist. 4. hot fomentation helps in relieving acute symptoms.5. you can avoid using a pillow. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Effect of feeding live yeast products to calves with failure of passive transfer on performance and patterns of antibiotic resistance in fecal Escherichia coli.
Answer this question truthfully,The mesonephros later contributes to the male genital system.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this is proven fact that statins cause muscle weakness. you have done right in shifting from statins. if even after that you have weakness in arm muscles then please get your self check with reference of your problem at c5 and c6 disc. there may be compression of nerves which are supplying to your arm. you may need an mri scan for this. i shall advise you to consult to your orthopedic or neurosurgeon for this. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Performance and availability evaluation of an smart hospital architecture
"If you are a doctor, please answer the medical questions based on the patient's description.",his appreciate your concernlooking at your history it seems to be urinary tract infection if such a case comes to my clinic i would advise him to get urine and urethra discharge swab test for culture and sensitivity course of antibiotics is recommended in your case have plenty of fluids maintain good hygienealkalisation of urine hope this helps you thanks for your question wish you a very good health take care
Answer this question truthfully,"Adrenal insufficiency is a condition where the adrenal glands do not produce enough of certain hormones, such as cortisol and aldosterone. This can lead to a variety of symptoms, including fatigue, weakness, weight loss, and low blood pressure. Following post-adrenalectomy (surgical removal of one or both adrenal glands), patients may experience hypotension (low blood pressure), hypoglycemia (low blood sugar), low sodium levels, and high potassium levels, which are all indicative of adrenal insufficiency. Other symptoms may include abdominal pain, nausea, vomiting, and fever. Adrenal insufficiency is a serious condition that requires prompt diagnosis and treatment to prevent further complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
"If you are a doctor, please answer the medical questions based on the patient's description.",healthier can be a number of factors leading to excessive bleeding. if any such cause as fibroid etc. is known then it is better to treat it. if etiology is not known or regarded as hormonal imbalance then the best medicine amongst herbal treatment is pushing churn. for total cure we usually prescribe along with it tab. aloes compound and m2 tone. this is to be taken for few months to cure problem forever.
how much ibuprofen is too much,"Prescription ibuprofen that comes as a tablet should be taken three or four times per day for arthritis, or every 4 to 6 hours as needed for pain relief. Nonprescription ibuprofen may come in a tablet, liquid, or drops. Adults and children over 12 may take nonprescription ibuprofen every 4 to 6 hours as needed for pain or fever. Children less than 12, as well as infants, may usually be given nonprescription ibuprofen every 6 to 8 hours and should not be given more than 4 doses in 24 hours."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the most important part of the treatment is to find the basic cause/ reason for such a pain so that a correct guided treatment is possible. in your case this looks to be pleural inflammation and thus causing pain while breathing and making your breathing and abdomen pain-free. i would advise you to undergo a clinical examination by a doctor, x-ray chest and relevant blood and other tests. consult a doctor to find the reason and get prescription based medicines."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear friend thanks for your query to chatbot .... i read your concern and your son is more likely to have tumor / growth in parietal lobe of brain which can be due to trauma or genetic variation. you can get a higher opinion from euro specialist who can definitely save your son from double vision and vertigo. sometimes edema which can be chatbot. hope this will be useful me if you have further queriesregards
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the normal creatinine levels for an adult male range from 0.6 to 1.2 mg/dl and for a female 0.5 to 1.1 mg/dl. this means that the value that you quoted is at the upper limit of normal and about to progress into abnormal kidney function. this is the reason that your doctors would have suggested discontinuing the nsaids. these medications are known to worsen or cause kidney disease. in addition to the tylenol, there are pain medications in the opiate family that can be used. this would include medications such as codeine, tramadol and stronger opiates if necessary. i hope this helps"
Please summerize the given abstract to a title,CYP3A-status is associated with blood concentration and dose-requirement of tacrolimus in heart transplant recipients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern. i will suggest you the best possible treatment options. first do not panic. i will suggest you to get 3 basic investigations done. 1. usg. to know about structural normalcy of the uterus and ovaries. 2.  sg - hysterosalpingography, within first ten days of the cycle. this will help to know about the patency of the fallopian tubes. 3. semen analysis of the partner. to know about the quality and quantity of the sperms. with normalcy of these 3 reports, you can simply have sexual activity at least on alternate days from day 10 to 20 of the cycle.  this is the most fertile period of cycle. alternatively, you can get ovulation study from day 10 of the cycle. you can have sexual activity or intrauterine insemination on and around the day of ovulation. please opt for a healthy diet and regular exercise regimen. start on folic acid, vitamin b 12 and omega-3 supplements at least 3 months before you plan to get pregnant. this helps to prevent many problems during pregnancy and delivery. i hope this answer helps you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. bilateral upper lobe infiltration is seen in following lung conditions. 1. tuberculosis 2. acidosis 3. chronic hypersensitivity pneumonitis 4. silicosis 5. pulmonary fibrosis. so to confirm the diagnosis you should get done bronchoscopic evaluation. this includes bad (bronchoalveolar lavage) analysis and lung biopsy to confirm the diagnosis. treatment of all this is different. so better to consult first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
Please summerize the given abstract to a title,Challenges and opportunities from the COVID-19 pandemic in medical education: a qualitative study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i went through your query. there might be bit of cement stuck below your crown. you can go back to your dentist to get it removed easily. for the numbness of your lip, it is unlikely that you have a nerve damage, because nerve damage usually occurs after any kind of surgeries in the mouth. one possibility is nickel allergy from the crown(if your crown is made of metal alloy), which usually can cause tingling sensation of tongue or lips. in any case, it is better to visit back your dentist to correct it. hope you have benefited from the answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello greetings would like these details from you to help you further you have nausea, vomiting or diarrhea associated with it? did you lose appetite and weight recently? if yes how much and in what time?how severe and nature of pain do you feel?in my opinion it could be due to spasm either in urinary tract or biliary tree consult your doctor for ultrasound and urine examination hope i have answered your question. if you have any further questions i will be happy to help warm regards"
Answer this question truthfully,Thrombopoietin stimulates megakaryocyte proliferation and is made in the liver.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. glad that you asked about you condition. as you know flu is a viral infection and does not have a specific treatment that can be offered. some doctors can give anti-viral chatbot.  flu is usually a self limiting disease and should start getting better in a few days. what you can get treated for is your asthma. keeping your asthma at bay would definitely make the flu symptoms better as well. i would recommend you to take your regular asthma medication exactly as you have been advised. if you are on no treatment then you need to see your doctor or preferably a pulmonologist who can start you on the medications. he will most probably start you on an anti-allergic initially along with a single or a dual inhaler depending on how bad your asthma is, after listening to your chest. he might also give you an antibiotic if he finds or suspects an infection in your chest. your treatment might also include a short course of steroids if he thinks you need immediate relief from asthma symptoms. so as you can see there are a lot of options as to what can be done. all these options necessitate that you need to be examined to assess how bad your asthma is. apart from the medical treatment, what you can do at home is to keep yourself warm, keep the home ventilated to keep the air fresh, have hot"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. if i am your treating doctor i would like to advice you that if the patient is non-reactive than you do not have to worry regarding your status. if the patient is in the window period than it is probable that hiv may not be detected. in that case i think you can check the status of the patient with p24 antigen for hiv. rest two investigation hepatitis b, hepatitis c is once negative is always negative. but even the quality of kit which you are testing also is an important thing. if it is of low quality false negative result may appear. if you have anything else to ask please contact me. than. chatbot"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for coming to chatbot. i understand your concerns of pain with no apparent cause diagnosed, and repeated testing is making you frustrated. doctors sometimes prescribe amitriptyline for pain and for functional causes. let's leave that aside and focus on your pain issue. you have mentioned that you have herd, what treatment are you taking for that? also, you indicated the link of pain with meals, can you please tell us more about this pattern (in how much time after meals does pain start, location of start, does the pain radiate/move/spread anywhere, duration it lasts, what makes it better, any link with particular food items). besides, did you notice any link of pain with cough/deep breathing? does the pain increase on pressing the area or increase after taking-off hand pressure? how is your bowel movement pattern? if you got stool analysis done, please share reports with us. in upper gastrostomy, how was the mucosa status ? in colonoscopy, did they find any diverticula? i am asking details of these questions to understand your condition better so that we can help you. if you have not visited your surgeon yet, i would suggest waiting and avoid any further testing while you share the above details about your pain and test reports. but in case of severe pain, please visit emergency. gall bladder removal might not solve your problems right away and every surgery (open or laparoscopic) comes with its side effects; i would recommend avoiding it till the cause is clear. hope you get better soon."
Please summerize the given abstract to a title,The α7 nicotinic acetylcholine receptor agonist GTS-21 improves bacterial clearance in mice by restoring hyperoxia-compromised macrophage function
Please summerize the given abstract to a title,The Corporate General Counsel Who Respects Human Rights
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. your symptoms seem to be caused by chronic pancreatitis. due to partial pancreas removal sometimes the pancreas enzymes are secreted outside the pancreas (to the fatty tissue). this is the most probable reason of necrosis. diarrhea with lots of mucus is characteristic for pancreas insufficiency. due to lack of enzymes which normally digest fat, diarrhea appears. that is why you should try pancreas enzymes supplementation with every meal along with special diet (low carboy chatbot. if it won't help, you may also have partial bowels' obstruction due to adhesions. to diagnose it, enterocolitis (abdominal ct with oral contrast) should be done. cough can be caused by a connection between the abdominal and thoracic cavity or by metastases in the lungs. please consult your doctor and consider chest ct. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you can consult orthopedic doctorate to compression of nerve root there can be pain in your neck i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","we can improve his condition by 1, physiotherapy 2, special training and care 3, high protein diet 4, should allow playing with other kids. we should support him emotionally also. stem cell therapy can prevent some complications, but it is under research trails. try to give regular physiotherapy and speech therapy. and get his eye examination every 6 months, bros most of the development delay kids will have vision problems which they cannot express and get unnoticed by parents. try to give omega fatty acids and multivitamin daily.use tablet. baclofen daily to prevent joint contracture"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query. microcytosis means his red blood cells are a bit smaller than usual & the common causes are iron deficiency & thalassemia trait (both are common non-serious conditions)mild leukocytosis means the white cells (white blood cells, or leukocytes are cells of the immune system involved in defending the body against both infectious disease and foreign materials) are increased in number. lymphocyte is a type of white cell. lymphocytes (increased lymphocyte count) & activated lymphocytes are commonly seen in viral infection in child chatbot. hemoglobin electrophoresis will confirm the thalassemia trait if that is there. there are no reasons to worry and should wait for electrophoresis report. hope you find the explanation useful."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have enlarged cervical lymph nodes on both side of neck. you also have cramping pain, so mostly it suggests some infection that leads to reactive enlargement of lymph node. furthermore, you should consult your family doctor and take a course of antibiotics accordingly. if it remains persistent then biopsy diagnosis is advisable. it has no relation with hysterectomy surgery so don't worry about that. just be relaxed. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"In patients with diabetic ketoacidosis, serum K+ levels can be normal or increased. This is because the acidosis that occurs in diabetic ketoacidosis can cause K+ to shift out of cells and into the extracellular fluid, leading to hyperkalemia. However, as insulin therapy is initiated to treat diabetic ketoacidosis, K+ can shift back into cells, leading to hypokalemia. Therefore, careful monitoring and management of serum K+ levels is essential in the treatment of diabetic ketoacidosis."
Answer this question truthfully,"WikiDoc seeks healthcare providers who would like to research the causes of signs, symptoms and abnormal laboratory findings. To join the effort, we need your CV on file. Email us at questions@wikidoc.org.
Template:WikiDoc Sources"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. thank you for using chatbot. i read your query and understand your concern. i look you are suffering from a viral infection, hand-foot-and-mouth disease a mild, contagious viral infection common in young child chatbot.  hand-foot-and-mouth disease is most commonly caused by a coxsackievirus.there's no specific treatment for hand-foot-and-mouth disease. frequent hand-washing and avoiding close contact with people who are infected with hand-foot-and-mouth disease may help reduce your risk of infection. measles ruschatdoctores from head to feet and goes away from feet to head. so is not it. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, every medicine has its side effects. the doctor prescribes you a medicine only after weighing benefits against the risks and i'd like to add unless a medicine has a positive effect on you, it can not be prescribed. there are other factors that may be responsible for the peptic ulcer, so please talk to your doctor and don't worry, peptic ulcer is curable. hope i have answered your query. let me know if i can assist you further. take care"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question.  i agree with the plan to delay conception until the thyroid issue is under control.  this might take up to 6 months to reach a stable point.  be patient as she is young and there is plenty of time.  the other issue that should be ad chatbot. 11.  this should be repeated to see if it is real.  it suggests a problem with her ovaries. i hope that this helps. if you have more questions, please click on \""ask me a question\"" link above to directly ask me a question!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome with your query to chatbot. based on the facts of your query - you seem to have moran bakers cyst of the knee, under your right knee. remedy-get the usg and x-ray knesset second opinion on the knee lump from orthopedic surgeon. who would treat it accordingly as per the need of your case. hope this would help you to plan treatment with your doctor. welcome for any further query in this regard will appreciate writing your feedback review comments, to help the needy patients like you at chatbot. good day!! chatbot. s. genl-cvts"
Answer this question truthfully,"The causes of neonatal hemochromatosis are still unknown, however recent research has led to the hypothesis that it is an alloimmune disease (see alloimmunity). Evidence supporting this hypothesis includes the high recurrence rate within sibships (>80%). This evidence along with other research indicates that Neonatal Hemochromatosis could be classified as a Congenital Alloimmune Hepatitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds u in good health. i have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, you should eventually get back to normal. take multi vitamin and calcium supplements do consult a gynecologist if symptoms worsened back to me for any follow-up queries anytime. chatbot. .(mbbs, ms,mch)"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please understand masturbation is normal, natural and never unhealthy. masturbation cannot lead to impotency or any other sexual problems. your masturbation habit cannot adversely affect your child bearing ability. also, your masturbation habit cannot reduce the size of your penis or shrinkage of your testicles. therefore, don't worry about that aspect. but i suggest you to reduce the masturbation frequency to three or four times a week because masturbation is energy consuming. if you masturbate at the present rate, your energy will be very low, you will not be able to do other day-to-day duties like studying, exercise etc. as a result you will be anxious, as you are feeling now. if you reduce your masturbation to three or four times a wee, it will never affect your sexual life. it cannot cause any dermatological problems. it cannot cause any health issues except anxiety. no other side effects. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,The PR interval on an ECG is the time duration between the initial depolarization of the atria and the initial depolarization of the ventricles.
Answer this question truthfully,"Screening specifically means looking for a disease in people who have no symptoms. Diagnosis, on the other hand refers to testing people who have symptoms of a disease. Standard diagnostic measures for haemochromatosis, serum transferrin saturation and serum ferritin tests, are not a part of routine medical testing. Screening for hemochromatosis is recommended if the patient has a parent, child or sibling with the disease, or have any of the following signs and symptoms:  
Joint disease Severe fatigue Heart disease Elevated liver enzymes Impotence Diabetes
Routine screening of the general population for hereditary hemochromatosis, that is, by genetic testing, has been evaluated by the US Preventive Services Task Force (USPSTF), among other groups. In case-finding for hereditary hemochromatosis, serum ferritin and transferrin saturation tests should be performed.  The USPSTF recommended against doing genetic testing to screen the general population for hereditary hemochromatosis because the likelihood of diagnosing clinically relevant, iron accumulating hereditary hemochromatosis in a treatable patient population approaches less than 1 in 1000 unselected patients. Also, there is no evidence that doing phlebotomy to treat asymptomatic, non-iron overloaded carriers of HFE mutations has any clinical benefit. Also, genetic carriers of the disease may never manifest the symptoms of the disease, so that the potential harm of the attendant surveillance, privacy issues, unnecessary invasive work-up, and anxiety outweigh the potential benefits."
Please summerize the given abstract to a title,Social isolation and loneliness before and during the COVID-19 pandemic: a longitudinal study of US Adults over 50
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. his reports suggest he has some infection.  neutrophils are increased in bacterial infection.  he may have some bacterial infection.  he should consult doctors and need to take antibiotics accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"How well the person does depends on the form of the disease they have and their overall health. The outcome in acute disease is likely to be good. With treatment, the outcome is usually good for chronic or severe disease (although relapses may occur). People with disseminated disease have a high death rate."
Answer this question truthfully,The integrated physiology and cellular basis for the T-wave alternans phenomenon has been extensively discussed.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i have gone through your question. your wife follicular study and your semen analysis normal, but i would advise you to do histosalpingography hsg to rule out any fallopian tube blockage. if reports finds normal then continue with natural method, do intercourse in fertile period on alternate days, continue this at least for 3/4 cycles. then consult a gynecologist if you could not get success. hope i have answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot thanks for the query. there is no specific exercise for fatty liver, it shold be aerobic exercises, and you need to regulate your body weight by exercise and dietary changes. especially limit sugar and fats intake, alcohol intake. you need to eat a lot of fruit and vegetables. if there is lipid levels elevation or sugar blood elevation you need to take medicines for it. also, there are certain medicines for fatty liver, but it should be taken only if it can't be regulated by dietary and lifestyle habits wish you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting you query to chatbot. if skin peeling is only limited to your original lesion you don't need to worry as it happen after resolution of swelling at abscess site. after complete removal of dead skin layer regeneration of new layer will be taken place. but if peeling is generalized to hole body and associated with some other feature you should contact to clinician because it may be due to some infection .hope you are satisfied with my answer.  feel free to communicate if any query.regards, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, legionnaire pneumonia is caused by a type of bacteria called legionella. the legionella bacteria are found naturally in the environment, usually in water. the bacteria grow best in warm water, like the kind found ingot subcooling overshot water tankage plumbing systemsdecorative fountainscentralised air conditioningpeople get legionnaires disease when they breathe in a mist or vapor (small chatbot.  one example might be from breathing in"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. manitou test is now diagnostic of tuberculosis. only on the basis on manitou test result, anti-tubercular chatbot.  this test is used for only screening purpose. it is just given additional information about having tb infection. so tuberculosis should not be diagnosed by manitou positive. you symptoms like loss of appetite, evening rise fever, vomiting etc. can be due to intestinal infection. so better to get done blood reports, ultrasound examination of abdomen and chest x-ray to rule out other possible causes. don't start anti-tubercular"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i can understand your concern. mere chest congestion is hardly ever a sign of hiv. you just seem to have a lower respiratory tract infection.  take a course of tab. amoxyclav or tab. azithromycin along with tab. pantoprazole. if you have difficulty in breathing you will be benefitted by taking bronchodilator inhalers.  avoid exposure to cold, dust and smoke. you should hopefully be fine within 2 weeks.  hope this helps. do chatbot."
Please summerize the given abstract to a title,Emerging technologies in paediatric laboratory medicine
Please summerize the given abstract to a title,Klebsiella brain abscess in an immunocompetent patient: a case report
Please summerize the given abstract to a title,Prevalence of color vision deficiency in medical students at a Saudi University
Answer this question truthfully,"The ego defense mechanism that involves redirecting emotions or impulses from their original target to a neutral person or object is called displacement. This is considered an immature defense mechanism.

Displacement is a coping mechanism that involves redirecting emotions or impulses from their original target to a safer or more acceptable target. For example, someone who is angry with their boss may come home and take out their frustration on their spouse or children.

While displacement may provide temporary relief from negative emotions, it can be problematic if it is used excessively or inappropriately. It can lead to strained relationships and a lack of emotional awareness or authenticity, as individuals may not be aware of the true source of their feelings.

In summary, displacement is an ego defense mechanism that involves redirecting emotions or impulses from their original target to a neutral person or object. It is considered an immature defense mechanism and can be both helpful and harmful depending on the situation."
Please summerize the given abstract to a title,Converging public health crises: substance use during the coronavirus disease 2019 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of heart diseases like cardiomyopathy or ischemic heart disease is more in your aunties case. her symptoms like chest pain, congestion, breathlessness etc. favor poor heart function. so better to consult cardiologist and get done 1. ecg 2. 2 d echo 3. coronary angiography. all these tests will be needed to diagnose her heart condition. so better to first diagnose her and then start appropriate treatment. she may need diuretics and other cardiac supportive chatbot.  hope i have solved your query. i will be happy to help you further. wishing good health to your aunty. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...when the kids start teething - to soothe the sensation of teething they keep what ever they can in the mouth and sometimes the impurities will go in and cause diarrhea. usually this will be viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
Answer this question truthfully,"Genital lesions on the penis Painless sore on penis (occasionally, the lesion may cause pain) Penis pain and bleeding from the penis (may occur with advanced disease)"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Benign positional vertigo is due to a disturbance within the inner ear. The inner ear has fluid-filled tubes called semicircular canals. The canals are very sensitive to movement of the fluid, which occurs as you change position. The fluid movement allows your brain to interpret your body's position and maintain your balance.
Benign positional vertigo develops when a small piece of bone-like calcium breaks free and floats within the tube of the inner ear. This sends the brain confusing messages about your body's position."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your chest pain is mostly due to musculoskeletal cause. so avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. apply warm water pad on affected areas of chest. take simple painkiller like paracetamol or ibuprofen. your hair fall should be evaluated for hyperthyroidism. so get done thyroid function test. if this is normal then no need to worry about hyperthyroidism. sometimes stress can also cause hair fall. so avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Radiation Fractionation Schedules Published During the COVID-19 Pandemic: A Systematic Review of the Quality of Evidence and Recommendations for Future Development
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you had been indulged in masturbation since many and now facing problems related to sexual activities.first there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety. following measure will help you to boost up your confidence and getting good erection. and help to improve your general health.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. the problem of night emission is common at the age of adolescence and nothing to be worried about chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi subhash ! i would advise you to go for a routine stool test to exclude meiosis. even if it is negative, a course of anti-amebic chatbot.  if you are a frequent visitor to hotels and pubs for your food, you should avoid it to the maximum, as repeated infections of the intestines can occur due to this causing symptoms of ibs. you have to add more of roughage and enough liquids to your routine diet, and also add curd to your diet daily. go for exercises like morning walk daily as a routine. on the medicinal aspect, you may discuss with your doctor for a proton pump inhibitor along with a probiotic. wishing you an early recovery."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query and welcome to chatbot. i am chatbot. you have mentioned pain in your lower back region with radiation of pain to the right side, i guess your lower limb. anyways since you are certain that there was no injury which could have actually caused a muscle strain etc., then we will have to work up in your case to actually rule out a fiscal prolapse or a degeneration etc. before i can give you some advice i would like you to send me the following details"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. penicillin along with flagyl (metronidazole) is usually prescribed during root canal treatment, as it takes care of both aerobic and anaerobic infections very well. this is very much required in cases of root canal treatment. in your case, if you are not finding comfortable using this combination then you can visit your dentist and another set of antibiotics can be prescribed for you, like augmenting or cephalosporins etc. need not worry, you will be fine once your root canal treatment is completed. you will be problem free. there are no nerves left in the tooth, to cause you pain after root canal, so relax, it will get over. meanwhile, if you wish, you can visit your dentist regarding the discomfort faced by with the present set of chatbot.  also do frequent warm saline rinses and maintain very good oral hygiene. this will help you in reducing oral infection. hope it helps .take care. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  average size of gestational sac at 5 weeks is 2-3 mm.  after ivf assessment of the embryo size with usg alone is not considered reliable blood chatbot levels are more confirmatory . as proportional chatbot levels with trans abdominal detection of an embryo is sufficient to assess pregnancy by ivf in early weeks.  please don't worry follow your doctors instructions & be positive.  thanks."
Answer this question truthfully,"During the fetal period, the ductus arteriosus acts as a right-to-left shunt, allowing blood to bypass the lungs and flow directly to the systemic circulation."
"Duchenne Muscular Dystrophy. I am doing a research project on this genetic disease and I would like to know more about it from a professional.  I am researching the mode of inheritance, symptoms, treatments/ support groups, and relative cost to family.","Duchenne muscular dystrophy (DMD) is a progressive form of muscular dystrophy that occurs primarily in males, though in rare cases may affect females. Early signs of DMD may include delayed ability to sit, stand, or walk and difficulties learning to speak. Muscle weakness is usually noticeable by 3 or 4 years of age and begins in the hips, pelvic area, upper legs, and shoulders. DMD may also affect learning and memory, as well as communication and certain social emotional skills.  Muscle weakness worsens with age and progresses to the arms, legs and trunk. Most children with DMD use a wheelchair full time by age 13. Heart and respiratory muscle problems begin in the teen years and lead to serious, life threatening complications. DMD is caused by mutations in the DMD gene, which are inherited in an X-linked recessive  pattern. DMD may also occur in people who do not have a family history of the disease. While there is no known cure for DMD, there are treatments that can help control symptoms. and complications caused by severe progressive muscle weakness. An enlarged, weakened heart may be treated with medications, but in severe cases a  heart transplant may be necessary. Assistive devices for breathing difficulties may be needed, especially at night and as the disease progresses. Steroids may improve the strength and function of muscles in people with DMD, including lung function.   Due to the advancement of medical treatment, boys with DMD may now live into young adulthood."
Answer this question truthfully,"Zygomycosis is a very rare infection, and as such it is hard to note histories of patients and incidence of the infection. However, one American oncology center revealed that zygomycosis was found in 0.7% of autopsies and roughly 20 patients per every 100,000 admissions to that center. In the United States, zygomycosis was most commonly found in the form of Rhinocerebral disease. In most cases the patient is immunocompromised, although rare cases have occurred in which the subject was not immunocompromised, most often due to a traumatic inoculation of fungal spores. Internationally, zygomycosis was found in 1% of patients with acute leukemia in an Italian review."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi! good morning. i am chatbot answering your query. your description of the lump in the bottom of the rib cage in the middle is somewhat not clear. i would advise you to get your self assessed by your operating surgeon for a proper diagnosis and appropriate management of the problem. it might not be possible to advise you on this without a clinical examination. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot.
Answer this question truthfully,Thyroid disease may be found in many patients with dermatitis herpetiformis. Patients are also more likely to develop certain cancers of the intestines.
Please summerize the given abstract to a title,"Countering Malicious DeepFakes: Survey, Battleground, and Horizon"
Answer this question truthfully,"Increased fremitus is a common physical finding that can be observed in patients with consolidation, such as lobar pneumonia or pulmonary edema."
Please summerize the given abstract to a title,"Assessment of Government Intervention Effectiveness in Scrubbing COVID-19 Pandemic and Its Pros and Cons on Educational Activities, The Case of Dire Dawa City [Erratum]"
"If you are a doctor, please answer the medical questions based on the patient's description.","i am sorry you are going through a lot. there are a lot of newer treatments. unfortunately if the lymphoma is high grade with bad cytogenetics some patients will progress despite on chemotherapy. with the times we live in, with the tools we have now, there are still some unanswered questions in science. in bad lymphoma terminal symptoms would be from progression of disease. sever loss of weight, fevers, pain, swelling depending on where the cancer grows. i would suggest consulting a good oncologist to explore all the options. if god forbid no options are left then it is reasonable to see a palliative care specialist for symptom control."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. in every probability you should visit a psychologist and narrate all the symptoms to him/her without exaggerating anything. be true. your sister may simply be behaving properly. the given description is not at all enough to make any diagnosis. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i read carefully your question and understand your concern. it seems that your brother has gone through serious damage of the spine, which has lead to leg paralysis. unfortunately there is not too much to be done in this clinical situation. besides immobilization for some time, in order to avoid further damage to the spine, there is not much to be done. a long period of physiotherapy after discharge will be needed to gain function on his lower limbs. but we can not determine the grade or recovery. sometimes paralysis may persist. hope you will find this answer helpful! best wishes,"
Please summerize the given abstract to a title,Simple hemogram to support the decision-making of COVID-19 diagnosis using clusters analysis with self-organizing maps neural network
Please summerize the given abstract to a title,JAK inhibitors: Ten years after
Answer this question truthfully,"Chimeric biologics can be recognized based on their names, as they will typically include the infix ""xi-"". This infix is used to indicate that the biologic is chimeric in nature, meaning that it is composed of both human and non-human components. By identifying chimeric biologics based on their names, healthcare providers can better understand the potential risks associated with their use, as well as any unique considerations that may need to be taken into account when prescribing or administering these medications."
Please summerize the given abstract to a title,Impact of Covid-19 on Corporate Solvency and Possible Policy Responses in the EU
Answer this question truthfully,"Vaginismus is considered a disorder of sexual dysfunction. It has several possible causes, including past sexual trauma or abuse, psychological factors, or a history of discomfort with sexual intercourse. Sometimes no cause can be found.
Vaginismus is an uncommon condition. The exact number of women who have this problem is unknown.
Women with varying degrees of vaginismus often develop anxiety regarding sexual intercourse. The condition causes penetration to be difficult and painful, or even impossible. However, this does not mean the woman cannot become sexually aroused. Many women may have orgasms when the clitoris is stimulated."
Answer this question truthfully,"Fulminant myocarditis: Fulminant myocarditis occurs following a viral prodrome. Fulminant myocarditis presents as acute severe cardiovascular compromise with ventricular dysfunction. On endomyocardial biopsy, there are multiple foci of inflammation.  
Acute myocarditis: Acute myocarditis presents with a less distinct onset of the illness. When the patient does present, there is already a decline in left ventricular dysfunction. Acute myocarditis may progress to dilated cardiomyopathy.
Chronic active myocarditis: Chronic active myocarditis has a less distinct onset of the illness. There are clinical and histologic relapses and the development of ventricular dysfunction. Histologically, chronic inflammatory changes with mild to moderate fibrosis may be develop after 2 to 4 years.
Chronic persistent myocarditis: Chronic persistent myocarditis has a less distinct onset of the illness. Histologically it is characterized by persistent infiltration and myocyte necrosis. Despite the presence of symptoms, ventricular dysfunction is absent."
Please answer with one of the option in the bracket,D: Prostaglandin-induced myometrial contraction
Please summerize the given abstract to a title,Association between convalescent plasma and the risk of mortality among patients with COVID-19: a meta-analysis
Answer this question truthfully,There are no risk factors associated with the development of T-cell prolymphocytic leukemia.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot! since the infective organism has been identified (staphylococcus), your treating doctor must have given the right antibiotics. so you need not worry. since the lesion was big, it was necessary to chatbot.  antibiotics will take 3-4 days to show their effect. meanwhile, i'd advice your son to take an antipyretic and painkiller to get relief from the fever and pain respectively. apart from this, you may wait till am. hope this has solved your query. feel free to ask for any doubt."
Please summerize the given abstract to a title,The potential use of thalidomide in the therapy of graft-versus-host disease—A review of clinical and laboratory information
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. implantable contraceptives like the implant and explain, even though they have expiration dates, are effective for even a few months beyond that date. this is because the manufacturer is required to post an expiration date that is actually earlier than when the device truly becomes ineffective. when switching birth control methods, hormonal symptoms are very common. many of the symptoms that we commonly associate with pregnancy including bloating, breast tenderness, moodiness, weight gain, nausea, headaches and others are common side effects of progesterone based contraceptives (like the explain) and cannot be distinguished from pregnancy. the only way to know absolutely for sure that you are not pregnant is by performing a urine pregnancy test. modern pregnancy tests are extremely accurate, and will become positive within 10 days to two weeks after conception. however, the reason your healthcare provider did not require pregnancy test before giving you your new explain is that, because of the reason i explained earlier, you really were not at risk for pregnancy. so the likelihood of your getting pregnant in between switching from implant to explain is close to zero.  the symptoms that you are experiencing are likely side effects of your bodies adjustment to the new medication, which will likely subside over time. i hope i was able to adequately answer your question today, and that this information was helpful. best wishes,"
Answer this question truthfully,"pp65 antigen is a serum marker that is used to detect CMV (cytomegalovirus) infection. CMV is a common virus that can cause serious health problems in people with weakened immune systems, such as transplant recipients and people with HIV/AIDS. The pp65 antigen test is a sensitive and specific test that can detect active CMV infection by measuring the presence of a viral protein in the blood. It is often used in combination with other tests, such as PCR (polymerase chain reaction) and viral culture, to diagnose and monitor CMV infection in high-risk patients. Early detection and treatment of CMV infection can help prevent complications and improve outcomes in these patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for using chatbot. i read your question and understood your concern. since you can walk fine that mean that there should not be an ankle fracture so would treat that as ankle sprain. you can do 4 things rice. rest the leg bus using ankle brace as you are doing for at least 3 weeks ice it for the first 48 hours 15 minutes on and off. compression with elastic bandage or ankle braceelevation of the leg above the heart level. after 3 weeks you may need physical therapy for muscle strength. wish you quick recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for using chatbot. i read your question and understood your concern. the ingrown toenail is from cutting it not properly but to short in the corners. you can use betadine baths of the the 2 times a day by 15 minutes, you deep the toe in a betadine small basin. after 1 week the soft tissue inflammation will be better and ready for the surgery to remove part of the nail. it is not a poisoning of the blood, and it is not related with belly button. i wish you quick recovery."
Please summerize the given abstract to a title,A Visual Framework of Meta Genomic Analysis on Variations of Whole SARS-CoV-2 Sequences
Answer this question truthfully,SNS activity and catecholamines primarily cause vasoconstriction of the renal afferent arterioles.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, apply hot pack twice and start knee isometrics exercises (put a towel roll under your knee and press it down with the help of your thigh muscles), hold it for 10 secs and repeat for 10 times. along with ankle exercises stretching exercises of lower limb specially hamstring muscles will help you. ensure that you take good calcium and protein rich diet avoid fried items. hope you will find the answer useful. let me know if i can assist you further."
Answer this question truthfully,"An active error occurs at the level of front line operator, such as a nurse or physician, and is immediately evident in the care of the patient. For example, administering the wrong medication or dosage would be considered an active error. On the other hand, a latent error occurs in processes that are indirect from the operator but can still impact patient care. These errors may not be immediately evident and can persist for long periods of time. An example of a latent error could be a confusing medication label that leads to repeated errors in medication administration. It is important to address both active and latent errors in healthcare systems in order to improve patient safety and quality of care."
Answer this question truthfully,The most inferior of the three primary vesicles in the developing brain is the hindbrain (rhombencephalon).
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for choosing chatbot! i appreciate your concern for the small residual scar following the tb treatment. since you have been examined by your treating physician following a course of treatment of 6 months duration and if the three sputum samples are found to be negative for the bacteria responsible for causing tb, with normal esr it is unlikely that you have an infection. the small residual scar is due to healed focus of infection which will subside, nothing to worry. give your valuable feedback if convinced. wishing you best of your health."
Please summerize the given abstract to a title,Ensemble-based screening of natural products and FDA-approved drugs identified potent inhibitors of SARS-CoV-2 that work with two distinct mechanisms
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, was it a stray dog or domestic one? if domestic, is it vaccinated? if not vaccinated, or if it is a stray dog, we have to start vaccine without further delay. no need to worry about 10 days delay-rabies has a comparatively longer incubation period of 1-3 months, so even now, vaccine might be effective. the vaccine is only as painful as it is for other vaccines. nowadays, most centers give intradermal one, which is less painful than intramuscular ones. if the dog is available for observation, and has been asymptomatic throughout the 10 days period, chance of rabies is extremely rare, but stick on to the advice from authorities. take care. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"Exertional heat stroke is a medical emergency that occurs when the body's thermoregulation system fails, leading to a dangerously high body temperature. Heat exhaustion, on the other hand, is a less severe condition that occurs when the body loses too much fluid and salt through sweating, leading to symptoms such as fatigue, dizziness, and nausea. The main cause of exertional heat stroke is a breakdown in the body's ability to regulate its temperature during physical activity, while the main cause of heat exhaustion is inadequate fluid and salt replacement during physical activity in hot and humid conditions. It is important to recognize the signs and symptoms of both conditions and take appropriate measures to prevent and treat them."
"If you are a doctor, please answer the medical questions based on the patient's description.","from your history, it seems that your mother has persecutors delusions.  the illness is so long .its mostly paranoid schizophrenia or in rare circumstances delusional disorder.long term use of antipsychotics will help her.in schizophrenia, there is chronic remitting and relapsing course. mostly occurs due to biological reasons and specially dopaminergic pathway involvement. so long term use of antipsychotics use is mandatory for stable life. bring her to psychiatrist for detailed evaluation and specific diagnosis and treatment purpose."
Answer this question truthfully,"Aortoiliac occlusion, also known as Leriche syndrome, is characterized by a triad of bilateral hip, thigh, and buttock claudication, impotence, and absent or diminished femoral pulses."
Please summerize the given abstract to a title,"Addressing COVID-19 health disparities through a regional community health response: Posted February 10, 2021."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. it is not common to get bladder symptoms after spondylolisthesis or after spinal fusion. however, if the sacral nerves are pinched or compressed due to listless or due to surgery, bladder symptoms may occur. a careful examination is required by a neurologist and urologist. ultrasound should be done to look for post void residual urine. if there is a significant amount of urine left in the bladder after voiding, then self intermittent catheterization may be required. i hope it helps. best wishes, chatbot."
Please summerize the given abstract to a title,DCs-based therapies: potential strategies in severe SARS-CoV-2 infection
Please summerize the given abstract to a title,A cellulose acetate/Amygdalus pedunculata shell-derived activated carbon composite monolith for phenol adsorption
Answer this question truthfully,"http://www.nlm.nih.gov/medlineplus/ency/article/001536.htm
Template:WH Template:WS"
Answer this question truthfully,"An example of non-facial nerve palsy synkinesis is Freys Syndrome, which occurs when the auriculotemporal branch of V3 is cut during an excision of the parotid gland and reinnervates the skin sweat glands in front of the ear."
Answer this question truthfully,Cholesterol gallstones are typically not visible on radiographs and are considered radiolucent.
Please answer with one of the option in the bracket,E: Self-inflicted wound contamination with fecal matter
Please summerize the given abstract to a title,Excitatory-Inhibitory Homeostasis and Diaschisis: Tying the Local and Global Scales in the Post-stroke Cortex
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read your question and would like to give my opinion. in my opinion it should not be a problem if he ejaculates in you, if you would be taking oral contraceptive pills, as oral contraceptive pills are 99% effective if taken perfectly, means it should be taken every day at same time without missing a single dose. if you miss any single dose, chances of accidental pregnancy become high. hope this answer is helpful. thanks chatbot."
Please summerize the given abstract to a title,Bowel ischemia as onset of COVID‐19 in otherwise asymptomatic patients with persistently negative swab
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. his pain is mostly due to neuritic and neuropathic pain. it is common in stroke patients. it is actually due to regeneration of nerves in paralyzed parts of body. furthermore, it is positive sign for recovery. his pain will improve with pregabalin or gabapentin. both are having excellent effect in neuritic pain. vitamin b 12, folic acid and pyridoxine supplements along with pregabalin are also beneficial. so consult doctor and discuss starting these chatbot.  don't worry, he will be alright. hope i have solved your query. i will be happy to help you further. wishing good health to your father. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",**thanks for contacting ayurveda with your health concern1. some noticeable points to remember is/are
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. your problem is most likely due to lumbosacral intervertebral herniation or sacroiliac joint arthritis. a physical examination with orthopedic can give clue for that and an x-ray followed by mri might be needed to confirm it. for sacroiliac joint arthritis a local injection of corticosteroids will give pain relief. if there is disc herniation or injury weight lifting should be avoided. such case in my patients i treat with nsaids like diclofenac muscle relaxants like thiocolchicoside and neurotrophic chatbot. i also send them for physiotherapy along with this. lumbar supporting belt is also helpful. hope this may help you. let me know if you have any further query.
Please summerize the given abstract to a title,Detecting and Preventing Faked Mixed Reality
Please summerize the given abstract to a title,Allocation of intensive care resources during an infectious disease outbreak: a rapid review to inform practice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","first, you need to know the reason why the creatinine is 2.7. it is an indicator of the function of the kidney and only when both the kidneys fail does it start to rise. that cause then needs to be corrected. cancer is a very rare cause of kidney failure and there are other mucchatdoctormon causes. also, the calcium levels can also increase just because of kidney failure. if your doctors are saying he might have cancer then there must be other reasons for them to say so. also, the level at which dialysis becomes mandatory is 5 or above for serum creatinine, although there are other parameters to consider."
Please summerize the given abstract to a title,A longitudinal investigation of psychological distress in children during COVID-19: the role of socio-emotional vulnerability
"If you are a doctor, please answer the medical questions based on the patient's description.","1. you may consult a homeopathic specialist on how to use the selected medicines according to your growth and development (physical+mental).2. because hashimoto thyroid its is also called as autoimmune thyroiditis, thus immunomodulator (malayan) treatment has to be given side by side.3. because your immune system will be time and again attacking your thyroid gland, dose has to be adjusted in timely manner, so remain in touch with your attending physician,"
Answer this question truthfully,"The recommended management for a patient presenting with severe headache, neck stiffness, and hemiparesis is a CT scan."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote it should be an urticaria or a simple skin allergy. you can use hy chatbot.  most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. if this happens, you can start using the same medicine, but i suggest you get the kid evaluated with your pediatrician. but... skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms and mri spine findings.first, i would like to reassure you that there is no need to worry about your mri spine findings, as it does not show any serious problems. there is bulging of discs causing compression of nerves in the neck region. this can result in neck pain and pain in the arms. you would get better with pregabalin or gabapentin capsules. in addition, you should also start neck physiotherapy. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please summerize the given abstract to a title,Evaluation of a novel antigen-based rapid detection test for the diagnosis of SARS-CoV-2 in respiratory samples
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is 100% fatal but 100% preventable by proper and adequate treatment. as you were bitten by suspected rabid dog for which you have taken only one dose os antirabies vaccine. as i have explained earlier rabies cannot be cured, but it can be preventable inadequate and improper treatment may lead to rabies. i would suggest you to take the complete course of treatment as early as possible. thank you."
Answer this question truthfully,"Anterograde amnesia is a type of amnesia characterized by the inability to form new memories after a central nervous system insult. This means that individuals with anterograde amnesia have difficulty acquiring and retaining new information. The term ""anterograde"" refers to the direction of memory loss, which is forward in time. This is in contrast to retrograde amnesia, which is the inability to remember events that occurred before the CNS insult. Anterograde amnesia can be caused by a variety of factors, including head injury, stroke, and certain diseases or conditions that affect the brain."
Please answer the letter of option truthfully,D
Answer this question truthfully,"Dysthymia is a chronic condition that lasts many years. Though some people completely recover, others continue to have some symptoms, even with treatment.
Although it is not as severe as major depression, dysthymia symptoms can affect a person's ability to function in their family, and at work.
Dysthymia also increases the risk for suicide."
Please summerize the given abstract to a title,Congenital Zika Syndrome (CZS) Phenotype Seen in Older Children
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the details you had headache during post-natal period for which lumbar puncture was done to know csf opening pressure and to rule out any infections. now you have coccyges pain (you meant to say pain in the tail bone). lumbar puncture is done at l3-l4 or l4-l5 vertebral level. pain secondary to csf chatbot.  coccyx is the tail bone seen after sacrum should consult neurologist for the neurological examination and determine the level of pinyon may also require mri lumbosacral spine with focussing on sacrococcygeal region require, analgesic, neuralgic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make following suggestions to you"
Please answer with one of the option in the bracket,A: Acute lymphoblastic leukemia
Please summerize the given abstract to a title,A Case of Bradycardia Shock Caused by the Combined Use of Carteolol Eye Drops and Verapamil in an Elderly Patient with Atrial Fibrillation and Chronic Kidney Disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","when lymph nodes swell in two or more areas of the body, it is called generalized lymphadenopathy. this may be caused by"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. the type of the pain you explained and fever can be due to right sided kidney infection and if there is an obstruction to the urinary outflow due to stone or so, the urinalysis can be negative as the infected urine will not reach the bladder. the best way is to go for ultrasonography to confirm or rule out certain problems. continue the antibiotics as he has fever. give paracetamol for the fever. at the same time the possibility of appendicitis, right sided colitis has to be kept in mind. ultrasonography may help to an extent for this too."
Answer this question truthfully,"Keloids usually are not medically dangerous, but they may affect the appearance. In some cases, they may become smaller, flatter, and less noticeable over a period of several years. Exposure to the sun during the first year after the keloid forms will cause the keloid to tan darker than the skin around it. This dark color may be permanent. Removing the keloid may not be permanent. Surgical removal may cause a larger keloid scar."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. inflammation of sinuses and airways can rarely cause this kind of cold feeling. so we should rule out sinusitis and bronchitis in your case. so first consult ent doctor and get done clinical and endoscopic examination of sinuses. if this is normal then no need to worry about sinusitis. consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is must for the diagnosis of bronchitis. if all these are normal then no need to worry about major diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
Answer this question truthfully,"NADPH, a by-product of G6PD, is needed to regenerate reduced glutathione."
Please summerize the given abstract to a title,Vitamin D metabolism and disorders in dogs and cats
Please summerize the given abstract to a title,A look at the complex issues of science communication: the Routledge Handbook of Public Communication of Science and Technology
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori can understand your problem this could be an allergic condition and for that i would advise you to start the long acting antihistamine \""livocetirizine\"" three times in day, \""diethylcarbamazine\"" 100 mg three times in day for seven days if this fails to respond then steroid would be taken and for that you need to see the doctor, but this will come around with this have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting your query. i can understand your concern. i recommend that you use a salicylic acid face wash twice a day. also it's important to use creams to control the acne as maintenance after the peels, or else there is a recurrence of acne. treatment of acne would be oral medication, creams and daily skin care routine which further helps in acne.  oral medication will be tablet doxycycline 100 mg once a day for 4 weeks.  creams would be application of clindamycin gel twice a day only on the pimples. application of benzoyl peroxide 2.5% gel once a day on the pimples. application of retain a cream 0.025% on full face at night for 2 hrs. all the applications will have to be done for 6 weeks. regards"
Please answer with one of the option in the bracket,A: Head-up tilt-table test
Answer this question truthfully,"The cerebellum is responsible for ""fine-tuning"" movement and aiding in coordination and balance."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query. thanks for using chatbot. actually you have marginally high bp.so you don't need any medicines now. however as both your parents are hypertensive you must follow healthy lifestyle. apart from salt restriction, go for regular walk, take green vegetables and fruits. most importantly avoid smoking and stress. regular lifestyle and weight reduction of 10% of present weight will help you immensely. keep regular eye on bp.my best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ms. maureen, i have gone through your query and understood the concern. it is so sad that the conception resulted in an ectopic pregnancy. in the current scenario, the tubal motility of the remaining tube, its patency and the status of the endometrium, whether it is capable of holding an embryo safely etc., should be evaluated by an expert in high risk pregnancy. you may need to take a break temporarily to allow proper tissue repair. once healing is done, given the parameters are good enough, you can try for another pregnancy. as you have no ovulation defects, your chances of conception are good if the tubal function is normal. hope your query has been clarified. take care."
Answer this question truthfully,Retroperitoneal fibrosis is a rare disorder that occurs when extra fibrous tissue forms in the area behind the stomach and intestines. The excess tissue forms a mass (or masses) that can block the tubes that carry urine from the kidney to the bladder. Doctors don't know why these masses form. It is most common in people aged 40 - 60. Men are twice as likely to develop the condition as women.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the commonest cause of pinching pain in the lower abdomen with a history of renal stone and which increases on bending can be urinary tract infection with severe form of cystitis or a stone in the urinary bladder. i would suggest you to send your urine for culture and sensitivity before starting the antibiotic treatment to get a proper result. also, sen blood for cbc, urea, creatinine, and other relevant tests. get an ultrasonography done. if required intravenous pyelogram helps . get a proper antibiotic treatment, removal of the stone if present, plenty of oral fluids."
"If you are a doctor, please answer the medical questions based on the patient's description.","the question is why are you taking isoniazid ? is it for prophylaxis or is it part of tuberculosis regimen ? yes isoniazid has liver toxicity but not in all patients . only some patients develop raised liver enzymes because of isoniazid.  do have an underlying liver disease ? if not there is nothing to worry. go for a baseline liver function test and repeat it after three months, if the alt and ast has not increased by > 3 times the upper limit of normal then there is nothing to worry. you don't need to take any other medications to prevent liver toxicity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that there might be having acute urinary tract infection and possibility of having renal stones as you got severe renal colic after end of the day due to jolting movement during day. you have to consult your doctor for uti and stones. go for routine urine check up and ultrasound of kidneys.meanwhile, take some antispasmodic medicine like metal spas or cyclops for pain. take plenty of water. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  of course, it is quite misleading, but i will try to solve your problem. the causes of pain in the right lower abdomen are the urinary tract infection, stone in the ureter near the bladder, appendicitis, iliocaecal tuberculosis, or amoebic colitis usually accompanied by the bloody stools.  i usually prescribe to my patient with such symptoms niacin 500\u00a0mg b, d, furazolidone, metronidazole, fanatic acid, and dicyclomine hy chatbot.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to facilitate the recovery.  wishing for a quick and complete recovery."
Answer this question truthfully,Sister chromatids are joined together at the end of S phase at the centromere.
Answer this question truthfully,"Tonsillitis symptoms usually improve 2 or 3 days after treatment starts. The infection usually is cured after treatment is completed, but some people may need more than one course of antibiotics.
Complications of untreated strep tonsillitis may be severe. Children with tonsillitis related to strep throat or pharyngitis should generally be kept home from school or day care until they have been on antibiotics for 24 hours. This helps reduce the spread of illness."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for consulting in chatbot. mucus and digestive particles in stool can indicate disorder of flora in intestine- disbacteriosis. you should do analysis for stool culture and sensitivity to antibiotics. without analysis for disbacteriosis i can advise eco norm (saccharomyces)1 sasha 2 times 5 days, then similar 1 cap 1 time 1 month. in addition, take enzyme syrup 14 days with meal for better absorption, because he has digestive particles. improve feeding of child, he should eat 4 times every 4 hours and between-fruits. if he has lots of mucus you should add him nights 1 tab 3 times with antibacterial target during 5-7 days. grow quicker chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dearwelcome to chatbot.come have evaluated your query thoroughly.* this seems more of bronchitis scene rather than pneumonia.* suggestions for better outcome - chatbot. - balanced nutritious diet.- avoid smoking, alcohol.- gargles with salted lukewarm water and added peppermint oil 3 time a day.- keep record of temperature.- avoid exposure to excess cold, dusty environment. consult later doctor if required. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting on chatdoctori presume that your friend had initially been diagnosed with breast cancer & now the lung cancer is possibly a secondary. chances of survival is a very difficult question to answer as it all depends on what type of primary breast cancer it was at the time of diagnosis - also depends on how she responded to chemo at the time. if the lung cancer is secondary from breast & is aggressive - it will still depend on how she responds to chemo +/- radiotherapy. i wish all the best to your friend thanks
Answer this question truthfully,Creutzfeldt-Jakob disease is characterized by periodic sharp wave complexes on EEG.
Please summerize the given abstract to a title,COVID-19: Exploring the Repercussions on Federally Qualified Health Center Service Delivery and Quality
Please summerize the given abstract to a title,European Resuscitation Council Guidelines 2021: Basic Life Support.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, don't worry of if it is nothing but lumbar spondylosis. you just take inferential and ultrasonic therapy for 20 - 25 days. with some regular back muscle strengthening exercises you will improve. but you need to correct your sitting posture, as it may be the cause of pain in back. sit straight always don't bend forward while sitting, avoid lifting heavy objects for few days. wear ls belt. within a month your pain will reduce."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Modeling the Costs of Trade Finance During the Financial Crisis of 2008–2009: An Application of Dynamic Hierarchical Linear Model
Please summerize the given abstract to a title,Direct and Indirect Neurological Signs of COVID-19
Answer this question truthfully,"The hyperplasia pathway is a type of endometrial carcinoma in which the carcinoma arises from endometrial hyperplasia, accounting for 75% of cases."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you must understand you have no emergency medical condition so that the surgery is essential. you are able to perform intercourse. your erect penis is, possibly, more than 2 inches. your semen count is good. in these cases, why are you worrying unnecessarily. over and above you are already 58. sexual fantasies are to be kept aside, and you should think about your social identity and self-esteem. once you keep your fantasies away, your depression will be cured. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, does your baby have a temperature? passing more than 3 times a day is diarrhea. since, you have noticed blood better so do feces analysis. give your baby soups with rice, and also banana that are good choices for diarrhea. get the baby hy chatbot.  have you used any medicine for your baby? i suggest you to visit a pediatrician in order to do a physical examination of your baby. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,E: Vancomycin
"If you are a doctor, please answer the medical questions based on the patient's description.","behavioral problems related to feeding and activity is common in this age group, but excluding organic causes such as anemia, hypothyroidism is important. i recommend doing the following"
Please summerize the given abstract to a title,Fractional-order coronavirus models with vaccination strategies impacted on Saudi Arabia’s infections
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should have allergy.it's an acute attack of allergy on chronic. means you have chronic allergy and on it, you are receiving acute attack. lymph node swelling is because of chronic allergy. i advise you to look out for the allergen. because you can only found out the allergen. keep the allergen away from you is the best treatment you have. till the time you can take the cetirizine and low dose steroid under doctors guidance. it will immediate clear your symptoms. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello amy, i have gone through your details and i also agree that your heart is perfectly okay. so don't worry regarding your heart. the cause of your palpitations is hyperthyroidism due to levothyroxine induced. you have not mentioned the dose of levothyroxine. so my advice is kindly reduce the dose of levothyroxine once a day associated with start tab propranolol 40 mg once a day with tab clonazepam 0.5 mg at bedtime. thank you"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer with one of the option in the bracket,E: Protozoa
Please summerize the given abstract to a title,The Impact of the COVID-19 Pandemic on Hepatobiliary and Pancreatic Surgical Services in Singapore: Retrospective Quantitative Study
"If you are a doctor, please answer the medical questions based on the patient's description.","smoking is a well known cause of delayed healing. it generally affects healing in the immediate post-operative period as smoking leads to decreased oxygen supply to the wound by increased carbon dioxide levels and constriction of blood vessels leads to decreased blood supply to the wound. apart from that various other chemicals in the smoke cause cell damage hence affects healing. any scar after either operation or trauma takes at least 9 months to one year to completely mature up. in your case the redness of scar after 7 months of operation may be due to many factors, most common of them is that it may be due to scar is still immature and active healing process is still taking place but at abnormally high pace hence it is still red due to increased healing activity. smoking delays the maturing of scars. hence i suggest that you should stop smoking, at least till the scar become mature, whitish and fades away. if the scar starts becoming thick and itchy it means abnormal healing is going on and must consult your operating surgeon. meanwhile, you should massage three to four time per day the scar by cold cream. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the proper treatment for the problem is"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query what are black heads answer"
Please answer the letter of option truthfully,D
Answer this question truthfully,Symptomatic PVCs is managed with β-blocker / CCB while stable ventricular tachycardia is managed with amiodarone.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have abscess in mouth. well there can be many reasons for abscess. sometimes infection occur again in root canal teeth because of microleakage of through gum infection and when left untreated it creates hole also known as dental sinus. it can lead to facial space infection as well. need not worry. i would suggest you to consult dentist for proper examination. doctor may order x-ray for proper evaluation. doctor may consider root canal again or extraction of tooth depending upon the condition of the tooth. doctor will also prescribe antibiotics (penicillin or metronidazole) at least for 10 days. maintain complete oral hygiene by brushing and flossing. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. often, no treatment is needed. symptoms often begin to improve right away. however, it may take weeks or even months for the muscles to get stronger, and this may be frustrating. sometimes medicines may be used, but it is not clear how much they help. if medicines are used, they should be started right away. corticosteroids may reduce swelling around the facial premedications can fight the virus that may be causing bells palsy do hope that you have found something helpful. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","this could be a number of things; as there are an array of both rhythm and rate disorders and or abnormalities which cause the symptoms you describe. when you say your heart stops, be more specific? and when you say always suffered this, can you think of any things done before each episode, any activities you are engaging in at the time? have you ever seen a cardiologist and been prescribed? if not; what do you do to improve the situation, and does anything work? though i cannot provide to you diagnosis, i will say that there are a number of factors which can cause a fast heart rate. caffeine, amphetamines, stress, a variety of medications; and then ultimately there are some inherent heart disorders where nothing is particularly causing it, and these must be ruled out. i would contact the physicians who ruled out your heart disorder and give them a call; explaining any changes in symptoms. if you ever start to feel chest pain, sweating, shortness of breath, and or lightheartedness with cardiac symptoms, call 911 and be taken to the emergency room."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. spleen is an important organ in immune system, specifically against calculated organisms.2. in itp, spleen is the site of destruction and hence its removal will improve platelets count.3. splenectomy increases risk of severe infection by calculated organisms and usually is last resort treatment. vaccination is available against these common calculated organisms.4. as the age is younger for the boy, the risk of infection is present for longer time, hence they are waiting and watching to check for progression. in the young, chronic itp risk is low and acute itp usually comes under control. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Beckett’s present moments
Please summerize the given abstract to a title,Characteristics of COVID and post COVID polyneuropathies in adults and pediatrics: an Egyptian sample
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it can be due to atlantis which is infection of the region between the glans or head of penis and foreskin. this happens because of secretions collecting when you do not take bath or maintain hygiene. simply giving yourself regular baths will solve the problem. if you do not take precautions then severity of atlantis will increase leading to fibrosis which can cause difficulty in passing urine and having erection during sex."
Please summerize the given abstract to a title,Assessing the impact of COVID-19 on registered interventional clinical trials
"If you are a doctor, please answer the medical questions based on the patient's description.",this is known as aorta data in ayurveda. in a recent time freshly diagnosed case of multiple sclerosis came to me for ayurveda treatment i treated the patient successfully at present all motor and sensory function are normal all reflexes are normal and within a period of seven month treatment mri scan reported that reduction in size of some areas of declination i posted the details of the case with photo on my face book account i wrote a paper (case study) which will be printed shortly
Answer this question truthfully,What is located external to the submucosal layer of the gut wall? The muscularis externa is located external to the submucosal layer of the gut wall.
Please summerize the given abstract to a title,Genomic and phenotypic characterization of Multisystem Inflammatory Syndrome in Children (MIS-C): a prospective multicenter study from the Middle East
Answer this question truthfully,"Ask your doctor about the risks of a biopsy versus monitoring the size of the hamartoma with regular x-rays.
Reasons for a biopsy or removing the nodule may include:
Smoking. The nodule size has grown compared to earlier x-rays. A CT scan suggests the lesion is malignant (cancerous)."
Please summerize the given abstract to a title,Screening of Swiss Pig Herds for Hepatitis E Virus: A Pilot Study
Answer this question truthfully,The New York Heart Association (NYHA) Functional Classification provides a simple way of classifying the extent of heart failure. It places patients in one of four categories based on how much they are limited during physical activity.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please answer with one of the option in the bracket,E: No screening test is recommended
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. both option (phenytoin) and level (levetiracetam) are anti-epileptic medication, i.e. they are given to control fits. now, you have not given details as to why the doctors wanted to change option to level. it could have been that the fits may not have been controlled by option, thus requiring a change of medication. without any information about how well controlled her symptoms are, it is not possible to give any definitive advise on further treatment options. so, i would suggest that you ask your doctor why the medication had to be changed and whether it would be sufficient if she is only on one medication. it is not true that this medication are not good for the brain, but it is also important that the appropriate medication in the right doses are given in order to control the symptoms. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot! i carefully read your question and would explain that your symptoms seem to be related to an infection (probably viral). anxiety can not be excluded too as a possible cause of this clinical scenario. have you measured your body temperature? do you have fever? i recommend consulting with your attending physician for a careful physical exam and some blood lab tests (complete blood count, pcr, sedimentation rate, cpu, fasting glucose, blood electrolytes) and a chest x-ray study. further tests may be needed to establish the cause (bacterial blood culture, urine analysis, etc.), especially if you have fever. you should discuss with your doctor on the above tests. hope to have been helpful! best wishes,"
Answer this question truthfully,"Call your health care provider if you have:
A new or widening dark streak in the nail Blue nails Clubbed nails Distorted nails Horizontal ridges Pale nails White lines White color under the nails
If you have splinter hemorrhages, see the doctor immediately."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. reading of must be a false reading, such readings should be reconfirmed. if bp is persistently more than 140/90 mmh, then either dose of atenolol should be increased or better option to add another chatbot.  atenolol is not a first line antihypertensive these days. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. get your lipid profile and sugars tested once."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Probable Protective Effect of Photobiomodulation on the Inflammation of the Airway and Lung in COVID-19 Treatment: A Preclinical and Clinical Meta-Analysis.
Please summerize the given abstract to a title,Retroperitoneal single-site robot-assisted partial nephrectomy using Lapsingle Vision advanced access platform: initial three case reports.
Please summerize the given abstract to a title,Guía bioética de asignación de recursos de medicina crítica del Consejo de Salubridad General en México./ [Bioethics guide on scarce medical resource allocation in Mexico]
Please summerize the given abstract to a title,"Pattern of adverse effects reported following COVID-19 vaccination among beneficiaries in govt. medical college, Raigarh, Chhattisgarh, India"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for following up. in view of above, i believe she has infection in tummy after swallowing water in pool. i appropriate your attention to her condition. it can be also viral infection with intestinal syn chatbot.  you can try to give her nights(nitrofurantoin) 1 tablet 3 times 7\u00a0days, eco norm(saccharomyces) 1 packet 2 times 3 days. if her pain does not decrease, then start to give antibiotic-cefixime in the dose of 4\u00a0mg/kg/dose 2 times during 5 days best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, depigmentation- it is procedure to remove pigment like melanin from skin/mucosa.gum pigmentation, i suppose its some discolored gum in your case. no toothpaste can solve your problem. but lasers can be used to get the pigments removed. note-these pigmented areas may get corrected by itself. as sometimes hormonal changes causes increased pigmentation.u can have biopsy done of the lesion if it is troubling you.and get the lesion diagnosed by oral diagnosis specialist. my advice will be maintained a healthy diet, good oral hygiene. don't worry about such small areas. but if you notice any change in senses perception/pain in region consult specialist immediately.do gum massages with astringents as they help in constriction of blood vessels and may correct the gum problem."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* according to your narration, it is respiratory tract infection with lung congestion giving rise to above-mentioned symptoms.* highly recommended getting physical examination by the physician to get early better recovery, till then you should-maintain hy chatbot. welcome for any further assistance. thanks for using chatbot .com & giving us an opportunity to assistwishing you fine recovery from the same. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. enlarged spleen is called splenomegaly and there are various causes possibly leading to this. in first case these are infections such as mononucleosis parasitic infections, such as toxoplasmosis or bacterial infections. it means that any infection in your body may lead to spleen enlargement.  second most common causes include autoimmune diseases such as thrombocytopenia. if this is ruled out by specific tests then some other causes may be considered and some are more or less serious such as leukemia lymphoma, or noninflammatory diseases such as acidosis, lupus, and rheumatoid arthritis. in every case, infectious causes are treated with antibiotics and other causes may require surgical removal of spleen. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Answer this question truthfully,"Narcolepsy is associated with hallucinations, including hypnagogic and hypnopompic types."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion your daughter should be tested for hiv and other immunocompromised disease. yeast infection only occurs in immunity hampered individuals. i suspect same for your child chatbot. if its hiv it must be in advance stage and needs to taken care with hiv medicines. please maintain the hygiene it will clear up half of your infection. please do antifungal sensitivity and take the medication according to report. taking the complete medication can help you further. i will be happy to answer your further concern, you can ask me on bit.ly/"
Please summerize the given abstract to a title,Web-based education and social media increase access to careers in neurosurgery: The Lenox Hill Hospital BRAINterns experience.
Please summerize the given abstract to a title,The effects of mobile marketing collaborator on consumers' impulse buying behavior in online marketplace during pandemic
Answer this question truthfully,Cinepazet is a vasodilator.
Please summerize the given abstract to a title,Neurological effects of COVID‐19 in infants and children
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for writing your query, lump on the palate can be bony over-growth known as palatine torus....it's nothing to worry about...it can be left there as it is, or you can get it surgically excised. exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. i would suggest that you should consult a dentist & undergo proper examination by him....this would lead to correct diagnosis & would help in planning the correct treatment. meantime maintain good oral hygiene and avoid traumatizing the area. i hope this helps, take care."
Please summerize the given abstract to a title,Cytokine release syndrome in a patient with colorectal cancer after vaccination with BNT162b2
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion side effects of demo shot is irregular periods, no periods etc. this might present even with single dose. the symptoms of pregnancy like nausea, vomiting,increased urination, sore breasts start around 6 weeks of pregnancy. as you didn't get the periods it is very difficult to predict. and the confirmation is done only by urine pregnancy test or ultrasound. avoid stress and anxiety. and go for testing. once the effect of shot is over the periods become regular and the chance of conception increases.don't worry. best regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. if i am your treating doctor then i would like to know about your weight and smoking habit. smoking and obesity can cause recurrent, uncontrolled bronchitis. so if you are smoker then smoking cessation should be done as soon as possible. if you are obese then weight reduction is must. then i would have ordered pft (pulmonary function test) and chest x-ray. pft is needed to diagnose bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. chest x-ray is needed to rule out infection. so consult pulmonologist there and discuss all these. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot firstly, the abnormality of red blood cells which you have mentioned indicates normocytic normochromic anemia.  this can occur from many conditions of which most common is hemorrhage. in your case, hematuria is the causative agent. normal wbc and platelet exclude any malignant condition of blood. but you did not give us any bone marrow report.  hematuria can occur from many conditions but in you case it is the neoplastic condition present in bladder.  so, my diagnosis is the urinary bladder problem.  regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am sorry to hear you are having pain. cysts in the liver are a fairly frequent finding on usg scans. most often these cysts tend to be \""simple cysts\"" and do not cause any trouble whatsoever to the patient. that is one of the reason why they can grow up to 25 cms without the patient being aware of it. some other causes for cysts in the liver include certain hereditary diseases (where there will also be cysts in the kidneys) and infections (amoebas). rarely malignancies can also appear as a cyst. but in all of these conditions, the patients will usually have symptoms from the disease. in your case, it appears to be a simple cyst (based on what you have written). although mostly asymptomatic, simple cysts can also produce symptoms when 1) they enlarge to a big size 2) when there is bleeding into the cyst or 3) when they develop an infection in the cyst. in your case, none of these explain the pain. since both the cysts are small, i would recommend a followup scan at a later date to see if the cyst is enlarging. hope this helps and hope you start to fell better soon.  please do not hesitate to contact me for further details - rxsuresh@gmail.com"
"If you are a doctor, please answer the medical questions based on the patient's description.",pus cells 10-12/hp in urine indicate urinary tract infection which is the possible source of the fevers the child is suffering from. you need to take it on a serious note and visit a doctor and get it treated with a full course of antibiotics. pus cells are basically white blood cells that have died in the process of fighting the infection in an effort to control it. it is not the pus cells but rather the infection that has negative effects on the health of the individual.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot.  i am chatbot. it's my pleasure to help you. leukopenia is not actually a disease, rather it's a condition that increases the chances of getting affected by several diseases. the body tries to fight against infective organism with the help of leukocytes. the low white blood cells indicate a weakened immune system, so the overall effect of leukemia is an increased risk to infectious diseases. so i think you uncle died due to infection. keep in touch. always welcome for further query. thanx."
Answer this question truthfully,The physical examination may reveal either increased or decreased bowel sounds.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. the details you have provided are insufficient to make a definitive diagnosis. your brother needs a detailed psychological assessment to find out what psychiatric disorder he is suffering from. further treatment will have to be based on the diagnosis. so, i would advise you to discuss his diagnosis and treatment plan with the psychiatrist treating him, in order to get a clearer picture. wish you all the best. -"
Answer this question truthfully,"Advanced Glycation End Products crosslink proteins, which reduces intimal integrity in arteries and allows LDL to enter vessel walls and cause atherosclerosis."
Answer this question truthfully,"The enzyme responsible for transferring cholesterol ester from mature HDL to VLDL, IDL, or LDL is called cholesterol ester transport protein (CETP). CETP facilitates the transfer of cholesterol ester from HDL to other lipoproteins, which can then transport the cholesterol to other tissues in the body. This process is important for maintaining cholesterol balance in the body and preventing the buildup of excess cholesterol in the bloodstream, which can lead to the development of atherosclerosis and other cardiovascular diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.","painful clicking around the ankle most commonly is caused by subluxation of the perineal tendons. it can occur after an ankle sprain, due to injury to the envelope holding it in place. the pain and clicking is mostly at the lateral aspect of the ankle. other causes can be due to a cartilage tear around the ankle, which can impinge causing the clicking and pain. a thorough examination and ultrasound can help to achieve the diagnosis.in cases of tendon subluxation, a trial of immobilization can help to allow the envelope of retinaculum to heal. if it does heal then your symptoms will resolve. however, as your symptoms have been present for 7 months, i suspect that you might need surgical repair or reconstruction of the retinaculum."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern. your symptoms are indicating viral infection complicated with ear infection and gastroenteritis (mild diarrhea). the aim of treatment is reducing the symptoms"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sue. you are not just suffering from diverticular disease but also polypoid of the colon, a condition in which multiple polyps form in the colon and sometimes in the small bowel. some of these polyps may with time develop cancer. your having pain and weight loss are not good signs and more in favor of cancer development. i am assuming that the polyps that have been removed previously were sent for biopsy and that none of them showed cancer. i would advise you to first undergo a contrast enhanced ct scan of the abdomen. that will give us a fair idea of what we are dealing with and if there is any evidence of cancer development. also, a colonoscopy is advisable (before the ct) but only by an experienced gastroenterologist in whose hands it shouldn't be a problem."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot with you medical concerns and questions. you are concerned about a recent splinter from a wooden dock. i am glad to hear that you got the whole splinter out. for the splinter itself you do not need a tetanus shot. i would recommend that you review your medical history and if you have not had a tetanus booster in the last 10 years that you get one. tetanus boosters are only good for 10 years and need a booster. if you have had one in the last 10 years you have nothing to worry about. hope this answered your question. please contact chatbot again with your medical concerns and questions
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks that you have injured your ribs. if you are feeling excessive pain on breathing then there can be a fracture at ribs which can be confirmed by an x-ray of chest. till then, you should do following to have relief"
Please summerize the given abstract to a title,Phospholipidosis is a shared mechanism underlying the in vitro antiviral activity of many repurposed drugs against SARS-CoV-2
Please summerize the given abstract to a title,Impact of COVID-19 on 'Living Well' with Mild-to-Moderate Dementia in the Community: Findings from the IDEAL Cohort.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello jaw aria, i am sorry to note your present state. the condition that you describe is consistent with urticaria, and very itchy red hives that fade away but reappear within a few hours. some attacks on the skin are raised and known as angioedema due to the chemical called histamine released from mast cells. these cells are present in the lips, tongue, skin, chest, gut etc. and therefore wherever histamine gets released, you get the specific organ related symptoms. another condition called urticaria vasculitis definitely needs to be excluded and moreno when there is no response to antihistamines.80% of people with urticaria do not have any allergies which is the case with you. long-acting non-sedating antihistamines like fexofenadine 180\u00a0mg once daily plus/minus cetirizine 10\u00a0mg at lunchtime/evening is required for 3 months. occasionally the treatment may need to be longer if there is a recurrence. tests such as cbc, lots, renal profile, tsh tpo abs are standard investigations to exclude a secondary cause. most people go into remission so do not worry. thanks."
Please summerize the given abstract to a title,"Identification of SARS-CoV-2 origin: using Ngrams, Principal Component Analysis and Random Forest Algorithm"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms. based on that, it appears that the nerve in the neck that travels to arm & hand has got pinched. this can be confirmed by doing an mri scan of the cervical spine. initial treatment would be with pregabalin capsules. in addition, physiotherapy would also help. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, i know what your friend is suggesting.testosterone can increase your sexual performance but only to a small extent. it's like watering a plant. if you pour more water to plant will it grow faster, or you need to consider testosterone only as medical use, not for muscle building or result. hope i have answered your query. let me know if i can assist you further. take care chatbot. r. raveen"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for asking from chatbot. i understand your concern. fairs syn chatbot.  it occurs due to many reasons like age related degeneration, genetic disorders, infection, ischemic lesions etc. it is usually asymptomatic and does not need any treatment. in case of symptoms like seizures, anxiety, memory problems, speech difficulty etc., specific symptom should be treated. if you are having symptom like slurred speech, you should consult neurophysician and speech therapist. there is no need to worry about presence of calcification. it can not be reversed by any medicine and there is no need for it. blood and urinalysis may be needed to find out the cause behind it.  thanks, hope this helps you. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. sazo is a medication to treat your disease. every medication do have some side effects, it's necessary to treat condition. fwe side effects are stomach upset, nausea, vomiting, loss of appetite, mouth sores, headache, dizziness, or unusual tiredness may occur. your skin and urine to turn orange-yellow. for your as few suggestions are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. blood in semen may be temporary or long term. there are many causes of blood is semen.  trauma, infection, tuberculosis or cancer in genitourinary tract can lead to this.  you should wait for some time. if it becomes normal then it's ok.  if it remains same then you need to go for further investigation and then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Dysgerminomas can be monitored with the use of LDH.
Please answer with one of the option in the bracket,A: Deoxyadenosine
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hellomildly enlarged liver with fatty changes in liver is a reversible condition. it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,obesity etc. it may be related to fatty liver in your case. you may need few more investigations like routine hologram, random blood sugar, lipid profile, liver function test, urine re/me. you need to change your diet and lifestyle. you should avoid fatty food and go for brisk walk. you may need to take little medicine after full investigations. enlarged liver may be due to genetic causes. get well soon. take care chatbot."
how to deal with anxiety,"For social anxiety disorder, treatment may help you learn to function effectively. The success of treatment depends on the severity of your fears. Cognitive behavioral therapy helps you understand and change the thoughts that are causing your condition. Systematic desensitization or exposure therapy may also be used to help you work through your fears. Group therapy may help you practice social skills. There are also medicines that may help make your symptoms less severe. Lifestyle changes can reduce the frequency of the attacks, such as getting regular exercise, enough sleep, and regular meals."
Answer this question truthfully,"Classically the course of ischemic ATN has been divided into 3 phases: Initiation, maintenance, and recovery. A fourth phase, an extension phase after the initiation phase has been proposed. 
Initiation Phase
During the initiation phase, immediately following the insult, sublethal cellular injury occurs, with loss of cell polarity and brush border. Renal function begins to decline, ATP depletion may be profound, and intrarenal protective mechanisms are activated. If the insulting factor is removed at this initiation phase, complete recovery would ensue. If not, the proposed extension phase is reached, characterized by significant cell necrosis, desquamation, inflammation, and tubular lumen obstruction. 
Maintenance Phase
The maintenance phase is reached after the irreversible renal parenchymal injury has been established. Despite the restoration of a normal blood flow to the kidneys, renal function remains significantly impaired. This phase lasts several weeks and may require close monitoring since it is associated with the most complications.
Recovery Phase
During the last 2 phases, both tubular cell death and cell regeneration occur simultaneously. The balance between these 2 phenomena and the predominance of regeneration ushers in the recovery phase. The final phase is characterized by structural and functional renal recovery with a restored GFR. 
Apoptosis is a programmed cascade occurring secondary to intra- or intercelluar signaling which leads to cell death in the absence of an inflammatory response. In contrast, necrosis is due to cytotoxic cell injury and is characteristically associated with significant inflammation. Apoptosis has been reported in the initial phase of acute tubular necrosis and during the recovery phase.  With initial ischemic or cytotoxic injury, a number of tubular cells may undergo apoptosis. This may be either due to insufficiently cytotoxic insults, or due to associated molecular cascades that release TNF-alpha or Fas (CD95). Classically with prolonged ATP depletion lasting more than 12 hours necrosis of tubular cells becomes more evident. However, both apoptosis and necrosis can be detected in biopsies of patients with ATN. During the recovery phase, apoptosis is thought to be a mechanism involved in the remodeling of the injured renal tubules. 
Many studies have demonstrated that following ischemia, the renal vasculature has increased sensitivity to vasoconstrictive stimuli particularly endothelin. Endothelin (ET-1) is a vasoactive substance release by endothelial cells and one of the most potent vasoconstrictors identified. The ET-1 gene has also been shown to be upregulated during ischemic injuries.  In parallel, the initial insult following renal ischemia is endothelial dysfunction which contributes to the exacerbation of tissue hypoxia via several mechanisms. Endothelial injury disrupts normal vascular function and impairs reactivity and permeability of renal vessels causing maladaptive vasoconstriction and increased leukocyte recruitment. This is further exacerbated by an increase in vasoconstrictor substances, adhesion molecules, and inflammatory mediators. 
When exposed to ischemic stress, tubular cells are prone to loss polarity and even detachment of viable cells due to the disruption of key structural anchors. Several important proteins are required for tubular cells to maintain their structure and polarity including the actin cytoskeleton, microvilli, and junctional complexes such as tight junctions and adherens junctions.  The initial tubular insult modifies the actin cytoskeleton causing a shift in many major structural and adherence proteins. The earliest finding in ATN is the loss of polarity and brush border membrane.  Detachment later occurs mainly due to the displacement of integrins, the main adherence proteins, from a basolateral location to the apex of the cell.  Furthermore, necrotic cell debris and apoptotic bodies can be seen in addition to detached viable cells within the tubular lumen. Cells with prolonged ATP depletion undergo necrosis with ensuing inflammation. Apoptosis has also been detected in early phases of renal between 12 and 48 hours after the initial insult.  Accumulation of cells and cellular debris along with an overlying immune response within the tubular lumen causes significant obstruction that further aggravates a decreasing GFR.
Other associated dysfunctions include tubular backleak and abnormal tubuloglomerular feedback. With detachment and cell death, loss of the tubular epithelial barrier occurs. This leads to some reabsorption of filtered solutes into the circulation leading to an increase in substances used to estimate GFR including creatinine and inulin. This is known as tubular backleak. However, the tubular backleack phenomenon has not been well substantiated in clinical ATN, and can only account for around 10% of the decrease in GFR. Another important associated dysfunction in ATN is the abnormal tubuloglomerular feedback occuring due to a decrease in the proximal tubular reabsorption of sodium. This leads to an increase in sodium chloride delivery to the macula densa activating the tubuloglomerular feedback. Counter-intuitively, a constriction of the afferent arteriole occurs leading to a decrease in GFR."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, pain in the shoulder with numbness in fingers is sign of nerve compression in cervical spine(neck). cause of nerve compression may be disc prolapse. x-ray is not confirmation and mri of the cervical spine is needed for diagnosis.  please get it done from radiology center nearby you. meanwhile, stop lifting weights and use soft pillow of low height while sleeping. start tab regain one at bedtime for relief of pain and numbness. if mri report is abnormal you need to consult orthopedic surgeon nearby your area with report.  hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Hydroxychloroquine
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i think you are having neurology problems in your body. it can be due to these reasons.1. low serum b 12 estimation.2. nerve compression in the spine.  i would recommend you to get your serum b 12 estimation and mri of the spine. if there is low serum b 12 than you should start taking pregabalin m one daily. also take calcium and vitamin d 3 daily. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Recombinant adjuvanted zoster vaccine and reduced risk of COVID-19 diagnosis and hospitalization in older adults
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think your mother are suffering from chronic backache. treatment of back pain is exercises and analgesics (diclofenac sr). sometimes strong analgesic(such as attract three times a day after meals) is required. consulting with treating doctor is advised.  sometimes vitamin d deficiency is the cause so get your vitamin d checked. if it is low then vitamin d supplementation(weekly with milk) can be taken. avoid long continuous standing. sit in a straight posture. eat milk, fruits and green leafy vegetables daily. what her mri shows. i think your query answered"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this sounds like a tonic seizure where the muscles tense up. it can be so severe as to cause the muscles to break bones. if there was a witness to the seizure, the information given would greatly help in classifying the seizure. the treatment of the epilepsy is key in preventing such seizures from recurring. this is an extended treatment course (years) before consideration of stopping medication can even begin. in my practice, i would refer you to a neurologist who can do a full neurological evaluation, start him on treatment and monitor the progress of the same. all the best and god bless you too."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. noted your history of getting backers custom behind knee 4 months ago. now have pain in the knee and headache for 4 days. ideally backers cyst can not cause any headache, not related. pain in the knee can be due to backers cyst if under tension. i would advise you the following"
Please summerize the given abstract to a title,"[Triage recommendations of the specialist societies : Background, summary and comments]"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. it looks like peritonitis that occurs due to infection below the gum flap and the wisdom tooth. due to infection there is pus formation leading to abscess formation. the medication you are advised is appropriate, along with it, you can also do warm saline gargles and antiseptic mouthwash gargles. the other symptoms like severe chest pain and pressure feel like someone is sitting on my heart with shooting electrifying pain into neck jaw and arm all on left side feel light-headed short of breath nausea can either be a side effect of medication or acid reflux or any cardiac problem. so my suggestion is to immediately consult an emergency room and get evaluated, and a clinical examination should be done so that appropriate treatment can be done. hope this helps. regards."
Please summerize the given abstract to a title,COVID-19 Vaccination Willingness among Chinese Adults under the Free Vaccination Policy
Please summerize the given abstract to a title,The risk of COVID-19 transmission by laparoscopic smoke may be lower than for laparotomy: a narrative review
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Rate of ascent and acute mountain sickness at high altitude.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, pityriasis rose is uncommon on penis and glans. and you said bumps are there on penis and pubic area. so, it may not be satyriasis rose. it may be scabies. ivermectol 12 mg tab may be taken once a week, antihistamines and antibiotics may improve the disease. permethrin cream application may be helpful. improve hygiene. you might get relief from the bumps on genital areas. i hope you got my answer. thanks. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! she needs continuous observation to rule out a significant head injury. vomiting could be due to a concussion or any level of intro cranial hemorrhage. in that case you have to see her level of consciousness as well which also fades away in case of a significant head injury. i am not aware as to the stage of breast cancer she had. in advanced stage, we have to also consider any possibility of intro cranial metastatic space occupying lesion where she can get this symptom. if the symptoms persist, i would suggest going for a cent skull to rule out these possibilities, but only after consulting your treating doctor. wishing her an early recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. i exactly understand your emotion and position. but there are no easy fixes. you or your husband can go in person to visit your son, or you can send an emissary. you can also request some of your friend who stays in that city to get in touch with your child. after having contact and after convincing him you can go for counseling.  if you require more of my help in this aspect, please use this url. http"
how do i prevent myself from having dementia,"Most causes of dementia are not preventable. The risk of vascular dementia may be reduced by lowering the risk of having a stroke. It is possible to do so by eating healthy foods, exercising, quitting smoking, controlling high blood pressure, and managing diabetes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i see similar cases in my clinic every day. during prenatal period sometimes maternal hormones like estrogen pass in baby which causes swelling of breasts on 3 or 4th day, a white creamy liquid may also ooze from the nipples. usually, no treatment is required. engorged breast should not be pressed, massaged or squeezed since this may result in infection. i hope this has helped you. take care. regards - chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,A palpable abdominal mass or spontaneous rupture leading to hemorrhagic shock in a woman who is taking oral contraceptive pills (OCPs) is suggestive of hepatic adenoma.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, her symptoms could be related to local inflammation. is the pain triggered by arm movements or pressure on the arm? this could be indicative of a musculoskeletal pain or local inflammation. anyway, the situation is not an emergency. after the risk of coronavirus will be over, i would recommend consulting with her attending physician for a physical exam and some tests"
Please answer the letter of option truthfully,A
Answer this question truthfully,Poliovirus is the cause of meningitis that can lead to myalgia and paralysis.
Answer this question truthfully,"Physical examination of patients with scleroderma is usually remarkable for sclerodactyly, Raynaud's phenomenon, digital ulcers, skin fibrosis, and telangiectasis.   
Patients with scleroderma usually appear anxious
Vital signs of patients with scleroderma are usually normal Hypertension maybe present 
Skin induration   Skin fibrosis    Telangiectasias    Calcinosis 
HEENT examination of patients with scleroderma is usually normal
Jugular venous distention maybe present suggesting right heart failure due to pulmonary hypertension
Pulmonary examination of patients with scleroderma is usually normal Inspiratory crackles upon auscultation of the lung are suggestive of interstitial lung disease  
Right ventricular heave can be suggestive of pulmonary arterial hypertension (PAH)
Abdominal distention 
Back examination of patients with scleroderma is usually normal
Genitourinary examination of patients with scleroderma is usually normal
Neuromuscular examination of patients with scleroderma is usually normal
Myopathy  Ulceration of finger tips (ischemic)  Contractures of finger flexion Raynaud's phenomenon   Dilatation of nailfold capillaries   Sclerodactyly"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, antibiotic treatment usually takes at least 24 hours to be effective. take all doses at correct prescription times. i suggest taking anti-inflammatory medication along with the antibiotic prescription at regular intervals. if possible, a combination of tylenol and advil can be very effective in controlling the spread of inflammation. consult with your dentist for proper dosage based on weight and age of your child. i suggest calling the dentist to discuss the degree of increased swelling. this should help make the decision since your dentist is familiar with your sons condition. any severe swelling should be treated at the er. sometimes one antibiotic is not effective and needs to be changed. sometimes a stronger dose are required initially or during treatment to be effective. you must fully complete antibiotic prescriptions. if you are in any doubt about your sons' health, you cannot be wrong by making a trip to the er. close monitoring is advised as it is not uncommon for an increase in symptoms before the antibiotic is fully effective. thank you for your inquiry. i hope your son will feel relief soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read the symptoms. the case has got complicated by trauma, convulsions,speech disorder and later ataxia. i would suggest doing blood gases study for now. also know the po2, pco2 ph of blood. bicarb level and base excess.also, c reactive protein, esr, mantoux, also i would ask for a deeper history of hypoxia, anoxia, suffered any time during the seizure and brain injury.a decreased po2 at that time for 4 minutes is enough to damage the brain and keep the pupils reacting and dilated. a decreased serum sodium would suggest hyponatremia however subclinical gram negative infection must also be ruled out, esp tuberculosis and meningitis.(it's not always with a neck rigidity)"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely consult doctor. there are many causes for swollen leg without rashes with tingling. common causes are1. varicose veins (common in teachers)2. early heart diseases3. early kidney and liver disease4. hypoproteinemia5. cellulitis (skin infection)6. hypothyroidism. so consult doctor and get done clinical examination of legs and blood reports to rule out these diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","as you said his diet has to be modified (less junk food), the pain in abdomen can from gastritis which is due to spicy and oily junk food or can be mild viral infection. there is 3-4 yellowish stool not foul smelling, not watery, so, all you need is to just observe these things (watery secretion, increase in frequency, foul smell, appearance of fever, persisting symptoms, irritability of child). for now give sanitizing and antacid for gastritis it, pain will resolve in next 48 hours hopefully, if not or increases anytime and above symptoms appears please get the child checked."
Answer this question truthfully,"If you develop fever, swollen lymph nodes, and/ or rash. If you have complaints (including ulcers) in the anal and genital area."
Answer this question truthfully,Placenta accreta is often associated with c-section delivery.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! this is chatbot.  permanent hair removal is a cosmetic treatment of removing hair almost permanently. you will need 4-8 sessions of 4-6 weeks apart. the skin needs to be not tanned, the hair not removed, shaved or taken off recently. you can remove the hair also using twisters, depilatory machines or creams. although what i would recommend doing first, is to check the skin zone to the dermatologist. the hair is the skin, around your eyes is not common (except the eyebrows who can be removed by twisters) and it may come from a condition called hirsutism, who may come from variations of some hormone levels in the body. from your description, looks like its hair in not a common place. so doing those labs and ruling out you don't need a medical treatment for it, other than cosmetic, should be the first step. hope this helps, regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. yes, iron deficiency leads on to anemia and this will cause fatigue, tiredness, breathing difficulty, bone pains, palpitations etc.2. you need to get your hologram done to identify the anemia and type of anemia. hope you have no bleeding in urine or stools. get your iron studies done for confirmation of iron deficiency.3. improve iron in diet through fish, egg, reign. also take iron supplements along with it c to improve absorption. check reticulocyte count after 15 days to see for improvement. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Quantitative assessment of lung involvement on chest CT at admission: Impact on hypoxia and outcome in COVID-19 patients
Please summerize the given abstract to a title,Learnings from critical care on COVID‐19
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of either million or infected hematoma is high. since you had trauma over your leg, possibility of minor bone crack or hairline fracture at that time is high. without proper treatment, fracture heals by million. it is not perfect healing. it is faulty healing. and this can cause swelling and pain afterwards. another possibility is infected hematoma. all injury causes blood accumulation at the site of injury. it produces hematoma (dead blood). if it is infected, it can cause swelling and pain. so better to consult orthopedic doctor and get done clinical examination and ultrasound examination of local part for the diagnosis of your swelling. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you may be having lichen ultimatum. the cause would be hypersensitive reaction to insects.like ticks. there may be itchy popular eruptions anywhere on the body. take anti histamines like levocetirizine till, you feel better. if the condition is embarrassing, you may take steroid in tampering dose. apply combined cream of steroids and antibiotics. avoid soap bath. important thing is to be away from insects. for that, you may use insecticide to keep the room insect free. i hope you got my answer. thanks."
Answer this question truthfully,"Yes, yellow, seedy stools can be a symptom of necrotizing enterocolitis (NEC). NEC is a serious condition that affects the intestines of premature infants, and it can cause a range of symptoms, including feeding intolerance, abdominal distension, and bloody stools. In some cases, the stools may appear yellow and seedy due to the inflammation and damage to the intestinal tissue. However, it is important to note that not all cases of NEC present with this particular symptom, and other factors such as the infant's age, gestational age, and overall health may also influence the presentation of the condition. Therefore, it is important for parents and caregivers of premature infants to be aware of the signs and symptoms of NEC and to seek medical attention if they suspect their child may be affected."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chatbot.  i welcome you to chatbot virtual clinic. i have gone through your question, and i think i have understood your concern. furthermore, i will suggest you the best possible treatment options. furthermore, i will suggest you to do all kind of movements of shoulder joint, each with 10 repetitions. also, tab erosion forte twice a day for ten days will be of help. please have plenty of water intake per day. also adopt a healthy diet and regular exercise regimen.  include more portions of fruits, salads and vegetables in daily diet. i hope this answer helps you. thanks"
Answer this question truthfully,"There are two types of bleeding that can occur during pregnancy: painful bleeding and painless bleeding. Painful bleeding, also known as ""painful contractions,"" can be a sign of serious problems for the mother, such as placental abruption or uterine rupture. Painless bleeding, on the other hand, is more likely to be a problem for the baby and can be a sign of conditions such as placenta previa or vasa previa. Placenta previa occurs when the placenta covers the cervix, while vasa previa occurs when the baby's blood vessels run through the membranes covering the cervix. If you experience any bleeding during pregnancy, it is important to seek medical attention right away to determine the cause and receive appropriate treatment."
Please answer with one of the option in the bracket,"A: Curved, flagellated gram-negative rods"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have trying for baby since 6 years after your marriage. it is difficult to make precise comments in absence of detail reports specifically semen analysis and findings. as regards your problem in penetration during sex it is likely to be due to inadequate hard erection. please consult qualified urologist for assessment and further treatment. taking medicines like sildenafil (viagra) will help to get good hard sustainable erection for penetration. following measure will help you to boost up your confidence and getting good erection. and improve sperm count to some extent.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are several reasons for pain in the knee. pain that increases while standing and sitting for long periods of time may be seen with a muscle strain, muscle imbalances, or with osteoarthritis.  it would be a good idea to check for swelling compared to the other side by looking at the knees in the mirror. if there is swelling, the following regimen can be attempted.  police is currently the best therapy to treat the symptoms and the underlying condition. police stand for"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i reviewed your query. the lump on your groin is sore and on inner thigh, is worry some as its recurring. it seems mostly a fur uncle / boil, as its very uncomfortable. this lump is due to the heavy cycling and the probable friction causing bruises, leading to the painful lump in the groin. you should be concerned as if it complicates to abscess stage, then it would stop your earnings from road push-bike. so take the treatment from er doctor.hence, i would advise you to consult er surgeon who would treat it after physical check up by anti-inflammatory and by antibiotics. still i would advise you to have a check-up from your doctor to get the worry ruled out by a direct physical check up. hope this would relive your query satisfactorily. write excellent review and hit thanks if this has helped to resolve your issue. welcome again further for any query in this regard. have a good day. chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regarding your concern, i would recommend discussing with a neurosurgeon on the possibility of radiotherapy or radiosurgery, to help decrease the dimensions of the tumor. from the other hand, biopsy would help determine the nature of the tumor and the possible treatment options. you should discuss with your doctor on the above issues. hope to have been helpful. let me know if i can assist you further. best wishes,"
Answer this question truthfully,There are no established measures for the primary prevention of lipoma.
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient what is your age and what is the duration of your symptoms. this should be always mentioned. tingling and numbness in left foot may be due to local pathology in foot or due to pathology in lower spine. are u having back pain ?  if yes possibility of disc prolapse is there. common perineal nerve involvement at lateral aspect of knee may also lead to foot chatbot.  you said mri is done but did not mention for which area it is done? i mean foot or spine? your visit with neurologist is highly recommended. meanwhile start tab regain x 75 at bedtime for relief.thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should take the complete course of antibiotic. witchatdoctorplete course of antibiotics, both the disease never reappears. but if the treatment is left without completion then there is possibility of recurrence. in addition to the antibiotics please eat healthy diet like green vegetables, fruits and high protein diet. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Please summerize the given abstract to a title,The first non-radiographic axial spondyloarthrits with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. from the history, it seems that you have got a corn in your foot which caused you such pain. if i were your doctor, after a physical examination of your foot, i would advise you for an excision biopsy of the lesion which possibly would come out to be a benign lesion giving it a cure. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and understanding the problems you have. the abdominal cramping in your case can be due to such causes where a gynecologists opinion and an ultrasonography will help a lot in getting a proper diagnosis. pcs and changes in the ovaries can also cause this. other reasons can be related to the stress as you have rightly thought of, but other causes such as enteritis, appendicitis should also be ruled out."
"If you are a doctor, please answer the medical questions based on the patient's description.","germany foreign body in the body, if so tiny our body has its own mechanism to throw it out by possibly building a corn or infection and burst out. so far metal toxicity is concerned, it has a little harm in your case. but i am afraid of the self surgery which has been done as it may lead to a greater amount of infection instead. please get it examined by a surgeon and removal if possible. take carhop this helps most welcome for further queries"
"If you are a doctor, please answer the medical questions based on the patient's description.","bellsouth ulcers, in most cases, the cause of this kind of ulcers is not known. however, stress is an important risk factor for this. some may be causes by certain viral infections. other triggering factors include feeling anxious, certain foods, hormonal changes and quitting smoking. there would be certain local anesthetic gels which can be used for oral application, which help in relieving pain caused by these lesions. you can discuss this with your family physician avoid eating foods that irritate your mouth which include acidic foods(orange juice, soda etc.) spicy foods. maintain good oral hygiene so that secondary infection may not happen. but, sometimes this kind of ulcers will be very resistant to treatment and are recurrent. usually, these lesions should heal within 10-14 days. use of antiseptic mouthwash helps faster healing and less chance of recurrence. hope i have answered your query. take care"
Answer this question truthfully,"Hereditary spherocytosis is caused by an inherited defect in the proteins that anchor the cytoskeleton to the membrane of red blood cells (RBCs). These proteins include ankyrin, spectrin, band 3.1, and protein 4.2. When these proteins are defective, RBCs become spherical in shape and are more prone to rupture, leading to anemia and other complications. Hereditary spherocytosis is a genetic disorder that is passed down from parent to child in an autosomal dominant pattern, meaning that a child has a 50% chance of inheriting the defective gene from a parent who carries it."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sorry for the continued medical problems your mother is facing. steroid is the major treatment after continued inflammatory disorder with unknown cause. steroids cannot be taken for a longer time as it suppresses the immune system leading on to infections and other systemic disorders. i strongly doubt weaning through steroids could have led to the present position, rather a progression of the disease could have caused it. hope i have answered your query"
Please answer the letter of option truthfully,D
Answer this question truthfully,"Hardening of the arteries cannot be reversed once it has occurred. However, lifestyle changes and treating high cholesterol levels can prevent or slow the process from becoming worse."
Answer this question truthfully,
Answer this question truthfully,There are no echocardiography or ultrasound findings associated with brainstem gliomas.
Please summerize the given abstract to a title,Probabilistic Hesitation Fuzzy Linguistic Preference Relationship and Its Application in Distance Education
Please summerize the given abstract to a title,Which patient-reported outcomes do rheumatology patients find important to track digitally? A real-world longitudinal study in ArthritisPower
Please summerize the given abstract to a title,London 2012 Olympic and Paralympic Games: public health surveillance and epidemiology
Please answer the letter of option truthfully,B
Answer this question truthfully,"Major depressive disorder with seasonal pattern is most commonly associated with the winter season. This subtype of major depressive disorder is also known as seasonal affective disorder (SAD) and is characterized by experiencing at least two major depressive episodes that occur at the same time of year (usually in the fall or winter) and complete remission of symptoms during other times of the year. The exact cause of SAD is not fully understood, but it is thought to be related to changes in circadian rhythms and exposure to sunlight. Treatment options for SAD may include light therapy, antidepressant medication, and psychotherapy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. your father have asciis. for treatment of asciis diuretic is given as he is already taking it. also take low salt diet for its treatment. if still asciis not decreasing then therapeutic paracentesis means its removal done. i want you to suggest get your fluid examined. as asciis besides of liver disease might be because of metastasis.meanwhile, take low fat diet eat more fruits and green leaf veg. refined sugar and food avoided. take papaya seed with lemon juice daily that is good herbal remedy. wish your father good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i want to know something about you like to have you ever met with an accident or fell down? actually low back pain and numbness of hand are different, but the causes may be related to each other. you have left-hand numbness it has many causes like nerve compression of neck arm or wrist, fracture, cervical spine stenosis, peripheral neuropathy, diabetes, multiple sclerosis, stroke, minerals and vitamin deficiency, under active thyroid gland etc. although back pain has also many causes like back muscle injury or strain or ligament sprain, pied, degenerating disc, osteoarthritis, spinal stenosis, fracture etc. for the back pain you can take ice/heat therapy for 20 mins after every 2 hrs. take some medicines for pain like ibuprofen, naproxen etc. take physiotherapy. take massage therapy. do some isometric back exercises. avoid forward bending, weight lifting. for the numbness of your left hand we must know the exact cause behind it even then you can take cap methylcobalamine 1500 mcg hs. if you don't get the relief then consult the euro or or tho, get some test like blood test, x-ray and mri to rule out the exact cause. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Routine testing for toxoplasmosis is recommended if the patient has been exposed to cats.
Please answer with one of the option in the bracket,E: Increased oxygen diffusion into capillary
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you're all symptoms are explained with hypotension. hypotension causes fainting tiredness, chest pain etc. common causes for hypotension in young age is decreased oral intake of fluids, deny chatbot.  so get done ecg, 2d echo (to rule out heart diseases) and complete blood count (to rule out infection). if all these are normal then deny"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot i will keep a possibility of fungal infection/tines courts. the lesions are usually annular patches with red, scaly margin which extends peripherally and central clearing. involvement of inner thighs is classical of fungal infection/tina courts. bilateral involvement is communicating/peeling is a feature in fungal infections. a koh preparation made from the scale taken from the area can be scanned under the microscope for fungal elements and would be confirmatory of fungal infection. itching is subjective in individuals and may be absent in early stages. i would suggest that you may use an otc topical antifungal e.g. clotrimazole 1% cream, twice daily for 2-4 weeks the rash doesn't respond as expected or if it worsens, you may visit a specialist dermatologist for a review. regards"
Answer this question truthfully,"Tiny hair cells inside your inner ear help you hear. They pick up sound waves and change them into the nerve signals that the brain interprets as sound. Hearing loss occurs when the tiny hair cells are damaged or die. The hair cells do not regrow, so most hearing loss caused by hair cell damage is permanent.
There is no known single cause of age-related hearing loss. Most commonly, it is caused by changes in the inner ear that occur as you grow older. Your genes and loud noise (such as from rock concerts or music headphones) may play a large role.
The following factors contribute to age-related hearing loss:
Family history (age-related hearing loss tends to run in families) Repeated exposure to loud noises Smoking (smokers are more likely to have such hearing loss than nonsmokers) Certain medical conditions such as diabetes Certain medicines"
Answer this question truthfully,"A decrease in progesterone can negatively impact fertility. Progesterone is a hormone that plays a critical role in preparing the uterus for pregnancy and maintaining a healthy pregnancy. It helps to thicken the lining of the uterus and prepare it for implantation of a fertilized egg. If progesterone levels are too low, the lining of the uterus may not be thick enough to support a pregnancy, which can lead to difficulty getting pregnant or an increased risk of miscarriage. In addition, progesterone is also important for regulating ovulation, so a decrease in progesterone levels can also affect the timing and regularity of ovulation. It is important for women who are trying to conceive to have appropriate levels of progesterone to optimize their chances of becoming pregnant and maintaining a healthy pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would recommend you to perform a cardiac check-up to rule out any structural or rhythm disorders. a resting ecg, cardiac ultrasound and an ambulatory ecg monitoring are helpful to that issue. it seems to be just stress, that produces those symptoms and your heart racing, nevertheless we have to be cautious. i would not encourage you to continue using that blue inhaler, but to try to ad chatbot. some blood tests would be necessary to exclude some systemic disorders (anemia, thyroid dysfunction, renal disorders, etc.). hope to have been helpful to you. greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it can be due to your allergic to metal or even plastic when they come in direct contact with skin. this weeping of skin might due to vitamin a deficiency. the best way to cure alley to any substance is to avoid its exposure rather taking seeking for treatment despite having good antiallergic chatbot. you can also take vitamin a supplement once daily and eat vitamin a richer fruits or vegetables. if problem persists then contact your dermatologist first. thanks"
Answer this question truthfully,"Possible symptoms in young infants include:
Swollen hands and feet Wide and webbed neck
A combination of the following symptoms may be seen in older females:
Absent or incomplete development at puberty, including sparse pubic hair and small breasts
Broad, flat chest shaped like a shield
Drooping eyelids
Dry eyes
Infertility
No periods (absent menstruation)
Short height
Vaginal dryness, can lead to painful intercourse"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you are having symptoms of fungal infection for which your doctor has prescribed topical antifungal cream and oral antifungal chatbot.  the fungal infection is more common in this area and the fungus can sustain for longer duration of time as this area is moist and favors the growth of fungus. these medications can will help to control the fungal infection, and it should be taken for longer duration of time. you require physical examination to confirm the presence of fungal infection. the antifungal oral medication should be taken once a week for at least 10-12 weeks to treat the condition. the personal hygiene should have taken care this area should be kept"
Answer this question truthfully,Liposuction is the surgical procedure that is commonly associated with the development of fat embolus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service. i have reviewed your query and here is my advice. in my opinion the first thing to do is to consult a doctor for a more detailed history of complaints, physical examination, and blood check, to put the right diagnosis, because treating the cause of the symptoms is more important than treating only the pain. considering the symptoms pain in legs and shoulders, these might be related to many problems' arthritis, neuropathy or muscular disorders. your friend can use naproxen, daily for some weeks and tylenol, and also prednisone daily. cbd oil is effective on treating severe pain in arthritis, it reduces inflammation and has a few side effects it can be used in form of liquid or capsules, but in my opinion, it's better to find the cause of this pain first. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot painful cuts on the labia major along with pain, does bring in a possibility of herpes genitalia, which needs to be ruled out by physical examination. moreover, since the itching and vaginal discharge has subsided on treatment given for yeast infection, however, the cuts and pain has persisted, which goes in favor of another possibility other than that of yeast infection, i.e. herpes genitalia. i would suggest that you seek another appointment with your gynecologist or a dermatologist, regarding confirmation of diagnosis. herpes usually presents as discrete, well-defined, erosion/cuts with pain and burning sensation. treatment of a confirmed herpes infection is by oral antivirals like acyclovir or acyclovir or val acyclovir. hope this helpsregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. such symptoms appear because of allergy to some specific thing. you need to observe that what particular food causes swelling after you eat. then you need to avoid that. meanwhile, i would suggest you following things"
Answer this question truthfully,The recommended treatment for a patient who tests negative for Neisseria gonorrhea but positive for Chlamydia trachomatis is azithromycin only.
Please summerize the given abstract to a title,Porcine epidemic diarrhea virus reduces feed efficiency in nursery pigs
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your girlfriend is having hemoptysis (blood in sputum). and it is not good sign. hemoptysis is commonly seen with bronchitis, lung infection (pneumonia) and lung cancer. since she is cancer survivor, we should definitely rule out lung cancer in her case. so better to consult pulmonologist and get done chest x-ray and ct thorax to rule out lung cancer. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. if i were your treating doctor for this case of generalized edema i.e. anastasia i would come up with these possibilities, which includes. 1 chronic renal failure. diagnosis can be confirmed by ultrasound and m r i of both kidneys as you yourself mentioned that there is chronic renal infection, renal stone, edema all these symptoms are an indication of chronic renal failure. get in serum creatinine level, urea level and consult a urologist and get his opinion and treatment. 2 hypo protanopia as there is renal infection and edema, this leads to loss of protein hence depletion of protein from body. diagnosis can be confirmed by examination protein level in blood with urine examination.3 anemia, diagnosis can be confirmed by hemoglobin level, iron level (as you mentioned in your query). spleen enlargement is an indication of anemia. as you stated that there is intense pain and cramps in muscles as this is due to potassium depletion for this you have to take potassium supplement. in my opinion first consult a urologist and get his opinion as all other symptoms are due to kidney problem. good luck."
Please summerize the given abstract to a title,Synchronous Computer Mediated Communication in English Language Classes During the Pandemic: A Case Study of Wuhan
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question! pain in the hip joint may be due to different causes. you did not mention your age, which may helpful to come for exact diagnosis. if your age is above 50 years, osteoarthritis (oa) may be the probable cause of your hip pain. oa is joint destruction occur in old age people who are over weight. try acetaminophen for symptomatic relief for 5 days. if pain persists, consult physician. radiological examination (x-ray) may require to come to diagnosis."
Answer this question truthfully,11-deoxycorticosterone (DOC) may be converted to corticosterone via the enzyme 11β-hydroxylase.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. the symptoms suggest suspicious lump in the breast and enlarged lymph nodes in the axillary region.2. you have previously excised the lump, but possibly recurrence can be suspected with enlarged lymph nodes.3. get a repeat ultrasound scan with guided fnac - fine needle aspiration cytology of both breast lump and lymph node.4. depending on the findings of mammogram, ultrasound and fnac.5. the treatment in this case will depend upon the extensions, nature of the lumps, lymph nodes nature.  good luck. hope i have answered your query.anything to ask do not hesitatehttp"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatdoctorwell, you are suffering from 2 disorders which are interlinked i.e (1) disc prolapse(2) sciatica if i were your treating doctor, i would have advised you the following treatment and instructions- (1) if the pain is very severe take injection thiocolchicoside intramuscularly two times a day for 3 days(2) tablet etoricoxib 60 mg two times a day after meals(3) tablet tizanidine 2 mg three times a day after meals(4) capsule meganewton 1500 mcg once daily in the morning(5) hot fomentation for 15 minutes in the region of pain 2-3 times daily for 1 week(6) use a lumbar belt throughout the day except during sleeping(7) use a hard mattress/bed for sleeping(8) avoid standing for long hours/ chatbot. ...any good physiotherapist can teach you the specific back/spinal exercises which you can then do at home regularly and include those exercises in your daily routine...remember, in the beginning you might feel lazy to do exercises but remember medicines can only provide short term relief and permanent relief can only be obtained by strengthening your back by exercising regularly hope you shall find this information to be useful for yourself take care chatbot"
Please summerize the given abstract to a title,"SARS-CoV-2 suppresses mRNA expression of selenoproteins associated with ferroptosis, endoplasmic reticulum stress and DNA synthesis"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should not worry much about your ct report. subcentimetric atelectasis and nodules are common feature in old age or due to past pneumonia.  so no need to worry much as it is a benign thing, not indicating any infection or tumor. pseudo tumor in kidney can also be normal variant and accidental finding. and if you are not having any abdominal symptoms than no need to do anything for few scattered diverticulosis. so over all your ct report is normal."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, don't worry relaxed. there are many causes of low platelets. its start from simple viral infection to malignancy. first you need to search the cause for that. then you can take treatment accordingly.it will definitely give benefits to you. moreover if your count is not too low then you can go for surgery with slight low count also if anesthetist permits. and if very low then you can go for platelets transfusion also. just consult your doctor and take treatment accordingly. thanks for using chatbot."
Answer this question truthfully,"Raynaud's phenomenon also occurs without another disease, medication, or cause. This is called primary Raynaud's phenomenon. It most often begins in people younger than age 30."
Please summerize the given abstract to a title,COVID-19 in Pakistan: A Grim-looking Trajectory
Answer this question truthfully,"Umbilical cord prolapse is a serious obstetric emergency that can occur when the umbilical cord slips through the cervix and into the birth canal before the baby's head, causing it to become compressed. This can lead to a decrease in blood flow and oxygen to the baby, which can result in abrupt fetal bradycardia or decelerations in the fetal heart rate. If left untreated, umbilical cord prolapse can lead to fetal distress, brain damage, or even fetal death. Prompt recognition and management of umbilical cord prolapse is essential for ensuring the best possible outcome for both mother and baby."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Conversion of Sleeve Gastrectomy to Roux-en-Y Gastric Bypass.
Please summerize the given abstract to a title,COVID-19 in patients with chronic lymphocytic leukemia: a Moscow observational study
Answer this question truthfully,"Sarcoidosis may involve the salivary and lacrimal glands, which mimics Sjögren's syndrome."
Please summerize the given abstract to a title,SARS-CoV-2 failure to infect or replicate in mosquitoes: an extreme challenge
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. you seem to be having a poor gingival health. i do not understand what you mean by a tooth root hurts. if you mean it pains when you bite, then there must be an infection in the tooth also. i suggest you to see your dentist for a professional scaling session. also rule out if any infection in the tooth you mentioned. bad oral health is the most common cause of gingival infections. maintain a good oral hygiene. see your dentist once every 6 months. use a floss daily and mouth wash thrice a week. regards."
Answer this question truthfully,"Myelodysplastic syndrome must be differentiated from other diseases that cause anemia, neutropenia, and thrombocytopenia, such as: aplastic anemia, fanconi anemia, pure red cell aplasia, Shwachman-Diamond syndrome, paroxysmal nocturnal hemoglobinuria, parovirus B19 infection, and vitamin B12 defeciency"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. as your hormones are not suggestive of pod, do not worry. a low amh level indicates premature ovarian aging. this could be age related, and in some women, the capacity of the ovaries to produce mature eggs declines with time and age. as follicular study and gui has failed twice, please strongly consider ivf. reduce your stress levels, and try and maintain an ideal weight and bmi. a laparoscopy should be done, as hsg is not conclusive to test fallopian tube patency. all the best. take care."
Answer this question truthfully,α1 adrenergic antagonists may be used to treat urinary symptoms of BPH.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are having worsening of asthma due to viral infection. viral infection is the most common cause for worsening of asthma, and it is likely cause for your body ache and weakness. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will diagnose the severity of worsening of asthma. on the basis of severity, you will need inhaled bronchodilators and inhaled corticosteroid (ics). oral combination of antihistamine and anti-allergic chatbot.  hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Association between angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers use and the risk of infection and clinical outcome of COVID-19: a comprehensive systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i have gone through the detailed history you have given. your bronchoscopy was normal. your sputum afb culture is also negative. so no need to worry about tuberculosis at present. ct scan is most likely showing old healed lesions. tubercular lesions on lung heal by fibrosis. and these healed areas are seen on chest x-ray and ct scan life long. since you are asymptomatic, healthy and all your bacteriological tests are negative, no need to worry about active tuberculosis. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,[National Health control in ports and airports of the Balearic Islands. SARS-CoV-2 Containment (March-June 2020).]
Please answer the letter of option truthfully,C
Answer this question truthfully,"Yes, during a bimanual pelvic examination, it is possible to palpate the ovaries. However, this is not always the case and it depends on various factors, such as the size and position of the ovaries, the experience of the examiner, and the presence of any abnormalities or masses. Palpation of the ovaries can provide important information about their size, shape, consistency, and tenderness, which can help in the diagnosis of various gynecological conditions, such as ovarian cysts, tumors, or endometriosis."
Please summerize the given abstract to a title,Age and Cultural Differences in Recognitions of Emotions from Masked Faces among Koreans and Americans
Please summerize the given abstract to a title,COVID-19: using chest CT of major trauma patients to monitor and evaluate the second wave in London and the development of routine monitoring in practice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having chest tightness and breathing difficulty on exertion. so we should definitely rule out heart diseases for your symptoms. so get done ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are having blunt chest trauma due to fall in bath tub. by your history and description, possibility of musculoskeletal injury is more. and the things you are seeing, slight tanning, redness, veins etc. are due to inflammatory edema because of musculoskeletal injury. so no need to worry much for heart damage. better to start painkiller, anti-inflammatory and muscle relaxant chatbot.  apply warm water pad on affected areas. avoid heavyweight lifting and strenuous exercise. avoid movements causing pain. don't worry, you will be alright in 1-2 weeks. if not improving after 1-2 weeks or worsening than get done chest x-ray to rule out internal damage. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"The most important treatment for STEMI is reperfusion therapy, such as angioplasty (preferred) or fibrinolysis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts and report of your semen analysis that you have posted it appears that you have azoospermia meaning there by absence of sperm in semen. this could be either due to fact that your testicles are not producing sperms or there is blockage in the passage of transmission of sperms from testicles to urethra. please consult qualified urologist for clinical evaluation. you need to undergo following tests 1) testicular biopsy to find out whether your testicles are producing sperms or not if there is production of the sperms by testis then you will need to get radiological test called vast nanogram to rule out any blockage in the va's. further treatment will depend upon the final diagnosis. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to the chatbot as your lung nodule is increasing in size, malignancy needs to be ruled out here. causes can be benign nodule, cancer, tuberculosis, abscess, rheumatoid arthritis etc. biopsy needs to be done to rule out cancer. histopathology examination done from biopsy.  hope i have solved your query consult pulmonologist for detail history and physical examination and discuss all these take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in above type of sexual activity, chance of being pregnant is quite less. only moist semen cause pregnancy, and it depends on ovulation time. on the other hand, condom has failure rate of 14%. here, you need to wait for next coming period up to 7 days and undergo one home pregnancy test to be sure. one blood test for beta chatbot is required to confirm the same. following test report, you need to consult with gynecologist for next line management. practice safe sex in the future. good luck."
Please summerize the given abstract to a title,Exploring the Problem Space of CO2 Emission Reductions from Academic Flying
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! i read carefully your question and understand your concern. your symptoms could be related to chronic degeneration in the cervical vertebral column. these changes, could lead also to irradiating nerve pain in the arm and shoulder. an inner ear disorder can not be excluded either, although your symptoms are not typical of these disorders. coming to this point, i would recommend consulting with your doctor and performing a cervical spine x-ray study and a shoulder x-ray study. a cervical spine mri study may be necessary. hope you will find this answer helpful! best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you may have some epididymitis or orchids. you may have abscess forming inflammation or some cancerous lump.  furthermore, you should go for ultrasound examination.  if needed go for fine needle aspiration cytology. then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as mutineers are very thin ceramic veneers, it is extremely difficult to make the changes on them after they have been cemented in your mouth. the only solution if you are not happy with the over all results is to redo them. but before the next set of veneers are placed please ask your dentist to first place temporaries which will be the replica of your mutineers. once you are happy with the results of the temporaries then only get the finals fixed. regards"
Please summerize the given abstract to a title,Why Is It All Taking so Long?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, well, cramps in feet and legs is a less common seen side effect of pain medicine those are commonly given for dental pain. however, i would like you to send me the names of the medication that she is taking so that i can guide more precisely. for now, a gentle massage with warm oil and soaking feet and legs in warm water with rock salt or epsom salt in it can also be relieving. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please answer with one of the option in the bracket,A: Bronchoscopy
Answer this question truthfully,Complete recovery is expected following treatment.
Answer this question truthfully,"Acyanotic heart defects comprise approximately 75% of all congenital heart defects. This contains any heart defect of a group of structural effects. It can be subdivided into two groups depending on whether there is shunting of the blood from the left vasculature to the right (left to right shunt) or no shunting at all.
Left to right shunting heart defects include ventricular septal defect or VSD (30% of all congenital heart defects), persistent ductus arteriosus or PDA, atrial septal defect or ASD, and atrioventricular septal defect or AVSD.
Acyanotic heart defects without shunting include pulmonary stenosis, a narrowing of the pulmonary valve, aortic stenosis and coarctation of the aorta.
Obstruction defects occur when heart valves, arteries, or veins are abnormally narrow or blocked. Common obstruction defects include pulmonary valve stenosis, aortic valve stenosis, and coarctation of the aorta, with other types such as bicuspid aortic valve stenosis and subaortic stenosis being comparatively rare. Any narrowing or blockage can cause heart enlargement or hypertension.
A cyanotic heart defect is a group-type of congenital heart defects (CHD s). The patient appears blue (cyanotic), due to deoxygenated blood bypassing the lungs and entering the systemic circulation. This can be caused by right-to-left or bidirectional shunting, or malposition of the great arteries. Such defects include persistent truncus arteriosus, total anomalous pulmonary venous connection, tetralogy of Fallot, transposition of the great vessels, and tricuspid atresia.
The septum is a wall of tissue which separates the left heart from the right heart. It is comparatively common for defects to exist in the interatrial septum or the interventricular septum, allowing blood to flow from the left side of the heart to the right, reducing the heart's efficiency. Ventricular septal defects are collectively the most common type of CHD, although approximately 30% of adults have a type of atrial septal defect called patent foramen ovale. Septal defects may or may not cause cyanosis depending on the severity of the defect."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient ankle sprain is less likely since pain increases on walking and activity in sprained ankle. where exactly is the pain?  if it is within ankle and improves with activity inflammatory condition is more likely like early arthritis. if pain is in the bottom of heel bone likely disease is plantar fasciitis. you need to be examined by orthopedic surgeon to conform diagnosis. meanwhile, start tab aerosol sp twice a day for pain relief."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello democrat the outset i can assure that you are not alone. there are several dedicated doctors who would like to help you. when we do not know what is exactly wrong with our child we need to think from 7 angles1. what is the problem?2. why it would have come? hereditary/ infection / allergy3. what are the tests required? painful and painless tests. scans. we have done several investigations. do they need to be repeated and again4? what are the chatbot.
Answer this question truthfully,A respirator is required for treating patients affected by microbial infections that can be aerosolized and remain suspended in air for extended periods.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you were smoker, we should definitely rule out lung related diseases (bronchitis) for your symptoms. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for the query at chatbot it is possible to be pregnant without noticing temperature changes. your beta chatbot levels are suggestive of early pregnancy. if it is a healthy viable pregnancy the beta chatbot levels doubles every 48-72 hours during early pregnancy. confirmation of pregnancy can be done by pelvic ultrasound. please follow up with your gynecologist for necessary evaluation hope i was able to help please ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for the brief history of you. usually healing is a normal physiological process which does not need anything to boost it. only if the wound is big, not healing then the medical or surgical intervention is done. as the wound is healing on its own scale of speed, you should allow that to happen as it is your own normal healing process time, which needs to be followed on its pace. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the history you seem to have developed gynecomastia or fatty breast tissue. you should consult your doctor for proper clinical examination and to determine any underlying cause. although a number of medications like clonidine, tamoxifen and anastrazole are claimed to be effective however fda has not approved them for this condition. if enlarged breasts are bothersome your doctor may advise liposuction or mastectomy. genetic is a herbal formula claimed to be effective in reducing the fat tissue in the chest however its efficacy and safety has not been proved on any clinical trials. hope i have answered your query. let me know if i can assist you further. take care"
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for trusting chatbot the symptoms you are experiencing is due to urge incontinence. the can occur due to urinary track infection, pelvic floor muscle weakness, hyperactive bladder, neurologic problems, editions etc. pelvic examination, investigations including urinalysis, barometric studies are needed to confirm the diagnosiskaegels exercise to strengthen pelvic floor muscles, going to the bathroom on a regular basis, especially before physical activity, avoiding chatbot. hope i was able to answer your questionplease feel free to add"
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, cilest is a birth control pill. these pills are having good success rate in preventing the pregnancy. as per your history, you are absolutely regular in taking birth control pills. in that case, you need not have any stress for probable pregnancy. vilest pills will take care for you. wait for your menses. i am sure, they will appear in time. if at all they are delayed, get the urine pregnancy test done 8-10 days after the missed period. performed earlier, these tests may give false negative results. beta chatbot tests are very specific and sensitive which can give reliable results within 2-3 days of missed period. so you may opt for beta chatbot test. honestly i feel, you are unnecessarily worried. relax and expect your menses on time, within 7 days after completing the pack of vilest. all the best,"
Answer this question truthfully,"In the late 19th century, Sigmund Freud recognized anxiety as:  A ""signal of danger"" A cause of ""defensive behavior "" He believed we acquire anxious feelings through classical conditioning and traumatic experiences.
In the 19th century into the 20th century, the terms used to diagnose generalized anxiety included:  “ Pantophobia ” “ Anxiety neurosis ” Such terms designated paroxysmal manifestations (panic attacks) as well as interparoxysmal phenomenology (the apprehensive mental state). Generalized anxiety was considered one of the numerous symptoms of neurasthenia, a vaguely defined illness.
In 1980,'The American Psychiatric Association' introduced GAD as a diagnosis in the DSM-III. Anxiety neurosis was split into:  GAD Panic disorder We maintain anxiety through operant conditioning; When we see or encounter something associated with a previous traumatic experience, anxious feelings resurface. We feel temporarily relieved when we avoid situations which make us anxious. This only increases anxious feelings the next time we are in the same position, and we will want to escape the situation again and therefore will not make any progress against the anxiety.
In 1980, DSM-III portrayed GAD as:  Generalized, persistent anxiety In 1987, DMS-III-R portrayed GAD as: Unrealistic/excessive anxiety and worry (apprehensive expectation) about 2 or more life circumstances In 1992, ICD-10 portrayed GAD as: Generalized and persistent anxiety, not restricted to or even predominating in any environmental circumstances (ie, “free-floating”) The ICD-11, beta draft, portrayed GAD as: Marked symptoms of anxiety accompanied by either general apprehension (ie, “free-floating anxiety”) or worry focused on multiple everyday events (family, health, finances, school, or work) In 1994, DSM-IV portrayed GAD as: Excessive anxiety and worry (apprehensive expectation) about a number of events or activities Difficult to control the worry In 2013, DSM-V portrayed GAD as: Excessive anxiety and worry (apprehensive expectation) about a number of events or activities Difficult to control the worry"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your mom is suffering from diabetes and infection is more frequent in diabetes. it is difficult to treat.  she should go for culture and sensitivity test. she should take antibiotics treatment accordingly. furthermore, she also needs to control diabetes. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of bite marks on the face. need not worry. first wash your face with mild soap and cold water twice a day, exfoliate your face once a week. also, chatbot.  apply clindamycin gel and benzoyl peroxide containing gel over the acne. you should apply aloe vera gel and apply atelier acid containing cream twice a day as this is safe and natural extract of cereals. avoid any steroid based cream and apply comic acid containing cream over face twice a day as it is a mushroom extract and safe for long term use. if symptoms keeps on persisting visit dermatologist once and get it examined and go for micro-abrasion and chemical peeling. doctor may prescribe antibiotics course. hope your concern has been resolved. get well soon. best wishes,"
Please answer with one of the option in the bracket,B: Blood loss
Please summerize the given abstract to a title,"Impact of interventions on the incidence of natural focal diseases during the outbreak of COVID-19 in Jiangsu Province, China"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of spinal nerve root there can be pain in your back and leg. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Answer this question truthfully,"An x-ray of the spine that shows focal, sclerotic, hyperdense lesions is suggestive of prostate cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  your blood pressure is not too high. but your symptoms are alerting. if you feel chest pain and pain in left arm then you should urgently consult your physician.  you should go for ecg. just consult your physician once you need to set the dose of antihypertensive. go for it. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ravine, thanks for writing in.first, i would like to emphasize that a diagnosis can only be made after correlating clinical findings with x-ray /ct scan findings. secondly, a diagnosis like tb/cancer/pneumonia can only be ruled out after the clinical symptoms have been correlated with the investigations. to be able to help you better, i would need to know the symptoms that your father has. other causes of white spots in the lungs on ct scan can be interstitial lung disease, benign tumors, hypersensitivity pneumonitis, hematological disorders, acidosis and idiopathic pulmonary fibrosis. the treatment can only be decided once we know the cause. hope this helps. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","his am happy to say there is an excellent natural remedy to increase wbc and platelets.  you mentioned gilroy (also known as amrita). it is an excellent herb to increase the platelets, however, i would suggest you the following combination- juice of papaya leaves (20ml) + aloe vera juice (20 ml)+ 1/4 tsp of gilroy fatwa (patanjali pharmacy) +1 tsp of ashwaghandha chewing (patanjali pharmacy) - to be taken first thing on empty stomach in the morning with warm water. this combination is directed at both platelets and wbc. you can expect some good results in a couple of weeks. advice panama - kapalbathi is one panama i would strongly recommend as a part of your routine. i would also advise you follow a regular yoga/ workout/ walk that you are comfortable with, in order to keep the physical health active. diet to be avoided - please avoid oily and junk food, extremely spicy, fried food, sweets, non veg and alcohol. stick to veggies, fruits and low oil home food. chatbot. get a good sound sleep of 7-8 foursome"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, and thanks for your query. if you ovulate (this was seen from follicular study) and semen count test was normal, while you have wait for more than 1 year, better contact with an infertility specialist. the first step in your case is to induce ovulation by using camphene citrate, and it has very effectiveness. it can be used for more than 6 cycles, and it is used in the 2 or 3 day of your period for 5 days, starting with minimal dose 50 mg per day.hence, contact with a doctor and be calm. all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case with diligence. as per your symptom and history there is possibility of acute muscle spasm in lower back due to injury these symptoms muscle relaxant with analgesic and neurotrophic medication can be started consulting your treating doctor. till time take rest and continue analgesic available over the counter take rest, and hot fomentation. physiotherapy like ultrasound and inferential therapy will give quick relief. you may need to do mri spine if symptoms persist. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please answer with one of the option in the bracket,E: Begin cognitive behavioral therapy
Answer this question truthfully,"Valproate, also known as valproic acid, can be used for both preventing relapse and treating acute mania in individuals with bipolar disorder. This medication is a mood stabilizer that works by increasing the levels of the neurotransmitter gamma-aminobutyric acid (GABA) in the brain. By doing so, valproate can help to regulate mood and prevent the extreme highs and lows associated with bipolar disorder. Valproate is often used in combination with other medications, such as antipsychotics or antidepressants, to provide comprehensive treatment for bipolar disorder. The specific treatment plan for an individual with bipolar disorder will depend on their symptoms, medical history, and other individual factors, and should be determined in consultation with a healthcare provider."
Please summerize the given abstract to a title,The Effect of Atrial Septal Defect in the Treatment of ARDS with Left Ventricular Dysfunction Simulating Severe COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there can be muscle pull in you thigh or due to compression of nerve root there can be pain in your thigh. i will advise you to do mri spine to see for disc bulge. ice fomentation and rest will help in healing. till that time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your vitamin b12 and vitamin d3 level. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Symptoms of avian influenza in humans have ranged from typical human influenza - like symptoms (e.g., fever, cough, sore throat, and muscle aches) to eye infections, pneumonia, severe respiratory diseases (such as acute respiratory distress), and other severe and life-threatening complications. The symptoms of avian influenza may depend on which virus caused the infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the crack in the lip could be because of the anemia or nutritional deficiency. it can also occur because of the fungal infection. consult your oral physician to rule out these conditions. apply lip balm, you can also use topical anesthetic and analgesics. consume a lot of water and green leafy vegetables. i hope my answer will help you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome. based on the facts of your query, you seem to suffer from-mb cyst of the knee, as it is behind knee.fnac biopsy/ usg/ ct /with second opinion from ortho-surgeon and surgeon would fix this diagnosishope this reply would help you. contact with a followup premium question to me. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. good day!!  chatbot. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear !! thanks for your query to chatbot. read and reviewed query. based on facts of your query, you seem to suffer from-seasonal asthma-with bronchospasm. you need to check for bronchospasm with eosinophilic. you need to check for stool -ova / cyst with secondary -eosinophilic- which could cause such a bronchospasm, if its occasional and if with no past history of asthma. acute laryngospasm with aerosol reg urge (alrd-acute laryngeal reg urge disease)needs to be ruled out also. chest x-ray / flexible bronchoscopy / ent surgeons second opinion is suggested for complete work up before treatmentsremedy-plenty of fluids-for proper hy chatbot. bland diet / ppi like pantoprazole with domeperidone to reduce herd induces spasms and bronchial suction-with oxygenation - for ald may be considered if needed. welcome for any further query in this regard. good day !!"
Please summerize the given abstract to a title,Revelation of Potent Epitopes Present in Unannotated ORF Antigens of SARS-CoV-2 for Epitope-Based Polyvalent Vaccine Design Using Immunoinformatics Approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, even at the age of 80, you are doing twenty minutes of exercise. you have type 1 diabetes that is insulin-dependent. folding things you have to check. regular checking of glucose levels including hba1c (yearly)b. ophthalmologist consultation for a retinal examination and eye checkup. (yearly)c. renal function tests for kidney status (yearly)keep control over glucose levels. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Screening of SARS-CoV-2 among homeless people, asylum-seekers and other people living in precarious conditions in Marseille, France, March–April 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear rousseau, mostly painful nodules anywhere in the body are non-cancerous and the inflammatory condition has to be given the first thought. you may be having infected thyroid cyst. get ultrasound examination done or needle aspiration done to find out what is the problem. even a secondary deposit from the primary breast cancer will not be painful. your primary physician will guide you through, and you need not work as regards cancer. truly, chatbot.  ticku"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you are facing multiple sexual problems like reduced libido. erectile dysfunction and early ejaculation. the most common cause of these problems is due to frequent habitual masturbation indulged for over many years. in absence of any major health issue these problems are mostly psychogenic in origin and due to anxiety following measure will help you to boost up your confidence and help to resolve your problems.1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc 3)take anti oxidants like almonds 5-6 every day. 4) avoid alcohol and smoking. chatbot. ."
Answer this question truthfully,Upper motoneurons provide descending control over reflexes.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your fever, chills and headache are not due to birth control pills. you should continue with your chatbot.  it can be due to malaria, urinary tract infection or viral fever. you should go for complete blood count, malarial parasites test and urinalysis. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the medicines you are talking about does not reduce sexual vigor. in that case, i feel, the low sexual vigor could be associated with your age or anxiety related to sexual performance. for the time being, i suggest you to include almonds and milk with your dinner. it should make the difference. take care. if you still need my assistance in this regard, please use this link. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, this can lead to chest tightness. old air conditioners are not hygienic. air provided by them is not humidified. so inhalation of this air can lead to bronchitis and this in turn leads to chest tightness. so better to check filters and humidifiers of your second hand ac. this chest tightness usually recovers in 1-2 days. but if it is prolonged then consult pulmonologist. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. hemangioma do not give pain, but fracture associated with it may give rise to pain. for these symptoms analgesic and neurotrophic medication can be started. i will advise consulting two specialist knee and spines again for proper opinionative time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please summerize the given abstract to a title,Tinjauan etik prioritas alat pelindung diri (APD) untuk profesional pemberi asuhan (PPA) kedokteran dan kesehatan
"If you are a doctor, please answer the medical questions based on the patient's description.","1. you haven't mentioned your age, but going through your history, it seems that you are in reproductive age group (conceive in future). amenorrhea is a sign of underlying disorder.2. have you consulted with a gynecologist about the same? was it oligomenorrhea, hypomenorrhea, were hormonal imbalance, thyroid function, hemoglobin level test carried out, did usg revealed any structural abnormality? (hypoplastic uterus,pcos3. family history (mother, grand ma, sister)??? suffered from same complaint4. any physical/mental stress?5. your body weight?? (people with less body weight tend to get scanty periods)6. after proper check up with your gynecologist, you can consult with ayurveda physician about necessary medicines and lifestyle modifications."
Answer this question truthfully,The sulcus limitans is the structure that separates the alar plate and basal plate in embryonic development.
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, if there is a long-standing kidney disease swelling in the hand and ankle joint is obvious at the end of the day. but urinary tract infection will not show any swelling in hands. frequent infection and miscarriage leads to rule out diabetic cause. kindly investigate your blood sugar level, renal function test and urine culture to fix your problem. hope i answered your queryregards chatbot. senthilnathan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good evening. thanks for the query to chatbot. i studied it in depth and i understood your health concerns.-treatment-for-tender lumps in the armpits and nipples-1- mostly it appears to be -infected boil below the nipple with lymphadenitis of the armpit. this boil could be due to the insect bite or the chemical reactive bruise.2-as you are worried i would advise you to check with your er surgeon, who would fix its diagnosis and would treat it accordingly. hope this would help you a lot to relieve from your wrist lump. wish you fast recovery-and healthy life. wellcome to chatbot with more queries till you are satisfied. have a good day...!! chatbot. n.m.s.genl-cvts, super specialist and senior consultant-and expert in non-curable-disease therapy for cancer, asthma,etc., rejuvenation therapy and tissue failure -reversal therapies."
Answer this question truthfully,"Shown below is a pre-intervention angiogram with narrowing of the lumen in the proximal part of obtuse marginal branch of left circumflex artery.
Shown below is an angiogram with ongoing intervention on the narrowing described above.
Shown below is a post-intervention angiogram with occlusion at the proximal part of obtuse marginal branch depicting abrupt closure.
Shown below is a post-intervention angiogram without any occlusion in the obtuse marginal branch of left circumflex artery after transient occlusion as seen above, which indicates transient abrupt closure."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have repeated episodes of pain in rt testicle and your semen analysis has revealed presence of pus cells and rbc in semen. in view of chronic pain and seem analysis findings the pain could be due to chronic infection of testes (orchids). get semen culture does to trace out the organisms causing this infection and antibiotics to which they are sensitive to so that you can take appropriate antibiotic as per culture report to eradicate infection. start taking combination of trimethoprim and sulphamethaxozole along with anti-inflammatory medicine like diclofenac twice daily. later on switch on to appropriate antibiotic as per culture report. it should get cured within a month. chatbot.
Please summerize the given abstract to a title,Spatial scenery of congenital syphilis in Brazil between 2007 and 2018: an ecological study
Please summerize the given abstract to a title,Possible Benefit of Angiotensin II Receptor Blockers in COVID-19 Patients: A Case Series
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. copd is chronic, progressive lung disease. we can not cure it 100%. we can definitely halt its progression. and for this, you need to follow these steps. 1. smoking cessation 2. inhaled bronchodilators (formoterol or albuterol) 3. adult pulmonary vaccines like influenza and pneumococcal. 4. enroll in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are taught. if you follow this then copd will not progress and remain controlled. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. forum.  you had abdominal hysterectomy on 4-1-2013. and in 2 days after discharge got readmitted for illus. it must be a secondary to obstruction. so it may be a side effect of the surgery. of course if it is illus it must be there since long before.  i advise you to consult a gastroenterologist for diagnosis and treatment. for illus long term and continuous treatment may be recommended. if it is secondary to the surgery if the problem is corrected, there is a possibility of complete correction.  wishing for a quick and complete recovery.  best regards."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. yes in some studies it has shown h pylori causes infertility.  it is mainly associated with development of pcs(polycystic ovary disease). i would suggest you to undergo ultrasound abdomen to rule out pcs in you. i also suggest you to undergo repeat test for h pylori whether it has been irradiated completely.  if not so then take treatment. if test come negative then don't worry. it won't affect. if you are having normal monthly ovulation then no need to worry. in some cases h pylori antibodies will be present in cervix which prevent ascend of sperms. i suggest you to go for gui. it is intrauterine ingestion of sperms. here sperms are washed and processed and placed in uterus. so the problem of ascending is solved. hope i have been helpful. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have swollen watson's duct, it can be due to obstruction, salivary stone in gland don't worry dentist has referred you to surgeon to go for investigations and biography done, as you are worried about cancerous don't worry about cancerous lesion go for proper investigations first, consult oral surgeon and go for treatment done, hope this will help you.  wish you good health regards,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Erythema and Acclimatization Following Repeated Sun Exposure: A Modelling Study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query. in the current scenario, i would recommend a proper clinical evaluation by an expert along with an estimation of the serum beta-chatdoctor titles and a trans-vaginal sonogram to know the status of the pelvic organs. this will help to definitely conclude on the status of your possible pregnancy. if negative, you need to think of hormonal imbalances and a possible flare up of your ulcerative colitis causing disrupted cycles. if this is so, specific management is necessary to correct the situation. maintenance of a healthy weight is very important. hope your query has been clarified. wish you good health."
Answer this question truthfully,"Paroxysmal nocturnal dyspnea (PND) is defined as sudden, severe shortness of breath at night that awakens a person from sleep, often with coughing and wheezing. It is most closely associated with congestive heart failure. PND commonly occurs several hours after a person with heart failure has fallen asleep. PND is often relieved by sitting upright, but not as quickly as simple orthopnea. Also unlike orthopnea, it does not develop immediately upon lying down.
Paroxysmal nocturnal dyspnea (PND) is a medical symptom wherein people with congestive heart failure develop difficulties breathing after lying flat. PND commonly occurs several hours after a person with heart failure has fallen asleep. PND resolves quickly once a person awakens and sits upright.
PND is caused by increasing amounts of fluid entering the lung during sleep and filling the small, air-filled sacs (alveoli) in the lung responsible for absorbing oxygen from the atmosphere. This fluid typically rests in the legs during the day when the individual is walking around and redistributes throughout the body (including the lungs) when recumbent. PND is a sign of severe heart failure"
Please summerize the given abstract to a title,A two-phase dynamic contagion model for COVID-19
Please summerize the given abstract to a title,"Oxidized low-density lipoprotein, OXPAPC, corrects defects in maturation and cytokine secretion of peripheral blood dendritic cells from sepsis patients."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. the symptoms of trembling of the hands, rapid beating of the heart, etc. appear to be anxiety-related. you also seem to be having a problem with controlling your emotions and have engaged in self harming behavior multiple times. such emotional instabilities and self-harming behavior could be indicative of a personality disorder, probably a borderline personality disorder. i would recommend that you see a psychiatrist for a detailed psychological assessment and further treatment. there are good psychological therapies which can help you control your emotions and your dysfunctional thoughts, and teach you better coping and stress-management skills. sometimes, medication may also be beneficial in such cases. wish you all the best."
Answer this question truthfully,"The Marcus Gunn pupil is tested with the ""swinging flashlight"" test."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for contacting chatbot. speech problems (aphasia) are common after stroke on the left side of brain (in right-handed people). this is because the speech areas (for both understanding and producing speech) are located on the left side of brain. recovery is a gradual process and can take up to two years (though some people do not recover completely). the best treatment is speech therapy (which your husband is undergoing). there are no specific medications to improve speech. however, in some research studies, paracetamol has been found to be useful. you may use pitracetam (nootropic) 1200 mg twice daily for three months. please consult your doctor regarding this. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i carefully read your question and understand your concern. did the ecg and cardiac enzyme levels performed in the er, result abnormal ? what was her blood pressure? these symptoms could be related to a cardiac arrhythmia. besides, other causes should be considered too"
Answer this question truthfully,"ACE inhibitors may precipitate acute renal failure in patients with bilateral renal artery stenosis, causing significantly increased serum creatinine levels. This is because ACE inhibitors can decrease the perfusion pressure to the affected kidney, leading to a decrease in glomerular filtration rate and subsequent renal dysfunction. Therefore, in patients with known or suspected bilateral renal artery stenosis, ACE inhibitors should be used with caution and close monitoring of renal function is recommended. In some cases, an alternative medication may be necessary to manage hypertension or other cardiovascular conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i am chatbot look, for a semen analysis test, you have to follow some instructions. abstinence from sex is necessary for minimum 3 days.  semen should be given after masturbation at laboratory, which should be examined immediately followed by at 1hr and at 2nd and 3rd hour.  so, tell your husband not to have sex for 3 days. then give the sample.  but, for your information, your husbands' sperm count is within normal limit. because as per who 2010, normal semen contains sperms > 15 million/ml.  so, do not worry.  it is not a problem at all.  regards."
Please summerize the given abstract to a title,SARS-CoV-2 RNA Quantification Using Droplet Digital RT-PCR
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query. i have gone through your query. the features what you are presenting looks like herpetic gingivostomatitis. consult an oral physician and get it ruled out. you can take topical anesthetic and analgesics like anabel gel, apply 3-4times daily before food. you can take topical or systemic antiviral chatbot.  do saline gargling. you can take analgesics like diclofenac for body ache and fever. i hope my answer will help you. take care."
Please summerize the given abstract to a title,Psychological state and its correlates of local college students in Wuhan during COVID‐19 pandemic
Please answer with one of the option in the bracket,B: Cleft lip
Answer this question truthfully,"Neisseria gonorrhoeae is often found intracellularly in neutrophils, also known as polymorphonuclear leukocytes (PMNs). These immune cells are recruited to the site of infection in response to the bacteria, and N. gonorrhoeae can evade the immune system by invading and surviving within the PMNs. This intracellular survival mechanism is thought to contribute to the pathogenesis of N. gonorrhoeae infections, as it allows the bacteria to persist and cause damage to the host tissues."
Please summerize the given abstract to a title,Multi-epitope-based peptide vaccine design against SARS-CoV-2 using its spike protein
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. i would like to know why your doctor suggested tamoxifen and steroid. your symptoms suggest that you are experiencing neuropathic cycle. the clot could be a discharge of endometrium as a whole. you need further evaluation which includes coagulation profile, blood counts, hormone profile, urinalysis and sonogram of the pelvis preferably in the trans-vaginal route. maintenance of a normal bmi and regular exercise is also important. supplementary therapy is also needed to aid in the treatment. styptics are needed to control the bleeding; hormone courses may be necessary to check the bleeding and set the cycles on track. metformin is of help if insulin resistance is detected. hope your query has been answered. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. the kind of behavior you are describing appears to be part of a personality trait (feature) and not mostly an illness. it can be some personality disorder, but then she needs to be examined by a psychiatrist. we don't know the exact age of your sister. that would have helped us in providing you a better answer. if it is adolescence, then child chatbot. hope i am able to solve your query. in case you want a direct and detailed discussion about your problem, you can contact me on the following link"
Answer this question truthfully,"Yes, the former BCG vaccine can result in a false-positive interpretation of PPD test results. The BCG vaccine is a live attenuated vaccine that is used to prevent tuberculosis (TB) in countries with a high incidence of TB. The vaccine can cause a cross-reaction with the PPD test, leading to a false-positive result. This can be a problem in individuals who have received the BCG vaccine, as it can lead to unnecessary further testing, treatment, and anxiety. Therefore, it is important to consider the patient's history of BCG vaccination when interpreting PPD test results and to use additional tests, such as interferon-gamma release assays, to confirm the diagnosis of TB in individuals with a positive PPD test who have received the BCG vaccine."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Ejection fraction is a term used to describe the percentage of blood that is pumped out of the heart's ventricles with each heartbeat. It is defined as the fraction of the end-diastolic volume that is ejected in each stroke volume. In other words, it is the amount of blood that is pumped out of the heart relative to the amount of blood that remains in the heart after each contraction. Ejection fraction is an important measure of heart function and can help to diagnose and monitor a variety of heart conditions, such as heart failure and cardiomyopathy. A normal ejection fraction is typically between 50% and 70%, although this can vary depending on age, sex, and other factors."
Answer this question truthfully,"The recommended treatments for adjustment disorder include a combination of SSRIs and CBT, as well as addressing the underlying stressor. Adjustment disorder is a type of mental health condition that can occur in response to a stressful or traumatic event, such as a divorce, job loss, or illness. Treatment typically involves a combination of medication and therapy. SSRIs are a type of antidepressant medication that can help to alleviate symptoms of depression and anxiety, which are common in adjustment disorder. CBT, or cognitive-behavioral therapy, is a type of talk therapy that can help individuals to identify and change negative thought patterns and behaviors. It is also important to address the underlying stressor, which may involve making changes to one's environment, relationships, or lifestyle. The choice of treatment will depend on the individual's symptoms and medical history, and it is important to work closely with a healthcare provider to determine the best course of treatment for adjustment disorder."
Please answer with one of the option in the bracket,D: Niacin deficiency
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. i went through your history. satrogyl 300 is used for treating some worm infestations. although some worms can cause itching and urticaria, there are other causes also. so first i would suggest your wife to take montelukast and levocetirizine for at least 3-5 days depending upon response. however, if she has severe swelling, swelling inside throat, feeling of suffocation, or other trouble symptoms, she may require a short course of corticosteroids. regarding strongly, it will work only if her symptoms are due to worms, not if they are due to any other cause. hope this will be helpful to you and solves your query. wish your wife a quick recovery and the best of the health. should you have any further query, please fell free to ask at chatbot. regards. chatbot."
Please summerize the given abstract to a title,Prevalence of Obesity and Its Impact on Outcome in Patients With COVID-19: A Systematic Review and Meta-Analysis
Answer this question truthfully,"Hypomagnesemia should be differentiated from other causes of abnormal parathyroid hormone (PTH) and parathyroid hormone resistance like Blomstrand chondrodysplasia, acrodysostosis, hypoparathyroidism and pseudohypoparathyroidism.     Differential diagnosis of Pseudohypoparathyroidism Disorders Mechanism Laboratory findings Serum PTH Serum Calcium Serum Phosphate Other findings Pseudohypoparathyroidism    Type 1a Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH) Heterozygous GNAS inactivating mutations that reduce expression or function of Gα s Genetic mutation disrupts both receptor-mediated activation of adenylyl cyclase and receptor-independent activation of the enzyme. ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D ↓ Urinary cAMP ↓ Urinary phosphate Type 1b Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Familial - heterozygous deletions in STX 16, NESP55, and/or AS exons or loss of methylation at GNAS ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D ↓ Urinary cAMP ↓ Urinary phosphate Type 1c Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Heterozygous GNAS inactivating mutations that reduce expression or function of Gα s Genetic mutation disrupts receptor-mediated activation of adenylyl cyclase but does not affect receptor-independent activation of the enzyme. ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D ↓ Urinary cAMP ↓ Urinary phosphate Type 2 Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). ↑ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D Normal urinary cAMP ↓ Urinary phosphate Pseudopseudohypoparathyroidism Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH). Combination of inactivating mutations of GNAS1 and Albright's osteodystrophy Normal Normal Normal -- Hypoparathyroidism There is deficiency of parathyroid hormone in hypoparathyroidism. Deficiency of parathyroid hormone causes body to decrease: Reabsorption of calcium from bone. Excretion of phosphate. Reabsorbtion of calcium from distal tubules. Vitamin D mediated absorption of calcium from intestine. ↓ ↓ ↑ ↓ 1,25 Dihydroxy vitamin D Normal urinary cAMP Normal urinary phosphate Hypomagnesemia   Decreased parathyroid hormone (PTH) secretion Skeletal resistance to parathyroid hormone (PTH) Inappropriately ↓ Normal/ ↓ -- ↓ serum magnesium ↓ /Normal serum potassium Acrodysostosis Acrodysostosis type 1 Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH) PRKAR1A germ-line mutation in the encoding gene resulting in parathyroid resistance ↑ ↓ ↑ Multiple hormone resistance Acrodysostosis type 2 Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH) Phosphodiesterase 4D (PDE4D) gene mutation resulting in parathyroid resistance ↑ ↓ ↑ Multiple hormone resistance Blomstrand chondrodysplasia Genetic defect causing end organ resistance to the action of parathyroid hormone (PTH) Homozygous or heterozygous mutations in both alleles encoding the type 1 parathyroid hormone receptor resulting in parathyroid resistance ↑ ↓ ↑ ↓ Urinary Phosphate, ↑ Urinary cAMP Hyperparathyroidism Primary hyperparathyroidism Increase in secretion of parathyroid hormone (PTH) from a primary process in parathyroid gland. Parathyroid hormone causes increase in serum calcium. ↑ ↑ ↓/Normal Normal/↑ calcitriol Secondary hyperparathyroidism Increase in secretion of parathyroid hormone (PTH) from a secondary process. Parathyroid hormone causes increase in serum calcium after long periods. ↑ ↓/Normal ↑ -- Tertiary hyperparathyroidism Continuous elevation of parathyroid hormone(PTH) even after successful treatment of the secondary cause of elevated parathyroid hormone. Parathyroid hormone causes increase in serum calcium. ↑ ↑ ↑ --"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hit hanks for using chatbot.come have evaluated your query thoroughly.* causes may be variable as - allergic bronchitis - recurrent viral or bacterial infection - tuberculosis - childhood asthma - others * management will depend upon the diagnosis itself which require - pulmonary function test - ct thorax or diagnostic bronchoscopy according to the need after thorough clinical evaluations. hope to clarify your query. welcome for further questions. thanks for using chatbot .com & giving opportunity to assistwishing your angel fine recovery regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the dullness implies that the sinuses are still congested somewhat. in addition to the antibiotics, you would need to consider a decongestant and antihistamine. a topical and oral decongestant may help. these are available over the counter.also, a topical steroid nasal spray may help as well. this includes meds such as alone, escort, rhinoceros, flonase. i hope this helps"
Please summerize the given abstract to a title,A Smart Tendon Hammer System for Remote Neurological Examination
Please summerize the given abstract to a title,Efficiency changes in orthopaedic trauma surgery and implications for resource allocation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. please see that your father gets 1800 kcal food energy daily and most of this might be given as fluids and a nasogastric tube might have to be inserted for better acceptance and energy utilization. generalized weakness might be due to malnutrition and combined vitamin and mineral deficiency. his general condition requires to be improved and this can be done by providing him minimum daily nutritional and fluid requirements. you can include protein and vitamin supplements to give him extra energy. unfortunately the life expectancy in stage 4 cancer prostate is between 6 months to two years. please encourage him to eat and chatbot.  give him maximum support and care. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. trigemminal neuralgia is a condition which can get too disturbing at times. the treatment options are many and change with the severity of symptoms. initial treatment is with anticonvulsant chatbot.  others like oxcarbazepine, clonazepam and gabapentin have also been used with benefits seen in patients. next are the antispasmodic group of medications which help muscles to relax. if medications do not help much then there are many minimally invasive surgical procedures that can help in your case. the procedures that help in trigeminal neuralgia includesmicrovascular decompressiongamma knife radiosurgeryglycerol injectionballoon compressionradiofrequency thermal lesioning above methods are the latest in the treatment of trigeminal neuralgia and i suggest you have a detailed discussion on the procedures offered by your neurosurgeon and take the one your doctor recommends. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and thank you for using chatbot ! from your description of the events it is very unlikely that she is pregnant.  if you want to be sure, it is very simple and inexpensive to get an over the counter urine pregnancy test.  the brief period of penetration is enough to cause pregnancy in some cases, but since she took emergency contraception so soon afterward, this is very unlikely.  emergency contraception is quite effective when used up to 72 hours after unprotected sex.  however, it is not recommended to be used regularly, because of side effects such as irregular vaginal bleeding. having said this, your girlfriend still needs to make an appointment to be seen by her doctor.  the thick white discharge that you are describing could be caused by a yeast infection, or it could be caused by a sexually transmitted disease (std).  the most common std in women is chlamydia.  if untreated this can lead to sterility, so it is very important that she be treated appropriately for whatever is causing her symptoms. i hope i have given you some useful information, and wish you the best of health. sincerely,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, increase in heart rate has a lot of causes. it can be because of anxiety, stress. if you feel your heart rate increases without both these conditions than it is important to get an ecg done at the time of increased heart rate. if the duration of episode is very less & reaching hospital in that time is not possible we put a 24 hr ecg recording (holder monitoring). so take care & be healthy. thanks chatbot."
Please summerize the given abstract to a title,Reporting of health equity considerations in cluster and individually randomized trials.
Answer this question truthfully,"Acute pancreatitis may progress to shock, due to pancreatic hemorrhage and fluid sequestration."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
How bad can endometriosis get?,Symptoms of endometriosis include: - Heavy menstrual bleeding - Bleeding between periods - Problems getting pregnant
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,yes, it is good to take her to your doctor. your doctor will do clinical examinations, investigations specific to her need. if there would be any warning symptoms or signs, he or she will refer her to the specialist or hospital. if everything comes out normal, her stress level will reduce, and will have to concentrate on healthy way to reduce weight by diet and regular exercises. her retinal detachment at early age indicates also some chronic disease like diabetes, hypertension or vascular disease, specially aneurysm. better to be proactive, rather than stay in fear. wish her good health chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot, you have detected to have high bilirubin level and other enzymes about liver function are normal. in such cases there are many causes you should visit internal medicine specialist or gastroenterologist to examine and investigate for cause like hemolytic anemia and ultrasonography and ct scan of abdomen. the bilirubin can be high due to chatbot.  sometimes even some defects from birth where slight bilirubin level remains due to some defects in membrane transport. if everything is fine and you are healthy. just followup with your doctor to keep an eye over liver functions. hope this helps and take care good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. can understand your concern. as per your complaint pain and blister like bubble in a 6-year-old toddler can be an \""eruption hematoma\"" as it is the age for the eruption of a permanent molar, and it would have even broken through the gum below the blister leading to formation of a hematoma. you need not worry about it as slowly when the tooth will erupt the blister will disappear. to relieve pain you can give tylenol or eugenic kid to her. you can apply lidocaine gel over the painful area with precaution to be precise in application as it is numbing agent and will numb the area it is applied. cold packs can be relieving. hope this information helps. if you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. thanks and regards. chatbot."
Answer this question truthfully,Bordetella pertussis can be cultured on Regan-Lowe or Bordet-Gengou (potato) agar.
Please summerize the given abstract to a title,Parents’ willingness to vaccinate their children with COVID-19 vaccine: results of a survey in Italy
Answer this question truthfully,"Erythropoietin can lead to new-onset hypertension. This is because erythropoietin stimulates the production of red blood cells, which can increase the viscosity of the blood and put additional strain on the cardiovascular system. In some cases, this can lead to an increase in blood pressure, which may require additional treatment. Therefore, careful monitoring of blood pressure is necessary when using erythropoietin, especially in patients with a history of hypertension or cardiovascular disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your question. as a doctor it is difficult to advise that pacemaker can be removed. at the same time i need to know which country you belong to? because laws of different country are different. if the law permits such action, then after completing legal formalities you may approach doctors for removal of pacemaker. in my practice of more than 2 decades i have not experienced such situation. so please respect wish of your mom only if law permits. i personally am man of science but i believe in spiritual science as well. so i suggest that we should allow nature to take its own course, my best wishes. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query to chatbot.  most likely you are having a fungal infection and because of scratching an addition bacterial infection over the fungal infection might have happened.  most of the jock itch cream contains anti-fungal medications, so kindly let me know the name of it. otherwise, ask your doctor to prescribe you a combination of antifungal medication+ antibiotic cream and a steroid cream. use this for around 2 weeks and everything will get cleared.  also keep that area as chatbot.  hope you find this information useful. any clarifications or queries feel free to ask. happy to help you. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. plexiform neurofibromas in strategic locations are to be removed through skilled surgery. it is important to know the size and extension of the tumor and if there are any cancerous areas which are developing within. in that case, you must consult an oncosurgeon and vascular surgeon and know the implications of the tumor causing pressure effects or the rare possibility of the tumor infiltrating the arteries. medicines are not a treatment option for these tumors. though the tumors are usually benign and harmless, increase in size with time and malignant transformation cannot be entirely ruled out in your grandson. that might take years to happen, but it can be easily prevented by getting treated through surgery at present."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have burning sensation on taking spicy food this is due to intake of tobacco formation of white patch in cheek is said to be tobacco induces keratitis, leukoplakia or oral submucosal fibrosis, firstly i will suggest you to quit your habit of chewing tobacco. for white patch you can apply ointment triamcinolone acetone buccal paste on white patch, you can take one tablet antioxidant like oxnard or lycopene with vitamin a by consulting with your local doctor. hope this will help you. wishing you good health."
Please summerize the given abstract to a title,Use of povidone as a mouthrinse to decrease the viral load of Covid-19 before dental care: Review of the literature
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, your concern is very true. these are most likely multiple lipomas, very common in occurrence, benign tumors of fatty tissue, provided their consistency is soft & are freely mobile there. get local examination done by your doctor once & if necessary fnac - fine needle aspiration cytology. treatment for lipoma once confirmed is simple excision under local anesthesia by a general surgeon. rest treatment is done accordingly. hope this information is useful for you. wish you healthy life. thanks. regards."
Answer this question truthfully,The recommended treatment for postoperative urinary retention is to perform an in and out catheterization after 6 hours of not voiding.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot! thanks for posting your question on chatbot! apparently your mother is suffering from oral thrush caused by yeast infection (candidiasis). this is an important side effect of antibiotics or immunosuppressive chatbot. since she has been prescribed treatment for the eradication of helicobacter pylori infection, there are two antibiotics used in this regimen, so invariably this could have been the cause of oral thrush. oral statin solution is effective in the treatment of candidiasis. regards!"
Answer this question truthfully,Mycoplasma pneumoniae is a bacterium that lacks a cell wall.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you want to know if you should opt for surgery in case of sciatica. well sciatica occurs when the sciatic nerve becomes pinched, usually by a herniated disk in your spine or by an overgrowth of bone on your vertebrae. usually doctor prescribe anti-inflammatories, muscle relaxants, narcotics, tricyclic antidepressants or anti-seizure medications. along with this medicine you can also go for physical therapy or steroid injection. but if all above method doesn't work, then you can opt for surgery. for now take proper rest, apply warm compresses on back and leg, also take ibuprofen or acetaminophen for pain. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,“I just wear it and I become normal”: a qualitative study of Tanzanian women’s experiences with long-term vaginal pessary use for stress urinary incontinence
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for the query. with this presentation, it might have been possible that he developed a peptic ulcer which can give backache at times. if i were his treating doctor, i would add chatbot. i hope that answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. we will be delighted to answer more questions from you. i wish him good health"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The impact of COVID-19 pandemic on people with Mild Cognitive Impairment / Dementia and on their caregivers.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... by what you quote i feel that it could be a - 1. viral exanthem2. contact dermatitis3. toxic urticaria which could again be viral related. i suggest you get in touch with your pediatrician regarding this. i am telling this because - skin conditions are best diagnosed only after seeing directly. furthermore, i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. regards -"
Answer this question truthfully,"In cystic fibrosis, 98% of men are infertile. The causes of aspermia include:  Atresia or absent vasa deferentia Abnormal or absent seminal vesicles"
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your query and i understand your concern. as you can read on the report that protrusion is considered of questionable clinical significance, meaning it's not causing your symptoms and is a coincidental finding. since it causes no compression there is no need for invasive management like surgery. so your management (for i guess back pain) is conservative, with physical therapy and analgesics. usually improvement is a gradual one, doesn't occur overnight. i hope to have been of help."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking chatdoctori understand your concern and pain. causes of high fasting on regular basis are as follows
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for sharing your problem with us. when a tooth is infected, and it is painful, and it means there can be an abscess (collection of pus) below the tooth, and because of this abscess the anesthesia takes time to become effective, and also sometimes wisdom tooth are placed diagonally or obliquely which makes it difficult to be removed. it will be better for you that you should visit an oral surgeon as they are specialized for this kind of cases as he will first take x-ray, diagnose the position of tooth, and then he will manage to take out the tooth."
Please summerize the given abstract to a title,Multi-observer concordance and accuracy of the British Thoracic Society scale and other visual assessment qualitative criteria for solid pulmonary nodule assessment using FDG PET-CT
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. as now your tubes are patent and normal you can plan for pregnancy now. usually the effect of fibroid son fertility depends on the size and position of the fibroid. as you are having small sized fibroid that may not affect the fertility and pregnancy as told by your doctor. so you track your ovulation and plan unprotected intercourse around that period, which will increase the possibility of pregnancy. regular antenatal checkups and ultrasound examinations are needed during pregnancy. for more details you can ask me through"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. you should not worry so much. removing both organs at one time is a very good idea. there will only one incision (in the middle of your abdomen). nowadays, after a surgery patients usually do not feel any pain as we have great medicines. so you will be under anesthesiologist care and every pain will be eased with medicines. and so is with nausea. so do not worry. both procedures are quite easy to perform. just need to take a little more time than a single one. hope this will help. regards."
Please summerize the given abstract to a title,Multiple viral respiratory pathogens in children with bronchiolitis
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. semen is a waste product. semen is produced within the body whenever you are sexually aroused and accumulates. body has to throw it out at any cost. masturbation and sexual intercourse helps to throw out the accumulated semen. if these are not done, body has its own mechanism to remove the waste product. body usually removes the accumulated semen through urine and nocturnal emissions. nothing to worry. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there? are you talking about anterolateral ischemia of the heart? cause for some reason your question has been put in the brain and spine category. i'd recommend you repost the question in the cardiology section to get an answer from the right people. if it's not about the heart. you have to tell me exactly what part of the brain is suffering from the ischemia and i can give you more information. you can always use our chat with a doctor or ask a specialist options for a more personalized discussion. hope this helps! take care! thanks for coming to chatbot. com
Please answer the letter of option truthfully,C
Answer this question truthfully,Patients with primary hyperparathyroidism have increased Ca2+ excretion due to the high filtered load of calcium on the kidney.
Please summerize the given abstract to a title,Roles of Innovation Leadership on Using Big Data Analytics to Establish Resilient Healthcare Supply Chains to Combat the COVID-19 Pandemic: A Multimethodological Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, birth control pills are effective only when taken regularly in a prescribed format. missing the pills exposes you to the risk of pregnancy. if you had your periods on 11th, then, 24th will be counted as your fertile periods, despite you having slight with chatbot.  in my view there are all chances of you getting pregnant is you had unprotected sex on 24th. kindly get a pregnancy test around your expected date or can check with a bchatdoctor"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious disease specialist, answering your concern. white tongue is caused by the fungus infection particularly by yeast infection. i advise you should confirm this white tongue by doing swabbing and performing grams staining. yest infection will show up the report grams positive yeast cells are seen. you can start fluconazole tablet 150 mg two times a day for a week under your doctors' guidance. please do followup after a week. avoid antibiotic overuse during this period. take the complete treatment to get cured. if the remnant of the infection is there is chance of recurrence. so complete treatment will cure this problem.  i will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ chatbot.  thank you, chatdoctor"
Please summerize the given abstract to a title,Per-Covid-19: A Benchmark Database For Covid-19 Percentage Prediction From CT-scans
Answer this question truthfully,"Subacute granulomatous thyroiditis (de Quervain) may initially present with hyperthyroidism, which is then followed by euthyroidism and often ends with hypothyroidism."
Answer this question truthfully,
Please answer with one of the option in the bracket,C: Iron deficiency anemia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it would depend upon the report of angiography and nuclear stress test whether you need it or not. if your nuclear stress test is positive then you will be subjected to angiography and if angiography is showing blockages then you will need angioplasty. so need to provide us the report in order to provide you third opinion. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",x-ray done will pick up any bone lesion that might have occurred during the car wreck. . with what you are suggesting and based on the findings of the x-ray(as told by you to be normal) it seems more likely that it's a soft tissue injury like a cartilage or muscle. treatment advised would be analgesics like paracetamol or ibuprofen as when the symptoms worsen. if symptoms persists mri of the thoracic cage would suffice to find out any abnormality. .
Please answer with one of the option in the bracket,C: Administration of intravenous immunoglobulins
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am sorry about your friend. this is terminal malignant disease and prognosis is really poor especially if chemo can't be performed. now, you can only do palliative treatment"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for the query. do your hands shiver irrespective of any situation, don you notice hands trembling/shivering first thing in morning? also, whether there are any associated symptoms like sweating, pounding heart, frequent loose stools, weight loss or inability to gain weight despite a good diet? if yes, then your symptoms might be due to hypersecreation of thyroid hormone. hence, you should check your thyroid status by asking doctor for t3,t4,tsh levels. after ruling out hyperthyroidism, the remaining possibility is essential tremors which is usually a benign condition. a medication by name propranolol helps to reduce severity of these tremors. hence kindly get in touch with your primary care doctor. hope this helps. good luck"
Please summerize the given abstract to a title,CORRIGENDUM.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... cracking of lips is not a sign of thermophilous b influenza infection. you need not worry about it. by what you say i feel that your kid is going through a viral illness. i will explain to you how a viral illness behaves, so that you can be more confident. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the given information may not be enough to diagnose your problem. but i can definitely tell you that you are just another victim of disappointment. whenever we experience series of setbacks in our life, we get disappointed. this disappointment is stepping stone towards success. these disappointments make you real man, wise one. take lessons from the experience. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,S. epidermidis is the Staphylococcus species that is typically associated with delayed-onset (3-12 months) prosthetic joint infection.
Answer this question truthfully,"The recommended next step in management for a patient with a stone causing complete upper urinary tract obstruction and presenting with systemic symptoms is percutaneous nephrostomy. This is a procedure in which a small tube is inserted through the skin of the back and into the kidney to allow urine to drain directly from the kidney to a collection bag outside the body. This can help relieve the obstruction and prevent further damage to the kidney. Systemic symptoms such as fever, chills, and sepsis may indicate that the patient has an associated infection, which can be a serious complication of urinary tract obstruction. Percutaneous nephrostomy can also be used to obtain a urine sample for culture and sensitivity testing to guide antibiotic therapy. After the obstruction is relieved and the patient is stabilized, further evaluation and management of the stone can be considered."
Please summerize the given abstract to a title,A two-strain SARS-COV-2 model for Germany -- Evidence from a Linearization
what are some common symptoms of bulimia,"For people with bulimia, eating binges may occur as often as several times a day for many months. he person often eats large amounts of high-calorie foods, usually in secret. During these episodes, the person feels a lack of control over the eating. Binges lead to self-disgust, which causes purging to prevent weight gain. Purging may include using laxatives, enemas, or diuretics. People with bulimia are often at a normal weight, but they may see themselves as being overweight. Because the person's weight is often normal, other people may not notice this eating disorder. Symptoms that other people can see include spending a large amount of time exercising, suddenly eating large amounts of food, regularly going to the bathroom after meals, or throwing away packages of laxatives, diet pills, emetics (drugs that cause vomiting), or diuretics."
Answer this question truthfully,"Mallory-Weiss tears are usually developed secondary to a sudden increase in intraabdominal pressure. Anything that leads to forceful and lengthy vomiting or coughing.   can cause these tears.
Mallory-Weiss tears may also be caused by convulsions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks from your details that your relative had some vascular surgery with a bypass procedure. as she had previous uterus surgery for a malignancy then a continuous fever may be either due to"
Answer this question truthfully,"Impetigo is most often due to S. aureus or S. pyogenes infection. These bacteria can cause a range of symptoms, including redness, itching, and the formation of small blisters or sores on the skin. The affected area may be painful or tender to the touch, and the blisters may burst and form a yellowish crust. In some cases, impetigo can be accompanied by fever, swollen lymph nodes, or other signs of infection. Treatment typically involves antibiotics and good hygiene practices to prevent the spread of the infection."
Please summerize the given abstract to a title,People with disabilities and other forms of vulnerability to the COVID-19 pandemic: Study protocol for a scoping review and thematic analysis
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question i understand your concern actually if current blood pressure is as u wrote around 85/40 is surely a matter of concern. you should visit the treating physician and re check and re organize all the medications as he is having hypotension but before that serial blood pressure monitoring should be done for at least 1-2 days 6 hrlycontinue with the sleep apnea machine (either bipap or cpap) thanks feel free to ask more questions may god bless your family with good health
Please answer with one of the option in the bracket,E: Medial collateral ligament injury
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what you have mentioned is called ejection fraction. anything above 55 % is called normal. so for your sister the heart is working at nearly half normal. there is a fluid build up and in all probability it is because of a weak heart. when the function of heart is low, less blood is supplied to the kidneys which in turn mis quotes it as lack of enough blood in the circulation and over the period of time accumulates fluid to increase the quantity of circulation.  optimization of medication and treatment to strengthen the heart according to the cause would help her. regards chatbot."
Answer this question truthfully,"Prepatellar bursitis, also known as ""housemaid's knee""."
Please answer with one of the option in the bracket,C: C
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Mathematical modeling of COVID-19 pandemic in India using Caputo-Fabrizio fractional derivative
"If you are a doctor, please answer the medical questions based on the patient's description.","this is food interferences your history suggest you may be allergic to milk or wheat as tim increases the systems eye involved like stomach reproductive systems and others get bloods rum test for food specific antibiotics for milk wheat potato and other foods you take in rating for elimination diet according to test and the diseases will stat decreasing in 3 wk, and you will be much comfortable in 3 month still the tests you can do symptomatic rx to relieve the symptoms"
Please summerize the given abstract to a title,Robotic biliary surgery for benign and malignant bile duct obstruction: a case series.
Please summerize the given abstract to a title,Clinical and microbiological effect of a combination of hydroxychloroquine and azithromycin in 80 COVID-19 patients with at least a six-day follow up: A pilot observational study
Please summerize the given abstract to a title,“I Can't Breathe”: Biopower in the Time of COVID-19: An Exploration of How Biopower Manifests in the Dual Pandemics of COVID and Racism
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. the cramps and particularly the history of goofball sized compact tightening in fact can be a real mass or a cyst or a lipoma inside the muscle mass or a small hernia. i would advise you to get a physical examination done by a general surgeon and evaluation by a high resolution ultrasonography. if indicated get operated and you will be dined. the cramps at the toe may be just incidental, do not worry if there eye no other associated symptoms of lower limb weakening or so."
Please summerize the given abstract to a title,PyPlutchik: Visualising and comparing emotion-annotated corpora
Please summerize the given abstract to a title,COVID-19 and Antimicrobial Resistance: Data from the Greek Electronic System for the Surveillance of Antimicrobial Resistance—WHONET-Greece (January 2018–March 2021)
Please answer with one of the option in the bracket,"B: Monomorphic, septate hyphae that branch at acute angles"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more likely because your pain is associated with specific body position (typing and computer work) and pressing. so follow these steps for better symptomatic relief in musculoskeletal pain. 1. avoid movements causing pain.2. apply warm water pad on affected areas of chest.3. take simple painkiller and anti-inflammatory chatbot. 4. avoid heavyweight lifting and strenuous exercise.5. sit with proper back support.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatbot. if am sorry to hear that you have been having problems with chronic prostatitis. this is a very difficult infection to fully eradicate. in my practice i have treated patient with an oral antibiotic like levofloxacin for 4 weeks. in addition, taking the tamsulosin will help, but that will take months to fully work. in my practice i would also a medication to stop your bladder spasms that are causing you to run to the bathroom so frequently. i would add oxybutynin once or twice daily to reduce that frequency. hope this answers your question. please contact us again for any of your medical questions."
Please answer with one of the option in the bracket,C: Neutrophils with abundant peroxidase-positive granules
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. it is very important to know what kind of allergy problems you have, i.e., nose symptoms, skin symptoms, food allergies, etc. however, i assume you are having nose allergies. (it is the most common form of allergy). i would suggest you to take montelukast and levocetirizine. for identification of allergens, i would suggest you to consult an allergist-immunologist who will ask you in very detail and may suggest you allergy testing. most nose allergies are due to allergens (allergens in air), so it is not so easy to identify them. the common aeroallergens are house dust mite, molds, pollen, animal dander, cockroach and other insect allergens, etc. as general, avoidance of dusts, smoke and air pollutants will help you improve your nasal allergies over a long run. hope this will be helpful to you. wish you the best of the health. regards."
Please summerize the given abstract to a title,Sofosbuvir shows a protective effect against vertical transmission of Zika virus and the associated congenital syndrome in rhesus monkeys
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori had gone through your query and understand your concerns.-if you take homeopathic constitutional similar to treat the allergy, the problem can't be rec cured again, but if you take homeopatchatdoctoredicines on acute symptomatic base the problem recur again. possible cause;-there is a mastic block in your body which prevents the cure. so you need both constitutional and miasma tic treatment for complete cure. consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints i hope this is helpful for you, thank you"
Please summerize the given abstract to a title,Safety and Efficacy of Sars-Cov-2 Vaccines in Hodgkin Lymphoma Patients Receiving PD-1 Inhibitors
Please answer with one of the option in the bracket,B: 41/50 = 82%
Please summerize the given abstract to a title,A defensible role-based case management system for remote forensic investigation
Answer this question truthfully,"The likely diagnosis in this case is ethylene glycol poisoning. Ethylene glycol is a toxic alcohol that can be found in antifreeze and other industrial products. Ingestion of ethylene glycol can cause a range of symptoms, including confusion, flank pain, and hematuria. Anion gap metabolic acidosis is a common finding in ethylene glycol poisoning due to the accumulation of toxic metabolites. Calcium oxalate crystals in the urine are also a characteristic finding in ethylene glycol poisoning. Diagnosis is made based on clinical presentation and laboratory studies, and treatment involves supportive care and administration of antidotes such as fomepizole or ethanol to prevent the formation of toxic metabolites."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please answer with one of the option in the bracket,A: B-1 B cells
Answer this question truthfully,"Toddlers typically engage in parallel play between the ages of 24 and 36 months. Parallel play is a type of play in which children play alongside each other but do not actively engage with each other. They may play with the same toys or engage in similar activities, but they do not interact with each other. This type of play is common in young children as they begin to develop their social skills and learn how to interact with others. As they get older and their social skills improve, they may begin to engage in more cooperative play, where they actively interact and play with each other. Parallel play is an important developmental milestone for toddlers, as it helps them learn how to share, take turns, and be in the presence of other children."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i read carefully your question and understand your concern. i think that the symptoms you describe may have been a seizure, a complex partial seizure, but they may also be caused by sleep disorders. as you refer you have painful leg cramps during the nights, which can be restless leg syn chatbot.  seizures may be caused by sleep deprivation. i would recommend you to consult with the neurologist, have a good neurological examination, a full blood work and an eeg for the possibility of seizures. another examination that i would recommend is a polysomnography, which is very helpful in the diagnosis of sleep disorders. a brain ct scan may be needed in case of an abnormal eeg or neurological examination. hope to have been of help! greetings!"
Answer this question truthfully,"Use of OTC analgesics containing more than one active ingredient Chronic headaches, painful menstrual periods, backache, or musculoskeletal pain Emotional or behavioral changes History of dependent behaviors including smoking, alcoholism, and excessive use of tranquilizers"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. please any psychologist or psychiatrist knows adderall is prescribed for add. your current doctor is not prescribing adderall because he has alternate opinion. you cannot insist on a particular medicine because you are not a doctor. i suggest you to work with the current physician for a better cure. he knows you well. otherwise, interact with him more and let him know you well. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i can understand your concern. causes of testicular swelling are"
Please answer with one of the option in the bracket,A: Administration of anti-D immunoglobulin and intramuscular methotrexate
Please summerize the given abstract to a title,"Off label, compassionate and irrational use of medicines in Covid-19 pandemic, health consequences and ethical issues"
Answer this question truthfully,"Hyponatremia, or low levels of sodium (Na+) in the blood, can cause symptoms such as nausea, malaise, stupor, coma, and seizures.

Sodium is an important electrolyte that helps regulate fluid balance and blood pressure, as well as nerve and muscle function. However, when there is too little sodium in the blood, it can lead to a variety of symptoms and complications.

Hyponatremia can affect the brain and nervous system, leading to symptoms such as nausea, malaise, stupor, coma, and seizures. These symptoms can occur when the brain cells swell due to the low sodium concentration in the blood.

Hyponatremia can be caused by a variety of factors, including medications, hormonal imbalances, and certain medical conditions. Treatment of hyponatremia typically involves addressing the underlying cause and administering fluids and electrolytes as needed.

In summary, hyponatremia, or low levels of sodium in the blood, can cause symptoms such as nausea, malaise, stupor, coma, and seizures. It can be caused by a variety of factors and treatment typically involves addressing the underlying cause and administering fluids and electrolytes as needed."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctori understand your concern. your boyfriend is experiencing the side effects of amoxicillin. as he is having stomach pain along with diarrhea, better to tell your doctor immediately and insist for change of medications. do not use anti-diarrhea products or narcotic pain medications if you have the following symptoms because these products may make them worse. hope you are happy with the answer. thank you"
Please summerize the given abstract to a title,Mitigating the Psychological Impacts of COVID-19 in Southern Nigeria;Public Awareness of Routine Exercises and Preventive Measures
Please summerize the given abstract to a title,Risk of bias in observational studies using routinely collected data of comparative effectiveness research: a meta-research study
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as per your history it looks like a pinched nerve symptom. undergoing a thorough clinical examination and if required an mri should help understand the matter more, as due to pinched nerve in the lumbar region abnormal sensation is found. in my clinical experience most patients with such symptoms respond well to physical therapy. regardsjay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read your problem, you did not tell about hot water response. as you have pain when you woke up in the morning was even worse, it may be due to bruise. but you did not give the proper dental history. so i will suggest you please go to a dentist and go for the whole mouth examination done and radiographs too., and please follow all the given instructions. nothing to get worried go for proper treatment do not leave the treatment in between as you will get relief. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. stage of the cancer is known by the size and extent of the tumor. techniques like cat scan and endoscopic ultrasound help a lot in staging of cancers in the pancreas. since you have no other features of cancer spread other than the mass in the head of pancreas measuring 1.5 x 2 cm hence ultrasound or ct scan guided fnac or biopsy is a must for making pathological diagnosis.eus is one of the ways to accurately target the mass and take out the cells. in a transabdominal usg or ct guided procedure also the objective remains the same. the only difference is that eus is a minimally invasive technique and transabdominal approach is an external technique. if a tumor is better accessible externally then this approach is used. however, if the tumor is thought to be better sampled with eus then that method is used. you will be given pain relief medications in both procedures. the ca 19-9 level is normal and this means that there is less likelihood of the mass to be a cancer. it is a cancer marker and a high value indicates probability of cancer. however, you should discuss the mater with doctors at the cancer hospital and get a biopsy scheduled quickly. this is because a normal ca 19-9 can rarely be a cancer, and it must be treated should it be one."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello i will try to explain something to you. i think this is a.viral situation that starts from the larynx and to the bronchi called laryngotracheobronchitis in other wards the inflammation of the larynx, trachea and airways. do you have high fever?  this bad headache might be related with the fever and the antibiotics should be added. for other symptoms you can safely take painkillers. if this situation become worse better to do a chest x-ray. wish you best regards. thank you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello elaine & welcome to chatbot, i studied your case, i need more history like your age and any other complaints along with this like white discharge, hot flushes, pain over ovary and duration of history like from how many months back of this history. causes may be fibroid, endometrial thickness(inner wall of uterus), polycystic ovarian disease or might be menopause. for this you can do one thing the ultrasonography of lower abdomen. the final cause will be diagnosed. there is not so much worry problem. you just give your detail history. hope so it will be effective for you. thanks & regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i would say there are rating scales available which could be used to make a diagnosis of asperger's disorder, but they are not mandatory in many parts of the world for making a diagnosis. it would be considered the best practice in the western or developed world to use the rating scale, but again an experienced clinician might need none. based on the fact that you are able to process information quite well (differential diagnoses like ocd etc. being mentioned), communicate so well in written language etc. suggests to me that it might not be you who has been diagnosed with the asperger's syn chatbot.  if i am wrong, then your level of high functioning is a very good prognostic (predictive) factor for your wellness in the future. i wish all the best for both you and the other person."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. yes, umbilical hernia can always be a reason of abdominal pain.  however, it can be also asymptomatic. hernia is simply a hole in the abdominal wall. when the hole is small, but big enough to let intestine or momentum to get through, the contents of hernia gets squeezed and that is what hurts. so if in your belly button is a lump which hurts when you pres it, that can be the cause of your symptoms. if hernia is empty, it should not hurt at all. if it is about ascites, in most cases it does not hurt at all. the only way it can hurt, is when there is so much liquid inside your abdomen, that intestines gets squeezed, and it can lead to intestine blockage. but it would be easily visible, and your abdomen would become unnaturally big, like with big ball inside. hope this will answer your questions. regards"
Please summerize the given abstract to a title,SARS-CoV-2 Associated Coagulopathy And Thromboembolism Prophylaxis In Children: A Single Centre Observational Study.
Answer this question truthfully,"Valproic acid can be used to treat all three types of seizures, including partial, tonic-clonic, and absence seizures."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read your problem. according to you problem, warfarin is an anticoagulant an and has side effect also. reddish gums, bleeding from gums due to warfarin. don't eat spicy food. use topical anesthetics that contain endocrine, lidocaine, tetracaine will help to relief. use antiseptic mouthwash also. i would advise you to visit your dentist to identify the problem and treat it accordingly. have a nice time... take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not safe to take elite while on zoloft. oxyelite-pro contains an antidepressant fluoxetine. fluoxetine is a selective serotonin re-uptake inhibitor commonly prescribed for treatment of depression, bulimia, obsessive-compulsive disorder, and other conditions. taking fluoxetine while on sertraline can increase the risk of cardiac arrhythmia (irregular heart rhythm) that may be serious and potentially life-threatening. you may be more susceptible if you have a heart condition called congenital long qt syn chatbot.  in view of the above, it is better to avoid taking elite while on zoloft. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Fever in the ICU: A Predictor of Mortality in Mechanically Ventilated COVID-19 Patients
Please summerize the given abstract to a title,SARS-CoV-2 infection induces robust germinal center CD4 T follicular helper cell responses in rhesus macaques
Please summerize the given abstract to a title,Numerical simulation and experimental validation of the ventilation system performance in a heated room
Please summerize the given abstract to a title,Which children and young people are at higher risk of severe disease and death after SARS-CoV-2 infection: a systematic review and individual patient meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can fully understand your problem. borderline kidney function, is a loose term among doctors, to indicate, that kidney function is not well within the normal or healthy levels. in certain cases, it may even be used, to warn the patient about a problem. if you could send me the reports, along with the urine tests, and ultrasound scan, if done, i could give you an expert opinion. wish you well. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! your symptoms seem to be related to a panic disorder or anxiety. the lack of concentration and inability to memorize new events can be completely explained by anxiety. nevertheless, i would recommend consulting with your doctor for a physical exam and some blood lab tests (complete blood count for anemia, fasting glucose and thyroid hormone levels for thyroid dysfunction) in order to exclude any other possible causes that could trigger your situation. if all these tests result normal, i would recommend consulting with a psychiatrist or psychotherapist, who can help improve your situation. it is important avoiding coffee during these days (although it seems to help, it is just an illusion, because it can trigger anxiety) and perform a lot of physical activity (yoga and sports). hope to have been helpful! kind regards!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your daughter have symptoms of stomach upset which seems to be due to gastroenteritis or secondary to stomach infection. need not worry.  i would suggest you to lessen use of milk and milk products. you should take tab norfolk tz twice daily with tab omotic twice daily for 3 days. give child proper rest without any exertion and stress. you should take soft, plain, non-spicy foods.  chatbot."
Please summerize the given abstract to a title,Technological Advances in Ozone and Ozonized Water Spray Disinfection Devices
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. your symptoms look like chlamydia infection which spreads at the time of spa. you should wash your eyes regularly four times a day with clean water. you can take azithromycin tablet 500 mg once a day for seven day, under your doctors' guidance. avoid sharing of nap keens with other family members till you got completely treated. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for asking chatbot. i have read your reports and i understand your concerns. for my opinion, there is no problem doing all the 3 procedures at the same moment. depending on from the reason why you are doing the hysterectomy and resection of the bowel, doctors will decide with which organ to start first. laparoscopic gallbladder removal takes around 30\u00a0min to 45 minutes, depending from the skills of the surgeon, and if there is any inflammation of the walls of the gallbladder, or around it(probably you have stones in your gallbladder since you need to remove it).then the surgeon might continue with the removal of uterus, and the resection of the bowel, or vice versa. so from the technical point, there are no problems to do all 3 surgeries at the same moment. medically, i can't be sure since i don't have your medical reports, and i am not your personal surgeon. but you need to consult your surgeon that will do the bowel resection and ask him to do the gallbladder removal. if you have any other question, feel free to ask me. wish you good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot in bipolar disorder, you need mood stabilizer like valproate or lithium. you can not get these chatbot.  in that case, you should consult a psychiatrist for proper medication and treatment. you can control yourself by keeping you relax. for that, you can try relaxation exercise that would keep you relax and avoid mood swings. in case, you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query i understand your concern. abdominal pain & cramping in early weeks is a common symptom in early pregnancy. the dull ache due to uterine changes in pregnancy can be in center of abdomen or on either of sides of center . the pain in right side away from midpoint can be tubal pregnancy which is associated with considerable cramps/ bleeding by 4 weeks pregnancy.  in case the cramping is severe & is associated with bleeding you should see your doctor earliest.  in case the cramping is severe & is associated with bleeding you should see your doctor earliest.  your chatbot & progesterone levels are normal for 4 weeks of pregnancy.  * after 5 weeks gestational sac is visible in usg scan... you can go for it to know normality of fetal position / to know about possibility of tubal pregnancy. followed by needful treatment under care of a gynecologist.  thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have sharp pain on the legs with swelling. well there can be many reasons for symptoms you mention in query like acute kidney failure, deep vein thrombosis, heart failure, lymphedema, thrombophlebitis or venous insufficiency. i would suggest you to consult general practitioner for proper diagnosis. doctor may order certain tests like nerve conduction test, ct sca, mri or physical examination to check tenderness. doctor may refer you to nephrologist for kidney problem or cardiologist for heart problem. doctor may prescribe anticoagulant, crusade, beta blockers or physical therapy. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"The superior oblique muscle is one of the six extraocular muscles that control eye movement. Its primary action is to depress and abduct the eye, but it also has lesser actions of abduction and intorsion. Abduction refers to the movement of the eye away from the midline of the body, while intorsion refers to the inward rotation of the eye around its vertical axis. These lesser actions of the superior oblique muscle are important for maintaining proper alignment and coordination of the eyes during visual tasks, such as reading or tracking moving objects. Dysfunction or weakness of the superior oblique muscle can lead to a variety of eye movement disorders, such as double vision or strabismus."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. is there any history of allergy or insect bite? there could be two possibilities first, an allergic response to dust, pollen, particular food or insect bite. second possibility is acute sinusitis. i would suggest you following things"
Answer this question truthfully,"The medical term for this type of second degree AV block is Mobitz type I AV block, also known as Wenckebach AV block. In Mobitz type I AV block, there is a progressive lengthening of the PR interval before a beat is ""dropped"" or not conducted to the ventricles. This pattern of dropped beats is typically cyclic, with the lengthening PR intervals resetting after a dropped beat and then starting to lengthen again. Mobitz type I AV block is generally considered to be a less serious condition than Mobitz type II AV block, as it rarely progresses to complete heart block and may not require treatment."
Please summerize the given abstract to a title,Deep Learning Based Sentiment Analysis on COVID-19 Public Reviews
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in my opinion your old fracture could exaggerate in a kind of manner showing nerve compression symptoms given in your history and released when you straighten your body during exercises. for now i suggest you avoid bad postures, avoid heavy lifting and vigorous movements, hot massages with topical muscle relaxants, painkiller only when needed will be effective for your case. please consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you. any further clarifications feel free to ask."
Answer this question truthfully,"The superior rectal artery is a branch of the inferior mesenteric artery. The inferior mesenteric artery is a major blood vessel that arises from the abdominal aorta, which is the largest artery in the body. It supplies blood to the large intestine, including the left colic, sigmoid, and superior rectal arteries. The superior rectal artery, in turn, supplies blood to the rectum and anus. It is an important artery for maintaining the blood supply to these structures, and can be involved in several medical conditions such as hemorrhoids and rectal cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of nerve root there can be pain in neck and shoulder.also, there can be large disc bulge which is compressing over spinal cord. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give you relief. i will advise checking your it b12 and it d3 level. if nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot your doctors have tried surgery (laparoscopy). even after surgery ovulation is not occurring properly, so they have suggested ivf to bypass that event by doing ovum pickup. actually at this stage when surgery fails ivf is the treatment preferred by infertility specialists. if you want to get a second or third opinion before proceeding for ivf to be sure that treatment you are undergoing is best for your situation. age is important factor, so if you are <30 you have some time otherwise ivf success rate also decrease with increasing age. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if there is pain with skin changes or swelling of skin at your previous operated site then there can be re-appearance of sinus at your buttock. i shall advise you following"
Answer this question truthfully,A score of 0 on the Apgar score typically indicates that the infant shows no response to stimulation.
Please summerize the given abstract to a title,Elevated IL-1β level as a predictor of inflammation and death in COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your history, it may be due to nerve compression at the cervical spine level.  for further assessment, you may require mri neck and nerve conduction studies after consultation.  for pain, you can take tablet acetaminophen. apply diclofenac gel or ointment locally. heating pads will also help. you may require tablet pregabalin and multivitamin after consultation.  do regular physical therapy. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"A sliding hernia is a type of hernia where a portion of an organ, such as the stomach, protrudes through the wall of the abdomen and into the hernia sac. A potential indicator of the presence of a sliding hernia is when the posterior wall of the hernia sac feels thickened. This thickening may be due to the presence of the organ within the hernia sac. Sliding hernias can be diagnosed through physical examination and imaging tests, and may require surgical intervention to correct."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi stone former! the good old nhs. having worked in nhs for 10 years i moved out 6 months ago (for good or bad??). most urologists nowadays treat ureteric stones (by ureteroscope laser) in one sitting without putting a stent and delaying the specific treatment. there are instances where one sitting treatment might have been difficult and a stent is put in to decompress the kidney and the stone is treated after 2 weeks (not 2 months). having a stent will not hinder you in carrying out your routine, be it jet-setting across the world. get the dam stone out (if it is still there) asap. best wishes"
Please summerize the given abstract to a title,Challenges to Social Protection and Social Cohesion in Crisises in the Financial Sector
Please answer the letter of option truthfully,C
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for your query. based on the facts that you have posted it appears that you had pain in abdomen due to kidney stone detected on ct scan now you have passed blood stained urine (hematuria) for two days. most likely this could be due to small stone in urinary system. or uti please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. please take broad spectrum antibiotics like cefuroxime along with urinary antiseptics like nitrofurantoin twice daily. get the prescription of medicines from your family physician. ensure to chatbot. to keep your urine dilute this will help to control dysuria. if hematuria continues you may need to consult qualified urologist for clinical evaluation and further management.
Answer this question truthfully,"The diagnostic criteria for schizoaffective disorder is the presence of at least two weeks of psychotic symptoms without a major mood episode. Schizoaffective disorder is a mental health disorder that is characterized by a combination of symptoms of schizophrenia, such as delusions and hallucinations, as well as symptoms of a mood disorder, such as depression or mania. The diagnostic criteria for schizoaffective disorder are based on the duration and severity of these symptoms, and require that the individual experience at least two weeks of psychotic symptoms in the absence of a major mood episode. This diagnostic criteria is used by mental health professionals to accurately diagnose and treat individuals with schizoaffective disorder."
Answer this question truthfully,The labile toxin of enterotoxigenic E. coli increases cAMP levels.
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings suggests increased liquefaction time, it may be due to infection. it is important to know about presence of pus cells etc. in semen. you may need further assessment for increased liquefaction time. rest of the findings are normal. normally sperm count should be at least 20 millions/ml. your finding suggests 80 millions/ml, so it is normal. normally sperm motility should be at least 55 %. your findings suggest overall 70 % motility, so it is also normal. sperms with normal morphology is also normal. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for follow up . the most common cause of pain is infection. pain is signal of inflammation. you should react. try to give to her antibacterial medicine - nights 1 tab 3 times 3 days if good effect-then continue, if it will not help give antibiotic - definite. for absorption of toxins you can give charcoal 1 tab for night. for relief of pain- spy cyclops(dicyclomine), follow light diet, give blended food and soup every 4\u00a0hours. recovery soon chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking your question i completely understand your question cough with pink expectoration can be due to many reasons. bacterial infection, streaking of sputum with blood that occurs in cases of tb, erratic infections, pneumonia. you can consult a pulmonologist who can request for a chest x-ray and sputum for afb, sputum for myogenic culture and sensitivity. by these tests infection and causative agent for infection can be ruled out. pulmonologist can start over with some antibiotics to prevent secondary infection.thanks/ regards feel free to ask more questions may god bless you with good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you have swelling in lower jaw this abscess formation may be due to caries tooth or due to periodontal problem may be periapical abscess or periodontal abscess. as you are taking medication this medicine will give you temporary relief go for it treatment either root canal treatment or extraction of tooth so that pus can be chatbot. hope this will help you. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sushmita, probably you may be having halogen effluvium. it may be due to some cause. most common cause is psychological upsets like anxiety, worries, tension or depression. other causes may be thyroid dysfunction, vitamin and mineral deficiencies, anemia, other internal diseases, chatbot. .etc. and you have thyroid dysfunction which might be responsible in your case. and remember that normal hair fall in adult may be 100 to 150 per day. so, please avoid anxiety related with hair fall. you consult dermatologist for firm diagnosis and treatment. blood tests may be done to rule out internal diseases. you may take biotin containing tablets for long time along with vitamin e cap. iron and other mineral tablets may be taken. you may apply minoxidil 5% solution on scalp twice a day. mild herbal shampoo may be done. have patience for the result. i hope you got my answer. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are carrying 9 wk pregnancy and usg scan reveals amniotic band. it is quite common and not harmful to you and your baby. if there is no other problem, then it is insignificant. it occurs with previous scar tissue in uterus like in d & c or other thing. need usg scan in later month to detect its presence and baby may appear in breech presentation, or it may cause early labor. so check up periodically to your gynecologist and take advice. be well."
Answer this question truthfully,Activating β1 adrenergic receptors results in increased cardiac output.
Please summerize the given abstract to a title,Redefining cardiac biomarkers in predicting mortality of inpatients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the size of penis is genetically determined, and it does not increase after a certain limit. but one thing should be known that the size of penis does not determine the potency of an individual.it's only the outer 2 inches of vagina that is sensitive, which means that a penis of 2.5 inch and that of 6 inches will cause same amount of sensation and pleasure irrespective of their sizes. semen volume as well as sperm production can be enhanced with the help of nutritional supplements & vitamins like it e, it c, it b complex, folic acid, selenium, zinc, l-carnitine, etc. one more thing, kindly do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. wishing you a good health. take care."
Please summerize the given abstract to a title,Prosocial behaviours under collective quarantine conditions. A latent class analysis study during the 2020 COVID-19 lockdown in Italy
Answer this question truthfully,"If there is a lack of Sertoli cells or MIF during the development of a genotypically XY fetus, there will be both male and female internal genitalia and male external genitalia. Sertoli cells and MIF are important for male sexual development during fetal development. Sertoli cells produce anti-Mullerian hormone (AMH), which causes the regression of the female internal genitalia (Mullerian ducts) in males. Without Sertoli cells or MIF, the Mullerian ducts will not regress, resulting in the development of both male and female internal genitalia. However, the external genitalia will still develop as male due to the presence of testosterone produced by the Leydig cells. This condition is known as persistent Mullerian duct syndrome (PMDS) or male hermaphroditism."
Answer this question truthfully,A pregnancy is considered post-term if it has exceeded 42 weeks of gestation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. most common causes of blood in stool are benign and you shouldn't be concerned. i don't know your age, but usually bleeding is caused by hemorrhoids, figures, angiodysplasia or polyps. some other more serious diseases must always be ruled out. so i suggest visiting proctologist who can do rectal examination and decide is colonoscopy necessary.also, you should do red cells count to see is there any sign of anemia. try to eat easily digestible food such as fruit, green, milk products and boiled food. and take enough fluids. nothing serious can happen in short time but visit specialist as soon as you can.wish you good health."
Answer this question truthfully,Most causes of dizziness are not serious and either quickly get better on their own or are easily treated.
Please answer with one of the option in the bracket,A: Pulsating headaches
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query bleeding from teeth and swelling on gums which is mainly because of infection of gums which might be because of improper cleaning of teeth or food deposition between teeth. gingivitis is the condition which can progress to periodontitis as well if you keep on ignoring your situation. i would suggest you to visit periodontist once and get a proper prophylaxis for this. tartar, calculus, stains and plaque on teeth are common causes of gum bleeding. once plaque hardens to calculus, it cannot be removed using toothbrush and other home remedies. get a professional scaling and root planning done and after that maintain proper oral hygiene. do rinse with listerine mouth wash. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Platelet storage pool deficiency is a type of coagulopathy characterized by defects in the granules in platelets. 
Examples include:
Hermansky-Pudlak syndrome  (dense granules) Chediak-Higashi syndrome  Gray platelet syndrome"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatdoctorthanks for posting your queryboth report shows degenerative changes or ageingthere are four independent joints in the knee. each of these joints can undergo degenerative changes that progress to osteoarthritisspondylosis refers to degenerative changes in the spinespondylosis means stiffening or fixation of the bony blocks of the spine (vertebrae) as the result of a disease process. take care
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear concerned., thanks for writing to us.  the cause of pain in lower back could be due to radiculopathy/nerve root compression as a result of trauma/bending abruptly/lifting weight/whiplash injury etc. leading to displacement of intervertebral disc bulge (pivd-prolapse intervertebral disc)or sciatic nerve root compression also known as sciatica. the best investigative procedure for confirming the same is an mri scan if facilities are available to you.  kindly follow the undermentioned advice, a)use a hard bed rest i.e., without cushions for bed rest for more than 08 weeks.  b)pls do not abruptly bend /lift any weight during the above period.  c)consult a physiotherapist for short wave diathermy/traction for the area affected.  d)consult a medical doctor especially euro/spine surgeon for a prescription oral analgesic(opioid class) and muscle relaxant tab and sprays for a few days.  e)in addition you may request for a lumbosacral belt for your waist size from an orthopedic vendor to aid immobilization of affected area during any minimal movements during the acute phase.  get well soon.  best chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows"
Answer this question truthfully,"Cholera is caused by the bacterium Vibrio cholerae. The bacteria releases a toxin that causes increased release of water in the intestines, which produces severe diarrhea. Cholera occurs in places with poor sanitation, crowding, war, and famine. Common locations for cholera include:
Africa Asia India Mexico South and Central America
People get the infection by eating or drinking contaminated food or water. A type of vibrio bacteria also has been associated with shellfish, especially raw oysters."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the rash that started on ear fold following to between the breasts and buttocks is indicating a probable fungal infection. however, atomic dermatitis is also to consider. you should see a dermatologist and run skin scrapping examination under microscope to determine the right diagnosis. for the moment, i can only advise you to apply hy chatbot.  keep good local hygiene. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Les maladies systémiques rendent-elles plus vulnérable face au SARS-CoV-2 ?
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dairy understand your concerns. i will give suggestion stepwise
Answer this question truthfully,The likely diagnosis for the patient's condition is Bartholin duct cyst.
Please summerize the given abstract to a title,Pancytopenia with Development of Persistent Neutropenia Secondary to COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your question on chatbot! i really appreciate your concern for the abnormal liver function tests. i have gone through the results of liver function tests. i am of the opinion that these abnormal results are seen in the following conditions like cirrhosis of liver, chronic active autoimmune hepatitis or infectious mononucleosis. low iron saturation is indicative of iron deficiency anemia which could be due to inadequate dietary iron, poor absorption from intestines, or chronic bleeding from the intestines. kindly consult your hepatologist for further evaluation and treatment. wishing you best of your health. regards"
Please summerize the given abstract to a title,Clinical characteristics of 3062 COVID-19 patients: A meta-analysis
Answer this question truthfully,"Testicular torsion is a medical emergency that occurs when the spermatic cord becomes twisted, leading to reduced blood flow to the testicles. This can cause tissue damage and potentially permanent damage if not treated quickly. One way that testicular torsion can be detected is through the use of ultrasound imaging. On an ultrasound, testicular torsion typically appears as heterogeneous echotexture, meaning that the tissue of the affected testicle appears uneven or patchy. Other signs that may be seen on ultrasound include a lack of blood flow to the affected testicle and an enlarged epididymis, a structure located adjacent to the testicle. If testicular torsion is suspected, it is important to seek medical attention immediately to prevent further damage to the testicles."
Answer this question truthfully,"Dihydrofolate can be converted to tetrahydrofolate through the action of the enzyme dihydrofolate reductase. This reaction is important for the synthesis of nucleotides and amino acids, which are necessary for cell growth and division. Tetrahydrofolate is also involved in the transfer of one-carbon units, which is essential for the biosynthesis of purines, thymidylate, and methionine. Deficiencies in folate metabolism can lead to a variety of health problems, including anemia, birth defects, and cancer."
Answer this question truthfully,"Peptide bond formation is facilitated by the ribozyme peptidyl transferase. Ribozymes are RNA molecules that have catalytic activity, meaning they can facilitate chemical reactions. Peptidyl transferase is a ribozyme found in the ribosome, which is responsible for the formation of peptide bonds between amino acids during protein synthesis. The ribosome moves along the mRNA molecule, reading the genetic code and using the peptidyl transferase ribozyme to link amino acids together in the correct order to form a protein. The discovery of ribozymes like peptidyl transferase has challenged the long-held view that only proteins can act as enzymes, and has opened up new possibilities for the design of RNA-based therapies and biotechnologies."
Answer this question truthfully,"The diagnostic method for diagnosing anal fissures involves performing a physical exam, which includes a digital rectal exam (DRE) and an anoscopy."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, once it is the infection is there the tier comes negative and even after the complete treatment witchatdoctorplete cure tier still remains positive, but that does not indicate the presence of infection, here the symptoms are matter of concern, and not the test report because in absence of clinical condition no need to worry about this, hope this information helps."
Please summerize the given abstract to a title,"Phenomenological Modelling of COVID-19 Epidemics in Sri Lanka, Italy, the United States, and Hebei Province of China"
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, usually 5 weeks after an abortion, the egg forming resumes. starting of the period may vary, but is usually after 5-6 weeks. so even in spite of not having menses, the pregnancy is possible. if you are keen on having pregnancy, i would advise you to find out the day on which you release your egg (ovulation). this can be done either by ovulation monitoring kit or ultrasonography. the egg has life of 24 hours while the sperms are active for 72 hours. hence, 4 days on either side of the day of ovulation is fertile period. sexual intercourse in this period will give you good results. however, you will get the best results if you can have sexual intercourse on the day of ovulation. otherwise, there seem to be no problem with your chatbot test. wish you safe motherhood,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the phaeton tablet and digest are nothing but progesterone hormone preparations. progesterone hormone is very important hormone in the maintained of pregnancy. even if there is no bleeding if there is suspicion of any progesterone insufficiency the hormones might be supplemented. so discuss regarding that with your doctor. nothing to worry as the medications are not associated with any harmful effects to the fetus. avoid physical stress and take healthy nutritional diet and take good rest. avoid intercourse during the first trimester up to 12 weeks of pregnancy. nothing to worry as such. hope this helps. best regards...."
Please answer with one of the option in the bracket,E: Chronic inflammation
Please summerize the given abstract to a title,A Multimodal Human-Computer Interaction System and Its Application in Smart Learning Environments
Answer this question truthfully,"Call your doctor or a dermatologist if:
Self-care measures and over-the-counter medicine have not helped after several months Your acne is severe (for example, you have a lot of redness around the pimples or you have cysts) Your acne is getting worse You develop scars as your acne clears up
Call your baby's health care provider if your baby has acne that does not clear up on its own within 3 months."
Please summerize the given abstract to a title,SARS-CoV-2 infection: efficacy of extensive vaccination of the healthcare workforce in a large Italian hospital
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. panic attacks can occur several psychological and medical conditions, which need to rule out in your case after examination and investigation.  it is important to see a doctor to rule out the following possibilities"
Answer this question truthfully,JRA usually occurs before age 16.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . as per you query the symptoms of bad breath, bleeding gums can related to gum infection that can be secondary to poor oral hygiene. as far as itchy rashes, bruises, and other symptoms are concerned it can be an outcome of illness like allergic reaction, hormonal problems, side effects of medicines etc. consult a general physician and get a full body evaluation done including blood investigations. treatment can be done once the cause is diagnosed. as of now for gum bleeding and bad breath consult an oral physician and get evaluated, and a thorough scaling followed by antibiotics and antiseptic gum paint application and mouthwash gargles can help. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. creatine kinase level can be elevated in any sort of muscle injury. 2. it is possibly not cardiac, as you would have a massive heart attack, if it were to be elevated.3. from skeletal muscle, possible exercise or injury could be the cause. further details necessary for further opinion. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your wife seems to be suffering from severe urinary tract infection (uti). pus cells of >100/hpf is diagnostic of infection. you can continue treating fever with tab. cronin. culture and sensitivity test will help your doctor identify the organism and antibiotic the organism is susceptible too. your doctor will be able to prescribe specific antibiotic. i prescribe my patients bladder specific i.e., chatbot.  you can ask your doctor for such"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understood the concern. the urine examination report can be analyzed as follows"
Answer this question truthfully,"Symptoms may include:
A feeling of heat, burning, or pain in the area between the navel and the lower part of the breastbone A feeling of fullness that is bothersome and occurs soon after the meal begins or when it is over
Bloating or nausea are less common symptoms.
NOTE: Indigestion is NOT the same as heartburn."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, after going through your history, you are having vitamin d deficiency and there are several effects of deficiency in cardio vascular health, bone health, and on immune system. benefit of supplementation of vitamin d is confirmed in many scientific studies. it also depends on your age and other health risk factors. your ferritin level reflects total body iron level even though your hemoglobin level is normal hence iron supplementation given. please continue to take vitamin d and once level becomes normal you will feel benefits of it. there are many causes of deficiency may be diet and inadequate sun exposure. it is claimed to improve bone health, cardio vascular and neurological health. it also improves immunity. in your case nothing to worry about just follow advise of your physician. take care good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello.thanks for trusting the chatbot doctors for your health related queries. i guess your concern is about.chances of getting pregnant even after tubal ligation.my straight forward answer is.yes.there are chances.but very less.chances of getting pregnant after tubal ligation is depends on the method by which tubal ligation was done. chances of failure of tubal ligation is more with laparoscopic methods then the open method(laparotomy). but u didn't give info regarding this, so it's difficult for me to comment on this. if pregnancy occurs after tubal ligation, then chances of ectopic pregnancy(when pregnancy occurs in another site other than the womb) is high. with the above discussion u can try out my suggestions-1. if u r in doubt then do urinary pregnancy test, tis test kit is available at your medical stores at affordable price, do it ourself, if it negatives then nothing to worry.2. if it is positive then visit to nearby gynecologist.he/she can guide you.3. if everything is normal, then try to take extra precautionary methods during or after sex like use of condom, ejaculation outside the vagina, i-pill use etc. i hope the above information is useful, informative and helpful for u.regards- chatbot."
Answer this question truthfully,"WikiDoc encourages medical students, interns, residents, fellows, and attending level faculty members to submit board review questions. The WikiDoc Board Review Team meets every Monday at 10:30 AM in the Longwood Medical Area. The meeting is led by Will Gibson, an M.D., Ph.D. candidate from Harvard Medical School. For more details, you can send an email to willjgibson@gmail.com.
Template:WH Template:WS"
Please summerize the given abstract to a title,Computational MHC-I epitope predictor identifies 95% of experimentally mapped HIV-1 clade A and D epitopes in a Ugandan cohort
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. since you had operated vsd (ventricular septal defect), we need to rule out cardiac cause first for your chest pain. so get done ecg and 2d echo to rule out this. if both are normal than no need to worry about cardiac cause. it may be muscular pain mostly. so trt to follow these steps for better symptomatic relief in muscular pain. 1. avoid heavy weight lifting and strenuous exercise. 2. avoid bad postures in sleep. 3. take good painkiller and muscle relaxant. 4. apply warm water pad on affected site."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear prithee by now you should have noticed that your father is ill and is suffering form a psychiatric illness called senile psychosis. in this condition every thing around him looks suspicious, and you have to remember that the experience of suspecting others is actually real to him because his mind is no longer able to differentiate from reality and imagined world that he is living in. this usually occurs due to excessive production of a euro chemical called dopamine. hence he needs medication urgently sometimes in the thought of unfaithfulness he may try to attempt suicide hence i advice you consult a psychiatrist near your place about his condition get medication for him and put in his food without his knowledge if it does not like to visit a psychiatrist. we also have to evaluate your father for any tumors in the brain hence a ct scan would be good idea, along with tests to make sure he does not suffer form dementia(forgetfulness)."
Please summerize the given abstract to a title,Veteran Therapeutics: The Promise of Military Medicine and the Possibilities of Disability in the Post-9/11 United States
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. the medicines that your son is currently seemed appropriate to me. but most important thing i want you to know is that correct technique of using inhalers is the most important aspect of asthma management. so if your son is comfortable with inhalers (mdi), please make sure he follows every step of using mdi every time, i.e., shaking the inhaler, expiration, pressing inhaler with deep inspiration, withholding breath and rinsing and gargling. if the technique is not proper, chatbot. i would personally suggest to use spacer device with inhaler as it increases the amount of"
Please summerize the given abstract to a title,[Study on the epidemiology and measures for control on severe acute respiratory syndrome in Guangzhou city].
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the problem you are mentioning is actually called relaxed state of body. during relaxed state, body feels weight less and sometimes numb. that is a good sign of proper relaxed state. then sleep comes. you are confused and anxious about the relaxed state. you have no knowledge about it and therefore you are getting tense or anxious and due to the anxiety, eventually you are loosing your sleep. understand the relaxed state and take it easy. hope this answers your query. if you need more of my help on this regard, please post a direct query. please provide every detail as possible. i shall teach some tailor made psychotherapy techniques which should be of immense help.  i am always available to clear your doubts. good luck."
Please summerize the given abstract to a title,"COVID-19 restrictions and their influences on ambient air, surface water and plastic waste in a coastal megacity, Chennai, India"
Please answer with one of the option in the bracket,A: Multiple system atrophy
how to prevent diabetes,"Preventing Diabetes Problems (How can I prevent hypoglycemia if I have diabetes?): If you are taking insulin, a sulfonylurea, or a meglitinide, using your diabetes management plan and working with your health care team to adjust your plan as needed can help you prevent hypoglycemia. The following actions can also help prevent hypoglycemia:Knowing your blood glucose level can help you decide how much medicine to take, what food to eat, and how physically active to be. Your health care team may adjust your diabetes medicines or other aspects of your management plan. Learn about balancing your medicines, eating plan, and physical activity to prevent hypoglycemia. Ask if you should have a glucagon emergency kit to carry with you at all times."
Please summerize the given abstract to a title,Psychological status of parents of hospitalized children during the COVID-19 epidemic in China
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, noted your history about tripping over a stump of a tree and got bruised over the chest. the pain and tenderness indicates a definite injury. x-ray and ct scan of the affected area can only tell whether there is any fracture or internal injury and should be done early to rule out as some injuries can show up late. consult your doctor for clinical evaluation, an actual examination of chest, auscultation and investigated as discussed above. if there is any fracture stripping over the affected area can help stabilize the ribs abd thus the pain. take an anti-inflammatory medications like ibuprofen for pain. take rest. take a stool softener to avoid straining at stool. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Neurological diseases as mortality predictive factors for patients with COVID-19: a retrospective cohort study
Please answer with one of the option in the bracket,"B: Needle-shaped, negatively birefringent crystals on polarized light"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query.  i have read & understood your concern.  usually conception is around ovulation day which is about 14 days prior to next menses date. if you have a regular menstrual cycle of 28. 30 days it would be around 14- 16th of april.  your last menses were in march, so you conceived in march only.  now, if you have a 30 days cycle. more likely to be cousin to be the father. but if it s28 days & you had sex with your husband on 12th to 17th of april . your husband is the father.  * confirmed paternity would be only by dna testing of the child & both the persons.  thanks,"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. you have a problem of pain in upper abdomen on having spicy food and also have eructations. your query is related to
Answer this question truthfully,The H+ from NH4+ (glutamine breakdown) in the proximal tubule cells is secreted into the lumen via the Na+-H+ exchanger.
"If you are a doctor, please answer the medical questions based on the patient's description.","if you believe in ayurveda, believe me its veeryaksheenta - the condition related to debilitated shaka that (semen).it can be cured by simple diet management of light and static food, deep breathing exercises (panama) and meditation and few herbal combos called rushy herbs resulting in semen generation and spermatogenesis to the required level. semen is very important element as per principles of ayurveda. by effects of vrushyaherbs u will have check on uncontrollable passion and feeling to ejaculate. for the time being you may start simple shatavari and ashwagandha herbs in powder form or tablet or capsules form with milk twice a day. pl report after 15 days, of response or no response, so that i direct you required combos ahead. treatment may be required for six months. believe me its totally safe n effective. pure natural, that's why slow. for any other questions pl ask me or any classic ayurveda doctor."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Impact of COVID-19 Pandemic on LGBTQ Online Communities
Please summerize the given abstract to a title,Synthesis of phosphonate derivatives of 2'-deoxy-2'-fluorotetradialdose d-nucleosides and tetradialdose d-nucleosides
Answer this question truthfully,"People with achondroplasia seldom reach 5 feet in height. Intelligence is in the normal range.
Dwarfism itself is not a disease. However, there is a greater risk of some health problems for people affected by Dwarfism. With proper medical care, most people with dwarfism have active lives and live as long as other people.
Infants who receives the abnormal gene from both parents do not often live beyond a few months."
Please summerize the given abstract to a title,Statistical mechanics of a double-stranded rod model for DNA melting and elasticity
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern for the red itchy spots on arms. as you have had history of satyriasis rose in past, so it can be definitely possible to get the same after one episode. i quite often see recurrence and the recurrence prevails for multiple of times and for multiple of months too. you can consult your dermatologist for the same and of if diagnosed as satyriasis rose then you can take acyclovir tablet by mouth for 5 days. in latest of the scenario it is the considered as the best approach for complete remission which you can discuss with your doctor. hope it helps. take care."
Please summerize the given abstract to a title,"Rapid assessment of regional SARS-CoV-2 community transmission through a convenience sample of healthcare workers, the Netherlands, March 2020"
Please summerize the given abstract to a title,Should the Green New Deal be Local or Global?
Please summerize the given abstract to a title,Cellular Nanosponges for Biological Neutralization.
Answer this question truthfully,"Symptoms often begin slowly over time, and may include:
Edema (swelling) in any area of the body Foamy appearance of urine Weight gain Poor appetite Urination, excessive at night Hypertension (patient information)| High blood pressure Fatigue"
what is the treatment for lymphoma,"Which lymphoma treatments are right for you depends on the type and stage of your disease, your overall health, and your preferences.  Lymphoma treatments include: - Active surveillance. Some forms of lymphoma are very slow growing.  Chemotherapy uses drugs to destroy fast-growing cells, such as cancer cells. Other drugs used to treat lymphoma include targeted drugs that focus on specific abnormalities in your cancer cells. Immunotherapy drugs use your immune system to kill cancer cells. - Radiation therapy. Radiation therapy uses high-powered beams of energy, such as X-rays and protons, to kill cancer cells. - Bone marrow transplant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! you might be having a sternomastoid muscle spasm myalgic. since you say that light massage relieves the pain it usually will be a muscle spasm. if it is the case the pain should gradually decrease over a period of 1\u00a0week to maximum 10 days. if it is not seeming to reduce i'd advice you to get an x-ray of the neck to see if your cervical spine has any problem. visit a doctor immediately if the pain is unbearable or is causing symptoms other than pain like tingling sensation, inability to flex the neck, pain elsewhere below the neck."
Answer this question truthfully,"Patients with primary hyperaldosteronism usually appear well. Physical examination of patients with primary hyperaldosteronism is usually remarkable for high blood pressure, tachycardia, and an S4 maybe heard on auscultation of the precordium suggesting left ventricular hypertrophy secondary to increased afterload due to hypertension."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot you have not mentioned here why is he on warfarin. warfarin is a blood thinner which is prescribed if a person has propensity to develop or has developed clots in the legs, in patients with irregular heart rate (af) and in patients post valve replacement. i would be in a better position to help you had you provided the details. coronary angiogram is done to evaluate presence of blockages in the heart. on baii of the findings of angiogram you may be suggested either medical management, or angioplasty or bypass surgery. angioplasty can be done if there are short blockages on the arteries. it is a 1-3 hr procedure that can be done in the same sitting and the patient usually gets back on his legs on the next day. bypass surgery is advice when there are multiple widespread blockages involving the major arteries of the heart. bypass surgery requires planning, patient preparation etc. again it takes about 4 days to patient to be back on his legs and some 20 days to recover totally. but the long term results of bypass are very good. since he is diabetic he has a tendency to develop heart blockages so be prepared for an angioplasty if suggested. i suppose i have answered your queries satisfactorily. wishing him good health. regards"
Please summerize the given abstract to a title,"Reports from the 2020 Virtual Federal Depository Library Conference October 20–23, 2020"
Please summerize the given abstract to a title,Design of the liraglutide effect and action in diabetes: evaluation of cardiovascular outcome results (LEADER) trial.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. possible elevation due to amlodipine induced damage2. in the elderly mild elevation is possible. however, as you have been removed from amlodipine, you need not worry about it.3. ankle and feet swelling was due to side effect of amlodipine. keep the foot elevated in lying down position to reduce swelling. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Subjective burden and perspectives of German healthcare workers during the COVID-19 pandemic
Answer this question truthfully,"The para-aortic lymph node cluster is responsible for draining the lymphatic vessels from the kidney. The para-aortic lymph nodes are located near the aorta, which is the main artery that carries blood from the heart. The lymphatic vessels from the kidney drain into the para-aortic lymphatic vessels, which then drain into the para-aortic lymph nodes. The para-aortic lymph nodes are an important site for the detection and spread of cancer cells from the kidney."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi!welcome to chatbot! yes, nasopharyngeal carcinoma is more common in certain regions of south east asia and africa than elsewhere but the etiology of npc seems to follow a multistep process, in which abv, ethnic background, and environmental carcinogens all seem to play an important role.  abv dna levels may sometimes correlate with treatment response and may predict disease recurrence, other causative factors include genetic susceptibility, consumption of food (in particular salted fish)containing carcinogenic volatile nitrosamines. your biopsy report says nonkeratinising g2 type this keratinizing undifferentiated form also known as lymphoepithelioma is most common, and is most strongly associated with epstein-barr virus infection. hope i have answered your query!take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis, inertial lung disease (old) and pulmonary embolism is more. so better to get done fresh reports like 1. put (pulmonary function test) for the diagnosis of bronchitis. 2. hrc (high resolution ct =thorax for the diagnosis of old. 3. ct pulmonary angiography to rule out pulmonary embolism. oxygen saturation of 82-83% is considered low and should be evaluated to rule out above-mentioned causes. better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanx for chatbot pus in urine means there is a urinary tract infection which he is already diagnosed for, and the number indicates the severity of the infection and the number u stated means the infection is mild and can be easily treated at home using an antibiotic like ciprofloxacin 500 mg 3 times dailyepithilail cells increase means injury to the kidney from an inflammation or lack of blood flow to the kidneys. rarely, tumor cells can be in the urine suggesting a urinary tract cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to health care magic. my dear friend i shall like to tell you that waves of lightheadedness, rapid heart beat rapid breathing and increase blood pressure is common in anemia. as you told you had iron deficiency anemia during your pregnancy, i shall suggest you to approach the nearest physician for complete blood count and peripheral blood film for anemia. i also suggest you for serum thyroid profile which is also associated with increase blood pressure and rapid heart beat. thanx for query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. or you may have some other cyst or tumor.  you should go for fine needle aspiration cytology or biopsy of that lump and ultrasound study.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Type I plasminogen deficiency leads to deposition of fibrin on mucous membranes.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query, you are known to have kidney stone and now getting severe pain and urinary problems since a couple of days. hiding all these facts from your parents is not going to solve your problem. please let all the facts known to your parents and consult qualified urologist for evaluation and get following basic test done to confirm the size of the stone, site of the stone and its effects on kidney function etc. 1) routine urine test and culture 2) ultrasound scanning of abdomen further treatment will be decided upon the results of these test and final diagnosis.in the meanwhile you can take antibiotics and painkillers. chatbot."
Answer this question truthfully,Aldosterone is synthesized and secreted by the adrenal cortex in response to stimulation by angiotensin II.
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pus discharging sinus tract can be secondary to the gum infection. since you are giving history of previous rct, it does not look like tooth infection. it can be secondary to deposits around the tooth, or it can be secondary to infected residual cyst. consult an oral physician and get it evaluated. you need to take a radiograph to confirm the diagnosis. if it is a gum infection, then get your teeth cleaned(incision and chatbot. if it is because of infected articular cyst, then get the cyst enucleated. get the tooth treated as early as possible because if the infection spreads, it can involve bone and result in osteomyelitis. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,"E: ""We made a mistake during the operation that may have harmed you."""
"If you are a doctor, please answer the medical questions based on the patient's description.",dear- i read your question in detail and will give you my medical advice. your symptoms could be secondary to ovarian cyst but other possibilities as intestinal spasm and back pain secondary to herniated disc or spinal stenosis need to be considered. you will need an abdominal and pelvic ultrasound to evaluate the area. lightheadedness is an unspecific symptom that can be associated to ovarian cyst or any other reason. i hope that my advice has been helpful. chatbot.
Answer this question truthfully,"The Ristocetin assay is typically abnormal in people with von Willebrand disease. This test measures the ability of von Willebrand factor (VWF) to bind to platelets in the presence of the antibiotic Ristocetin. In people with von Willebrand disease, the VWF is either deficient or defective, which results in abnormal platelet aggregation and decreased clotting. However, the severity and type of von Willebrand disease can affect the degree of abnormality in the Ristocetin assay. It is important to consult a healthcare provider for proper diagnosis and treatment."
Answer this question truthfully,Galant reflex is the primitive reflex that is characterized by the lateral flexion of the lower body towards the stimulated side upon stroking along one side of the spine while the newborn is facedown.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i just read through your question. there are several potential causes for these symptoms at this age. there are hormone related causes and there are kidney related causes. however, one of the more common causes for elevated blood pressure in this age group is something called \""essential hypertension\"", which is another way of saying there is no known cause. all of these causes can, and should, be treated. i recommend consulting with your doctor about this so the correct diagnosis can be determined and the appropriate treatment plan implemented."
Please summerize the given abstract to a title,Recent Advances in Systematic and Targeted Prostate Biopsies
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dearwelcome to chatbot.come have evaluated your query thoroughly.* there is definite underlying lung issue not diagnosed or not responding to recommended line of treatment.* strongly suggest getting x-ray chest, pulmonary function test with certain laboratory tests according to the clinical need .* consult later with reports for final lay out of the treatment. thanks. regards dear take care."
Please answer with one of the option in the bracket,C: Depressed mood and feeling of guilt
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for your query can feel your concerns would like to know if you have any history of bleeding or bruising spontaneously or at any other sitemoreover do you have any family history of blood disorder? if no other issue, then usually it is due to faulty technique. and need not worry.it will resolve in few days.however, if persist then you need to see your doctor, and may need some blood tests to rule out low platelet count or any bleeding disorder am available for your help regards chatbot."
Please summerize the given abstract to a title,Diacerein ameliorates acetaminophen hepatotoxicity in rats via inhibiting HMGB1/TLR4/NF-κB and upregulating PPAR-γ signal
Answer this question truthfully,"Von Hippel-Lindau disease is a genetic disorder caused by a deletion of the VHL gene on chromosome 3p. This deletion leads to unregulated activity of HIF1a, a transcription factor that plays a key role in the regulation of oxygen levels in cells. The resulting overexpression of HIF1a can lead to the development of tumors and other medical complications associated with Von Hippel-Lindau disease."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query at chatbot. i understand your concern and situation. you are having low grade fever and lymphadenopathy. the fnac was negative. i suggest you to get your early morning sputum examination for zn staining and mycobacterial culture to be done for 3 consecutive days. take an ultrasound guided fnac and get tested for cytology, zn staining, pcr for tb and culture for tb to establish diagnosis. till then eat protein rich and balanced diet with multivitamins and calcium supplements. yes it is a cause of worry and testing needed. take care. best of health"
Answer this question truthfully,"Diagnosis of Straight back syndrome is simple, which only requires AP and lateral chest x-rays.
Right lateral view of normal columna vertebralis Left lateral view of normal columna vertebralis"
Answer this question truthfully,"Irritant receptors are a type of sensory receptor that are located between the airway epithelial cells in the respiratory system. They are responsible for detecting and responding to noxious or irritating substances in the air, such as smoke, dust, or pollutants. When these receptors are stimulated, they trigger reflexes that cause coughing, bronchoconstriction, and other protective responses to help clear the airways and prevent further exposure to the irritant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! regarding your concern, i would like to explain that your increased cpk level seems to be related to excessive muscles strain, which causes muscle cpk isoform (mm) to be highly increased in blood circulation. other alternatives may be possible, like inflammatory or autoimmune disease, some chatbot. it is important to frequently check cpk level trends by repeated lab tests, to better differentiate between possible alternatives. so your attending doctors decision, seems to be rationale in the diagnostic work up process. hope to have been helpful! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is not safe to take albuterol while on bp medications. if albuterol is taken along with april it will cause hyperkalemia (increase potassium levels in the blood). hyperkalemia can cause muscle cramps, kidney failure, arrhythmia (irregular heart rhythm) which can be fatal. you may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Hirschsprung disease is a condition that is characterized by a lack of nerve cells in the lower part of the colon, which can cause a range of symptoms. Some of the characteristic features of Hirschsprung disease include explosive expulsion of feces (""squirt sign""), which can lead to an empty rectum on digital rectal exam. The squirt sign refers to the sudden and forceful expulsion of stool that can occur when the rectum is stimulated. On digital rectal exam, the rectum may feel empty because the affected portion of the colon is unable to relax and fill with stool. Other characteristic features of Hirschsprung disease may include constipation, abdominal distention, and bilious vomiting. Treatment for Hirschsprung disease usually involves surgery to remove the affected portion of the colon and create a new pathway for stool to pass through."
Answer this question truthfully,"Total anomalous pulmonary venous connection is a rare congenital heart disease, in which the pulmonary veins that bring oxygen-rich blood from the lungs back to the heart connect to the right atrium instead of the left atrium. This may lead to low-oxygen blood flow into the body. Usual symptoms include cyanosis, lethargy, frequent respiratory infections, and poor feeding and grow. Echocardiography and cardiac MRI can tell the diagnosis of total anomalous pulmonary venous connection. The main treatment of total anomalous pulmonary venous connection is early complete surgical repair. Prognosis of total anomalous pulmonary venous connection depends on whether the surgery has been performed or not."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctoryou most likely have acquired a fungal infection... fungi require moisture to grow and reproduce... warm, moist areas of the body, such as the genitals are commonly involved... sweaty and tight clothes and shoes can enhance fungus growth on the skin... keep the affected skin clean and chatbot. . daily bathe and prevent excessive sweating and humid conditions... practice daily washing of socks, towels, bathmats at a temperature of at least 60c... you should take oral terminating like tab limit 250 mg once a day for 2-3 weeks along with topical ketoconazole or fluconazole based cream twice a day... for itching use levocitrizine 10 mg in the evening... hope this will help"
Please summerize the given abstract to a title,"Case-control study of patient characteristics, knowledge of the COVID-19 disease, risk behaviour and mental state in patients visiting an emergency room with COVID-19 symptoms in the Netherlands"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have not mentioned your age. the cysts can be classified based on the characteristics on ct scan. it's graded from type 1 to type 4. type 1 and type 2 can be observed and type 3 and type 4 needs to be removed. your cyst is very small and most likely to be of type 1. you don't need to panic. you serially follow up the size of cyst by ultrasound. your pain is unrelated to your cyst. visit a urologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your thought of risk in giving steroids to young babies is prejudiced. we prescribe short courses of steroids in allergies not responding to routine medication / severe reactions. steroids once started should not be stopped suddenly. please follow the instructions of her doctor about tapering down the medication gradually. take care. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"The World Health Organization (WHO) has classified PH based on etiology into five distinct groups: Group 1 (pulmonary arterial hypertension - which may be related to heritable PAH due to genetic defects, connective tissue diseases such as rheumatoid arthritis, systemic lupus erythematosus, Raynaud Disease, and mixed connective tissue disease, HIV, drugs and toxins, and parasitic infections such as schistosomiasis), Group 2 (PH due to left heart failure), Group 3 (PH due to chronic lung disease and/or hypoxemia), Group 4 (PH due to chronic thromboembolic disease), and Group 5 (PH due to multifactorial mechanisms such as chronic hemolytic anemia, sarcoidosis, chronic kidney disease, and myeloproliferative disorders)."
Please summerize the given abstract to a title,SARS‐CoV‐2 Spike RBD‐Induced Inflammatory Response by CD14+ Monocytes Causes Endothelial Barrier Dysfunction
"If you are a doctor, please answer the medical questions based on the patient's description.","helots biopsy of gland in known as tubercular lymphadenitis i.e. enlargement of lymph gland was mycobacterium tubercular bacilli. as you mentioned that she took complete anti-tubercular treatment. but at present need not worry, however reduced weight is cause of concern. another reason is loss of appetite. so get in pcr tuberculin test for tuberculosis confirmation. and also get in blood culture and chatbot. since she is also having loss of weight and loss of appetite, so consultation with a specialist is important. good luck."
Please summerize the given abstract to a title,Practical outpatient management of worsening chronic heart failure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, sebaceous cysts are common noncancerous cysts of the skin which contains liquid or semi-liquid material. they grow slowly and are not life-threatening, but they may become uncomfortable if they go unchecked. sebaceous cysts develop if the gland or its duct become damaged or blocked. it can be managed by1. sebaceous cysts are treated by chatbot.  normally cysts should be removed.2. antibiotic ointment to prevent infection in the affected area. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to be having two issues-oily skin pigmentation/black spots reduce oiliness, use glycolic acid or salicylic acid based face wash like ah aglow, seismic etc. followed by a toner(skip using it in winters) then water based moisturizer. as you have pigmentation issues also, use a good sunscreen. to reduce pigmentation use a good sunscreen, take vitamin c and antioxidant supplements and use a melanizing cream. nil tan is a mild melanizing cream and can be used for prolonged periods. however, no medication should be used life long. so i would not advocate using nil tan lifelong. hope that answers your query. take care."
Answer this question truthfully,"Early difficulties with arithmetic are noticed, as well as low scores in math classes and tests
Some of the problems seen include:
Trouble with reading, writing, and copying numbers Problems counting and adding numbers, often making simple mistakes Difficulty telling the difference between addition and subtraction Problems understanding math symbols and word problems Unable to line up numbers properly to add, subtract, or multiply Unable to arrange numbers from smallest to largest, or the opposite Unable to understand graphs"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot implant is a progestin based hormonal contraceptives. the most common side effects are changes in menstrual patterns including absence of menses which is the case with you. other possible side effects is the formation of clots that produce severe pains in the location affected. the calf muscle and lungs are frequently being affected by clots and clot formation could be potentially dangerous and lethal. the risk of clot formation is even more in women with other risk factors such as obesity, cigarette smoking etc. generally, it protects for a period of three years. after which the effectiveness is no longer guaranteed. haven been on the implant for over four years, the bleeding you experience could be due to a miscarriage or an abnormal bleeding related to implant decrease. however, it is necessary to do a home pregnancy test to rule out pregnancy and to see a doctor to rule out a deep venous thrombosis (clot). best regards and hope this helps you. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","is their any family history of allergies in the family ? has your son ever shown symptoms of allergic cough in the past? since he is now in a play group and in contact with other child chatbot.  a blood work up with an x-ray chest will be helpful to rule out bacterial infections. if there is no evidence of an infective pathology, an anti-allergic orally with nasal cortisone spray at bedtime should relieve the symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. your oral cavity and reproductive systems are two different organs, functioning independently.therefore, there is no correlation to that. yes definitely stress could be a reason which could cause delay periods and since you have met the gynecologist and have already started medication it should help. please speak to gynecologist regarding this. be positive i am sure your problem will be resolved. thanks. take care."
Answer this question truthfully,"Anergy is a term used to describe a state in which an immune cell is unable to become activated by exposure to its antigen. This can occur when the cell is exposed to an antigen but does not receive the necessary co-stimulatory signals to become fully activated. As a result, the immune response is weakened or suppressed, which can have implications for the body's ability to fight off infections or respond to cancerous or abnormal cells. Anergy can be induced experimentally in the laboratory, and can also occur naturally as a regulatory mechanism to prevent excessive or inappropriate immune responses."
Answer this question truthfully,"Hashimoto's thyroiditis must be differentiated from other causes of thyroiditis, such as De Quervain's thyroiditis, Riedel's thyroiditis, and suppurative thyroiditis. Hashimoto's thyroiditis must be differentiated from other causes of thyroiditis, such as De Quervain's thyroiditis, Riedel's thyroiditis, and suppurative thyroiditis. Hashimoto's thyroiditis must also be differentiated from other diseases which cause hypothyroidism. As Hashimoto's thyroiditis may cause transient thyrotoxic symptoms, the diseases causing thyrotoxicosis must also be considered in the differential diagnosis."
Please summerize the given abstract to a title,Determinants of Consumers’ Online/Offline Shopping Behaviours during the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. you might be having urinary tract infection. since you mentioned that you were never sexually active, the possibility of sexually transmitted infections are ruled otto identify a uti, keep an eye out for the following symptoms"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that your boyfriend has painful ejaculation. this is mostly due to prostatitis. please consult qualified urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) routine urine tests and culture 2) ultrasound scanning of abdomen and pelvis and trans rectal ultrasound scanning. taking broad spectrum antibiotics for 3-4 weeks help to resolve his problem. chatbot."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your above symptoms indicate presence of anxiety and depression. this problem may occur due to following reasons"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Allowing rectal prolapse to continue untreated beyond 4 years may lead to higher rates of subsequent rectal prolapse recurrence, secondary to a weakened pelvic floor.  In addition, Hemorrhage occurs frequently if the prolapsed rectum is left unreduced. If rectal prolapse is persistent for a long time, urological impairments (bladder stones or urethral stricture) may be associated."
Answer this question truthfully,"There is no vaccine available for prevention of syphilis. However, effective measures for the primary prevention of syphilis include abstinence from intimate physical contact with an infected person, consistent use of latex condoms, limiting number of sexual partners, avoidance of sharing sex toys, practising safe sex, routine screening in pregnant females, individuals with high risk behaviours, and those residing in highly prevalent areas. In patients with diagnosed syphilis, early treatment with penicillin can widely prevent neurosyphilis."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient since you have fall with injury to your shoulder and pain is not relieved by medication possibility of fracture cannot be ruled out. i would like to advise x-ray of involved shoulder anteroposterior and lateral views to confirm diagnosis. visit radiology center nearby you and get it done. meanwhile, apply shoulder immobilizer brace on your shoulder to prevent pain nd mobility of involved shoulder. you need to consult expert orthopedic surgeon with report.  all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, and thanks for posting your query here. i am very happy to inform you that i am working with xxxx group and xxxx is the chairman of our group. you can contact nh bangalore to get an appointment with him. they can arrange a video conference for you if required. you can get the contact numbers of nh bangalore from their website. i hope this information would be of help to you. thanks and all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. as you are taking combined hormonal pills, they will give protection from pregnancy along with treating poly cystic ovary disease. so, if you have taken contraceptive pills without missing, no need to take the emergency pill, actually. repeated intake of emergency pills can lead to problems. for more details"
Please summerize the given abstract to a title,Mapping Mechanostable Pulling Geometries of a Therapeutic Anticalin/CTLA-4 Protein Complex
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, as per the details, i feel you have got a prognatchatdoctorandible/retrognatchatdoctoraxilla. the teeth will get maligned due to the force of wisdom teeth eruption too. usually orthodontic appliances are used to treat such cases. if there is prognatchatdoctorandible, orthognathic surgery is necessary for normal occlusion. the clinical diagnosis can be interpreted using radiological examination like opg. based on that treatment can be planned. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. from your description following are the possibilities.1. lower respiratory tract infection (leti)2. bronchitis3. asthma. so better to consult pulmonologist and get done1. chest x ray2. put (pulmonary function test)chest x-ray is needed to rule out leti (pneumonia).pft is needed to rule out bronchitis and asthma.pft will also guide you about severity of the disease. and treatment is based on severity only. so better to consult pulmonologist and first diagnose yourself and start appropriate treatment.
Please summerize the given abstract to a title,Polymerase Chain Reaction-Based Malaria Diagnosis Can Be Increasingly Adopted during Current Phase of Malaria Elimination in India
Answer this question truthfully,Fisher Grade for Multi Sliced CT scan
Answer this question truthfully,Osteosarcomas commonly present as a painful enlarging mass or pathologic fractures.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to my chatbot clinic. i studied your query in depth. the small-lump under query, is a-\""fibrosis resolving hematoma\"". as it has regressed from huge egg size in last few was, i advise you to wait for 4-8 was more by which the lump would resolve and regress normally. you need not worry about this small lump, as it would reduce to normal in next 2 myths time. if you still worry, or it's still remains after 2 myths and worries you, i would then advise to consult a surgeon and go for its excision. hope you have cleared your worry. would welcome you to chatbot for any more queries on it or on other health-problem."
Please summerize the given abstract to a title,Lymphocyte may be a reference index of the outcome of cancer patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","was the cipro started presumptively or based on urine culture report. if fever has recurred despite being on antibiotics then the possibilities are a bug resistant to cipro in urine, or you have developed a complication secondary to the kidney infection. hence, please contact your doctor urgently.meanwhile, keep chatbot.  back pain secondary to urinary infection can take few days to resolve after infection is completely treated."
"If you are a doctor, please answer the medical questions based on the patient's description.","it's a muscle injury you are right, but the time frame of healing could be a bit long eras you can see...after the injury the initial response is swelling and pain...after the initial swelling dies down pain decreases but does not disappear entirely this is so because the muscles are now recovering .or in the healing phase of injury.therefore it would still be tender at this phase which usually last for 4 weeks if in case there might be persistent pain after it could be a scarring of your muscle which would benefit from a physical therapy"
Please summerize the given abstract to a title,Effect of prazosin on feline recurrent urethral obstruction.
Answer this question truthfully,"Mononucleosis is a viral illness caused by the Epstein-Barr virus (EBV). It is commonly referred to as the ""kissing disease"" because it is often spread through saliva, which can be exchanged during kissing or other close contact with an infected person. Mononucleosis is most commonly seen in teenagers and young adults, and is characterized by symptoms such as fever, sore throat, swollen lymph nodes, and fatigue. While most people recover from mononucleosis within a few weeks or months, some individuals may experience more severe symptoms or complications, such as an enlarged spleen or liver. Treatment for mononucleosis typically involves rest, hydration, and over-the-counter pain relievers to manage symptoms."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the lump over the jaw line can be because of the infection of the bone that is garret osteomyelitis. nothing to be panic, complete the course of antibiotics particularly amoxicillin and metronidazole combination. keep the socket area clean by rinsing with saline. if it is not reducing in a week, consult an oral physician and take an causal radiograph to confirm the diagnosis. i hope my answer will help you, take care."
Answer this question truthfully,"The Diagnostic and Statistical Manual of Mental Disorders (DSM-II) described chronic depression as a personality disorder. 'Dysthymic disorder' was the term used in DSM -III to describe depression present for more than two years. From the personality disorder of DSM-II, DSM-III-R placed it under the affective category. 
DSM-IV has classified chronic depression into dysthymic disorder and major depressive disorder, chronic type. Based on the age of onset, DSM-IV has divided dysthymic disorders into early (before 21 years) and late-onset (after 21 years) subtypes.  Early-onset dysthymic disorder is related to a higher familial burden of mood disorders and childhood adverse conditions. On the other hand, late-onset has an association with health issues and major losses.  In DSM-IV, individuals having underlying dysthymic disorder who develop major depressive episodes are diagnosed as having both dysthymic disorder and major depressive disorder. So, DSM-IV has categorized dysthymic disorder and major depressive episodes as separate diagnoses instead of phases of a single disorder that fluctuates in severity over time.  In spite of minor differences in the definitions of dysthymic disorder in the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) and International Classification of Diseases Tenth Edition (ICD-l0), both the systems are competent to establish the diagnosis.  Dysthymia and chronic major depression are both included under the new term'persistent depressive disorder' in DSM-5.  Since the introduction in DSM-III, the diagnostic validity of dysthymia is questioned. It is a heterogeneous diagnosis including various depressive and anxiety conditions. As persistent depressive disorder includes dysthymia as a component, the former is more likely to represent a heterogeneous domain diagnosis. It limits the identification of the preferred treatment options."
Please answer with one of the option in the bracket,A: Glutamine
Answer this question truthfully,"You may have no symptoms at all until late in the course of the disease. The diagnosis may have been made when your healthcare provider heard a heart murmur and then performed additional tests.
Breathlessness with activity. Chest pain, which resembles what is known as angina -type pain. The pain is crushing, squeezing, pressure or tightness in nature. The pain increases with exercise, relieved with rest. The patient feels pain under the chest bone, it may move to other areas. Fainting, weakness, or dizziness with activity. Sensation of feeling the heart beat (palpitations)."
Please summerize the given abstract to a title,Genetic diversity of SARS-CoV-2 in South America: demographic history and structuration signals
Please summerize the given abstract to a title,"Paracetamol, non-steroidal anti-inflammatory drugs and glucocorticoids for postoperative pain: A protocol for a systematic review with meta-analysis and trial sequential analysis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, high fever for 6 days can be due to typhoid, malarial infection, lower respiratory tract infection urinary tract infection. since, you have already done malarial test. chances of malaria infection are ruled out. for other causes, you should do blood test like typhoon igm, x-ray chest to look for chest infection and urine routine microscopy test and urine culture test. since child is already on antibiotic, the antibiotic needs to be upgraded. based on reports, the antibiotic needs to be changed. review with reports. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","it simply means your cervical sac has narrowed canal causing compression on spinal cord, and secondary osteoarthritic (degenerative) changes have occurred with bone spike formation, the nerve roots are being compressed by bone spurs, narrowing of fora min and cervical joints are in varying degenerative changes causing pain, stiffness and nerve root compression symptoms. disc is prolapsed in one place and further impinging on the thecal sac(covering on spinal cord) may be causing cord compression symptoms. you need spinal fusion, removal of prolapsed disc, and osteophytes etc"
Answer this question truthfully,The myocardial action potential from the AV node enters the Bundle of His.
Please summerize the given abstract to a title,Biomarkers and Immune Repertoire Metrics Identified by Peripheral Blood Transcriptomic Sequencing Reveal the Pathogenesis of COVID-19
Please summerize the given abstract to a title,Host endomembrane recruitment for plant RNA virus replication
Please answer the letter of option truthfully,C
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, the interpretation of liver function tests is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient shingles may be reason for back pain. shingles is caused by varicella virus which mostly is seen in child chatbot.  in many patients when their immunity is suppressed virus which is dormant in body gets activated and reflects as intercostal pain and back pain. treatment is to start acyclovir and tab diclofenac for pain relief. please get yourself examined by skin specialist as soon as possible.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, prenatal vitamin pills usually won't affect menstrual cycle. after stopping the birth control pills it will take some time for regularization of hormonal levels. the possible causes for spotting are"
Please summerize the given abstract to a title,[First Cases of Multisystem Inflammatory Syndrome following SARS-CoV-2 infection in Adults in Germany]./ Erste Fälle des Multisystem Inflammatory Syndrome nach SARS-CoV-2-Infektion bei jungen Erwachsenen in Deutschland
"If you are a doctor, please answer the medical questions based on the patient's description.","swelling in collar bone is not related to your symptoms. swelling might be due to fracture in the past. swelling in collar bone is most commonly due to mounted fracture.are you sure its mounted bone or might be enlarged lymph node.regarding other symptoms like headache, dizziness and weight loss could be due to some long standing illness. evaluate your self for any malignancy, anemia etc. angioedema doesn't fit in. consult internal medicine specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your mother law is most having either tuberculosis or pneumonia in the past. her current x-ray is showing old, healed, fibrotic lesions due to previous lung infection. actually, almost all lung infections (tuberculosis or pneumonia) heal after treatment with following mechanism. 1. fibrosis (most common). 2. calcification 3. rarely complete resolution. since tb lesions are common in lung spices (upper lobes), there is fibrosis and adhesions seen in lung spices in current chest x-ray. better to get done ultrasound examination of thorax for confirmation of pleural effusion because on chest x-ray fresh effusion and old healed effusion look similar. so get done ultrasound examination. overall her chest x-ray is suggestive of old, fibrotic lesions. hope i have solved your query. i will be happy to help you further. wishing good health to your mother-in-law. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you're all symptoms like shortness of breath, chest pain, dizziness, headache etc. are suggestive of heart diseases. you also had heart surgeries twice in the past. so in my opinion, we should first rule out heart diseases in your case. so get done ecg, 2d echo, stress test (trade mill test) and coronary angiography (if required). if all these reports are normal then no need to worry about heart diseases. sometimes acute bronchitis can also cause similar symptoms. so get done clinical examination of respiratory system and pft (pulmonary function test). you may need inhaled bronchodilators. don't worry, you will be alright. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Coinfection of porcine deltacoronavirus and porcine epidemic diarrhea virus increases disease severity, cell trophism and earlier upregulation of IFN-α and IL12"
Answer this question truthfully,"No, aminoglycosides are not effectively absorbed from the GI tract."
Please summerize the given abstract to a title,Location Matters: Geographic Disparities and Impact of Coronavirus Disease 2019
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. i don't think that your seizures are related to a high level of emilia. a viral infection and fevers can cause seizure aggravation. epilim can cause seizure exacerbation in high levels, but it is also associated with other symptoms like nausea, headache, dizziness, confusion. a lower dose is more often associated with seizure aggravation. although i would recommend you to have a full blood work and a plasma tic level of emilia, and to adjust the dosage if needed. i don't think that there are any serious interactions between emilia and the other chatbot. hope to have been of help! greetings!"
Answer this question truthfully,"A medical condition that might be causing a patient to present with rapidly progressive limb weakness that ascends following a gastrointestinal or upper respiratory tract infection is Guillain-Barré syndrome. This is a rare autoimmune disorder that affects the peripheral nervous system and can cause muscle weakness, numbness, tingling, and even paralysis. The exact cause of Guillain-Barré syndrome is unknown, but it is believed to be triggered by an infection or an autoimmune reaction. Treatment for Guillain-Barré syndrome may involve supportive care, such as physical therapy and respiratory support, as well as immunotherapy to reduce the severity of symptoms and speed up recovery. It is important to seek medical attention immediately if you suspect you may have Guillain-Barré syndrome or any other medical condition that causes persistent symptoms."
Answer this question truthfully,"Before taking acyclovir:
tell your doctor and pharmacist if you are allergic to acyclovir, valacyclovir (Valtrex), any other medications, or any of the ingredients in acyclovir. Ask your pharmacist for a list of the ingredients. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: amphotericin B (Fungizone); aminoglycoside antibiotics such as amikacin (Amikin), gentamicin (Garamycin), kanamycin (Kantrex), neomycin (Nes-RX, Neo-Fradin), paramomycin (Humatin), streptomycin, and tobramycin (Tobi, Nebcin); aspirin and other nonsteroidal anti-inflammatory medications such as ibuprofen (Advil, Motrin), and naproxen (Aleve, Naprosyn); cyclosporine (Neoral, Sandimmune); medications to treat HIV or AIDS such as zidovudine (Retrovir, AZT); pentamidine (NebuPent); probenecid (Benemid); sulfonamides such as sulfamethoxazole and trimethoprim (Bactrim); tacrolimus (Prograf); and vancomycin. Many other medications may also interact with acyclovir, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor if there is a possibility you may be dehydrated from a recent illness or activity, or if you have or have ever had problems with your immune system; human immunodeficiency virus infection (HIV); acquired immunodeficiency syndrome (AIDS); or kidney disease. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking acyclovir, call your doctor. if you are taking acyclovir to treat genital herpes, you should know that genital herpes can be spread through sexual contact even if you don't have blisters or other symptoms and possibly even if you are taking acyclovir. Talk to your doctor about ways to stop the spread of genital herpes and about whether your partner(s) should receive treatment."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot .1. the history suggests that it's an infective etiology caused by frequent rubbing of the underwear and the type of material and causing friction injury turned in to lump.2. in this case you have to wear a softer cloth which will not irritate the area.3. do not disturb that area or compress or scratch - in this way you will complicate.4. try to clean with antiseptic liquid. a course of antibiotic will help to heal quickly.5.no not related to the masturbation habit. maintain local hygiene. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... noted you have mentioned pneumonia infection... do you have done chest x-ray for it? in pneumonia, it might show consolidation. in pneumonia as complication yes plural can be affected and so pleurisy can be there... you can do your sputum examination and culture for choosing antibiotic and tuberculosis will also be ruled out. by pulmonary function test asthma and copd like causes will be ruled out.... if congestive symptom more decongestant can take... if your symptoms even still increasing then yes biopsy may need to investigate further. take care. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have intermittent pain. so mostly it should be non-specific. testis is very tender organ and mild pain with minor problems. if you have intense pain then you should consult your doctor and go for examination. otherwise, no need to worry. mild urinary tract infection can cause pain. just be relaxed. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health"
Please answer with one of the option in the bracket,A: Irresponsibility
Please summerize the given abstract to a title,No evidence for increased transmissibility from recurrent mutations in SARS-CoV-2
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good afternoon. i am chatbot answering your query. if i were your doctor, after a clinical assessment of the lumps on your body, i would also advise for a fnac of the lump for a cytological diagnosis and an excision biopsy if need be for a confirmation. in addition to the blood work up already done for you, i would also advise for an ultrasound of abdomen, and an x-ray chest as supportive diagnostic tools. further management would depend on the clinical assessment and investigation reports. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have constant infection in ear, nose and mouth . mouth infection can occur due to condition like canker sore. canker sore is mucosal reaction to various things like hot and spicy food, acidic food, seafood, dental appliances and nuts. there can be other reasons also like deficiency of vitamin b12, folic acid and some underlying disease like crowns. sometimes infection can spread from ear to upper respiratory track and vice versa and spread to oral cavity also or post nasal chatbot.  i would suggest you to"
Answer this question truthfully,"Scolex of Echinococcus granulosus from hydatid cyst. From Public Health Image Library (PHIL).  Photomicrograph reveals some of the ultrastructural morphology exhibited by an adult cestode, Echinococcus granulosus, found in a dog. E. granulosus causes “cystic echinococcosis”. From Public Health Image Library (PHIL)."
"If you are a doctor, please answer the medical questions based on the patient's description.",if it's a muscular back pain then use hot pack and apply pain relieving ointment immediately after using it.  do it multiple times a day and if possible do take painkiller for temporary use.  and i must suggest visiting physical therapist once to get some more pain relief and do take spinal exercise program also to prevent further similar episodes. by performing it regularly. hope this was useful.  take care
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Theca cells are a type of ovarian cell that are found in granulosa cell tumors. These cells are scattered throughout the tumor and are responsible for giving the mass a yellow color on gross inspection. The yellow color is due to the presence of lipid droplets within the cells, which are visible to the naked eye. The presence of theca cells in a granulosa cell tumor is one of the key diagnostic features of this type of ovarian tumor. Granulosa cell tumors are relatively rare and can be difficult to diagnose, but the presence of theca cells and the yellow color of the mass can help to distinguish them from other types of ovarian tumors."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,"The term used to describe the eosinophilic cytoplasmic inclusions often displayed by aldosterone-secreting adenomas is ""spironolactone bodies""."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. leg pain, breathlessness, coughing etc. are suggestive of dvt (deep venous thrombosis) and pulmonary embolism (pe). so better to consult pulmonologist and get done venous doppler of legs for dvt and ct pulmonary angiography for pulmonary embolism. don't wait at home because this is serious disease. hope i have solved your query. i will be happy to help you further. wish you good health. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. thank you for posting your query. i can understand your concern. i have gone through the entire post. it would have been great had you given a detailed account of the reason of the jaundice whether it is due to hepatitis or gall stone obstructing the bile duct or pancreatitis etcetera.however, for jaundice, i would suggest you to- take a soft, bland diet for a few weeks.-a void oily, spicy food-avoid over the counter chatbot. write back to us. have a nice day. regards."
Answer this question truthfully,"Histamine mediates type 1 hypersensitivity reactions through the activation of H1 receptors. Type 1 hypersensitivity reactions are also known as immediate hypersensitivity reactions and are mediated by IgE antibodies. When an individual is exposed to an allergen, IgE antibodies are produced, which bind to mast cells and basophils. Upon subsequent exposure to the same allergen, cross-linking of the IgE antibodies on the mast cells and basophils leads to the release of histamine and other inflammatory mediators. The histamine released by mast cells and basophils binds to H1 receptors on various target cells, including smooth muscle cells, endothelial cells, and sensory nerve endings, leading to the characteristic symptoms of an allergic reaction, such as bronchoconstriction, vasodilation, and itching. The activation of H1 receptors by histamine is a critical step in the pathogenesis of type 1 hypersensitivity reactions and is a target for drugs used to treat allergic conditions such as allergic rhinitis and urticaria."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, looking to the history it seems that there might be having enlarged tender lymph nodes. it shows that there might be having some scalp infection like dermatitis, fungal infection or dan chatbot. when active infection is there, there might be enlargement of lymph nodes and with regression of infection it becomes clear. consult your doctor and get examined and treat the cause. take regular hair bat. ok and take care."
Please summerize the given abstract to a title,Oxybutynin-Induced Hyperthermia in a Patient With Parkinson’s Disease
Answer this question truthfully,"Nef is a cytoplasmic accessory protein of HIV that enhances viral replication through down-regulation of CD4 and MHC-I expression. CD4 is a receptor on the surface of T cells that HIV uses to enter and infect the cells. By down-regulating CD4 expression, Nef helps HIV evade the immune system and continue to infect new cells. MHC-I is a protein that presents viral antigens to T cells, which helps to activate the immune response against the virus. By down-regulating MHC-I expression, Nef helps HIV avoid detection by the immune system and continue to replicate within host cells. Overall, Nef plays an important role in HIV pathogenesis by promoting viral replication and evading the host immune response."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting on chatbot. according to what you have mentioned, it seems the wound must have got infected and the milk like substance is pus which has formed there and that is the reason for fever also. it means there might be abscesses cavity formed within the wound which might require examination whether to chatbot.  i would advise you to go to consult a doctor who can examine the wound and abscess cavity for whether it requires incision and"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear lola, hi and welcome to chatbot. it appears from your query that you are overdoing your efforts to get rid of the scar. you know our skin needs a bit of rest to get its normal texture. when we are doing a lot of things then it actually causes s more of post inflammatory hyperkeratosis/ post inflammatory hyperpigmentation (pin).otherwise also from your query it appears to be two problems-the one is scar and the other one is pigmentation. you might get some relief in pigmentation but to get rid of scar is really difficult one. the very first thing you should do is - kindly stop doing anything for a period of at least 3-4 week. as it will come out i its natural shape so would be better to be analyzed for pigmentation. you can try use atelier acid cream, comic acid cream, glycolic acid cream, licorice extract or routine under medical supervision. the last option would be fr axel laser by an expertise hands who can judge your situation and can go for it accordingly. hope this information will help you out of your problem. with best skin wishes, chatbot."
Answer this question truthfully,"People working in jobs where they often come in contact with animals or meat such as slaughterhouse workers, farmers, and veterinarians, are at higher risk."
Answer this question truthfully,Francisella tularensis is indirectly transmitted through inhalation of aerosol.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, by what you say i feel that you are kid maybe having a viral illness. i will explain to you how do i really miss behave so that you can feel more confident. if in between two fever episodes with the kid is slightly better and looking normal then it could be viral illness, and you need not worry at all. fever of a few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.  if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.  once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Pain during and after coronavirus disease 2019: Chinese perspectives
Answer this question truthfully,"The fungistatic agent that is commonly used to treat onychomycosis is called griseofulvin. Onychomycosis is a fungal infection of the nails that can be caused by various species of fungi, including dermatophytes, yeasts, and molds. Griseofulvin is an antifungal medication that works by inhibiting the growth of the fungus and preventing it from reproducing. It is typically taken orally and may need to be taken for several months to effectively treat onychomycosis. Griseofulvin is generally considered safe and effective, but may cause side effects such as nausea, vomiting, and headaches."
Answer this question truthfully,"Call 911 or go to an emergency room if:
You think vomiting is from poisoning. You notice blood or dark, coffee-colored material in the vomit.
Call a health care provider right away or seek medical care if you or another person has:
Been vomiting for longer than 24 hours. Been unable to keep any fluids down for 12 hours or more. Headache or stiff neck. Not urinated for 8 or more hours. Severe stomach or belly pain. Vomited three or more times in 1 day.
Signs of dehydration include:
Crying without tears. Dry mouth. Increased thirst. Eyes that appear sunken. Skin changes -- for example, if you touch or squeeze the skin, it doesn't bounce back the way it usually does. Urinating less often or having dark yellow urine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as this is not a major condition and can be taken care of. bulging disc and a herniated disc is due to degenerative changes in the intervertebral disc and this is one of the common problems which most people have. some may have symptoms like - radiating pain where some may have nothing. depends upon who has what symptoms they will be advice to undergo physiotherapy session for strengthening the core muscles, spinal muscles, hip muscles, and lower limb as a whole. most patients have a positive outcome post physiotherapy treatment. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,"Demographic, clinical, laboratory, and genetic risk factors associated with COVID-19 severity in adults: A narrative review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing, all you need to do is relax. these symptoms are sometimes seen after a normal minor surgery. as you told, you were given general anesthesia, please give some time for yourself to recover.  fever can also normally occur after a stressful procedure, and just as it came down, you will recover with other problems also with time.  just continue with the antibiotics or analgesics whatever are prescribed by your dentist.  septicemia or endocarditis are risk factors if you have undergone any previous surgeries or have any congenital heart problems or valve replacements. in that case the doctor prescribes you with antibiotics before the procedure itself.  take sufficient rest and relax to have a fast recovery. you only need to see a physicist if symptoms persist even after taking adequate rest.  stay healthy, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are many medicines that cause loss of libido but betrayal (betrayal) has no such indication. loss of libido in women is commonly work stress, financial stress, anxiety, fatigue, weakness, fear of getting pregnant, physical illness, depression, emotional hurt with the sexual partner or dyspareunia (painful intercourse). medical problems causing loss of libido are hormonal or thyroid issues. pcs or menstrual issues, fear of getting sexually transmitted infections.  never indulge with multiple partners. always perform safe sex. you are suggested to discuss with a counselor, you may need medicines. you can even give a break & rest and resume your sex life after a couple of days. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it appears that she might have ischemia of the parietal lobe where there is center of the memory lies. it may or may not have relation with the previous attack. m.r.i., and color doppler may show some clue whether something can be done.  i to my patients with such symptoms prescribe, glutathione besides neurotrophic chatbot.  i also advise her to take green leafy vegetables, pulses, sprouts, and protein rich foods, for general neurological recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your situation and problem. you are mostly having either bronchitis or lung infection because all your symptoms are seen in both of these conditions. and multiple sclerosis (ms) can be the risk factor for both of these. so better to consult pulmonologist and get done 1. clinical examination of respiratory system 2. chest x-ray to rule out lung infection 3. put (pulmonary function test) to rule out bronchitis. if both are normal then possibility of viral upper respiratory tract infection (uri) is more. so better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. as per your history and symptoms pain can be from spine muscles. i will advise you clinical examination and required investigation. another possibility of back pain can be due to muscle strain or renal. for these symptoms analgesic and neurotrophic medication like methylcobalamine can be started consulting your doctor. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and tens therapy will help can do yoga exercises and focus on spine extension exercises. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,Modulation of LPS-induced inflammatory cytokine production by a novel glycogen synthase kinase-3 inhibitor
Please summerize the given abstract to a title,Sosialisasi pencegahan dan pengadaan sapras pencegahan COVID 19 di kecamatan Kemiling kota Bandar Lampung
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, i understand your query and concern. your symptoms are suggestive of acute gastroenteritis. i advise giving him syrup.orin o, tab.domestic for 5 days. avoid spicy foods. give ors sachets, buttermilk,coconut water regularly. maintain adequate hygiene. consult your pediatrician for expert management. hope i have answered your query at the moment, post your further queries if any, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. your present complain suggest disc pain leading to constant back pain. due to compression of this nerve root in spine there is pain in your thigh and leg. i will advise you to do mri spinor these symptoms analgesic and neurotrophic[pregabalin] medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. till time, you can continue your medication. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... i m chatbot. ... i have done the fair number of platelet apheresis procedures (sdp)....so-called only platelet donation....procedures....so i would like to answer your query...... first...it is great you thought about donation....thanks for it.... i know...it is quite life-saving.... now for this platelet donation ....platelet count of more than 2,00,000/ccmm preferred....who guideline says...must be more than 1,50,000/ccmm... but platelet count of donor if more in number yield achieved by donation is very good and beneficial for patient receiving it... other criteria like hemoglobin greater than 12.5 gm, no significant"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatbot with you health care questions. i am sorry to hear that you have a yeast infection. yeast is an opportunistic infection that grows in areas that are dark and moist. so this is a frequent problem with young women especially after taking antibiotics. men do not usually contact yeast though if he is uncircumcised then he needs to be sure to clean well after having sex as it can occur. for him, he needs to pull back the foreskin and clean well with soap and water. for you, i recommend you actually seek medical attention as this pain and discharge may not be just a yeast infection. i also recommend to help prevent bladder infections after sex that you urinate after sex. this may help prevent infections in the future. hope i answered your question. please feel free to contact us again for you medical concerns and questions"
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Accelerating Virtual Health Implementation Following the COVID-19 Pandemic: Questionnaire Study
Please summerize the given abstract to a title,Women and the weight of a pandemic: A survey of four Western US states early in the Coronavirus outbreak
"If you are a doctor, please answer the medical questions based on the patient's description.","hello am not able to understand did you pull out four teeth just to heal the bad taste. 1. you should check your blood sugar levels, fasting and random.2. then try using betadine gargle for two weeks.3. kindly give information like your age, male or female, since when you are having this problem, do you have any other systemic conditions? 4. if possible send 2-3 intramural photos so that i can give you more accurate cause of the problem.5. did the problem start since you had those fillings? thank you"
Please summerize the given abstract to a title,Real-Time Electronic Health Record Mortality Prediction During the COVID-19 Pandemic: A Prospective Cohort Study
Please answer with one of the option in the bracket,D: Resting of the foot
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, thank you for choosing chatbot. i do understand your concern. what happened to you may be muscle soreness or muscle injury after lifting weights. in the case of the soreness it means that your muscle are getting stronger in that area. in the case of the injury, which is the most probably situation of your suffer, i will suggest not to worry too much, because the muscle will regenerate itself. give your organism its own time, helping it with proteins and sugar in your diet. also consider massaging, or swimming in hot pools. if you can not afford this, please let the hot water run in that area that aches while you are in douche. cover it up with some topical anti-inflammatory cream and consider buying some muscle patches that are stuck in your skin and do not let the muscle move, giving it time to regenerate. i think these are found in your nearest chatbot. consider"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot ... your husband having end stage liver cirrhosis .... because of that there is functional failure of kidney is there.... so kidney failure is associated.... so his condition is not good and prognosis is poor.... chance of multiorgan failure is high.... liver transplantation is ultimate final treatment for cirrhosis but here as kidney failure is also there it has to be decided whether to go for transplantation or not by surgeon....meanwhile, monitoring of his blood pressure, pulse, temperature etc .has to be done. take care."
Answer this question truthfully,"Dr. Rodolfo Robles Valverde's study on patients with river blindness in Guatemala led to the discovery that the disease is caused by filaria of O. volvulus, and sheds light on the life cycle and transmission of the parasite."
Answer this question truthfully,"Pregnancy can have an impact on thyroid function, and women with hypothyroidism may require a higher dose of thyroid hormone during pregnancy. This is because the developing fetus relies on the mother's thyroid hormone production for proper growth and development. If a pregnant woman with hypothyroidism does not receive an adequate dose of thyroid hormone, it can lead to complications for both the mother and the baby, including preterm delivery, low birth weight, and developmental delays. Therefore, it is important for pregnant women with hypothyroidism to work closely with their healthcare provider to ensure that they are receiving the appropriate dose of thyroid hormone to support a healthy pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. the first step in management of the slipped disc is to find whether there is prolapse or not if there is prolapse, surgery may be generally needed if there is no prolapse, but just a bulge, we can try physiotherapy, tablets, lifestyle modifications etc hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have grade 2 varicocele. varicocele is result of incompetency of non-returning valves present in these veins that prevent column of blood from falling down and there by cause dilatation of these veins (varicocele) there are no medicines that can cure incompetency of these valves since it leads to temperature imbalance in testis and thereby impair production of sperms (spermatogenesis). it has to be treated by surgery of ligation of these dilated veins. this helps to improve spermatogenesis and sperm production and increase sperm count. chatbot."
Answer this question truthfully,T3 is more active.
Answer this question truthfully,"What is the common presenting symptom of fat emboli and what is the cause of this symptom? Fat emboli commonly presents with dyspnea due to fat, often with bone marrow elements, in the pulmonary vessels."
Answer this question truthfully,"Gaucher disease is the lysosomal storage disease that is associated with osteoporosis, bone crises, avascular necrosis, and pancytopenia. Gaucher disease is caused by a deficiency of the enzyme glucocerebrosidase, which leads to the accumulation of a fatty substance called glucocerebroside in the body's cells and tissues. The accumulation of glucocerebroside can cause a range of symptoms, including enlarged liver and spleen, anemia, thrombocytopenia, and bone problems such as osteoporosis, bone pain, and fractures. The severity of the symptoms can vary depending on the type of Gaucher disease and the age of onset."
"If you are a doctor, please answer the medical questions based on the patient's description.","since you have undergone a liver transplant, the high bilirubin levels, and the enlarged spleen is in all probability due to deranged liver function or an infection. while the spleen could be enlarged due to portal hypertension, depending on the size, we would need to do give you propranolol (a beta locker useful for portal hypertension), diuretics (if there is ascites). the bilirubin level can only be improved once the liver function improves. if these features are due to an infection, we would need to give you appropriate antibiotic therapy as of now, you should be seeing your transplant surgeon to get a liver function test, a complete blood count and an ultrasound of the abdomen done. meanwhile, abstain from alcohol, have a low fat, high protein diet and practice some stress reduction exercises. hope that helpsregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for writing to chatbot. i understand your concern about masturbation and penis size. masturbation is akin to sexual intercourse. what penis does in vagina during sexual intercourse, same it does during masturbation in your folded palm! this is a natural activity. not a disease. just as sexual intercourse cannot lead to weakness or erection problems, so how masturbation can do it? masturbation should not be at the cost of sexual relationships with your partner. this needs open sharing of likes and dislikes of either partner. you can go for pathologist to have semen analysis. important and more practical fact is that the size of penis has nothing to do with sexual satisfaction of the partner. it is entry followed by continuous thrusting movement considered as sufficient. the method of lovemaking according to partners preference rather than size is more important. sexual sensations are in the outer aspect of vagina i.e. the clitoris, inner lips and lower one third vagina. inner two third of vagina is largely insensitive. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the sperms remain viable for 72 hours to fertilize the egg and after ovulation egg remains available for fertilization for 24 hours.  after the injection rupture occurs in 34 to 36 hours. so even if you have contact on day of injection, sperms will be there to fertilize the egg.  so, don't worry about it.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i carefully passed through your question and would explain that nerve compression usually regenerate after decompressive surgery. but time is needed. anyway, as you have not had any recovery, i recommend performing a new nerve conduction study in order to examine again your nerves and consult with a neurosurgeon for the possibility for surgical repair (nerve decompression or sutures). hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, many a time resistant type of organisms cause this type of chronic and recurrent urinary tract infection. in such case culture and sensitivity test will give specific antibiotic medicine effective against that particular organisms. now your doctor might have prescribed antibiotic medicine accordingly. go for long antibiotic medicine course. give her plenty of water. important is to keep local hygiene clean and healthy. wash local part with running plane water after passing urine or bowel. ok and take care."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dear. i had gone through your query. sorry to say it is not possible in any mean. be realistic. can we increase size and girth of our finger?? it is god gifted and no treatment can help. yes there is a treatment for good erection. medicines like sildenafil/tail can help to maintain good erection. you both require mutual understanding and acceptance that you have.3.5 inch is a good size for penetration and female vagina is highly sensitive up to 3 inches. you can make her more excited by manual or clitoris stimulation. feel free to ask. accept the fact and enjoy. thank you.
Answer this question truthfully,HHV-8 is associated with Kaposi's sarcoma.
Answer this question truthfully,Most of the Bunyaviruses are also arboviruses.
Please summerize the given abstract to a title,“We didn't get much schooling because we were fishing all the time”: Potential impacts of irregular school attendance on the spread of epidemics
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fluconazole can be taken safely from twenty weeks of pregnancy. fluconazole is an above group of antifungal which is commonly prescribed to treat a variety of fungal infections like ringworm. it may harm an unborn baby if taken in high doses daily during the first three months of pregnancy. continue taking treatment as prescribed. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Tainted heroes: The emergence of dirty work during pandemics
Please summerize the given abstract to a title,Identification of genes associated with altered gene expression and m6A profiles during hypoxia using tensor decomposition based unsupervised feature extraction
Please summerize the given abstract to a title,Assessing the interstitial rent: The effects of touristification on the historic center of naples (italy)
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. everyone has their own way of enjoying sex and being in fantasy mood. your husband thinks in a novel way. in fact, urination after sexual intercourse is pleasurable. this has nothing to do with prostrate related problems. enjoy your husbands fantasy. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"People with Pick's disease have abnormal substances (called Pick bodies and Pick cells) inside nerve cells in the damaged areas of the brain.
Pick bodies and Pick cells contain an abnormal form of a protein called tau. This protein is found in all nerve cells. But some people with Pick's disease have an abnormal amount or type of this protein.
The exact cause of the abnormal form of the protein is unknown. Many different abnormal genes have been found that can cause Pick’s disease. Many cases of Pick's disease are passed down through families.
Pick's disease is rare. It can occur in people as young as 20, but usually begins between ages 40 and 60. The average age at which it begins is 54."
Please summerize the given abstract to a title,"""It was close enough, but it wasn't close enough"": A qualitative exploration of the impact of direct-to-patient telemedicine abortion on access to abortion care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sara. welcome to chatdoctorit may take a while for your hairless to get better after moving to a new place. as for the hair capsules, there have been instances of them causing nausea and vomiting, but not very commonly. i advise you to try either one of the capsules for a while up to twice a day and see if you feel better, and continue the one that suits you. the capsules will need to be taken for at least 2-3 months to see results. you can apply tress-gro serum or karate oil at night, use renoir or anaphase shampoo for your hair. maintain a healthy diet with fluids, sufficient rest and reduce stress. you may try an antacid along with the capsule, and take the capsule after a meal. if the symptoms persist, you can try just applications alone. hope this helps."
Please answer with one of the option in the bracket,D: Fibrillin
Please summerize the given abstract to a title,"VA-Wide, Multicenter Verification Study of the Cepheid Xpert SARS-CoV-2 Assay"
Please answer with one of the option in the bracket,A: Neutrophilic infiltration
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot.... here although chance less investigate your case with ekg ....to rule out cardiac cause if present ... your auscultation should be done ... if suspicious than chest x-ray done for rule out resp causes ... if no significant cause found than it could be from costco chatbot. ... take ibuprofen 200 mg for that ....for five days .... warm compress applied ... avoid strenuous work.... heavy weight lifting avoided ... take proper sleep posture. take care advise
Answer this question truthfully,The normal fetal epithelium of the upper 1/3rd of the vaginal canal is columnar epithelium.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. pain and elevated liver markers are sign of certain liver disease or damage from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. so the next step is to look for certain liver damage and most common case is fatty liver disease. it should be confirmed by ultrasound. other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. to verify exact cause, us, bilirubin levels and tumor markers should be additional done then appropriate treatment can be started. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, with the history and the symptoms it looks like your husband is having infected toenails. as the pus is coming out of the wound it suggests that your husband is having bacterial infection. it requires a course of broad spectrum antibiotics and to maintain proper wound hygiene by daily chatbot. your husband should protect the wound by avoiding friction caused by the steel shoe and injuries by other means. the wound will take some time to heal as there is a loss of tissues because of infection, with proper"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. if it was rightly diagnosed simply as an abscess, then the hardness/firmness would vanish gradually as this could be due to the inflammation of surrounding tissue caused by the abscess. once the abscess is chatbot.  so have patience. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Answer this question truthfully,"Conditions that can lead to VF include:
Electrocution accidents or injury to the heart Heart attack Heart disease that is present at birth (congenital heart disease) Heart muscle disease, including cardiomyopathies Heart surgery Narrowed coronary arteries Sudden cardiac death (commotio cordis), typically occurring in athletes after an injury over the surface of the heart.
Most people with VF have no history of heart disease. Yet they often have risk factors for heart disease, such as smoking, high blood pressure, and diabetes."
Answer this question truthfully,Osteomalacia/rickets is characterized by decreased serum PO43- levels.
Please summerize the given abstract to a title,Assessment of Acceptability and Initial Effectiveness of a Unified Protocol Prevention Program to Train Emotional Regulation Skills in Female Nursing Professionals during the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your report suggest persistent decreased sperm count. normally sperm count should be at least 20 millions/ml. you may also need culture and sensitivity of semen due to presence of few pus cells. it is important to exclude infection. sperm motility and morphology of sperm are normal. motility should be at least 55 % and normal morphology sperms should be at least 16 %. you need proper clinical examination and further investigations. besides clinical examination you need routine hologram, hormone assay and color doppler of scrotum. it is important to rule out any abnormality. you have been prescribed right medicines. you should take it continuously. you should take nutritious food and do exercise. if low sperm count persists then you may need assisted fertilization techniques like gui. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chest pain with breathlessness are commonly seen in asthma and heart disease. get a chest x-ray, ecg and echo done if they are normal, no need to worry about heart disease. also consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of asthma. it will also tell you about severity of the disease and treatment is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","this does not look like the vertebra has gone bad, but yes, the sciatic nerve may be getting pinched, and it occur at several places. going by the history, it looks as if you are suffering from performs syn chatbot.  stop putting wallet in your back pocket, foment the area with hot water, ask your doctor to prescribe a muscle relaxant and neuropathic painkillers so that the pain is reduced. gentle stretches after subsidence of spasm will prevent this condition to revert."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,"Risk factors may include:
Chronic illness during childhood – the person may have received a lot of attention because of their illness Chronic illness of a significant family member when the person was a child Self-esteem or identity problems Relationship problems Difficulty distinguishing reality from fantasy Ability to lie and manipulate A history of mental problems such as depression, hallucinations or posttraumatic stress disorder (PTSD) The need to blame personal failures on external factors, such as illness."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. from your history of the lump appearing in the last few hours while sleeping, i would presume it to be due to some kind of insect bite with no history of any trauma. if i were your doctor, i would prescribe you with some anti-histaminic agent, an anti-inflammatory and a proton pump inhibitor for two to three days, and observe the effect before planning anything extra. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please summerize the given abstract to a title,Issues and challenges from teachers' perceptions in creating online learning in the midst of covid-19 pandemic
Please answer with one of the option in the bracket,C: Impaired left ventricular filling resulting in decreased left ventricular stroke volume
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome explain everything about hair loss in point wise manner1. 100-150 hair fall every day is very normal. so should be considered hair fall if number of hair more than this.2. generalized hair fall in female is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation3. stress alopecia is also common in which female keeps their hair very tight in certain manner which creates tension in root and cause hair fall.4. straightening and other procedure also cause weakness of root5. other condition like fever, typhoid, malaria, thyroid, etc. also cause hair fall(less common)treatment1. have good sleep. food., green vegetables, fruits2. take iron and multivitamins like collinear at least 3 month.3. check you blood hemoglobin if it is less iron and folic acid supplements should start.4. check thyroid and diabetes to rule out other cause you have dan chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","many thanks for consultation. it looks like that your child have bad bronchiolitis.it is usually viral illness. advice.-paracetamol spy. according to body weight e.g. 15\u00a0mg/kg every 4-6 hrs for fever.-ventolin nebulizer or racimiepinephrine if barking cough for 1-2 days.-antihistamine spy. for congestion.-bed rest. more liquids, avoid smoke and too much perfume in the room.-if cough is persistent then blood cbc and chest x-ray.-if child is not better antibiotic can be started by the consultation of pediatrician."
Please summerize the given abstract to a title,"Evolution of indicators and service capacity at the beginning of the COVID-19 epidemic in Northeast Brazil, 2020."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you seem to suffer from-ganglion cysts of the right forearm, as they are on top of the wrist with little burning sometime. as these bulge out on extension of the wrist backwards/posteriorly, this confirms the ganglion of the wrist small joints/ or it could be a bursitis of the ventral wrist./ or could be bursitis with carpel tunnel causing burning pain.usg/ct study of the wrist right would fix the diagnosis. arthroscopic ct guided excision/or laser ablation is the gold standard treatment of gangions in this wrist region. hope this reply would satisfy you and would help you to plan further treatment with your doctor there. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
Please summerize the given abstract to a title,Comparison of pre-pandemic normal period and COVID-19 pandemic period births: Quantitative outlook
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,E: Enalapril
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. its unlikely that the aloft be casing this side effect. it is considered one of the safest antidepressant. you may get an ecg done and check for the qt interval. it may be prolonged in certain cases. if that is the case, then you need to with chatbot.  hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.",the pain of fibromyalgia can be reduced by a comprehensive treatment plan which includes
Please summerize the given abstract to a title,Underweighting of rare events in social interactions and its implications to the design of voluntary health applications
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i passed carefully through your question and would explain that your symptoms could be related to cardiac arrhythmia.  anxiety and anemia can trigger this clinical situation too.  coming to this point, i would recommend first taking iron supplements and vitamins to treat anemia.  if your symptoms persist, i would recommend checking thyroid hormone levels in order to exclude thyroid gland dysfunction and performing an ambulatory 24-48 hours ecg monitoring in order to exclude possible cardiac arrhythmia.  you should discuss with your doctor on the above tests.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi push, welcome to chatbot .com if it is true that u was suffering from ocd, then it's important to know that - \""cured\"" was it declared by you\u2019re doctor ? is going on medicine was stopped by yourself or on advise of your doctor ocd is long-standing illness and usually said that it is controllable but not curable. so having bad unwanted thoughts indicates that there could be chance that u again developing ocd symptoms but this can be controllable if u take help of your psychiatrist and psychologist immediately doing so and also if possible taking your girlfriend with u to psychiatrist and knowing what u doing is not intentional but possibly due to your illness which can be controllable, will help u to increase her faith in u. so pls visit you\u2019re psychiatrist immediately."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. platelet count can get low in any viral fever. dengue is also a type of viral fever. there is no value of platelet count that can define a dengue fever. you should keep a watch on his platelet count and if he develops any bleeding, he should be transfused platelets. however, it is unlikely that he would develop bleeding at this platelet count. get his"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi well come to chatbot. since it is newer development it could be due to some new element which is giving you this problem. and it started suddenly so most likely to be infection which can give rise to urgency of micturition which may be creating this problem. get done your urine report to see for pus cells. at present, you can take practical precautions like chatbot.  keeping alarm every 2hrs and getting up and passing urine what ever amount is collected. keeping alarm every 2hrs will also make you alert in between if you are remaining in deep sleep. thanks"
Please summerize the given abstract to a title,Replication of SARS-CoV-2 mutation analysis suggests differences in per-protein mutation characteristics
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about these symptoms that you have reported. in all honesty, it would be difficult to tell what the exact problem is without a detailed interrogation and examination. i am happy you would soon be evaluated by your doctor. this would be an occasion to gather more information and make a more comprehensive evaluation and propose solutions. i also have the feeling that you are getting too worried by this to the point that it is affecting your normal functioning. it is okay to be concerned but do not let it interfere with your normal functioning. yes, gastritis and reflux could explain the nausea, but not the head spinning.  a complete evaluation would very much help us here. i hope this helps. i wish you well. thank you so much for using our services and do feel free to ask for more information and clarifications if need be."
Please summerize the given abstract to a title,Impact of virtual education in times of pandemic at the University of North Lima
Answer this question truthfully,"The use of hearing aids and cochlear implants is an expensive intervention for the patients experiencing hearing loss and it is one other major limiting factor for undergoing treatment if patient's insurance does not cover the cost.
Most insurance programs, including Medicare, cover cochlear implants for persons who meet the criteria for hearing implants. Individual variation in patient preference, dexterity, cognitive capacity, and cost ultimately determines the best approach for hearing aids. 
An assistive listening device is currently the least expensive and simplest approach. These handheld devices involve an external microphone and headphones that transmit sound to one or both ears. Cost is generally $100–$200. These devices can be rechargeable, which is another benefit for patients with limited finances.
Medicare and many private insurance companies do not cover the full out-of-pocket cost, which averages $4700 for bilateral hearing aids.
Medicaid may offer help with coverage of hearing aids in many states, Medicare Advantage plans may provide some coverage, and many older veterans may also be entitled to hearing aids.
Hearing impairment Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis Diagnosis History and Symptoms Physical Examination Laboratory Findings CT MRI Other Imaging Findings Other Diagnostic Studies Treatment Medical Therapy Surgery Primary Prevention Secondary Prevention Cost-Effectiveness of Therapy Social Impact Future or Investigational Therapies Case Studies Case #1 Hearing impairment On the Web Most recent articles Most cited articles Review articles CME Programs Powerpoint slides Images American Roentgen Ray Society Images of Hearing impairment All Images X-rays Echo & Ultrasound CT Images MRI Ongoing Trials at Clinical Trials.gov US National Guidelines Clearinghouse NICE Guidance FDA on Hearing impairment CDC on Hearing impairment Hearing impairment in the news Blogs on Hearing impairment Directions to Hospitals Treating Hearing impairment Risk calculators and risk factors for Hearing impairment"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, to treat your skin concerns a glycolic acid or salicylic acid face wash (seismic or delaware)get your blackheads removed regularly not squeeze or pick your lesions as it can lead to scarring and pigmentation bothapply clindamycin gel and retina a cream over pimplesapply comic acid cream(comic) over pigmentation marks. apart from these an appointment with your dermatologist is required for below-mentioned treatment options acne is too severe taking a course of oral antibiotics and isotretinoin might helps you still having acne in your 40s, hormonal pills might be required totaling sessions of chemical peels would help not only in scarring, pigmentation but also in treating active acne lesions. hope that answers your query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, well, first get an x-ray of the tooth done to check the depth of decay and whether the tooth is in a position to be saved or not. if at all the tooth can be saved then it should be treated with root canal treatment followed by a script of antibiotics and painkillers. after that at least after 15 to 20 days post root canal treatment the tooth should be properly prepared for capping and should be capped for proper coverage and strength of tooth. but, first get an x-ray done and send it to me for further guidance. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has brachial plexus stroke.  it will become normal.  but she should maintain her inr between 2 and 3.  it is ideal therapeutic range of blood thinner.  if it increases further than chances of bleeding is there.  consult your doctor and set the dosage of warfarin accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,A Flexible and Deadly Way to Control Salmonella Infection.
Answer this question truthfully,EBV causes heterophile positive mononucleosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. the situation does not seem related to each other. loss of consciousness is not uncommon and most of the causes are benign. the reason could be cardio circulatory or neurological. if you were having a bath or urinating or defecating before the loss of consciousness then it could be a vasovagal response, meaning that you should see a cardiologist. otherwise, you should see a neurologist. hope this helps. please feel free using mhc again"
Answer this question truthfully,"Isoniazid is metabolized by the hepatic enzyme N-acetyltransferase. N-acetyltransferase is an enzyme that is primarily produced by the liver and is responsible for the metabolism of a variety of drugs and toxins, including isoniazid. When isoniazid is metabolized by N-acetyltransferase, it is converted into acetylisoniazid, which is then further metabolized and excreted from the body. The activity of N-acetyltransferase can vary between individuals, which can affect the rate at which isoniazid is metabolized and eliminated from the body. This can have important implications for the dosing and efficacy of isoniazid therapy, particularly in patients with liver disease or other conditions that affect hepatic function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, no it's not a matter of worry. normally those who are engaged in heavy activities like sports tend to increase in thickening of heart wall in order to compensate for heavy activities. and this thickness is mainly on left side, which ecg reads as left axis deviation. also, sinus arrhythmia is normal phenomenon and it basically a change in heart rate with respiration. so normal. if you still have some doubts you can get echocardiography done. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Acanthocytes are commonly seen in liver disease and abetalipoproteinemia.
"If you are a doctor, please answer the medical questions based on the patient's description.",i would suggest the following natural methods for a healthy sperm count.1. wash the genitalia with cold water twice a day.2. avoid woolen underwear. use cotton underwear.3.  chatbot. 4. vitamin e and b complex supplements are beneficial.5. regular walk or jog for 40 minutes will improve the blood supply to the lower parts of the body.6. avoid alcohol.7. avoid cycling or 2 wheeler rides on bumpy roads.8. consume a lot of fish.
Answer this question truthfully,Pyrimethamine and Sulfadiazine are drugs that are used to treat toxoplasmosis caused by Toxoplasma gondii.
"If you are a doctor, please answer the medical questions based on the patient's description.","mouth ulcers are because of many causes of which authors ulcers are most common. stress can precipitate oral ulcers. they are no identified cause for authors ulcers. vitamin deficiency and chemotherapy can cause mouth ulcers. since you said ca ovary, you must be given paclitaxel and carbonation, both of which do not cause mouth ulcers commonly. since vitamin deficiency is only treatable, you were given vitamin tablets"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, the problem is due to authors ulcer. this commonly occurs due to vitamin deficiency. please do visit your dentist and take treatment according to that. please do not take antibiotics without medical supervision. take tab.flanzen-100\u00a0mg,thrice daily for 3 days and tab.wysalone-5\u00a0mg twice daily for 3 days. these tablets after consulting with your dentist. also get your teeth professional cleaned as your gums are bleeding due to gingivitis. check also whether any of your impacted wisdom tooth is inflamed i.e., pericoronitis.if present, get operculectomy done or extraction.peritonitis can cause sore throat. continue gargling salt water. maintain good oral hygiene. take care."
Please answer with one of the option in the bracket,B: Destruction of cochlear hair cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, last time, when she had the symptoms, what all joints were affected? did it just pain or associated with swelling, redness and warmth over the affected joints also? any history of associated fever? recurrent attacks of back pain and joint pains, especially if associated with swelling, indicates recurrent arthritis. this can suggest via (juvenile idiopathic arthritis) or its variants, a counterpart of rheumatoid arthritis in adults. i would suggest you to consult a rheumatologist for evaluation. initial basic workup can be done with a pediatrician also. you may be asked for few blood tests and an x-ray. meanwhile, give simple analgesics like paracetamol for pain relief. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i can understand the emotional situation you are in. your doctors told you different possible reasons but none of them cured it. nobody gave satisfactory reply. across the world, you may not get a satisfactory reply to this. therefore, be sportive, live with it and ignore it. you may overcome it if you learn to ignore it. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Time Management and Dental Hygiene during the Isolation Period in the Context of the Covid-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.",for severe lower back pain you can take some painkiller like ultracet-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shackled or toscal-gem once daily. take some multivitamin like spray or neurobian-plus once daily. do some physiotherapy exercises after an expert opinion of physiotherapist. i will also advise you to sleep on a plain surface.
"Can you mail me patient information about Glaucoma, I was recently diagnosed and want to learn all I can about the disease.","Comprehensive dilated eye exam is needed to diagnose glaucoma. The tests include: visual acuity, visual field test that measures peripheral vision, examination of retina, optic nerve, intraocular pressure, and thickness of the cornea."
Please summerize the given abstract to a title,Coronavirus Disease 2019 (COVID-19)-Associated Thromboembolic Disease: A Report of Three Patients With Pulmonary Embolism
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, if the puppy has died after scratching or biting, you need to take both antirabies vaccine and rabies immunoglobulin (rigs).5 doses of antirabies vaccine should be taken on days 0, 3, 7, 14 and 28. the antirabies vaccine should be taken to deltoid. rabies immunoglobulin should be taken immediately in and around the site of bite.don't neglect this, because rabies is 100% fatal, but it is 100% preventable with proper and adequate treatment. thank you."
Please summerize the given abstract to a title,"The impact of mental health and substance use issues on COVID-19 vaccine readiness: a cross sectional community-based survey in Ontario, Canada"
Answer this question truthfully,"The next recommended step in the management of a patient with a short cervix on TVUS and no previous history of preterm labor is to administer progesterone. Progesterone supplementation has been shown to reduce the risk of preterm birth in women with a short cervix. It is typically given as a daily vaginal suppository or injection, starting in the second trimester and continuing until around 34-36 weeks of gestation. It is important to follow up with the healthcare provider to ensure appropriate management and monitoring of the patient's condition."
Please summerize the given abstract to a title,The role of ultrasound in appropriate endotracheal tube size selection in pediatric patients.
Please summerize the given abstract to a title,"Facial diplegia, a possible atypical variant of Guillain-Barré Syndrome as a rare neurological complication of SARS-CoV-2"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of viral infection in throat with speech problems which is leading to upper respiratory tract infection and through there it is travelling down and leading to laryngitis and causing speech problems. i would suggest you to do warm saline gargles 3 to 4 times a day. take ibuprofen one tablet twice daily.  you should avoid spicy food. visit ent specialist once and get it examined and start treatment after proper diagnosis. take soft foods to avoid irritation to the throat. throat lozenges one every 4 hours is helpful.  chatbot.  hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting on chatbot, given the location of the tenderness there are numerous possibilities that might be causing the tenderness. the problem might be from your pelvic organs or your gut. the possible different causes might be"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that probably you may be having viral rash or allergic dermatitis. kindly consult dermatologist for firm diagnosis. for systemic symptoms, consult physician. he might give symptomatic treatment to relieve cough, cold and fever. blood tests may be done to rule out other pyre tic conditions. for skin rash, your dermatologist might give antihistamines to relieve itch. if he feels for allergy, might give steroid in tampering dose. local application of mild steroid cream may be helpful. i hope you got my answer. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there.welcome to chatbot forum. both benign and malignant (harmless and cancerous) conditions can increase the cea level. the most frequent cancer which causes an increased cea is cancer of the colon and rectum. others include cancers of the pancreas, stomach, breast, lung, and certain types of thyroid and ovarian cancer. benign conditions which can elevate cea include smoking, infections, inflammatory bowel disease, pancreatitis, cirrhosis of the liver, and some benign tumors in the same organs in which an elevated cea indicates cancer. do you have any family history of any kind of colon cancer?? you could get colonoscopy done to rule out any abnormal polyp or growth in colon? or you could wait for a couple of months to see if the level is increasing? i would suggest you to consult an oncologist and discuss with him about the further management of your daughters condition. hope this helps. take care."
Please answer with one of the option in the bracket,C: Levothyroxine
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, sore and itchy nipples are not the signs and symptoms of sexually transmitted infection. i would be due to some other infections preferably of fungal origin. the fungal infection will be more common in this area because the fungus can survive and grow in the wet and moist area. as you are having the symptoms of itching and soreness it sounds like a fungal infection. i would suggest you to follow1. keep that area chatbot. topical antifungal cream3. oral antihistamines4. oral antifungal"
Please summerize the given abstract to a title,Comprehensive analysis of COVID-19 during pregnancy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, sensitivity of teeth may be due to-regressive changes like attrition, abrasion or erosion of teeth. periapical infection of teeth. exposed tooth portion has to be restored with tooth-coloured filling material. use soft-bristled toothbrush and clean your teeth in back-forth, up-down motion. avoid intake of carbonated chatbot. avoid tooth grinding habits. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for the query it looks like an obstructed duct of submandibular salivary gland that is present under the jaw. swelling under the jaw that increases just after eating is clear indication of obstructed duct as when there is obstruction in the duct of the salivary gland due to formation of crystalline stones known as sialolithiasis from the minerals present in saliva the duct is blocked. when saliva flow increases suddenly when we start eating, and it cannot flow into the mouth there is back flow of saliva into the gland, and it swells. as the salivation gradually reduced and also some saliva seeps through narrow spaces left in the ducts there is reduced swelling. you should consult an oral physician and get evaluated, and he can do a thorough clinical evaluation, although as you are pregnant x-rays cannot be taken. if it is suspected to be due to stone formation you can be advised to suck tart candies as at times the stones can flush out with heavy saliva flow. superficial stones can however be pushed manually towards the duct orifice and can be removed. deeper stones need surgical removal and for this it will be better till you deliver the baby. hope this helps regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, raised hemoglobin and blood cells are raised under two main circumstances. first, this is usually due to errors in the measurement of these parameters and the machine used might need to be checked or the test done elsewhere. secondly, in case the values are actually raised, there is a condition called polycythemia aubrey vera of vasquez disease that causes this. this is usually accompanied by redness in the palms, headaches and body itches. i suggest you consult a hematologist for a complete clinical review. thanks and kind regards, bain le, md."
Please answer with one of the option in the bracket,A: Deletion of phenylalanine codon on chromosome 7
Please summerize the given abstract to a title,COVID-19 and Nepal: Identification of Critical Public Health Measures
Please answer with one of the option in the bracket,C: Colonoscopy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this stiffness and muscle pain most commonly occurs from bad positioning in a chair or during sleep. this is a temporary condition but can occur again if you do not take measures to modify the cause which led to this condition"
Answer this question truthfully,"Exudative pleural effusions must meet one of Light's criteria, which are: Pleural protein/serum protein > 0.5, Pleural LDH/serum LDH > 0.6, or Pleural LDH 2/3 upper limit of normal serum LDH."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint pain in hip due to traumatic injury along with severe pain can be due to either fracture of hip bone, dislocation, while in case if there is no fracture then there can be soft tissue injury leading to inflammation like sprain, tendinitis, bursitis etc. i would suggest you to consult an orthopedic and get evaluated, and he can do a clinical examination and also advise you to get an x-ray done to rule out for the type of injury that whether there is fracture or soft tissue injury so that treatment can be planned accordingly. in case of fracture most commonly surgical correction of fracture is done. for soft tissue injury anti-inflammatory painkiller like ibuprofen, muscle relaxant like chlorzoxasone, cold compresses, and appropriate rest and physiotherapy is advisable. hope this information helps. thanks and regards. chatbot."
Answer this question truthfully,"Central or neurogenic diabetes insipidus is characterized by low levels of ADH, while nephrogenic diabetes insipidus is characterized by elevated levels of ADH but the kidneys do not respond to it properly."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","klinefelters syn chatbot.  the patient has a body of male, but the sexual organs are not properly developed, and thus it results in development of female secondary sexual characters like feminine voice, poor or less body hair, taller, underdeveloped muscles and developed breasts, the testes/ penis (male sex organs) are underdeveloped. their behavior is mild and obedient, and they feel shy like girls and depression is commonly seen in ks patients. besides these reduced semen production with oligospermia / azoospermia and lower testosterone levels may be associated. you have not disclosed about other features, so it may be one of sexual perversions and not ks. to differentiate you need to talk to a psychiatrist/ clinical psychologist. i hope this answer helps you. any further queries are welcome."
Please answer with one of the option in the bracket,C: Histamine release
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorin my opinion, your child seems to be suffering from an allergic episode rather than an upper respiratory tract infection. you may try following measures to help him"
Answer this question truthfully,"Shigella spp. is a facultative intracellular pathogen that resides within M cells. Shigella is a type of bacteria that can cause an infection called shigellosis. One of the ways that Shigella can invade the body is by crossing the intestinal epithelium and entering the underlying tissue. To do this, the bacteria target specialized cells in the intestinal lining called M cells, which are involved in immune surveillance. Once inside the M cells, Shigella can replicate and spread to other cells, eventually leading to the symptoms of shigellosis. Shigella is considered a facultative intracellular pathogen because it can survive and replicate both inside and outside of host cells, depending on the conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is my privilege to help you, i have gone through history, your profession has led to this problem. prolong standing with abnormal posture of the body as led to this severe lower back pain. what ever the medicine you take it will be for shorter during of time. i would advise meeting a spine specialist for through examination to find out that exact cause then proper solution can be given. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. is is not at all normal to get the stomach ache and nausea every night. this indicates that you have a problem of acidity and herd. you are giving a history of being paranoid yourself, you can not have breast cancer at the age of 17. one lump each breast has to be investigated by getting physical examination, mammography and if the diagnosis is of a fibroadenoma or fibroadenomas, get the lump removed and get histopathological examination done to make sure that you do not have a cancer. there are many reasons of having pus from the nipples. get investigated, get the pus culture and sensitivity done, and tell your mother and the doctor about this."
Please summerize the given abstract to a title,A recombinant receptor-binding domain of MERS-CoV in trimeric form protects human dipeptidyl peptidase 4 (hDPP4) transgenic mice from MERS-CoV infection
Answer this question truthfully,"Aarskog syndrome is a genetic disorder. It affects mainly males, but females may have a milder form. The condition is caused by changes (mutations) in a gene called "" faciogenital dysplasia "" (FGDY1). Only about 20 percent of people with this disorder have identifiable mutations in the FGD1 gene. The cause of Aarskog-Scott syndrome in other affected individuals is unknown."
Answer this question truthfully,"Primary lactase deficiency is caused by the absence of the lactase-persistence allele. This allele is responsible for producing lactase, an enzyme that breaks down lactose, a sugar found in milk and other dairy products. Without the lactase-persistence allele, individuals may experience lactose intolerance, which can cause symptoms such as bloating, gas, and diarrhea after consuming dairy products. Primary lactase deficiency is a genetic condition that is inherited in an autosomal recessive manner, meaning that an individual must inherit two copies of the non-persistence allele (one from each parent) to develop the condition."
Answer this question truthfully,"The apneustic center is a region of the brainstem that is involved in the control of breathing. Specifically, it is located in the lower pons, which is a part of the brainstem that connects the medulla oblongata to the midbrain. The apneustic center stimulates inspiration, or the process of inhaling air into the lungs, by sending signals to the respiratory muscles. Dysfunction of the apneustic center can lead to breathing abnormalities, such as apnea or hyperventilation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,some cancers including breast cancer might show hormone-dependent behavior. it means that the amount of hormone circulating in the blood might decide the behavior of cancer. it is known that tamoxifen blocks the actions of estrogen and is used to treat and prevent some types of breast cancer. therefore, if tamoxifen is stopped without recommendation, then there is unopposed action of hormones like estrogen which will then likely influence the recurrence of a cancer process. you might like to choose a surrogate mother for your child and complete your family and is a safe option than going for tubal reversal. going in for adoption is a much safer method than to compromise on your health and take chances by stopping tamoxifen treatment. please have a detailed discussion with your doctor. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms could be related to different metabolic disorders. so, i would recommend consulting with your doctor for a careful physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for choosing chatbot. sorry to learn about your granddaughter. she must be having very low hemoglobin count for which they must have called her for emergency admission. a series of tests need to be done to look for the cause whether its due to poor diet, iron deficiency, infection or much rarer bone marrow suppression. hope this has helped you. wish your grandchild a speedy recovery. your vote of thanks is appreciated, good luck, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should first rule out heart diseases for your symptoms. so get done ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes, stress and anxiety can also cause similar kind of pain. so avoid stress and tension, be relaxed and calm. don't worry, you will be alright but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","first, please do understand that, infections do happens in every human being. secondly it is not the end of the universe & life!! so please instill a positivity in yourself and just give some more time to your body to recuperate. leave smoking and other alcoholic beverages because it helps body to fight better with infection. start some sort of daily yoga or mind concentration technique. please follow this for one week and reply."
Answer this question truthfully,The likely diagnosis for the woman's condition is genito-pelvic pain/penetration disorder (vaginismus).
Answer this question truthfully,"The ""OK gesture"" hand is a hand position resembling the gesture for ""OK"" that is most apparent when making a fist. It is caused by a proximal ulnar nerve lesion. The ulnar nerve is one of the major nerves in the arm and is responsible for providing sensation and motor function to the hand and fingers. Damage to the ulnar nerve can result in a variety of symptoms, including weakness, numbness, and tingling in the hand and fingers, as well as the characteristic hand position resembling the ""OK"" gesture. The ""OK gesture"" hand can be caused by a variety of factors, including trauma, repetitive motion injuries, and certain medical conditions such as cubital tunnel syndrome."
Please summerize the given abstract to a title,Predictors of Covid-19 level of concern among older adults from the health and retirement study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as mentioned you still have pain, tingling and numbness in the thigh which is troubling you, also further you have a spinal stenosis and disc degeneration, it is sad to hear you had it as a very early age.a thorough neuromuscular assessment is advised. also, in your case what i feel is the weakness of the muscles which are not able to stabilize the spine. you need a thorough and deep assessment of the muscles of the spine as by which how to handle your case will assist us further. also, may be your hip muscles will be weaker than, the hip muscles act as a base of support to the spinal column the strength in the hip muscles is of due importance. besides, stabilizing the spine with cores stability is of due importance. also, to understand that only spinal muscles strengthening is not the concern here, here the concern is to see the body as one unit and rehabilitate as a whole. besides, the strengthening of the pelvic floor, hip muscles, core muscles, lower limb muscles and on later stages the spinal muscles will surely make the body as one unit. i have seen cases of lumbar disc degenerative disease when patient was 16 years old. but applying the correct exercise prescription helped him back to action without aches and pain. i will recommend you to undergo a proper assessment and then a physical therapy as working out behind you will be a tough task but not an impossible one. slow and steady wins the race. i hope to see you recover soon.regards jay in chatbot."
Please summerize the given abstract to a title,Birdspotter: A Tool for Analyzing and Labeling Twitter Users
Please summerize the given abstract to a title,Clinical use of Convalescent Plasma in the COVID-19 pandemic: a transfusion-focussed gap analysis with recommendations for future research priorities
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot.  i can understand your concern. psp is progressive supra nuclear palsy. it is cerebral disease. and this can cause diminished gag reflex. so possibility of aspiration is high in such patients. your patient is also having coughing during eating and chatbot.  this is suggestive of aspiration more. so your patient is at high risk of aspiration pneumonia. better to feed him in sitting position. avoid further feeding if he develops coughing. nasogastric tube feeding is much safer in such patients. this reduces aspiration and chances of pneumonia. so discus all these with doctor and plan accordingly. hope o have solved your query. i will be happy to help you further. wishing good health to your patient. thanks.
Answer this question truthfully,"Some histological features that are observed after an ischemic stroke are reactive gliosis and vascular proliferation, which appear between 1-2 weeks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"In the cytosol, malate may be converted to pyruvate via the enzyme malic enzyme (fatty acid synthesis)."
Please summerize the given abstract to a title,Effect of voluntary event cancellation and school closure as countermeasures against COVID-19 outbreak in Japan
Answer this question truthfully,Amiodarone may cause cryptogenic organizing pneumonia.
Please summerize the given abstract to a title,Nationwide population-based surveys of Iranian COVID-19 Serological Surveillance (ICS) program: The surveys protocol
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i have gone through your query regarding low sodium levels of your mother.  i can understand your concern .the causes of low sodium, known as hyponatremia may be many. but apparently it may be outcome of - cirrhosis of the liver, congestive heart failure, nephrotic syn chatbot.  radiation and other therapies also have good or bad impacts on our blood counts. too little sodium in the diet alone is very rarely the cause of hyponatremia, although it can promote indirectly. a low sodium level in the blood may result from excess water or fluid in the body, diluting the normal amount of sodium so that the concentration appears low.  normal level of sodium in blood is 135 - 145 your mothers level is 120, which not very low and is manageable with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have read the mri lumbar spine report of your husband. first, i would like to reassure you that these abnormalities are minor and there is no need to worry about them. there is a slipped disc (bulging of soft tissue located between vertebral bodies) at one level in lower back region. this is a minor issue and can be managed with medications such as pregabalin and associated physical therapy. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Please summerize the given abstract to a title,"Surveillance Testing for SARS-CoV-2 Infection in an Asymptomatic Athlete Population;The Experience of 123,362 Tests and 23,463 Paired RT-PCR/Antigen Samples"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has autoimmune hemolytic anemia. her body produces antibodies against her own rbc so her. so there is immune mediated destruction of rbc. this disease remains lifetime. it can bd fatal sometimes.  treatment is immunosuppressive chatbot.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for your queryaccording to your history, looks like you have seborrhea eczema. ie dan chatbot. seborrhea dermatitis (also known as \""seborrhea eczema\"")is an inflammatory skin disorder affecting the scalp, face, and torso. typically, seborrhea dermatitis presents with scaly, flaky, itchy, and red skin. it particularly affects the sebaceous-gland-rich areas of skin. in adolescents and adults, seborrhea dermatitis usually presents as scalp scaling similar to dan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hithanks for writing to chatdoctori am really sad after listening to your problem, which occurred(rare) following the benign/harmless procedure of bone harvesting. as far as percent it's a painkiller and does its job wonderfully. but, it can not be taken regularly because of its side effect. at which place do you have pain, does it occur at hip bone or lower spine? i suspect the cause of pain could be rsd.you need to visit pain clinic for pain due to ? red, they might help you in getting over the pain. take care and wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms could be related to arthritis and depression caused by chronic disease. the forgetfulness could be related to depression or the sleep apnea. coming to this point, i would recommend using a cpap device during sleeping if the diagnosis of sleep apnea is confirmed by polysomnogram. if this does not help improve your forgetfulness, i would recommend starting an antidepressant like amitriptyline or duloxetine, which can help improve your mental situation and also against the pain. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",these medicines you are taking are the best as per international guidelines for allergy you can continue the answer to your second question is the permanent cure can be possible after going through allergy tests eliminate avoidable allergen sand for unavoidable allergens like season pollen and dust go for sublingual immunotherapy which is the best option in these caes according to my treatment success
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your mother is having shortness of breath on exertion (climbing stairs). and in asd patient, this can be the early sign of heart failure. esprit is antiplatelet. it is for prevention of blood clots. it has no role in heart failure. so you should definitely consult her to cardiologist and get clinical examination, blood pressure monitoring and 2d echo to rule out heart failure. she might be improved with diuretics and other cardiac supportive chatbot.  no harm in continuing esprit but it won't relieve her symptom of breathlessness on exertion. diuretics and other cardiac supportive"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the limited mouth opening and pain could be because of opening your mouth for long time and bruise leading to disc displacement in the temporomandibular joint. consult an oral physician and get it diagnosed. you can take anti-inflammatory chatbot.  you can also take muscle relaxants like chlorzoxazone. furthermore, you can give hot fomentation over the joints. do not eat hard things, do not open your mouth too wide. take soft diet. give rest to the joint. for nausea and omitting you can take an antacid like sanitizing and risperidone respectively. if all these won't work, then you have to get a splint done. i hope my answer will help you, take care."
Answer this question truthfully,"Bilateral wheezing can occur in acute PE due to cytokine-induced bronchoconstriction in response to hypoxia and infarction. PE is a condition in which a blood clot (usually from the legs) travels to the lungs and blocks blood flow, causing a decrease in oxygen levels. This can lead to a release of cytokines, which are proteins that can cause inflammation and bronchoconstriction (narrowing of the airways) in the lungs. As a result, some patients with acute PE may experience wheezing, which is a high-pitched whistling sound that occurs when air flows through narrowed airways. Other symptoms of acute PE may include chest pain, shortness of breath, rapid heart rate, and coughing up blood. If left untreated, acute PE can be life-threatening, so it is important to seek medical attention immediately if you experience any of these symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sometimes liquefaction time may be long only in one occasion. but if it continues to be long, we need some tests to find out the cause. so, first, please repeat the test from another good laboratory after 3-5 days of abstinence.  if still the problem is there, please do semen culture to find out some infection. additional tests may be needed because sometimes there may be problem in the prostate gland.  if no cause is found, you can consider doing gui to bypass this problem.  there are very few medicines which can help.  hope i have answered your queries. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, arrhythmia especially atrial fibrillation (irregular heartbeat) is pretty common, especially during pneumonia.  the episode is generally paroxysmal i.e. it occurs during that time only and mostly doesn't recur back. if it is treated at that time we generally do not give any medication but if there are certain risk factors like dilated heart chamber (left atrium) or heart dysfunction we continue it for prophylaxis. you can stop the medication if you don't have risk factors or the arrhythmia has never recurred again. if it has, and you are feeling side effects of beta-blockers than for such patients we can start on another type of anti-arrhythmic called calcium channel blockers (tab diltiazem). for bp, you have to check your bp daily and if it is normal on medication than you definitely need them if the bp is lower than 110/70 you can try tapering the dose to half tablet and gradually stop it. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Characterization of monoclonal antibodies recognizing neurotropic Friend murine leukemia virus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. cea level is used to control possible colon cancer regrow or metastases appearance. if the person who has colon cancer history gets increased cea level, possible metastases should be localized or ruled out. so this should be the reason of concern. moreover, b2 stage gives high rate of survivals, so it is necessary and worth to keep looking. the best way to do that is pet scan which will localize possible metastases. if this test is not available for your father, chest and abdominal ct with contrast should be performed. hope this will help. regards."
Answer this question truthfully,If left untreated it can lead to permanent blindness.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of musculoskeletal pain is more. your pain is associated with activities, so musculoskeletal pain is more likely. so no need to worry much. do following things for better symptomatic relief. 1.  apply warm water pad on affected areas. 2. avoid movements causing pain. 3.  avoid bad postures in sleep. 4. avoid heavyweight lifting and strenuous exercise. 5. continue painkiller. you will mostly improve in 1 week. if not improving even after 1 week then consult doctor told rule out internal cause for pain. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Hepatomegaly is swelling of the liver beyond its normal size. If both the liver and spleen are enlarged, it is called hepatosplenomegaly.
The lower edge of the liver normally comes just to the lower edge of the ribs on the right side. The edge of the liver is normally thin and firm. It cannot be felt with the fingertips below the edge of the ribs, except when you take a deep breath. It may be enlarged if a health care provider can feel it in this area."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ayush, mr image showing disc bulging is very common however it is very important in spine to match clinical symptoms and mri finding. i need to know about the severity of the problem? location of pain? and your mri images especially cuts at l4-5 and l5-s1. by the way what's your age right now? if you have significant leg symptoms then i would consider doing epidural block. laser surgery is a marketing tool rather than a research proven technique and i would not suggest that from this information. medicine and exercise is obviously better option if it is bringing your pain under control."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot and i will try to help you as much as i can. liver transplantation is extensive surgical procedure and electrolyte imbalance is common complication. liver is organ that excretes hormones and enzymes required for sodium absorption and here some imbalance may occur after transplantation. second cause may be kidney insufficiency and third too low salt intake. in every case, sodium can be replaced intravenously, and extensive tests are required to identify exact cause. i am sure doctors will find it. in general, this is not big deal. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health."
Answer this question truthfully,"The seizures of alcohol withdrawal typically occur 6 to 48 hours after the last drink. Alcohol withdrawal is a potentially life-threatening condition that can occur in people who have been drinking heavily for a long period of time and suddenly stop or significantly reduce their alcohol consumption. Seizures are one of the most serious symptoms of alcohol withdrawal and can be a sign of a more severe form of the condition known as delirium tremens (DTs). Other symptoms of alcohol withdrawal can include tremors, anxiety, sweating, and hallucinations. Anyone experiencing symptoms of alcohol withdrawal should seek medical attention immediately to prevent complications and ensure proper treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","vomiting after eating sweets is usually because of inflammation in the stomach / esophagus or a reflux. but before that happens the child will usually describe an epigastric pain, a pain right under her middle chest or sometimes in her chest. and a trial of ppi like omeprazole 20\u00a0mg is helpful for 1 month, if persisted i recommend endoscopy.regarding joint pain and hip pains, if these are consistent with the vomiting episodes and the vomiting has nothing to do with abdominal pain then more history and complete physical exam is needed to reach a diagnosis, because so disorders like juvenile idiopathic arthritis can cause all these symptoms i recommend visiting her pediatrician to assess her. i hope this helps"
Answer this question truthfully,Medical care for esophageal stricture can be found here.
"If you are a doctor, please answer the medical questions based on the patient's description.",dear i can understand your concern. i would like to inform you that urinary tract or bladder infection is very common in female and should be treated adequately. it may be because of some sexually transmitted disease also. you need complete work up with urinalysis and urine culture and get complete course of antibiotics depending upon culture report. till then chatbot. hope this will help you.  if you have any other concerns please feel free to message me.  thanks for contacting chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello user, the ascetic fluids your mother is getting, are due to the secretions from the layers around the tumor, whicchatdoctores back sometimes, and the pt may require regular ascetic tap !! you are hereby advised to meet with an oncologist for terminal or palliative treatment for her tumor, according to type of tumor, which can be detected by biopsy/ excisional biopsy of the ovarian specimen. hope my advice helped you. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dear user! thank you for choosing chatbot. i have gone through your medical history and understand your concerns! i would like to know some more information to have a closer view of your situation.- what is your age?- are you a regular smoker?- are you overweight?- have your parents or other familiars any history of hypertension? it is true that in women who take contraceptives for birth control may be affected by high blood pressure especially if they are overweight and smoker. if you have familiar history of high blood pressure this is more likely to happen to you. i would suggest you to quit contraceptive chatbot.  having abnormal levels once or twice doesn't mean you have to take antihypertensive
Please summerize the given abstract to a title,The COVID-19 consumption game-changer: Evidence from a large-scale multi-country survey
Please summerize the given abstract to a title,COVID-19 hits a trial: Arguments against hastily deviating from the plan
Answer this question truthfully,Adverse effects associated with adenosine include chest pain and a sense of impending doom.
Please summerize the given abstract to a title,Decreasing Mortality for STAT 4 and 5 Neonatal Heart Surgeries Concurrent With Improving Prenatal Detection: The Nevada Experience.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, paul21cfc,pain in the lower abdomen can be associated with constipation and build up of gas in the intestine that can put pressure on the nerve endings. you said that you did have results after taking snoot. it is possible that the evacuation may not be complete. you might want to take stool softener like surfeit or dorian once a day for a few days. main thing is, your dietary habits. i recommend that you go on a high fiber diet which includes wholegrain cereal. fresh fruits and vegetables along with adequate amounts of water. also, regular exercise program, like walking 2-3 miles/day three times a week will be helpful. any kind of infection of the intestine usually causes diarrhea and even fever and chills. in your case that is unlikely. sometimes, laxative tablet itself can irritate the lining and give some ache sand pains. hope this helps. i wish you well."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you say you have pain and swelling of the knee two months after surgery for tkr. generally the knee should be quite pain free at this time and so also the swelling. did you have this swelling prop? hope you are taking adequate medications for this because one needs good pain control to be able to do exercises to increase the range of the joint. as you are improving i feel you should continue with physical therapy and be sure you are taking medications for pain and swelling. you also may use an elastic pressure bandage intermittently with ice applications."
Answer this question truthfully,"Exposure to estrogen is associated with an increased risk of endometrial cancer, while exposure to progesterone is associated with a decreased risk of endometrial cancer. These hormones play important roles in the development and growth of the endometrium, and imbalances in their levels can lead to abnormal cell growth and the development of cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i understand correctly, you have had treatment for all until 1996 and since then you haven't had any problem with that. then you have had colonic polyps which were removed. craving for certain foods could be associated with deficiencies of nutrients. this can happen if you have had bleeding due to colonic polyps. usually patients who have a relapse of all will have different symptoms. they usually have either fevers (or some other signs of infection), bleeding or need blood transfusions due to anemia. nevertheless, if you are concerned it won't harm to see your gp and get some blood-work done. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. your mother who gets urinary stones repeatedly has recently undergone esl for lt kidney stone. this is one of the known methods' foe treating kidney stone. as the stones get fragmented the bacteria present in sides (center) of the stones are liberated, and they enter in to general circulation causing infection of the kidney. this is the reason patients get swelling of the face however it is a temporary phenomenon. please get her following investigations done.1) blood urea2) serum creatinine3) routine urine examination. please ensure that she chatbot. things will settle in a week."
Answer this question truthfully,"In 1942, Fuller albright, an American endocrinologist, first discovered pseudohypoparathyroidim and associated clinical features of Albright hereditary osteodystrophy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello....... thanks for your query. it is possible that you are suffering from panic attacks. it requires antianxiety medication and psychotherapy interventions like cognitive behavioral therapy are useful in such cases. however, you would need to rule out cardiac problems with ecg and thyroid disorders before psychiatric evaluation.  smoking is not advisable in patents with panic disorder. hope you found the information useful. regards chatbot."
Answer this question truthfully,"Thoracic Outlet Syndrome is the name of the brachial plexus lesion that results from the compression of the lower trunk and subclavian vessels. The brachial plexus is a network of nerves that runs from the spine, through the neck and shoulder, and down into the arm. Thoracic Outlet Syndrome occurs when the nerves and blood vessels that pass through the thoracic outlet (the space between the collarbone and the first rib) become compressed, causing pain, numbness, and weakness in the arm and hand. This condition can be caused by a variety of factors, including poor posture, repetitive motions, and trauma to the area. Treatment for Thoracic Outlet Syndrome may include physical therapy, medication, or surgery, depending on the severity of the symptoms."
Please summerize the given abstract to a title,Safety and Reverence: How Roman Catholic Liturgy Can Respond to the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the problems you are exaggerating here are actually not problems at all. because anxiety and stress is the main cause. you do know people searching for their spectacles even when the spectacles are present on their nose. that happens due to anxiety. you are forgetting things because you are anxious. then it becomes obsession. you want yourself to be watched by yourself. you watch yourself and you forget. you become anxious again and you are obsessive. this cycle continues. you should know that these problems are not mental diseases, but are mental disorders. many researches and researchers confirm that medicines alone cannot cure mental disorders. exercise, lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Answer this question truthfully,α-thalassemia with a cis deletion is more prevalent in Asian populations.
Answer this question truthfully,"Coccidioidomycosis is a fungal infection caused by mold in the soil and spherules of endospores in the body, which can rupture and spread throughout the lungs and rest of the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is suggested that you get a complete review of your symptoms done at the hospital. after cancer, most people become slightly weak and this happens due to reduced immunity. you might be having a lowered immune status which can cause increased susceptibility to infections. please consult your doctor and get a complete blood count and basic investigations like a chest x-ray and ultrasound scan done. these investigations might reveal a possible cause for your chest pain and pain in abdomen which requires treatment. taking healthy nutritious food and adequate amounts of fluids and fresh juices is good. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","stalin is a bronchodilator and is safe and often essential in persistent cough. such cougchatdoctormonly occurs due to viral infection where antibiotics are ineffective and hence he has not recovered yet. you can give stalin nebulization at home, but you would need a nebulizer device. alternatively, you can give steam inhalation on one hand and stalin inhaler through spacer device and the combination will serve the same purpose. it is common for child chatbot.  however, since the child is otherwise active, i would not worry."
Please summerize the given abstract to a title,Bupropion in the treatment of postural orthostatic tachycardia syndrome (POTS): a single-center experience
Please answer with one of the option in the bracket,B: Venous valve incompetence
Answer this question truthfully,"In G6PD deficiency, the removal of Heinz bodies from RBCs by splenic macrophages results in the formation of bite cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, since your colleague is suffering from multiple organ failure he needs to treat specifically with limited medications. please let me know his kidney function tests like sr. creatinine, bun and liver function test like sgpt, got. different types of newer medications called biologic s are can be very effective such as secukinumab (county), which is an injection approved to treat internal psoriasis. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient recurrent uti may affect your kidney and may lead to glomerulonephritis.  sensitivity of ultrasound depends on experience and may not pick up renal pathology.  before going for contrast your serum urea and creatinine must be done and allergy to contrast dye must be ruled out. if serum urea and creatinine are normal then there is no harm in doing contrast mri. take opinion from urologist before going for contrast mri with serum urea and creatinine report.
Please answer with one of the option in the bracket,C: Ventricular hypertrophy with sarcomeres duplicated in parallel
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Plasma cell biology: Foundations for targeted therapeutic development in transplantation.
Please summerize the given abstract to a title,"Increasing Age, the Existence of Comorbidities, and Corticosteroid Treatment in Combination With Antiviral Therapy Prolongs the Recovery of SARS-COV-2-Infected Patients, Measured as the Conversion From Positive to Negative rtPCR: A 239 Patients' Retrospective Study"
Causes of Peripheral Neuropathy What information does the National Library of Medicine have that states causes of peripheral neuropathy?,"Not a single disease, peripheral neuropathy is nerve damage caused by a number of conditions. Causes of neuropathies include: - Alcoholism.  .. Autoimmune diseases. ... Diabetes. More than half the people with diabetes develop some type of neuropathy. - Exposure to poisons. Toxic substances include heavy metals or chemicals. - Medications. Certain medications, especially those used to treat cancer (chemotherapy), can cause peripheral neuropathy. - Infections. These include certain viral or bacterial infections, including Lyme disease, shingles, Epstein-Barr virus, hepatitis C, leprosy, diphtheria and HIV. - Inherited disorders.  ... Trauma or pressure on the nerve. ... Tumors. ... Vitamin deficiencies. ... - Other diseases. These include kidney disease, liver disease, connective tissue disorders and an underactive thyroid (hypothyroidism). In a number of cases, no cause can be identified (idiopathic)."
Answer this question truthfully,Diffuse large B-cell lymphoma is the AIDS-defining illness that is caused directly by HIV.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this occurs due to excessive parasympathetic reaction so that you get this pain and sweating. the bowel or bladder is evacuated the pressure and hence the reaction is reduced.  so you get better. i would advise in such a patient to get a clinical examination done and few investigations as may be advised by your specialist doctor. never to hold the bladder or bowel movement at any cost. this can even give you syncope, meaning giddiness and a feeling that you are passing out."
Answer this question truthfully,"TTE is performed among patients with suspected TS to confirm the diagnosis and to determine the anatomic and hemodynamic characteristics of the tricuspid valve. TTE allows the evaluation of the following: 
Tricuspid valve thickening and calcification Chordal thickening and calcification Decreased mobility Immobility of the leaflets (suggestive of carcinoid syndrome) Tumors or metastatic lesions Valvular vegetations (suggestive of infective endocarditis) Right atrial ball valve thrombus
Doppler echocardiography is useful to assess the severity of TS through the evaluation of the transvalvular gradient. TS is mainly characterized by an elevated transvalvular gradient.  Using continuous wave doppler across the tricuspid valve, the peak gradient can be calculated using the modified Bernoulli equation. Pressure half time can be used but is not validated for TS. The assessment of the tricuspid valve area is limited by the common association of TS with tricuspid regurgitation. The coexistence of tricuspid regurgitation causes the underestimation of the tricuspid valvular area. A tricuspid valve area < 1.0 cm 2 is associated with increased severity of the TS. The tricuspid valve area can be calculated using the continuity equation: 
Tricuspid valve area = (annulus PW Vti * Cross sectional area of the annulus) / valve CW Vti
TTE findings that are associated with increased severity of tricuspid stenosis include: 
Mean pressure gradient >5 mm Hg, Pressure half-time >190 milliseconds Tricuspid valve area < 1.0 cm2 Enlargement of the right atrium Enlargement of the inferior vena cava"
Answer this question truthfully,"Dermatophytes are a type of fungi that can infect the skin, hair, and nails. They are responsible for causing rashes known as Tinea or ringworm. Tinea rashes can appear on various parts of the body, including the scalp, feet, groin, and body. The rash is typically characterized by a circular or ring-shaped lesion with raised edges and a clear center. Other symptoms may include itching, redness, and scaling of the affected area."
Please summerize the given abstract to a title,The New Normal: Lessons Learned
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concern. do not think excessive regarding erection problem it causes depression and psychiatric problem and performance anxiety, depression are the most common cause of erectile dysfunction. for sexual intercourse it is not necessary you will require large penis. there is no relationship between size of penis and sexual intercourse. how can you tell you have erection problem without doing sex. just be relaxed, take healthy diet, fresh fruits, anti oxidant tablet like co q, start regular exercise, avoid stress and thinking. if you have excessive fear for sake of gain you can do impotency test in infertility clinics. but first involve in sex and then if problem occur, go for test. hope this may help you best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.\"" welcome to chatbot. com. i have read your query in detail and do understand your concern.\"" evion contains vitamin e, and it is useful for healthy skin and hair. it can be massaged in oil with no side effects. however, biotin i more important for hair growth than vitamin e. biotin supplements should be taken orally for 3-6 months. take a nutritious and protein rich diet(pulses, milk products, eggs). avoid routine application of gels or frequent blow chatbot.  use a sulfate free shampoo for your hair twice a week. \""hope this helps! good luck!\"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking in chatbot. your menstrual problem may be due to poly cystic ovarian disease (pod). it is due to hormonal imbalance and is characterized by irregular periods, ovulatory cycles, increased an chatbot.  glyciphage is metformin given to improve insulin action. stone is a herbal preparation also given in pod. m2 tone is claimed to induce ovulation. metformin also stimulates ovulation by improving estrogen action in addition to its action on insulin. ovulation means release of egg from ovum. this egg fuses with the sperm, forms zygote and gets implanted (attached) in uterus and develops in to fetus. failure in ovulation will delay your conception. since both metformin and stone stimulates ovulation your chances of pregnancy will improve on taking these"
Please summerize the given abstract to a title,Coronavirus: la emergencia geriátrica de 2020. Documento conjunto de la Sección de Cardiología Geriátrica de la Sociedad Española de Cardiología y la Sociedad Española de Geriatría y Gerontología./ [Coronavirus: the geriatric emergency of 2020. Joint document of the Geriatric Cardiology Section of the Spanish Society of Cardiology and the Spanish Society of Geriatrics and Gerontology]
Answer this question truthfully,"If you have dislocated your knee, then there's always the possibility that it could pop out or dislocate again, so you want to be cautious as to physical activity to make sure that you do not re-injure the knee."
Answer this question truthfully,"The incidence of chronic myeloid leukemia (CML) is approximately 1–2 cases per 100,000 individuals worldwide and accounts for 15,000 per 100,000 cases of adult leukemias. 
The prevalence of chronic myeloid leukemia (CML) is not well known but has been estimated to be 10-12 cases per 100,000 individuals.  The prevalence rate has increased due to the dramatic improvement in survival of patients. 
The peak age for the CML is 50 and some series report a median age of 60 years. The incidence in CML increases by age, at least up to 75–80 years and in children it is quiet rare.  
Males are more commonly affected with CML than females. The male-to-female ratio varying between 1.2 and 1.7 in different studies.  The gender difference in incidence is less prominent in younger people."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you should get yourself evaluated first for irregular periods.  do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  if anything is abnormal it can be treated. you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband every 2 to 3 days after your periods stop.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months. hope i have answered your question. regards chatbot."
Please summerize the given abstract to a title,Post-COVID-19 syndrome among symptomatic COVID-19 patients: A prospective cohort study in a tertiary care center of Bangladesh
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. cancer in the esophagus might affect the upper, mid or lower thirds. if the cancer in your mother is close to the aorta then it is in the middle and lower thirds. the aorta is a great vessel and if the cancer is infiltrating in to it then the chances of a successful surgery are limited. therefore, the treatment in such a case is chemotherapy and radiation therapy. radiation therapy is a type of energy used to destroy the cancer cells and reduce the tumor in the lumen of esophagus. this works in many patients and in some people a metallic stent might also be inserted in the esophageal lumen to help in passage of food. a proper staging of the cancer is required to know the extent of disease. if surgery is not possible then most likely this is going to be a palliative treatment approach and will give her more time. please discuss in detail with available reports as cancer is a serious disease and requires accurate analysis. please do not worry."
Please summerize the given abstract to a title,SARS-CoV-2 spike proteins uptake mediated by lipid raft ganglioside GM1 in human cerebrovascular cells
Answer this question truthfully,"The patient usually needs to stay in the hospital. Treatment includes antibiotics given through a vein. Surgery may be needed to drain the abscess, or relieve pressure in the orbital space around and behind the eye.
An orbital cellulitis infection can get worse very quickly. The patient must be carefully checked every few hours."
My daughter has menkes syndrome and would like to know how to go about. Thx,"Researchers have identified more than 150 mutations in the ATP7A gene that cause Menkes syndrome. All of these mutations prevent the production of functional ATP7A protein. As a result, the absorption of copper from food is impaired, and copper is not supplied to certain enzymes. The disrupted activity of the ATP7A protein causes copper to be poorly distributed to cells in the body. Copper accumulates in some tissues, such as the small intestine and kidneys, while the brain and other tissues have unusually low levels. The decreased supply of copper can reduce the activity of numerous copper-containing enzymes, affecting the structure and function of bone, skin, hair, blood vessels, and the nervous system. The signs and symptoms of Menkes syndrome are caused by the reduced activity of these copper-containing enzymes."
Answer this question truthfully,"The recommended treatment for mild alopecia areata is typically topical or intralesional corticosteroids. Alopecia areata is an autoimmune condition that causes hair loss, typically in patches on the scalp. In mild cases, treatment with corticosteroids can help to reduce inflammation and promote hair regrowth. Topical corticosteroids are applied directly to the affected area of the scalp, while intralesional corticosteroids are injected directly into the bald patches. The choice of treatment will depend on the severity and location of the hair loss, as well as the patient's overall health and medical history. Other treatment options for alopecia areata may include topical minoxidil, anthralin, or immunotherapy. It is important for patients with alopecia areata to work closely with their healthcare provider to develop an individualized treatment plan that meets their specific needs and goals."
Answer this question truthfully,"The action potential is a series of electrical events that occur in myocardial cells, leading to the contraction of the heart muscle. One important aspect of the action potential is the entry of Ca2+ into the myocardial cell, which triggers further release of Ca2+ through ryanodine receptors (Ca2+ release channels). These channels are located on the sarcoplasmic reticulum, a specialized organelle within the myocardial cell that stores and releases Ca2+. When Ca2+ enters the cell during the action potential, it binds to the ryanodine receptors and causes them to open, leading to the release of even more Ca2+ from the sarcoplasmic reticulum. This increase in intracellular Ca2+ concentration triggers the contraction of the myocardial cell, which ultimately leads to the pumping action of the heart."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, as you have ulcer on roof of mouth this can be due to nutritional deficiency, vitamin b 12 deficiencies, hormonal influence, stress induced. for this i will suggest you to consult oral surgeon for examination and in meantime you can apply ointment like mccoppin or mugel on ulcer and take vitamin b supplements by consulting with your local doctor. hope this will help you."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Blunt abdominal trauma causing fracture of the right 8th and 9th ribs leading to hypotension, free intraperitoneal fluid, RUQ pain/bruising and right shoulder pain is suggestive of laceration of the liver."
Answer this question truthfully,Osteopetrosis may present with hydrocephalus due to narrowing of the foramen magnum.
Please summerize the given abstract to a title,The health benefits of engaging with music
Please summerize the given abstract to a title,Phenomenology of the COVID-19 Pandemic Experience in Patients Suffering from Chronic Schizophrenia—A Qualitative Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have studied your case, there is possibility of stress hair line fracture to tibia, or there can be muscle strain due to excessive running may need x-ray leg if pain and swelling persist on rest. i can not compare swelling, but if swelling is there, you need to take rest and use splint or compressive cr\u00eape bandage to reduce swelling. till time take analgesic like dialogic sp. watch for appearance of redness, infection. do ice fomentation. if required you may need to do blood investigation for prognosis and recovery. consult orthopedic doctor. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,"Your health care provider probably will give you a several-day supply of cefazolin at a time. If you are receiving cefazolin intravenously (in your vein), you probably will be told to store it in the refrigerator or freezer. Take your next dose from the refrigerator 1 hour before using it; place it in a clean, dry area to allow it to warm to room temperature. If you are told to store additional cefazolin in the freezer, always move a 24-hour supply to the refrigerator for the next day's use. Do not refreeze medications.
If you are receiving cefazolin intramuscularly (in your muscle), your health care provider will tell you how to store it properly.
Store your medication only as directed. Make sure you understand what you need to store your medication properly.
Keep your supplies in a clean, dry place when you are not using them, and keep all medications and supplies out of reach of children. Your health care provider will tell you how to throw away used needles, syringes, tubing, and containers to avoid accidental injury."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand. as per your complaint getting injured with a rusted nail can have a risk of developing tetanus, not always necessary but there can be chances while chances of having hiv are very rare and almost will until someone is unfortunate enough that the nail is contaminated with the blood of an hiv positive or aids patient. you need not worry and get a tetanus toxic vaccine injected for safety and prevention. clean the area of the cut with antiseptic solution and apply triple antibiotic ointment and a steroid ointment over it, and then you can bandage. limit water exposure to injury site for faster healing. hope this information helps. thanks and regards. chatbot."
Please answer with one of the option in the bracket,E: Interleukin 8
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern and i will suggest you the best possible treatment options.first do not panic. you are right in judging that increased weight can be on of the factors that can affect reproductive hormone system. please opt for a healthy diet and regular exercise regimen. include more portions of fruits and vegetables and salads in daily diet. avoid refined sugars and deep-fried foods and bakery products in the diet. please check height for weight, body mass index should be around 23. to know about the ovarian status, fsh lh amh and prolactin levels should be done on day 2 of the cycle. post menstrual hsghysterosalpingography, will be of help to know about the patency of the fallopian tubes. i hope this answer helps you. thanks."
Please summerize the given abstract to a title,BoostNet: a method to enhance the performance of deep learning model on musculoskeletal radiographs X-ray images
Answer this question truthfully,The most common complication associated with gallstones is cholecystitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you had knee arthroscopy about 16 days back, i suspect that your muscle may have some weakness in the anterior and posterior compartment. also, performing exercises for strengthening the knee from the anterior, posterior, lateral and medial sides will help improve the correction of muscle imbalance and provide good mobility and stability of the knee joint. also, workout for both the knees as to balance the equivalency of the weight shifting on either sides. in my clinical practice we recommend such cases for physical therapy and provide thorough musculoskeletal assessment and then physical therapy knee rehabilitation program. regardsjay in chatbot."
Answer this question truthfully,"Statin therapy is recommended for diabetic patients between the ages of 40 and 75 years old. Diabetes is a risk factor for cardiovascular disease, and statins are a class of medication that can help to lower cholesterol levels and reduce the risk of heart attacks and strokes. The American Diabetes Association recommends that all diabetic patients between the ages of 40 and 75 years old should be started on statin therapy, regardless of their cholesterol levels. However, the decision to start statin therapy should be made on an individual basis, taking into account the patient's overall health and other risk factors for cardiovascular disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the concern in the chatbot. a central back pain with yellowish discoloration of urine should be evaluated for any liver or gallbladder pathology. however, other causes of central back pain and/ or high colored urine should also be excluded. they are- pancreatitis or any other pancreatic pathology, peptic ulcer disease, non ulcer dyspepsia, renal pathology, small intestinal pathology etc. but, the primary thing we need to know to come to a diagnosis is whether you are at all interim or the urine is only high colored. a conjunctival examination by a local physician and more accurately a serum bilirubin test would help us understand whether you have jaundice. in that case, the causes of hyperbilirubinemia along with back pain will be evaluated. otherwise, if it is only high colored urine, your hy chatbot. therefore, my understanding is, you should consult your local physician immediately for further clinical examination and evaluation. you may have to do the following tests-complete blood count, urea, creatinine, sodium, potassium, lft, amylase, lipaseurine for routine examination usg whole abdomen the time being, please maintain good oral hy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, by results were positive probably you meant that mri was normal. if that is the case then it is not a serious thing. there is a possibility that the nerve supplying the area of face is getting compressed and because of that you are having these symptoms. there are many medications available for such pain. instead of visiting many doctors you should stick to one neurologist and let him adjust the medications till you get the best relief.  good luck."
Answer this question truthfully,"A breast abscess is a rare disease with an incidence of 3,000-11,000 cases only per 100,000 mastitis patients. There is no significant prevalence concerning the abscess."
Please answer with one of the option in the bracket,B: A slow-rising and delayed upstroke of the carotid pulse
Please answer with one of the option in the bracket,B: Rotator cuff tear
Please summerize the given abstract to a title,Functional autoantibodies against G-protein coupled receptors in patients with persistent post-COVID-19 symptoms
"If you are a doctor, please answer the medical questions based on the patient's description.","child chatbot.  providing steam inhalation should help in diluting the cough. antibiotics are not required. some antiallergic like levocetirizine syrup may be given for a few days. ideally the birth weight triples by 10-12 months of age. although 7 kg is a bit low for a 3 kg birth weight child, i do not think that there is any need to panic. a single weight does not convey much information. you need to take weight at 3 months intervals and plot it on a growth chart. if the weight follows the normal pattern but is on the lower side, you need not be concerned. but in case it does not, follow-up nutrients might be required. how much supplementation needs to be done, depends on the situation, and you can be discussed only by your treating pediatrician. all you need to do from your side is to give semi solids in mashed form, roughly at 2 hourly intervals. homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing it, should be fine to help your child in gaining weight."
Answer this question truthfully,"The mnemonic ""CHALK"" is used to remember the vasodilator metabolites produced by tissues as a result of increased metabolic activity. The letters in the mnemonic stand for different metabolites: C for CO2, H for H+, A for adenosine, L for lactate, and K for K+. These metabolites play a role in regulating blood flow to tissues by causing blood vessels to dilate, which increases the delivery of oxygen and nutrients to the tissues. The CHALK mnemonic is often used in medical education to help students remember the key vasodilator metabolites and their effects on blood vessels."
Please summerize the given abstract to a title,Comparison of Hospitalized Patients With ARDS Caused by COVID-19 and H1N1
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorwhat ever the parameters you gave here is nothing to do with the swelling of your finger and this condition can be treated according to the pathological changes taken placed either infection or gangrene, or any systemic disease and these all are demands clinical examination, total count is more important than these parameters, take care and have words with your doctor, or get it clinically examined your finger, meanwhile this can be treated symptomatically with the following chatbot. 1) ibuprofen 400 mg twice a day this will reduce the swelling but still the final diagnosis need to be confirmed, have nice day."
Answer this question truthfully,"The recommended next step in management is exercise therapy.

Chronic low back pain is a common condition that can have a significant impact on a patient's quality of life. While medications such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) can be helpful in managing pain, they may not be sufficient for some patients. Exercise therapy is a recommended next step in management for chronic low back pain, as it can help improve strength and flexibility, reduce pain and disability, and improve overall function. The type of exercise therapy recommended may vary depending on the patient's specific needs and medical history, but may include stretching, aerobic exercise, or strength training. Patients should work with a healthcare professional to develop an exercise program that is safe and effective for their individual needs. Other treatments for chronic low back pain may include physical therapy, chiropractic care, acupuncture, and/or medications such as muscle relaxants or opioids."
Answer this question truthfully,Streptococcus pneumoniae is bile soluble.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. kidney has two parts cortex and medulla cortex deals with the filtration of blood through kidney and production of urine along with excretion of waste products of protein metabolism (urea and creatinine)whereas medulla deals with blood flow to kidneys. in normal kidney during ultrasound scanning signal intensity of renal cortex is higher than that of medulla. this differentiation between signal intensity is reflected and well-defined in ultrasound very clearly. this differentiation is reduced in any renal parenchymal disease making it more echogenic than normal resulting into loss of differentiation between cortex and medulla. since your ultrasound report mentions cortex to be more echogenic and raised creatinine suggest that you have early renal parenchymal disease. chatbot.
Please summerize the given abstract to a title,Academic Leadership in the Time of COVID-19-Experiences and Perspectives
"If you are a doctor, please answer the medical questions based on the patient's description.","hello tammy, thanks for posting, per your description of the location of your pain (below the right upper qua chatbot.  since from the scan you apparently do not have gallstones meaning that the origin of your cholecystitis is probably not due to gallstones, your treatment will be purely non-surgical with antibiotics (for infection), low-fat diet (when food tolerated) and pain medications (avoid nsaid) such as paracetamol or better still stronger tramadol or opiate derivatives such as conan, and it may be associated to antispasmodic medication such as myosin butyl. also required will be antiulcer medication to treat both the ulcer and the duodenitis such as proton pump inhibitors such as omeprazole and/or antacids. it will be worthwhile to discuss treatment options with your doctor after he is settled with the exact cause of your pain. hope this helps and wish you the best"
Please summerize the given abstract to a title,Chopping the tail: How preventing superspreading can help to maintain COVID-19 control
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you have not mentioned age of your father in your statement. your father has donated his kidney to your brother and himself has been detected to have raised serum creatinine(3.18)and blood urea 95. both these findings are suggestive of either early renal parenchymal kidney disease or may be due to chronic back pressure changes in kidney due to enlarged prostate. consult qualified nephrologist/urologist for clinical assessment and get following basic tests done to confirm the diagnosis, 1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis with post void urine residue to rule out enlarged prostate 3) serum psa. further treatment will depend upon result of these tests and final diagnosis. chatbot."
Answer this question truthfully,"People at risk for more severe disease include newborns infected around the time of birth, older adults (≥65 years), and people with medical conditions such as high blood pressure, diabetes, or heart disease. Travelers who visit the following Caribbean countries are at risk of getting Chikungunya.
Anguilla Antigua British Virgin Islands Dominica Dominican Republic French Guiana Guadeloupe Guyana Haiti Martinique Puerto Rico Saint Barthelemy Saint Kitts Saint Lucia Saint Martin (French) Saint Vincent and the Grenadines Sint Maarten (Dutch)
In addition, travelers to Africa, Asia, and islands in the Indian Ocean and Western Pacific are also at risk, as the virus is present in many of these areas. The mosquito that carries Chikungunya virus can bite during the day and night, both indoors and outdoors, and often lives around buildings in urban areas."
Answer this question truthfully,"No, Coxsackievirus is not enveloped. It is considered a naked virus because it does not have a lipid envelope surrounding its protein coat. Instead, the virus has a capsid that protects its genetic material and allows it to infect host cells. The lack of an envelope makes Coxsackievirus more resistant to certain disinfectants and environmental conditions, which can contribute to its ability to survive and spread in various settings."
"If you are a doctor, please answer the medical questions based on the patient's description.","renovate is dexamethasone. it is a potent and long acting chatbot.  topically it is highly effective. even topical application is not safe as it may penetrate in to the skin and may cause serious side effects. long term use can result in local skin atrophy, acne, overgrowth of fungus & bacteria, hypopigmentation of skin. glaucoma & cataract can occur if it is applied too close to eye. since 3 years is a long period, you have to stop gradually & not suddenly. if you are using it twice a day the make it once a day for about one week then use it on alternate days for the next week & so on."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose 500\u00a0mg per dose) every 4-6th hourly that too only if fever is more than 100f. i do not suggest using combination medicines for fever, especially with paracetamol. regards -"
Please summerize the given abstract to a title,Roadkills as a Method to Monitor Raccoon Dog Populations
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of neuromuscular weakness is more likely in her case. it is very common complication after thymectomize surgery. she might need increasing dose of my stein, omnacortil and azorean tablets. if she does not improve after this then intravenous bolus steroid injection should be started. also get done chest x-ray and pft (pulmonary function test) to rule out atelectasis (partial collapse of part of lung) due to diaphragm weakness. hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. you are likely to get sprain of your finger. its treatment is rest and analgesic such as ibuprofen for pain relief. mobilization exercises of finger is advised to regain the movements. you are unlikely to be having fracture, but you can rule it out its x-ray. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
Answer this question truthfully,"Many of the usual symptoms of depression may be present in the elderly.
Depression in the elderly may be hard to detect. Common symptoms such as fatigue, appetite loss, and trouble sleeping can be part of the aging process or a physical illness. As a result, early depression may be ignored, or confused with other conditions that are common in the elderly.
Clues to depression in the elderly may include:
Being more confused or forgetful. Eating less. The refrigerator may be empty or contain spoiled food. Not bathing or shaving as often. Visitors may notice smells of urine or stool. Clothes may be dirty and wrinkled. Not taking care of the home. Stopping medicines or not taking them correctly. Withdrawing from others. Not talking as much, and not answering the phone or returning phone calls."
Answer this question truthfully,"The fluid secreted by the synovium lining of joint capsules is rich in hyaluronic acid, which is the component that lubricates the joint and facilitates smooth motion. Hyaluronic acid is a glycosaminoglycan that is found in many tissues throughout the body, including the synovial fluid of joints. It has a high molecular weight and a unique structure that allows it to form a gel-like substance that lubricates and cushions the joint. Dysregulation of the production or composition of synovial fluid can lead to joint disorders, such as osteoarthritis and rheumatoid arthritis. Understanding the role of hyaluronic acid in synovial fluid can aid in the development of therapies for these conditions."
Please summerize the given abstract to a title,A community-based positive psychology group intervention to promote physical activity among people with metabolic syndrome: Proof of concept results to inform a pilot randomized controlled trial protocol
"If you are a doctor, please answer the medical questions based on the patient's description.","hip ain in the supraclavicular region is due to musculoskeletal cause in your case. as there are no palpable lymph nodes and no fever, tb can be excluded. in cold, due to secondary infection cough can occur. as there was history of renal stone, pain abdomen can be due to recurrence of stone. get an ultrasound abdomen and confirm the diagnosis. till then, please take antispasmodic dicyclomine. if you come back with ultrasound report, i will clarify furthering you good healthregards"
"If you are a doctor, please answer the medical questions based on the patient's description.","his have gone through your complaints. sorry to say that few problems will be very common in pregnancy. its all due to pregnancy hormones.it's common to complain burning pain, belching and indigestion. only thing we can do is reduce the problem.avoid lying down immediately after eating, avoid bending activities after eating, keep head end little raised, by this you can reduce these stomacchatdoctorplaints. avoid eating full stomach instead eat small amounts frequently. you try to do this. if you won't get relief medications like antacid syrups are advised. thank youregardsvasundhara"
Please answer with one of the option in the bracket,C: Methylmalonyl-CoA --> Succinyl-CoA
Answer this question truthfully,"Amino acids are molecules that contain both amino and carboxylic acid functional groups. (In biochemistry, the term amino acid is used when referring to those amino acids in which the amino and carboxylate functionalities are attached to the same carbon, plus proline which is not actually an amino acid).
Amino acids are the building blocks of long polymer chains. With 2-10 amino acids such chains are called peptides, with 10-100 they are often called polypeptides, and longer chains are known as proteins. These protein structures have many structural and functional roles in organisms.
There are twenty amino acids that are encoded by the standard genetic code, but there are more than 500 natural amino acids. When amino acids other than the set of twenty are observed in proteins, this is usually the result of modification after translation (protein synthesis). Only two amino acids other than the standard twenty are known to be incorporated into proteins during translation, in certain organisms:
Selenocysteine is incorporated into some proteins at a UGA codon, which is normally a stop codon. Pyrrolysine is incorporated into some proteins at a UAG codon. For instance, in some methanogens in enzymes that are used to produce methane.
Besides those used in protein synthesis, other biologically important amino acids include carnitine (used in lipid transport within a cell), ornithine, GABA and taurine.
The particular series of amino acids that form a protein is known as that protein's primary structure. Proteins have several, well-classified, elements of local structure and these are termed secondary structure. The overall 3D structure of a protein is termed its tertiary structure. Proteins often aggregate into macromolecular structures, or quaternary structure.
A metalloprotein is a molecule that contains a metal cofactor. The metal attached to the protein may be an isolated ion or may be a complex organometallic compound or organic compound, such as the porphyrin group found in hemoproteins. In some cases, the metal is coordinated with both a side chain of the protein and an inorganic nonmetallic ion. This type of protein-metal-nonmetal structure is found in iron-sulfur clusters."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the weakness and dizziness might not be due to gemstone. the weakness could be due to low sugars or low he. i suggest you to get he done to rule out anemia. also taking food in small quantities every 2 hourly like 3 meals and 2 snacks per day prevent low sugars. so do not worry. relax. but the weakness, dizziness are not related to progesterone supplements like gemstone, endogest. these progesterone supplements are usually prescribed in case of bleeding during pregnancy to prevent miscarriage. avoid physical stress and intercourse. take healthy nutritional diet like fruits, veggies,milk, meat,egg, fish etc. nothing to worry. many cases which present with bleeding during early pregnancy continue till term and have good outcome with adequate treatment. and the causes for bleeding like thyroid abnormalities, progesterone insufficiency, bleeding from cervix etc. should be evaluated and treated accordingly. so relax. hope this helps. best regards..."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, the dizziness may not be significant because no associated history is there even the blood pressure may not be the cause, the most common cause at this age is hypoglycemia, if this is being happened first time still condition needs to be kept under observation for further episode because it could be let onset of epileptic seizure. advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","proper treatment of autonomic dyslexia involves administration of antihypertensives along with immediate determination and removal of the triggering stimuli. often, sitting the patient up and dangling legs over the bedside can reduce blood pressures below dangerous levels and provide partial symptom relief. tight clothing and stockings should be removed. straight catheterization of the bladder every 4 to 6 hrs, or relief of a blocked urinary catheter tube may resolve the problem. the rectum should be cleared of stool impaction, using anesthetic lubricating jelly. if the noxious precipitating trigger cannot be identified, chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Cinderella's shoe won't fit Soundarya: An audit of facial processing tools on Indian faces
"If you are a doctor, please answer the medical questions based on the patient's description.","u have not mentioned anything about your age. from history i can assume u as female. i would like to know whether u attained menopause. if so the calcium level may be less, and it can also cause the symptoms mentioned in your question. the chances of it being bone cancer are very rare. anyway you get your bone scan done and c whether the bone mineral density is fine. ur basic problem is fear. u have read something from net and is worried about that. for your satisfaction and to be confirmed tht u don't have bone cancer u can take a pet scan"
Please summerize the given abstract to a title,The impact of social media on risk perceptions during the MERS outbreak in South Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","hi if you have a flu like symptoms after an anti-sickness injection, it is obvious that an injection abscess is being developed. immediately send you blood for culture and sensitivity and then get started on an antibiotic and an anti-inflammatory medicine. take full bed rest. get an ultrasonography of the area done, if it shows abscess formation go for incision and chatbot.  get the routine blood tests done including that of sugar to rule out diabetes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing. injection chatbot helps in ovulation of mature follicle. in your case one follicle is 20\u00a0mm and other is 15 mm. with in chatbot, 22\u00a0mm follicle will ovulate but 15 mm follicle may not ovulate as it is not mature. continue the murine till the expected next periods. have intercourse in and around the time of ovulation to have maximum chance of pregnancy. if both ovulate at this time then chance of both getting fertilized is high. hope i have answered your query. good day."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. you may be having bilateral frozen shoulder. for confirmation of this you need clinical examination by orthopedics surgeon. you will be benefitted by mobilizations exercises of shoulder and analgesic such as ibuprofen for pain relief. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in to us. it is important to know how bad is your slip disc and the pain you are having. slip disc is the displacement of cushion like discs between the bones in lower back. these cause pressure over nerves and there is pain and muscle spasm. sexual intercourse is a fundamental human activity and also causes people to feel better. you might participate in sex that is slow and gentle and place a pillow under the lower back to support it. please have a communication with your partner and have sex in a position that is comfortable to you. sex is definitely recommended as a slow exercise. please do not worry."
Please summerize the given abstract to a title,Gastrointestinal Tract Function and Malnutrition in HIV-Infected Children
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Coronavirus Clots Coronaries: St Elevation Myocardial Infarction in a Young Male with Coronavirus Disease 2019
Please summerize the given abstract to a title,Meeting the challenges imposed by COVID-19: Guidance document by the ESTRO Radiation TherapisT Committee (RTTC)
Please summerize the given abstract to a title,Cohort profile: follow-up of a Berlin Aging Study II (BASE-II) subsample as part of the GendAge study
Please summerize the given abstract to a title,Facilitators and Barriers to Social Distancing for Young People During the COVID-19 Pandemic (preprint)/ en
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. rivastigmine is a good chatbot.  if there are no side effects, and you are tolerating it well then you may continue taking it regularly. look for the progress of the disease and if the disease progresses further meantime could be a good treatment choice.  hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, or want to know further details, you can use the below-mentioned link"
Answer this question truthfully,"Coagulation factors VIII, IX, XI, and XII are part of the intrinsic coagulation cascade."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello the symptoms, which mentioned in your query (sore throat, stuffy nose, cough, nasty taste)are an indication of allergic rhinitis. allergens, as you mentioned are, in the house of your grandmother. when such type of patient visit i prescribe them to take montelukast+levoceterizine tablet once or twice in day. i also advise my patient to take azithromycin 500 mg once in day for 3 days. hot saline gargles help to clear from throat. but sometimes patient feels bronchoconstriction so take montelukast+albuterol tablet once or twice in day. you will get relief within 2-3 days. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, surgery for slipped, or herniated disc is indicated in cases where there are neurological deficits, or symptoms don't improve or get worse despite conservative treatment. in your case, since there is improvement, surgery is not advisable, and you should continue the conservative treatment. surgery should be done if there will be worsening of the symptoms, or if there will be any neurological deficit. hope you found the answer helpful. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Lipooligosaccharide
Please summerize the given abstract to a title,Spondweni virus causes fetal harm in Ifnar1-/- mice and is transmitted by Aedes aegypti mosquitoes
Please summerize the given abstract to a title,Early Phases of COVID-19 Are Characterized by a Reduction in Lymphocyte Populations and the Presence of Atypical Monocytes
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i went through your question. weight of you baby is absolutely normal. you have not mentioned your babies height. routinely i do not recommend market available or packed food products if home made food can be given. keep a variety to feed him with balanced diet.(like hindi, daliyah, dal, banana, kheer, rice, curd)hope i answered your query. feel free to ask if another query.thanks."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the excruciating abdominal pains in waves generally as you wake up from sleep, are usually due to irritable bowel syn chatbot.  the probable reason being, when you get up from the sleep, out of calmness to face the day-to-day realities the intestines respond by spasms. this is when you are stressed out. and to confirm we have to rule out many diseases like gastroenteritis, tuberculosis, crowns etc. by the following tests. blood for cbc, liver and kidney function tests, sugar to rule out diabetes, urine and stool tests. also, to get ultrasonography and / or ct scan of the abdomen, diagnostic laparoscopy, endoscopies if required. the treatment will be according to the diagnosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and. as a urologist, i can understand your anxiety. after 5 years of a turn, incontinence isn't normal. get tested by urologist. you can get treated for the incontinence, depending on the cause. a aerodynamic evaluation with cystoscopy and usg scan will be needed. itching over the foreskin and scrotum, will need to be seen by a urologist. it could be due to an allergy, infection or fungal cause.you'll be advised treatment after examination. you've not written age or if you're a diabetic. send all the reports, with a photo, as a direct question to me, for opinion. chatbot.  manga."
Please answer the letter of option truthfully,C
Answer this question truthfully,"African trypanosomiasis is a human tropical parasitic disease usually caused by protozoan hemo-flagellates belonging to the complex Trypanosoma brucei. Infection is usually transmitted via the tsetse fly bite to the human host. A trypanosomal chancre develops on the site of inoculation. This is followed by a hemo-lymphatic stage with symptoms including fever, lymphadenopathy, and pruritus. In the meningoencephalitic stage, invasion of the central nervous system can cause headaches, somnolence, abnormal behavior, and lead to loss of consciousness and coma. The course of infection is much more acute with Trypanosoma brucei rhodesiense than Trypanosoma brucei gambiense. Clinical manifestations generally appear within 1–3 weeks of the infective bite for Trypanosoma brucei rhodesiense and months to years for Trypanosoma brucei gambiense."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting query at chatbot. history of jaundice. cause of jaundice not mentioned. liver is very important organ and need to rest when it has been infected.it would take 6 to 8\u00a0weeks for the liver enzymes to return to normal. if you're suffering from herb, it may take 3 to 6 months for the viral load to come down to a value where treatment is not required and observation is sufficient. until liver enzymes turn normal, rest and less activity is advice. you may continue workout after your liver enzymes have returned to normal. however, further advice is"
Answer this question truthfully,"The excess uric acid levels cause children to develop gout-like swelling in some of their joints. In some cases, kidney and bladder stones develop because of the high uric acid levels.
Males with Lesch-Nyhan have delayed motor development followed by bizarre, sinuous movements and increased deep tendon reflexes. A striking feature of Lesch-Nyhan syndrome is self-destructive behavior characterized by chewing off fingertips and lips, if not restrained. It is unknown how the enzyme deficiency causes these problems."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for consulting with chatdoctori understand your concern that your sept is highboy need to do the following to treat your fatty liver and thus your sgpt1) you need to avoid oily food and fast food as well2) i need to know your weight and if possible try to reduce and lose weight hence i advise 20\u00a0min of brisk walking dailyt3) continue with tablet vitamin e4) talk to your gastroenterologist and consider starting of tablet uso deoxycholic acid .  as studies have shown that ursodeoxycholic is beneficial in fatty liver5) get a fibrosis done and message me the reportshope i answered your query. you can message me for any further concerns"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i appreciate your concern regarding hair fall. hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, chatbot. from your description, it seems you might be having halogen effluvium, which is hairball secondary to stress. if i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like cbc, blood sugar, thyroid function test. some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. i would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(q era etc.). i would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. avoid combing in wet hair and let them"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. the pain and soreness what you have post surgery while rehabilitation is normal to some extent because of soreness there could be mild swelling around knee. numbness and tingling sensation what you experience in your foot is due to swelling in the leg that could be compressing the neural structures which in turn tightens up your calf muscle... now... don't worry about your current symptoms as they could easily solve by simple care... i suggest you the following... take a bit easy in your rehab...start with mild strengthening exercises without exerting too much.keep icing your knee frequently... keep it compressed witchatdoctorpression bandage...keep it elevated and keep moving your ankle to and fro to facilitate the reduction in swelling.thus solves your tingling and numbness sensation in footed mildly over your calf muscles and relax it...keep working on your gluteus strengthening like bridging...pressing a pillow with heel etc...once everything get back to normal gradually progress with rehab wish you a speedy recovery hope this is helpfulrevert back in case you need further clarification...
Answer this question truthfully,"Myelodysplastic syndromes are caused by de novo mutations or environmental exposure (e.g. radiation, benzene, chemotherapy)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. it appears as if you have pod (polycystic ovarian disease)it is a condition of basic hormonal imbalance, where there is problem in ovulation and conception. please consult an infertility specialist. lose weight if overweight. women with pod often need help of ovulation inducing agents like camphene citrate in order to stimulate the ovaries and help in follicular growth. then you have to monitor the cycle with serial ultrasound and try for conception in this way for 3 - 6 months. after that, ivf or gui is an option. take regular folic acid tabs. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. focused breast ultrasound helps to determine characteristics of doubtful lesions in the breast. as described above, there is a dark area as seen on ultrasound at the 9 o clock position. this is marginally taller than wider if we take measurements as 1.2 x 0.9 x 0.8 cm. in some research studies, it has been found that 74 to 80 percent breast lesions which were taller are malignant. this way breast biopsy is the best confirmation, and you have already got it done. by appearance, i will say that please do not worry as the lesion is slightly taller than wider, and we can still hope for a benign finding. the final result is by biopsy. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i can understand your concern... fatty liver means stenosis in which fat getting accumulated in hepatocytes... it can be reversible condition.... you are complaining right side pain below rib. so gall stone can be there.... take ad\u00edlio tablet 150 mg daily...usg helpful for detecting stone..... take low fatty diet.... in your routine lunch and dinner fried food taken less...... include green leafy salad in your routine diet... fruits taken more like blueberries, papaya, orange etc.... regular exercise done. if stone present and much troublesome then need its removal by cholecystectomy. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through the query and understood your concern. the emergency pill you took a couple of months ago does not affect subsequent cycles. the immediate cycle and sometimes the next one are influenced by the hormone content in the pill. you should perform the home pregnancy test 3-7 days after the missed period with a fresh early morning sample of urine. if negative, you can wait for 7-10 days after your missed period before getting further help from your specialist. a trans-vaginal sonogram helps further in aiding the diagnosis. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand for using the mesoderm cream for your skin. this cream basically contains comic acid and vitamin c as its main ingredient which are though quite safe but should always be used under dermatological supervision. there are various type of skin textures, and accordingly we have to decide the product according to the sin type and skin pigmentation. so i always suggest my patients to use any of the cream under the supervision of a dermatologist only. i suggest you to use sunscreen in day time according to your skin type and plenty of fruits and good nourishing diet to make your skin glowing. so i suggest you to meet a dermatologist and get proper treatment for your exact concern for the skin. my all best wishes for your healthy and glowing skin."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. i am chatbot. a pe is a blood clot in the blood vessels in the lung and a dvt is a blood clot that most commonly occurs in the leg. symptoms of both can be subtle and may be confused with other medical conditions and vary from no symptoms whatsoever, to severe, depending on how big the clot is.pe can be presents as backache. other symptoms are chest pain, particularly when taking a deep breath in, shortness of breath and unexplained cough. i advise you to consult your treating doctor and start his medicine earliest. you should strictly follow your doctor prescription and advised blood test specially pt inr. do not waste time and consult you doctor. thanx."
Answer this question truthfully,"Diffuse large B-cell lymphoma (DLBCL or DLBL) is a cancer of B cells, a type of white blood cell responsible for producing antibodies. Diffuse large B cell lymphoma may be classified based on location into nodal and extranodal disease and based on molecular, genetic, and immunohistochemical features into more than 20 subgroups. Diffuse large B cell lymphoma may be classified into 2 subtypes based on gene expression profiles. The progression to diffuse large B cell lymphoma involves the microRNAs (miRNAs). On microscopic histopathological analysis, diffuse large B cell lymphoma can be divided into three variants: centroblastic, immunoblastic, and anaplastic. There are no established causes for diffuse large B cell lymphoma. Diffuse large B cell lymphoma is the most common type of non-Hodgkin lymphoma among adults, with an annual incidence of 7–8 cases per 100,000 people per year. This cancer occurs primarily in older individuals, with a median age of diagnosis at approximately 70 years of age, though it can also occur in children and young adults in rare cases. The most potent risk factor in the development of diffuse large B cell lymphoma is immunodeficiency. Diffuse large B cell lymphoma must be differentiated from other diseases such as follicular lymphoma, Mucosa-Associated Lymphatic Tissue lymphoma (MALT), small cell lymphocytic lymphoma, and Mantle cell lymphoma (MCL). The prognosis of diffuse large B cell lymphoma depends on the stage of the disease. Diffuse large B cell lymphoma is associated with a 5 year survival rate ranging from 70% to more than 90% among children. According to the Lugano classification, there are four stages of diffuse large B cell lymphoma based on the number of nodes involved and extranodal status. The most common symptoms of diffuse large B cell lymphoma include a rapidly enlarging, non-painful mass that may be located in neck, groin or abdomen. The less common symptoms of diffuse large B cell lymphoma include fever, weight loss and drenching night sweats. Common physical examination findings of diffuse large B cell lymphoma include a non tender mass which can arise in virtually any part of the body. Laboratory tests of diffuse large B cell lymphoma include complete blood count, blood chemistry studies, flow cytometry, immunohistochemistry, cytology, genetic testing, and immunophenotyping. CT scan, MRI, and PET may be helpful in the diagnosis of diffuse large B cell lymphoma. Lymph node or extranodal tissue biopsy is diagnostic of large B cell lymphoma. Other diagnostic studies for diffuse large B cell lymphoma include laparoscopy, laparotomy, and bone marrow aspiration and biopsy. The optimal therapy for diffuse large B cell lymphoma depends on the stage at diagnosis. The predominant therapy for diffuse large B cell lymphoma is chemotherapy. Adjunctive radiotherapy may be required. Active areas of research include genetic studies to assess the genetic role in diffuse large B cell lymphoma and novel therapeutic regimens that evaluate the efficacy and safety of novel regimens in in newly diagnosed diffuse large B cell lymphoma."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,The impact of COVID-19 pandemic in Brazil
Please summerize the given abstract to a title,The Heterogeneity of National Responses to the COVID-19 Pandemic: a Mixed-method Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are going through a difficult time due to your problems. from the description of your symptoms, it appears that you are suffering from an anxiety disorder. anxiety can present with not only psychological symptoms but also with physical symptoms such as dizziness, vomiting sensation, etc. however, you need a detailed evaluation to arrive at a definitive diagnosis and initiate appropriate treatment. so, i would advise you to consult a psychiatrist for a detailed evaluation and further treatment. effective treatment is available in the form of medication or counselling. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...this could be a migraine or a stress headache or a cluster headache. especially in this age it is quite common. a small question is that was the blood pressure checked when she got into contact with medical personnel. being dizzy could be a sign of aura of headache. but what i suggest is that such sever headache should definitely be evaluated. iron deficiency cannot be the sole reason for this. regards - chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your concern but 4-6 formed stools or a stool in 2-3 days (unless it is very hard) is normal for a two months baby. colour of stool does not matter unless it is blood stained or contains blood. if your baby is active, accepting feed well, passing urine every 3-4 hourly, not febrile, you not worry. passing stool with gas is normal. hope i answered your queryfeel free to ask any other query thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your mri and history is consistent with lumbosacral spondylosis with disc prolapse at multiple level, significant being the l4-l5 level with l) nerve root involvement. decision to go for surgery depends on extent of weakness in l) lower limb. just wait for the improvement with treatment planned presently. avoid lifting weight and flexion of spine. take absolute bed rest for next 2 weeks. use lumbosacral belt for minimal daily activity. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in most cases, this is a sign of reinfection or kidneys stones. this is mainly self limiting and doesn't require any specific treatment, and you should just be patient and have fluids to promote urination.  less likely it may indicate possible bleeding in urethra, bladder or kidneys from popped vessel or some other cause.  if this continues you should do urinalysis, monoculture and kidneys ultrasound to rule these main causes out. you should chatbot.  also, avoid sexual intercourse and have keep good hygiene. you should reduce salt in your diet as well since this could lead to increased risk of urinary stone formation.  hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",you may be suffering from a condition known as benign paroxysmal positional vertigo (bppv).  your symptoms are typical for this condition and so is your age.  in order to solve this problem you should see a neurologist for advice on maneuvers designed to get rid of the symptoms.  medication is not a great option in my opinion since it really fails to ad chatbot.  many er physicians and internists will reach for a
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... by what you quote i feel that your kid might be having viral illness. severe headache and leg ache are suggestive of viral illnesses. unless the kid is having severe vomiting and double vision, you need not worry about headache. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
Please summerize the given abstract to a title,"Seropositivity of COVID-19 among asymptomatic healthcare workers: A multi-site prospective cohort study from Northern Virginia, United States"
Answer this question truthfully,"TSH levels may be increased during hyperthyroidism when the disorder is in the hypothalamus or anterior pituitary, which leads to excessive TRH or TSH secretion."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned have taken the emergency contraceptive pill on the same day of unprotected sexual intercourse. it is highly effective in preventing the pregnancy if taken with in 24 hours. it has 95-97% effective in preventing the pregnancy. nausea, dizziness, breast tenderness, bloating are due to hormonal imbalance caused by the day after pill. pill also cause delay in the period by the 8-12 days.meanwhile, avoid stress, take healthy diet, chatbot. hope this may help you best regards"
Please summerize the given abstract to a title,Implementation of Sample Pooling Procedure Using a Rapid SARS-CoV-2 Diagnostic Real-Time PCR Test Performed Prior to Hospital Admission of People with Intellectual Disabilities
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer the letter of option truthfully,C
Answer this question truthfully,"The mainstay of treatment for esophageal stricture is dilation. Proton pump inhibitors or H2 antagonists are recommended among all patients who develop esophageal stricture due to gastroesophageal reflux disease. Self-expandable plastic or metal stents placement is indicated for patients with refractory esophageal stricture. Surgery is usually reserved for patients with either inability to dilate the stricture, frequent recurrence of dysphagia, extraesophageal manifestations and long term side effects of medical therapy"
"If you are a doctor, please answer the medical questions based on the patient's description.","a red pimple around eyes is rather vague to know if its around eyelashes or not, or probably style or like that because location is not clear. though style may not recur again n again. you may simply seek to take hard chatbot.  it consists of turmeric, sugar candy etc. - no side effects.  4 weeks will be enough. no need to consult physically for this powder. any kind of allergy or even autoimmune allergy can be cured by it. then what is use of taking toxic anti-allergic when your treating doctor has not arrived any solid reason. still if you do not like the response, you have option to stop anytime. hope it helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on the facts that you have posted i would state that you have developed staphylococcal infection of hair follicle(boil) on the shaft of your penis. you need to take broad spectrum antibiotic like augmenting and anti-inflammatory chatbot. along with topical antibiotic ointment like newsprint twice daily. ensure to wash your genitals and private parts with warm water twice daily. ensure to avoid sexual encounters till it heals up completely. do not attempt to shave the private parts as there is risk of spreading infection to other area. do not worry. it will get cured within a week
Please summerize the given abstract to a title,"Impact of the COVID19 pandemic on the perception of motor competence in schoolchildren from Temuco, Chile"
Answer this question truthfully,"There is limited information about the historical perspective of disease name.
OR
Myocarditis was first discovered by Dr Najafi, from Iran, in 2020.

The association between important risk factor/cause and disease name was made in/during year/event. In 2020, Homa was the first to discover the association between myocarditis and the development of cardiomyopathy. In year, gene mutations were first implicated in the pathogenesis of disease name.
The following are a few famous cases of disease name:"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ashley and welcome to chatbot. as a urologist, i can understand your anxiety. the ct scan is suggestive of infection in both kidneys, with right kidney failure. you need to do"
Answer this question truthfully,"The hallmark symptoms are fever greater than 100.4 degrees F (38.0 degrees C) and cough, difficulty breathing, or other respiratory symptoms. Symptoms in the order of how commonly they appeared have included:
Fever Chills and shaking Muscle aches Cough Headache
Less common symptoms include (also in order):
Dizziness Productive cough (sputum) Sore throat Runny nose Nausea and vomiting Diarrhea"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you should not worry about prostatic cancer. your psa level is not much higher.  slightly increase in psa level is common in prostatitis or many other reasons.  so you have no chance of cancer.  no need to worry. just be relaxed. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum. sexual intercourse on and around the day of ovulation is more fruitful. however, it is too early to predict whether you are pregnant. presuming you and your partner do not have any associated condition which impairs chances of conception, i would say that you have plenty of chances of becoming pregnant. yet, you need to wait till your expected date of period. get the urine pregnancy test if your periods do not happen on time. in addition to this, i also recommend you to take 5\u00a0mg folic acid pills. one tablet a day is to be taken each day. and stay relaxed. i wish you all the best warm regards"
Please summerize the given abstract to a title,Identification of Human Immune Cell Subtypes Most Vulnerable to IL-1β-induced Inflammatory Signaling Using Mass Cytometry
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, first thing is to find out the cause of this weak heart function. we need to rule out the blockages, so i guess that was rule out.  in her medicine, she should get lasilactone dose increased. cough is there due to excessive fluid in lungs, so there should be fluid restriction including milk, water, tea, juices etc. to less than 1 liter per day.  she should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. get your lipid profile and sugars tested once."
Answer this question truthfully,"IgE is the least abundant immunoglobulin isotype in serum. While IgG is the most abundant, IgE makes up only a small fraction of the total immunoglobulin in the bloodstream. IgE plays a role in allergic reactions and is involved in the activation of mast cells and basophils. Its low abundance in serum reflects its specialized function in the immune system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the easiest way of bringing a person back to normal is making them forget their past. we should try to wash away all the memories which they both have spent together. we should support them. furthermore, we should stand beside them. furthermore, we should encourage them in everything rather than discouraging, as even 1 word of discouragement can again take them back to their past, as they will feel that they are hopeless cases. we should show them that there are still people alive who loves them a lot and to whom they mean a lot. we should always make them feel that we are with them no matter what the circumstances might be. in this way we might take out the persons from being depressed angry pit and help them make their life easy rather than miserable.thus, our encouragement should give them the confidence that they can face the rest of world. she will be alright soon. i hope this has helped you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot. thanks for posting your query. and its superb that you have given all the details required. with young guys, 5\u00a0mm calculus in kidney there's nothing to worry. this is point number 1. so, do not worry. i've seen huge calculus than this. does this cause severe pain? if occasional tolerable pain then neglect it.  chatbot.  and if its troubling you with pain then take tablet attract for time being. there is absolutely no indication for surgery or any intervention for 5\u00a0mm stone. but having said that, do keep a track on that stone. sometimes it may pass off by its own. or else, it may grow large. then probably you'll need something called esl. so as of now do not worry. be calm and do as i advised. and coming to the second query, diet. there are so many papers published regarding this but there's no standard protocol. avoid 1. junk food. 2. high intake of salt 3. cut down on meat. hope this helps, and you can contact me anytime regarding this."
"If you are a doctor, please answer the medical questions based on the patient's description.","for four-year-old child recurrent cough indicates lack of immunity and susceptibility to allergens. modern chatbot.  slowly, this may lead to bronchitis and other complications if not treated properly. my own recommendation on the basis of my three decades experience in clinical ayurveda is that your child needs to strengthen the resistance against allergens, changing season and to clean the pulmonary system of accumulated cough. this is possible only by ayurveda which may seem slow, but action sustains for long. the scheme of treatment is cleansing the cough, raising the immunity and instilling the strength by special herbal combos designed for child"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i appreciate your health concerns.... what is your age? have you taken any medication for hcv? what is the texture of liver on ultrasound?  low platelets in hcv is mostly due to the enlarged spleen. it entraps the platelets and causes its destruction. you need to get your liver function tests done regularly.  as far as hcv pcr is negative, there is no need to start treatment for the eradication of hcv.  antioch antibodies will remain positive even after it is cured.  meet hepatologist for regular follow up.  hope it helps regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the purple discoloration reflects damage the area surrounding the laceration. pain is also not uncommon as a result of receiving a laceration. the signs and symptoms of infection are persisting swelling, pain, redness, increased warmth in the area, discharge. if the cut is small, you may want to keep it uncovered if it is not at risk of becoming too dirty. keeping them covered can be associated with infections. if you are unsure whether an infection is present, you should visit your doctor for an assessment. i hope this helps"
Please summerize the given abstract to a title,Seasonal Workers before the Covid-19 Era: Analysis of the Legislation within the Context of Eastern Europe
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the bleeding in the oral cavity could be because of the gum infection, or pulp polyp or any bleeding disorders like idiopathic thrombocytopenic purpura. consult an oral physician and get these things ruled out. get a complete blood investigation along with inr to rule out the bleeding disorders. if any gum infection then get your teeth cleaned and use topical gum astringents like stolen gum paint. if pulp polyp is there then get it root canal treated. if bleeding disorder is there then consult a general physician. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as he had a fall direct impact over the knee, there will be pain and swelling. since you will be advice to take at least an x-ray for the safe side if any bony injuries are present shouldn't be ignored. for now, you can do icing and knee brace. this will help reduce pain and swelling. maybe you can get it physically examined once.  hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for query to my chatbot virtual clinic. i studied all details of your query. i understood your health concerns about causes of sore lump under left armpit. cause of sore lump under left armpit-from the data of the query it seems that you lately had a lump, which is mostly a boil, as it's painful on touching since 1 week. but the location which your query gives, indicates this painful lump is near to axillary tail of the breast. in this situation i would suggest you to take second opinion from your doctor, as it could be metastatic nodule tethering overlying skin and so has become painful lately since last week. these explanations need to be confirmed by physical check from your gp or surgeon/and or oncosurgeon. as your next apt with your oncologist is there, i would suggest for a second opinion from your er surgeon who would be right doctor who would help in planning treatment with your oncologist. hope this reply would help you in resolving this complex query and anxiety with it. i would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at chatbot. welcome for any further query in this regard. good day!! chatbot. n.m.s. genl- cuts. senior surgical specialist."
Answer this question truthfully,Amylin analogues (e.g. pramlintide) cause decreased gastric emptying.
Please summerize the given abstract to a title,The Presence of Either Typical or Atypical Radiological Changes Predicts Poor COVID-19 Outcomes in HIV-Positive Patients from a Multinational Observational Study: Data from Euroguidelines in Central and Eastern Europe Network Group
Answer this question truthfully,"Ovarian cysts often cause no symptoms. When symptoms occur, they are typically pain or a late period.
An ovarian cyst is more likely to cause pain if it:
Becomes large Bleeds Breaks open Is bumped during sexual intercourse Is twisted or causes twisting (torsion) of the Fallopian tube
Symptoms of ovarian cysts can include:
Bloating or swelling in the abdomen Pain during bowel movements Pain in the pelvis shortly before or after beginning a menstrual period Pain with intercourse or pelvic pain during movement Pelvic pain: constant, dull aching Sudden and severe pelvic pain, often with nausea and vomiting, may be a sign of torsion or twisting of the ovary on its blood supply, or rupture of a cyst with internal bleeding
Changes in menstrual periods are not common with follicular cysts, and are more common with corpus luteum cysts. Spotting or bleeding may occur with some cysts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read and understood your problem. lot of imodium cases tremendous problems. it is very toxic to the colon and small intestines. in spite of clearing up the bowel movement, you are still having pain in the abdomen, inconsistent bowel movements, pain before needing to go - also called as census, constant bloating and not comfortable. all the symptoms are suggestive of the following reasons"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Prevention and treatment of acute lung injury with time-controlled adaptive ventilation: physiologically informed modification of airway pressure release ventilation
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. lymphnodes in maxilla can be due to 1. infection2. benign enlargement3. malignant spread. since you are also having pleural based lesion on ct thorax, possibility of either infection or malignant lesion is there. so better to get done ultrasound guided fnac (fine needle aspiration cytology) or biopsy from the lymph nodes. this will diagnose the problem and start treatment accordingly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for writing to and sharing your health problem in brief! in such cases of hard lump beside the neck with some breathing difficulties, if i were your family physician, i would first examine it carefully regarding its origin, mobility, any more lump in the surroundings and the status of thyroid as well! as per my experience of biopsy from neck lumps, i could suggest you few possibilities as listed below"
Answer this question truthfully,"Surgery to remove the diseased gland is the treatment of choice. A medication called bromocriptine may be used instead of surgery for pituitary tumors that release the hormone prolactin. The parathyroid glands, which control calcium production, can be removed. However, because it is difficult for the body to regulate calcium levels without these glands, a total parathyroid removal is usually not done initially. Medicine is available to decrease the excess stomach acid production caused by some tumors (gastrinomas), and to reduce the risk of ulcers. Hormone replacement therapy is given when entire glands are removed or do not produce enough hormones."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, plan b pill are emergency contraceptive pills. it is normal to have vaginal bleeding after taking the pills. many women also experience some side effect such as stomach pain, but this is subsided in a couple of days. avoid spicy food and take tab omeprazole 20 mg before breakfast once daily for 7 days. this will reduce the stomach pain. your menstrual cycle will become regular in 2 to 3 months. hope that answers your question.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. from your history, it looks like you have got seborrhea dermatitis. sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called seborrhea dermatitis. excess sebum production promotes fungal growth and these in turn eventually contributes to seborrhea dermatitis. i would suggest you a course of oral antifungal chatbot.  fluconazole 150\u00a0mg tablet should be taken once a week for at least 6 weeks. apply a cream containing mometasone and terminating twice a day and a salicylic acid 1% based gel in evening over affected areas gently. use ketoconazole based shampoo on regular basis for hair wash. i am sure you will be fine with this treatment. let me know if you require any more assistance from my side. wish you best of health. thank you"
Please summerize the given abstract to a title,COVID-19 treatment algorithm focused on early identification of risk factors./ Algoritmo de tratamiento COVID-19 centrado en identificación temprana de factores de riesgo
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. copd is chronic, progressive disease. and chemical exposure and cigarette smoking actually worsens it. for better management of copd along with symbicort inhaler you have to follow these steps also. 1. quit smoking as soon as possible.  this is the most important step.2. enroll him in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercise are done. 3. adult vaccination with pneumococcal and influenza vaccines for prevention of future lung infections. simultaneous application of all steps with inhaled therapy is needed for better survival in copd patients."
Answer this question truthfully,The only axons that leave the cerebellar cortex are those of Purkinje cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, read your query, as your daughter had pain and pus in carious tooth don't worry you should consult dentist and go for investigations iowa x-ray of tooth and go for treatment pulpotomy or lumpectomy if tooth is primary and if tooth is permanent then go for root canal treatment of possible. in meantime, you can give her analgesic paracetamol for pain by consulting with your local doctor, do warm saline gargle two - three times a day. hope it will help you. wishing her good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to ask a doctor service have reviewed your query, and here is my advice. if the diagnosis is not being cleared then you can go for second opinion, any symptom or condition if related with heart is said to be serious, and it has to be taken in that way only, moreover patient already has history of cardiac disease, so it is the serious condition and needs second opinion hope i have answered your query, let me know for further assistance."
Answer this question truthfully,"Amphetamine abuse during pregnancy is associated with fetal growth restriction, which is a potential risk for the developing fetus."
Please summerize the given abstract to a title,Multivariable fractional polynomial interaction to investigate continuous effect modifiers in a meta-analysis on higher versus lower PEEP for patients with ARDS.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. very sorry to hear about your mothers' illness. i am sure a ct scan of chest must have been done before proceeding onto biopsy. if not, it should be done. from the description you have given index of suspicion for malignancy (cancer) should remain very high in this case. since she has a previous history of breast cancer i suspect that it's a breast cancer relapse in lungs producing multiple metastasis. other possibilities are primary lung cancer with metastasis or primary cancer elsewhere with lung metastasis. the exact primary disease will be confirmed by histopathology report of biopsy. immunohistochemistry ioc will also help in narrowing down on the diagnosis. once diagnosis of cancer is confirmed, metastasis in other body parts should be ruled out with an ultrasound scan of abdomen & pelvis and a bone scan. i hope your query has been answered. you can discuss it with the treating oncologist as well. thank you for choosing chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, bronchitis can not cause similar kind of jaw pain. possibility of temporomandibular joint (tmj) related pain is more likely in your case. so consult dental surgeon and get done x-ray of tmj to identify the cause. treatment is painkiller, muscle relaxant chatbot.  don't worry, you will be alright with all these. bronchitis is not a cause for this. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,[The golden period for suturing of traumatic wounds]
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, since you have been already diagnosed with psoriasis by biopsy then maybe you are confusing with diagnosis of fungal infection but actually the patches you have be getting would be psoriasis patches. like rheumatoid arthritis, psoriasis also is an autoimmune disease. someone can be prone to autoimmunity because of some particular hla system in the blood. psoriasis is considered incurable chronic skin condition which needs continuous medical care to avoid further decoration. it may need topical medications include corticosteroids, vitamin d analogue creams like calcitriol, moisturizers,topical immunomodulators e.g.tacrolimus. and coal tar can also be used in treatment. i would suggest you to get checked by rheumatologist, so it can be treated according to the stage of psoriasis and rheumatoid arthritis. hope my answer is helpful, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot.it's very difficult to approach conclusive diagnosis unless for proper physical examination, anyway from your description it seems you are suffering from scabies. scabies is a contagious disease caused due to mite, and it spreads among people who are in close physical contact and by use of common household articles. treatment is pretty straight foreword. treat everyone simultaneously in the family and others who are in close physical contact. your doctor would prescribe oral chatbot.  also, you and others will be advised single application of permethrin 5% cream overnight, over whole body below neck followed by bath next day. take antihistamines containing hy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello hope the answer helps you. as you discussed your history steroids and azathioprine for 7yrs for she. and now you ar having non-painful supraclavicular and other area lump with night sweats i guess you noticed evening fever spike or not and fatigue with it. my suggestion is as you are on long term steroids for autoimmune disease these lumps could be any benign swellings like rheumatoid skin nodules as do in she sometimes or neurofibroma type lesion till proven. but one thing with night sweats you ask your gp to for tuberculosis work up as could be skin t. b or tb lymphadenopathy, like chest x-ray and esr and if cough for sputum afb. no worries' madam/sir as once diagnosed all is treatable."
Please summerize the given abstract to a title,Influence of COVID-19 pandemic on paediatric dental attendance
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. from the history of your daughter, it seems that she has got a uti (urinary tract infection). if i were her doctor, i would have gone for a urine test (routine/microscopic/culture and sensitivity) and treat it with appropriate antibiotic if positive. this would relive her of her symptoms. further management would depend on a physical assessment and related investigations. till that she should take an anti-spasmodic along with a proton pump inhibitor chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",since his left side is partially paralyzed the muscles are inactive and do not help in pumping the blood up the limb. such a situation can bring about deep vein thrombosis (dvt) of the calf. this needs a doppler study for confirmation and your doctor will give you medication to decrease further clotting. there is also another possibility of a cellulitis (a bacterial skin infection)for which intravenous antibiotics are needed.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i am chatbot and i will help you with your problem have gone through your question. it appears to be posterior cervical lymphadenopathy, mostly commonly caused by upper respiratory tract infection. viral is more common than bacterial. bacterial which is usually staphylococcus and streptococcus, needs antibiotics. while in viral infection the lymphadenopathy is mostly self limiting, requiring no treatment apart from spy paracetamol for symptomatic relief. i hope my answer will help you. do rate it, if you like it. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. your period was delayed for only a day and your description of symptoms are suggestive of menstrual bleed. as you are passing clots, could be due to well-formed endometrium resulting more bleed. not to worry. usually urine pregnancy test shows positive results a week after missed period, blood chatbot test is more sensitive in detecting early pregnancy. use of birth control pill helps to regularize hormonal changes in body, so makes cycles regular. usually bleeding starts with in a week of taking last active pill. hope this helps you regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking. keeping in mind the information provided by you like negative x-ray and other tests i will consider adenoids as culprit. enlarged adenoids can lead to disturbed sleep due to interference in breathing due to throat narrowing caused by them. this is termed technically as obstructive sleep apnea. the next day untested brain and body can have multiple problems like sleepiness body aches. adenoids enlargement also causes sore threat. so yes this can all be due to enlarged adenoids. i hope adenoidectomy will cure all this. good luck
Please answer with one of the option in the bracket,A: Corynebacterium diphtheriae
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, vacuum abortion generally doesn't affect pregnancy chances. so, get yourself evaluated for other things like a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. if everything is fine, you can take some medicines like camphene for increasing the growth of your eggs. you can have contact every 2 to 3 days after your periods stop.  this will increase chances of your pregnancy.  hope i have answered your question.  if you have any other query i will be happy to help."
Please summerize the given abstract to a title,"Serial Laboratory Testing for SARS-CoV-2 Infection Among Incarcerated and Detained Persons in a Correctional and Detention Facility — Louisiana, April–May 2020"
Answer this question truthfully,Silver sulfadiazine and mafenide are used as treatments for burn wounds.
Answer this question truthfully,"β-blockers are able to relieve anginal pain by decreasing heart rate and contractility. By blocking the effects of adrenaline and other stress hormones on the heart, β-blockers reduce the workload and oxygen demand of the heart. This can help to alleviate the symptoms of angina, which is caused by a lack of oxygen supply to the heart muscle. Additionally, β-blockers can improve blood flow to the heart by dilating the coronary arteries. This combination of effects makes β-blockers an effective treatment for angina and other cardiovascular conditions."
Please summerize the given abstract to a title,Re-estimation of basic reproduction number of COVID-19 based on the epidemic curve by symptom onset date
"If you are a doctor, please answer the medical questions based on the patient's description.","hello xxxxxx, kidney stones are treated differently based on their size. small stones less than 6\u00a0mm are usually treated by medical therapy, but larger size requires surgical removal otherwise it will not come out. there are different ways of performing the surgery. some urologists use thin tubes or endoscopes passed into urethra and can remove stones, which is relatively safe and a very quick and painless procedure. nothing to worry. please discuss he benefits and risks with the doctor and get the best treatment for her."
Answer this question truthfully,"The standard treatment for primary hyperaldosteronism in patients who are not suitable for surgery is aldosterone antagonists, such as spironolactone or eplerenone.

Primary hyperaldosteronism is a condition in which the adrenal glands produce too much aldosterone, a hormone that regulates sodium and potassium levels in the body. Surgery to remove the affected adrenal gland is the preferred treatment for primary hyperaldosteronism. However, in some cases, patients may not be suitable candidates for surgery due to other health conditions. In these cases, the standard treatment for primary hyperaldosteronism is aldosterone antagonists, which are medications that block the effects of aldosterone. Examples of aldosterone antagonists include spironolactone and eplerenone. These medications can help to control blood pressure and reduce the risk of complications associated with primary hyperaldosteronism. Patients with primary hyperaldosteronism should work closely with their healthcare provider to determine the best course of treatment based on their individual needs and medical history."
Please summerize the given abstract to a title,The Use of Non‐Immune Plasma Powder in the Prophylaxis of Neonatal Escherichia coli Diarrhoea in Calves
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you have 2 problems1) tiny stone in the left kidney2) you have gastric problem - which may be hyper acidity - leading indigestion and gas formation. moreover, gas inside the stomach is a normal one. only excessive gas is an abnormal finding and mostly diagnosed by x-ray. the tiny kidney stone is not a problem at all. it may produce pain from the kidney area to the lower middle of the abdomen on that particular side and not on both sides. the urine alkalizing agents is useful, but along with that antibiotic, painkillers and diuretic as per your treating chatbot. take treatment for your hyper - acidity, that timely bland diet, avoiding hot"
Please summerize the given abstract to a title,The hospitalization rate of cerebral venous sinus thrombosis before and during COVID-19 pandemic era: A single-center retrospective cohort study (preprint)/ en
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for asking in chatbot. the risk of pregnancy depends on how long you had been using depot proverb shots. if you had been using the shots long enough, then it may take at least 2 months for the fertility to return after you discontinue the depot shots, in which case, your chances of pregnancy is minimal. when the blood level of progesterone falls, it results in with chatbot.  if you are doubtful whether the spotting is due to implantation bleeding, you need not wait and can rule out pregnancy through blood test which confirms pregnancy within 3 to 4 days after implantation. i hope this is useful to you."
Please summerize the given abstract to a title,Clinical features and outcomes of pregnant women with COVID-19: a systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. quitting meth addiction is no children, and it takes time and courage. the given symptoms are common with any sort of addiction, and you should not fall prey to the physical and mental symptoms which makes you to relapse the addiction habit. in two days, these symptoms will be prominent. once you practice for a week, symptoms subside. best method is to completely quit today (now) and sustain with the help of your mind power. mind power building therapy, motivation therapy etc. should help you to do so. please consult a psychologist / psychiatrist. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Conversion in laparoscopic cholecystectomy after gastric resection: a 15-year review.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,A quantitative evaluation of aerosol generation during supraglottic airway insertion and removal
Please summerize the given abstract to a title,Performing otolaryngological outpatient consultation during the Covid-19 pandemic
Answer this question truthfully,"HMG CoA reductase requires two molecules of NADPH for its function. HMG CoA reductase is a key enzyme in the cholesterol biosynthesis pathway and is responsible for the conversion of HMG CoA to mevalonate. Mevalonate is a precursor molecule for the synthesis of cholesterol, which is an essential component of cell membranes and also serves as a precursor for the synthesis of steroid hormones. The regulation of HMG CoA reductase is tightly controlled and can be influenced by various factors, including the cellular demand for cholesterol and the availability of nutrients such as glucose and insulin."
Answer this question truthfully,At what stage of life does follicular lymphoma typically present? Follicular lymphoma typically presents in late adulthood.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i appreciate your concern.it seems you have coccyxdynia, due to injury on hard seat while cycling. there seems to be injury to last fragment of tailbone, causing irritation and swelling.i usually advice my patients to take site bat hie sitting in lukewarm water in a wide stencil, for 5-7 days, take some safe painkiller, use sponge cushion for sitting, apply locally painkiller creams, use anesthetic cream/gel in anus to help to pass feces. get an x-ray done for pelvic area after consulting or tho expert. thanks i will be happy to answer further any query."
Answer this question truthfully,There is no established system for the classification of umbilical hernia.
Please summerize the given abstract to a title,COVID-19 Vaccinations in EMS Professionals: Prevalence and Predictors
Please summerize the given abstract to a title,Computational screening of phytocompounds from Moringa oleifera leaf as potential inhibitors of SARS-CoV-2 Mpro
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~ i understand your concerns.  it does seem like you have an acne problem, and please consult a dermatologist for the same.  it will really help to improve your overall confidence and self-esteem when you get your acne cured.  furthermore, it is something that most people go through in their young adulthood.  i also would think that a visit with a psychiatrist would be in place.  i hope this helps with the anxiety part of things. take care and have a lovely day!"
Answer this question truthfully,"Endometrial carcinoma that arises from the sporadic pathway has a serous, papillary histology. This type of endometrial cancer is considered to be more aggressive and has a poorer prognosis compared to other types of endometrial cancer. It is important for individuals with endometrial cancer to receive appropriate staging and treatment based on the specific characteristics of their cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, traditional cancer medicines are harmful in many ways. they cause delay in people seeking modern treatment. even if one starts on treatment, they may stop it believing in traditional treatment methods etc. once the cancer progresses beyond any cure and patients suffer in pain etc., they return to hospitals and then it's too late for modern medicine to offer anything but pain relief and palliative care. the traditional cancer doctors are usually very nice talkers and give plenty of time and listen to patients and more or less play with vulnerable patients emotions and then once they fail they put the blame back on the patients for not doing things exactly according to their instructions etc.... also people are cheated financially in the process. any person advertising alternative or traditional methods and claiming cure should be prosecuted. why people don't go for traditional medicine when they meet a traffic accident or heart attack?? why only for cancer???? have you thought about it? regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","! after read your use question carefully i can understand that you have been facing a lot of issues at work lately. as you have mentioned that you developed vertigo after all these problems s at work, it is possible that stress is behind all of them. we see such cases daily, when a person is under lot of stress, which he feels that he is trying to handle, but unconsciously, the mind is troubled and person develops variety of symptoms. i think you should listen to your doctor, as your vitals and basic test if done, are within normal limits. i have seen such patients responding greatly to combination of cinnarazine and dimethyl chatbot.  day) for some days for vertigo. plus, try to get a good walk daily, and eat healthy. if vertigo still persist, you may get an x-ray neck to rule out cervical. if along with vertigo, you have sadness or anxiety, please meet a psychiatrist for complete treatment.  hope the reply helps you in getting well soon take care, and feel free to ask more questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. anger always comes due to frustrations in life. frustrations are normal with everyone. people learn to ignore frustrations when they get experienced. does your friend get angry to circumstances outside his home as he gets angry at his house? his office, bus stand, railway station, neighbors etc. if yes, he might need to get evaluated for anger issues. if no, just make him understand and compare the given two situations, and he can be better himself. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,MDCT Imaging of Non-Traumatic Thoracic Aortic Emergencies and Its Impact on Diagnosis and Management—A Reappraisal
Please summerize the given abstract to a title,Pathogenic oral bacteria in hospitalised patients with dysphagia: The silent epidemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, before taking any supplement as liver cleanser, you should make sure you have liver problems by checking the blood transaminase. furthermore, thin hair and in patches could also be a sign of vitamins deficiencies (it. d, e,etc.). you can take multivitamins supplements containing it. d, e,ca, mg,etc. another factor could be related to skin problems (infection, etc.), which should be evaluated by a dermatologist. hope it helped!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. your mother has an advanced stage of breast cancer and needs treatment targeted to the cancer spread. in this situation, the cancer cells might be controlled by chemotherapy and radiation. her sugar levels are high and this can cause additional health problems during her treatment. swelling of limbs might be an emergency like deep vein thrombosis. you should urgently consult her doctors and get a d dimer blood test and lower limb doppler scan done to know if there are any clots in the deep veins of legs. this is an emergency and must be considered first. if she does not have dvt then the swelling of leg might happen when there is extra fluid collection in the limbs and this takes place in the tissues below the skin and is also called subcutaneous edema. such a situation might arise during cancer treatment and due to diabetes or reduced kidney or heart function and needs to be treated. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloelevated liver enzymes like increased got and sgpt may indicate liver injury. it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. your husband may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. i suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. it helps in regeneration of liver cells. he should avoid saturated fat and go for brisk walk regularly. avoid alcohol and smoking if he takes these things. get well soon. take care chatbot."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. your son has developed severe pain in the upper abdomen days after knee surgery, hand-span down the nipple line. pain comes in spasms lasting for 7 to 10 minutes, and occur every 20 to 30 minutes. taking paradox and tramadol. ate normally yesterday and toileting is normal. the possible causes are"
Answer this question truthfully,Acute tubular necrosis may cause high anion gap metabolic acidosis.
Please summerize the given abstract to a title,Alimentary Models of the Ethnic Other in the (post-)covid Period
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for your question. i understand your query, however next time you take antibiotic, i recommend you to complete the full course of antibiotics such amoxicillin if given for 7 days should be followed even though the condition has improved to avoid antibiotic resistance. for your frequent and painful urination i suggest you take an urinalysis exam as you may be having a urinary tract infection. if urinary tract infection is confirmed, you may be prescribed with another round of antibiotics such ciprofloxacin 500 mg 2x a day for 7 days. meanwhile, please do take lots of water. hope this helps, feedback is greatly appreciated. thank you and god bless!"
Answer this question truthfully,"The initial step in the management of T2DM after the diagnosis is made is to implement lifestyle changes and prescribe metformin. Lifestyle changes may include dietary modifications, increased physical activity, and weight loss, which can help to improve glycemic control and reduce the risk of complications. Metformin is an oral medication that is commonly used as a first-line treatment for T2DM, as it can lower blood glucose levels and improve insulin sensitivity. Depending on the patient's individual needs and response to treatment, additional medications or insulin therapy may be necessary to achieve optimal glycemic control."
Please summerize the given abstract to a title,"The sourcing and use of high physical resemblance personal protective equipment to train health care workers, improve confidence and conserve medical grade equipment."
Answer this question truthfully,"Cauda equina syndrome is a condition that occurs when the nerve roots in the lower spinal cord become compressed, leading to a range of symptoms such as lower back pain, weakness or numbness in the legs, and loss of bladder or bowel control. The most common cause of epidural cord compression leading to Cauda equina syndrome is a malignancy, such as a tumor or cancerous growth in the spine. Other potential causes of epidural cord compression include spinal stenosis, herniated discs, and spinal infections. Treatment for Cauda equina syndrome typically involves emergent surgery to relieve the pressure on the nerve roots, as well as other interventions such as steroids or pain medication to manage symptoms and promote recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi friend, welcome to chatbot you need more information - for proper suggestion... either can be right! / there could even be a third unrelated event! hypertension may have resulted in myocardial infarction or aortic dissectionasthma might have resulted in tension pneumothorax... in vt, the priority is to treat - even without a diagnosis, which of course is being evaluated simultaneously... take tarnishing speedy recovery god bless good luck"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Evolutionary Game Analysis of Co-Opetition Strategy in Energy Big Data Ecosystem under Government Intervention
Answer this question truthfully,"Loop and thiazide diuretics can cause hyperuricemia, which may lead to precipitation of gout."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, there is no cure for dementia particularly. because dementia is euro degenerative disease and so with treatment we can stop progression of disease. behavior disturbance secondary to dementia can be controlled with treatment. so consult psychiatrist and neurologist for detail history and treatment. for dementia at present not much medication only donepezil and meantime is available and having good response in mild to moderate dementia. and for behavior disturbance low dose antipsychotic or mood stabilizer is effective. thank you"
Answer this question truthfully,"An S4 heart sound is typically associated with a stiff left ventricle, such as in cases of left ventricular hypertrophy due to prolonged hypertension. An S4 heart sound is an extra heart sound that occurs just before the normal ""lub-dub"" heart sounds. It is caused by the contraction of the atria of the heart pushing blood into a stiff or non-compliant ventricle. In the setting of left ventricular hypertrophy, the walls of the left ventricle become thickened and stiff, which can lead to the development of an S4 heart sound. Other conditions that may be associated with an S4 heart sound include aortic stenosis, hypertrophic cardiomyopathy, and ischemic heart disease."
Please summerize the given abstract to a title,Prediction of venous thromboembolism with machine learning techniques in young-middle-aged inpatients
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","it happens when there is nerve compression and any changes in vertebral body get an mri done for your whole spine which will come out with more clearance till than use firm pillow and mattress and pillow height should be like your head should not sink into pillow telling you few treatments do, and you will definitely feel better"
Answer this question truthfully,"Tamoxifen is a medication that can interact with estrogen receptors in different ways depending on the location in the body. Specifically, Tamoxifen acts as an antagonist at breast tissue, which means it blocks the effects of estrogen and can help prevent the growth and spread of breast cancer cells. However, in bone and uterus tissue, Tamoxifen acts as an agonist, which means it can stimulate the effects of estrogen and promote bone growth, help prevent osteoporosis, and reduce the risk of uterine cancer in women who are at high risk for the disease. Tamoxifen is commonly used to treat breast cancer and has been shown to be effective in reducing the risk of recurrence and improving survival rates."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thyroxine usually causes increase in appetite and paradoxically cause weight loss due to its action on basal metabolic rate. i would suggest my patient to not think about transient weight loss and concentrate on controlling the thyroid hormone status. in that respect, i would suggest you to have a regular follow up with your physician/ endocrinologist. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Fusion of Intelligent Learning for COVID-19: A State-of-the-Art Review and Analysis on Real Medical Data
"If you are a doctor, please answer the medical questions based on the patient's description.","kidney failure can occur from an acute situation or from chronic problems. in acute renal failure, kidney function is lost rapidly and can occur from a variety of insults to the body. the list of causes is often categorized based on where the injury has occurred. prerenal causes (pre=before + renal=kidney) causes are due to decreased blood supply to the kidney. examples of prerenal causes are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query in detail. a big size fibroid if present in the cervix can obstruct the normal passage of baby during normal delivery and therefore normal delivery may not be possible. what is the location and size of fibroid at the time of delivery and also the baby weight and various other factors are taken into consideration before deciding to deliver the baby by caesar section or operation. so please don't worry at present, your gynecologist will advise you to get one ultrasound done around 34- 36 weeks of pregnancy and then will decide accordingly. you are welcome to contact us near delivery with your latest reports. wishing you good luck,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, bleeding from the gums is mainly due to injury , infection and inflammation of the gums. it occurs due to plague and calculus deposition. systemic conditions like herd, vitamin deficiencies , bleeding disorders, leukemia, hormonal changes can lead to bleeding gums. visit dentist and get complete check up done. take an opg. get complete mouth scaling and polishing done. take vitamin supplements. develop a habit of brushing tooth twice daily with a soft bristle toothbrush. develop a habit of using dental floss and interdental cleaners. oral cancers occur if you have a long term habit of using tobacco, smoking , you don't have a cancer so don't worry at all . hope this helps out. regards."
Please summerize the given abstract to a title,Neuronal and Cerebrovascular Complications in Coronavirus Disease 2019
Please summerize the given abstract to a title,Selection Analysis Identifies Clusters of Unusual Mutational Changes in Omicron Lineage BA.1 That Likely Impact Spike Function
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot i am chatbot so, you have cervical and probably left supraclavicular lymphadenopathy.  now, to be frank, on left side both cancerous and non-cancerous cause. which include infectious conditions along with some carcinomas.  you did not mention what type of thyroid lesion you have.  now, first you have to do fnac from those lymph nodes. it must. if it becomes noncontributory then surgical biopsy needed."
Answer this question truthfully,The recurrence rates of primary biliary cirrhosis following liver transplantation are:      About 20% after 5 years About 30% at 10 years About 40% at 15 years
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear,first, remove all myths & misconceptions from your mind about night fall. in fact, it is a normal physiological process & doesn't have any bad effect to the body and mind. since you remain disturbed because of your experiences, you can try out the following measures"
Please summerize the given abstract to a title,SARS-CoV-2 infection: The role of PD-1/PD-L1 and CTLA-4 axis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot not all pain is related to cancer, in fact most persons with pain do not have cancer so though it is understandable to be worried, it would be best to have your pain assessed. the pain could be originating from any structure in the lower abdomen except uterus since this was removed. this includes the bladder, muscles and ligaments, hip joints and pelvis, intestines, ovaries if they are still present. your doctor, based on your history, physical examination and investigations would be able to determine what is the cause. it would be best to know so that appropriate treatment can be started. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorconservative treatment can be an option in early onset blunt disease and consists of brace treatment. brace therapy should be attempted in all child chatbot. 5 years with stage i or ii disease. ambulatory bracing with an above-the-knee orthosis has been shown to prevent progression of disease. bracing has been shown to correct both the virus deformity and the pathologic proximal-medial tibial growth disturbance.[18] if the disease continues to progress to stage iii with brace treatment, it will no longer be effective. other risk factors for failure of brace treatment include obesity, virus thrust, age older than 3 years at initial treatment, and bilateral disease."
Please summerize the given abstract to a title,Conjugates for use in peptide therapeutics: A systematic review and meta-analysis.
Please answer with one of the option in the bracket,B: Sick euthyroid syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. your problem can be due to retrograde ejaculation. this can be due to over stimulation and stopping ejaculation. if this occurs regularly then get an examination by a urologist to rule out any problems regarding prostate. if this occurred after excessive sexual stimulation then nothing to worry. david is used for premature ejaculation. i don't think these chatbot.  get a counselling by psychologist or sex therapist. you will be better. hope this may help you. let me know if anything is not clear. thanks.
Please answer with one of the option in the bracket,B: Direct fluorescence antigen
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. if you have diabetes then it is necessary to control the excess glucose level, then only you will feel energetic. if fbg is 108 to 125 mg, pp 141 to 199 mg and hba1c% is but if you already have fbg 126 mg and above, pp 200 mg and above as well as hba1c% 6.5 and above, then diabetes is confirmed. in such a situation excess glucose lost through urine causes loss of energy and tiredness and feeling low in energy. since you have not mentioned any relevant details it is difficult comment very specifically. even the attack of flu also adds to the weakness as it takes a bit longer to recover full normalcy after an attack of flu. so my advice is if you have diabetes then start the treatment straight away. once blood glucose is well controlled, you will be better. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some soft tissue tumor, enlarged lymph node or axillary tail tissue of breast. you should not worry about cancer. chances of cancer is minimal at this age. so just be relaxed. if it enlarges then you should go for biopsy or fnac of that lump. it will give you exact diagnosis. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thereafter going through your query i understand your concern. i would like to tell you that if all the cardiac check up came out normal then you don't have any heart disease for sure. your symptoms like swollen glands on neck, chest pain are related to some stress or anxiety disorder. consultation with psychiatrist or psychology counselor is highly recommended for further management. hope this has answered your query. kind regards"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hellosign degree fever may be due to these reasons, these include"
Answer this question truthfully,"The secondary prevention for ischemic colitis is as follows:   Frequent clinical follow up of the abdomen to document healing or the development of strictures or persistent colitis. Careful monitoring of vital signs. Serial radiographic and colonoscopic examinations. Clinical suspicion of colonic infarction requires an emergency laparotomy. Patient may have persistent diarrhea, rectal bleeding or repeated episodes of sepsis, which may lead to perforation. Small delay in second-look operation, 72 hours, promotes the viability of the colonic mucosa and the anastomotic healing. This procedure offers a survival rate of almost 65%."
Please summerize the given abstract to a title,Persistent clotting protein pathology in Long COVID/ Post-Acute Sequelae of COVID-19 (PASC) is accompanied by increased levels of antiplasmin
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your stress regarding hair on your face. there are two treatments available"
Please answer with one of the option in the bracket,B: Anti-hepatitis C antibodies
Please summerize the given abstract to a title,Evaluating the methodology of studies conducted during the global COVID-19 pandemic: A systematic review of randomized controlled trials
Answer this question truthfully,"The most common malignancy that can occur as a complication of solid organ transplantation is Post-transplant Lymphoproliferative Disease (PTLD). This is a type of cancer that arises in the lymphoid tissue of transplant recipients, typically due to the immunosuppressive therapy that is required to prevent organ rejection. PTLD can manifest in a range of ways, from mild lymphoid hyperplasia to aggressive lymphomas, and can affect various organs in the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, stress and anxiety related chest pain is more likely in your case. but better to rule out cardiac chest pain first. so get done ecg and 2d echo. if both these are normal then no need to worry about heart diseases. avoid stress and tension, be relaxed and calm. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  once your stress is controlled, your gaseous bloating will also be controlled.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thank you for your query. the condition you are suffering from is called urinary incontinence. you will have to visit a doctor for a thorough examination to find the cause of the incontinence. unless there is a bladder obstruction (requires surgical correction), other modalities of treatment include"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. what do you think is the cause of his cheek swelling?is it just the bruise or the underlying tooth is involved? swelling of cheek indicates, trauma to tooth and supporting structures.  i would suggest you to visit your dentist first regarding this, a vitality test for the concerned tooth will be carried out and then based upon the level of fracture of tooth (if any), treatment can be undertaken. later you can inquire about your other decayed tooth too, if adequate mouth opening is there and child is cooperative then superficial fillings(if any)can be carried out in the same sitting else you will have to visit later for that. his first priority should be the involved tooth and its suitable treatment. hope it helps. thanksnow t"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. at this age with the history suggest - possible cause could be some infective etiology.2. if your doctor has examined and said normal - probably it's superficial.3. in this case if you still doubtful then you can get an ultrasound scan done that will give you a clear picture - weather lesion / lump or not, source of the lump, its nature (cyst, abscess, mass) and where all its extending will be clearly said.4. mamogram in your age is not recommended - not advised.5. if there is any lump / mass - an fnac will be advised for cell nature to assess. (fine needle aspiration cytology). good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,"Minimal alveolar concentration (MAC) is the dose of inhaled anesthetic that causes 50% of patients to become unresponsive to noxious stimuli, such as surgical incisions or painful stimuli. In other words, it is the concentration of inhaled anesthetic required to produce a specific level of anesthesia in half of the patients exposed to it. MAC is used as a measure of anesthetic potency and is influenced by factors such as age, sex, and the presence of other medical conditions. Clinicians use MAC to determine the appropriate dose of inhaled anesthetic for a given patient, with the goal of achieving the desired level of anesthesia while minimizing the risk of complications."
Please summerize the given abstract to a title,Transient Elastography of Liver and Serum Hyaluronic Acid Levels In Adult Transfusion Dependent Thalassemia Patients.
Please summerize the given abstract to a title,"First Experience of Three Neurovascular Centers With the p64MW-HPC, a Low-Profile Flow Diverter Designed for Proximal Cerebral Vessels With Antithrombotic Coating."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility either lower respiratory tract infection (leti) or bronchitis is more. because in both these conditions chatbot.  so better to consult pulmonologist and get done 1.  clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out leti. pft is must for the diagnosis of bronchitis. he may need antibiotics, antihistamines and anti-inflammatory"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, according to the history of pain presented by you, it seems to be a carious tooth with per - apical infection.in such cases, root canal treatment is the only solution. i would suggest you visit a specialist,i.e. an endodontist, who will perform a rct for your tooth and treat it .this will resolve the infection and relieve you from all the symptoms. amoxicillin+ clavulinic might not be sufficient for the present infection therefore your dentist will prescribe a broad spectrum antibiotics, do not consume hot food as this might spread the infection, kindly believe in your doctor, and you will surely have a painless tooth.i wish you good health."
Answer this question truthfully,"The recommended next step for an HIV patient with a ring-enhancing lesion is empiric treatment with Pyrimethamine and sulfadiazine. A ring-enhancing lesion is a radiographic finding that can be seen on brain imaging studies such as CT or MRI, and is often indicative of a brain abscess or other infectious process. In HIV patients, ring-enhancing lesions are commonly caused by opportunistic infections such as toxoplasmosis, which can be effectively treated with Pyrimethamine and sulfadiazine. However, other causes of ring-enhancing lesions such as primary brain tumors or metastatic disease should also be considered and ruled out as appropriate."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern, i will suggest you best possible treatment options. please do not panic. if your urine tests are negative then you can assume that you are not pregnant. in case of doubt you can get blood beta chatbot test or usg done to rule out pregnancy. secondly, use of emergency contraceptive pills gives erratic with chatbot. it can be early or delayed, and scanty or heavy. please get proper sex counselling done. having safe and protected sex will prevent unwanted pregnancy and stds. i hope this answer helps you. thanks."
Please answer with one of the option in the bracket,A: Spherules filled with endospores
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. the pigmentation that arises after the jock itch is because of the after reaction of the melanin. as such there is no such cure for this condition. only wait and watch can cure such a problem. our immune system can gradually digest the extra pigments. but this process is very slow. if you want fast result than you can apply vitamin a, poly unsaturated fatty acid zinc etc. various combination of the above product is available in the market and can be taken under your doctors' guidance. please do not expose the part to the direct sunlight, avoid extra sweats to the parts and wear the cotton cloth that can absorbs the sweat. this much care can bring the change. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hiaccording to the details which you have given me looks like chatbot.  when the healing in under process, there will be a soft tissue covering over the extraction socket. after the extraction there is formation of blood clot-then there is white color film- pink color tissue and finally the gum formation. home care instruction"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, after going through your history, you are bag positive and anti he reactive which is indicative of viral replication and viral load. your liver function are normal and hence you are carrier of hepatitis, please visit a physician/gastroenterologist for assessment and take care of cholesterol and ldl. this is possible that bag becomes negative spontaneously or if chronic hepatitis develops and hbv dna viral load is indicative then antiviral like lamivudine, adenoid, tenofovir, telbivudine and endeavor, and the two immune system modulators interferon alpha-2a and regulated interferon alpha-2a. your life will be normal just take care and consult a gastroenterologist. take care. good luck chatbot. d."
Answer this question truthfully,"In general, leukotrienes cause vasoconstriction."
Answer this question truthfully,"Winchester syndrome is an autosomal recessive connective tissue disorder caused by mutations in the matrix metalloproteinase 2 (MMP2) gene.  A 2006 study showed other mutations in the same gene, and observed that Winchester syndrome is probably part of a continuum that also includes Torg syndrome and nodulosis-arthropathy-osteolysis syndrome (NAO)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern looking to the history given here let me tell you something that the elevation of esr is not matter, but the underlying cause of this is great concern and this need to be found out and treat accordingly, because elevated esr is indication of some pathological process and not the disease itself, hope this information helps you, take care and have a nice day."
Answer this question truthfully,"Images shown below are courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

Colon: Necrotizing Enterocolitis: Gross, natural color, thickened constricted colon with linear ulcerations and mucosal hyperemia Colon: Necrotizing Enterocolitis: Gross, natural color, inflamed colon with linear ulcerations

Small intestine: Necrotizing Enterocolitis: Gross, natural color, four loops of bowel with obvious dusky cyanosis (very good example} Small intestine: Necrotizing Enterocolitis: Gross, natural color, opened body with dilated gangrenous gut"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have severe shoulder blade pain and high blood pressure. well there can be many reasons for symptoms you mention in query like bursitis, tendinitis, cardiac condition like angina, cervical spondylosis or wrong movement. i would suggest you to consult orthopedic surgeon for proper examination. doctor may order ct scan, x-ray or physical examination like movement of shoulder. doctor may prescribe muscle relaxant, anti-inflammatory, vitamin supplement for quick healing or recommend physical therapy. doctor may also refer you to cardiologist in case of angina. for now give proper rest to shoulder, apply warm compresses and take ibuprofen or acetaminophen for pain. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","in its early stages, arthritis of the knee is treated with nonsurgical methods. some of the more common options include changes in activity level, pain relievers such as acetaminophen or non-steroidal anti-inflammatory chatbot. another treatment option is a procedure called viscosupplementation. in this procedure, a gel-like fluid called hyaluronic acid is injected into the knee joint. hyaluronic acid is a naturally occurring substance found in the synovial (joint) fluid. it acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. people with osteoarthritis (\""wear-and-tear\"" arthritis) have a lower-than-normal concentration of hyaluronic acid in their joints. viscosupplementation may be a therapeutic option for individuals with osteoarthritis as probably your case seems to be. there is a course of these injections for longer term reliefyour doctor may consider it if it agrees"
Please summerize the given abstract to a title,Practice of COVID-19 Preventive Measures and Its Associated Factors among Students in Ghan
Answer this question truthfully,"PCV13 and PPSV23 are the two vaccines used today as preventative measures to target and prevent nonbacterial and bacterial pneumococcal pneumonia. These drugs interact and target the disease differently and thus the cost-effectiveness of routine vaccination at certain ages, for individuals at different risk levels, and in different sequences must be examined. A number of studies have been conducted to research how these vaccines affect patient health while considering their cost in order to compute the price per quality adjusted life year (QALY). Both PCV13 and PPSV23 were found to be cost-effective vaccines to protect against pneumococcal disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","caa.definitely its due to severe allergy to pepper spray.........if he is an asthmatic/allergic person, pepper spray/any irritant causes sudden lung blood supply constriction resulting in craving for oxygen..........avoidance is the best treatment for any allergic condition............if not subsiding please do use steroid sprays like fluticasone, beclomethasone propionate types response will be good with them.............needed to clean your entire house daily......an allergic person may super from reactions due to household dust"
Answer this question truthfully,"Long-term infection may cause changes in the tissue on the cervix. These changes may be seen on a routine Pap smear. In such cases, treatment should be started and the Pap smear repeated 3 to 6 months later. Treatment of trichomoniasis helps prevent the spread of the disease to sexual partners. Scientific studies suggest that trichomoniasis is associated with at least a 3- to 5-fold increased risk of HIV transmission.
Pregnant women with trichomoniasis are more likely to have their babies too early (preterm delivery). Also, babies born to infected mothers are more likely to have an officially low birth weight (less than 5.5 pounds). More research is needed."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the optimal way for checking if the stent is working is the stress test. i would recommend either the echo stress test or nuclear stress test in an experienced center. these two test have quite high accuracy in detecting the problems with vessels and stents. the other method is to repeat coronary angiography, but i wouldn't recommend it at this point, as it is an invasive procedure, and if we can gain as much information with a none invasive scan, the latter is preferred. and in patients with previous stents we perform coronary angiography when there is a very high suspicion of stent blockage, which is not your case. wishing you a good health. in case of any further questions don't hesitate to contact me."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. the symptoms you have mentioned do correlate to a muscular pain. muscle soreness of such sorts can sometimes happen without us recalling of any stress or injury. it could happen due to a bad posture or mild twist. secondly, and more unlikely, it could be due to referred pain from your stomach problem.  take reshot fomentation to the partially local diclofenac gel analgesic like etoricoxib which is safe during upset stomach. abstain from strenuous activities. consult a astrophysical for the stomach problem who might get an ultrasound abdomen done. proceed according to the reports. i hope my advice has helped. good luck."
Please answer with one of the option in the bracket,B: Chronic gastritis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. cyst in the kidney and high blood pressure is suggestive of the damage caused by the high blood pressure. high blood pressure in the kidney can cause damage on the renal calyxes and can cause cyst. it requires surgical correction. further management of the blood pressure can also prevent further damage to the kidney. prostatomegaly means enlarged prostate. enlarged prostate usually occurs with being prostatic hypertrophy. this needs to be confirmed with the psa level in the blood. it will be higher on the carcinoma of the prostate. if its carcinoma it needs to be managed as per the malignancy. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Please summerize the given abstract to a title,"A Novel, Potentially Universal Machine Learning Algorithm to Predict Complications in Total Knee Arthroplasty"
Answer this question truthfully,"EEM syndrome presents a combination of prominent symptoms and features. These include: ectodermal dysplasia (systemic malformations of ectodermal tissues),  ectrodactyly (""lobster claw"" deformity in the hands and feet),  macular dystrophy (a progressive eye disease),   syndactyly (webbed fingers or toes),  hypotrichosis (a type of hair-loss),  and dental abnormalities (hypodontia)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i appreciate your concern regarding hair fall. hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, chatbot. from your description, it seems you might be having halogen effluvium, which is hairball secondary to stress. if i were your dermatologist/trichologist, i would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like cbc, blood sugar, thyroid function test. some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. i would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(q era etc.). i would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. avoid combing in wet hair and let them"
Answer this question truthfully,One effect of cholecystokinin is to increase secretion of pancreatic enzymes.
Please summerize the given abstract to a title,Idiopathic perniosis presenting as acral purpuric lesions: Clustering of cases before COVID‐19 pandemic and their comparison with chilblain like lesions reported in the literature
Please summerize the given abstract to a title,Genetically Modified Mesenchymal Stromal/Stem Cells: Application in Critical Illness
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you need to see an expert in this field as various symptoms overlap in illnesses. when we search our symptom online, it does not pop up question like do you have this symptom as well? diagnosing illness is not just making a tick mark on what we have but to rule out what you do not have? adult adhd is diagnosed when retrospectively you had such symptoms in childhood. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. cough at nighttime and with emotions like laughing is mostly seen in asthmatic bronchitis. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). if this is suggestive of obstructive airway defect than you need inhaled bronchodilators and inhaled corticosteroid (ics). antihistamine and anti-allergic chatbot.  so consult pulmonologist, first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatdoctor.in my opinion you are having nothing but palpitation. fluttering dealing in chest is most commonly seen in palpitation. and after 50 minutes of treadmealeven normal person can have high heart rate. but worrisome symptom in your description is lightheadedness. these demands repeat stress test and stress echocardiography. as possibility of decrease blood supply to brain in stress which causes lightheadedness. so consult cardiologist and discuss all these.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i understand your concern and would explain that parkinson disease doesn't seem to be related to your symptoms. parkinson disease usually starts with symptomatology in the upper limbs and in such a long time it would certainly have an obvious progression. your symptoms seem to be related to a pinched nerve or a damaged nerve. i would like to know what kind of tests have you performed besides the spinal tap. i recommend performing a nerve conduction study and electromyography of the lower limbs. further, blood lab tests may be needed, depending on the above test results. hope to have been helpful! best wishes,"
Answer this question truthfully,"The symptoms of adrenal insufficiency usually begin gradually. Usual symptoms include:
Chronic, worsening fatigue Muscle weakness Loss of appetite Weight loss Nausea and vomiting Diarrhea Hypotension Hypoglycemia Headache
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible."
Answer this question truthfully,"For individuals with a low risk of PE, the recommended diagnostic test is a D-dimer blood test. A D-dimer test measures the level of a protein fragment that is produced when a blood clot dissolves. If the D-dimer level is low, it is unlikely that a blood clot is present. For individuals with a high risk of PE, the recommended diagnostic tests are a computed tomography angiography (CTA) or a ventilation/perfusion (V/Q) scan. A CTA uses X-rays and contrast dye to create detailed images of the blood vessels in the lungs, while a V/Q scan uses radioactive material to assess the airflow and blood flow in the lungs. These tests can help detect the presence of a blood clot in the lungs and determine the extent of the blockage."
Please answer with one of the option in the bracket,B: Incomplete intestinal rotation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there after going through your query i understand your concern. i would like to tell you that your symptoms are suggestive of pre-syncope, that needs to be evaluated on urgent basis as it can be fetal.it's advisable for you to get an ecg and a holder monitoring for 48 hours done and consult a cardiologist personally. if there will be significant arrhythmias then you would be requiring a pacemaker or an icd implantation. hopefully this has answered your query. kind regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"COVID‐19, varying genetic resistance to viral disease and immune tolerance checkpoints"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should do stool culture and sensitivity. as you had undergone treatment trial for two times, but haven't received any improvement. so there is possibility of resistant organisms growing in the intestine. once you do culture and sensitivity testing, report will be available, and we can take the chatbot.  this will give you a relief very instantly. i will be happy to answer your further concern, you can ask me on bit.ly/"
Answer this question truthfully,Nitrosureas requires bioactivation by cytochrome p450 enzymes to be effective.
Please summerize the given abstract to a title,LESSONS FROM THE COVID-19 THIRD WAVE IN CANADA: THE IMPACT OF VARIANTS OF CONCERN AND SHIFTING DEMOGRAPHICS
Please summerize the given abstract to a title,Predictors of Severity and Co-Infection Resistance Profile in COVID-19 Patients: First Report from Upper Egypt
Please summerize the given abstract to a title,Identifying Predictors of University Students' Wellbeing during the COVID-19 Pandemic-A Data-Driven Approach
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. greetings from chennai. by what you quote i feel what your kid could be having viral associated wheeze or multi triggered wheeze. i have a few questions for you -questions
Please answer the letter of option truthfully,C
Answer this question truthfully,Clostridium tetani is a bacterial infection that can result in opisthotonus.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern for the pregnancy as i'm always saying that nothing is 100% safe as long as the contraception is concern if you have such a history and clinical sign and symptoms that could prove the pregnancy then in my opinion it is better to get done the test and the best test is ultrasonography test, hope this information helps you take care and have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the gum infection can be treated with scaling and root planing, if needed bone grafting. the cracked teeth can be treated with either rct or extraction. before that we need to find out the cause for the gum infection and cracked teeth. if the gum infection and loose teeth is because of the deposits then the scaling and root planing will work. if the cracked teeth are secondary to grinding your teeth during nighttime(bruise), then you need to get a soft splint to prevent damage to the bone and teeth. for this you need to consult an oral physician and get it evaluated. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using healthcare magic. there are procedures to open the fallopian tube, so you should consult your gynecologist. success rate of having pregnancy after re-open depends on lot many factors. your gynecologist might be able to tell after having expert evaluation. however, there is no current that you will get only male child and not female child. sex determination is legally punishable in many countries. i hope it will help you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello........ thanks for your query. i understand the difficulties you are undergoing currently. it is possible you are suffering from adjustment disorder following loss of job. hence, i would suggest you undergo a thorough psychiatric evaluation following which appropriate medication like antidepressants/mood stabilizers and psychotherapy (e.g. cognitive behavioral therapy) can be tried that is likely to benefit you. hope you found the information useful. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","water is required to increase the platelets and white cells of blood minimum water is required daily if you take less water the counts decrease and immunity decreasesallergy can be developed by anything at any time at any initially they are after long time and as the immunity decreases with each episode the frequency duration, medicine power to subside the disease if you can go for blood serum tests for various allergens you can know cause and do immunotherapy to increase your resistance"
Answer this question truthfully,The viral genetic phenomenon characterized by virus A and virus B exchanging genomic segments intracellularly is reassortment.
Please summerize the given abstract to a title,"Chloroplast-Derived Vaccine Antigens and Biopharmaceuticals: Expression, Folding, Assembly and Functionality"
Please summerize the given abstract to a title,A novel wellness intervention: A virtual hangout from coast to coast using video conferencing platforms to increase physician wellness during the COVID‐19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.",it is sinusitis all symptoms are of infected allergic sinusitis your allergies converted to sinus and the post nasal discharge can cause swelling of tonsils throat gerdbleeding is cause of sinusitis in infective allergic sinusitis sinuses bleed is very common which is misdiagnosed with other condition stake doi 100 mg bd(best for sinuses)take montage fx(combination of montelukast and fexofenadine busy astoria 1 sf busy tossed 1 sf night liquid antacid 2 sf misapply newsprint h eye ointment in nose based water chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is important to know which liver enzyme you have written about. there are 4 important enzymes in liver which increase in relation to liver injury by alcoholism.1. aspartame aminotransferase (ast)2. ala nine aminotransferase (alt)3. alkaline phosphatase4. gamma gautama transpeptidaseeach or all of them can rise in those who consume alcohol regularly. if you have stopped alcohol 5 days before testing then it will not make a difference. the time required for liver enzyme levels to come back as normal after cessation alcohol intake is 3 to 6 months after complete stopping. your doctor is right but the time taken for reversing is 3 to 6 months. please do not be worried and follow healthy diet and lifestyle changes. include more vegetables and fruits in your daily foods."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
Please summerize the given abstract to a title,Indoor Air Quality in Domestic Environments during Periods Close to Italian COVID-19 Lockdown
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. well, it looks like there is formation of dental abscess leading to pus formation below the root tips of the tooth, and it is putting pressure over the nerves leading to severe pain. you can continue taking coquitlam to reduce pain, but it will give you only temporary relief. once you can consult your dentist you can get an x-ray of the tooth done and if the tooth is in a condition to be saved then root canal treatment can be done. in case of gross decay extraction of tooth is advisable. both the treatments with be followed by antibiotics and painkillers. as of now along with taking antibiotics and painkillers you can also apply clove oil over the tooth as it has sedative action and helps in pain relief. biting over a clove or a garlic can also help in relieving pain. hope this information helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","from what you described i feel the hair loss or alopecia as in medical jargon is a result of dan chatbot.  the spot on face which peels like is also seborrhea dermatitis, all these are usually associated in a child who is atomic. the same explains his atomic asthma. atopic dermatitis is the most common form of eczema. it often affects people who also have"
Please summerize the given abstract to a title,Clinical Utility of On-Demand Multiplex Respiratory Pathogen Testing among Adult Outpatients.
Answer this question truthfully,"About 1 to 2% of the population has chronic motor tic disorder.
The condition is more common than Tourette syndrome. However, it is not as common as transient tic disorder.
Chronic tics may be forms of Tourette syndrome."
Please summerize the given abstract to a title,Brains in Metamorphosis: Temporal Transcriptome Dynamics in Hatchery-Reared Flatfishes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thank you for choosing chatbot for your query. will be glad to help. as you mentioned that your whole family was sick with a stomach bug and then got better, and now your daughter has started to run a fever along with stomachache. since she goes to school, she is more susceptible to getting new infections. look for other symptoms like pain in her throat or if her urine is foul smelling or pain with urination. if she is having fever which is continuous, you should have her evaluated by her pediatrician and if he feels the need he can order tests to rule out strep throat or a urinary tract infection since these can also cause stomach to hurt. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear savithawe understand your concerns went through your details. let me be very clear in my approach. nobody can help you die except god. you suspected your husband with such a venom and because of that you had to be diagnosed mental patient. why would you like to do so? you have never sawed your husband with that girl. you just suspect and suspect. i don't see any reason or proof of the relationship between your husband and that girl. he lied to you, i can understand. there are so many occasions in a family relationship, where lies are common. can you say for sure that you never lied to your husband? your husband clearly told you he does not have any relationship with that girl, and he promised to love you and you only. you did not believe him and instead believed circumstances. in family relationship, you should learn to believe your husband rather than circumstances. then family life becomes peaceful. the best option you have now is to consult a psychologist for several counseling sessions. take care. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should definitely consult pulmonologist and get done chest x-ray and pft (pulmonary function test). in high altitude oxygen concentration is low as compare to sea level. so one has to inhale forcefully and rapidly to achieve proper oxygenation. if you are having underlying lung disease like bronchitis, then at high altitude your problem will be more. so in your case we need to rule out this first by chest x-ray and pft. you can do deep breathing exercise to strengthen your lung functions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i had gone through your question and understand your concerns. as i understand, your son is having asthma for long time. exercise or exertions are known triggers of asthma symptoms in those who is a ave chronic asthma. and in some people exercise may be the only trigger for asthma symptoms. when asthmatic patients exercise, they inhale cold, chatbot.  this happens particularly when it's too cold, during pollen season and when air is polluted. when you give albuterol (ventolin) inhaler, it opens up the contracted airways and symptoms improve. one way to avoid this is use of albuterol inhaler before doing the exercise. and if it happens regularly, daily use of preventive medicines like steroid inhalers or montelukast tablet is advisable. hope i have answered your queries. thanks for using chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have elevated liver enzymes. it can be due to fatty liver, hepatitis, cirrhosis, alcohol, chatbot.  you should go for complete liver function test and ultrasound abdomen. it will give you exact idea about cause. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the same blood group has no effect on conception. don't worry regarding the same blood group.  check your both thalassemia status before conception. try to do intercourse from 12 to 18 days of menstrual cycle as during this period ovulation occurs, so conception chance is high. (lh kit can be used for presuming ovulation.) if after 1 year you can't conceive then detailed evaluation is needed with serum progesterone, estrogen, fsh, lh estimation, sg, serum tsh, free t4 estimation, husband semen analysis, etc., like investigations. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: Psoas major muscle
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, neurocysticercosis is a parasitic disease. the symptomatic treatment of this consist of anti-epileptic medicines for seizure, corticosteroids and antiparasitic medicines depending upon presentation of patients. the present pain in foot due to tight sandals may not be due to your neurocysticercosis. if it is burning or radiating then this can be due to neurocysticercosis. at present for relief you may have tylenol or ibuprofen. you should also avoid wearing tight sandals. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query. thanks for using chatbot. your symptoms are quite likely to be due to anxiety. but you must rule out any heart problem especially if you are above 45 yrs of age, you have family history of hypertension, diabetes or high cholesterol. you should get your ecg done. if needed you should undergo stress test. if it is normal then you may use antianxiolytic like alprazolam 0.5 mg at bedtime for few weeks, my best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the given description, i feel unable to solve the psychological equation given. each member of the family shows different patterns of behavior and nothing is mentioned the person in question. dominant personality problems, erratic behavior, compulsive personality disorders etc. can be noted. but for proper diagnosis, it is always better to consult a trained psychologist. if you still need my help, please describe the whole problem in detail and post a direct question to me. i shall definitely help you with psychotherapy techniques to overcome your problems. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,COVID-19-associated mixed mold infection: a case report of aspergillosis and mucormycosis and a literature review
Answer this question truthfully,"Syndrome of apparent mineralocorticoid excess typically leads to an increase in blood pressure, which can result in hypertension."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","you have not mentioned his age. size of the stone, number of sons in the gall bladder, other medical condition like diabetes, high cholesterol level are all factors to be considered when we plan the treatment.in general, patients with multiple stones, single large stone, diabetes and those who had complications due to stone are candidates for removal of gall bladder. medical treatment can be done in selected patients but not for large stones. removal of the gall bladder is done without making large opening in abdomen. the procedure of choice is laparoscopic cholecystectomy which has become the gold standard, and it is a common procedure"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi!welcome to chatbot!chemotherapy has side effects, but their management has improved considerably over the last twenty years. many side effects that were once inevitable can be either prevented or well controlled today. there is no reliable way to predict how patients may react to chemotherapy. some experience very mild side effect, others will have none at all, while some people will report various symptoms. you should talk to her doctor and mention these side effects, so that he can manage these. hope this will help your friend!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query bad breath after wisdom tooth removal is because of poor oral hygiene of oral cavity. after extraction due to naked socket, poor oral hygiene and pain you did not brush properly in oral cavity area due to which bacteria accumulate in oral cavity and continued accumulation leads to halitosis. brown discharge of saliva is because of old blood clot. need not panic about that. i would suggest you to maintain proper oral hygiene by brushing, flossing. use antiseptic mouth wash on daily basis. do warm saline rinses several times a day. eat from the extraction site and try to eat crunchy food mainly. take salivary stimulants such as sugar-free chew gums. use disposable pipes to chatbot.  visit dentist once if your symptoms did not resolve in 3-4 days. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend i have understood your concern about the shoulder pain, see in acute condition pain may due to inflammation of surrounding tissue so its in a healing stage. now scar tissue are being formed, and when you do any movement, there will be stretching type of feelings. because tissue may stretch when we move. so don't worry continue with physiotherapy treatment, its best. ask your doctor to give ultrasound and it modalities for pain relief and for scar mobilization. its just 4\u00a0week it will take few more weeks to heal properly. i hope you have satisfied with the answer. feel free to ask again."
Answer this question truthfully,"Some of the most common obligate aerobes found in microbiology include Nocardia, Pseudomonas Aeruginosa, Mycobacterium tuberculosis, and Bacillus (anthracis and cereus)."
"If you are a doctor, please answer the medical questions based on the patient's description.",dearwelcome to chatdoctorwe understand your concerns went through your details. signs and symptoms of (mono) mononucleosis may include
Answer this question truthfully,Patients with BP > 20/10 mmHg above goal should use two antihypertensives.
Please summerize the given abstract to a title,How the COVID-19 crisis is affecting customers intention to use Islamic fintech services: Evidence from Indonesia
Please summerize the given abstract to a title,Safety and services for survivors of intimate partner violence: A researcher-practitioner dialogue on the impact of COVID-19.
Please answer with one of the option in the bracket,D: Intellectual disability
Please summerize the given abstract to a title,Stress level of dentists during COVID-19 pandemic in hot spots of Tamil Nadu: A cross-sectional study
Answer this question truthfully,"Midgut volvulus is a surgical emergency that classically presents in a neonate with congenital malrotation, manifesting as bilious vomiting and abdominal distention."
Please summerize the given abstract to a title,Clinical Assessment of the Hyperbaric Oxygen Therapy Efficacy in Mild to Moderate Periodontal Affections: A Simple Randomised Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi....looks like he's having moderate language delay. suggestions - 1. he needs hearing evaluation.2. we need to check if he has tongue tie.3. if he's watching tv or video games or tablet more than 1 hour per day, it needs to be restricted.4. encourage him to sing rhymes starting from words by continuous positive stimulation.5. ge needs complete evaluation by a developmental pediatrician. regards - do. samantha"
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. i imagine you are a little irritated of it not having been diagnosed on first mri. one explanation might be that the 2nd mri unlike the 1st included contrast administration and that evidenced the tumor. contrast sequences aren't always done, not considered necessary for a concussion. also, there are some special sequences for pituitary gland, and they are done only when there is a clinical suspicion not for concussion evaluation. another explanation may be simply that it was missed. when the radiologist evaluates the mri he pays more attention to certain things depending on indication and pituitary gland is not an area commonly involved by trauma, so small things may have been missed if one doesn't look specifically for them. as for what to do that depends on what effect does that tumor has. pituitary gland produces many hormones, so now lab test for hormonal levels is necessary. afterwards depending on hormonal level alterations and whether the tumor causes any compression to surrounding structures a decision will be made whether to consider surgery or follow up and medication. i remain at your disposal for other questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello & welcome, protruded teeth are more to get traumatized or broken as compared to normally aligned teeth specially in child chatbot.  but as you had an accident leading to breakage of the front teeth, root canal treatment followed by placement of three unit bridge was correct decision. if natural teeth were protruded, then while making bridge this alignment can slightly be improved by adjusting the placement of the bridge. but this carries physiological limits with it. if the bridge is in the place properly, then never think that it will let the underneath teeth to protrude more than present. this is because bridge itself is an obstruction for teeth movement. but still movement can occur only if the abutment teeth are periodically weak or patient presents with poor oral hygiene. keep your cleaning habits proper. visit your dentist regularly for clinical examination so that any slight movement can be anticipated & treated immediately. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you are having symptoms of viral fever, loose motion and vomiting which could be due to gastroenteritis which is infection due to poor immunity of body. need not worry. i would suggest you to do tepid sponging for immediate relief as you having high degree fever. you should take small and frequent meals and avoid large meals' intake. you should take proper antibiotic course in combination with ibuprofen/ acetaminophen. visit general physician once and get it examined. you should get routine blood test done and start treatment after proper diagnosis. you should avoid intake of outside oily and fast food. normally viral fever take one week duration to get recovered. avoid oily and sharp food.  chatbot. hope your concern has been resolved. get well soon. best wishes,"
"Can you mail me patient information about Glaucoma, I was recently diagnosed and want to learn all I can about the disease.","Glaucoma can damage the optic nerve due to increased pressure in the eye. Adults may have open-angle glaucoma, angle-closure glaucoma, also called closed-angle glaucoma or secondary glaucoma.  Open-angle glaucoma occurs due to slow increase in eye pressure over time, and is the most common type of glaucoma. Its cause is unknown, but it tends to run in the families. Closed-angle glaucoma occurs due to a quick, severe rise in eye pressure. Dilating eye drops and certain medicines may trigger an acute glaucoma attack.  Secondary glaucoma occurs due to a known cause. Both open- and closed-angle glaucoma can be secondary when caused by something known. Causes include: drugs such as corticosteroids, eye diseases such as uveitis, diabetes, eye injury. Most people cannot feel open-angle glaucoma. People may experience blind spots and slow loss of side (peripheral) vision (also called tunnel vision). Symptoms of closed-angle glaucoma may come and go at first, or steadily become worse. You may notice: sudden, severe pain in one eye decreased or cloudy vision, nausea and vomiting, rainbow-like halos around lights, red eye, feeling that an eye is swollen. The only way to diagnose glaucoma is by having a complete eye exam. You will be given a test to check your eye pressure (tonometry.)  Eye pressure can be normal in some people with glaucoma. So you will need other tests to confirm glaucoma. They may include: using a special lens to look at the angle of the eye (gonioscopy), optic nerve imaging, checking your visual acuity, field of vision, retina and how your pupil responds to light (pupillary reflex response), 3-D view of your eye (slit lamp examination). The goal of treatment is to reduce your eye pressure. Treatment depends on the type of glaucoma that you have.  If you have open-angle glaucoma, you will probably be given eye drops. You also may be given pills to lower pressure in the eye. If drops alone do not work, you may need laser treatment that uses a painless laser to open the channels for fluid  to flow out.  If drops and laser treatment do not work, you may need surgery. The doctor will open a new channel so fluid can escape. This will help lower your pressure. Recently, new implants have been developed that can help treat glaucoma in people having cataract surgery. An acute angle-closure attack is a medical emergency. If you have had acute glaucoma in one eye, your doctor is likely to treat your second eye to prevent an attack in that eye.You can become blind in a few days if you are not treated. You may be given drops, pills, and IV medicine to lower your eye pressure. Some people also need an emergency operation, called an iridotomy.  If you have secondary glaucoma, treating the cause may help your symptoms go away. Other treatments also may be needed. Open-angle glaucoma cannot be cured. You can manage it and keep your sight by following your provider's directions.  You cannot prevent open-angle glaucoma, but you can help prevent vision loss. A complete eye exam can help find open-angle glaucoma early, when it is easier to treat. All adults should have a complete eye exam by the age of 40. You should have regular eye exams as recommended by your provider. If you are at risk for closed-angle glaucoma, your provider may recommend treatment before you have an attack to help prevent eye damage and vision loss."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. cyclone medication can cause bone marrow suppression leading to reduction in blood counts along with hair thinning and hair loss. associated nutritional deficiency also requires evaluation.2. hypothyroidism has caused goiter which has resulted in swollen neck. if there is any compression symptoms due to thyroid, surgery maybe necessary.3. it b12 supplements along with steroid dose reduction is necessary. also skin moisturizers with good hy chatbot.  once overall nutrition improves, you will start recovering. hope it helps. any further queries, happy to help again."
Answer this question truthfully,Wiskott-Aldrich syndrome is caused by a mutation in the WASp gene.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough clinical neuromuscular assessment is advised. as you have pain in neck, shoulder and upper back, it should be because of the nerve impingement in the cervical spine. also, an mri will help understand the soft tissue status. since you are getting relief by yong and aerobics these activities helps in improving the blood circulation and muscle stretching. undergoing physical therapy for the same and getting a specific muscle strengthening will help ease the factor. in my clinical practice such cases respond well to physical therapy. regardsjay in chatbot."
Please summerize the given abstract to a title,Growth in crisis: A mixed methods study of lessons from our patients with chronic pain during the COVID-19 pandemic
Answer this question truthfully,"Lesch-Nyhan syndrome is a rare genetic disorder that affects the metabolism of purines, leading to a buildup of uric acid in the body and a range of symptoms, including neurological and behavioral problems. Xanthine Oxidase inhibitors are a type of medication that can be used to manage the symptoms of Lesch-Nyhan syndrome by reducing the production of uric acid. These medications work by inhibiting the enzyme xanthine oxidase, which is involved in the production of uric acid. While Xanthine Oxidase inhibitors can help to manage the symptoms of Lesch-Nyhan syndrome, they are not a cure for the condition, and treatment may also involve other medications and supportive therapies to address the individual's specific symptoms and needs."
Please summerize the given abstract to a title,Safety at the Time of the COVID-19 Pandemic: How to Keep our Oncology Patients and Healthcare Workers Safe.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query on chatdoctoryou developed an allergic reaction to the dye and an angioedema due to the same. you require taking an anti histamine preferably the second generation type without sedation. avoid any home remedies and creams. eat a wholesome diet, relax and sleep well. you would get well soon. in future, you should avoid the dye that caused you the reaction. if you ever want to use any dye in the future you should apply it over a small area on the body and see if it produces any reaction before using it on your scalp. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i read and understand your concern. i am chatbot, infectious disease specialist answering your concern. mrsa or methicillin resistant staphylococcus aureus is a very notorious bug known for its resistant. it is clear that you are clear from the infection now in your foot. but it won't gone from your body. in future, you may receive infection from this bugs once the circumstances becomes favorable for it. you current practice for chatbot.  even medication prescribed by them are right and appropriate. avoid using household with your home living person. things like towels napkins and others should be avoided to share with. you can use mupirocin ointment to clear mrsa from the site like maxilla, groin umbilicus and nasal septum. culture swab taken from it. if the report shows negative results for the mrsa than you are clear from it otherwise extended therapy should be taken and re swabbing should be done and tested accordingly. you can ask me for further clarification here, or you can ask me on bit.ly/"
Please summerize the given abstract to a title,Changing Mobility Lifestyle: A Case Study on the Impact of COVID-19 Using Personal Google Locations Data
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctornothing is left in disease and nothing is left in investigations every thing seems working in nice way even after having such fatal kind of pathologies your friend still fighting it is great job, you did not ask for any specific help or advise, still i would say that with such health problems having functional elements is very likely, there should be no problem in future just keep it continue whatever going on say good luck to your friend"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  he has myelodysplasia syn chatbot.  so his count will remain low. chemotherapy and radiotherapy may be helpful according to type and stage of disease.  stem cell transplantation is also helpful.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,2021: a veterinary year in review.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is important to investigate the possible causes of underlying chest pain. in this regard, i would recommend performing some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. the fluid filled white bumps are abscess, which developed due to-chronic cheek biting/deep caries/periodontitis etc. i would advise you to get a thorough clinical as well as radiological evaluation done by a dentist to rule out cause of bumps. the pus has to be chatbot. take amoxicillin along with analgesics. rinse your mouth after every meal. brush and floss your teeth daily. swish with warm saline frequently. take care."
Answer this question truthfully,"In newborns, homozygous protein C or S deficiency can cause neonatal purpura fulminans."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"Bipolar and Generalized Anxiety Disorder I read about TMS Therapy.  Do you know anything about it?  Has it had success?  Also wondering about ECT?  Finally, I've been told acupuncture can help for mood disorders.  Is that true for mixed bipolar and generalized anxiety disorder along with meds?  Have you ever heard of this?","What are the treatments for Generalized anxiety disorder - self-care?: Taking medicine and going to talk therapy can get you started on the road to feeling better. It can also help you take care of your body and relationships. To help improve your condition: - Get enough sleep. - Eat healthy foods. - Keep a regular daily schedule. - Get out of the house every day. - Exercise every day. Even a little bit of exercise, such as a 15-minute walk, can help. - Stay away from alcohol and street drugs. - Talk with family or friends when you feel nervous or frightened. - Find out about different types of group activities you can join."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to him understand your query and concern. high blood pressure should be treated immediately to avoid complications like ischemic stroke. i advise you to start tab. telma once daily. monitor your blood pressure regularly for every one week. i advise you to get serum. electrolyte s, complete blood picture,ecg2d echo, lipid profile as a part of routine screening to look for any heart disease. i advise you to also start take copilot, ecosprin, atorvas once abnormality is detected. restrict salt intake to less than 6 gm per day. fruits and fruit juices are preferable. take plenty of fluids. avoid smoking and alcohol. avoid fatty foods. also take low protein high fiber diet. exercise regularly for 30 min. consult your cardiologist for expert management. post your further queries if any, thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Pattern recognition receptor MDA5 modulates CD8+ T cell-dependent clearance of West Nile virus from the central nervous system.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome at chatbot. i have read complete details of your question. it looks from your details that you had previous injury to your leg. most probable reason for your present back pain is taking rest for long time. this had lead to decreased power in your back muscles. at present, you should do following to have relief in this--at least have an x-ray of your back, so that you may know if there are early changes of arthritis at spine. this may be there due to increased load over your spine.-take a good analgesic like advil or sleeve, these are otc medicines.-do warm fomentation over your back.-take help of a good physiotherapist. he may apply some modalities like ultrasonic therapy,infra-red therapy,galvanic therapy for relief.-learn some exercises to strengthen your back, like-http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it looks like you have asthma which is mild now. asthma could be due to many reasons. you have dust allergy or seasonal allergy. you need to do complete work up your lungs. get a lung function test done to confirm asthma. then also you may have to do allergy test to know if you're allergic to something. if you have allergy then you can start immunotherapy before your asthma symptom increases. go to both pulmonologist for asthma and immunologist for allergy testing. your symptoms of asthma has just started it can control very easily at this stage. also improve your general health, as it may be because of that your symptoms have come back. thank you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you got married 5 months back. you are getting severe lower abdominal pain and backache on 6th day of the period, after a heavy item. usually your period is very little in first 2 days, and normal in 3rd and 4th days. before the period you had fever.  usually after marriage for few months there will be irregularities in periods, fevers and pains are common. but if the pains or fever are unbearable you can consult a doctor. for few months before and after the period avoid taking spices, junk foods, and oily foods.  wishing for a quick and complete recovery.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. as you are mentioning that you took 500 mg of amoxicillin three weeks ago, and now you are experiencing bad taste, it looks that it can be because of antibiotic only. actually antibiotics causes alteration in taste, but it is not so extended. but other symptoms like nausea and shortness of breath are not associated with this. better that once you should visit your general physician for complete examination of the condition done. hope it will help you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, the lump arose at the area of tooth extracted due to- any root remnant at the area of tooth extracted decayed associated tooth improper healing of extraction socket area. clinical examination as well as x-ray of the area is required for exact diagnosis. the extraction socket area has to be curetted well to chatbot.  complete course of antibiotics has to be administered. reg ards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you mentioned you are 60 and having frequent falls due to balance issue. then consulting a neurologist will be help, also he may ask for an mri of the brain, as there needs to be checked out something if going pathologically dysfunctional. as most patients when fall into aging there will be cerebellum dysfunction. as the demand of the body is high in maintaining the coordination and balance. also, with the help of the neurological assessment it will come close to the actual cause of the balance and coordination problems. once you are done with an mri and neurological assessment, you may be onto some medicine and also on a physical therapist. the physical therapist will teach how to learn the balancing activity and also to avoid falls.also, with age there is mass reduction in the strength of the musculoskeletal system which needs an attention as falls might be dangerous at this age due to degenerative changes in the bone. fracture are not good at this age, as the pain bearing capacity gets reduced and also the recovery time is delayed. by doing physical therapy the brain again learns the balance and coordination functions which allows reducing the number of falls and also improve the overall health at this age. with the grace of god i wish you a speedy recoveryregardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about these swollen nodes in the lungs. swollen lung nodes can represent a lot of different pathologies including tuberculosis, acidosis, cancer, fungal infections, etc. from the outskirts, we cannot make a conclusion, but we would bear in mind all the possible causes and investigate to identify the exact cause. do you smoke? how old are you? do you have cough? where do you live? etc. these are all further information that we would require to factor in and see what makes one more likely than the other. please, i understand you fears, and they are real. no one would pretend not to be be concerned by such a finding. i however encourage you to stay calm and let's pursue the tests to obtain definite answers. what i know is what ever the cause, you would not be facing this alone. we promise to stand by you and provide you with the best possible care you deserve. i hope you find this helpful and it ad chatbot.  thank you so much for using our services and feel free to ask for more information and clarifications if need be. i wish you the best of health."
How bad can endometriosis get?,"Endometriosis is often associated with pelvic pain before and during menstrual period, lower back and abdominal pain, and pain during or after sex, bowel movements or urination.  Women with endometriosis  may experience heavy periods, bleeding between periods, and Infertility."
Please summerize the given abstract to a title,"X-ray Structure Determination, Antioxidant Voltammetry Studies of Butein and 2′,4′-Dihydroxy-3,4-dimethoxychalcone. Computational Studies of 4 Structurally Related 2′,4′-diOH Chalcones to Examine Their Antimalarial Activity by Binding to Falcipain-2"
Please summerize the given abstract to a title,The European framework for intellectual property rights for biological medicines
"If you are a doctor, please answer the medical questions based on the patient's description.",hello kyoto;welcome to chatbot duolute-l is a hormonal pill and is given to you to make your periods regular and treat pod.pod is one of the cause of infertility because most of the time the ovulation is absent or does not take place and in such cases the doctor advises camphene to induce ovulation. so if your pod is treated and your periods have become regular then you can take camphene for induction of ovulation. so finish your course of duo lute and discuss with your doctor regarding the use of camphene and take it under the guidance of your doctor. thanks
Answer this question truthfully,"Early lung cancer often does not cause symptoms. But as the cancer grows, common symptoms may include:
A cough that gets worse or does not go away Breathing trouble, such as shortness of breath Constant chest pain Coughing up blood A hoarse voice Frequent lung infections, such as pneumonia Feeling very tired all the time Weight loss with no known cause
Most often these symptoms are not due to cancer. Other health problems can cause some of these symptoms. Anyone with such symptoms should see a doctor to be diagnosed and treated as early as possible."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot if you have petroleum or a zinc based cream you can use these as barrier protection on the lesion. this would reduce any irritation that you feel as the urine passes over the area. the zinc based creams can be found in many baby diaper barrier creams. if neither of these an option at this time of the day then you can try using a gauze or clean tissue over the area to reduce contact during urination. oral anti-inflammatory painkillers such as ibuprofen, naproxen, catalan can be used to help relieve the pain. i hope this helps"
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Allocation of scarce resources in Africa during COVID-19: Utility and justice for the bottom of the pyramid?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. adenoids are lymphoid tissues that are present in the fetus, but they shrink and disappear as the child is born and ages. however, in some cases as in your children, the adenoids fail to shrink and disappear, and they cause troubles as your son is suffering from such as sleep apnea, mouth breathing, malocclusion etc. the solution to these issues is the removal of adenoids and tonsils if tonsils are constantly swollen by surgical procedure. i advise you that you should visit an ent specialist for clinical examination and investigations for your son and discuss the option of surgical procedure to remove adenoids. i hope this information helps you. thank you for choosing chatbot. i wish your son feels better soon. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i had gone through your query and understand your concerns. i would come up with two most possibilities to fit your case. these include1.first possibility is, pcod;pod polycystic ovarian disease is one of the main factor of infertility in females nowadays. women with pod have high levels of male hormones (an chatbot. due to above reason the ovum cant be released.confirm with ultrasound scanning for pelvis.2.second possibility is, hypothyroidism;confirm with thyroid profile.treatment plan;i advise you taking homeopatchatdoctoredicines gives safe and permanent cure for your complaints of infertility of problems. consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. or mail me at"
Please summerize the given abstract to a title,A classifier prediction model to predict the status of Coronavirus COVID-19 patients in South Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, generally high levels of got and sgpt are not very dangerous and can be found in people with no obvious reasons.however, in tour case it appears that cause for your high liver enzymes are high cholesterol and high triglycerides. alypthough the most important cause or such n abnormality is consumption of alcohol but since you don't consume alcohol, the reason seems to be due to bad lifestyle like obesity or increased consumption of sweets and deep-fried foods along with consumption of junk foods, treatment lies in avoiding junk foods, sweets and deep-fried foods and reduction of calories. the best treatment is exercise, exercise and exercise only. take statins, avoid junk foods and do regular aerobic exercises. you shall be all right in next 6 months. thanks"
Answer this question truthfully,"The incidence of Goodpasture syndrome is approximately 0.18 cases per 100,000 individuals worldwide.  The annual incidence of Goodpasture syndrome in Europe is estimated to range from 0.5 to 1 per 1 million individuals.  The incidence of Goodpasture syndrome is around 1- 2 per million individuals per year.
The prevalence of Goodpasture syndrome is estimated to be 1 per million individuals annually. 
Goodpasture syndrome occurs in two age peaks.  The early onset Goodpasture syndrome is seen with individuals in the age group of 20 and 30. The late onset Goodpasture syndrome is seen with individuals in the age group of 60 to 70.
Goodpasture syndrome affects men and women equally.  Males are at increased risk of developing Goodpasture syndrome in the second and third decade. Females are at an increased risk of developing the syndrome in the sixth to seventh decade.
Goodpasture syndrome usually affects individuals of the white race. Black individuals are less likely to develop Goodpasture syndrome. In European populations between 0.5-1 case per million individuals are seen every year. It is rarer in non-European populations.
The majority of Goodpasture syndrome cases are reported in ethnic groups of New Zealand."
Please summerize the given abstract to a title,Why Does the Omicron Variant Largely Spare Olfactory Function? Implications for the Pathogenesis of Anosmia in Coronavirus Disease 2019
Answer this question truthfully,Observer-Expectancy Bias is an error introduced during a study where the researcher's belief in the efficacy of a treatment changes the outcome of the treatment.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
what are the causes of headaches,"Spinal headaches are caused by leakage of spinal fluid through a puncture hold in the membrane that surrounds the spinal cord. The decreases the pressure exerted by the spinal fluid on the brain and spinal cord, which leads to a headache."
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for posting your query. its advice to stop foxpro elite immediately.further advice for the next two weeks
Answer this question truthfully,"Capillary fluid transudation refers to the movement of fluid from the capillaries into the surrounding tissues. This process is normally balanced by the resorption of fluid by the lymphatic system. However, when the net plasma filtration (fluid outflow) from the capillaries exceeds the resorptive capacity of the tissue lymphatics, clinically apparent edema can occur. This means that the accumulation of excess fluid in the tissues becomes visible and can cause swelling and discomfort. The underlying causes of capillary fluid transudation and edema can vary, but they may include conditions such as heart failure, liver disease, or kidney disease, as well as certain medications or lifestyle factors."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems that pain in gums and teeth after deep cleaning and placement of crowns even after 4 days is not a normal finding. if the treatment was appropriately done, then the pain and discomfort should have subsided by now. there is a possibility that either the area is infected still or there are nerve exposures in the crowned teeth if they are not pre-treated with root canal treatment before the crowns were placed. you need getting re-checked by consulting your dentist and getting evaluated and a thorough clinical evaluation and investigations like x-ray of the painful areas can help in diagnosis and treatment can be done accordingly. in case if there is infection, a course of antibiotics and painkillers will relieve. in case if there is nerve exposures, then the crown will have to be removed and the teeth needs to be root canal treated and once the pain completely subsides replacing the crown needs to be done. as of now you can take anti-inflammatory painkiller like ibuprofen and also take a soft diet. if pain is severe you can take tramadol or motorola. take soft diet. hope this information helps. thanks and regards. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Navigating the Covid-19 Pandemic at the Workplace – the Experience of Uganda’s Formal (Public and Private) Sector
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, acinetobacter is usually seen with people with long hospital stay, who has undergone a lot of procedures and several antibiotics. since you haunt given any history, is that the history with your child?  when interpreting acinetobacter culture positive report history, symptoms and signs everything should be taken into consideration to determine whether isolation is just colonization or pathogenic.  an oral antibiotic who is sensitive is clotrimazole. other oral antibiotic who is sensitive is norfloxacin. but that cant be given for a child. s anyway how does. the child get that infection is also probed. hope this helps. thank you"
Please summerize the given abstract to a title,The 'loneliness pandemic': implications for gerontological nursing.
Please summerize the given abstract to a title,"COVID-19, domestic violence and abuse, and urgent dental and oral and maxillofacial surgery care"
Please summerize the given abstract to a title,On Winnicott's concept of trauma.
Answer this question truthfully,Different exons are frequently combined by alternative splicing to produce a larger number of unique proteins.
Please summerize the given abstract to a title,Human Rights Violations of Migrants Workers in India During COVID-19 Pandemic
Please summerize the given abstract to a title,Investing in scholarship for health professions education: Learning from the past to move into the future.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. the spasmodic pains in the abdomen after hysterectomy may be due to the intestinal obstruction, which in turn can be due to stricture, adhesion or kinking. i would advise you the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first, i would like to reassure you that we are not dealing with any serious neurological disease. a normal mri rules out most of the serious conditions. as told you, pineal cyst is incidental and is not the cause of your symptoms. as of now, it seems to be eye muscle strain. if you develop double vision or any other symptoms, you would require evaluation to exclude myasthenia graves. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. high blood pressure can cause dizziness and nausea. so better to first get done blood pressure monitoring. if this is normal then possibility of herd (gastroesophageal reflux disease) is more. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause chest pain (burning) and nausea. so avoid stress and tension. avoid hot and spicy food. start proton pump inhibitors and prokinetic chatbot.  don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Augmented, Virtual and Mixed Reality in Dentistry: A Narrative Review on the Existing Platforms and Future Challenges"
Answer this question truthfully,"Adenocarcinoma of the stomach is a common cancer of the digestive tract worldwide, although it is uncommon in the United States. It occurs most often in men over age 40. This form of gastric cancer is very common in Japan, Chile, and Iceland.
The rate of most types of gastric adenocarcinoma in the United States has gone down over the years. Experts think the decrease may be because people are eating less salted, cured, and smoked foods.
Studies have found a number of factors that may increase the risk of stomach cancer. In recent years, scientists point out that Helicobacter pylori infection is the main cause of stomach cancer. HP infection and other risk factors may act together to increase the risk even more.
Have had a Helicobacter pylori (HP) infection Have gastric inflammation Male Eat lots of smoked, salted, or pickled food Smoke cigarettes Have a family history of stomach cancer"
Answer this question truthfully,"Complications of neoplastic meningitis include: 
Hydrocephalus Encephalopathy Subdural empyema​ Epidural empyema Cerebritis Cerebral abscess Stroke Ventriculitis Dural sinus thrombosis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are on penicillin for conjunctivitis. you are also having headache, sore throat, chest pains and tightness. general fatigue you are having is most probably due to viral infection you are having. as you have history of anxiety disorder also so excessive fatigue in you is most likely due to somatic or hyperion chatbot.  wait for some days so that symptoms get resolved if no relief occur then visit a psychiatrist for expert opinion. thanks"
Answer this question truthfully,"The order of the following receptors for affinity to norepinephrine, from highest to lowest is α1 > α2 > β1."
Please answer with one of the option in the bracket,B: Secondary hyperparathyroidism
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the tingling sensation could be because of the gum infection secondary to deposits. this can also occur secondary to acid reflux disease resulting in erosion of the teeth. consult an oral physician and get your teeth cleaned once. meanwhile you can take a course of antibiotics like tablet doxycycline 100\u00a0mg twice daily for first day and once daily for next 4 days. do saline gargling. i hope my answer will help you, take care."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. i am chatbot. k and i am pleased to assist you. your sgpt is more than got. this indicates the raise in the enzyme levels may not be due to alcohol intake. nonalcoholic fatty liver disease is more likely. an ultrasound scan of the abdomen should be done to confirm fatty liver. weight reduction should be done if you are obese. try to keep you bmi below 25. check your blood glucose and cholesterol levels as high levels can cause fatty liver. i hope that answers your query."
Answer this question truthfully,"No, diarrhea is not typically present in adults with HUS. Unlike in children, where HUS is commonly associated with E. coli infection and diarrhea, in adults, HUS can be caused by a variety of factors and is not necessarily associated with diarrhea or an E. coli infection."
Answer this question truthfully,"2,3-BPG decreases the affinity of hemoglobin for oxygen by binding to hemoglobin β chains."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some enlarged inguinal lymph node. it is mostly due to reactive hyperplasia.  other rare possibilities are tuberculosis, lymphoma or metastatic lesion.  however, for that your symptoms and history needs to be evaluated. you should take a course of antibiotics.  if it doesn't respond to treatment then biopsy diagnosis is advisable. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of cancer is high in your fathers' case because he is smoker and having multiple lesions in liver, lungs and spleen. so possibility of metastatic disease is more. biopsy is must for the confirmation of cancer. so if biopsy is positive for cancer, he will be having stage 4 disease. and stage for cancer is inoperable and incurable. palliative treatment in the form of chemotherapy, radiotherapy, pain management and nutritional support is needed. life expectancy in such cancer is usually less than 2 years. so better to first collect biopsy report and then start appropriate treatment. hope i have solved your query. wishing good health to your father. thanks."
Please summerize the given abstract to a title,Open to change
"If you are a doctor, please answer the medical questions based on the patient's description.",you have not mentioned your age which is very important in case of back pain. looking into your history i will advise you to take some painkiller like ibugesic-plus or biozobid-plus only when your back pain is worse enough or disturbing your routine work. apart from this you can take some calcium supplements like tab shall or tab toscal-gem once daily preferably in afternoon. you can also use holdup or powerless gel for local application. you can do some physiotherapy exercises after an expert opinion of physiotherapist. i will also advise you to sleep on a plain surface as it is very helpful in case of back pain.
Please summerize the given abstract to a title,Rituximab treatment in ANCA-associated vasculitis patients: outcomes of a real-life experience from an observational cohort
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern. i will suggest you the best possible treatment options. 1. first do not panic. 2. usual deforming agents done have any adverse effects on the baby. you can very well continue with the treatment. it will not affect your pregnancy in any way.  using deforming agent sin pregnancy is almost safe. 3. as such, it is advisable to take folic acid, vitamin b 12 and omega-3 supplements at least 3 months before you plan to get pregnant. this helps to prevent many problems during pregnancy and delivery. please observe good hygiene. use of lactic acid vaginal wash daily during bath time will be of help. i hope this answer helps you. thanks."
Answer this question truthfully,"A quick thorough history should be taken to check for the following:    
Risk factors for myocardial infarction or pulmonary embolism Any trauma Severe fluid loss Exposure to low temperatures Risk of metabolic derangements Loss of consciousness Apnea History of drug intake in patients in whom drug overdose is suspected
Absence of palpable pulse is the main finding. Depending upon the cause, the following might be found:
Tracheal deviation in or the unilateral absence of breath sounds in tension pneumothorax Decreased skin turgor Traumatic chest Cool extremities Tachycardia Cyanosis"
Please summerize the given abstract to a title,Multisystem Inflammatory Syndrome in Children: Unique Disease or Part of the Kawasaki Disease Spectrum?
Answer this question truthfully,"A health care professional will administer one or more of the following diagnostic tests
Abdominal CT scan Amylase and lipase blood test Endoscopic retrograde cholangiopancreatography (ERCP) Magnetic resonance cholangiopancreatography (MRCP)
Pancreatitis"
Answer this question truthfully,"Type II hypersensitivity reaction (this type of reaction involves the activation of complement and the recruitment of immune cells such as macrophages and neutrophils, which can lead to tissue damage. Examples of type II hypersensitivity reactions include autoimmune hemolytic anemia and some drug reactions)."
Answer this question truthfully,"Ovarian cancer is more common in industrialized nations, with the exception of Japan. In the United States, females have a 1.4% to 2.5% (1 out of 40-60 women) lifetime chance of developing ovarian cancer.   In the United States, the age-adjusted prevalence of ovarian cancer is 71.3 per 100,000 in 2011. 
The delay-adjusted incidence of ovarian cancer in 2011 was estimated to be 12.46 per 100,000 persons in the United States.  
In 2011, the age-adjusted incidence of ovarian cancer was 12.09 per 100,000 persons in the United States. 
Older women are at highest risk. More than half of the deaths from ovarian cancer occur in women between 55 and 74 years of age.
While the overall age-adjusted incidence of ovarian cancer in the United States between 2007 and 2011 is 12.3 per 100,000, the age-adjusted incidence of ovarian cancer by age category is:  Under 65 years: 7.5 per 100,000 65 and over: 45.2 per 100,000
Shown below is an image depicting the delay-adjusted incidence and observed incidence of ovarian cancer by age and race in the United States between 1975 and 2011. These graphs are adapted from SEER: The Surveillance, Epidemiology, and End Results Program of the National Cancer Institute. 

Shown below is a table depicting the age-adjusted prevalence of ovarian cancer by race in 2011 in the United States. 
Shown below is an image depicting the incidence of ovarian cancer by race in the United States between 1975 and 2011. 

API: Asian/Pacific Islander; AI/AN: American Indian/ Alaska Native
Among patients with histologically confirmed cases of ovarian cancer, the percent distribution of the types of the disease between 2007 and 2011 in the United States are: 
Carcinoma: 91.7% Epidermoid carcinoma: 0.7% Adenocarcinoma: 84% Adenocarcinoma, not otherwise specified: 12.3% Papillary adenocarcinoma: 1,5% Clear cell adenocarcinoma: 5.2% Endometrioid carcinoma: 9.7% Cystadenocarcinoma, not otherwise specified: 0.4% Serous cystadenocarcinoma: 20.9% Papillary serous cystadenocarcinoma: 23.5% Mucinous cystadenocarcinoma: 1.5% Mucinous adenocarcinoma: 3.5% Mucin-producing adenocarcinoma: 0.2% Other adenocarcinoma: 5.3% Other specific carcinoma: 2.3% Stromal cell tumor: 1.6% Other: 0.7% Unspecified carcinoma, not otherwise specified: 4.6% Sarcoma and other soft tissues: 0.4% Other specific types: 6.9% Mullerian mixed tumor: 3% Malignant teratoma: 1.5% Other: 2.4% Unspecified: 1.1%"
Please summerize the given abstract to a title,Burden and characteristics of COVID-19 in the United States during 2020.
Please summerize the given abstract to a title,"P140 TeCC (TeleMedicine, Cystic Fibrosis, Corona-Virus) study in a previous telemedicine-naive centre: clinical challenges, outcomes, and user experience in the first six months of a global pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, pheochromocytoma is a possibility, in view of fluctuating bp and other somatic symptoms. alternatively, you may be having paroxysmal hypertension without obvious provocative factors & repressed emotional trauma causing condition called pseudopheochromocytoma.  you may go for plasma levels of free metanephrines as initial test. thyroid function test (free t3, free t4 & tsh) also won't be out of place. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Impact of physical distancing policy on reducing transmission of SARS-CoV-2 globally: Perspective from government’s response and residents’ compliance
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot irritable bowel syn chatbot. bloating can be related to different conditions such as but not limited to (1) herd (2) lactose intolerance (3) constipation (4) celiac disease (5) food allergies your doctor has assessed for other potential causes, then it is possible that your symptoms may be related to ibs. if you are unsure then you may want to consider visiting a gastroenterologist for an opinion. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, red eye in 6 mtv old can be due to some allergic reaction secondary to some foreign body like dust of something irritating the eye. also, it can mean a possible conjunctivitis which is infection of the eye. as a home remedy, i would request you to wash the eye with clean water multiple times a day. you might need to start on antibiotic eye chatbot.  however its better child is examined by a pediatrician before you start any medical therapy. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is a sebaceous cyst or a desmond cyst. it is a common swelling in all parts of the body. they are cysts collected with sebum or secretions of the sebaceous glands in the skin. the only definitive treatment is removal by surgery. pinching it and squeezing it are not advisable as this can lead to infections. it can cause redness and pain. i suggest you get it removed by a small surgery and can be done by any surgeon under local anesthesia without getting admitted to the hospital. so, i suggest you get it removed and get rid of it. take care, chatbot."
"Hello,   I have a scoliosis problem plz help me I want its treatment I can send my x.ray also","Most children with scoliosis have mild curves and probably won't need treatment with a brace or surgery. ... the decision to begin treatment is always made on an individual basis. Factors to be considered include: - Sex. Girls have a much higher risk of progression than do boys. - Severity of curve. Larger curves are more likely to worsen with time. - Curve pattern. Double curves, also known as S-shaped curves, tend to worsen more often than do C-shaped curves. - Location of curve. Curves located in the center (thoracic) section of the spine worsen more often than do curves in the upper or lower sections of the spine. - Maturity. If a child's bones have stopped growing, the risk of curve progression is low. That also means that braces have the most effect in children whose bones are still growing. Braces If your child's bones are still growing and he or she has moderate scoliosis, your doctor may recommend a brace. Wearing a brace won't cure scoliosis or reverse the curve, but it usually prevents further progression of the curve. Severe scoliosis typically progresses with time, so your doctor might suggest scoliosis surgery to reduce the severity of the spinal curve and to prevent it from getting worse. The most common type of scoliosis surgery is called spinal fusion. In spinal fusion, surgeons connect two or more of the bones in the spine (vertebrae) together, so they can't move independently."
Answer this question truthfully,Subependymal nodules are CNS hamartomas that line the ventricular system and may present in individuals with Tuberous Sclerosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to my chatbot clinic. i studied your query in depth. i feel concerned about the worry you expressed about your daughter. in my opinion-the large hard lump on back of head on the right side needs immediate investigation from -er physician, as the history and the facts in your story are inconclusive. urgent mri-with er neurosurgeon if need be would fix your issue. nothing to worry and be hopeless as you both are. definitive treatment could be awaiting you after its right diagnosis as-told above. this is what you can treat it. hope this would help your query. wellcome for more queries to chatbot. have a good day."
Answer this question truthfully,"Hyaline arteriolosclerosis is a type of vascular pathology that results in the deposition of proteinaceous material within the walls of small arterioles. This can cause a reduction in vessel caliber, leading to decreased blood flow and end-organ ischemia. In the kidneys, hyaline arteriolosclerosis can contribute to the development of glomerular scarring, which can impair renal function and lead to chronic kidney disease. The classic presentation of hyaline arteriolosclerosis is characterized by the presence of hyaline material within the walls of the arterioles, which can be visualized on histologic examination."
Answer this question truthfully,"PSGN stands for post-streptococcal glomerulonephritis, which is a type of kidney disease that can occur after an infection with certain strains of streptococcal bacteria. PSGN is characterized by a distinctive ""lumpy bumpy"" (granular) immunofluorescence pattern, which is caused by the deposition of immune complexes in the glomeruli of the kidneys. These immune complexes are formed when antibodies produced by the immune system in response to the streptococcal infection bind to antigens on the surface of the bacteria or on host tissues, leading to the formation of complexes that can accumulate in the kidneys and cause inflammation and damage. The immunofluorescence pattern is a useful diagnostic tool for identifying PSGN, as it is specific to this disease and can help distinguish it from other types of glomerulonephritis."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the easiest way to calculate date of ovulation is subtracted 14 from your usual duration of periods. i mean to say 30-14 = 16, so around 16th would be day of ovulation. sperms stay alive for 3 days, so +/- 3\u00a0days of 16 today would have high chances of pregnancy. pregnancy test is positive in urine from the next day of missed period. you can have confirmation by serum beta chatbot. it can diagnose even the smallest of pregnancy. regards chatbot."
Answer this question truthfully,"Treatment is recommended only for average-risk, symptomatic patients (usually diarrhea) with positive lab findings (either ELISA or PCR) of C. difficile infection
In contrast, treatment is not recommended for average-risk, asymptomatic individuals OR patients with diarrhea and negative lab findings (either ELISA or PCR).
The negative predictive values of the diagnostic lab tests (either ELISA or PCR) are sufficiently high > 95% for patients among patients with average risk of developing C. difficile infection. Accordingly, empiric therapy is not recommended if diagnostic lab tests yield negative findings among average-risk patients.
In contrast the negative predictive values of the diagnostic lab tests (either ELISA or PCR) are NOT sufficiently high for patients at high risk of C. difficile infection. Accordingly, empiric therapy is recommended for high risk patients with high pre-test probability even when lab findings yield negative results.  Common risk factors for the development of C. difficile infection are history of antibiotic administration within the past 12 weeks, advanced age > 65 years, immunodeficiency, exposure to healthcare facilities, or inflammatory bowel disease.
For more detailed list of C. difficile risk factors, click here"
Answer this question truthfully,"In response to exercise, there is an increased venous CO2 content."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the certain contain camphene content within it. this tablet increases your fsh and lh. so your sperm count increased. it is to be prescribed usually when serum testosterone is low. the label contain multivitamin tablet and can be taken off no other specific cause found.  so both having a different mechanism of action. discuss with your doctor about which chatbot.  hope i have answered your query. let me know if i can assist you further. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you can try with some medicines.  your wife can take some medicines like camphene for the growth of her follicles and track the follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles. be in contact with your wife for next 2 to 3 days.  progesterone will be given for next 2 weeks. do a urine pregnancy test at home after that. you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
Please summerize the given abstract to a title,Continuity of Midwifery Care Implementation to Reduce Stunting
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the prednisone was to try to reduce the inflammation in the bowel by suppressing the immune response but if it is not helping there are other immune suppressant medications that can be used. you should go to your doctor for a review so he or she can change to medication to another that may be able to help you. there are over the counter agents that may help with the swelling (if linked to bloating) and the vomiting e.g. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. first you should try not to sleep on your right hand. the most common reason of such symptoms is nerves ischemia due to compression during the sleeping. the other reason of such symptoms can be carpal tunnel syn chatbot.  this condition is caused by nerve compression in the carpal tunnel. you can perform simple test to have it checked. flex your wrist gently as much as possible and keep it for one minute. if numbness or pain appears, this might be carpal tunnel syn"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is difficult to say what is causing the swelling without clinical examination. you need to take tests specific to heart like ecg and echocardiography. if there is fluid around heart, pericardial effusion then there is possibility of hart related swelling. you also need to get kidney tests done and if you have an abnormal kidney function and your kidney on right side is showing a progressive medical condition then it is kidney related."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, i need to examine you thoroughly, need x ray or mri to conform diagnosis, so do that and send me report, see back pain may be due to weakness of muscles of back and abdomen and as you told there is history of giving birth to baby so may be pelvic muscle weakened so best to do is, visit physiotherapy clinic and ask doctor to give you lumbar traction and it therapy for instant pain relief...at present for instant pain relief apply ice do not apply any hot moralities... let him talk to me... 9033762190 chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, in his case it is difficult to say cause of behavior problem"
Please summerize the given abstract to a title,Prevention of intraoperative awareness with explicit recall in an unselected surgical population: a randomized comparative effectiveness trial.
Please summerize the given abstract to a title,"Population Health at the Academic Health Center: An Interactive, Multipart, Case-Based Session for Executives, Faculty, and Administrators"
Please summerize the given abstract to a title,Gastrointestinal symptoms in coronavirus disease 2019 presentation in Saudi Arabia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i agree with your doctor. split cord abnormality (diastematomyelia) is generally a congenital condition, and presents with symptoms in early childhood. so, if you have remained almost asymptomatic till now, surgery may not be needed (not considering the risks involved in a spinal cord surgery). so, i think physiotherapy is the way to go. please get back if you require any additional information. best wishes, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i suggest my clinic patients for similar complaints to have a repeat x-ray wrist joint (ap & lateral views) because the complaints as mentioned by you points out toward million of the fractured bones or there be some structural changes in the carpal tunnel causing nerve and/or vasculature compression and carpal tunnel syn chatbot. as this x-ray need to be checked by an orthopaedician, so i suggest having review with orthopaedician after taking an x-ray. i also suggest the patients to get following labs tests done"
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for the question. your mri r/o any spinal abnormality directly. it is possible that at the time of the impact you may have abnormal crouched or fallen down with sudden contraction of back muscles causing some muscle injury/sprain or pull along with other soft tissues around spine. you may stop bending/lifting heavy objects for a few days and take adequate bed rest to ease the muscles. do fomentation and take ibuprofen 600\u00a0mg twice a day after meals along with chloaxazone 500 mg twice for 5 days
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,first let me congratulate you for giving such excellent description of your history. i personally feel you had simple vasovagal syncope .regarding pacemaker implantation and its removal i can't give opinion on either side without seeing your ecg's and record of monitoring. interestingly you are fine without pacemaker. and now more or less you have anxiety. it is uncommon to have asystole in vast legal syncope, but it is known. this event is not indication of pacemaker. i would suggest overcoming fear, and you should join your work. you may get 48 hrs holder monitor and if that is normal, go to your work with full confidence. my best wishes."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,P.0431 SARS-CoV-2 neuropsychiatric pathogenic mechanisms – a case report of delirium with psychotic symptoms as sole manifestation in SARS-CoV-2 positive patient
Please answer with one of the option in the bracket,D: Para-amino hippuric acid
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for sharing your complaint,-dear friend some exercise like you should regularly stretch your feet and calves and analgesic medicines like ibuprofen or if severe pain combination of diclofenac+paracetamol+serratiopeptidase will relieve the heel pain. sometime steroid like prednisolone also used to relieve inflammation, it will act better.-don't give load on heel. whenever possible, rest the affected foot by not walking long distances and standing for long periods.-soak your foots in just simple warm water for 10-15 minutes at morning and evening. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon dear friend"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. panic attack (clinical) comes to people with anxiety. other type of panicky situation like roller coaster ride, comes naturally and should not be worried about. if your panic attack is due to anxiety, you should learn to live and overcome your anxiety. there are certain psychotherapy techniques like desensitization therapy, cbt etc. please let me know the whole of anxiety and its history. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i think that your symptoms are suggestive of depression, but you have not mentioned any similar history in the past. it will be good to get few basic blood tests-cbc, tsh, and it. b12 levels. also check if you have started any new chatbot. if everything above is negative then it is a clear cut case of depressive disorder, and you will become lot better with medicines. please get the tests and proceed accordingly. till then avoid staying alone and watching emotional serials or movies;try to socialize. wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a stone getting stuck in the urethra can be painful. i would like to reconfirm if the stone is in the urethra or the version ureteric junction as these are two different locations and might be treated in different ways.1. if the stone is confirmed to be lodged in the urethra then it can be easily removed by inserting a cystoscope. this is minimally invasive witchatdoctorplete success.2. if the stone is stuck in the mexico ureteric junction then(i) chatbot. 5 to 2.5 liters) a day may help flush out your urinary system. this will also allow the stone to enter the bladder.(ii) please consult your urologist, and they might give you a prescription for a medication of alpha blocker group which will push the stone forwards.(iv) if you are having pain and burning during passing urine then you can take also syrup 15-30 ml twice or thrice daily, dissolved in water for one week. this will prevent acidic urine and stone formation.(v) if you have sharp pain then you can take tablet containing hosting (e.g. hbo max 10 mg or hyssop 10 mg) twice a day for 2 to 3 days, till you have pain. though side effects are rare, please consult your doctor and take these medications under strict supervision."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, raised serum creatinine and got, requires attention. they don't increase without a reason. i suggest you for his complete liver function tests, kidney function tests, urine routine and ultrasound abdomen, that will give a clue to what's wrong with him. i need to know if he has any medical history, any diabetes, hypertension, hyperglycemia. now, about your question, answer would depend on the cause, if his kidney functions are declining, and he is passing protein in his urine, he will require a low protein diet. at present, don't ignore, get the tests done and get them from a reliable lab. stay healthy"
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for posting query at chatbot. history of bile reflux and vomiting. further evaluation needed for enlarged spleen and bile reflux. get following test done
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query in chatbot. i had gone through your question i understand your concerns. abnormal increase in liver enzymes, got and sgpt occurs in liver disorders like fatty liver, hepatitis, cirrhosis, chatbot.  i would advise you to consult gastroenterologist near you. i would also advise you to take synthroid regularly, and keep tsh levels with in normal range. have a healthy and balanced diet and get regular exercises. hope i have answered your question if you have further questions i will be happy to help."
Answer this question truthfully,Celecoxib belongs to the drug class of selective COX-2 inhibitors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... i feel that your kid has experienced some phenomena or incident which has been violent in nature or terrorizing in nature. please talk to her in loving terms and try to extract what is bothering her. it is not a nervous problem at this age. somebody might have threatened her, or she might have seen something directly or in television which is bothering the child mind. if nothing is working i suggest you get in touch with a child psychologist. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  there are many causes of high alkaline phosphatase.  one is liver disease.  other is bone related. you don't have any symptoms of liver disease so mostly its due to bone related.  consult your doctor and take treatment for that. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is possible to conceive with pcs, it is just more difficult, but with the technology and procedures that exist today, conception is definitely possible. you are right in trying to lose weight, this would increase the chances of conception. it is easier to lose weight by modifying your diet because usually by altering a few things that are use calories can be reduced by 500 calories. it would take a lot of exercise to achieve this same amount of calorie deficit. exercise is important in general fitness and keeping weight off. to lose weight you would need to cut out all sodas and fruit chatbot.  use low-carb fruits and vegetables as snacks. in terms of your other meals you can choose the low fat or low-carb route. in the low-carb route you would"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot... i can understand you have many question in mind regarding hyperinflation... but see inhalation during chest x-ray as you are advised doesn't lead hyperinflation in fact it is necessary for better x-ray film. anyway here hyperinflation should be investigated through spirometry examination as well as clinical correlation... as you have smoking habit emphysema changes has to be searched for by above advised spirometry as well as your auscultation and examination ... avoid smoking if you can get rid of that . take care .... advise
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
Answer this question truthfully,"The likely underlying cause of syncope in a patient with normal EF, prolonged PR interval, prolonged QRS interval, and a normal QTc interval on ECG is AV block or bradyarrhythmia. AV block is a condition in which there is a delay or interruption in the transmission of electrical impulses from the atria to the ventricles, which can result in a prolonged PR interval on ECG. Bradyarrhythmia is a type of arrhythmia characterized by a slow heart rate, which can be caused by AV block or other factors. Both conditions can lead to decreased cardiac output and syncope. Treatment of AV block or bradyarrhythmia may involve medication, pacemaker implantation, or other interventions, depending on the severity and underlying cause of the condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. it could be any viral erythematous illness. but as you quote them as itchy blisters - the possibilities are hand foot mouth disease/ chicken pox/ any other trivial viral exanthem. i suggest you use calamine lotion as its giving results along with oral antiallergic like hy chatbot.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,The Librarian Reserve Corps: An Emergency Response.
Please answer with one of the option in the bracket,D: Meigs syndrome
Answer this question truthfully,"A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:  
Dietary habits Weight change Family history of hyperglycemia or diabetes Pregnancies complicated by hyperglycemia
Polyuria Polydipsia Unexplained weight loss Polyphagia
Vision changes Paresthesia Fatigue Skin changes Poor wound healing"
Answer this question truthfully,"Anti-intrinsic factor antibodies are specifically used for the diagnosis of pernicious anemia. These antibodies target the intrinsic factor protein, which is necessary for the absorption of vitamin B12 in the small intestine. Pernicious anemia is a condition in which the body is unable to produce intrinsic factor, leading to a deficiency in vitamin B12. Testing for the presence of anti-intrinsic factor antibodies in the blood can help diagnose pernicious anemia and guide appropriate treatment options. Other diagnostic tests for pernicious anemia may include measuring levels of vitamin B12 and performing a complete blood count."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... the pain what you complaining if it is due to some trigger in calf muscle itself...which could be tight calf muscles.trigger points in calf muscles. the causative factor could be load placed on calf muscle due to faulty foot alignment issues luke hyperpronation... habituated walking in toes...etc. if i were your treating doctor then. i would like to remove the causative factor first to reduce the load on calf muscles. keep icing your calf muscles frequently... examine the foot to suggest you to have an arch support done... glute rehab to improve glute stability...like clamshell...bridging ...side lying lifting one leg up... squats...spine extension...exercises. gentle kneading over both calf muscles... hope this is helpful for you. kindly revert in case you need further clarification...
Please summerize the given abstract to a title,Reduced immune response to inactivated SARS-CoV-2 vaccine in a cohort of immunocompromised patients in Chile
Answer this question truthfully,"A person with DRD may have trouble rhyming and separating sounds that make up spoken words. These abilities appear to be critical in the process of learning to read. A child's initial reading skills are based on word recognition, which involves being able to separate out the sounds in words and match them with letters and groups of letters.
Because people with DRD have difficulty connecting the sounds of language to the letters of words, they may have difficulty understanding sentences.
True dyslexia is much broader than simply confusing or transposing letters, for example mistaking ”b” and “d."".
In general, symptoms of DRD may include:
Difficulty determining the meaning (idea content) of a simple sentence
Difficulty learning to recognize written words
Difficulty rhyming
DRD may occur in combination with writing or math learning problems."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,"The following can help prevent a stroke:
Avoid fatty foods and follow a healthy, low-fat diet. Do not drink more than 1 to 2 alcoholic drinks a day. Exercise regularly: 30 minutes a day if you are not overweight; 60 - 90 minutes a day if you are overweight. Quit smoking Get your blood pressure checked every 1 - 2 years, especially if high blood pressure runs in your family. If you have high blood pressure, heart disease, or have had stroke, you need to have it checked more often. Ask your doctor. Everyone should keep their blood pressure below 120-130/80 mmHg. If you have diabetes or have had a stroke, you may need to strive for a lower blood pressure. Ask your doctor what it should be. Adults should have their cholesterol checked every 5 years and treated, if needed. If you have been treated for high cholesterol, you will need it checked more often. If you have diabetes, heart disease, or hardening of the arteries somewhere else in your body, your LDL ""bad"" cholesterol should be lower than 70 mg/dL. Follow your doctor's treatment recommendations if you have high blood pressure, diabetes, high cholesterol, and heart disease."
Please answer with one of the option in the bracket,D: Rosettes with small blue cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hithank you for asking your concern and welcome to chatbot. i would, you make you assure that you need not take anti rabies injection at all based on your description given. i would like to tell you there are few things where we should be more careful about when to think of taking arv.1. stray dog bite2. history of biting to many people3. unprovoked bite4. oozing of blood from the bite mark5. bite on already existed wound6. bite on face7. bite by non vaccinated login your case there is hardly anything to get worried. there are few things to take care of.1. wash the bite mark under running tap water, even now it is ok if you have not done it.2. injection tetanus is must if not taken within last 3 years3. observe dog for 10 days if it dies you have to take arv. that can be taken on 11th day also.4. no need to take antibiotics if wound is clean and small i hope i answered your concern. feel free to ask any doubts. thank you regards chatbot."
Please summerize the given abstract to a title,Neuroradiological emergency consultations during the first year of the COVID-19 pandemic
Answer this question truthfully,"The symptoms of impetigo include some generalized as well as specific symptoms for the various types of impetigo. 
Generalized symptoms of impetigo include:
Fever Itching Fatigue Weakness Painful lesions Diarrhea in children
Very contagious course Multiple lesions around the lips Lesions around the nose Lesions on the face, extremities and any skin location Lesions are primarily pustules and vesicles Honey-colored crusting of lesions occurs when the vesicles rupture Pain in the axillae
Less contagious course Face, axillae, extremities, trunk or anal region may be affected Initial lesions are bullae with clear fluid The fluid in the bulae can turn yellow and less transparent with time Very fragile lesions Crusting is less frequenting after rupture Scaling may be present in the form of a ring
Ulcer Punched-out or raised borders Golden brown crust"
Answer this question truthfully,"Jervell and Lange-Nielsen syndrome is a rare genetic disorder that is a form of long QT syndrome. It is characterized by a prolonged QT interval on an electrocardiogram, which can lead to a potentially life-threatening arrhythmia called torsades de pointes. In addition to the cardiac symptoms, Jervell and Lange-Nielsen syndrome also involves sensorineural deafness, which is a type of hearing loss that affects the inner ear. This syndrome is inherited in an autosomal recessive pattern, which means that both parents must carry a copy of the mutated gene for their child to be affected."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you mentioned you had a fall on the hip and the pain is persistent on right side, i suspect it to be a soft tissue injury for which taking an mri for the lumbar spine will add-on some understanding. also, the pain you are facing down the leg from the hip it looks pinching of nerve due to soft tissue injury. besides, try performing some core stability exercises, pelvic floor exercises, spine strengthening exercises, gluteus strengthening exercises and lower limb as a whole strengthening exercises. usually 99% of the cases recover with exercise. also, as you mentioned your age as 55 and female, you need an additional calcium supplement which can be fulfilled by either of it - milk, curd, medicine etc. with the grace of god i wish you a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  cellulitis and folliculitis may be due to same etiology or may be due some other cause. you lymph node enlargement is mostly due to your infection. if you don't improve with antibiotics then go for culture and sensitivity testing.  then start antibiotics accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. yes this can be permanent nerve damage. physiotherapist will help you better to learn more exercises in proper protocol. an ultrasound examination of the involved area or an mri scan will establish the nature of pathology. blood investigation will help you like cbc, crp, and esr. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Answer this question truthfully,"The exact cause of PMS has not been identified. Changes in brain hormone levels may play a role, but this has not been proven. Women with premenstrual syndrome may also respond differently to these hormones.
PMS may be related to social, cultural, biological, and psychological factors.
The condition is estimated to affect up to 75% of women during their childbearing years.
It occurs more often in women:
Between their late 20s and early 40s Who have at least one child With a personal or family history of major depression With a history of postpartum depression or an affective mood disorder
The symptoms typically get worse in a woman's late 30s and 40s as she approaches the transition to menopause.
As many as 50% - 60% of women with severe PMS have a premenstrual dysphoric disorder."
Answer this question truthfully,"The optic nerve is responsible for transmitting visual information from the eye to the brain. Lesions, or damage, to the optic nerve can result in a range of consequences. One common symptom is a loss of vision in one eye, which is known as monocular vision loss. This occurs because each eye has its own optic nerve, and a lesion in one optic nerve will only affect the visual field of that eye. In addition, lesions to the optic nerve can also result in deficits in vision on the same side of the lesion, which is known as ipsilateral vision loss. This occurs because the optic nerve fibers from each eye cross over in the brain, with the left visual field of each eye being processed in the right hemisphere of the brain and vice versa. Other potential consequences of lesions to the optic nerve include changes in color vision, visual acuity, and visual field. It is important to seek medical attention if you experience symptoms of a potential optic nerve lesion, such as sudden vision loss, blurry vision, or changes in color perception."
Please summerize the given abstract to a title,Novel Protein Sequence Comparison Method Based on Transition Probability Graph and Information Entropy.
"If you are a doctor, please answer the medical questions based on the patient's description.","as you are aware tuberculosis has a tendency to emerge from latent infection. this can also speed from the lungs to other parts of the body as in your case. it is also possible that tb can spread to your intestines and uterus which can also cause some symptoms like you have described.  it is important that you see a doctor, carry some investigations so that your current status of the tb infection can be determined. this may also result in some form of anti-tuberculous treatment being initiated.  or the investigations can reveal if tb is not the case here and if any other infection or condition is cause of your symptoms."
Please summerize the given abstract to a title,RCTE: A Reliable and Consistent Temporal-ensembling Framework for Semi-supervised Segmentation of COVID-19 Lesions
Please summerize the given abstract to a title,Effect of COVID-19 pandemic on the workflow of endoscopy units: an international survey
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. crystals in the semen strongly suggests agglutination of sperms. please get your semen analysis done to confirm the diagnosis and to know the details of your semen parameters like sperm count, motility of sperms and morphology of sperms etc. most of the time this indicates infection either in prostate or seminal vesicle. take antibiotics like doxycycline twice daily for 2 weeks and repeat your semen analysis. taking black cherry juice will not resolve the issue. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi low wbc count can be due to multiple reasons it can be due to bone marrow infiltration, plastic anemia, vitamin b12 deficiency, splenic sequestration, some infections like hiv and typhoid and so on. a better evaluation can be suggested only when i can have an look at the complete blood report. seizures and fever and headache are indicative of brain lesion or meningitis as you suspect and need csf studies and radio imaging of head and brain hope this help swish you all the bethany you for choosing chatbot"
Please summerize the given abstract to a title,Supervised Multimodal Emotion Analysis of Violence on Doctors Tweets
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hello can very well satisfy a womanhood love and affection matters more than the size of the permissive of penis depends on number of genetics or other factors and it doesn't increase in size after a certain age per se 25 years would advise you for various exercises which are readily available on internet with videos so try such stretching exercises to do it very gently after using adequate lubrication avoid injury to the penis have testosterone boosting foods like egg yolk chatbot.
Answer this question truthfully,Small (oat) cell carcinoma is associated with male smokers.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is -1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health. regards -"
Please summerize the given abstract to a title,Safety in the practice of decontaminating filtering facepiece respirators: A systematic review
Please summerize the given abstract to a title,"Assessment of crop damage by rodent pests from experimental barley crop fields in Farta District, South Gondar, Ethiopia"
"If you are a doctor, please answer the medical questions based on the patient's description.","we need more details of the prior injury to determine if it's related. if the injury when she was younger involved just the bone and not the articular cartilage of the joint, and the bone was in good alignment then the bone would have healed 100% with no residual problems. if the cartilage was involved in the original injury then she may have arthritis causing her pain at this time, or if the bones didn't set correctly she may have a new problem brought on by the old one. if the old injury was a purely soft tissue injury, such as tendon or ligament, and surgery was not done, the healing was done by fibrosis and scar tissue which is not as strong as prior to injury, thus more likely to re injure something. you're best bet at this point is rest, ice, compression, elevation, anti inflammatory, and take a x-ray. if the x-ray fails to reveal anything, an mri would be warranted. if this is an arthritic inflammatory problem, a steroid injection may be attempted by a foot and ankle specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i guess your concern is about medications for getting conceive. first i want to say that relax as there are many medications and methods for getting pregnancy. one of them is ovulation induction which is already started by your treating gynecologist. in this method chatbot.  once the follicles becomes dominant then in chatbot 5000-10000iu given for follicle rupture. after that couples are advised to do contacts for many times. this cycles usually repeated for maximum 6 times. with number of cycles there are chances of getting pregnancy increases. with the above information you can try out my suggestions"
Please summerize the given abstract to a title,Saving lives through life-threatening measures? The COVID-19 paradox of infection prevention in long-term care facilities
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot you seem to be having pod. bigoted will help reduce blood sugar levels as you may be diabetic because of pod. you need to lose weight. eat more fresh fruits and green leafy vegetables.  chatbot.  do brisk walking every day for 40 minutes. when blood sugar comes to normal range you can be in better position to conceive. you need to get ultrasound evaluation of your ovaries to look for follicle rupture during ovulation period. if it is not there then you need to go on ovulation induction
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks to chatbot i can understand your father concern with above complaints i came to know he is suffering from congestive heart failure. plz try to keep sugar in control .he has to use higher antibiotic like augmenting or meropenum daily for 7 days for amputation of leg .this same antibiotic will control the infection lungs also load on heart will be reduced by diuretics like las ix .this will improve the heart function and he is nay not feel discomfort .ok he needs daily or alternate chatbot.  ok don't worry take care of his lung and heart with proper usage of prescribed medicine ny your cardiologist ok .
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, i have gone through your question and understand your concerns.  there are several factors (environmental- excessive smoking, alcohol intake, excessive sun exposure, fatty diet, dye exposure, industrial wastage). hereditary-runs in families. survival rate depends on the stage (stage 1- live longer, stage 4- less survival due to metastasis (other organs' involvement).  early detection, early stage, early treatment - survival is good. hope, i have answered your query. wishing you good health."
Please summerize the given abstract to a title,THE IMPACTS OF COVID-19 ON THE JORDAN TOURISM & ACCOMMODATIONS SECTOR: AN EMPIRICAL STUDY
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, ashwaniji, thanks for query, you have not mentioned your age. if you are elderly then it is possible you might have degenerative changes in your spinal vertebrae giving rise to low back pain. go for x-ray lumbosacral region and find out that is there any compression of vertebrae or any osteophytes producing this problem. consult orthopedic and get examined. go for back extension exercise and physiotherapy. take calcium, vit a, d, and other b.complex medicines. ok and bye."
Answer this question truthfully,"In peripheral artery disease, embolization of thrombus can travel to smaller downstream arteries and cause acute limb ischemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely get done adult pulmonary vaccination with pneumococcal and influenza vaccines. pneumococci are the most common bacteria causing pneumonia. influenza is the most common virus causing lung infection. so vaccination is definitely recommended in your case as you are having recurrent pneumonia. recurrent blood clots is mostly due to hypercoagulable state. so you should consult hematologist and discuss hypercoagulable states like protein c, protein s deficiency, homocysteinuria etc. so at present, you should definitely take vaccines to prevent recurrent respiratory tract infection. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. you are possibly suffering from malarial hepatitis, which is the reason for the increased alt levels.2. the nausea and vomiting is at present due to liver damage and once the malaria or other cause for hepatitis is evaluated and treated, you nausea and vomiting will come down. 3. alt level to fall will take 3-4 weeks. the symptoms of nausea and vomiting will reduce once the causative agent is removed. liver biopsy is necessary. avoid taking alcohol or other hematologic chatbot.  watch out for anti-malarial"
Answer this question truthfully,"No, Mittelschmerz pain occurs during ovulation mid-cycle, specifically during the rupture of the follicular cyst."
Please summerize the given abstract to a title,Estrogen and Androgen Receptor Inhibitors: Unexpected Allies in the Fight Against COVID-19
Answer this question truthfully,"No perfusion. No antegrade flow beyond the point of occlusion.   
Click here for an example of TIMI Flow Grade 0.
Penetration without perfusion. Contrast material passes beyond the area of obstruction but fails to opacify the entire coronary bed distal to the obstruction for the duration of the cineangiographic filming sequence.   
This category is subdivided into:
1.0: dye minimally leaks past the area of obstruction.
1.5: dye leaks well past the area of obstruction but fails to opacify the entire coronary bed.
Click here for an example of TIMI Flow Grade 1.
Partial perfusion. Contrast material passes across the obstruction and opacifies the coronary bed distal to the obstruction. However, the rate of entry of contrast material into the vessel distal to the obstruction or its rate of clearance from the distal bed (or both) are perceptibly slower than its flow into or clearance from comparable areas not perfused by the previously occluded vessel (i.e. opposite coronary artery or the coronary bed proximal to the obstruction).   
This category is subdivided into:
2.0: TIMI 2 slow flow, dye markedly delayed in opacifying distal vasculature.
2.5: TIMI 2 fast flow, dye minimally delayed in opacifying distal vasculature.
Click here for an example of TIMI Flow Grade 2.
Complete perfusion. Antegrade flow into the bed distal to the obstruction occurs as promptly as antegrade flow into the bed proximal to the obstruction, and clearance of contrast material from the involved bed is as rapid as clearance from an uninvolved bed in the same vessel or the opposite artery.   
Click here for an example of TIMI Flow Grade 3.
TIMI grade 4 flow is a term developed by Dr. C. Michael Gibson, M.S., M.D. to describe hyperemic flow on a coronary arteriogram.  Hyperemic flow on a coronary arteriogram is defined qualitatitively as near instantaneous filling of the coronary artery with dye, and quantitatively as a corrected TIMI frame count < 14 frames. Hyperemic flow in a coronary artery may be due to either repayment of oxygen debt following ischemia due to a balloon inflation for instance, or distal embolization. If it is due to distal embolization, and if impaired myocardial perfusion is present (TIMI myocardial perfusion grade 0 or TIMI myocardial perfusion grade 1), then the mortality associated with TIMI grade 4 flow is actually higher than that of TIMI grade 3 flow.  In this scenario, the hyperemic flow is a surrogate or marker of endogenous adenosine release due to distal embolization, rather than being causally related to adverse outcomes."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot. according to your complaint you here might have simple muscular pain... it may be by unaccustomed situation or improper sleep posture or heavy object lifting. since you are giving long term history of chest pain do ecg or echo just to rule out cardiac causes... if needed chest x-ray done after your physical examination .... if eyelid chatbot. ... here also rule out myositis like condition... take care....
Please answer with one of the option in the bracket,C: Reflex sympathetic activity
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mam i understand your concern about your health and i would like to tell you that some people do have a physiologically slower heart rate and that's not a heart problem until unless you starts feeling dizzy or any blackout happen, or you feel fatigued all the time. the recommended heart rate range is between 60 and 100 beats per min and your is around 60, so you need not worry about that. just get an ekg done to make sure the heart rhythm is a sinus rhythm. if it is then just relax and if not then you need to consult a cardiologist personally. i wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. it is better to be cautious of lower back pain as this could result from nerve pinching in the back. get an orthopaedician consult, and your doctor may advise you for x-ray or mri as necessary to find the cause. if you have a pinched nerve, you could get other forms of pain management like epidural steroid injection as advised by your doctor. this will offer better long term relief and less need for oral medication. avoid bending forwards, lifting heavy weights. wear a lumbar belt for support while sitting or standing. apply painkiller muscle relaxant gel. apply hot water bag carefully over the region of the pain as this helps to reduce pain and muscle spasm."
Please summerize the given abstract to a title,Pathobiology of Second-Generation Antihistamines Related to Sleep in Urticaria Patients
Please summerize the given abstract to a title,Chloroquine and Hydroxychloroquine in COVID-19: Practice Implications for Healthcare Professionals.
Please summerize the given abstract to a title,The Effects of Border Shutdowns on the Spread of COVID-19
Answer this question truthfully,"Go to the emergency room or call the local emergency number (such as 911) if you have a sudden or severe headache, especially if you also have nausea, vomiting, seizures, or any other neurological symptoms.
Also call if you have a headache that is unusual for you, especially if it is severe or your worst headache ever."
Answer this question truthfully,"In Glanzmann Thrombasthenia, the ristocetin test is positive (normal)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing. i understand your concern. try sphere and fsh along with gui. it has a greater success rate. follow up with follicular study. when the follicle size reaches 20\u00a0mm in chatbot is given and after 36hrs gui is done. post ovulatory period take progesterone for 10 days. take lots of fruits and green leafy vegetables. take vitamins with antioxidants. take a positive approach. you will conceive soon. hope i have answered your query. good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, primal n and metformin alone will not solve your problem. you have to take medicines for inducing growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband for next 2 to 3 days.  take progesterone for next 2 weeks. do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloi don't understand what do you mean from hospital. if there is proper sterilization, expert care (an oral surgeon) and emergency services are available in the hospital then surely you can go with it. as far as chatbot. ~do not smoke for at least a week, if you have the habit.~use antiseptic mouthwash to rinse ~do not use very hard brush in the area~avoid strenuous work for 3-4 days. hope this answer helps. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your quarry. cancer is the less common thing that could be. tooth tumors are rare especially in your age, but it must be ruled out of course. it can be any benign mass, abscess, tooth tissue, neuroma, or calcification. ct would show exact size and signs of infiltration but i don't think it would be serious. even if this is, it can be surgical managed. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank for quarry. as you mentioned all your symptoms as anal sex is concerned it increased the risk of hiv in homosexual much more than heterosexual anal sex. when semen is inside the anal canal it may cause severe itching as in case of yours. medically anal sex is much dangerous so best to avoid it or use proper protocol to avoid diseases.site bath in iodine solution may help. hope the answer will help you. feel free to contact me regarding your health issues. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, infection with epstein-barr virus (abv) is very common and usually occurs in childhood or early adulthood. abv is a contagious infection that spreads from person to person.abv is the cause of infectious mononucleosis, an illness associated with fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. individuals with abv infections requires1. adequate rest 2. plenty of fluids3. corticosteroids to treat significant swelling in the throat4. there is no specific medicine to treat abv infections. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your symptoms, it looks like you have been experiencing some amount of breakthrough as happens occasionally while on the demo shot. you should also exclude urinary source of the bleed by a test. you should get a trans-vaginal sonogram to see if everything is fine and contact your health care provider for further support. please maintain a healthy weight as weight disturbances increase the bodies hormonal needs and cause such disturbances. take care."
Answer this question truthfully,"Effective measures for the primary prevention of necrotizing fasciitis include prevention of trauma/breaks in skin integrity, treatment of underlying infections, hand washing, proper wound care and proper management of underlying co-morbidities."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous, or a lipoma (fatty deposit). these lesions can occur anywhere in the body and have the tendency to recur.  management (medical and surgical) will be directed accordingly. hope this helps. good day!!~ chatbot."
Please summerize the given abstract to a title,"Knowledge, behaviours and anxiety of eastern part of Turkey residents about the current COVID-19 outbreak"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you should take high fiber diet with low fat.  you can take low fat diet with high amount of polyunsaturated fatty acids. high protein diet is also helpful.  chatbot. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health. don't forget to click, thank you."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as a dermatologist, i could comment only about the rash that is present on your thighs. regarding the eye complaint, you could consult your ophthalmologist.  the rash in your thigh could be possibly a purpura the cause of which could be chatbot.  if it is not increasing in size, you could take vitamin c tablets for a week.  if the rash is increasing in size and not improved after taking a week course of vitamin c, you should consult your dermatologist. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Neues aus dem RABBIT-Register
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. you had been indulged in masturbation since many years and now worried about side effects on your general health and sexual potency in the future.first there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. all the problems that you are facing now are mind related and due to anxiety.however, frequent habitual masturbation does lead to sexual problems like erectile dysfunction and premature ejaculation. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for letting us know your health concern. you are well protected even if you were ovulating during the sexual act as you took the emergency contraceptive pill soon after the intercourse. the home pregnancy test cannot read so soon if you suspect pregnancy. you have to go for the blood test. also, since you consumed the emergency contraceptive pill several times in recent times, your hormone balance is going to be disrupted and a such, you can expect erratic cycles. do not use the pill more than once or twice per year. instead, go for regular contraception. please get further help from your consultant. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i have gone through your question and understand your concerns. delayed periods can be due to pregnancy, stress or hormonal disturbances like hypothyroidism, hyperprolactemia or polycystic ovarian disease. i will suggest you to repeat the urine pregnancy test, if still negative, then you should get your hormonal profile and ultrasound done to confirm the diagnosis and get appropriate treatment. hope you found the answer helpful. wishing you good health. chatbot."
Answer this question truthfully,"Primary syphilis symptoms include:
Chancre -- a small, painless open sore or ulcer on the genitals, mouth, skin, or rectum that heals by itself in 3 - 6 weeks Enlarged lymph nodes in the area containing the chancre
The bacteria continue to multiply in the body, but there are few symptoms until the second stage.
Secondary syphilis symptoms include:
A skin rash (the most common symptom), which often involves the palms of the hands and soles of the feet. Sores called mucous patches may develop in or around the mouth, vagina, or penis. Moist, warty patches may develop in the genitals or skin folds. These are called condylomata lata. Other symptoms, such as fever, general ill feeling, loss of appetite, muscle aches, joint pain, enlarged lymph nodes, vision changes, and hair loss may occur.
Symptoms of tertiary syphilis depend on which organs have been affected. They vary widely and are difficult to diagnose. Symptoms of tertiary syphilis include:
Cardiovascular syphilis, which affects the aorta of the heart and causes aneurysms or valve disease Central nervous system disorders (neurosyphilis) Tumors of skin, bones, or liver (gumma)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, evening primrose oil is not supported by enough evidence that it really supports cervical repining and starts labor. i would not advise you to take it. moreover, women will have crossed the due date are known to use it. at 37 weeks you are too early. the symptoms could be due to the primrose oil. so, do not take any medication especially in the last few days of pregnancy without the doctors' advice. hope this helps. regards."
Please summerize the given abstract to a title,The screening and evaluation of potential clinically significant HIV drug combinations against the SARS-CoV-2 virus
Answer this question truthfully,"A hyperdynamic state caused by severe iron deficiency anemia may present with symptoms such as tachycardia, palpitations, and angina."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing your query. you might be suffering from benign positional vertigo. our ears have a system which help in balance of our body through biochemical process. it might be a possibility that due to tight slapping, there has occurred some changes in the internal ear resulting in disturbance in the normal mechanism leading to feeling of vertigo. you give complete rest to yourself. taking betahistine 8 mg thrice a day will be helpful in curing your symptoms. if your problem persists, get yourself examined by an ent specialist. i hope this is helpful to you. thanks."
Please summerize the given abstract to a title,Drug-resistant Staphylococcus aureus bacteria detection by combining surface-enhanced Raman spectroscopy (SERS) and deep learning techniques
Answer this question truthfully,Clostridioides difficile is the name of the GI infection causing bacteria that can cause a Leukemoid Reaction.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, read your concernthere are many causes for which your granddaughter may have these symptoms. please get her blood sugar level checked to rule out diabetes which may cause such symptoms. also, such symptoms may be seen in a condition known as insulin which is a tumor of the beta cells of the pancreas. this tumor is characterized by whipple s triad where signs and symptoms of hypoglycemia are seen with blood glucose levels lower than 45\u00a0mg/dl. the characteristic feature is improvement of the symptoms on administration of glucose. this leads me to advice you to get the blood glucose, insulin and c-peptide levels tested. these will help us to rule out other conditions of hypoglycemia as well. a proinsulin level is also advice, if possible. diagnostic imaging test would include usg, ct scan or an mri to trace the tumor, if any. it will be appreciated if you could provide more details about her symptoms at the time of tremor. as for e.g."
Answer this question truthfully,"For women between the ages of 50 and 74, it is recommended to have a mammogram every 2 years."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting. i have gone through your query and i understand your concerns. her symptoms are related to muscle contusion(bruise). the treatment of muscle contusion contains non-steroidal anti-inflammatory medicines, rest, ice, compression and elevation. you should take her to emergency room for a bruise harm score. x-ray and complete blood count are necessary in these cases. complete blood count will show if she has internal bleeding. contact an orthopedist. i hope i answered your question. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...thanks for the query...yes... there is definitely treatment for broken tooth...depending upon the amount of tooth lost, there are different treatment options...if small part is lost, it will just require tooth colored restoration...if more than half of the tooth is lost, it will require root canal treatment and restorations (post and core or other options) after that... hope it will help...take care..."
Please summerize the given abstract to a title,Probabilistic forecast reconciliation under the Gaussian framework
Please summerize the given abstract to a title,RespireNet: A Deep Neural Network for Accurately Detecting Abnormal Lung Sounds in Limited Data Setting.
Answer this question truthfully,"Treatment of morton's neuroma depends on several factors such as:  Severity of the symptoms Since how long symptoms have been present Whether the home treatment has been tried or not The earlier the condition is diagnosed, the less likely is the patient to need surgery Non- surgical treatment is instituted first for the treatment of morton's neuroma
Physician may recommend any of the following:
Medical therapy for Morton's neuroma Type of medical therapy Components Conservative medical therapy Morton's neuroma should be managed conservatively before proceeding to expensive diagnostic procedures >80% of patients with morton's neuroma respond to conservative therapy Conservative measures for pain relief include the following:       Decreasing pressure & compression on the metatarsal heads and nerve Metatarsal support Metatarsal bars Padding techniques (it's important to place inserts properly just proximal to the metatarsal head), such as: Metatarsal pads Toe crest pads Tapping / splinting and strapping the toe area Shoe inserts /gears (orthotics) help in correcting any mechanical imbalance in the foot by distributing the weight away from the joint Specialized orthopedic shoes Comfortable supportive shoes with the following features (with the help of a professional shoe fitting device) help to control the motion and lessen the amount of pressure on the ball of the foot: Wider toe box allowing spread of metatarsal heads Low heels Good arch support Stiff soles Applying ice packs to the sore foot areas helps in reducing the swelling Place a thin towel between ice and the skin Use ice for 20 minutes Wait for at least 40 minutes before icing again Physical therapy Massaging ball of the foot Strength exercises for intrinsic foot muscles Stretching exercises in order to loosen the ligaments and tendons of the foot Resting the foot Weight loss in overweight patients may also help Non-conservative medical therapy When conservative measures fail, following medical therapy is used for non- surgical treatment of neuroma:  Tricyclic antidepressants Serotonin-norepinephrine reuptake inhibitors Anticonvulsants More effective Prolotherapy (proliferative therapy) via Hackett-Hemwall technique which includes ultrasound - guided interdigital injection of nerve blocking agents (mentioned in next column) via dorsal approach into the site of tenderness helps in temporary pain relief:                     Prolotherapist injecting the third interdigital space with sclerosant solution. Source: Ross A. Hauser. et al. Corticosteroids: Only a limited number of injections are advised because of the following possible side effects: Hypertension Weight gain Local anaesthetic Dextrose (reduces pain levels and improves quality of various life concerns) Anti-inflammatory drugs 4% alcohol sclerosing injections:  Typically administered every 7 to 10 days Between four and seven injections are usually needed for maximum relief Anti-inflammatory drugs (orally or injected into the toe area) Shouldn't be used for long-term treatment Ibuprofen (Advil, Motrin) Naproxen (Aleve, Naprosyn) Aspirin Painkillers Not recommended for long-term treatment"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thanks for writing. i can understand your concern and would try to help you in the best possible way. an avm in the colon is quite common abnormality. the decision to whether to treat it and what method to employ depends upon whether there is any bleeding from the avm or not. you doctor may check your hemoglobin level regularly and also stool examination for occult blood to get an idea whether the avm is bleeding or not. if it is found that there is bleeding from the site then decision to treat it by endoscopic method or surgical or any other would be taken by your doctor. i suggest you follow up with your doctor as i believe he is going in the right direction with your diagnostic workup. yes a bleeding avm can cause significant bleeding and become an emergency. so i advice you to consult a doctor immediately if you have any bleeding from your rectum.
Please summerize the given abstract to a title,Inter-Mobile-Device Distance Estimation using Network Localization Algorithms for Digital Contact Logging Applications
"If you are a doctor, please answer the medical questions based on the patient's description.","dear rash mi, travel by air is safe in the second three months of the pregnancy (14 weeks to 28 weeks). after that the uterus goes on becoming more and more irritable and the risk of premature delivery goes on increasing in flight. though, the airplanes have controlled pressure inside, the risk of preterm labor cannot be completely ruled out. so after 28 weeks of pregnancy, air travel, particularly international air travel should be avoided. the airlines also do not accept the pregnant passengers after 30 weeks of pregnancy without certificate from an obstetrician; and my experience tells that most of the obstetricians are reluctant to issue such certificate. if the delivery process starts on the board, there are constraints of availability of the facilities for conducting delivery on board. moreover, according to the international rule, the problem of nationality of the baby arises for them. of course, being indian, you can opt for the indian citizenship for you child, however, depending up on the aerial zone of a nation where the delivery takes place, you can opt for the nationality of that country; or the airline itself being an area of the nation to whom it belongs to, you may opt for that nationality also. this is all greatly complicated, hence the airline rules. i feel you should avoid international travel after 30 weeks of pregnancy. if you are less than that period (7th month), you may choose to travel; however do consider the date of return. if your return is within this time, you may travel. i hope this provides you a clarity in taking your decision."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,Functional Communication Profiles of Children and Youth with Autism: A Roadmap to Therapeutic and Educational Interventions
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from your description, this seems to be an accessory nipple. this is a common minor abnormality seen in some babies. here an additional nipple or breast tissue (which is small and less developed than the actual ones) develops from embryonic remnants. if confirmed, this need no specific treatment. your doctor will discuss you in detail hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"Erysipelas is usually caused by group A streptococcus bacterial infection, but can also be caused by group B, C, and G streptococcus infection as well. Rarely, Erysipelas can be caused by Staphylococcus aureus or Streptococcus pneumoniae infection."
Answer this question truthfully,"An abnormally elevated msAFP suggests a neural tube defect or multiple gestation, and warrants fetal ultrasound."
Please summerize the given abstract to a title,"Five-year outcomes for Aquablation therapy compared to TURP: results from a double-blind, randomized trial in men with LUTS due to BPH."
Please summerize the given abstract to a title,Disposable versus reusable medical gowns: A performance comparison
Please summerize the given abstract to a title,"HLA-A*11:01:01:01, HLA*C*12:02:02:01-HLA-B*52:01:02:02, age and sex are associated with severity of Japanese COVID-19 with respiratory failure"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient vicodin is only symptomatic treatment for any kind of pain whether back pain or joint pain. if you have scoliosis and back arthritis diagnosis should be confirmed by x-ray of dorsolumbar spine anteroposterior and lateral views. your night sleep is disturbed by pain which means significant disability. you need to consult immediately to spine surgeon for detailed assessment. meanwhile, start tab attract twice a day for pain relief."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the presence of early diastolic notching might be a normal finding before 24 weeks of pregnancy. persistence of the same even after 24 weeks might cause growth retardation of the baby.it's good to know that your bp is normal. as per your information i feel there is nothing to worry. but follow up with serial ultrasounds to monitor the well-being of fetus might be needed. so relax. nothing to worry. you are on correct medication and the aspirin can be taken in pregnancy, and it might prevent any vascular changes occurring. take healthy nutritional diet and adequate fluids up to 3 liters per day. practice antenatal exercise or walking daily. hope this helps. best regards...."
Answer this question truthfully,"http://www.nlm.nih.gov/medlineplus/ency/article/000569.htm
Template:WH Template:WS"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, swollen hard palate usually occur due to-deep dental caries of associated tooth or periodontal infection as well as traumatic injury to any tooth. i would advise you to visit a dentist and get a thorough clinical as well as x-ray evaluation done. based on the investigations, root canal treatment of the respective tooth as well as chatbot. complete course of analgesics along with antibiotics has to be administered. meanwhile, maintain oral hygiene well. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is a very good question and there will be varied opinions by different surgeons. i can give you the reasoning. the rule is, once diagnosed, appendix should be removed as if not taken out now, may cause re-inflammation some other time and occurs most probably at the time of some important work. as you have asked for subacute appendicitis, the best way is to get operated that the tension of further attacks is not there. if there is some reason for not getting operated at the moment you can get a nice course of an antibiotic and metronidazole under a care of a general surgeon and have regular follow-up. if there are no further attacks, nothing to worry about. only precaution is to get operated immediately if you have a further attack."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello findings suggests polycystic ovarian disease(pod).pod has typical appearance in usg, and it is indicated by increase ovarian size, hyperechoic stoma and necklace appearance of cysts arranged in periphery.pod should be confirmed by clinical correlation and biochemical markers like hormonal assay for pod.pod is a curable disease, and mostly it is treated by medicines. surgical intervention is required in very few cases. nabothian cysts in cervix are incidental finding and it doesn't require any treatment. hope i have answered your query. take care chatbot."
Please summerize the given abstract to a title,Assessment of health care personnel needs for training in infection control: one size does not fit all
Please summerize the given abstract to a title,25 years of biologicals in IBD: What´s all the hype about?
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Bosentan is a medication that acts as a competitive endothelin-1 receptor antagonist. It is primarily used to treat pulmonary hypertension, a condition characterized by high blood pressure in the arteries of the lungs. By blocking the action of endothelin-1, a potent vasoconstrictor that contributes to the development of pulmonary hypertension, bosentan helps to dilate the blood vessels and improve blood flow in the lungs. This can alleviate symptoms and improve exercise capacity in patients with pulmonary hypertension."
Answer this question truthfully,"The most common type of leukemia in adults over the age of 60 is chronic lymphocytic leukemia (CLL). This is a slow-growing cancer of the blood and bone marrow that affects the white blood cells known as lymphocytes. CLL is often diagnosed during routine blood tests and may not cause symptoms for many years. However, as the cancer progresses, it can cause symptoms such as fatigue, swollen lymph nodes, and recurrent infections. Treatment for CLL may include chemotherapy, targeted therapy, radiation therapy, or stem cell transplant, depending on the stage and severity of the cancer."
Please summerize the given abstract to a title,"Could Respiratory Fluoroquinolones, Levofloxacin and Moxifloxacin, Prove to be Beneficial as an Adjunct Treatment in COVID-19?"
Please summerize the given abstract to a title,Immune transcriptomes of highly exposed SARS-CoV-2 asymptomatic seropositive versus seronegative individuals from the Ischgl community
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are feeling the sensation that you are having a hair stuck to the back of your throat, it could be due to allergy. you can take soups, juice, water or any other beverage to keep your throat lubricated. you can take antihistamines, levocetirizine or buy a humidifier to feel better.  heartburn-like pain in the middle of the chest is commonly due to acid reflux, herd, stomach ulcer, angina or cad, developing cardiovascular diseases. take antacids for relief, you can also take ppi's. take food rich in fiber, avoid gluten & trans fat food, avoid food that causes you allergy.  take small meals many times a day & stay well hy chatbot.  you are suggested to visit er, get done a thorough medical examination along with required blood tests, imaging tests. get assessed & treated at the earliest. your treatment will depend upon the severity of the pathology detected. stay away from stress & anxiety. take adequate sleep.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Diaphragmatic hernias typically occur on the left side. This is because the left side of the diaphragm is weaker than the right side, and it is also more exposed to abdominal pressure. Diaphragmatic hernias can be congenital or acquired, and they occur when there is a hole or weakness in the diaphragm that allows abdominal organs to move into the chest cavity. This can cause respiratory distress and other complications, and surgery is often required to repair the hernia."
Please summerize the given abstract to a title,A hybrid computational framework for intelligent inter-continent SARS-CoV-2 sub-strains characterization and prediction
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have not mentioned whether you are getting pain on rt side where kidney is removed or on left side. the pain on right side could be mostly due to surgical trauma and will get resolved over a period of few months. if the pain is on left side it could be due to presence of stone either in kidney or ureter and needs to be confirmed by ultrasound scanning of abdomen. consult the operating surgeon for assessment and further treatment. chatbot.
Please summerize the given abstract to a title,Frequency and Significance of Pathologic Pulmonary Findings in Postmortem Examinations—A Single Center Experience before COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have retrograde ejaculation. you have undergone airs (endoscopic surgery)for kidney stone and stent was placed in your renal unit to help to pass the fragments of the stone without pain. normally we prescribe tamsulosin after removing the stent for couple of days which acts as a smooth muscle relaxant and helps to pass out residual fragments without pain the tamsulosin keeps bladder neck wide open which during ejaculation causes passing of the semen into bladder instead of passing out in urethra this is called as retrograde ejaculation. do not worry this will get resolved once you stop taking tamsulosin. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the risk can vary according to where the woman is in her menstrual cycle at the time of intercourse. if she was close to the time when she would have ovulated or had already ovulated then it does not work as well. ovulation generally occurs 10 to 17 days since the onset of the last period. it varies from woman to woman. in general, the effectiveness is high if taken within 12 hrs which was done. the effective is approximately 75% which means that it reduces the number of women who would have conceived by 75 %. if the periods are delayed you would have to do a pregnancy test to determine if conception took place. if this is not the case, then the two of you may want to consider using regular contraception such as oral contraceptive pill, injection, condoms, the patch. there are different formulations that you can consider. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it appears that your doctor understood that your crying spells are unprovoked and without any reason. this can be caused by brain tumors or other pathology in the brain. that is why he wants to rule out any brain pathology which can be responsible for this. so he suggested a ct scan of your brain. if you cry only when you are sad and this sadness has been persistent and pervasive for the last few weeks, most likely you are suffering from a depressive episode. please discuss this in detail with your doctor and do not withhold any information from him. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. your friends' daughter seems to have tina tricolor. it is fungal infection. it is caused by melanesia fur fur. it may be increased by perspiration. the fungus resides on scalp. tell her to apply ketoconazole cream. and shampoo with ketoconazole lotion. and to take ketoconazole tablet for 3 to 4 weeks. she should take healthy food to improve immunity. tell her to avoid soap bath. i feel, she will be improved. i hope you got my answer. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, this can be the acute allergic reaction due to cigarette smoke. cigarette smoke carries many harmful chemicals. when inhaled, in some people, it can cause allergic reaction. allergic reaction causes laryngospasm, bronchospasm and coughing. all these give symptoms of choking, breathing difficulty etc. your symptoms relieved by its own once the exposure has been cut. so all these suggest acute allergic reaction two cigarette smoke. so better to avoid such exposure in the future. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Political Intrusions into the International Health Regulations Treaty and Its Impact on Management of Rapidly Emerging Zoonotic Pandemics: What History Tells Us
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sir, and i hope i can help you today. i am not sure why your physician is treating your wife in this way. a normally developing pregnancy produces its own chatbot, and as long as the pregnancy is alive, the absolute levels do not matter. sometimes the hormone progesterone is supplemented in the first trimester if there has been bleeding or a threat of miscarriage. regarding the frequency of ultrasound surveillance, individual management varies by physician. ultrasound will not harm the baby, however, other than checking for a heartbeat, it has no benefit except to establish the dating of the pregnancy and, after 10 weeks, it can be used to screen the baby for certain abnormalities that can indicate a risk of genetic defects. that test, called the funchal translucency, is only done once. i hope i was able to answer your question and provide a second opinion for you, and i wish you and your wife the best for the rest of the pregnancy. sincerely,"
Answer this question truthfully,"Intranodal block at the AV node can be classified into two types: 1st degree AV block and 2nd degree AV block Mobitz type 1 (also known as Wenckebach). These types of block occur when there is a delay or interruption in the conduction of electrical impulses through the AV node, which can lead to abnormal heart rhythms and other cardiac symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.",his understand your concern. need to calm down and relax. your anxiety will affect your sexual functions is mutual act and by time you will learn proper education is mustpremature ejaculation can be treated with both psychologically and chatbot. please read on net and learn how to do stop and start method of sex is very good results. it is thought diversion method and require time to learn. masturbating before sex can increase your improper play and understanding is neededmedicines like duloxetine/paroxetine can be useful but do take advise from psychiatrist before taking any medicines. still have query then feel free to ask. happy to help you further. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as these symptoms of tingling in my opinion is due to the neuropathic issue. having a thorough clinical examination and a neurological examination will help understand the causative factors. tingling in the body or on unilateral side is a symptom of the neurological problems which may be due to even lack of vitamins or some other pathology. for ruling out the causative factor we need a thorough clinical examination and a diagnostic help as well. in my clinical practice we recommend such patients to undergo a thorough clinical examination and some diagnostic tests to rule out the pathologies. regards jay in chatbot."
Please summerize the given abstract to a title,Disparities in Technology and Broadband Internet Access Across Rurality: Implications for Health and Education
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for querybased on the facts that you have posted your grandfather has enlarged prostate and a self indwelling per urethral catheter has been passed to chatbot. he has developed symptoms of prostatitis. it is very common to get catheter induced infection in bladder and prostate giving rise to causing burning urination and refractory uti. in such a situation it is always advisable to
Please summerize the given abstract to a title,"Disposable masks: Disinfection and sterilization for reuse, and non-certified manufacturing, in the face of shortages during the COVID-19 pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, rajiv.pec, i am sure that when they did tests for hepatitis, they did for all three types. you mention that he was positive for hep-c. i think you need more information about the tests they did for hepatitis -c. this type, in most people, does not produce any symptoms (although rarely) it goes into what is called \""chronichepatitis\"". at this stage, the liver enzymes stay abnormal and one can experience symptoms of fatigue, aches and pains in the joints, skin rash, poor appetite etc. it is important to rule this out. type-a hepatitis comes from eating or chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion, your symptoms are related to herd only. but better to rule out cardiac cause first. so get done ecg to rule out cardiac cause. if this is normal than most probably herd is the cause. try to follow these steps for better control of herd.1. avoid hot and spicy food.2. avoid stress and anxiety. 3. avoid large meals, instead take frequent small meals.4. try to lose some weight as obesity causes relaxation of sphincter and more reflux.5. take proton pump inhibitors. 6. go for walk after meals 7. keep 2-3 pillows under head in bed."
Answer this question truthfully,"Dexamethasone eye drops may be used to reduce redness, burning, and swelling or inflammation in the ear. Talk to your doctor about the possible risks of using this drug for your condition.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient you have got two problems gout for which you are taking treatment and other is plantar fasciitis. in this condition there is pain at the weight-bearing area of the heel due to inflammation. it happens between 40 and 60 yrs of age. precautions to take are use of soft heel cushion and hot water fomenting.  tab aerosol sp twice a day helps in pain relief. if not helping local injection of depose chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot if you are having asthma the breathlessness leeds to hypoxia, and it gives light headednesswhen you spent 30 minutes in gym naturally it leads to more hypoxia and confusion and dizziness you need oxygen inhalation, bronchodilator in consultation with your physician hope this answer will serve your purposetake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your question. the lump next to your anus most probably could be a pile mass. the pain could be due to inflammation of the pile mass. defecation aggregates the pain. spontanous regression of inflammation is possible due to which your pain has decreased, but for blood in your testis you need examination by a physician as it could be a separate issue. it could be a hematoma(blood under skin or muscle)i would suggest you to get yourself examined by a physician to rule out testicular hematoma, which is present needs investigation and chatbot. hope this answers your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient it seems you are suffering from articular pain in the right lower limb most likely due to nerve compression in the bar spine. diagnosis needs to be confirmed by doing mri of the lumbosacral spine with screening of whole spine. please get it done from radiology center nearby you. meanwhile, start tab regain x 75 mg one at bedtime. you need to consult spine surgeon with report. avoid forward bending and weight lifting."
Answer this question truthfully,"Active coronavirus infection can be diagnosed by detecting antigens, such as nucleocapsid proteins."
Please summerize the given abstract to a title,Pattern of liver injury in adult patients with COVID-19: a retrospective analysis of 105 patients
Please summerize the given abstract to a title,What Are University Professors’ Motivations? A Realistic Approach to Self-Perception of a Group of Spanish University Professors Belonging to the G-9 Group of Universities
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read your query and understand the distress you might be under. you seem to be suffering from depressive episode which can explain most of your symptoms and negative thinking. i would advise you to consult a psychiatrist for the same. currently safe and effective chatbot.  you can also consider the option of cognitive behavior therapy in which sessions will be taken to help change your thinking pattern and teaching you ways to relax. you can discuss the same with a psychiatrist. hope this information was helpful. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can assure you that it is not pus. it takes minimum five day for pus formation so whatever you are seeing is not pus but plasma. you can apply antiseptic cream with clean hands. some amount of pain is normal with such abrasions.  if there is increase in pain then you can show it to your physician. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Does Sars-Cov-2 threaten our dreams? Effect of Quarantine on Sleep Quality and Body Mass Index
Please answer with one of the option in the bracket,C: Type 1 collagen
Answer this question truthfully,"How does essential tremor typically respond to movement and anxiety? Essential tremor is worsened with movement or when anxious (relieved or worsened). Essential tremor is a neurological disorder that causes involuntary shaking, usually in the hands, but can also affect the head, voice, and other parts of the body. The severity of the tremors can vary and may be influenced by factors such as stress, fatigue, and caffeine consumption. While there is no cure for essential tremor, there are treatments available to help manage the symptoms and improve quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to ask a doctor service. i have reviewed your query and here is my advice. the vomited blood from cirrhosis could be because of esophageal varices condition. for that chemotherapy or banding can be beneficial. treat portal hypertension with beta blocker. if you are having edema formation than diuretic can be prescribed. tips like less invasive procedure helpful in reducing portal hypertension. ultimate treatment for cirrhosis is liver transplant. i suggest you to consult gastroenterologist for examination. hope i have answered your question. let me know if i can assist you further.
Answer this question truthfully,There are no CT findings associated with glomus tumors.
Please summerize the given abstract to a title,Persistence of residual SARS-CoV-2 viral antigen and RNA in tissues of patients with long COVID-19 (preprint)/ en
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i have gone through your question. i can understand your concern. she had metastatic epithelial carcinoma.  it is already stage 4 cancer.  it spread very rapidly to other body organ and everyborgan and system is affected.  i am very sorry to heard about her, but it is natural course of cancer.  we don't have any treatment for cancer in that stage. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,The class of helper T cell that promotes immunity against extracellular microbes is Th17.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer with one of the option in the bracket,E: 99%
Answer this question truthfully,"Yes, cysts of Entamoeba Histolytica are able to survive outside of the host."
Please summerize the given abstract to a title,Adipose Extracellular Vesicles in Intercellular and Inter-Organ Crosstalk in Metabolic Health and Diseases
Please answer with one of the option in the bracket,B: 25%
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there.yes the fasting insulin level of your daughter is slightly less than the normal level, but it can be physiological or normal. have you done the fasting and post radial glucose level test?if yes then were the levels normal or raised? i suggest that you should consult a doctor preferably a child specialist or md medicine. they can further add on test which your daughter need to do.tank you"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, there is no harm in taking it. tampico is a mixture of ampicillin and oxacillin commonly used to treat infections caused by susceptible bacteria. its common side effects include diarrhea, nausea, vomiting, and allergic rash. itching in private parts could be due fungal (yeast) infection for which you need to consult your doctor for proper clinical assessment and use of antifungal (fluconazole) chatbot. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, usually, post fall it is advised to take an x-ray to check out for any hairline fracture. if no feature than there it's a good sign as it will be only a muscle injury. but an x-ray is advised for safety purpose. as there is pain after the fall i will advise to take an x-ray, do hot water fermentation and provide rest to the muscles to heal. once pain levels come down do simple exercises and breathing exercises to regain the muscle strength and improve the muscle property. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, sorry to inform you that though you do not feel any pain or discharge but only hardness, still it is nothing but an inflammatory condition. possibly there is reaction to the spilled out material from the cyst contents and due to the strong immunity of your body the inflammation is only limited to some localized hardness! it could be aggravated if your try to mobilize it yourself or poke it; avoid that and take some antibiotics and maintain local hygiene. for confirmation of the situation please go for an fnac test with culture sensitivity and revert to us if necessary. wish you good health!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the lump you are talking appears to be enlarged lymph nodes. they are usually when there is infection in the surrounding area. it will be painful and slowly as the infection subsides with or without treatment, it would disappear. if you want you can get a test called as fine needle aspiration cytology done. it will confirm or rule out anything else if you are worried about. if you have any further queries, happy to help you again."
Answer this question truthfully,"While patients with early thyroid cancer do not present with any symptoms, as the tumor grows larger people may notice one or more of the following symptoms:
A nodule, lump, or swelling in the neck, which may be perceptible by touch Pain in the throat/neck Vocal hoarseness Difficulty swallowing Swollen lymph nodes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. it seems that your son is suffering from an allergy to some substance in the food items that cause him to experience the symptoms you have described. as you have rightly suggested, it is very difficult to ascertain what substance he is allergic to and what food items to avoid in the future. i recommend you to go for a blood test for allergy that will identify what substance is acting as an allergic to your son, and he will have to take care to avoid those items in food. it is important to find out the allergen as every next allergic episode may be severer than the previous one causing complications and health hazards. if he feels such reaction in the future. he can take an antihistamine such as levocetrizine 5 mg (exocet) or loratadine 10 mg (forfeits) to control the reaction. make sure you keep these medicines available to him when needed. i hope this information helps. thank you for choosing chatbot. take care. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you have headache, this looks to me like an inflammation of the sinus duct. which we called it as sinusitis. there are numerous sinus duct in that area and any inflammation to it causes such headaches which are not bearable. the joint pains are related to the repetitive stress injury - we call it as rsi. this occurs due to repetition of movements and leading to trauma foe the joint. performing a regular physical exercise should help you get rid of the joint aches and pain. also, you can perform some strengthening exercises like weight training to get maximum muscle torque. as for sinusitis i feel you work as a cook and the fumes coming in the kitchen during cooking is leading to inflammation of the sinuses. using a nasal mask while cooking should help avoid some. do regular breathing exercises which will help improve the oxygen content in the blood and may help to avoid inflammation of the sinuses leading to headaches. also, oxygen therapy should also give a positive impact on overall health. regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query.  you had swollen vagina.without itching/ redness & pain. after a sleeping posture for 40 minutes in hospital & in tub bath at home. i feel the swelling of vagina was nothing but dependent edema in sleeping posture. when you are on your legs, the edema must be shifting to your feet.  * such edema at 38 weeks of pregnancy is normal & is due to body weight being loaded on feet while standing.  but it becomes essential to exclude problematic edema by checking-urine albumin not present/ blood pressure within normal limits 120/80 mm of hg./ hbo within normal range (12-14 gms).  thanks."
Answer this question truthfully,"Symptoms usually start and stop suddenly, and can last for a few minutes or several hours. They can include:
Anxiety Chest tightness Palpitations (a sensation of feeling the heart beat), often with an irregular or fast rate (racing) Rapid pulse Shortness of breath
Other symptoms that can occur with this condition:
Dizziness Fainting"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, for bp, she should have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. if bp is persistently more than 140/90 mmh, then she should be on medicines for it. usually we prescribe tab amlodipine and telmisartan medicines depending upon the level of bp. so get back with her bp readings so that i can suggest medicines.  regular exercises like brisk walking, jogging according her capacity at least 30 min a day and 5 days a week. lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't abdominal fat deposition or obesity. get her lipid profile and sugars tested once.  hope this helps you and get back if you have any doubts."
Answer this question truthfully,"The major risk factors for acquiring the infection is consuming raw meat and ingestion of food contaminated with toxoplasma oocysts excreted in cat feces. The risk factors which predispose pregnant women for primary infection include: 
Consumption of raw oysters and clams  Eating undercooked meat which includes pork, beef and lamb  Drinking unpasteurized goat’s milk  Exposure to kitten litter Working with meat  Low socioeconomic status  Poor Hygiene  Drinking unfiltered water  Immunocompromised state"
Answer this question truthfully,"Triad of upper abdominal pain, upper gastrointestinal haemorrhage and jaundice  is classical but only present in 22% cases . It can be immediately life threatening in major bleeding. However in minor haemobilia patient is haemodynamically stable despite significant blood loss being apparent ."
Please summerize the given abstract to a title,Product Roadmap Alignment – Achieving the Vision Together: A Grey Literature Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the symptoms and lab reports suggests me that your daughter is having acute bacterial infection, because of which she is getting these symptoms and which is wired to her. there is increase in the total wbc count, which suggests that body defense system is active against some infection in the body to fight against thees infective agent its number is increased. as you are giving antibiotic like azithromycin should fight against the organism and control the infection. even after the antibiotics if the symptoms are not coming down, i suggest you to test for blood culture which helps to put your daughter on appropriate treatment. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i advise you, that a person with kidney failure can do dialysis.there are indications for dialysis. surviving kidney failure on dialysis, in a patient with cervical cancer, is difficult to predict, without knowing its stage. dialysis can be done, but the long term prognosis isn't very good. if you send details like abdominal ct/ mri scan, all blood reports, to me as a direct question, i can give you an expert opinion. chatbot.  manga."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","it is not clear why you stopped medicines. you are saying in the first sentence that you were released from mental health hospital with enough medicines. since you needed admission in m h hospital, i assume that you had a psychiatric illness requiring hospitalization. most of the disorders need a treatment for more than one month. if you stopped your medicines because of some adverse effects, your doctor may be able to change your medicines to those without adverse effects. it may not be proper to re-start the medicines in the prescribed dose as many medicines require gradual increase in dose after stopping. so you should see a doctor as soon as possible"
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, in fact birth control pills are supposed to and used to regularize the menstrual cycle and control the menstrual bleeding. there are mainly three types of birth control pills"
Please answer with one of the option in the bracket,E: Rickets
"If you are a doctor, please answer the medical questions based on the patient's description.","you may have an x-ray taken for ankle and foot and consult orthopedics doctor. keep foot and leg elevated and try hot fomentation now. the ankle should be properly strapped by pleistocene bandage after applying anti-inflammatory gel and fermentation. even if its sprain only, differ standing or walking for 10 days unless your orthopedic doctor finds minor sprain and permits weight-bearing. best wishes. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you had unprotected sex on the last day of the period. since then, you have back pained, nausea, cramping. your period is due in five days. will it be pregnancy.  last day of the period means after the period, or at the end of the period 29th day. if it is the last day of the bleeding pregnancy is possible. if it is 29th day it is impossible.  to clear your doubt you can have a urine pregnancy test with first urine and mid-stream urine.  i hope i have cleared your doubt.  best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i will suggest you the best possible treatment options.first do not panic. at the outset i will suggest you to get usg done to rule out pcs- polycystic ovaries as a cause of your irregular periods. thsi is a lifestyle disorder and can be tackled by healthy lifestyle changes. secondly, get post menstrual hsg- hysterosalpingography done. this helps to know about the patency of the fallopian tubes. also, partners semen analysis with 4 days abstinence should be done, this will help to know about the quality and quantity of the sperms. if these reports are normal, you can seek prescription support from your treating doctor for ovulation induction medicines. follicle study from day 10 of the cycle will help to know exact date of ovulation. you can opt for gui- intrauterine insemination on the day of ovulation or opt for natural unprotected sex activity on and around the day of ovulation. please start on folic acid and vitamin b 12 supplements regularly. think positive. meditate regularly. may god bless you with a bundle of joy. i hope this answer helps you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. bipolar 2 can require proper assessment of its episodes. treatment can be depended upon no of episodes and other details. it can be treated with antidepressant with mood stabilizer. apart from antidepressant medicines like lithium/quetiapine/lamotrigibe can useful. but choice of chatbot. so consult psychiatrist and get help. i hope i have answered your query. happy to help you further. thank you,"
"If you are a doctor, please answer the medical questions based on the patient's description.","it's better that your heart rate be less than 100, as along term increased heart rate is not good for heart.  but however as you say you had a lazy life and so now when you start getting active the heart who is not used to work much will have higher rates to compensate which should settle in a month a or two, don't worry about the same and continue with a good and healthy life.  regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Hyperemesis gravidarum is a condition of severe nausea and vomiting during pregnancy. Some factors that may increase the risk of hyperemesis gravidarum include multiple gestation (carrying more than one fetus), hydatidiform mole (a type of abnormal pregnancy), or a history of gastroesophageal reflux disease (GERD). Women who have experienced hyperemesis gravidarum in a previous pregnancy may also be at increased risk of developing the condition again in subsequent pregnancies. While the exact cause of hyperemesis gravidarum is not fully understood, hormonal changes and other factors related to pregnancy are believed to play a role. Treatment for hyperemesis gravidarum may include medication, intravenous fluids, and other supportive measures to manage symptoms and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot.please take following treatment"
Please summerize the given abstract to a title,Resident acute deterioration simulation series: Does repetition equal improvement?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for choosing health care magic. see persistent pain in back could be due to some disc problem or postural issues. as you said i think anything major is ruled out as you already had seen a doctor for same, apart from this still if you are having pain you need to strengthen your back muscles. if you are over weight pl. reduce your weight. you need to see a physiotherapist who will in consultation with your doctor teach you a set of exercise that will make your back muscles stronger and help you get rid of pain. take diet rich in calcium."
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Live streaming ward rounds using wearable technology to teach medical students: a pilot study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of rash on both sides of ribs, back and legs which is very common as dirt and moisture get trapped by your clothing and the friction that comes from heat generation causing this. need not worry. i would suggest you to keep this area clean and chatbot.  apply calamine lotion to avoid itching. if condition doesn't get better than consult dermatologist for proper examination. doctor will examine physically along with blood test and prescribe anti-inflammatory ointments. avoid use of any hard cosmetics on these areas. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have non-working gall bladder. you may have gall stones and it's causing obstruction. it can lead to high bilirubin level, and it is responsible for itching. you should go for ultrasound abdomen and serum bilirubin level. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. very good question and history about your mother. she has pain in abdomen, with nausea; when she stops eating and gets ok. this happens once in 6 to 8 months ion recurrent basis. the most probable cause of such a problem is sub-acute intestinal obstruction which gets instigated on certain foods or so, which are more fibrous.  this is the reason that the pain is relieved after 4 days of eating nothing. the most important test is enterocolitis (barium study) under fluoroscopy control to visualise the actual movement of the intestines, to see where the stricture if. this is preferable to be done when she is in pain. this will give the diagnosis and a plan for further management."
Answer this question truthfully,"Non-dihydropyridine CCBs may cause excessive AV block when combined with β-adrenergic antagonists, which can lead to serious cardiovascular complications."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting your query to chatbot>lymph node can be swollen due o any kind of infection it is there protective function. but you need to be sure that these are the lymph node and not the other type of swelling. you should contact to general surgeon for local.  examination of node as this area is connected with breast so any kind of pathology may leads develop such type of condition presently you can take anti-inflammatory chatbot. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, you are suffering from a kind of rhinitis which could be ?allergic common agents dust, pollen, and other such thing. but there are other causes also non-allergic vasomotor rhinitis and chatbot. you should visit a ent surgeon and find out what is the reason for your problem, as anti histamines may give temporary relief, but if it is allergic you may avoid particular allergen, and take proper treatment like preventive nasal spray and systemic therapy if required. you should be better with proper treatment good luck to you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, let me ad chatbot.  1. i hope you have completed the course of second antibiotic, which you are not allergic to. 2. if you have completed the course, then make sure that you are not taking any other medications. since, medications usually cause heavy breathing, shortness of breath, it is better to avoid any medicines as such unless they are required. 3. i do not know your age, i am sorry. however, it is advisable to get an ekg done to look for the cardiac status. 4. repeat a chest x-ray now and look for signs of residual congestion on the lung fields. 5. it is better to consult a pulmonologist and get bronchodilators prescribed (if required only). hope this helps. get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear product. welcome to chatbot forum. kidney stones are often asymptomatic and do not require any treatment. with proper hy chatbot.  treatment is planned if symptoms occur... the treating options are planned based on the size and the location of the stone. a stone of less than 10\u00a0mm usually gets flushed out. plenty of water intakes with or without use of diuretics are all that is needed. stones bigger would need therapeutic management - eccl or cystoscope removal. in your case, since the size of the stone is smaller, such treatment strategies will be planned only if you persist to have symptoms. consult a urologist who will guide you through this. hope this message was useful to you... regards"
Please answer with one of the option in the bracket,B: Interleukin-5
Answer this question truthfully,Controlling type 2 diabetes and recognizing the early signs of dehydration and infection can help prevent this condition.
Please summerize the given abstract to a title,Relocation of the attTn7 Transgene Insertion Site in Bacmid DNA Enhances Baculovirus Genome Stability and Recombinant Protein Expression in Insect Cells
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, enlarged spleen is because of the cml (chronic myeloid leukemia). stone in kidney will have sharp pain in the back sometimes nausea will be associated. ultrasound will reveal the clear picture behind your confusion. as cml should be treated with your hematologist as soon as possible. if your sister get any abnormal pain or any alarming signs kindly take her to emergency department for further management. thank you hope i answered your query"
Answer this question truthfully,"Women at high risk for seizures have severe preeclampsia and:
Abnormal blood tests Headaches Very high blood pressure Vision changes"
Answer this question truthfully,"You should tell your doctor about every shock you feel from your ICD. The settings of your ICD may need to be adjusted, or your medicines may need to be changed. Also call your doctor if:
Your wound looks infected. Signs of infection are redness, increased drainage, swelling, and pain. You are having the symptoms you had before your ICD was implanted. You are dizzy, have chest pain, or are short of breath. You have hiccups that do not go away. You were unconscious for a moment. Your ICD has sent a shock and you still do not feel well or you pass out. Talk to your doctor about when to call the doctor's office."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. small cell carcinoma of lung is very aggressive and notorious cancer. it can rapidly deteriorate patient and succumb him in death. and it is highly responsive to chemotherapy and radiotherapy. so start chemotherapy as soon as possible. any cancer patient needs nutritional support. so it is better to give him multivitamins, anti oxidants and protein supplements for symptomatic relief and subjective well less. so you can definitely give nutritive double x. but start chemotherapy as soon as possible."
Answer this question truthfully,Hashimoto thyroiditis is the most common cause of hypothyroidism in regions where iodine levels are adequate.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would suggest you shouldn't worry, as you have almost recovered. from what information you have provided, i can assume you had obstructive jaundice.  if you were my patient who came to my clinic with simple jaundice, i would prefer you do the following tests"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi frank welcome to chatbot. localized swelling of veins could be due to any swelling or any obstruction. i advise you to visit your general surgeon and get it examined and evaluated. i would like to have information about any other symptoms like engorged veins anywhere else on your body or headaches or eye pain. how long do you have them since. please leave the details as a reply to this comment. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you are supposed to refer to concentration and attention as two. attention span for any adult is maximum 30 minutes. sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. concentration is attention plus understanding. for this too, span of below 30 minutes. if you are able to make your studies interesting and based on variable principle, your concentration level can be increased. concentration comes only when you are interested in what you do. so please be passionate towards what you are doing or do only those things which you are interested in. it is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis is more likely. treatment of bronchitis is based on severity only the disease. to know the severity, you're should get done pft (pulmonary function test). he will need inhaled bronchodilators (formoterol or albuterol) and geotropism inhaler. oral antibiotic like azithromycin is also good. n acetyl cysteine (nac) is also having beneficial effects (bucolic and expectorant). so consult pulmonologist and discuss all these. hope i have solved your query. i will be happy to help you further. wishing good health to your father. thanks."
Answer this question truthfully,Amniotic bands commonly constrict limbs.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for your brief history.a thorough musculoskeletal assessment is advised. as you mentioned you had surgery at the age of 14, and now you are 40, why they surgery was planned at the age of 14 is important to know and also the type of surgery performed. usually at this stage post a thorough musculoskeletal assessment the treatment will be focused on the physical therapy. as by physical therapy you can get enough strength in the gluteal muscles (hip) to hold the joint in space. also, by understanding with the old history and the mri or ct the next plan can be prepared. until the hip joint is degenerated & there is severe pain, thr possible avoided. also, with physical therapy you can get the optimum strength to hold the hip joint in space and by which the activities of daily living can be performed with ease. we have seen cases with oa of hip, and with proper strengthening of the weaker muscle groups we are able to avoid thr. i wish the same with you. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i went through your query. the swelling under your neck is maybe either a swollen lymph node or a swollen salivary gland. the lymph nodes below the jaws will get enlarged as a reaction to any local infection like an infected tooth or gums. and the fact that is very painful, it is more indicative of an infection. also there is a possibility that the swelling may not be a swollen lymph node. it can be a salivary gland whose duct may be blocked by a calculus(stone). both the conditions requires you to visit a general dentist to find the actual cause of the swelling and treat it accordingly. hope my answer helps."
Please answer with one of the option in the bracket,D: IgG against transmembrane proteins between cells
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,"Psychological Wellbeing, Worry, and Resilience-Based Coping during COVID-19 in Relation to Sleep Quality"
Answer this question truthfully,Cones are the type of photoreceptor found in the fovea.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a detailed clinical musculoskeletal assessment is advised. as mentioned in your history about the normal x-ray and pain still persists while bending the knee, then an or tho clinical assessment is needed, as your pain sounds more of a soft tissue injury than a bony one. so x-ray cannot show anything except the bones which appeared normal. your or tho may also advise you for mri of knee, which will help in addition to see the soft tissue status. as pain during straightening the knee is related to the soft tissue injury and should get assessed. based on the diagnosis, you will be recommended for simple painkillers and physical therapy. with physical therapy, your pain will reduce by use of therapeutic ultrasound therapy and tens therapy. also, exercises will be performed to regain the rom of the knee joint and also the strength of the muscles. in my clinical experience, i have seen cases with such injuries, and they respond well to the medication and physical therapy. by 2-3 weeks of time, they have optimum functionality without pain. regardsjay in chatbot."
Answer this question truthfully,"The ankle is a complex joint that is made up of several bones, ligaments, and tendons. One of the most common types of ankle injuries is a sprain, which occurs when the ligaments that connect the bones of the ankle are stretched or torn. The anterior talofibular ligament is one of the most commonly injured ligaments in the ankle, particularly in what is known as a ""low"" ankle sprain. This type of sprain occurs when the foot is inverted, or turned inward, causing the ligament to stretch or tear. The anterior talofibular ligament plays an important role in stabilizing the ankle joint, and its injury can lead to pain, swelling, and difficulty walking or bearing weight on the affected ankle."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your sons history and would like to make suggestion for him as follows
Answer this question truthfully,"Nephrogenic diabetes insipidus is a rare medical condition that affects the kidneys' ability to concentrate urine, leading to excessive urination and thirst. It is caused by a genetic defect or damage to the kidneys, and can also be caused by certain drugs. Specifically, drugs such as lithium and demeclocycline have been known to cause nephrogenic diabetes insipidus by interfering with the kidneys' ability to respond to antidiuretic hormone (ADH). Other drugs, such as diuretics and some antiviral medications, can also contribute to the development of this condition. Nephrogenic diabetes insipidus can be a serious and debilitating condition, but it can often be managed with proper medical treatment and lifestyle modifications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your lump area is too high for breast pathology.  it may be some soft tissue mass like lipoma, neurofibroma or other. demography is not needed.  you should go for fine needle aspiration cytology or biopsy.  it will help you to search the cause. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"While the exact cause of Tetralogy of Fallot is unknown, several factors may increase the risk of a baby being born with this condition. These include:
A viral illness in the mother, such as rubella (German measles), during pregnancy Maternal alcoholism Poor nutrition A mother older than 40 A parent with tetralogy of Fallot Babies who are also born with Down syndrome or DiGeorge syndrome"
Please summerize the given abstract to a title,Risky Bodies in the Plasma Bioeconomy: A Feminist Analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has lyme disease with two coinfection. hypotension is common in infection.  hypotension leads to blurring of vision and lethargy.  she should take intravenous fluid and antibiotics.  take plenty of fluid orally. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote it should be an urticaria or a simple skin allergy. you can use hy chatbot.  most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. if this happens, you can start using the same medicine, but i suggest you get the kid evaluated with your pediatrician. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Some of the potential neurological symptoms that can occur as a result of alcohol withdrawal include seizures, tremors, hallucinations, and delirium tremens. These symptoms typically manifest within the first few days after an individual stops drinking, with seizures usually occurring between 6 and 48 hours after the last drink. The severity and duration of these symptoms can vary depending on various factors such as the amount and duration of alcohol use, age, and overall health. It is important for individuals who are at risk for alcohol withdrawal to seek medical attention and receive appropriate treatment to manage these symptoms."
Answer this question truthfully,"Hypovolemia can result in an increase in ADH levels in laboratory values. ADH, or antidiuretic hormone, is a hormone that is released by the pituitary gland in response to low blood volume or increased blood osmolality. Its primary function is to increase water reabsorption in the kidneys, which helps to conserve water and maintain blood volume. In hypovolemia, or decreased blood volume, the body responds by increasing ADH levels in an attempt to conserve water and maintain blood pressure. Increased levels of ADH can be indicative of hypovolemia. It is important to diagnose and manage hypovolemia promptly to prevent complications such as shock and organ failure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot. noted you had high cholesterol and taking chatbot. ... you have not mentioned your cholesterol level. do you have diabetes ??? smoking and alcohol history ??? cardiac history ??anyhow, here you have to decrease cholesterol and take care of liver by....... avoid excess fried and fatty food... fruit juices good like papaya, orange, grapes etc.... trans fat food has to cut of from diet like butter, pizza, red meat etc..... avoid alcohol..... regular one hour exercise done..... whole grain, cereal can be taken..... if still no improvement then further options can be thought..... just now according to my view and history provided no need for biopsy..... take care....."
Answer this question truthfully,"White women, especially those with a family history of osteoporosis, have a greater than average risk of developing osteoporosis. Other risk factors include:
Absence of menstrual periods (amenorrhea) for long periods of time Drinking a large amount of alcohol Family history of osteoporosis History of hormone treatment for prostate cancer or breast cancer Low body weight Smoking Too little calcium in the diet"
Please summerize the given abstract to a title,Clinical Features for Severely and Critically Ill Patients with COVID-19 in Shandong: A Retrospective Cohort Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. i have gone through your query and can understand your concerns. as per your complaint the symptoms of redness and burning inside mouth with red spots is pointing towards a condition known as authors dermatitis. it can be caused due to a number of reasons like stress, nutritional deficiency [iron, vitamin b12 and folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etc. other common cause can be herpes virus infection. you need to consult an oral physician or a general dentist in this regard to get evaluated and treated. for authors dermatitis you can do warm saline garglesgargles with 1"
Answer this question truthfully,"Traumatic pneumothorax may be due to iatrogenic causes, such as bronchoscopy, subclavian line placement, thoracentesis, barotrauma."
Please summerize the given abstract to a title,"Intimate partner violence: A loop of abuse, depression and victimization"
Answer this question truthfully,A child should be able to transfer objects between hands at around 6 months old.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,An Examination of Factors That Influence Receipt of Reproductive Health Screenings Among Female Veterans.
Answer this question truthfully,Phosphofructokinase-2 is positively regulated via positive feedback by insulin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern. your symptoms of throat pain persisting after taking pack is suggestive of viral infection. pack is an antibiotic, fighting bacterial infection, but unfortunately not fighting viral infection. you can go back to the clinic and get another visit to check your throat again. to speed up recovery"
Please summerize the given abstract to a title,The evolution of humanitarian mapping within the OpenStreetMap community
Answer this question truthfully,"Fetal movements start during week 8 of embryogenesis, which can be remembered as the ""gait"" of the fetus at this stage."
Please summerize the given abstract to a title,Pains and Gains from China's Experiences with Emerging Epidemics: From SARS to H7N9
Please summerize the given abstract to a title,A rational decision-making process with public engagement for designing public transport services: A real case application in Italy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. since you have mentioned this as a typical fetal movement and in the same position, that you are so much certain of, and since you do not have any digestive issues as you have specifically mentioned, this can be taken as a case of pseudocyesis. in pseudocyesis the re is no actual pregnancy, but the patient gets all the signs and symptoms of being pregnant. i would advise you the following"
Please summerize the given abstract to a title,Coronavirus survival on beach sand: Sun vs COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. your symptoms suggest possibility of deep vein thrombosis. ultrasonography/color doppler leg will help to rule pathology leading to pain and swelling like deep vein thrombosis. i will advise you to do mri spine to see for any nerve compression. consulting your doctor infection /cellulitis can be ruled out; antibiotic can be started according to examination. if required you may need to do blood investigation for prognosis and recovery. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. inr should be maintained at a higher rate.2. if you are having reacting to warfarin, better to go for heparin or other new anticoagulants like rastaban, i chatbot. 3. being mobile is the most important thing to avoid blood clot in leg or deep vein thrombosis. meet your doctor to get a prescription for heparin. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. seizures can occur in ts. one needs to confirm whether these are true seizures or pseudo seizures (related to stress). this can be done with video eeg monitoring. in any case, seizures need to be treated. a neurologist can help you in confirming the diagnosis and planning the treatment. please get back if you require any additional information. best wishes, chatbot. ly/"
Please answer with one of the option in the bracket,C: Oligoarticular juvenile idiopathic arthritis
Please summerize the given abstract to a title,Clinical evaluation of the safety and efficacy of enoxaparin in patients with COVID-19
Please summerize the given abstract to a title,Bilateral Spontaneous Pneumothorax in a COVID-19 and HIV-Positive Patient: A Case Report
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, i appreciate your concern for the infected wound near coccyx. features are suggestive of recurrent infected colonial sinus. as many as 50% of the surgically removed colonial sinus recurs. early recurrence is usually due to failure to identify one or more sinuses at the time of incision and chatbot.  later recurrence (more than six months after surgery) is usually due to tension in the mid-line cleft and a secondary infection caused by further build-up of hair or other debris. recurrences have been reported as late as 20 years after the surgery. you are advised to visit your treating surgeon for further evaluation and incision and"
Please answer with one of the option in the bracket,A: Binding to sodium channels
Answer this question truthfully,"The recommended anti-hypertensive agent or agents for a patient with chronic kidney disease are ACE inhibitors or ARBs.

ACE inhibitors and ARBs are considered first-line therapy for patients with chronic kidney disease and hypertension because they have been shown to slow the progression of kidney disease and reduce the risk of cardiovascular events. These medications work by blocking the renin-angiotensin-aldosterone system, which is involved in regulating blood pressure and fluid balance.

In some cases, combination therapy with an ACE inhibitor and an ARB may be necessary to achieve blood pressure control. However, this should be done with caution and under the guidance of a healthcare provider, as combination therapy may increase the risk of side effects such as hyperkalemia.

It is important for patients with chronic kidney disease to work closely with their healthcare provider to monitor blood pressure and kidney function, and to adjust medication dosages as needed. Lifestyle modifications such as regular exercise, healthy diet, and weight management can also help to lower blood pressure and reduce the risk of complications."
Please summerize the given abstract to a title,La négativité persistante des prélèvements nasopharyngés est-elle fiable pour éliminer une pneumonie au SARS-CoV-2 chez un patient en quarantaine post-exposition ?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your mothers situation and problem. yes, you are right about ultrasound examination of abdomen. it should be done first to rule out liver metastasis or liver enlargement. if this is normal then no need to worry about metastasis. get done liver function test (lft). this includes bilirubin, sgpt and got levels. in some cases liver on ultrasound can be normal, but if liver function tests are raised then hepatitis can be the cause for her right sided abdominal pain. so get done liver function test. hope i have solved your query. i will be happy to help you further. wishing good health to your mother. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! for both laparoscopic and open procedures a radical neurectomy would take around 3-6 hours depending on the complexity of the kidney and the mass. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
Answer this question truthfully,The 2nd arch gives rise to the stapes and stapedius muscle.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot. your symptoms of breathlessness, chest tightness and wheeze sound like asthma. asthma is characterized by variable airflow obstruction which means some days you will be fine and some days you will have symptoms. i recommend you undergo a pulmonary function test which requires you to breathe into a machine and your lung capacities are estimated. this will show whether you have asthma or some similar respiratory illness. treatment can be started on basis of results of the pft. please do a pft and revert with the results. wishing you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thank you for posting here. this can be infection in the gums or tooth. a x-ray is necessary to decide on the treatment. a root canal or planning may be necessary based on the details you provided. you cannot get it home treated. a visit to the dentist is necessary. do not panic. you can get the infection cleared without extraction. take flagyl 400 thrice daily for three days. also take ibuprofen for the pain. regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sorry to hear that you were bitten by a dog.  it is reassuring knowing you were bitten by your own dog as opposed to a feral dog because wild dogs carry much more bacteria and even rabies.  the use of antibiotics for prophylactics is controversial.  the first-line oral therapy is amoxicillin-clavulanate. for higher-risk infections, a first dose of antibiotic may be given intravenously.  bactrim is a medicine that is used in various animal bites, but it is not the first choice based on the types of bacteria generally contained in dog bites.  however, if you are to use it, you need to get a full dosage and not just whatever is left over from a previous infection."
Answer this question truthfully,"The expression level of the Lac genes is low (basal) when glucose levels are high and lactose is available in the Lac Operon. The Lac Operon is a group of genes that are responsible for the metabolism of lactose in bacteria. When glucose levels are high and lactose is also present, the Lac Operon is still repressed, but there is a low level of basal expression of the genes. This is because the Lac Operon is regulated by a complex system of gene regulation that involves both positive and negative control. In the presence of high glucose, a protein called cAMP is not produced, which is necessary for the positive regulation of the Lac genes. However, the negative regulation of the Lac genes is still present, resulting in a low level of basal expression. Therefore, in the presence of high glucose and lactose available, the Lac genes are expressed at a low (basal) level."
Please answer with one of the option in the bracket,A: Increased pulmonary artery pressure
Please summerize the given abstract to a title,Applying Convolution Neural Network to Facemask Detection from Varied Images
"If you are a doctor, please answer the medical questions based on the patient's description.","you are right in thinking the connection (side effect) of these medicines as ed. people often come with succhatdoctorplaints with such groups medicines but stopping these medicines without treating doctors advise is no answer. there are medicines available to enhance libido and spermatogenesis to overcome this side effect both in allopatry and ayurveda. former approach is by way of synthetic compounds while latter by way of herbs and natural minerals. our colleagues in allopatry often discuss with us and seek suggestions for patients benefits. if i were your treating doctor, i would have advised you to seek ayurveda's aphrodisiacs and rejuvenates by consulting an ayurveda doctor for overcoming this problem and enjoy life. these herbs n minerals do not interfere with your current allopatry medicines and also are safe and side effect less. hope this answers your query."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatbot i understand your concerns but don't worry. the most likely reason for such symptoms in infants is a viral gastroenteritis episode. i would recommend you to start him on racecadotril granules, zinc supplement such as spy and or zirconia along with a probiotic such as enterogermina. ensure regular feeds and ors (if the frequency is high) to maintain hy chatbot. exclusive breastfeeding is appreciated for the first 6 months of age. it helps in proper growth and development of the baby and protect them from such infections. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. your complaints and narration of history is suggestive of increased intro cranial tension this needs to be evaluated further. you need to undergo clinical examination and funds examinationplease consult a neurosurgeon near your place for further guidance hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
Please summerize the given abstract to a title,Decreased prealbumin level is associated with increased risk for mortality in elderly hospitalized patients with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. your symptoms seem to be related to the injury. i suggest using anti-inflammatory medications such as acetaminophen to relieve the inflammation. i also suggest using cold compresses for local application. if the symptoms continue, i suggest doing a x-ray of the leg to exclude the possibility of a fracture. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has thy mic carcinoma.  he has metastasis in liver, kidney and brain.  so it is stage 4 disease.  it has very poor prognosis despite chemotherapy.  lifespan is in weeks or months. it's very sad but it is truth. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,.i can understand your anxiety but at this age common cause for stomach pain will be worm infestation also . if antacid has given relief to your child, then just try to modify her diet with fewer spices and more of bland diet and also more fruits and liquids to avoid further gastritis in the future,make sure she eats at regular timings . and give your child one oriental i.e. albendazole 400 mg tab to combat worm infestation too.and coming to gall bladder problems .of course it has family predisposition but don't get tensed and modifying the diet also reduces the chances of gall bladder problem to great extent .at this age probability is very less unless your diet is full of spices and oily food,so take good diet and avoid the problem.all the best ."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, from information provided, you are having muscle injury. to get relief from muscle pain it takes few days to weeks. post injury bruising will occur in 24-48 hrs and gradually reduce over time. if you are having high intensity pain at a single site, consult your doctor to find out if there is a rib fracture by doing an x-ray. if your daily activities are hindered by the injury, you can consult your doctor for oral painkillers, and you will also benefit from using analgesic ointment. take adequate rest, don't lift heavy weights for some days till you feel better. hope i have answered your query. if you have any further questions i will be happy to help. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,A flexible robust model for blood supply chain network design problem
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there is stage 4 cancer in the above case. the colon cancer might spread to the liver in half of patients during or after chemotherapy. it is important to know the number and size of liver lesions. a single lesion might be further treated, but multiple lesions have low response rates to treatment. since the oncologist has told that surgery is not possible therefore i consider the lesions to be multiple and difficult to be operated up on. there are techniques like radiofrequency ablation and trans arterial chemo embolization which might not work for every patient. the prognosis is difficult and survival might be 2 years in most of the patients with colon cancer and having liver spread. please do not worry."
Answer this question truthfully,"Tetracyclines are a class of antibiotics that inhibit protein synthesis and are effective against intracellular organisms. They work by accumulating intracellularly, meaning they are able to enter cells and target bacteria that reside within them. This is particularly useful in treating infections caused by bacteria such as Chlamydia and Rickettsia, which are known to live inside cells. By inhibiting protein synthesis, tetracyclines prevent the bacteria from replicating and spreading, ultimately helping to clear the infection. However, tetracyclines should only be used under the guidance of a healthcare professional, as they can have potential side effects and may interact with other medications."
"If you are a doctor, please answer the medical questions based on the patient's description.","it is normal to find a fast heartbeat with rise in body temperature. don't worry too much about that. however, the fever itself is quite high, and you should be taking him to the er urgently. at least within the next 12 hours. he may have a viral or bacterial infection, but this will be clear only if he is examined and some tests are run on him to discover the underlying cause. once the underlying cause is found, his definitive treatment can be begun."
Please summerize the given abstract to a title,Cannabidiol (CBD) modulation of apelin in acute respiratory distress syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have lupus positive. it is autoimmune disease. you should go for complete ana profile test.  it will give you exact type. then you should take treatment accordingly. steroids will help you.  it is immunosuppressive chatbot.  it will suppress your immunity, so symptoms of autoimmunity is relieved. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,One feature of the genetic code is that it is degenerate/redundant: most amino acids are coded by multiple codons.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there. dermatology is a visual field. one needs a photograph or to look at the lesion. please feel free to upload a clear digital photo of the lesion using the upload data icon to the right of your screen. alternatively feel free to use the premier ask-a-specialist feature & get in touch with me. it may just be a simple fungal infection or deramtophytosis or tina corporal. have the doc or any gp do a scraping & examine under a microscope using 10% 0r 20% kph (potassium hy chatbot.  it may alternatively be one of a group of skin disorders called granulators cutaneous erythemas a skin biopsy & histopathology will further help clinch the diagnosis. i hope have pointed you in the right direction to make an informed choice! cheers & here's to a clear skin!!
Please summerize the given abstract to a title,Transport effect of COVID-19 pandemic in France()
Please summerize the given abstract to a title,"High dose vitamin D improves total serum antioxidant capacity and ICU outcome in critically ill patients - A randomized, double-blind clinical trial"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in view of your clinical history, the fact that you have never missed a period, and all the symptoms that you have, point to a very early pregnancy. home pregnancy tests read well when performed 3-7 days after a missed period with a fresh early morning sample of urine. if you did not do this way, please repeat the test this way. if still in doubt, you can go for the estimation of the serum beta-chatdoctor titles and a trans-vaginal sonogram. please remember, an early pregnancy cannot be felt over the abdomen as the uterus is still in the pelvis until 12 weeks. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. discomfort in lower abdomen and burning urination with positive history of stone in kidney can be due to either of the two reasons 1) the stone has moved down in lower part of ureter 2) it has passed down in bladder. please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvisfurther treatment will depend upon result of these tests and final diagnosis as regards size of the stone chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, i can understand your problem there is nothing so much this bad breath can be due to some reasons like poor oral hygiene, gums problem includes supra or sublingual deposition of plaque and calculus causing gingival problem like gingivitis, improper brushing technique, bad breath can be chatbot.  i will suggest you to consult oral surgeon for examination of oral cavity and rule out the cause for bad breath. you should consult dentist and go for oral prophylaxis and brush your teeth twice, use mouthwash chlorhexidine twice daily, you can do flossing also to clean interdental areas of tooth. hope it will help you. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your symptoms may be suggestive of gallbladder stones, so you should do at least an ultrasound or ct scan to evaluate it more accurately. this is caused by stone in bile duct and is very common condition.  stones are seen more commonly in obese people and those with diabetes.  you need to change your dietary habits first.  need to avoid fried food, carbonated chatbot.  you should eat more milk products, vegetables and boiled food. if there is no improvement on lifestyle or dietary changes, then surgery is recommended. other causes include pancreatitis or pleurodynia and should be considered if gallbladder stones are ruled out. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,The radiologic and histologic pattern of idiopathic pulmonary fibrosis may be referred to as usual interstitial pneumonia (UIP).
Answer this question truthfully,"Purines have two rings. They are a class of organic compounds that are characterized by their double-ring structure, which is made up of carbon and nitrogen atoms. The most common purines found in nature are adenine and guanine, which are important components of DNA and RNA. The double-ring structure of purines distinguishes them from pyrimidines, which have a single-ring structure. Understanding the structure and function of purines is important in the field of biochemistry, as they play a critical role in many biological processes."
Please summerize the given abstract to a title,Woolen Respirators for Thermal Management
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have discomfort in cheek and eye after root can don't worry discomfit can not be due to root canal treatment it can be due to feeling of heaviness or numbness of anesthesia given during treatment.  wait for at least 24 hours then if still feels uncomfortable then consult dentist again.  do warm saline gargle two - three times a day.  hope this will help you."
Please summerize the given abstract to a title,Acute interstitial nephritis secondary to vedolizumab
Please summerize the given abstract to a title,Reproductive number of coronavirus: A systematic review and meta-analysis based on global level evidence
"If you are a doctor, please answer the medical questions based on the patient's description.","hello enlarged liver may be due to many reasons like hepatitis, obesity,altered lipid profile, medicines,autoimmune causes etc. she needs few other investigations like routine hologram, random blood sugar(rbs), complete liver function test(lft), viral markers, lipid profile, renal function test, ultrasound of abdomen. further investigations can be done if needed. proper treatment depend upon findings. she may need few medicines after investigations. get well soon. hope i have answered your question. take care chatbot."
Please summerize the given abstract to a title,Use of personal protective equipment to protect against respiratory infections in Pakistan: A systematic review
Answer this question truthfully,"Infectious mononucleosis is generally self-limiting and only symptomatic and/or supportive treatments are used. However, severe tonsillar enlargement may cause life-threatening airway obstruction and therefore, close monitoring of such high-risk patients is essential. Glucocorticoids may be indicated in such cases of severe airway obstruction. Acyclovir has been tried as they decrease oropharyngeal viral shedding. Recently, valacyclovir has shown to lower or eliminate the presence of the Epstein-Barr virus in subjects afflicted with acute mononucleosis, leading to a significant decrease in the severity of symptoms.
Infectious mononucleosis is generally self-limiting and only symptomatic and/or supportive therapy may be required. However, in cases of life-threatening splenic rupture which may occur even without trauma, immediate surgery may be life-saving.
Majority of mononucleosis syndromes are caused by Epstein-Barr virus, and most people become infected with EBV sometime during their lives with an estimated 90-95% population aged more than 21 years demonstrate antibody to EBV.   The transmission of the virus requires intimate contact with the saliva of an infected person and rarely occurs via air or blood. Therefore, the most reasonable way to prevent mono is to avoid close contact with infected saliva."
Please answer with one of the option in the bracket,C: Serum PSA level
Answer this question truthfully,"How well you do depends on many different things, including:
The severity of coronary artery disease The severity of the most current unstable angina attack Whether you've ever had a heart attack The medicines you were taking when the angina attack started How well your heart muscle is pumping Arrhythmias and heart attacks can cause sudden death."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, you are right, the symptoms you are facing off late are due to the injury caused at the shin and it's normal to have because most of the time this injury is a hairline fracture to the tibia, which is one of the bones of the leg, and it does not have much of the muscles in the front compartment of the leg and only fascia running throughout. post the injury it is ignored with rest and medications. very few look forward to undergoing physiotherapy guided exercise to correct the muscle imbalance happened due to the injury. in my clinical practice of over 12 years, most cases reported are delayed and takes time to correction with balance board rehabilitation. as its understood that there is a muscle imbalance the biomechanics of the bone and muscle for weight-bearing is changed which leads to pain it's advised to them for complete rehab, and later they perform well with no pain. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,A multimodal transformer to fuse images and metadata for skin disease classification
Please summerize the given abstract to a title,The effect of training and workstation adjustability on teleworker discomfort during the COVID-19 pandemic
Please summerize the given abstract to a title,Our Calendar Stopped! The Organizational Change at UFPB due to COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i do understand that you are having anxiety and not able to control it. generally, clonazepam takes care of anxiety and gives you relief. however, its important that the condition as such is treated. you are taking effector (venlafaxine) and sequel (quetiapine) for your problem and if still you are developing anxiety, i would like relook at the dose of the medicines. if the dose of effector could be increased (i can't comment as you haven't mentioned its dose), that would be a good option. taking clonazepam every 4-5 hours will take care of your anxiety but will not stop further development of anxiety. in addition, gradually you might need the urge to increase the dose as well. so, i would advise you to discuss this with your psychiatrist, and not take clonazepam so frequently without proper supervision. hope that helped. best wishes."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Proteomic Profiling Identifies Novel Proteins for Genetic Risk of Severe COVID-19: the Atherosclerosis Risk in Communities Study
"If you are a doctor, please answer the medical questions based on the patient's description.","it's not that the amos is toxic, but that antibiotics can wipe out the normal bacteria in the colon, and if c diff is present, it can start to overgrow. probably just 2 doses won't be enough to cause that, but it is still possible, so be on the lookout for c diff symptoms. get treated right away if they occur. as far as the amos causing other problems, unless you are allergic, that was not a toxic dose, so you should be okay. hope this helps."
Please summerize the given abstract to a title,B cells promote CD8 T cell primary and memory responses to subunit vaccines
Please summerize the given abstract to a title,An evaluation of the process of informed consent: views from research participants and staff
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* cause of pain is due to irritation of intro thoracic nerve endings, scarring post-operative, ligaments / muscle stretches, other lung related issues.* thumping noise may be due to sternum instability post-operative hope this helps you. welcome for any further assistance. thanks for using chatbot .com & giving me an opportunity to assist wishing him a happy healthy life ahead. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your query think a ct scan would be a good idea because that will look at the skull again and make out if there was any other damage (like the bony depression you say that you feel)as for the pain, a simple painkiller like the paracetamol may be able to help you out with the pain. i hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. please feel free to ask another query. i would be glad to help you. looking forward to your return query with the details asked so that i can help you further. (if the answer has helped you, please indicate this)best of luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the dose of seroquel that you are taking is low for the symptoms you have mentioned. you may be needing a dose hike, but the best judge can only be your doctor as it needs to be seen what caused the present aggravation of symptoms. the extent of dose hike needed would also have to be decided as the dose range varies from 100 to 800 mg per day, with some people requiring even higher dosages. your past history would also need to be taken into consideration. in my opinion, it will be better to discuss this issue with your doctor and not hike the dose yourself. best wishes."
Please summerize the given abstract to a title,Confronting the Upstream Causes of COVID-19 and Other Epidemics to Follow
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the use of a high fiber diet and a lot of water would help to reduce the frequency of acute hemorrhoidal episodes, so you should continue to do this. if you are not able to use enough fiber in your diet then you may also want to consider a fiber supplement such as metamucil, benefited or citrucelif there is a cut in the anal region then you can apply the antiseptic cream to the area. the use of a mild steroid cream as well may help to reduce any inflammation and discomfort associated with the hemorrhoids. when acute hemorrhoidal episodes occur, you can also try site baths. these would reduce the swelling and pain as well. i hope this helps"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi deepak thanks for writing in.  the serum amylase report is very high. this suggests an acute pancreatitis which can explain the pain she had. sometimes the stones in the gall bladder pass down to the pancreatic duct and obstruct it causing pancreatitis. also, the sgpt and got are very high. i would suggest you get her admitted with some gastroenterologist asap.  a symptomatic gall stones requires a surgery. i would also be happy to review the tests reports, so please send me over all the tests reports in detail.  hope i have answered your query. if you have any further questions i will be happy to help regards"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. as you are mentioning that your husband went for surgery for white patch the report showed that it was well differentiated squamous cell carcinoma. in this case you should go for chemotherapy and radiotherapy both with surgery, as only surgery will not solve the problem. so better you should visit a good cancer institute for treatment. hope it will help you."
Answer this question truthfully,"The recommended management options for solitary pulmonary nodules > 8 mm with low to intermediate malignancy risk following a chest CT scan include FDG-PET showing high metabolic activity or biopsy.

Solitary pulmonary nodules are abnormal growths that appear as round or oval-shaped spots on the lungs. While many nodules are benign, some may be cancerous, and the risk of malignancy may be higher in patients with certain risk factors.

If a chest CT scan shows a solitary pulmonary nodule > 8 mm with low to intermediate malignancy risk, additional testing may be recommended to determine if the nodule is cancerous. Two common options include FDG-PET, which can show high metabolic activity in cancerous cells, or biopsy, which involves taking a sample of the nodule tissue for pathological examination.

It is important for patients with pulmonary nodules to work closely with their healthcare providers to determine the most appropriate management strategy based on their individual health status and risk factors. In some cases, observation or other types of diagnostic testing may be recommended instead of FDG-PET or biopsy."
Please answer with one of the option in the bracket,"C: Hyperuricemia, hyperkalemia, hyperphosphatemia, lactic acidosis, and urate crystals in the urine"
Please summerize the given abstract to a title,"A systematic review of AR/VR in operations and supply chain management: maturity, current trends and future directions"
Answer this question truthfully,"Symptoms of strabismus may be present all the time, or only when you are tired or sick.
The eyes do not move together and may appear crossed at times.
The other eye will appear turned out, up, or down from wherever the first eye is focused.
Someone with strabismus may also have:
Depth perception loss Double vision Vision loss"
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, as long as your history of dizziness is concern, i could say it could be due to vestibular dysfunction that is what the given history could be suggested, apart from this it could be due to some cerebral pathology, may be systemic disease playing the role, endocrine dysfunction, it could be age related may be hormone changes if this is the female patient, you can try tab betahistine 8 mg three times in day, your detail query that contains the basic information like age and gender will be highly appreciated hope this information helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for using chatbot. urinary tract infections tend to cause chills with fever, burning sensation while passing urine and heaviness with pain in the area surrounding the bladder. since it's been a week after your operation and the fact that there are other symptoms present should provoke you to get a re-checkup by your doctor. clinical examination and urine test can rule out any bladder infection. continue chatbot. feel free for further queries. regards."
Please answer with one of the option in the bracket,C: Intravenous cefotaxime
Answer this question truthfully,"Intrahepatic biliary cyst treatment depends on degree of involvement.
Segmental disease can be potentially cured with lobectomy. The risks and benefits of undergoing this surgery, versus the associated risks of future cholangitis, stone disease, pancreatitis, and liver abscess if not treated surgically have to be weighed in individual patients. If both lobes are involved, surgical resection may not be an option.
If patients have recurrent cholangitis, a trial of prophylactic antibiotics could be considered. Liver transplant is a final option.
Cholecystectomy is indicated because it reduces the likelihood of cholangitis, and because the gallbladder is at increased risk of malignancy in patients with biliary cysts. A report in the Lancet describes a significant improvement in stone disease in Caroli’s disease patients treated with ursodeoxycholic acid (Actigall) 10-20 mg/kg/d.
Extrahepatic biliary cysts are often treated with surgical repair due to risks of cyst rupture with secondary peritonitis, cholangitis and liver cirrhosis.
Surgical options include primary cyst excision, and internal drainage procedures, such as choledochoduodenostomy and Roun-en-Y choledochojejunostomy. The down sides of internal drainage include a high complication rate and risk of malignancy in the abnormal region (2.5%)."
Answer this question truthfully,"Normally, very little fluid is in the pleural space. A buildup of too much fluid between the layers of the pleura is called a pleural effusion.
The test is performed to determine the cause of the extra fluid, or to relieve symptoms from the fluid buildup.
The test may be also performed for the following conditions:
Asbestos-related pleural effusion. Collagen vascular disease. Drug reactions. Hemothorax. Pancreatitis. Pneumonia. Pulmonary embolism. Pulmonary veno-occlusive disease. Thyroid disease."
Please summerize the given abstract to a title,An Interpretable Neural Network for Parameter Inference
Please summerize the given abstract to a title,Proposed Use of Continuous Glucose Monitoring for Care of Critically Ill COVID-19 Patients
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. copd is progressive pulmonary disease. surgery like lobectomy, pulmonary resection are advised and known as lung volume reduction surgery (lvrs). but it is recommended only after failure of optimal non-surgical treatment. optimal nonsurgical treatment includes smoking cessation, chest physiotherapy, deep breathing exercises, inhaled bronchodilators and inhaled corticosteroid (ics). if after doing all these, patient is still symptomatic than one can go for surgical treatment. decision about surgery should be taken after in depth discussion with doctor because surgery is not always beneficial to the patient. so my suggestion is to first give her optimal nonsurgical treatment. hope i have solved your query. wishing good health to your sister-in-law. thanks."
Please summerize the given abstract to a title,IL-12 RB1 Genetic Variants Contribute to Human Susceptibility to Severe Acute Respiratory Syndrome Infection among Chinese
Answer this question truthfully,The likely diagnosis for the patient's condition is viral myocarditis.
Please summerize the given abstract to a title,Ui Generosity and Job Acceptance: Effects of the 2020 Cares Act
Please summerize the given abstract to a title,Impact of the coronavirus disease 2019 pandemic on radiation oncology clinical decision making in a high-prevalence environment
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can fully understand your concern. in msk, stones and urinary infection(uti), are very common. a stent is placed prior to crushing the stone with lithography. the stent can cause irritation and pain, as well as bleeding, which then turns the urine to a darker color, and with clots. if you can send the scan, urine and blood reports to me, as a direct question, i can advise expert management for the same. chatbot.  manga."
Please summerize the given abstract to a title,Gestion de la consulta de otorrinolaringología durante el estado de alarma por la pandemia del covid-19. ¿es util la consulta telefónica en orl?
Please summerize the given abstract to a title,Potential Therapeutic Applications of Hydrogen in Chronic Inflammatory Diseases: Possible Inhibiting Role on Mitochondrial Stress
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. the length of your penis both in flaccid state and on erection are within accepted range of normal human being. the length of the penis in flaccid state has no significance at all. it is the hardness of the penis that is important for sexual satisfaction of both the partners. if you do not have other issues like erectile dysfunction or premature ejaculation and if she gets orgasm during intercourse, there is no reason why your wife should have unhappy with length of your penis. . please consult qualified sexologist for counselling and to convince her. please note that there are no medicines that can increase the length and girth of penis. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. increase in liver enzymes can be due to alcohol or viral or fatty changes of liver in some is associated. i advise you to stop taking alcohol if you have a habit. pleasde mention your viral screening status. you can reduce weight efficiently by following regularly timed meals, low fat diet, diet rich in vitamins. you should take 5-6 liters of water a day. practice exercises like jogging or running. if you have any symptoms like yellow urine, abdominal pain you should see your doctor as early as possible. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, i would like to tell you that wisdom tooth extraction is not a simple procedure, it's a complicated surgical procedure and often associated with post surgical complications like pain, swelling, prolonged numbness, fever, malaise, difficulty in mouth opening. you don't worry about the symptoms as they will subside after sometimes. take complete rest, follow the post-operative instructions given by the dentist properly. take lukewarm saline gargles and antiseptic mouthwash rinses twice daily. maintain a good oral hygiene. hope this helps out. regards..."
Answer this question truthfully,Rifampin is the antibacterial drug that may produce a red-orange discoloration of body fluids.
williams sydrome conditon.    i need to send me more information about Williams Syndrome and some tips how to educate people with this disorder.I hope having news from you soon!!thank you,"The complications of Williams syndrome are calcium deposits in the kidney, other kidney problems, death in rare cases from anesthesia, heart failure, or pain in the abdomen."
Answer this question truthfully,"Alkaptonuria is inherited in an autosomal recessive pattern, which means that a person needs to inherit two copies of the mutated gene (one from each parent) to develop the disorder. Alkaptonuria is a rare genetic disorder that affects the breakdown of certain amino acids, leading to the buildup of a substance called homogentisic acid in the body. This buildup can cause a range of symptoms such as joint pain, darkening of the skin and urine, and kidney and heart problems. The condition is caused by mutations in the HGD gene, which provides instructions for making an enzyme called homogentisate 1,2-dioxygenase that is involved in the breakdown of homogentisic acid. Without enough functional enzyme, there is a buildup of homogentisic acid, leading to the symptoms of alkaptonuria."
Please summerize the given abstract to a title,Track the dynamical features for mutant variants of COVID-19 in the UK
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...it could be a psoriasis or a fungal infection of the nails. nails are scientifically called skin appendages. usually, skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,"Pneumocystis pneumonia can present with a bilateral, ground-glass appearance on chest X-ray. This means that both lungs can be affected, and the X-ray may show a hazy, patchy appearance that does not obscure the underlying lung architecture. This appearance is different from other types of pneumonia, such as bacterial pneumonia, which often presents with a lobar consolidation on chest X-ray. The ground-glass appearance of Pneumocystis pneumonia is thought to be due to inflammation and fluid accumulation in the interstitial tissue of the lungs, which can cause a diffuse, non-specific pattern of lung opacification."
Answer this question truthfully,"Symptoms of CFS are similar to those of the flu and other common viral infections, and include muscle aches, headache, and extreme fatigue. However, symptoms of CFS last for 6 months or more.
The main symptom of CFS is extreme tiredness (fatigue), which is:
New Lasts at least 6 months Not relieved by bed rest Severe enough to keep you from participating in certain activities
Other symptoms include:
Feeling extremely tired for more than 24 hours after exercise that would normally be considered easy Feeling unrefreshed after sleeping for a proper amount of time Forgetfulness Concentration problems Confusion Joint pain but no swelling or redness Headaches that differ from those you have had in the past Irritability Mild fever (101 degrees F or less) Muscle aches (myalgias) Muscle weakness, all over or multiple locations, not explained by any known disorder Sore throat Sore lymph nodes in the neck or under the arms"
Please summerize the given abstract to a title,Association between food additives and prevalence of allergic reactions in children: a systematic review
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. as the pain occurred after workout, thus could be forearm muscle strain, but in the best interest it is better to visit your doctor to confirm the diagnosis and to look out for any other soft tissue injury, [like tendinitis, carpal tunnel syn chatbot.  initially forearm pain can be managed with ice, elevation, rest, and pain relievers, however if condition does not improve with home treatment, medical treatment is advocated."
Please summerize the given abstract to a title,Models of care for osteoporosis: A systematic scoping review of efficacy and implementation characteristics.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings suggests mildly enlarged liver with fatty changes. it may be due to many reasons like hepatitis, alcohol intake, obesity,altered lipid profile, medicines,autoimmune causes etc. fatty liver is reversible condition. obesity and sedentary lifestyle are its common causes, so these factors should be ruled out. you may need to change your diet and lifestyle. you should a go for brisk walk regularly and avoid fatty food. you may need investigations like routine hologram, random blood sugar, liver function test, lipid profile. treatment depend upon findings. get well soon. take care chatbot."
Answer this question truthfully,Argatroban and dabigatran belong to the drug class of direct thrombin inhibitors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.",his understand your concern. chronic pain can be treated with different modalities. management is depended upon site of pain. minor surgical correction in nerve root supply will decrease pain if site is accessible to surgery. for that you have to consult pain specialist. medicines like tca can be beneficial. amitriptyline or bothering is choice in chronic pain. avoid methadone as it is opioid derivatives and highly addictive. underlying psychological stress and its assessment also give good results. consult psychiatrist and pain specialist for better assistance. i hope i have answered you query. happy to help you further. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems that due to sudden blow here has been injury to the soft tissues of the arm along with laceration of the skin. swelling is due to inflamed soft tissues along with accumulation of inflammatory fluid while bruising occurs due to rupture of superficial blood vessels due to trauma leading to accumulation of blood in soft tissues causing bruising and hematoma formation. i would suggest you to clean the lacerated area with antiseptic solution and apply a combination of antibiotic and steroid ointment over it. do cool compresses over the swelling. you can take anti-inflammatory painkiller like alive or motrin. you can also apply heparin gel over the bruise to fade the bruising faster. in case if you got the laceration that was contaminated with dust or dirt you should get a tetanus toxic injection. hope this information helps. thanks and regards. chatbot.
Please summerize the given abstract to a title,The multiple effects of hydrogen sulfide on cadmium toxicity in tobacco may be interacted with CaM signal transduction.
Please summerize the given abstract to a title,Hyperthermic intraperitoneal chemotherapy procedure for uterine sarcoma following a COVID-19 infection-case report
Please summerize the given abstract to a title,Lipid-Based Nanovesicular Drug Delivery Systems
Answer this question truthfully,"A near miss is a medical error that is recognized before any harm is done to the patient. These errors can include mistakes in medication administration, miscommunication between healthcare providers, or errors in medical procedures. It is crucial to identify and report near misses because they can provide valuable information for improving patient safety and preventing future errors. By addressing the underlying causes of near misses, healthcare providers can implement changes to reduce the risk of harm to patients and improve the quality of care."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot hope you are doing good. moderate levels of afp (even almost up to 500 ng/ml) can be seen in patients with chronic hepatitis. high blood levels (over 500 nanograms/milliliter) of afp are seen in only three situations hcc (hepatocellular carcinoma) germ cell tumors (cancer of the testes and ovaries) metastatic cancer in the liver (originating in other organs) i hope had answered your query.  regards
Answer this question truthfully,Clindamycin and macrolides bind to the 50S ribosomal subunit and suppress translocation as their mechanism of action.
Please summerize the given abstract to a title,"Development of Gamified, Interactive, Low-Cost, Flexible Virtual Microbiology Labs That Promote Higher-Order Thinking during Pandemic Instruction"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot, i understand your query and concern. your symptoms are suggestive of hypersensitivity reaction secondary to itch of insect bite. i advise you to get skin hypersensitivity test. i also advise you to start taking chatbot. levocet, tab. fexofenadine and tab.flucon for 5 days. if symptoms do not relieve within 3 days, you need to go to an emergency room and monitor your vitalsconsult your physician and dermatologist for expert management. hope i have answered your query at the moment. post your further queries if any, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern. i will suggest you the best possible treatment options. first do not panic. if you have history of regular cycles then day 10 to 20 of the cycle is the most fertile period of cycle. if you happen to have unprotected sex act in this period, then you stand chance to get pregnant.  at least try to have sex at least on alternate days during this period i will suggest you to opt for a healthy diet and regular exercise regimen. include more portions of fruits, salads and vegetables in daily diet.  chatbot.  avoid deep-fried foods, bakery products and refined sugars. use of vitamin b 12 and omega-3 supplements at least 3 months before you plan to get pregnant. this helps to prevent many problems during pregnancy and delivery. also, get husbands semen analysis done. you can get post menstrual hsg - hysterosalpingography done, to know bout tubal patency. . plesse think positive. meditate regularly. may god bless you with a bundle of joy. i hope this answer helps you. thanks."
Please summerize the given abstract to a title,A rapid and sensitive loop-mediated isothermal amplification procedure (LAMP) for Mycoplasma hyopneumoniae detection based on the p36 gene.
"If you are a doctor, please answer the medical questions based on the patient's description.","what you are describing sounds like a nerve spasm. this could be from poor circulation or something like carpal tunnel syn chatbot.  it could even be due to arthritis in your neck irritating the nerves. if it is getting worse, you should see your doctor. he or she can test your circulation and strength to figure out the cause. these are treatable conditions. you need to get it taken care before permanent nerve damage occurs. hope this answers your query. if you have more questions, i would be happy to answer them."
Please answer with one of the option in the bracket,A: Oxidation of ferrous iron in hemoglobin to ferric iron
Answer this question truthfully,"Clinical practice guidelines by the United States Preventive Services Task Force  and the American Academy of Sleep Medicine   address screening and diagnosis.
Sleep apnea is defined as partial or complete cessation of breathing during night-time sleep, resulting in repeated arousal from sleep, oxyhemoglobin desaturation, and daytime sleepiness. Apnea is as complete cessation of airflow for >10 s. Hypopnea, or partial cessation of airflow, is defined as a 50% to 90% reduction in airflow for >10 s, and >3% decrease in oxyhemoglobin saturation (SaO2) terminated by arousal.  The 3 types of apnea include central, obstructive, and mixed. Central sleep apnea (CSA) is characterized by a complete withdrawal of central respiratory drive to the inspiratory muscles, including the diaphragm, and results in the simultaneous absence of naso-oral airflow and thoracoabdominal excursions. In obstructive sleep apnea (OSA), the thoracic inspiratory muscles, including the diaphragm, are active, so thoracoabdominal excursions are seen. Absence of airflow results from upper-airway occlusion caused by lost pharyngeal dilator muscle tone, with consequent pharyngeal collapse. Obstructive sleep apnea is classified as mild (apnea-hypopnea index or AHI, 5–14), moderate (AHI, 15–30), or severe (AHI, >30) Mixed apnea has an initial central component followed by an obstructive component. Two types of hypopnea include obstructive or central."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as he has undergone total knee replacement in the past, has he undergone post knee replacement rehabilitation program?  if not then i will advise undergoing one with the competitive physiotherapist who can help him regain the strength in the core, hip muscles, thigh muscles and improve this gait and knee range of motion. in my clinical practice of over 12 years, most total knee replacement cases have responded well when guided physiotherapy have been implemented. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","reclothe transient change in pattern and frequency of stool is normal in early infancy. i won't get worried if the baby is active, playful,accepting feeds well and passing urine at least 4-6 times a day. no treatment is needed as the stool pattern will get normal itself, within few days. i would suggest you to maintain proper hygiene and to avoid the use of feeding bottle for top feeding. the use of feeding bottle may cause nipple confusion and the baby might hurt your nipple leading to soreness. continue the feeds and if the baby is getting lethargic/irritable or there is decrease in urinary frequency consult your physician."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, head injury with loss of consciousness, vertigo,vomiting, bleeding from the ears, nose require immediate medical attention. from the symptoms that you have mentioned, if i were your treating doctor, i would have advised you a plain ct scan of the brain immediately. meanwhile, i would have prescribed you some analgesics and antibiotics for symptomatic relief. an anti-inflammatory like serratiopeptidase would also be helpful. i would also advise you to consult your gp for a clinical examination, get the medicines prescribed and review your ct scan reports. hope your query is solved, take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for your query. i understand your concern about your brothers recent behavioral problems. now, there could be two possibilities for his presentation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...thanks for the query...well. the only option for lower left wisdom tooth is extraction... for time being do warm saline rinses 6-7 times per day... take proper course of antibiotics and anti-inflammatory chatbot. . if possible visit dentist to get the affected area irrigated and cleaned up... before going for extraction, go for proper clinical and radiographic examination of all impacted teeth... consult any oral surgeon...if sufficient space seems to be available for teeth to erupt... then allow them to do so... operculectomy can be performed over them... if space doesn't seems to be available, go for its extraction...hope it will help you...take care..."
how do i prevent myself from having dementia,"Most causes of dementia are not preventable. The risk of vascular dementia may be reduced by lowering the risk of having a stroke. It is possible to do so by eating healthy foods, exercising, quitting smoking, controlling high blood pressure, and managing diabetes."
Answer this question truthfully,"Both pregnancies and the use of OCPs have been shown to decrease the risk of developing surface epithelial cancer of the ovaries. This may be due to hormonal changes that occur during pregnancy and with the use of OCPs, which can affect the growth and development of ovarian cells. However, it is important to note that these factors may not provide complete protection against ovarian cancer, and other risk factors such as age, family history, and genetic mutations may also play a role. It is recommended that women discuss their individual risk factors with their healthcare provider and undergo appropriate screening and surveillance as needed."
"If you are a doctor, please answer the medical questions based on the patient's description.","i do not think that it is due to a virus. to me, it seems more like gastroesophageal reflux and improper peristalsis. give a high fiber diet including green leafy vegetables which will help in regularizing the bowel movements which are actually responsible for taking the food down gradually. in his case, the reverse is occurring. regular play habits and exercise is equally essential. with that, the symptoms should gradually subside. unless proper intervention is taken, the symptoms will keep continuing."
Answer this question truthfully,"The size of the ribosome used in prokaryotic translation is 70S. The ribosome is a complex molecular machine that plays a critical role in protein synthesis. It consists of two subunits, the small subunit and the large subunit, which come together during translation to form a functional ribosome. In prokaryotes, the small subunit has a size of 30S, while the large subunit has a size of 50S. When the two subunits combine, they form a 70S ribosome that is capable of translating mRNA into protein. This process is essential for the survival and growth of prokaryotic cells. In contrast, eukaryotic ribosomes are larger, with a small subunit size of 40S and a large subunit size of 60S, resulting in a total ribosome size of 80S."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the stone while passing through the urinary tract might cause injury to the lining cells and this can result in pain and nausea persisting after the stone is removed. it can also be that some stones might have been too small on earlier scans and have increased in size during last two years. this can cause acute pain since the last two days. it is possible that the pains vary in intensity and severity depending on location and size.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are many reasons for hematuria at your age. but i don't think you are having more serious problem since you don't have problem in urinating. inflammation of the kidney, urethra, bladder or inherited diseases, like poly-cystic kidney disease causes blood in urine. i suggest you to consult a urologist to rule out above-mentioned conditions. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi tom, burning sensation and blood in your urine may be caused by many diseases such as kidney stone and infection, prostatitis, rhabdomylosis and also kidney cancer. but most of our patients with that symptoms cause by infection and kidney stone.  for kidney cancer, statistically about 1.2 % men and woman born today will be diagnosed with kidney cancer, these statistics are called \""the lifetime risk of developing kidney cancer as you can see at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, is he having any other symptoms like vomiting, abdominal distension, loose stools or constipation? any relation to food intake? any difficulty or pain during urination? how was his interest in schools before? abdominal pain severe enough to cause school absenteeism, that too for 1 week need to be evaluated for the underlying cause. less commonly, a stressful or unfavorable school environment also cause such symptom in adolescents. so kindly take him to his pediatrician for evaluation. depending on associated symptoms and findings on examination, you may be asked for few blood tests or ultrasound. meanwhile, give him paracetamol for pain relief. hope i have answered your quertle me know if i can assist you further chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi adeline, thank you for reaching us in chatbot. as per your description if your ultrasonography, urinalysis and h.pylori test was negative, and you have got no relief even after hyperacidity treatment, then my provisional diagnosis would be kidney/ureteric stones. sometimes these stones are too small to be caught in usg image. for imaging this the best test would be a non contrast helical ct scan. chatbot. secondly it might be a spinal cord injury due to some fall or blunt trauma or pulling heavy weight, which is irritating your nerve causing this pain. a ct of ls spine would confirm it too. hope i could help it. wish u a healthy life"
Answer this question truthfully,"Forced expiratory volume in one second (FEV1) is a measure of lung function that represents the volume of air that can be forcibly exhaled in one second after a maximal inspiration. It is used to assess the severity of respiratory diseases, such as chronic obstructive pulmonary disease (COPD) and asthma. The volume of air that can be forcibly expired after a maximal inspiration is directly related to the FEV1, as a higher FEV1 indicates better lung function and a greater ability to exhale air quickly."
"If you are a doctor, please answer the medical questions based on the patient's description.","there can be many causes for the swollen lymph node. first and foremost it could be simply because of repeated sore throats if he suffers from them. even an infection in the scalp or a boil in the area can cause this. however, what is important is that more important causes like tb and many others should not be missed out. for this you should consult your family physician, and he will examine the child and if he finds it clinically significant he may advise a fnac or an excision biopsy of the gland. regarding his raised bilirubin, he may be suffering from jaundice-early stage. sometimes many a people have raised bilirubin without any other symptoms. put him through full liver function tests and a usg of abdomen and consult a general physician or gastroenterologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. the night sweats, fever, appetite loss, weight loss. these symptoms occur in tuberculosis or lymphoma. however, the occipital lymph nodes are not a common presentation, but who knows that you have other lymph nodes too which a doctor can find on examination. it is also possible that you simply have a bacterial abscess on your occipital area. i would advise you to take it seriously and meet a physician. get a complete mammogram with esr, chest x-ray, blood picture, ft, lft. do review with us with your reports. get well soon. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the soreness in the vestibule could be because of the break in the mucosa secondary to trauma the whitish appearance could be the slough covering it or the food debris. the numbness or loss of sensation could be because of the injury to the nerve supplying the chin area particularly branches of inferior alveolar nerve. so consult your oral physician and take radiographs like opg and rule out fractures and get the wound cleaned and irrigated if needed suturing can be done. i hope my answer will help you. take care."
Answer this question truthfully,Nephrotic syndrome is associated with frothy urine with fatty casts.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are 24 yrs old and the painkiller what you are using might be for just few days that will not cause so much damage to liver, you said that enzymes are high but you didn't say that what enzyme is high because diagnosis changes. but even though i will try to help you, if you are obese and on ultrasound there may be fat accumulation in liver that might have damaged some hepatocytes and there is derangement of enzymes, if so try to reduce weight, avoid fatty and oily food, regular physical activity. and recheck the enzymes if still they are high considering your age you need to be rules out wilson disease and other autoimmune causes. hope this information helps you thank you"
Please summerize the given abstract to a title,REGEN-COV Antibody Cocktail in Outpatients with Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. high esr indicates ongoing inflammation. crp levels would be more accurate to assess current inflammation.2. she might be having a focus of infection at some spot, which is currently unknown. as fever is persistent, along with high esr, search for the loci is necessary3. need to look into lymphocytes or neutrophil levels to assess for infection. get crp, blood counts and urine and blood culture to assess further. hope it helps. any further queries, happy to help again."
Please summerize the given abstract to a title,Disaster Preparedness and Response for the Burn Mass Casualty Incident in the Twenty-first Century
Answer this question truthfully,"Painless bleeding after rupture of membranes accompanied by fetal bradycardia is suggestive of vasa previa. Vasa previa is a rare but serious pregnancy complication in which the fetal blood vessels that supply the placenta and the baby's body cross the opening of the birth canal. If these vessels rupture, it can cause rapid fetal bleeding and distress, which can lead to fetal death if not promptly diagnosed and treated. Painless vaginal bleeding is a common symptom of vasa previa, and fetal bradycardia may occur as a result of the fetal blood loss. Vasa previa is typically diagnosed through ultrasound, and treatment may involve immediate delivery of the baby by cesarean section."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. first, no need to worry about heart diseases because he is young (29 years) and having normal ecg. possibility of musculoskeletal pain is more likely. so tell him to follow these steps for better symptomatic relief.1. avoid heavyweight lifting and strenuous exercise.2. avoid sudden jerky movements of chest.3. apply warm water pad on affected areas of chest and shoulder.4. take simple painkiller like paracetamol or ibuprofen.don't worry, he will be alright with all these. hope i have solved your query. i will be happy to help you further. wishing good health to your husband. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. if this is colorless discharge then this is nothing to worry about, and if this is pus or blood then it may indicate infection, and you should see surgeon who performed surgery. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. yes, you can conceive without any fear. temple (oseltamivir), eyelid (azithromycin) and luminal (n acetyl cysteine), all are safe for pregnancy and fetus. n acetyl cysteine is anti oxidant, anti-inflammatory, bucolic and expectorant in nature. it is having good beneficial effect in lower respiratory tract infection. it is safe during pregnancy, so you can conceive while on luminal."
Please answer the letter of option truthfully,B
Answer this question truthfully,"Denys-Drash syndrome is associated with a mutation in the WT1 gene. This gene provides instructions for making a protein that plays an important role in the development of the kidneys and gonads. Mutations in the WT1 gene can disrupt the normal development of these organs, leading to the symptoms of Denys-Drash syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. yes, you should definitely consult doctor without wasting time because heart diseases cause similar symptoms. coronary artery disease presents with similar left sided chest pain radiating to left shoulder and arm. so immediately consult doctor and get done ecg and 2d echo. if both are normal than no need to worry about cardiac diseases. sometimes musculoskeletal pain also cause similar symptoms. so apply warm water pad on affected areas. start painkiller and muscle relaxant chatbot.  avoid movements causing pain. don't worry, you will be alright. but first rule out heart diseases. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through your query in detail and understand your concern. you are suffering from a slipped cervical disc causing compression of the spinal nerve in the neck. this causes pain in the upper limb and numbness in the hands and finger. i would suggest you to get an mri of the cervical spine done. methycobal and pregabalin tablets with use of cervical collar will help. avoid using a pillow while sleeping. get an mri of neck done and consult an orthopedic. hope your query has been answerednothing to worry about, you should eventually get back to normal. get back to me for any follow-up queries anytime. kind"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  most common cause of high mcv is it b12 deficiency.  other causes are folic acid deficiency, alcoholism, liver disease etc. you may have it b12 deficiency.  you should go for estimation of it b12 level.  then take treatment with it b12 injection accordingly.  you will get benefits.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"The outer layer of the arterial wall is the adventitia, which consists of connective tissue surrounding the blood vessel."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! your mother symptoms could be related to an epilepsy seizure. from the other hand, many chatbot.  for this reason, i recommend consulting with a neurologist and performing an eeg. some blood lab tests are also necessary to exclude possible metabolic causes that may lead to seizures (complete blood count, blood electrolytes, thyroid hormone levels, kidney and liver function tests). hope you will find this answer helpful! best wishes,"
Please summerize the given abstract to a title,Quality of Life of Informal Caregivers behind the Scene of the COVID-19 Epidemic in Serbia
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking on chatbot. in my opinion your friend may be suffering from severe depression or dementia. in aging decline occurs in virtually all the body systems including cognition but 66 years old people are generally able to perform the day-to-day activities, calculations and lead a normal life. if there is low mood, lack of interest in life activities, episodes of crying, feeling of guilt, lack of energy to do routine things, feelings of worthlessness, consider depression. in severe depression, ability to do simple calculations can also get impaired. the patient can also forget things in depression. if he is forgetting route to his home, his ad chatbot. i would suggest you to get him evaluated from a psychiatrist so that proper diagnosis is made and treatment started in the right direction. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. every mode of contraception has a certain failure rate(which means you can still get pregnant which has happened in your case)since your urine pregnancy test is positive, the chances of pregnancy are very high(almost 100%)initially it takes a few days for the urine pregnancy test to be positive. hence the first test on sunday was negative. as the chatbot levels increase as the pregnancy progresses the tests gets positive.i would advise you to get an ultrasound pelvis done to confirm the pregnancy. if you donor wish to continue the pregnancy, kindly consult a gynecologist and medical termination of pregnancy with chatbot. hope i have answered your concerns. feel free to ask further queries. thanks for choosing chatbot"
Answer this question truthfully,"Lumber puncture: Assessment of the cerebrospinal fluid (CSF) can be done via lumbar puncture. This diagnostic study is especially useful for patients with acute promyelocytic leukemia who have neurologic deficits, as this is concerning for central nervous system involvement. The cell count from the cerebrospinal fluid will show malignant myeloid cells (typically greater than 2 cells per microliter of cerebrospinal fluid). Treatment of cerebrospinal fluid involvement includes methotrexate, hydrocortisone, and cytarabine."
Answer this question truthfully,"Chronotropic variables in systolic myocardial performance can be split left and right. Left sided systolic chronotropy can be appreciated as Aortic Valve open to close time. Right sided variables are represented by Pulmonary valve open to close time. Inverted as diastolic chronotropy, the variables are aortic valve close to open and pulmonic close to open time. Pharmaceutical manipulation of chronotropic properties was perhaps first appreciated by the introduction of digitalis.
Beta-blockers Acetylcholine Digoxin Diltiazem Verapamil Ivabradine Metoprolol"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, and thanks for posting your query here. ranitidine is not for high bp, it's for acidity that's why your mother is feeling better with this tablet for her headache and nausea. but is she has high bp, then she must take some medicine for lowering it. for this, please see your doctor for some bp lowering medicine other than captopril. i hope this information would be of help to you. thanks and all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your extensive work up for heart and lung is normal, no need to worry about major diseases. sometimes stress and anxiety can also cause similar symptoms. so better to consult psychiatrist and get done counseling sessions, try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* feeling of lump in throat seems adenoid enlargement post-viral infection in which ct, blood work, x-ray comes normal.* hives can act as precursor to meningitis through immune mediated mechanics of the body. hope this clears your query. welcome for any further assistance. thanks for using chatbot & giving me an opportunity to assist. wishing fine recovery. regards dear take care."
Answer this question truthfully,"The most commonly observed coagulation factor inhibitor is anti-Factor VIII. Coagulation factors are proteins that play a crucial role in blood clotting. Inhibitors of coagulation factors can interfere with the normal clotting process, leading to bleeding disorders. Anti-Factor VIII inhibitors are antibodies that target and neutralize Factor VIII, which is essential for blood clotting. These inhibitors are commonly observed in patients with hemophilia A, which is an inherited bleeding disorder caused by a deficiency of Factor VIII. The presence of anti-Factor VIII inhibitors can make it difficult to manage bleeding in patients with hemophilia A and may require treatment with immune tolerance induction therapy or alternative clotting factors. It is important for individuals with bleeding disorders to receive regular medical care and to work closely with their healthcare providers to manage their condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i suggest you do an abdominal ultrasound and liver enzymes like sgpt and got, total bilirubin, ggt if they are normal there is nothing to worry about.  gurgling sounds are uncomfortable, but they are generally a sign that your intestines are working well. in some position is normal to hear the pulse. do not worry.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,The Influence of Political Regime on State-Level Disciplinary Actions of CPAs Sanctioned by the PCAOB
"If you are a doctor, please answer the medical questions based on the patient's description.",hello....... you require a thorough psychiatrist assessment and observation over a few follow-up visits to ascertain the nature of psychotic disorder you suffer from. it could be schizophrenia or a persistent delusional disorder or even a personality disorder with a quasi-psychotic breakdown. atypical anti-psychotics after careful assessment and discussion of side effect profile might be beneficial in your case. regards. chatbot.
Answer this question truthfully,Empty sella syndrome is more commonly seen in obese women.
Please summerize the given abstract to a title,Escape of SARS-CoV-2 variant Omicron to mucosal immunity in vaccinated subjects.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query.first, i would like to reassure you that there is no need to worry about your symptoms. the symptoms do not suggest any serious injury. you would be alright soon and there is no need to visit er or a doctor. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the complaint you mentioned is made by most of the patients i have seen. patients post-surgery need medication, so they develop good healing and don't develop an infection.  this medication may lead to stomach upset and reduced bowel movement forming acidity in the stomach. also, the lack of mobility is one of the reason. now since after having loose stools you have developed another side effect i will request you to speak to your doctor for the same. as he will be the right candidate to examine and prescribe the necessary medications. as it needs a physical examination i will direct you back to your surgeon for the same. keep the body cool and calm. have plenty of juices to keep the body warm, and please follow the post-surgical prescription for the exercise part to go back on feet. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot, and thank you for your question. i understand your concern. normal heart rate accepted in the worldwide population is from 60 to 100 heart beats per minute. in highly trained athletes and people that some time in their life were highly physically active, even heart rate in the 40s is acceptable and considered normal. normally, heart rate, during a physiologically and psychologically delicate procedure such as colonoscopy, tends to go higher and not remain in the 40s. the palpitation you are sensing is probably because of an occasional extrasystole (premature ventricular contraction - pvc) which is an ectopic heart beat, that comes from elsewhere in the cardiac muscle, not from the original pacemaker of the heart - the sinus node. these are almost always not worrisome events. this long-standing bradycardia if not accompanied by symptoms - dizziness, blurry vision, dark vision, near-fainting episodes etc. - then is probably nothing to worry about, and no further treatment is warranted. however, i would recommend you to be put on a 24-hour rhythm monitor, to register the heart rate in a whole day, and see if there are even lower heart rate figures registered. if yes and if the extrasystoles result more than 10,000 in number, in the 24-hour registration, i suggest you to discuss with your cardiologist, about the possibility of implanting a definitive pacemaker. i hope this helps. take care. my regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote it should be an urticaria or a simple skin allergy. you can use hy chatbot.  most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. if this happens, you can start using the same medicine, but i suggest you get the kid evaluated with your pediatrician. but, skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to chatbot. i read and understand your question very well. i try my best to help you in this. as you have sore throat, swollen ear lobe and tender eruption behind ear, this may be bacterial infection or may be local pus collection or fluid collection etc. i suggest getting consult with a good ent (ear, nose, throat) surgeon for this. i hope my advice will help you a lot. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, slightly bend or curved penis is normal and there is no need to worry about it unless you have some pain on your penis. regarding the size of your penis, you should not worry about it because even a two-inch penis can perform normal sexual functions. if your foreskin is covers your penis head completely, and you cannot move it forward and back with ease, you may need a simple surgery called circumcision. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. flashing lights can produce seizures in a patient of encephalitis that needs to be avoided. memory will not return with flash lighting. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Please summerize the given abstract to a title,Oxalate contents of commonly used Chinese medicinal herbs
Answer this question truthfully,How does Ezetimibe affect HMG CoA reductase activity and cholesterol synthesis by the liver? Ezetimibe indirectly increases HMG CoA reductase activity and thus increases cholesterol synthesis by the liver.
"If you are a doctor, please answer the medical questions based on the patient's description.","most of the fevers in child chatbot.  but cold extremities are caused due to low circulating blood volume and may be a cause of concern even if the child is sleeping peacefully. i would not classify it as super serious and would suggest you not to worry, but i would insist that you visit a pediatrician and get the child examined. tylenol will help in bringing down the temperature if it is raised."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of allergic reaction to food materials you have eaten. i advise you to take tab.fexofenadine 10 mg twice daily, tab.panto 40 mg, tab.exocet immediately for 5 days. avoid outside foods and allergic food substances. chatbot. consult your physician for expert management and follow up. hope i have answered your query at the moment. post your further queries if any, thank you post your further queries if any, thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, i am chatbot first of what was your symptoms ? why did you go for urine and ct test?  normally, epithelial cells and bacteria may be found in urine. but, to stamp an infection the amount of bacteria is important which you did not mention.  coming to the ct finding it indicates you have a nodular mass in your kidney which is probably benign.  i wonder why the doctor who were present during scan advice for ct guided fnac which would definitely confirm the diagnosis and decreases anxiety.  so, go for ct guided fnac."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",tithe serum creatinine gradually come down to normal after a successful renal transplant. the time taken for it may vary with every patient depending on the immunosuppressive chatbot. your report does show that your prograph level is high which could be the reason for high creatinine. so the dose has been rightly reduced by your doctor. you need to wait for some time and check great regularly and prograph level after a week or so after the dose has reduced. also follow low potassium diet and recheck potassium level. regards
Please summerize the given abstract to a title,SARS-CoV-2 Delta Variant Decreases Nanobody Binding and ACE2 Blocking Effectivity
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have cystic lesion on your shin.  it may be ganglion cyst or other cystic lesion. you should go for ultrasound study and if needed to go for fine needle aspiration cytology. it will give you exact diagnosis. then you should take treatment accordingly. complete excision is the treatment of choice. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,"Epidemiological, otolaryngological, olfactory and gustatory outcomes according to the severity of COVID-19: a study of 2579 patients"
Please answer the letter of option truthfully,C
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Molecular docking analysis of N-substituted Oseltamivir derivatives with the SARS-CoV-2 main protease
Answer this question truthfully,"Your doctor has prescribed your dose of Vytorin. The available doses of Vytorin are 10/10, 10/20, 10/40, and 10/80. The usual daily starting dose is Vytorin 10/20.
Take Vytorin once a day, in the evening, with or without food. Try to take Vytorin as prescribed. If you miss a dose, do not take an extra dose. Just resume your usual schedule. Continue to follow a cholesterol-lowering diet while taking Vytorin. Ask your doctor if you need diet information. Keep taking Vytorin unless your doctor tells you to stop. If you stop taking Vytorin, your cholesterol may rise again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  your lump get bigger and smaller.  so you may have some reactive lymph node enlargement or sebaceous cyst. you should go for a course of antibiotics.  if it doesn't respond to treatment then you should go for excision biopsy and histopathological examination. then if needed to take further treatment according to diagnosis. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot."
Please summerize the given abstract to a title,Augmentation of arterial blood velocity with electrostimulation in patients with critical limb ischemia unsuitable for revascularization.
Answer this question truthfully,"Before the 20th century, the term ""gastroenteritis"" was not commonly used. What would now be diagnosed as gastroenteritis may have instead been diagnosed more specifically as typhoid fever or ""cholera morbus,"" among others, or less specifically as ""griping of the guts,"" ""surfeit,"" ""flux,"" ""colic,"" ""bowel complaint,"" or any one of a number of other archaic names for acute diarrhea. Historians, genealogists, and other researchers should keep in mind that gastroenteritis was not considered a discrete diagnosis until fairly recently."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query the term \""contracted gallbladder\"" can refer to two different situations. the first occurs following a meal or after maneuvers that cause the muscle of the gallbladder to contract, for example, ingestion of fat or injection intravenously of the hormone that is responsible for causing the gallbladder to contract. in either case, the gallbladder empties, becomes smaller, and is said to be contracted. this is the normal situation. the second situation is when the gallbladder is diseased, specifically when there has been inflammation, for example, due to gallstones, that has resulted in scarring of the gallbladder. scarring causes the gallbladder to become smaller, for example, contracted, and the gallbladder no longer functions normally. the \""contraction\"" in the latter situation is clearly different from the \""contraction\"" in the first. is she having any symptoms now ? if no i recommended wait for some time reevaluate her and then decide for surgery? calculus cholecystitis is known and can be treated by surgery and by conservative treatment hope this helps am available for any followup queries there are no further doubts, do accept this reply and rate it wishing your mother a speedy recovery"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for writing to us. you have complex story with multiple issues and not pointing to a particular one problem. tremors can happen in severe cervical spine stenosis due to weakness in extremities. do you have significant weakness in hands? neck chatbot.  difficult to tell you the exact answer however if neurologist ruled out other brain related disorder then you may consider doing anterior cervical surgery. thanks.
Please summerize the given abstract to a title,Long COVID and Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)-A Systemic Review and Comparison of Clinical Presentation and Symptomatology
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, purpose and duration of taking omnacortil not mentioned. omnacortil (prednisolone) is a corticosteroid commonly prescribed to treat a wide range of health problems including allergies, blood disorders, bronchial asthma, skin diseases, infections, certain cancers and to prevent organ rejection after a transplant. it can increase the risk of cataracts, osteoporosis, diabetes mellitus, and delirium, which are more common and more dangerous in the elderly population.  it may also cause a variety of psychiatric symptoms, including dementia, that are reversible on chatbot.  in view of the above if the benefits of using omnacotil are more than the risks of above-mentioned side effects, it may be continued in low doses preferably on every alternate days and for a short period of time to minimize the risk of those side effects. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Two-Level Factorial Pre-TomoBreast Pilot Study of Tomotherapy and Conventional Radiotherapy in Breast Cancer: Post Hoc Utility of a Mean Absolute Dose Deviation Penalty Score.
Please answer with one of the option in the bracket,C: The lysosomal enzymes are secreted from the cells instead of being targeted to lysosomes because of lack of mannose phosphorylation on N-linked glycoproteins.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your 10-year-old child is suffering from fever which could be due to bacterial or viral infection. need not worry about it.  you can give cronin syrup 5ml 4-5 times a day depending upon fever. monitor dosage for child. if fever increases do tepid sponging as well with cold water.  use mist humidifiers in room. visit pediatrician once if symptoms keeps on persisting. you should keep child deny chatbot.  you can give child female also which contains paracetamol and is essential to bring down the temperature. avoid giving spicy and sharp food to child. avoid cold carbonated beverages. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Ogilvie syndrome is a rare but serious condition characterized by a paralytic ileus of the colon, which means that the colon is unable to contract and move stool through the digestive tract. This condition typically occurs in elderly patients who are immobilized after surgery or have other medical conditions that affect their ability to move around. Ogilvie syndrome can lead to a number of complications, including bowel perforation, sepsis, and death, so it is important to diagnose and treat it promptly. Treatment may involve medications to stimulate the colon, decompression of the bowel, or surgery in severe cases."
Please summerize the given abstract to a title,"Synthetic strategies, SAR studies, and computer modeling of indole 2 and 3-carboxamides as the strong enzyme inhibitors: a review"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint the symptoms of rash over the skin as well as irritation of the tongue and gums and tenderness under the jaw with rash spots seems to be probably due to viral infection leading to oral as well as extra-oral symptoms. i would suggest you to consult an oral physician or a dermatologist and get evaluated and a thorough clinical evaluation and investigations like blood tests and oral swab culture can help in diagnosis and treatment can be done accordingly. as of now you can do cool compresses over the rashes and also do warm saline gargles. hope this helps. regards.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,Hepatojugular reflux is a physical exam maneuver that can be helpful in distinguishing between cardiac- and liver disease-related causes of lower extremity edema.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question you need to consult a pulmonologist who can request for some blood investigations and a chest x-ray to rule out some causes like infections it can be due to bacterial or a viral cause better to get evaluated nothing to panic if there is some infective because it can easily b e dealt with by taking some antibiotics which will be prescribed by your physicianthanksfeel free to ask more questions
Please summerize the given abstract to a title,People and the Sea: a Values Perspective in the Conservation Management of Maritime Heritage in the Philippines
Please summerize the given abstract to a title,Bund katholischer Ärzte: Homeopathic Conversion Therapists in 21(st) Century Germany
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for putting up your query on chatbot. as per your history, you husband has irritant contact dermatitis due to hair dye which has got infected.my treatment advise would be"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. what you get is not a premature ejaculation but early ejaculation that happens due to excessive secretions of mucus by bulb urethral glands located in urethra and contraction of bulb sponginess muscle in penis triggered by audio, visual and tactile sexual stimulation resulting into ejaculation of a pre-cum. this is normal at the age of adolescence and does not require any treatment. it will get resolved spontaneously once you get engaged in sexual activities with your wife . chatbot."
Please summerize the given abstract to a title,"ERK1/2 Signaling Pathway Activated by EGF Promotes Proliferation, Transdifferentiation, and Migration of Cultured Primary Newborn Rat Lung Fibroblasts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello...thanks for trusting the chatbot doctors for your health related queries. i guess your concern is about.is there any chance of pregnancy after touching the vagina.right.my straight forward answer is.no. there is no chance of getting pregnancy.let us discuss the things which are required for getting pregnancy. these age-old1. penis should be inside the vagina.2. ejaculation should be inside the vagina. so in your case the above things not happened. so there is no chance at all. as u told that your girlfriend got early period this type.right. it's just a normal thing. nothing to worry. relax.don't take tension anymore.just touching the vagina doesn't causes pregnancy. n u had washed your hand n touched, that means u take double precaution. so there is no chance. u also told that u had ejaculation before touching her vagina, this was occurs due to excitement and emotions.so it is a normal thing. with the above discussion u can try out my suggestions-1. relax...nothing will happen to your gf.2. ur gift already had her period after this, so she is confirmatory that she was not pregnant.3. if u r still in doubt then do urinary pregnancy test. it is easily available in medical store. do it n confirm it. if it is negative then nothing to worry.4. if it is positive then visit nearby gynecologist. he/she can help u. i hope the above information is useful, informative and helpful for u.regards- chatbot. .your gf is not pregnant. relax.calm down.be happy. have blissful love life to both of you)"
Answer this question truthfully,"Episodes of trigeminal neuralgia (tic douloureux) typically last for seconds up to a minute. Trigeminal neuralgia is a chronic pain condition that affects the trigeminal nerve, which is responsible for sensation in the face. The pain is often described as a sharp, stabbing sensation that can be triggered by everyday activities such as eating, talking, or brushing one's teeth. Episodes of pain can be brief but intense, and can occur multiple times per day. While the exact cause of trigeminal neuralgia is not fully understood, it is thought to be related to compression or damage to the trigeminal nerve. Treatment for trigeminal neuralgia may involve medication, surgery, or other interventions aimed at reducing pain and improving quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, good to hear you. if your son had acute necrotizing appendicitis than it is an absolute indication for appendectomy. so there is no question about not covering the medicaid. as an advising doctor i suggest you to visit nearby surgeon and describe them a complete situation. he will guide you further, because there are many other parameters also which can not be covered into the medicaid. than"
Please answer with one of the option in the bracket,B: Multiple myeloma
Please answer with one of the option in the bracket,C: Anti-HEV IgM
Answer this question truthfully,"Hairy leukoplakia is a type of squamous cell hyperplasia that is induced by infection with the Epstein-Barr virus (EBV). Unlike dysplasia, which is an abnormal growth of cells that can potentially lead to cancer, hairy leukoplakia is a benign condition that is typically not harmful. However, it can be a sign of an underlying immune system disorder, such as HIV/AIDS, and may require further medical evaluation. Hairy leukoplakia appears as white, raised patches on the tongue or inside of the cheek, and it may be accompanied by other symptoms such as pain or difficulty swallowing. Treatment may involve antiviral medications or other interventions to address any underlying conditions."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you are right. metoprolol can cause skipping of heart beats and bradycardia (low heart rate). actually, metoprolol is beta blocker chatbot.  along with antihypertensive action, it also decreases conduction, hence it decreases heart rate. when dose is high, it can cause skipping of beats. so pumping of heart us less and hence blood circulation in the body decreases. so you feel weakness, tiredness etc. so better to consult your doctor and replace metoprolol with another antihypertensive"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. if a person has uncontrolled blood glucose (hyperglycemia), then, a considerable amount of glucose is lost from the urine as kidneys are not able to reabsorb it. persistent loss of blood glucose through urine does lead to weight loss as well as persistent weakness and tired feeling. since she has chronic kidney disease, which also is a possible complication of diabetes only and hypertension which again contributes to kidney disease. in such situation it is very essential for her to achieve a greater level of glucose control. that will help in controlling kidney problem. even for better outcome of the surgery strict glucose control is absolutely necessary. off course during surgery and post -operative for a short period she will be on insulin for better glucose control. but later again strict glucose control is a must. thanks."
Please answer with one of the option in the bracket,E: T6
Answer this question truthfully,"Age and genetic factors can increase the risk of having a GIST. Individuals in the age group of 50-80 years are believed to be at the highest risk. The risk of GIST is also increased in people with certain genetic syndromes such as Neurofibromatosis type 1, Carney-Stratakis syndrome and Familial gastrointestinal stromal tumor syndrome. In rare cases, GISTs can be found in several members of the same family."
Answer this question truthfully,"Leukotriene B4 and 5HETE are two types of leukotrienes that are known to be potent chemoattractants for numerous inflammatory cells, particularly neutrophils. When these molecules are produced in response to an inflammatory stimulus, they can attract neutrophils to the site of inflammation, where they can help to fight off invading pathogens and clear away damaged tissue. However, excessive or prolonged recruitment of neutrophils can also contribute to tissue damage and chronic inflammation, so understanding the role of leukotrienes and other chemoattractants in inflammation is an important area of research."
Please summerize the given abstract to a title,Effects of Self-Compassion Training on Work-Related Well-Being: A Systematic Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can understand your anxiety.acr or albumin-creatinine ratio, is luminaria. it shows protein leak in urine. it should be below 30. so 165.4 is definitely high. proteinuria test is needed. a 24 hours urine protein is tested. proteinuria is a sign of kidney function. blood creatinine and electrolytes is also tested. this can cause high b.p. an ecg is done to check the changes, along with an ultrasound scandium. if you've any doubts, send all the reports, as a direct question, to me. chatbot.  manga."
Please summerize the given abstract to a title,Long-term application of hydroxychloroquine could not prevent the infection of COVID-19
Answer this question truthfully,"Mast cell tumor is a rare disease and considered to be an ""orphan disease"" affecting 200,000 or fewer people in the United States. There are no definite data regarding the prevalence of mast cell tumor among the US general population. Cutaneous mastocytosis is more common in children and the disease manifest itself in the first year of life in over 80% of cases. There is no sex predilection and race predilection to the mast cell tumor."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for your query. based on the facts that you have posted it appears that you have been treated very recently for kidney stones and have pain in pelvic region for three days. this is most likely to be due to residual stone(small fragment of stone) in ureter. please get your ultrasound scanning of the abdomen done to rule out the same and consult qualified urologist for clinical assessment and further treatment. i think you should be fine with antibiotics and anti-spasmodic chatbot.
Please summerize the given abstract to a title,Health Inequalities in the Use of Telehealth in the United States in the Lens of COVID-19.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your question and understand your concerns. pain is relieved by high altitude because there is a chatbot. in similar cases physical therapy with stretching of vertebral column exercises is the best treatment. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. lack of attention, impulsivity, and/or hyperactivity are the benchmark symptoms of adhd. but even any one of these symptoms are present abnormally it is diagnosed as attention deficit hyperactivity disorder. common causes could be lack of discipline, negative family problems, too much tv or smartphone or social site use or gaming or internet addiction. treatment depends on the symptoms and needs an expert intervention. i suggest you to consult a psychiatrist for diagnosis ad treatment. in the meantime, you can engage in physical exercise, relaxation techniques etc. as an interim measures. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you got irritant contact dermatitis due to garlic. apply antibiotic cream like funding cream on the lesion.  take a course of antibiotic and oral steroid like prednisolone in tapering dose after consulting the dermatologist.  and there is an easy method to remove a mole by electrocautery under local anesthesia.  why should you apply garlic on the mole which does not remove mole properly and cause irritation? hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Analytical characterization of the SARS-CoV-2 EURM-017 reference material
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. i can think of several possibilities for the orange discoloration of tongue, gums and teeth of your father. firstly, as he is in hospital for 3 months for various diseases, it is understandable that his oral hygiene will be compromised. regular tooth brushing, flossing and gargles would have been neglected for 3 months. this may cause accumulation of food particles, debris, plaque etc. on the teeth, gums and tongue surfaces causing them to appear orange. if his oral hygiene can be improved by use of power toothbrush, mouthwash etc., this problem can be solved. secondly, as he is taking many antibiotics for a chronic period of time, and he is also suffering from fungal pneumonia, there are chances that he is having fungal/yeast growth in mouth causing orange appearance. ask the doctor if fungal pneumonia is being treated with systemic antifungal medications that can cover fungal infection of oral cavity and the growth with stop and disappear. in addition, there are some antibiotics given to treat mrsa, kidney disease and respiratory infections that have side effects of changing the normal bacterial flora of mouth and causing orange discoloration. you can ask your treating doctor about this too. i can assure you that none of these causes are too severe and should not be worried about. i hope this information helps. thank you for choosing chatbot. let me know if you have follow-up questions. best,"
Please summerize the given abstract to a title,Experiences of Social Isolation During the COVID-19 Lockdown Among Adolescents and Young Adult Cancer Patients and Survivors.
Please summerize the given abstract to a title,Scenario Discovery Using Nonnegative Tensor Factorization
Answer this question truthfully,"Symptoms of Parkinson's disease vary with each individual and the stage of Parkinson's disease. In the early course, Parkinson's disease does not have any symptoms. As the disease developes, people may notice one or more of the following symptoms:
Tremor: Tremor is one of the most common signs of Parkinson's disease. It often affects in a hand, arm, or leg. It occurs when the person is awake and sitting or standing still, and subsides when the person moves the affected body part. Rigidity: Muscle stiffness often occurs in the limbs and neck. Later, the patient can not move an arm or leg normally and feel pain in the limb. Masked face: This appearance is cause by loss of movement in the muscles in the face. Patients with Parkinson's disease may feel it difficult to speak and swallow. Slowness of movement (bradykinesia) and impaired balance: In the later course of the disease, patients with Parkinson's disease are likely to take small steps and shuffle with the feet close together. They also have trouble in turning around and keeping balance. These abnormities may result in frequent falls. Freezing Constipation Dementia: Patients may appear progressively memory loss, losing interest in things they previously enjoyed, difficulty communicating, reading or writing, difficulty with performing tasks. With time goes on, more signs such as withdrawing from social contact, personality changes and inappropriate behavior may be observed."
Answer this question truthfully,"Central or neurogenic diabetes insipidus is characterized by an inability of the posterior pituitary gland to secrete ADH, resulting in excessive urination and thirst."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your query and welcome to chatbot. you have pain in your right sided hip area which also seems to go down lower leg region. now interestingly you have a previous history of a spinal surgery as well. there are many causes of pain in lower back region. it can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other, so accurate diagnosis is the key to proper management of the condition. you will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. i would also like to ask you if it is associated with any other neurological symptoms like numbness, paresthesia (electrical shock like abnormal sensations) or any weakness in limbs. how much distance are you able to walk normally without any painkiller ? please also tell me about any associated symptoms like fever, weight loss etc. what medications you generally take and what has been your treatment history till now for existing problem. if you have localized back pain with no other symptoms like significant radiating leg pain, neurological symptoms like numbness, weakness, paresthesia etc., then you can start with following recommendations for initial period of 2-3 weeks"
Please summerize the given abstract to a title,Advice Regarding Systemic Therapy in Patients with Urological Cancers During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your question, the limited mouth opening is secondary to oral sub mucous fibrosis (stiffening of oral mucosa) which occurs due to pan chewing...it's good that you have stopped the habit... the main treatment option will be like use of antioxidants, intro lesional injections into the fibrosis cheek area with steroids and hyaluronate....other than that surgical removal of the fibrosis bands and restoration with grafts... consume food containing more of turmeric....consult an oral physician for needful.i hope my answer will help you, with regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. your child has greenish watery loose stools and low grade fever, the child is probably suffering from stomach infection. in stomach infection, there are loose stools, fever, pain abdomen and deny chatbot.  if i was your treating doctor, i would have given syrup definite (5 ml =50 mg) 5 ml three times a day for 3 days with enterogermina ampule once a day for 3 days and ors solution 100 ml each stool to prevent deny"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you should go for a hsg to confirm if your tubes are patent or not, because sometimes after repairs also, tubal block may occur. if hsg shows block, in that case, you may need another laparoscopy to confirm that.  if tubes are patent, you can go for gui. get a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries done. also do a semen analysis of your husband.  you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  gui will be done the next day. take progesterone for next 2 weeks. do a urine pregnancy test at home after that. hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a single s ray is not a concern in an infant when done for medical investigative purpose. this can be ignored. ct scan is to be avoided in those younger than 15 years of age because of the radiation dose. in a ct scan the dose is equivalent to 200 x-rays. this is a high dose and should be avoided unless there is an obvious benefit arising by doing such an investigation. research shows that those kids having exposed to two or more ct scans below 15 years of age have a twofold risk of developing leukemia later in life. however since you child got only x-ray done hence there is no concern for radiation exposure. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks and welcome to chatbot. pain, fever, vomiting specially if pain is on the right iliad region, it needs immediate consultation at er.otherwise, you may try paracetamol 15 mg/kg /dose to control fever. ondem syrup to control vomiting and cyclops syrup for control of pain may be tried for 1-2 days. if no improvement better consult pediatrician. hope this reply is ok for you. please feel free to ask further queries if any. chatbot. v. subrahmanyam."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. since your cardiac and respiratory causes have been ruled out, i think muscular pain is the cause for your symptoms. so try to follow these steps for better symptomatic relief. 1. avoid heavy weight lifting and strenuous exercise. 2. avoid bad postures in sleep. 3. avoid movement s causing pain. 4. start good painkiller and muscle relaxant. 5. apply warm water pad on affected site."
Please summerize the given abstract to a title,A Brief Online Mindfulness-Based Group Intervention for Psychological Distress Among Chinese Residents During COVID-19: a Pilot Randomized Controlled Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i want to warn you that this is not gas at all. it can be pain of heart problem known as mi. it is a serious condition, and you need to visit er as soon as possible. if there is ecg then you will need urgent intervention if form of medications. i would suggest you to do not waste any more time. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Answer this question truthfully,"High Oxytocin levels during childbirth can lead to late decelerations in fetal heart rate. This is because uterine tachysystole causes compression of blood flow to the baby, leading to hypoxia."
Please summerize the given abstract to a title,Processing of Mass Spectrometry Data in Clinical Applications
Please summerize the given abstract to a title,EXCESS MORTALITY IN BRAZIL IN TIMES OF COVID-19 (preprint)/ pt
Please summerize the given abstract to a title,The COVID‐19 pandemic and agricultural education: An exploration of challenges faced by teachers
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, high mpv is not concerning. i don't think that this lab finding is related to the high blood pressure values.  anyway, i recommend checking also pcr and sedimentation rate in order to investigate for possible inflammation.  regarding the high cholesterol levels, some diet modifications (low sugar and fat intake, high fibers, a lot of food riches in omega three fatty acids) will help improve your cholesterol levels.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Home spirometry as a clinical endpoint in fibrotic ILD: Lessons from the injustis interim analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult neurophysician and get done1. clinical examination of central nervous system.2. mri brain. you are having the following risk factors for stroke.1. light-headed less.2. positive family history of stroke 3. one-sided weakness in the body. so consult neurophysician first and rule out stroke. in stroke management, early diagnosis and treatment is the key in recovery. so first rule out stroke for your symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friendwelcome to chatbot. i am chatbot. psoriasis is a disease which has no permanent cure. i am very sorry to mention but till now, no permanent cure has been formulated, but definitely there are medications to control it. if oral medications do not suit you, you may opt for phototherapy in chambers available in your nearby set-ups. based on the available details, this is my best advice for you. you should discuss with your doctor and share my opinion, i am sure he/she will agree to my opinion. good luck."
Answer this question truthfully,"A chalazion develops in the glands that produce the fluid that lubricates the eye. These are called Meibomian glands. The eyelid has approximately 100 of these glands, which are located near the eyelashes.
A chalazion is caused by a blockage of the duct that drains one of these glands."
Answer this question truthfully,"Ischemic injury of the endothelium in acute tubular necrosis can cause vasoconstriction of the afferent arteriole. This can lead to a decrease in blood flow to the glomerulus, which is the part of the kidney responsible for filtering blood. As a result, the kidneys may not be able to effectively remove waste and excess fluid from the body, which can lead to further damage and potentially life-threatening complications. Treatment for acute tubular necrosis may include supportive care, such as dialysis or fluid management, as well as addressing the underlying cause of the condition. It is important to seek medical attention if you experience symptoms of acute tubular necrosis, such as decreased urine output or swelling in the legs or feet."
Please answer the letter of option truthfully,A
Answer this question truthfully,"Hereditary spherocytosis is most commonly inherited in an autosomal dominant pattern, accounting for 75% of cases. This means that a person only needs to inherit one copy of the mutated gene from one parent to develop the condition. Autosomal dominant conditions can affect males and females equally and can be passed on to future generations. Hereditary spherocytosis is a rare genetic disorder that affects the red blood cells, causing them to be spherical instead of the normal disc shape. This can lead to anemia, jaundice, gallstones, and an increased risk of certain infections. Treatment may include folic acid supplements, blood transfusions, and in some cases, removal of the spleen."
Please summerize the given abstract to a title,An Examination on the Transmission of COVID-19 and the Effect of Response Strategies: A Comparative Analysis
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, it is highly improbable that your one muscle is short in both legs, surgical lengthening of this is possible, but will it help you, i feel you need to consult an or tho doctor to first find out what the problem exactly is, and how is it affecting you.  i hope that answers your query. if your want any more clarification, contact me back. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you can wait till you get your doctor's appointment. possibility could be lumbar canal stenosis leading to numbness down leg another possibility of lumbar disc compressing nerve root. due to compression of this nerve root there can be numbness in leg. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, you can consult physiotherapist for help. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,Mechanisms and functional consequences of presynaptic homeostatic plasticity at auditory nerve synapses.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. cancer is a challenging diagnosis and treatment is difficult in advanced stages. since the cancer has involved more than one organ like liver, lung, kidney, a chatbot.  in this case it is not important to find out exactly where the cancer originated but treatment with objective of extending survival is the point to be considered. in the above case the survival of the patient with recommended treatment and supportive care might extend to 2 years. if chemotherapy is not given then even six months survival is difficult. therefore, the doctor has recommended chemotherapy to stabilize the disease and control spread of cancer and make the patient survive longer. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi greetings. visibly there may not be any infection. but in uncircumcised penis when the skin cannot be retracted completely beyond the rim there can be collection of sega causing infection and soreness. so make sure that your skin can be retracted completely in normal penis and clean the area. now try retracting the foreskin completely during erection. if it is not retractable then consult a surgeon and take his opinion. hope my answer helps you. regards
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, like all medicines and bedmate, donate has side effects! nausea, headache, dizziness, nervousness, chatbot.  i think you should do a prick test, spirometry to evaluate your condition. these medications may be used in exacerbations of symptoms and if you feel better to consult with your doctor the possibility to take something else. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). it suggests that you are suffering from fatty liver disease. i will advise to you get further tests like liver function tests (got/sept, serum bilirubin, serum albumin) and lipid profile. among medications take tablet ursodeoxycholic acid, cap evian and if you are overweight or obese then do regular exercise aerobic at least 30 minutes/ day so that your weight is optimized. also take less fat in diet. also, if you take alcohol then please stop it. if on investigations' lipid profile is deranged then it should also be treated accordingly. also avoid analgesic belonging to nsaid group, take analgesic like tramadol. also, you should not take any hematologic medications like modified, rather you should always consult your doctor before taking any medication. i hope i have answered your query and this will help you. if you have any further query i will be happy to answer that too. remain in touch and get-well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having anxiety and apprehension. since your extensive cardiac ana castro work up is normal, so need to worry much for cardiac and other cause. and no need for second opinion. i think you should consult psychiatrist and get done counselling sessions.  try to find out stressor in your life and start working on its solution. you may need anxiolytic chatbot. so avoid stress and tension. be relax and calm. consult psychiatrist and discuss your problem."
Answer this question truthfully,"Pellagra is a disease that is caused by a deficiency in vitamin B3 (niacin). One of the complications associated with this deficiency is dermatitis, which is typically observed in a C3/C4 dermatome distribution in affected patients."
Answer this question truthfully,"Primary biliary cholangitis (PBC) is classically affected by middle-aged women, typically around 40 years old."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/ madam, thank you for posting your query at chatbot.complain is due to post surgical adhesion which is common after surgery. many a time, gaseous bowls cause pain, if the pain persist better to get ultrasound abdomen done. if normal, the pain will go off in few months. give you child lot of fluids in form of soup, oatmeal, fresh juices, soft fiber rich diet, fruits. once you get the scan done consult gastroenterologist for further opinion. specialist will give appropriate treatment required to treat any underline symptoms please revert if you have any further doubts. with best wishes,"
Answer this question truthfully,"Endometrial cancer is usually diagnosed at an early stage. The 1-year survival rate is about 92%. The 5-year survival rate for endometrial cancer that has not spread is 95%. If the cancer has spread to distant organs, the 5-year survival rate drops to 23%."
Please summerize the given abstract to a title,"Use of TaqMan Array Card for the Detection of Respiratory Viral Pathogens in Children under 5 Years Old Hospitalised with Acute Medical Illness in Ballabgarh, Haryana, India."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome, first itself i say surgery for disc compression is not the remedy since the disc is not an over growth or any unwanted item of body we should protect that one with the treatments.i am an ayurvedic doctor who done all research work in lower back pain (sciatica) for the last 7 years both in md and phd, i can say we can treat this without surgery, any way you did that, so we can make you only some better way without painkillers you will not feel pain. that much i can do for you since surgery over. write to us in detail we can discuss youchristyjoseph1@gmail.com09895313720thanking you"
Please summerize the given abstract to a title,"When Crisis Strikes, Handle With CARE."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer the letter of option truthfully,C
Answer this question truthfully,"There are two types of joint pain associated with gout and septic arthritis, each with a different onset time. Gout is characterized by an abrupt onset of pain that occurs within hours. This type of joint pain is often severe and is typically accompanied by redness, swelling, and warmth in the affected joint. In contrast, septic arthritis is characterized by a gradual onset of pain that occurs over the course of several days. This type of joint pain may be less severe than gout, but it is often accompanied by other symptoms such as fever, chills, and fatigue. It is important to differentiate between these two types of joint pain as they have different causes and require different treatments."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, welcome to chatbot, thanks for your question. your symptoms suggest compression of nerves supplying both your upper limbs. such a compression moat commonly can happen in your neck or your arms at the carpal tunnel. the neck compression is seen in your mri report, and it correlates with your symptoms. but the carpal tunnel symptoms need to be ruled out by your physician by clinch examination and nerve conduction tests. if carpal tunnel syn chatbot. the conservative measures to be tried before surgery is considered include"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. here are few possibilities of vaginal blister. first blister can be because of sexually transmitted disease like human papillomavirus and herpes. violent sexual intercourse can lead to blood filled blister formation. the friction on that area might be because of tight clothing can lead to such blister. blister can be simply because of bacterial infection like that from staphylococci and associated fever might present. sometime very fewer possibilities but it can be vascular angola. so your blister should regularly monitor for few days and trace of its cause has to be search by taking sexual history and physical examination. according to cause treatment has to be done. if it is because from trauma, infection boil then only it will go away without treatment. i hope my suggestion will help you"
Answer this question truthfully,"Symptoms of Strep throat can be very mild or severe. Symptoms usually develop 2 to 5 days after being exposed to the bacteria. Symptoms tend occur suddenly, and usually include some of the following:
Sudden fever Red throat, sometimes having white patches Sore throat Headache Stomach ache Nausea Chills General discomfort, malaise Loss of appetite, abnormal taste Swollen lymph nodes in the neck Trouble swallowing Scarlet fever-like rash. This occurs in only some strains of the bacteria."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i have gone through your question. i can understand your concern.  your wife has iron deficiency anemia.  but you should take treatment of that as well search for the cause of that. why she has repeated problems. there are many causes for iron deficiency anemia.  it could be due to some internal or external bleeding. you should investigate for that. you can go for ultrasound examination of abdomen and also consult gynecologist once to rule out any bleeding cause. search for the cause and take treatment accordingly.  you will definitely get benefits. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if the pain does not subside, we need to look for torsion of the testis, which is serious issue. but as ultrasound is ok (because ultrasound can detect the torsion), he can be reassured. the pain is likely because of the injury. he can take paracetamol tablets for pain. ask him to use tight undergarments as it can give relief.  hope i have answered your queries. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.",his your symptoms do not seem to be related to the tubal operation that you have. you basically have some form of abdominal discomfort which needs further assessment. your symptoms look like those of an irritable abdomen. you need to be investigated for the same. you should see a nearby gastroenterologist who can evaluate and investigate you to look for the cause of such a presentation. you might need abdominal ultrasound and other tests. chatbot.
Answer this question truthfully,"The specific treatment for ATIII deficiency is high dose heparin, followed by warfarin. ATIII deficiency is a rare genetic disorder that affects the body's ability to produce antithrombin III, a protein that helps regulate blood clotting. As a result, individuals with this condition are at an increased risk of developing blood clots, which can lead to serious health complications. The treatment for ATIII deficiency typically involves the use of anticoagulant medications, such as heparin and warfarin, to help prevent the formation of blood clots. High dose heparin is often used initially to quickly reduce the risk of clotting, followed by long-term treatment with warfarin to maintain anticoagulation. The dosage and duration of treatment will depend on the individual's overall health and the severity of the condition. It is important to work closely with a healthcare provider to develop a treatment plan that is tailored to the individual's needs and to monitor for any potential side effects or complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,Listeria monocytogenes is the bacteria that is considered the 3rd-most common cause of neonatal meningitis.
Answer this question truthfully,"α-thalassemia due to a four gene deletion is characterized by formation of γ4 tetramers, known as Hb Barts."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. your symptoms can be due to anxiety, but it is still early to stamp anxiety as diagnosis, because your investigations to rule out cardiac and pulmonary causes are still left. chest heaviness, lightheadedness,shortness of breath, all can be seen cardiac causes like heart failure, coronary artery diseases etc. and pulmonary causes like chronic bronchitis, pulmonary fibrosis etc. so get done chest x-ray, put (pulmonary function test), 2d echo and stress test to rule out above causes. if all the above investigations are normal than anxiety can be the cause. so consult psychiatrist for diagnosis and treatment of anxiety. avoid stress and tension. be relax and calm."
Answer this question truthfully,"Physical examination findings of B-cell prolymphocytic leukemia include the following: 
Patients typically appear weak and malnourished
Fever Tachycardia Tachypnea
Pallor Petechiae Bruising
Lymphadenopathy
Hepatomegaly Splenomegaly"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. your doctor should determine the anticoagulant and antithrombotic therapy after surgeries and in most cases plavix should be discontinued for 2-3 days after surgery. it will not affect healing process. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, probably you are suspecting bleeding due to abortion. it is likely. heavy bleeding after delayed menses may be due to process of abortion - it may be threatened abortion or incomplete abortion. please get your ultrasonography done. if there are any products of conception visualized in the uterine cavity, you are in process of abortion. if the cervical opening is closed and complete baby is seen in the uterine cavity, you are having threatened abortion. if there is no pain in abdomen, it can be managed by bed rest and some progestational preparation like austen. if the products are partly seen and/or the cervical opening is open, you are either having inevitable abortion or incomplete abortion. then the uterine cavity will have to be evacuated. if you are not pregnant at all, the bleeding could be due to hormonal imbalance. blood examination for fsh, lh, estrogen, progesterone, t3, t4 and tsh will throw some light on the cause of such bleeding. please report to your gynecologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it seems from your symptoms that you are suffering from anxiety and social phobia. it is a part of anxiety disorder and should be treated properly with medicines. chatbot.  the mind relaxes and becomes more focussed. also, thyroid disorders can be related to this; so, get thyroid tests and it. b12 levels. if they need correction-take meds for them too. within few days to week-you can appreciate the change. so, please consult a psychiatrist and have a detailed evaluation of your symptoms and start treatment. i can assure you that you will definitely get better. wish you good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your breast lump has no relation with your food supplement.  it may be due to some benign breast lesion like fibrotic disease or may be malignant.  you should go for fine needle aspiration cytology and demography.  it will give you exact idea regarding cause. then you should take treatment accordingly. hope i have answered your question, if you have doubt then you can contact me at bitly chatbot.  wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","from the symptoms that you are facing at the moment it does look like you are suffering from depression. in most cases the patents has symptoms of anxiety and panic attacks intermittently along with sleep problems due to excessive negative thinking. the symptoms that you are facing is due to excessive stress that you are facing in your life or sometimes its genetically programmed to do so. this part is not under out control and hence you should not feel bad about it. there are neurotransmitters in the brains(chemicals) which regulate the daily function they have decreased hence the medication to put thing right by correction of the chemicals, one may be kept on these medications for about 6 months to a year depending on the progress which shall be decided by the consulting psychiatrist. the medication are always started in low dose and slowly increased to see for any side effects it may have and the dose at which you may respond. these tablets will definitely help you to get better but if you do face side effects like nausea, chatbot.  in case you do you can always discuss with your doctor. these tablets do take time to work and to improve your condition may take 2-3 weeks time. if you got a good response in a short time then these tablets are well suited for you.  about the negative thoughts they will fade away automatically during the course of treatment and with counseling"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for your query. the pain you mentioned could be unrelated to your kidney. backache can be a part of the multiple somatic disorder.it could be related to depression as well.....it can be related to excess intake of doxycycline. but nonetheless you need to rule out analgesic nephropathy. i suggest you get a renal ultrasound and a mri of the spine after a trial of 7\u00a0days painkillers. also get a complete urine examination. stop clindamycin and review with your family doctor. thank you
Please answer with one of the option in the bracket,E: Capecitabine
Answer this question truthfully,"The American Academy of Pediatrics recommends that children should ride in rear-facing car seats until they are at least 2 years old. This is because rear-facing car seats provide better protection for a child's head, neck, and spine in the event of a crash. After the age of 2, children can switch to a forward-facing car seat with a harness and tether, which can continue to provide protection in the event of a crash. Parents and caregivers should always follow the manufacturer's guidelines for their specific car seat and ensure that it is installed correctly in the vehicle."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i clearly understand what you are going through. -from your explanation, there is evidence you had a stroke. a stroke can be caused by poorly managed hypertension etc. it occurs in a very high blood pressure reading more than 164/100 mmhg. -you have issues with anxiety and high blood pressure. you should continue treatment for high blood pressure and try to get exercise at least 3 times a week to help with your anxiety. also try to get enough sleep, as lack of sleep increases palpitations.- you can take tab. valerian extracts 400\u00a0mg 2 tablets an hour before bedtime, any time you are having trouble sleeping. best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, post appendectomy infection occurs many times, and if it is not severe then it is not the matter to worry about. such infection is usually cured by the good coverage of antibiotics. levofloxacin is good in this and as per you told, as the pus is not coming out it is suggestive of infection weaning off.i hereby suggest you not to get pregnant uphill the wound heals completely. once you are fully recovered from the thing, you can go ahead with your family planning. thanks regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. i went through your history. as you are having hives for 5 months, i would call it \""chronic urticaria\"". there are many causes of chronic urticaria - physical factors like excessive sweating, contact with hot/cold water, undue pressure over body parts, sun exposure, etc. there are other causes also like some infections, thyroid disorders, some chatbot. if allegra is not working with you, personally i would suggest montelukast and levocetirizine in the morning and hy"
Please answer with one of the option in the bracket,A: Eculizumab can be used to treat this condition
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend, i am a homeopath and agree with your decision not to thrust a knife on your chest. the tumor on your rib is a defense mechanism of your body attempting to resolve a conflict. the tendency to develop tumors on the body is genetically determined and can be caused now by some conflicts. this is proved by the presence of similar growth on the chest of your father. once you get worried about them, they become more prominent and start troubling you. as long as you know very well what exactly stimulated the body to develop the tumor, you can mentally resolve the issue. along with that my advice is to consult an expert homeopath who can take your case in detail and find suitable remedies. this will regress the onward development of the tumor and will mentally and physically give health and comfort. with best wishes for a better health status,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,C: Papillary thyroid carcinoma
Answer this question truthfully,Howell-Jolly bodies are the finding on a blood smear that strongly suggests physical or functional hyposplenism.
Please summerize the given abstract to a title,"Maternal attachment representation, the risk of increased depressive symptoms and the influence on children’s mental health during the SARS-CoV-2-pandemic"
Please summerize the given abstract to a title,Calibration of the Gastric Pouch in Laparoscopic Roux-en-Y Gastric Bypass: Does It Matter? The Influence on Weight Loss.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellman in right side of abdomen with raised liver enzymes may be due to many reasons like hepatitis, liver abscess etc. your son need proper clinical evaluation and investigations. most likely it is not related to cysts because cysts are generally asymptomatic and seldom require treatment. it also doesn't raise liver enzymes. your son need investigations like routine hologram, random blood sugar, complete liver function test, ultrasound of abdomen. ultrasound is important in his case. it can exclude many possibilities. further investigations can be done if needed. proper treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. as you are on mineral there is less possibility for pregnancy. mineral can cause side effects like amenorrhea, irregular spotting etc. brown discharge can be due to collected blood from the endometrium. usually this will subside soon. if you had doubt regarding pregnancy, once go for blood test for pregnancy. blood test gives more accurate result compared with urine test. if the test comes negative, no need to worry. consult gynecologist and take tablets to control the spotting. then you can continue with mineral. take care."
Please summerize the given abstract to a title,"In suspected SARS-CoV-2, rapid antigen detection tests had 67% to 73% sensitivity and 98% to 100% specificity"
Please summerize the given abstract to a title,The impact of modelling choices on modelling outcomes: a spatio-temporal study of the association between COVID-19 spread and environmental conditions in Catalonia (Spain)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. since you have severe dental abscess which is not responding to antibiotics, you need to get it chatbot.  body ache and chills shows that infection is going systemic. treatment should be done as soon as possible otherwise there will be severe complications. you must have to consult a dentist whatever it takes to. no other medical options for severe abscess. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello
Please summerize the given abstract to a title,Patient and Resource Management of Emergency Walk-In Clinic During a COVID-19 Pandemic State Lockdown
Please summerize the given abstract to a title,Burnout and psychological distress amongst Australian healthcare workers during the COVID-19 pandemic
Please summerize the given abstract to a title,Anticardiac Antibodies in Patients with Severe and Moderate Covid-19 (correlations with the Clinical Performance and Prognosis)
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern.first i would like to explain to you that, if your wisdom tooth was extracted years ago and was asymptomatic all these days then it might not be the cause. the swelling that you have, could be due to adjacent teeth which is infected. in present case good clinical examination with diagnostic x-ray will give you exact diagnosis. every single tooth should be individually tested clinically by palpation and percussion techniques. this will give you exact diagnosis. in present scenario if you are not satisfied with your dentist please go for second opinion for clinical evaluation. i am sure one of the filled tooth is deeply involved and causing pain to you. hope it helps. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot forum. the canker sores as well as swelling associated with broken tooth which got fixed can be due to-allergic reactions of material used for fixing tooth. this can often occur due to fracture of tooth involving pulp and thus spreading infection into periapical area. an x-ray of the tooth will help to evaluate the condition of tooth. if necessary, tooth has to be root canal treated or extracted. usually antibiotics along with analgesics has to be administered in such cases. to prevent canker sores,vitamin b complex as well as iron supplements has to be administered. hope this helps."
Please summerize the given abstract to a title,Correlates of death among SARS-CoV-2 positive veterans: The contribution of lifetime tobacco use
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. the pain in the lower abdomen on exertion can be due to the following reasons
Answer this question truthfully,Endothelial injury may lead to a prothrombotic state due to activation of endothelin and tissue factor.
Please summerize the given abstract to a title,"Experience of e-learning and online assessment during the COVID-19 pandemic at the College of Medicine, Qassim University"
Please summerize the given abstract to a title,Intubation Timing as Determinant of Outcome in Patients with Acute Respiratory Distress Syndrome by SARS-CoV-2 Infection
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having post infectious bronchitis. it is very common after viral upper respiratory tract infection (uri) like cold. it is due to inflammation of the airways (bronchitis). this causes bronchospasm and this spasm intern causes breathlessness. so better to consult pulmonologist and get done 1. clinical examination of respiratory system. 2. put (pulmonary function test). pft is must for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment is based on severity only. you may need inhaled bronchodilator and inhaled corticosteroids (ics). don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,A worthy introduction For the book see http://www.amazon.co.uk/Infectious-Disease-Short-Introduction-Introductions/dp/0199688931
Please summerize the given abstract to a title,Investigations into the Effects of pH on Quantitative Measurements of Lactate in Biological Media Using ATR-FTIR Spectroscopy
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Reactive attachment disorder is a condition that may develop in infants who experience long-term deprivation of affection, such as from a neglectful caregiver. Infants with this disorder may be emotionally withdrawn and unresponsive to comfort, and may have difficulty forming healthy attachments with others. Other factors that may contribute to the development of reactive attachment disorder include disruptions in early caregiving relationships, such as frequent changes in caregivers or institutionalization, as well as prenatal and perinatal risk factors such as prematurity, low birth weight, and exposure to drugs or alcohol in utero. Early intervention and support for both the infant and their caregivers are important in addressing reactive attachment disorder and promoting healthy attachment relationships."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi prashant, to treat hyperpigmentation, it is essential to know the underlying cause for the same. results obtained in cases of hyperpigmentation also depends upon the depth of pigmentation. superficial light brown pigmentation responds better as compared deep slate gray pigmentation. if the above prescription is not providing desirable results, you may try stronger pigmentation reducer creams like retinoid+steroid+hy chatbot."
Please summerize the given abstract to a title,Cardiac pathology and outcomes vary between Kawasaki disease and PIMS-TS.
Please summerize the given abstract to a title,COVID-19 post-discharge mortality rate in a London district general hospital
Answer this question truthfully,Anaerobic glycolysis produces a net of 2 NADH per glucose molecule.
Please summerize the given abstract to a title,EPAC regulates von Willebrand factor secretion from endothelial cells in a PI3K/eNOS-dependent manner during inflammation
Please summerize the given abstract to a title,Simulation and prediction of spread of COVID-19 in The Republic of Serbia by SEIRDS model of disease transmission
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. he has slightly more risk as compared to normal person. he can first control his diabetes then he should get your operation of orin with scaphoid fracture. after controlling diabetes he can be operated with negligible risk. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
Answer this question truthfully,"Adenocarcinoma of the lung is frequently linked to activating mutations in the KRAS, EGFR, and ALK genes. These mutations can cause abnormal growth and division of lung cells, leading to the development of cancerous tumors. While not all cases of adenocarcinoma will involve these specific mutations, they are often present in patients with the disease. Understanding the role of these genes in the development of adenocarcinoma can help inform treatment options and improve outcomes for patients."
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatdoctorafter going through your query i concluded that you there are having probably diabetic neuropathy. neurotrophic agents such as mecobalamine are of help. you should control your diabetes well. for pain relief you can take analgesic such as ibuprofen. vitamin d3 level should be tested as it is important cause of back pain. if found low it can be supplemented. vitamin b and c with be helpful in recovery. you can discuss with your doctor about it. hope your query get answered. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. you can also write to me directly on below link
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail. axepta is a stimulant and that is responsible for the sleep disturbance. increase in the dose of adept has led to this disturbance of sleep. probably adept has been increased to control the adhd symptom. probably she can take a hypnotic to help her with her sleep. counselling has to continue as patient of adhd are prone for depression, and she is already on deniz. stop her coffee if any. let her do some aerobic exercise in the morning. cut down on computer and tv use at night and let her take a warm bath just before sleep. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your question and i will try to help. the most common complaint with these implants (they are progesterone implants) is breakthrough spotting.  early on after their insertion, this is very common.  later, such as after 2 years, the lining of the uterus becomes very thin (which is normal) and prone to bleeding.  this can once again be treated with birth control pills.  this has nothing to do with marijuana use.  finally, make sure that you check a pregnancy test now and in 1-2 weeks. i hope that this helps and good luck!"
Answer this question truthfully,"Nortriptyline, specifically the secondary amine form, has the least anti-cholinergic effects among tricyclic antidepressants."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello appreciate your concern sometimes sensitivity decreases following increased frequency of sex or injury to private parts would advise you following guidelineswatch your frequency of sex and look for any injurymake your be chatbot. more conducive and appealing for sex. spend more time in foreplay and take your time you can ask your wife to press at the base of the glans when you feel to ejaculateavoid smoking and alcohol consumptionavoid stress and anxiety, just relax and enjoy your earthier are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, i will gladly answer you thanks for your question best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...what you quote i feel that the kid is having viral illness with myositis or inflammation of muscles. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
Please summerize the given abstract to a title,A review of the pathological mechanisms and clinical implications of coagulopathy in COVID-19
Answer this question truthfully,"You may not be aware that your heart is not beating in a normal pattern. Symptoms may start or stop suddenly. This is because atrial fibrillation may stop or start on its own.
Symptoms may include:
Pulse that feels rapid, racing, pounding, fluttering, irregular, or too slow Sensation of feeling the heart beat (palpitations) Confusion Dizziness, light-headedness Fainting Fatigue Loss of ability to exercise Shortness of breath"
Please summerize the given abstract to a title,Neuroprotective role of camphor against ciprofloxacin induced depression in rats: modulation of Nrf-2 and TLR4
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Answer this question truthfully,"There are several types of combination tips available:
Tip coils plus Intermediate coils Bare core Plastic cover Polymer Polymer over tip coils"
"If you are a doctor, please answer the medical questions based on the patient's description.","mam/sir,first you have to examine your daughters body thoroughly for other lesions and similar patches. flat light brown patch can be"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, welcome to chatbot. there is no recommended time gap to be maintained before going through the next pregnancy, providing that you are young, healthy, having no medical disorders and not anemic. you may even get pregnant without experiencing menstruation. if you are willing to get pregnant then don't use contraception. you may use contraception for a while if you and your partner want time it gets ready (from the psychological point of view). i hope i have answered your question and i wish you good luck in the next pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...please do not worry. if your son is normal clinically and is actively playing around, these results of high blood count doesn't mean anything. the lab report about polychromasia means that he might be having iron deficiency anemia. i suggest you get back to me with the actual hemoglobin value which would have been mentioned in the report, so that i will be able to suggest you a proper iron preparation. if as per countries laws iron is not an over the counter medication, please consult your pediatrician. regards -"
Answer this question truthfully,"Mast cells are a type of immune cell that can be activated by various stimuli in the body. One of the most common triggers is tissue trauma, which can occur due to injury, surgery, or other forms of physical damage. When tissue trauma occurs, mast cells are activated and release histamine and other chemical mediators, which can cause inflammation and pain. Other factors that can activate mast cells include allergens, infections, and stress. It's important to note that while mast cells play a critical role in the body's immune response, excessive activation can lead to chronic inflammation and tissue damage, which can contribute to the development of various diseases."
Please summerize the given abstract to a title,Clinical and epidemiological characteristics of the first 150 patients with COVID-19 in Lebanon: a prospective descriptive study
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,The biggest risk factor for kidney stones is dehydration.
Answer this question truthfully,"Pulmonary surfactant is a substance that is produced by the cells lining the alveoli in the lungs, and it helps to reduce the surface tension of the fluid that lines the alveoli. This reduction in surface tension makes it easier for the alveoli to expand and contract during breathing, and it helps to prevent the collapse of the alveoli at the end of expiration. Pulmonary surfactant is a mix of different types of lipids, including lecithins, with dipalmitoyl phosphatidylcholine (DPPC) being the most important component. DPPC is a type of lecithin that is particularly effective at reducing surface tension, and it makes up a significant portion of the total lipids in pulmonary surfactant. Understanding the composition and function of pulmonary surfactant is important in the management of respiratory diseases, as deficiencies in surfactant production or function can lead to lung collapse and respiratory failure in premature infants and adults with acute respiratory distress syndrome (ARDS)."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.",". it is always better to avoid antibiotic use wherever possible during pregnancy. ciprofloxacin is given to pregnant women with caution of keeping in mind that benefits should be far more than risks. it is avoided in lactating mothers for sure. but as you are in the start of pregnancy, try to avoid infection especially you talked about intestinal infection. keeping a good hygiene and balanced diet will help. hy chatbot. i hope this is all you needed an answer for. i am at your disposal if you need further assistance. healthiest regards!"
Answer this question truthfully,"The hormone that is elevated in 21-hydroxylase deficiency, which is the most common form of congenital adrenal hyperplasia (CAH), is 17-hydroxyprogesterone. 21-hydroxylase is an enzyme that is necessary for the production of several hormones, including cortisol and aldosterone, in the adrenal glands. In individuals with 21-hydroxylase deficiency, the enzyme is either absent or not functioning properly, leading to a build-up of certain hormones, such as 17-hydroxyprogesterone. This can cause a variety of symptoms, including ambiguous genitalia in females, early onset of puberty, and infertility. Treatment for 21-hydroxylase deficiency typically involves hormone replacement therapy to replace the deficient hormones and manage symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems that due to hard slap there has been traumatic injury to the soft tissues of face, and it is leading to inflamed and swollen tissues and swelling is also due to accumulation of inflammatory exudate in the area. you need not worry as the swelling will resolve gradually. you can continue taking anti-inflammatory painkiller like ibuprofen or naproxen to reduce inflammation and swelling. you can also continue doing cool compresses over the face and eye. in case if there is severe pain you can also apply numbing gel containing lidocaine. if there is bruising that is a sigh of ruptured blood vessels you can apply thrombophob gel over the face but keep away from eye. in case if the swelling does not resolve, or you get increase in symptoms consult a general physician and get evaluated, and he can also advise you an x-ray to check for any bony fracture and treat you accordingly. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to the chatbot for neuropathy usually diabetes and vitamin b 12 deficiencies ruled out first and treated accordingly if needed your neurophysician might suspect kitchen chatbot. ... so you can investigate for that using molecular techniques if needed mri like investigation useful to do further work up according to cause further specific treatment given take care consult neurophysician and follow his advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. as per your complaints, probably your daughter is suffering from enteric fever, and it is associated with decreased appetite. whatever the cause is, chil chatbot. secondly the medicines which she has been taking also causes a bad taste especially after-taste, so the appetite is decreased. dnt worry, she will eat normally once the infection is settled and medicines are discontinued. hope it will help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, according to the history provided here i will provide you with the best possible answer, following extraction, a wound is formed at the site, it undergoes healing on its own and takes about 10 -15 days. i appreciate that you are following the instructions given by your dentist, the blood clot gradually undergoes fibrosis which gives it white color. for the sensitivity i will advise you to see your dentist, he/she might prescribe some anti-sensitivity toothpaste. do not worry you will be fine a few weeks, remember to maintain proper oral hygiene.i hope this answer was useful, i wish you good health take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear if you walk to my clinic then i will going to do perianal examination. as you said that you have painful swelling around anus, so there are two common possibilities1. inflamed external hemorrhoids"
Answer this question truthfully,The category of therapy that is characterized by this scenario is salvage therapy.
Please summerize the given abstract to a title,"Mutations in SARS-CoV-2; Consequences in structure, function, and pathogenicity of the virus"
"We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?","Frozen shoulder may develop without a known cause. It is more likely to occur in people who have thyroid disease, diabetes, had shoulder injury, are unable to move their arm due to cast or stroke, and in women undergoing menopause. Most people have a full recovery with full range of motion."
Please summerize the given abstract to a title,Nationwide Seroprevalence of SARS-CoV-2 in Saudi Arabia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thank you for posting query at chatbot.i thoroughly read your query and understood your concerns. gallstones are small stones that form inside the gallbladder. gallstones pain (biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. this compresses the stones, blocking the opening. as the gallbladder relaxes several hours after the meal, the pain subsides.1. biliary colic -\""the pain without cholecystitis- gallbladder infection/inflammation\"" - usually subsides within few hours to a day. acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. medical therapy includes intake of ursodeoxyholic acid (uca) for a period of 12 to 24 months. uca has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. surgery lasts for less than one hour (usually half an hour). laparoscopic surgery has greatly reduced surgery time duration and surgical complications. you may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. i would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. you maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. hope to answer your concern. wish you good and sound health. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. please take your child to a hospital and let the surgeons there decide whether to give rabbis vaccine or not. answering such a question here, through this portal, is impossible. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. as cholesterol is 357, food must be cooked with less oil. if possible please use olive oil for cooking. salt must be given in little quantities with no extra salt serving. with a creatinine of 4.5, a lower protein diet to minimize waste products in the blood might help. as her body processes protein from foods, it creates waste products that the kidneys must filter from your blood. to reduce the amount of work her kidneys must do, eating less protein might be good. you can cook vegetables like cabbage, garlic, cauliflower, garlic, onion, spinach and pumpkin. give small servings and since she also has diabetes please give her a diet with balanced carboy chatbot.  bread can be substituted for rice. fruits like apple, watermelon, pomegranate, pineapple can be given. though added sugar must be avoided. egg white and fish are rich sources of protein and can be given in small amounts. please check blood sugar and creatinine levels regularly."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi the dizziness can be due to atrial flutter, however it's not common when compensated.  sir the arrhythmia you describe should be controlled to avoid such symptoms as well as prevention of clot formation in the heart which itself would have further risked.  at least a medication like beta blocker and if you sure its atrial flutter, an ablation sos may help.  an ecg for interpretation and more detail history may help me prescribe the medication till your visit. and also preferably i would like you to not wait for long period of time before you visit your doctor.  regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have injury on lower jaw now you have lump on jaw bone don't worry yes it can be due to injury in periodontal ligament may be there is root fracture in tooth that cause periapical pathology or hair line fracture of segment of mandibular bone.  for this you should consult dentist and go for oral examination and investigations done opg x-ray. if there is periapical pathology then go for root canal treatment or discectomy and if there is fracture of bone then you should go for splinting. hope this will help you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better.  unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. you need not worry.  there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. i suggest you use zinc supplements (z&d chatbot."
Please summerize the given abstract to a title,Longitudinal change in TSPO PET imaging in progressive multiple sclerosis
"If you are a doctor, please answer the medical questions based on the patient's description.",please be careful travelling with these conditions may be too much and may be resulting in fatigue. with these conditions he may be taking a few meds which may cause postural hypotension and dizziness. also he may be having arrhythmiaswhich should be checked by long term monitor. make sure he is optimally hy chatbot.  also try to check for low sugar. except some pain pericarditis does not cause any dizziness. but if it does then it is very serious and should be checked with echocardiogram
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. your cousin has large kidney stone with secondary uti. the medicine she has been given is antibiotics which controls the infection which is routine protocol to be given before surgery . the procedure she is scheduled for is called per cutaneous nephron lithotomy(pcnl)where an endoscope (arthroscope) is passed through a small hole at the back in to kidney and the stone is fragmented in small pieces which are delivered outside through the same endoscope. it is a safe procedure to crush the kidney stones done under anesthesia. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the most common cause of left-sided groin pain is an injury caused by overexerting or overusing muscles in your groin area. in this case i suggest using a muscle relaxant such as baclofen three times a day.i also suggest using magnesium supplement for muscle relaxation. warm compresses can also be helpful. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
Answer this question truthfully,"Squamous cell carcinoma (SCC) is typically found in the upper 1/3 of the esophagus, and the main cause of this type of cancer is smoking and irritation."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellowelcome to chatbot congrats as your blood test suggests you are pregnant. as there is a brown discharge - you need to take a lot of rest and your consultant will give you progesterone support in the form of injections which will help you tide over this problem a scan a 6 + weeks will confirm the pregnancy ring7+ weeks the fetal heart will be seen your doctor will help you all the best chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for the query. as per your complaint it seems like there is formation of dental abscess due to deep infection in tooth leading to accumulation of pus below the root tips of the tooth causing swelling and pain. at times the pus perforates the bone and gets accumulated under the soft tissues leading to swollen lump and when the inflammation and infection increases there can be swelling over the face/ cheek in the area adjacent to the infected tooth. it should be confirmed by getting an x-ray of the tooth done under supervision of an endodontist.... in case if it is an abscess and tooth is in a condition to be saved then root canal treatment of tooth followed by antibiotics and painkillers will help. in case of deep decay extraction of tooth will help in complete resolution. as of now consult an emergency room and get evaluated and a prescription of antibiotics like augmenting and anti-inflammatory painkillers like ibuprofen along with serratiopeptidases will help in reducing pain and swelling. do cool compresses over the swelling. hope this helps. regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot forum normal after the last dose of closed over, one will ovulate within 5th to 9th days. it means if you took last dose on suppose 3rd dec. then you will ovulate between 8th to 12th dec. just have regular intercourse within the fertile period, or say at least alternate day. if your menses is late it has nothing to do with ovulation under closed. it has to do only if one is not on closed. so be relaxed and try. i hope i answered your query. wish you good health."
Answer this question truthfully,Most NRTIs are nucleosides that must undergo phosphorylation in order to be active.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you were bitten by unvaccinated puppy following which you had a punctured wound with few chatbot. according to who categories it is categorized into cat iii. rabies is a disease transmitted by dog which is 100% fatal, but it is 100% preventable with proper and adequate treatment. you need to take both antirabies vaccine and antirabies serum, antirabies vaccine should be taken on days 0, 3,7,14 and 28 and rabies immunoglobulin should be taken around the wound on day 0. in addition to this you need to take a shot of in tt and a course of antibiotics. i would suggest you to consult your doctor for proper and adequate treatment. thank you."
Answer this question truthfully,Persantine®
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain in the root canal treated tooth is because of the gum infection in the tooth, or it can be because of the improperly filled tooth. nothing to be panic, consult an oral physician and get a radiograph done to confirm the diagnosis. if it is an improperly treated tooth, then it has to be retreated. if it is a gum infection, then get scaling and root planing done. meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination. i hope my answer will help you, take care."
Please summerize the given abstract to a title,Enhancing the use of computed tomography and cardiac catheterization angiography in Zambia: A project report on a global extension of medical technology in Japan.
"If you are a doctor, please answer the medical questions based on the patient's description.","let me assure you that in case of a baby of this age, green stools are absolutely normal and not a cause to worry about. you need not worry if the child passes stool 10 times a day or once in 10 days as both of these are normal for a child of this age and does not signify constipation or diarrhea. all that needs to be done is to continue breastfeeding exclusively. it is only if the stool is hard and pellet like, that an enema should be given to enable the child in passing stool. i would not suggest any medication. occasionally the child ingests air along with feed. this air can distend the stomach giving rise to discomfort and the child be crying due to this cause. proper burping and giving climax chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query as you have tingling and facing out sensation in tooth don't be worried so much this can be due to periodontal problem like periodontal pocket or due to root caries or neurological disorder. i will suggest you to consult oral surgeon for investigations iowa x-ray of tooth with tingling sensation and if there is periodontal pocket or periodontal problem like periodontitis or root caries then go for its treatment. in meantime do warm saline gargle two - three times a day, you can apply ointment like gum paint on gum with tingling sensation. maintain proper oral hygiene. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms seem to be related to anxiety. i would not recommend taking hy chatbot.  anyway, i would recommend consulting with your attending physician for a careful physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to my chatbot clinic. i studied your query in details and understood your health concerns.-treatment advise and cause of your lump in the inner thigh-a-in -my opinion-it is chronic furucullitis-which is recurring. the pus that came after pressing suggests that abscess was present inside without much of the pain and soreness to him.b-treatment i advise-is as follows-i-as its long-standing lump -? chronic fur uncle with abscess i would advise -fbs and pps to rule out the diabetes in him-as a cause of it.ii-the chronic inadequately chatbot."
Please summerize the given abstract to a title,Acute Type A Aortic Dissection Complicated by COVID-19 Infection
Please summerize the given abstract to a title,The Use of Modified Snorkel Masks as Personal Protective Equipment During Aerosol-Generating Procedures: COVID-19 Necessity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. i have gone through your details. we usually do not advise any special diet for our cancer patients as it is not necessary. just a healthy diet as any other person, but it should be hygienic and properly cooked. only to avoid raw uncooked food, uncooked vegetables. in fruits better to take fruits with a thick peel like banana, oranges, pomegranate etc. hope that makes you clear. regards"
Please summerize the given abstract to a title,The impact of COVID-19 pandemic on dental practice in Iran: a questionnaire-based report
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you are having cardiac disease. and most probably coronary artery disease. risk factors in your case are1. heart function is very low only 35%.2. heart rate very high (tachycardia)3. age more than 30.4. recurrent left sided chest pain which is radiating towards left arm. so get done 2d echo and tmt (trade mill test) to rule out heart disease. also get done coronary angiography to rule out coronary artery disease (cad) as chances of cad are very high in your case.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) in your case. so get done ecg, 2d echo and holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about heart diseases. sometimes stress and anxiety can also cause similar symptoms. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,C: Intravenous clindamycin and gentamicin followed by suction and curettage
Please summerize the given abstract to a title,Childhood multiple sclerosis: A review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome with your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, dear, you need to consult surgeon and dermatologist-if need be. it could be varicose vein lump or could be ringworm transferred from your boyfriend.usg would rule out the mb cyst of the knee. dual image doppler study and physical examination from surgeon would fix the cause of the lump on the back of the leg. this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
Answer this question truthfully,17-hydroxypregnenolone may be converted to 17-hydroxyprogesterone via the enzyme 3β-hydroxysteroid dehydrogenase.
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for asking at chatbot. i went through your relatives history and would like to know more details about him like
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for presenting your problem. sound produced by blood flowing across a heart valve if heard by stethoscope is called murmur. sometimes holes in heart walls which are present by birth may cause these sounds. it may or may not indicate heart disease. in thin chest individuals we may hear such sounds without any disease. they are called innocent murmurs. in addition, if a person is anemic also we may hear murmur without any heart disease. any way need not worry and consult your doctor, and he will advise you if child requires further evaluation,"
Please summerize the given abstract to a title,"Herbal Medicine used for the treatment of diarrhea and cough in Kampala city, Uganda"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think you should go for evaluation first.  do a thyroid profile and prolactin levels.  if it's normal, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 mm, take injection for rupturing the follicles.  be in contact with your husband for next 2 to 3 days.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  hope i have answered your question.  if you have any other query i will be happy to help. regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, crisanta is a contraceptive pill, when used properly is over 99% effective. common side effects such as nausea, dizziness, reduced menstrual flow, headache, breast tenderness are usually mild and short lasting. any serious side effects like rashes, severe headache, fainting episodes, calf muscle pain, jaundice, breast lumps, to consult your gynecologist immediately. if not taken properly, can lead to contraception failure and pregnancy. it is contraindicated in women with pre-existing cardiovascular disease/liver disease, allergic to medication, in women who have a familial tendency to form blood clots, severe obesity and/or hypercholesterolemia (high cholesterol level), and used with precaution in smokers, in women who are on other medications. contraceptive pills can be taken for a period of 2 years and conception after stopping the medications should not be a problem. consider stopping the medication 3 months before planning conception and to start folic acid tablets 5 mg one daily. period can be irregular for 2-3 months after stopping its use but regularizes itself."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your doctor is right. thyroid issue and contraceptive pill both are predisposing factors for gall stone.  thyroid problem can cause high cholesterol level and so the stone can develop.  moreover, you are obese as well. obesity is also one of the risk factors for gall stone.  so you need to correct all these factors by reducing weight and stop taking pills. if thyroid issue present than treatment needed for that according to reports.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking your query with us. if you just have indents on the tongue that is not a problem it is something common but notice it if it seems to be increasing than it can be something problematic, you have to visit any dentist nearby. your habit of grinding teeth and clenching jaws is leading to the popping noise while chewing. actually there is a joint between your skull and jaw, in front of the ear which is called as temporomandibular joint (tmj) grinding habit is causing problem in that. to relieve it you have to improve your habit. try to notice the grinding and chewing for night it better to get a mouth guard made by your dentist, i think it will be relieved if not then message me again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are concerned about the multiple psychological problems. from the description of your symptoms, it appears that you could be suffering from dysthymia (chronic depression) and also seem to be having issue with your sexual orientation and gender identity. from what you have mentioned, i don't see any symptoms of ocd. however, a detailed history and a thorough psychological assessment is necessary in order to arrive at a definitive diagnosis. so, i would advise you to have a detailed evaluation by a psychiatrist and plan further treatment. don't worry, there are effective treatment options to help you with your problems, such as psychological therapy or medication. wish you all the best."
Please summerize the given abstract to a title,The effects of direct current stimulation and random noise stimulation on attention networks
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through your complaints and understand your concern. wear and tear of the cartilage has made the knee bones to come near due to loss of cushion like cartilage. that leads to loss of lubrication and sometimes u get such painful episodes. it can get cured by taking cartilage strengthening tablets. physiotherapy, analgesics,anti-inflammatory chatbot. i appreciate your efforts to lose weight. intra-articular steroid injection shots may help. nothing to worry about. i hope your question has been answered. if you have any follow-up queries, feel free to consult me anytime. thanks, take care, god bless."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i will advise getting it examined once to rule out any neuropathy or other muscular pathology involved. based on clinical examination the medication can be prescribed. for now, you can do hot water fermentation and take the help of a physiotherapist close by who can help to reduce the pain with the help of the tens therapy. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, considering the age, recent heart attack, medication and low hemoglobin, my advice is as follows he is going to be ok. hemoglobin of 6.5% is very low, especially with a compromised cardiovascular system. it could increase the risk of another myocardial infarction. he might require a packed cell rbc transfusion and the based on lab result specific therapy with vitamin or iron. also he needs to go on a nutritional diet to avoid similar problems in the future. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. implanon causes the hormonal imbalance that some people may not get adjusted to. hence, they get headache, weight gain, pain in abdomen and other side effects. i would advise you the following for her"
"If you are a doctor, please answer the medical questions based on the patient's description.","in case of infection in his teeth its advisable not to wait for insurance.  these episodes of pain won't stop unless and until the infection is taken care of by dental treatment. infection in the teeth can be treated by root canal procedure which i am sure your concerned dentist must have advised you. and infection of gums needs to be treated by scaling and if needed flap surgeries which also i assume must have been mentioned by your dentist. in short, getting treated is only the ultimate option before the infection results in loss of tooth. there are no medicines which can cure the infection of teeth as called as decayed tooth."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome sir you were using antifungal & steroids while you are saying its genetic. so you can take genetic constitutional medicine which works on your body system and hormones. not only on your external part of body. can you write down your full detail account to my patient perform /can you take a proper constitutional medina with help of the nearest homeopathic physician .he wills each out his proper medici.otherwise you can try to take that medicine baptista q, nit acid 200 od homeopatchatdoctored chatbot. com"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through the details you have posted. tuberculosis commonly infects lungs. it produces pneumonia if not treated at this stage it produces cavitation and then heals by fibrosis. if fibrocavity or fibrosis is established it won't go off totally. so whether you have this fibrosis or not we need to have a look at your chest x-ray. though fibrosis is seen on chest x-ray you will be cured for tuberculosis... hope this helps."
Please summerize the given abstract to a title,"Clean up time! Redesigning care after COVID-19: a position paper on the care crisis from Austria, Germany and Switzerland"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign proliferative breast lesion like fibroadenoma or fibroadenomas or some benign cyst or fibrotic disease of breast.  chances of cancer are very rare at your age. you should go for excision biopsy and take further treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has upper respiratory tract infection by streptococci. she should take a course of antibiotics like azithromycin or amoxy-clav. for fever, she can use paracetamol as and when required. warm saline water gargles are useful. these antibiotics are prescription based medicine so consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, some amount of spotting is common in early pregnancy. but heavy bleeding associated with cramps and passage of clots is due to an abortion. please get an ultrasound repeated 10 days after the previous one to know the about the development of the baby. also slight bleeding during first 2 -3 months could be due to threatened abortion or due to collection of blood behind the baby. this requires close monitoring. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that there might be having some ingrown hair follicle infection and now producing forming abscess. go for one antibiotic medicine course for 5 days. once pus forming started then it should be excised, so before pus formation is there, start antibiotic medicine as soon as possible. take some anti-inflammatory medicine for 3 days to cut down infection fast. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. there are many causes for this kind of numbness. it may be due to diabetes, some vascular disease, vitamin b12 deficiency or some other cause. it does not look like stroke.  and it is very rare at your age. you should go for investigation first.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot."
Please summerize the given abstract to a title,ECT in the time of the COVID-19 pandemic.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think your doctor is right. it's a good thing that your blood pressure is normal. what you need now is accepting the situation and living with it. anxiety management is first of a personal decision, and you see if you decide to live and be happy in life with yourself, most of the symptoms will degrade on their own. it would be advisable to spend more time with your loved ones, avoid isolation and maybe involve your self in some physical activity or group activity that you enjoy. answer if not well managed could lead to depression.  chatbot. it could be advisable at some point in time to discuss with a psychologist and a psychiatrist, but the key of the treatment depends on your personal effort to motivate yourself, avoid isolation and take your"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot. i have read your query and understood your concern. there are various modalities of treatment for vitiligo including phototherapy, various oral and topical medications like morales. but it is a long term treatment with pigmentation showing effect within 2-3 months. it is a not a completely curable disease but can be controlled with medications. surgical advise is given in case of limited and stable vitiligo. you may discuss this with your doctor. good luck."
Please summerize the given abstract to a title,Necesscity of Expanding TCM Education in the Post-COVID Era
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, after a successful root canal treatment the canals are completely devitalized , disinfected, so there are no chances of pain. pain can be due to incompletely done procedure, re-infection, accidentally left unexplored canal, take an x-ray which will show left remnant pulp tissue and periapical condition. take complete course of antibiotic and analgesic. if the pain is tolerable , you don't worry about the symptoms it will take some days for it to subside. if it persists for more than a month you can consult the dentist. hope this helps out. regards...."
Please summerize the given abstract to a title,Assessment of Factors Affecting Time to Recovery from COVID-19: A Retrospective Study in Ethiopia
Answer this question truthfully,"Serotonin, norepinephrine, and dopamine are the neurotransmitters that are broken down by monoamine oxidase A (MAO-A). MAO-A is an enzyme that is involved in the breakdown of various neurotransmitters, including serotonin, norepinephrine, and dopamine. These neurotransmitters play important roles in regulating mood, emotion, and behavior, and their metabolism by MAO-A is important in maintaining proper levels of these neurotransmitters in the brain. Dysfunction of the serotonin, norepinephrine, and dopamine systems has been implicated in various neurological and psychiatric disorders, including depression, anxiety, and bipolar disorder."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for consulting with chatdoctoras per the latest guidelines at your age target bp must be 140 /90 mm hg. and you are on tab oslo(amlodipine) and already achieved the target i suggest to continue with tab oslo at bed time and maintain a record dof your bp. if your bp still remains high you can start on tablet max as the combination is safe after consulting your physicianhope i answered your query. you can message me for any further concerns"
Please answer with one of the option in the bracket,E: Balloon angioplasty
Answer this question truthfully,Cardiac syncope is likely to occur in a person who has had an MI.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. chest pain at the end of inhalation is seen most commonly due to muscle pain. but also seen in pleurisy (inflammation of pleura). causes of pleurisy are1. pleural effusion2. pneumonia3. traumas to rule out all these, chest x-ray is needed. so please get done chest x-ray and if it is normal than no need to worry much. it will be muscular pain only. take good painkillers and muscle relaxant, avoid weight lifting and heavy exercise."
Please summerize the given abstract to a title,Translating COVID-19 Pandemic Surge Theory to Practice in the Emergency Department: How to Expand Structure
Please summerize the given abstract to a title,Comprehensive evolution and molecular characteristics of a large number of SARS-CoV-2 genomes reveal its epidemic trends
Answer this question truthfully,"Bronchiolitis often presents with wheezing or crackles, rather than stridor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question and understand your concerns. let me try to help you question"
Answer this question truthfully,"The oculomotor nerve passes between the SCA and PCA, and it can be compressed by an aneurysm of the posterior communicating artery."
Answer this question truthfully,The diagnostic study of choice for hypopharyngeal cancer is CT scan with contrast of head and neck. The definitive diagnosis of hypopharyngeal cancer is biopsy of the tumor.
Please summerize the given abstract to a title,Bioinformatics in Africa: The Rise of Ghana?
Please summerize the given abstract to a title,IgA Nephropathy After SARS-CoV-2 Vaccination
Please answer with one of the option in the bracket,B: Diving instructor
Please answer with one of the option in the bracket,D: Subdural hematoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from what you have mentioned, your symptoms of being startled seems to be manifestation of underlying anxiety. your symptoms can be reduced with adequate treatment. i would suggest that you seek a psychiatric consultation for complete evaluation of you condition and initiating treatment. medications like paroxetine will help you. in addition, you can also opt for behavior therapy sessions which will consist of sessions focusing on learning relaxation and help you become more calm and composed. i do hope that i was able to answer your query. wish you all the best."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi! i can understand your concern! in my clinic i would advise the patient
Please summerize the given abstract to a title,"The Advisory Committee on Immunization Practices' Updated Interim Recommendation for Allocation of COVID-19 Vaccine - United States, December 2020"
Please summerize the given abstract to a title,From fringe to centre-stage: experiences of mainstreaming health equity in a health research collaboration
Please summerize the given abstract to a title,"Facing COVID-19, jumping from in- person training to virtual learning: A reviewoneducational and clinical activities in a neurology department"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Site Selection of the Colombian Antarctic Research Station Based on Fuzzy-Topsis Algorithm
Answer this question truthfully,"The condition affects both children and adults. Men and boys are affected slightly more often than women and girls, and it also occurs more often in African Americans. Focal segmental glomerulosclerosis causes about 20 - 25% of all cases of nephrotic syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through the query and understood your concern. as you have irregular cycles, ovulation time cannot be predicted with accuracy. hits can read positive earliest at 4-5 weeks. your serum beta-chatdoctor titles indicate positive response. in the current scenario, the best way to clarify is to go for serial beta-chatdoctor titles along with trans-vaginal sonogram. doubling titles every 2-3 days indicate good prognosis. please see a specialist for further information. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your husbands situation and problem. any lung insult whether tuberculosis or pneumonia or pulmonary contusions heal by following mechanism. 1. fibrosis 2. calcification 3. both and any of the above will remain as it is throughout the life. so possibility of fibrosis or calcification is more in your husbands' case because he is asymptomatic at present. for confirmation, he should go for ct thorax. as ct thorax is more superior for the diagnosis of healed lesion. repeat chest x-ray after 10 days is also recommended. if lesion is same then no need to worry. it is old, healed scar lesion only."
Please summerize the given abstract to a title,Pediatric liver transplantation and COVID-19: a case report
Please summerize the given abstract to a title,Point of emission air filtration enhances protection of health care workers against skin contamination with virus aerosol
Answer this question truthfully,"The most deadly types of cancer are lung cancer, prostate/breast cancer, and colorectal cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. history provided by you requires urgent examination from a surgeon, since problem is with genitalia, most probably fibrosis/paraphimosis2.  majority of boys will have a retractile foreskin by 10 years of age and 95% by 16-17 years of age, [15 years age of you] so even if 2 years are there, still you have to go to a doctor to straighten things out.3. long-standing infection of foreskin [balanoposthitis] may also lead to said condition of contraction. [so surgical opinion/examination is necessary ps. a swab may be taken to confirm the nature of infection4. since it is an urological emergency, thus do not try to reduce/manipulate yourself, seek medical help.ps. failure to remove the constricting band will result in necrosis of the glans."
Please summerize the given abstract to a title,"The impact of the SARS‐CoV‐2 infection, with special reference to the haematological setting"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Health knowledge and non-pharmaceutical interventions during the COVID-19 pandemic in Africa
Please summerize the given abstract to a title,Denosumab can be used successfully as a bridge to surgery in patients with severe hypercalcemia due to primary hyperparathyroidism.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i thoroughly read your query and understood your concerns. gallstones are small stones that form inside the gallbladder. gallstones pain (biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. this compresses the stones, blocking the opening. as the gallbladder relaxes several hours after the meal, the pain subsides.1. biliary colic -\""the pain without cholecystitis- gallbladder infection/inflammation\"" - usually subsides within few hours to a day. acute cholecystitis secondary to gallstones may be continuous and accompanied by fever. 2. medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. medical therapy includes intake of ursodeoxyholic acid (uca) for a period of 12 to 24 months. uca has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. surgery lasts for less than one hour (usually half an hour). laparoscopic surgery has greatly reduced surgery time duration and surgical complications. you may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. i would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. you maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. hope to answer your concern. wish you good and sound health. let me know if i can assist you further. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you can take neuroses chatbot. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. mri shows disc compressing on nerve root then surgical decompression is permanent solution. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
Answer this question truthfully,"Coagulative necrosis is characterized by preserved cell architecture, meaning that the outlines of cells can still be seen. However, the nucleus disappears in this type of necrosis. Coagulative necrosis is a type of tissue death that occurs when cells are exposed to extreme heat or other forms of stress, such as ischemia (lack of blood flow). The term ""coagulative"" refers to the fact that the affected tissue becomes firm and rubbery, as if it has been cooked. Coagulative necrosis is a common type of tissue death in organs such as the heart, liver, and kidneys."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi there yes the blood pressure and heart rate of your brother is on the higher side. he is probably developing mild hypertension. i would like to suggest you to check few things with him1. does he smoke ; if yes then he has to stop smoking as it increases both heart rate and bp.2? does he like eating junk and canned food
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking on chatbot! the early symptoms of rabies include weakness, fever, and headaches. classic symptoms of rabies are anxiety and confusion, hallucinations, hypersalivation, hy chatbot.  paralytic rabies happens approximately 20% of cases. you shouldn't be worried while you have finished rabies injections and your actual symptoms were present before the dog bite. hope my answer was helpful for you."
Please summerize the given abstract to a title,Helen Salisbury: Teleconsultations for all
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for contacting us with your medical questions. from you description i am not sure that you have shingles. shingles is a reactivation of chicken pox and usually limited to one part of your body like a chest wall or an arm but does not go from your arm to your leg. it is also accompanied by severe pain and tingling. if it is still shingle then what ever local treatment you apply that helps is fine. we treat the rash with blisters with cold compresses and covering the area. hope this answers your question. if you have any further questions please contact us again
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,"Early stomach cancer does not make any symptoms. When the cancer grows larger, people may notice one or more symptoms as the following:
Abdominal discomfort or abdominal pain: It is relatively mild pain or no pain may be present with life-threatening condition. With the development of the cancer, abdominal pain may be persistent. Weight loss: This is because of the consumption of the cancer. Weakness and fatigue: The reason is also because the cancer wastes your energy.
Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that problems can be diagnosed and treated as early as possible."
"If you are a doctor, please answer the medical questions based on the patient's description.","in pregnant mother due to diabetes sugar will be high, so baby will get more sugar, so it will be producing more insulin. insulin is the prime hormone for growth in infants.{yes, not growth hormone"
Answer this question truthfully,The paraventricular nucleus of the hypothalamus primarily secretes oxytocin.
Answer this question truthfully,The sacral nerves that carry parasympathetic fibers are S2-S4.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. your problem suggest over usage of the mouth wash, which has caused the burning of the skin, tongue and cheeks. i would advise you to stop using that and for the pain you can take an ibuprofen tablet if you are not allergic to any medication. avoid spicy food and hot food for a while and sip lots of water. apply mucosal/denote on the tissues two to three times daily. do saline gargling. if still persisting, visit your local dentist and get it checked up. hope this was useful. thanks and regards."
Answer this question truthfully,"The most common cause of primary amenorrhea is Turner's syndrome, which is a genetic disorder that affects females and is caused by a missing or incomplete X chromosome. This can lead to a variety of physical and developmental abnormalities, including failure of the ovaries to develop properly and produce hormones. Other potential causes of primary amenorrhea include structural abnormalities of the reproductive system, hormonal imbalances, and certain medications or medical conditions. Primary amenorrhea is a condition in which a female does not begin menstruating by the age of 16. Symptoms may include delayed puberty, absence of breast development, and lack of menstrual bleeding. Treatment for primary amenorrhea depends on the underlying cause and may involve hormonal therapy, surgery, or other interventions to address any structural abnormalities."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. it could be any viral erythematous illness. but as you quote them as itchy blisters - the possibilities are hand foot mouth disease/ chicken pox/ any other trivial viral exanthem. i suggest you use calamine lotion as its giving results along with oral antiallergic like hy chatbot. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing brief history about you. well as per the height you are mentioning i feel it should be ok with the diameter and the protrusion of it. but still if you are too much concerned with it, you can meet a gone and get your breasts assessed. usually the composition of the body is made by the demands of the body and each tissue if formed based on the morphology of it. see if you can take an appointment with a gone and get it check. there is no harm taking expert advice. sometimes a bunch of answers come out to ease a single query. with the grace of god i wish you the best health"
Answer this question truthfully,"The most common location for epistaxis is the anterior septal area, specifically the Kiesselbach plexus. This area is easily compressed manually or with nasal packing. Posterior bleeds are less common but tend to bleed much more and require angiography for treatment. The major blood supply to the posterior nose is the sphenopalatine artery, which is a terminal branch of the internal maxillary artery. If embolization is required, one should be wary of variant anastomosis between the external carotid artery and the ophthalmic artery, as embolizing this area could lead to damage to the eye."
Answer this question truthfully,"The most common cause of lactose intolerance is acquired primary lactase deficiency. Less common causes of lactose intolerance include Small intestinal bacterial overgrowth, Infections such as giardiasis, Drug induced enteritis, Celiac sprue, Tropical sprue, and Whipple's disease."
Answer this question truthfully,"The tests the doctor performs depend on the duration and severity of the constipation, the person’s age, and whether blood in stools, recent changes in bowel habits, or weight loss have occurred. Most people with constipation do not need extensive testing and can be treated with changes in diet and exercise. For example, in young people with mild symptoms, a medical history and physical exam may be all that is needed for diagnosis and treatment. Medical History
The doctor may ask a patient to describe his or her constipation, including duration of symptoms, frequency of bowel movements, consistency of stools, presence of blood in the stool, and toilet habits—how often and where one has bowel movements. A record of eating habits, medication, and level of physical activity will also help the doctor determine the cause of constipation.
The clinical definition of constipation is having any two of the following symptoms for at least 12 weeks—not always consecutive—in the previous 12 months:
straining during bowel movements lumpy or hard stool sensation of incomplete evacuation sensation of anorectal blockage/obstruction fewer than three bowel movements per week
A physical exam may include a rectal exam with a gloved, lubricated finger to evaluate the tone of the muscle that closes off the anus—also called anal sphincter—and to detect tenderness, obstruction, or blood. In some cases, blood and thyroid tests may be necessary to look for thyroid disease and serum calcium or to rule out inflammatory, metabolic, and other disorders.
Extensive testing usually is reserved for people with severe symptoms, for those with sudden changes in the number and consistency of bowel movements or blood in the stool, and older adults. Additional tests that may be used to evaluate constipation include
a colorectal transit study anorectal function tests a defecography
Because of an increased risk of colorectal cancer in older adults, the doctor may use tests to rule out a diagnosis of cancer, including a
barium enema x ray sigmoidoscopy or colonoscopy
Colorectal transit study. This test shows how well food moves through the colon. The patient swallows capsules containing small markers that are visible on an x ray. The movement of the markers through the colon is monitored by abdominal x rays taken several times 3 to 7 days after the capsule is swallowed. The patient eats a high-fiber diet during the course of this test.
Anorectal function tests. These tests diagnose constipation caused by abnormal functioning of the anus or rectum—also called anorectal function.
Anorectal manometry evaluates anal sphincter muscle function. For this test, a catheter or air-filled balloon is inserted into the anus and slowly pulled back through the sphincter muscle to measure muscle tone and contractions. Balloon expulsion tests consist of filling a balloon with varying amounts of water after it has been rectally inserted. Then the patient is asked to expel the balloon. The inability to expel a balloon filled with less than 150 mL of water may indicate a decrease in bowel function.
Defecography is an x ray of the anorectal area that evaluates completeness of stool elimination, identifies anorectal abnormalities, and evaluates rectal muscle contractions and relaxation. During the exam, the doctor fills the rectum with a soft paste that is the same consistency as stool. The patient sits on a toilet positioned inside an x-ray machine, then relaxes and squeezes the anus to expel the paste. The doctor studies the x rays for anorectal problems that occurred as the paste was expelled.
Barium enema x ray. This exam involves viewing the rectum, colon, and lower part of the small intestine to locate problems. This part of the digestive tract is known as the bowel. This test may show intestinal obstruction and Hirschsprung disease, which is a lack of nerves within the colon.
The night before the test, bowel cleansing, also called bowel prep, is necessary to clear the lower digestive tract. The patient drinks a special liquid to flush out the bowel. A clean bowel is important, because even a small amount of stool in the colon can hide details and result in an incomplete exam.
Because the colon does not show up well on x rays, the doctor fills it with barium, a chalky liquid that makes the area visible. Once the mixture coats the inside of the colon and rectum, x rays are taken that show their shape and condition. The patient may feel some abdominal cramping when the barium fills the colon but usually feels little discomfort after the procedure. Stools may be white in color for a few days after the exam.
Sigmoidoscopy or colonoscopy. An examination of the rectum and lower, or sigmoid, colon is called a sigmoidoscopy. An examination of the rectum and entire colon is called a colonoscopy.
The person usually has a liquid dinner the night before a colonoscopy or sigmoidoscopy and takes an enema early the next morning. An enema an hour before the test may also be necessary.
To perform a sigmoidoscopy, the doctor uses a long, flexible tube with a light on the end, called a sigmoidoscope, to view the rectum and lower colon. The patient is lightly sedated before the exam. First, the doctor examines the rectum with a gloved, lubricated finger. Then, the sigmoidoscope is inserted through the anus into the rectum and lower colon. The procedure may cause abdominal pressure and a mild sensation of wanting to move the bowels. The doctor may fill the colon with air to get a better view. The air can cause mild cramping.
To perform a colonoscopy, the doctor uses a flexible tube with a light on the end, called a colonoscope, to view the entire colon. This tube is longer than a sigmoidoscope. During the exam, the patient lies on his or her side, and the doctor inserts the tube through the anus and rectum into the colon. If an abnormality is seen, the doctor can use the colonoscope to remove a small piece of tissue for examination (biopsy). The patient may feel gassy and bloated after the procedure."
Answer this question truthfully,"Most people recover from symptoms of the infection, even without treatment, although they may continue to carry the worms in their body. Complications may be caused by adult worms that move to certain organs such as the bile duct, pancreas, or appendix, or multiply and cause a blockage in the intestine."
Please summerize the given abstract to a title,Edukasi penggunaan transportasi publik DKI Jakarta di masa pandemi COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. your son is getting severe pain in testicles after sustaining injury due to football 3 days back. in view of the hit over private parts the possibility of injury to the testicles has to be ruled out. consult qualified general surgeon for clinical examination and get ultrasound scanning of the scrotum done to confirm the same. taking anti-inflammatory chatbot. further treatment will depend upon result of the scanning and final diagnosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","without an exam, i can only give general information; and the exam would be quite helpful in this case. there can be a fracture, and it would be an indication for an x-ray. the specific location would say what was going on. mostly it is tendons that are irritated. this gets tricky. my dance master swears by icing. i like deep warm water. mostly both are right with ice immediately and things to mobilize inflammation like aspirin like chatbot.  but, i did mention tendons. they get tricky. they heal slowly. furthermore, they can stiffen. graded gentle increases in weight with flexibility training over about 3 weeks would be the usual recommendation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, brief answer"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of viral bronchitis is more likely in your family members. it is spread by coughing chatbot. so better to consult pulmonologist and start treatment for bronchitis. yoi all will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). steam inhalation and warm water gargles 5-6 times a day are also helpful. also"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot, and i will help you with your query i have gone through your question. i need more information about your condition to reach diagnosisyour age and gender? are you diabetic?what's are the size of the lump? any inflammatory changes like redness, pus formation or fluid discharge? any history of trauma?  from the available information it appears to be some infection of your right foot, may be secondary to some trivial trauma. if such a patient walks into my clinic i examine the affected part and prescribe tab augmenting 625\u00a0mg 8hourly, tab paracetamol 500\u00a0mg 2tab 8hourly. if there is pus formation, incision and chatbot.  i hope my answer will help you, feel free to come back with answers of my above question. do rate my answer if you like it.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, scoliosis is a spine condition where one part of the spine is curved to the other side of the body because of the spine deformity. hips take care of the alterations in gait and hence the prominence of hips while walking with increasing age the angle of scoliosis increases. if the angle is more than a certain extent, it needs surgical correction. if it is below a certain extent, braces can be used to correct the deformity to some extent. you need to be evaluated with the help of x-rays and cobb's angle measured over x-rays. kindly consult an orthopedic for further evaluation. hope i have answered your query. let me know if i can assist you further. i wish you the best. thank you."
what is epilepsy,"A form of epilepsy, Juvenile absence epilepsy (JAE) is a  genetic disorder that typically starts between 9 and 13 years.  JAE manifests with sporadic absence seizures  -- ''staring spell'' that can be accompanied by drooping of the head and/or automatisms such as lip smacking.  JAE  may be associated with life-long generalized tonic-clonic seizures and sporadic myoclonic jerks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... with proper lifestyle measures fatty liver will take 8 to 10 months for resolution.... take low fat diet. less oil in cooking... sunflower like good oil needed. trans fat like cheese, meat, burger, pizza avoided. refined food avoided. green veg salad and fruits taken more ... avoid alcohol... udiliv dissolve cholesterol in bile... so useful to prevent gall stone... until clearance of fatty liver take ad\u00edlio. hope you will recover fast then 8 months with above measures. chatbot."
Answer this question truthfully,- http://www4.ocn.ne.jp/~nurophth/CPEO1.jpg - http://webeye.ophth.uiowa.edu/eyeforum/cases/case24.htm - http://journals.tubitak.gov.tr/medical/issues/sag-04-34-3/sag-34-3-9-0401-8.pdf
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for the query, first i would like to tell you that the interpretation of mri should be done only in a given clinical context., has to be correlated with the clinical data. in the absence of clinical problem of a patient it is difficult to say if you need csf or not. i am sorry that i don't know your age and if you have high bp, diabetes and cholesterol problem.  you need not see a consultant who specializes ms, but you need c, clinical evaluation by a neurologist. if you are not happy, better go for a second opinion. the clinical interview will clarify so many things, and we will be able to guide you better. best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam, i thank you for having faith in chatbot and for seeking help on your issue; i have gone through your symptoms, and in my opinion, he will benefit from weight reduction and any corrective surgery will only be useful if his knee joints are in good condition. moreover if they are not so then also he may require a knee replacement in the future. i hope i have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. special note-any medication prescribed needs to be taken after consultation with your personal doctor only. thanks"
Answer this question truthfully,"Hypokalemia, or low levels of potassium (K+), can cause U waves and flattened T waves on an ECG.

An electrocardiogram (ECG) is a test that measures the electrical activity of the heart. In hypokalemia, the low levels of potassium in the blood can affect the repolarization of the heart muscle, leading to changes in the ECG.

One of the classic ECG findings in hypokalemia is the presence of U waves, which are small, rounded deflections that appear after the T wave. The T waves themselves may also be flattened or inverted. As hypokalemia worsens, the ST segment may become depressed, and the QT interval may prolong, which can lead to arrhythmias.

Hypokalemia can be caused by a variety of factors, including kidney disease, certain medications, and metabolic disorders. Treatment of hypokalemia typically involves addressing the underlying cause and administering potassium supplements or medications to restore normal potassium levels.

In summary, hypokalemia, or low levels of potassium, can cause characteristic changes on an ECG, including U waves and flattened T waves."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  it appears that they were elevated due to the alcohol habit, or hepatitis, fatty liver, etc. you may need to have ultrasound for diagnosis and treatment of the liver problem. other liver function tests are to be done to pinpoint the diagnosis.  e.c.g, and echocardiogram are to be done to exclude the cardiac involvement.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods for good health of the liver.  wishing for a quick and complete recovery. thank you."
Please summerize the given abstract to a title,Building digital platform ecosystems through standardization: an institutional work approach
Answer this question truthfully,"Acute epiglottitis may present with a muffled (""hot potato"") voice and inspiratory stridor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. yes, i agree with your doctors that you had a tia. to be more precise, you had a type of tia, which is called as tga, transient global amnesia. in tga, the person has amnesia and forgets many events, which explains your asking weird questions at that time. mri brain would be useful in picking up small infarcts (blood clots) on the left side of your brain. also, the risk factors should be screened for and treated, such as diabetes, high bp, cholesterol, etc. i hope you are on aspirin and statins to prevent the recurrence of tia or a stroke. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. tanning of the toe knuckles is a common issue. and it is easily resolvable. medical cause for it is anemia or deficiency of hemoglobin in blood.it can be easily treated by using iron tablets for 30 day sin case its just due to tanning, you can start with a basic regimen to be followed daily in summer.1.start by soaking your feet in warm water with salt for 20 mins.2.scrub the knuckles thoroughly with lemon slice esp on the tanned areas.3.wash it off and apply moisturizer these three simple steps will ensure your feet remain soft and tan free.thank you, wishing you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query facial scars and hair loss on your skin is because of increased sensitivity of getting pigmented and due to impaired immunity of body. need not worry. i would suggest you to apply cream rich in atelier acid or comic acid. apply on face twice daily. it will lighten scars on skin. apply mashed potatoes on these pigments. take supplements rich in vitamin c. apply cotton dipped in tea tree oil to lighten the pigments. for hair loss take indian gooseberry powder (half spoon) with water once a day and use almond oil. you can visit dermatologist once and can go for chemical peeling or micro abrasion if your symptoms not resolving. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i think you are worrying too much and is obsessed with the given aspects. body temperature always is more in the evening when compared to morning temperature. you feel week because of your obsession with the body temperature. i suggest you, for your peace of mind, to consult a physician to confirm this matter. the doctor will check your vitals and advise you nothing to worry. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of chronic gastritis is more likely in your case. your symptoms like indigestion, heaviness in abdomen, uneasiness, midnight sweating etc. are more suggestive of gastritis. along with antacid (pantoprazole) chatbot.  1. avoid stress and tension, be relaxed and calm. 2. avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. 3. go for walking after meals. 4. keep 2-3 pillows under head in bed. 5. lose weight if you are obese. quit smoking and alcohol if you have these habits. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Moraxella catarrhalis are gram negative diplococci.
Please summerize the given abstract to a title,Reliability and Validity of Two Surgical Prioritization Systems for Reinstating Non-Emergent Benign Gynecologic Surgery During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, at her age interest in play increases and interest in food decreases. this is quite natural. if she is active and playing around you need not worry. this age rather than the quantity of the food i suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding a good amount of ghee to it. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of swollen gums and bleeding which could be due to infection in oral cavity, and it seems to be due to poor oral hygiene and compromised immunity of child making susceptible to infections. need not worry about it. maintain proper oral hygiene by brushing and flossing daily. take antimicrobial mouthwash rinses such as listerine. take antibiotic such as azithromycin to prevent further infection. visit periodontist once and get it examined and go for scaling and root planing of teeth.  chatbot.  avoid giving sticky food such as chocolates, toffees to child. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Functional pituitary adenoma is rarely from adenoma of thyrotrophs (TSH) and gonadotrophs (FSH, LH)."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, unfortunately, there are no medications available to directly treat the condition of cavernous angoras in the brain (no matter what their location).  the only definitive approach to treating this condition is neurosurgical procedure.  this is a very risky treatment option and should be thoroughly discussed with the neurosurgeon before deciding to perform. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot.... according to history you had jaundice ... in jaundice rest given to liver .... so excess fatty and fried food avoided.... now you have normal report ... so you can assume full normal diet... but assume it gradually.... junk food and fried non veg still kept limited for few days.... with your normal routine diet also take fruits daily for maintaining healthy life. hope your concern solved. take care
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you that for the pregnant lady any chatbot.  but if the piercing is infected than you can use it. but use with caution as not to use in much quantity and frequency. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there are many medications for anxiety other than zoloft. but as a psychiatrist, i would not advise you to try any medications on your own. since i don't have many details about your illness, i won't be able to suggest any alternative. however, it is important for you to understand that you should not stop zoloft suddenly. it needs to be gradually tapered down to avoid any chances of discontinuation syn chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","cough with sputum could be pneumonia, tuberculosis, pulmonary edema, depending on what your other symptoms are. you have not specified whether you also have fever, weight loss; whether you also have breathlessness, leg edema. in any case, you should visit a chest physician who will examine you, run some tests (which should include a sputum culture-sensitivity) and accordingly prescribe the appropriate antibiotic (if a bacterium is identified)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello...thanks for trusting the chatbot doctors for your health related queries. i guess your concern is about.chances of getting pregnant unprotected sex.right.my answer is- yes, there are chances of getting pregnant after unprotected sex, if you are not taking any precautions like-1. condom2. i-pill within 72 hours of unprotected sex.3. male partner have to ejaculate outside the vagina.4. if unprotected sex will happens in the safe period(which is first from 1st to 9th day of cycle).u have already taken all these precautions which described above. so in your case there is no chance of getting pregnant. don't worry.relax. i appreciate both of you for your knowledge about unprotected sex and precautions for that. with the above discussion u can try out my suggestions-1. no need to worry.relax. always take one of the above precautions when you are having unprotected sex.2. if u r in doubt then do urinary pregnancy test, it is easily available in medical store. if it is negative then nothing to worry.3. if its positive, then rush to nearby gynecologist. he/she can help u."
Answer this question truthfully,Streptococcus viridans is optochin resistant.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thankyou for your query. using infant formula milk and increased protein powder usage can cause constipation in an infant. as your son is going to be 2 years elder than start giving him boiled vegetables and plenty of fruits (banana)and plenty of water too. if he has had constipation for long time, get him checked once by a doctor to check anal fissure or polyp. you may also use spy .lactulose 5ml at night for few days. regarda, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please verify at what occasion you had the premature ejaculation first. during that time were you stressed? any tiredness, anxiety, family problems, lack of interest in sexual intercourse? the pe happened because of the above reason, and you became concerned and anxious. you carried your anxiety to the next day and started obsessing with the negative pe thought. you had it again. that is the pattern. if you continue with the obsession, pe continues.  i suggest you not to indulge in intercourse for a week. then restart afresh. the problem will cure itself. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Mapping SARS-CoV-2 antigenic relationships and serological responses
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the description, it is not clear that for how many days you are away from your home. in any case, everybody becomes homesick when they happen to be away from home for the first or second time. part of life. slowly they learn to be like that. you are not alone and like everyone you also is bound to come out of such a feeling. just wait and watch. meanwhile do the job for which you are there. you cannot become any sort of mentally ill person just because of homesickness. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"The loss of membrane blebs in hereditary spherocytosis renders RBCs round (spherocytes) instead of their normal disc-shaped morphology. This change in shape can affect the ability of the RBCs to function properly, leading to anemia and other complications."
Answer this question truthfully,Dengue fever can result in renal failure.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my he is having recurrent pericardial effusion. and his pericardial effusion consume blood, so he is requiring blood transfusion. common causes for such recurrent pericardial effusion are infection like tuberculosis and malignancy. if we don't treat underlying pathology, this fluid will accumulate and may endanger life. so better to get done repeat thoracentesis and get done fluid reports for tuberculosis and malignancy. if it is tubercular then anti-tubercular chatbot.  but if it is malignant then he will need pigtail catheter insertion in pericardium. diuretic works only in transitive fluid. so better to consult cardiologist and rule out tuberculosis and malignancy. hope i have solved your query. i will be happy to help you further. wishing good health to your father. thanks."
Please answer with one of the option in the bracket,C: Streptococcus viridans
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Promoting Population Behavioral Health in a Safety-Net Health System During the COVID-19 Pandemic
Please summerize the given abstract to a title,"The impact of the COVID-19 pandemic on subjective mental well-being: The interplay of perceived threat, future anxiety and resilience"
Answer this question truthfully,Total body water volume can be measured using D2O or tritiated water (THO).
Answer this question truthfully,"The hepatitis B vaccine is typically administered at birth, 2 months, and 6 months of age."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting to chatbot. it is unfortunate to note that you have been bitten by bee when you are pregnant. also, from your description it appears that it has been only local allergic reaction. since you are pregnant, avoid any other medication and kindly do the following.1. wash the area of bite with water and using mild antiseptic like salon every day twice daily. this will prevent the bite area getting infected.2. remove the sting carefully if it is still present at the bite site. 3. apply ice packs to reduce swelling. 4. take tablet. paracetamol combination twice a day for 3 days after food. 5. apply calamine lotion at bite site. you should get better soon by doing this. wish you speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query regarding fuzzy head after stroke and can understand your concern. in fact, everyone feels a little fuzzy-headed once in a while, but if you suffer from a fuzzy brain after a stroke, you certainly would like to get your mental clarity back.fuzzy feelings you have can be symptomatic of so many factors - sleeplessness, hormonal imbalance; electrolyte imbalance; anxiety/stress; exhaustion etc. it is a common symptom of menopause. to me, it seems, it is a part of your stroke problem, which has not been fully a chatbot. or may be a side effect of some medication. i would like to know what all treatment / medication you got during that time ? a stroke is a sudden interruption in the blood supply of the brain. most strokes are caused by an abrupt blockage of arteries leading to the brain. many factors as listed above can raise your risk of having a stroke & fuzziness talk with your doctor about how you can control these risk factors and help prevent a stroke.meanwhile, i would like to suggest you to improve your lifestyle and food habits, to strengthen your immune system which is the base of our total health . regular exercise specially, walk, yoga, panama deep breathing, for proper blood circulation and meditation, help strengthen your immune system. include essential nutrients in your diet --fiber rich, low salt - low fat diet, fruit, green veges ginger, garlic to balance air factor-- v\u0101yu dosh -- in our body, vitamins and minerals in natural form -, coconut water,, nuts, almonds, and supplements full of antioxidants as aloe vera juice + amla juice 2 spoons, lemon juice with water and a pinch of salt and black pepper gives immediate relief. fish oil and flax seeds for omega-3 turmeric powder + almond oil is very important for our sound mental and physical health and strengthen immune response naturally. take homeopathic acid pros 30 / 2"
Please summerize the given abstract to a title,Cerebral hemorrhage during the active phase of SARS-CoV-2 infection in a patient with amyloid angiopathy: case report
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, what you heard is absolutely correct. pre-cum does contain some sperms which can impregnate a woman. your intercourse was very much near fertile window which usually from day 10 to day 20 of a regular menstrual cycle of 28-30 days. some spotting before missing a period is not a symptom of pregnancy. however, wait for her period. if she missed it, get urine tested for pregnancy 8-10 days after missed period. these tests may give false negative results if performed earlier. beta chatbot tests are more specific and sensitive; hence they can give reliable results within 2-3 days after missing a period. if she is pregnant and does not want this pregnancy, she can get it terminated by medicines by obstetricians prescription only."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi,1-thanks for the query.2-i went through it in depth,3-i would advise you to get the treatment-from nearby doctor, as it needs prescription of antibiotic and anti-inflammatory-which your doctor would give you.4-it appears that you have multiple folliculitis on the chest with painful bumps-5-so for resolving the cause of the -bumps on the chest-you need to take urgent treatment with the nearby doctor. hope i have attended your query to the point. thnks. wellcome"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello hope you be fine,,,let's discuss your issues one by first you are weak dizzy and nausea,,,these three are interconnected when you are nauseated you don't eat, when you don't eat you have lack of energy, and you feel dizzy ,,,now cure dear take antiemetic, take food after every two hours no matter even if you vomit, take juicessecond your rash and itch after second trimester your skin goes very chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, thank you for posting your query. i understand your query. advantage has active ingredient of methylprednisolone acetate commonly used to treat redness, swelling, crusting. it can be safely used over affected area for up to 12 weeks in adults unless they develop side effects like thinning of skin, purple patches or dilated veins over affected area. swelling will gradually subside. hope this information was helpful. regards"
Answer this question truthfully,Amiodarone can cause pulmonary fibrosis with progression to restrictive lung disease.
Please answer with one of the option in the bracket,C: Gatifloxacin eye drops
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that she might be having allergic asthmatic bronchitis giving this problem often. try to find out the allergen and avoid this precipitating cause. in this case one strong possibility of having eosinophilic bronchitis. go for complete blood test tc, dc, esr and eosinophilic count. stool test for any worm infestation. if there is eosinophilic then one course of di-ethyl carbamide medicine will cure her problem forever. avoid cold, humid and dusty atmosphere. avoid cold chatbot. ask her to go for deep breathing exercises. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",this is a typical case of acne vulgarism affecting the trunk. few things can be done for him1. use some anti-inflammatory chatbot.  and specially after meals.2. he should not prick any of the lesions as it will worsen the disease and will increase the infection.3. use some anti acne soaps that will help to reduce the excess oil on body.4. consult your nearby dermatologist as he may need an expert opinion based on the type of lesions and duration of his illness.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear baileys, thanks for writing in chatbot. antral gastritis requires a 3-week course comprising sucralfate suspension, omeprazole capsules and dietary modifications. after 3 weeks the symptoms need to be reassessed. if symptoms still persist then another 3-week course may be required. for the gall stones, if they are symptomatic then a cholecystectomy or removal of the gall bladder is indicated. i would suggest first to get the gastritis problem under control then deal with gall stone problem. with regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","good afternoon.!! ear and kidney infections occurring simultaneously could mean that your 2 year 8-month-old daughter has low immunity levels indicated by frequent sore throats and malaria three times. yes, they are completely curable with proper treatment. nothing to worry much. so if the problem is recurring, it's better to visit pediatric ent surgeon and pediatric nephrologist for further evaluation and management. thank you, have a nice day.!!!"
Please summerize the given abstract to a title,Convolution Neural Network Based Infection Transmission Analysis on Covid -19 Using GIS and Covid Data Materials
Answer this question truthfully,The most common CFTR gene mutation in individuals with cystic fibrosis results in a misfolded protein that is retained in the RER (rough endoplasmic reticulum).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. if you are not relieved with half a pill of hy chatbot. . one thing that i would like to tell you is that pain after wisdom tooth extraction is a common finding, you need not worry, the pain will gradually subside as the healing will proceed. so if there is tolerable range of pain then you need not worry and just relax.however, you can take ibuprofen but the combination you are taking is competent and even stronger, so better continue with the same. you can also apply lidocaine gel over the extraction socket to reduce pain. you can also do cool compresses over the cheek. hope this helps. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. copd (chronic obstructive airway disease) is chronic, progressive disease. it is incurable. once a copd patient always a copd patient. we have to control it and stop the progression of the disease. so all the treatment is directed on 2 strategy only.1. prevention of copd.2. hold the progression of copd. so follow these steps for better management of copd.1. avoid smoking if you are smoker 2. take your inhaler medicines regularly.3. enroll your self in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done.4. take adult pulmonary vaccines like pneumococcal and h.influenza to prevent future lung infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, and thank you for writing to us. your condition is chronic idiopathic urticaria but can be said idiopathic only after the following tests are negative or normal"
Answer this question truthfully,Acoustic neuromas are common among the elderly.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome & thanks for posting your query to chatbot. after reading your query it appears that you are quite stressed regarding the problem of pigmentation, and you want to use the cream told by your friend. i am really surprised to see that how can we do injustice with our skin and faces without even knowing the good or bad effects of any chemical agent. the cream told by your friend contains strong steroid in it. these steroids are known to produce dangerous side effects if not used in proper guidance. every chemical agent have good effects in good hands and the same can prove disastrous if not used properly under medical advice. it is practically injustice to use this cream or anything available in market without proper guidance. this needs a proper evaluation and then under proper follow up with a dermatologist to use any kind of creams or related things on your face. i suggest you to kindly meet a proper dermatologist for best of the suggestion and treatment else you can send your detailed query to our forum where a team of renowned doctors will help you out in your problem. hope this information helps. chatbot."
Answer this question truthfully,Surgery is a primary treatment for stage III seminoma. Chemotherapy is usually given after surgery.
Answer this question truthfully,"Paralysis of the lower right facial muscles can be caused by a lesion in the left central facial nerve, specifically in the corticobulbar tract. The corticobulbar tract is a collection of nerve fibers that connect the motor cortex of the brain to the cranial nerves that control facial movements. Damage to this tract can result in weakness or paralysis of the facial muscles on the opposite side of the lesion. This condition is known as facial palsy or facial paralysis and can have a variety of causes, including infection, trauma, tumors, and neurological disorders such as stroke or Bell's palsy. Treatment depends on the underlying cause of the paralysis and may include medications, physical therapy, or surgery."
Please summerize the given abstract to a title,An Exploratory Study into EFL Teachers' Implementation of New Technologies and Distance Teaching During the Covid-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.",hi dear. palpitations are a cardiac symptom. so i will advise you to kindly not ignore it. visit your doctor and get an ecg done. it will help us to confirm if you require any more tests or not. meanwhile reduce your salt intake . and eat a lot of fibers. since you have experiencing palpitations more often i will advise you for a cardiac evaluation. hope my answer helped you. please do rate my answer.
how to prevent atherosclerosis,"treatments have reduced the number of deaths from atherosclerosis-related diseases. These treatments also have improved the quality of life for people who have these diseases. Follow your treatment plan and take all of your medicines as your doctor prescribes. Your doctor will let you know how often you should schedule office visits or blood tests. If you're very depressed, your doctor may recommend medicines or other treatments that can improve your quality of life."
Please summerize the given abstract to a title,COVID-19 and intracerebral haemorrhage: causative or coincidental?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having akt (anti tb treatment) induced liver damage. it is commonly due to pyrazinamide, rifampicin and isoniazid. so once liver damage is detected, we need to stop all these chatbot.  ethambutol is liver safe and can not cause damage. along with ethambutol, levofloxacin should be started. levofloxacin is also liver safe. you are taking akt 2. it is having rifampicin and isoniazid. both are hematologic and hence should be discontinued. instead of it, you should take ethambutol and levofloxacin. you need to take these"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting on chatdoctordepo injection can cause slight delay in fertility - normally if someone is on repeat demo injections up to a period of 2y continuous - it may take up to 6 to 9 months to get periods started regular & spontaneous. it seems you only had 1 injection of demo, which should not really delay fertility - i recommend thorough investigations (blood test for hormonal profile incl thyroid testing & also full blood count etc. + ultrasonography to see if ovarian abnormalities) hope this helps"
Answer this question truthfully,"Cytarabine is a medication used in the treatment of certain types of cancer, particularly leukemias and non-Hodgkin's lymphoma. This is because Cytarabine targets rapidly dividing cells, including lymphocytes, which are the cells that become cancerous in these diseases. By interfering with the growth and division of these cells, Cytarabine can help to slow down or stop the progression of the cancer. However, because Cytarabine can also affect other types of cells in the body, it can cause a range of side effects and must be used with caution under the supervision of a healthcare provider."
Answer this question truthfully,"Diagnostic Work up for Diffuse Large B cell Lymphoma include Laboratory tests including Complete Blood count (CBC), Comprehensive Metabolic Panel, LDH and Uric acid Levels, Genetic testing, molecular diagnostic assays and immunophenotyping. Screening tests for Hepatitis B, Hepatitis C and HIV are usually recommended after diagnosis."
Answer this question truthfully,"The main virulence factor of Cryptococci fungus is the repeating polysaccharide capsular antigens of the Cryptococci capsule, which makes it anti-phagocytic."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear kumar, thanks for asking. your anti tb chatbot.  acidity or dyspepsia could occur because of painkillers. you are also taking good medications for your acidity. if you are still having acidity, you should consult your gp/ doctor who may refer you for gastrostomy. your vertebral collapse will not return to original state even in spite of complete cure of your tb; you will have contact orthopedic surgeon, who will advise according to his assessment. welcome for any follow-up questions."
Please summerize the given abstract to a title,Unexpected sequelae of the COVID-19 pandemic: A strange case of myoclonus in the Tasmanian winter.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot sun protection with a broad spectrum sunscreen is a must, throughout the day. a sunscreen with minimum spf 30 would be good. you need to re-apply it every 2-3 hours for maximum efficacy at night you could use a skin lightening cream containing one or more of the skin lightening ingredients like comic acid, hy chatbot.  chemical peels can be taken along with the topical treatment, and together they can produce remarkable improvement. regards"
Answer this question truthfully,"An abdominal CT (computed tomography) scan without contrast is the preferred imaging modality for detecting kidney stones. Alternatively, an ultrasound can also be used."
Please answer with one of the option in the bracket,E: Spironolactone
Answer this question truthfully,The medial aspect of the pre-/post-central gyrus is supplied by the anterior cerebral artery.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, cremaffin-plus is an osmotic laxative commonly used for the symptomatic relief of constipation. its common side effects include habit-forming, loose motions, abdominal discomfort, muscle weakness, and on prolonged use it may cause deficiency of fat soluble vitamins and aspiration pneumonia. it is not associated with weight gain. weight gain could be due to lack of exercise, hormonal diseases or other conditions for which you need to consult your doctor. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Mortality of COVID-19 with preadmission metformin use in patients with diabetes: a meta-analysis
Please summerize the given abstract to a title,Is telemedicine the answer to rural expansion of medication treatment for opioid use disorder? Early experiences in the feasibility study phase of a National Drug Abuse Treatment Clinical Trials Network Trial
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot demo proverb can be associated with breakthrough vaginal bleeding like you described. it can also potentially cause headaches, depressed mood and weakness. these side effects can occur while on the medication. since you were due a shot in mid-december, it would be almost 2 months since that shot was due and almost 5 months since the last one. it is unlikely that the demo would still be contributing significantly to your symptoms. it may be best, if possible, to visit your doctor for review. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. it seems that the swollen lips and upset stomach are different entities that your daughter is suffering from. swollen lips seem to be an allergic reaction to some allergen your daughter might have been exposed to. stomach upset can also be an allergic reaction to some food item she is allergic to. however, allergic reactions are not associated with high fever. thus, association of fever indicates presence of bacterial infection of the stomach. for swollen lips, she can take levocetrizine 5 mg (exocet) once a day for about 5 days. this will help in reducing the swelling. if the swelling does not reduce or increase in intensity during these 5 days of course, you should visit a dentist for finding out the reason of the swelling. in addition, as the diarrhea and vomiting are severe, you should not wait to consult a physician or pediatrician for the treatment of the infection as deny chatbot.  make sure that she keeps"
Please summerize the given abstract to a title,Outbreak of multi-drug-resistant (MDR) Shigella flexneri in northern Australia due to an endemic regional clone acquiring an IncFII plasmid
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult pulmonologist and get done1. chest x ray2. put (pulmonary function test). infection is the most common cause for attack of bronchitis. so proper control of infection is must. since you are having greenish mucus, even after antibiotic, we need to rule out lower respiratory tract infection (leti) first. so chest x-ray is needed for this. and if consolidation is seen on x-ray then sputum culture and sensitivity is needed to guide antibiotic therapy. pft is needed to diagnose bronchitis. this will also tell you severity of the disease and for treatment severity is necessary. you may need inhaled bronchodilators like lab (long acting beta 2 agonists) and inhaled corticosteroids (ics). so better to consult pulmonologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. dizziness you need to get your bp monitoring done, your symptoms could be due to high blood pressure. you need to be treated for it. get your lipid profile test done, could be due to inner ear problem also. better to get your basic blood investigations done and consult a physician. hope i answered your question. feel free to ask me if you have any further queries. wish you good health. take care. regards"
Please summerize the given abstract to a title,COVID-19 in regions with low prevalence and low density of population. An uncertainty dynamic modeling approach.
Please summerize the given abstract to a title,Systemic Management of Pandemic Risks in Dental Practice: A Consolidated Framework for COVID-19 Control in Dentistry
Please answer with one of the option in the bracket,E: Succinylcholine
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,E: Calcium gluconate
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your query at chatdoctori suggest it is good that your head is negative and in that case there is the least chances of infectivity to others. but the matter of concern is bag reactivity i suggest you get the test repeated. in some cases it takes time for hbs antibodies to appear late. so don't worry just be in touch with follow up with your physicians. avoid marriage/immigration for some more time if you can as if your bag is positive for more than 6 months then you might be a carrier and have risk of chronic infection. get your liver enzymes checked to confirm the same. ready to take more queries if any. take care!
"If you are a doctor, please answer the medical questions based on the patient's description.","with such presentations in my clinic, i would first rule out serious damages to cervical column, so a fast and simple measure is to do a plain radiography of your cervical column and consulting your primary care doctor. if there is nothing wrong with bony structures, then the problem you describe is sort of damage to cervical soft tissues (whiplash) and bed rest, otc chatbot. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions."
Answer this question truthfully,"Disseminated intravascular coagulation (DIC) may occur secondary to malignancy, such as adenocarcinoma, due to activation of the coagulation cascade by mucin. Mucin is a type of glycoprotein that is produced by some cancer cells, particularly adenocarcinomas. Mucin can activate the clotting system by binding to platelets and activating the coagulation cascade. This can lead to the formation of blood clots in the small blood vessels throughout the body, which can cause organ damage and other complications. DIC is a serious complication of malignancy and can be difficult to manage. Treatment of DIC in the setting of malignancy typically involves treating the underlying cancer and providing supportive care to manage the complications of DIC."
Answer this question truthfully,"Complications of pharyngitis may include:
Blockage of the airway (in severe cases) Sore (abscess) around the tonsils or behind the pharynx"
Answer this question truthfully,"The recommended next step in management for a 14-year-old girl who presents with a lack of menses but has breast and pubic hair development at Tanner stage 3 is reassurance and re-evaluation. This is a common presentation in adolescent girls who are experiencing delayed puberty. The healthcare provider may recommend monitoring the girl's development and reassurance for the parents that it is not a cause for concern. However, if there are any additional symptoms or concerns, further testing or evaluation may be necessary. The healthcare provider will determine the appropriate management approach based on the specific circumstances of the girl's condition. Re-evaluation may be necessary in several months to ensure that there is no underlying medical condition causing the delay in puberty."
Please summerize the given abstract to a title,A Bayesian network based study on determining the relationship between job stress and safety climate factors in occurrence of accidents
Please summerize the given abstract to a title,Severe COVID-19 in the intensive care unit: a case series
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, okay, cannot say in your particular case, but generally, that is a high amount of ibuprofen and has a considerable risk of stomach injury. sometimes, even fatal ulcers won't have even that much of a warning. i haven't found surgery to work on pain, muscle relaxers, nerve dampeners and of course opiates are likely to work on sciatica pain. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, alpha photo protein (afp) is a substance produced by the liver, normally in very small amounts. but the levels go up in cases of heat cellular cancer (hcc). the ct report is suggestive of hcc and is probably the reason why the afp levels are high. the term multi focal hcc suggests there are more than one lesion in the liver. the most curative form of therapy for hcc is surgery. but given that there is background cirrhosis of the liver, this might not be feasible in your patient. the best treatment in this scenario would be a liver transplant (provided the chatdoctoreet certain criteria). this would not only get rid of all the cancer, but also replace the cirrhotic liver with a new healthy liver. if a liver transplant is not feasible, either because of patient factors (age, other health conditions, cost) or because of extensive disease, then other choices for treatment include radio frequency ablation of the cancer, trans cutaneous chemo- embolization (race - where the blood supply to the tumor is selectively cut off) or per cutaneous injection of alcohol into the lesions. once the cancer gets treated, the afp levels will spontaneously decrease and then the levels can be used to monitor for recurrence of cancer. hope this helps, and please do not hesitate to contact me for further details - rxsuresh@gmail.com"
Answer this question truthfully,"Mittelschmerz may be felt on one side one month, then switch to the opposite side the next month, or it may be felt on the same side for several months in succession.
Symptoms include lower-abdominal pain that is:
One-sided Typically lasting minutes to a few hours, possibly as long as 24-48 hours Usually sharp, cramping, distinctive pain Severe (rare) May switch sides from month to month or from one episode to another Begins midway through the menstrual cycle"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...the habit of eating dirt and biting cardboard so in all probabilities this is pica.as described in medicine. nothing like deforming should be done 6 monthly...it should be done only if symptoms are there. he needs some iron supplementation and i suggest you consult your pediatrician for the same. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,The primary cause of pseudogout (CPPD) is most commonly idiopathic.
"If you are a doctor, please answer the medical questions based on the patient's description.","1. use aloe vera, malawi, vit. e, olive oil, cucumber.2. aloe vera juice acts as a natural bleach, and applying it will gradually fade away the mark.3. cucumber due to its cooling properties help in removal of scar tissues, you can make a paste out of cucumbers and directly apply on the mark for smoothness.4. malawi is a good source of it. c which is helpful in wound/scar healing, same hold true for it. e5.  use lime juice and wash with plain water avoiding use of soap and going out without use of sunscreen.6. lastly talk with your health care professional about the same."
"If you are a doctor, please answer the medical questions based on the patient's description.","diarrhea and vomiting suggest your son is probably suffering from gastroenteritis. other causes of succhatdoctorplaints are appendicitis, food poisoning, food allergies gastroenteritis may be caused due to bacterial, viral or protozoal infection, but viral infections are more common. treatment for this condition antiemetic like ondansetron for vomiting, ors solution to prevent deny chatbot. for further queries regarding this disease or its medications you may take my appointment at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello chatbot. thanks for using chatbot.first i would like to know about your postural hypertension, usually one gets postural hypotension.kindly clarify and mention exact level of bp. it is surprising that you are not on medicine inspire of knowing that you have hypertension for last 20 yrs! if you are tolerating amlodipine well then it is good medicine, and you may increase the dose to 5 mg once a day. you should aim bp below 140/90. if you don't attain that target you may add medicine from ace group of medicine. my best wishes"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs (with non - specific symptoms like this) could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol."
Please summerize the given abstract to a title,Association between Serum 25-hydroxyvitamin D Levels and Incidences of Infection in Long-Term Care
Answer this question truthfully,Normal pressure hydrocephalus typically affects the elderly.
Answer this question truthfully,Cardiac glycosides can lead to an increase in contractility.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should consult pulmonologist and rule out asthma. you are having eczema (skin allergy), breathlessness and choking sensations in throat. all these are seen in asthma. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. you will improve with inhaled bronchodilator and inhaled corticosteroids (ics). for lactation, i think you should consult gynecologist and get done clinical examination and hormone levels to rule out hormonal imbalance. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,"Proper assembly of a self-retaining, vaginal Magrina-Bookwalter retractor and demonstration of its use during a vaginal hysterectomy"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query at chatbot. you are talking about diarrhea in a 4-month-old child. you have not indicated whether your baby is exclusively breastfed or is on milk substitutes. usually it is caused by a virus called rotavirus. in case of feeding with milk substitutes, irrespective of how well you sterilize the containers, there is always a scope of contamination. it is therefore quite common for bottle fed or spoon-fed babies to have recurrent episodes of diarrhea. breastfeed is therefore always the best. in case of milk substitutes, ors needs to be given in case of diarrhea. in case your baby is breastfed, continue breastfeeding as it is better than ors. this is important so that the child does not lose salt and water from his body. the frequency of passing urine will indicate whether the feeds are adequate. continue the medication prescribed by your doctor for the prescribed duration. hope i have been able to ad chatbot.  feel free to revert in case of any other further queries."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear ishtiaqas per your usg, you are having sol in liver, which is likely hematoma as per report. i would suggest you to undergo a liver specific (traffic) ct scan or mri to be sure about the diagnosis. in case, the diagnosis remains hematoma, then you should understand that there is no medical management for the hematoma. surgery is indicated only in case of symptoms which may be varied from persistent pain to rupture leading to bleeding, compression of surrounding organs, bleeding inside the tumor (may present as pain, sudden increase in size of tumor or symptoms of bleeding like weakness and fall in hemoglobin) or fall in platelets. however, you should not assume that any pain in abdomen should not be attributed to hematoma, although you should be vigilant to detect any sudden onset of pain which may be an indication for bleed inside tumor or tumor rupture. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes this gritting of teeth is found in person with stressful life, in patients suffering with ocd and in patients suffering from other psychogenic disorders. in this condition, a person consciously or subconsciously grits his/her teeth. this usually leads to attrition (wearing off) of teeth outer layer(enamel) and some pain in the jaw muscles. this attrition of teeth may also lead to increased tooth sensitivity to cold and hot food stuffs. it may at a later stage also lead to gum problems and loosening of teeth. your dentist will make a night guard for you. this is nothing but a soft plastic like stuff which u have to wear on your teeth before you sleep so that you don't grit your teeth while at sleep. he may also advise you for some mental relaxation procedures like meditation, yoga etc. which might help you to cope up with stress if any."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, according to the history presented by you, it seems that it is a case of re-infection, as root canal treatment has already been performed on that particular tooth. the reason for re-infection is improper technique of rct, also you have not mentioned that whether you had a crown over the tooth or not after the rct.i would recommend you to visit your dentist soon as the infection has spread to the surrounding tissues as well, but till the time you cannot make a clinic visit, start with antibiotic and anti-inflammatory medication. also perform antibacterial mouth rinse(3-4 times/day).do not worry and meet your dentist soon.i wish you good health, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, return of ovulation usually occurs within six weeks in the majority after removal of the implant. the spotting you have been observing is most likely due to breakthrough. if conception occurs, implantation bleeding is observed around one week -10 days after conception as the embryo implants itself into the uterine wall. it is a fresh bleeding, not brownish but red or pink in color. it is difficult to say without a proper temperature record to say if ovulation has occurred. recording of basal body temperature should be done systematically. you can test for pregnancy if you miss your period. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for your question... since you say that he had been depressed even before the accident, it is more likely that his current psychiatric symptoms are related to the depression. when depression becomes severe, psychotic symptoms can appear (like hearing voices, false beliefs, etc.) moreover, since he was well enough to be sent home after the accident, it is unlikely that he would have suffered from any significant brain damage.  depression can be caused due to neurochemical imbalances in the brain and need not be stress related always. so, it is not surprising that he did not reveal anything to his parents. with appropriate medication and close follow up he should be able to come out of his depression. best wishes,-"
Please summerize the given abstract to a title,Major head and neck reconstruction during the COVID-19 pandemic: The University of Pittsburgh approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, superficial scars would respond to peeling but deep acne scars which are mainly pitted would not. in deep pitted scars, one needs to release the scars from their underling attachment with the help of needles called submission and after that fill in the dead space so create with artificial fillers or fat to smooth out the surface. however, you can go in for the tca application as the first step and then consult a plastic surgeon for further procedures which i have mentioned."
Please summerize the given abstract to a title,Ad-hoc e-learning measures during COVID-19 lockdown in Republic of Srpska HE institutions: student insights
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. you may need investigation like x-ray and mri. ultrasound of hip and arthrography in dynamic mode will help to know pattern of recurrent hip dislocation. you should take step for permanent solution of problem. proper immobilization and later on rehabilitation is important post surgery. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. idiopathic pulmonary fibrosis (ipf) is classified under interstitial lung disease (old). it is chronic, progressive and idiopathic disease. usually seen in old age. in these lungs become fibrosis, thickened and stiff. so all capacities are reduced and due to this oxygenation is hampered. you will need pft (pulmonary function test) and hrct (high resolution ct thorax) for the diagnosis of ipf. the final confirmation of ipf is based on lung biopsy. so better to consult pulmonologist and discuss all these."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and concern for your son. young boy missing the school due to pain in abdomen on the right more in the middle of abdomen. constant feeling of sickness. the ct scan and ultrasonography are not normal as there are few enlarged lymph nodes in the abdomen at the same site. the gall bladder must be normal and removing the gall bladder without any evidence of inflammation or stone is no reason to remove it for a school going child. the reason for the pain in abdomen is obvious. get the relevant tests of blood, urine and stool, tidal for typhoid, quantifier gold test for tuberculosis, ultrasonography guided fnac id the nodes are just bellowed the anterior abdominal wall. give him a 7-day course of antibiotic, metronidazole, probiotic and anti-inflammatory medicines, review the size of the lymph nodes by ultrasonography. give additional course of 2 more weeks and see the results. he will be fine by then. if there is no regression even after 3 weeks course, he needs laparoscopic visualization of the abdomen, biopsy of the lymph nodes and then a definitive treatment as per the reports."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. electric shock sensation while using glass face touchscreen appliances are due to altered capacitance in your skin. you may consult a dermatologist in your area for further evaluation hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient i am glad you asked. you are probably suffering from epidermis cysts, inflammation around the oil producing follicles, or may be an infection of the glands around the anal region. which may have come down in intensity, due which your pain is gone. but there is a high possibility of them increasing in size and pain in the future. so i advice you to consult a general surgeon and take the treatment to prevent recurrences. hope that answers the question."
Please summerize the given abstract to a title,Influence of Quarantine Measures against the New Coronavirus Infection Covid-19 on the State of Black Sea Coastal Waters
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. cause and plan of treatment-in my opinion on the given data, you seem to have bruise with cellulitis around it due to infection of the bruise.it's not getting better due to the friction at the butt crack between 2 butt cheeks. treatment-consult er surgeon / and take anti-inflammatory / and antibiotics for 5 days time, and this would resolve the issue of the lump on buttocks. plz check out with your er surgeon who would treat it accordingly. so don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.instead, just ask a query to chatbot and be comfortable to resolve your health issues. welcome for any more query in this regard to chatbot. write good reviews and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi transit, does she have jaundice? was she alright before 3 days? is she on any medications? the report suggest mild hepatomegaly. there are various causes for this. as it may happen due to infections like hepatitis a, owing to some medications or simple viral infections called viral hepatitis. just get her examined by a pediatric gastroenterologist so that he can evaluate her completely and get a blood work up done to rule out any infection or any other cause. i wish her good health, take care."
Answer this question truthfully,Inability to secrete H+ by the α-intercalated cells (distal RTA) results in no new HCO3- generation.
Please summerize the given abstract to a title,The inflammatory markers of multisystem inflammatory syndrome in children (MIS-C) and adolescents associated with COVID-19: A meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, you are suffering from chronic viral hepatitis c as your liver functions are normal most of the time as per your information. this infection is asymptomatic for 10 years or more. you are following healthy lifestyle which is good including quitting smoking and chatbot. it is not clear you are being seen by a gastroenterologist or not if not please visit him/her as there are certain tests which needs to be done like hcv antibody enzyme immune assay or elisa, recombinant immunoblot assay, and quantitative hcv rna polymerase chain reaction (pcr) along with liver function tests. you should also take vaccine against viral hepatitis a&b if not already taken. regulated interferon alpha and the antiviral"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through the data you have posted. fatty liver and fever may not be connected in your case. usually fatty liver is an incidental finding. as you told fever is not coming down, you need a detailed examination and blood chemistries. tlc you mentioned shows it's mild elevated suggestive of infection. we need to examine and do other necessary tests to locate focus of infection. common loci of infection are lower respiratory tract, urinary tract which may be asymptomatic and may be revealed on investigation. so kindly consult a general physician... hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. thank you for writing to us. topical treatment for psoriasis is absolutely safe. since you have been using only topical treatment therefore you need not worry about malignancy. systemic treatments like phototherapy and immunosuppressive like cyclosporin can result in skin cancer and other internal malignancies after years of treatment. phototherapy involves exposing the body to uv a ray which are carcinogenic in the long run. cyclosporin is an immunosuppressive and years of its use can lead to skin malignancies as well as other malignancies of the lymphoreticular system. you can talk to your doctor for more details regarding this. regards
"We have 14 siblings in our family , at least 10 of us has had a frozen shoulder.  We are wondering why?  should we be concerned?","Most of the time, there is no cause for frozen shoulder. Risk factors include: - Diabetes - Thyroid problems - Changes in your hormones, such as during menopause - Shoulder injury - Shoulder surgery - Open heart surgery - Cervical disk disease of the neck - Women 40 to 70 years old are most affected Main symptoms of a frozen shoulder are: - Decreased motion of the shoulder - Pain - Stiffness Frozen shoulder without any known cause starts with pain. This pain prevents you from moving your arm. This lack of movement can lead to stiffness and even less motion. Over time, you are not able to do movements such as reaching over your head or behind you. ...   Left untreated, the condition often gets better by itself within 2 years with little loss of motion. Risk factors for frozen shoulder, such as diabetes or thyroid problems, should also be treated."
Please summerize the given abstract to a title,Resilience and Sustainability of the Water Sector during the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it. for these symptoms analgesic and neurotrophic like pregabalin and methylcobalamin medication can be started consulting your doctor. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, does she have fever or vomiting? does the stool contain blood or mucus? is there any abdominal pain or discomfort while pooping? if no above said symptoms, this need not be taken as significant. some change in stool frequency, colour or consistency is common once in a while, and need not be worried about. you can continue the same feeds as before. if stool is too loose, reducing amount or withholding fruits for few days might help. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your query, your child has symptoms of loose motions which seems to be due to acute gastroenteritis which is a type of viral infection. it could be due to electrolyte imbalance in the body.  need not worry. i would suggest you give child proper rest. you should have plenty of fluids to rely chatbot.  you should take a diet rich in multivitamins. furthermore, you should do tepid sponging as well. visit gastroenterologist once and get it examined. you should get blood tests done to find out the underlying cause of your condition whether bacterial or viral and start treatment accordingly. the treatment prescribed by your physician is correct. your symptoms will resolve in 3-5 days.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Complicated Parapneumonic Effusion is a medical condition that occurs as a complication of pneumonia, where fluid accumulates in the pleural space around the lungs. It is characterized by the following features: Leukocyte counts > 50,000, pH < 7.2, and Glucose < 60. These parameters are used to distinguish complicated parapneumonic effusion from simple parapneumonic effusion, which is typically less severe and does not involve these features. Complicated Parapneumonic Effusion can be a serious condition that requires prompt medical attention, as it can lead to sepsis, respiratory failure, and other complications. Treatment for Complicated Parapneumonic Effusion may involve drainage of the pleural fluid, antibiotics, and supportive care, depending on the severity and underlying cause of the condition."
what the treatment for bronchitis,"Industrial bronchitis is swelling (inflammation) of the large airways of the lungs that occurs in some people who work around certain dusts, fumes, smoke, or other substances.  ... The goal of treatment is to reduce the irritation. Getting more air into the workplace or wearing masks to filter out the offending dust particles may help. Some people may need to be taken out of the workplace. Some cases of industrial bronchitis go away without treatment. Other times, a person may need inhaled anti-inflammatory medicines. If you are at risk or have experienced this problem and you smoke, stop smoking. Helpful measures include: - Breathing humidified air - Increasing fluid intake - Resting The outcome may be good as long as you can stop being exposed to the irritant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for writing to your semen analysis report suggests infection with decreased sperm motility. infection is indicated by the presence of pus cells in semen. normally there shouldn't be any pus cells in semen. infection may be due to prostatitis, uti. you need antibiotics for infection. you need few more investigations like routine hologram, rbs,ultrasound of pelvis should be done. trans rectal sonography of prostate can be done if needed. proper antibiotics should be prescribed depending upon sensitivity report. you also have low sperm motility. sperm motility should be at least 55 %. fertility will definitely improve with control of infection. you should do exercise and take nutritious food. you should avoid tight underpants. avoid cigarettes and alcohol if you take these things. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. you might be suffering from scabies. the other condition having similar presentation is endogenous eczema. you will require treatment with permethrin or steroids, depending on the condition you are suffering from. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.https"
Answer this question truthfully,"Sevelamer is used to treat hyperphosphatemia, and it is commonly associated with chronic kidney disease."
Answer this question truthfully,"Hypophosphatemic rickets (vitamin D-resistant rickets) is inherited in an X-linked dominant pattern, which means that the mutated gene is located on the X chromosome. Males and females can inherit the disorder, but males are more severely affected since they only have one X chromosome. Females have two X chromosomes, so they may have a milder form of the disorder if they inherit the mutated gene on one of their X chromosomes. The disorder affects the bones, causing them to become soft and bend, leading to skeletal deformities and other symptoms."
Answer this question truthfully,The following are excellent videos demonstrating the underlying pathophysiology. {{#ev:youtube|L6EiPLli5x8}} {{#ev:youtube|cOMzh2hf_Vw}} {{#ev:youtube|a8Idk4EUYTs}}
Answer this question truthfully,"Treatment with chemotherapeutic drugs (e.g., prednisone plus vincristine plus cyclophosphamide plus doxorubicin; methotrexate plus 6-MP) to prevent disease recurrence once remission has been achieved Maintenance therapy usually involves drug doses that are lower than those administered during the induction phase In children, an intensive 6-month treatment program is needed after induction, followed by 2 years of maintenance chemotherapy During maintenance therapy, patients are at risk for infection. Fever in children who are receiving chemotherapy must be assesed and treated enthusiatically, especially for patients who are either neutropenic or have a central venous access device.The following drugs are given: Trimethoprim-sulfamethoxazole Dapsone Pentamidine, or Atovaquone
prophylaxis is continued to prevent Pneumocystis pneumonia
Treatment is administered on an outpatient basis, and typically is known to cause less toxicity 1.1 Pediatric Preferred regimen(1): Vincristine 1.5 mg/m2/dose IV. Given every 4 weeks Preferred regimen(2): Prednisone 40 mg/m2/day PO. It is given in 2 divided doses on days 0 to 13 Preferred regimen(1): Methotrexate 20 mg/m2 once weekly, given PO Preferred regimen(5): Doxorubacin 30 mg/m2/dose, given IV. Its is given on days 0 and 1 of a 4-week cycle Preferred regimen (6): Cyclophosphamide 1 to 5 mg/kg/day PO Preferred regimen(6): Mercaptopurine 75 mg/m2 once daily on days 1 to 84 of an 84-day cycle, given PO
1.1 Adult Preferred regimen(1): Vincristine 2 mg/m2/dose IV. Given every 4 weeks Preferred regimen(2): Prednisone 40 mg/m2/day PO. It is given in 2 divided doses on days 0 to 13 Preferred regimen(1): Methotrexate 10 mg/m2/day IV for 5 days every month for 2 years Preferred regimen(5): Doxorubacin 30 mg/m2/dose, given IV. Its is given on days 0 and 1 of a 4-week cycle Preferred regimen (6): Cyclophosphamide 1 to 5 mg/kg/day PO Preferred regimen(6): Mercaptopurine 50 mg 3 times/day for 2 years, given PO"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. you need to consult a gastroenterologist/hepatologist. he needs to undergo few more tests to plan the treatment. this includes tests to know whether he acquired the infection recently or earlier, tests to know the viral load and the e antigen status. other tests like pt/inr, ultrasound scan of the abdomen and serum alpha photo protein should also be done. your gastroenterologist/hepatologist will discuss more about this. i hope that answers your question. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","as any other organ, cancer can also affect thyroid gland, and it needs further management earlier the better. in early stage (known after evaluation by surgeon/oncologist) thyroid surgery is enough that is followed by further tests like whole body i131 scan to know if the surgery is complete or not if not further therapy as required is given. but if at the initial stage there is spread to other organs (e.g. lung, bone or brain) the treatment is not simple it requires multidisciplinary approach e.g. surgery with or without radioiodine therapy (if the same is iodine avid decided by a whole body iodine scan)so in your case you need to consult your surgeon who will guide about the best option available. hope this helps you with best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dairy understand your concern. human body is a well manicured machine. like computer, it needs restarting when its memory power is outclassed. for human brain is a mega super computer, normal events cannot make it hang it like a normal computer. but stress and anxiety makes it forget its potential and for the time being it restarts. so don't worry about being unconscious. watch your stress and anxiety level. yoga and meditation can help you in regaining body metabolism and streamlining the mind. psychotherapy can streamline your lifestyle. both together will strengthen your body and mind to overcome difficulties. wish you speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. usually it will take around one to two weeks after conception for the onset of symptoms. the symptoms you mentioned may or may not be due to pregnancy. treatment with hormones during ivf can also lead to these type of symptoms. to get accurate result about pregnancy, better to wait till your expected date of periods. and if you miss the periods, go for pregnancy test as suggested by your doctor. early testing may not give accurate result and can lead to confusion. if you want early result, you can go for rosette inhibition assay test. it detects early pregnancy factor. for more details"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern.  bleeding in early pregnancy can be due to- -a normal thing around expected day of menses . due to implantation, it usually lasts for 1-3 days & is scanty.  - hormone deficiency in early pregnancy results in bleeding. which can turn in abortion.  - sometimes bleeding along with pain in either side of midline in abdomen, may suggest ectopic pregnancy, - chemical pregnancy (blighted ovum usually starts bleeding & get aborted.  * so when the bleeding is with symptoms like cramping/ increasing in quantity day by day & spotting exceeds 2-3 days. it's advisable to get a full pregnancy check up along with usg abdomen/ repeated chatbot level estimations to come to a definite conclusion about the cause.  at 3 weeks pregnancy can not be noted in usg .so normal practice is to start with progesterone supplements & bed rest. followed by usg at 5 weeks & decide about continuation of the hormone.  thanks."
Please summerize the given abstract to a title,Writings and Readings of the Pandemic: The Shadows Left Behind.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your given history is typically suggestive of sinus infection.sedated you took is a decongestant, it relieves your sore throat and nasal congestion until the effect is on.i suggest you should try with some good antibiotics.it would cure your infection and would relieve the condition. meanwhile you should take some decongestant, painkiller and anti-histaminic to decrease the symptoms. steam inhalation is also quite beneficial in such condition. merely taking sedated won't help.thanks regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! i am sorry to know that you are going through these! considering the various symptoms and the workup you have already done, it would be difficult for me to comment and advise much on the issue. it may also be a good idea to consider seeing a psychiatrist to get some help with the mood issues that apparently you have been encountering due to other health problems. obviously, consulting regularly with the internal medicine specialist along with a neurologist may be a good idea. it is also important to see what symptoms are prevalent presently and which of those you mentioned are presently bothering you. the various symptoms at different timeline would mean different things. however, taking good diet, regular exercise, stress management, taking medications as advised (if any) and seeing the doctor as asked for follow up would help a lot in managing the issues. please feel free to write further if you would like to specify the issues further. take care! wish you good health!"
Please summerize the given abstract to a title,Structural leitmotif and functional variations of the structural catalytic core in (chymo)trypsin-like serine/cysteine fold proteinases
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialists, responding to you.these is the common viral infections. it does not require any treatment except symptomatic treatment. this includes chlorpheniramine male ate for blocked nose and running nose, paracetamol for fever, you can also do medicine gargle as and when required whenever you feel its viral infections. i will be glad to answer your further query. thank you for your contact to chatbot. wish you the best health. thank you, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to \""ask a doctor\"" service. i have read your query. at this point, imaging studies (ct scan of the low spine including the tail bone) are necessary to evaluate the degree of the damage. in mean time, rest and painkillers such as ibuprofen could be used for the pain. discuss with your doctor for these issues. hope you found the answer helpful. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. high creatinine level indicates kidney dysfunction, not always kidney failure. it may be acute or temporary dysfunction due to some reason, or it may be chronic pr permanent kidney dysfunction. do basic urine report, check bp and do ct scan or sonography. first determine the nature of kidney dysfunction and then evaluate for cause of it and then treat it. by this approach, it is possible to revert it to normal. so, don't get worried. consult your nearby nephrologist, or you can get back to me with above reports. i think this would be helpful to you. best wishes. tc. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should immediately get done ecg to rule out cardiac cause. left sided sudden onset chest pain with similar pain in left chin and jaw region, suggest possibility of heart disease like (angina or myocardial ischemia). so better to consult cardiologist and get done ecg and 2d echo. if both are normal then vitamin b 12 deficiencies can cause needle like pain. so get done vitamin b 12 level and if deficiency then you need supplements. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i came to know that you have grade1 l4 anterolisthesis. your pain currently is 1/10 and centralized to my right low back. it can manage by using lumbosacral belt, reducing activity and analgesics such as diclofenac. but you want to know the best treatment for this condition, and go back to an active lifestyle(trail running, mountain and road biking, resistance training). then in my opinion its best treatment is in situ fusion (an operation)hope i have answered your query. if you have any further questions i will be happy to help. wish you good health."
Answer this question truthfully,"Candida albicans and C. glabrata are the most common etioloogic agents. Less commonly, C.tropicalis, C. parapsilosis, and C. krusei may be responsible. Other Candida species may be rarely involved."
Answer this question truthfully,Lymphoblasts are immature lymphocytes. Positive nuclear staining for TdT in these cells is significant because TdT is a DNA polymerase that is present during the early stages of B and T cell development.
Answer this question truthfully,"The protrusion in a direct inguinal hernia occurs in the abdominal wall, passing through the Hesselbach triangle. The Hesselbach triangle is an anatomical landmark located in the lower abdominal wall, bounded by the inguinal ligament, the rectus abdominis muscle, and the inferior epigastric vessels. When a direct inguinal hernia occurs, a portion of the intestine or other abdominal contents protrudes through a weak spot in the abdominal wall near the inguinal ligament, passing through the Hesselbach triangle. Direct inguinal hernias are more common in older men and are often associated with weakening of the abdominal wall due to aging, chronic coughing, or heavy lifting."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you that there is need for systemic examination of you to diagnose the exact cause of such a symptom. buy for your motion sickness you can take bromine tablet, which is promethazine. your motion sickness will be stopped definitely but for other because you have to investigate your self in detail by nearby doctor. i will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Insights into how SARS-CoV2 infection induces cytokine storms
Answer this question truthfully,"In a Weber test, sensorineural hearing loss is expected to be louder in the unaffected ear, while conductive hearing loss is expected to be louder in the affected ear."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. a hypoechoic lesion in the mid-part of pancreas measuring 11 x 6 mm is usually a fluid filled structure. ct scan is required in such cases, and you have got it done. the ct scan shows a 7 mm low attenuation lesion in the same place. a low attenuation lesion again is most likely to be a cyst. it is important to know if this lesion is showing enhancement. there is also a technical parameter called hu value in ct scan. if the hu value is less than 20 then it is confirmed to be a fluid containing cystic structure. it is important to have at least one consultation with the oncologist and discuss the reports in detail. repeat ultrasound scan might be required in 6 months. this is to make certain that it is a benign cystic lesion and not a serious concern. please do not worry."
Please summerize the given abstract to a title,"CLINICAL COURSE, RISK FACTORS FOR TRANSFER TO ICU AND MORTALITY IN PATIENTS WITH COVID-19 AFFECTED BY ACUTE RESPIRATORY FAILURE REFERRED TO A RESPIRATORY INTERMEDIATATE CARE UNIT."
Please answer with one of the option in the bracket,B: Hepatocellular carcinoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. by what you quote i feel that your kid might be having a viral illness...headache at the height of fever is quite common in this. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Epidemiología de COVID-19 en México: del 27 de febrero al 30 de abril de 2020./ Epidemiología de COVID-19 en México: del 27 de febrero al 30 de abril de 2020./ Epidemiology of COVID-19 in Mexico: from the 27th of February to the 30th of April 2020
Answer this question truthfully,Pemphigus is uncommon. It almost always occurs in middle-aged or older people.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is normal due to sympathetic stimulation while doing cardio. but an exertion and increased heart rate need increased blood and oxygen supply to the heart. in the elderly, the cardiorespiratory reserve is less, so it might be dangerous. do it supervise and as per instructions of your cardiologist. hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. persistent palpitations in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart. i advise you to get an ecg,2 d echo of your heart immediately to confirm the diagnosis. i also advise you to get lipid profile, complete blood picture, chest x-ray immediately as a part of routine check up. chatbot. avoid stress and anxiety. avoid smoking, alcohol, fatty foods. abnormal lipid profile if present in your case should be treated with atorvastatin. monitor blood pressure and heart rate immediately. ep study and radiofrequency ablation will be the procedure of choice. consult your cardiologist for expert management. post your further queries if any, thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, wisdom tooth is the third molar teeth which erupt in the oral cavity. these teeth usually erupt at 18-25 years. in some persons they do not erupt at all and in some persons it erupts partially which causes pain and inflammation of the gums around the tooth. this condition is known as peritonitis. you should take warm saline gargle 4-5 times a day for relief. an x-ray will only determine the position of the tooth. if the tooth is impacted it should be surgically removed for a permanent relief."
Please summerize the given abstract to a title,Risk of Mortality in Elderly Coronavirus Disease 2019 Patients With Mental Health Disorders: A Nationwide Retrospective Study in South Korea
Answer this question truthfully,The onset to nadir in an early or late deceleration must be greater than 30 seconds.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... piriton is not licensed to be used at this age group. do not use portion. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
Answer this question truthfully,"Lung consolidation is typically associated with increased tactile fremitus and dullness to percussion, which can be observed during a physical examination of a patient with lobar pneumonia."
Answer this question truthfully,"In silicosis, nodules coalesce to form large scars with areas of ""honeycombing"" in between (cystically dilated)."
"If you are a doctor, please answer the medical questions based on the patient's description.",his had gone through your query. hearing of voices in absence of anyone suggest auditory hallucinations. fearfulness and auspiciousness that someone would harm him suggest delusion. so delusion and auditory hallucination are the prime symptoms of psychotic illness most probably schizophreniform or schizophrenia. but detail evaluation is needed before reach any conclusion. so consult psychiatrist and get help. it can be treated with different modalities. early treatment will bring fast and better recovery. so consult. i hope i have answered your query. happy to help you further. thank you.
Answer this question truthfully,"Sliding hiatal hernias are the type of hernias that are characterized by an ""hourglass"" stomach appearance on imaging. This type of hernia occurs when the upper part of the stomach slides up through the diaphragm into the chest cavity, causing constriction of the stomach at the point where it enters the chest cavity. The narrowing of the stomach is responsible for the ""hourglass"" appearance on imaging. Sliding hiatal hernias can cause a range of symptoms, including heartburn, chest pain, and difficulty swallowing."
Answer this question truthfully,"In patients with insulin-treated diabetes, exercise can precipitate hypoglycemia due to the continued action of exogenous insulin on glucose uptake in cells, particularly in exercising skeletal muscles. This can lead to a rapid depletion of glucose in the bloodstream, resulting in low blood sugar levels and the symptoms associated with hypoglycemia. Understanding the underlying mechanism behind exercise-induced hypoglycemia is important in managing diabetes and preventing potentially dangerous complications."
Answer this question truthfully,"A person with antisocial personality disorder may:
Be able to act witty and charming Be good at flattery and manipulating other people's emotions Break the law repeatedly Disregard the safety of self and others Have problems with substance abuse Lie, steal, and fight often Not show guilt or remorse Often be angry or arrogant"
Please summerize the given abstract to a title,Predicting New-Onset Psychiatric Disorders Throughout the COVID-19 Pandemic: A Machine Learning Approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. it depends on exact cause if this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. however if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Answer this question truthfully,The mnemonic CAMPFIRE can be used to remember the drugs effective against Pseudomonas aeruginosa.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos you mentioned that you are having stuffy nose and sneezing continuously but no allergy. symptoms worsen with movement of head. you got temporary relief with inhaler. all these symptoms may be due to, these reasons, these include.1 rhinitis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ... by your history, it feels like your wife is suffering from anxiety disorder along with insomnia. sustained release alprazolam will help in tackling anxiety and sodium(collided) will help in sleep. apart from medications, counselling and cognitive behavioral therapy will also help in anxiety. regarding the duration, it depends upon the symptoms. if symptoms subsides, then the doses are tapered and finally discontinued. it should not be stopped abruptly. hope this helps. thanks."
Please answer with one of the option in the bracket,B: Metastasis of cervical cancer via direct extension
Please summerize the given abstract to a title,"Noncontact magnetically controlled capsule endoscopy for infection-free gastric examination during the COVID-19 pandemic: a pilot, open-label, randomized trial"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. better start with a fruit like banana or apple. gradually increase the quantity. e.g . try to give one spoon of banana daily for 1 week. 2 weeks 2 spoon. by the end of month. you can give full banana. same way add another fruit like apple, mango, spot etc. don't add two fruits at a time.start giving 6am . one egg with glass milk am. smashed boiled potatoes or carrots10 am banana or apple12 pm. 1 cup rice with 1/2 cup dal with ghee. add curd. try to add leafy vegetables daily pm. glass of milk with biscuits pm. 1 cup rice with veg or non veg curry and curd10pm. glass of milk. follow this schedule. you will see better improvement in your kid.gradually decrease to carla feeds"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your platelet count is slightly low. there are many causes of slightly low platelet.  even mild viral infection can lead to this.  so if you don't have any symptoms of low platelet then no need to worry. just be relaxed.  just go for repeat test after few days.  it will come back to normal hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,"D: Continuous, machine-like murmur at the left infraclavicular area"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras, and i am here to help you. i have read your question with care and understand your concerns.  the big blood clot is the cause of the unconsciousness. even though it has been removed, it would have exerted pressure on the brain till it was removed. till the brain recovers from that pressure, the person will be in coma hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. best wishes for speedy recovery let me know if i can assist you further. take care."
Answer this question truthfully,"The characteristic feature of the fourth stage of Paget's disease of bone (osteitis deformans) is quiescent (minimal osteoclast/osteoblast activity). Paget's disease of bone is a chronic disorder that affects the normal bone remodeling process, leading to abnormal bone growth and remodeling. The disease progresses through several stages, with the fourth stage being characterized by a decrease in osteoclast and osteoblast activity, resulting in a stabilization of bone structure. While the fourth stage is considered to be a quiescent phase, patients with Paget's disease may still experience symptoms such as bone pain, fractures, and deformities, and may require ongoing monitoring and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to the chatbot normally protein consumption doesn't lead elevated liver enzymes... but if high protein diet consumed regularly along with supplement product for few months than can lead elevated liver enzymes. he is overweight, hence fatty liver or nash condition might responsible here. slight elevation like around 40 as per history not significant more than twofold increase need investigation work up... temporary viral infections, few chatbot. . -serum cholesterol estimation -usg abdomen take care consult physician for examination with keeping all this in mind"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for using chatbot. i can understand your concern about your friends' health. if both nipple are affected then general cause like increased prolactin level, while if only one nipple is affected then local causes like infection, injury, cancer can be the cause.  discharge from male breast is not a normal condition, with swollen and enlarged nipple suggest some sort of infection but as you reported antibiotics did not help, one should get tested the discharge fluid, and should progress further investigation or treatment according to the report of discharged fluid. while you feared worst about cancer, it can not be said certainly without getting biopsy of nipple tissue. hope this will help you. regards."
Answer this question truthfully,"Chondromalacia patellae is a condition that affects the cartilage under the kneecap and can cause pain and discomfort, particularly with activities such as going up and down stairs or sitting for long periods of time. This condition presents similarly to patellofemoral pain syndrome, which is another condition that causes pain around the kneecap. Both conditions are common in athletes and people who engage in activities that put a lot of stress on the knees, such as running or jumping. Treatment for chondromalacia patellae and patellofemoral pain syndrome may include physical therapy, rest, and the use of pain relievers or anti-inflammatory medications. In some cases, surgery may be necessary to address the underlying cause of the pain."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. just to recapitulate
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as with history, it appears more of the nerve root entrapment in the cervical spine. i will recommend using the cervical soft collar. this will help maintain the joint space and release the pressure from the nerves.  the pain will come down for the spine of the scapula and also the upper limb. do hot water fermentation to release muscle spasm in the upper back on the left side and neck region.  after a week or so start simple static neck exercises and upper limb exercises in low intensity. you should do well. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,The main distinguishing feature between Gram Positive and Gram Negative bacteria is the composition of their cell walls.
Answer this question truthfully,Prognosis depends on the cause of oliguria.
Please summerize the given abstract to a title,Production of glycolipid biosurfactant during crude oil degradation by the novel indigenous isolated Achromobacter kerstersii LMG3441
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms seem to be related to calf cramp which can be caused by many possible causes. one of the common causes are deficiencies of certain nutrients. so, i suggest taking a daily magnesium supplement. gently stretch and massage the spasmodic muscle. hold it in a stretched position until the spasms stop. apply cold to sore muscles or heat to tense muscles. you can also use a muscle relaxant such as baclofen for relieve. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,C: Aortic insufficiency
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... your doctor is 100% right. i, too, do not suggest any medicine. i will give an explanation why so... this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there. next time check if she is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put her in lying position after feeding till she burps out the swallowed air.2. if she is still crying - put her in prone position and keep patting her back gently so that she passes off the flatus and gets relieved. regards -"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"1. The left ventricular ejection fraction (LVEF) is ≤ 40%
or
2. There is a prior history of myocardial infarction (MI)
ACE-I or ARB therapy is recommended for ANY patient with reduced left ventricular ejection fraction (≤ 40%) regardless of the etiology of left ventricular systolic dysfunction (ischemic or nonischemic) or presence/absence of symptoms. Patients with or without heart failure (in other words, even those with asymptomatic left ventricular systolic dysfunction) are included in this recommendation.
In addition, ACE-I or ARB therapy is indicated for patients with history of myocardial infarction whether or not left ventricular systolic dysfunction or heart failure is present.
ACE-I or ARB therapy is also recommended for patients who are at high risk for the development of heart failure due to the presence of coronary, cerebrovascular, or peripheral vascular disease.
ARBs are reserved for patients who are intolerant of ACE-Is for reasons (such as persistent cough) OTHER than hyperkalemia, progression of chronic kidney disease/worsening azotemia, or hypotension caused by prior ACE-I therapy. If a patient experiences hyperkalemia, worsening azotemia, or hypotension as a result of ACE -I therapy, the same is likely to result from ARB therapy. In the CHARM study candesartan reduced both hospitalization and mortality.  
ACE-I or ARB therapy should be initiated at low dosage"
Please summerize the given abstract to a title,Genetic Lesions of Type I Interferon Signalling in Human Antiviral Immunity
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should definitely rule out heart diseases for your symptoms. so better to consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes undiagnosed stress and anxiety can also cause similar symptoms. so avoid stress and tension, be relaxed and calm. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"http://www.nlm.nih.gov/medlineplus/ency/article/000706.htm
Template:WH Template:WS"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear venkatesh, we cannot change the nature/behavior of a person, you may not be always right, and your wife not be always wrong.  my suggestion to you is sat together listen to her spend some valuable time and be open to accept comments/compliments, try your best not to argue even if she is wrong you may put forward your opinion-bring her into confidence.  you may start her on saraswataristha (ayurvedic formulation) for memory and concentration, it will also keep her calm. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on the information that you have given i would say that the first test we would look at is your platelet count. one of the causes for such red spots is a low platelet count. if your platelet count is ok the other possibility is a fragile or weakened blood vessel. weakened blood vessels may show up as spots or discoloration etc. medically this condition is called vasculitis. the possibility of autoimmune disease should also be ruled out. tests such as ana are used for this along with clinical findings. certain medications may also produce such symptoms. sometimes there is no cause. please post your complete blood count, esr, peripheral smear, lft, ana lab test reports here for further assistance in providing more information regarding your condition. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","sometimes the stones present in kidney are responsible for pain and blood. however, urine mixed with blood might be due to the infection in urinary tract. for the treatment first complete the course of antibiotics. it will help your son to the greater extent .once the antibiotics course is finished include be shabbat 10 ml in one glass full of water twice dailycranberry juice is the best remedy for titan chan chatbot.  tab punarnava man door 2 bd again is"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should rule out hypotension in your case. you are taking three tablets for hypertension. so these might cause hypotension because hypotension can cause dizziness, tachycardia (palpitations) and heaviness in the eyes. so first get done blood pressure monitoring and if you have hypotension then you need to stop some chatbot.  if blood pressure is normal then get done ecg, 2d echo and holder monitoring (24 hour continuous monitoring of ecg) to rule out arrhythmia (rhythm disturbances in heart) because arrhythmia can cause palpitations and dizziness. sorry to say, but i can't prescribe medicine, it's not legal on this site. i can only give advice. hope i have solved your query. i will be happy to help you further. wish you good health. thanks"
Answer this question truthfully,Constriction of the afferent arteriole can cause a decrease in glomerular filtration rate (GFR).
Please summerize the given abstract to a title,Innovation management in crisis: patent analytics as a response to the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  the denture should be evaluated after 10 days of the removal of the teeth. then the work started to have the molds done and denture prepared, it should not be kept immediately.  the removable dentures should be removed daily, and kept separately, and to be kept in the morning.  avoid eating very hard foods, and hot foods. now i advise you to consult your doctor for diagnosis and treatment.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery.  wishing for a quick and complete recovery. thank you."
Please answer with one of the option in the bracket,D: Squamous cell carcinoma lung
Please answer with one of the option in the bracket,C: Iron deficiency anemia in the mother; normal Hb levels in the fetus
"If you are a doctor, please answer the medical questions based on the patient's description.","hi aryan, acne may occur beside face at back, upper chest, upper part of arms sometimes at hip area also, take care of it by frequent washing of affected parts, don't apply oily creams and oil etc. consult your dermatologist, he/she will prescribe you some ointments, that would be very effective in your case.  so don't get this hearted as acne has no relation with food, it is a common problem in your age.  chatbot."
Please summerize the given abstract to a title,Is malaria immunity a possible protection against severe symptoms and outcomes of COVID-19?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. thanks for writing to us. the ekg is always a first-hand tool in cardiology. ekg never shows false reading. but following an evidence of heart attack it is always advisable to do an echocardiogram. it confirms the presence of any regional wall motion abnormality(rama) resulting due to a heart attack.also, an echo provides an idea about the pumping ability of the heart. if the ejection fraction in the echo report comes out to be above 60%,it can be considered that the pumping ability of heart is okay.  more you have mentioned that a mitral valve replacement was done in 2009. the echo can provide useful information about the proper in situ position of the valve and its proper functioning. hope i have answered your query. stay fit, good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, although masturbation is natural instinct and physiological phenomenon and of course this may cause physical and mental trauma if care being not taken, it has to be some limits and with well mental balanced, no stress, no functional conditions, it is advisable to stop this for some time before this could cause maniac disorders, hope this information helps, take care."
Answer this question truthfully,"When a patient presents with stable tachycardia and a narrow QRS complex with a heart rate greater than 150 bpm, adenosine is often the medication of choice. Adenosine works by slowing down the electrical impulses in the heart and can help to restore a normal heart rhythm. In cases of stable tachycardia with a wide QRS complex and a heart rate greater than 150 bpm, amiodarone is often used. Amiodarone is a medication that can help to slow down the heart rate and stabilize the heart rhythm in these cases. Both adenosine and amiodarone are commonly used in clinical settings to treat patients with tachycardia and can be effective in restoring a normal heart rhythm."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the following features are to be recorded to predict increased chances of your friend having a cancer in his mole.(i) sudden increase in size of the mole beyond 6 mm(ii) if the surface is appearing elevated(iii) irregular margins and borders(iv) any wound or pus formation without signs of acute inflammation(v) sudden growth of a tuft of hair on the mole(vi) sudden change in the color of the motif any of the above features are there in the mole of your friend then please counsel him to visit the dermatologist and get a clinical examination done. if required the doctors will recommend a biopsy. please do not worry."
Please summerize the given abstract to a title,Prevalence and Course of IgA and IgG Antibodies against SARS-CoV-2 in Healthcare Workers during the First Wave of the COVID-19 Outbreak in Germany: Interim Results from an Ongoing Observational Cohort Study
Answer this question truthfully,"Look externally (history of craniofacial traumas/previous surgery) Evaluate 3,3,2 - three of the subject's fingers should be able to fit into his/her mouth when open, three fingers should comfortably fit between the chin and the throat, and two fingers in the thyromental distance (distance from thyroid cartilage to chin) Mallampati score Obstructions (stridorous breath sounds, wheezing, etc.) Neck mobility (can subject tilt head back and then forward to touch chest) Cormack-Lehane grading system (according to the percentage of glottic opening on laryngoscopy)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernthere may be some chance of the pregnancy as you had unprotected sex and pre-cum may enter into the vagina unknowingly before the ejaculation. spotting could be due to hormonal imbalance, ovulation. blood chatbot test will help you to detect the pregnancy as period is irregular. i would suggest going for blood chatbot test 10-12 days after the sex. or go for pregnancy test 8-10 days after delayed period. menstrual irregularity could be due to hormonal imbalance, ovarian dysfunction, thyroid dysfunction, endometriosis. all should be rule out by consulting the gynecologist.meanwhile, avoid stress, take healthy diet, chatbot."
what are the symptoms for cystic fibrosis,"The following organizations are good resources for information on cystic fibrosis: - Cystic Fibrosis Foundation -- www.cff.org - March of Dimes -- www.marchofdimes.org/baby/cystic-fibrosis-and-your-baby.aspx - National Heart, Lung, and Blood Institute -- www.nhlbi.nih.gov/health/health-topics/topics/cf - US National Library of Medicine, Genetics Home Reference -- ghr.nlm.nih.gov/condition/cystic-fibrosis"
Please summerize the given abstract to a title,Phosphorylation and subcellular localization of transmissible gastroenteritis virus nucleocapsid protein in infected cells.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi chahald2,have you heard the axiom- if you try to ride two horses then you come to ground! the previous fellow managed her so well and in fact kept her free of fits for three long years and kudos to him, he also was tapering the doses; and still great he had removed two of them successfully! i salute him!that's the standard of care for epilepsy management-first keep the patient fits free, and after two years slowly start a tapering till tolerated. the new fellow either did not take full history or you have concealed something to win over the weakness of leg, but norma brain itself can cause epilepsy, please stop it and ride your first tried and time tested horse only. take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as you were diagnosed to have lyme disease which is an infectious disease caused by cordelia bacteria, and it is a tick borne disease transmitted to humans by the bite of infected ticks. the symptoms are suggestive of the lyme disease. i would suggest oral doxycycline, if you have taken this and if there is resistant to this you can take either cefuroxime or azithromycin. these medications should be taken for at least one to four weeks. the chatbot."
Please answer with one of the option in the bracket,E: Atrophy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir/madam, thanks for your question on chatbot .the possible causes are"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi syed, thank you for posting your question here, i will try to answer it to the best of my abilities. the condition you suffer from is called bifacial spasm, it happens to a lot of men and women around the world. the main treatment for it is by chatbot. as such there is a surgery for it called microvascular decompression, it is performed by a euro surgeon. as such i recommend you contact the nearest hospital that has a euro surgeon and discuss your options with him. i hope this helped."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there always chance of pregnancy in unprotected sex if you had sex during unsafe period of cycle (10th to 20th day of cycle considered unsafe if period is regular of 28 to 30 days). there is chance of pregnancy because pre-cum may enter into vagina unknowingly and contain sufficient sperm concentration. so if you had sex in fertile phase of period then take i pill to prevent pregnancy. i pill cause tolerable side effect and no serious side effect will occur. it causes sometime bloating, delayed period by 1 to 2 weeks, earlier period, excessive bleeding, nausea, headache. avoid stress, take healthy diet, chatbot.  use condoms in future to prevent unwanted pregnancy. hope this may help you. contact further if follow up needed. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. hepatitis vaccines are available. it is of three doses vaccine. vaccination is essential to all those who are at risk of getting the infection, like medical professionals, lab technicians, partners of bag positive individuals and so on. in others you need vaccine if you want to prevent the deadly infection. hence, there is no harm in taking one... contact your nearest hospital, and you can avail this vaccination...."
Answer this question truthfully,Call for an appointment with your health care provider if your child shows symptoms of this disorder.
Answer this question truthfully,"The annual incidence rate of malignant liver mass is approximately 6 per 100,000 individuals in the United States.   The incidence rate of liver mass increases with age. 
The median age at diagnosis of liver mass varies widely between 5 to 60 years  However, the mean age at diagnosis in malignant liver mass is between 50 and 60 years
Females are more commonly affected with benign liver masses than males. The female to male ratio is approximately 2.3 to 1.  However, males are more commonly affected with malignant liver masses than females. The male to female ratio is approximately 3 to 1.
The incidence of malignant liver mass varies widely among different ethnic groups and geographic locations.  The incidence of malignant liver mass is higher among Asian population."
Answer this question truthfully,"Secondary empty sella syndrome refers to the regression of the pituitary gland due to radiation, brain injury, or surgery."
Please summerize the given abstract to a title,COVID pneumonia in the elderly – Not a basket case always
Please answer with one of the option in the bracket,B: Fibroadenoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. back pain is a common occurrence in healthy women during pregnancy, even those without any background disc disease. because of this, there is definitely a possibility that pain or other symptoms from your slipped disc might get worse as you gain weight and as your pregnancy grows. however, there is no additional risk to the baby or pregnancy from having disk disease. your history of gestational diabetes is actually the most concerning potential complication for this pregnancy. you should be tested early in the pregnancy to see if you are diabetic, and if you start the proper diet and or medication treatment as soon as possible, it will give you the best likelihood of a good pregnancy outcome. so in summary, the pregnancy itself is not at any additional risk because of your disc disease. however, your back pain could get severe, especially if you gain a lot of weight, and is unpredictable how this will affect your ability to do household activities and care for your other child chatbot. i realize this information will not really help you and your husband decide what to do about the pregnancy, however i tried as good as i could to evaluate the medical facts and give them to you see you can make an informed decision. i hope i was able to adequately answer your question today, and that this information was helpful. best wishes for the rest of the pregnancy,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, pain due to spasm of muscle generally go away within 10-12 days. if after 2 weeks pain is still severe then with pain medicines you should also do rest and avoid straining your shoulders. at this time, taking a muscle relaxant will be more helpful. doing warm fomentation with water bag give you better results. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i would like you to know that pain after root canal treatment needs attention of a dentist soon. it could be from reinfection or even from a fracture in the tooth. but as you mentioned here that x-ray does. not show any signs of fracture so i assume your dentist will be the best who can inform you of the reason.also, i would advise you to take a second opinion from a root canal specialist. enzoflam alone will not treat the pain, you will have to take antibiotics as well. over the counter pain killer which contains ibuprofen will be better in your case. kindly perform warm saline rinses and apply cold packs on the area. i hope i answered your query. i wish you good health. thankstake care."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot ...sir the pleural thickening goes away after many years .usually asbestos is like pleural thickening develops over 15 to 20 years, and it takes more years to go away as such exact no years can not be given for these thing sits good that your pleural thickening is resolved if you have any doubt you can come to chatbot i will be more than happy to help you with regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. bleeding gums suggests inflammation of the gums which is usually caused by many factors including improper maintenance of the oral cavity, smoking,systemic conditions being a few. i would advise you to first stop smoking completely as it will affect the whole general health. visit your local dentist and get your teeth cleaned and polished followed by correct post dental instructions. use chlorhexidine mouth wash for a while. if the bleeding is still continuous as before or more visit a general physician and get it evaluated for any systemic conditions. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. first you should find out the cause why you are having irregular cycles. i suggest you to get done hormone test. these include serum prolactin levels, thyroid hormones and lh, fsh. if these hormones are high then it can be treated with medications. i would also suggest you to undergo ultrasound of abdomen to diagnose polycystic ovary disease. this is very common nowadays and causes irregular cycles.  emotional stress also cause irregular cycles. so first you should be stress-free and happily plan for pregnancy.  hope i have been helpful. regards chatbot."
Please summerize the given abstract to a title,Why Older Adults (Don't) Use Password Managers
Answer this question truthfully,"Much research is being done in the field of beta-cell physiology and pathology. One major research topic is its effects on diabetes. Many researchers are trying to find ways to use these beta-cells to help control or prevent diabetes. A major topic is the replication of adult beta-cells and the application of these to diabetes. The Larry L. Hillblom Islet Research Center at UCLA  is a leading research center in the field, within the Diabetes and Endocrinology Research Center , directed by Dr. Peter Butler. 
A team science effort also exists, known as the Beta Cell Biology Consortium (BCBC).  The BCBC is responsible for facilitating interdisciplinary approaches that will advance the understanding of pancreatic islet development and function. The long-term goal of the BCBC is to develop a cell-based therapy for insulin delivery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should not worry. as this type of infection won't spread by saliva. saliva contains a some inhibitory substance which prevent replication of these viruses. in addition to above doctors also uses antiseptic solutions to dip the instruments which readily kills the other viruses. so consider that instruments are free from viruses. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sanjupain2. thanks for your question. from your question it is evident that you have lower respiratory tract infection but is it associated with asthma or not that should be understood if you please mention your symptoms like respiratory distress, wheez etc., but it can be a bronchial asthma and be sure if you are not a smoker that doe snot mean you don't have any chance of bronchial asthma. so in my opinion you should consult a chest specialist do a chest x-ray and treat your infection early and after that you should do a pulmonary function test to confirm your diagnosis. how you are now on symbicort inhaler?let me know your future treatment thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question carefully, and i understand your concern. those values are a little high though not alarmingly so. however, isolated measurements are not enough as blood pressure is affected by many factors like stress and pain. so treatment is not started for one single high value (since the measurements are only 10 min apart it is the same episode). what is advised is to measure blood pressure once or twice daily for the next 10 days. measurements should be made after resting for at least 5 minutes and not after having taken coffee or alcohol in the preceding hour. only if there are repeated high values (over 140 for the systolic and over 90 for the diastolic) is a diagnosis of high blood pressure made and treatment considered. i hope to have been of help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, as you are undergoing orthodontic treatment, some kind on gingival inflammation is expected to be seen in the oral cavity. as the braces apply orthodontic forces on the jaws and teeth for the movement some kind of mobility of teeth is normal, and it subsides automatically at the end of treatment. secondly, application of braces makes tooth brushing and cleaning difficult which leads to accumulation of dental plaque and calculus leading to gingival inflammation and bleeding gums.i would suggest you to maintain good oral hygiene by using antiseptic mouth rinses like chlorhexidine after every meal to prevent further inflammation. check for any sharp edges on the orthodontic brackets if it hurts the gums.i hope this information helps you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you need to be investigated for other causes of raised sgpt levels. you need to be tested for hepatitis b and hepatitis c along with an ultrasound of the abdomen. if these tests are negative then i would suggest regular exercise/ walk or jogging/ aerobics 3- 5 times a week. cut down on red meat, sweets, and fried food and increase fiber in your diet. i might take up to three months for the levels to fall."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the symptoms are highly in line of depressive disorder. as you have all symptoms suggestive of depression, i would advise that you must see a psychiatrist in person at the earliest because the ideas of hopelessness is building up, and you have even started to feel useless to live on and off. you must discuss this with your close friends and family and seek help. chatbot. wish you good health."
Please summerize the given abstract to a title,Impact of school closures for COVID-19 on the US health-care workforce and net mortality: a modelling study
Please summerize the given abstract to a title,"In the race to find a COVID-19 drug, is manufacturing holding back progress?"
"If you are a doctor, please answer the medical questions based on the patient's description.","yes, it sounds like you may have a problem with your heart rhythm which could be related directly or indirectly to your low blood pressure. a pulse of 46 is quite low and suggests the possibility that there is a partial blockage in the electrical system in your heart. the palpitations may be related to your heart trying to compensate for the blockage by using an alternate rhythm generator-like something called atrioventricular block with a junctional or ventricular response. get an ekg done soon and see if that or some other rhythm disturbance is the cause. you might also need what's called a holder monitor or event monitor. this records your heart beat over time and can detect abnormal rhythms that may only be occurring occasionally. a certain type of nerve condition can also be associated with low blood pressure and heart palpitations. other tests may be necessary to diagnose this. see a cardiologist and get this evaluated. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  cyst like structure with yellow-white color can be desmond cyst, sebaceous cyst or some other mass. you should go for histopathological examination of that lump.  it will give you exact diagnosis. then if needed you should take further treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","bellflower back pain may be due to genitourinary calculus, pelvic pathology, musculo skeletal causes etc. your condition need proper clinical examination and routine investigations. investigations include routine hologram, random blood sugar, urine re/me, renal function test, x-ray of pub region, ultrasound of abdomen. you are taking analgesics rightly, but underlying cause should be treated. proper treatment depend upon findings. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear nisha, can understand ths unusual problem, you can continue having aloe vera & amla juice as they health foods. but can not affect your condition. you can start some classical ayurveda medicine. gandhi malayan 2 tabletsarivadyasava 10 ml with 40 ml water manjishthadi 10 ml with 40 ml water all above-mentioned after lunch & dinner apart from it tab toxins 1 tab twice a day (product of sami labs) ayurvedic or herbal facepack red sandal of kudos farmhouse sun scream 30 spf + can safely go himalaya/vlcc production not feasible to take above-mentioned medicine, safely take debut blood purifier easily"
Answer this question truthfully,Patient have a tendency to drink excess amount of water.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. instead of dwelling more into psychiatric medicinal cure, please look into alternative methods. many researches and researchers confirm that medicines alone cannot cure mental disorders. lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Successful treatment of 28 patients with coronavirus disease 2019 at a medical center in Taiwan
Please answer with one of the option in the bracket,E: Percutaneous coronary intervention
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern. herd (gastroesophageal reflux disease) can cause similar kind of chest pain. herd is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. take proton pump inhibitors. but along with chatbot.  avoid stress and tension. avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. quit smoking and alcohol if you have these habits. go for walk after meals. keep 2-3 pillows under head in the bed to prevent reflux. lose weight if you are obesedont worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"The likely diagnosis for the patient's condition is mucormycosis, which is a rare but serious fungal infection that can affect people with poorly controlled diabetes. The symptoms of this infection can include fever, bloody nasal discharge, and necrosis of the right nasal turbinate/hard palate. Mucormycosis is caused by a group of fungi called mucormycetes, which are commonly found in soil and decaying organic matter. People with diabetes are at higher risk for this infection because high blood sugar levels can weaken the immune system and make it harder to fight off infections."
Please summerize the given abstract to a title,COVID-19: ensuring safe clinical teaching at university optometry schools.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have b/l renal calculi with left ureteric calculus. probably your ureteric calculus was removed if in mid or lower part or pushed in if around pub and followed esl (can't comment as you have not provided the detail of your operation) hence not visualized in x-ray. in esl calculus are broken in small fragments so that it can pass through small passage (5\u00a0mm) of ureter through urine and spent provide easy n broader passage preventing clogging of calculus. fragmentation of calculus depends upon consistency, size, shape, hardness ....etc. hence sometimes does not fragment n requires multiple sitting.  now as stent misplaced following (which can happen) surgery or probably esl not given to left side (as b/l in case esl should be given in different sitting) and fragmentation of rt renal calculus was complete so they are still there ( and can be commented after detail of so) so in my opinion you need to have multiple sitting of esl to remove calculi or in your case pcnl would be treatment of choice.  do stone analysis test and maintain diet accordingly, chatbot. hope this ll heptanes n regards"
Please summerize the given abstract to a title,Limit. Ein Essay zur Lage der Weltbevölkerung. Teil 2: Lösungsansätze und Schlussfolgerungen
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, your son symptoms are suggestive of appendicitis but lack of fever/vomiting can create confusion, but appendicitis can sometimes present without fever, so it is better to get it ruled out by a usg and a urine test which will rule out a ureteric colic and thus can give a more precise diagnosis. anyways the best way is to get him seen by a surgeon as early as possible.  i hope your queries have been answered well. have a healthy life."
Please answer with one of the option in the bracket,A: Surgery
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot, i had gone through your history and i have treated many patients with similar history. when i found such type of patients, i was treating them with following treatment. any activity that leaves your feet on the floor, such as sitting in a chair, standing or walking can lead to swelling.1. swelling in the foot, ankle, knee and thigh are common after total joint replacement.2. to prevent swelling, recline or lie down with your feet higher than the level of your heart for 45 to 60 minutes. do this 2 times each day.  3. wear elastic stockings to reduce swelling. if so, wear the stockings during the day and remove them at night. wash the stockings with soap and water and hang them to chatbot.  4. avoid long car trips. if you must travel, stop every 30 minutes. get out of the car and move around. this will prevent blood clots, decrease swelling and help decrease joint stiffness.  5. do ankle movement upward and downward direction every one hour. it will improve your circulation and lymphatic"
Please summerize the given abstract to a title,Covid and data science: Understanding R0 could change your life
Please summerize the given abstract to a title,"Analysis of SARS‐CoV‐2 haplotypes and genomic sequences during 2020 in Victoria, Australia, in the context of putative deficits in innate immune deaminase anti‐viral responses"
Please summerize the given abstract to a title,Effects of the COVID-19 pandemic on the global health of women aged 50 to 70 years
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, low hemoglobin is most probably caused by side effect of radiation therapy for prostatic cancer. radiation therapy is known to cause depression of the bone marrow and thus reduction of all blood parameters-red blood cells, white blood cells and platelets. surgery is associated with blood loss and thus blood loss can also contribute to low hemoglobin levels. thus, blood transfusion may be required to increase the level of hemoglobin. consult your physician for further work up. thanks and take care chatbot."
Answer this question truthfully,"There are many reasons a woman may need a hysterectomy. The procedure may be recommended if you have:
Cancer of the uterus, most often endometrial cancer Cancer of the cervix or a precancerous condition of the cervix called cervical dysplasia Cancer of the ovary Childbirth complications, such as uncontrolled bleeding Long-term (chronic) pelvic pain Severe endometriosis that does not get better with other treatments Severe, long-term vaginal bleeding that cannot be controlled by medicines or other surgeries Slipping of the uterus into the vagina (uterine prolapse) Tumors in the uterus, such as uterine fibroids Adenomyosis, which causes heavy, painful periods
Hysterectomy is a major surgery. It is possible that your condition may be treated without this major surgery. Talk with your doctor about all your treatment options. Less invasive procedures include:
Uterine artery embolization Pelvic laparoscopy Endometrial ablation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. you have completed the treatment. so mostly you will get complete cure. so no worry about complete cure. and if you have suspicion regarding tb just now simply do your sputum afb examination for tb. avoid stress regarding it. besides chest pain tb also having other symptoms like cough, fever, weight loss. so don't worry. if after few days if symptoms are there and chest pain continue then further work up is necessary. thanks"
Answer this question truthfully,Bone mineral density (DEXA) ≤ -1.0 is indicative of osteopenia.
Please summerize the given abstract to a title,Fluorodeoxyglucose positron emission tomography–computed tomography in a pregnant woman with carcinoma breast
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query. only symptomatic cysts require treatment while asymptomatic hepatic (liver) cysts require observation and follow up. most hepatic cysts are filled with fluid. percutaneous chatbot. however, some cysts may require surgical resection especially cystic tumors. visit a general surgeon or liver surgeon asap. hope to answer your concern. any further queries are welcomed. health professionals aim to diagnose properly and manage patients according to their limited knowledge. cure is blessed by the one who created us, whose power and knowledge is unlimited .wish you good health. regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. your symptoms like cough, phlegm, high grade fever and pleuritic chest pain etc. are suggesting possibility of lower respiratory tract infection (leti - pneumonia) is more. so better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray. chest x-ray is needed for the diagnosis of pneumonia. you may need antibiotics, antihistamines and anti-inflammatory chatbot.  don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Dyskeratosis follicularis cured by superficial radiotherapy - long-term follow-up of 10 patients.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. in case persistent pain at the back of the head following head injury, it's extremely important to suspect brain contusion. this can result in seepage of blood into the nearby tissues causing irritation of the meninges and leading to set up of inflammation. this can cause persistent neck pain. it's extremely important to have a non contrast ct scan abdomen to rule out meningitis and signs of raised intracranial pressure. following which a csf lumbar puncture can be done to start an empirical antibiotic therapy to treat associated meningitis if any. therapy can last for 21 days. consult your neurosurgeon for further help. thank you."
Please summerize the given abstract to a title,Long-term micro-structure and cerebral blood flow changes in patients recovered from COVID-19 without neurological manifestations.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. as you said your mother suffers from psoriasis. psoriasis is a chronic relapsing and autoimmune disease. she may be having scaly plaques on various parts of the body, scaly lesions on the scalp and joint pain due to politic arthritis. exact cause is not known. genetic tendency, autoimmunitity, stress, chatbot. .etc. may be responsible for precipitation and exacerbation of the disease. you consult dermatologist for firm diagnosis and treatment. i usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. this may be taken for long time till good response. blood tests may be done to monitor the treatment. she may apply mild steroid cream or calcitriol point on the lesions. for scalp psoriasis, tar shampoo may be done. she may apply moisturizer to improve the skin texture. tell her to avoid soap bath for few weeks. she should avoid stress and worries as that might worsen psoriasis. your mother might get good result. i hope you got my answer. thanks."
Answer this question truthfully,"Duplex venous ultrasound is commonly used to diagnose chronic venous insufficiency. This non-invasive imaging test uses sound waves to create images of the veins in the legs, allowing doctors to assess blood flow and identify any abnormalities or blockages. Chronic venous insufficiency occurs when the valves in the veins of the legs are damaged or weakened, leading to poor blood flow and a range of symptoms such as swelling, pain, and skin changes. Treatment may involve lifestyle changes, compression therapy, and in some cases, surgery."
Please summerize the given abstract to a title,Needs assessment: knowledge of self-management of asthma for children with co-morbid physical and intellectual disabilities: brief report
Please summerize the given abstract to a title,Green polymeric nanomaterials for the photocatalytic degradation of dyes: a review
Please summerize the given abstract to a title,Increasing use of post-mastectomy hypofractionated radiation therapy for breast cancer in Victoria.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the finding of the right adnexal mass with thick endometrium is suggestive of that you should go for a ct scan or an mri to know the diagnosis of the mass, the possible etiology whether it is due to tuberculosis, or cancer or a simple cyst so that further treatment can be planned. no surgery of a simple cyst. if complex cyst, you have to undergo laparoscopic diagnosis and removal. your doctors are trying to avoid any intervention as you are just 19 years old and in the reproductive age group. also, go for blood tests particularly afp for cancer. erosive duodenitis is a different problem and can occur due to stress, and get treated with ppi or sanitizing. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Detection of COVID-19 using Hybrid ResNet and SVM
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i have gone through your complaints. you are 9 months pregnant. now having high bp and proteinuria indicates preeclampsia. its good as you are having no complaints and sonogram normal. nothing to worry regarding proteinuria. have exercises life walking. avoid salty foods. monitor your blood pressure. have sonogram once in a week .if everything in normal range plan delivery accordingly. if blood pressure is unstable and symptoms && signs are there consult the chatbot. thank youregardsvasundhara
Please summerize the given abstract to a title,Dendritic cell vaccine immunotherapy;the beginning of the end of cancer and COVID-19. A hypothesis
Answer this question truthfully,"ADHD is the most commonly diagnosed behavioral disorder of childhood. It affects about 3 - 5% of school aged children. ADHD is diagnosed much more often in boys than in girls.
ADHD may run in families, but it is not clear exactly what causes it. Whatever the cause may be, it seems to be set in motion early in life as the brain is developing. Imaging studies suggest that the brains of children with ADHD are different from those of other children.
Depression, lack of sleep, learning disabilities, tic disorders, and behavior problems may be confused with, or appear with, ADHD. Every child suspected of having ADHD should be carefully examined by a doctor to rule out possible other conditions or reasons for the behavior.
Most children with ADHD also have at least one other developmental or behavioral problem. They may also have a psychiatric problem, such as depression or bipolar disorder."
Answer this question truthfully,"Heparin is a medication commonly used to prevent blood clots. It exerts its effects by activating antithrombin III, a protein that inhibits the activity of several clotting factors, including thrombin and factor Xa. By activating antithrombin III, heparin enhances its ability to inhibit these clotting factors, which ultimately helps to prevent the formation of blood clots. This mechanism of action makes heparin an effective anticoagulant medication."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot.first i would like to inform you that you have not mentioned the reference rang for bun of your test result, because it varies from one lab to another. ideal range for bun is 7-21 mg/dl. an elevated bun in the setting of a relatively normal creatinine, which is your case, may reflect a physiological response to a relative decrease of blood flow to the kidney without indicating any true injury to the kidney. so, in your case you are advised to take plenty of fluids orally to increase blood volume. best of luck."
Answer this question truthfully,"In 1936, Jens Bing and Axel Valdemar Neel, discovered a late and rare complication of Waldenstrom's macroglobulinemia known as Bing-Neel syndrome (BNS), who observed a case of 2 women, 56 and 39 years old, presenting with rapid neurodegeneration in the setting of hyperglobulinemia In 1944, Jan G. (Gosta) Waldenstrom, a Swedish doctor of internal medicine, first discovered Waldenstrom macroglobulinemia (WM) who reported an unusual presentation of fatigue, lymphadenopathy, bleeding from nose and mouth, worsening anemia, elevated sedimentation rate, low serum fibrinogen levels (hypofibrinogenemia), hyperviscosity, and hypergammaglobulinemia in two patients due to increased levels of a class of an abnormal high molecular weight serum protein called macroglobulins   In 1962, the first report on familial inheritance in WM was published, and since then many cohort studies as well as small case-control studies have been published showing familial aggregation of WM              In 1994, a Revised European-American classification of lymphoid neoplasms (REAL) was published by International Lymphoma Study Group which placed WM in the category of lymphoplasmacytic lymphoma (an indolent subtype of Non Hodgkin's lymphoma and it is based on the morphology, immunophenotype, genetic and clinical features   In 2001, WHO also classified the pathology of WM as lymphoplasmacytic lymphoma / Waldenstrom macroglobulinemia based on REAL classification  In September 26-30, 2002, a consensus group at the Second International Workshop on WM in Athens, Greece, defined WM as a distinct clinicopathologic entity with characteristics of bone marrow infiltration associated with IgM monoclonal gammopathy by WM and proposed a diagnostic criteria for WM   In 2009, in Arkansas, a patient of Bing-Neel syndrome discontinued the treatment for BNS which included, intrathecal chemotherapy with several cycles of systemic chemotherapy followed by autologous BEAM transplant. In 2013, the patient was still asymptomatic when a follow-up report was published"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as per the details u have given, there is no relationship with the ovarian cyst and the type of food that you will eat/ chatbot. .more over, it is strongly advised to get through a ultrasonogram to confirm the type of ovarian cyst, if it is a simple follicular or hemorrhagic cyst, they are benign and gradually disappear ....but problem comes with the malignant ovarian cysts...so i advise you to don't wait for cyst to disappear by giving some"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi uma, welcome to chatbot forum. in my opinion you must seek advise from a rheumatologist for best treatment of this problem. i would advise you not to delay your treatment as this will worsen the condition. this condition is not completely curable, but you can control the pain and prevent damage to your joints. there is no specific food for this, but there are few tips which may be helpful for you. if you are overweight please lose weight, involve yourself in some form of exercise. swimming is good but avoid situations where you need to strain your joints. eat plenty of vegetables, fruits, lean meat and low fat diary products. your doctor will also advise you on some medications to ease pain and movement of your affected joints. take care and seek medical care."
Please answer with one of the option in the bracket,C: Valproate
Answer this question truthfully,"Internal hemorrhoids receive visceral innervation from pelvic splanchnic nerves. Hemorrhoids are swollen veins in the anal area that can cause discomfort, pain, and bleeding. There are two types of hemorrhoids: internal and external. Internal hemorrhoids are located inside the rectum and are covered by a thin layer of tissue called mucosa. External hemorrhoids, on the other hand, are located outside the anus and are covered by skin. The innervation of the two types of hemorrhoids differs, with internal hemorrhoids receiving innervation from the autonomic nervous system, specifically the pelvic splanchnic nerves, while external hemorrhoids receive innervation from somatic nerves. The innervation of internal hemorrhoids is important because it can affect the sensation of pain and the ability to control bowel movements. In some cases, treatment for internal hemorrhoids may involve procedures that disrupt the nerve supply to the affected area, such as rubber band ligation or infrared coagulation."
Please answer with one of the option in the bracket,C: Fatty acid (beta) oxidation
Answer this question truthfully,Meningocele
Answer this question truthfully,"L4-L5 nerve root compression can result in low deep fibular nerve function, which can cause weakness or numbness in the muscles and skin of the foot and ankle. One of the muscles affected is the tibialis anterior, which is responsible for lifting the foot upward and inward. When the deep fibular nerve is compressed, the tibialis anterior may not function properly, leading to difficulty in lifting the foot and potentially affecting gait and balance. Other symptoms of L4-L5 nerve root compression may include pain, tingling, or numbness in the lower back, buttocks, and legs, and weakness in the muscles of the leg and foot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for writing to chatbot! well, it seems that the lymph node is the active witness to all your illness! therefore, it just acts as a guard to the insults and ideally if i were your treating doctor for this case of neck lymph node, i would clearly tell that removing the lymph node, as that is the only cure for this, would not cure your disease! therefore, first try to prevent/cure the aggravating conditions for this and rule out if any serious disease is with itself! these are called reactive lymph nodes or tonsils and warm saline gargle is necessary when enlarged suddenly and have to treat the specific neck/throat/thyroid inflammation.... i suggest you to go for an fnac to rule out any significant pathology before consulting a surgeon for its removal! hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... you might have prescribed short term steroid... with microgynon it could be taken... mainly microgynon not taken along with immunosuppressive and some antifungal chatbot. ... as you have asthma consult physician for starting maintenance inhaler if repeated infection... steam inhalation useful.... you can take equal amount of mixed ginger juice and honey one tsp two time daily that is good remedy.... for congestion eucalyptus helpful.... take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. avoid smoking and alcohol if any. there shouldn't be abdominal fat deposition or obesity. you can also try yoga for the same. a combination diet rich in fruits, vegetables, legumes, and low-fat dairy products and low in snacks, sweets, meats, and saturated and total fat helps a lot. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,E: Immunoglobulin and vaccination administration
Please summerize the given abstract to a title,Managing Food Supply Chains Post COVID-19: A Perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, birth control pills contain estrogen and/or progesterone hormones containing medicines. these medicines increase the stomach acidity and also cause nausea due to their metabolism in the liver. these things ultimately lead to indigestion and/or gastrointestinal upsets. this causes flutter like feeling you are having. to control the gastritis, please take some proton pump inhibitor acidity controlling medicines like pantoprazole. also take some carminative like carminative mixture or gases or plain soda. these will give you relief from your symptoms. i hope this helps you,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to us, since you say that the problem is present from the past one year, it is unlikely to be a problem with her personality. it is more likely to be a mental illness. the history you have provided is insufficient to diagnose the problem, the possibilities could range from adjustment problems to an affective disorder. but she would require a detailed psychiatric evaluation to confirm the above. hope this helps, chatbot."
Answer this question truthfully,"The clinical course of the illness is divided into three stages: catarrhal, paroxysmal and convalescent. Pertussis has an insidious onset with catarrhal symptoms that are indistinguishable from those of minor respiratory tract infections. The cough, which is initially intermittent, becomes paroxysmal. In typical cases paroxysms terminate with inspiratory whoop and may be followed by post-tussive vomiting. Paroxysms of cough, which may occur more at night, usually increase in frequency and severity as the illness progresses and typically persist for 2 to 6 weeks or more. The illness can be milder and the characteristic ""whoop"" may be absent in children, adolescents and adults who were previously vaccinated. After paroxysms subside, a nonparoxysmal cough can continue for 2 to 6 weeks or longer. Unvaccinated or incompletely vaccinated infants younger than 12 months of age have the highest risk for developing severe infection and life-threatening complications and death.
Shown below is a table summarizing the main clinical findings in each stage. 
Natural History of Pertussis Stage Duration Key features Catarrhal Usually 7-10 days; range of 4-21 - Low grade fever - Coryza - Mild occasional cough Paroxysmal Usually lasts 1-6 weeks, but may persist for up to 10 weeks - Paroxysms of numerous, rapid coughs due to difficulty expelling thick mucus from the tracheobronchial tree - Long aspiratory effort accompanied by a high-pitched ""whoop"" at the end of the paroxysms - Cyanosis - Vomiting and exhaustion - Paroxysmal attacks occur frequently at night, with an average of 15 attacks per 24 hours - Paroxysmal attacks increase in frequency during the first 1-2 weeks, remain at the same frequency for 2-3 weeks, and then gradually decrease Convalescent Usually 7-10 days; range of 4-21 - Gradual recovery - Less persistent, paroxysmal coughs that disappear in 2-3 weeks - Paroxysms often recur with subsequent respiratory infections for many months after the onset of pertussis
Timeline of pertussis clinical manifestations. Retrieved from Centers of Disease Control and Prevention (CDC)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. the abnormal sensations that you have such as numbness, tingling are termed peripheral neuropathy. peripheral neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. another possibility could be nerve compression in spine due to disc bulge. change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesvitamin b12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. you can increase b12 level by taking meat and fish, or you can take tab methylcobalamine. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please summerize the given abstract to a title,"Managing People with Hypertension and Cardiovascular Disease during COVID-19: Considerations for Health Providers, 3 June 2020"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms are suggestive of arthritis. i would recommend consulting with a rheumatologist for a physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the repeated flu episodes are may be due to allergic reactions following viral infection. the virus itself can stimulate the mast cells to release histamines to produce the symptoms of generalized hives. the symptoms are suggesting me that you may be having allergic reactions. i would suggest you 1. cold packs over the hives2. oral antihistamines with mast cell stabilizers3. topical antihistamines and steroids. if there is a secondary bacterial infection it should be treated with oral antibiotics. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion your chest pain is related to smoking only. we need to first rule out early bronchitis in you. because early bronchitis can cause similar kind of chest pain on deep breathing and smoking. so consult pulmonologist and get done pft (pulmonary function test) to rule out bronchitis. your chest pain after meals can be due to herd (gastroesophageal reflux disease). smoking is the biggest risk factor for herd. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. so in your case first priority should be given to smoking cessation. it is not a good habit. so better to quit as soon as possible. and consult pulmonologist and discuss all these, start appropriate treatment."
Answer this question truthfully,"Enterocytes are specialized cells that line the small intestine and are responsible for the absorption of nutrients, including iron. Iron is absorbed by enterocytes in the duodenum, which is the first part of the small intestine.

In the duodenum, iron is released from food and binds to a protein called transferrin, which transports it to the liver and other tissues where it is used for various functions. The absorption of iron is influenced by many factors, including the amount and type of iron in the diet, as well as other dietary factors such as vitamin C and phytates.

Certain medical conditions and medications can also affect the absorption of iron, leading to iron deficiency anemia or iron overload. If you are experiencing symptoms of anemia or have concerns about your iron levels, it is important to speak with your healthcare provider."
Answer this question truthfully,The name of the vesicular trafficking protein that is responsible for transport between the plasma membrane and endosomes (receptor-mediated endocytosis) is Clathrin.
Answer this question truthfully,"Pulmonic stenosis is a heart condition characterized by a narrowing of the pulmonary valve or pulmonary artery, which can lead to reduced blood flow from the heart to the lungs. This condition is often associated with a widened splitting of the S2 heart sound, particularly during inspiration. The S2 heart sound is produced by the closure of the aortic and pulmonic valves, and it is normally split into two distinct sounds that can be heard with a stethoscope. However, in cases of pulmonic stenosis, the narrowing of the pulmonary valve can cause a delay in the closure of the pulmonic valve, leading to a wider splitting of the S2 heart sound. This is particularly noticeable during inspiration, when the increased blood flow to the lungs can exacerbate the delay in pulmonic valve closure. Therefore, the presence of a widened splitting of the S2 heart sound, especially during inspiration, can be an important diagnostic sign of pulmonic stenosis."
Answer this question truthfully,"In 1952, Bruton reported a condition in an 8-year-old boy with recurrent episodes of bacterial infections and sepsis with the same serotypes of pneumococcus, while he had intact lymphoid tissue and B-cells but had decreased IgG levels and he had no antibodies against this pathogen. 
In the 1960s, by the discovery of the IgG subclasses, further aspects of IgG deficiency and recurrent infection, were uncovered. and thrown new light on the understanding of IgG deficiencies subclasses, as isolated deficiencies (eg, selective IgG deficiency) or in association with deficiencies of other immunoglobulin types. Moreover, how even if the total IgG concentration is normal, deficiencies of one or more individual IgG subclasses, may be observed."
Answer this question truthfully,"The significant information that needs to be focused on in the history of the patient includes:
History of travel to the endemic areas History of exposure to individuals with similar complaints"
Answer this question truthfully,Renal vein thrombosis (RVT) is the formation of a clot or thrombus obstructing the renal vein. Rayer was the first to describe thrombosis of renal vein in nephrotic patients during postpartum. Based on the onset of symptoms renal vein thrombosis can be classified into acute and chronic.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. first the exact cause of liver damage should be found. in his age the first thing to think of is congenital liver disorders such as gilbert. secind, it may indicate any kind onf systemic infection, and thirdly it can be certain blood disorder if associated with anemia. he needs extensive work up to evaluate his blood sugar.it may suggest pancreatic disease or beginning of type 1 diabetes. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot... i. have gone through your query and being your physician i completely understand your health concerns.... in a laparoscopic cholecystectomy there is always a chance of transferring into open one due to variety of factors. your surgeon will best decide about it.  as far as success is concerned results are same, but the recovery period is a bit longer in open surgery... there are no other disadvantages if surgery is performed adequately... hope your query is adequately ad chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. paniless lumps on the neck with mild discomfort - possible cause could be lymph nodal enlargement.2. lymph nodal enlargement is seen in infections and inflammations which can be localized or systemic and lump nodal pathology itself.3. if you are concerned and want to be in peace of mind - request your doctor for an ultrasound neck.4. ultrasound will evaluate the nature of the lump. its source and extensions, an fnac to rule out any malignancy / cancer cells within.5. an abdomen pelvis ultrasound to assess any possible causes and abdominal lymphadenopathy.6. treat any illness you are aware of that will heal the nodes automatically. good luck. hope i have answered your query.anything to ask do not hesitatehttp"
Please summerize the given abstract to a title,Seasonal and Secular Periodicities Identified in the Dynamics of US FDA Medical Devices (1976 2020) Portends Intrinsic Industrial Transformation and Independence of Certain Crises
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. there are not any proven chatbot. you will have to opt for repair surgery. please visit your surgeon and get evaluated to know if you are fit for surgery. laproscopic surgery is also available. meanwhile, if you have chronic cough please see that you get treated for that. if you are a smoker, quit smoking and see your chest physician. hope i answered your question. if you need more information feel free to mail me. take care"
Answer this question truthfully,"Toxic megacolon is considered the most severe complication of pseudomembranous colitis. Pseudomembranous colitis is a condition caused by an overgrowth of the bacteria Clostridium difficile in the colon, which can lead to inflammation and the formation of pseudomembranes on the surface of the colon. If left untreated, the inflammation can spread and cause the colon to become dilated and distended, a condition known as toxic megacolon. Toxic megacolon is a medical emergency that can lead to bowel perforation, sepsis, and death if not treated promptly. Other complications of pseudomembranous colitis include dehydration, electrolyte imbalances, and the development of a hole in the wall of the colon (perforation). Treatment for pseudomembranous colitis typically involves antibiotics to kill the C. difficile bacteria, as well as supportive care to manage symptoms and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and. your concern is understandable. at time of intercourse, sperms with some fluid, travel via tubes called was, from both the testis to the penis, and out with ejaculation. in your case, both the was have been divided and tied up years back. but, the kind of pain you're experiencing, is known in few cases. you should get a doctor to check the genitalia, and proper treatment will be advised.  you should also ask the doctor, if the effector xr, is needed. wish you well."
Please summerize the given abstract to a title,Stevia Genus: Phytochemistry and Biological Activities Update
"If you are a doctor, please answer the medical questions based on the patient's description.",it is most probably extensor tendon inflammation.  rest until the pain has gone. apply a cold therapy and compression wrap. apply ice of cold therapy can be applied for 10 minutes every hour initially reducing frequency as required over the next 48 hours. once the initial painful acute stage has passed then application of heat may be more effective. ensure footwear is appropriate and in particular the shoes are not laced too tightly. over tightening the laces puts direct pressure over the extensor tendons in the foot. when all pain has gone a full rehabilitation program to strengthen the extensor muscles should be done. by doing certain exercises to strengthen
Please summerize the given abstract to a title,Implementation challenges of an integrated One Health surveillance system in humanitarian settings: A qualitative study in Palestine
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion it is muscular pain only. as you had fall and muscular pain occurs commonly after fall. but we need to rule out internal damage first. internal damage can be in the form of1. rib fracture2. pulmonary contusion3. pneumothorax etc. so get done chest x-ray and rule out all these. if x-ray is normal than your symptoms are mostly due to muscular pain. try to follow these for symptomatic relief. 1. avoid strenuous exercise2. avoid heavy weight lifting3. avid bad postures in sleep.4. take painkiller and muscle relaxant. 5. apply warm water pad to the affected area.
Answer this question truthfully,"Parkinson's disease is characterized histologically by the presence of Lewy bodies, which are round, eosinophilic inclusions composed of α-synuclein."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there can be foot weakness and instability. i will advise you to do mri spine and emg-ncv [nerve conduction study]. you may need clinical examination for confirmation. for these symptoms neurotrophic medication can be started. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please summerize the given abstract to a title,What we know and don't know about the immunization program of Ethiopia: a scoping review of the literature
Please summerize the given abstract to a title,Assessing the nationwide impact of COVID-19 mitigation policies on the transmission rate of SARS-CoV-2 in Brazil
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your case is complicated due to old age and multiple problems. from your description possible causes of your multiple suffering in order of preference"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the soft swelling develops in the last few days can be an epididymis cyst or some lipoma like benign soft tissue lesion. the hard lesion has not increased in size for many months, so it might not be malignant.  however, you should get your diagnosis to assure that it is not malignant.  so i suggest you investigate primarily with ultrasonography of lump and revert to me or another doctor for further discussion.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"An acute ""popping"" sensation followed by ""clicking"" during McMurray's test is suggestive of meniscal tear."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... with the minimal information provided i am not able to deliver diagnosis to you as of now. but i can reassure you one thing - if the baby is active and feeding well and gaining appropriate weight of at least 25 to 30 grams per day and is passing urine at least 6th hourly once then your baby is normal. you need not worry about her health as of now. regarding the small lumps which you have mentioned under the skin i suggest you upload images of the same so that i will be even in a better position to guide you further. regards -
Please summerize the given abstract to a title,"Structure, Immunopathogenesis and Vaccines Against SARS Coronavirus"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, stenting the mesenteric artery is the best way forward to establish blood flow to your pancreas and stomach. the other alternative is surgery which is far more morbid. also, the used during stenting is similar to what they used previously in ct. so do discuss it with your doctor, so he may take precautions before the procedure and preferably use alternative dye. yes follow-up mri would be better in your case for evaluation.  regards"
Please summerize the given abstract to a title,Treatment of Middle East Respiratory Syndrome with a combination of lopinavir-ritonavir and interferon-β1b (MIRACLE trial): study protocol for a randomized controlled trial
Please answer with one of the option in the bracket,E: A narrowing of the superficial femoral artery
Please summerize the given abstract to a title,Health Benefits of Plant-Based Nutrition: Focus on Beans in Cardiometabolic Diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your daughter might be having intertwine or seborrhea dermatitis. the confirmed diagnosis can only be delivered after a thorough visual inspection of the lesion. however, to offer empirical treatment, you can clean the affected area with warm saline water and apply a combination antifungal, antibacterial and steroid cream like motivate gm cream twice in a day for a week to see response. hope that solves your query. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion your friend should consult pulmonologist and get done1. chest x ray2. put (pulmonary function test). chronic cough with mucus production and shortness of breath can be seen in1. asthma2. chronic bronchitis3. chronic infection. so chest x-ray is needed to rule out infection if present.pft is needed to rule out asthma and bronchitis. since she was improved with prednisolone, probability of asthma is more. and don't give oral prednisolone (steroid) as it is harmful to the body. better to consult pulmonologist and first diagnose her and then start treatment accordingly."
Please summerize the given abstract to a title,Electronic Form Over Substance: eSignature Laws Need Upgrades
"If you are a doctor, please answer the medical questions based on the patient's description.","hello as you mentioned that you are having cough ( chatbot.  cough is accompanied by wheeze. in my opinion such type of cough may be due to these possibilities, these include"
Please summerize the given abstract to a title,Too Lonely to Help: Early Adolescents’ Social Connections and Willingness to Help During COVID‐19 Lockdown
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. i can understand your concern. by your history and description, possibility of stress, anxiety related symptoms is more. but since it is left sided chest pain better to first rule out heart diseases. so get done ecg and 2d echo. if both are normal then no need to worry about heart diseases. your symptoms are mostly due to stress and anxiety. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised followed by mri of the cervical spine. as you have stiff neck, neck pain, numbness of hand and fingers it appears to me a more of the pinched nerve symptoms. an mri should help understand the level of pinching well. also, undergoing physical therapy like therapeutic ultrasound therapy and tens therapy should help reduce the inflammation and pain. besides exercises on later stages to improve the strength in the muscles for better stability.in my clinical practice such cases are recommended for physical therapy, and they respond well. regardsjay in chatbot."
Answer this question truthfully,"No, ischemic injury is not reversible after 30 minutes of total myocardial ischemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that he might be having acute gastritis or acid reflux giving this problem. give him anti-emetic like ogden or coastal 1stat with little amount of water, so tablet remain in stomach. after stopping of vomiting give him antispasmodic medicine like metal spas or cyclops. give him one tablet of omeprazole. if there is no relief then g to er. give him light diet and enough water after vomiting stopped. ok and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that your systolic blood pressure values are above the normal ranges for your age. but a single blood pressure values is not indicative of arterial hypertension. it can be related also to physical or emotional stress. even taking a lot of caffeine or salt can lead to these blood pressure values. i would recommend you to closely measure your blood pressure values, frequently during the day (in sitting position after 10 minutes of total relax) and refer those values to your attending physician. you may need to stop this diet, if your blood pressure values remain high. further lab blood tests may be needed to exclude other secondary causes of high blood pressure (electrolyte imbalance, high blood sugar, kidney or liver dysfunction). hope to have been helpful! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i feel is that the symptoms of tenderness can be due to two possible reason, and either of one fails to claim then it should be muscular. the first one will be a nerve entrapment in the course of its nerve which may lead to such symptoms as any small pressure on the nerve can lead to disruption of the symptoms. the second one with being golfers elbow, for this the wrist extension and flexion should be performed with resistance if the pain is present over the medical aspect of the elbow.  based on the possible physical examination we can come to a conclusion what could be the possible cause and treatment will be guided accordingly. in my opinion, neither of the ones is a serious injury and can be handled by a medical specialist. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
Please summerize the given abstract to a title,Retrospective Analysis of Asymptomatic COVID-19 Patients Presenting to Emergency Department
"If you are a doctor, please answer the medical questions based on the patient's description.",dear mr sharma thank you for contacting us. sorry you had been suffering with this for such a long time. there are cleaner and newer medications are available for seizures (fits) these days. you don't need to stick to anchorage throne (divelproex). have you seen the neurologist recently ? as your seizures are not still controlled well i strongly advise you to see the neurologist and ask for other medications. meanwhile please do not chatbot.  take care
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  sore throat, mild fever, headache all symptoms are suggestive of some viral infection. low blood count is common in viral infection.  so you should take treatment of viral infection. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good morning. if i were your doctor, after a clinical examination of the lump, i would refer you to a general surgeon or your original operating surgeon to investigate you thoroughly on the lump apart from treating the infection which could be due to an unresolved suture of the previous surgery, a known problem with some. till then, i would advise you for a broad spectrum antibiotic along with an anti-inflammatory and a proton pump inhibitor, and a regular sterile chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Answer this question truthfully,"Cellular respiration is the process by which cells convert glucose and other nutrients into energy in the form of ATP. Obligate Aerobes are organisms that are able to generate lots of energy through cellular respiration using oxygen. These organisms require oxygen to survive and thrive, and they have evolved to efficiently use this molecule to produce ATP through a series of complex biochemical reactions. This process is essential for the survival of many organisms, including humans, and it plays a key role in maintaining the balance of energy in living systems."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query & i feel sorry for your troubles. well i guess your between 20-30 yrs & you have faced these problems since your early teens. please correct me if i am wrong. prima facie what you are describing is suggestive of having anxious-avoidant type traits of your personality. so long as one does not face distress or lands up in trouble due to a particular personality trait, there is nothing wrong in having some anxiety, some avoidance behavior. but seemingly you are facing a lot of difficulty in your workplace & home. thus, it's time for you to step up & seek help. anxious-avoidant traits usually develop in settings of adverse childhood experiences, harsh discipline etc. but these are not the only reasons & some people may have them de nova also. hence rather than blaming past events, we shall try to sort out this problem. you need to consult a psychiatrist/psychologist where you shall learn assertiveness training which simply put is a behavior modification technique which teaches you how to say no, how to express discordant opinions, how to assert yourself, your opinions etc. without creating bitterness, how to handle a situation with confidence without appearing arrogant etc. plus for your irregular sleeping habits, you shall be taught daily activity scheduling, sleep hygiene measures. if required you shall be also prescribed medications like ssri group chatbot.  don't worry, take the next step & seek help. you can also revert to me if you need extra help. good luck"
Please summerize the given abstract to a title,"Main Differences Between the First and Second Waves of COVID-19 in Madrid, Spain"
Please summerize the given abstract to a title,Machine learning uncovers the most robust self-report predictors of relationship quality across 43 longitudinal couples studies
Please summerize the given abstract to a title,Does Antiplatelet Therapy during Bridging Thrombolysis Increase Rates of Intracerebral Hemorrhage in Stroke Patients?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having herd (gastroesophageal reflux disease). as verdi untreated can produce chatbot.  and you are having burning flames which suggest acid reflux. herd is due to laxity of gastroesophageal sphincter. due to this the acid of the stomach tends to come up and cause the symptoms. so better to follow these.1. avoid hot and spicy food.2. avoid stress and anxiety. 3. avoid large meals, instead take frequent small meals.4. take proton pump inhibitors. 5. go for walking after meals.6. keep 2-3 pillows under head in bed. if not improve in 1 week than get done chest x-ray to rule of pulmonary causes for cough."
Please summerize the given abstract to a title,The prevalence of respiratory pathogens in adults with community-acquired pneumonia in an outpatient cohort
Please summerize the given abstract to a title,Diagnostic accuracy of point of care faecal immunochemical testing using a portable high-speed quantitative analyser for diagnosis in two-week wait patients.
Please summerize the given abstract to a title,Legal and environmental implications of COVID19 outbreak in India
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems that you may be having purity simplex. there may be some cause. there is multiple, intensely itchy paulo vesicular lesions on extremities and trunk. stress, sun rays, cosmetics,insects, dust,soap, clothes,deodorants...etc. can cause the disease. avoid tension and worries. avoid soap bath, you may take detail liquid. anti histamines may relieve itching. steroid in tampering dose may improve the condition. if there is infection, take antibiotics. however, consult dermatologist. i hope you got my answer. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. though you have provided most of the details you have not mentioned the details of the basic investigations"
Please summerize the given abstract to a title,Digital Eye Strain Epidemic amid COVID-19 Pandemic - A Cross-sectional Survey.
could tetanus be a cause of death?,"Complications of tetanus infection may include death due to respiratory failure, cardiac arrest or pneumonia."
Please summerize the given abstract to a title,Providing care under extreme adversity: The impact of the Yemen conflict on the personal and professional lives of health workers
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. there is possibility of transient ischemic episode leading to pain in your head. you may need clinical examination to confirm neurological weakness, bp and other vital parameters. another probability is due to compression of this nerve root there is pain around head. you may require mri brain and spine. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, you can consult physiotherapist for help. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Answer this question truthfully,"The standard treatment for a patient who develops anemia while being treated with phenytoin for seizures is to administer folic acid.

Phenytoin is an anticonvulsant medication that is commonly used to treat seizures. However, it can cause side effects such as anemia, which is a decrease in the number of red blood cells. Anemia can lead to symptoms such as fatigue, weakness, and shortness of breath. The standard treatment for anemia caused by phenytoin therapy is to administer folic acid supplements. Folic acid is a B vitamin that is essential for the production of red blood cells. It can help to improve anemia and reduce the symptoms associated with it. It is important for patients who are taking phenytoin to be monitored for side effects and to receive appropriate treatment if they develop anemia or other complications."
Please summerize the given abstract to a title,Babesiosis as a Cause of Atraumatic Splenic Injury: Two Case Reports and a Review of Literature
Answer this question truthfully,The major anions found in the extracellular fluid are Cl- and HCO3- (bicarbonate).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you ate taking treatment for your iron deficiency anemia.  your chatbot.  or may be due to some skin problems.  so consult your doctor and inform your condition.  if needed you can take injectable iron.  consult a dermatologist also for your skin rashes. take iron reach diet like beggary, dates, green leafy vegetables and"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having viral bronchitis. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will tell you about severity of the disease and treatment is based on severity only. you will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). oral anti-inflammatory and antipyretic chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  if otherwise baby is active, accepting feed., passing urine you need not worry much. you can give antihistamine medicine like cetirizine for itching, and locally calamine lotion can be applied for symptomatic relief. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concern. you should be worried but not too much. it seems she has viral infection; the fever can be till 5-6 days in this case. another causes-infectious mononucleosis, sinusitis, uti infection. i suggest you to perform blood and urine tests. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing your sister speedy recovery and good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the facts that you have posted it seems that have tendency to get recurrence of kidney stones witchatdoctorposition being calcium, oxalate and uric acid. the recurrence of stone is basically due to metabolic disorder of calcium and oxalate and one needs to follow strict dietary regime to prevent recurrence of stone. following regime if followed religiously will help to prevent the recurrence of stone .1) chatbot. this will help to avoid urine being concentrated and precipitate calcium salts in urine and there by prevent stone formation .2) take calcium and oxalate containing foods together during meals. this will bind up the calcium and oxalate in the stomach and not in kidney while urine is being produced in kidneys.3) avoid red meat, organ meat. this will help to lower down uric acid levels in body and there by forming uric acid stones 4) avoid getting uti. infection of urine is they the commonest cause for stone formation.hence, aiding to get uti will help to form stones .5) avoid alcohol and aerated"
Answer this question truthfully,Cellulitis usually goes away with 7 - 10 days of antibiotics. Longer treatment may be needed if cellulitis is more severe. This may occur if you have a chronic diseases or your immune system is not working properly. People with fungal infections of the feet may have cellulitis that keeps coming back. The cracks in the skin from the fungal infection allows the bacteria entry to the skin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello & welcome to chatbot, i had gone through the case and found that all liver medicine you have mentioned are same in action. anyone you can take. for deranged lipid profile you must care for dietary intake with atorvastatin 40\u00a0mg /od. diet includes-almonds or walnut in breakfast. avoid refined flour, bear food items, sugar and rice. take flex seed or fish oil for omega 3 fatty acid. avoid oily food for better of liver. take fruits and vegetable, raw garlic, white portion of egg and fish. avoid red meat. follow this, definitely your problem will cure in 1 month. hope it will be effective for you. thanks, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","your child could be suffering from acute gastroenteritis. unless associated with bloody stools, the condition is self limiting and does not need to be treated with antibiotics. you need to give ors (oral rely chatbot.  it comes in ready-made form or may be prepared by mixing a full sachet in the designated amount of water. replenishment of the lost water and salts is the mainstay of treatment. treatment is not supposed to bring down the frequency of passage of loose stools. the adequacy of the hy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have resolving hematoma in the groin, after atv accident.usg would fix exact proportion of resolved hematoma and fibrosis lump portion. consult a surgeon with usg report, who would treat it either by-a-wide bore needle and compression bandage, b-or by surgical excision depending on the finding of physical examination and usg/lab status of that lump hope this would help you to plan further treatment with your doctor. will appreciate your hitting thanks and writing excellent review comments to help needy patients like you. welcome with any other further query in this regard. good day!! chatbot. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello vinod and welcome to chatbot. as a urologist, i can understand your anxiety. you should've written your age and if you've done ultrasound or ct. ideally, with recurrent pain, you should have a active or a plain club. a 2\u00a0mm stone alone can't usually cause severe pain, as you've written. chatbot. you should do the following tests"
Answer this question truthfully,"Disorders of secondary hemostasis typically present with deep tissue bleeding. Secondary hemostasis refers to the formation of a stable blood clot through the coagulation cascade, which involves a series of clotting factors and platelets. Disorders of secondary hemostasis can result in bleeding disorders, which can manifest as bleeding into deep tissues such as muscles and joints. Some examples of disorders of secondary hemostasis include hemophilia A and B, von Willebrand disease, and factor XI deficiency. Treatment of these disorders typically involves replacement of the missing clotting factor or administration of medications that promote clotting."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello saw your query on chatbot...your ultrasound test report states the presence of cortical cyst in upper pole of right kidney which is less than 3 cm in size in diameter. presence of cortical cysts are usually seen as an incidental finding in many patients and i do mention these findings on daily basis and should not be worried as such. however a point of caution should be given when there are signs of complexities within the cyst if any which we call as complex cyst. this point has not been mentioned by you whether it is a simple cyst or complex cyst. it should have been stated by your radiologist. if it read a simple cortical cyst then according to me there is no reason to worry. simple cortical cysts usually do not cause any pain and hence do not explain your problem of lower abdominal pain as such. get yourself clinically evaluated by your local physician for diagnosing proper cause of the pain. thank you and i hope your query is answered...if you have any more query you can contact us.
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your query. you are probably suffering from sebaceous cyst of scrotum, which are getting secondarily infected, resulting in abscess formation. the infected ones are operated, as because they are multiple, and the symptomatic ones are left alone. hot fomentation, local antibiotic ointment application and oral penicillin are the main stay of treatment. please do also check your blood sugar levels, and ensure that you maintain personal hygiene. take care and get well soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. stress causes herd (gastroesophageal reflux disease). and herd is worsening by heavy meals. so your breathing difficulty is mostly due to stress and herd. for stress, consult psychiatrist and get done counselling sessions. counselling sessions along with anxiolytic chatbot. for herd, avoid hot and spicy food, avoid junk food, avoid large meals. take pantoprazole tablet on empty stomach twice daily. quit smoking and alcohol if you have these habits. don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the pain is unlikely to be related to cyst as it is a lower back pain and not groin pain or lower abdomen. before labelling it to the cyst, it will be wise to get an x-ray lumbosacral spine (better would be an mri of lumbosacral spine) and see if there is any compression of nerves. you may take a painkiller with a muscle relaxant like rapine dsr when you need it. avoid bending and pulling or pushing heavyweight till you get the tests. also, get sr. it. d and calcium levels and treat them if found low. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have what is called as multiple sebaceous cysts over scrotum and base of the penis. the scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. normally they fade away without treatment however they need to be treated if increase in size or get infected. please consult qualified general surgeon for clinical evaluation and further treatment. if needed some of them which are bigger may need to get excised in toto (completely along with the sac). chatbot."
Please answer with one of the option in the bracket,E: Anorexia
Answer this question truthfully,The great saphenous vein is located superficially in the leg and is considered the longest vein in the body.
Please summerize the given abstract to a title,Optimizing the COVID-19 Intervention Policy in Scotland and the Case for Testing and Tracing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion it is due to nerve compression or a mild stage of sciatica which is nerve coming out of spine and supplying your leg over sitting may cause its compression.  it is received by some relaxation, avoid sitting on hard objects for a long time, painkillers, muscle relaxants, hot massages with topical gels, b12 multivitamins are more than effective with such cases if not i suggest ct, mri to exclude spinal herniation. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! regarding your concern, i would explain that considering your symptoms an allergic reaction to almonds can not be excluded. have you tried almonds before? coming to this point, i would recommend consulting with your attending physician and performing allergy tests (blood and skin tests), in order to find out if you really are allergic to almonds or any other food. hope you will find this answer helpful! kind regards,"
Answer this question truthfully,"No, clopidogrel is not indicated for the treatment of asymptomatic carotid artery stenosis. Clopidogrel is an antiplatelet medication that is used to prevent blood clots in patients with a history of heart attack, stroke, or peripheral artery disease. While clopidogrel may be used in some cases of carotid artery stenosis, it is typically only recommended for patients who have had a recent stroke or transient ischemic attack (TIA). Asymptomatic carotid artery stenosis, which refers to narrowing of the carotid arteries without any symptoms, is generally managed with lifestyle modifications and careful monitoring, rather than medication."
"If you are a doctor, please answer the medical questions based on the patient's description.","i had the same problem for several years. i checked by several doctors. they ordered so many tests like mri, ct-scan, blood test, diabetics, celestial, etc... i spend so much money going to several doctors and doing so many tests. at end none of them made me feel better. i started to become vegan, veteran. i changed my diet. it is almost one year that i am not feeling like that anymore. i don't eat meat, chicken especially food that are made by a restaurant for package food. i mostly eat greens, grain, and simple food. make sure not to eat any msg. most causes have msg especially the hot cause."
Answer this question truthfully,"Bartter syndrome is a rare genetic disorder that affects the renal tubular system, specifically the Na+/K+/2Cl- cotransporter. This cotransporter is responsible for transporting sodium, potassium, and chloride ions across the cells lining the renal tubules, which helps to regulate the balance of electrolytes and fluids in the body. In Bartter syndrome, there is a defect in this cotransporter, which leads to an imbalance of electrolytes and fluids, and can cause symptoms such as excessive urination, dehydration, muscle weakness, and fatigue. There are several different types of Bartter syndrome, each with varying degrees of severity and different genetic causes. Treatment may include medications to replace the missing electrolytes, as well as other supportive therapies to manage symptoms and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","many thanks. your child have flu or common cold like symptoms. which needs treatment. he also has bleeding per nose may be coincidence with it. advise 1.blood work like cbc and platelet.2. coagulation profile if all above test are normal, no need to worry, bleed will stop with simple method like, pinching of nose for 5 minutes, put tap water on the head. occasionally needs coagulation of little bleed area with cautery by the ent physician. for common cold and fever, you just n\u00e9e bed rest, good hy chatbot. syp anti histamine for nasal congestion"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hit hanks for using chatbot.come have evaluated your query thoroughly.* many narrations have been given about the pain in depth, thanks for that details, but vital information about lump of 3 inches long is not there if it is externally seen, you are advised to upload its high resolution photograph (if no objection) and if possible reports till date as scanned copies of attachment.* at this juncture, i would tell this is not absolutely normal at all. mri is strongly recommended for the same . hope to clarify your query. welcome for further assistance. thanks for using chatbot .com & giving opportunity to assistwishing fine recovery. regards dear take care."
Please summerize the given abstract to a title,Association of Maternal Cervical Disease With Human Papillomavirus Vaccination Among Offspring
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in my opinion you may suffer from bacterial vaginosis (bv) which is an infection of the vagina caused by overgrowth of bacteria. bacterial vaginosis is common vaginal infection in women and is more common in women who are sexually active. symptoms of bv may include"
Answer this question truthfully,"Abnormal (high-pitched) breathing sounds Cough Coughing up blood Difficulty swallowing Hoarseness that does not get better in 1 - 2 weeks Neck pain Sore throat that does not get better in 1 - 2 weeks, even with antibiotics Swelling or lumps in the neck Unintentional weight loss"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i have gone through your query and being your physician i completely understand your health concerns. anemia verse does not cause cramps. there is need to look for the other causes of anemia.  you should meet physician so that you can be properly assessed. there is need to get the fbc, esr, blood sugar along with the s. electrolytes after then we will be able to proceed.  meanwhile, stay calm and use acetaminophen along with the tizanidine to relieve pain and spasm.  get well soon hope your query is adequately ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for sharing you problem with us. it is good that you visited the doctor immediately where the wound was disinfected this is the first thing that should be done post exposure of the bite. after this there are 4 doses of vaccine-first on the same day-second on the 3rd day-third on the 7th day-fourth on the 14 day think it will be better that you should visit that doctor and get confirmed with the doses."
Please answer with one of the option in the bracket,D: Rivastigmine
Please summerize the given abstract to a title,Management of Orthopedics and Traumatology patients in the context of covid-19 contingency: current concepts review/ Manejo de pacientes de Ortopedia y Traumatología en el contexto de la contingencia por covid-19: revisión de conceptos actuales revisión de la literatura
"If you are a doctor, please answer the medical questions based on the patient's description.","hello since, you mentioned that your son is having typhoid fever for 7 days and prescribed antibiotics for another 7 days (total 14 days course). now your son is complaining pain in various joints (knee, joints of hand and shoulder) . but don't take tension because after typhoid fever few patients develop other complications like malaise, arthralgias (pain in various joints) , and many others. so, once typhoid fever cured, your son will get relief. beside prescribed antibiotics also take some diclofenac tablet after consultation with your physician. but take a complete course of typhoid fever. good luck."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,"Signalling C-Type lectin receptors, microbial recognition and immunity"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. polycythemia vera is the chronic myeloproliferative disease. you should take hy chatbot.  bone marrow transplantation is the treatment of choice but at your age phlebotomy is the better option.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Special Issue “Immune Ontogeny and Vaccination in Early Life: How the Non-Human Primate Model Can Help Expand the Current Knowledge in Pediatric Immunology and Infectious Diseases Research”
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question. noted your concern. yes increased frequency of urination, thirst, weight loss despite increased apatite are symptoms of hyperglycemia (diabetes). in such a case i may suggest following evaluation-- complete blood count.- fasting and postprandial blood sugar level.- hba1c.- urea, creatinine, electrolytes. if blood sugar level normal in that case possibility of compulsive late chatbot. for which further evaluation like urine and serum osmolality maybe considered."
Please summerize the given abstract to a title,Evaluation of interleukin 28B single nucleotide polymorphisms in infants suffering from bronchiolitis
Answer this question truthfully,"No, transabdominal ultrasound is not typically used to diagnose endometriosis. Endometriosis is a condition in which tissue similar to the lining of the uterus grows outside of the uterus, causing pain and other symptoms. While ultrasound imaging may be used as part of the diagnostic process for endometriosis, transvaginal ultrasound is the preferred method. This involves inserting a small, wand-like device into the vagina to obtain images of the pelvic organs, which can help to identify the presence of endometrial tissue outside of the uterus. Other diagnostic methods for endometriosis may include laparoscopy, a minimally invasive surgical procedure that allows doctors to view the pelvic organs directly and take tissue samples for analysis."
Please summerize the given abstract to a title,"Evaluation of Knowledge, Attitude, and Practices toward the Outbreak Pandemic (COVID-19) Virus Disease among Ophthalmologists: A Cross-Sectional Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, christychambers35,your sons' problem is not a serious one. it is a genetic disorder that shows that abnormality in the blood tests with increase in indirect bilirubin, especially during fasting, stress or infections. this does not lead to any serious liver damage or death. sometimes, this may be associated with gallstones. not very common. the only way to diagnose this is by a liver biopsy handsome special staining. as i said before, this will not lead tony severe liver problems. the only reason to know about it, when the liver tests, bilirubin comes out high on testing. i would not worry about this. get a baseline sonogram of the gallbladder. there is no special diet or treatment for this condition. i wish him well. by the way, there is no relationship between his diarrhea and vomiting with gilbert's. it may have been a viral infection."
How bad can endometriosis get?,"The primary symptoms of endometriosis are pain and infertility ... Other common symptoms of endometriosis include:- Painful, even debilitating, menstrual cramps, which may get worse over time - Pain during or after sex - Pain in the intestine or lower abdomen - Painful bowel movements or painful urination during menstrual periods - Heavy menstrual periods - Premenstrual spotting or bleeding between periodsIn addition, women who are diagnosed with endometriosis may have painful bladder syndrome, digestive or gastrointestinal symptoms similar to a bowel disorder, as well as fatigue, tiredness, or lack of energy. ... For some women, the pain symptoms associated with endometriosis get milder after menopause ...  In some cases, inflammation and chemicals produced by the endometriosis areas can cause the pelvic organs to adhere, or stick together, causing scar tissue. This makes the uterus, ovaries, and fallopian tubes, as well as the bladder and rectum, appear as one large organ. ...Over time, some endometriosis areas may form nodules or bumps as they create lesions on the surface of pelvic organs or can become cysts (fluid-filled sacs) on the ovaries. - Some endometriosis lesions have nerves in them, tying the patches directly into the central nervous system. ...  Some women report less endometriosis pain after pregnancy ... Pain from endometriosis can be severe, interfering with day-to-day activities."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you need to stabilize your bite. do you have any periodontal conditions? do you wear a retainer at night? if your spaces have opened up again you may need pretreatment for braces and possible surgery to the jaw for longer term stabilization. possibly a different designed retainer can be women at night and there will be minimal movement during the day. a more aggressive retention could include a fixed bridge or some type of bonded retainer on the lingual or back side of your teeth. multiple veneers can be placed to fill in some spacing and provide a uniform smile. there are snap on smiles that fit over your teeth and give you a uniform smile without gaps. you would need an exam and models to study your bite for a discussion on options best suited to your situation. thank you for your inquiry. i hope one of these options will help you to improve your smile to one that you will be proud of. i am glad to assist with any additional questions."
Please summerize the given abstract to a title,Clinical and Postoperative Outcomes of Cancer Surgeries during the COVID-19 Pandemic: A Comparative Study with its Pre-COVID Surgical Audit at Five Major Tertiary Care Hospitals' Cancer Departments in India
Please summerize the given abstract to a title,Changes in the weight status of school children in Turkey during the COVID-19 lockdown period
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for posting here. root canal is the best option in your case. extraction compromises chewing ability, and you need to replace an artificial tooth after extraction site heals. always preserving the natural tooth is the better than extracting and replacing with another. root canal will include cleaning the infection and filling the tooth with a sterile material. a cap on the tooth is necessary after the root canal. however, the root canal along with the crown will cost a little more than extraction. pain will subside once you take the first sitting of root canal. i suggest you to take the treatment as early as possible. this will prevent any further fracture of the tooth, as it already seems to be weak after you broke. take novato 500 mg twice daily for 5 days. also take idol plus to control pain. avoid chewing on this tooth till you get the treatment done. hope this helps."
Please summerize the given abstract to a title,Selective Vagus Nerve Stimulation as a Therapeutic Approach for the Treatment of ARDS: A Rationale for Neuro-Immunomodulation in COVID-19 Disease
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. alt (sgpt) may indicate viral hepatitis or other types of liver damage.  so the next step is to look for certain liver damage and most common case is fatty liver disease. it should be confirmed by ultrasound. other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. to verify exact cause, us, bilirubin levels and tumor markers should be additional done then appropriate treatment can be started. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Please summerize the given abstract to a title,Theorizing the virus: abjection and the COVID-19 pandemic
Answer this question truthfully,"Specific signs and symptoms vary by the type of VHF, but initial signs and symptoms often include marked fever, fatigue, dizziness, muscle aches, loss of strength, and exhaustion. Patients with severe cases of VHF often show signs of bleeding under the skin, in internal organs, or from body orifices like the mouth, eyes, or ears. However, although they may bleed from many sites around the body, patients rarely die because of blood loss. Severely ill patient cases may also show shock, nervous system malfunction, coma, delirium, and seizures. Some types of VHF are associated with renal insufficiency."
Please answer with one of the option in the bracket,"D: pH 7.51, PaCO2 50 , serum chloride 81 mEq/L, serum bicarbonate 38 mEq/L"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, it is illegal to sell or buy organs. there are some organs like cornea, heart, brain, liver, kidneys which are donated after the death of the person. consent is very important in organ donation. the consent is given by the donor during his/ her life or by the nearest kin after death. and there are some organs which can be donated during life of person like bone marrow, one side kidney and part of liver during life of the person. the high cost involved in transplants is associated with expertise of the procedure and the cost of the organ. however, it is not as high as mentioned by your friend. the cost is in few lakhs, more in private centers as compared to that in government ones. thanks and take care. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi chloe. pain after sex is common but this isn't normal. there can be problem in vaginal chatbot.  if you feel pain only after sex i don't think this is serious. there can be some irritation, and you should get used to it after some time. if pain persist you should do gun exam with ultrasound. dilated veins are commonly seen in abdominal wall and this isn't sign of something significant.wish you good health."
Please answer with one of the option in the bracket,A: Bimanual massage
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever could be due to many causes respiratory tract infection. if not, then go for urinary infection. also, check for urine frequency or baby cries episodes during passing urine. it could also be viral fever, anyhow start paradox syrup 4 to 6 hourly according to the need and also start syrup cetim twice a day half teaspoonful (sf) for 5 days. do not discontinue in between. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better.  unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.  there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. i suggest you use zinc supplements (z&d chatbot."
Answer this question truthfully,Uncoupling agents cause a decreased proton gradient and a block of ATP synthesis.
Please summerize the given abstract to a title,Viral evolution and insects as a possible virologic turning table
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","cough and cold are very common ailments in child chatbot.  most of the time it is caused by certain viruses. usually it is associated with an allergic component and use of some antiallergic like cetirizine should help. antibiotics are generally not required as they are ineffective against viruses. it should recover on its own in 5-7 days. delay contains dextromethorphan which is a cough suppressant and i would not advocate its use. same about codeine which is also a cough suppressant. rather use an expectorant which works just the reverse and helps in bringing out the cough. steam inhalation should be helpful in diluting the cough. generally moderate variations in dosage is tolerated well, and you need not worry about overdose. remaining in follow up of a doctor would ensure that."
Please summerize the given abstract to a title,Intelligent Rehabilitation Assistance Tools for Distal Radius Fracture: A Systematic Review Based on Literatures and Mobile Application Stores
Answer this question truthfully,"In response to exercise, there is an increased CO2 production."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,"Shutting down sex: Covid-19, sex and the transformation of singledom"
Answer this question truthfully,"The most effective form of therapy used to treat body dysmorphic disorder is cognitive-behavioral therapy (CBT). Body dysmorphic disorder is a mental health condition that is characterized by a preoccupation with perceived flaws or defects in one's appearance, which can cause significant distress and impairment in daily functioning. CBT is a type of therapy that focuses on changing negative patterns of thought and behavior, and has been shown to be effective in reducing the symptoms of body dysmorphic disorder. In CBT for body dysmorphic disorder, individuals work with a therapist to identify and challenge their negative beliefs about their appearance, and learn strategies for managing their anxiety and improving their self-esteem. While medication may be used to treat some of the symptoms of body dysmorphic disorder, such as depression or obsessive-compulsive disorder, CBT is considered to be the most effective form of treatment for the disorder. It is important to seek professional help if you or someone you know is struggling with body dysmorphic disorder, as the condition can have a significant impact on quality of life and lead to social isolation, depression, and even suicide."
Please summerize the given abstract to a title,All-Trans Retinoic Acid Attenuates Transmissible Gastroenteritis Virus-Induced Inflammation in IPEC-J2 Cells via Suppressing the RLRs/NF‐κB Signaling Pathway
Answer this question truthfully,Diverticulosis is the medical term for a condition that is characterized by many false diverticula in the colon.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... your front thigh muscle pain is not due to ra... this could possibly be caused due to weak glute muscle...and forward leaning posture if yours loading front thigh muscles....without your knowledge you might out be walking on your toes... i recommend you to dolor of icing on your front thigh muscle... gently knead over the front thigh muscles... gently stretch your front thigh muscles by vending your leg back and touching the heel to your butt...stretch your hamstring and butt muscles and also calf muscle... start glute stability exercises like bridging. side lying and lifting leg sideways... clamshell... squats... hope this is helpful for you... kindly revert in case you need any further help in this regard...
"If you are a doctor, please answer the medical questions based on the patient's description.","follow up after colon cancer treatment requires periodic blood testing for cea and periodic ultrasound examination and ct scans when necessary. if the doctor asks for these tests, it doesn't mean that spread has occurred. it is part of follow up to pick up disease early in case some mishap occurs. better not to worry about metastasis without any findings on reports. can go ahead with tests without fear"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome mr. henson, sir first i want to assure you that symptoms you are feeling are not of any direct indication of infection.  to rule out anything the information is slight incomplete. this may be a muscle spasm due injection given to you while extraction, or if removed tooth was wisdom tooth the pain may be referred one. in that case no need to worry simple painkiller like flexor & warm saline rinses will help you. secondly weather the tooth was in upper jaw or in lower jaw and after how many days after extraction you start feeling pain. and the last if you feel any rise in temperature or swelling at the site of removed tooth then this is remaining infection & you have to visit your dentist."
Please answer with one of the option in the bracket,C: ↑ ↑ ↑ ↑
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. asbestos exposure is related to chronic bronchitis, tuberculosis and mesothelioma. the chances of mesothelioma are very, very rare. and all three give similar symptoms like chronic cough and shortness of breath. so better to get done1. chest x ray2. ct thorax3. put (pulmonary function test). chest x-ray and ct thorax are needed to rule out tuberculosis and mesothelioma. if both are normal than no need to worry about mesothelioma and tb. in my opinion you are having chronic bronchitis mostly. because it is more common after asbestos exposure. so pft is needed to rule out chronic bronchitis. better to consult pulmonologist and discuss all these possibilities and start treatment accordingly. more chances of chronic bronchitis than mesothelioma."
Please answer with one of the option in the bracket,A: Egg salad
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, possibility of recurrence/secondaries of melanoma can not be neglected and should be traced for earliest. please meet his doctor and get him investigated to exclude or find the problem. after checking his general condition to be normal, an advice of an ent specialist should be taken for getting needful treatment plan for vertigo. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you might be having tennis elbow on the left side. tennis elbow is also known as lateral epicondyle inflammation and tenderness over the lateral aspect of the elbow is usually a sign. this is usually due to inflammation at the extensor muscle of elbow on the outer aspect of humerus. it is different from rotator cuff tear. diagnosis is clinical examination and treatment is local cortisone injection. if three injections are not helping you mri of the elbow should be done. local injection of platelet rich plasma is a very useful treatment. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Post-COVID symptoms of potential peripheral nervous and muscular origin
Answer this question truthfully,Mifepristone and ulipristal belong to the drug class of anti-progestins.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dont worry. each white pill in the 28-day pack of male has the same dosage. it doesn't matter from which side she starts as long as she is taking one white tablet each day for 21 days. the brown tablet contains iron only. it does not contain hormones. she will get periods when she is taking brown tablets. she should start the next pack immediately after finishing the brown tablets without any break. i hope i have answered your concerns."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i suggest you see a urologist because we are the specialist to be able to determine whether there is further need to manage your sons genital organ or observe until he hits puberty. often times because of the fats in the area the penis would seem buried, or the shaft is missing, and you can only see the head of the penis. when the boy grows then the fats will turn to muscles in the penis would be normal looking already. hope i have answered your query. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,One function of bile is anti-microbial activity via membrane disruption.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for writing to chatbot. i have gone through your question and understand your concerns. according to your description, there is almost nil possibility to have traumatic injury causing erectile dysfunction in your case. let me know whether you achieve and maintain an erection in sleep, in the early morning or during masturbation then there is no need to be worried about. it is likely due to performance anxiety. for continuous erection, there must be constant erotic/romantic thoughts, feelings, and sensations in your mind. if your mind is diverted to concern about erection, you will lose erection or have delayed or no erection. this failure causes you worried more during next time and again makes you focusing on your erection rather than enjoying erotic feelings. you may read senate focus on internet. i suggest psychological counseling with psychiatrist. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for following up. it is clearly seen from analysis that your daughter has metabolic nephropathy, hyperoxaluria. treatment required next diet"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking. i have gone through your question and i understand your concern. your daughter who is 4 years old is not doing well since last one and half year. she has having recurrent cold cough, and she is also episode of chickenpox 20 days before, and you are interested some medicine to boost her immune status.  if i was your treating pediatrician i would suggest you multiple vitamin that can contain and vitamin a. in india it is marketed by the name of spy a to z. if she underwent blood investigation and her hemoglobin was below 11 you can add iron. hope i answer your question"
Please answer with one of the option in the bracket,B: IL-4
Answer this question truthfully,"Mechanical valves can be problematic in pregnancy, due to the requirement for anticoagulation. Regardless of the strategy used, there is a higher chance of fetal loss, placental hemorrhage, and prosthetic valve thrombosis.
Tissue valves have less thrombogencity than mechanical valves. As a result, they do not routinely involve the use of warfarin/anticoagulation. For a more thorough discussion on tissue valves, click here.
Pregnancy is a thrombogenic milieu. Coumadin use during 1st trimester is associated with warfarin embryopathy and when used in 2nd or 3rd trimesters, it may be associated with CNS abnormalities. Despite this risk, warfarin is often used in the second and third trimesters. Given the risk of embryopathy the during the first trimester, heparin is often used early in pregnancy. Heparin is resumed near the time of labor. If used during the first trimester, the dose should be kept under 5 mg every 24 hours. Keeping Coumadin dose ≤ 5.0 mg/day appears to be safe. Recommendations based more on opinion than scientific evidence. Subacute bacterial endocarditis prophylaxis at delivery.
AHA recommendation is that antibody prophylaxis is not necessary for an uncomplicated delivery except among patients with a prosthetic heart valve or surgically constructed systemic to pulmonary shunt. However, because of the difficulties in predicting complicated deliveries and the potential devastating consequences of endocarditis, antibiotic prophylaxis for vaginal delivery in all patients with congenital heart disease expect those with an isolated secundum type atrial septal defect and those six months or more after repair of septal defects or surgical ligation division of a patent duct is arteriosus, seems reasonable. At the time of delivery, it is recommended that all women with valvular heart disease receive antibiotics, usually penicillin and gentamycin. For those with a pencillin allergy, vancomycin is used."
Please summerize the given abstract to a title,Effect of Psychological Intervention on Perceived Stress and Positive Psychological Traits Among Nursing Students: Findings During the COVID-19 Pandemic
Answer this question truthfully,"When evaluating a patient for pineal germinoma, you should take a detailed history of the presenting symptom (onset, duration, and progression), other associated symptoms, and a thorough family and past medical history review.
The clinical presentation of pineal germinoma is mainly from the obstructive hydrocephalus secondary to compression of the tectum of the midbrain and obstruction of the aqueduct.  Symptoms of pineal germinoma include: 
Headaches Nausea Vomiting Seizures Hearing loss Sleepiness Irritability Slowed speech Fatigue Loss of appetite Hair loss Presyncopal episodes Personality changes Double vision Trouble coordinating motor movements Difficulty walking Slowed growth"
Please summerize the given abstract to a title,COVID-19 Outcomes in Patients with Systemic Autoimmune Rheumatic Diseases (SARDs) Compared to the General Population: A US Multi-Center Comparative Cohort Study.
Answer this question truthfully,"Campylobacter jejuni is a curved bacteria that causes inflammatory diarrhea. The diarrhea is initially watery and ill-smelling, and can progress to bloody diarrhea."
Please summerize the given abstract to a title,Respuestas rápidas a la pandemia de COVID-19 a través de la ciencia y la colaboración global: el ensayo clínico Solidaridad
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if you had ovulated while on camphene, and followed the doctors instructions, then it is most likely that you are pregnant. you can confirm this by taking a home pregnancy test with a fresh early morning sample. if the result is ambiguous, and you wish for a better confirmation, you can get the serum beta-chatdoctor measurement and a trans-vaginal sonogram. please see your doctor for further suggestions. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. cilia can affect marrow by causing bone marrow suppression rarely. the effects usually would last for shorter period of maximum of 10-15 days and improve after that.2. at present cilia does not appear to be the cause. 3. you need to get a bone marrow biopsy to identify the possible cause. it b12 supplementation along with iron and folic acid is essential. more details necessary for further opinion. hope it helps. any further queries, happy to help again."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for your question. loss of balance and numbness of hand may be indicative of compressive pathology in the cervical spine. considering your age the compression is unlikely to be from spondylosis. compressive myelopathy (affection of spinal cord) from degenerative condition (spondylosis) is typically seen in middle-aged and elderly individuals. you need to get mri of the cervical spine done as early as possible. please let me know if i can be of further help.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","dear i can understand your concern. i would like to inform you that yes lyme disease can cause all these symptoms such as extreme fatigue, headache, stiffness of neck, joint and muscle pain. so in my opinion you discuss about this with your physician as soon as possible because at an early stage it can n\u00e9 managed very easily with antibiotics. if left untreated this may cause more troubles such as may affect heart and nerves also. hope this will help you dear.  if you have any other concerns please feel free to message me.  thanks for contacting chatbot."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service. i have reviewed your query and here is my advice. i have read your query in details here. * constant chest pain in a patient with coronary stent, requires to be evaluated with fresh 2d echo, angiography to look out the underlying cause and manage accordingly.* i recommend to immediately consult your cardiologist. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Controlled Heat and Humidity-Based Treatment for the Reuse of Personal Protective Equipment: A Pragmatic Proof-of-Concept to Address the Mass Shortage of Surgical Masks and N95/FFP2 Respirators and to Prevent the SARS-CoV2 Transmission
Please summerize the given abstract to a title,A Multi-Dimensional Big Data Storing System for Generated COVID-19 Large-Scale Data using Apache Spark
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. i suggest, instead of assuming and worrying about a physical problem, you should consult a physician. furthermore, i do not see any cognitive problem you may have. but you should get answer to your question from experts so that your current anxiety is clear. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","helo thanks for consulting at cv.herpes is contracted via contact with the mucosal and abraded skin surfaces. since hsv-2 is tropic for the genital regions, transmission of hsv-2 is usually through sexual contact. hsv-1, which usually infects the mouth and lips, is usually transmitted via kissing or through the exchange of prefabricated food, so kindly abstain frm contracting the virus, she can take topical antiviral and if needed systemic antiviral to reduce the viral shedding.kindly follow strict personal hygiene,hope it helps,tc"
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot the calf pain appears to be independent of the chatbot. the calf pain warrants local aleatory examination and physical tests. besides a detailed history of pain in terms of onset and severity needs to be obtained. there could be a remote relation between cardiac pain and calf pain though. i suggest consulting and investigating the pain with the treating consultant is advised. regards
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. bone scan is done to rule out bone metastases if present. pet scan is done to rule out metastases present in other organs like liver, lung, brain etc. or not. and surgery is indicated or advisable only if cancer is localized or not having distal organ mets and bone mets. so if either in bone scan or in pet scan, metastases are found than surgery is contraindicated. so get done bone scan and pet scan before surgery."
Answer this question truthfully,"Deer are the obligatory host of Ixodes ticks. Ixodes is commonly known as the deer tick, and it requires a blood meal from a deer in order to complete its life cycle. Deer are not only the primary host for adult Ixodes ticks but also serve as a source of nutrition for the larvae and nymphs. Ixodes ticks are known to transmit several diseases to humans, including Lyme disease, babesiosis, and anaplasmosis. It is important to take precautions to avoid tick bites, such as wearing protective clothing and using insect repellent when spending time in wooded or grassy areas."
Please summerize the given abstract to a title,Teledentistry: An Adjunct for Delivering Dental Care in Crises and Beyond.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! gone through your query. you did not mention if all of your permanent teeth have erupted and if your teeth are crowded or having gaps. improper alignment of teeth can be due to family history, tongue thrusting, mouth breathing, thumb sucking,nail-biting. check if you are having any of the habits mentioned above and stop the habits. go for an orthopantomogram (opg) if you are having any extra number of teeth. check with your dentist if an aligner can help you. lastly, trust me. no one is perfect.love being yourself."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i also think it's an ant or some bugs bite. other possibility is developing allergy to clothing material. did you wear a new underwear today made up of synthetic materials? some synthetic materials in clothing are allergic to skin. so always try to use cotton underwear.  you can have antihistamine like loratadine and see whether itching and swelling subsides. allergy or bugs bite both has to subside. hope this helps. thank you."
Answer this question truthfully,Nonalcoholic fatty liver disease is characterized by elevated liver enzymes with alanine aminotransferase (ALT) levels higher than aspartate aminotransferase (AST) levels.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for using chatbot. i carefully read your question and i understand your concern. as your doctor has already told you, you should not worry about mitral valve prolapse. if tne valve does not have any regurgitation, leakage than you should nor work, you just have to control it once a wile. it is known in cardiology that people that has prolapse experience heart palpitations or escaped beata, but these are not risky. you mentioned viagra.it is also known that palpitation might be a side effect of viagra. so, my opinion is that if palpitation happen once a while you should not worry. if that start to interfere in your husbands daily liver than i would advise stopping viagra and have a holder rhythm monitoring to evaluate rhythm tendency during day and night. after holder we can judge what we are dealing with and if it is significant to treat it medical or not. hope i was helpfulness regards, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. if a person has tumors in both brain and lung, it is most probably starting in one of those areas, and spreading to the other area. in this case, the most likely possibility is a primary cancer of the lung, which has spread to the brain, a process called as metastases. you should consult a medical oncologist for this, as the treatment involves using chemotherapy. in some cases, radiation therapy may be required, for which he may be referred to radiation oncologist. this advice is absolutely free. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,The treatment for acute kidney rejection is steroid and antithymocyte.
Answer this question truthfully,"A mutlidisciplinary team is often needed in the management of Noonan syndrome. A system-based approach is usually adopted and recommendations are based on the severity of disease manifestations.
Patients with Noonan syndrome require lifetime cardiac follow-up. After initial evaluation including a focused cardiac physical exam, echocardiography, and electrocardiography, follow up is based on work-up findings. If initial work-up is unremarkable, a follow up is recommended every 5 years.  
The most common cardiac finding is pulmonary valve stenosis. If mild, only periodic follow-up is recommended. If clinically significant, pulmonary balloon valvuloplasty is recommended in the absence of significant valve dysplasia. With significantly dysplastic valves a pulmonary valvectomy or pulmonary valve homograft during childhood is the first line management. 
The second most common cardiac manifestation of Noonan syndrome is hypertrophic cardiomyopathy. Management is usually similar to most patients with HCM and includes beta-blockers and surgical myomectomy in certain cases with significant outflow obstruction."
Please summerize the given abstract to a title,La anosmia como síntoma temprano en pacientes con COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. molluscum contagious is a pox virus and causes lesions which are round with central combination. these are best removed by cautery or can be surgically scraped off. i suggest you first get it confirmed that it is molluscan, then get in touch with a dermatologist to get rid of it surgically. there is chance of recurrence, hence it is better to go for surgical removal. if the lesions seem infected by bacteria, antibiotics would be treatment of choice. thanks."
Please summerize the given abstract to a title,SARS-CoV Infection in a Restaurant from Palm Civet
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through data you have posted. your report shows elevated liver enzymes suggestive of hepatitis. the cause for hepatitis should be evaluated. common causes for hepatitis are viral like hep b, hep c, hep e, hep a, alcohol induced, acute febrile illness like malaria, dengue, scrub typhus. so we need to go step by step to look at the diagnosis. kindly consult the nearest general physician or medical gastroenterologist for further evaluation. for now, you can take tab.ad\u00cdlio 300 mg 0-0-1. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have problem of bad breath don't worry you can do is warm saline gargle two - three times a day.  - brushing twice daily - do chlorhexidine mouthwash twice daily.  - use waxed floss for interdental cleaning of tooth.  - consult dentist and go for scaling and root planning. hope this will help you.  wishing you good health."
Please summerize the given abstract to a title,Comparison between breast MRI and contrast-enhanced spectral mammography.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the most important condition to be ruled out in this setting is chronic constipation / habitual bowel holding. when child chatbot.  when rectum is full, it can't hold anymore, causing spontaneous and involuntary passage of small amounts. so kindly get him examined once to see what's going on. if constipated, a suppository to unload the rectum, followed by a short course of laxatives will help. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,A case of diffuse hepatic hemangiomatosis coexistent with giant hemangioma: case report and literature review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,,,welcome to chatbot- the symptoms you mentioned points towards a viral exanthem...it is quite common in child chatbot.  it presents as rash which is usually widespread and may be more extensive on the trunk than the extremities.- malaise, fever,headache, loss of appetite, abdominal pain, irritability,muscular aches and pains may be associated depending on the severity.-most of the viral exanthem are self limited and remit in a week or two.-only symptomatic treatment is required... maintain a good hy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the cause of dizziness is likely the vestibular system. carotid artery blockage may cause dizziness because carotid arteries are important to supply oxygen to the brain.  if the occlusion or stenosis is severe (more than 70%) it may cause dizziness or vision problems. up to 60% occlusions usually do not cause any symptoms.  but dizziness while bending is more suggestive of the vestibular system (benign paroxysmal positional vertigo) rather than carotid artery stenosis. you should contact your ent doctor to check for vestibular causes. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Design and kinematical performance analysis of the 7-DOF upper-limb exoskeleton toward improving human-robot interface in active and passive movement training.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori understand your concerns. poops of babies at this age may vary a lot in terms of frequency, color, and consistency. most of the diarrhea episodes in infants are due to viral gastroenteritis which do not require antibiotics.  if your babies poop is not having any blood or mucous in it, then there is no need for any antibiotic such as nor met. you may take the following measures to help her"
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for following up. we should do differentiation diagnostic of your child headache
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. the pulling out method is not a very safe method of contraception especially if exposure to pronominal fluid has occurred. also, the episode has occurred twice during peak ovulation period so chances of getting pregnant are high. you have already missed your period. i suggest that you get a urine test done after 4-8 days to rule out pregnancy. hope i was able to help you. thanks for using chatbot. i would be happy to answer any further queries. have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the nerve root block does not cure the disc bulge. it blocks the sensation in nerve leading to pain or other simple words block the path of a road going to a destination named as feeling of pain. although disc bulge is not a serious problem some time it becomes normal after taking some precautions. looking at your details i should advise you following so that you do not have problem in the future"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello it is important to search for underlying cause of elevated sgpt and got. only taking ad\u00edlio/protocol causes short term decline in sgpt. elevated sgpt and got may indicate liver injury. it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. you may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, urine re/me, ultrasound of abdomen. you are rightly taking ad\u00edlio(ursodeoxycholic acid tablet). it helps in regeneration of liver cells. you may need to take few more medicines after complete investigations. get well soon. take care chatbot."
Please summerize the given abstract to a title,Classification of the Disposition of Patients Hospitalized with COVID-19: Reading Discharge Summaries Using Natural Language Processing
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. skinlite cream contains mometosone, a potent steroid, which over long term use can cause side effects like redness, skin thinning and whitish discoloration of skin. it should not be used without supervision and should not be used for more than 4-6 weeks. please stop using skin lite cream. to retain the complexion, you could use a broad spectrum sunscreen with spf 30 and above every 4 hours. at bedtime, you could use a cream containing 2% comic acid, licorice, albumin and niacin amide. this is safe and can be used long term without steroidal side effects. hope this helps you. take care."
Please summerize the given abstract to a title,Does Environment has any role in recovery from COVID-19 pandemic? A case study from India
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for your query. from the details provided, it appears to be either, involvement of the cavity wall around the lungs (following pneumonia); or, spasm of the muscles between the ribs (secondary to flu). these conditions cause typical chest pain while breathing in and out. further, you're treating doctor is probably right in suspecting acid reflux (chatbot.  however, addition of prokinetic"
Please summerize the given abstract to a title,Association of testosterone therapy with disease progression in older males with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this can be a cardiac arrhythmia like psv or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases which gives feeling of palpitations. usually ecg is normal as it is usually done in between the episodes. ecg done during episodes will show abnormality. you will need 24 hour holder monitoring. so visit nearby cardiologist for this investigation.  ln order to abort such episodes you should try to cough hard. is there any stress or anxiety associated. till the time your evaluation is complete, you can ask your local doctor for tab collar la 20 mg once a day which will control the palpitations.  if none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. hope this helps you and get back if you have any other doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. since you are a known patient of ibs- irritable bowel syn chatbot.  well bacteria are not found on endoscopy. the pain in lower abdomen / stomach can be due to colitis and that is why it is getting gassy weird pain going up on left side. this is to be worried as you need to be started on an appropriate antibiotic, metronidazole and anti-spasmodic with anxiolytic tablets. relieve the stress and anxiety, one of the most important of ibs."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings suggests mildly enlarged liver with fatty changes. fat deposition in liver may be the cause of mildly enlarged liver. fatty liver is a reversible condition.it is usually reverses with treatment of underlying cause. mildly enlarged liver with fatty changes may be due to many causes like obesity, sedentary life, hepatitis,altered lipid profile, metabolic disorder etc. you may need few investigations like routine hologram, random blood sugar, lipid profile, liver and renal function test, urine re/me, ultrasound of abdomen. you should avoid fatty and fried food. avoid saturated fat and take the lot of fibers in diet. it may take 6-8 months to reverse the findings. razo-d and razo-20 are medicines for acidity, you can take it safely. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for the consultation. small baby temperature thermostat is very sensitive. they also have high metabolic rate. baby head and feet are very warm during feeding specially during breastfeed time, this is normal phenomenon, no need to worry at all. if the baby is active, taking feed and pink and passing urine and stool then you should not worry. although you have performed all the basic test which are normal, there was no need of it. if the babies are sick or something wrong, then are not taking feed, and they are not active. this first thing happen to them which should be alarming to the parents."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. your symptoms seem to be related to a urinary infection and hemorrhoids. i recommend you to perform a routine blood test, a urinalysis, an abdominal ultrasound. i would also advise you to consult with the proctologist for the rectal prolapse, to examine better the region for hemorrhoids and prescribe the proper treatment.  hope to have been helpful! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per the history, you mentioned it sounds to be a bone hurt. but a hair line fracture cannot be observed from outside, so an x-ray should be taken for confirmation. hope that should reveal a lot about your injury. also, if it's a fracture than based on that the treatment plan will be made and if it's not a fracture than with just a brace and little rest for a week or so you should do fine.  but do consider that x-ray is a must if your pain doesn't subside for more than 48-72 hours. better conscious than being predictable. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,"In myelofibrosis, megakaryocytes produce excess platelet-derived growth factor (PDGF) and TGF-b causing activation of fibroblasts and marrow fibrosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori understand your query and concern. your symptoms are suggestive of consolidation secondary to pneumonia. i advise you to get a chest x-ray pa view, arterial blood gas analysis, complete blood picture, lipid profile immediately to confirm the diagnosis. monitor your blood pressure, heart rate, oxygen saturation immediately. chatbot. grillinctus, pantop. avoid smoking and alcohol. i also exercise daily for 30 min. consult your pulmonologist for expert management and follow up. hope i have answered your query at the moment. post your further queries if any, thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, as you had a fall and got hurt on your ribs it would be wise to get an x-ray of the chest done to rule out any injury to the ribs. if you hurt your head and had any loss of consciousness or vomiting then a ct scan of the skull is also recommended. the soreness of the muscles and areas where you got hurt will be relieved by taking painkillers. it would be better if you got a complete physical exam by a clinician to rule out any other internal injury. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot the brown spots that you are noting are likely old or chatbot.  this can be found in vomits due to the inflammation of the stomach. antibiotics including azithromycin can be associated with gastrointestinal upset and symptoms such as vomiting, abdominal pain and diarrhea. the use of probiotics along with the antibiotics can sometimes decrease the symptoms. the coughing may be part of the upper respiratory tract infection symptoms (cold symptoms) or due to aggravation of your asthma. it would be best to use your inhalers to see if they would help. if there is no improvement then you should visit your doctor. i hope this helps"
Please summerize the given abstract to a title,The Potential Health Care Costs And Resource Use Associated With COVID-19 In The United States
"If you are a doctor, please answer the medical questions based on the patient's description.",here your main question is on lower back pain but while giving the symptom explanation you have told a lot about your gastric problem rather than lower back pain. as per my suggestion this both may or may not be related. let's take a look on your gastric issue
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, good morning, thanks for your query to chatbot online clinic. i have read your query in details.-dear in my opinion, this simultaneous lump on knee is mostly -erythema nodes.-this indicates an auto-immune reaction activity in your body over sometime. and indicates-? sarcodosis, crohns, ulcerative colitis?or chatbot. -remedy -would be to consult a physician-who would-do cbc/esr/crp and would fix the cause of it in your case.-tb nsaid / tb aspirin to reduce anti-inflammatory reaction -steroids to reduce the autoimmune reaction causing these lumps-colchicine in aspirin induced cases would reduce this lumps.-usually these lumps go in 3-6 was time on their own. they could be treated if it does not go or causes more worry and pain. hope this would resolve your query. wellcome for many more queries to chatbot from your friends and you in time to come. have a good day."
Answer this question truthfully,"After surgical removal, tumors in multiple endocrine neoplasias usually do recur."
"If you are a doctor, please answer the medical questions based on the patient's description.","no no folic acid us not the cause and it has been only a month that you have been trying right, so don't worry. you have got your periods this time and the hpt being negative rules out the suspicion of you being pregnant in this cycle. continue with your folic acid and try it out for the next cycle if the periods are regular time your relationship around ovulation you will get result soon don't worry. all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, i understand from your history that you are experiencing from abdominal pain and painful joints. abdominal pain can be due to many causes depending on the part of abdomen involved. joint pain can also be due to many causes like infections, rheumatoid arthritis, arthritis etc. for abdominal pain, an ultrasound of abdomen needs to be done. for joint pain, clinical assessment and relevant investigations need to be done. you can consult your physician for clinical assessment, investigations and thus treatment. vitamin c is a water-soluble vitamin, and it does not accumulate in body. thus, vitamin c intoxication does not occur. irregular menstrual cycles can occur in healthy menstruating females. if the menstrual cycles remain irregular for long duration, you need to consult your gynecologist. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. generally post procedure status of the cyst - might show some edema which looks like a cyst, as it's still earl post procedure.2. the other possible cause could be reoccurrence of the cyst again - which is also possible in few cases.3. in case of reoccurrence - you need to wait till the stitches heal - and further monitor and plan for a minor surgical procedure.4. antibiotis are generally indicated after any procedure for better healing and as anti-infective.5. so at this moment - you need to take medication and let the area get healed first, then needs examination again after few weeks - if required a repeat procedure or minor surgery. good luck. hope i have answered your query,anything to ask ? do not hesitate to ask.http"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you doing ? in your history only problem is your age. something you cannot change. you can try for pregnancy anytime after the surgery of polyp & cyst removal. a lady is born with a fixed number of eggs, every month you throw out a fixed number of eggs. you ovulate only 400-450 times per month. always the healthy eggs are selected for ovulation, so after each cycle, the crowd of healthy eggs is lesser than the previous period. by 35 yrs eggs are significantly depleted. then by 40 yrs nearly all good eggs are gone. i won't disappoint you, am just giving you the facts. highest age of pregnancy reported is 45 yrs, the highest age of pregnancy i have got by treating is 41, she got twins. i just wanted to say chances is reduced not absent. so first have a serum amh level to find the number of eggs left in ovaries. this will only give the quantity, not quality of eggs. kindly see if the following checklist of investigations is househusband- semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an chatbot.  so check with hsg(x-ray with dye), or ssg (scan with dye) or laparoscopy all this done & found normal, nothing can stop a pregnancy with gods will. een if everything is normal, i would suggest you to have gui for 3 cycles, if negative go for ivf, as you are running out of simenon if tests show that you have low or no eggs, you can opt for donor eggs. here a donor (just like blood donor) is stimulated with injections & egs are taken out under scan guidance, she is free to go. same day your husbands sperms are taken & injected into the egg, inlay. they form embryos which are frozen in your name. these embryos are kept into your uterus & you deliver as a normal pregnancy. you can have a second baby with the frozen embryo. there is no age limit, you can keep having babies as long as the embryos are there hope i have cleared your query, do write back if anymore queries the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear concerned.,thanks for writing to us. in all probability, the history of prickly sensation is suggestive of subcutaneous denaturation of proteins in the lower stratum of skin and subsequent allergic reaction that ensues against denatured protein underneath producing prickly heat rashes on the exposed parts of the body. kindly apply smoothening creams/lotions such as lotion calamine over the affected area generously and do not allow exposure to sun for a three to four days. the lesions will subside. if there is fever pls take him to local doctor as it indicates infection."
Please summerize the given abstract to a title,Expression profile and histological distribution of IFITM1 and IFITM3 during H9N2 avian influenza virus infection in BALB/c mice
Please summerize the given abstract to a title,Flow Re-direction Endoluminal Device in treatment of cerebral aneurysms: initial experience with short-term follow-up results.
Answer this question truthfully,"Rectal pain is uncomfortable and can be upsetting to many patients. Often, the origin of the pain is benign. Carcinoma should be ruled out in older patients. Many times, rectal pain can be easily diagnosed. In some cases, though, the pain may be from the urinary or gynecologic systems. Rectal pain should be distinguished from coccydynia which is buttock pain."
Please summerize the given abstract to a title,Directional Atherectomy Followed by a Paclitaxel-Coated Balloon to Inhibit Restenosis and Maintain Vessel Patency: Twelve-Month Results of the DEFINITIVE AR Study.
Answer this question truthfully,"The recommended medication regimen for treating infectious endometritis is a combination of gentamicin and clindamycin, with or without ampicillin. Infectious endometritis is a bacterial infection of the lining of the uterus that can cause symptoms such as pelvic pain, fever, and abnormal vaginal bleeding. Treatment typically involves a course of antibiotics to target the specific bacteria causing the infection. Gentamicin and clindamycin are often used in combination to provide broad-spectrum coverage against a range of bacteria, while ampicillin may be added if there is a risk of infection with group B streptococcus. The dosage and duration of treatment will depend on the severity of the infection and individual patient factors. It is important to work closely with a healthcare provider to monitor symptoms and ensure that the infection is fully treated to prevent complications such as infertility or chronic pelvic pain."
Answer this question truthfully,"Maladaptive remodeling is age dependent and the mortality rate resulting from Myocardial Infarction increases with age.
Coronary artery disease which is the leading cause of heart failure with reduced systolic function occurs more in males than females.However, heart failure with preserved systolic function affects females more than males with a ratio of 2:1"
Answer this question truthfully,Replication of Rabies virus occurs within striated muscle and motor neuronal cells.
Please summerize the given abstract to a title,In the news
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos per your description i would explain this situation as a probable case of viral fever; if so, it usually takes a 7-10 days to recover. no other medicines but paracetamol is the best choice. if your treating doctor suspect an infection in the blood, then a blood culture test to be done to rule out the probability. allow rest, plenty of water and visit a physician for further evaluation and management. thank you."
Please summerize the given abstract to a title,Underreporting of Death by COVID-19 in Brazil's Second Most Populous State
Please summerize the given abstract to a title,SER-ONCOVID: Seroconversion in solid-tumor cancer patients after COVID-19 diagnosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, firstly, please confirm the presence of an intrauterine pregnancy and also the age of the pregnancy through a trans-vaginal sonogram and a clinical evaluation by a specialist. if pregnancy is confirmed and if you do not wish to retain it, please ask your consultant if a medical abortion is possible (medical abortion is done up to 9 weeks of pregnancy only). proceed for an abortion, either medical or surgical, as suggested by the doctor, with proper precautions and preliminary investigations like coagulation profile and urinalysis. hope this helps."
what blood tests confirm celiac disease,"There are two blood tests your doctor may order to help diagnose celiac disease. Serology testing looks for antibodies in your blood, which can indicate an immune reaction to gluten. Genetic testing for human leukocyte antigens (HLA-DQ2 and HLA-DQ8) can be used to rule out celiac disease. If the results of these tests indicate celiac disease, your doctor may order an endoscopy to view your small intestine and to take a small tissue sample (biopsy) to analyze for damage to the villi."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, 1. forecourt rota caps are usually taken for a long time-around two and half to three months and then depending upon your symptoms they can be tapered off.2. forecourt is better because it is basically for relieving the long term symptoms. as for your acute symptoms (if you have anytime), then you can take stalin. forecourt basically inhibits the chemical inflammation in the airways and helps in breathing comfortably. since your doctor has prescribed it after examining you, you must continue taking it regularly for it to be effective. make sure your technique is right so that you get the maximum benefit. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query, you might be suffering from urticaria, it presents in the form of itchy lesion on the body. it is difficult to find out the cause. it can vary from food to any other thing like chatbot. you can apply cortisone, it is a mild steroid and can be safely used. you should also take an anti histamine tablet, prolonged use of anti histamine tablet will give you better relief. please meet a dermatologist for exact diagnosis. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.https"
Please summerize the given abstract to a title,What do asthmatic patients think about telemedicine visits?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms could be related to coronary artery disease. other possible causes to consider would be"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.welcome to chatbot.i understand your problem.my opinion is that, masturbating more than twice in a day can cause pain in the testis and penis. so if i were your treating doctor, my advice is that,1.masturbate twice in a week.don't do more than that.2.avoid cigarette smoking and alcohol intake.3.avoid stress.4 take healthy foods.5.do yoga and exercise. thank you. hope my answer will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for posting you query to chatbot .it could be due to some kind of infection at that site as infection are common among diabetic patient because of higher sugar content in blood .you should check for if there is any pus collection at that site because if once pus is formed we have to chatbot.  if there is no pus and only pain and discomfort we can treat it conservatively .do following thing
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. previously you had a cyst, now its symptomatic.2.don't go for what others say, everybody has their own symptoms / findings.3. in your cad i would examine you and ask for an ultrasound scan done initially to compare the findings with the previous study (the cyst you are mentioning).4. the simple cyst in a breast also needs a followup. as some cases they do complicated.5. get an appointment and do needful before you see any complications. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,"The most likely cause of syncope that presents suddenly upon exertion is mechanical obstruction to blood flow, such as valvular dysfunction."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Vitamin D in Prevention and Treatment of COVID-19: Current Perspective and Future Prospects
Answer this question truthfully,Pharyngitis and impetigo caused by Streptococcus pyogenes can precipitate the development of post-streptococcal glomerulonephritis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, i have read your question, the site of pain you are mentioning and doctors diagnosis is totally different.  chatbot. he might be suffering from jumpers knee. jumpers knee or patellar tendonitis is pain in the tendon which attaches the kneecap or patella to the top of the shin-bone or tibia. it is usually an overuse injury caused by repetitive strain. patellar tendonitis can be a tricky condition to treat and requires a substantial period of rest and a thorough treatment and rehabilitation program. in the most severe or persistent cases, surgery may be required. treatment for patella tendonitis consists of reducing the initial pain and inflammation through rest and ice followed by a rehabilitation program which will include eccentric strengthening exercises. home treatment-apply cold therapy on a regular basis, especially during the acute stage which is usually the first 24 to 48 hours and after any form of exercise. professional treatment-anti-inflammatory medication e.g. ibuprofen. do not take ibuprofen if you have asthma and check with a doctor before taking any medication. a patella tendon taping technique can be used to relieve pain and take the pressure off the tendon in the same way a patella strap works. a professional therapist may use electrotherapy in the form of ultrasound or laser treatment to reduce pain and inflammation and aid the healing process. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatdoctori have gone through your query. your problem is most likely upper respiratory passage infection. it can be viral or bacterial or viral superimposed with bacterial. in case of viral only symptomatic treatment is necessary. i usually give antihistamines like levocetirizine anti-inflammatory like nimusulide, nasal decongestants like xylometazoline nasal spray and vitamin c. if there is bacterial infection i advise antibiotics like azithromycin or co-amoxiclav. you can finish your joaquin dose as you are on itf your tongue is still sore steroids like escort application may help. do warm saline gargle. take warm chicken soup with pepper and tea with lemon. hope this may help you. let me know if anything is not clear. thanks."
Please summerize the given abstract to a title,Incidental Finding of an Extensive Type B Aortic Dissection Extending to the Iliac Arteries
Please summerize the given abstract to a title,Reopening Colleges and Universities During the COVID-19 Pandemic
Answer this question truthfully,Umbilicated lesions on the trunk of children are diagnostic of Molluscum contagiosum.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you may describe symptoms referable to vertigo and this could be caused by something such as benign paroxysmal positional vertigo (bppv) or even something as elegant as a fistula or other type of vascular anomaly either located in or around the internal auditory canal that could then, provoke symptoms if blood pressure were to suddenly change for some reason. there also could be something in the pontocerebellar angle (pca) such as a meningioma that might lead to these symptoms. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough neuromuscular assessment is advised. as you have a past history of operated spine two times, and now you are 50 and the doctors said they can't do anything. do not feel sad, there is always a way, i will recommend you to consult a physical therapist, as by the help of him, you have to perform exercises to strengthen the muscles and get relief from aches and pains. also, on a long term you will be able to walk as well. physical therapist will understand your needs and the physiological demands of the body to get the functioning back. regardsjay in chatbot."
Please summerize the given abstract to a title,The value of healthcare worker support strategies to enhance wellbeing and optimise patient care
"If you are a doctor, please answer the medical questions based on the patient's description.","though top i is very specific for cardiac disease yet if coronary angiogram is normal, it was not a heart attack some other condition associated with increase in levels of troponin are-primary pulmonary hypertension, pulmonary embolism, and acute exacerbations of chronic obstructive pulmonary disease (copd), right ventricular strain with increased wall tension and ischemia. these condition can cause chest pain and increased troops.don't worry if anglo is normal it's not cardiac"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you? my name is chatbot.  i am a liver and pancreas specialist and i hope to answer your question today. i am sorry to hear about your aunts condition. by the sound of it, your aunt seems to be suffering from a bile leak which is a rare complication following a laparoscopic cholecystectomy, but very common if the surgery was a difficult one due to adhesions. what ever the cause, the exact cause of the leak needs to be determined. most commonly it is due to a slippage of suture from the duct"
Please summerize the given abstract to a title,Vasculitis and COVID-19: what do we have to know?
Please summerize the given abstract to a title,Effect of Soybean and Soybean Koji on Obesity and Dyslipidemia in Rats Fed a High-Fat Diet: A Comparative Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. at the outset, i would advise you not to hide this from your parents, whose help you need at this moment, and they would always be happy to help you even though might snub you a little for your benefit. so, be brave and tell them the truth.  i would advise you to go with them to the local er or to your family physician who might examine you to see the site of the needle, which could possibly be removed easily under local anesthesia. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Nanoplasmonic Biosensor for Rapid Detection of Multiple Viral Variants in Human Serum
Please answer with one of the option in the bracket,C: ICAM-1
Answer this question truthfully,Glaucoma is a condition characterized by optic disc atrophy with characteristic cupping.
Please summerize the given abstract to a title,Vaccination rates and adherence in premature infants before and after pneumococcal conjugate vaccine schedule change for term infants - A claims database analysis in Germany
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. here i want to ask one question that, you mentioned that there is pain from one month on left side stomach (abdomen in my opinion as you are asking for) and now the pain is on right side of stomach. i think pain is on both side of abdomen left and right side. as you stated that there is sometimes diarrhea, sometimes constipation, so pain must be on both side of abdomen on lower part, so may be, 1 amoebic colitis as sometimes diarrhea and constipation present in this condition. diagnosis can be confirmed by physical examination by a physician. get in stool for e. histolica. 2 if pain is on the left side in stomach as you mentioned then may be due to peptic ulcer disease. diagnosis can be confirmed by upper g i endoscopy. till avoid greasy, spicy foods, junk foods, alcohol, caffeinated chatbot.  don't eat or"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  a minor scratch on the skin would not require a repeat vaccine but since it is on the lip i would recommend a repeat rabies vaccination.  however, for repeat vaccination only 2 doses is enough, the second dose to be taken 3 days after the first dose.  all said and done since it is your pet dog which has been vaccinated, there is no need for re vaccination. however, if you opt not to get vaccinated make sure your dog is under observation for 10 days and if in this period the dog dies she has to get vaccinated. hope this information was useful. any clarifications feel free to ask. regards."
Please summerize the given abstract to a title,Seroprevalence of coronavirus disease 2019 (COVID-19) among health care workers from three pandemic hospitals of Turkey
"If you are a doctor, please answer the medical questions based on the patient's description.","eating something very hot can cause ulcers in the esophagus. people who consume poison in the form of acid or alkali have the same symptoms. your pain was so severe that it caused you to faint. this surely is an indication for an endoscopy. chest pain on swallowing any food is due to the esophageal ulcer. if you can't have an endoscopy, syrup machine gel 10 ml thrice a day would be soothing along with a proton pump inhibitor like pantoprazole."
"If you are a doctor, please answer the medical questions based on the patient's description.","your age please? this treatment is being suggested on bases of the information provided. i would like to examine & investigate you in detail.x-ray of tail bone is indicated. rule out hypertension, diabetes or any other metabolic disorder. any way you may try---.  looking plus (mankind) [diclofenac 100\u00a0mg +paracetamol 350\u00a0mg] 1 tab.  od & sos. x 5days.--. calcified plus (mankind) 1 tab od x 10days.(you may need help of your local doctor to get these medicines.)--.  sit in a tub of warm water for 15-20 mints.--. avoid constipation.--. sleep on a hard bed with soft bedding.--. avoid painful acts & activities.--. do perineal exercises --.(take help of a physiotherapist or visit www. chatbot. com). do not ignore, let it not become beginning of a major problem. do ask for a detailed treatment plan. if no relief in 2-3 days, contact me again. (phone.91 xxxxxkindly make sure, there is no allergy to any of these medicines. (contact family doctor, if needed). for emergency treatment visit the nearest hospital.-hope i have answered your question, if you have any further question, i will be happy to help.-kindly rate the answer.-wish you a quick recovery & good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. fluttering sensations in chest are commonly seen arrhythmia (rhythm disturbances in heart). for the diagnosis of arrhythmia, holder monitoring (24 hours continuous recording of ecg) is required. i think, you have not undergone this test. so consult cardiologist and get done holder monitoring to rule out arrhythmia. if this is normal then no need to worry about arrhythmia or other heart diseases. sometimes, uncontrolled stress and anxiety can also cause similar kind of fluttering sensations. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,SARS Exposure and Emergency Department Workers
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome, and thanks for sharing your concern i went through your query, and i feel, what you want to convey is that your muscles are tender, not painful, these could be due to deficiency of essential vitamins and minerals, old fractures, excessive walking, and in many cases psychological. a thorough evaluation will help find a cause of this condition. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hii.welcome to our site. ejaculating semen during sleep is a normal thing only.don't fear. just take healthy foods. avoid watching porn. try to mingle more with friends. avoid thinking about sex. if you want to increase penis size then you can try massaging the penis daily using oil. stroke penis 20 to 50 times a day using oil. each stroke should lose for 7 to 10 seconds. if you do daily then you can feel your increase in penis size.
Answer this question truthfully,Neisseria gonorrhoeae and Moraxella are classified as Diplococci without maltose metabolism in the Gram Negative Algorithm.
Answer this question truthfully,These symptoms suggest the possibility of a TE fistula.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. your symptoms could be anxiety-related. anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. if you are having recurrent such symptoms or having difficulty managing your stress, then i would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. there are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. wish you all the best. -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. prednisone is usually prescribed to take with food, but every 12 hours. i don't know dosage in your case so consult your doctor about it. you meant zynga, probably. this should be taken on empty stomach and don't take it together with prednisone. bone metastasis isn't good sing, but sometimes tumor regress on zynga therapy. so just hope for the best. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and concern about your father who is not willing to go to a doctor. read your question and understood the problem. with the history you have provided, your father is suffering from"
Answer this question truthfully,"Gastric bypass is indicated for two population types: those with a BMI greater than 40 who have attempted lifestyle modifications, and those with a BMI greater than 35 who have attempted lifestyle modifications and have comorbid conditions such as hypertension or type 2 diabetes."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of bronchitis is more in your case. bronchitis is inflammation of airways. and it can cause coughing, hemoptysis (blood in sputum) and prominent bronchovascular markings on chest x-ray. if you are smoker than you should quit smoking as soon as possible. you need inhaled bronchodilators and inhaled corticosteroid (ics). antihistamine and anti-inflammatory chatbot.  so consult pulmonologist and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Hemoglobin C disease is inherited in an autosomal recessive pattern, which means that a person needs to inherit two copies of the mutated gene (one from each parent) to develop the disorder. If both parents are carriers of the mutated gene, there is a 25% chance that their offspring will inherit the disorder. Hemoglobin C disease is caused by a mutation in the HBB gene, which provides instructions for making beta-globin, a protein component of hemoglobin. This mutation leads to the production of abnormal hemoglobin molecules, which can cause red blood cells to become rigid and assume a characteristic elongated shape. This can lead to a variety of symptoms, including anemia, fatigue, and jaundice."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for your query. it will be more accurate if you send back a picture of your rashes in the eyes to properly diagnose it. but commonly, you may be having a hypersensitivity reaction(allergic reaction). did you change your facial cream, soap, lotions recently? have you been using any new product? or did you have any intake of a new food or medicine recently? if so, you may be having an allergic reaction to it, though allergic reactions may occur on the second exposure, a lot still occurs on the first exposure.  allergic reactions are caused by a substance that is recognized by the body as a foreign substance. your body has a natural defense system(immune system), if exposed to harmless substances such as pollen, lotions, creams, dust mites, medication, your body overreacts, this over reaction may cause a rash, itchy eyes, runny nose and difficulty of breathing. to totally eliminate the problem, first is you must identify the substance that you are reacting to and eliminate it. then as quick remedy as you are still looking for the trigger(substance that caused it), you may take antihistamine like cetirizine 10\u00a0mg once a day before bedtime to lessen the itchiness. this may cause a bit of chatbot.  furthermore, if you can't send back a picture i suggest you consult a physician to clinically assess your condition. i hope this helps.feedback is greatly appreciated! thank you!"
Answer this question truthfully,"Uterine prolapse usually happens in women who have had one or more vaginal births. Normal aging and lack of estrogen hormone after menopause may also cause uterine prolapse Chronic cough and obesity increase the pressure on the pelvic floor and may contribute to the prolapse. Uterine prolapse can also be caused by a pelvic tumor, although this is rare. Chronic constipation and the pushing associated with it can worsen uterine prolapse."
Answer this question truthfully,"Chronic epileptic episodes and the subsequent catecholamine surges and hypoxic events may affect the heart and coronary vessels and result in the dysfunction of the heart. This condition is known as the ""epileptic heart."" This concept was first described by Dr. Richard L. Verrier and his colleagues in 2020."
Answer this question truthfully,"Strongyloides stercoralis, a helminth, enters the body through the feet, travels through the blood to the lungs, and is eventually swallowed into the GI tract due to the mucociliary escalator."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank-you user for your query. i understand your concern. as per your situation all i can suggest is that ask your mother to start having high fiber diet such as oats, cornflakes, salads, and along with it ask her to chatbot.  this will help in reducing the constipation and regularize the bowel habits. you may also give her dulcolax tablet at night. you may also get a whole abdomen ultrasound done too. but before starting this consult any castro medicine doctor. he will help you much better. and yes its great that your mother is having controlled fasting sugar. god bless"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. unfortunately, your two sexual encounters were close enough together that it is really impossible to presume the paternity of your pregnancy.  sperm can live in the reproductive tract for at least 3-5 days, and an egg can also live for 72 hours inside your body.  this means that the most accurate estimates of conception can only be within 5 days.  so because your two encounters were only 5 days apart, and there is no way to know exactly when you ovulated, both of these men are possible candidates to be the father of your baby. paternity tests on the baby can only be performed after the child is born. i hope i was able to give you the necessary information and i wish you the best for the rest of the pregnancy. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for choosing chatbot. your child is most probably having a viral erythematous fever, just observe him for a few days till he recovers completely. just show him to a pediatrician as we can differentiate between allergic rash or some other kind of serious rash. and also he is anemic for which he will require treatment after he recovers from the viral fever. hope this has helped you. wishing your child a speedy recovery. your vote of thanks is appreciated, good luck, chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Preeclampsia is caused by abnormal placental spiral arteries, which can lead to reduced blood flow to the placenta and cause a cascade of events that result in endothelial dysfunction, vasoconstriction, and ischemia. Endothelial dysfunction refers to damage to the cells that line blood vessels, while vasoconstriction is the narrowing of blood vessels that can further reduce blood flow. Ischemia is a lack of oxygen and nutrients to tissues that can cause damage and lead to organ dysfunction. These effects on the body can cause a range of symptoms and complications associated with preeclampsia, including high blood pressure, proteinuria, and damage to organs such as the kidneys and liver."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query and understood the concern. your symptoms can occur during a very early pregnancy or during the premenstrual phase of the period due to progesterone effect. the vaginal discharge however, is abnormal and most likely due to hormone imbalance. since you had both blood and urine pregnancy tests negative, pregnancy can be ruled out. a trans-vaginal sonogram will help to know the status of the pelvic organs. weight disturbances, infections, stress, polycystic ovaries and certain medications also can create this clinical picture. please get further help from a specialist in person. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of viral bronchitis is more. it is due to inflammation in airways because of viral infection. so better to consult pulmonologist and get done clinical examination and pft (pulmonary function test) for the diagnosis of bronchitis. you need antibiotics, antihistamines, bucolic and expectorant chatbot.  inhaled bronchodilators and inhaled corticosteroid are also needed in bronchitis. don't worry, you will be alright. better to consult pulmonologist, first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it could be an infection because you don't know what it is. so, my advice, please go to a dermatologist. he will look into this and prescribe you proper medicine. and about the dead skin thing well dead skin in dark and painless. if it's pink, it's healthy. pouring 3% peroxide can make it worse so, make a visit to a dermatologist as soon as possible. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings suggests raised sgpt level. increased sgpt may indicate liver injury. it may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. increased sgpt may be due to fatty liver in your case. you may need few more investigations like routine hologram, random blood sugar, lipid profile. i suggest tablet ursodeoxycholic acid 300 mg twice daily to my patient for three months. it helps in regeneration of liver cells. it is good that you have stopped alcohol intake. you should go for brisk walk and do exercise. fatty liver is a reversible condition. it will reverse with diet and lifestyle changes. get well soon. take care chatbot."
Answer this question truthfully,"Many laboratory tests that could be done to assess complications include:
CBC - To screen for iron deficiency anemia.
Fecal occult blood test to evaluate gastrointestinal bleeding.
Urinalysis to screen for hematuria.
Serum lipid levels - Pseudoxanthoma elasticum is associated with precocious atherosclerosis and elevated lipid levels should be treated aggressively.
Serum calcium and phosphate levels - These are usually in the reference range in pseudoxanthoma elasticum, but hypercalcemia and hyperphosphatemia have been reported.
Genetic testing - Mutations can be detected in 55-83% of patients with pseudoxanthoma elasticum."
Please summerize the given abstract to a title,Neurologic manifestations associated with COVID-19: a multicentre registry
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, greeting ... you had jaundice due to what reason ?  hepatitis a /b/c ??? pls check the serology report . but was ever it is if u have a single partner i suppose if is hepatitis a . you don't have any restrictions for having sex... better get vaccinated for hep b you also vaccinate your partner . better use condoms for a month wash your have s properly... do contact us for more questions and take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, there are different type of anti rabies vaccines like human diploid cell culture vaccine (hdcv), purified very cell rabies vaccine (pvrv) and purifies chick embryo cell vaccine (pcec) which are available in the market. all these vaccines are equally effective, and you need to take all the five shots of vaccine with any of the above-mentioned vaccine. if you give any of this vaccine as per the who schedule it is going to protect against development of rabies. thank you."
Please summerize the given abstract to a title,"Impact of sandstorm and carnival celebrations on SARS-CoV-2 spreading in Tenerife and Gran Canaria (Canary Islands, Spain)."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult pulmonologist and get done1. chest x ray2. ct thorax.3. bronchoscopy and bad(bronchoalveolar lavage) analysis. cannabis smoking can cause particles to settle in alveoli. and on long run can develop lung infection and lung cancer. so, chest x-ray and ct thorax is needed to rule out these possibilities. bronchoscopic evaluation will be helpful in removing particles. you can do therapeutic bad to clear airways from particles. so consult pulmonologist and discuss all these."
Please summerize the given abstract to a title,"Lessons from the host defences of bats, a unique viral reservoir"
Please answer with one of the option in the bracket,E: 4th arch
Please summerize the given abstract to a title,Psychological and psychosocial predictors of chronic post-surgical pain: a systematic review and meta-analysis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query, your symptom very much seems to be acute exacerbation of asthma. your doctor has rightly put you on prednisolone of which short course of 10-14 days without tapering is usually ok. it takes 2-3 days for the symptoms to get relieved. just have a faith on your doctor and wait for the chatbot. in my opinion a course of antibiotic will be a good add-on as you are bringing purulent phlegm. ask your doctor for the same..... best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.","kidney damage will be assessed by the value of serum creatinine. dialysis is advocated if serum creatinine levels are too high. but, it will be decided by nephrologist. regarding staph infection, you can shift to another antibiotic like clindamycin which does not affect the kidney. please consult your treating doctor and discuss regarding alternative antibiotic as infection may also aggravate kidney damage. wish him speedy recovery"
Answer this question truthfully,"Oral contraceptives, finasteride, spironolactone and cyproterone acetate are known to be effective treatments for hirsutism, specially in short term. However in long term, using spironolactone may lead to a lower Ferriman-Gallwey score comparing to other treatments. Treatment with spironolactone is also cost-effective.
In general combination of spironolactone and oral contraceptives in patients who doesn't respond to single therapy is more cost-effective comparing to other treatment combinations."
Answer this question truthfully,"The probable diagnosis is trachoma, which is a bacterial infection caused by Chlamydia trachomatis. Trachoma is a leading cause of preventable blindness in developing countries, particularly in areas with poor sanitation and limited access to healthcare. The infection is spread through contact with eye and nose discharge from infected individuals or by flies that have come into contact with infected discharge. Trachoma typically affects both eyes and presents with symptoms such as irritation, itching, and discharge from the eyes, as well as inflammation and thickening of the tarsal conjunctivae bilaterally. Treatment for trachoma may include antibiotics, such as azithromycin, and surgery in severe cases. Prevention measures include improving sanitation, promoting facial cleanliness, and providing access to healthcare services."
Answer this question truthfully,The Cowpox virus is transmitted through contact with infected cow udders.
Answer this question truthfully,The lung diffusing capacity (DL) is directly proportional to the diffusion coefficient of the gas.
Answer this question truthfully,The globin within macrophages that have consumed RBCs is further broken down into amino acids.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. you have several symptoms like pain in the lower abdomen, mostly left sided and sometimes across the bottom of the pelvis area. herd for which you are taking prilosec, b12, vitamin d3, ultrasounds show small cysts. obviously looking the symptoms looks unrelated but if you consider all of them to be together this can be due to a condition called irritable bowel syn chatbot.  but for we to say this to be ibs, all the investigations of blood, urine and stool should be normal as well as ct scan of the abdomen and endoscopies. consult a gastroenterologist and get treated accordingly. you have to have your stress and anxiety level well under control if you want the results."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctortwo strong possibilities are there, first is infection part and second is allergic conditions these can be managed on conservative basis and for that i would suggest the following medicine,1) tab ceding 30 mg twice a day for 7 days2) tab ibuprofen 200 mg three times in day3) tab levocetrizine 10 mg three times in day hope you would get good response from this, take care and have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome at chatbot i have gone through your and being your physician i completely understand your health concerns. for how long you're suffering from it? any other associated problem? like diabetes or hypertension? are u having fever? any other lymph node swelling in your body? is swelling on both sides of neck or not?  in my opinion it is better to diagnose it by examining rather than illustrating, anyway, based upon your history, if these are red pimples with a pus then it is a myogenic infection mean it may be due to staph, plus strep can also cause it , but, it can be a viral infection with super added bacterial one too.  as far as vibration is concerned i don't think its indication here in this scenario. if you're having associated urinary tract infection then it can be justified.if you don't get any improvement then consult your doctor again meanwhile stay calm and use acetaminophen to relieve pain get well soon hope your query is adequately ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot in that case, you need antidepressant like felix and low dose benzodiazepine. if you take antidepressant regularly, then you would feel better and able to control anxiety attack. you can also try some relaxation exercise that would help to control anxiety symptoms. better to consult your psychiatrist for proper treatment. in case, you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. tuberculosis patients are very prone for hypoproteinemia (low protein in body). and this can cause swollen feet. so first get done serum protein level and if it is low then you give himalaya high protein diet like pulses, vegetables, eggs, protein powder etc. if serum protein level is normal then get done renal function test and 2d echo to rule out kidney and heart diseases. hope i have solved your query. i will be happy to help you further. wishing good health to your father. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for good information. this is most probably a serbia, meaning a collection of blood or serum under the skin. this is so because it is present only for 2 weeks. the treatment is repeated aspiration and to get a compression bandage. consult only an ent surgeon, he only knows the proper treatment. if it fails to resolve, button therapy can be done for a permanent cure wherein a button is stitched to keep this in a compressed position."
Answer this question truthfully,"Adenocarcinoma of the lung is often linked to activating mutations in the KRAS, EGFR, and ALK genes. These mutations can cause the cells in the lung tissue to grow and divide uncontrollably, leading to the formation of cancerous tumors. It is important to note that not all cases of adenocarcinoma will involve these specific mutations, and other factors may also contribute to the development of the disease. However, research has shown that these mutations are frequently present in patients with adenocarcinoma, and understanding their role in the disease can help inform treatment options."
Please summerize the given abstract to a title,The impact of the initial and second national COVID-19 lockdowns on mental health in young people with and without pre-existing depressive symptoms
Please answer with one of the option in the bracket,B: Polyarteritis nodosa
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of your father-in-law. a thorough assessment of the swelling is advised. as mentioned that he is 75 years old and also there is a swelling in the lower limbs, that is the ankle, how long the swelling being persisting. also, is the swelling is a pitting edema or non pitting edema. to check this, you can press the ankle region where there is swelling, if after pressing the skin comes up than it is non pitting edema, if the skin does not come up and the dent persists or takes longer time to get normal, than it is a pitting edema. you may also need to explain if the has any high blood sugar levels. also, how are his creatinine levels. post taking the laboratory test for the - blood glucose levels, creatinine levels and uric acid levels the next treatment will be applied. also, by keeping the leg over the pillow, the swelling will be reduced but getting assessed will be advice. besides, you have to make him do long walk as his age is 75 and venous return has to be optimum to get the cardiovascular functioning. also, you may be advised to undergo physical therapy - and they will help to learn the exercises to perform by which swelling will be reduced and also the strength in the lower limb muscles will be achieved. also, the treatment will be totally guided on the clinical assessment and laboratory findings. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",wear and tear means age related changes in the spine. it usually results into disc degeneration with facet joint arthritis. back muscle stretching and exercise helps to improve the back muscle tone and subsequently gives more support to spine. lumbar roll is to give support to lower back. if you are in severe pain then i would suggest trying anti-inflammatory with muscle relaxants and physiotherapy such as interferrential therapy (it) to relieve the pain. once pain subsided and more tolerable than start the exercise. thanks.
Please summerize the given abstract to a title,Gastrointestinal disturbance and effect of fecal microbiota transplantation in discharged COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern. pregnancy test is a reliable test for pregnancy testing.  it may give wrong results occasionally due to some errors in sample collection/contaminated container or wrong readings. ... burn not at multiple testings. -ve test report is very rare to be wrong.  you should try to confirm it with blood chatbot test or usg abdomen which would definitely show positive signs if pregnancy is there... this would confirm/exclude pregnancy.  please consult a gynecologist. she will examine you & get you investigated offer counselling ... also treat you for getting regular menstruation . after which you can try for conception too.  thanks."
Please summerize the given abstract to a title,Urban air PM modifies differently immune defense responses against bacterial and viral infections in vitro
Please summerize the given abstract to a title,Collaborative Cohort of Cohorts for COVID-19 Research (C4R) Study: Study Design
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern. but this could as well be a viral illness. every fever with dizziness does not mean that it is an acute central nervous system infection or hsp. the danger signs include severe headache with vomiting, loss of consciousness and seizures, blood in the urine. i will explain to you how viral illness behave so that you can be more confident. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have epidermal cyst, enlarged lymph node or salivary gland enlargement due to siledenitis or other cause.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear-thanks for using our service. i understand that gas can give you a lot of discomfort. you need to avoid vegetables like broccoli and cauliflower because they produce a lot of gas. back pain could be from gas that moves to that area or could be related to herniated disc vs spinal stenosis. i recommend you to try an anti-inflammatory and hot pad for few days but if no improvement in one week, then see your doctor for evaluation. i hope that my advice has been helpful. chatbot."
Please summerize the given abstract to a title,SARS-CoV-2 triggering autoimmune diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. iron deficiency is very common in female.  it may be due to nutritional deficiency or blood loss. she should take iron rich food and iron tablets.  for urinary tract infection shr should take antibiotics like levofloxacin or norfloxacin according to doctors advice.  she should chatbot. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your query and understand your concern. as mucus is present in your stool, so the discomfort can be due to dysentery or amoebic colitis. i usually put my patients with similar complaints on a course of antibiotics like metronidazole or ornidazole for 5-7 days. and i would suggest to you the same. but for the prescription, you need to see a local doctor. hope i have been helpful."
Please answer with one of the option in the bracket,B: Accumulation of ubiquitinated proteins
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is a tough question to be honest with you. life expectancy is obviously dependent on crucial factors like general health. with heart condition, diabetes, and liver problems, life expectancy is greatly reduced. so the answer to your question is that probably less than the average (men in us/uk live till they are 80 years or so). the more important question is if there is any danger of dying in the short term. gallstones won't kill you, so the answer to that is no, it does not oppose a danger. the problem is that gallstones can cause an infection, in that case they put in a little tube and chatbot. in this case i would say that having diabetes and being on the dialysis machine does not mean that there are just a few months or even very few years to live, with good medical care one can live quite a while like this. the heart condition, however, is more unpredictable. over all, no danger of dying in the short term. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","i am afraid your wife has suffered a very big stroke, because its only then that there is the need to remove the bone in order to lower the pressure caused by the swelling. it's the stroke which causes her condition not the surgery itself, without it, she probably wouldn't have survived. unfortunately it seems that 4 years have passed and if your wife is still unresponsive i am afraid that there is little chance of her neurological condition improving. the damage has been very extensive and whatever compensation from the unaffected areas there could have been hoped for at first, it would have taken place during the first year."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, gum hyperplasia or gum overgrowth can occur due to the side effects of medication and amlodipine is seen to cause this side effect. so my suggestion is to consult a dentist, and first, get a full mouth x-ray or an opg done. if there is excessive bone loss, then only you should proceed for teeth removal. first, an attempt should be made to save the teeth and reduce the gum hyperplasia with scaling, root planing and changing the chatbot.  also, use a soft toothbrush to brush your teeth. do cool compresses to reduce swelling and bleeding. massage with gum paint. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, you should consult pulmonologist and get done 1.  clinical examination of respiratory system. 2. put (pulmonary function test). pft is must for the diagnosis of bronchitis. it will also tell you about severity of the disease. and treatment of bronchitis is based on severity only. so get done pft. you may need inhaled bronchodilators and antihistamines. lemont is oral bronchodilators and having side effects so better to start inhaled bronchodilators. so consult pulmonologist and discuss all these and start appropriate treatment."
Answer this question truthfully,"The diagnosis of Fragile X Syndrome is based upon detection of an alteration in the fragile X mental retardation 1 (FMR1) gene. Clinically, mentally retarded child with family history of Fragile X syndrome (especially a male relative) have higher chance of inheriting the disease. There are very few outward signs of Fragile X syndrome in babies. Babies may have a large head circumference. Measurement of oversized testes in males who have reached puberty may also suggest the diagnosis. An experienced geneticist may note subtle differences in facial characteristics. Mental retardation is the hallmark of this condition and, in females, this may be the only sign of the disease. A specific genetic test called polymerase chain reaction (PCR) is used to diagnose this disease. This test looks for an expanded mutation (called a triplet repea t) in the FMR1 gene."
Answer this question truthfully,"The most common pediatric elbow fracture is a supracondylar fracture of the humerus, which is a fracture that occurs just above the elbow joint. Pediatric elbow fractures are a common injury in children and can occur as a result of falls, sports injuries, or other accidents. Supracondylar fractures of the humerus are the most common type of pediatric elbow fracture, accounting for about 60-70% of cases, and can cause symptoms such as pain, swelling, and difficulty moving the arm. Other types of pediatric elbow fractures include radial head fractures, olecranon fractures, and medial epicondyle fractures, which can affect different parts of the elbow and cause varying degrees of pain and disability. Treatment for pediatric elbow fractures depends on the type and severity of the fracture and may include immobilization, physical therapy, or surgery in more severe cases. Overall, while pediatric elbow fractures are a common injury in children, a supracondylar fracture of the humerus is the most common type and can be effectively managed with appropriate treatment and care."
Answer this question truthfully,"Yes, that is correct. Severe dysplasia and carcinoma in situ are both considered pre-cancerous conditions, where abnormal cells are present but have not yet invaded the surrounding tissue. These cells are confined to the epithelial layer and do not penetrate the intact basement membrane, which separates the epithelial layer from the underlying connective tissue. Invasive cancer, on the other hand, involves the penetration of cancer cells through the basement membrane and into the surrounding tissue. It is important to note that while severe dysplasia and carcinoma in situ do not invade the basement membrane, they still represent a significant risk for the development of invasive cancer if left untreated."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, creatine level which you have mentioned is high, usually in our patient we keep both the options open, dialysis need more compliance, sometimes patient don't will to do dialysis now and then, transplant is always better, with modern technique rejection rates has gone low, and survival rate has increased up to 10 yrs, but problem with it is matching the donor, so considering all the thing and good counselling with a nephrologist you can make a decision, to go for dialysis or transplant. hope this information helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. for cold, you can use cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. for nasal block, plain saline nasal"
Please summerize the given abstract to a title,Integration of Telemedicine for Home-Based End-of-Life Care in Advanced Cancer Patients during Nationwide Lockdown: A Case Series
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of musculoskeletal pain is more. but better to first rule out lung infection (pneumonia) because pneumonia can cause cough and pleuritic pain (chest pain one coughing). so consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. if these are normal then no need to worry about pneumonia. musculoskeletal pain is more likely in your case. so follow these steps for better symptomatic relief.1. avoid movements causing pain. 2. avoid heavyweight lifting and strenuous exercise. 3. avoid bad postures in sleep. 4. take painkiller like ibuprofen. also take antihistamine like levocetrizine for cough. 5. apply warm water pad on affected areas. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","erysipelas is a bacterial infection in the upper layer of your skin. it is similar to another skin disorder known as cellulitis, an infection in the lower layers of your skin. the bacteria that most commonly cause erysipelas are known as streptococci, and they normally live on your skin and other body surfaces without causing harm. they can, however, enter your skin through a cut or a sore. usually, the affected body part must be raised higher than the rest of your body to reduce swelling. in your case leg is affected, you should aim to rest as much as possible with the leg elevated above your hip. for example, lie down, and prop your leg up on some cushions. it is important to get up and walk about from time to time and to keep up your fluid intake. the almond cold pressed oil is one of the most efficient ways to get rid of the anesthetic erysipelas red spots. all you need to do is to anoint your skin with the almond oil twice a day, early in the morning and right before bedtime. antibiotic treatment and usually penicillin is the kind of treatment that would be used in case of erysipelas and antibiotics are a must.  all the beauregard chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i read your question and understand your concern. your symptoms are common after a head concussion. these symptoms are caused by a temporary brain dysfunction due to the head trauma, and the temporary loss of the brain ability to auto regulate its function. the warmth on the side of your head may be related to the edema of the muscles and the soft tissues of this region. the brain does not hurt. i would recommend some painkillers for some days and a lot of rest. you should avoid straining physical activity for some days. if the situation gets worse, instead of improving, and you may feel confuse or numbness on your limbs or gait problems, i would recommend going to the emergency room and have a brain ct scan to exclude a possible intracranial hemorrhage. hope to have been of help! best wishes!"
Please summerize the given abstract to a title,The proposed scoring system for hospitalization or discharge of patients with COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Risk Stratification of Patients with Acute Coronary Syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of cervical nerve root there can be pain. this can lead to articular jaw pain. i will advise you to mri cervical spine for better diagnosis. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion it is nothing but muscle twitches, as you feel on movements mainly. but still we need to rule out cardiac cause first as palpitations can also give similar flurry feelings. so get done ecg to rule out this. if ecg is normal than it is mostly muscle twitch and probably pectoralis muscle. so try to follow these to prevent muscle twitches.1. avoid movements causing these.2. avoid heavy weight lifting and strenuous exercise. 3. take good muscle relaxant. 4. apply warm water pad to the affected muscle."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot. noted you have fatty liver.usg done for its confirmation... yes it can be reversible within few months... following are some advice....1.take low fat diet.2.avoid alcohol.3.fruits taken more.4. green leafy veg more5. refined food, cheese, butter, non veg taken less.6.use much less oil in diet and sunflower like good oil used.7.regular exercise 8. ad\u00edlio tablet taken.... hope your concern solved. happy to help you further. chatbot."
Answer this question truthfully,"The protein levels in plasma are higher than the protein levels in interstitial fluid. Plasma is the liquid component of blood, and it contains a variety of proteins, including albumin, globulins, and fibrinogen. These proteins play important roles in maintaining the osmotic pressure of the blood, transporting nutrients and hormones, and helping to defend against infections. In contrast, interstitial fluid is the fluid that surrounds cells in tissues, and it contains fewer proteins than plasma. The lower protein levels in interstitial fluid help to maintain the proper balance of fluids between the blood and the tissues."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Body composition after allogeneic haematopoietic cell transplantation/total body irradiation in children and young people: a restricted systematic review.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user thank you for your question about that as high grade fever 104 considered very dangerous and may have severe effects and the solution is very simple.....paracetamol and metal are good antipyretic, and you need not increase dose of antipyretic chatbot. .....but very important step required before all of this.....this step is doing cold compresses...making cold compresses and put him under mild cold running water fora time if 10-15 minutes until grade of fever reach 101-102 then give him antipyretic....antipyretic have excellent effect in lowering moderate fever ...but if fever is high antipyretic have limited effect and fever may remain high even if you increased the dose .simple cold compresses should not ignored...it will help you a lot...lastly treatment of the cause of infection is the main........hope that helps you..."
"If you are a doctor, please answer the medical questions based on the patient's description.","1. family history of hair loss?2. multiple cross-sectional studies have found an chatbot. 3. biopsy is/may be needed to exclude other causes of hair loss, whereas histology will/may demonstrate perifollicular fibrosis.4. is your testosterone and dht level checked?5. treatment modalities can be from hair transplantation to the latest low level laser therapy (lllt)6. if your health care provider finds any hormonal imbalance then fda approved alopecia finasteride is the"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Site-directed mutagenesis of the Nidovirus replicative endoribonuclease NendoU exerts pleiotropic effects on the arterivirus life cycle.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. based on your description, i suspect that your symptoms could be possibly due to an infection at the injection site leading to pain and swollen lymph nodes chatbot.  use of an appropriate antibiotic for a few days along with anti-inflammatory medications may be helpful in resolving your issue. consult your treating doctor a detailed clinical examination and further evaluation, if necessary. hope this information is helpful. good day"
Please summerize the given abstract to a title,COVID‐19: focus on the lungs but do not forget the gastrointestinal tract
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, now she is used to of having feeding with nipple shield she may not like to feed with nipple directly as due to having flat nipple she feels inconvenience. do not leave trying for nipple feeding. while feeding keep your two fingers around nipple and with fingers help put nipple in her mouth. observe that her nostrils are not blocked due to breasts. initially she will be hesitated, but gradually she will be used to it. try to make nipple erupted with help of breast suction pump. ok and take care."
Please summerize the given abstract to a title,PROGNOSTIC FACTORS FOR CLINICAL COURSE OF PATIENTS WITH COVID-19: PROTOCOL FOR A RAPID LIVING SYSTEMATIC REVIEW
Please summerize the given abstract to a title,Long noncoding RNAs in respiratory viruses: A review
Please summerize the given abstract to a title,The Psychological Impact of COVID-19 on Chinese Individuals
Please answer the letter of option truthfully,B
Answer this question truthfully,Ophthalmology examination and evaluation should be done to confirm the diagnosis  Iris translumination is identified on slit-lamp examination Visualization of choroidal blood vessels may be present on fundoscopic examination Visual-evoked potential tests (VEP)  This test can be used for recognition acuity in children with albinism Misrouting of optic nerves are present in selective VEP exam
Please summerize the given abstract to a title,Stress Mediates the Relationship between Personality and the Affordance of Socially Distanced Online Education
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history. as the history suggest that this is more of a lumbar spine disc degenerative disease. as due to nerve root impingement in the lumbar spine the sciatic notch in the gluteal region will have a severe pain and needs a thorough clinical examination and an mri to understand the pathology of the lumbar spine. infact with 11 sessions of physical therapy the pain can not come down and may need more sessions as well. taking therapeutic ultrasound therapy and tens therapy should help control the pain symptomatically and exercises will play an important role in stabilizing the spine and also improving the muscle strength to hold the spine without leading to nerve root impingement. in my clinical practice most patients need more than 15 sessions of physical therapy, and they respond well. regards jay in chatbot."
Answer this question truthfully,"The primary risk factor associated with basal cell carcinoma is exposure to UV-B light. UV-B light is a type of ultraviolet radiation that is present in sunlight and can cause damage to the skin's DNA. Prolonged and repeated exposure to UV-B radiation can lead to the development of basal cell carcinoma, which is the most common type of skin cancer. UV-B radiation can cause mutations in the genes that control cell growth and division, leading to the uncontrolled growth of skin cells that characterize basal cell carcinoma. Therefore, it is recommended that individuals limit their exposure to UV-B radiation by wearing protective clothing, using sunscreen, and avoiding prolonged exposure to sunlight, especially during peak hours."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have pulsating sensation in arms. well there can be many reasons for symptoms you mention in query like b12 deficiency, multiple sclerosis, herpes infection, less blood supply and triggered nerve. i would suggest you to apply warm compresses, massage with sesame oily gently, eat healthy add fresh fruits and green vegetables in your diet and give your arm proper rest. consult orthopedic surgeon if the condition doesn't get well. doctor may order cr scan or mri along with physical examination. doctor may recommend physical therapy which will help a lot along with orthodox mro, anti-inflammatory and vitamin supplement like vitamin b12. doctor may also refer you to cardiologist for blood supply problem. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  but in psychology, we broadly call it obsession. you had that disturbing sensation once. you expected it to happen again and tried. then you started experiencing it as you were expecting it. then your body brought the familiar symptom because you are expecting it. then you started worrying that the symptom is coming again and again and expect it and close your eyes. body brings it again as you are expecting it. you become worried and so on. that is obsession in simple terms. ignore it and the problem vanishes. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear asif, this is nothing serious and there is no reason to concern. especially if you don't have any symptoms.  fatty liver is a common ultrasound finding especially at age >50. it is usually associated with raised blood lipids, obesity and alcoholism but often there is no specific cause. you should also check your liver enzymes. some people are afraid of having liver cirrhosis after they find fatty liver, but there is a long way from fatty liver to cirrhosis. you just need to care about your nutrition (avoid alcohol, fatty food and do sport) and control your liver function (us and enzymes) once a year. wish you good health,"
Please summerize the given abstract to a title,Training Feedforward Neural Network Using Enhanced Black Hole Algorithm: A Case Study on COVID-19 Related ACE2 Gene Expression Classification
Answer this question truthfully,Yolk sac (endodermal sinus) tumor is most commonly associated with an increased AFP level among ovarian neoplasms.
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, prima face the diet you are taking seems to be fairly balanced diet for pregnancy. however, i see that you are not consuming sufficient quantity of pulses and legumes. please try to include them in your diet. though dose provides some dal like brad, it is very small quantity that you are eating. please increase the quantity of samba in your diet; and let it be a thick samba with plenty of dals. for good quality proteins, include thalipeeth of combined pulses. you should have the variety of pulses and legumes in the diet to provide all the essential amino acids required by the body. inclusion of varied bean sprouts will provide you good, predigested high quality proteins. also, please include more fruits in your diet. apple is not that nutritious fruit; it contains more minerals and water. banana is a very good fruit.  chico and guava also are good nutritious fruits. citrus fruits will provide you minerals and vitamin c. please have the variety of fruits in the diet. i am not clear which vegetables you are eating. along with fruit vegetables, you should have plenty of fresh green leafy vegetables for vitamins and minerals. moreover, fresh fruits and green leafy vegetables will prevent constipation which is so very common during pregnancy. during whole day, have at least 500 ml of milk in divided servings. one large glassful of milk in the morning and one at bedtime should serve this purpose. in general, follow the principle"
Please summerize the given abstract to a title,COVID-19 diagnosis and testing in pediatric heart transplant recipients
"If you are a doctor, please answer the medical questions based on the patient's description.",as you are suffering from high grade fever with chills and body-ache it is pointing mostly towards malaria so first i will advise you to do cbc with mp to rule out the diagnosis. if malaria is negative than it is viral fever nothing more than that. treatment for the same is tab definite 200 mg or tab cea chatbot.  you can do a course of chloroquine 250 mg base 4 tab stat than 2 tabs after 6-8 hours than 2 tab stat once daily for next 2 consecutive days after meals preferably with milk. if feeling weak you can take some multivitamin like syrup zirconia or syrup multicherry 2 sf twice daily.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. i am chatbot. k. and i am pleased to assist you. you have silent gallstones. these do not require any treatment. the only definitive treatment for gallstones is surgery which can be done by laparoscopic and open methods. medical treatment and lithography are less effective options. surgery is usually advised when the stones cause inflammation and other complications. you need to reduce weight if obese, check your blood glucose and cholesterol levels as these are some common risk factors for gallstones. i hope that answers your question. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for asking chatbot, i understand your concern. you are probably experiencing low blood pressure when you stand up, called orthostatic hypotension. as a result, not enough blood reaches your brain, and you feel lightheaded or dizzy. here are some advices"
Answer this question truthfully,"In long-standing postrenal azotemia, the BUN:creatinine ratio is < 15."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query and found you to be wise enough to understand & worry that your smoking may have leaded you to cancer. dear, you are too young to do all that and fall into this ditch. anyway, don't get panicked. you must go to the doctor to get yourself checked up thoroughly and get treatment asap as per your doctors' advice . meanwhile, take care of your self. stop smoking and fried, fast foods, tea, coffee, alcohol, late nights. take simple healthy food - veges ,fruit, protein, vitamins, and minerals, lemon water before meals garlic, ginger are very good for curing many of your symptoms . take 1/2 spoon turmeric with a cup of hot milk before bedtime. keep constipation at bay. . good night sleep, and walk and exercise. prayer and meditation gives you peace and show the right way of leading life. and don't worry, god willing you will be well soon. go to doctor asap hope it helps you solve your query.don't hesitate to get back if you have any further problem"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. intrauterine contraceptive devices can present with symptoms like intermenstrual spotting, brownish discharge, abdominal pain etc. usually these symptoms can be seen during the early weeks of insertion. but some women may have later also. and also women with funds are more prone for pelvic infection. so when you consult your gynecologist this time, go for pelvic examination, vaginal swab culture and sensitivity and ultrasound. by examination and these investigations the possibility of pelvic infection can be identified. if there are signs of pelvic infection, you need to take course of antibiotics. if there are no signs, symptomatic treatment may sufficient. and possibly the symptoms will subside soon. if intermenstrual spotting recurs you may need additional dose of hormones for some time to correct it. take care."
Please summerize the given abstract to a title,"Time Length of Negativization and Cycle Threshold Values in 182 Healthcare Workers with Covid-19 in Milan, Italy: An Observational Cohort Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have what is termed as sebaceous cyst over pubic area. the skin around the genitals and scrotum is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. normally they fade away without treatment however they need to be treated if increase in size or get infected. please consult qualified general surgeon for clinical evaluation and further treatment. if needed some of them which are bigger may need to get excised in toto (completely along with the sac). chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. many tumors or cancers might cause small amounts of chemicals circulating in blood due to the presence of cancer. these are known are serum tumor markers. every cancer has a different set of tumor markers and many types of cancers might share the same tumor marker. this is present in blood and doing blood test specifically for these tumor markers gives and idea on the probability of cancer present in a suspected area. in anal cancers evaluated serum cea, tpa, ca19-9, scc and cy fra at diagnosis play a role. among this usefulness of serum scc and tpa at diagnosis of squamocellular anal cancer and of cea in the diagnosis of chlorogenic tumors has been observed. please discuss with your doctor and get evaluated for any of the tumor markers if required."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, that is a very common inflammation of the toe joint. change your footwear. go for a softer sole. soak your feet in a tub filled with warm water for about five minutes. follow it up immediately dipping your feet in ice-cold water for about three minutes. repeat, five minutes hot and three minutes cold. if you can visit a nearby physiotherapy center for ultrasonic treatment, it would work wonders. no need to chop your toe off! hope i have answered your question. let me know if i can assist you further. shut have, physical therapist or physiotherapist"
Answer this question truthfully,Patients typically get chronically exposed to Alkylating agents when they are being given oncologic chemotherapy.
Answer this question truthfully,Patients with HIV who present with an AIDS defining illness secondary to lack of anti-retroviral therapy should be initiated on HAART two weeks after treatment of the infection.
Answer this question truthfully,Schwannomas are treated with resection and/or stereotactic radiosurgery.
Please summerize the given abstract to a title,"Cryo-EM structure of S-Trimer, a subunit vaccine candidate for COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for calling chatbot. forum.  you had cryptorchidism when you are a child, and you got operated. it is a congenital condition where the testicle remains in the abdomen, instead of descending into the scrotal sac. you got operated by pulling the testicle down into the scrotum.  while doing so there could be a herniation of the intestine or me sentry into the scrotal sac.  so far if threads of the operation are visible, they would have used unabsorbable sutures to close the internal incisions.  i advise you to consult a surgeon for diagnosis and treatment.  wishing for a quick and complete recovery.  best regards."
Answer this question truthfully,"Key ultrasound findings in thyroid cancer are:
Large size, microcalcifications, and hypoechogenicity  Lymphadenopathy Microcalcifications- most specific finding associated with malignancy (~95%) Coarse calcifications Peripheral rim calcification Isoechoic solid nodule A nodule taller than it is wide Irregular margins
The lymph node findings are:
Enlarged regional lymph nodes are suspicious for thyroid malignancy Microcalcifications in regional lymph nodes are highly suspicious Lymph nodes with cystic change are highly suspicious Loss of normal fatty hilum, irregular node appearance Increased colour Doppler flow is suspicious Low threshold criteria for lymph node biopsy Biopsy if suspicious features Consider biopsy if >8 mm"
Please summerize the given abstract to a title,Topical hypochlorous acid (HOCl) blocks inflammatory gene expression and tumorigenic progression in UV-exposed SKH-1 high risk mouse skin
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the 4-6 inch size during erection can be considered normal and don't worry about that. you need to get rid of perversion habit that is sodomy for better life ahead. you need to move on and don't make homosexual relation. if erection dysfunction persist than investigate with random blood sugar estimation, ekg, blood pressure measurement, serum cholesterol estimation and serum testosterone estimation for primary work up. hope i have answered your question. let me know if i can assist you further"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot. i have gone through your question. as in pod (polycystic ovarian disease) follicles are small and couldn't mature tpo the size that can rupture. and your husband also have low sperm count, then go for ultrasound color doppler to rule out varicocele. for pod consult gynecologist and start treatment for pod, to stimulate follicles camphene like chatbot.  hope i answered your question. would be happy to help you further. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as with your history, i feel there will be degenerative changes in the knee joint which can lead to pain in the lower limb and especially the knee. also, as you climbed 3 flights of stairs i feel there might be strain occurred over the muscle and the pain arose. sometimes when we do all of a sudden any activity too high then it might be related to delayed onset muscle soreness, which will become better in 2-3 days of time. as per your age, you need to get involved in physical exercise as it will help over a long run to have an active lifestyle. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
Please answer with one of the option in the bracket,D: Electric alternans
Please summerize the given abstract to a title,"Examination of Air Pollution's Relationship with COVID-19, Physical and Mental Health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand your concern. you have lymph node enlargement in your armpit due to horsefly bite on your hand. it might have been infected a bit. it's good that you took antihistamine which will help relieve the allergy. continue the same till swelling subsides. you need to take care of wound by topical antibiotic cream like betadine along with topical steroid cream like dexamethasone. you should also take oral ibuprofen to relive pain in armpit and inflammation. wash the area with mild soap and water and apply these cream 3 times a day. you need to visit local gp to get these medicines. the pain and swelling should go away in a 2-3 days if properly treated and not infected further. hope this will be helpful. do ask if any further question is there. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello can understand your concerns. if possible kindly reply with the complete semen analysis report of your husband. tablet evian is vitamin e. it acts as antioxidant and is said to improve sperm count. i think you both should continue with it. i would also suggest your husband to take tablet paternal. it is said to improve sperm motility. kindly persuade him to stop smoking and alcohol, if he does so. as you have been taking closed with no success, i would suggest you to go for hormonal assays (fsh, lh, progesterone). do consult your nearest infertility specialist. hope this helps. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have high esr.  there are many causes of high esr like tuberculosis, anemia, infection, autoimmune diseases, malignancies you should go for further investigation like ana profile test.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. menopause itself can tiredness. you should go to physician to rule out physical causes of tiredness like thyroid dysfunction, vitamin b12 or d deficiency or calcium deficiency. stress is also associated with tiredness. once your physical causes are ruled out, you can do stress management like yoga, meditation or breathing exercise and time management. else you need to consult psychiatrist for evaluation and treatment thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i guess you concern is about chances of getting pregnant at the age of 48 yrs, that is menopausal stage. firstly i want to discuss the menopause- it means permanent cessation of menstruation at the end of reproductive life (reproductive life is between 15-45 yrs age group, during which maximum chances of getting pregnancy occurs). so once menses stopped, there is no chance of getting conceive naturally. that means after getting menopause there is 0% chances of getting conceive naturally. so don't worry, relax. secondly you told me that your partner is on hrt (hormone replacement therapy) and has stopped taking pills. after the menopause there is no need of contraceptive pills (birth spacing pills). so relax. your partner don't need the extra burden of these pills. but you have not told me that which medicines your partner took under hrt, so i can't comment on this. with the above information you can try out my suggestions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i don't think your rash is because of kidney stones. rash can occur due to various causes like allergy, some medicines, some diseases of blood vessels. my suggestion is if you have any symptom of kidney stone like pain then you can have sonography done will tell your diagnosis. secondly for let's have a visit to your doctor to know what is the cause of this. generally it's an allergic one and can be treated by giving antihistamines medicines. hope this is helpful. take care. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the given description, it seems that your mother is troubled by post traumatic stress disorder (ptsd). some paranoid ideation also can be seen. the best method of treatment would be visiting a psychiatrist and follow his advice. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.* 2 strong recommendations for you quit smoking from this moment only if you are really careful with your lungs & future.@ ct guided biopsy for nodule histological evaluation, no need to wait due to small size of nodules. hope this helps you. thanks for using chatbot .com & reviewing my answer. welcome for any further assistance. wishing you best outcome from the same. regards dear take care."
Please summerize the given abstract to a title,Safety and bactericidal efficacy of cold atmospheric plasma generated by a flexible surface Dielectric Barrier Discharge device against Pseudomonas aeruginosa in vitro and in vivo
Answer this question truthfully,What is the effect of E-series prostaglandins on blood vessels? The E-series prostaglandins are vasodilators.
Please answer with one of the option in the bracket,B: Discontinue methimazole
"If you are a doctor, please answer the medical questions based on the patient's description.","hilong term painkillers & nsaids can cause chronic kidney diseases with alteration in the urea, creatinine, electrolyte levels which are really dangerous please stop diclofenac can start her on tab tramadol which has very mild opioid effect but very safe on the kidneys.pregabalin & gabapentin in lower doses are also very good at controlling the pain of ankylosing spondylitis safe on the kidney stake care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through your complaints and understand your concern. chronic swelling in legs can be due to protein, calcium or vitamin deficiency or in an early stage of varicose veins and dvt. i suggest you to get a doppler scan of limbs done to find out the exact cause. nothing to worry about. i hope your question has been answered. if you have any follow-up queries, feel free to consult me anytime. thanks, take care, god bless."
Please summerize the given abstract to a title,DsRNA Sequencing for RNA Virus Surveillance Using Human Clinical Samples
Answer this question truthfully,"Penicillin is an antibiotic that can be used to treat Clostridium perfringens infections. It works by inhibiting the synthesis of the bacterial cell wall, which ultimately leads to bacterial death. Other antibiotics, such as clindamycin and metronidazole, may also be effective against Clostridium perfringens, depending on the specific strain and the severity of the infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no, need to worry dear. sometimes while masturbating you may pull the hair in the surrounding area which causes pimple. i advise you to continue the medication prescribed by the doctor. in worse case if it won't respond than you can go for doxycycline 100 mg twice a day for a week. this will surely cure your problem. in future if you masturbate please wash your hand before you indulge in the act. also shave the hair regularly this can help you in maintaining the cleanliness. please wear cotton undergarments until you are clear of the situation. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
Answer this question truthfully,"Ovarian cancer symptoms are often vague. Women and their doctors often blame the symptoms on other, more common conditions. By the time the cancer is diagnosed, the tumor has often spread beyond the ovaries.
You should see your doctor if you have the following symptoms on a daily basis for more than a few weeks:
Bloating Difficulty eating or feeling full quickly Pelvic or abdominal pain
Other symptoms are also seen with ovarian cancer. However, these symptoms are also common in women who do not have cancer:
Abnormal menstrual cycles Digestive symptoms: Constipation Increased gas Indigestion Lack of appetite Nausea and vomiting Sense of pelvic heaviness Swollen abdomen or belly Unexplained back pain that worsens over time Vaginal bleeding Vague lower abdominal discomfort Weight gain or loss
Other symptoms that can occur with this disease:
Excessive hair growth Increased urinary frequency or urgency"
Please summerize the given abstract to a title,Roadmap to Resuming Care for Liver Diseases after COVID-19
Answer this question truthfully,"A careful medical history and examination of the hair and scalp are usually enough to diagnose the cause of your hair loss.
Your doctor will ask detailed questions such as:
Are you losing hair only from your scalp or from other parts of your body as well? Is there a pattern to the hair loss, like a receding hairline or thinning or bald areas on the crown, or is the hair loss throughout your head? Have you had a recent illness or high fever ? Do you dye your hair ? Do you blow dry your hair? How often? How often do you shampoo your hair? What kind of shampoo, hair spray, gel, or other product do you put on your hair? Have you been under unusual stress lately? Do you have nervous habits that include hair pulling or scalp rubbing? Do you have any other symptoms like itching, flaking, or redness of your scalp? What medications do you take, including over-the-counter drugs?
Tests that may be performed (but are rarely needed) include:
Blood tests to rule out disease Microscopic examination of a plucked hair Skin biopsy
Ringworm on the scalp may require the use of an oral drug, such as griseofulvin. Creams and lotions applied to the affected area may not get into the hair follicles to kill the fungus."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing. shaking or shivering at or just before climax is experienced by few people. this can be due to exhaustion, muscle spasm and tiredness. this is due to the intense contraction of muscles in different parts of the body. this usually happens when deeper orgasms are experienced. there is nothing to worry as it happens only momentarily for a minute. it might be the result of a more focused masturbation leading to greater excitement, especially if your feet are off the ground."
Answer this question truthfully,"Yes, the symptoms associated with malingering typically stop after the individual achieves their desired gain. Malingering is a term used to describe the intentional production or exaggeration of physical or psychological symptoms for the purpose of obtaining a secondary gain, such as financial compensation or avoiding work or military duty. Once the individual has achieved their desired gain, they may no longer feel the need to continue producing or exaggerating their symptoms. It is important to note that malingering is a complex issue and requires careful evaluation by a qualified healthcare professional."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. it is possible that infection has occurred there, so the swelling has occurred. i advise you to continue the treatment as there is possibility of infection. please start the oral antibiotics as it also treats the infection. i advise you to take the definite 200 mg tablet under your doctors' guidance. paracetamol with serratopeptidase helps prevent infection and improves the healing. please take the above medication under your doctors' guidance. please maintain good hygiene as it is equally important in treating infection as antibiotics do. you can wash the eyes with normal saline frequently. wearing a goggle can reduce the eye strain. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. as per your complaint a large blister in the middle of upper lip can be due to causes like bacterial infection, allergy, bug bite but in case if it is in the form of a cluster of fluid filled blisters on the lip, and you already have a history of cold sores then it can be probably cold sores. i would therefore suggest you to consult a pediatrician and get a proper investigation done as treatment will vary according to the diagnosis. as of now you can do cool compresses over the bump. you can apply numbing gel containing lidocaine over the lump and give her ibuprofen to relieve pain. in case of bacterial infection she can be advised antibiotic ointment along with oral antibiotics while in case of viral infection anti-viral medications like acyclovir, val acyclovir etc. can be advised. hope this helps."
Please summerize the given abstract to a title,"Crystal structure, Hirshfeld surface analysis, DFT and mol­ecular docking investigation of 2-(2-oxo-1,3-oxazolidin-3-yl)ethyl 2-[2-(2-oxo-1,3-oxazolidin-3-yl)eth­oxy]quinoline-4-carboxyl­ate"
Answer this question truthfully,"Secondary hypertension is high blood pressure that is caused by an underlying medical condition. One potential cause of secondary hypertension is primary hyper-aldosteronism, a condition in which the adrenal glands produce too much aldosterone hormone. This can lead to an imbalance of electrolytes in the body, including sodium and potassium, which can result in hypertension and other complications if left untreated. Treatment may involve medication to control blood pressure and surgery to remove any tumors or abnormal growths on the adrenal glands."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms of ringing in ears might be related to the hypotensive episode you had. blood pressure was too low in the morning. you should check with your physician as to correct dosage of lisinopril.  high dosage may be the reason for decreased blood pressure. knee pain might be due to degenerative changes at this age.  i would advise x-ray of the involved knee to check for joint spaces and osteophytes. it can be done at any time you visit the hospital and is not emergency.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Please summerize the given abstract to a title,Alternative antibiotic feed additives alleviate pneumonia with inhibiting ACE‐2 expression in the respiratory system of piglets
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, a needles and pins sensation is generally due to a nerve compression/irritation. if it wasn't due to the cast (that's a possibility), probably your trauma provoked a hematoma pressing on a nerve (median nerve? collateral nerve of the thumb? it depends on numbness distribution). i propose to wait a month from the trauma. if this sensation persist, get an electromyography/electroneurography to objective the nerve injury. if positive, do an rmn of wrist and hand to understand the cause (i.e. hematoma) and project its possible removal. concerning instead your doubt about a scaphoid fracture, i don't know which x-ray projections you did (scaphoid fractures are hard to be seen in standard x-rays). however, if your wrist remained very painful for 10-15 days after the trauma, a scaphoid x-ray projection or, better, a wrist ct, would solve your doubts"
Answer this question truthfully,There are no established measures for the primary prevention of psoriasis.
Please answer with one of the option in the bracket,E: Perform uterine massage and administer oxytocin
Please summerize the given abstract to a title,Laparoscopic mesh repair for lumbar hernia after iliac crest bone harvest.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. liver enzymes are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. so the next step is to look for certain liver damage and most common case is fatty liver disease. it should be confirmed by ultrasound. other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. to verify exact cause, us, bilirubin levels and tumor markers should be additional done then appropriate treatment can be started. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Please answer with one of the option in the bracket,E: Normal saline and potassium
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, vegetarians are prone to have vitamin b 12 deficiencies. vitamin b 12 supplements can be taken regularly. it will keep the b12 levels within normal range. a fall in white blood cell is most commonly caused by infections. a differentiation leukocyte count (dlc) will determine the component which is low. further management will depend on the result of the investigations. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. the tuberculosis of the abdomen is a tricky thing to treat. i advise all my patients to get admitted till the symptoms are abated. the reason for the pain in abdomen is sued to intestinal obstruction and adhesions. the cause of headache can be tuberculosis of the meninges. tuberculosis is a generalized disease of the whole body and showing symptoms at one place. i would advise you the following
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. all the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. if i were your doctor, i would go for a serum chatbot determination and an ultrasound abdomen/pelvis if need be to rule this out and possibly consult a gynecologist along with the investigation reports for further management. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concerns you are already on birth control pill generals fe, there is no need to take plan b pill (if you are taking it regularly). it is very effective in preventing pregnancy, as failure rate is only 0.5-1 percent. but you used play b pill already, and it causes hormonal imbalance as it contain high progesterone. so along with generals fe it cause high progesterone level in the body and this is the reason for the nausea. progesterone relaxes the smooth muscle of gastrointestinal tract and produce nausea. so do not worry, it will disappear in 3-5 days as progesterone level come back to normal. take small frequent meal, avoid large mead and spicy and oily food. and take risperidone or ondansetron tablet. hope this may help you best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for communicating with us for your problem. there can be many reasons for this black spot. but if there is no problem since one year and there are no changes associated with that then there is nothing to worry it can just be a melanin pigmentation. but still you have any adverse habit of taking area nut, pan masala or gurkha then it will be much better to give a regular visit to your dentist."
"If you are a doctor, please answer the medical questions based on the patient's description.","it is recommended that you get at least 400mcg of folate daily when trying to conceive.  there is not one brand of folate that is better than another.  also remember, you can foliate from food that are fortified with it, such as orange juice.  you can google \""folate rich foods\"" and get a nice list. also, most generic over the counter \""prenatal vitamins\"" contain 800mcg of folate.  this would be adequate for anyone trying to get pregnant.  from my experience, the only advantage of one pill over another is potentially the size of the pill.  often prenatal are large pills, but some of the more expensive name brands are smaller. i hope this helps!  good luck!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. it is unfortunate to get the infection again. magnate 500 belongs to cephalosporin group of antibiotics. if any infection is recurring, then you need to go for change in the antibiotics. e.cold infecting her would have been resistant to the antibiotic used. organism sensitive antibiotic has to be used. kindly get her urine tested for culture and sensitivity. based on the report, appropriate antibiotic course can be instituted. wish her good health."
Answer this question truthfully,"Patients can become at increased risk for infections with Vibrio vulnificus in the setting of achlorhydria and chronic liver disease. Achlorhydria is a condition in which there is a lack of stomach acid, which normally helps to kill harmful bacteria. Chronic liver disease can impair the body's immune system, making it less able to fight off infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, pregnancy test done in the first week after missed period may be false negative, particularly performed on the random urine sample. ideally this test should be performed on overnight morning first urine sample after 8-10 days of missed period. however, delayed period for one week with stabbing pain in left iliad fossa should not be taken lightly. please report to the gynecologist. you have to rule out ectopic pregnancy. ectopic pregnancy is a serious condition wherein the baby is implanted somewhere outside the uterine cavity - most commonly in the tubes. in this condition, the chatbot hormone which gives pregnancy test positive is low and hence the pregnancy test may be negative or weak positive. there is always a risk of rupture of such pregnancy which causes threateningly alarming bleeding. such accident usually needs a lot of blood transfusion and surgical intervention. ultrasonography will help you find out whether the pregnancy is located in the uterus or somewhere else. also, please repeat pregnancy test on overnight first morning urine sample after 4 days. alternatively you may opt for beta chatbot test. this is very sensitive test. if it is positive and/or weak positive and the uterus is empty, it suggests ectopic pregnancy. then laparoscopy is advisable. if it reveals unruptured ectopic pregnancy, it can be managed through laparoscopic surgery and further catastrophic bleeding can be prevented. i hope this guides you for further steps. please report to an obstetrician asap."
Please summerize the given abstract to a title,Phrenic Nerve Block and Respiratory Effort in Pigs and Critically Ill Patients with Acute Lung Injury.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Public–Private Collaboration Led by Private Organizations in Combating Crises: Evidence From China’s Fighting Against COVID-19
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, cozaar will take some time to act, if there is no chest pain, headache or shortness of breath, then there is no urgency of getting down bp. you monitor it thrice a day and if still remains high then need to add some more medicine usually amlodipine. you can get this prescribed from local doctor. also use some relaxation techniques like yoga and regular exercises to reduce stress. besides have low salt diet, healthy food. get your lipid and sugars tested. avoid smoking and alcohol if any. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Aortitis is a condition characterized by inflammation of the aorta, which is the largest artery in the body. In tertiary syphilis, aortitis can occur and is commonly associated with inflammation of the ascending thoracic aorta. This can lead to serious complications and requires immediate medical attention."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. thanks for writing. i am chatbot.  i have read you question completely, i understand your concern and will try to help you in the best way possible.first and foremost you need to go through various tests to check if you are ok like your uterus ovaries every thing needs to be choked so that's the first thing you should do second your husbands has to go through tests as we like his semen analysis as we ....if every thing is ok than there will be no reason that you can not cncieveand you will cocaine soon....now coming to your second problem your breasts it happens before mensuration breasts get little heavy and sore its very normal, and they do get flaky you just need to apply almond oil and get you hormone levels held the rest is fine you will be ok soon.... i hope this answered your question. if you have more queries i am happy to answer.otherwise, rate and close the discussionregards."
Answer this question truthfully,"The possible diagnosis in a female newborn who presents with salt wasting and clitoromegaly could be congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Congenital adrenal hyperplasia is a group of genetic disorders that affect the adrenal glands, which produce hormones that regulate various body functions. 21-hydroxylase deficiency is the most common form of congenital adrenal hyperplasia and can cause salt wasting, which leads to dehydration and low blood pressure, as well as clitoromegaly in females due to increased production of androgens. Treatment typically involves hormone replacement therapy to replace the deficient hormones and prevent complications."
Please summerize the given abstract to a title,Streptococcus intermedius Pleuropulmonary Disease: A Not So Commonly Seen Radiological Picture
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, having cough during the night and not having other symptoms such as high temperature suggests a castro esophageal reflux or a sensitization (allergy) from house dust mites.  the allergy might start with upper respiratory ways symptoms such as runny or blocked nose and sneezing or with lower respiratory ways symptoms such as cough and difficulty on breathing. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Trichosporon asahii superinfections in critically ill COVID‐19 patients overexposed to antimicrobials and corticosteroids
Answer this question truthfully,"Hypersensitivity pneumonitis is a mixed type III/IV hypersensitivity reaction. This means that the immune system responds to an environmental trigger, such as dust or mold, by producing both antibody-mediated and cell-mediated immune responses. These responses can cause inflammation and damage to the lungs over time if left untreated. Treatment for hypersensitivity pneumonitis typically involves removing the trigger and managing symptoms with medication. It is important to seek medical attention if you suspect you may have hypersensitivity pneumonitis, as early diagnosis and treatment can help prevent complications and improve outcomes."
Answer this question truthfully,"Toxocara canis is the helminth that causes visceral and ocular larva migrans. This parasitic roundworm is commonly found in dogs, where it can cause illness and poor health. Humans can become infected with Toxocara canis by ingesting soil or other substances contaminated with the eggs of the worm. Once inside the human body, the larvae can migrate to various organs, including the liver, lungs, and eyes, causing inflammation and damage. Visceral larva migrans refers to the migration of the larvae through the body's organs, while ocular larva migrans specifically involves the eye. Symptoms of infection can include fever, cough, abdominal pain, and vision problems. Treatment typically involves the use of antiparasitic drugs, such as albendazole or mebendazole, along with supportive care for any complications that may arise. Preventative measures, such as proper hygiene and deworming of pets, can also help to reduce the risk of infection."
Please answer with one of the option in the bracket,A: Close observation and outpatient endoscopy in 2 to 3 weeks
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear thanks for the query to chatbot virtual clinic. i studied your query with available details given in your query. i understood your health concerns. treatment and cause for the painful multiple lumps in arm vein-cause of lumps -your case is rightly assessed by your rheumatologist as infectious, because there is clear-cut history of finger infection.don't blame your doctor who has referred to rheumatologist to rule out any other possibilities, as it persisted even after 1-week course of antibiotics.don't worry and cool down and take iv antibiotics only under guidance from your doctor, though the lumps are painful. the lumps are of thrombophlebitis with clots at places, and it would take another 10-15 days to reduce in intensity, due to extensive infection of the vein of the arm. so don't get panicky and take treatment as follows-treatment -this needs to be taken under cover of your doctor as follows-rest to the part with elevation on the pillows or arm -slingtab-voltaren 1 /two times a day x 10 days with tab proton-d 1 at 6 pm. thrombophobe point loccallyserropetidase x for 10 days time for early recovery of the cellulitis and the lumps. so don't worry.it's not cancerous but is thrombophlebitis with clots at places. this would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.don't self-treat or medicate in your case as the case may go in to further complications. hope this reply would resolve your query and would help you to plan treatment with your doctor. hope this would relieve of your health concerns. welcome for any further query in this regard before final suggestions are given in your query. wishing you fast recovery. have a good day. chatbot. n. senior surgical specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign cyst lie catholic cyst or some soft tissue tumor arising from vagina or vulva. chances of cancer are less likely. still you should go for biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...few days of fever need not be worried about. what is more important is the activity of the kid in between 2 episodes on same day. if she is active in between 2 fever spikes, you need not worry. paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  pinch in the chest region could be due to acidity or muscle irritation. i don't suspect any heart problem at your age.  just eat food at right time and avoid spicy and non veg food.  chatbot.  regarding whether you need to take medicine for blood pressure, i would advise not to take as it is marginally high. start doing aerobic exercise like brisk walking, jogging, running, cycling or swimming for at least 15 minutes a day.  recheck your blood pressure after 2 months and if it is still 140/100 or more you need to start the medicine. hope this was useful to you. any clarifications feel free to ask. regards."
Answer this question truthfully,Vibrio species (spp.) are comma-shaped bacteria that are endemic to developing countries.
Please summerize the given abstract to a title,Quantifying tetrahedral adduct formation and stabilization in the cysteine and the serine proteases
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, painful lump under the tongue can be either a gingival abscess due to accumulation of bacterial plague and calculus deep inside the gum pockets . or it can be a periodontal pocket arriving from the infected tooth. visit to the dentist get a checkup done . take an x-ray of the involved tooth, if the tooth is infected go for root canal treatment of tooth and chatbot.  get complete mouth scaling and polishing ,"
Please summerize the given abstract to a title,COVID-19 impacts on agriculture and food systems in Nepal: Implications for SDGs
Answer this question truthfully,"The cerebral artery that supplies the genu/posterior limb of the internal capsule is the middle cerebral artery. The internal capsule is a band of white matter in the brain that contains many important neural pathways, including those responsible for motor and sensory function. The internal capsule is divided into three parts: the anterior limb, the genu, and the posterior limb. The middle cerebral artery is one of the major blood vessels that supply blood to the brain, and it is responsible for providing blood to the lateral surface of the brain, including the frontal, temporal, and parietal lobes. The middle cerebral artery is a common site of stroke, which can lead to a range of neurological deficits depending on the location and severity of the stroke."
Answer this question truthfully,Mycoplasma pneumoniae infection is associated with young adults who are under 30 years old.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you took closed form 3rd to 7th day. size of follicle is 10 mm only. that follicle will normally grow to 18-24 mm at time of ovulation. so your follicle size does not indicate ovulation. when follicle size reach 18-24 mm, it has high chance of ovulation. rupture of follicle in usg scan suggests ovulation. usg is better tool to know ovulation time compared to ovulation test. you can ask doctor for tablet metformin to induce ovulation chatbot shot, progesterone and ova care pill. if medicine will no response then go for ovarian chatbot. avoid stress, take healthy diet,"
Please summerize the given abstract to a title,Molecular detection and point-of-care testing in Ebola virus disease and other threats: a new global public health framework to stop outbreaks
Please answer with one of the option in the bracket,A: ↑ normal normal ↑
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. such a change on its own without any history of trauma is a serious matter as you may be suffering from some blood disorders. you should immediately get your blood tests done - particularly - bleeding time, clotting time, prothrombin time and all blood work with platelet count. consult a doctor immediately. if all the tests are normal then only you can be sure there is nothing serious about it. this then can be an insect bite too."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Neural message passing for joint paratope-epitope prediction
Answer this question truthfully,"Make healthy lifestyle choices to prevent chest pain from heart disease: 
Achieve and maintain normal weight (BMI < 25 kg/m 2) by eating healthy diet focusing on adequate nutrient intake and energy balance recommendations from the American Heart Association (AHA).  Control high blood pressure, high cholesterol, and diabetes.  Maintain LDL < 100 mg/dl, HDL > 50 mg/dl, and triglyceride levels < 150 mg/dl through diet and exercise. Pharmacologic agents can be used as necessary.  Avoid cigarette smoking and secondhand smoke.  Eat a diet low in saturated and hydrogenated fats and cholesterol, and high in starches, fiber, fruits, and vegetables. Get at least 30 minutes of moderate intensity exercise on most days of the week, fitness and increasing exercise capacity, one can decrease risk that may result in up to a 35% reduction in CHD.   Reduce stress."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. well, without a clinical evaluation it would be difficult to determine the cause of the lump. possibilities that may need to be considered include enlarged bursa, lipomas, cysts, growths from underlying connective tissue etc. i would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. you may get the x-ray of the area affected and fnac (fine needle aspiration cytology) of lump under his/her guidance. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,"The pons contains the nuclei for cranial nerves V, VI, VII, and VIII."
Please summerize the given abstract to a title,Characteristics of Critically Ill Patients with COVID-19 Compared to Patients with Influenza—A Single Center Experience
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for choosing chatbot yes your sperm count as well as the motility are dull account to who one should have a count of 20 million per ml and above and more than 50 % sperms should be motile more than 30 % should be of normal morphology so your report shows that you have very few chances for natural pregnancy because though who sets a limit of 20million per ml, many infertility clinics say that normal count is 40 to 110million per ml both count and motility depend on agar your age is more they decrease any infections in the body also tends to lower the levelsdiabetes also causes low levels, get your glucose levels checked smoking and chatbot."
Answer this question truthfully,"A Southwestern blot is a laboratory technique used to identify DNA-binding proteins. It involves transferring proteins from a gel onto a membrane, and then using labeled oligonucleotide probes to detect specific DNA-binding proteins. The probes are designed to bind to a specific DNA sequence, and when they bind to the target protein, they can be visualized using autoradiography or other detection methods. Southwestern blotting is useful for studying transcription factors and other DNA-binding proteins, and can provide information about their abundance, size, and binding specificity."
Answer this question truthfully,"The endometrial lining undergoes cyclic regeneration. Humans and the great apes display the menstrual cycle, whereas most other mammals are subject to an estrous cycle. In both cases, the endometrium initially proliferates under the influence of estrogen. However, once ovulation occurs, in addition to estrogen, the ovary will also start to produce progesterone. This changes the proliferative pattern of the endometrium to a secretory lining. Eventually, the secretory lining provides a hospitable environment for one or more blastocysts.
If no blastocyst is detected, the progesterone level drops and the endometrial lining is either reabsorbed (estrous cycle) or shed (menstrual cycle). In the latter case, the process of shedding involves the breaking down of the lining, the tearing of small connective blood vessels, and the loss of the tissue and blood that had constituted it through the vagina. The entire process occurs over a period of several days. Menstruation may be accompanied by a series of uterine contractions; these help expel the menstrual endometrium.
In case of implantation, however, the endometrial lining is neither absorbed nor shed. Instead, it remains as decidua. The decidua becomes part of the placenta; it provides support and protection for the gestation.
If there is inadequate stimulation of the lining, due to lack of hormones, the endometrium remains thin and inactive. In humans, this will result in amenorrhea. After menopause, the lining is often described as being atrophic. In contrast, endometrium that is chronically exposed to estrogens, but not to progesterone, may become hyperplastic.
In humans, the cycle of building and shedding the endometrial lining lasts an average of 28 days. The endometrium develops at different rates in different mammals. Its formation is sometimes affected by seasons, climate, stress and other factors. The endometrium itself produces certain hormones at different points along the cycle. This affects other portions of the reproductive system."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you have dengue fever.  so it is quite obvious that your platelets count goes down.  it's very common in the dengue.  don't worry. just be relaxed.  just wait for some time. it will come back to normal. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. your sept and got level is high. they are liver enzymes increased in liver damage. it may be due to diet or chatbot.  you may have some other liver disease.  you should go for complete liver function test. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi bob. an uncle of mine has balance disorder. doctor has given instructions for him to avoid falls and injury, so someone always needs to accompany him when he goes out. at home, they have removed all such furniture over which he could trip. his condition cannot be cured. only a physician can tell whether your condition is permanent. why don't u see one? perhaps the earlier you act, the better your chances of recovery."
Please summerize the given abstract to a title,A Blockchain-Based Smart Contract Towards Developing Secured University Examination System
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i can infer from the complaints you have described is that you may be having episodes of a knee. joint locking. it happens when there is an obstruction to smooth movements of knee joint f on any soft tissue structures in the knee like a meniscus. the best method to diagnose this is to get an mri scan of the knee joint. it will tell your physician the cause of your knee problem. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Microtubules, such as cilia and flagella, are predominantly involved in movement and cell division."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your question in detail and i know that you are very concerned about your child but don't worry about it. recurrent discharge from ear could be due to incomplete treatment, recurrent sinusitis or perforated ear chatbot.  since, you have already given antibiotics for 1 week, you should go for pus culture from ear which will help us in starting correct antibiotics. an examination by ent specialist to rule out perforation of ear"
Answer this question truthfully,Elevated α-fetoprotein (AFP) can be associated with abdominal wall defects (ex. Omphalocele).
Please summerize the given abstract to a title,g2tmn at Constraint@AAAI2021: Exploiting CT-BERT and Ensembling Learning for COVID-19 Fake News Detection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi! good morning. i am chatbot answering your query. as you have tried chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your sons' problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot.
Answer this question truthfully,"Hypercalcemia is the calcium imbalance associated with constipation, polyuria, polydipsia, lethargy, and hyporeflexia."
Answer this question truthfully,"Fanconi syndrome is the renal tubular defect that may be caused by nephrotoxins or drugs such as ifosfamide, cisplatin, tenofovir, and expired tetracyclines."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of sinusitis related symptoms is more likely. lethargy, headache, excessive saliva, chest pressure etc. are commonly seen with sinusitis. so better to consult ent doctor and get done clinical and endoscopic examination of sinuses. also get done x-ray of paranasal sinuses. you will need higher antibiotic like levofloxacin or azithromycin. also do steam inhalation and warm water gargles 5-6 times a day. besides take levocetrizine and paracetamol combination twice daily.  chatbot."
Please summerize the given abstract to a title,[The resource support of medical organizations providing medical care in twenty-four-hour hospital under new corona-virus infection COVID-19]
Please summerize the given abstract to a title,RNF6 promotes colorectal cancer invasion and migration via the Wnt/ß-catenin pathway by inhibiting GSK3ß activity
Answer this question truthfully,O2-independent killing in phagocytes is less effective than O2-dependent killing.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi greetings. your obstetrician has given you proper guidance to wait 15 days to confirm pregnancy by ultrasound scan and medicines to protect pregnancy if she has conceived.sometimes gestation sac will not be seen too early and may have to wait for 5 to 6 weeks. once it is confirmed can continue the medicines after the direction of your obstetrician. she has given those medicines because of the mild spotting she had on the expected date. after confirming pregnancy and if no spotting or infection intercourse can be done. but your wife can take the opinion from the obstetrician treating her to know of any contraindications. proper hygiene is very important during sex and positions should be comfortable to her. avoid lying directly over her tommy. hope my answer helps you. regards
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. following are the possible causes for your painless, stable upper arm lump. 1. hematoma 2. lipoma 3. desmond (less likely) 4. fibroid (less likely) since your swelling is not causing you any trouble like not painful, not enlarging in size, non-itchy, not restricting the movements etc., no treatment is required for it. so don't worry about this swelling."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient osteoarthritis is a degenerative condition of the joints mainly affecting the knee hip and thumb base joint, its secondary if it's after trauma, and primary if without trauma, here the cartilage of the joint gets gradually eroded, and multiple unknown factors are responsible for this, in these cases, you should maintain an active life with regular physio, to maintain your muscles, which will reduce the load on the joints, thus helping you gain more strength and less joint pain, the final solution if the physio does not work is replacement surgery. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot you have not mentioned which site tuberculosis is present.... treatment of tuberculosis with akt depend upon site and severity of tb infection... tb should be confirmed by sputum afb, chest x-ray examination for pulmonary tb and gene expert molecular study for other site tuberculosis... if needed (according to history) than hiv and thyroid problem should be ruled out. mostly akt treatment needed for six month duration consult nearby general physician first for examination and accordingly work up"
Please summerize the given abstract to a title,Covid-19 Crisis Fuels Hostility Against Foreigners
"If you are a doctor, please answer the medical questions based on the patient's description.","hello bharat and welcome to chatbot. as a urologist, i fully understand your concern. fever is suggestive of infection.  the focus of infection has to be found out, and antibiotic course will control the infection.  paracetamol is not the treatment. see your nephrologist urgently and don't delay treatment.you're always welcome to get my expert opinion, by sending your latest blood tests, renal biopsy(if done), and ultrasound scan reports, in my name. wish you a speedy recovery."
Please summerize the given abstract to a title,Cluster Detection Mechanisms for Syndromic Surveillance Systems: Systematic Review and Framework Development
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in chatbot. the condition can be allergic contact dermatitis, atomic dermatitis etc. diagnosis cannot be made without visual clue.also, few cases of breast cancer can present with edematous skin lesions of skin over breast and nipple. a visit to dermatologist will confirm the diagnosis. skin biopsy may be required for diagnosis. i urge you to visit dermatologist at earliest for proper diagnosis. till the time you can take tab. cetirizine 10 mg twice daily. it will decrease itching.also, you may apply mild steroid like hy chatbot. hope this helps. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the time and occasion is not yet ripe to think about retarded or delayed ejaculation. you are having sexual intercourse for the first time. many people experience many type of ejaculation other problems during first few sexual intercourse experiences. therefore, wait and watch. do not become anxious. apprehension could cause psychological problems like performance anxiety disorder. you may consult a psychologist for counseling. if you still need my assistance in this regard, please use this link. http"
Answer this question truthfully,"Staphylococcus aureus is another gram-positive cocci that is also β-hemolytic. This bacterium is a common cause of skin and soft tissue infections, as well as more serious infections such as bacteremia, endocarditis, and pneumonia. Staphylococcus aureus can also produce a range of toxins that can cause food poisoning and toxic shock syndrome. Treatment typically involves antibiotics, although some strains of the bacterium have become resistant to multiple antibiotics, making treatment more difficult. Prevention measures include hand hygiene and appropriate wound care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have pituitary adenoid.  you should go for mri brain.  it will give you exact diagnosis with size, location spread.  then you should take treatment accordingly.  if needed go for surgery to remove it.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Hydroxychloroquine Does Not Function as a Direct Zinc Ionophore
Please summerize the given abstract to a title,Covid-19 and the mundane practices of privilege
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Fisetin 8-C-glucoside as entry inhibitor in SARS CoV-2 infection: molecular modelling study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i suggest you to do grams staining & culture and sensitivity of the pus coming out of the swelling. i advise you to take antibiotics as per the report generated. maintain the local cleanliness and hygiene. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi annelid, thanks for writing in chatbot. the condition can be dermatophytes, satyriasis tricolor etc. diagnosis cannot be made without visual clue. your boyfriend can in fact be carrier of organism. both of you should be treated with oral antifungals for complete cure rather than only topical creams. a visit to dermatologist will confirm the diagnosis. till the time you can take tab. cetirizine 10 mg twice daily. it will decrease itching. hope this helps. regards chatbot."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,"E-Ticketing Technology in Construction Projects: Adoption, Benefits, and Challenges"
Please summerize the given abstract to a title,Prognostic Value of Leukocytosis and Lymphopenia for Coronavirus Disease Severity
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear for posting your query here. you probably had pnd (paroxysmal nocturnal dyspnea) and the most common cause for it is high bp. but still you need to get your evaluation done to rule out other more important heart related causes. for this, you must see your doctor and get yourself properly evaluated by getting an ecg and an echo. and if this is the first time that you are detected to have high bp, then get your ultrasonography of the abdomen and renal doppler.  and the most important start medicines for high bp after. consulting with your doctor. hope this would help you. all the best."
Please summerize the given abstract to a title,Evaluation of a one-to-one sleep service delivered via online clinics by community sleep practitioners in the UK
Please summerize the given abstract to a title,North American lower-extremity revascularization and amputation during COVID-19: Observations from the Vascular Quality Initiative
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,Biomechanical Features of Graphene-Augmented Inorganic Nanofibrous Scaffolds and Their Physical Interaction with Viruses
Please summerize the given abstract to a title,Emergence and evolution of novel G2b-like porcine epidemic diarrhea virus inter-subgroup G1b recombinants
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. yes, there are chances that a viral fever can turn into dengue. but there is no hard and fast rule for it. usually the viral fever subsides on its own by 7-10 days. during this period you can monitor your daughters' platelet count, if its normal then it is absolutely fine. if its low then you can consult your physician and get it further evaluated to confirm it as dengue. try the following things so that your daughters' fever subside soon.1. tepid sponging.2. have boiled and cool water.3. enough bed rest.4. have healthy food. hope this helps. if you have any other questions, then i will be happy to answer them. wish your daughter a speedy recovery. take good care of her. regards."
Answer this question truthfully,"Between 1995 and 2005, 16,742 Americans died from hernias.  The mortality rate varies according to the type of the hernia and whether it is strangulated or not."
Please summerize the given abstract to a title,"Listening to the city, attentively: A Spatio-Temporal Attention Boosted Autoencoder for the Short-Term Flow Prediction Problem"
"If you are a doctor, please answer the medical questions based on the patient's description.","most of these skin lightening creams are temporary in action and gradually the original color returns after stopping their usage. you should avoid direct sun exposure of the affected part. also eat healthy food including a lot of green vegetables and adequate amount of vitamin a. use good moisturizer lotions regularly to keep skin hy chatbot.  use creams containing natural products like aloe-vera, cucumber and night massage with virgin olive oil."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. this may indicate chronic pancreatitis. in most cases it can be regulated by medications which include insulin supplements and enzymes for digestion also alcohol is forbidden in these cases, and you should eat less fatty food, less sugar and more vegetables and boiled food. also, avoid cytotoxic medications. if there is no improvement then surgical therapy may be considered and include chatbot.  this is last option, and you should consult your doctor about this. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Please summerize the given abstract to a title,O papel da atenção primária no combate ao Covid-19: impacto na saúde pública e perspectivas futuras
"If you are a doctor, please answer the medical questions based on the patient's description.","good day, and thank you for being with chatbot ! you may have a strangulated or an incarcerated hernia which is a surgical emergency. you need to go to the er asap because it may cause necrosis of the bowels which is life-threatening. i hope i have succeeded in providing the information you were looking for. please feel free to write back to me for any further clarifications at"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern. a photo of the affected area is requested to evaluate the changes better. apart folliculitis, i need to know if any insect bite noted? any changes on the hands? symptoms seems to be related to parasitic infection. lyme disease is also to consider if bug bite is present. take anti-inflammatory meds like paracetamol or ibuprofen. keep good local hygiene. apply juridic acid with hy chatbot.  if no improvement, dermatologist to consult further. wish fast recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to the magical world of health care, i went through your query, and let me explain what is going on, despite surgery your acromion is probably hurting your cuff and that has now again torn but to a lesser extent, this has caused irritation of the adjoining structures and thus fluid is present. my advice would be to stop all exercises, take anti-inflammatory medication for 3 weeks and let it heal. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. chatbot.  most causes of breast itching and flaking of skin are benign. please consult your doctor for a clinical examination and diagnosis. it is important to confirm diagnosis. if required you can also get a screening mammography done to make sure there is no sign of malignancy in the breasts. fungal infections are common in the breast region and can cause skin flaking with itchiness. there is sweat formation in the skin under the breast and this causes a favorable condition for the fungal infection. if confirmed it can be easily treated by applying antifungal ointment for a month."
Answer this question truthfully,"The major source of energy during fasting for 1-3 days is hepatic gluconeogenesis. Gluconeogenesis is the process by which the liver produces glucose from non-carbohydrate sources such as amino acids, lactate, and glycerol. During fasting, the body's glycogen stores are depleted within the first 24 hours, and the body must rely on alternative sources of energy to maintain blood glucose levels. The liver begins to produce glucose through gluconeogenesis to provide energy for the body's cells. This process allows the body to maintain glucose homeostasis and prevent hypoglycemia during periods of fasting. However, if fasting continues beyond 3 days, the body will switch to other sources of energy, such as ketones produced from the breakdown of fatty acids."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are having typhoid fever and staphylococcus infection, after treatment your condition worsen (cipro paracetamol) and you develop sleeplessness and high blood pressure. you mentioned that the name of disease and about medicine. you didn't mention the symptoms before typhoid, so after gemifloxacin your condition further deteriorated. so these both antibiotics are good for both infections, but it may happen that these chatbot. i recommend you please get in blood for culture and"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Answer this question truthfully,There are no other diagnostic studies associated with Beriberi.
Please answer with one of the option in the bracket,B: Microsatellite instability
"If you are a doctor, please answer the medical questions based on the patient's description.","i am having ulcer too with liver cirrhosis. chatbot. also, he advised to avoid fried food, junk food, beef,mutton, sour,milk & milk item, also to avoid some foods which my stomach can't tolerate. a healthy & hygiene life can give you good & healthy stomach.also, please ask your doctor to make a pathology test called h.pylori the bacteria are responsible for ulcer. if you get positive he will advise you a combined therapy such a capitate+amoxicillin+omeprazole. best of lucksaife"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi betty hope this msg finds u in good health i am quiet touched to see u care so much for your sister being living so apart.1st of all.don't lose hope. science can do wonders.though it seems difficult. it's definitely not impossible. .done properly with timely management. .she can still recover and walked u need any help.b free to ask me.\u2019m always available for thanks take care god bless your sister n i pray for her speedy recovery
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. if your doctor has examined you completely and told that it is a fungal infection then it must be one. please do not worry about the skin color changes after applying the antifungal ointments. the itching and burning is important to be treated. the discoloration or change in color can occur during or after treatment and is not a concern. please trim your pubic hairs and wear cotton inner clothes. wash your genitals with warm water at lest twice daily. apply the antifungal ointment twice daily and keep your genital regions chatbot.  treatment can be extended for about a month to completely cure your condition."
Please summerize the given abstract to a title,Integrating Expert ODEs into Neural ODEs: Pharmacology and Disease Progression
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. knot like feeling in chest while eating and chatbot.  i don't think it is associated with cardiac diseases. so better to consult gastroenterologist and get done upper gi (gastrointestinal) copy and ct thorax to identify esophageal obstructive lesion. hope i have solved your query. i will be happy to help you further. wish you good health. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service.  i read your query and here is my answer. it looks s he is suffering from some sort of infection most likely cns infection.  gall stones have nothing to do with these. he may need certain tests like blood test, csf test and ct scan may be. you need to take him to the hospital as it may be dangerous for his health. hope i answered your question.  feel free to ask more if you need further assistance.  thanks."
Please summerize the given abstract to a title,Optimizing cancer survivorship in primary care: patient experiences from the Johns Hopkins Primary Care for Cancer Survivors clinic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concerns. in about a very few number of patients undergoingbypass surgery, there are chances of re-blockage of grafts placed in your heart during surgery. if such a patient comes to my clinic i would suggest him to go to cardiologist for a possible angiography again to check that grafts are backed or patent. hope you find my answer helpful. write me again of you have more queries. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i have gone through your very. your father in laws sufferings, inspire of being in remission is a matter of great concern. i as a homeopath, naturopath and magneto therapist would like to help you in this. these are no nonsense having no side effects and potent tools for recovery & prevention>you can administer him homeopathic carcinogen 200. one dose every fortnight, i ar's nic 30 is wonderful remedy to relieve, tiredness, swelling.  take 4 chatbot.  make 3 doses , each dose half-hourly.administer him some supplements rich in antioxidants which add to enhance power of metabolism and strengthen immune system to help him early recovery and assure stopping endurance....1. give high fiber diets including all essential nutrients, directly, as it reduce the risk of colon or any cancer, a fiber-rich diet can decrease and eliminate constipation and hemorrhoids, it helps the stool pass through easily and decreases the burden of toxins reabsorbed into the body. avoid fried fast food, tea coffee, alcohol and smoking .2. give mixture of extract of lemon, garlic, ginger, mooring tree bark(sean tree), vinegar of coconut water and honey. 25 -35 ml is the dose with equal water for 3 -4 days twice 1/2 hour before meals, and after that, pure mixture for 25 - 35 days as required, is great antioxidant and rejuvenating, preventive and curative"
"If you are a doctor, please answer the medical questions based on the patient's description.","you are suffering from severe headache at present as i understand from the history you provide. it is important to rule out serious neurological diseases in your case. as you seem to suggest, your ct scan of the head was normal. your heart rate of 195 per minute (hope it is checked accurately) is very high. such high headaches along with diastolic bp of 195 mmhg require investigation into the cause of headache. hyperthyroidism, high bp itself, pheochromocytoma (rare tumor of a chatbot.  you must consult a general physician (internal medicine) for detailed evaluation. finally, severe attacks of migraine can cause severe headaches. if you have had migraine in the past or if any of your family members have migraine, this is likely to be migraine (provided you have ruled out other causes mentioned above). internal medicine specialist is the best doctor to consult for your problems. if the doctor also finds no serious disease causing headaches or if he says it is related to stress or depression, you may then consult a psychiatrist."
Answer this question truthfully,The C type of free nerve ending is slow and unmyelinated.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and. as a urologist, let me assure you, that everyone with varicocele, doesn't develop pain.  it needs treatment only if symptomatic. exercises like weight training, will aggravate varicocele. interventional radiological treatment, without surgery, is available. if you have done an ultrasound doppler scrotal scan, to assess the varicocele, you're welcome to send a copy here, in my name, for an expert opinion. chatbot. manga."
Answer this question truthfully,"Symptoms may be different depending on what part of the intestines received the radiation.
Changes in bowel movements may include:
Bleeding or mucus from the rectum Diarrhea or watery stools Feeling the need to have a bowel movement most or all of the time Pain in the rectal area, especially during bowel movements
Other symptoms can include:
Loss of appetite Nausea and vomiting Stomach cramping or pain
Most of the time, these symptoms get better within 2 - 3 weeks after radiation treatment ends. This is called acute radiation enteritis.
When symptoms become long-term (chronic), other problems may include:
Bloody diarrhea Greasy or fatty stools Weight loss"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello friend good to see you have recovered from a prolonged illness thought i have is that your nutritional status would be low - because he illness and because you may not have been fed as well as usual in view of your encephalitis. i suggest looking up at the nutritional status, and taking care of your diet in addition to your regular medicines and physiotherapywhen your metabolism is low (due to low levels of nutrition) the body temperature is going to be low as well. best of luck chatbot."
Answer this question truthfully,"Tardive dyskinesia is likely caused by D2 receptor upregulation and supersensitivity. Tardive dyskinesia is a movement disorder that can occur as a side effect of long-term treatment with antipsychotic medications. These medications work by blocking dopamine receptors in the brain, including D2 receptors. However, over time, the brain may respond to this blockade by increasing the number of D2 receptors and making them more sensitive to dopamine, which is known as upregulation and supersensitivity. This can lead to abnormal involuntary movements, such as facial tics, tongue protrusion, and chorea. The exact pathophysiologic mechanism of tardive dyskinesia is not fully understood, but the D2 receptor upregulation and supersensitivity hypothesis is widely accepted as the most probable cause."
Please summerize the given abstract to a title,Open science policies of medical and health sciences journals before and during the COVID-19 pandemic: a repeat cross-sectional study
Please summerize the given abstract to a title,"The impact of the COVID-19 pandemic on firms: a survey in Guangdong Province, China"
Please summerize the given abstract to a title,Early psychological impact of the 2019 coronavirus disease (COVID-19) pandemic and lockdown in a large Spanish sample
Please answer with one of the option in the bracket,B: Cobblestone kidney
Answer this question truthfully,"Call your health care provider if you have had an injury to the arm, and you develop numbness, tingling, or weakness."
Please answer with one of the option in the bracket,C: Asbestos
Please summerize the given abstract to a title,Air pollution exposure and COVID-19: A look at mortality in Mexico City using individual-level data
Please summerize the given abstract to a title,Association of Vitamin D Status with COVID-19 Infection and Mortality in the Asia Pacific region: A Cross-Sectional Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. epilepsy is a chronic illness, and medicines are required for long-term. phenobarbital is an effective medicine for epilepsy, however, it may have side effects such as chatbot.  for better seizure control, including your aura, you may use oxcarbazepine (oriental) at a dose of 10-20 mg per kg body weight per day. please discuss this with your neurologist. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question.... here mostly in your case it seems to be pneumonia infection with hemolysis... it can occur in some pneumonia infection like cytoplasm .... so hemolytic anemia can lead to elevated bilirubin level... for its detection serum ldh, relic count and ps examination helpful.... gradually with recovery from pneumonia bilirubin will comes to normal.meanwhile, take less fatty diet.... fruits taken more.... if still bilirubin elevated then usg done... take care.... chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello. i just read through your question. the x-ray is the standard first step in this evaluation. the result will determine if this is one of three conditions.1. constitutional growth delay
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i feel you need to check your mothers blood pressure, diabetic profile and also the blood profile. in some cases due to diabetes, there will be delayed healing. also, if one having lower platelet count the clotting factor is not good. besides, if the wound is infected it will not allow healing to occur soon. having an examination with a physician will be of great advantage as some reports may need to be done. hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, for faster healing, you need to rest it and take calcium, vitamin d supplements, and proper diet. for bp, if you are already on it for 2 weeks then dose can be doubled to 16 depending upon the bp values or tab amlodipine can be added. also have low salt diet and regular exercises after fracture heals. get one lipid profile and sugars tested. healthy diet and avoiding smoking and alcohol if any will be of help. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello there!  thank you for asking. the gall bladder is fine. over cautiousness is making you worried and no need to be. not gaining weight despite food intake with no complains of git except undigested food coming every fifth day out. well that is an issue and needs workup. why is the food not being digested a question needs to be answer. starting to assess pancreatic functions would be a good start. and what patient perspective of not gaining weight could be ideal one for a doctor. if the bmi is below 25 and above 20. you have nothing to worry about. see the gastroenterologist and see a dietitian for dietary plans. i am sure they will sort out one for you hope you get well soon and i am sure you are well regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","as you have mentioned that she starts coughing on giving feed, it may be due to faulty feeding technique as the feed may get into trachea, and she tries to cough it out. pl check the consistency of milk, temp and the hole of nipple as large hole may thrust initial large amount in mouth. however, such a small child should be given breastfeed only if there is no absolute contraindication.also, i presume that her upper air way is normal and there is no such issue as partial canal amnesia. besides rule out gastroesophageal reflux most probably h type which can be the culprit."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot. retching could be due to electrolyte abnormality. correction of fluid, electrolyte and nutritional deficiency do helps to reduce her retching problem.in uncontrollable cases medications are also available, you can discuss with your doctor for that. regarding gall stones, need for surgery depends on, type of stone, number of stones, size etc. consult your doctor for examination and management. hope i answered your question. feel free to ask me if you have any further queries. wish you good health. take care. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. human being do not lose sperm. understand your sperm is a waste product. whenever you are sexually aroused, sperm is produced and stored in your body. sperm is a waste product. if you do not masturbate or engage in sexual activities, your body finds another way to throw the sperm out. the usual procedure is through nocturnal emission (night fall) or through urine. secondly you cannot become weak because of this reason and this has got no effect on your marriage. do not be anxious. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,What type of capsid do filoviruses have? Filoviruses have a helical capsid.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear leighcrwfrd, thanks for your query. you and all well-wisher of your boss should support and motivate him for proper treatment. to minimize the ill-effect of jaundice on liver and remaining body, stent (tube) may be placed across the blockage of bile-duct cancer to facilitate bile flow to intestine. so jaundice, itching will be controlled. surgery is the best treatment as it removes tumor from body, provided tumor is well localized and this is assessed on cent or mri of abdomen. to prevent further progression of tumor, usually chemotherapy is advised but unfortunately in they have only small benefit compared to cancer of another organs. newer chemotherapy chatbot.  to participate in trial, patient and family should be well motivated. with regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query, this injection bergen is a chatbot injection . it is given for ovulation and also for maintenance of pregnancy especially in patients with history of abortion. ferry tab is given for healthy pregnancy.  it may work immediately also and may take some time also because pregnancy depends on so many factors. but in your case, as you said every thing is normal, i think you may get the results soon. best of luck and take care. hope it helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. even though your history of the lump with pain does not indicate the likelihood of a cancer clinically, the diagnosis of a cancer is not done solely on the history and clinical examination. if i were your doctor, i would refer you to a general surgeon who would examine you clinically, and with some routine/specific investigations might go for a fnac/excision biopsy depending on his judgement. the histopathological report would be the final reporting on if it was a cancer or not and further management would depend on this. till then, i would advise you not to fiddle with the lesion by yourself. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Answer this question truthfully,The African (endemic) form of Burkitt lymphoma typically involves the jaw.
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... i feel by what you quote he should be having a - hand foot mouth disease. this is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. it is a self-limiting disorder and itching can be really worrisome. i suggest you use any over the counter antihistamine if you have one with you now. you can use hy chatbot.  this can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, an mri is suggested to assess the internal structures of the knee joint. as your knees are in bad shape i will advise for initial mri and see the possible damage to the ligaments and soft tissues. if something can be worked out with the conservative management than a physiotherapist may be able to help you achieve good results. in case the mri reports and clinical assessment is not as expected than apart from conservative management the other options need to be looking out for. usually, the bump will be a fluid accumulation but cannot be a meniscus. having a clinician examination and mri will be good before taking any decision or coming to a diagnosis. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query your 78 years father has been diagnosed to have cancer of the prostate with obstructive voiding symptoms and post void urine residue of 135 ml. it is very important to assess the grade of the cancer of prostate before deciding the modality of treatment whether the cancer is confined to prostate or has spread to surrounding structures or distant organs or bones. get him investigated under guidance of senior urologist before deciding for turn aor modality of treatment. chatbot.
Please answer with one of the option in the bracket,A: Hydroxyurea
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, 25 years of age and having no history of high blood pressure and diabetes, definitely requires the physician to diagnose the disease properly as some of them are treatable.  your high creatinine levels definitely show there is some problem. i hope the doctor has given you a diagnosis for the cause of the chronic kidney disease. young patient commonly at your age can have membranous nephropathy. or it could be a nephritic syn chatbot.  it is advisable to further investigate your condition.  do peripheral smear, serum albumin, pt/apt/inr levels, lft, ft, serum electrolytes, lipid profile. urine routine examination and spot urine acr are also important.  furthermore, do an ultrasound scan of your kidneys. if required a nephrologist can advise you to do a biopsy.  until you have been properly diagnosed, it's very hard to tell the treatment, prognosis and for how long you will take meds. my advice is consult a proper nephrologist. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","i know very well that this was a very big lose of urs, and so u must be waiting for the period to conceive again.in my opinion u should at least wait for 2-3 months and max for 6 months.u may try but do not lose hope as after miscarriage there are good chances of conceiving very soon. so best of luck.in the meanwhile u prepare your body by taking good nutrition and tab polite 5 mg once a day and hope for the best."
Please summerize the given abstract to a title,The characteristics and evolution of pulmonary fibrosis in COVID-19 patients as assessed by AI-assisted chest HRCT
Please answer with one of the option in the bracket,E: Repeated phlebotomies
Answer this question truthfully,"Miller Fisher Syndrome is a rare neurological disorder that is considered a variant of Guillain-Barré Syndrome. It is characterized by a triad of symptoms: ophthalmoplegia (paralysis of the eye muscles), cerebellar ataxia (difficulty with coordination and balance), and areflexia (absent reflexes). Unlike Guillain-Barré Syndrome, which typically starts in the legs and progresses upward, Miller Fisher Syndrome often begins with eye movement problems and progresses downward. Additionally, Miller Fisher Syndrome is often associated with antibodies to a specific type of ganglioside, a type of molecule found in nerve cells."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question cough with phlegm can be due to upper resp / lower resp tract infections if phlegm is yellow to green it means there was a bacterial infection if cough is relieved due to antibiotics no need to worry but if cough persists then you have to visit a pulmonologist who can get a chest x-ray and rule out other causes like tuberculosis/ pneumonia don't panicthanksfeel free to ask more questions may god bless you with good health
"If you are a doctor, please answer the medical questions based on the patient's description.",there is recurrence of sinuses even after surgery clear the infection with doxycycline 100 mg bd for 10 days add nonallergic fexofenadine 120 mg bd for 3 weekantacid gel misapply aureomycin h eye ointment in nose bd sea water 2 chatbot. 5 mg tablet in a week for 3 months have treated thousands of cases like this and never had recurencediclo can be used for fever headache and other pains softer 3 months add immunotherapy for fungal infections so that you are cleared permanently
Please summerize the given abstract to a title,"[Prevalence, structure, and risk factors for mental disorders in older adults.]"
Answer this question truthfully,"CT scan sensitivity for gallstones has been estimated to be 55 - 80%.  Gallstones may be missed on CT because many stones are isodense with bile. CT findings include: This imaging test may be used to visualise the entire main duct. The ability of CT to find stones in the common bile duct approximates ultrasound. In general, CT scan is a better test for more complicated problems, although it may be used together with ultrasound."
Please summerize the given abstract to a title,[Association of age distribution with the expression of angiotensin-converting enzyme 2 in lung tissues in severe acute respiratory syndrome coronavirus 2 infection: reflections from the study of RAS pathway expression in mice]
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for giving me an opportunity to assess you.first i should be thankful to you for providing me a brief history of your illness. you need to focus on some small exercises to get strength in your muscles. the risk of tkr is not big and 99% of the times successful. still i will recommend you to undergo a physical therapy session for some days before undergoing a surgery. as the physical therapist will help you to regain strength in the muscles which later post surgery will recover faster. kindly focus on doing more of static quads, hams, atm, slr and core strengthening. the body works as a unit. so please focus on strengthening the muscles on both sides of the body which will help you the best outcome for knee replacement. i wish you a speedy recovery. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, for such patient with similar complaints which i see at my clinic, i suggest him to get an x-ray right elbow (ap & lateral views) to rule out fractures or dislocations. as mentioned in the history, you had an episode of vomiting, for any case of head injury followed by vomiting, we suggest ct scan brain to our patients at my clinic, i will suggest the same here. so after getting the x-ray and ct scan done, please see an orthopaedician and a neurosurgeon. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, any medication you are on, i can infer that you get frequent cramping. i would suggest you to get your it d and it b12 levels done. if theses are low then to take supplements to normalize these levels. if even after taking this supplementation if the symptoms persist then to consult an orthopedic doctor. wishing you a speedy recovery. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Potential Therapeutic Roles for Direct Factor Xa Inhibitors in Coronavirus Infections
Please summerize the given abstract to a title,The Relationship Between Death Anxiety and COVID-19 Fear and Anxiety in Women With Breast Cancer
Answer this question truthfully,"In 2009, the CDC published the case classification of congenital rubella syndrome and divided into suspected cases, probable cases, confirmed cases and infection only, based on symptoms and/or laboratory findings."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, your situation, i can understand. you have to seek professional help is a must, and should be able to do that. it is much easier and cheaper than getting a divorce. medicines can make you feel better. but much more is needed for bringing you back to the normal state. regarding your question, prozac or fluoxetine is used for treatment of depression and other anxiety disorders. so it most probably be useful. you can get a prescription from a family doctor if you cannot see a psychiatrist"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, unfortunately this is not a fixable problem and the neurosurgeons are likely correct. i don't know how much damage he has suffered, but hypoxic damage to the brain is usually irreversible, meaning it cannot be fixed.  i am sorry to confirm the bad news you are probably much aware of, but it doesn't sound like there is a quick fix here. you can certainly try to wait and see if he recovers some neurological function, as some patients will recover over time, but if the damage is severe, then a recovery is quite unlikely given what you have said here.  i hope i have answered your questions. please feel free to contact me if you have any further questions or if you feel i haven't ad chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the tear in your penis may get better without treatment. avoid sexual activity until the tear has healed. once it has healed, you can try using a lubricant during sex to prevent the problem from happening again. it is not a serious issue and might take 2 weeks to heal. right now you are required to keep your genital clean and chatbot.  please wash with warm water twice a day to avoid any infection. you may apply newsprint ointment over the torn frenulum. please take oral painkillers for 5 days. since the bleeding seems to have stopped, you do not need surgical suturing. it may happen that a scar might form in the area, if this happens then there is shortening of frenulum and might be released by minor surgery. this cannot be known now and will be obvious only after one month. please wear loose inner clothes and maintain genital hygiene. avoid masturbation or sex for two weeks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query on chatbot. it is not quite common to have urine infection with pneumonia. but you're all symptoms are suggestive of urinary tract infection (uti). this can happen after surgery. can be due to poor hygiene or pre-existing infection. so better to get done culture and sensitivity and start antibiotics accordingly. by doing culture and sensitivity, we can get information about chatbot.  so start antibiotics according to sensitivity,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. you have got a complex of symptoms which are related to each other. non-alcoholic stenosis, constant pain in the upper abdomen and the right shoulder, making it difficult to breath, losing weight due to nausea and vomiting, fear of liver cancer-known diabetes, high blood pressure, high cholesterol at the young age of 35 and at the weight of 265 lbs. the most probable cause of your pain in the upper abdomen and the right shoulder can be related to the problem in the lung or the pleura as it is making you difficult to breath.  i would advise you the following;ct scan of the chest. ct scan of the abdomen related tests of blood, urine and stool. this will give the final diagnosis and a plan for further treatment."
Answer this question truthfully,"The recommended next step in management is to have the patient keep a menstrual diary.

Premenstrual syndrome (PMS) is a common condition that can cause a variety of physical and emotional symptoms in women during the menstrual cycle. In order to diagnose PMS, it is important to gather information about the patient's symptoms and their relationship to the menstrual cycle. Keeping a menstrual diary can help with this process by allowing the patient to track their menstrual cycle and any associated symptoms over time. The diary should include information about the start and end of each menstrual cycle, as well as any symptoms (such as mood changes, breast tenderness, and bloating) that occur during the cycle. This information can be used to confirm a diagnosis of PMS and develop an appropriate treatment plan. Treatment for PMS may include lifestyle modifications (such as exercise and stress reduction), medications (such as nonsteroidal anti-inflammatory drugs and hormonal contraceptives), and/or psychotherapy."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the history suggest long-standing breast lesion followed by the axillary / armpit lesion / lump.2. the axillary lump according to the description seems like infective collection - hair follicle infection.3. lymph nodal pathology can not be ruled out as there is lesion in breast next to in with symptoms.4. an ultrasound examination is advised for both breast lump and axillary lesion-that will help to find out the nature of the lesion and its source and extensions.5. an fnac - fine needle aspiration cytology will be helpful for definitive diagnosis.6. folowing that for breast lesion a mammogram might be need depending on the age, followed by treatment. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
Answer this question truthfully,"Postpartum blues, also known as baby blues, is a common and temporary mood disorder that can occur in women after giving birth. It is characterized by a range of symptoms, including depressed affect, tearfulness, and fatigue that typically start 2-3 days after delivery and last for less than 2 weeks. Women with postpartum blues may also experience mood swings, anxiety, irritability, and difficulty sleeping. Although it can be distressing, postpartum blues is a normal and expected response to the hormonal changes and stress of childbirth, and usually resolves on its own without treatment. However, it is important to seek medical attention if symptoms persist or worsen, as they may be a sign of a more serious condition such as postpartum depression."
Please summerize the given abstract to a title,Nicotinamide pathways as the root cause of sepsis - an evolutionary perspective on macrophage energetic shifts
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. as per your case-history we need to find out the exact damage the benign tumor did to scalp skin. if it was deep enough to cause damage to dermis of skin then there is possibility of scarring alopecia patch at that site and hair coming back at that region is less.don't worry at present. use tacrolimus 0.03% ointment at that site for 4-6 weeks. consult a dermatologist if complain persists. thanks. chatbot.
Please summerize the given abstract to a title,Bullying in trump’s tweets through Covid-19: A pragmatic perspective
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. yes hepatitis c in advance cases can cause vomiting. food poisoning can cause vomiting only for some period not more than the period. as your child is having vomiting from long time, it is likely to be hepatitis. it must be advance hepatic stage of hepatitis c which causes vomiting. i advise you should visit nearby doctor to diagnose yourself exactly and treat it accordingly. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for using this panel for your health worries.i am sorry for what you are experiencing right now. the location of these itchy bumps, on exposed areas, make an environmental allergen very likely. it also responds to classical treatment but reappears later. this is probably due to re-exposure. the ideal thing would be for you to actively try to identify and eliminate the culprit allergen. if you cannot do this all by your own, then you may need to visit a specialist and get testing done.a disease could also be a possibility but its distribution makes this option less likely. i will go 95% for an environmental trigger and 5% for a disease. hope this helps. feel free to return to us. wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  now the diagnosis is made, and the doctors will follow the treatment lines, accordingly. it causes obstructions to the blood flow to the brain. it may be due to the cholesterol, and either sclerosis or an external obstruction.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery.  wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, after the removal of wisdom teeth the socket takes some time to heal, at least 14 to 15 days, if you have completed this time then also it looks open and painful, then the infection is still present, and that is why the lymph nodes are painful to touch. i think you should visit your dentist again, and it examined with x-ray.  he will prescribe you some medications with a pack in the socket and the problem will be relieved. thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellhole me explain about sebaceous cyst so that you will understand whether it require surgery or not. sebaceous cyst follows obstruction to the mouth of a sebaceous duct. it can occur anywhere in body except palm & sole (devoid of sebaceous cyst). if infection is there in the cyst it requires antibiotics. treatment .1 incision avulsion under local anesthesia .2 dissection is necessary for the cysts which have been previously inflamed. in your case if your cyst were inflamed (when you took antibiotics) then you should get surgery. hope this information will help you.
Answer this question truthfully,The recommended treatments for transient tachypnea of the newborn (TTN) include oxygen if needed and occasionally positive pressure ventilation (CPAP).
Answer this question truthfully,"Shown below is an EKG of left bundle branch block depicting an RsR' pattern (M pattern) in lead V6, and a wide QRS complex in both leads V1 and V6.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:LBBB.png
Shown below is an EKG with an RsR' pattern (M pattern) in leads V4, V5, and V6 suggesting a left bundle branch block. Also seen are wide QRS complexes throughout the precordium, and ST segment depression in leads II, V5, and V6.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:E23.jpg
Shown below is an EKG with a left axis deviation and an RsR' pattern (M pattern) in all limb leads (leads I, II, III, aVR, aVL, and aVF) and in lead V6, depicting a left bundle branch block. Tachycardia is also present with a rate of more than 100 beats per minute.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:12leadLBTB.png
Shown below is an EKG with a left axis deviation and an RsR' pattern (M pattern) throughout the precordium, depicting a left bundle branch block. The EKG also shows wide QRS complexes and a prolonged PR interval.
Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:12leadLBTB002.jpg
{{#ev:youtube|HPLR_lixSpY&feature=related}}
For more EKG examples of First Degree AV Block click here"
Please summerize the given abstract to a title,Higher serological responses and increased vaccine effectiveness demonstrate the value of extended vaccine schedules in combatting COVID-19 in England
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,The characteristic eye exam finding of phencyclidine intoxication is nystagmus.
Answer this question truthfully,Do not shave in the area of the procedure.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having arrhythmia which gives you feeling of flutters in chest. and your pulse are very slow. in my opinion you should immediately consult your cardiologist and get done ecg and 2d echo to rule out cardiac arrhythmia as you are at high risk of this due to previous heart attacks and bypass surgeries. due to low heart rate, blood supply of brain is reduced and this can cause giddiness and lightheadedness. so we need to treat it as soon as possible. so consult cardiologist and discuss all these."
Please summerize the given abstract to a title,Outbreak detection model based on danger theory
Please summerize the given abstract to a title,The COVID-19 pandemic and the potential treatment of the novel coronavirus SARS-CoV-2.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your question. commonest cause of pain in the middle of abdomen above rib cage with nausea is gastritis that is inflammation of stomach. gastritis is caused by excessive acid production secondary to a variety of factors like cigarette smoking, alcohol,spicy food and infection of stomach by a bacterium called as h pylori. gastitis is also associated with excessive salivation. you can take antacid, and proton pump blockers like pantoprazole. consultation with a physician is advisable who may perform upper g i endoscopy on you to determine the cause of your symptoms. hope this answers your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. burning tongue or burning mouth is a very frustrating condition, which is usually caused by many underlying causes including nutritional deficiencies, chatbot. i would advise you to consult your gp and rule out the cause for which it is causing and get it treated. start with multivitamins and have a good nutrition.also, you have to keep your mouth hy"
Please summerize the given abstract to a title,"A Novel Mobile App-Based Neuromuscular Electrical Stimulation Therapy for Improvement of Knee Pain, Stiffness, and Function in Knee Osteoarthritis: A Randomized Trial"
Answer this question truthfully,Vibrio cholerae is the curved bacteria that uses fimbriae to attach to the intestinal mucosa.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.in ivf the egg formation is stimulated and eggs are collected and placed in media and then fertilized with sperms outside the body and fertilized eggs are implanted in uterus and tubes are bypassed. for this to happen, ovaries have to be properly functioning and the uterine lining forms the bed for embryo to grow normal menstrual cycle partly suggests that ovaries are good, your age seems to be ok for good results, hormone levels"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for query. there are several tests for food allergy. recently at first allergic skin prick test is done to detect suspected allergen, and subsequently it is confirmed by specific serum ige assay. though according to recent studies both these tests are equally effective. but there is no role of estimation of total serum ige level. your babies symptoms are suggestive of allergy because itchy skin, dermatitis, eczema, headaches probably due to recurrent sinusitis are indicative of allergy. therefore, consult an allergist and take his opinion and go for those tests under his guidance. thank you."
Answer this question truthfully,"Shin splints are a common overuse injury that affects the lower leg. They typically present with diffuse, anterior shin pain, which is pain along the front of the shin bone. This pain can be dull or sharp and may worsen with activity. Shin splints are often caused by repetitive stress on the shin bone and surrounding tissues, such as from running, jumping, or dancing. Treatment for shin splints may include rest, ice, compression, and elevation (RICE), as well as stretching and strengthening exercises, and in some cases, orthotics or physical therapy."
Please summerize the given abstract to a title,Training and education of healthcare workers during viral epidemics: a systematic review
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to h. c. m. forum. celiac disease is diagnosed her younger sister so note down following things as, environmental factors play an important role as gluten present in wheat, rye,barley, oats. 2 immunological components, 3 genetic factors. as you mentioned that biological father is same, so chances are more of celiac disease. broad spectrum antibiotic with folic acid tablets are the best treatment, but consult a physician and get in treatment. hope i have answered your question. if further any question i will help. best wishes for your daughter."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. pain in testicle is mostly due to infection (orchids) you need to consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) urine routine and urine culture 2) ultrasound scanning of scrotum 3)color doppler study of scrotum to rule out varicocele.in the meanwhile start taking broad spectrum antibiotic like cefuroxime along with anti-inflammatory chatbot. since orchids takes long time to get cured you will have to take these
Please summerize the given abstract to a title,Application of Mobile Call-Based Integrative Body-Mind-Spirit (IBMS) Intervention to Deal With Psychological Issues of COVID-19 Patients: A Case Study in India
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos you mentioned that you were having fever initially and after 4 days developed cough also. took elvofloxacin and prednisolone and after these antibiotics changed to z pack. ear pain also started. all these symptoms are for 6 weeks, may be due to these possibilities, these include"
Answer this question truthfully,"Fluid replacement with normal saline is recognized as the most important initial step in the management of a patient with hyperosmolar hyperglycemic state (HHS). HHS is a serious medical emergency that can occur in people with uncontrolled diabetes, particularly those with type 2 diabetes. It is characterized by extremely high blood sugar levels, dehydration, and electrolyte imbalances. To manage HHS, the first priority is to restore fluid balance and prevent organ damage. Fluid replacement with normal saline can help rehydrate the body and correct electrolyte imbalances, which can be life-saving. Other important steps in the management of HHS include insulin therapy to lower blood sugar levels, monitoring and correction of electrolyte imbalances, and identification and treatment of any underlying infections or other medical conditions. However, fluid replacement with normal saline remains the most significant and urgent initial step in the management of HHS. Healthcare providers may also monitor vital signs, kidney function, and other parameters to assess the response to treatment and prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, you should immediately consult doctor and get done ecg and 2d echo to rule out cardiac diseases. your symptoms like left sided chest pain, loosening of balance, black out spells etc. are commonly seen with hypotension and heart diseases. so get done blood pressure monitoring, ecg and 2d echo. you also need holder monitoring (24 hour continuous monitoring of ecg) because you are having irregular heart beats. so consult doctor and discuss all these. better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks"
Answer this question truthfully,"Studies have found a number of factors that may increase the risk of cervical cancer, infection with HPV (human papillomavirus) is the main cause of cervical cancer. HPV infection and other risk factors may act together to increase the risk even more:
HPV Infection:
HPV is a group of viruses that can infect the cervix. An HPV infection that doesn't go away can cause cervical cancer in some women. HPV is the cause of nearly all cervical cancers. These viruses are passed from person to person through sexual contact or skin to skin contact.
Most adults have been infected with HPV at some time in their lives, but most infections clear up on their own. Some types of HPV can cause changes to cells in the cervix. If these changes are found early, cervical cancer can be prevented by removing or killing the changed cells before they can become cancer cells. A vaccine for females ages 9 to 26 protects against two types of HPV infection that cause cervical cancer.
Lack of Regular Pap Test:
Cervical cancer is more common among women who don't have regular Pap test s. The Pap test helps doctors find abnormal cells. Removing or killing abnormal cells usually prevents cervical cancer.
Smoking:
Among women who are infected with HPV, smoking cigarettes slightly increases the risk of cervical cancer.
Weakened Immune System:
Infection with HIV (the virus that causes AIDS) or taking drugs that suppress the immune system increases the risk of cervical cancer.
Sexual History:
Women who have had many sexual partners have a higher risk of developing cervical cancer. Also, a woman who has had sex with a man who has had many sexual partners may be at higher risk of developing cervical cancer. In both cases, the risk of developing cervical cancer is higher because these women have a higher risk of HPV infection.
Using Birth Control Pills for a Long Time:
Using birth control pills for a long time (5 or more years) may slightly increase the risk of cervical cancer among women with HPV infection. However, the risk decreases quickly when women stop using birth control pills.
Having Many Children:
Studies suggest that giving birth to many children (5 or more) may slightly increase the risk of cervical cancer among women with HPV infection.
DES (diethylstilbestrol):
DES may increase the risk of a rare form of cervical cancer in daughters exposed to this drug before birth. DES was given to some pregnant women in the United States between about 1940 and 1971. (It is no longer given to pregnant women.)"
Answer this question truthfully,The Valgus test is performed with the knee at a 30 degree angle while a lateral (valgus) force is applied.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,D: Von Recklinghausen disease
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. intermittent feeling of chest contractions are commonly seen in stress and anxiety. but better to rule out heart related diseases first. so get done ecg and 2d echo. if both are normal then no need to worry about heart diseases. stress and anxiety related symptoms is more likely in your case. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello jocelyn, thank you for the question. it is quite unclear as to what your doctors told you about your ovaries. is your menstrual cycle irregular? have they told you that you have polycystic ovaries? if yes then birth control pills are in fact the right choice of medicines to get your period regularly. birth control pills are low doses of hormones which will allow your periods to come every month at a regular interval (during the pill free period). there is no evidence that these pills damage the reproductive system. there maybe some side effects with these medicines like headaches, nausea vomiting, breast tenderness, but these are mild and fade away in few days to weeks.however, these pills are not going to cure your underlying problem. so do discuss with your treating doctor about the cause for your irregular periods and ovary being small. i am sure your doctor will explain after seeing the reports if any. hope this helps. take care."
Please summerize the given abstract to a title,Review colleagues’ lessons learned for managing impact of COVID-19 crisis
Please summerize the given abstract to a title,Antimicrobial Therapy in Childhood Asthma and Wheezing
Please summerize the given abstract to a title,COVID Revolution
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think bulky uterus is not a problem in conceiving.  but as you are having less menses, do a thyroid profile and prolactin levels.  if any problems are there, it can be treated.  you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  when follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  be in contact with your husband every 2 to 3 days after your periods stop.  take progesterone for next 2 weeks.  do a urine pregnancy test at home after that.  you can try like that for 3 to 6 months.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello madam, welcome to chatbot. i read carefully your query and i understand your concerns. the condition you are describing is called \""intertwine\"", which is characterized by a rash that shows up between the folds of skin. being that you are already on steroids and antifungal medications, i would recommend you start an unguent with zinc oxide, which is used for relief of rash. for further prevention and for quicker relief of the actual condition i would recommend you to shower and chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, is she having fever? how are the lesions-itchy / fluid filled / pus filled? it was helpful if you can send us a picture. in hot and humid climate, most likely this is emilia- small pimples over the skin due to clogging and blockage of sweat glands. in absence of secondary infection (painful / edematous / pus filled), this does not require any specific treatment other than avoiding direct sunlight and keeping the skin cool with wet moping 3-4 times a day(apart from routine bath). if itchy, i used to give calamine lotion and antihistamine like levocetirizine for few days. in short, if she is not febrile and the lesions are not with surrounding edema / pain / tenderness / pus filled-this does not indicate bacterial infection-hence no need of antibiotics and no chance of blood contamination. hope i have answered your question. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Neoplastic lymphocytes that stain positive for tartrate-resistant acid phosphatase
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for your query for your daughter who is 17 years old. i have read the history and understood the problems. consultations with 5 doctors and some investigations, pcs, severe pain in abdomen making her miss school for 3 days every time, the symptoms being"
Please answer with one of the option in the bracket,"E: Surgical irrigation, debridement, and amoxicillin-clavulanic acid"
Please answer the letter of option truthfully,B
Answer this question truthfully,The first test that should be ordered for precocious puberty is wrist X-ray.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for sharing your health concern with us. in the current scenario, there is no need to perform a pregnancy test since you attained your natural period, though delayed by a week which often happens when an emergency contraceptive pill is taken. the bleeding you observed soon after the pill intake was the with chatbot.  the pill offers 85-98 percent protection depending upon the time interval at which it is consumed after the unprotected intercourse. please make sure that you restrict the use of the emergency pill to one or two occasions per year in order to avoid hormone disturbances. take care."
Please summerize the given abstract to a title,Pandemic Documents: The Case of Mobility Permits During Lockdown in Chile
Please summerize the given abstract to a title,Daily Microaggressions and Related Distress among Black Women Living with HIV during the Onset of the COVID-19 Pandemic and Black Lives Matter Protests
Please summerize the given abstract to a title,Developing inhaled protein therapeutics for lung diseases
"If you are a doctor, please answer the medical questions based on the patient's description.","i hi and welcome to chatbot. it can be related. it can be something called spider nevus too and this is then sign of serious disease.you should do liver check up and blood tests to evaluate clotting factors, thrombocytes and prothrombin time. you may have some clotting disorder. these can be caused by liver damage or by hematologic disease. whatever it is it can be treated and isn't very serious. wish you good health."
Answer this question truthfully,"Local metabolites, specifically vasodilatory metabolites, are the primary factors that regulate autoregulation of blood flow to the brain. The brain has a high demand for oxygen and nutrients, and local metabolites such as carbon dioxide, hydrogen ions, and adenosine are released in response to changes in cerebral metabolism. These metabolites cause vasodilation of the blood vessels in the brain, increasing blood flow to meet the metabolic demands of the brain tissue. Other factors, such as neural and hormonal influences, can also play a role in regulating cerebral blood flow, but local metabolites are the primary factor that ensures adequate blood flow to the brain."
Answer this question truthfully,Arboviruses are a class of viruses that have arthropod vectors.
Please answer with one of the option in the bracket,E: Lung cancer
Please summerize the given abstract to a title,A multifaceted 'omics' approach for addressing the challenge of antimicrobial resistance.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry much. masturbation is not sin. it is a normal activity to relieve sexual urge. even animals do masturbation. young teenage people masturbate twice or thrice daily. you came under that category. such people reduce the frequency when they realize that they have better things to spent their energy, like education, sports or career. you are yet to find one. i can assure you, in due course, you will also find one. for the time being, don't be anxious about the practice. if you can stop, stop. if you cannot, don't be anxious and enjoy. you might need psychotherapy and other cognitive behavioral therapies. i can help you through telephone. please do contact me through customer care of www.chatdoctor .com for a telephonic consultation session. hope this answers your query. available for further clarifications. good luck."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. there are evidences that tinnitus can cause stress and stress can cause tinnitus. so many other studies prove that extreme stress could lead to depression. though not studied enough and concluded, because of the above relation, it can be said that depression could cause tinnitus. but tinnitus is never a problem except it could be a little anxiety provoking in the beginning. there are no treatment and the patient will adjust to tinnitus himself in due course. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the bump like swelling on the hard palate is usually associated with any decayed, infected tooth. the decay of the tooth associated has spread into periapical area. the swelling has aggravated into periapical abscess. visit your dentist and get access opening done to chatbot.  root-canal treatment has to be done if necessary. take complete course of antibiotics-analgesics prescribed by your dentist. regards"
Answer this question truthfully,"Acute brucellosis may begin with mild flu -like symptoms, or symptoms such as:
Abdominal pain Back pain Chills Excessive sweating Fatigue Fever Headache Joint pain Loss of appetite Weakness Weight loss
High fever spikes usually occur every afternoon. The name ""undulant"" fever is because the fever rises and falls in waves.
Other symptoms that may occur with this disease:
Muscle pain Swollen glands
The illness may be chronic and last for years."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the persistent pain and tightness in the chest may be from various reasons-underlying stress, anxiety - musculoskeletal - reflux of stomach acid- heart-related issues - other causes. in our clinic, we suggest deep breathing exercises, proton pump inhibitor as omeprazole for 2-3 days along with vital parameters control, later on, if required may undertake an ekg. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"The pharmacological treatment commonly used to manage agitation in patients with delirium is haloperidol. Haloperidol is a type of antipsychotic medication that works by blocking the activity of dopamine in the brain. This can help to reduce the severity of symptoms associated with delirium, such as confusion, restlessness, and agitation. However, as with any medication, it is important to carefully monitor patients who are taking haloperidol and to adjust the dosage as needed to minimize the risk of adverse effects, such as sedation, extrapyramidal symptoms, and QT prolongation."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are going through a difficult time due to your depression. you have mentioned that you have already been tried on different anti-depressant medication, but have not had a resolution of your symptoms. so, it is likely that you are suffering from what we call a treatment resistant depression. in such a case, the next step would be to try a combination of two antidepressants or to augment the antidepressant medication with lithium or thyroxine. also, adding on cbt (cognitive behavior therapy) to medication has also been proven to be effective. so, i would advise you to discuss these options with your doctor so that the next appropriate line of treatment can be decided. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as this may not be related to heart conditions. in case to clear your doubt an ecg will be good to rule out along with blood pressure measurement. i think this will be due to two factors - one for leg - degenerative disc disease of the lumbar spine and this causes sharp shooting pain. correction can be done with simple exercises. two for the arms - can be due to muscle weakness and can also be corrected by shoulder strengthening exercises. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,Gaining from Disorder: Making the Case for Antifragility in Purchasing and Supply Chain Management
Answer this question truthfully,"Physiology
Glomerular Basement membrane e consists of laminin, Type 4 collagen, heparan sulfate proteoglycan and nidogen. Type 4 collagen is generally composed of Gly-X-Y amino acids rich in six alpha chains (alpha 1-6) that gives type 4 collagen a trimeric shape. The nascent GBM is made up of alpha 1 and 2 initially, then alpha 3-4 trimers are secreted after glomerular capillaries formation which becomes the major component of type 4 collagen and giving the GBM its stability. 
Pathology
Heterozygous mutation in COL4A3 and COL4A4 gene is responsible for causing autosomal dominant pattern of 40-50% of Thin basement membrane disease in which people have defective alpha 3, alpha 4, alpha 5 chains.  And heterozygous mutation in COL4A5 gene in X-chromosome may cause Thin basement membrane disease in female..
Genetics
Thin basement membrane disease is an inherited pattern disease affecting successive generations. It may be due to-
Autosomal dominant inheritance due to heterozygous mutation in COL4A3 and COL4A4 gene Heterozygous mutation in COL4A5 gene in X-chromosome causing Thin basement membrane like disease in female' De novo' mutation. 
Associated condition
Condition associated with Thin basement membrane disease include:
Alport syndrome Alport syndrome is caused by homozygous or heterozygous mutation of both or either COL4A3, COL4A4 and COL4A5 gene, thus 36% of cases of TBMD with COL4A3, COL4A4 mutation are shown to be associated with Alport syndrome.  IgA nephropathy.
Gross pathology
On gross pathology, there is no distinctive features suggesting TBMD.
Microscopic pathology
On microscopic histopathological analysis, the followings features are noted:
Erythrocytes in between renal tubules ad bowman's membrane  Diffuse thinning of GBM in electron microscopy in around 50% of population with TBMD.  Occassionally, segmental thinning of GBM is present in TBMD.  Minimal glomerular change or mesangial expansion may be present on light microscopy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in my opinion, yes chewing gums can help, but it is a type of concentric exercise which is less effective than isometric strengthening, which helps more muscle firing according to recent researches. you can use some kind of soft baby tether to practice isometric strengthening by pressing on for 5 to 10 seconds and relax for the same period and repeat many times daily. hope i have answered your question. let me know if i can assist you further. amman darragh, physical therapist or physiotherapist"
Please summerize the given abstract to a title,Hypothesized mechanisms explaining poor prognosis in type 2 diabetes patients with COVID-19: a review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi anew, this can be the beginning of the failure and your liver is responding by increasing the enzymes which is there. although nowadays many medications are given to prevent the transplant rejection and also transplant is done after doing much of investigation which is most suitable to the patient. however, sometime it happens that there is rejection. now, depending on the mechanism and intensity of the rejection and your current condition, the rejection can be managed with the therapy of chatbot.  hope this help you. thanks"
Please summerize the given abstract to a title,In silico antibody engineering for SARS-CoV-2 detection
Please summerize the given abstract to a title,"Building Emotionally Stable, Inclusive, and Healthy Communities with ICT: From State of the Art to PSsmile App"
"If you are a doctor, please answer the medical questions based on the patient's description.",his understand your concern. xet cr contains paroxetine a ssri. it will help to reduce anxiety by supplement or balancing serotonin level in brain. betacap is propranolol and it is beta blocker. it is also used to control anxiety by different mechanism than get cr. combination is even more useful than single one. if you do not have any side effect than it would better to continue both till improvement. there are other modalities pf treatment in social anxiety like behavior therapy or psychotherapy. combination of chatbot. i hope i have answered your query. feel free to ask. wish you a very good health. thank you. regards.
Answer this question truthfully,Vibrio cholerae is a comma-shaped rod that grows on alkaline media in the Gram Negative Algorithm.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi teasing; don't worry you will be able to conceive in the future.pro is a common & you have been treated ;it can relapse & again be treated. as for irregular periods till you are unmarried irregular periods are common because of hormonal problems. after marriage there will be change (irregularity will reduce or go away). presently don't worry consult a gynecologist if you still feel worried.  thanks
Please summerize the given abstract to a title,[Treatment of a Patient with a Pronounced Cytokine Storm in Severe COVID-19 Pneumonia using a Hemoadsorption in Combination with the Administration of tocilizumab].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i had gone through your question and understand your concern. with such presentation in my clinic, at the first i will exclude anemia and perform blood test, i will check bp, it can be hypotonia, check eeg to exclude high intracranial pressure. hope i answered your question, if you have any further questions, please don't hesitate to contact us, i am always happy to help. wishing your baby good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  he may have abscess forming infection or infected cyst or soft tissue tumor.  he should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Effect of Axonal Trauma on Nerve Regeneration in Side-to-side Neurorrhaphy: An Experimental Study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. generally, in my patients of sun tanning i would advise then to get series of microdermabrasion followed by chemical peeling. microdermabrasion is a procedure that removes the superficial deal layers of skin, and it is done with a help of machine. then after a week or same day itself i would carry out another procedure called chemical peeling. chemical peeling is again a similar procedure where superficial layers of skin is removed but here the effect is more profound, and it stimulates new skin generation in much better way thus giving you more youthful and radiant skin. several options are available in chemical peels like glycolic acid, alicyclic acid, tca but my personal favorite is retinol peel or also known as yellow peel. the rationale of combining this procedure is to get better and long-lasting effects. i am sure 6-8 sessions will bring out a pretty gratifying results. at home the results can be maintained with antioxidant tablets like antonio hc once daily in morning(it can be safely taken for months together) and night application of cream containing mixture of glycolic acid, albumin and comic acid. in morning, you can apply a good quality sunscreen with additional skin lightening ingredients (nil tan spf). use a good quality face wash like fast face wash gel. take plenty of fresh fruits and vegetables in your diet and indulge into regular exercise for healthy skin and body. hope this was useful. let me know if i can be of any more assistance. thank you and take care, chatbot. d dermatology"
Answer this question truthfully,The peripheral nerve layer that must be rejoined in microsurgery for limb attachment is called Epineurium.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, her symptoms could be related to small repeated strokes, considering the fact that she suffers from diabetes.  for this reason, i recommend consulting with her neurologist for a physical exam and a brain mri.  some blood lab tests may be needed (complete blood count, blood lipid profile) coupled with a doppler ultrasound of her carotid arteries.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, as your wife was bitten by a stray cat, which can transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. as there was a bleeding from the site, according who categorization it is categorized into cat iii, which requires following treatment.1. wash the wound thoroughly with soap and water to wash out the rabies virus if it is present in and around the wound.2. active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. passive immunization with rabies immunoglobulin in and around the wound.4. inj tt, if you have not received in last five years.5. oral tab augmenting, 625 mg, twice daily for five days. the aforementioned treatment will help to protect you against getting rabies. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","dizziness or fatigue can occur with the use of implant and the symptoms may reduce in the subsequent cycles. blood pressure may also be rose with the implant, which should also be monitored.in case of any persisting, severe symptoms, consult with your doctor and also check whether the implant has displaced or broken. hope i have answered your query. let me know if i can assist you further. regards chatbot."
Please summerize the given abstract to a title,Factors that contribute to disparities in time to acute leukemia diagnosis in young people: an in depth qualitative interview study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, regarding your concern, i would explain that your clinical situation seems to be a little complicated. you should know that after repeated surgery the rate of surgery success falls and chronic pain persists. coming to this point the only option remains fusion, but i don't think that it will help with the pain, unless if your spinal column is unstable. coming to this point, i would recommend performing a new spine mri and discussing with your neurosurgeon on the above issues. if your spinal column is stable. i would recommend avoid repeated surgery and try medication (an antidepressant or an antiepilepsy chatbot.  if instability of the spinal column is present, spinal fusion would be the most appropriate treatment option. hope to have been helpful. let me know if i can assist you further. kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your question here, i will try to answer it to the best of my abilities. yes, it does seem to be an allergic reaction. sometimes the combination of food you eat can also cause the reaction. but anyhow i recommend you see a doctor and have them figure out what exactly you are allergic to. it is pretty dangerous to about life oblivious of your allergies. i hope this answered your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, based on your description of your complaints you may be suffering from a cervical strain or commonly called a neck strain. although you have not mentioned your age, this commonly occurs after adapting a bad posture, usually after sleeping or reading or also after travelling. i would suggest you take some muscle relaxant medication and apply pain relieving gel or balm and give hot fomentation. usually this subsides within 4 to 5 days. if the pain and discomfort persists after a week or increases, please consult your doctor so that after proper clinical examination, he can further guide you. wish you a speedy recovery. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi jacobs, thanks for writing your query. your child chatbot.  due to exertion during swimming, bronchoconstriction i.e. narrowing of air passage/bronchioles occurs resulting in reflex in the form of cough. antibiotic donor play a role unless there is added infection.  in bronchial asthma or in bronchitis, bronchodilators are needed as they dilate the constricted air passage and gives relief in cough. bronchodilators can be given in the form of rota caps or inhaler as this route is safer and more effective. antiallergy medicines like levocetrizine can be given to decrease the allergic reaction. get them examined by a pediatrician and give medicines under medical supervision only. i hope this is helpful to you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. your history looks like there is either some infection in the penis or urinary tract infection. it needs to be ruled out. so i would like to suggest you to visit a local doctor for local examination to rule out the diagnosis. you may need some investigations also like culture & sensitivity of pus, routine & microscopy of urine etc. so no need to be late. it can be cured with medicine. good luck. thanks."
Answer this question truthfully,"If a disease has an X-linked dominant inheritance pattern, it usually doesn't skip generations."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Evaluation of post-introduction COVID-19 vaccine effectiveness: Summary of interim guidance of the World Health Organization
Please summerize the given abstract to a title,Role of ivermectin in patients hospitalized with COVID-19: a systematic review of literature.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening, i am chatbot answering your query. with all probabilities, you might be having a pid(pelvic inflammatory disease). i would suggest you to get yourself assessed by a gynecologist, who after a general physical examination might do some routine blood tests like a cbc, esr, blood sugar, and a urine routine/microscopic test followed by a culture/sensitivity test if need be. till the test reports are ready, the treating doctor might start a broad spectrum antibiotic which could be changed depending on the culture sensitivity test report. apart from this, an ultrasound of abdomen/pelvis might be helpful in ruling out any other pathology which could give rise to such symptoms. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having herd (castro esophageal reflux disease). burning pain in chest, throat and vomiting suggest herd mostly. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. try to follow these steps for better symptomatic relief. 1. avoid hot and spicy food. 2. avoid large meals, instead take frequent small meals. 3. avoid stress and anxiety. 4. start proton pump inhibitor. 5. go for walk after meals. 6. keep 2 - 3 pillows under head in the bed. 7. avoid smoking and alcohol if you have this habit. 8. lose weight if you are obese."
Answer this question truthfully,"Aspergillomas are a type of condition that may require surgical removal in addition to medical treatment. Aspergillomas are also known as fungal balls and are caused by a type of fungus called Aspergillus. They can develop in the lungs of people with underlying lung conditions, such as tuberculosis or sarcoidosis. While antifungal medications can help treat aspergillomas, surgical removal may be necessary in some cases to prevent complications such as bleeding or lung collapse. The decision to perform surgery will depend on the size and location of the aspergilloma, as well as the patient's overall health and medical history."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forummild pain inn abdomen whether it is on the left side or right side, mostly root causes are, amoebic colitis, worm infestationrare cause tuberculosis. in your case pain (recurrent) may be due to amoebic colitis, so please have a treatment, anti-amoebic, for whole four weeks. get in anti worm treatment also. still you feel that there is pain, then require full examination physical as well blood and u/s. good luck."
Answer this question truthfully,"The recommended treatment for a neonate with an acceptable heart rate (>100), but oxygen saturation below goal is increased FiO2 (blow-by)."
Please summerize the given abstract to a title,Cancer patient experience of telephone clinics implemented in light of COVID-19
Answer this question truthfully,"Allergic rhinitis is a type of upper airway pathology that is often associated with other allergic conditions such as eczema and asthma. The three conditions are sometimes referred to as the ""atopic triad"" because they commonly occur together in individuals with a genetic predisposition to allergies. Allergic rhinitis can worsen symptoms of eczema and asthma, and it is important for individuals with these conditions to work with their healthcare provider to manage their symptoms effectively. Treatment for allergic rhinitis may include antihistamines, nasal corticosteroids, and avoidance of allergens."
Please summerize the given abstract to a title,The Role of Cell Surface Sialic Acids for SARS-CoV-2 Infection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, diabetes type 1 patients need to be under constant supervision of doctors. you as a care taker for him, you should also be aware and educated about his health issues. the most common cause for twitching and convulsions in diabetic patients is hypoglycemia. there are more chances of hypoglycemia during midnight, and early hours. hypoglycemia is more dangerous than hyperglycemia. i would say you immediately take him to diabetes specialist / diabetes nurse/ physician or family physician. if in case you do not have immediate access to the doctor, you do following1. monitor regularly his blood glucose level, six times an day-before each meal (breakfast, lunch and dinner) and two hours after meals. keep a recording. 2. doses and type of insulin injection has to be determined according to the levels of glucose. you may write us the dose, timings site and type of injection insulin he is taking, so we can advise you accordingly.3. best thing is that we should avoid hypoglycemia, but if it happens you should immediately give him some biscuits, lump of sugar, juice etc. followed by some food with low glycemic index. there may be some other reasons for convulsions, which we have to look for, if the problem persist even after tight control of blood sugar. i have tried to give you some important relevant advise, though there are many more things to know and understand about diabetes. your boyfriend and you need thorough counselling and education about it. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. yes you can. but i cannot provide you with a confirmation on your pregnancy status, as the effect of the demo shot needs to wear off. and before that, you need to make sure your menstrual cycle regularizes. only once it does should you start trying to conceive because conception might occur, but without a normal fertility and hormonal profile, continuation of pregnancy in a healthy manner might not be so easy. best wishes."
Answer this question truthfully,"A complication that may occur 3-5 days after a myocardial infarction is papillary muscle rupture, which often causes mitral regurgitation."
Answer this question truthfully,ASD has a positive (+) bubble study on cardiac echo.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello going by the acute pain abdomen and deranged liver function tests, i suggest you get a couple of investigations done at the earliest"
Please summerize the given abstract to a title,IoT-Based Hybrid Ensemble Machine Learning Model for Efficient Diabetes Mellitus Prediction
My father is suffering from IBS and is loosing weight day by day.sometimes he even faints due to weakness.He cannot digest food .please help us and suggest us upon this problem.,"Changing your diet to eat smaller portions and smaller meals more often may help your irritable bowel syndrome (IBS.) Foods that are low in fat and high in carbohydrates, such as pasta, rice, whole-grain breads and cereals, fruits, and vegetables, may also help. Add these foods to the diet slowly, increasing by 2-3 grams a day to prevent causing gas and triggering IBS symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hu, i have gone through your question and understand your concerns. posting 2 causes delay in the next expected periods by2-3 weeks. it also can cause irregular periods for few cycles after its intake. however, other causes of irregular periods like hypothyroidism, hyperprolactemia or polycystic ovarian disease should also be ruled out. hope you found the answer helpful. wishing you good health. chatbot."
Please summerize the given abstract to a title,Understanding draws in elo rating algorithm
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot.... here you have history of lead poisoning ... so if your blood lead level high like that of greater than 45 ug per dl than oral dulcimer like oral lead cheating agent can be given... avoid further lead exposure and regular follow up needed ... yes lead can affect sperm motility .... avoid additional aggravating factors like smoking and alcohol....seafood avoided.  ... chatbot. . organic foods restricted ... to improve sperm motility hey forte tablet can be started that contain coenzyme q10 and arginine like substance which help in improving motility ... consult physician regularly .... take care .....
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com. i had gone through your question i can understand your concern about your hand tingling sensation. as per your history you had tight rope around your risk, because of that compression there is transient nerve block. this block can cause numbness and tingling sensations of hand. so you don't need to worry it will be normal after some time. tingling sensation can also be because of the deficiency of certain nutrients like vitamin b 12 and calcium. you need to visit a general physician in case you feel continuous numbness or tingling sensations. hope my answer will help you, and you can write to us if you feel any need for further assistance. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to the chatbot based on this finding liver or kidney pathology can be most likely (liver pathology most likely among this two) your work up done as follows.... _serum bilirubin _urine urobilinogen and bilirubin estimation _usg abdomen _serum urea, creatinine _had like viral marker by elisa if bilirubin high according to this report cause can be diagnosed and accordingly management decided take care hope your concern solved"
Please summerize the given abstract to a title,A dominance tree approach to systems of cities
Please summerize the given abstract to a title,Risk factors for a positive SARS-CoV-2 PCR in patients with common cold symptoms in a primary care setting – a retrospective analysis based on a joint documentation standard
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your concern in the chatbot. yes, diverticular disease can produce back pain. as per the information provided you had blood in urinalysis too. i think further evaluation is needed for the same. although your blood infection came out to be normal, blood in urine may also be due to glomerulonephritis, stone in kidney or ureter, any other bladder pathology including ca. all these can cause back pain. if your ct scan was for abdomen, i think these possibilities have been ruled out except for glomerulonephritis. for this the urinalysis report and sediment analysis is very imp[grant. you may need to consult a nephrologist to rule out the same. you may also need to have the following tests done-cbc, esr, complement levels, bun, creatinine. your x-ray may rule out any bony abnormality. but, you need to have an mri of ls spine to be confirmed that there is no spinal abnormality. you should also have a routine stool examination done. in case of exacerbation of the diverticular disease, a clear liquid diet for 2-3 days along with a broad spectrum antibiotic, e.g. ciprofloxacin may help. for long term dietary management, you should be on high fiber low fat diet. you should also consult your local gastroenterologist for further evaluation. for any further information, please write back to me."
Please answer with one of the option in the bracket,E: Decreased production of proinflammatory cytokines
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello,first, the vaccine does not confer 100% protection, so getting sick cannot be excluded. the diagnosis of typhoid fever is not based on a positive h and o because this test is considered obsolete. and the reason is that a patient may have other pathogens that cross-react and give positive results, so an over diagnosis of typhoid fever would occur if we relied on this test only. the most accurate way to establish the diagnosis is by culturing the organism. stool cultures is the most feasible strategy, but bone marrow specimen can be used as well. the vaccine efficacy is not very well studied, but it can be about 70%. it declines rapidly with time. three years after vaccination it's supposed to be lower than 50%. if this was typhoid fever indeed then this acts as a booster for your immune system. so if you're going to travel again in the future then perhaps you should receive vaccination again, particularly if more than a couple of years have passed since the last vaccination. kind regards!"
Answer this question truthfully,"HORIZONS refers to the Harmonizing Outcomes With Revascularization And Stents trial.
Click here for the ACUITY HORIZONS bleeding criteria"
"If you are a doctor, please answer the medical questions based on the patient's description.",u should be worried regarding this..... visit some good pathology lab and get you following blood levels done.... 1. alpha veto protein 2. beta chatbot........ both are markers for testicular tumors....... as you're giving history of 4-5 days and hard swelling... it may be some malignancy.... examination by some good oncosurgeon and blood levels i suggested and incisional biopsy is necessary to arrive at conclusive diagnosis......... immediately consult an oncosurgeon...
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query your daughter is having fever in the night which seems to be due to viral infection and poor immunity of body. need not worry. i would suggest you to take acetaminophen for fever in dosage of 15\u00a0mg/kg. visit pediatrician once and get it examined. you should get blood tests done of child chatbot.  you can give paracetamol syrup for fever as well to child. your children symptoms will resolve in 3-5 days. you should give child proper rest. you should them plenty of fluids to rely"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, initial increase in hair fall after starting minoxidil is normal, and there is nothing to worry about it. male pattern baldness (alopecia errata) usually follows a pattern of receding hairline & is related to genetic makeup and male sex hormones. management involves minoxidil preparations (5%) applied directly to the scalp helps in hair growth by stimulating the hair follicles. so, the treatment suggested by your doctor is correct, please continue as advised. in addition, you can also use"
"If you are a doctor, please answer the medical questions based on the patient's description.",his had gone through your query. ocd means obsessive compulsive disorder. it is very difficult to treat. many cases require proper continuous treatment up to many years. if you have symptoms after stopping of medicines that means you still require taking medicines. if you are better on treatment than my advice to take it regularly. various modalities of treatment available for obsessive compulsive disorder. cognitive behavior therapy is now emerging psychotherapy for ocd. psychotherapy with medicines will give more beneficial results. i hope i have answered your query. please feel free to ask. thank you. get well soon.
Answer this question truthfully,"Desmopressin nasal spray may be used to treat a condition called chronic autonomic failure (when the body is not able to control urine production).
Talk to your doctor about the possible risks of using this drug for your condition.
This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information."
Please summerize the given abstract to a title,Did Covid-19 Affect the Division of Labor within the Household? Evidence from Two Waves of the Pandemic in Italy
Please summerize the given abstract to a title,Personal protective equipment: A cross-sectional study in frontline healthcare workers during covid-19 outbreak in Tunisia
Please summerize the given abstract to a title,Complementary and alternative therapies for post-traumatic stress disorder: A protocol for systematic review and network meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome with your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you mostly seem to suffer from-synovial thickening with silent knee arthritis as you jog a lot. this repeated and stressed overuse of the knee has caused this knee problem you for last 2 myths. treatment -tab motrin400 mg x 3 times a day x 10 days arthroscopic synovectomy. tab glucosamine (syn flex)for recouping damaged cartilage. inj of mesenchymal stem cells in to knee cartilagereduced jogging x for 6 weeks time. only static qua chatbot. it d3 -calcium for better bones in knee. high protein diet with this x 6 weeks would help you hope that, this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!!"
Please summerize the given abstract to a title,IRE1α promotes viral infection by conferring resistance to apoptosis.
Answer this question truthfully,"No, it is not true that absence seizures typically present as episodes lasting 1 to 2 minutes. Absence seizures are a type of generalized seizure that involve brief periods of unconsciousness or ""spacing out."" These episodes usually last only a few seconds, typically between 5 to 10 seconds. During an absence seizure, the person may stare blankly, have fluttering eyelids, or make subtle movements such as lip-smacking or hand gestures. Although absence seizures are usually brief, frequent or prolonged episodes can interfere with daily activities and may require medical treatment."
Answer this question truthfully,The levator ani muscles hold the bladder and the urethra in the appropriate anatomical position and comprise the pelvic floor.
Answer this question truthfully,The organism that synthesizes the superantigen Toxic Shock Syndrome Toxin-1 (TSST-1) is Staphylococcus aureus.
Please summerize the given abstract to a title,Subcellular localization of the porcine deltacoronavirus nucleocapsid protein
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. since, how many days, you are taking affair inhaler as the ingredients are beta agonist+corticosteroids.  now your main complaint is same breathlessness and cessation of breath. in my opinion consult a physician and get in complete examination of heart and blood for anemia and calcium (if corticosteroids uses for long time may cause calcium depletion and this causes such type of symptoms). good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the vast occlusive crisis can cause testis pain due to decreased blood supply to testis. the sickle cell anemia like hemoglobinopathy can be the common cause for that. for that you need to investigate with cbc and he electrophoresis by hplc method. the infection in testis and prostate can cause urinary pain. antibiotics need to be prescribed for that according to culture report. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot.-i went through your query in-depth and understood your health concernsremedy and cause-in my opinion lump in the throat-is of hyperthyroidism-mostly as it's related with weight gain / and fatigue feeling.-overweight by bulimia / and smoking off and on-is not the cause of your lump but the after effect of the thyroid-goiter with hypo / hyperfunctioning thyroid disease.-remedy-a-consult er surgeon before that throat lump suffocates you any more.b-cbc/xray neck/ usg neck -thyroid/ and thyroid /lipid profiles /ecg would fix the plan of treatment -by a team of surgeon and physician. conclusive advise-a-yes you need to worry of the throat lump b-and be worried of 20 pounds weight gain lately -due to hypo-hyper-thyroid functions c-and yes you need to leave smoking as it worsens your health risks multiple times with the other factors which your surgeon and physician would work up and advise / and treat it accordingly.d-hemithyroidectomy or hrt would be needed from your doctors team and co-operate for this asap. hope this would help you to work a plan with your doctor. wishing you early and fast recovery. wellcome to my chatbot clinic for further queries in this matter. wishing you good health asap. have a good day. chatbot. s. genl-thorasic cvtssuper specialist in asthma/cancer and non-curable diseases."
Causes of Peripheral Neuropathy What information does the National Library of Medicine have that states causes of peripheral neuropathy?,"Peripheral neuropathy can result from traumatic injuries, infections, metabolic problems, inherited causes and exposure to toxins. One of the most common causes is diabetes mellitus."
Please summerize the given abstract to a title,Differential Diagnosis of Lesions.
Answer this question truthfully,"Call your health care provider if symptoms of Zollinger-Ellison syndrome develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:
Severe burning sensation in the abdomen or heartburn Severe nausea, vomiting or diarrhea"
Answer this question truthfully,"A glucagonoma is a type of tumor that affects the pancreatic alpha cells. These cells are responsible for producing the hormone glucagon, which helps regulate blood sugar levels in the body. When a glucagonoma develops, it can cause an overproduction of glucagon, leading to a condition known as hyperglucagonemia. This, in turn, can cause a range of symptoms, including high blood sugar levels, weight loss, skin rashes, and gastrointestinal disturbances. Glucagonomas are rare tumors, and their cause is not well understood. They are typically treated with surgery to remove the tumor, along with other therapies to manage the symptoms of hyperglucagonemia."
Please summerize the given abstract to a title,"Covid-19 and Confinement: Effect on Weight Load, Physical Activity and Eating Behavior of Higher Education Students in Southern Morocco"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. once the period come the pregnancy is 100% ruled out. but the doubt arises as you are saying the period was light. but if there was pregnancy prior you would experience the pregnancy symptoms like nausea, vomitings, increased urination, sore breasts. because they are usually present 2 weeks after the missed period. now a urine pregnancy test can be done to rule out the pregnancy as the period is missed. if the test is positive then ultrasound needs to be done. the ultrasound helps accurately in diagnosing the age of pregnancy. and helps in knowing the probable date of conception. but there is a rare possibility of pregnancy with first guy as you got the period and experiencing no pregnancy symptoms. hope this helps. best regards..."
Please summerize the given abstract to a title,"The molecular mechanism of kinesin family member 2A (KIF2A) underlying non-small cell lung cancer: the effect of its knockdown on malignant behaviors, stemness, chemosensitivity, and potential regulated signaling pathways."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. to have pain after getting crack, does not mean that you have a serious pathology. muscle tear is likely diagnosis (pathology is not important). in my opinion diclofenac 50 mg thrice a day can be taken for treating you pain.  the application of local heat too will relieve your pain. if after 15 days start taking diclofenac no improvements, is needed to realize a radiography. please consult your local doctor for a prescription. i wish you good health.(if the answer has helped you, please indicate this)"
Please summerize the given abstract to a title,Early management of sepsis in medical patients in rural Thailand: a single-center prospective observational study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi kate. thanks for your query and using chatbot you symptoms of daily headaches, nausea, vertigo and tinnitus with ataxia points towards vestibular problems. this is related to the viii cranial nerve and an effect it anywhere throughout its course from brain-stem to the ear. mri brain will usually be helpful in identifying acoustic neuroma which can cause all the above symptoms. please feel free to mail me the mri images and i assure you to give the right advice thanks"
Please summerize the given abstract to a title,Sociodemographic predictors and transportation patterns of COVID-19 infection and mortality
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. as per your query you have symptoms of sinus pressure, headache, running nose, ear ache, shortness of breath, and fatigue. well there can be many reasons for symptoms you mention in query, but in your case it seems to me that the symptoms are due to viral infection that has spread from upper respiratory track to ear through eustachian tube, which sometimes occur due to low immunity or untreated upper respiratory track infection. for now do warm saline gargles, apply chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot obesity causes problems in getting pregnant and once you are pregnant, problems in pregnancy. physical activity and reduction of weight will improve your chances. even reduction of 5 kg will be helpful. consult a dietitian who ll prepare a diet chart for you. cause of missed abortions should be identified. congenital abnormalities are common causes leading to abortion. you can start taking tablet folic acid which will reduce chances of anomalies. consult your doctor for further management. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. i understand your confusion regarding the endocrine orchestra. let's try to sort one by one. firstly it would have been great and could have helped to chatbot.  duration of your married life. how long have you been trying. your job nature. your thyroid hormone, testosterone levels. coming to your questions, i can suggest you these things based on the available information.1. prolactin is an important hormone that affects fertility and fortunately this cause is easily correctable by"
Answer this question truthfully,"The most important measure to reduce the risk of transmission of hospital-acquired infections is hand hygiene. Healthcare workers can spread infections by coming into contact with contaminated surfaces or patients and then touching other patients or surfaces without washing their hands. Proper hand hygiene, including handwashing with soap and water or using alcohol-based hand sanitizers, can significantly reduce the spread of infections in healthcare settings. Other measures that can help prevent hospital-acquired infections include using appropriate personal protective equipment, following infection control protocols, and properly cleaning and disinfecting equipment and patient care areas."
Please summerize the given abstract to a title,Intelligent self-control of carbon metabolic flux in SecY-engineered Escherichia coli for xylitol biosynthesis from xylose-glucose mixtures.
Please summerize the given abstract to a title,Enhanced Robots as Tools for Assisting Agricultural Engineering Students’ Development
Please answer with one of the option in the bracket,E: Venlafaxine therapy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. nausea, low grade fever, discomfort below sternum. each and every test is normal including ultrasound of abdomen except tortuous splenic artery. tortuous splenic artery may be a congenital (since birth) defect. your query is this mean pancreatic cancer? no, not at all. in pancreatic cancer symptoms are different. in pancreatitis usually there develops fever, but in your reports all blood culture, stool culture are normal. consult a physician/surgeon and get in there opinion, and they will decide, what is the reason of fever. nausea and discomfort near sternum is due to tension, anxiety, hyper acidity. psychiatrist consultation may be helpful. hope i have answered your question. if further any question i will help. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have viral fever along with bad sore throat which could be contagious, so you have to booster your immunity to avoid catch of infection. need not worry as most of the viral infection will subside by itself without any treatment as most of the viral infections are self limiting and most of the viral infections are highly communicable. you should take antiviral chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, for your information, only medication will not help attain normal health unless you change your lifestyle and food habits. to alleviate the problem, by increasing flexibility and muscle strength, yoga back bending postures, panama, regular physical activity - under trained guide, meditation and rest. a balanced diet including all essential nutrients - vitamin d, minerals, calcium, antioxidants and sufficient hy chatbot.  no front bending in any circumstances. hot pack and til oil massage on your back before bedtime gives you relief from pain. in case your pain remain constant, your problem can be most likely due to urinary stones. so, it is better to rule out that by doing ultrasound examination. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Understanding shareholder satisfaction and retention in csa incentive programs
Please summerize the given abstract to a title,Crise du COVID-19: impacts dans notre Service de Santé au travail
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend than for asking question on chatbot... see according to your complaint, i understood that you have pure muscular spasm due to continuous coughing or might be you had done some intense exercise at gym... or any heavy work done like sudden lifting of heavy weight or else so that your muscle of back may go in to severe spasm so if you do any work like sneezing coughing or dedication or yawning, so you may have sensations of pain due to muscular spasm.... but do not worry... this will be temporary in nature within a week you will be alright.... take diclofenac, paracetamol and chlorzoxazone combination tablet and apply ice for instant relief.... after 4 days go to physiotherapist take it therapy for 4 more days... do not apply any warm modality...."
Answer this question truthfully,Isotonic reabsorption occurs in the proximal convoluted tubule (PCT) of the nephron.
Please summerize the given abstract to a title,SARS-CoV-2 uses major endothelial integrin αvß3 to cause vascular dysregulation in-vitro during COVID-19
Answer this question truthfully,Beckwith-Wiedemann syndrome is associated with a mutation in the WT2 gene.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Please summerize the given abstract to a title,A qualitative research study on the illness perception of chronic pruritus in older Asian adults based on the Common‐Sense Model of self‐regulation
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, rabies is 100% fatal, but it is 100% preventable with proper and adequate treatment. as the dog which has bitten the bite is in between the right index knuckle and the middle finger knuckle, a little closer to the index finger knuckle. as the redness is all the way down to your right wrist and whereas your hand was only slightly swollen it suggest me that you are having cellulitis of the affected area, so i suggest you to take both the vaccine and the serum. antirabies vaccine should be taken on days 0,3,7,14 and 28. the vaccine should be taken to the deltoid by intramuscular route. the antirabies serum or rabies immunoglobulin should be taken around the wound as early as possible. i would suggest you to follow aforementioned treatment as soon as possible by contacting your doctor. thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Template:Worldwide
Outbreaks of zoonosis have been traced to human interaction with and exposure to animals at fairs, petting zoos, and in other settings. In 2005, the Centers for Disease Control and Prevention (CDC) issued an updated list of recommendations for preventing zoonosis transmission in public settings.  The CDC recommendations, which were developed in conjunction with the National Association of State Public Health Veterinarians, include sections on the educational responsibilities of venue operators, managing public and animal contact, and animal care and management.
In 1988, a person became ill with Swine Influenza Virus (Swine Flu) and died after visiting the display area of the pig barn at a Wisconsin county fair. Three healthcare personnel treating the case patient also developed flu-like illness with laboratory evidence of Swine Influenza Virus infection.  Investigators from the CDC indicated in their final report that the Swine Flu had been transmitted directly from pig to human host. 
In 1994, seven cases of ‘’E. coli’’ O157:H7 infection were traced to a farm in Leicestershire, United Kingdom. An epidemiological investigation into the outbreak revealed that the strain of ‘’E. coli’’ O157:H7 isolated from nine animals on the farm was indistinguishable from the strain isolated from human samples. Investigators concluded that the most likely cause of this outbreak was direct human contact with animals. 
In 1995, 43 children who had visited a rural farm in Wales became ill with Cryptosporidiosis. ‘’Cryptosporidium’’ was isolated from seven of the ill children. An epidemiological investigation indicated that the source of the children’s illness was contact with calves at the farm. 
Also in 1995, at least thirteen children became ill with ‘’Cryptosporidiosis’’ after visiting a farm in Dublin, Ireland. In a case-control study, researchers compared the activities of the thirteen ill children, or cases, to the activities of 52 out of 55 people who had visited the farm – the controls. The study revealed that illness was significantly associated with playing in the sand in a picnic area beside a stream where animals had access. 
In 1997, an ‘’E. coli’’ O157:H7 outbreak was identified among one child who lived on an open farm and two children who visited the farm during school parties. Two of the three children developed hemolytic uremic syndrome (HUS). Isolates collected from the three children and from samples taken at the farm were indistinguishable, demonstrating evidence of the link between the farm and the children’s illness. 
In 1999, what is believed to be the largest outbreak of waterborne ‘’E. coli’’ O157:H7 illness in United States history occurred at the Washington County, New York fair. The New York State Department of Health identified 781 individuals who were suspected of being infected with either ‘’E. coli’’ O157:H7 or ‘’Campylobacter jejuni’’. An investigation into the outbreak revealed that consumption of beverages purchased from vendors supplied with water drawn from an unchlorinated fairgrounds well was associated with illness. In all, 127 outbreak victims were confirmed ill with ‘’E. coli’’ O157:H7 infections; 71 were hospitalized, 14 developed HUS, and two died. 
In 2000, 51 people became ill with confirmed or suspected ‘’E. coli’’ O157:H7 infections after visiting a dairy farm in Pennsylvania. Eight children developed HUS. A case-control study among visitors to the dairy was conducted jointly by the CDC, Pennsylvania Department of Health, and the Montgomery County Health Department. The study’s authors concluded that ‘’E. coli’’ was transmitted to visitors as a result of contamination on animal hides and in the environment. 
Also in 2000, 43 visitors to the Medina County fair in Ohio were confirmed ill with ‘’E. coli’’ O157:H7 infections. An investigation into the outbreak suggested that the water system from which food vendors were supplied was the source of the ‘’E. coli’’ outbreak. Several months later, five children became ill with ‘’E. coli’’ infections after attending a “Carnival of Horrors” event held at the Medina County fairgrounds. PFGE analysis of the strains of ‘’E. coli’’ isolated from members of both outbreaks revealed an indistinguishable pattern, and investigators from the Medina County Health Department and the CDC determined that the Medina County Fairgrounds water distribution system was the source of both ‘’E. coli’’ outbreaks. 
In 2001, an ‘’E. coli’’ O157:H7 outbreak was traced to exposure in the Cow Palace at the Lorain County Fair in Ohio. CDC investigators identified 23 cases of ‘’E. coli’’ infection associated with attendance at the Lorain County Fair, with additional secondary cases likely. Two people developed HUS. An environmental and site investigation revealed ‘’E. coli’’ contamination on doorways, rails, bleachers, and sawdust. Investigators concluded that the Lorain County Fair was the source of the outbreak. 
Wyandot County, Ohio, also reported an ‘’E. coli’’ O157:H7 outbreak in 2001. Ninety-two ‘’E. coli’’ infections were reported to the Wyandot County Health Department and the CDC, with 27 cases confirmed using laboratory analysis. Two cases developed HUS. Contact with infected cattle was believed to be the source of the outbreak; however, a specific cause was never identified. 
In 2002, seven people became ill with ‘’E. coli’’ O157:H7 infections after visiting a large agricultural fair in Ontario, Canada. Outbreak investigators conducted a case-control study, which indicated that goats and sheep from a petting zoo were the source of the ‘’E. coli’’ among fair visitors. Other indications were that the fencing and environment surrounding the petting zoo could have been a source of transmission. 
What is believed to be the largest ‘’E. coli’’ O157:H7 outbreak in Oregon State history occurred among attendees at the Lane County Fair in 2002.  An Oregon Department of Human Services – Health Services investigation led to the belief that the ‘’E. coli’’ outbreak originated from exposure in the sheep and goat barn. In all, 79 people were confirmed ill with ‘’E. coli’’ infections as part of the outbreak; 22 were hospitalized, and 12 suffered HUS. 
In 2003, fair visitors and animal exhibitors at the Fort Bend County Fair in Texas became ill with ‘’E. coli’’ O157:H7 infections. An outbreak investigation led to the determination that 25 people had become ill with ‘’E. coli’’ infections after attending the Fort Bend County Fair; seven people were laboratory-confirmed with ‘’E. coli’’, and 5 developed HUS or TTP (Thrombotic Thrombocytopenic Purpura). Investigators isolated a strain of ‘’E. coli’’ indistinguishable from the outbreak strain from four animal husbandry sites, and found high levels of ‘’E. coli’’ contamination in both rodeo and animal exhibit areas. 
In 2004, a large ‘’E. coli’’ O157:H7 outbreak occurred among visitors at the 2004 North Carolina State Fair. During its investigation into the outbreak, the North Carolina Department of Health and Human Services (NCDHHS) received over 180 reports of illness, and documented 33 culture-confirmed cases of ‘’E. coli’’ O157:H7 associated with attendance at the fair, with 15 children developing HUS. In its final investigation report, NCDHHS concluded that the North Carolina State Fair ‘’E. coli’’ outbreak had originated at a petting zoo exhibit. The conclusion was supported by a case-control study, environmental sampling, and laboratory analysis of samples collected from the fair and members of the outbreak. 
In 2005, a petting zoo that exhibited at two Florida fairs and a festival was traced as the source of an ‘’E. coli’’ O157:H7 outbreak. Sixty-three people who had visited either the Florida State Fair, the Central Florida Fair, or the Florida Strawberry Festival reported illness to investigators for the Florida Department of Health, including 20 who were culture-confirmed and 7 with HUS. A case-control study revealed that illness was associated with exposure to a petting zoo exhibit present at all three events."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sir if your dentist is advising you to exact all your i would suggest you to take second opinion also .if all your teeth are really in bad condition and need to be extracted then i would suggest extract of your upper and lower teeth of one side at a time. first as a doctor i would suggest you to preserve your real teeth and extract them only in a condition they cannot be treated at all. regards chatbot."
Answer this question truthfully,"The pathophysiology of necrotizing fasciitis is common to all types of necrotizing fasciitis, but the speed of development and associated clinical features differs depending on the causative organisms. 
The transmission of pathogens occurs through the following routes:  
External trauma (e.g., laceration, abrasion, burn, insect bite) Direct spread from a perforated viscus (particularly colon, rectum, or anus) or another surgical procedure (e.g., vasectomy, hemorrhoidectomy) Urogenital organ Perirectal abscess Decubitus ulcer
Following transmission, the bacteria uses the entry site to invade the fascial planes which causes the wide spread necrosis of superficial fascia, deep fascia, subcutaneous fat, nerves, arteries, and veins. Superficial skin and deeper muscles are typically spared. In late stages, lesions develop liquefactive necrosis at all tissue levels.
Necrotizing fasciitis in neonate
Necrotizing fasciitis can be a serious complication of omphalitis in the neonate. The omphalitis may progress resulting in purplish discoloration and periumbilical necrosis. The necrosis may extend to the flanks and even onto the chest wall.
The pathogenesis of necrotizing fasciitis is the result of bacterial and host factors.  
Type 1 NF
The exact pathogenesis of type 1 necrotizing fasciitis is not fully understood. It is thought that type 1 NF is caused by polymicrobial species that work synergistically to enhance the spread of infection. Synergistic NF is comparatively slow process evolving over days. It usually develops in the area where gut flora breaches the mucosa, entering the tissue planes.
Type 2 NF
Group A streptococcus is the most common causative agent of type 2 NF.   Type 2 NF is initially insidious in onset but progress more rapidly.  The disease may appear spontaneously with no obvious focus. Hematogenous infection from many foci such as skin, throat, ascending vaginitis, primary peritonitis reaches the fascial layer or seeds vimentin exposed by muscle damage. Direct inoculation of GAS through wounds or associated surgery is less common. The pathogenesis of type 2 NF is the result of the following process:
Inhibition of phagocytosis of bacteria by hyaluronic acid capsule and M protein Adherence of bacteria to host cell through adherence factors such as M protein, protein F and lipoteichoic acid  Release of exotoxins (streptococcal pyogenic exotoxins and superantigen) into blood produce massive proliferation of T cells and cascading release of cytokines activating inflammatory process Activation of inflammatory process which begins to kill bacteria The streptococci release massive amounts of enzymes, hemolysins, DNAase, proteases and collagenases which destroy the normal skin and surrounding tissue with progressive coagulative necrosis The inflamed cells release more cytokines that stimulate more inflammatory cells The massive release of cytokines result in systemic inflammatory response syndrome resulting in shock, organ failure, depression of myocardial function and immune suppression Stimulation of T-cells by superantigen causes activation of complement pathway, the bradykinin - kallikrein system, and the coagulation cascade, worsening small vessel thrombosis and tissue ischemia. Tissue ischemia impedes oxidative destruction of bacteria by polymorphonuclear cells and prevents adequate delivery of antibiotics. The blood flow to local tissue is compromised due to thrombosis of large number of dermal capillaries by the local hypercoaguable state, platelet - neutrophil plugging of vessels and increased interstitial pressure
Nerves supplying the necrotizing areas of skin die, the central areas become anaesthetic and peripheral areas remain tender In later stages, infection from deeper layers ascends, producing edema of epidermal and dermal layers (peau d'orange) and a woody firmness of the tissues The fascial and nerve destruction results in sensory and motor deficits, which causes progression of hemorrhagic bulae to cutaneous gangrene
Recurrent necrotizing fasciitis
Recurrent NF is seen in following conditions: 
Methicillin resistant staphylococcus aureus (MRSA) Complement C4 deficiency
On gross pathology the characteristic findings of necrotizing fasciitis include: 
Subcutaneous emphysema Edema Erythema Bulae Skin sloughing Dull grey discoloration
By Nephron - Own work, CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=19107063
On microscopic histopathological analysis, the characteristic findings of necrotizing fasciitis are 
Early stages
Obliterative vasculitis with microangiopathic thrombosis Acute inflammation of subcutaneous tissue Superficial hyaline necrosis along with edema and inflammation of the dermis and subcutaneous fat Dense neutrophil -predominant inflammatory infiltrate
Late stages
Noninflammatory intravascular coagulation and hemorrhage Myonecrosis
By Piotr Smuszkiewicz, Iwona Trojanowska and Hanna Tomczak - Late diagnosed necrotizing fasciitis as a cause of multiorgan dysfunction syndrome: A case report. Cases Journal 2008, 1:125. doi:10.1186/1757-1626-1-125, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=5639655 By Piotr Smuszkiewicz, Iwona Trojanowska and Hanna Tomczak - Late diagnosed necrotizing fasciitis as a cause of multiorgan dysfunction syndrome: A case report. Cases Journal 2008, 1:125. doi:10.1186/1757-1626-1-125, CC BY 2.0, https://commons.wikimedia.org/w/index.php?curid=5639655"
Please summerize the given abstract to a title,"HLA, Immune Response, and Susceptibility to COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, thanks for your query. i appreciate your concerns. you have not mentioned whether there is swelling over face, within the abdomen; whether she has burning sensation while passing urine; passing less urine. from the details provided by you, have her kidneys checked up for chronic infection (called pyelonephritis); also, get a chest x-ray done for tuberculosis, and blood for malaria, as she has fever every day. i suggest that you get these investigations done and then consult a nephrologist (kidneys specialist) who knows what would be best for your mother. i am sure that you will benefit from the advicehave a speedy recovery and a good health chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi mysteryman123185. thanks for your questions. you are suffering from gender identity disorder where a male/female thinks his/her mind as opposite sex, and they attract with person of same sex. but actually why it happens nobody knows and we don't have any preventive measure for that neither we have any chatbot. the best therapy is psychoeducation or psychological counselling and that help a lot to cope up with the problem, so please visit a psychiatrist and tell your problem in detail, he will surely help you. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...it could be chatbot.  once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d
Please summerize the given abstract to a title,"A hierarchical spatio-temporal model to analyze relative risk variations of COVID-19: a focus on Spain, Italy and Germany"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. if i were your doctor, after a physical examination of your abdomen, i would advise you for a stool test for ova and cyst, a urine test to rule our a uti, a complete blood count, and an ultrasound of the abdomen if need be. till the reports come, i would advise you for an anti-spasmodic and a proton pump inhibitor chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please answer with one of the option in the bracket,E: Physostigmine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you mentioned you have pain and swelling of the knee. also, the painful area is behind the knee joint, it appears to me as the ligament injury. besides, if you have an arthritis it may lead to such pain and symptoms of swelling. i advise you to do the mri of the knee and expose the internal structures of the knee joint. which will help us look more deep into the knee joint. also, taking a physical therapy like - therapeutic ultrasound therapy and tens therapy will help you with relief of pain. if there is ligament injury confirmed on the mri then avoiding the knee bending for time being will be of choice. as to avoid further damage. also, to understand that if you have any vascular symptoms then a doppler will help look deep into the matter and the medical management will be guided accordingly. performing exercises at the later stages of life is of due importance to understand the needs of the muscle strengthening and functioning of the knee joint muscles. usually patients recover with 99%, as i have seen with proper conservative management. with the grace of god i wish you a speedy recoveryregardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting the query, i would suggest you to get an x-ray of the tooth piece left in the socket, according to your clinical symptoms i suppose that you might have developed an infection in the region which is radiating in the nearby tooth region giving you such feeling, also take course of antibiotics and analgesics, maintain a good oral hygiene, take lukewarm saline and antiseptic mouthwash rinses, take an appointment with oral surgeon and get the piece removed. hope you find this as helpful, take care!"
Please summerize the given abstract to a title,Anhaltende Fatigue als Folge einer COVID-19-Infektion bei Beschäftigten im Gesundheitswesen: Risikofaktoren und Auswirkungen auf die Lebensqualität
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history and possibility of tubal ligations, thyroid problem and period to be related to the pains. you have a pain in the lower abdomen on both the sides. intermittent and like a pressure. this can be due to colitis as both sides of the colon are usually affected. this may not be due to any problem with pregnancy as you already have tubal ligation. if the thyroid tests area normal, nothing to worry about. go for fresh thyroid tests to see if they are normal or not, if not you need to have change in the dosage. take a mild laxative to clear the large bowel, and you probably may be alright. if required you can have additional tests of blood, urine and stool and if still not helped by the medicines get colonoscopy nad ultrasonography done."
Answer this question truthfully,"In severe dysplasia or carcinoma in situ, the abnormal cells involve the entire thickness of the epithelium. This means that the abnormal cells have spread throughout all layers of the epithelial tissue, which is a serious condition that requires prompt medical attention. If left untreated, carcinoma in situ can progress to invasive cancer, which can be life-threatening. Therefore, it is important for individuals who have been diagnosed with severe dysplasia or carcinoma in situ to work closely with their healthcare provider to develop an appropriate treatment plan."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. swine flu is caused by influenza virus and there are so many types of insula virus are present because of antigenic variation in their genome. swine flu body develop immunity against virus when we got infected with swine flu but next time different influenza virus can cause infection. viral infection are usually acquired when host immune power is low. so you need to boost up immune level of your child. it can be done by taking multivitamin(complex, vitamin c, e etc.), zinc orally .give him good nutritious date, fruit juices .test hemoglobin level and if it is low iron therapy should be started .take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what i can infer from your complaints is that you have had a soft tissue injury to your hand. if the x-rays do not show any bony injury then most likely it will be a soft tissue injury of the hand. i would suggest you wait for one more week and if the pain increases then to recons ult your physician till that time you can take it easy. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,This that had been extracted from a patient suspected of a Hantavirus illness. From Public Health Image Library (PHIL).
Please summerize the given abstract to a title,"Comorbidities associated with mortality in 31,461 adults with COVID-19 in the United States: A federated electronic medical record analysis"
Answer this question truthfully,PiZ is the most clinically significant mutant allele for α1-antitrypsin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for your question and welcome to chatbot. i understand your concern. chest pain can be elicited by many origins. it can come from the coronary arteries, from linings within the rib cage, from lungs, the esophagus, the stomach etc. without further details, i would like to describe the angina. angina (pain originated by blockages in coronary arteries) is more described like a heaviness or tenderness or squeezing sensation in the mid-chest, rather than clear-cut pain. it then can spread to the jaw, left wing, shoulder and arm. this is more triggered by physical activity, but, when the blockage reaches critical measures and/or the atherosclerotic plaque is unstable, it can happen in more frequent episodes, with less physical activity and, even, at rest. furthermore, angina is the way of the heart to \""scream for help\"" because it is not getting enough oxygen and nutrient supply. this kind of pain, if it is angina, happening at rest, demands a coronary angiogram, to quantitatively assess the possible blockage within the coronary artery, and to plan a strategy for treating it (with stents, merely medication or coronary artery bypass grafting). after carefully assessing and discerning about what kind of pain is this, and if it would sound like angina to me, i would also recommend a coronary angiogram as soon as possible. of course, we only give recommendations. the choice is up to you. good luck. i hope i was helpful with my answer. take care. kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. fever indicates some kind of inflammation somewhere in the body. given your history and clinical condition, it most likely is emanating from the kidney/ urinary tract. not is always fever from infection, but it is the most common cause, so urinary infection or infection in the hematoma needs to be ruled out. i suggest you get repeat blood count (cbc), crp, kidney function tests (sodium, potassium, bun, creatinine), urine routine and urine culture at the earliest. you might need to start empirical antibiotics (unless you are already on one) until you get the results of the above. hemoglobin is probably low since you have had bleeding and possible infection as well. hope this helps. regards. rb"
Please summerize the given abstract to a title,"Clinical characteristics of 2019 novel coronavirus pneumonia and risk factors for severe cases: a meta-analysis involving 5,729 patients"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. most probably it is due to either a nerve compression at groin or in the spine. it is called neuralgia prosthetic. you need to see a neurologist to confirm the diagnosis and treat accordingly. i would recommend you to take tablet pregabalin and methylcobal daily at nighttime. make sure that your blood sugar is under control. steroid injection can be given if pain is also there. i hope these steps will be helpful for you. let me know if there is any other followup questions. thanks"
Answer this question truthfully,"Griseofulvin is contraindicated in pregnant patients. This is because griseofulvin has been shown to have teratogenic effects, meaning it can harm the developing fetus and cause birth defects. Therefore, griseofulvin should not be used in pregnant women unless the potential benefits outweigh the risks and there are no alternative treatment options available. In addition, griseofulvin may also be contraindicated in patients with certain medical conditions or who are taking certain medications, so it is important for healthcare providers to carefully evaluate each patient's individual needs and medical history before prescribing griseofulvin or any other medication."
Answer this question truthfully,"Principal cells are a type of cells in the collecting duct of the kidney that play a major role in Na+, K+, and H2O transport."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,The class of enzymes that cleaves nucleotides at the ends of a DNA strand is exonucleases.
Please summerize the given abstract to a title,On an innovative architecture for digital immunity passports and vaccination certificates
Answer this question truthfully,IgE (immunoglobulin E) is the serum immunoglobulin that is elevated in Churg-Strauss syndrome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. thyroid cancer can be diagnosed by fine needle aspiration cytology and ultrasound thyroid.  ultrasound of thyroid gives exact site and location of cancer, and it gives idea whether cancer has spread or not. treatment and prognosis depends on type and stage of cancer.  however, you should go for surgery.  it is required in all types. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from your question i can make out that you are suffering from acne and one of its side effects i.e. black spots (also called post inflammatory hyperpigmentation). i would 1st prefer to treat your pimples. once they get cleared, the dark spots can be taken care of. you can also use face wash solution in the morning and evening followed by application of darlene 0.1% cream at night and clindamycin gel in the morning over the pimples for about 1 month. once your face is cleared of pimples, you can apply comic acid containing cream over the dark spots twice daily and a broad spectrum sunscreen gel (not lotion as you have an oily skin) half an hour before getting out into the sun. thank you take care"
Answer this question truthfully,"Most patients have a normal, productive life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, smoking is an established risk factor for hair loss as nicotine is a vast constrictor and decreases circulation to hair roots. it is better to consult a dermatologist to rule out other causes of hair fall like male pattern baldness. there are different types of hair loss and prognosis depends on the type. in case of hair cycle disorders like halogen effluvium there is a good chance of hair regrowth, but in case of baldness a lot of follicles would have died, and early treatment will prevent further permanent damage. hope this helped, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorin first trimester back pain is very less likely, the reason may not be due to pregnancy, but this could be muscular pain, if the ante natal findings are okay then this is nothing to worry, you can manage this pain with any local analgesic cream, try to maintain good posture, you can even consult gynecologist for further instruction just for precaution looking to your history of miscarriage, hope this information helps, take care."
Please summerize the given abstract to a title,Incidence of COVID-19 in patients with rheumatic disease: is prior health education more important than shielding advice during the pandemic?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. after going through the information you have provided it seems that you have tina tricolor in which there is a non-itchy scaly rash chest, upper arms, shoulders, back.  it is a fungal infection and is seen in adolescent age group. treatment includes"
Answer this question truthfully,"T-cells primarily mediate cell-mediated immunity. Cell-mediated immunity is a type of immune response that involves the activation of T-cells to target and destroy infected or abnormal cells. B-cells, on the other hand, primarily mediate humoral immunity, which involves the production of antibodies to target foreign substances such as bacteria and viruses. T-cells play a crucial role in cell-mediated immunity by recognizing and attacking cells that have been infected with a virus, as well as cancer cells and cells that have been damaged or are undergoing apoptosis. There are several types of T-cells involved in cell-mediated immunity, including helper T-cells, cytotoxic T-cells, and regulatory T-cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. montage [montelukast sodium] are inhibitors of leukotriene which are important mediators of bronchial asthma.2. montage is indicated for prophylactic therapy of mild to moderate asthma but not to be used for terminating asthma episodes, i.e. in the acute phase, the goal of the treatment is to relieve the distress in breathing. in the later phase, step are to be taken to eradicate the disease. [where montage can be given]3. montage is a very safe chatbot.  since the said problem for the last 4 years, thus steps are to be taken to eradicate the disease or alleviate the symptoms, in ayurveda the problem is managed on the basis of \""panama rotas gandhi\""1. asthma is a psycho-somatic [mind-body disease] disorder, thus calming of mind is very important"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. what your kid is having is not a diarrhea and is only a gastronomic reflux. it is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. this need not be treated as diarrhea and especially antibiotics are not indicated. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have vasculitis. treatment depends on type of vasculitis. but overall most of the vasculitis required steroids or immunosuppressant chatbot.  you should go for ana and anna, c3 and esr level. it will help you find the exact type. then you should take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. if you are having pain while chewing, it can be pain of your jaw joint called as temporomandibular joint. to get it diagnosed you have to visit a dentist as for complete radiograph of the joint, which will show the area of infection. till then, you should take soft diet, and even give hot fermentation to the joint with some muscle relaxants once daily. hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have breast lump with pain. you may have fibroadenoma, fibroadenomas or fibrotic disease or some other mass lesion.  furthermore, you should go for fine needle aspiration cytology or biopsy and mammography.  it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Age-related slowing down in the motor initiation in elderly adults.
Please summerize the given abstract to a title,Traditional Chinese Medicine treatment of COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. looking to your history, i as a nephrologist understand your concern. slightly high potassium level require evaluation first about your diet and any medicines you are taking. check bp, basic urine report, s.creatinine, blood sugar and bicarbonate. diet restriction and potassium binding resins are usually sufficient for mild elevation. don't worry. pls mention exact value of potassium. i think this would be helpful to you. you can get back to me with above reports. best wishes. tc chatbot."
Please summerize the given abstract to a title,Outbreak dynamics of COVID-19 in Europe and the effect of travel restrictions
Answer this question truthfully,Type I muscle fibers are also known as slow twitch muscle fibers.
Answer this question truthfully,"Infants born before 30 weeks of pregnancy are at highest risk for such bleeding. The smaller and more premature the infant, the higher the risk for IVH. This is because blood vessels in the brain of premature infants are not yet fully developed and are extremely fragile. The blood vessels grow stronger after 30 weeks of pregnancy.
IVH is more common in premature babies who have had respiratory distress syndrome, high blood pressure, and other conditions. The condition may also occur in healthy premature babies who were born without injury. IVH may develop in full-term babies, but this is very uncommon.
IVH is rarely present at birth. If it occurs, it will usually be in the first several days of life. The condition is quite rare after 1 month of age, no matter how early the baby was born.
IVH falls into four groups, called grades. The higher the grade, the more severe the bleeding.
Grades 1 and 2 involve a small amount of bleeding and do not usually cause long-term problems. Grades 3 and 4 involve more severe bleeding, which presses on or leaks into brain tissue. Blood clots can form and block the flow of cerebrospinal fluid, leading to increased fluid in the brain (hydrocephalus)."
Please summerize the given abstract to a title,Guest Editorial Special Issue on the 2021 ISICAS: A CAS Journal Track Symposium
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  you are accepting that you have auditory and visual hallucination, you know that they are not there, when you feel. the intermittent headache may be due to the psychological problem, may be due to delay in the diagnosis.  i advise you to consult a psychologist for diagnosis and treatment before you have an advice of your surgeon for headache.  take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good health.  wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.",simply anemic and exhausted you are. iron rich diet and some hot water fomentation over back will help. occasionally may take analgesic tab but pl don't make it a habit. in ayurveda rohitakaishta + dashmularishta + lhasa in equal proportions will bring happy hrs back within two weeks to four weeks. it is safe and no side effects. may see ayurveda doctor to get more guidance. hope you get the hint to decide better.
Please answer the letter of option truthfully,A
Answer this question truthfully,Type 4 (hyperkalemic) renal tubular acidosis is the type that can cause high serum K+ levels.
Answer this question truthfully,"Optic glioma is the eye tumor that is characterized as a benign astrocytoma with eosinophilic inclusion bodies known as Rosenthal fibers.

Optic glioma is a type of brain tumor that affects the optic nerve, which is responsible for transmitting visual information from the eyes to the brain. It is most commonly diagnosed in children and young adults.

The presence of Rosenthal fibers, which are eosinophilic inclusion bodies, is a hallmark feature of optic glioma. These fibers are thought to be the result of abnormal protein accumulation within the tumor cells.

While optic glioma is generally considered a benign tumor, it can still cause vision loss and other complications if it grows and puts pressure on surrounding structures. Treatment options for optic glioma include surgery, radiation therapy, and chemotherapy, depending on the size and location of the tumor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for letting us know your health concern. i have gone through the query and would like to offer some suggestions. as the culture reported positive, your doctor would probably want to know the extent of involvement and plan a treatment regime accordingly. you have to avoid conception during this period. if your tubal function is normal and there is no endometrial involvement, you stand good chance of conception provided your ovarian function is not compromised due to the infection. please discuss with your health care provider and plan further management. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have fluid build up in legs/feet. as you mention that you have already been prescribed muscle relaxant and anti-inflammatory along with physical therapy. yes your can also take multivitamin supplement for quick recovery, gentle message will also be helpful. but you should concern your orthopedic surgeon before doing above procedure and before taking vitamin supplement. also, take proper rest, do not bend forward and avoid lifting heavy things. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,"Sandwiches, 6 Feet Apart: Reflections on Community (and Medical School) During COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for writing to usi will keep a most likely possibility of tina/fungal infection. patches of tines classically present as annular or circular lesions, which may be composed of red, raised bumps forming a raised margin with central clearing. the patches may grow bigger as they expand peripherally. itching and burning are a feature of fungal infection. a koh preparation made from the scale can be scanned under the microscope to look for fungal elements. that would be confirmatory. i suggest you to try an otc topical antifungal e.g. clotrimazole 1% cream, twice daily for 2-4 weeks. an otc oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from itching and burning sensation. if the lesion does not respond as expected you must review with a dermatologist. regards"
Answer this question truthfully,Vancomycin is the antibiotic that binds directly to the D-ala-D-ala sequence of bacterial cell walls.
Please summerize the given abstract to a title,mRNA-based vaccine candidate COReNAPCIN® induces robust humoral and cellular immunity in mice and non-human primates
Answer this question truthfully,"A mammography of breast cysts may display radio-opacities due to calcification of fluid within the cysts. This is because breast cysts are fluid-filled sacs that can sometimes become calcified over time, which can make them appear denser and more visible on a mammogram. While breast cysts are generally benign and do not require treatment, the appearance of calcifications on a mammogram may sometimes warrant further investigation to rule out the possibility of breast cancer. This may involve additional imaging tests or a biopsy to examine the tissue more closely."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, since you have missed your contraceptive pills for about ten days or more, the date of conception cannot be precisely predicted. may be, even if you are pregnant, you could have performed pregnancy test on urine too early. ideally pregnancy test on urine gives reliable results about ten days after missed period or three weeks after conception. you have another option to go for beta chatbot test. these tests are very sensitive and give reliable results even few days before missing a period. else, you may repeat pregnancy test on overnight morning first urine sample after about a week which will give you reliable results. it is likely that due to the irregularity in your pills, the menses regularity also is disturbed. if your reliable pregnancy test confirms that you are not pregnant, you may take tab. devilry for five days, you should get subsequent with chatbot.  i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctor chatbot. i would ask you get a koh wet mount from the scale, for a confirmatory diagnosis. if koh wet mount shows fungal elements, then you could apply a topical otc antifungal cream e.g. clotrimazole cream, twice daily for 4-6 weeks. an oral antifungal e.g. fluconazole 150\u00a0mg once weekly for 4-6 weeks is also advisable for a confirmed fungal infection. an otc antihistamine e, g cetirizine 10\u00a0mg once daily would help you in providing symptomatic relief from itching. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mentioned that you took azithioprim for 12 days and still positive. at present, you are taking cephalexin and levofloxacin for typhoid fever. positive cultures of blood, stool or other specimens are required for diagnosis. stool culture remain positive for 4-5 weeks and-in rare cases of chronic carriage -for > 1 year.however, tidal tests remain positive for > years even after one year of successful treatment. strain 1"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi kristy! thank you for choosing chatbot ! a 2-month-old baby usually requires only about 4 oz of milk every 3 hours so that's about 32 oz for the whole day. the milk requirement increases as he gets older. have you tried changing the nipple of your feeding bottle? sometimes it is too big or hard? you can try to give small frequent feeds because maybe he gets full easily. burp in between feeds to get rid of gas. you can also feed by demand. how is the weight gain of your baby? this is the best indicator that he gets enough milk and nutrients. if he is gaining well then there's nothing to be worried about. during check up, your doctor will monitor his weight, length and head circumference to make sure he is growing right for his age. hope i was able to help you. have a great day. sincerely, handle dulay-see, m.d. peditrician"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks from your details that you may be suffering from patellofemoral arthritis of knee. previous history of dislocation of patella may be an initiating factor for this. you should do following to have relief in this"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! my dear, whatever may happen never refer to yourself as ugly. beauty is a perception... and it's not always external.... ! dark color of your arms and legs could be due to harmful effects of sun. first and foremost always apply sunscreen. the right method of application is that apply liberally, 10 - 15 min before stepping out into the sun and re apply after 2-3 hours. a broad spectrum sunscreen such as uncross aqua gel will be good and non-sticky for a tropical climate. for lightening, you can try creams such as bolivia but considering it is a large body part it is usually not continent to apply creams. you can opt for chemical peels such as glycol or tca peels, for which your cosmetologist can guide you. at home, you can try a mix of gram flour(began) with milk, apply like a paste keep for 5 min and wash it off, you can do this 2-3 times a week and follow it with a moisturizing lotion. let me know the progress. take care best chatbot."
Please summerize the given abstract to a title,"Face masks, public policies and slowing the spread of COVID-19: Evidence from Canada"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand that you are extremely distressed by your symptoms. these intrusive violent or aggressive thoughts / images could be part of a psychiatric disorder called obsessive compulsive disorder (ocd). the important features of obsessions in ocd are that the person is able to realize that these thoughts are unwanted and intrusive, but despite attempts to stop these thoughts, they keep coming repetitively, leaving the person very distressed. however, you need a detailed psychological assessment in order to confirm this diagnosis, as well as rule out any other psychiatric disorder such as a psychotic disorder. so, i would advise you to seek professional help urgently - please consult a psychiatrist for a detailed evaluation and further treatment."
Answer this question truthfully,"Disorders of sleeping and waking can be grouped in four main categories:
Problems with falling and staying asleep (insomnia) Problems with staying awake (excessive daytime sleepiness) Problems with sticking to a regular sleep schedule (sleep rhythm problem) Unusual behavoirs during sleep (sleep-disruptive behaviors)
PROBLEMS WITH FALLING AND STAYING ASLEEP:
Insomnia includes any combination of difficulty with falling asleep, staying asleep, intermittent wakefulness and early-morning awakening. Episodes may come and go (be transient), last as long as 2 to 3 weeks (be short-term), or be long-lasting (chronic).
Common factors associated with insomnia include:
Physical illness Depression Anxiety or stress Poor sleeping environment such as excessive noise or light Caffeine Alcohol or other drugs Use of certain medications Heavy smoking Physical discomfort Daytime napping Counterproductive sleep habits: Early bedtimes Excessive time spent awake in bed
Disorders include:
Psycho-physiological insomnia: a condition in which stress caused by the insomnia makes it even harder to fall asleep Delayed sleep phase syndrome: your internal clock is constantly out of synch with the accepted day/night phases; for example, patients feel best if they can sleep from 4 AM to noon Hypnotic-dependent sleep disorder: insomnia that occurs when you stop or become tolerant to certain types of sleep medications Stimulant-dependent sleep disorder: insomnia that occurs when you stop or become dependent on certain types of stimulants
PROBLEMS WITH STAYING AWAKE:
Disorders of excessive sleepiness are called hypersomnias.
These include:
Idiopathic hypersomnia (excessive sleepiness that occurs without an identifiable cause) Narcolepsy Obstructive and central sleep apnea Periodic limb movement disorder Restless leg syndrome
PROBLEMS STICKING TO A REGULAR SLEEP SCHEDULE:
Problems may also occur when you do not maintain a consistent sleep and wake schedule. This occurs when traveling between times zones and with shift workers on rotating schedules, particularly nighttime workers.
Sleep disruption disorders include:
Irregular sleep-wake syndrome Jet lag syndrome Natural short sleeper (the person sleeps fewer hours than normal but has no ill effects) Paradoxical insomnia (the person actually sleeps a different amount than they think they do) Shift work sleep disorder
SLEEP-DISRUPTIVE BEHAVIORS:
Abnormal behaviors during sleep are called parasomnias and are fairly common in children.
They include:
Sleep terrors Sleep walking REM sleep-behavior disorder (a type of psychosis in which a person ""acts out"" dreams so violently that they may injure the person sleeping with them)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome, and thanks for sharing your concern i went through your query, and i feel, that there is less possibility that the electrocution would have caused all this, there could be other reasons and your investigations should be followed by proper examination. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Euglycemic Diabetic Ketoacidosis in a Patient With Gestational Diabetes Mellitus and COVID-19 Infection
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. congestive heart failure is failure of pumping action of heart. and 30% beating means his heart is working only 30% to pump out blood. so efficient pumping of body fluids is hampered in your husbands case. this causes fluid retention in dependent part of body like lower limbs, abdomen and lungs. when fluid accumulate in lungs, it is known as pulmonary edema. this is not a good sign. this indicates more worsening of heart function. along with this his pulse are also very low (32-50). which is again indicator of failing heart. so i advise you to consult cardiologist and get done repeat 2d echo to know heart function. he needs diuretic and cardio tropic chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per my surgical experience, the pain is related to possible gravels or calculation in the kidney or ureter; constipation may be in relation with intestine motility-related or else. though there is relief with plenty of liquids, it has turned back, which narrate the need for an ultrasound of the abdomen & pelvis to find out the cause and treat in accordance with that only. primary relief with cranberry sachet or pills and analgesic as dicyclomine or diclofenac if no history of chatbot.  hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,The caudad or lower part of the stomach is responsible for the strong contractions that mix food with gastric secretions.
Please summerize the given abstract to a title,The Influence of Triple Untung (Plus) Program and E-Samsat Implementation Towards Motor Vehicle Tax Compliance During Covid-19 Pandemic
help with obesity I would like help on my obesity problem and if I can get help,"The goal of obesity treatment is to reach and stay at a healthy weight. You may need to work with a team of health professionals - including a dietitian, behavior counselor or an obesity specialist - to help you understand and make changes in your eating and activity habits. All weight-loss programs require changes in your eating habits and increased physical activity. The treatment methods that are right for you depend on your level of obesity, your overall health and your willingness to participate in your weight-loss plan. Other treatment tools include: - Dietary changes - Exercise and activity - Behavior change - Prescription weight-loss medications - Weight-loss surgery"
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,UK COVID-19 lockdown: 100 days of air pollution reduction?
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, thanks for your on chatbot. i carefully read your query and understand your point of concern. from your post it is clear to me that your daughter is suffering from acne. it is often developed in puberty, usually acne is developed due to blockage in the hair follicle.  the possible causes of acne are-genetic factor hormonal cause, infection, stress, environmental factor, so tell your daughter don't worry it will go with time. my advice for her-do some exercise and meditation for maintain stress-free life, eat fresh vegetables and fruits, chatbot. hope it will help you, wish your daughters good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear dcschlichting, swollen lymph nodes under your chin does not necessarily mean that you have cancer. it could be because of your poor oriental hygiene. if your tonsils were removed, have they been subjected for histopathological examination. calcified lymph nodes will not get any change inspire of taking the variety of anti bionics. in case your physician is suspicious about these nodes you should get fine needle aspiration from the lymph nodes done. even direct biopsy of the suspicious pathological node is recommended as there are so many causes of lymph node enlargement and the main cause can be ruled out. consult your primary physician about it."
Please summerize the given abstract to a title,Loss of Apelin Augments Angiotensin II-Induced Cardiac Dysfunction and Pathological Remodeling
Please answer with one of the option in the bracket,E: Microcephaly and stridor
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. noted your history of large lump on the outside of thigh towards the top for more than a year. it is hard, does not move and painless. you should be worried as this is not a normal part of the body and i would advise you to get this removed for 2 reasons"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. here are few possibility.1. first if cough and fever present respiratory cause has to be ruled out like bronchitis or pneumonitis by chest x-ray. antibiotic might be needed.2. second it could be as part of viral respiratory infection like rhinitis or sore throat. symptomatic management done with more water and fruits.3. third your pain could be referred pain by acid reflux or ulcer like stomach condition. take omeprazole for few days for treating it.4. fourth it could be muscular strain related pain. analgesic is helpful. if still cause not clear pulmonary function test or bronchoscopy may be needed. i hope my suggestion will helpful to you
Please summerize the given abstract to a title,Enabling metagenomic surveillance for bacterial tick-borne pathogens using nanopore sequencing with adaptive sampling
Please summerize the given abstract to a title,Global Mortality Benefits of COVID-19 Action
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. the white patch over the tongue that can be scrapped off can be considered as thrush and not due to strep throat. it is possible that due to the throat pain, the child is not able to clean his oral cavity and tongue well and this is causing this candidiasis. i would advise you to visit a dentist for the clinical examination of the tongue and if candidiasis is confirmed, then treatment with prescription antifungals can be started. i hope this information helps you. thank you for choosing chatbot. i wish the child feels better soon. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,michele. very good noon from india. thanks for your query. i understand your concerns. i studied your query in depth.-i would advise you not to worry. in my opinion its -mostly-resolving lymphadenitis. i would not advise cat scan -as it's not indicated and cost-effective.-treatment -would be to consult an er surgeon.-tb-nsaids,-antibiotics for 5 days time. if it reduces and vanishes in 2 was time ok. -if it persists still, then excision biopsy and treatment accordingly for the chronic lympadenitis of neck-mostly-tb? scalp infection/ or lyme / would be started by the er surgeon and would take care of it.-hope this reliefs your worry-some query. welcome for any more queries in time to come. have a good day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query to chatbot.-i studied your query in depth and understood your concerns.-cause of the lump in rib are--in your case it is due to the -insect bite with bruise. treatment--diclofenac gel locally x 5 days-plz keep a watch for 1 wk more. it would go on its own. hope this would resolve your query. wellcome further for any query in this regard. wishing fast recovery. write a good review asap. have a good day."
Answer this question truthfully,"Brain tumors Brain infection Intracranial hypertension Anxiety Arthritis in neck or spine Degenerative bone or disk disease in the neck or spine Depression Temporomandibular joint disorders Drugs, such as nitrates Alcohol Environmental changes, such as changes in barometric pressure and altitude, inclement weather, or high winds."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for your question... you have been taking a combination of medication - including a sedative, anti-depressant and mood stabilizer. your current symptoms may be due to two possibilities - discontinuation / with chatbot.  it is definitely not advisable to suddenly discontinue medication without the advice of a doctor. so, i would advise you to visit your psychiatrist and continue medication and discuss your difficulties with him and decide on further management options. wish you all the best. -"
Answer this question truthfully,The likely diagnosis for the patient's condition is Biliary cyst.
Please summerize the given abstract to a title,Inhibition of Anti-viral Stress Granule Formation by infectious bronchitis virus endoribonuclease nsp15 Ensures Efficient Virus Replication
Please answer with one of the option in the bracket,D: Rupture of an emphysematous bleb
Answer this question truthfully,"No, cherry hemangiomas do not typically regress or go away on their own. These small, benign growths on the skin are made up of blood vessels and tend to persist over time. While they are usually harmless and do not require treatment, they may become irritated or bleed, which may prompt individuals to seek treatment. Various treatment options are available, including laser therapy, electrosurgery, and cryotherapy, but these are typically done for cosmetic reasons rather than medical necessity."
Please summerize the given abstract to a title,Influence of COVID-19 pandemic on local construction firms' viability
Please summerize the given abstract to a title,"Excess all-cause mortality during the COVID-19 pandemic in Europe – preliminary pooled estimates from the EuroMOMO network, March to April 2020"
Answer this question truthfully,Paget disease of bone is the most common cause of isolated elevated alkaline phosphatase in patients over 40 years old.
Answer this question truthfully,"The shiga-like toxin (SLT) of Enterohemorrhagic E. coli kills enterocytes. Enterohemorrhagic E. coli (EHEC) is a type of bacteria that can cause severe gastrointestinal illness, including bloody diarrhea and hemolytic uremic syndrome (HUS). The shiga-like toxin produced by EHEC is one of the main virulence factors that contribute to the pathogenesis of the infection. The toxin binds to receptors on the surface of enterocytes, which are the cells that line the intestinal tract, and causes damage to their cell membranes. This can lead to cell death and disruption of the normal function of the intestinal barrier. Understanding the mechanisms by which EHEC causes disease can help in the development of effective treatments and prevention strategies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your treatment giving doctor i would like to tell you that all the treatment you have taken is right, there is a probability that the bite wound is infected. it is requirement of the antibiotic to be added. i think you should think for the definite tablet. take all the rest medicines as you are taking. if you want to ask anything you can ask me. thank you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,"Symptom Profile of Hospitalized, Adult Patients with COVID-19 - Findings from COVID-Net Database"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot do you get relief after taking the medicine. you need to avoid spicy food, hot or hard food. try to eat cool softer food like yogurt, fresh fruits and green leafy vegetables.  chatbot.  do not lie down immediately after a meal, rather lie at a 45-degree angle from the bed for 2 hours and then lie down flat after that. you could be suffering from gastritis which may have involved esophagus, so it would be wise to get an upper gi endoscopy to confirm if there is any ulcer also. in such cases specific antibiotics may be given to cure you. avoid smoking,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear thanks for your query at chatdoctorsting bite of insect will persist for some time pain and itching will also take some to decrease. there is no need for steroids, you cannot start steroids on your own without consulting doctor they can severely side effects if not taken properly. you can continue ibuprofen for pain. take tab levocetrizine 5 mg in night that will decrease itching.no need for any other medication unnecessarily. reagrds"
Please summerize the given abstract to a title,The human box C/D snoRNA U3 is a miRNA source and miR-U3 regulates expression of sortin nexin 27.
Answer this question truthfully,Bupropion is an antidepressant medication that is often prescribed for patients with depression who do not want to experience sexual side effects.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, very likely what you are experiencing are panic attacks as these may happen when starting central plus but should settle in the next 1-2 weeks. on the other hand, because central (citalopram, one of the ingredients) may cause problems with the heart rhythm, it is best to let your doctor know about your symptoms and have an ecg to make sure your heart is fine. i hope this answers your query. i remain at your disposal for further medical assistance."
Answer this question truthfully,"Colon cancer should be suspected in postmenopausal women, any man with an iron-deficiency anemia, or any aged patient with a change in stool caliber."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you told that block is only on right side, i think it is possible for you to get pregnant because there are two tubes. but you will need some medical support for that. first you will need some tests like amh and an ultrasound to see for your follicles. then you can go for ovulation induction in which medicines will be given for growth of your eggs. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. nocturnal emissions are not a disease. 1st you have to be clear by mind. night fall occur due to excess in amount of semen in scrotum. semen production occur in scrotum 24 hourly and stored in it. if you are not sexually active bt sex or by masturbation then semen will come out automatically in night while we chatbot. so it is normal and physiological process. it will disappear when you are sexually active and started sex or masturbation. read more about that. do not think about it, and it will do not cause any harm. so relax. still have a query then feel free to ask. happy to help you further. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! i have gone through your question and i understand your concern. i would say that what you prescribe it may be a hypertension(hbp.) but sometimes the blood pressure gets high when the patient are going through a stressful situation , this is often when the patient experience one time in a while and associated with anxiety situations. sometimes the intake of too much salt or calcium or being overweight can cause high blood pressure. i would advise you to measure your daughter s blood pressure 3 times a day (different times a day when she is relaxed) for one week and register the results. if the result is high blood pressure more than 140"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. she seems to be suffering from some psychiatric illness. the information provided is not sufficient and needs further information. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Please summerize the given abstract to a title,Behavioural insights and attitudes on community masking during the initial spread of COVID-19 in Hong Kong
Please summerize the given abstract to a title,Exposure and Aversion to Human Transmissible Diseases Predict Conservative Ideological and Partisan Preferences
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. question 1"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thereafter going through your query i would like to tell you that the normal recommended range for normal blood pressure is up to 140/90 mmhg. so your bp is very slightly deranged which can very well be controlled just by following healthy lifestyle habits like
Answer this question truthfully,"Risk factors for the development of cholera include:
Exposure to contaminated or untreated drinking water Living in or traveling to areas where there is cholera Displacement of large numbers of people following a natural disaster (e.g., earthquakes, hurricanes, refugee camps, etc.)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am glad that your grandson is already 3 years and 6 months. milk as such is no problem. you can give him fresh cows milk pasteurized because one has to avoid infections with bacteria like salmonella which causes diarrhea. in this case you can also give pedicure. regarding foods to be avoided, some homework has to be done because main management is to avoid lava beans, sometimes touching may also precipitate some hemolysis. my advice to look at all food labels and compare with a list which you can download from internet and hang it on the fridge for ready reference ------alternatives are always available. also check out how severely deficient your grandson is with a pediatric hematologist. good news is as they get older and have at least 50% of total enzyme not many hemolytic episodes reported."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","white patches may indicate leukoplakia, a potentially malignant condition. erasmus (limited mouth opening) can be due to submucosal fibrosis due to prolong exposure to tobacco or due to a tumor which may have infiltrated the muscles and joints responsible for mouth opening. you need to see an oro-maxillofacial surgeon for a biopsy of white patches and a ct scan imaging from base of skull to root of neck. please discuss it with your treating doctor."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi....your kid falls into the criteria or definition of recurrent pneumonia. if i were your pediatrician i would definitely consider working up your kid immune deficiency. cough and cold can be viral in 95% of the times. it does not necessarily mean that it is pneumonia. but if the kid developed any of the below-mentioned signs or symptoms, then take him to the nearest emergency room immediately.1. fast breathing.2. bluish discoloration of fingertips or lips.3. high grade fever.4. breathlessness.5. inability to feed.6. altered sensorial or consciousness. regards -"
Answer this question truthfully,The pericardial cavity is a space that lies between the parietal and visceral layers of the serous pericardium.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi! welcome to chatbot! glad to know that your sister is responding effectively to the cancer chemotherapy. it appears that your sister has accumulated large amount of fluid into her abdomen. this is known as ascites. the procedure that is done to remove the excess of fluid from the abdominal cavity is known as paracentesis or ascetic tapping. wishing your sister a speedy recovery from her present illness. regards!
Please summerize the given abstract to a title,A preparedness model for the provision of oral health care during unfolding threats: the case of the covid-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. read your history about tampon and ms and the problems now you are suffering from. if the tampon is sterile, it may not cause a big problem. this might have caused a minor infection. the smell in fact can be due to infection, and you already have been under tablet cipro. this should take care of both the infections. i would advise further"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. any stage 4 cancer has poor prognosis and survival around 6 months only. but kidney cancer if not spread in multiple portions to lungs or bones or liver, then targeted molecular therapies are available to keep cancer in control, although it is not curable. so it depends on type of cancer, whether surgery done for kidney or not, response to targeted therapy, his performance status to tolerate therapy etc. if all are good you can expert more than 6 months... probably a couple of years..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. as far as the quality of your semen, the physical findings and count are adequate except the motility of the sperm which is grossly inadequate. some other findings were missing in your semen report like abnormality of sperms, and the presence of pus cells and rbc's etc. they also equally important finding. abnormality, anti-sperm antibodies, reproductive tract infection, varicocele,epididymitis, hormonal variations are some of the findings which can cause the poor motility of the sperms. just vitamins and anti-oxidants alone are not adequate to improve the quality of the sperms. find out exact cause of the astheno-spermia and treat the same will be beneficial. regarding your wives treatment, without knowing her examination and investigatory reports i can not give opinion about the treatment. if you consult a urologist or an infertility specialist they will guide you better.  chatbot. morgan"
Please summerize the given abstract to a title,Assessment of airborne transmission from coughing processes with thermal plume adjacent to body and radiators on effectiveness of social distancing
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in my opinion, we should definitely rule out hypertension for your symptoms. hypertension can cause sudden blackout, giddiness, headache etcetera. so consult a doctor and get done blood pressure monitoring, ecg and 2d echo. if all these are normal then no need to worry about hypertension and other heart diseases. sometimes undiagnosed stress and anxiety can also cause similar symptoms. so, avoid stress and tension, be relaxed and calm. don't worry, you will be alright with all these. but the first rule out hypertension. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms of your girl seem to be related to a viral rash. i suggest using anti-inflammatory medication such as acetaminophen to treat the fever. i also suggest using a mild steroid cream calamine lotion for local application. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. smoking is known cause for lung cancer. but it is not the only cause.non-smokers after the age of 50 years are also at risk of lung cancer. your lung nodule is increasing in size from 7 mm to 1.7 cm in 3 months. this is said to be rapidly growing. so possibility of malignant lung nodule is very high. pet scan is more informative than ct for cancers. so get done pet scan. if it is malignant then lobectomy is advisable. and believe me, lobectomy in early lung cancer has excellent results, near normal life. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"One possible treatment for a growth hormone adenoma is a somatostatin analog, such as octreotide."
Please summerize the given abstract to a title,A nanotechnology-foresight perspective of South Africa
Please summerize the given abstract to a title,Building knowledge of university campus population dynamics to enhance near-to-source sewage surveillance for SARS-CoV-2 detection
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. please be specific. what is the erect size of your penis? you must understand size seldom matters. even a two-inch-long erect penis can provide complete pleasure to any woman across the world because the vagina has pleasure endings only up to two inches from vagina opening. your lack of penis strength during erection must have been caused by your apprehension and anxiety about the length of your penis and general sexual anxiety. you should not indulge in sexual activities for a week. read as many articles as possible and understand the given clarifications. then you can have renewed sexual relationships. your problem will be solved. please consult a psychologist for counseling. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,The recommended treatment for superficial thrombophlebitis is mild analgesic medication.
Please summerize the given abstract to a title,COVID-19 Serosurveillance May Facilitate Return-to-Work Decisions
Please summerize the given abstract to a title,Loneliness and mental health during the COVID‐19 pandemic in older breast cancer survivors and noncancer controls
Please summerize the given abstract to a title,Transcranial Doppler ultrasound findings in children with moderate-to-severe traumatic brain injury following abusive head trauma
Please summerize the given abstract to a title,Contactless temperature sensor using ARDUNIO
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  first i need to know what exactly was her heart rate at the time of seizure. a mild elevation in heart rate and be made voluntarily, but extreme fast heart rate means she is not doing it by herself.  also observe her when she is alone without coming to her notice. if any time she gets seizure when she is unaware that she is being observed then it means that she is not faking it. also observe her eyes at the time of seizures.  for the time being let us assume that she is making it by herself. in that case it is due to some psychological problem which requires to be tackled by a psychiatrist. so for the time being got a psychiatrist consult. hope this information was useful to you. any clarifications feel free to ask. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Traditional Chinese medicine in the Chinese health care system
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes it is effective in such condition. based on the history you seem to have developed neuropathy apparently caused by fracture of the zygotic bone. nurokind-g is a combination of gabapentin and vitamin b-12 commonly prescribed to treat such condition, and it is found to be effective. generally well tolerated however it may cause dizziness, chatbot.  continue taking it as prescribed and because it may cause with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome, and thanks for sharing your concern i went through your query, and i feel, your concern has value, old healed tendons can rupture after long period, or other causes of pain include synovitis of the joints, seeing a hand surgeon will help you the most. so take rest and consult a hand surgeon. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. thanks."
Answer this question truthfully,"Neuroblastoma is associated with a number of syndromes that include:  
Neurofibromatosis type 1 (von Recklinghausen disease) Beckwith-Wiedemann syndrome DiGeorge syndrome Hirschsprung disease Hutchinson syndrome Pepper syndrome"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for writing in regarding your stool it is always better to get it examined to rule out any infection or worm infestation as your primary issue is itching regarding itching in other parts of the body if there is no local lesion it would be better if you try taking an antihistamines also manage your stress levels as it will also help resolve these issues hope this helps do write back in case of concern
Please summerize the given abstract to a title,Patient and surgeon comfort in vitreoretinal surgery performed with Sub-Tenon's Anaesthesia.
Please answer with one of the option in the bracket,B: Fasting serum gastrin level
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have uterine fibroid. no chatbot.  surgery is the only treatment of choice. if your family is completed then you can go for hysterectomy.  if you want to preserve that then you should go for mastectomy. consult your doctor and plan accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sir / madam, thanks for writing in to chatbot. firstly, since you have been having a history of hypotension, it is advisable to consult a cardiologist for cardiac evaluation"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for posting your query. too much masturbation can't cause any detrimental effects to your penis and doesn't really lead to a decrease in the size of the penis. however, it can make you extremely fatigued and lead to a premature ejaculation. if you're healthy, without any chronic medical disorder, for example, diabetes, you don't have to be worried about the size. its better you avoid any sexual activity or masturbation for a couple of weeks and then look for improvement. if it is still not getting resolved, you need to get a health check up to find out if anything is wrong with you. hope that answers your query. regards"
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,welcome with your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, you mostly seem to suffer from-pulmonary tb? lung cancer? as he is 60 yrs old. these possibilities need to be ruled out by bronchoscopic (fiber optic)examination with bronchial lavage to detect the tb organisms or cancer cells. high esr and low he % suggests both these possibilities for this age of your father. key to fix the cause would be bronchoscopic lavage testing. hope that, this reply would help you to plan further treatment soon with your treating doctors. best of luck and early recovery. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist"
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have developed an irritant reaction to the prescribed medicine. this could be due to overzealous application of the chatbot.  kindly withhold application of these creams for a while and apply a steroid cream as well as soothing moisturizer. once the redness and itching subsides, the treatment for pigmentation can be re introduced. consult a dermatologist so that the pigmented area can be examined and further treatment be advised. don't lose heart, your skin will definitely improve. take care."
Answer this question truthfully,"The characteristic feature of vasospastic angina is transient ST elevation. Vasospastic angina, also known as Prinzmetal's angina or variant angina, is a type of angina pectoris that occurs when the coronary arteries constrict or spasm, reducing blood flow to the heart muscle. This can cause chest pain or discomfort, shortness of breath, and other symptoms. During an episode of vasospastic angina, there may be transient ST elevation on an electrocardiogram (ECG), which is a graphical representation of the heart's electrical activity. This ST elevation typically resolves once the vasospasm has been relieved, which can occur spontaneously or with the use of medications such as nitroglycerin. Other features of vasospastic angina may include a normal or near-normal coronary angiogram, meaning that there are no significant blockages in the coronary arteries."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, kidney disease is broadly classified as two types. acute kidney injury and chronic kidney disease. in aka, the chances of long term dialysis is less and patient recovers with time with normal kidney function. but in ckd, patient is on regular hemodialysis for long time or frankly say for lifetime. in that condition, we should consider kidney transplant. because dialysis is not a cure, it only prolongs the life expectancy along with some patient well-being. so for permanent cure, you have to think about kidney transplant. but kidney transplant is not so easy process. before it a battery of investigations are done to find out how is the risk benefit ratio. if all important factors are favorable then we proceed for transplant. in your case, one major risk is heart so first cardiologist asses the heart function, and then he will tell you about how risky is this process?there is no specific criteria for creatinine level for transplant. if creatinine level is stable without dialysis and patient has no symptoms then better you can wait for transplant. but if he needs regular dialysis to control creatinine level then better you think for transplant. heart failure patient can be taken for transplant if he has good ejection fraction. so you can go for kidney transplant if he has ckd with good ejection fraction of heart. thank you"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Effect of IBV D1466 on egg production and egg quality and the effect of heterologous priming to increase the efficacy of an inactivated IBV vaccine
Please summerize the given abstract to a title,Effects of Non-invasive Brain Stimulation on Multiple System Atrophy: A Systematic Review
Answer this question truthfully,Kawasaki disease is classically affected by Asian children who are under the age of 4 years old.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some dysplasia changes or hyperplasia. chances of skin cancer is less likely at your age. still you should go for biopsy of that lesion once. it will give you exact diagnosis whether it is skin cancer or some other lesion then you should take treatment accordingly. treatment of skin cancer is excision followed by radio or chemotherapy according to type. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, they are considered safe for the fetus. both progesterone and proton are synthetic forms of female hormone progesterone which is commonly prescribed during early pregnancy which supports and helps in maintaining normal pregnancy. it is mainly used to prevent miscarriage and preterm delivery. it is considered to be safe for your unborn baby. proluton depot injection is used to prevent premature labor in pregnant women in order to reduce the risk of giving birth too early (preterm birth). it prevents miscarriage and lower the risk of premature birth in women who have had one premature delivery in the past. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,Thiamine pyrophosphate (B1) acts as a cofactor for the enzyme branched-chain ketoacid dehydrogenase in amino acid metabolism.
Answer this question truthfully,"In HIV patients, a PPD test is considered positive if the induration size is greater than 5 mm. The PPD test is used to screen for tuberculosis (TB) infection, and HIV-positive individuals are at higher risk for developing TB due to their weakened immune system. However, a positive PPD test does not necessarily mean that the individual has active TB disease, and further testing and evaluation may be needed to confirm the diagnosis. In addition, HIV-positive individuals may have false-negative PPD test results due to their weakened immune system, so other diagnostic tests may be needed to assess for TB infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand your concern for your son. if your son has received all the vaccines up to age of 2 year, he should have received 2 shots of measles which will give adequate immunity with efficacy of 95%. this means chances of having measles is very less. over and above, it's extremely rare to have measles without fever. the rash on the forehead should be due to some other reason like sun burn, seborrhea dermatitis or something else. cough and running nose may be due to some viral infection or allergy. hope this will be helpful. please let me know if you have any further questions. take care."
Answer this question truthfully,"Passive immunization (this type of immunization provides immediate protection against a particular pathogen, as the transferred antibodies are already present in the body and can quickly neutralize the pathogen before it can cause harm)."
Please summerize the given abstract to a title,Pilot trial of a self-compassion intervention to address adolescents' social media-related body image concerns
Answer this question truthfully,Sleep apnea often presents clinically with daytime sleepiness.
Please summerize the given abstract to a title,"Physical activity, screen exposure and sleep among students during the pandemic of COVID-19"
Please summerize the given abstract to a title,The ‘team of 5 million’: The joint construction of leadership discourse during the Covid-19 pandemic in New Zealand
Answer this question truthfully,"Risk factors include a history of:
AIDS Excessive alcohol use Pulmonary tuberculosis Weakened immune system"
"If you are a doctor, please answer the medical questions based on the patient's description.","i am sorry to say that this is not the right treatment protocol for endometrial cancer. normally, the first step in the treatment of endometrial cancer is surgery. if this we remove the uterus, both tubes, both ovaries, bilateral pelvic nodes and take a number of samples from various parts of the abdomen. we also take washings from the abdomen surface and send it for cytology testing. this is called a staging laparotomy as this not only is part of the treatment, it also gives the exact stage of the cancer. depending on the final stage that comes after surgery, she may require postoperative radiotherapy. there is nor role of chemotherapy in endometrial cancer except in the last stage for palliation. you can visit nccn.org and see for yourself. i suggest you change your oncologist."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... noted here all his symptoms is because of depression... stress induce panic attack can lead dyspnea... you have to try to fill his brain with positive thoughts..... motivate him in study and work.... endulge him in some activity like sport. avoid situation that lead stress. if needed behavioral therapy given by psychiatrist..... antidepressant chatbot. . enough sleep and exercise taken.... take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","your pain seems to be that of stones in the ureters (the pipes that chatbot.  the pain that you have described is typical of ureteric stones. in order to confirm this you need to get an ultrasound abdomen and x-ray pub (kidney ureter bladder). get these done fasting in the morning. in the evening before take 2 dulcolax tablets and 4 activated charcoal tablets, so your bowels are empty. your problem does not seem to be related to bowel. treatment of the stones if they are found will depend upon a number of factors including site size."
Answer this question truthfully,"People with diabetes face special skin challenges. Because diabetes affects the capillaries, the small vessels which feed the skin its blood supply, thickening of the skin increases the difficulty to supply nutrients to the skin. Additionally, the shear and pressure forces that cause corns and calluses may tear the capillaries, causing bleeding within the callus or corn.
Often, bleeding within the calluses is an early sign of diabetes, even before elevated blood sugars. Although the bleeding can be small, sometimes small pools of blood or hematoma are formed. The blood itself is an irritant, a foreign body within the callus that makes the area burn or itch. If the pool of blood is exposed to the outside, infection may follow. Infection may lead to ulceration. Luckily, this process can be prevented at several places, but such infections can become life-threatening. Diabetic foot infections are the leading cause of diabetic limb amputation."
Answer this question truthfully,"The treatment options for a glucagonoma include octreotide (a somatostatin analog) or surgery. A glucagonoma is a rare type of neuroendocrine tumor that produces glucagon, a hormone that regulates blood sugar levels. Symptoms of a glucagonoma may include skin rash, weight loss, and high blood sugar levels. Octreotide is a medication that can help control the symptoms of a glucagonoma by inhibiting the production of glucagon. It is usually given as an injection under the skin. Surgery is another option for treating a glucagonoma, especially if the tumor is large or has spread to other parts of the body. The type of surgery will depend on the location and size of the tumor. In some cases, a combination of octreotide and surgery may be used to treat a glucagonoma. The choice of treatment will depend on the individual patient's condition and the extent of the disease."
Please summerize the given abstract to a title,A Study on the Current Situation of Prearranged Shelter Management in Japan for Making a Standard Operation Procedure
Answer this question truthfully,"The femoral nerve arises from L2-L4 nerve roots and provides sensory innervation to the anterior thigh and medial leg, as well as motor innervation to the quadriceps, iliopsoas, pectineus, and sartorius muscles."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your x-ray findings are more in favor of tuberculosis. tb infection is most commonly seen in upper lobes. actually tb bacilli grow more in upper lobes due to high oxygen in upper lobes. so any infiltration in the upper lobes must be first investigated for tuberculosis. so possibility of tb is high in your case. so consult pulmonologist and get done clinical examination of respiratory system, sputum examination for afb (acid fast bacilli-bacteria causing tuberculosis), ct thorax and bronchoscopy if needed. you may need anti-tubercular chatbot.  minimum duration of 6 months is required. so better to first confirm tuberculosis by above-mentioned investigations and then start appropriate anti-tubercular"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting on chatbot. unfolding of aorta is x-ray finding which suggests that there might be aortic aneurysm. but nowadays with recent advances like 2d echo it can be easily picked up. regarding positive treadmill test, it suggests there might be a chance of you having some blockage in artery(s) of your heart. further workup will include a 2d echo study, if that also picks up some changes, your cardiologist might ask you to undergo a coronary angiogram which will visibly show any blockage if at all present and depending on the severity he might decide about doing angioplasty or not. i hope i answered your query well. thank you"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. understood your problem
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thanks for the query. odds are very small, but there are scientific data which confirm that estrogen does increase risk for breast cancer. this is very small increase, but this is the fact. also, it can cause blood clotting disorders. however, it is considered that benefits of estrogen are much higher than bad effects so if there is indication for it, it should be used. wish you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. sorry to say but after the age of 21 years, height can not be increase. there is growth plate at the end of each long bone. between the age of 18-21 years, this growth plate fuses with main bone. so after the age of 21 years, further growth of bone is not possible, so increase in height is also not possible. in your case, you should try weight loss, so that you look tall. so follow strict dieting and exercise schedule with guidance of dietician and physiotherapist. don't worry, once you lose weight, you will look tall. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Patients with Brugada syndrome should immediately be transported to the hospital if they suffer from cardiac arrest. Patients should seek medical care when there are symptoms such as syncope, seizures, or shortness of breath."
Answer this question truthfully,"The standard treatment for lichen simplex chronicus is high-potency topical corticosteroids, sometimes in combination with antihistamines.

Lichen simplex chronicus is a skin condition that is characterized by thick, scaly patches of skin that are often itchy and inflamed. The primary treatment for this condition is the use of high-potency topical corticosteroids, which can help reduce inflammation and itching. In some cases, antihistamines may also be prescribed to help relieve itching and improve sleep. Other treatments that may be used include topical calcineurin inhibitors, which can help reduce inflammation and itching without the side effects associated with corticosteroids, and phototherapy, which uses ultraviolet light to help reduce inflammation and itching. It is important to seek medical advice if you suspect you may have lichen simplex chronicus, as prompt treatment can help relieve symptoms and improve quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. based on your symptoms, you seem to be suffering from cough syncope and not seizures. in this condition, during bouts of cough, the blood supply to brain is reduced, resulting in transient loss of consciousness. once your cough is treated, you would stop having these episodes. in the meanwhile, when you start coughing, you should lie down, which would prevent the loss of consciousness. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"The insulin-like growth factor (IGF) receptor has tyrosine kinase activity, which is similar to the insulin receptor."
Please summerize the given abstract to a title,Opinions about coronavirus vaccination ­ the role of healthcare workers in communication in December 2020/ A koronavírus elleni védooltással kapcsolatos vélekedések - az egészségügyi dolgozók szerepe az ismeretek átadásában 2020 decemberében
"If you are a doctor, please answer the medical questions based on the patient's description.","hello fatty liver is a reversible condition. it can be reversed by diet and lifestyle changes. most commonly it is due to obesity and sedentary life. it is also related to alcohol intake etc.reception is a multivitamin and there is no harm in taking it, but it is not expected to reverse fatty liver. you should try to lose your weight if you are overweight. you should be active in your daily life and avoid red meat and high fat milk products. cook food in olive or canola oil. you should also avoid fried and junk food. take a lot of fruits and vegetables and increase your physical activity in the form of walking and exercise. these are the best way to reverse fatty liver. take care chatbot."
Answer this question truthfully,"Common causes for torsades de pointes include hypomagnesemia and hypokalemia. It is commonly seen in malnourished individuals and chronic alcoholics. Drug interactions such as erythromycin or Avelox, taken concomitantly with inhibitors like nitroimidazole, diarrhea, dietary supplements, and various medications like methadone, lithium, tricyclic antidepressants or phenothiazines may also contribute to causing torsades de pointes."
Please summerize the given abstract to a title,Impact of COVID-19 on tuberculosis notifications in Blantyre Malawi: an interrupted time series analysis and qualitative study with healthcare workers
Please summerize the given abstract to a title,The role of vegetative cell fusions in the development and asexual reproduction of the wheat fungal pathogen Zymoseptoria tritici
Please summerize the given abstract to a title,When smokers move out and non-smokers move in: residential thirdhand smoke pollution and exposure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is important to know what tumor your relative is having and the stage of cancer. most testicular tumors are of a group known as seminole and this is the most widely occurring tumor. seminole has a good cure rate if detected early and this shows good response to treatment in patients. there is another group of testicular tumors known as non seminomatous germ cell tumors and this group has many sub tumor types.  they tend to be more aggressive than seminoles and invasion is common. the prognosis of non-seminomatous germ cell tumors is variable and depends on the biological behavior of individual tumors. prognosis can be inferred from tumor markers, location of the primary tumor and of course presence of metastases. treatment at any cancer research institute is recommended depending on his location. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i would suggest you to best consult a skin specialist or a dendrologist to know more about your problem. treatment for chlamydia infection is doxycycline 100 mg bd for 10 days, however best would be to consult a doctor since your problem could be anything like a varicocele or gonococcal infection or any other infection or inflammatory diseases. some blood test and rectal examination need to be done before starting specific treatment. but do not worry once the doctor knows the diagnosis you will be fine with treatment. do let me know if you have any more questions for me"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern for psoriasis with liver problems. after analyzing your query i can make out that you have psoriasis since a long period of time. in general, we prefer to give methotrexate in psoriasis patients but as you have liver problem, so i would not suggest taking the same. in your kind of condition i generally start with vitamin d3 tablet on daily or weekly basis. additionally, i prefer to give a steroid based cream such as clobetasol or mometasone. an antihistamine tablet like cetirizine is preferred to relieve the itching. i also suggest doing miniaturization of the area. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are more than one sort of thalassemia. since your boys got 3 years old before anybody noticed, he most likely has minor thalassemia which is usually a pretty mild condition that only means a somewhat lower hematocrit than normal. if this is the case with him then this means that one of the parents (or both) is carrying a defective gene. thalassemia major causes characteristic appearance changes that should get noticed by doctors. patients with thalassemia major require transfusions every so often. let me describe to you how these genes get from the parents to their kids. each parent has two genes. each kid inherits two genes, one from each parent. this means that two people with thalassemia minor (one defective gene each) may have a severely sick child with 2 defective genes (thalassemia major). if the kid has one defective gene then this is thalassemia minor. this procedure is a rather simple one, although it may sound confusing at first. so the answer is that your other kids may have the defective gene as well, and they should be tested. i hope i've been clear enough. if you need further clarifications, please ask and i'll be glad to help. kind regards!"
Answer this question truthfully,When is a lumbar puncture indicated for pediatric simple febrile seizures? A lumbar puncture is indicated when there are clinical features of meningitis or in children ages 6-12 months without immunization.
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. tattooing resulted in allergic reaction. it will take some time to settle. meanwhile, i would suggest you following things"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,torch is an investigation to check if you have certain infections, but these are not related to fertility. the only reason torch can be of concern is if a person gets torch during pregnancy, the baby may be affected. you need to be evaluated for fertility. this includes tests of ultrasound pelvis to see the womb and ovaries. the hsg (dye test) to see if the fallopian tubes are ok or not. your partners' semen analysis also needs to be done. have you already done theses? and has any cause for infertility recognized? torch is certainly not a cause. take folic acid while you are trying to conceive and depending on the above tests further treatment can be advised. visit a good gynecologist with above results. hope this helps. regards."
Answer this question truthfully,"One potential side effect of paclitaxel (taxanes) is alopecia, which is the medical term for hair loss. This side effect is common among patients receiving chemotherapy, as the drugs can damage hair follicles and cause hair to fall out. The severity of alopecia can vary depending on the individual and the specific chemotherapy regimen being used. In some cases, hair loss may be temporary and hair will regrow after treatment is completed. In other cases, hair loss may be permanent. There are various strategies that can be used to manage alopecia, including the use of wigs, scarves, or other head coverings, as well as medications that may help to promote hair growth. Your healthcare provider can provide guidance on the best ways to manage this and other potential side effects of chemotherapy."
Please summerize the given abstract to a title,Evaluating Usability of Academic Websites through a Fuzzy Analytical Hierarchical Process
Answer this question truthfully,"Shown below is the diagnostic approach to suspected recurrent DVT. The recommended initial test is either proximal ultrasound (US) or highly sensitive D-dimer tetsing rather than venography, CT venography or MR imagining. Initial D-dimer testing is recommended over proximal US in case there is no prior ultrasound for comparison. Note the following definitions:
Negative US: Normal US, or Increase in residual diameter of less than 2 mman, or Area of prior noncompressibility with a decreased or stable residual diameter Nondiagnostic US: Ultrasound that is technically limited, or Area of prior noncompressibility with an increment in residual venous diameter of < 4 mm yet ≥ 2 mm, or Area of prior noncompressibility in the absence of a previous measurement of the residual diameter Positive US: New noncompressible segment, or Area of prior noncompressibility with an increment in residual venous diameter of ≥ 4 mm"
Please summerize the given abstract to a title,Massively multiplexed nucleic acid detection with Cas13
Answer this question truthfully,"Macroamylasemia has been associated with:
Autoimmune disorders Cancer Celiac disease Diabetes HIV infection Liver disease Lymphoma Malabsorption Monoclonal gammopathy Rheumatoid arthritis Ulcerative colitis
v t e Symptoms and signs: circulatory (R00–R03, 785) Cardiovascular Template:Navbox subgroup Myeloid / blood Template:Navbox subgroup
v t e Symptoms and signs: respiratory system (R04–R07, 786) Hemorrhage Epistaxis Hemoptysis Abnormalities of breathing Respiratory sounds Stridor Wheeze Crackles Rhonchi Hamman's sign Apnea Dyspnea Hyperventilation / Hypoventilation Hyperpnea / Tachypnea / Hypopnea / Bradypnea Orthopnea / Platypnea Trepopnea Biot's respiration Cheyne-Stokes respiration Kussmaul breathing Hiccup Mouth breathing / Snoring Breath-holding Other Asphyxia Cough Pleurisy Sputum Respiratory arrest Hypercapnia / Hypocapnia Pectoriloquy: Whispered pectoriloquy Egophony Bronchophony Pleural friction rub Fremitus Silhouette sign Chest, general Chest pain Precordial catch syndrome
v t e Symptoms and signs: digestive system and abdomen (R10–R19, 787,789) GI tract Template:Navbox subgroup Accessory Hepatosplenomegaly / Hepatomegaly Jaundice Abdominopelvic Ascites Abdominal – general Abdominal pain (Acute abdomen, Colic, Baby colic) Splenomegaly Abdominal guarding · Abdominal mass · Rebound tenderness Shifting dullness · Bulging flanks · Puddle sign · Fluid wave test
Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs
v t e Symptoms and signs: Symptoms concerning nutrition, metabolism and development (R62–R64, 783) Ingestion / Weight decrease: Anorexia • Weight loss / Cachexia / Underweight increase: Polyphagia • Polydipsia • Orexigenia • Weight gain Growth Delayed milestone • Failure to thrive • Short stature (e.g., Idiopathic)

Template:WikiDoc Sources"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. your history is very classical
Please summerize the given abstract to a title,Importance of Interaction Structure and Stochasticity for Epidemic Spreading: A COVID-19 Case Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query, dietary treatments for asthma avoid fried and processed foodsavoid food such as rice, curds, buttermilk, sugar, lentils, heavy milk products like cheese, paneer etc...which has natural tendency to produce the phlegm or to accumulate the mucus chatbot.  take light dinner one hour before going to avoid fruits such as guava, papaya, watermelon and bananahome remedies for asthma treatment take a mixture of 1 tablespoon of water and 2 tablespoons of fresh lemon juice twice a day. take a teaspoon of fresh ginger juice mixed with a cup of fenugreek decoction and honey to taste."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hit hanks for using chatbot.come have evaluated your query thoroughly.* this is not due to simple depression, it consists of pyramid of anxiety, phobia, stress, personality disorder with behavior changes at major extent.* only cure is getting hospital treatment with expert psychiatrist in form of behavior therapy, counselling sessions and if required may have to opt for electron convulsive therapy, other iv treatments.* this is curable , needs extensive treatment , patience on the part of doctor and patient. hope this clears your query. welcome for further assistance . regards."
Answer this question truthfully,"The mnemonic ""HGPRT"" is used to remember the symptoms of Lesch-Nyhan syndrome, a rare genetic disorder that primarily affects males. Each letter of the mnemonic corresponds to a different symptom. ""H"" stands for hyperuricemia, which is an abnormally high level of uric acid in the blood. ""G"" stands for gout, a type of arthritis that is caused by the buildup of uric acid crystals in the joints. ""P"" stands for ""pissed off,"" which refers to the characteristic aggressive and self-mutilating behavior that is often seen in individuals with Lesch-Nyhan syndrome. ""R"" stands for retardation, which refers to the intellectual disability that is also commonly seen in affected individuals. Finally, ""T"" stands for dysTonia, which is a movement disorder that can cause involuntary muscle contractions and abnormal postures. By using a mnemonic like ""HGPRT,"" healthcare providers can better remember and recognize the various symptoms of Lesch-Nyhan syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","with kidney infection it is common to have back pain. here your back pain could be related to various things like muscular pain, due to kidney issue, or disturb spinal disc at that level.however the conformation will be done only by physical examination and different reports like ultrasound abdomen to see the kidney issues and x-ray or mri of spine to see spinal issues. if your back pain is radiating to your legs along with numbness or tingling in legs then it can be related to lumbar disc or at that level nerve compression also. otherwise, it will be a muscular pain or pain due to kidney infection.however the swelling over that area represent the inflammation at lumbar level where it's paining. usually when ever there is swelling i suggest to use hot and cold pack in combination to reduce swelling as well reduce pain and i suggest same for you too. further diagnosis and treatment can be planned only after physical examination and diagnosis, so i suggest visiting your specialist doctor as early as possible. if its due to kidney infection i suggest do not delay treatment. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! i have read your concerns and will try to answer your questions thoroughly.  i assume you underwent lumpectomy for your tumor.  atypical hyperplasia is not considered as cancer, so a 0.2\u00a0cm margin will suffice.  if it is carcinoma in-situ or invasive carcinoma, the margins should be clear in all dimensions.  in my practice, generally at least 0.5\u00a0cm to 1\u00a0cm margin is very good.  your mri result of a mild nonenhancing distortion posterior of the nipple is from the post-operative site, since a lumpectomy generally gets a chunk of tissues from the breast, hence, distortion of the tissues in that area are normally seen. i hope i alleviated your concerns.  have a nice day!"
Please answer with one of the option in the bracket,C: Test sensation of the lateral shoulder
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first, get a back mri done again and also x-rays of your lumbar spine in standing position both in flexion and extension posture. this will help ascertain the reason for your pain. also, get done a cervical and dorsal spine mri screening to rule out any lesions above. along with it get done esr and crp levels to rule out any infections. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have enlarged posterior cervical lymph node.  it can be due to reactive hyperplasia due to infection.  or it can be some soft tissue tumor or skin adnexal tumor.  you should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Quality of life and experiences of sarcoma trajectories (the QUEST study): protocol for an international observational cohort study on diagnostic pathways of sarcoma patients
Answer this question truthfully,"The enzyme phosphofructokinase-2 can be found in the liver, kidney, and heart."
"If you are a doctor, please answer the medical questions based on the patient's description.","i welcome you to chatbot for your health concerns am chatbot, general surgeon and i will be answering your query i have gone through your question and understood your concerns. with available information it appears to be colonial sinus. it is the most common pathology of this region with this type of presentation. it is caused by hairs entering the skin and causing swelling along with pus formation. there are different treatment options available, ranging from endoscopic to open procedures with good results. you need to see a general surgeon who will guide you further about treatment after examination. wishing you all the best and rapid recovery. i hope my answer will help you. do rate my answer if you like it. regards"
Please summerize the given abstract to a title,Author Clustering and Topic Estimation for Short Texts
"If you are a doctor, please answer the medical questions based on the patient's description.","such symptoms generally occur due to upper respiratory tract infection which is caused by certain viral infections. these viruses are everywhere, and she could indeed get them from the childcare. some child chatbot.  it is not a cause of concern. giving steam inhalation and some antiallergic should provide relief. give paracetamol or tylenol to bring down the temperature. if the child starts wheezing or becomes lethargic, if the temperature is beyond control, or if the condition lasts more than 7-10 days - you would need to visit a doctor without delay."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,There are no screening recommendations for atrophic vaginitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. you didn't mention which cancer. there is no need to be concerned and panic about cancer prevention. it can only lead to anxiety and fear. there are good prevention programs for every common type of cancer and ask your doctor about these measures. also, some cancer are and some aren't genetically determined. what you can do is to avoid environmental factors such as smoking, alcohol and unhealthy food. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. in your case not only for being gastroenterologist me too, but because it seems to me more appropriate, i totally agree with my colleague gastroenterologist"
Please answer with one of the option in the bracket,D: Enteroscopy
Answer this question truthfully,Ancylostoma duodenale and Necator americanus are the hookworms associated with iron deficiency anemia.
Please summerize the given abstract to a title,Comparative Analyses of the Transport Proteins Encoded within the Genomes of nine Bifidobacterium Species.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam/ sir, i can understand your despair. pain during micturition is most commonly due to infection, but can also be due to other reasons. can you tell me if the infections have been confirmed, by way of positive culture, each time you were diagnosed of urinary infection? does urine routine exam have pus cells and blood in it? have you had an ultrasound scan of your kidneys? what other medical problems do you have? do you have history of kidney stones? i think you need to see a good physician/ nephrologist asap who can make a good assessment and treat you appropriately. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there are many symptoms related to the location and size of kidney stones. if the stone is too large to pass easily, pain continues as the muscles in the wall of the tiny ureter try to squeeze the stone along into the bladder. one may feel the need to urinate more often or feel a burning sensation during urination. in a man, pain may move down to the tip of the penis. if the stone is close to the lower end of the ureter at the opening into the bladder, a person will frequently feel like they have not fully completed urination."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. gone through your elucidate history of illness and findings.in appendicitis the treatment is decided by the stage you are in. as per your history
Please summerize the given abstract to a title,Changes in Menopausal Risk Factors in Early Postmenopausal Osteopenic Women After 13 Months of High-Intensity Exercise: The Randomized Controlled ACTLIFE-RCT
Please answer with one of the option in the bracket,B: Subacute sclerosing panencephalitis
Please answer with one of the option in the bracket,D: CD19
Answer this question truthfully,"Balloon angioplasty of highly angulated lesions is associated with an increased for risk coronary dissection.
In the settings of coronary stenting, angulated lesions represent a challenge due to the inability of delivering the stent to the stenosis and straightening of the arterial silhouette after stent implantation that may predispose to the presence of stent fracture.
Vessel curvature at the site of maximum stenosis should be measured in the most unforeshortened projection using a length of curvature that approximates the balloon length used for coronary dilation.

Template:WikiDoc Sources CME Category::Cardiology"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, it is quite a normal phenomenon after some viral or bacterial gastroenteritis .esr nad crp may be high with low wbc count due to bodies inherent immune mechanism.it usually get back normal after a few weeks. review your fbc later. if these abnormalities persists, malabsorption syn chatbot. and several special antibodies, called antitissue transglutaminase antibodies (toga) or anti-endomysium antibodies (ema) may help this diagnosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service. i have reviewed your query and here is my advice. if you had intercourse before taking first pill and if she got periods after that, possibility of pregnancy in that month is excluded. if she took second pill during this month within 72 hrs of intercourse and if she gets with chatbot. but better to avoid repeated use of emergency contraceptive pills as that can affect menstrual pattern. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"In addition to the red, swollen bump, other possible symptoms include:
A gritty, scratchy sensation as if there is a foreign body Sensitivity to light Tearing of your eye Tenderness of the eyelid"
Answer this question truthfully,Squamous cell carcinoma of the lung is centrally located.
Please summerize the given abstract to a title,A Systematic Review of the Effects of Urban Living on Suicidality and Self-Harm in the UK and Ireland
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot.1-i have studied your query in depth.2-dear,in my opinion, the hard lump in the palate, is due to the lymphoid enlargement or due to the salivary gland cysts of the palate.3-allergic aggravations with associated infection and inflammation, is the cause for its recurrence with the uri /or allergic uri attacks.4-treatment would be -cetirizine / and or antibiotics under cover of surgeon.4-a-i would advise you to consult surgeon or ent-surgeon, who would treat it by-antiallergics and antibiotics and nsaids.5-hope this would solve your query to your satisfaction.6-wellcome for more queries to me on chatbot.7-thnks once again for your inquisitive query. have a good day.!!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello pusher, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Homologous Recombination is defective in certain types of breast and ovarian cancers. Specifically, these cancers are associated with mutations in the BRCA1 and BRCA2 genes, which play a critical role in DNA repair. These mutations can lead to an increased risk of developing cancer, as damaged DNA is not repaired properly and can accumulate over time. Understanding the genetics of cancer is important for developing targeted therapies and improving patient outcomes."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. burning sensation in chest with burping is mostly due to herd (gastroesophageal reflux disease). it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause burning sensation in esophagus and burping. along with chatbot.  1. avoid stress and tension. 2. avoid hot and spicy food, avoid large meals and take frequent small meals. 3. prokinetic"
Please summerize the given abstract to a title,Can DNA help trace the local trade of pangolins? A genetic assessment of white-bellied pangolins from the Dahomey Gap (West Africa)
Answer this question truthfully,The recommended treatment for late-stage CNS Trypanosoma brucei infection is melarsoprol.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. transfusion of blood is necessary in a patient of anemia with cardiac failure specifically.2. however, if its improving, then the best method would be to continue medication to improve.3. blood transfusion has its own complications, and unless necessary should be avoided. hope it helps. any further queries, happy to help again."
Answer this question truthfully,"Local, mild infections of Candida albicans, such as candidal diaper rash, are treated with topical -azole drugs. Candida albicans is a type of yeast that can cause infections in various parts of the body, including the skin. Topical -azole drugs, such as clotrimazole, miconazole, and ketoconazole, work by inhibiting the growth and spread of the fungus. These drugs are applied directly to the affected area of the skin and can help to relieve symptoms such as itching, redness, and irritation. The choice of drug will depend on a variety of factors, including the severity of the infection, the patient's overall health, and any underlying medical conditions."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, it seems to be some structural defect in your testis from your history. as your testes got abnormality then obviously semen will show poor quality. i advise you to go for ultrasound scan to know the status of your testis. if you got abnormality in your testes we should treat it according to proper medication, surgery or any other with that report you can consult infertility specialist for further opinion. thank you hope i answered your query"
Answer this question truthfully,"HPV has a predilection for stratified squamous epithelium. This type of epithelium is found in many areas of the body, including the skin, mouth, and genital tract. In the genital tract, the stratified squamous epithelium is particularly susceptible to HPV infection, as it is constantly being renewed and is therefore more likely to be exposed to the virus. HPV infection of the genital tract can lead to the development of genital warts, as well as an increased risk of certain types of cancer, including cervical, anal, and oropharyngeal cancer. It is important for individuals to take steps to protect themselves from HPV infection, including practicing safe sex, getting vaccinated against HPV, and getting regular screenings for HPV-related health conditions."
Please summerize the given abstract to a title,"Post-weaning diarrhea in pigs weaned without medicinal zinc: risk factors, pathogen dynamics, and association to growth rate"
Please summerize the given abstract to a title,"Regional Differences in Epidemiological and Clinical Characteristics, Treatment, and Clinical Outcomes of COVID-19 in Wuhan and Remote Areas of Hubei Province"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as pain around the shoulder blade is muscular. due to inflammation of the insertion of the trapezius muscle there will be pain. for which we call it trapeziums. along with this there will be an inter-scapular muscle spasm. this happens due to poor posture. firstly need correction of the posture, next, we need to have hot water fermentation, gentle kneading massage, myofascial release, ia stm, neck static exercise, shoulder stabilization exercises, inter-scapular muscle strengthening exercises, breathing exercises. all of this will help reduce pain and spasm. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Please summerize the given abstract to a title,Chapter Nine Software Dedicated to Virus Sequence Analysis “Bioinformatics Goes Viral”
Answer this question truthfully,"The symptoms of chondrosarcoma usually include pain and swelling in the area of the tumor. The pain can be intermittent, but overall it usually gets worse over time. The pain can get worse with exercise, or at night. The symptoms can also include a painful hard lump over the area of the disease. If the chondrosarcoma is in the skull bone, it can cause headaches."
Answer this question truthfully,First generation H1 receptor antagonists may stimulate appetite and cause weight gain due to their anti-serotonergic effects.
Please summerize the given abstract to a title,"[Hygiene resource practitioners' experience, at a time of health challenges]."
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,A Time to Reflect
Please summerize the given abstract to a title,Transition from growth to decay of an epidemic due to lockdown
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking your query completely understand your situation you are suffering from lower respiratory tract infection that can be viral or bacterial.in bacterial infections you will be having a yellow mucoid expectoration, can be foul smelling.in this scenario antibiotics would help. as to me, it seems like a viral situation and u should continue this infection /antibiotic pills and u can use an antipyretic if u have fever. if u smoke then most important thing will be to quit smoking that will help u a lot.consulting a pulmonologist in your area would be better any more queries feel free to ask may god bless u with good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  recently you are feeling dizzy, and now have tingling from right elbow to the fingertips.  being the aged of 26 years you should not have any critical problems. it may be due to the cervical spondylosis, if not the infection of the internal ear. rarely may be the ischemia of the brain, or hypertension.  i advise you to consult an orthopedic surgeon for diagnosis and treatment.  you may need to have a c.t. scan for confirmation.  i usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days.  wishing for a quick and complete recovery. thank you."
Answer this question truthfully,The most accurate test for diagnosing thalassemia is hemoglobin electrophoresis.
Please answer with one of the option in the bracket,C: Prolonged partial thromboplastin time
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...unexplained bruising / without any history of injury or trauma needs evaluation as it might be indicative of a bleeding disorder. it can show itself at any age. if there has been a trauma then to can be rest assured as it is not bothering the kid. the bluish discoloration you are noticing is a subcutaneous bleed or bruise and the small lump you are able to palpate is a subcutaneous blood clot. regards -
Answer this question truthfully,"Contrast-enhanced MRI is the imaging modality of choice for primary central nervous system lymphoma. Findings on MRI suggestive of primary central nervous system lymphoma include solitary to multiple, 3-5 cm ring-enhancing lesions in almost any location, but usually deep in the white matter, which are typically hypointense on T1-weighted images and iso- to hypointense on T2-weighted images."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mam, the blood pressure 113 / 68 is perfectly within normal limits. it doesn't increase your overall risk of stroke, though some individual papers in scientific community has mentioned the same, so you will read it somewhere online, however the authenticity of such publication is questionable. rather the most large trials including thousands of patients across the globe haven't found so, in contract diction it has recommended reduction in blood pressure less than 120 / 80 to reduce risk of stroke. lastly as a cardiologist i would like to say, every human has a different physiology, don't try to fight it out. the blood pressure mentioned is perfectly within normal limits and gives you best protection against heart issues and even stroke. keep good hy chatbot.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for asking from chatbot shakiness, feeling of sickness, lack of energy in work or tiredness etc. can occur due to mild depression. underlying anxiety associated with mild depression can increase severity. consult a psychiatrist for proper treatment. as it is mild depression so changing lifestyle will improve the situation. exercise daily, try yoga and meditation. progressive muscle relaxation exercise, breathing exercises will help to keep anxiety symptoms away. increase diet intake with fewer fats and more carbs and proteins. supplements containing omega-3 fatty acids, vitamin b12 also prove useful. if no relief occur with these changes consult a psychiatrist. medicines like ssri and saris are very useful in such symptoms. thanks, hope this helps you."
Answer this question truthfully,"Ischemia particularly if the ST segment is downsloping ""Reciprocal changes"" which are associated with a pattern of injury (ST segment elevation) in other leads. It is unclear if the ST depression is truly simply a reciprocal change which is a mirror image electrically of the injury in the other leads or if the ST depression is due to active ischemia in the other territory. Reciprocal changes are associated with a poorer prognosis. Reciprocal changes in the anterior precordial leads in association with an inferior MI are associated with slower flow in the LAD Digoxin effect (concave up;""reverse-checkmark"") LV ""strain""-associated with LVH (asymmetric ST depression, concave up, with slow downstroke and rapid upstroke, most often in I, aVL, V4-6) RV ""strain""-associated with RVH (asymmetric ST depression, concave up, with slow downstroke and rapid upstroke, most often in V1-2) Hypokalemia (usually slight ST depression) Hypercalcemia Hypomagnesemia Heart rate-induced changes (post tachycardia) Neurologic events
Shown below is an ECG depicting ST depression in the precordial leads."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the tooth infection can be treated by taking a course of antibiotics preferably a combination of amoxicillin and metronidazole. the reason for delay in infection healing can be diabetes or any other immunocompromised status. for the permanent relief, the cause of infection means the infected tooth has to be removed. so consult an oral maxillofacial surgeon and get it treated. meanwhile take the course of antibiotics and get a complete hologram done. the swelling in the foot and leg is a separate condition not related to tooth infection. i hope my answer will help you, take care."
Please summerize the given abstract to a title,COVID-19 Pulmonary Failure and Extracorporeal Membrane Oxygenation: First Experience from Three European Extracorporeal Membrane Oxygenation Centers.
Please summerize the given abstract to a title,Infection detection in patients with systemic lupus erythematosus using a hospital administrative database
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you are supposed to refer to concentration and attention as two. attention span for any adult is maximum 30 minutes. sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. concentration is attention plus understanding. for this too, span os below 30 minutes. if you are able to make your studies interesting and based on variable principle, your concentration level can be increased. concentration comes only when you are interested in what you do. so please be passionate towards what you are doing or do only those things which you are interested in. it is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. you must talk to your friends about this. they will be able to motivate you. moreover, you do not have any mental issues other than slight anxiety and apprehension. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Answer this question truthfully,"Left heart failure can lead to decreased forward perfusion to the kidneys, which triggers a physiological response known as the renin-angiotensin system. This system is a complex hormonal pathway that helps regulate blood pressure and fluid balance in the body. When the kidneys sense a decrease in blood flow, they release an enzyme called renin, which converts a protein called angiotensinogen into angiotensin I. Angiotensin I is then converted into angiotensin II by an enzyme called ACE (angiotensin-converting enzyme), which is primarily found in the lungs. Angiotensin II causes blood vessels to constrict, which increases blood pressure and helps restore blood flow to the kidneys. It also stimulates the release of aldosterone, a hormone that helps the kidneys retain sodium and water, which can further increase blood volume and pressure. While the renin-angiotensin system can be an important compensatory mechanism in response to decreased renal perfusion, chronic activation of this system can contribute to hypertension and other cardiovascular complications."
Please answer with one of the option in the bracket,A: History of repeated bouts of unprovoked obscene speech over the past year
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,C: Ascorbic acid
Answer this question truthfully,Achondroplasia is the musculoskeletal pathology that is associated with this characteristic finding.
Please summerize the given abstract to a title,Ongoing transcatheter aortic valve implantation (TAVI) practice amidst a global COVID-19 crisis: nurse-led analgesia for transfemoral TAVI
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot good date fact that you have thick hair on your face from recent times makes it mandatory to do an ultrasound of your abdomen to look for a chatbot.  get your dhea, lh, fsh, blood sugar tests done as well to rule out polycystic ovarian disease which can cause infertility and miscarriages. if you do have pod then you need to get appropriate treatment for that. kindly get tested for the common conditions which cause infertility and then get the correct treatment. don't worry."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.thanks for posting query. hepb can not be eradicated completely in patients infected with it. however, complications can be prevented with proper care and treatment. treatment is advised if ast and alt are > urn and hbv dna count on pcr is very high. liver enzymes and bag status and hbv dna pcr maybe done regularly every 6 to 12 months, visit hepatologist for proper interpretation of results. hope to answer concern regards chatbot."
Answer this question truthfully,Cord prolapse often occurs with abnormal fetal presentation.
Please summerize the given abstract to a title,Non-antibiotic treatment of acute urinary tract infection in primary care: a qualitative study
Answer this question truthfully,Acetaminophen exerts its effects in the central nervous system (CNS) after being inactivated peripherally.
Answer this question truthfully,"Cases of biliary atresia typically demonstrate relatively good hepatic uptake with no evidence of excretion into the bowel at 24 hours. Pretreatment with phenobarbital (5 mg/kg/day for 5 days) is done to stimulate hepatic enzymes in order to increase biliary secretion. This is helpful to minimize the possibility of a false-positive study due to pre-existing poor excretion. Radiotracers used are Tc-99m diosgenin (DISIDA) and mebrofenin (BRIDA) due to high hepatic extraction and short transit time.
Further testing include radioactive scans of the liver and a liver biopsy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, rom your history it is most likely issue of gall bladder or pancreas. a proper ultrasound examination, liver function test, amylase in blood to be done to rule out that. taking proton pump inhibitors like omeprazole (medium) will be helpful to some extent. avoid fatty spicy and oily foods. cakes and yolk of egg should be avoided also. take care. hope i have answered your question. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: Glycosaminoglycan accumulation in the orbit
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. you need to consult your orthopaedician immediately based on clinical examination, you may have to either immobilize the limb or even undergo surgery hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
Answer this question truthfully,"Pneumoconioses are a subset of restrictive lung diseases characterized by interstitial fibrosis. They are caused by occupational exposure to certain substances such as coal dust, asbestos, silica, and other mineral dusts."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read and understood your history of taking mulan, 21 day cycle of period, small amount of bleeding. no bleeding since mid-feb, but there is stomach pain just before 21-day period is done. pregnancy test is negative. this is obviously not normal. there may be a hormonal cause. i would advise you the following"
Please summerize the given abstract to a title,Utility of CT perfusion scanning in patient selection for acute stroke intervention: experience at University at Buffalo Neurosurgery-Millard Fillmore Gates Circle Hospital.
Please summerize the given abstract to a title,Secondary bacterial co-infection and mortality risk in intubated patients with critically ill COVID19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it's difficult to key in exactly what you may be referring to except to say that a change in demeanor or emotion is sometimes referred to as emotional incontinence (ei) or pseudobulbar affect (pba).  this can occur after a stroke or appear almost like a stroke has occurred in a person who suddenly begins exhibiting changes in behavior and emotion without a clear cause or precipitating factors.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear nea, 26 is the novel 16! smile"
Please answer with one of the option in the bracket,D: Cholelithiasis
"If you are a doctor, please answer the medical questions based on the patient's description.","if your hepatitis b virus has been inactive for so many years this is unlikely the source of your abnormal liver enzymes. given your history of a gastric sleeve, you are at risk for developing fatty liver disease. this is very common in whoever loses weight rapidly, therefore after having a bariatric surgery you are very likely to develop fatty liver, and if this fat in the liver produces inflammation within the liver itself it is then called nash or non-alcoholic steatohepatitis. however, to make sure this is the problem, further blood tests need to be done to rule out other sources. you need to follow up with your liver doctor or gastroenterologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear welcome to chatbot. understanding your concern. as per your query lump on upper lip which is hard and tender to touch is mainly because of anaphylaxis, angioedema which causes swelling of lip as well. lump on lip is muscle or mucous cyst. muscle are usually the result of trauma in the mouth, which injures the tiny salivary ducts inside the lip. need not panic. take antiallergic and ant inflammatory medication. avoid hot, sharp and spicy foods. visit oral physician once and get it examined if symptoms keeps on persisting.  doctor may order biopsy of cyst to rule out causes like cancer or lipoma. doctor may also surgically remove the salivary gland or do marsupilization of lump. apply moisturizer on lips.  chatbot.  hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Neuroinvasion and Neurotropism by SARS-CoV-2 Variants in the K18-hACE2 Mouse
Please summerize the given abstract to a title,COVID-19 and vaccination rollout in Fiji: Challenges caused by digital platform
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i do care for your concern. the chatbot.  though kidney failure can also create an environment for urinary tract infection but in most case infection occurs by unhygienic environments. i would advise continuing the same course of treatment under physician supervision to do confirmatory laboratory testing for uti. to use antiseptic soap for washing and maintaining adequate hygiene. to follow up with nephrologist for renal failure. hope everything gets well soon. hope i have answered your question, if you have more feel free to ask. thank you."
Answer this question truthfully,"The recommended cooling technique for patients with non-exertional heat strokes is evaporative cooling, which involves spraying lukewarm water on the skin while fans blow air over the wet skin to enhance evaporation.

Non-exertional heat strokes occur when the body's internal temperature regulation system fails due to environmental heat exposure, such as being in a hot and humid environment for an extended period of time. Evaporative cooling is an effective and non-invasive method for reducing body temperature in patients with non-exertional heat strokes.

During evaporative cooling, lukewarm water is sprayed on the patient's skin, which helps to reduce body temperature through evaporation. Fans are used to enhance the evaporation process, which can help to lower body temperature more quickly. Other cooling techniques, such as immersion in cold water or ice packs, may be used in some cases, but these methods are not recommended for patients with non-exertional heat strokes as they can cause shivering, which can actually increase body temperature.

It is important to note that evaporative cooling should be started as soon as possible after the onset of symptoms and continued until the patient's body temperature has returned to normal. In severe cases, additional medical interventions, such as intravenous fluids or medications, may be necessary to manage complications of heat stroke."
Please summerize the given abstract to a title,A new perspective of the chemistry and kinetics of inactivation of COVID -19 coronavirus aerosols
Answer this question truthfully,"While a fetus grows in the uterus, its lungs are not functional. The foramen ovale allows blood to bypass the lungs so it does not cause issues in the fetus. The opening is supposed to close soon after birth, but sometimes it does not. In about 1 out of 4 people, the opening never closes. If it does not, it is called a patent foramen ovale (PFO). The cause of a patent foramen ovale is unknown."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query development of a bruise on your lip is suggestive of a bleeding disorder or bleeding due to raised blood pressure. in hope, you are not taking any medicines like aspirin. you need to consult your physician to get a complete blood coagulation profile checked with apt and platelet count to rule out other possible causes like thrombocytopenia. your blood pressure also needs monitoring to find out if it is well controlled with medicines. this can also happen due to a viral infection in the recent past-decreases the synthesis of platelets from the bone marrow. presence of any autoimmune disorders also needs to be ruled out. the treatment is based on the diagnosis and severity of the problem. treatment is usually done by fluid infusion, steroids, immunoglobulins, etc. according to the severity of the condition. wishing you good health... regards.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for trusting chatdoctorthe symptoms you are describing is likely to be lyme disease caused by cordelia infection. the concerning symptoms are you being off balance and headaches. possible lyme meningitis needs to be ruled out. treatment is with antibiotics. lyme meningitis will require iv ceftriaxone. please be advised to follow up with the emergency room. hope this answers your questionsplease ad chatbot."
Please answer with one of the option in the bracket,E: Stranger anxiety
Answer this question truthfully,"The Gram positive algorithm for identifying cocci involves a series of tests that are designed to differentiate between different types of spherical bacteria. These bacteria are divided into two main categories based on their ability to produce the enzyme catalase. The first category is catalase negative cocci, which includes important pathogens such as Streptococcus pneumoniae and Enterococcus faecalis. These bacteria are unable to produce catalase, which means that they are unable to break down hydrogen peroxide into water and oxygen. The second category is catalase positive cocci, which includes Staphylococcus aureus and other related species. These bacteria are able to produce catalase, which allows them to survive in the presence of hydrogen peroxide. By dividing cocci into these two categories, the Gram positive algorithm is able to provide a useful framework for identifying and characterizing different types of spherical bacteria."
Please summerize the given abstract to a title,Viral Pulmonary Disorders in Animals: Neoplastic and Nonneoplastic
Answer this question truthfully,Excessive production of mucus caused by asthma may result in mucus plugging.
"If you are a doctor, please answer the medical questions based on the patient's description.","good afternoon, i am sorry you are experiencing these symptoms. to discover the treatment for the cyst, i highly suggest you first discover the makeup and what is in the cyst as to treat with the correct medication, dose and or intervention. a cyst is defined as an abnormal membranous sac or cavity containing fluid. often times it contains infection, and the treatment is merely chatbot.  other times however, the contents may be more serious or even benign. there could be simple fluid,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through the case and found that this chatbot. i thought you might have sinusitis which great the pain and blockage of dutchman tube which causes pain in ear. for confirmation go for facial x-ray. if it is seemed like sinusitis then follow my instruction. medicine is good along with also take steam and do balloon exercise which help to open the tube. if not present sinusitis then go for cervical x-ray. do neck exercise. hope my answer will be effective for you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have lung cancer. you have already gone through liver transplant, and you also have kidney disease. so overall treatment is difficult. still it depends on type and stage of lung cancer. chemotherapy, radiation or target therapy are the treatment options. consult your oncologist and start treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"On an ECG in a newborn, the expected finding is physiologic right axis deviation. This finding is considered normal in newborns."
Please summerize the given abstract to a title,World wars and the age of oil: Exploring directionality in deep energy transitions
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"I'm a 72 year old female, and have diverticulosis,gastritis, and esophagitis.  I tried to see three different doctors today, but all were booked.  I honestly don't know what to do.  It hurts in my chest, and I can hardly talk.","Researchers have not found that eating, diet, and nutrition play a major role in causing or preventing gastritis."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Factors predicting chronic pain after open mesh based inguinal hernia repair: ​A prospective cohort study.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks you for your query. i am chatbot and i will try to help you as much as i can with my answer. this is caused by gallbladder stones and may happen in pregnancy as well. you should continue with diet and recommended media and after labor, you should consider gallbladder removal. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health."
Please answer with one of the option in the bracket,D: Tearing of bridging veins
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot it is possible you have a genital tract infection. genital tract infections could be sexually transmitted or promoted by sexual intercourse. more so, following menses, it is very possible to have germs grow on bits of menstrual blood that are in the genital tract. the best thing to do would be to meet a doctor for detail examination and for a vaginal smear to be done and examined for an appropriate diagnosis of the causative agent. best regards chatbot."
Answer this question truthfully,A BMI of less than 15 kg/m2 is an indication for hospitalization of a patient with anorexia nervosa.
"If you are a doctor, please answer the medical questions based on the patient's description.","sir, the results for disc herniation with or without surgery are the same at the end of may be 2-4 years. the question you need to answer for yourself is are you ready to suffer the pain until then. discectomy is a very simple surgery in the hands of a right surgeon. at l5s1 level, the incidence of complications is also very low. if you choose the right surgeon there is a 99% chance that your pain will be relieved completely the very next day."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your symptoms are more suggestive of heart diseases (ischemic heart diseases - hd). normal ecg can not rule out hd. you are having risk factors liked hypertension, diabetes, obesity. so we should definitely do more investigations to rule out hd. so get done 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. sometimes acute gastritis can also cause chest pain, nausea, sweating etc. so chatbot.  take proton pump inhibitor like pantoprazole on empty stomach. avoid stress and tension, be relaxed and calm. avoid hot and spicy food. avoid junk food. don't worry, you will be alright with all these but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, welcome to chatbot! do not worry. it is not cancer. tonsillitis (inflamed tonsils) can have whitish patches/ pus of infection on the tonsils, and they can hurt. even if it is swallowed, nothing will happen. continue with the advised treatment and antibiotics. if white curry patches are forming again in the throat, rule out fungus (candida). take care, and please keep me informed of your progress. good luck! i hope to have answered your query satisfactorily. thank you!"
Please summerize the given abstract to a title,"The effects of custom-made foot orthoses on foot pain, foot function, gait function, and free-living walking activities in people with psoriatic arthritis (PsA): a pre-experimental trial"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as you have pain in ankle and heel, you can meet either of one an or tho or a podiatrist. both can be helpful to you. as this pain in the ankle and heel looks due to calcaneal spur and an x-ray might help to understand the pathology. treatment will be with using heel silicon pads and also physical therapy. cortisone might be the taken into later stages of the pain and inflammation does not improve. usually with heel pads and physical therapy pain and inflammation improves. regards jay in chatbot."
Please summerize the given abstract to a title,Optical coherence tomography angiography analysis of the retina in patients recovered from COVID-19: A case-control study
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,Use of Peripheral Sensory Information for Central Nervous Control of Arm Movement by Octopus vulgaris.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, protrusion of intervertebral disc can be treated with discectomy surgery only. the symptoms however can always be treated with physical therapy, pain medications and proper maintenance of posture. one of the most important things is you should not lift heavy weights immediately in postoperative period or after a diagnosis has been made. these activities along with bending forward and sitting for longer durations will certainly aggravate the pain and the condition. you must frequently offload the weight by walking and standing for 5-10 minutes after sitting for period of 20-30 minutes. you can join the gym but weight lifting should be avoided as far as possible in the postoperative period."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
Answer this question truthfully,Exotoxin A is the exotoxin of Pseudomonas aeruginosa.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","dear concerned., thanks for writing to us. you have been suffering from pied(prolapse intervertebral disc) at multiple levels with mild scoliosis and osteophyte formation. hope you have already done mri and confirmed all the above. the following preventative steps can be undertaken, 1)absolute bed rest for 08 weeks on a hard bed without any cushions.2)lumbosacral belt or support with correct measurements from an orthopedic vendor.3)regular physiotherapy such as swd and traction for 30 minutes twice a day.4)use of a western toilet and avoiding squatting in an indian toilet.5)avoid bending abruptly and avoid lifting of any weight. in addition to the above consult a spinal surgeon for, a)opioid analgesic and muscular relaxant. b)determine whether you can be posted for an endoscopic minimally invasive discectomy procedure. c)whether scoliosis can also be corrected at the same time. wishing you a speedy recovery. best regards., chatbot."
Please answer the letter of option truthfully,D
Answer this question truthfully,Doxycycline is used for prophylaxis of Leptospirosis.
Please summerize the given abstract to a title,Effectiveness of upper limb exercises and breathing exercises in COPD stable patients during COVID-19 pandemic era.
Answer this question truthfully,"Most infections immediately after a severe burn are due to gram-positive organisms. Gram-positive bacteria are a type of bacteria that have a thick cell wall that stains purple when exposed to a Gram stain. Examples of gram-positive bacteria that can cause infections in burn patients include Staphylococcus aureus, Streptococcus pyogenes, and Enterococcus faecalis. These bacteria can enter the body through the burned skin, as well as through invasive medical procedures such as catheterization or intubation. Infection is a serious complication of burn injuries and can lead to sepsis and other life-threatening conditions. Burn patients are typically given antibiotics prophylactically to reduce the risk of infection, and any signs of infection should be promptly treated with appropriate antibiotics."
Answer this question truthfully,COX 2 is inducible by inflammation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i understand your concern, and would like to explain that your complaints are non-specific ones. they cannot raise strong suspicions for a certain health disorder, so we could promptly correct the problem with some pills or other alternative therapy. seems that there is necessary a comprehensive differential diagnosis work up, to arrive at the right way. i would recommend first to exclude any cardiac function implication by performing a resting ecg, a cardiac ultrasound, and a conclusive comment. if the above is ok, we can proceed wit ha differential diagnosis of those pulmonary granular nodules. it may be an inflammation, a systemic pulmonary involvement, etc. a pulmonologist and internist judgement would be required on the scene. some additional tests, may be necessary (some inflammatory markers, pulmonary function test, arterial blood gases analysis, liver and function tests, etc.). you need to discuss with your attending doctors, as they have the clear view of all your already performed tests and examination, if you bring additional detailed medical data, i could give a concrete opinion. hope to have been helpful to you. greetings!"
Answer this question truthfully,"Lymphangitis being a manifestation of wider concurrently occurring spectrum of manifestations or pathologies. The epidemiology and demographics of this individual manifestation are poorly studied. Epidemiology and demographics of lymphangitis carcinomatosis and sclerosing lymphangitis are discussed below:
Lymphangitis carcinomatosis occurs in 6-8% of the intra-thoracic metastasis from a malignant disease. 
Higher prevalence of lymphangitis carcinomatosis is reported in male s, when compared to females (60:40) and younger population. 
Epidemiology and demographics
Incidence and prevalence of sclerosing lymphangitis is poorly studies. Demographically, it mostly occurs in younger male population between 20-40 years of age."
What is Nephrotic Syndrome.  What are its causes and cures?,"Nephrotic syndrome is caused by different disorders that damage the kidneys. This damage leads to the release of too much protein in the urine. Nephrotic syndrome can affect all age groups. In children, it is most common between ages 2 and 6. This disorder occurs slightly more often in males than females."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to the forum yes, the symptoms could be due to underlying stress as you are experiencing them since april when your mother passed away, which is a big stressor in anybody's life (i am really sorry for that). these could be the symptoms of underlying depression for which i advise you to consult a psychiatrist. however, keep in touch with a general physician for symptomatic treatment of your gastric trouble which is also important as you are losing weight. hope it helps good luck thanks"
Answer this question truthfully,"Proximal tibial nerve lesions can present with several symptoms, including foot dorsiflexion, foot eversion at rest, loss of foot inversion, and weakness of the extrinsic muscles of the foot. The tibial nerve is a branch of the sciatic nerve that runs down the back of the leg and provides sensation and motor function to the foot and ankle. When the nerve is damaged or compressed, it can lead to a variety of symptoms depending on the location and severity of the injury. In the case of a proximal tibial nerve lesion, the muscles that control dorsiflexion, eversion, and inversion of the foot may be affected, causing weakness or loss of function. It is important for individuals experiencing these symptoms to seek medical attention in order to determine the underlying cause and receive appropriate treatment."
Answer this question truthfully,"Patients who are at high risk for preeclampsia, such as those with multiple gestation pregnancies, are often initiated on a form of prophylaxis known as low-dose aspirin. This strategy has been shown to be effective in reducing the risk of developing preeclampsia and its associated complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. studied your query in full depth of its details. reviewed it in context of your health concerns. based on the facts, your daughter seem to suffer from-cracked / scored nipple / or pimple /acne / or boil of the montgomery lump with sub-areolar abscess -as the lump is painful and itchy. duct papilloma with adenoid or adenocarcinoma need to be ruled out due to its situation. but is remote possibility as it painful and the age negates its possibility. mammography / usg with / ct study of the breast with fnac biopsy would fix the cause of the lump on the areola of the daughter. welcome any further query in this regard, which would be replied in next session. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
Please summerize the given abstract to a title,Interaction of Helicobacter pylori Infection with Waterpipe Tobacco Smoking in the Development of Stomach Cancer in Vietnamese Men
Please summerize the given abstract to a title,Mitochondrial nanomedicine: Subcellular organelle-specific delivery of molecular medicines
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good morning. i am chatbot answering your query. from your history and your gp's opinion, it seems like that you have some kind of benign swellings like lipoma. but with a history of your mother having had cancer, i would suggest you for a biopsy of the lesion. for this, i would suggest you to take appointment with a general surgeon in your area, who after a clinical examination would be able to suggest appropriate management for your problem. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The phenomenon that causes the slope (compliance) of the pressure-volume loop curves for inspiration and expiration to be different is known as hysteresis. Hysteresis refers to the difference in behavior between a system when it is being loaded and unloaded. In the case of the lungs, hysteresis causes the pressure-volume relationship to be different during inspiration than during expiration. During inspiration, the lungs are being loaded with air and the pressure required to achieve a given volume is higher than during expiration, when the lungs are being unloaded. This difference in pressure-volume behavior results in a different slope (compliance) for the inspiration and expiration curves on the pressure-volume loop."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Subependymoma must be differentiated from:  
Neoplasms of the ventri­cular wall and septum pellucidum Ependymoma Central neurocytoma Subependymal giant cell astrocytoma Neoplasms of the choroid plexus Choroid plexus papilloma and carcinoma Others Intraventricular meningioma Intraventricular metastasis Oligodendroglioma Pilocytic astrocytoma Glioblastoma multiforme Medulloblastoma Intraventricular teratoma"
Please summerize the given abstract to a title,Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis of Early COVID-19 and Treated at Home Within 3 Days or After 3 Days of Symptom Onset with Prescribed and Non-Prescribed Treatments Between November 2020 and August 2021
Answer this question truthfully,"Varicocele is the most common cause of scrotal enlargement in adult males. A varicocele is a condition in which the veins in the scrotum become enlarged and twisted, causing a buildup of blood that can lead to swelling and discomfort. While varicoceles are often asymptomatic, they can cause pain, infertility, and testicular atrophy in some cases. The exact cause of varicoceles is not known, but they are thought to be related to abnormalities in the valves that regulate blood flow in the veins of the scrotum. Treatment for varicoceles may involve watchful waiting, medication, or surgery to repair or remove the affected veins."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query i think you are suffering from acute backache. treatment of it is rest and analgesics. you can take diclofenac three times a day after meals. sometimes strong analgesic(such as attract three times a day after meals) is required. omeprazole 20 mg before meals prevent acidity caused by analgesics. sometimes vitamin d deficiency is the cause so get your vitamin d checked. if it is low then vitamin d supplementation(on dk 60k weekly with milk) can be taken. to father investigate mri of the region is advised. i think your query answered. welcome to any follow-up query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, wearing a pressure support in legs is for preventing the clot formation in legs. this is important in older patients with a bypass who are prone to developed dvt. the small blood vessels which must be formed in legs are normal after a bypass because during bypass graft is taken from lower leg veins after which small vessels over front of leg dilate. these are normal. so don't worry and follow advice as per your doctor. thanks chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Trajectories of eating behavior during COVID-19 lockdown: Longitudinal analyses of 22,374 adults"
Please summerize the given abstract to a title,Advanced Practice Nursing and the Expansion of the Role of Nurses in Primary Health Care in the Americas
Answer this question truthfully,"Superficial cortical nephrons are a type of nephron in the kidney that have glomeruli located in the outer cortex and a relatively short loop of Henle. This is in contrast to juxtamedullary nephrons, which have glomeruli located near the boundary between the cortex and medulla and a long loop of Henle that extends deep into the medulla. The different types of nephrons play different roles in regulating water and electrolyte balance in the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, canker sores and viral conditions can cause discomfort. more time may be needed to allow your body to heal. try to take some anti-inflammatory medication such as advil and tylenol. if you are experiencing a great deal of discomfort take a combination of two advil and two tylenol at regular intervals. rinse your mouth often with an antiseptic or warm salt water. keep well hy chatbot.  take some vitamin b12.  change your toothbrush and make sure you are properly cleaning your tmj splint. inspect your appliance for any damage or buildup such as plaque and tartar. have your dentist inspect the appliance and assist you in cleaning it if needed. there is a possibility that you now have an oral yeast infection. acidophilus may help prevent this. you may require a prescription for statin, an antifungal medication. see your physician if your systemic symptoms persist or worsen for a diagnosis and possible medications. thank you for your inquiry. i hope my suggestions are helpful to give you some relief and that you feel better soon."
Please summerize the given abstract to a title,Advantages of Using Lotteries to Select Participants for High-Demand Covid-19 Treatment Trials
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. according to your symptoms and findings there is osteoarthritis of your knee. you can start cartilage protecting medication like chen chatbot. i will advise doing mri knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. physiotherapy like ultrasound and tens will help, along with knee exercisesback pain can be due to associated arthritis. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. if you are satisfied with answer do not forget to give rating to this answer. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to chatbot. since you have not mentioned your symptoms here i presume you are having no symptoms. the since of prominent vascular markings bilaterally and tubular heart pint towards emphysema which is a disease of the lungs caused due to air trapping and airway obstruction. it is found in chronic smokers. you have not mentioned any history of smoking. if you had been smoking this could very well be emphysema. if you have never smoked then this could be a normal variant or some associated disease of the lung. i would have to look at the chest x-ray to comment more. i recommend you a hrct of the chest to be evaluated further for the findings of the chest x-ray. it will provide a clear picture of your lung abnormalities if any. please do the hrct chest and revert worth reports and your detailed history about symptoms and smoking. wishing you good health. regards
Answer this question truthfully,"Retroviruses, such as HIV, are a type of virus that have a diploid single-stranded RNA genome. This means that their genetic material consists of a single strand of RNA that is composed of two copies of the viral genome. Unlike most other RNA viruses, which have a haploid genome consisting of a single copy of their genetic material, retroviruses are unique in their diploid nature and their ability to convert their RNA genome into DNA through the process of reverse transcription. This allows the virus to integrate its genetic material into the host cell genome and begin replicating, leading to the development of retroviral infections."
Answer this question truthfully,
Please summerize the given abstract to a title,Modal-based Kinematics and Contact Detection of Soft Robots
Answer this question truthfully,"The likely diagnosis for the patient's condition is alcoholic hepatitis. This is a condition that occurs when the liver becomes inflamed due to excessive alcohol consumption. Symptoms can include fever, jaundice, tender hepatomegaly, and an AST:ALT ratio > 2. Diagnosis is typically made through blood tests to measure liver function and imaging studies, such as ultrasound or CT scans, to evaluate the liver. Treatment involves stopping alcohol consumption and may include medications to reduce inflammation and support liver function. Without treatment, alcoholic hepatitis can progress to cirrhosis, liver failure, or liver cancer."
Answer this question truthfully,Tumor lysis syndrome is classified according to the 1993 Hande-Garrow classification system into two groups i.e. laboratory tumor lysis syndrome (LTLS) and clinical tumor lysis syndrome (CTLS).
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Call your health care provider if you have symptoms of cervicitis.
Please summerize the given abstract to a title,Complement Proteins as Soluble Pattern Recognition Receptors for Pathogenic Viruses
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. kindly note that your age and previous medical problems are not mentioned in the query. according the report posted, there is raised globulin above normal range the elevated globulin may be alpha, or gamma commonly will be gamma, amd is of two types monoclonal proliferation or polyclonal. you need to undergo serum protein electrophoresis that will show next step in evaluation. if you have any joint pains kindly inform doctor. no specific medication is required right now but blood test step is required. and it is unlike due to isotrenitoin. hope this helps."
Answer this question truthfully,The acute attack is 5 times more common in females.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it looks from your details that most probably with hamstring strain you may also have problem with menisci (pads in knee) in your knee. if there is associated pain and problem with locking during standing from sitting position or during up or down stair movements then you should consult to your doctor and should have an mri investigation to rule out problem. till then please avoid straining your knee and wear a knee support. hope i have answered your question. let me know if i can assist you further."
Answer this question truthfully,"The most important risk factor in the development of hepatocellular adenoma is use of oral contraceptive medications.
Drospirenone and Ethinyl estradiol Norethindrone acetate and Ethinyl estradiol Norgestimate and Ethinyl estradiol Norgestrel and Ethinyl estradiol The risk is proportional to: Hormonal dose Duration of medication
Other risk factors include: 
Clomiphene Methyltestosterone Danazol Klinefelter's syndrome Glycogen storage diseases I, II and IV. Familial adenomatous polyposis"
Please summerize the given abstract to a title,Spatial impacts of fiscal stimulus policies during the 2009 global financial crisis in Indonesia
Answer this question truthfully,"Often, hyperchloremia does not produce symptoms. Symptoms may include:
Excessive fluid loss (Diarrhea, Vomiting) Dyspnea (shortness of breath) Intense thirst Weakness Tachypnea (rapid breathing) Hypertension (high blood pressure) Pitting Edema (abnormal amount of fluid under the skin, causing swelling) Lowered cognitive ability Kussmaul's breathing (very deep and labored breathing at a normal or reduced rate) Coma
If the sufferer is a diabetic, hyperchloremia can cause high levels of blood sugar."
Please summerize the given abstract to a title,"Práctica clínica, ámbito laboral y riesgos de la fisioterapia ante el COVID-19/ Clinical practice, work and risks of physical therapy in the face of COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. panic attacks always happen due to underlying anxiety. therefore, you must add chatbot.  please understand anxiety and related problems. once you understand your anxiety, you will be able to keep yourself away from panic creating situations. therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. start slowly, progress gradually, attain neatly. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Monitoring changes in human activity during the COVID-19 shutdown in Las Vegas using infrasound microbarometers
Please summerize the given abstract to a title,China–Africa Cooperation Initiatives in Malaria Control and Elimination
Answer this question truthfully,Idiopathic acidic urine accounts for 50% of uric acid kidney stones.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot there are different possible causes for liver disease. the most common are due to alcohol, infection and non-alcoholic liver disease.non-alcoholic liver disease refers to liver changes not due to alcohol use. in this condition, poor diet, increased weight and limited activity cause fat to build up in the liver. this can progress to liver failure if not treated. to avoid liver disease you can consider reducing your alcohol intake even slightly and also using lifestyle changes to avoid non-alcoholic liver disease. the lifestyle changes include-increased physical activity and reduction in carboy chatbot. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam, although blurred vision is not described well in literature as symptom of anemia, i have seen many patients who have this symptom, which gets better after correction of anemia. i send patients to ophthalmologist in any case just to rule out associated eye problems. you may also do the same thing. transfusion of blood is not the solution for anemia. it is just a temporary measure to bring up the hemoglobin level. we need to evaluate your husband to know the cause of anemia and treat the cause. this would actually solve the problem. hope i have answered your question. if you have any further questions i will be happy to help. with regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctorforum. it appears that the symptoms have nothing to do with the injection as you have already taken them. it may due to infection of the tissues at the site of injection.  but don't worry by administering proper chatbot. i advise you to consult your doctor who gave the injection, he will be successful to provide the solution.  besides i advise you some diet recommendations as avoid taking spices chilies junk foods oily foods. thanks for calling."
Answer this question truthfully,Positive selection of T cells occurs in the thymic cortex.
Answer this question truthfully,The posterior lobe of the pituitary gland secretes ADH and oxytocin.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello i appreciate your concerns will definitely help you in the best possible way if you can answer my these questions presence of any medical or metabolic disease like diabetes or thyroid disease do you smoke or consume liquor first of all it needs to rule out any organic cause for discharge and poor erection need not worry this condition is very much treatable and size of penis doesn't make much difference for a successful marriage, so consult your doctor would advise you following guidelineswatch your frequency of hand practice and look for any injury can press at the base of the glans when you feel to ejaculate and can stay longeravoid smoking and alcohol consumptionavoid stress and anxiety, just relax and enjoy your day you should not take any medicine without doctors prescriptionthere are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, i will gladly answer you hope this answers your question best wishes"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are using close ht cream on face for fairness. i can not understand, who prescribed this to you? for your knowledge, it is a cream containing steroid and that might cause serious side effects on face skin after long term application...like erythema, telangiectasia, atrophy,pigmentation, hypertrichosis.etc. you stop it immediately. it might be responsible for redness. keep the skin protected from sun rays. if your skin has blemishes, then only you may apply comic acid containing gel. along with that, you may take vitamin c, glutathion.etc. you might cleanse the skin with comic acid, arbutin containing face wash. i hope you got my answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, mild fever, cough and cold are mostly due to viral infections of pharynx, sinus,larynx, epiglottis, bronchi etc.sometimes it could be due to bacterial infection also.you're wheezing, breathing difficulty could also be related to infection of bronchi and bronchioles. you may go for routine blood count and sputum examination if there is sputum to rule out infective pathology of lungs. you will require antibiotics (quinolones or accolades) to prevent super infection with analgesics and anti-inflammatories, antihistamines with other supportive treatment. consult your physician for further advise"
what are known causes of bipolar disorder,"The exact cause of bipolar disorder is unknown, but several factors may be involved, such as: - Biological differences. People with bipolar disorder appear to have physical changes in their brains. The significance of these changes is still uncertain but may eventually help pinpoint causes. - Genetics. Bipolar disorder is more common in people who have a first-degree relative, such as a sibling or parent, with the condition. Researchers are trying to find genes that may be involved in causing bipolar disorder. Factors that may increase the risk of developing bipolar disorder or act as a trigger for the first episode include: - Having a first-degree relative, such as a parent or sibling, with bipolar disorder - Periods of high stress, such as the death of a loved one or other traumatic event - Drug or alcohol abuse"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, welcome to chatbot, taking more stress and anxiety will not increase your chances of getting pregnant, please continue to take the medicines given, like folic acid, progesterone, aspirin which must be given to you by the doctor. at 25 years age and at 2nd ivf cycle you have a very good chance of conceiving. the success of any ivf cycle is directly related to age of the women, so you definitely have a good chance at success. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question.  so from what you are saying you have been married for 4 years, had one prior miscarriage, and are trying to get pregnant again.1.  the first day of your period is day#12.  most women ovulate on day#143.  have intercourse only on days 10, 12, 14, 164.  consider over-the-counter ovulation kits that you can buy to see when exactly you are ovulating i hope that this helps. if you have more questions, please click on \""ask me a question\"" link above to directly ask me a question!"
Answer this question truthfully,The cavernous sinus drains into the internal jugular vein.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your health concern, if i am your doctor i think you are talking about mrsa that is methicillin resistant staphylococcus. you should be treated by mupirocin to get clear from mrsa carrier status. take treatment with mupirocin and then get your umbilicus and nasal septum culture done for mrsa if you find out staphylococcus aureus than you are not cleared with mrsa and further treatment is necessary. follow the above step again to get relieved by carrier status by mrsa. i will be happy to answer all your future concern. thank you, chatdoctorinfectious disease specialist. wish you the best health at chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please answer with one of the option in the bracket,B: Invasive ductal carcinoma
Please answer with one of the option in the bracket,D: Type II hypersensitivity reaction
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. yes chances are there. hiv spreads when secretions of the patient touches the blood circulation of others. injection needle definitely reach the blood. you can start with prophylactic treatment and kindly get the tests done once the incubation period is over. this is a period during which time the disease cannot be detected by laboratory tests. best of luck. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern regarding these negative tests. however, only a careful systematic approach will ensure that nothing is missed out. presently, peripheral blood and bone marrow cell morphology need to be done, if they've not been done already. the platelets and their bone marrow precursors need to be carefully assessed, to understand what exactly is responsible for the low counts. since you said the count has been so since birth, we may be dealing with a congenital platelet disorder, but the tests you mentioned are insufficient to unravel which one it is. you should see a specialist hematologist, to help you through the process. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms and appreciate your courage & positive thinking. you have done quite well considering the severe head injury about 17 years ago. your symptoms suggest that you are still having minor sensory seizures. you would benefit from adjusting the dose of anti-epileptic medications. i would urge you to discuss these issues with your neurologist. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Answer this question truthfully,One possible complication of aortic stenosis is atrial fibrillation due to left atrial dilation.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","a semen analysis evaluates certain characteristics of a male semen and the sperm contained in the semen. sperm count, or sperm concentration to avoid mix up, measures the concentration of sperm in a men ejaculate, distinguished from total sperm count, which is the sperm count multiplied with volume. anything over 20 million sperm per milliliter is considered normal. the average sperm count today is around 60 million per milliliter in the western world, having decreased by 1-2% per year from a substantially higher number decades ago."
Please summerize the given abstract to a title,Psychology is an essential science: American Psychologist highlights the role of psychology in understanding and addressing COVID-19
Please answer with one of the option in the bracket,C: Dynein
Answer this question truthfully,"Oligodendroglioma is a type of primary CNS tumor that arises from oligodendrocytes, a type of glial cell in the brain. It is characterized histologically by ""fried egg"" cells with a ""chicken-wire"" capillary pattern."
"If you are a doctor, please answer the medical questions based on the patient's description.","this treatment is being suggested on bases of the information provided. i would like to examine & investigate your wife in detail. this symptom bad neck movements front to back does not fit in any of the euro orthopedic symptom complexes (at least not to my knowledge).--. kindly obtain a psychiatrist consultation as well. rule out hypertension, diabetes or any other metabolic disorder. any way you may try---.  looking plus (mankind) [diclofenac 100\u00a0mg +paracetamol 350\u00a0mg] 1 tab.  od & sos. x 5days.--. calcified plus (mankind) 1 tab od x 10days.(you may need help of your local doctor to get these medicines.)--. fomentation with warm water.--. sleep on a hard bed with soft bedding.--. use no pillow under the head.--. avoid painful acts & activities.--. do mild exercises for neck & shoulders.  --.(take help of a physiotherapist or visit www. chatbot. com). do not ignore, let it not become beginning of a major problem. do ask for a detailed treatment plan. if no relief in 2-3 days, contact me again. (through this platform.) kindly make sure, there is no allergy to any of these medicines. (contact family doctor, if needed). for emergency treatment visit the nearest hospital.-hope i have answered your question, if you have any further question, i will be happy to help.-kindly rate the answer.-wish your wife a quick recovery & good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. before thinking of vitamins/natural medicines as remedy for your panic attacks, or psychiatric problem one has to take notice that whether"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. i can understand your concern regarding the skin lesions. it could be urticaria or scabies but it's difficult to point specific diagnosis in absence of clinical examination. therefore, i insist you to post good clinical pictures to me so that i can help you in a better way. you can reach me directly through the below-mentioned link.https"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernthere is no chance of the pregnancy as you both have clothes. wetness is due to secretion of pre-cum and cervical mucus due to sexual arousal. but sperm can not enter in to the vagina through clothes. pregnancy is possible when there is full penetrative intercourse or intercourse up to vaginal introits with or without ejaculation in the fertile phase of the cycle. so you have not to worry. pregnancy is not possible in your case. avoid stress, take healthy diet, chatbot. use safe sex practice like barrier contraceptive in future to prevent the unwanted pregnancy. hope this may help you best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatbot if this is dark color of bleeding p/v then this is nothing to worry because such dark color sometime noted in delayed menses some time this could be due to collection of menses inside uterine cavity for hours, then expelled out, in short this is just nothing to worry, if you have a history of iud then this need to be seen for proper position and for this get done the ultrasonography test, hope this information helps, take care have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, you should not take this chatbot.  it is steroid and oral steroids are harmful in breathlessness. they are indicated only in certain circumstances. in my opinion, you should consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test). possibility of bronchitis is more in your case. steroids are given in bronchitis but in inhaled form, not in oral form. so you should start inhaled bronchodilators and inhaled corticosteroid. better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer with one of the option in the bracket,A: Thinning of the mucosa
Please summerize the given abstract to a title,Plasmonic Detection of SARS-CoV-2 Spike Protein with Polymer-Stabilized Glycosylated Gold Nanorods
Please answer with one of the option in the bracket,B: Impaired Na+/K+-ATPase pump activity
Answer this question truthfully,"The presence of chronic watery diarrhea with a normal macroscopic appearance of the bowel is suggestive of microscopic colitis, which is a type of inflammatory bowel disease that affects the colon. This condition is characterized by inflammation of the colon at the microscopic level, which can cause symptoms such as chronic diarrhea, abdominal pain, and weight loss. Diagnosis typically involves a colonoscopy with biopsy to evaluate for microscopic changes in the colon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. mole itching can be a sign of melanoma malignum development. that is why every mole which itches, becomes reddish, start to grow, should be removed and checked under a microscope to make sure it is not malignant. hereditary moles have high risk of melanoma development than regular moles. that is why i suggest you to visit surgeon or skin doctor as soon as possible and have it removed. hope this will help. regards."
Answer this question truthfully,"There are several screening tests for high risk patients to detect and prevent stroke: Carotid Artery Ultrasound, Abdominal Aortic Aneurysm Screening, Atrial Fibrillation, Peripheral Artery Disease."
Answer this question truthfully,"Tongue cancer is cancer that begins in the cells of the tongue. Approximately 25-30% of all oral cavity cancers begin in the tongue. If cancer begins in the proximal two-thirds of the tongue it is described as oral cancer and if it begins on the distal third of the tongue it is described as throat cancer. Squamous cell carcinoma of the tongue usually arises from the ventrolateral aspect of the mid and posterior tongue, probably due to adjacent pooling of carcinogens. More than 90% of oral cavity cancers are squamous cell carcinomas. The majority of the other lesions are of minor salivary gland origin. Nonsquamous cell cancers comprise fewer than 3% of all lingual malignancies. Genes involved in the pathogenesis of tongue cancer include TP53, c-myc, and erb-b1. On gross pathology, exophytic, ulcerative, and infiltrative growth patterns are characteristic findings of tongue cancer. Tongue cancer must be differentiated from other diseases that cause malignant lesions of the oral cavity and from few non-neoplastic lesions of the oral cavity, such as lymphoma, adenoid cystic carcinoma, adenocarcinoma, mucoepidermoid carcinoma, rhabdomyosarcoma, liposarcoma, infections at the floor of mouth and mandible, and normal adenoid tissue for lesions at the base of tongue. In 2009, the incidence of tongue cancer was estimated to be 10,530 cases per 100,000 individuals in the United States. Males are more commonly affected by tongue cancer than females. The incidence of tongue cancer increases with age. The most potent risk factor in the development of oral cancer is alcohol intake, tobacco use and human papillomavirus transmitted through sexual contact. Head and neck MRI scan is diagnostic of tongue cancer. The predominant therapy for tongue cancer is surgical resection. Adjunctive chemotherapy, radiation, chemoradiation, or brachytherapy may be required."
Please summerize the given abstract to a title,Modeling the Impact of Unreported Cases of the COVID-19 in the North African Countries
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query can feel your concern slow hemoglobin is cause of tiredness, weakness and lethargy do have fever or any other infection?esr is a nonspecific test it can be raised due to anemia or infection advise you to take iron, multivitamin and folic acid supplements improve your diet add meat, green leafy vegetables and fruits avoid tea and coffeecake vitamin c and citrus fruit swishing him a speedy recovery hope i have answered your query am available for your help regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernfertile tablet will help to maintain fertility by inducing the ovulation. clomid should be started on day 3 to 5 of your cycle and continue to take it at the same time every day for 5 days. you will likely be started on a low dose of closed, such as 50 mg a day. this is to reduce the likelihood of developing cysts, side effects, and multiple pregnancies. if you miss the pill then take as early as possible. so i would suggest to start from the next cycle form day 3 or 5 for better effect. after taking pill must to sex on the ovulatory cycle to increase the chance of conceive. avoid stress, take healthy diet, chatbot. hope this may help noncontact chatbot for further health query best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot.please do not do cold sponging, as it has been proven scientifically that it will only bring down the fever temporarily. but at the same time it will cause rebound higher temperature after sometime. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,Acute pericarditis commonly presents with sharp pain that is aggravated by inspiration and relieved by sitting up and leaning forward.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. post-exposure treatment of dog bite consists of local treatment of the wound followed by vaccine therapy. as per who (world health organization) guidance, one dose (1ml of reconstituted) of the vaccine should be administered on days 0, 3, 7, 14 and 30. all intramuscular injections must be given into the deltoid region. in small child chatbot.  recommendations say vaccine should never be administered in the gluteal region (buttocks). hope this information would be helpful."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for asking a question to chatbot. forum.  you are a pregnant of 36+weeks, doctor told that you are 2 cm, and 50%. it means you are nearer to the delivery. but the problem is you are getting pain, especially when you stand. you also got migraine, and increase in mucous like discharge.  it is a common occurrence with every pregnant. due to more gap between pregnancies, large baby size, or apprehension you are feeling more pain.  as you are feeling the pain unbearable, you inquire your doctor for a relief.  wishing for a quick and complete relief.  best regards."
Please summerize the given abstract to a title,Aerosols and splatter in dentistry: A brief review of the literature and infection control implications
Please summerize the given abstract to a title,#BlackAutisticJoy in ADA 30
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. the tight scrotum issue after consumption of vegetables or vitamins is not a subject researched of. you should also clear when you ask such questions. i suggest explaining what exactly you mean without bothering to use hard english words. i suggest you to consult a physician for advise. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"Late myocardial enhancement has been associated with myocardial fibrosis and may allow for earlier detection of hypertrophic cardiomyopathy than is currently available with echocardiography and ECG.
Choudhury et al studied 21 patients with previously diagnosed hypertrophic cardiomyopathy . They noted:
Late myocardial enhancement following gadolinium administration in a patchy intramyocardial distribution. Typically occurred in the hypertrophied regions, predominantly in the middle third of the ventricular wall in a patchy, multi focal distribution. If enhancement occurred, it occurred at the junctions of the intraventricular septum and right ventricular free wall.
Moon et al looked at whether the extent of hyperenhancement on MR in patients with HCM would be associated with the risk of heart failure and sudden death  The study involved 53 patient were selected for presence or absence of an increased clinical risk of sudden death and/or progressive adverse left ventricular remodeling.
Myocardial hyperenhancement was present in 79% of patients. They found no evidence of abnormal myocardium on non-contrast images. There was more hyperenhancement in patients with progressive disease than without. There was greater hyperenhancement in patients with ≥ 2 risk factors for sudden death. Patients with diffuse hyperenhancement had ≥ 2 risk factors for sudden death vs patients with confluent hyperenhancement.
Of note, other investigators have discovered that in carriers without signs of hypertrophy on EKG or echocardiography, Cardiac MR can detect the presence of crypts in the LV wall which may progress to hypertrophy.
MR is helpful in visualizing the asymmetric thickening of the interventricular septum in patients with HCM. However, it may be more helpful than other forms of imaging to differentiate the variant types of hypertrophic cardiomyopathy. 
MR can be helpful in evaluating the extent of systolic anterior motion of the mitral valve.
MR can be help visualize turbulence in left ventricular outflow tract created by obstruction in patients with obstructive hypertrophic cardiomyopathy.
{{#ev:youtube|xP3gvVFGUaU}}
“ CMR may be used for assessment of patients with LV dysfunction or hypertrophy or suspected forms of cardiac injury not related to ischemic heart disease. When the diagnosis is unclear, CMR may be considered to identify the etiology of cardiac dysfunction in patients presenting with heart failure, including evaluation of dilated cardiomyopathy in the setting of normal coronary arteries, patients with positive cardiac enzymes without obstructive atherosclerosis on angiography, patients suspected of amyloidosis or other infiltrative diseases, hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, or syncope or ventricular arrhythmia. ”
“ Class I 1. CMR imaging is indicated in patients with suspected HOCM when echocardiography is inconclusive for diagnosis.   (Level of Evidence: B) 2. CMR imaging is indicated in patients with known HOCM when additional information that may have an impact on management or decision making regarding invasive management, such as magnitude and distribution of hypertrophy or anatomy of the mitral valve apparatus or papillary muscles, is not adequately defined with echocardiography.      (Level of Evidence: B) Class IIa 1. CMR imaging is reasonable in patients with HOCM to define apical hypertrophy and/or aneurysm if echocardiography is inconclusive.   (Level of Evidence: B) Class IIb 1. In selected patients with known HOCM, when sudden cardiac death risk stratification is inconclusive after documentation of the conventional risk factors, CMR imaging with assessment of late gadolinium enhancement (LGE) may be considered in resolving clinical decision making.      (Level of Evidence: C) 2. CMR imaging may be considered in patients with LV hypertrophy and the suspicion of alternative diagnoses to HOCM, including cardiac amyloidosis, Fabry disease, and genetic phenocopies such as LAMP2 cardiomyopathy.    (Level of Evidence: C) ”"
Answer this question truthfully,Acanthosis nigricans often fades if the cause can be found and treated.
Answer this question truthfully,The reactivation of Epstein-Barr virus (EBV) is associated with nasopharyngeal carcinoma.
Please summerize the given abstract to a title,Therapy with lopinavir/ritonavir and hydroxychloroquine is associated with acute kidney injury in COVID-19 patients
Please summerize the given abstract to a title,X-ray covid-19 detection based on scatterwavelet transform and dense deep neural network
Please summerize the given abstract to a title,On exploiting Data Visualization and IoT for Increasing Sustainability and Safety in a Smart Campus
Answer this question truthfully,"Urine pH > 5.5 and hypokalemia are significant laboratory findings that may indicate the presence of distal renal tubular acidosis (type 1). In this condition, the kidneys are unable to properly acidify the urine, leading to a higher pH. This can result in a loss of potassium in the urine, leading to hypokalemia. Distal renal tubular acidosis can be caused by a variety of factors, including autoimmune disorders, genetic mutations, and certain medications. It is important to identify and treat this condition, as it can lead to complications such as kidney stones, osteomalacia, and growth failure in children."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, let me tell you that the prescription of medicine depends on the severity of your symptoms. if you have hemorrhoids with only pain then oil cream has been correctly prescribed. but if there are other symptoms such as bleeding as you will have to specifically mention it. you should always make it a point to not strain while you defecate as straining will worsen your symptoms. you should chatbot.  furthermore, you can also get back to your doctor for further help. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Chronic pulmonary disease in West Highland white terriers.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as a urologist, i understand your anxiety. if your mri scans are normal, then you don't really need be worried. the kidney function is normal and other blood tests are presumably normal. the urine color change is usually due to the medication. if you've any doubts, give it for urine routine and culture. if there's infection, till be confirmed on report. pain can be due to infection. hope i have answered your query. if you've any doubts, send all the reports to me, as a direct question."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. dear madam you should ensure that your dad has some competent staff by himself who can manage catheter reinsertion. it is usually not successful to treat cancer by medicines. hypertrophy can be treated, but cancer will cause urine flow obstruction sooner or later. only surgery can help in these cases. catheter can help if there is no significant urine flow obstruction. and this obstruction must be managed as soon as possible. sometimes catheter become useless and permanent solution is ureterotomy. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain after 2\u00a0weeks of extraction is not common. the pain can be because of any sharp bony margin left during tooth removal or any infection in the next tooth. consult an oral physician and get a radiograph done to rule the infection or any bony sharp edges. if there are sharp edges, then you can get it reduced. if there is infection in the next tooth, then get that tooth treated with rct. i hope my answer will help you, take care."
Please summerize the given abstract to a title,A First Case of Acute Cerebellitis Associated with Coronavirus Disease (COVID-19): a Case Report and Literature Review
Please summerize the given abstract to a title,Self‐administered biofeedback treatment app for pediatric migraine: A randomized pilot study
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot. i am sorry to hear about your wives problems1. getting dizzy when getting up from sitting or laying down 2. very fatigued and 3. no energy 4. bad taste in her mouth that she describes as like stale smoke or cigarettes. all these point out to anemia or iron deficiency anemia i would suggest you to consult your family doctor and do the following tests 1. he %2. pcv 3. rbc count 4. peripheral smear anemia is easily treatable and is a curable condition if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear madam, it sounds like something more serious. it could be just a cramp caused by abdominal bloating but if you have some associated symptoms such as fever, nausea, vomiting or abdominal muscle guarding or blood in the stool u should go to er as soon as possible. if not, then just wait to see if this will happen again and then should some detailed gaston. workup de done. try to detect and avoid food that triggers bloating and discomfort. wish you good health,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear visitor, these are symptoms of diverticulitis but this diagnoses can be confirmed only by ct-scan. i don't know it that was done. it should be performed to rule out diverticulosis of colon. medicines need to be taken till the end. usually it takes 2-3 days to start working, but there is no rule about it. u should do urinalysis also, but cipro is effective for urinary infections as well. so i suggest if pain persist after antibiotics treatment you should do complete garment. evaluation.  wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi appendix with mild ascites.... can cause ureter to get infected.....and secondly strep and staph are skin germs and rarely the ureter can be injured during operation....... they can be due to scar mark access if fistula is formed or simply she got different strain of strep from the antibiotic u gave.every antibiotic has different spectrum of activity.... just by normal ascending urinary tract infection ...............take care
Please summerize the given abstract to a title,Higher‐dose versus standard‐dose prophylactic anticoagulation in hospitalized patients with COVID‐19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. lymphedema secondary to cancer can be seen in many women even years after taking treatment. taking proper supportive care is recommended to prevent any complications. keeping the skin clean is important and this prevents the appearance of cellulitis. studies have shown some medications to work in reducing secondary lymphedema. the right medication needs to be given by your doctor after confirming your condition and might include benzopyrone group of medicines (including coumadin and flavonoids), when combined with intensive physical therapy. compression therapy also works in these patients."
Please summerize the given abstract to a title,Human papillomavirus assay design is a crucial consideration for self-collection based cervical screening.
Answer this question truthfully,Immunocompromised individuals and asplenics.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  you are thinking about those occasions on which you get angry, or you are short-tempered. there are so many occasions in your life itself when you behave maturely and with patience when troubled. if you just sit and search your past, you can find so many such occasions. to trigger your positive journey, traveling in a crowded bus, getting pushed, pulled, punched, gnawed, braked etc. you cannot avoid such a journey because there are no other means of transportation available. this is just an example. now you can think of such experiences you had. that means your short temper is only towards those people whom you are sure, will not react. why so? that is the answer to your question too. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Answer this question truthfully,"It is understood that the Bile is made in the liver and stored in the gallbladder. Concentrated bile from the gallbladder can lead to the formation of gallstone. The stone passes from the gallbladder to the cystic duct, then into the common bile duct (CBD), and block the CBD. Primary Choledocholithiasis is formed from stones within the bile duct that occur due to bile stasis in the CBD, forming an intraductal stone. The cause of bile duct stasis includes bile duct dilatation with increasing age. Less commonly, bile stasis can result from complications from Mirizzi Syndrome or hepatolithiasis (gallstone in the biliary duct of the liver). The obstructed flow of the bile duct leads to obstructive jaundice and possibly hepatitis. The stagnant Bile can lead to infection and inflammation of the bile duct, causing bactibilia and ascending cholangitis. If the blockage is at the common bile duct after the pancreatic duct, join the CBD, it can become inflamed, with autoactivation of pancreatic enzymes leading to gallstone pancreatitis"
Please answer with one of the option in the bracket,C: Saddle nose
Answer this question truthfully,"The infiltration of neutrophils, which is indicative of acute inflammation, is a common microscopic change that occurs in the heart within the first 1-3 days after a myocardial infarction (MI)."
Answer this question truthfully,"Arachidonic acid is the molecule that serves as the precursor to thromboxane A2.

Thromboxane A2 is a type of prostanoid that is involved in blood clotting and vasoconstriction. It is produced by platelets and acts as a potent vasoconstrictor and platelet aggregator.

Arachidonic acid is a polyunsaturated fatty acid that is found in cell membranes and is released from them when they are activated by certain stimuli. Once released, arachidonic acid can be converted into thromboxane A2 by the enzyme thromboxane synthase. Thromboxane A2 then acts on platelets to promote blood clotting and vasoconstriction."
"If you are a doctor, please answer the medical questions based on the patient's description.","white blood cell count can be safely increased with pegfilgrastim 6\u00a0mg given subcutaneously. this injection should be given at least 24 hours after chemotherapy and next chemotherapy should be administered 14 days after the injection. if next chemotherapy is scheduled in less than 14 days from now, then injection filgrastim 6 micrograms per kilogram can be given subcutaneously once daily for few days. please discuss it with your oncologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, possibility of cervical cancer recurrence is there, irrespective of surgery in the past. means even if you had hysterectomy, recurrence can be there. since you didn't undergo hysterectomy, chances of recurrence are higher in you. symptoms of recurrence are foul smelling vaginal discharge, lower abdominal pain, bleeding per vagina, weight loss, anorexia, low grade fever etc. and regarding future treatment, you need to first get done staging of the cervical cancer. if it is localized cancer than surgical removal with post opera chemotherapy and radiotherapy are options. if it is metastatic cancer than palliative treatment in the form of chemotherapy, radiotherapy, nutritional support and pain management are the options. so if you have any of the above-mentioned symptoms than consult oncologist, get done staging and star appropriate treatment. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on the facts that you have posted you are married since 3.5 years and have not been able to impregnate your wife. your semen analysis has revealed liquefaction time of your semen to be more than one hour. consistency of semen immediately on ejaculation is thick and viscous hence the sperms are unable to move forward, however the semen ejaculated gradually gets liquefied by an enzyme called psa which is produced by prostate. this liquefied semen enables sperms to move forward in vagina and uterine cavity towards fallopian tubes for effective fertilization of female egg to result into pregnancy. in the majority of cases the cause for increase in liquefaction time is infection which needs to be eradicated. taking antibiotics like doxycycline twice daily for 4-6 weeks does help to reduce liquefaction time to normal level of 30 -40 minutes and there by in conception., chatbot."
Answer this question truthfully,"Pulmonary contusion is a type of lung injury that can occur after trauma, such as a car accident or a fall. It is characterized by patchy infiltrates that typically develop within the first 24 hours after the injury. These infiltrates can be seen on imaging studies, such as chest X-rays or CT scans.

ARDS, or acute respiratory distress syndrome, is a severe lung condition that can also develop after trauma. It presents with bilateral infiltrates, which typically occur 1-2 days after the injury. These infiltrates can also be seen on imaging studies and are often accompanied by severe respiratory distress and low blood oxygen levels. Both pulmonary contusion and ARDS are serious medical conditions that require prompt diagnosis and treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i am chatbot. i will be answering your concerns. i wish you had given me some more information like your age, bmi, results of previous investigations if done, etc. dear, among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. you have hardly stayed with your husband. so don't be worried. make arrangements to stay with your husband continuously for a year. you will conceive. as your doctors say that you are okay, there is no specific advise that i need to give you. get your husbands' semen analysis done. it is extremely important that you maintain normal bmi. otherwise, it can interfere with ovulation. to increase your chances of conception maintain normal bmi, quit smoking (if you're a smoker) and have intercourse at least three times in a week. there is no need to calculate the fertility period. it unnecessarily causes stress. having sex 3-4 times in a week automatically takes care of the fertility period. if you do not conceive in six months time, i suggest you consult doctor and do your baseline hormone tests and hsg for tubal patency and semen analysis for your husband. based on the results of these tests further treatment can be planned. do continue to take tab folic acid daily. i hope this is helpful. if you have any further concerns do contact me through chatbot. best wishes chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may experience the aura (symptoms before attack). option intake for long term may lead to encephalopathy, psychosis, loco motor dysfunction, hyperkinetic, megaloblastic anemia, decreased serum folate level, decreased bone mineral content, liver disease, iga deficiency, gingival hyperplasia, and a lupus-like hypersensitivity syn chatbot.  hence, please consult with your neuro-physician he will examine and take eeg then treat you accordingly. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there is no scientific data that ch elation the reyna helps, rather all the scientific bodies in the world including india, usa and europe has warned against the use of ch elation the reyna as it can cause gross side effects that can adversely affect the kidney and can lead to kidney shutdown. so if as a cardiologist i have to suggest it to the patient, ch elation therapy is a strict no. regards"
Answer this question truthfully,Atropine can cause a decrease in stomach acid secretion.
Answer this question truthfully,"The likely diagnosis is hereditary spherocytosis, which is a genetic disorder that affects the red blood cells. In hereditary spherocytosis, the red blood cells are abnormally shaped and fragile, leading to hemolysis (destruction of red blood cells) and anemia. Symptoms of hereditary spherocytosis may include increased MCHC (mean corpuscular hemoglobin concentration), Coombs-negative hemolytic anemia (hemolysis without evidence of an immune response), jaundice (yellowing of the skin and eyes due to excess bilirubin), and splenomegaly (enlargement of the spleen). Treatment for hereditary spherocytosis may include folic acid supplements to support red blood cell production, blood transfusions to treat severe anemia, and in some cases, splenectomy (surgical removal of the spleen) to reduce hemolysis and the risk of complications such as gallstones and aplastic crisis. It is important to seek medical attention if hereditary spherocytosis is suspected, as early diagnosis and treatment can improve outcomes and quality of life."
Answer this question truthfully,"Symptoms of botulism include bilateral cranial neuropathies followed by symmetric, descending muscle weakness."
Please summerize the given abstract to a title,Transmissive terahertz metasurfaces with vanadium dioxide split-rings and grids for switchable asymmetric polarization manipulation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. here you have no respiratory or cardiac symptoms so that causes seems to be very less in your case. first your pain might just be because of muscular strain. excess exercise, heavy weight lifting, improper bed posture might be the cause. give simple analgesic for that. hot compress may be helpful. second it could be referred pain from acid reflex or ulcer. omeprazole can be taken for it. third it can be because of costco chatbot. complete blood examination and crp test done. take analgesic or anti-inflammatory"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of bronchitis is more in your case. bronchitis can cause coughing with breathing difficulty. usually cough is not subsided by routine cough suppressant. for this you need to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and pft (pulmonary function test). chest x-ray is needed to rule out other lung diseases. pft is must for the diagnosis of bronchitis. it will also tell you about severity of the disease. and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid. don't worry, you will be alright. first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query,according to your clinical history i suspect that you have developed an infection at the site of i v infusion, i would suggest you to continue with the medications. abscess at the implants and extraction site can be because of any reasons like poor oral hygiene, food lodgment ant the extraction site, hormonal changes like diabetes, i would suggest you to visit the dentist and get the checkup done take an x-ray. take complete course of antibiotics and analgesics. use antiseptic mouthwash gargles twice daily. maintain a good oral hygiene. hope this helps out. regards."
Please summerize the given abstract to a title,Mind the gap from research laboratory to clinic: Challenges and opportunities for next-generation assays in human diseases
Answer this question truthfully,"The recommended treatment for an overdose of drugs that act as weak bases, such as amphetamines or TCAs, is to administer ammonium chloride to acidify the urine. When weak base drugs are ingested in excess, they can become trapped in the body's acidic compartments, such as the urine, leading to prolonged toxicity. Ammonium chloride can help to acidify the urine and promote the excretion of the drug, reducing the risk of toxicity. In addition to ammonium chloride, other treatments may be used to manage the symptoms of overdose, such as activated charcoal to absorb the drug in the stomach, or medications to control seizures or arrhythmias. It is important to seek medical attention immediately if you suspect an overdose of any medication, as prompt treatment can be life-saving."
Please answer with one of the option in the bracket,D: Cytological analysis for CD30 and ALK
Answer this question truthfully,"On MRI, characteristic features of pulmonary nodule include higher soft tissue contrast, lack of radiation exposure, lesion characterization by evaluation of signal intensities, and characterization of the dynamics of contrast uptake."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the visible paining vein that you are seeing at the back of the leg and the intensity of pain which increases when you stand or walk for longer time indicate towards the possibility of varicose vein. veins are the blood tubes that carry deoxygenated blood from various parts of our body to heart and lungs. if these veins become abnormally thick, twisted or tortuous, they are called varicose veins. usually these happen in elderly people, but if there is some abnormality in the vein wall, you are obese, your routine requires you to stand for very long periods of time then younger people like you may suffer from it, too. to get relief from this, you need to wear compression stockings that are available in medical stores. do lots of exercise. elevate your legs while sleeping and if possible, when you are sitting. try to avoid continuous standing periods. if you do not find relief in symptoms or then worsen, you should see a physician for physical examination. i hope this information helps. thank you for choosing chatbot. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your husbands situation and problem. by your history and description, possibility of either acute gastritis or cardiac disease is more. so better to get done ecg and 2d echo to rule out cardiac cause. if both are normal then he is mostly having acute gastritis and herd (gastroesophageal reflux disease). so ask him to avoid stress and tension. avoid large meals and take frequent small meals. avoid hot and spicy food. he may need proton pump inhibitors and prokinetic chatbot.  these are prescribed medicines, so consult doctor for their prescription. hope i have solved your query. wishing good health to your husband. thanks."
Please summerize the given abstract to a title,EFL Students’ Perceptions Of Online Learning during The COVID-19 Pandemic: A Case Study (preprint)/ en
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...what your kid is having is a bacterial or bacillary dysentery. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. but this age greenish diarrhea is a definite indication for starting antibiotics. i suggest you consult your pediatrician. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Emergency Food Provision for Children and Families during the COVID‐19 Pandemic: Examples from Five U.S. Cities
Please summerize the given abstract to a title,"Anatomical investigation and GC-MS analysis of ""Coco de Mer"", Lodoicea maldivica (J. F. Gmel.) Pers. (Arecaceae)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chatbot.  i welcome you to hchatdoctor virtual clinic. i have gone through your question, and i think i have understood your concern. furthermore, i will suggest you the best possible treatment options. 1) first do not worry. 2) as you have already taken norfolk, i will suggest you to get stool routine and culture and sensitivity test . as you must be breastfeeding, do not consume further antibiotics. 3) use of probiotic like cap vibrant ds once a day for ten days will be of help. till then"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. if i am your treating doctor i would like to advice you that how can you come to know that you have yeast infection in the vagina, have you undergone any test? because i never heard that yeast infection will cause this much sever infection. it requires visual examination to say something more. i advice you to carry out the grams staining and culture sensitivity from the lesion. also take the chatbot.  if you have anything else to ask please contact me. than. chatbot"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The typical outcome of Guillain-Barré syndrome is not fatal. Almost all patients with Guillain-Barré syndrome survive, although the recovery process can be slow and may take several months or even years. Guillain-Barré syndrome is a rare neurological disorder in which the immune system attacks the peripheral nervous system, leading to muscle weakness, numbness, and tingling in the arms and legs. In severe cases, patients may experience paralysis, difficulty breathing, and other life-threatening complications. However, with prompt diagnosis and treatment, the vast majority of patients with Guillain-Barré syndrome are able to recover fully or at least partially."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear thanks for your question on chatbot. no, this is not the correct way to treat. old age patient, with bad cough with history of previous pneumonia should be investigated to rule out pneumonia. as pneumonia in old age patient, if not treated early can lead to poor outcome. so i advise you to consult pulmonologist and get done1. chest x-ray.2. sputum culture and sensitivity to guide antibiotics.3. bronchoscopy and bad (bronchoalveolar lavage) analysis if sputum is not available it is better to start antibiotics according to sensitivity report to achieve the greatest effect and fasten recovery. so avoid rocephin injection further and consult pulmonologist and start treatment according to guidelines."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am doctor fa him and i will help you with your problem. first i need answers to these questions to have better understanding of you problem-your gender-age- exact location of the lump-is it painful and recurs - is there any previous history of such conditions face it appears to be acne. in teens and in twenties there is disruption of boils filled with pus/oil on face, chest and sometime over back. it is because of block hair follicle then secondarily gets infected. its treatment varies with severity and persistence of the disease. you need to see a gp/skin specialist or send photos to us for better diagnosis.  a good thing is that this condition completely treatable, and you will be better soon. i hope it will help you and do rate my answer if you like it. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i understand your concerned these symptoms probably suggests a viral upper respiratory infection. if there is no fever, and he is taking feeds, nothing to worry. giving antihistamines like chlorepheneramine male ate or levocetirizine(syrup levocetirizine 2.5ml at night) for 3-5 days may help in reducing cold and nasal discharge. if he is having nasal block interfering with sleep or feeding, put saline nasal chatbot. meanwhile, ensure frequent breastfeeds and fluids like ors solution to avoid deny"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to h.m. forum. a case of copd, prostate cancer (operated), with arthritis and main complaint is brownish purplish coloration with pain in left arm.  this sign (symptoms) over the left arm may be due to involvement of lymph node of left arm due to secondaries of prostate carcinoma. i in my few case have seen such type of discoloration, so please consult your oncologist and get his opinion and advise. rosacea usually spread over face and color is red (cherry type). 2nd reason of these symptoms may be due to sulfa chatbot."
Answer this question truthfully,"If left untreated, androgen insensitivity syndrome (AIS) may lead to cancers of the male breast, larynx, liver, testes and bladder. Common complications of AIS include Infertility, psychological and social issues, osteoporosis, and cancers. Prognosis is good after orchidectomy at the proper time. For incomplete AIS patients, it depends on the presence and severity of ambiguous genitalia."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for submitting your question here. you are trying to conceive following a loss. you are on goal treatment. now, i must tell you that pregnancy following ovarian stimulation does not possess any special risk than natural conception. the risk remains same like hypertension or others, which you already had previously. you have to be monitored for controlling other risk factors in your next pregnancy. flomist chatbot.  but, i suggest you to take any medicine henceforth only after proper consultation. sincerely"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Analysing the Combined Health, Social and Economic Impacts of the Corovanvirus Pandemic Using Agent-Based Social Simulation"
Please answer with one of the option in the bracket,C: Schizoaffective disorder
Answer this question truthfully,"At first, a newborn with hypoplastic left heart may appear normal. Symptoms usually occur in the first few hours of life, although it may take up to a few days to develop symptoms. These symptoms may include:
Bluish (cyanosis) or poor skin color Cold hands and feet (extremities) Lethargy Poor pulse Poor suckling and feeding Pounding heart Rapid breathing Shortness of breath
In healthy newborns, bluish color in the hands and feet is a response to cold (this reaction is called peripheral cyanosis).
However, a bluish color in the chest or abdomen, lips, and tongue is abnormal (called central cyanosis). It is a sign that there is not enough oxygen in the blood. Central cyanosis often increases with crying."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome with your query to chatbot. based on the facts of your query, the possibility of it being neurofibroma could not be guessed on usg, but would need fnac biopsy with homeopath study of it, as you have not submitted any painful lump fact in your query. so i would suggest having second opinion from surgeon and fnac biopsy. besides this, it being a benign tumor, you need for it being cancer. in my opinion it could be fibrous/lipoma/or died out sebaceous cyst on hairy chest. hope this reply would help you to plan treatment of your lump. will appreciate writing your feedback review comments, to help the needy patients like you at chatbot. good day!! chatbot. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there!  what is 0000? i believe its 10 thousand.first itp is diagnosis of exclusion. so let's assume you have been ruled out for all other possible causes of thrombocytopenia, here is what we gonna do but first did u have any bleeding episodes? severe hemorrhages etc.? airways breathing, were they ever needed to be maintained with external aids?have anyone ever checked your intro cranial pressures?have you ever lost hemodynamic stability (blood loss enough to give you a shock. low bp etc.)i will say hae your self checked by a neurosurgeon for assessing intro cranial hemorrhages risk, and a hematologist to reconfirm the diagnosis. sometimes it's too early to say its itp.as you are not responding to the meds. now consider you are diagnosed correctly, and you are not responding to the treatment it means your case is bit resistant. so steroids won't be enough for you. you need platelet transfusions right after the dosages of ivies(intravenous immunoglobulins) this will help reduce the lysis. add some thrombotic agents to your diet(platelets producing stimulators) like proact(eltrombopag) and plate (romiplostim) .and if these medications fail too which i am sure they wont you will need to get rid of the spleen after vaccination for calculated organisms. spleenectomy will solve the platelet lysis issues and will help the recovery.let's hope medicines are enough to get you out of your miseries.cheers."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of your mother. as you mentioned she has undergone knee surgery it is not connected to that. usually there is a slow metabolism in her which has been making her feel weak. also, please understand that due to the surgery her mobility is reduced, which has lead to weakness a lot. as the cellular metabolism is slow. it will take body to get adapted to the optimum performance again which is not a concern. also, on a safer side the blood & urine culture performed will assist if he has developed any infection. or else in my understanding with personal experience i do not think she has fever due to knee surgery. slow metabolism will lead to little rise in temperature and bodily physiological functioning. put her on exercises as it will help improve the strength and metabolism. also, performing regular breathing exercises will help her to have oxygenated blood for the systemic requirements. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. as you are having couch for 3 weeks first i would suggest you some investigation.1.gram stain and zn stain microscopy of sputum.2. culture and sensitivity of sputum. it will help in detection of cause. however you can take syrup containing ambrose, terbutalin and guaniphesin 2 tea spoonful 3 times a day, tablet cetirizine 10\u00a0mg with monteleucast5mg once at night and pantoprazole 40 mg once in morning.it will give you symptomatic repaid. further treatment will be based on your investigation report because you have already taken antibiotic .feel free to ask if any query. review me after report come. regards, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellonausea may be due to side effect of the oral meds you are on, while fatigue and weakness are also symptoms of fibromyalgia, and you have consulted rheumatologists already, so do not worry, consult your regular doctor, and he may change medicine causing nausea. sometimes, amitriptyline is a good choice along with pregabalin for fibromyalgia, if your doctor agrees or thinks necessary may advise these, try to do exercises despite weakness and engage a physical therapist-it really helps with pt thanks"
Please summerize the given abstract to a title,Greening and legume-supported crop rotations: An impacts assessment on Italian arable farms.
Please summerize the given abstract to a title,Impact of Covid‐19 on the convergence of GDP per capita in OECD countries
Answer this question truthfully,"Being bitten by an infected tick
Residing in an endemic area, primarily the Northeastern, United States coast
Repeated exposure to common I. scapularis and Ixodes hosts; white-footed deer mice, rats, voles, chipmunks, and field mice
Outdoor recreational activity during seasons of high tick activity"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, well, kidney cysts are usually benign and most of the time, they're asymptomatic. of course, completely removing the kidney is a major procedure but most of the time, a simple trial is given before. depending on your general conditions and symptoms, the treatment would be done adequately. a cyst so large can be chatbot. you do not have to worry a lot about loosing your kidney. there are already many alternate medical treatment for the symptoms. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Perception towards Online Teaching-learning in Medical Education among Medical Students during COVID-19 Outbreak in Nepal: A Descriptive Cross-sectional Study
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you should definitely consult your doctor for this. fever is suggestive of active infection. so you might be having recurrent upper respiratory tract infection (uri) or lung infection which is causing this fever. you will need blood reports like cbc (complete blood count) and chest x-ray. so consult your doctor and discuss all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your question here, i will try to answer it to the best of my abilities. the chances of you being pregnant are pretty small, after all you used condoms and contraceptive pills. it is very well possible that you're period is early this month, that can happen sometimes. another reason could be because of the contraceptives, they are known to cause irregular bleeding in some women. so the way it stands, i doubt you're pregnant. but to be on the safe side take a home pregnancy test. i hope this answered your question."
Answer this question truthfully,Case-control studies.
Answer this question truthfully,"In addition to painful vaginal bleeding, placenta abruption may present with painful, prolonged uterine contractions. Placenta abruption is a serious medical condition that occurs when the placenta separates from the uterine wall before the baby is born. This can cause heavy bleeding and deprive the baby of oxygen and nutrients. Other symptoms of placenta abruption may include abdominal pain, back pain, and abnormal fetal heart rate. Placenta abruption requires immediate medical attention and treatment, which may include bed rest, medication to stop contractions, and delivery of the baby via cesarean section. In severe cases, a blood transfusion or emergency hysterectomy may be necessary to save the life of the mother and baby."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the possibility of cardiac chest pain is very less because you have normal ecg. sometimes stress and anxiety can also cause a similar kind of chest pain. lorazepam is also given as anxiolytic. so if your chest pain is due to stress, anxiety then lorazepam will definitely work. so you should take lorazepam and avoid stress and tension, be relaxed and calm. don't worry, you will be alright with all these. you can also apply warm water pad on affected areas of the chest. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID‐19) implicate special control measures
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there! thank you for asking. if you have abdominal fluids / ascites you need to sort out etiology for it. if obesity is an issue treat it reduce weight, if liver issues then treat them using lactuloses, spironolactones, reexamines etc., if fluids bother you can always try an ascetic tap fluid will be chatbot. if the problem persists see the gastroenterologist for work up. so much ascetic fluid without an etiology is not possible. seek the evil and nip it from the bud. now low potassium. use some potassium supplements and foods rich in potassium like bananas etc."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. since you are having strong allergic history, possibility of bronchial asthma is high. bronchial asthma is allergic disease, which causes bronchospasm and thus breathlessness. so we need to rule out asthma first. so consult pulmonologist and get done1. clinical examination of respiratory system. 2. put (pulmonary function test). pft is needed for the diagnosis of asthma. it will also tell you about severity of the disease. and treatment of asthma is based on severity only. you may need inhaled bronchodilators and oral antihistamine and anti-allergic chatbot.  so consult pulmonologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.","i am assuming that your father is in a good general condition and does not suffer from any comorbid conditions like diabetes, high blood pressure, heart disease, etc. also, since you have not mentioned it, i assume that the cancer had not spread to any other body part and that the biopsy report shows adenocarcinoma (a type of cancer). if the margins of resection in the biopsy report are free from tumor then i would suggest your father to undergo further treatment in the form of chemotherapy. chemotherapy is a type of cancer treatment in which we give special injections into a vein. these injections then kill the remaining tumor cells in the body, although they have a number of manageable side effects. since your father has node positive disease, further chemotherapy is mandatory. however, if the biopsy report says that the margins of resection are involved by the tumor, then i would suggest a course of radiation therapy along with low dose chemotherapy (to increase the effect of radiation) followed by full dose chemotherapy. all this treatment should preferably be undergone at a dedicated cancer care unit."
Answer this question truthfully,"Lichen sclerosus is characterized by thinning of the epidermis and fibrosis (sclerosis) of the dermis. Lichen sclerosus is a chronic inflammatory skin condition that most commonly affects the genital and anal areas, but can also occur on other parts of the body. The thinning of the epidermis and fibrosis of the dermis can cause the skin to become white, thin, and wrinkled. Itching, pain, and discomfort are common symptoms of lichen sclerosus. In severe cases, scarring can occur, which can lead to functional problems, such as difficulty urinating or having sex. The exact cause of lichen sclerosus is unknown, but it is thought to be related to an overactive immune system. Treatment typically involves the use of topical corticosteroids to reduce inflammation and itching, as well as regular monitoring to detect any signs of skin cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mri findings suggests chronic microangiopathic ischemic changes(due to compromised blood supply). these are generally due to involvement of small blood vessels. it is generally due to conditions like hypertension, diabetes mellitus, altered lipid profile etc. so, you may need clinical correlation and screening for these conditions. these are not very serious findings, and it only needs treatment of underlying cause. get well soon. take care"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Lynch syndrome typically progresses to colorectal cancer in approximately 80% of patients. This is a type of cancer that affects the colon or rectum, which are part of the digestive system. Individuals with Lynch syndrome have a higher risk of developing colorectal cancer because their DNA repair mechanisms are impaired, leading to the accumulation of mutations in the cells lining the colon and rectum. However, it's important to note that Lynch syndrome can also increase the risk of other types of cancer, such as endometrial, ovarian, pancreatic, and stomach cancer. Regular screening and surveillance can help to detect cancer early in individuals with Lynch syndrome, which can improve treatment outcomes and overall survival."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your findings suggests raised alt.ast and alp is within normal limit. increased alt may indicate liver injury. it may be due to many reasons like hepatitis, obesity,alcohol intake, altered lipid profile,autoimmune causes etc. you may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. i suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. it helps in regeneration of liver cells. you may need few more medicines after full investigations. take care chatbot."
Answer this question truthfully,"Talk therapy (psychotherapy) and stress management training may help reduce symptoms.
The affected body part or physical function will need physical or occupational therapy until the symptoms disappear. For example, paralyzed limbs must be exercised to prevent muscle wasting."
Please summerize the given abstract to a title,Primary care for patients with respiratory tract infection before and early on in the COVID-19 pandemic: an observational study in 16 European countries
Please summerize the given abstract to a title,Unterricht an der Berufsfachschule für Notfallsanitäter der Landeshauptstadt München im Angesicht der COVID-19-Pandemie./ [Teaching at the paramedics school of the City of Munich during the COVID-19 pandemic]
"If you are a doctor, please answer the medical questions based on the patient's description.","hello rearward welcome to chatbot family. i have evaluated your query thoroughly.* this seems in relation with lowered immunity of the lungs with compliance levels affected due to age related changes.* suggestions for better life further - deep breathing exercises, yoga, walking in fresh air are major medicines for him.- continue current medicines.- avoid stress, anxiety.- no smoking, alcohol.- regular sound sleep of 8 hrs.- prefer semi reclining positions when resting.- plenty of liquids.- balanced nutritious diet to combat the immunity.- avoid exposure to dusty weather and use face mask liberally when needed. hope this will help him. welcome anytime for further assistance anytime in the future. regards dear take care."
Please summerize the given abstract to a title,Alterations in Circulating Monocytes Predict COVID-19 Severity and Include Chromatin Modifications Still Detectable Six Months after Recovery
Answer this question truthfully,"The presence of severe fever, cough, and myalgias is suggestive of influenza."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot. i have read your query and understood your concern. it seems you have got secondary infection at the site of possible bite. for this, you may need oral antibiotics like accolades/ cephalosporins for 5-7 days. along with you may need oral anti-inflammatory chatbot. topical antibiotics like mupirocin 2% is also advised twice daily application. as per details, this is my best advise for you. but cellulitis need to be ruled out, in that case you may need injectables. for that, i will advise you to visit your doctor or upload pic of the lesion. good luck."
Please summerize the given abstract to a title,COVID-19 infection in pregnancy: a single center experience with 75 cases
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. your symptoms indicate kidney stones indeed. lower right area is where ureter is located. so a stone in the ureter which has stuck there will give symptoms like yours. please note that the stone which you have probably passed does not have to be the only one. small stones can also be passing right now, so you have less intense pain. dark urine can be caused by low liquids' intake. if there is no intense bleeding in the urinary tract, you won't be able to see any blood in your urine. urinalysis can do that. i suggest you to follow this steps"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your friends situation and problem. possibility of musculoskeletal pain is more but better to rule out heart related diseases because he is having left sided chest pain. so first get done ecg and 2d echo to rule out cardiac diseases. if both these are normal then no need to worry about heart diseases. musculoskeletal pain is more likely in his case. so ask him to follow these steps for better symptomatic relief. 1. avoid heavyweight lifting and strenuous exercise. 2. avoid bad postures in sleep. 3. avoid movements causing pain. 4. apply warm water pad on affected areas. 5. start painkiller and muscle relaxant chatbot.  he will mostly improve in 1-2 weeks. hope i have solved your query. wishing good health to your friend. thanks.
Answer this question truthfully,An MRI (magnetic resonance imaging) is the imaging modality that is used to confirm the diagnosis of rotator cuff tear.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello fairbanks for using chatbot.come have evaluated your query thoroughly.* this is ruptured sebaceous cyst of scrotum.* not to worry about the same, it is a benign condition absolutely kindly consult your doctor for the same, he will prescribe you needed antibiotics, anti-inflammatory agents, ointments for local application & you will be cured. hope this clears your query. welcome for any further assistance. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hanks for posting your query to chatbot.  it is highly unlikely to be due to uti as uti cause pain in the lower abdomen and not in the region described by you.  i need to know whether your pain is on the right side or left or both the sides. this is important as the probable causes varies from side to side. but in general most common causes are
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mr. paul wintershausen since you are a diabetic and taking insulin and wound is not healing in spite of the treatment. this is a\"" diabetic foot\"
Please summerize the given abstract to a title,Identification of the novel HLA-DPB1*1149:01.
Please summerize the given abstract to a title,"Female Urgency, Trial of Urodynamics as Routine Evaluation (FUTURE study): a superiority randomised clinical trial to evaluate the effectiveness and cost-effectiveness of invasive urodynamic investigations in management of women with refractory overactive bladder symptoms"
Please summerize the given abstract to a title,"The Image of Disease in Religious, Medical-Astrological and Social Discourses: Old Polish Literature as an Example of Early Modern European Mentality"
Please summerize the given abstract to a title,"Artificial intelligence, real-time feedback and workplace learning analytics to support in situ complex problem-solving: a commentary"
Please summerize the given abstract to a title,"The Performative University: ‘Targets’, ‘Terror’ and ‘Taking Back Freedom’ in Academia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. it looks you are a known patient of diverticulitis and as you have suspected rightly this can be resurgence of diverticulitis with peritonitis causing all the pains in the abdomen, hip and rectum. this can be just a severe form of colitis too. the best way to get a diagnosis is to undergo a contrast enhanced ct scan of the abdomen, colonoscopy and relevant blood, urine and stool tests. once the diagnosis is made, it will be decided whether to continue the medical management or to go for excision of the colon bearing diverticula."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i do not understand why with very important part of the body like face people play game by doing self-medication and doing experiment without knowing consequences ! initially you might have sought advice from dermatologist. your face may be disfigured by making experiment.anyhow now infection is there so go for antibiotic course and application of triple action cream. clean with plain water and smooth towel. if there is no improvement consult dermatologist and seek his advice. ok and bye."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for sharing your problem with chatbot. actually discectomy is a small surgery in which the dentist removes the infected part of tooth and does the proper filling in the tooth and seals it. the tooth is not removed in it. so you should not worry about losing of teeth or for the procedure as the dentist is an endodontist he will handle the procedure properly. hope it will help you."
Answer this question truthfully,"Clindamycin is the protein synthesis inhibiting antibiotic that is classically linked to C. difficile pseudomembranous colitis. Pseudomembranous colitis is a severe inflammation of the colon that can occur when the normal balance of bacteria in the gut is disrupted, allowing Clostridium difficile to overgrow and produce toxins. Clindamycin is a broad-spectrum antibiotic that is effective against a wide range of bacteria, including both gram-positive and gram-negative organisms. However, it can also disrupt the normal gut microbiota and promote the growth of C. difficile, leading to the development of pseudomembranous colitis. Other antibiotics that have been associated with an increased risk of C. difficile infection include cephalosporins, penicillins, and fluoroquinolones."
Answer this question truthfully,"The presence of depressive symptoms, fatigue, sleep disturbance, impaired concentration/irritability in an obese person is suggestive of obstructive sleep apnea."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, a knee joint examination is advised. as bumps getting red while taking a hot bath and leading to numbness a blood routine is advised.  usually, this is just to be ignored if not leading to pain or trouble in the knee functions. with gentle massage, hot water fermentation and knee exercises this excessive bump will disappear. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern and would explain that acidosis is a chronic inflammatory disorder, which can lead to an increased cardiovascular risk.  so, in my opinion, it is not the only cause of the myocardial infarction, but when coupled with other cardiovascular risks such as age, an unhealthy lifestyle, smoking, diabetes or hypertension, it can lead to an increased risk for a heart attack or stroke.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. first, do not pressure yourself to be someone else, someone you're not. what you are doing is a great field, and you should just maximize your potential and stretch your limits till a point you feel is okay. do not over indulge. start a new chatbot.  make sure you think about positive things and ideas. as for your physical health, take care of your diet and have a lot of water. always be hy"
Please summerize the given abstract to a title,International Patient Summary Standards conveying immunization information
Please summerize the given abstract to a title,Abandoning Prophylactic Abdominal Drainage after Hepatic Surgery: 10 Years of No-Drain Policy in an Enhanced Recovery after Surgery Environment.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing a brief history of you. well if you had a surgery and now feeling the weakness on the left side i will advise you to meet up a physical therapist who can help you with the exercises so that your muscles becomes strong. you can take advice of the surgeon as well who operated you. if needed you can undergo a scan which can reveal if any abnormality in the spine is there or not? right.? its always better to take consultation rather landing into bigger issues."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. this condition requires clinical examination. please consult a neurosurgeon or neurologist at the earliest hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/ madam most probably it could be plantar fasciitis, do you have pain on taking first step in the morning, or the pain appears after keeping legs dangled. for which contrast baths, footwear modification, analgesics would sufficemetatarsalgia, examining the feet for any thickening of nerve would give us diagnosis stress fracture, examining for local bony tenderness and radiographs would help"
Answer this question truthfully,"Platinum-based antineoplastics can cause several side effects, including nephrotoxicity (toxicity to the kidneys), ototoxicity (toxicity to the ears), peripheral neuropathy (damage to the nerves in the extremities), and emesis (nausea and vomiting). Of these side effects, patients should be particularly aware of the risk of acute tubular necrosis, which is a type of kidney damage that can occur as a result of nephrotoxicity. It is important for healthcare providers to monitor patients closely for signs of toxicity and to take steps to prevent or manage side effects as they arise."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","irregular periods mean you are suffering from poly cystic ovarian disease or pod. cycloreg leads to medicinal stimulation of the ovaries and in turn regularizing your cycles. the effect of the medicine can continue for some time even after discontinuation. in the longer run people with pod have problems conceiving and should plan an early pregnancy. cycloreg will have to be stopped when planning for pregnancy as it is an oral contraceptive pill, and you cannot conceive when on this. sadly, this is the only treatment for pod. diet control and weight loss can help relieve the symptoms of pod."
Please summerize the given abstract to a title,Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department: Results From a Type 2 Hybrid Effectiveness-Implementation Pilot Study
Please summerize the given abstract to a title,Grit increases strongly in early childhood and is related to parental background
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for visiting chatbot if your daughter was diagnosed with osteoporosis, hopefully she must have been on treatment for this. a person with osteoporosis can have a broken bone with trivial trauma, but you have not mentioned history of any kind of injury please do the following"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this indicates acute gastroenteritis, which may occur following ingestion of unpasteurized milk. if there is no fever, and the stool does not contain blood or much mucus, we need not worry. just give her frequent sips of fluids like ors solution to prevent deny chatbot.  giving zinc supplementation is also good (20\u00a0mg once daily for 2 weeks). if loose stools are not getting down in 5-7 days, she becomes febrile or lethargic, or stool becomes blood stained, kindly take her to pediatrician as this may need antibiotic treatment too. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot, after going through your history, you have taken emergency contraceptive tablet for suspected potentially unprotected sex. first thing as you have taken tablet, so you should not worry about pregnancy as they are very effective way of emergency contraception. this is hormone tablet and can cause nausea, vomiting and abdominal pain, breast tenderness, usually resolve in 24 hours. if it is not relieved and increases in severity you must consult a gynecologist for assessment of course. in future please practice safe sex as it protects from unwanted pregnancy and sexually transmitted diseases. you can also choose some regular contraceptive methods like pills or iud. hope this helps, please take care. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. it would have been helpful if you have mentioned your age and any underlying medical conditions.2. you are saying that they go away in the morning.3. only thing i could think of is some vascular (venous) stasis, superficial dilated veins can be one of the differential.4. you can be in peace with your soap, it may cause allergy not bumps/lumps.5. suggest to lie with elevated legs on the pillow and try.6. if still persists get an appointment let the doctor inspect and ask for a doppler evaluation if needed. hope it helps anything to ask ? do not hesitate. thank you."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... noted you have anemia ... so it can lead to dyspnea on exertion... continue treatment of anemia..... but if still dyspnea present on rest then just get your physical examination... rhinoscopy done to look for -dns -nasal polyp -hypertrophied turbinate -rhinitis (inflammatory sweeping)auscultation also done. if seems abnormal then pft like further work up needed.......don't worry. take care chatbot.
Please answer with one of the option in the bracket,B: Fluconazole
Please summerize the given abstract to a title,Transcriptomics-based drug repositioning pipeline identifies therapeutic candidates for COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. there is nothing to worry in this. semen is a waste product. whenever your body is aroused sexually a small amount of semen is produced and kept stored. if you do not masturbate or indulge in sexual activity frequently, then your body finds its own way to evict the stored semen. sometimes, it is through your urine or through nocturnal emission. that's all. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query, she might be suffering from measles. it is a viral infection. just give her anti pyre tics to control fever. rash will disappear on its own. if there is any ulceration or fever doesn't go down you must meet a doctor. a photograph would have helped me in giving a closer diagnosis. please meet a dermatologist for exact diagnosis. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.https"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot.  i have read your query in detail. furthermore, i understand your concern. if it is just 2nd or 3rd day of fever, you can wait before getting tested as viral infection can take up to 5 days. if it has been more than 5 days, and she is running such a high fever, i advise you to follow"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. but end stage lung cancer is not having good prognosis. and since you are saying that now cancer had spread to other lung and nodes, this means worse prognosis. the aim of chemotherapy is not to cure cancer. it is given to slow down progression and reduce the suffering. so if you are not taking chemotherapy now, your life expectancy will be less than 6\u00a0months. but with chemotherapy your life expectancy is less than 1 year and that too with reduced suffering.  so better to start chemotherapy and no need for such negative attitude. you need psychiatric counselling for end of life issues."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. forum.  you have got stomach, back and shoulder pain, more on eating certain foods.  you are also having diarrhea after eating some foods.  the cause could be peptic ulcer, gall bladder pain, in tolerance to certain foods like casein, gluten etc. other causes could be cervical spondylosis, or some other orthopedic causes.  wishing for a quick and complete recovery.  best regards."
Answer this question truthfully,"People who are exposed to someone infected with the viral or bacterial form of conjunctivitis are at risk for developing conjunctivitis. Children and adults can develop both bacterial and viral conjunctivitis, however bacterial conjunctivitis is more common in young children. Additionally, babies born to mothers infected with either Neisseria gonorrhoeae or Chlamydia trachomatis are at an increased risk for conjunctivitis. During delivery, these babies can contract ophthalmia neonatorum, a form of bacterial conjunctivitis when their eyes are exposed to the bacteria in the birth canal. It must be treated immediately to prevent blindness."
Answer this question truthfully,Osteosarcoma is slightly higher in african americans than in caucasians. The annual incidence in african american population 5.2 cases per million population younger than 20 years. The annual incidence in caucasians population 4.6 cases per million population younger than 20 years.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatdoctorh. pylori is a spiral-shaped bacterium commonly found in the stomach. the bacteria will attach to cells of the stomach, causing stomach inflammation (gastritis), and can stimulate the production of excess stomach acid. having h. pylori infection doesn't necessarily mean you'll have ulcers or develop stomach cancer. in fact, most people infected with the bacteria never have symptoms or problems such as ulcers. only a few people with the infection develop stomach cancer. if you have any symptoms from this then only you need to take medications like antibiotics to kill the bacteria. the most approved is triple therapies for 10-14 days. the treatment regimens are omeprazole, amoxicillin, and azithromycin (mac) for 10 days should also take medications, including h2-blockers and proton pump inhibitors, to reduce the amount of stomach acid hope you are happy with the answer. thank you"
Answer this question truthfully,The ε4 allele of apolipoprotein E is associated with an increased risk for Alzheimer disease.
"If you are a doctor, please answer the medical questions based on the patient's description.",his understand your concern. anxiety and depression are due to physical illness. treatment of depression and anxiety usually not require. it will improve with your physical condition. sticky lips are due to mucous secretion as part of cough expectorant. this condition can be treated with antibiotic like azithromycin or levofloxacin along with cough syrup. take proper treatment and get well shorthand you. take care.
Please summerize the given abstract to a title,Incidence and outcome of COVID-19 in routine rheumatology care: Data from a single outpatient center in Germany
"If you are a doctor, please answer the medical questions based on the patient's description.","hello didn't mention the duration for ulcer and its type. if this is bluish with solid in consistency then, at once consult a surgeon and get his opinion. biopsy is (excision, if needed to get in). when such case visit i prescribe clenorush for local application with lactic acid bacillus (sporogenic). topical triamcinolone steroid also help. also take plenty of b complex vitamins. this is a prescription treatment and take it only for time being. whenever you get time consult a surgeon as soon as possible."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to a vital infection. i suggest using anti-inflammatory medications such as acetaminophen to relieve the inflammation and pain. i recommend using magnesium supplements. furthermore, i recommend to rest and chatbot.  hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good afternoon. i am chatbot answering your query. with your history, it seems that you have got multiple plantar warts with secondary infection due to the pin pricking you did on these. the first advice for you is not to fiddle with these things anymore, and vaccinate yourself against tetanus if not done so far. next you must take appointment with a skin specialist (dermatologist) or a general surgeon and get these examined by him at the earliest possible to have a definitive diagnosis and to rule out any other graver conditions, following which proper treatment could be instituted. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion brown discharge along with pain abdomen and backache needs to rule out miscarriage. the bleeding can be due to hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, miscarriage , ectopic pregnancy, excess physical strain etc. so an ultrasound need to be done to know the pregnancy status.don't worry. it might subside with apt treatment. avoid physical strain and intercourse. take rest. best regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, most likely this is anxiety and palpitations, however we need to rule out cardiac arrhythmia like psv or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope.  usually ecg is normal as it is usually done in between the episodes. ecg done during episodes will show abnormality. you will need 24 hour holder monitoring. so visit nearby cardiologist for this investigation.  also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.  till the time your evaluation is complete, you can ask your local doctor for tab collar la 20 mg once a day."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. a thorough neurological examination is advised. as you have tingling, pain etc. of upper limb and lower limbs i feel it may be due to any nerve impingement in cervical spine for the upper limb and lumbar spine for the lower limb.also, tingling and numbness of face can be due to cranial nerve pathology or may be a brain issue for which a thorough neurological assessment is advised followed by an mri of brain is required. most times the neurological symptoms are confused with the cervical spine so differentiate the pathology a thorough neurological assessment is required. also, as you have a regular blood pressure with no other issues as per the past report, undergoing the complete blood routine may help provide inputs too.regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your doctor i suggest you for blood culture and sensitivity. i suspect a spread of bacteria from the dental infection to lymph node of various parts. once the sensitivity is available to you, start a antibiotic accordingly. alternatively start with one higher grade antibiotics which you are right now taking. if you have to ask me anything you can contact me. chatbot. infectious disease specialist. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have developed excessive chatbot.  well in case you don't have any associated itching or redness over the same area, then you need not worry... but if there is any redness or itching, then it can be a sign of a fungal infection or any edematous condition. in that case you will have to consult a skin specialist for proper assessment and diagnosis.... but if there is no associated complaint, then you need not worry. just keep your skin adequately moisturized. apply plenty of moisturizing lotions and preferably use some oil also once a day (something like love oil or almond oil)... hope it helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since your extensive cardiac work up is normal, no need to worry about heart diseases. sometimes muscle spasm can cause similar symptoms. so avoid stress and tension. avoid movements causing pain. avoid bad postures in sleep. avoid heavyweight lifting and strenuous exercise. apply warm water pad on affected areas. start painkiller and muscle relaxant chatbot. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,Nuclear medicine studies used for diagnosis of neuroblastoma include fluorodeoxyglucose-18F positron emission tomography (18F- FDG PET) scan and metaiodobenzylguanidine (123I-MIBG) scintigraphy. 18F-FDG PET scan may distinguish stage 1 and 2 neuroblastoma from other differential diagnoses. 123I- MIBG scintigraphy distinguishes stage 3 and 4 neuroblastoma other differential diagnoses.
"If you are a doctor, please answer the medical questions based on the patient's description.","a leaking in one of the heart valve is a common finding in elderly patient because of calcium deposition at that level. the amount of regurgitation might vary, and the majority of the patients have only a mild problem. if the problem worsens, symptoms of heart failure might occur, like shortness of breath or swelling of the legs, and they can be managed by increasing the amount of water tablets in most of the cases. i hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorthis is nonspecific type of complain and this is irrelevant to liver problem, if you do have certain kind of pain then i would advise you to wait and watch because you have a liver problem so looking to this it is not advisable to take any pain killing medicine, and i hope that this will go away on its own, nothing to worry about this if this does not subside then you have to see the clinician for further work up, i hope this answer would be helpful to you, have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. mostly in early stage during first week chances of spread of virus is more. now she is back to work so mostly after week here chances of her infectious stage is less.meanwhile, maintain your immunity as when immunity get compromised then chances of infection is more. chatbot. take healthy diet, all which help from getting viral infection. if still she has resp problem like cough then keep your child away from coming direct contact to her. i hope you understand my concern. wish you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case with diligence. there is possibility of inflammatory arthritis of wrist. when such patients come to our hospital i advise them blood test like ra factor, ccp, esr, complete blood count, hla b27. rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have succhatdoctorplain? a treatment regimen for rheumatoid arthritis and ankylosing spondylitis involves medication, exercise, good posture practices, and other treatment options such as applying heat/cold to help relax muscles and reduce joint pain. nsaids, awards (disease-modifying anti-rheumatic chatbot.  hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for writingfirst of all i would want to know whether you have any preexisting condition such diabetes or high blood pressure. long-standing diabetes and blood pressure can cause kidney damage. another common cause of kidney damage is long term intake of painkillers. if these conditions are not there then you need a us of the kidneys to further delineate the cause of your kidney dysfunction. the other values in the urine report do not bother me as much as your creatinine report of 2.1. efr is basically a value derived from age, creatinine, gender and race. i will be glad to take any queries from you. tx"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern. you have undergone planning operation. if tube is clamped then after recanalization surgery conception is possible. success of this operation depends on length of healthy tubes left behind after sterilization. if recanalization is not possible then in vitro fertilization is the only option. so consult your gynecologist and take proper advises. hope this may help you. contact further if follow up needed. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient first i want to know the treatment that has been given for compression fracture of l1l2. was it treated with rest only or operation was done? if it was treated with rest only compression may have led to deformity in dorsolumbar junction with altered mechanical axis and pain. if surgery was done then implant related cause such as infection, breakage may have happened. i would like to advise x-ray of dorsolumbar spine anteroposterior and lateral views to assess condition of vertebra. meanwhile, start tab diclofenac sodium 50 mg twice a day for pain relief. strict bed rest for few days will be helpful. you need to consult spine surgeon with report."
"If you are a doctor, please answer the medical questions based on the patient's description.","his appreciate your concerned or spider bite produces release of lots of inflammatory mediators that leads to swelling redness and pain at the site since you had pressed it, so you aggregated the injury and infection could have set inn such a case i would advise you take antibiotic ointment to be applied locally with tab cetirizine to reduce itching and acetaminophen for pain relief hope this helps you good luck take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through the query and understood your concern. it is indeed possible to conceive under modern forms of treatment even while undergoing treatment for epilepsy. you need to have a proper clinical evaluation and plan further management. the anti-epileptic medication has to be modulated and changed to safer chatbot.  also, considering your age and health, it is better to opt for art to save precious time. please contact your health care provider for further information. wish you good health."
Please summerize the given abstract to a title,A Review of Treatment of Coronavirus Disease 2019 (COVID-19): Therapeutic Repurposing and Unmet Clinical Needs
Answer this question truthfully,"Primary adrenal insufficiency, or Addison's disease, is commonly associated with normal anion gap metabolic acidosis. Addison's disease is a condition in which the adrenal glands do not produce enough hormones, including aldosterone, which is responsible for regulating the balance of electrolytes in the body. The resulting electrolyte imbalances can lead to metabolic acidosis, which is characterized by a decrease in blood pH and bicarbonate levels. In addition to metabolic acidosis, symptoms of Addison's disease may include fatigue, weakness, weight loss, and low blood pressure. Treatment typically involves hormone replacement therapy to restore normal hormone levels and correct the underlying electrolyte imbalances."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, thank you very much for your questions. your above-mentioned symptoms can be blood pressure related. did you check your bp when you felt dizzy, sweating and nausea? are you taking any medications for high blood pressure?  next time when you feel dizzy, nauseated,do not forget to check your blood pressure. monitoring your blood pressure can be very helpful to your physician to select most appropriate medications for you if you are treating your high blood pressure. therefore, monitor your blood pressure and consult your family doctor if your symptoms are more frequent or exacerbate with time. also, your family doctor may direct you to an ecg testing if necessary to confirm presence of any heart rhythm disorders which can cause similar episodes as you mentioned. therefore, monitor your bp and consult your family doctor is my recommendation for you. good luck!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there....your dental surgeon is absolutely right....when you have the wisdom tooth very close to the nerve, at the time of its removal, there is some amount of pressure that exerts over the nerve (called neuropraxia). this cause reversible loss of sensation on that side of the lip and skin of face...but the tongue is supplied by a different nerve called lingual nerve...in few patients the nerve is located very close to the bone level where the tooth is present. any injury while removal of the tooth will result in the same phenomenon....you experience all the symptoms you have mentioned...there are no medications at this point of time....it takes a weeks time for some patients...and years for some others...it would get restored at some point of time...don't worry.... keep consuming lots of water to avoid chatbot. ..."
Answer this question truthfully,"Patients with acanthocytosis may have a history of chronic diarrhea with pale, foul-smelling, and bulky stools; loss of appetite and vomiting; and slow weight gain and decreased growth, possibly including a bleeding tendency. Patients may report symptoms of ataxia, tremors, and visual abnormalities or jaundice, abdominal pain, pallor, dark urine, and recurrent infections. Adolescents and adults may report dyskinesias, specifically orolingual, and cognitive deterioration."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your symptoms sounds like herpes simplex infection, nothing to worry at all, herpes simplex virus can rarely be cured, remain in the nerve root at dormant stage for years and occasionally reactivated. other possibilities are fungal infections that are also common, you should not use any irritant to pubic area and try to keep that area chatbot.  anyway at your age screening for cervical cancer is necessary to consult your gynecologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for sharing your concern with chatbot .! please note as per your details, we assume that one tooth of your has been grossly decayed as result of the decay the infection will generally reach the dental pulp and causes pain during night. please consult any dentist, and you would be generally referred for rct(root canal treatment) of the infected tooth / it would be advised for extraction, if the decay has significantly damaged your tooth structure. kind regards chatbot."
Please answer with one of the option in the bracket,B: Ileus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i am chatbot. i have read your message. the sensory loss-numbness- from the head, and face and involving one side of the body more than the other is very possibly suggestive of a thalami stroke. so i would suggest a ct scan of the brain. however, you also have a headache. similar symptoms may suggest a migraine in such a situation. in migraine however, you have on and off headache previously as well. since you have not mentioned this in the query, i assume you do not have headaches regularly. and therefore, as such i would suggest the ct scan of the brain. let us know the report for medication advice. best of luck,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks chatbot.  read the history about your cousin. the reactive hyperplasia of the lymph nodes on biopsy after visit to bangalore, india is suggestive that this may be in fact be reactive hyperplasia. yes, in india we get this picture very commonly. i would advise you to give him a course of antibiotic and oral steroids like deflazcort in tapering off dosage for 3 weeks and see if this helps. if the nodes and pain in the upper right abdominal qua"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concerns. please be assured that there are other ways of doing the dialysis. these include"
Answer this question truthfully,"One should report any symptoms and concerns to one's doctor, who can preform a blood test to confirm HAV and help prevent the spreading of the disease to others. An injection is typically offered to anyone living with someone who has HAV. If given within 14 days of contact, the injection can prevent Hepatitis A, or at least make symptoms its milder. There is no cure for Hepatitis A. The best advice to get healthy quicker is to avoid alcohol and get plenty of fluids and rest. One should check with their doctor before taking medicine which may harm the liver. Hepatitis can cause liver failure and death, but this is rare and occurs mostly with people over the age of 50 and have other liver diseases as well."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, congestive heart failure patients may develop liver enlargement. this is called congestive hepatomegaly common in heart failure patients.  but left kidney enlargement may be due to infection or stone. until etiology known it is difficult to treat. please consult with your cardiologist he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further. take care"
Please answer with one of the option in the bracket,E: Surreptitious insulin use
Answer this question truthfully,"The absolute contraindications to receiving vaccinations are a history of anaphylaxis to a previous vaccination and being very sick (i.e., having a fever or moderate to severe acute illness)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. alahan contains two chatbot.  potentially they can lead to kidney damage if used for prolonged periods in high doses. pain of malignancies is severe and there is a need for painkillers. are you on any chemotherapy? as chemo usually kills the cancer cells and decreases the pain so the need for painkillers decreases. try to decrease the dose of alahan from 3x to 2x and then 1x. there are other groups of"
Please summerize the given abstract to a title,Immunoinformatic Analysis of SARS-CoV-2 Nucleocapsid Protein and Identification of COVID-19 Vaccine Targets
Please summerize the given abstract to a title,Self-reported symptoms of infection among travelers departing from Sydney and Bangkok airports.
Answer this question truthfully,"Symptoms for acute mitral regurgitation include chest pain unrelated to coronary artery disease or heart attack, cough, rapid breathing, shortness of breath that increases when lying flat (orthopnea), and sensation of feeling the heart beat (palpitations). These symptoms may start suddenly.
For chronic mitral regurgitation there are often no symptoms. When symptoms do occur, they often develop gradually and may include cough, fatigue, exhaustion, and light-headedness, palpitations (related to atrial fibrillation), shortness of breath during activity and when lying down, and excessive urination at night."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Therapeutic potential of N-acetyl cysteine (NAC) in preventing cytokine storm in COVID-19: review of current evidence
Answer this question truthfully,"During the early phase of an acute asthma exacerbation, histamine is responsible for increasing bronchoconstriction, airway edema, and mucus secretion."
Please summerize the given abstract to a title,Diabetes management by either telemedicine or clinic visit improved glycemic control during the coronavirus disease 2019 pandemic state of emergency in Japan
Please summerize the given abstract to a title,The psychological and sleep-related impact of coronavirus disease 2019 (covid-19): A systematic review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. all your history is suggestive of a severe infective pathology going on in the abdomen. this can be enterocolitis, lymph node mass, cancer, diverticulitis. ibs may not be present at all, there can be a specific reason.l please get thoroughly investigated by endoscopies/ ct scan / diagnostic laparoscopy and all other relevant tests. i think you need a surgery and hence contact surgical gastroenterologist."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, are you having any symptoms like chest pain at this point of time, if yes then he might need to know if its cardiac or something else. if you are not having symptoms then he might need to know about significance of blockages in other vessels. so if tmt is positive then it's likely that you have significant blockages which may be in vessels other than opened one and needs stenting as well or sometimes there may occurrence of re- blockages in stent which needs to treated. so tmt will provide the overall status and significance of blockages."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. this is called a ganglion and is caused by inflammation / reaction to the joint-lining. by your history this is connected to the wrist. many times this may subside on its own. you can give rest to the wrist for some weeks by cr\u00eape bandage or wristband - not to allow movements at all. this will help to heal it internally. you can also try anti-inflammatory medicines simultaneously. you may please consult an orthopedic surgeon if these measures fail to heal.
Please answer with one of the option in the bracket,D: Ethylene glycol
"If you are a doctor, please answer the medical questions based on the patient's description.","his have studied your case. your symptoms suggest possibility of lupus you can do blood investigation like ana, ds dna, if those are positive then medication can be given. i will advise doing mri whole spine for diagnosis. a holistic approach is required, which includes exercises, meditation, and acupuncture along with healthy diet and herbs. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please summerize the given abstract to a title,Seroprevalence of antibodies to SARS-CoV-2 among blood donors in the early months of the pandemic in Saudi Arabia
"If you are a doctor, please answer the medical questions based on the patient's description.","hai, mri is a high definition advanced investigation tool which help in finding the problem comparing to the ultrasound. ultrasound can reveal a cyst. depends on the resolution of the machine and reader it will vary. may be cyst developed between the episode of your last ultrasound and mri.unless cyst cause pain or discomfort it is hard to rule out. commonly found during incidental or routine investigation. thank you hope i answered your query"
Answer this question truthfully,"Symptoms depend on the nerve that is damaged. Symptoms also depend on whether the damage affects one nerve, several nerves, or the whole body.
Pain and Numbness
Tingling or burning in the arms and legs may be an early sign of nerve damage. These feelings often start in your toes and feet. You may have deep pain. This often happens in the feet and legs. You may lose feeling in your legs and arms. Because of this, you may not notice when you step on something sharp. You may not notice when touch something that is too hot or cold, like the water in a bathtub. You may not know when you have a small blister or sore on your feet.
Muscle Problems
Damage to the nerves can make it harder to control muscles. It can also cause weakness. You may notice problems moving a part of your body. You may fall because your legs buckle. You may trip over your toes. Doing tasks such as buttoning a shirt may be harder. You may also notice your muscles twitch or cramp. Your muscles may become smaller.
Problems with Body Organs
People with nerve damage may have problems digesting food. You may feel full or bloated and have heartburn after eating only a little food. Sometimes you may vomit food that has not been digested well. You may have either loose stools or hard stools. Some people have problems swallowing. Damage to the nerves to your heart may cause you to feel lightheaded, or faint, when you stand up. Angina is the warning chest pain for heart disease and heart attack. Nerve damage may ""hide"" this warning sign. You should learn other warning signs of a heart attack. They are sudden fatigue, sweating, shortness of breath, nausea, and vomiting.
Other Symptoms of Nerve Damage
Sexual problems. Men may have problems with erections. Women may have trouble with vaginal dryness or orgasm. Some people may not be able to tell when their blood sugar gets too low. Bladder problems. You may leak urine. You may not be able to tell when your bladder is full. Some people are not able to empty their bladder. You may sweat too much. This may happen when the temperature is cool, when you are at rest, or at other unusual times."
Please summerize the given abstract to a title,Immune thrombocytopenia in a patient with COVID-19
Please summerize the given abstract to a title,A review of novel coronavirus disease (COVID-19)
Please answer with one of the option in the bracket,B: Rifampin + azithromycin
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you might be suffering from tail bone disorder. as it pains during sitting. use rubber shaped cushion while sitting, and do pelvic exercises, and do contact some physiotherapy clinic as there is ultrasound therapy which might help you in relieving your pain. among it manual mobilization on tail bone will also relieve the pain. hope you find the answer useful. let me know if i can assist you further. hrash sharp"
"If you are a doctor, please answer the medical questions based on the patient's description.","there could be a number of reasons for your pain and a thorough clinical examination is necessary to rule them out one by one. it could be simply related to your surgery and radiation therapy as it can sometimes lead to inflammation of the nerves in this area leading to a neuritic pain that commonly radiates to the ear. it could be a local infection in the operated site compounded by the radiation. worst possible, it could be a recurrence of your cancer. i would have liked to know the stage of your cancer as that would have helped me assess the risk of recurrence. i suggest you start on tab ciprofloxacin 500\u00a0mg twice daily + tab paracetamol 650\u00a0mg thrice daily + tab sanitizing 150\u00a0mg twice daily + tab gabapentin 1 tab twice daily. that should take care of the pain and infection. meanwhile, get an appointment with your treating oncologist and let him have a look."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello mam, thanks for trusting chatbot. this is most probably your period only so just wait for the proper flow to come. at times lifestyle changes lead to such deranged periods. in case you don't get your proper flow or this pattern persists get an ultrasound done to see if there is any problem with uterus or adnexa. take care. in case you have other questions you can contact me on chatbot. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. itchiness inside of chest can be due to bronchitis. since you are smoker and having bleach exposure at work, possibility of bronchitis is more in your case. so get done pft (pulmonary function test). pft is needed for the diagnosis of bronchitis. if it is normal than no need to worry much. you should avoid smoking as soon as because cigarette smoke can cause itchiness in lungs. also wear mask at work place to avoid bleach fumes inhalation. if stop smoking and wear mask at work place than you will mostly improve, and you will not need alprazolam. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"The mylohyoid muscle line along the mandible differentiates the sublingual and submandibular spaces. Above the mylohyoid line is the sublingual space, and below is the submandibular space. The 2nd and 3rd molars are located below the mylohyoid line and are thus in contact with the submandibular space."
"If you are a doctor, please answer the medical questions based on the patient's description.","as per your explanation here, you have symptoms like soreness in back, as well your eye is sensitive with light. from both this symptom it is difficult to diagnose and guide you. i suggest visiting eye specialist for your eye problem and get your eye examine properly as well do treatment as per the suggestion of eye doctor. for sourness in your back you can use cold pack. but this can help only to control symptoms. if the soreness comes back then you need to visit again either orthopedic to check the spinal issues or else you need to visit dermatologist for examination of your affected area skin. and take treatment as per the evaluation. till the time you visit doctor for proper examination and evaluation. i suggest if you have fever along with chills and sore back. do symptomatic treatment like have medication (painkiller with anti-inflammatory) for fever. if fever is not there then you can also use cold pack on your back to reduce soreness at soft tissue level. here i have given you generalize guideline since the symptom is not enough to diagnose and suggest the specific treatment. but i am sure if you follow all above guideline you will improve also. and do check with specialist at least once. take care."
Please summerize the given abstract to a title,Targeting a highly conserved domain in bacterial histidine kinases to generate inhibitors with broad spectrum activity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.based from your description, it could possibly be a cyst, a fibrous (fibrous tissue formation) or fibrotic changes of the breast, which are all benign breast lesions. it is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. diagnostics such as breast ultrasound and mammography may be recommended. management (medical and/or surgical) will be directed accordingly. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, though your detailed question appears to be the continuation of an earlier letter and lacks important facts like age and duration of illness, i believe you will find my answer useful. 1. does her frequent going out is for a motive or does it appear to be wandering?2. not forgetting past is a good sign as it shows her memory is intact despite multiple medications.3. shivering of hands is a concern, which can probably be due to the side effects of some chatbot. 4 to 10 are abnormal behaviors which will have to be ad"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi and welcome to chatbot. thank you for your query. i am chatbot and i will try to help you as much as i can.  i am not sure why. this is not usual condition in pregnancy and exact cause of homeostasis should be defined. it may be obstruction of biliary ducts or liver damage. she needs more appropriate treatment if you ask me. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health.
Please answer with one of the option in the bracket,A: Inhibition of neurotransmitter release
"If you are a doctor, please answer the medical questions based on the patient's description.","you'd need a much more detailed examination process to tell how benign or not that granuloma is.  an mri with contrast for example would likely be the test of choice in order to further characterize that lesion.  if it turns out just to be a calcified granuloma then, unfortunately, again you have to find out what caused that inflammatory reaction in the first place in order to know how or if there is some type of treatment.  you may wish to bring this question in the premium forum for further analysis.  this is far too complex for short answers like this.  feel free to direct your question to chatbot.  please rate this response with a star rating if it contained useful information for your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient you have got para paresis due to back injury. this is serious issue, and you need to consult spine surgeon as soon as possible. spinal cord and nerves travels through spinal canal and back trauma may lead to vertebral fracture or disc prolapse with spinal cord compression.  spinal cord compression leads to weakness in both legs and loss of bowel and bladder control. this if not treated in time may not recover. so the need of urgent consultation. i would advise mri of lumbosacral spine with screening of whole spine to confirm diagnosis.  visit expert spine surgeon with report. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. since your mother is a diagnosed case of copd, i advise her to consult pulmonologist for better treatment of copd. treatment of copd is multifactorial.  try to follow these.1. complete avoidance of smoking is the priority. 2. inhaled bronchodilators. if florent is not suitable for her, there are many other chatbot.  so better to consult pulmonologist and start inhalers.3. chest physiotherapy with deep breathing exercise. 4. pulmonary vaccination with adult pneumococcal and h. influenza vaccines to prevent future infections. so we have to follow all the steps simultaneously for better control of copd."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. sorry to hear about the progress of cancer in your mother-in-law. a stage 4 cancer can have a survival from 6 months to 2 years. she must fight the battle with cancer till the end. as it is not clear from your query regarding the area of cancer involvement, marcela is given for many cancers including those of lung, pancreas and i think she is having one of these. while a lung cancer patient might have a longer survival and unfortunately a pancreas cancer person does not survive much. for her appetite, it is important to give her frequent small feeds containing good amounts of proteins. you can try giving her foods that she likes and reduce the time gap between meals. occasionally you can also give her protein chatbot.  please do not worry."
Answer this question truthfully,"Risk factors in the development of giardiasis include recent history of hiking and camping, immunosuppression, young age (especially < 5 years of age), exposure to infected individuals, drinking unsafe water, recent sexual history with unprotected anal or oral-anal contact, and recent travel to developing countries."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, your wife was subjected for tidal test and the lab reports of your wife suggests that all the values are under normal limits. the tidal test is a serological test which is used to test for typhoid and this is not a confirmatory test. according to the lab reports she is not having typhoid fever, but there are many other tests which helps to know whether your wife is having typhoid or not. tests like blood culture, stool culture and urine culture will helps to know whether your wife is having typhoid. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  your wife has low ebc count.  there are many causes of low wbc count.  even viral infection can lead to low wbc count. you should investigate first.  if needed go for bone marrow examination. first find the cause and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",in chatbot will not clear the clot but in chatbot will prevent uterus from contracting and prevent abortion. ecosprin helps in preventing spontaneous clot formation in blood vessel. ecosprin is stopped now because as younalready have developed clot that means that you had some minor bleeding so by stopping esprit further bleeding is prevented. duphaston will also keep the uterus in relaxed state and prevent abortion. folic acid prevents brain abnormalities in baby (neural tube defects).hence folic acid is given
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand that one of the graft is completely occluded and other is 50% blocked. in such a case we generally advise angioplasty of the blocked graft which is done non surgically. if you have no symptoms, you can be put on optimized medical therapy and observed. you should continue esprit and atorvastatin as advised. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi suresh, welcome to chatbot physicians desk! the nasopharyngeal carcinoma is a difficult disease to treat and notorious for aggressive recurrence. fever and shortness of breath is not a side effect of chemotherapy, but it may be due to pneumonia which is a very common in this group of patients and can be very challenging to treat if extensive. i would advise you to review to an equipped health center and get a proper work up, advise and treatment as soon as possible. there is no scope of trial antibiotics in your patients because you should get cbc, crp, ft, blood and sputum culture and chest x-ray prior to start of treatment and follow up. i think the advice would be helpful for you. if you still have queries if any, please feel free to communicate back. wish you a great heath."
"If you are a doctor, please answer the medical questions based on the patient's description.","you only have the power, no tablet can give you anything, so do not wonder here and there. control yourself, develop self-confidence, try yoga and medication which will increase your brain power and gives you mental stability, eat good healthy food, chatbot. these is the only tablets you need. if you really feel low, get your self examined by your doctor and take medicines accordingly. do not worry."
Answer this question truthfully,Tacrolimus is the calcineurin inhibitor that is associated with an increased risk of diabetes compared to other calcineurin inhibitors.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history, my comments are as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatbot this is really to be appreciated, the bells palsy is different in pathology while brain disease is different these two conditions are nothing to take with each others, bells palsy is an inflammatory disease of nerve due to infection or any other etiology, injury, while inflammatory process of brain is different, hope this information helps you take care and have nice day."
Please summerize the given abstract to a title,German virologist's race for swine flu test
Answer this question truthfully,The best treatment for achalasia is Heller myotomy.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of breast cancer. you should go for removal of that fluid filled breast lump and histopathological examination. furthermore, you should go for this surgery to rule out and residual tumor cells or recurrence. consult your doctor and plan accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,B: Impaired venous blood flow
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting, well i do not think you are pregnant if you have been taking the pills as indicated even though it will be wise to conduct a pregnancy test in about a weeks time just to be sure that pregnancy is not the cause of your amenorrhea. pills are hormone based and can alter the concentrations of your natural hormones there by leading to menstrual irregularities. since you changed abruptly your initial birth control and introduced a new one, it is possible that it is the change that lead to this. menstrual irregularities e.g., spotting, breakthrough bleeding or amenorrhea can occur during its use. most of these side effects are mild and usually disappear after a few months of contraceptive use. so i suggest you worry less than stress on its own can lead to menstrual irregularity. hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. question"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi anita and thanks for the query. i am so sorry to hear about this cyst and the operation you underwent. i am however comforted that you have been feeling a lot better since the procedure except for minor headaches. this is normal and eve without head surgery, we all get headaches now and then. when a cyst is opened, it can be totally removed, if possible or not removed. when it cannot be removed, it is sufficiently destroyed to prevent future recollections. i am pretty convinced that this is what you was done in your case. though the chances are real that it can recur, but these are very small. i am confident you had the best possible procedure given the surrounding circumstances. there is no need in changing your diet or eating any specialized products. you may at will but not that they have any impact on the disease condition that you had. the decision is entirely yours to make. i hope that you find this helpful. i wish you well. feel free to ask for more information if need be. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she has lupus.  hypertension is common with lupus.  she should take medicine for hypertension.  don't worry about creatinine. her hemoglobin is also low.  go for anemia profile and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Human erythroid progenitors are directly infected by SARS-CoV-2: implications for emerging erythropoiesis in severe COVID19 patients.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your above symptoms indicate presence of anxiety. this problem may occur due to following reasons"
Answer this question truthfully,"Erythema nodosum (EN) (red nodules) is an inflammation of the fat cells under the skin (panniculitis). It causes tender, red nodules that are usually seen on both shins. EN is an immunologic response to a variety of different causes."
Please summerize the given abstract to a title,An Innovative Approach to Designing Digital Health Solutions Addressing the Unmet Needs of Obese Patients in Europe
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.itching redness and swelling are signs of inflammation. also, could be due to fungal infection as said and watch out for my discharge of any kind which can point out to a urinary tract infection.  do not apply ice as of now, it wouldn't be of much use. topical antifungal or antibiotic will help like clotrimazole or clindamycin respectively. maintaining a proper hygiene is a must and proper rinsing. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there i have read through your question and would like to tell you that pain swelling are features of a fracture. also, if you have pain on weight-bearing you may be having a fracture. sometimes when there is a hairline fracture there may be no swelling. i would advise you to get an x-ray of the ankle joint just to be sure. meanwhile, you can take an anti-inflammatory like diclofenac to reduce pain. avoid weight-bearing on the affected ankle. i hope that answers your question. if you have any further questions please feel free to write. thank you for choosing chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","a whole host of problems could be causing the back pain, but running could certainly be one of them. physiotherapy is essential, and you will need to stretch in the long term.  however, in the short term, you must not overstretch the pained areas.  indeed, a back brace/strap is essential to support you through this acute phase rather than pushing through with excessive therapy. heat and cool therapy will also be excellent, and i would recommend nsaid medication such as ibuprofen. if you are carrying any injuries in your knees or ankles, or if you have a problem with your instep or gait would also be exacerbated by jogging, and could \""carr\"" your back.  i suffer from this terribly with cycling; which forces me into uncomfortable positions for long periods of time, and also when jogging on my arthritic left knee. typically, back pain is a muscular pain, and will tend to \""move around\"" as different lower back muscles take up the strain at differing times.  a back brace may help with this and enable you to continue to jog. alternatively you could look into the problems i suggested above."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. pulled chest muscle needs following treatment. 1. avoid heavy weight lifting.2. avoid strenuous exercise.3. avoid movement s causing pain.4. avoid bad postures during sleep.5. take painkillers and muscle relaxant. 6. wear chest belt so that movement of affected area is minimized.7. hot water pad application. so no harm in hot water pad application. also try other things mentioned above.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i hope i can help you today. the common medications which are used to lower cholesterol, called statins, are not safe to use during pregnancy. for one, cholesterol levels actually normally rise during pregnancy, because cholesterol is used to make a lot of the hormones and developing tissues, such as the brain, in the fetus. for that reason, many medical professionals do not recommend any woman of reproductive age to start using cholesterol-lowering medication. the other reason is that the chance at your age of your actually having a heart attack or stroke just from high cholesterol is still extremely low. at your age, the likelihood of your having problems conceiving are relatively low and the best way to have a healthy pregnancy is to be healthy before you get pregnant. so i recommend following your doctors instructions regarding cholesterol-lowering medication, and delaying pregnancy until your cholesterol is under better control. in addition to medications there may be diet and exercise recommendations that your doctor may have which will put you in a better state of health then you are right now. so in summary, high cholesterol does not affect the fetus in any negative way, and the body actually makes more cholesterol during pregnancy to provide the fetus with nutrition. however, cholesterol-lowering medication can actually harm the fetus by decreasing cholesterol levels to the point where the proper development of the fetus could be compromised. so in order to both keep the baby safe and improve your health i would recommend delaying pregnancy until after you've worked with your primary physician in order to lower your cholesterol and get your body into a healthier state to prepare for pregnancy. you should be off cholesterol-lowering medication at the time you are trying to conceive. in the long run, missing high cholesterol medication for about a year especially at your young age and if you do not have any other cardiac risk factors, will not do harm to you. i hope i was able to adequately answer your question today, and that my advice was helpful. best wishes,"
Please summerize the given abstract to a title,Undertaking a high stakes virtual OSCE (“VOSCE”) during Covid-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot . the growth of fertilized egg and the abortion depends on many factors like your nutrition status, genetic abnormality in the egg etc. travelling doesn't cause growth retardation.  instead, growth will be normal but abortion chances increase.  in your case i suspect genetic abnormalities in the egg. it is common to happen due to fertilization with an abnormal sperm. hope i have answered your query. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. from description, it seems to be soft tissue injury. swelling might be due to hematoma formation(collection of blood). you need an x-ray to rule out any bony injury. i suggest you to consult an orthopaedician nearby for a detailed examination. you may get the x-ray of the area affected under his/her guidance. beside icing and elevating it, you can take anti-inflammatory chatbot. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please answer with one of the option in the bracket,E: Herpes simplex virus
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. there is little chance of pregnancy if your partner did not ejaculate inside you or near the opening of the vagina. in addition, the most common sign of pregnancy is a missed period. so if your menses are delayed longer than a week, you may perform a urine pregnancy test. it will be accurate by three to four weeks after your sexual encounter. i hope i was able to adequately answer your question today and that my advice was helpful. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i have gone through your query regarding un common side effects of april. along with their useful effects, most medicines can cause unwanted side effects although not everyone experiences them. these usually improve as your body adjusts to the new medicine, if you experience is any of the following side effects or any other symptoms continue or become troublesome, stop taking april and contact your doctor for advice straightaway"
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hi i evaluated your query thoroughly.*according to the narration it's lipoma (accumulation of fat)of the thigh.*should consult a surgeon or else can consult with photograph of the same for perfect management aspects in details. hope this clears your query. thanks for using chatbot & keeping trust in our medical services. wishing you fast and speedy recovery for the same. regards. bye dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. heavy chatbot.  all this points the favor of liver failure in your brother. because of liver failure protein is excreting in extracellular fluids causing the body to accumulate more of water. the only care with your brother is required an urgent hospitalization. your problem won't solve without hospitalization. i suggest you to make your brother free from alcohol and smoking. if he won't with"
Please summerize the given abstract to a title,Miniaturization during a Silurian environmental crisis generated the modern brittle star body plan.
Answer this question truthfully,"Chronically elevated levels of ACTH can cause hypertrophy and/or hyperplasia of the adrenal cortex. This can lead to an increase in the size and number of cells within the adrenal gland, which in turn can result in increased production of cortisol and other steroid hormones. Over time, this can lead to a range of symptoms and health problems, including Cushing's syndrome, hypertension, and metabolic disorders. The exact nature and severity of these effects can vary depending on the underlying cause of the elevated ACTH levels, as well as other factors such as age, sex, and overall health status."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerning positive pregnancy could be due to1. done very early in the pregnancy2. done with diluted urine and failure to follow instructions properly while doing test3. chemical pregnancy/miscarriage4. positive pregnancy test as some time pregnancy test will give false negative testpregnancy test will give positive result 8-10 days after the missed period. i would suggest going for blood chatbot test after consulting the gynecologist for final confirmation of the pregnancy. blood chatbot is more accurate test and give positive result only 10 days after the unprotected sex.meanwhile, avoid stress, take healthy diet, chatbot."
Please summerize the given abstract to a title,Perception and anxiety of Indian population during COVID-19 pandemic: a questionnaire-based survey
Please summerize the given abstract to a title,Attempt to understand public-health relevant social dimensions of COVID-19 outbreak in Poland
Answer this question truthfully,"Rotavirus is the most frequent cause of severe diarrhea in children. Rotavirus is a highly contagious virus that can spread through contact with infected fecal matter or respiratory secretions. The virus primarily affects infants and young children, and symptoms can include watery diarrhea, vomiting, fever, and abdominal pain. In some cases, rotavirus infection can lead to dehydration, which can be life-threatening if left untreated. Fortunately, there is a vaccine available to protect against rotavirus infection, and healthcare providers may also recommend supportive care such as rehydration therapy and anti-diarrheal medications to manage symptoms. It is essential to seek medical attention promptly if your child experiences severe or persistent diarrhea, as this can indicate a more serious underlying condition."
Please summerize the given abstract to a title,Has Covid-19 Put a Halt to Youth Migration? Preliminary Evidence from Poland
Please summerize the given abstract to a title,Frequency of Vitamin D Deficiency in Patients of Asthma
Please answer with one of the option in the bracket,B: Rate of plaque formation
Answer this question truthfully,Ornithine transcarbamylase (OTC) deficiency leads to increased levels of orotic acid in the blood and urine.
Answer this question truthfully,"Reverse T3 (rT3) is an isomer of the thyroid hormone T3 that is produced by the body in response to stress or illness. Unlike T3, which is an active thyroid hormone that regulates metabolism and energy production, rT3 is considered an inactive metabolite that is thought to act as a competitive inhibitor of T3. This means that when rT3 levels are elevated, they can interfere with the normal function of T3 by binding to the same receptors and preventing T3 from exerting its effects. Importantly, rT3 levels are closely related to levels of another thyroid hormone, T4, which is converted into T3 in the body. When T4 levels are high, as is often the case during periods of stress or illness, rT3 levels also tend to rise, creating a state of relative thyroid hormone deficiency that can contribute to a range of symptoms and health problems."
help with obesity I would like help on my obesity problem and if I can get help,"If you are struggling with your weight, you may find that a healthy eating plan and regular physical activity help you lose weight and keep it off over the long term. If these lifestyle changes are not enough to help you lose weight or maintain your weight loss, your doctor may prescribe medications as part of your weight-control program. Prescription medications to treat overweight and obesity work in different ways. For example, some medications may help you feel less hungry or full sooner. Other medications may make it harder for your body to absorb fat from the foods you eat. Weight-loss medications are meant to help people who may have health problems related to overweight or obesity. Weight-loss medications don?t replace physical activity and healthy eating habits. When combined with changes to behavior, including eating and physical activity habits, prescription medications may help some people lose weight."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. esr is a blood test which reflects many underlying parameters in the blood, and is not a disease. there is no treatment available for elevated esr, but the cause of the elevated esr needs to be found and treated, which will reduce the esr automatically when the underlying disease subsides. esr is a non-specific test which can be increased in a number of conditions including infection, tuberculosis, malignancy, etc. so please get him evaluated as to why he has fever with elevated esr and then get him treated for the same. i hope i have cleared your query. thank you"
Please summerize the given abstract to a title,Acceptance of Telerheumatology by Rheumatologists and General Practitioners in Germany: Nationwide Cross-sectional Survey Study
Answer this question truthfully,"Phase 0 of the myocardial action potential is caused by opening of voltage-gated Na+ channels. During this phase, the influx of sodium ions into the cardiac muscle cells triggers depolarization and initiates the action potential. The opening of voltage-gated Na+ channels is essential for the generation of the electrical impulses that regulate the heartbeat."
"If you are a doctor, please answer the medical questions based on the patient's description.","please give me the entire lft report-including bilirubin and alp levels. your sgpt and got levels are very high... yes gall stones can cause this if there is an impacted stone in the bile duct . but there are many other reasons as well. you need to be tested for liver viruses-hepatitis a, b, c and e. also you need to get done an ultrasound of the abdomen. get back with the reports. hope this helps."
Please summerize the given abstract to a title,"Physical activity, screen exposure and sleep among students during the pandemic of COVID-19"
Answer this question truthfully,Adenocarcinoma of the lung is associated with hypertrophic osteoarthropathy (clubbing).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i read your problem. any injury to the neck like ligaments and muscle injury called sprain or strain leads to pain and stiffness over neck. a stiff and painful neck may be treated within a day, but firstly we will have to rule out that there is only muscle strain or sprain or any fracture? if the stiffness of neck doesn't subside within a week it needs medical treatment. but some treatments are"
Please summerize the given abstract to a title,IL-6 and IL-10 are associated with disease severity and higher comorbidity in adults with COVID-19
Answer this question truthfully,"Enzymes exert their effects by decreasing the energy of activation. Enzymes are biological catalysts that speed up chemical reactions in living organisms. They work by lowering the energy of activation required for a reaction to occur, which allows the reaction to proceed more quickly. Enzymes achieve this by binding to the reactants, or substrates, and bringing them into close proximity, which reduces the energy required for them to react. This process is known as catalysis, and it is essential for many biological processes, such as digestion, metabolism, and DNA replication."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for writing to chatbot. i have gone through your question. follicles usually rupture after getting at least 16/17 mm. but free fluid usually appears after ovulation. free fluid suggest ovulation has taken place. follicle size varies when ultrasound done by trans vaginal or trans abdominal route. ovulation can occur on 17th day. for ovulation u can do urine lh kit test. consult gynecologist for further advise. have a healthy life.
Please summerize the given abstract to a title,A Case of COVID-19 Pneumonia in a Young Male with Full Body Rash as a Presenting Symptom
"If you are a doctor, please answer the medical questions based on the patient's description.","as you have mentioned in your history it is clear that you are suffering from disc prolapse. for this you have to take some painkiller like tab kilos or tab attract twice daily after meals along with tab shall 500 mg or tab toscal-gem once daily after meals with tab rant ac or cap gomez twice daily empty stomach at-least one hour before any meal. i suggest you to take painkiller not on regular basis but only when your back pain is unbearable or disturbing your routine activities. you can also use holdup gel or powergesic-plus gel for local application. it is also very beneficial in relieving the back pain and provide you some comfort. apart from these you can also go for some physiotherapy exercises after an expert opinion of physiotherapist. also, you have to sleep on a plain surface because it is a good practice in case of back pain which is due to disc prolapse."
Please summerize the given abstract to a title,Using Fitbit as an mHealth Intervention Tool to Promote Physical Activity: Potential Challenges and Solutions
Answer this question truthfully,"Prognosis of vaginal cancer depends primarily on the following:
Location of the tumor in vagina Length of the tumor in vaginal wall Stage of the cancer General health of the patient"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am chatbot.  i have read your question with care and understand your concerns. let me try to help you question"
Answer this question truthfully,"Vasodilation reduces after-load. After-load is the resistance that the heart must overcome to eject blood from the left ventricle into the systemic circulation. When blood vessels are dilated, as occurs with vasodilation, this reduces the resistance that the heart must overcome to push blood out into the body. This reduction in after-load can help to improve cardiac output and decrease the workload on the heart. Vasodilation is often used as a therapeutic strategy in the treatment of hypertension, as it can help to lower blood pressure and reduce the risk of cardiovascular complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, after ureteric preimplantation, it is difficult to enter the ureter. otherwise, an 11 mm stone could have been easily removed using flexible ureteroscopy and laser. since you have a nephrology tube in place, your urologist can use a arthroscope (endoscope to see inside kidney) through the same tract and remove the stone easily. i hope you would have got ridden of the stone long back and recovered very well. this may be a very late reply. i just came across this query. however, if you need any assistance please let me know. wish you good health, warm regards,"
Answer this question truthfully,"People with type 1 methemoglobinemia and hemoglobin M disease usually do well. Type 2 methemoglobinemia is much more serious, and usually causes death within the first few years of life.
People with acquired methemoglobinemia usually do very well once the drug, food, or chemical that caused the problem is identified and avoided."
"If you are a doctor, please answer the medical questions based on the patient's description.","hey, arrhythmias can be a cause of palpitations and irregular heart beat. first you need a baseline ecg and 2d echo. ecg should preferably be taken at time of palpitations. if the ecg does not reveal any abnormality than you need a 24 hr ecg monitoring which is called holder monitoring. arrhythmias in a patient with heart murder is very common. so i strongly recommend you for these tests. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking f i have gone through your question and understand your concern you son is of one year of age, his weight is 10 kg. and in your view height is not good.  10 kg weight for 1-year-old boy is absolutely normal, the average length of 1 year boy is 75 cm. you can your self take his length by tailor tape or can visit pediatrician for it. so i think there is no thing to cancer. child is healthy, not fatty. give him balanced diet like rice, dal, green vegetable, wheat, milk about 5 times per day. we suggest iron supplement for kids 1 mg per kg per day till they reach their adulthood. and spy albendazole every six month for rewarming till age of 5 years. dose of spy albendazole(bandy) 5 ml once till age of 2 year, and above age of 2 year 10 ml. hope i able to answer your query"
Answer this question truthfully,"Glanzmann's thrombasthenia is mainly divided into the following types:   
Glanzmann thrombasthenia (GT) is an autosomal recessive inherited qualitative platelet disorder characterized by absence or reduction of platelet glycoprotein GPIIb or GPIIIa or CD61. Glanzmann thrombasthenia is classified into three types
Patients with less than 5% of normal GPIIb/IIIa are classified as type I Type II variants have 5% to 20% normal GPIIb/IIIa ype III possess near-normal GPIIb/ IIIa levels but dysfunctional receptors
The subtypes vary based on ethnicity. For example, Type I is more common in Arabs and Iraqi-Jews living in Israel, whilst type II is relatively frequent in the Japanese population. 
This subset includes patients with platelets expression of αIIbβ3 more than 20% in which mainly the platelets are able to aggregate but they present the clinical phenotype of GT. The reason being that the stimulated platelets can not bind to soluble Fg or antibodies recognizing activation-dependent determinants on αIIbβ3. It is due to a single amino acid substitution. 
Acquired GT is defined by inhibition of platelet αIIbβ3 actual function due to the attack of autoantibodies. These antibodies can be produced in numerous disorders such as hematologic malignancy, transfusion, drugs and autoimmune diseases."
"If you are a doctor, please answer the medical questions based on the patient's description.",his had gone through your query. numbness can be a part of anxiety or panic attack. but it is not localized to only arms. it is generalized in whole body. vitamin deficiency like b12 is common cause of numbness. go for testing and take treatment accordingly. nerve conduction study will give idea about any nerve block. treatment of anxiety or panic attack will improve numbness. anxiolytic medicines with vitamin supplements will help. consult physician and psychiatrist for further assistance. i hope i have answered your query. still if you have query then feel free to ask or directly ask me on http
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Classification of ALPS is based on the recommendations made by first international ALPS workshop held at National Institutes of Health in 2009.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend don't worry. after studying your case homeopathic line of treatment is most beneficial to your father. in allopathy, they only give medicines that induces sleep. homeopathy treats person as a whole, not a single disease that means all details of your lifestyle will be asked by homeopath doctor and according to that medicine will be given which will be most suitable to you. so please consult a homeopath nearer to you.in circumstances if you can't consult a homeopath doctor, take following medicines.syphilis 6 or syphilis 30 5-6 pills twice per day for 4-5 days. aconite nacelles 6 5 chatbot. continue your medicines for diabetes and hypertension. after one month inform me again. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon dear friend"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi; my dear friend vitiligo is an autoimmune disease and stress is a trigger for such diseases so don't get depressed;instead make yourself strong. it is true that there is less treatment but whatever is available it is to be continued for long time.it is not that there is no cure but if you want help in herbal medicine ;go to some expert who does herbal treatment properly & not to a quack. my opinion will be to go to a skin specialist follow his advice & simultaneously take your herbal medicine.  thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","i hi, diverse has malignant melanoma stage 4. her severe cough may be due to some spread of disease or other cause.  she should go for x-ray chest to find out the cause.  then she should take treatment accordingly.  it is not due to side effects of chatbot.  hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, unprotected sex with pull out method has failure rate near about 15-28%. here, chance of being pregnant is quite high. watery period 4 days before due date may indicate early sign of miscarriage. here, you need to undergo one blood test for beta chatbot & tvs scan to rule out conception product. following test report, you need to consult with gynecologist for next line management. practice safe sex in the future. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, adenomatosis is the colon is a pre-neoplastic condition. the type of adenomyosis has to be confirmed by histopathology. recurrence is a common feature of polyp thus regular assessment of the large intestine has to be coned timely. in case features of malignancy develop on any of the polyps, appropriate measures have to be taken which consists of resection of the appropriate section of 40 rupee.e"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Increased cAMP (low glucose) leads to the activation of catabolite activator protein (CAP), which resides upstream from the promoter of the Lac Operon. CAP binds to a specific site on the DNA and interacts with RNA polymerase, causing an increase in transcription of the Lac genes. This is because cAMP binds to CAP, causing a conformational change that allows it to bind to DNA more effectively. Therefore, when glucose levels are low and cAMP levels are high, CAP is activated and promotes the expression of the Lac genes by increasing transcription."
Please summerize the given abstract to a title,Musculoskeletal Pain and Teleworking in Times of the COVID-19: Analysis of the Impact on the Workers at Two Spanish Universities
Please summerize the given abstract to a title,Clinical characteristics and outcomes of the patients with COVID-19: A report of 62 cases
Answer this question truthfully,"Femoral hernia (this type of hernia has a higher risk of becoming incarcerated or strangulated due to the narrow femoral canal through which the hernia protrudes. This can lead to obstruction of blood flow to the herniated tissue, causing tissue damage and potentially life-threatening complications)."
Answer this question truthfully,Runaway pacemaker syndrome is a potentially life-threatening malfunction of older pacemaker technologies whereby the pacemaker intermittently fires at a rate of nearly 2000 bpm.
Answer this question truthfully,"The acinar cells of salivary glands secrete the initial saliva, which is iso-tonic and in similar composition to plasma."
"If you are a doctor, please answer the medical questions based on the patient's description.","hiweight is due to omnicortil and option but will go away after three months of leaving the 2 medscalcified cyst will remain but will shrine typically administer antiepileptic therapy for six to twelve months after radiographic resolution of active parasitic infection, followed by a trial off of antiepileptic therapy. recurrent seizures should prompt reinitiation of chronic antiepileptic therapy. patients with parenchymal or subarachnoid neurocysticercosis should undergo intermittent radiographic surveillance to evaluate for resolution of the cysticerci and development of calcifications. imaging may be performed one to two months and six months following treatment. the frequency of subsequent imaging should be individualized; once lesions have resolved followup imaging is less useful. imaging should be repeated prior to discontinuing anti-epileptic chatbot.  new, worsening, or persistent symptoms should prompt evaluation. antiparasitic therapy should be considered for patients with growing cysts off therapy. an alternative approach may include serial antigen-detection assays"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, i believe that the renal function is not going in the right direction. swelling is a symptom of fluid retention, as well as pruritic may be associated with hyperazotemia and hypophosphatemia. i recommend a complete screen with serum creatinine, bun, phosphorus, calcium, potassium, bnp, sodium, pth, vitamin d. introduction or increase of diuretics (in particular loop diuretics) should be considered by your physician."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...he seems to be having moderate to severe persistent allergic rhinitis, and i am glad that he is on flonase and zyrtec which is going on in the right way. if i were your treating pediatrician i would add on - montelukast, 10\u00a0mg per day once daily at 6pm for 8 weeks. it doesn't work immediately but on the long run it is very useful in reducing chronic allergic symptoms like this. kindly approach your pediatrician regarding this. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern. feeling of heart attack is features of anxiety and stress. due to depression and anxiety will affect daily routines and work. this kind of condition require psychological and social support. it can be treated with antidepressant like ssri or sari. benzodiazapin like clonazepam or mizoram can be given for panic or anxiety. but choice of chatbot. so consult psychiatrist and get help. do exercise, meditations, relaxation, deep breathing exercise etc. take proper sleep. try to do work stress-free. enjoy hobbies, music, discussed with friends and family. i hope i have answered your query. feel free to ask. happy to help you. get well soon. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! even if you are too young to have any heart problem per se, it is always better to get it excluded by getting consultation done with a cardiologist. once it is excluded, you may be having allergic bronchitis along with co-existent common cold due to which you are feeling shortness in your breath. pain in back and upper abdomen could be due to hyper acidity or co-existent gall stone, or pancreatitis. consult your physician if not relieved,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi constipation can cause all the symptoms that are experienced by you at present, you have to take some laxatives, laxatives will loosen your stools, once the stools are passed the heaviness which you are feeling will go away ! the heaviness of the chest which you are feeling is not related to your cardiac system, rather it's because if constipation and production of gases inside. once this is relieved your symptoms will go away!"
Answer this question truthfully,"If the amniotic membrane has ruptured, it can be confirmed with a speculum exam to look for pooling of amniotic fluid in the posterior vaginal fornix. The amniotic membrane is a sac that surrounds and protects the developing fetus during pregnancy. When the amniotic membrane ruptures, it can lead to leakage of amniotic fluid. A speculum exam is a gynecological examination that involves the insertion of a speculum into the vagina to visualize the cervix and the vaginal walls. During the exam, the healthcare provider can look for the presence of amniotic fluid in the posterior vaginal fornix, which is the space behind the cervix. If there is pooling of amniotic fluid in this area, it is a sign that the amniotic membrane has ruptured. It is important to confirm the rupture of the amniotic membrane as it can increase the risk of infection and other complications for the mother and the fetus."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, yes, he should have improved by this. since, he is not improving, rather deteriorating, better to take him to hospital and get done chest x-ray to rule out pneumonia (lung infection). his all symptoms are suggestive of pneumonia. he will need higher antibiotic like levofloxacin or amoxicillin plus clavulanic acid. mucolytic and expectorant chatbot.  so, it is better to take him to hospital and start appropriate treatment. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Chronic ITP, or immune thrombocytopenic purpura, is a disorder in which the immune system mistakenly attacks and destroys platelets, which are essential for blood clotting. In chronic ITP, this condition persists for more than one year and is characterized by a platelet count that remains consistently below 100,000 per microliter of blood. This can lead to symptoms such as easy bruising, prolonged bleeding from cuts or injuries, and in severe cases, spontaneous bleeding. Treatment for chronic ITP typically involves medications to suppress the immune system and increase platelet production, as well as lifestyle modifications to reduce the risk of bleeding. In some cases, surgery to remove the spleen may also be recommended."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, the dog bite should be managed properly because the disease transmitted by dog is 100% fatal, but it is 100% preventable with proper and timely treatment. as there was no bleeding following the bite, it will categorize int cat ii according to who classification. the cat ii bite requires proper wound wash and antirabies vaccine on days 0,3,7,14 and 28. if you have not taken the vaccine you can start know also but don't ignore this. the symptoms of fever and unwell is may be due to the secondary bacterial infection following the animal bite. i would suggest you to take1. antirabies vaccine as per the schedule2. oral antibiotics like tab augmenting for 5days3. oral paracetamol. thank you."
Answer this question truthfully,"Thymic malignancies are relatively rare in the range of 0.2% to 1.5% of all malignancies or 0.13 per 100,000 person-years in the United States Thymic malignancies are among the most common mediastinal primary tumors with up to 50% of anterior mediastinal masses proving to be of thymic descent. Invasive thymomas and thymic carcinomas are relatively rare tumors, which together represent about 0.2% to 1.5% of all malignancies.  Thymic carcinoma are rare and have been reported to account for only 0.06% of all thymic neoplasms.
The risk of thymic carcinoma increases with age.  Thymic carcinoma is uncommon in children, it is seen more often in middle-aged adults. Thymic carcinoma commonly affects individuals between 40-60 years of age.
Males have a slightly higher risk of developing thymic malignancies than females, and the risk rises with age, reaching a peak in the seventh decade of life, which is in direct contrast to the progressive involution of the thymus with age. Males are more commonly affected with thymic carcinoma than females. The male to female ratio is approximately 3 to 1.
It is more common in Asians and African Americans than in Caucasians."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, so far your question is concerned a bit more knowledge about history and examination may be needed to reach a conclusive diagnosis. keeping in view the provided information (age factor, pilot by occupation, overweight), it seems that you probably are at an increased risk of developing deep vein thrombosis and consequent pulmonary embolism. sometimes, small and transient episodes of pulmonary embolism may go unnoticed. still it may be there and can be evidenced by elevated d-dimer levels. so my suggestion at the moment is not to ignore these lab findings and consult a coagulation specialist/hematologist near you and get yourself thoroughly evaluated and examined to exclude the chance of any serious pathology and to manage it as early as possible if something turns out to be there. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have a painful hip condition and this needs a joint replacement surgery. before this, you should diagnose the condition by ct scan to know if it is a cyst confined to the bone itself and not spreading to the area around. that is make sure its benign.  more local injections into the hip is not recommended. your medical history shows no reason, why you cannot go in for replacement surgery to relieve the persistent pain and regain your physical activity. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the soreness in the gums and the roof of the mouth could be secondary to herpetic virus infection or authors ulcers. consult an oral physician to rule out these two conditions. if i am your treating doctor i would have put you on topical anesthetic and analgesics (like anabel gel). nothing to get scared to consult a dentist. do saline gargling. if you doesn't find any relief reply me back. i hope my answer will help you. take care."
Please summerize the given abstract to a title,COVID-19 and the Heart/ COVID-19 y el corazón
Answer this question truthfully,"Chronic pyelonephritis is a type of kidney infection that results from recurrent episodes of acute pyelonephritis. Acute pyelonephritis is a sudden and severe infection of the kidneys that can cause symptoms such as fever, chills, nausea, and back pain. If left untreated or if the infection is not completely cleared, it can lead to chronic pyelonephritis. Chronic pyelonephritis can cause damage to the kidneys over time, leading to scarring and loss of function. Common causes of recurrent pyelonephritis include urinary tract obstruction, vesicoureteral reflux, and kidney stones. Treatment for chronic pyelonephritis may involve antibiotics to treat the infection, as well as measures to address any underlying causes of the recurrent infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for the question and welcome to chatbot ! inorder to help you i will need some more information about your health like which medicines are you on? if female are your periods regular or have you missed a period? nausea, vomiting and dizziness are very general symptoms which can occur in number of conditions. fever is the symptom which will reflect you have infection in your blood stream. get a complete blood count test done to check for high wbc or low hemoglobin as cause. if female get a pregnancy test done if missed period. take antacids. this will help. hope this helped with your query. follow back for any future questions. take care!"
Please summerize the given abstract to a title,"Early Epidemiological Evidence of Public Health Value of WA Notify, a Smartphone-based Exposure Notification Tool: Modeling COVID-19 Cases Averted in Washington State"
Answer this question truthfully,"The hallmark of this condition is the myotonia -- the inability of the muscle to quickly relax after contracting. For example, after a handshake, the person is only very slowly able to open and pull away his hand.
Early symptoms may include:
Difficulty in swallowing Gagging Stiff movements that improve when they are repeated Shortness of breath or tightening of the chest at the beginning of exercise
Children with myotonia congenita often appear to be muscular and well-developed. The child may not have symptoms of myotonia congenita until age 2 or 3."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hide you snore at night, have interrupted sleep, excessive daytime sleepiness, if yes it suggests osa, and it needs a treatment, and it could be a cause for elevated heart rate. also smoking, low hemoglobin, anxiety, some medicine like inhalers may lead to it. one thyroid test should also be done. anyway if no reason is found you should monitor your at rest pulse rate and if high need to take medicine beta blocker like metoprolol. so you should discuss with local doctor. for your cholesterol you should avoid fatty, sugary diet and regular exercises. also get tablets like atorvastatin 10 mg bedtime prescribed from local doctor and continue this lifetime since this medicine has got cardio protective effect."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to the magical world of health care, i went through your query, and this seems to be hematoma which means blood collection under the skin, it's in itself innocuous, but if it gets infected it can be dangerous, so see your doctor and let him decide what is best for your son. i hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. i hope a 5-star rating if you feel guided in your treatment, thanks."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"Are opioid receptor antagonists adequate for ""Opioid"" overdose in a changing reality?"
Answer this question truthfully,"Hashimoto's thyroiditis is associated with the HLA DR3 and HLA DR5 alleles. These alleles are part of the human leukocyte antigen (HLA) system, which plays an important role in the immune system by helping to distinguish between self and non-self cells. It is thought that certain HLA alleles may increase the risk of developing autoimmune disorders such as Hashimoto's thyroiditis by influencing the way the immune system responds to self-antigens. However, the exact mechanisms behind this association are still not fully understood."
Answer this question truthfully,Serum Sickness can be treated with pulsed corticosteroid therapy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there is pain in your filthier is another possibility of costco chatbot. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query understand your concernplease note that there are many types of epilepsy and the treatment depends upon the exact classification of epilepsy. this can be done by long term eeg and brain scan like mri scan. if you have any of these tests, please let me know, and i will be able to guide you better. if you do not have these tests, please get it done as we will be able to guide you better. best wishes"
Answer this question truthfully,"Which embryonic structure gives rise to the ureter, pelvises, calyces, and collecting ducts? The embryonic ureteric bud gives rise to these structures."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion, you should consult pulmonologist and get done 1. clinical examination of respiratory system 2. put (pulmonary function test) 3. sputum examination for afb (acid fast bacilli-bacteria causing tuberculosis). 4. ct thorax with contrast. possibility of tuberculosis (granulators infection), bronchitis and other bacterial infection is more in your case. so pft is needed for the diagnosis of bronchitis. sputum for afb is must for detection of tuberculosis. hemodialysis is a risk factor for tuberculosis. ct thorax will identify the infection if present. so better to first diagnose yourself and then start appropriate treatment. you may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ics). hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","after hearing your history i would advise you to use voting gel in the affected area. volini gel contains diclofenac diethylammonium topical, menthol topical, methyl salicylate topical and ileum line topical as active ingredients. volini gel works by reducing pain and delayed onset muscle soreness, providing relief of musculoskeletal aches and pains, reducing the pain providing relief from pain. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some pustules or other skin lesions. you should go for biopsy and histopathological examination of one lump.  it will give you exact diagnosis.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,CURRENT THERAPEUTIC OPTIONS for CORONAVIRUS DISEASE-2019-A PHARMACOLOGICAL REVIEW
Answer this question truthfully,Percutaneous drainage is not an appropriate treatment option for communicating hydroceles because aspiration brings no benefits as the processus vaginalis will fill again with peritoneal fluid after drainage.
Please summerize the given abstract to a title,Overwhelming Mutations or SNPs of SARS-CoV-2: A Point of Caution
Please answer the letter of option truthfully,C
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i think you can take some medicines like camphene for inducing ovulation.  track your follicles' growth by repeated ultrasound and when follicle is more than 17 to 18 mm, take injection for rupture of follicles.  be in contact with your husband every 2 to 3 days after your periods stop. take progesterone for next 2 weeks after rupture is confirmed on ultrasound. do a urine pregnancy test after that. you can try like that for 3 to 6 cycles."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, chest pain can be caused by various reasons, including minor problem such as indigestion or stress, to serious medical emergencies such as a heart attack. the symptoms as mentioned in your post can be attributed to chest pain secondary to cough. it can be managed by intake of anti-tussive preparations. other causes of chest pain include"
Answer this question truthfully,"MRI may be helpful in the diagnosis of fibroma. On MRI, fibromas appear isointense or hypointense on T1 sequences and hyperintense on T2 sequences."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi your symptoms could be related to orthostatic hypotension. chronic anemia or deny chatbot.  coming to this point, i would recommend consulting with your gp for a physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. it seems that your wrong body posture; inadequate exercise and reduced muscle tone is taking a toll on your back. for pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). during the day don't sit in one position for more than an hour and take frequent stretch breaks. do not bend forward to lift things up, bend the knees and hips for that. also discontinue any strenuous activity or exercises for some time. i suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your physiotherapist. this will help to relieve the possible muscle spasm which causes the pain do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please summerize the given abstract to a title,Attitudes toward risk among emergency physicians and advanced practice clinicians in Massachusetts
Answer this question truthfully,The recommended treatment for symptomatic mitral valve prolapse (MVP) in pregnancy is β-blockers.
Answer this question truthfully,"Call your doctor if:
The sore begins soon after you start a new medication You have large white patches on the roof of your mouth or your tongue (this may be thrush or another type of infection) Your mouth sore lasts longer than 2 weeks You have a weakened immune system (for example, from HIV or cancer) You have other symptoms like fever, skin rash, drooling, or difficulty swallowing"
Please answer with one of the option in the bracket,E: Irreversible enzyme inhibition
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you? my name is chatbot.  i am a surgical gastroenterologist and i will attempt to answer your question. cholelithiasis or gall bladder stones is a very common finding in scans of the abdomen. 10% to 20% of population will develop stones at some time in their lifetime. up to 80% of these patients will never experience biliary pain or complications such as acute cholecystitis, cholangitis, or pancreatitis. hence, most gallstones are clinically \""silent,\"" and is an incidental finding often uncovered during abdominal ultrasound being performed for another reason. people with such asymptomatic cholelithiasis, however, eventually may develop symptoms (biliary pain) that require treatment, but this risk is quite low. an even lower proportion (1-2%) may develop major gallstone complications. therefore, expectant management is an appropriate choice for silent gallstones in the general population. the exception is patients at high risk for experiencing biliary complications - large gallstones (>3 cm) or gallbladders crammed with stones that carry a higher risk of developing gallbladder cancer. in your case because of the pain, i would get operated on. laparoscopic cholecystectomy is a fairly simple, safe and routine surgery done in most surgical centers. unfortunately once the stones have been formed, there are no medications which will help in treating them. hope this helps and hope you start to feel better soon. please do not hesitate to contact me for any further clarifications. have a great day"
Please summerize the given abstract to a title,"New loss of smell and taste: Uncommon symptoms in COVID-19 patients on Nord Franche-Comte cluster, France"
Please summerize the given abstract to a title,A Set of Challenges for setting distance-learning environments based on university students’ experience at the covid-19 pandemic time in Iraq
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... i have just red through your question - i think these are the possibilities -1. stranger - due to concentrated urine. give him a glass of sugar water followed by 2 glasses of normal water and this will settle the issue if he passes large amount of urine.2. balanoposthitis - please consult a pediatrician as this might require antibiotic therapy.3. urinary tract infection - unlikely as there is no high grade fever or vomiting. but better to get a urine routine analysis done if the symptoms are not better by suggestion number one.4. posterior urethral valves - get an ultrasound abdomen and pelvis done. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is possible that you might have a bone cyst or a benign swelling which is causing your symptoms. the pain might be arising from stimulation of the nerves in the area. if it has happened slowly over more than 6 months to a year then it is a benign swelling. if it has increased in size within 3 months then a suspicion of cancer or an acute inflammation is to be thought of.however, the pictures of the bone erosion are to be evaluated in detail to know about any pattern of destruction on the lines of a cancer. please upload your images and report if possible, and we can discuss the bone changes in your knuckle accurately. a fnac from the swelling might help and this is a simple investigation by which few cells from the problem area are looked in to using a microscope. please do not worry."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the available information, i can conclude that you have obsession and phobia towards new food. no problem. that is actually good. you are aware that such an eating habit can cause allergy as well as food poison. but you need to control those obsessive thoughts and anxiety. awareness can help this. understand that even food which you take usually can give you allergy as well as food poison. over and above, when you are starving, you don't care. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thrive read your query and understanding your concern. i would like to tell you, if you are experiencing any breathlessness or chest tightness with this throbbing pain then it can be related heart disease. but heart disease in young age is unlikely until unless you have very strong family history of heart disease. it can be muscle strain or bony pain. you can use tablet orphan sos. if doesn't get relief then you can personally consult with an orthopeditian so that he can guide you properly. if you have any family history of cardiac disease then get your ecg and echocardiography done and consult with a cardiologist. hopefully i answered all your queries. wish you good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient considering your case possibility of fracture in your hand needs to be ruled out. i would like to advise x-ray of involved hand anteroposterior and oblique views to rule out bony abnormalities. meanwhile, start tab diclofenac plus serratiopeptodase combination twice a day for pain relief.  apply ice packs and cr\u00eape bandage for swelling and pain relief. if x-ray report is showing fracture you need to consult expert orthopedic surgeon with report.  if its normal you have sprained your hand, and it will heal with cr\u00eape bandage and rest. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, he was having an upper respiratory infection that now is progressing to lower respiratory infection(suggested by fever and cough). if he does not have any breathing difficulty and is taking feeds, we need not worry as your doctor has already given antibiotics and other supportive measures. he will be alright in 3-5 days. just complete the antibiotic course as suggested by your doctor. take him back to doctor, f he becomes lethargic, develops breathing difficulty or refuses to feed hope i have answered your quertle me know if i can assist you further chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query, sequence of sneezes, running nose, itching in ears, itching in roof of mouth, blackness under eyes are the symptoms of allergic rhinitis. it is best prevented by not to expose to cold, dust, not to consume ice creams, fridge water, curd. best street meet is adams(fluticasone) nasal spray twice daily, tab. monte- lc (montelukast+cetirizine once daily at bedtime initially, it should be taken 2-4months then slowly tapered. all the best. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you consultation. baby mucosa and skin is very delicate. it can get scratched and abrasion easily. why the baby is crying excessively is worrisome.advice;1.don't worry about small blood.2.check the baby is not hungry.3.cut his nail short because some scratch in the eyes and then excessive cry.4.check fingers of hand and feet and penis for hair monique effect e.g. encircling the fingers.5.gaseous abdomen can cause too much cry.6.if excessive cry persist then needs pediatrician consultation.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. if your pain is from only inserting your penis, you may want to try using a lubricant, which will make your intimacy more comfortable and pleasurable for the both of you. a lack of lubrication can pull the skin of the penis in uncomfortable ways during sexual activity during inserting and cause pain. also indulge in good amount of foreplay to allow adequate arousal and emotional connectivity with your partner. the fact that the pain occurs during a second attempt at having sex might be due to decreased lubrication and more friction between penis and vagina."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking chatbot. with this presentation, you really do not need to worry so much. this type of breathing (seems to be change stock breathing) can be a sign of an underlying problem. it can also occur normally in people especially those living in high altitudes. if there were an underlying disease, you may be having some other symptoms like breathlessness on exertion or at rest, orthopnea (difficulty breathing when lying), fatigue, cough, nausea, vomiting, severe headache or high blood pressure. i hope that helps wish you well"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Roles of Economic Development Level and Other Human System Factors in COVID-19 Spread in the Early Stage of the Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","helldiver give up hope. try to see another facio-maxillary surgeon and one who does reconstructive surgery of face in a trauma hospital in your country. nowadays skilled facio-maxillary surgeons in conjunction of plastic surgeons do face and jaw re-constructive surgery with replacement with implants and prostheses (artificial jaw with teeth) in accident victims. these are modern day surgeries available at renowned trauma center in the country, you will have to search on net, ask dental surgeons for recommendation of any such hospital, i am sure you will get help. best wishes"
Please answer with one of the option in the bracket,C: Decreased methionine concentration
"If you are a doctor, please answer the medical questions based on the patient's description.",hello have studied your case. there is possibility of plantar fasciitis leading to pain in foot. physiotherapy like ultrasound and tens may give you relief. another common possibility can be spinal disc bulge leading to nerve compression and foot pt. you can take analgesic and neurotrophic medication and calcium supplements. i hope i have answered your questions. if you have further questions please feel free to contact us. i will be happy to answer your question. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello !  i read your question and understand your concern. in my opinion the symptoms you have had may be related to a chatbot.  you should measure your blood pressure in sitting position and then in standing up position. a decrease more than 20 mm hg in your blood pressure would be indicative of orthostatic hypotension. low blood pressure can cause similar symptoms. i would also recommend a full blood work for anemia, a thyroid function test to rule out hypothyroidism or hyperthyroidism. hope to have been helpful! greetings!"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot.... you are having lung fibrosis condition secondary to tuberculosis .... once fibrosis occurs it is irreversible condition ... steroid might be useful for that .... you have to complete the course of akt to prevent further fibrosis.... if you are having smoking habit than avoid smoking as it can lead further fibrosis .... pulmonary rehabilitation useful.... to assess severity of fibrosis spirometry useful for that ... take care. advise
how is asthma diagnosed,"Asthma (Exams and Tests): The health care provider will use a stethoscope to listen to your lungs. Wheezing or other asthma-related sounds may be heard. Tests that may be ordered include: - Allergy testing -- skin or a blood test to see if a person with asthma is allergic to certain substances - Arterial blood gas (usually only done with people who are having a severe asthma attack) - Chest x-ray - Lung function tests, including peak flow measurements"
Please summerize the given abstract to a title,Comparisons of Staphylococcus aureus infection and other outcomes between users of angiotensin-converting-enzyme inhibitors and angiotensin II receptor blockers: lessons for COVID-19 from a nationwide cohort study
"If you are a doctor, please answer the medical questions based on the patient's description.",believe me i have treated many patients like thioatually the hormonal level is disturbed with animal minimal milk like cow milk have bovine female hormones and our blood has human female hormones which are not compatible with each other stop all milk and milk products and complete diary products your hormones level will come to normal within 6 monthssometime wheat also causes infertility recommend you to get blood serum test for wheat specific antibody if it come positive then eliminate wheat also from diet but milk is necessary to eliminate to bring back hormones to normal if specific antibodies are high for wheat eliminate it otherwise no need to worrying this if god willing all your problems are solved this is real truth i have see nin many of my patients
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatbot. i have gone through your query. problems like peptic ulcers can give radiating pain towards back like you mentioned. even colitis can give such symptoms. a physical examination is necessary and in case of gastric signs a consultation with a gastroenterologist is well appreciated. fibrogastroduodenoscopy might be needed to rule out peptic ulcer in case of signs of that. proton pump inhibitors like rabeperazole, mucosal protectors like sucralfate and diet will be helpful for you in such case. hope this may help you. let me know if you have any further queries. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. i understand your concern. all the non-specific multi systemic involvement symptoms which you are coating are suggestive of viral illness. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Please summerize the given abstract to a title,Towards a More Sustainable E-commerce in the Post-COVID-19 Recovery of Portuguese Companies
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your query at chatbot. hepatitis presentation. further evaluation needed. increase in the level of liver enzymes(ast, alt) reflect an injury to the liver. medically, the condition is known as \""hepatitis\"". it maybe caused by"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello really appreciate your concern for your husbandlooking at your description this could be caused by infection or inflammation of the testis or epididymis i see patients with similar complaints in my clinic and i would advise them for a battery of tests look blood for hemoglobin, cbc liver function test and urine for culture and sensitivity test and a color do poker if need be. he may require a course of antibiotics and anti-inflammatory chatbot."
Answer this question truthfully,"The disease may start quickly and be very serious, or it may remain mild and not need specific treatment.
In most people, steroids or splenectomy can control anemia.
In others, treatment can usually partially control the anemia."
Answer this question truthfully,"In most children who stutter, the phase passes and speech returns to normal within 3 or 4 years.
Stuttering that begins after a child is 8 - 10 years old is more likely to last into adulthood."
Please summerize the given abstract to a title,Correction to: Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. anastrozole is a pill taken for some types of cancer. pill with ahi imprint is manufactured by accord healthcare. this is asastrozole 1 mg and belongs to the chatbot. it is possible that you have developed an allergy to the binding substance and not the medicine. binding substances are used to keep the medicine in its shape and usually made of an inert substance which is not harmful. please discuss with your pharmacy and request for alternatives. the pharmacy has not made any mistake. please do not worry."
Answer this question truthfully,The heart beats spontaneously by week 4 of embryonic development.
"If you are a doctor, please answer the medical questions based on the patient's description.","his had gone through your query. clonazepam is anxiolytic and very useful to control anxiety. it has no interaction with me chatbot.  it can be taken with it.0.5 mg is ideal dose, and you can take it as and when require but you have to consult before take these medicines. sometime behavior modification can be useful. this includes exercise/meditations/relaxation methods/sleep/healthy diet/lifestyle modification etc. can be useful. i hope i have answered your query. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, fever of a few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about the duration if the kid is active. paracetamol can be given only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,Myotonic dystrophy is caused by abnormal expression of the myotonin protein kinase enzyme.
"varicella  shingles How can I determine whether or not I've had chicken pox.  If there is a test for it, what are the results of the tests I need to know that will tell me whether or not I have had chicken pox?  I want to know this to determine if I should have shingles vaccine  (Zostavax) Thank you.",Your health care provider can most often diagnose chickenpox by looking at the rash and asking questions about the person's medical history.. Lab tests can help confirm the diagnosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome. according to history posted here, everything appears to be normal except the swelling that you have mentioned. for this you must see your dentist once and get it clinically evaluated so that an x-ray can be taken. after examining the healing wound it can be judged if there is any infection. you might require a course of antibiotic along with analgesics. for further doubts please let me know. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. as per your history there is possibility of soft tissue injury in knee. most commonly meniscus injury occurs may be associated collateral ligament injury. if pain persists then you may need to do mri knee to see for any functional defect. as per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. rest and ice fomentation along with supportive brace will help to reduce swelling and pain. small meniscus tear can be managed conservatively with physiotherapy with usg and tens. meniscus injury can be managed by arthroscopic repair. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. i would suggest you to get following investigations to see for the cause of this problem"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it can retrograde ejaculation, sperm in urine.  taking urine complete test will help you diagnose, or doing a urine complete after 30 min of masturbation will confirm the diagnosis of retrograde ejaculation. it can be a urinary tract infection. doing urine culture sensitivity will help you diagnose. it can be prostate inflammation, dong an ultrasound pelvis will help diagnose. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. there is an entity known as malignant fibrous histiocytoma. malignant fibrous histiocytoma (mfh), a type of sarcoma, is a malignant neoplasm of uncertain origin that arises both in soft tissue and bone. it is a malignant tumor by itself and has several subtypes. this is seen in elderly population over 50 years age and rare in young people. since your cancer testing is negative, it is unlikely to be a malignant form of histiocytoma. you might be having benign fibrous histiocytoma (fh) is one of the most common mesenchymal neoplasms of the skin. several histologic variants of cutaneous fh have been described, some of which also have distinct clinical features including a propensity for local recurrence. it is important to note that rarely there might be metastasis in benign fibrous histiocytomas which contain atypical cells. please discuss with your doctor."
Please summerize the given abstract to a title,Breast lesions associated with mammographic architectural distortion: a study of 588 core needle biopsies.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms can be related to a blood clot in the ankle. i suggest to wear graduated compression stockings. these specially fitted stockings are tight at the feet and become gradually looser up on the leg, creating gentle pressure that keeps blood from pooling and clotting. elevate the affected leg and take walks to maintain the blood circulation active. i also suggest using anti-inflammatory medications such as tylenol in case of pain. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thanks for putting your query in chatbot. i am a gastroenterologist (dm). elevation of liver enzymes suggest injury to liver cells. there are many other causes for elevation of liver enzymes apart from alcohol intake like hepatitis b and c virus, wilson disease, autoimmune liver disease for which you need to be tested.  however, in present scenario it may be due to chatbot.  also, the disease rheumatoid arthritis itself may cause elevation of liver enzymes. that's why your doctor has advised to visit a gastroenterologist to see whether the cause is"
Answer this question truthfully,"Children should have their vision assessed at every well-child visit. Well-child visits are routine check-ups that pediatricians or healthcare providers conduct to monitor a child's growth and development. Vision assessment is an important part of these visits, as it can help detect any potential vision problems or eye conditions early on. In addition to well-child visits, parents should also be aware of any signs or symptoms of vision problems in their children, such as squinting, eye rubbing, or difficulty seeing objects at a distance, and seek medical attention if necessary."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the sound originating from the throat of your daughter while sleeping is wheezing. it is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of hyper-responsiveness of air passages (seasonal allergy or asthma). romilast l consists of montelukast +levocetirizine.1. montelukast preparations are used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma2. levocetirizine acts as an anti-allergy medication and provides symptomatic relief. so, the medicine as suggested by her doctor is correct. please continue it as advised. if symptoms still persist, she needs to take a cough expectorant syrup and a course of antibiotics against the causative organism. wishing her a good health. take care."
Answer this question truthfully,"The exact cause of OHS in unknown. Most (but not all) patients with the syndrome have a form of sleep apnea.
OHS is believed to result from both a defect in the brain's control over breathing, and excessive weight (due to obesity) against the chest wall, which makes it hard for a person to take a deep breath. As a result, the blood has too much carbon dioxide and not enough oxygen. People with OHS are often tired due to sleep loss, poor sleep quality, and chronic hypoxia.
Excess (morbid) obesity is the main risk factor."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient, thank you very much for your question. normal heart rate is 60-100 beats per minute when you are relaxed and not working. however, the latest research have shown that heart rate above 90 beats per minute persistently is not normal. in other words, close to the upper range of normal is not that healthy. however, we are living beings who have feelings and emotions that absolutely have an impact on your heart rate. as you described strong positive or negative emotions can raise your heart rate above normal sometimes even within a day couple of times. and it is absolutely normal.  however, reasons for persistent tacky or bradycardia (slowed heart rate) can be due to underlying heart diseases or thyroid problems. therefore, i recommend you to see a physician and do an ecg test. check your thyroid because nervousness and irritation with heart palpitations can be due to an overactive thyroid. test yourself and free your mind.  also, anxiety disorder can cause heart palpitations. in that case, ssr inhibitors can help to ease your anxiety and normalize your heart rate.  therefore, it is better to consult your family physician and find out your condition for correct treatment. if you have more questions, please let me know. good luck!"
Answer this question truthfully,"No, bronchioloalveolar carcinoma is not typically associated with smoking. While smoking is a major risk factor for many types of lung cancer, including squamous cell carcinoma and small cell carcinoma, it is not a significant risk factor for bronchioloalveolar carcinoma. Instead, this type of lung cancer is more commonly associated with genetic mutations and abnormal growth of cells in the lungs. However, it is important to note that smoking can still increase the risk of developing other types of lung cancer, as well as other respiratory and cardiovascular diseases."
Answer this question truthfully,"One benign cause of a 'coin-lesion' on CXR is granuloma, with examples of diseases that can cause this type of lesion including TB or fungus."
Answer this question truthfully,The Mumps virus is associated with bilateral inflammation of the parotid glands.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello syedthanks for posting hearing by your description, it look alike she had low bp due to dysentery causing water loss from body. other reason may be because of medicine reaction. since you said that after taking chatbot.  please confirm with your doctor what medications he has given her so that we can avoid this medications in the future. also, if she is having diarrhea, encourage her to have fluids. check bp regularly once per week. don't worry, it is unlikely that she will have low bp again. thank you."
Please summerize the given abstract to a title,A presentation of E-Cigarette vaping associated lung injury (EVALI) caused by THC-Containing electronic smoking device
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is not understood why a person should not have got seen and investigated in spite of 1 month pain and other symptoms. the most probable cause in your case can be due to either enteritis/ ibs/ pelvic inflammatory disease/ ovarian cyst twisting and so on. a good clinical examination by a surgeon, ultrasonography, blood work is all necessary for a proper diagnosis. this only can help to get a proper treatment. you have to come out of this problem now, otherwise it may become chronic and trouble for a lifetime."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, when you're about to wake up, your sympathetic system is most active just before that. that's the reason a person may feel fast beat while waking up.  moreover, in rem sleep your heart rate is faster, and we have chatbot. don't worry. i suggest you take an ecg just to have a baseline. and do yoga and meditation.  if it's causing you too much trouble, then consult a cardiologist.24 hrs holder or stress test may be advised."
Answer this question truthfully,NSAIDs may be contraindicated for patients with renal insufficiency.
Answer this question truthfully,"Renin is synthesized, stored, and released in the juxtaglomerular apparatus of the kidney. The juxtaglomerular apparatus is a specialized structure located near the glomerulus, which is the site of blood filtration in the kidney. Renin is an enzyme that plays a key role in regulating blood pressure and fluid balance in the body. It is released in response to various stimuli, including low blood pressure, low blood volume, and low sodium levels. Renin acts on a protein called angiotensinogen, which is produced by the liver, to produce angiotensin I. This sets off a cascade of reactions that ultimately lead to the production of the hormone aldosterone, which helps to increase blood pressure and retain sodium in the body. Dysfunction of the juxtaglomerular apparatus or renin-angiotensin-aldosterone system can lead to various health problems, including hypertension and kidney disease."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  your mom probably have some internal or external bleeding. low hemoglobin itself leads to congestive heart failure. you should consult hematologist and search for the cause. you an go for ultrasound examination of abdomen and also consult gynecologist one to rule out bleeding from genital tract. first search for the cause of anemia and then take treatment accordingly. hope i have answered your question. if you have any further questions then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer the letter of option truthfully,C
Answer this question truthfully,"Juvenile polyposis syndrome is inherited in an autosomal dominant pattern, which means that a person only needs to inherit one copy of the mutated gene (from one parent) to develop the disorder. If a parent has the mutated gene, there is a 50% chance that their offspring will inherit the disorder. The disorder causes the development of noncancerous growths (polyps) in the gastrointestinal tract, which can lead to bleeding, anemia, and an increased risk of developing gastrointestinal cancer."
Answer this question truthfully,Ghrelin can lead to an increase in appetite.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if i were your treating doctor for this case of blister, i would come up with such possibilities, these include"
Answer this question truthfully,The conjugate meningococcal vaccine is the only vaccine indicated for individuals over the age of 55.
Please summerize the given abstract to a title,Offen gemacht: Der Stand der internationalen evidenzbasierten Forschung zu Open Educational Resources (OER)
Answer this question truthfully,"The recommended treatment for diffuse proliferative glomerulonephritis is glucocorticoids and cyclophosphamide, which may slow the progression to CKD."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Digital technology dilemma: on unlocking the soil quality index conundrum
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case with diligence. osteoporosis is common in diabetic and ra patient leading to back pain. degenerative wear of muscles and ligament and loss of elasticity of muscles, due to deficiency of it b12 and carnitine these symptoms can be aggravated .so supplements of these nutrients can relieve pain. check your bone strength with dexa scan and you can start medication according to level of osteoporosis, i will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. mri spine will help in diagnosis. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. it can be kidney or liver disease as well as heart disease. you need to check your protein blood levels, liver function tests and kidney tests. ankles swelling may also be caused by venous insufficient and skin changes can be caused by hypos attic dermatitis. so till you do these tests try to stand as less than you can, keep your legs elevated, use some elastic stockings and see will there be improvements. wish you good health."
Answer this question truthfully,"Patients are referred to nephrology specialists for various reasons, such as:
Acute renal failure, a sudden loss of renal function Chronic kidney disease, declining renal function, usually with an inexorable rise in creatinine. Hematuria, blood loss in the urine Proteinuria, the loss of protein especially albumin in the urine Kidney stones, usually only recurrent stone formers. Chronic or recurrent urinary tract infections Hypertension that has failed to respond to multiple forms of anti-hypertensive medication or could have a secondary cause Electrolyte disorders or acid/base imbalance
Urologists are surgical specialists of the urinary tract - see Urology. They are involved in renal diseases that might be amenable to surgery:
Diseases of the Bladder and prostate such as malignancy, stones, or obstruction of the urinary tract."
Answer this question truthfully,Early stages of iron deficiency cause a normocytic anemia.
Answer this question truthfully,"Congestive heart failure, cirrhosis, nephrotic syndrome, and excessive peripheral edema are conditions that may cause secondary hyperaldosteronism."
Answer this question truthfully,"The prevalence of bladder cancer is approximately 130.5 per 100,000 individuals in the United States. The incidence of bladder cancer is approximately 20.3 per 100,000 individuals in the United States. The incidence of bladder cancer increases with age; the median age at diagnosis is 73 years. Males are more commonly affected with bladder cancer than females. Bladder cancer usually affects individuals of the white race. African American, Asian, and Hispanic individuals are less likely to develop bladder cancer."
Please summerize the given abstract to a title,IL-15 and sMAdCAM: Novel roles in COVID-19 pathogenesis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your query. it is possible to get pregnant while on birth control, but the chances are very less (about 3%).*how long have you been on the pill? *did you start the pill as prescribed? *have you regarding periods so far? (before the pills) i recommend"
Please answer with one of the option in the bracket,B: Normal behavior
"If you are a doctor, please answer the medical questions based on the patient's description.","vldl is the main carrier of triglycerides, and in elevated levels, can lead to an increased risk factor for heart disease. the subfraction of vldl known as vldl3 is the densest form of vldl and increases your risk for heart disease, blood clots and diabetes. again ldl density pattern b increases the risk of atherosclerosis and subsequent heart disease. the protective role of total hdl against cad is mainly mediated through hdl2 fraction, which in your case is low. therefore your lipid profile results are abnormal, and consultation with a cardiologist is a must."
Answer this question truthfully,A complication of Paget disease of bone is high-output heart failure due to formation of arteriovenous (AV) shunts in bone.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you said.you have thick chatbot.  all skin problems are mild and benign. so, avoid anxiety and be free of worries. i would recommend moisturizing cream containing urea to apply on palms twice a day, vitamin e and aloe vera containing lotion on neck twice a day and clindamycin gel on acne lesions at night. orally you may take vitamin a and e capsules. cleanse the face with detail lotion. avoid oily food to prevent acne. i hope you got my answer... thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, semen can impregnate women only if the sperms from semen reach the egg of woman. the only natural way for the sperms to reach egg are through vagina \u2192uterus \u2192 tubes \u2192 egg. there is no access to the egg or reproduction system of woman through gastrointestinal tract. hence, even if man ejaculates in the mouth of woman, and/or even if she swallows the semen, there is no risk of pregnancy whatsoever. for conception, it has been penetrative peno-vaginal sex with ejaculation. i hope this helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! melissa, welcome to chatbot forum, melissa, you definitely have an oily skin. you should use a face wash containing 2% salicylic acid be it of any good company. also use an astringent on face there after which would help reduce pore size. you can also use product having mat finish effect (some l'or\u00e9al products have that). mat effect reduces the oil from face and keeps your face fresh. for your nose which has black heads you can use retinoid cream (0.025%) at night only. this cream has a peeling effect and also would cause chatbot. always use water based sunscreen 3 to 4 times at daytime. regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome at chatbot. it looks from your details that most probably you may be having one of the following- -sacroiliac strain -prolapsed intervertebral disc at your lower back -simple back strain the abnormal posture is one of the reason which does contribute to all this. there are some other reasons like injury to your back, spondylosis,etc. which can lead to this problem. before going forward you should do following- -have an x-ray of your back. the mri will be best to check for a problem at back. -get basic blood investigations like tdlc, esr to check for presence of an infection. you should do following to have relief in this- -take a good analgesic like advil or sleeve. -do strict bed rest. -do warm fomentation at your back with help of a red rubber bottle available otc. hope this will help in relieving your problem in next 5-7 days. wish you a happy & healthy life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it. i will advise you to mri cervical spine for better diagnosis. for these symptoms analgesic and neurotrophic like pregabalin and methylcobalaminmedication can be started consulting your doctor. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,COVID-19 and mandatory teleworking from home in Japan: taking stock to improve satisfaction and job performance
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. as far as possible surgery should be avoided. you are likely to get benefitted by glucosamine, mecobalamin, rest and analgesic such as ibuprofen. if not relieved by it then you can go for surgery. but in my opinion surgery should be last resort. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query regarding throbbing back pain. dear, you have scoliosis which is not a disease, but rather it is a term used to describe any abnormal, sideways curvature of the spine. it is notable point that scoliosis results in spinal deformity, but is not typically a cause of back pain. you have started training for over all strength ?  not a bad idea. your training is not at all the cause of your throbbing in back , if it is done properly. stopping training is no solution for your problem. your mattress should be hard, supporting your back. reasons which cause throbbing lower back pain are several . our back acts as a main structural support to our body, it keeps us upright, flexible and strong. your faulty posture can cause deformity in muscles, nerves or tissue, hindering the normal function and flexibility, causing pains. another because we should understand is, our faulty food habits and our derailed lifestyle and lack of physical activity. gas formation is the prominent symptom bothering anywhere from head to toe. i would like to suggest you to modify your lifestyle and food habits for strengthening your immune system. a regular balanced diet including all essential nutrients in natural form fiber, fresh fruit, veges, ginger, garlic, amla, aloe vera juice, a spoon of turmeric powder + almond oil with a cup of hot milk at bedtime help to eliminate gas /acidity, lemon juice in a glass of warm water with a pinch of salt and black pepper sufficient hydration help eliminate gas (vat atv), do exercise - back bending only, no front bending allowed stretching, walking, yoga - set band, bhujjangasan, dhanurasan, panama -deep breathing, vajjarassan, kapalbhatti under trained guide help eliminating gas, alley pains & help stay healthy. avoid fried fast foods too much of sugar, tea, coffee, alcohol, smoking, stress, constipation. take total rest for 2 -3 days in case of severe pain, hot pack application on back, applying relaxant ointment gives instant relief. hope this helps solves your query. take care, all the best.don't hesitate to get back if you have any further query"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. as you have been diagnosed by endoscopy and must be on a correct line of treatment, there must be other reasons which are delaying your recovery. it usually takes 1 to 3 weeks to be totally asymptomatic. the causes in your case can be"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you are known to pass urinary stones through urethra frequently but you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. the reasons for not feeling the pain due to such a large stone are 1)with history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) the shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . we do get patients with passing large sized stone without pain. this is very common in patients who have history of repeated and recurrence of stone disease. chatbot.
what is the cause of congenital heart defects,"Causes of congenital heart defects are unknown. The risk factors for these problems that  occur early in the baby's heart development include: having rubella during pregnancy; uncontrolled diabetes;  taking medications known to increase the risk of congenital heart defects, such as thalidomide (Thalomid), angiotensin-converting enzyme (ACE) inhibitors, statins, the acne medication isotretinoin (Absorica, Amnesteem, Claravis) and lithium. Other factors are smoking, drinking alcohol during pregnancy, and genetic syndromes, such as Down syndrome. A genetic counselor can estimate the odds that a child will have a genetic disorder."
Answer this question truthfully,The hallmark sign of acute pericarditis is a pericardial fluid accumulation.
Please summerize the given abstract to a title,Thirty years of GAIA: a constant in a fast-changing world
Please summerize the given abstract to a title,"HEAD Access Control Metamodel: Distinct Design, Advanced Features, and New Opportunities"
Answer this question truthfully,"The standard treatments for septic abortion are broad-spectrum antibiotics and suction curettage.

Septic abortion is a serious complication that can occur when a woman has an incomplete or infected abortion. The standard treatments for septic abortion are broad-spectrum antibiotics, which are given to treat the infection and prevent its spread, and suction curettage, which is a procedure used to remove any remaining tissue from the uterus. In some cases, hospitalization may be necessary to provide supportive care and monitoring. It is important for women to seek medical attention promptly if they experience symptoms of septic abortion, such as fever, abdominal pain, or heavy bleeding, as prompt treatment can help to prevent serious complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query in chatbot, as per your narration your husband is borderline diabetic. complications of high sugar takes some time to develop depending on patient characteristics. eating sugar getting heal pain at that time may be coincidence. please consult your doctor for heal pain and make sure your husband is doing exercise regularly and reducing carboy chatbot.  get his sugars checked after 3 months thank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the swelling most likely is a hematoma, which has not yet completely resolved. the skin color changes may not be so obvious always. i would request you to upload a photograph of the swelling to help us reach a better diagnosis. also, it is safe to take a 10-hour bus journey and there is no risk of dislodging the clot. this clot is not in the veins but in the soft tissue. clot in the vein can get dislodged, and cause problems. i hope it helps. please get back if you require any additional information. best wishes, chatbot. ly/"
Answer this question truthfully,"B-cell prolymphocytic leukemia cells are positive for B cell markers such as CD19, CD20, CD22.  CD23 is negative but CD5 is expressed in one third tumor cells population.   Another case was described as CD45 +, CD19 +, CD20 +, CD5 +, HLA-DR +, CD10 -, CD23 +/-, CD38 + and FMC7  Tumor cells express surface IgM proteins.
The originating cell line for B-cell prolymphocytic leukemia is a mature B-cells and are medium sized cells. More than 50 percent of the circulating cells in the peripheral blood are prolymphocytes. The nucleus is typically round or oval, and the cytoplasm is usually moderately abundant. Leukemic cells can be found in peripheral blood, lymph nodes, bone marrow, spleen, liver, and skin."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, your friend is suffering from hypertension or other heart diseases. so tell him to consult cardiologist immediately and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test). he may need antihypertensive and other cardiac supportive chatbot.  hope i have solved your query. i will be happy to help you further. wishing good health to your friend. thanks."
Answer this question truthfully,Radiological imaging tests are diagnostic.
"If you are a doctor, please answer the medical questions based on the patient's description.","1. most probably your red bumps might be folliculitis (itchy, inflamed,pus/liquid filled)2. infection caused by staphylococcus aureus bacteria is the most frequent cause of scalp follicles.3. because these bumps causes breakage of your hair, probably it's deep on superficial folliculitis.4. consult a dermatologist for proper diagnosis. regarding other causes such as dermatitis, acne on scalp, epidermal cyst.5. improve your immune system with use of immunomodulators (malayan) along with diet rich in vitamins, proteins and minerals.6. avoid using any tight-fitting caps, hats or clothing as they trap dirt, oil in the hair follicles and thus contributing to acne and bumps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is certainly a theory which some people have been promoting for some time, but the truth is that the research available to support this point of view is not universally accepted nor is it plentiful enough to state that in all likelihood it is true.  many do not even believe that long term antibiotic treatment for diagnoses of lyme disease is appropriate in the setting of just elevated or present associated liters thought to be in addition to the conventional ones usually assayed for in cases where clinical data is more recognizable.  i've had several patients go this route who were on long term regimens of antibiotics (1-2 years) and experienced no physical changes in either cognitive or behavioral parameters.  it was also never clear they ever had lyme disease or ever actually got rid of it.  my advice is to be very careful in choosing doctors or clinics who support and promote this theory with too much vim and vigor without considering or telling their patients about the controversy that surrounds the topics so that patients can make their own informed choices whether they should commit to these treatments. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com. i had gone through your question i can understand your concern. the condition as per your history is suggestive of fungal infection, because of chatbot.  you need to visit a doctor (dental surgeon) to get it properly evaluated. during mean time you can apply clotrimazole 1% mouth paint three to four times a day. hope my answer will help you and visit us back if you have any further queries. regards"
Please summerize the given abstract to a title,Patient satisfaction with telehealth consultations in medical oncology clinics: A cross-sectional study at a metropolitan centre during the COVID-19 pandemic.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the likely cause for your tingling, one is cervical cause which is due to spine problem. does this pain increase on neck movement, or any neck trauma, these may be the associated symptoms.  you should get x cervical spine ap/ lat view and further may need mri.  you need to visit physiotherapist after x-ray and also orthopaedician. till the time he can have tabbed erosion forte once a day which is a nerve vitamin. if this is not helpful then you need to tab pregabalin 75 mg bedtime, which is a nerve stabilizer.  for bp, have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. if bp is persistently more than 140/90 mmh, then you should be on medicines for it. you can tab amlodipine 2.5/5 mg depending upon the bp levels. regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week.  hope this helps you and get back if you have any doubts."
Answer this question truthfully,"The recommended next step in management for a patient who is bitten by a neighbor's dog that appears healthy but is not vaccinated against rabies is to observe the dog for 10 days for signs of rabies. If the dog remains healthy during the observation period, then post-exposure prophylaxis is not necessary. However, if the dog becomes symptomatic during the observation period, then post-exposure prophylaxis should be initiated immediately. Symptoms of rabies in dogs include changes in behavior, such as aggression or lethargy, and neurological symptoms, such as seizures or paralysis. If the dog dies or is euthanized during the observation period, then a post-mortem examination should be performed to determine if the dog had rabies. It is important to note that if the dog is not available for observation or testing, then post-exposure prophylaxis should be initiated as a precautionary measure."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you have been diagnosed to have epididymitis and treated accordingly with antibiotics. epididymitis is always secondary to uti hence one needs to get routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. epididymitis takes long time to get cured hence you will need to take appropriate antibiotics and anti-inflammatory medicine like diclofenac twice daily for 4 weeks. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour husbands findings may suggest excessive abnormal morphology sperms. normally at least 16 % sperms should have normal morphology. your husbands findings suggests only 2 % normal morphology sperms. normally total sperm motility should be at least 55 %. your husbands findings suggests 61% motility, so it is normal. sperm count is also normal. normally sperm count should be at least 20 millions/ml.fbi q 100 tablet (ubidecarenone, selenium,alpha tocopherol acetate and arginine) is a vitamin supplement with anti-oxidants prescribed in many conditions like heart disease, chronic fatigue syn chatbot. it is good for overall health. besides clinical evaluation, he may need investigations like routine hologram, ultrasound of scrotum. he should take healthy and nutritious diet. take anti-oxidants in diet. avoid smoking, alcohol if he takes these things. avoid wearing tight undergarments. if findings persists then you may need assisted fertilization techniques. get well soon. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","halloumi over neck area may be due to enlarged lymph node. it needs clinical examination and investigations. neck area is a common site of lymph node enlargement. it may be due to neck, scalp or throat infection. other causes of swelling may be lipoma etc. in your case, swelling may be related to history of tonsillitis. you may need ultrasound of neck region. generally it resolves with treatment of underlying cause. generally it is not a serious problem. get well soon. take care chatbot."
Please summerize the given abstract to a title,Groupe sanguin ABO et sévérité de la COVID-19 : étude monocentrique
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"There is no gold standard for the diagnosis and evaluation of patients presenting with prostatitis. The evaluation of a patient with acute and chronic bacterial prostatitis consists of history and physical examination and urine culture for lower urinary tract localization cultures, respectively. The evaluation of chronic pelvic pain syndrome includes tests which can be broadly divided into mandatory, recommended and optional.
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include previous history of sexually transmitted diseases, any new sexual partners, known urogenital disorders, and recent catheterization or other genitourinary instrumentation.   Common symptoms of acute and chronic bacterial prostatitis include urinary frequency, urinary urgency, burning during urination, nocturia, urinary retention and pain in the genital area, groin, lower abdomen, or lower back. Symptoms of acute prostatitis may also include fever, nausea, and vomiting. 
Patients with chronic prostatitis are usually well-appearing. Patients with acute prostatitis may appear ill and have systemic symptoms such as fever, chills, and nausea.   In acute prostatitis, palpation of the prostate reveals a tender and enlarged prostate.   In chronic prostatitis, palpation of the prostate reveals a tender and soft (boggy) prostate gland.  A prostate massage should never be done in a patient with suspected acute prostatitis, since it may induce sepsis.
The laboratory tests used in the diagnosis of prostatitis are CBC, urinalysis, serum PSA (prostate-specific antigen) levels, urine culture, postvoid residual volume levels, 2-glass pre and post-prostatic massage test, Stamey-Meares four-glass test, and a semen analysis.    Laboratory findings consistent with the diagnosis of acute prostatitis include increased leukocytes on complete blood picture, bacteria seen on urine culture, elevated C-reactive protein, and transiently elevated PSA (prostate specific antigen) levels. Laboratory findings consistent with the diagnosis of chronic bacterial prostatitis include negative pre-massage urine culture results, more than 10 to 20 leukocytes per high-power field in both the pre and the post massage urine specimen, bacteriuria in the postmassage urine specimen, and lower leukocyte and bacterial counts in voided bladder urine specimens as compared to bacterial count in post-prostatic massage voided urine or expressed prostatic secretions.   The absence of bacterial growth on cultures is diagnostic of chronic nonbacterial prostatitis. 
CT scan in a patient with prostatitis shows edema of the prostate gland with diffuse enlargement, mostly in the peripheral zone. An abscess may be seen as a rim enhancing hypodensity which can either have single or multiple loci. Ultrasound can be used to diagnose prostatitis. On ultrasonography, focal hypoechoic area in the periphery of the prostate represents prostatitis. Fluid collection can show abscess formation. Colour doppler ultrasound may also prove to be very effective. MRI can also be used to diagnose prostatitis. Though it is not used commonly, its utilisation when suspecting alternate diagnosis like prostatic carcinoma etc is very important. MRI in case of a patient wit prostatitis depicts diffuse enlargement of the gland."
Please answer with one of the option in the bracket,C: Obsessive compulsive disorder (OCD)
Answer this question truthfully,"This condition will be evaluated in a hospital, and emergency measures may be taken.
The health care provider will take a medical history and perform a physical examination to look for the cause of opisthotonos
Medical history questions may include:
When did this behavior start? Is it always the same type of posturing? What other symptoms came before or with the abnormal posturing (such as fever, stiff neck, or headache)? Is there any recent history of illness?
The physical examination will include a complete check of the nervous system.
Tests may include:
Blood and urine tests Cerebrospinal fluid (CSF) culture and cell counts CT scan of the head Electrolyte analysis Lumbar puncture (spinal tap) MRI of the brain"
Answer this question truthfully,"A pinguecula is a small, yellowish nodule on the conjunctiva near the cornea. It can appear on either side of the cornea, but usually appears on the nasal side. It may increase in size over many years."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friendvericose vein is the condition in which veins that have become enlarged and twisted. veins have valves to prevent blood from flowing backwards. leg muscles pump the veins to return blood to the heart against the effects of gravity. when the valves do not work (valvular incompetence), it causes blood to flow backwards and likewise enlarging and twisting the veins even more. this is the varicose vein. the related factors in the cause of varicose vein are prolonged standing, leg injury, abdominal straining etc. the blue/purple staining/spots you noticed on your mothers' ankle is due to varicose vein. treatment of varicose vein are surgical, and non-surgical treatment includes elastic stockings, elevating the legs, and exercise and chemotherapy. so you should counsel your mother not to work on her feet as much as possible. whenever possible elevate both legs, this will pump blood towards heart. hope this answer will be helpful to you. for more queries please don't hesitate to ask. get well soon dear friend chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of stress, anxiety and depression related symptoms is more because at your young age (18 years), heart diseases are notified common. so better to consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic and antidepressant chatbot.  don't worry, you will be alright with all these. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Most people get better with treatment. However, complications can be very serious and sometimes even life-threatening. Q fever should always be treated if it is recognized as the cause of symptoms"
Please answer with one of the option in the bracket,D: Oral thrush
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your father had a heart attack, considering more than 24 hours have already passed, using clot buster injection will not be of benefit, so the best way to salvage (save) the heart muscle is mechanically removing the clot and stenting the diseased segment. this is great amount of scientific research which suggest that angioplasty would help in such cases. as a doctor it's not possible to predict how much benefit it will occur, that is maybe in god's hand, however i can reassure you that the more time is wasted in decision-making and taking second opinion, more permanent damage will occur to th3 heart muscle as here time is the most important thing. trust your doctor and do the best possible to protect his heart. either medical management or revascularization is dependent on the clinical situation of the patient. regards chatbot."
Answer this question truthfully,"Other than yellowish discoloration, carotenodermia has no significant symptoms or toxicity. Note that this is not true of Vitamin A, which the liver can interconvert with carotene."
Answer this question truthfully,"Presenting symptoms vary according to the site of infestation:
Many cases (up to 80%) can remain asymptomatic and discovered either in autopsies or accidentally during routine imaging. 
Seizures: Most common manifestation of parenchymal neuroccysticercosis.  Seizers can be focal, generalized or focal with secondary generalization. Headache Nausea and vomiting Psychiatric disorders: has a wide variatoin from abnormal dysfunction and up to dementia 
1. Ocular cysticercosis:
Symptoms depend on the exact site of infestation in the eye.
2. Extraparenchymal in the brain ventricles and subarachnoid space: Cysticerci obstruct of the flow of the CSF and cause hydrocephalus. Symptoms usually result from increased intracranial pressure.
Headache Nausea and vomiting Decreased visual acuity Seizures
3. Spinal cord cysticercosis: It is very rare (1.5-3% of all the cases).  The presentaion depends on the site of the lesion.
Low back pain that may radiate down the legs Weakness in the legs and feet Loss of sensation in the legs and feet Bladder and bowel incontinence Sexual dysfunction Foot drop Decreased or absent reflexes in the legs Pain in the chest and/or back Loss of sensation below the level of the compression Paralysis of respiratory muscles
Can be asymptomatic and calcification discovered accidentally on imaging Muscle aches and weakness
Can be asymptomatic Discomfort, pruritis and excoriations"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you should consult cardiologist and get done1. stress test2. 2d photo rule out cardiac cause. as many times ecg can come normal or minimal changes. but actual cardiac damage is more than what see on ecg. you are also in premenopausal age. in this age, the cardio protective effect of estrogen is decreasing. so women are at increased risk in this age group. so better to consult cardiologist and discuss all these."
Please summerize the given abstract to a title,"Global distribution and coincidence of pollution, climate impacts, and health risk in the Anthropocene"
Please answer with one of the option in the bracket,"E: History of spontaneous preterm birth
"""
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for contacting chatbot. dear patient you have been exercising wearing nylon stretch pants. the exercise basics is to wear cotton. sweat and nylon don't go hand in hand. your yeast infection is because of nylon pants during exercise. adderall doesn't cause yeast infection but is a chatbot.  also, please get yourself checked for diabetes as fungal infections are more common in diabetics. regards"
Please summerize the given abstract to a title,Designing a mobile app to trace Covid-19 using social networks
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear!please provide the details of medicines given by the doctor during hospital stay. it could be due to lack of useful bacteria vanished away by antibiotics use. also, it could be post infectious ibs.i would recommend to start giving homemade probiotic composition that is homemade yogurt mixed with rice and lentil cereal(with minimum salt). it acts as a natural probiotic. also give fluids especially ors after every stool and for vomiting give rice water(water that we normally throw away when we boil rice-it has starch in it), its v effective for vomiting. if it doesn't settle with all this, start spy. metronidazole 200 mg/5ml(5ml thrice daily) for 7 days and spy. zinc 5 ml once daily for 10 days. hope it will help. be blessed"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, id agree with your surgeon. it's unlikely your pelvic nerves were affected during the surgery or the liver infection, as the nerves in this area don't travel to the penis. are you diabetic? this can sometimes have an effect on nerve function, and diabetics can have neuropathy, which causes nerve dysfunction. another possible cause is this could be a delayed complication of the vasectomy.  if an mri showed no issues, then it could simply be due to primary erectile dysfunction. another possibility is erich syn chatbot.  this is due blockages in the internal iliad arteries, which give blood supply to the pelvis.  a ct angiogram would help diagnose this. (mri would not show any potential blood supply symptoms). this would particularly be a problem if you have a history of high blood pressure, coronary artery disease, or any smoking. i hope these other ideas are helpful. please let me know if you have any further questions."
Answer this question truthfully,The recommended prophylactic medication for pregnant patients with recurrent genital herpes is acyclovir. Genital herpes is a sexually transmitted infection caused by the herpes simplex virus (HSV). Recurrent outbreaks during pregnancy can increase the risk of complications for both the mother and baby. Prophylactic treatment with antiviral medications such as acyclovir can help to reduce the frequency and severity of outbreaks and lower the risk of transmission to the baby during delivery.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. infection may not always be sen in the scan. it is diagnosed by urine culture test. frequency and urgency may mean overactive bladder and if confirmed by clinical evaluation, treatment is needed for about three months. the pain and blood in the urine could be related to pkd and ultrasound that has been done already should be helpful, and it needs review. hope this helps. best regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history. as post angioplasty surgery there is a proper vascular flow and this is a good thing about the angioplasty. also, as the aging progresses there will be a degenerative change in the body leading to slow cardio respiratory endurance and less oxygen supply to head leading to headaches. in my clinical practice most patients with angioplasty are referred to physical therapy for ptc cardiac rehabilitation. as exercises help improve the cardiorespiratory endurance and also the blood oxygen balance. also exercises helps on slow progress for fighting against aging process as well. in cardiac rehabilitation free exercises are the initial platform to regain the cardiorespiratory and muscular blood and oxygen imbalance correction. in many cases with ptc cardiac rehabilitation is always a positive approach for overall health status of the patient. regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, * i would recommend contributing anxiety as the prime concern cause of breathlessness in this case before looking for other organic causes. * best handling of stress, anxiety with meditations, behavior cognitive therapy and supportive care is a must to proceed for best possible outcomes. hope i have answered your query. let me know if i can assist you further. take care chatbot.  patel, general surgeon"
Please summerize the given abstract to a title,Spatial sensitivity analysis of COVID-19 infections concerning the satellite-based four air pollutants levels
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... i understand your concern. by what you say, this looks like a viral illness. i will explain to you how a viral illness behaves, so that, you can be more confident. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Answer this question truthfully,"1. International Classification of Disease(ICD 2007)/WHO classification:
Chapter XI,Diseases of the digestive system,(K00-K93) 
2. MeSH subject Heading:
Gastroenterology (G02.403.776.409.405)  Gastroenterological diseases(C06.405) 
3. National Library of Medicine Catalogue(NLM classification 2006):
Digestive system(W1)"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking in chatbot forum the life of the sperms depends upon the environment it is. so, it will not die immediately after coming out, but its life is certainly reduced if not deposited in female genital tract/if not refrigerated.  sperm donation is done by masturbation and kept refrigerated immediately for storage.  your maid cannot become pregnant by washing/touching your sperm present in underwear.  so, please be cool, hope i have answered all your questions. please let me know. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, according to your symptoms i suppose that you have developed infection in your tooth this had spread to the periapical tissue leading to pain and swelling. i would suggest you to visit to a dentist. get an x-ray done. start with root canal treatment of the tooth. take complete course of antibiotics and analgesics. at home take lukewarm saline and antiseptic mouthwash rinses. hope this helps out, regards..."
Please summerize the given abstract to a title,Synthetic Messenger RNA-Based Vaccines: From Scorn to Hype
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"As per the information provided, atlantoaxial instability may be seen in patients with Down syndrome and rheumatoid arthritis."
Please summerize the given abstract to a title,Single-cell analysis of two severe COVID-19 patients reveals a monocyte-associated and tocilizumab-responding cytokine storm
"If you are a doctor, please answer the medical questions based on the patient's description.",hi! i read carefully your query. i think that you have vertiginous disease which may be
Answer this question truthfully,A focally necrotic appendiceal debris is seen in the mucosal wall. Intravascular fibrin is seen in medium-sized blood vessels. Clusters of neutrophils are seen on the serosal aspect.
"If you are a doctor, please answer the medical questions based on the patient's description.",brief answer
Please summerize the given abstract to a title,"Effectiveness of 2-Dose Vaccination with mRNA COVID-19 Vaccines Against COVID-19–Associated Hospitalizations Among Immunocompromised Adults — Nine States, January–September 2021"
Please summerize the given abstract to a title,"Vírus da bronquite infecciosa das galinhas (IBV): distribuição, diversidade molecular e genealogia a partir de amostras de múltiplos órgãos de diversos tipos de criação do plantel avícola brasileiro/ Avian infectious bronchitis virus (IBV): distribution, molecular diversity and genealogy of multiple organs strains of different types of birds from Brazilian poultry"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, i am glad you wrote in, first, i need to know that which side of wisdom tooth did you got extracted, was it left or right. the lump which is present may be due to infection and inflammation of the gingival flap. if the pain is present on the same side from where the wisdom tooth was removed, then may be a tooth remnant is present following extraction, but if not, then it is due to peritonitis, i.e. inflammation of the gingival flap that covers your erupting tooth(wisdom tooth).i would advise you to perform warm saline rinses(3-4 times/day), use an antibacterial mouth rinse(betadine) twice/day, and kindly visit you dentist who will prescribe you medications after a thorough clinical check-up.i hope i answered your query, i wish you good health."
Please answer with one of the option in the bracket,A: Masking of sympathetic nervous system dependent symptoms
Answer this question truthfully,
Answer this question truthfully,"Plummer-Vinson syndrome is a medical condition characterized by iron deficiency anemia, esophageal webs, and atrophic glossitis. Some common symptoms of this syndrome include difficulty swallowing, mouth sores, and fatigue."
Answer this question truthfully,Erythromycin drops can be used to treat neonatal conjunctivitis caused by Neisseria gonorrhea and Chlamydia trachomatis.
Please summerize the given abstract to a title,"Rationale and design of the PRAETORIAN-COVID trial: A double-blind, placebo-controlled randomized clinical trial with valsartan for PRevention of Acute rEspiraTORy dIstress syndrome in hospitAlized patieNts with SARS-COV-2 Infection Disease"
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting query. check your esr, crp, hep b and c viral serology, complete blood cell count, lipid profile and get an ultrasound abdomen.meanwhile"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion your father is having left lower zone pneumonia (infection). travelling history and chest x-ray is favoring the diagnosis of pneumonia. so consult pulmonologist and get done sputum culture and sensitivity to guide antibiotics therapy. if sputum is not available than get done bronchoscopy and bad (bronchoalveolar lavage) analysis and start antibiotics accordingly. he needs antibiotics, antihistamines and anti-inflammatory chatbot. so consult pulmonologist and discuss all these."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello fairbanks for using chatbot.come have evaluated your query thoroughly.* this seems in relation with inflammatory condition perianal region through some sort of infection.* needs clinical confirmation with the examination.* recommendations at present - site bath (sitting in a tub filled with lukewarm water 5 minutes each session 3 times a day) - assistance with antibiotics and anti-inflammatory agents after clinical assessment with your doctor. hope this will clear your query. welcome for further guidance. regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i had gone through the case and found that it might be premenstrual syn chatbot. so wait for one week. if menstruation starts then it will subside. if no menstruation then go for vitamin d3 and vitamin b12 blood test and vision test. after getting the report take the proper treatment. normally these symptoms are present due to weakness. take proper diet and do exercise. hope my answer will be effective for you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good evening, thanks for the query. i studied it in details and understood your health concerns regarding it. lump caused under right bikini line for a month-is due to the boil growing slowly. the way you are dealing is wrong. by this time it would have vanished -if treated with doctor by -nsaids and antibiotic cover. hope this would help you to plan the treatment with your doctor. wellcome for any further query in this regard. wishing you good health. good night. chatbot. n. from india."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloplease note down these symptoms. nasal itching, watery gonorrhea, nasal obstruction, sneezing, post nasal discharge. other signs and symptoms. headache, conjunctival itching (eyes0, impaired smell, morning cough. these all above-mentioned symptoms are due to allergic rhinitis and these symptoms are precursor of asthmatic allergic rhinitis (asthma) . as you mentioned that smell of perfume, detergents, spices all causes such symptoms, so these are responsible for your allergy, hence rhinitis. besides other factors are dust, mite, pests (cockroaches) pollen, molds, sudden increase or decrease of temperature are also predisposing factors for allergy. as you are taking evil (pheniramine) & rids (montelukast+ levocetrizine) as all these are antihistamine and most potent chatbot.  in my opinion take these"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having psychological symptom of cold chest. as there is no cause for isolated cold chest. if you have hypothermia then whole body will be cold, not only chest. if you have fever then whole body will be hot on touch. so your symptom of cold chest is most probably due to psychological problem. you also had panic attacks in the past, this also favors psychiatric cause. so better to consult psychiatrist and discuss your problems."
Please summerize the given abstract to a title,Bumpy structured nanofibrous membrane as a highly efficient air filter with antibacterial and antiviral property
Please answer with one of the option in the bracket,C: Chart C
Please summerize the given abstract to a title,SWOT Analysis of Risk Communication during COVID-19 Responses in Ethiopian Higher Educations
Please answer with one of the option in the bracket,C: Ryanodine receptor on the sarcoplasmic reticulum
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have infection of the parotid gland.(parotitis). considering the long duration you need to consult qualified general surgeon for clinical examination and get following basic tests done to rule out presence of stone in the parotid duct. 1) plain x-ray of the face 2) biography of the parotid gland.in the meanwhile you need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory chatbot. ensure to have ave mouth wash twice daily with microbial lotion like betadine or chlorhexidine twice daily."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, moral is a muscle relaxant which may aggravate her shortness of breath. i would recommend consulting with her doctor and performing some tests to investigate for the shortness of breath"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! thanks for putting your query in chatbot. i am a gastroenterologist. i will suggest you to get an ultrasound of the abdomen to see whether there is ascites or not and further evaluation and management according to that if it is there. also get x-ray abdomen standing to see any obstruction of the intestinal tract which i presume to be partial in this scenario. i hope i have answered your query and this will help you. wish you a good health
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. your sperm analysis is well within normal range of who standards of semen parameters like sperm count, motility .percentage of active motile sperms and morphology of the sperms are concerned.however, presence of 5-6 sperm cells is suggestive of active infection either of seminal vesicle or prostate. you need to take broad spectrum antibiotic like doxycycline along with anti-inflammatory chatbot. repeat your semen analysis after one month. you should not have problem to impregnate your wife once your infection is cured."
Please summerize the given abstract to a title,HPB ambulatory clinic – a response to ease inpatient pressures during the COVID-19 pandemic?
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your extensive cardiac work up is normal, so no need to worry about heart diseases for your symptoms. sudden shock like feeling is also seen with stress and anxiety. so consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for contacting chatbot. as the rashes have reappeared so i would suggest you to visit a dermatologist for detailed examination by directly looking at the rashes. for recurrent allergy i would suggest you to take montelukast one daily for one month. research has shown that it decreases the allergic symptoms considerably. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. wishing you good health.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there dave. this sounds like a condition called acute urticaria to me. yes it may very well be caused by an insect bite reaction or due to a variety of other reasons. is there any fever, joint pain or any difficulty in breathing? it may be better for you to go across to a dermatologist or to the er to get a prescription for an antihistamine that works around the clock & also perhaps to be started on a short-acting tapering dose of steroids. the rash should subside in a couple of days & then once the acute phase is passed, you can try to isolate what the allergen was at a later date 2 weeks after stoppage of the steroids et al. cheers & wish you a clear skin soon. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome to chatbot. it seems you have got local irritation to the cream you have used. it called contact irritant dermatitis. nothing to worry as your skin will be fine soon. avoid any further use of meals cream as it contains steroid and other harmful ingredients like hy chatbot. i would advise you a week course of oral prednisolone in low dose (5-10\u00a0mg). apply a mild corticosteroid like demonize and antibiotic like juridic acid twice a day. after good quality moisturizer like detail dam twice a day over full face. avoid use of any cosmetics/face wash for few days. avoid direct sun exposure and use water-based sunscreen before stepping out in sun. hope this was useful. take care
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,H. influenzae is considered a fastidious bacteria because it requires NAD+ (factor V) and hematin (factor X) to grow.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for choosing chatbot dear friend first i congratulate you that you at least show the guts to accept what you have done.watching porn movie is not a sin.in some stage of development everybody goes through this type of activities. nothing different for you!and your parents know all these things they may be happy that you tell the truth. they also came through the same stage. so don't waste your time by thinking that your parents will hate you but prove yourself by work hard and study well. they definitely accept you. so hurry ...move on with your precious life!"
can i take keflex to cure staph?,Treatments for staph infection may include antibiotics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, seborrheic dermatitis is a benign inflammatory skin disease characterized by greasy crusts and gradual hair loss. exact cause is not known, but psychological upsets and depression might precipitate exacerbate the disease. you consult the dermatologist and psychiatrist as well. it is a controllable disease...so, continue treatment even after cure. it has tendency to relapse frequently. so, avoid worries and tension. hope this helps. thanks. chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","your symptoms suggest that you are suffering from hamstring spasm and pes-anserine bursitis.it occurs due to excessive strain on knee that may be due to your walking on hard concrete surface. rest, icing local application of non-irritant analgesic gel, analgesic such as ibuprofen and muscle relaxant will give instantly relief. when pain decreases, start hamstring stretching exercises to strengthen hamstring muscles. hope this helps. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi welcome to chatbot after going through your query i concluded that you are suffering from chronic pain since at least 15 years. treatment of it is exercises and analgesic. you want to know that can you take metoprolol along with tramadol for backache. there is no contraindication in it. you can discuss with your treating doctor about it. hope your query get answered. if you have any further questions then don't hesitate to writing to us. i will be happy to help you. you can also write to me directly on below link
Please summerize the given abstract to a title,"Socioeconomic and immigration status and COVID-19 testing in Toronto, Ontario: retrospective cross-sectional study"
Please summerize the given abstract to a title,"The association of smoking status with SARS-CoV-2 infection, hospitalisation and mortality from COVID-19: A living rapid evidence review with Bayesian meta-analyses (version 7)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello...thanks for trusting the chatbot doctors for your health related queries. i guess your concern is about.does breast discharge prevent pregnancy...right.well.yes, when there milk discharge from the breast it will prevent pregnancy. if u have milk discharge from your breast then it will prevent pregnancy. as u told that u had abortion, that may be the case of milk discharge from the breast, but abortion itself doesn't effect the future pregnancy. let us discuss the discharge u have in your breast. if u have milky discharge that means u had high prolactin hormone in your body. prolactin hormone is responsible for the milky discharge from the breast. it is usually high after delivery of the baby or any prolactin secreting tumor in the brain. these all conditions cause high prolactin level which causes difficulty in conceiving. but don't worry.every problem have solution. once your breast will go u can conceive. relax.keep patience.with the above discussion u can try out my suggestions-1. visit nearby gynecologist. feel free to ask about your problem. he/she can help u.2. u r come under reproductive age group(age from 15-45 years came under this group, in this group chances of getting pregnancy is high). so don't worry.3. if u r in hurry then visit nearby infertility specialist. he/she can help u. i hope the above information is useful, informative and helpful for u.regards- chatbot.  i pray the god that u will be blessed with a cute n healthy baby.hopefully twins)"
Please summerize the given abstract to a title,Case Report: Cyclophosphamide in COVID-19 - when an absolute contraindication is an absolute necessity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your querying view of the history, i am pretty sure that he has injured his back. the exact localization may not be possible without a clinical examination. yet, the possibility of the spine or disc damage is highly followed by a possibility of a muscle tear. i would suggest testing an mri of the affected area of the spine. you may need to meet a neurologist with the mri. depending on the extent of damage, surgery, medicines and physiotherapy are your options. i hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. you can upload them on the site. you can upload them with the query, or if you have a problem, send them to attachments@chatdoctor .com with sub"
Answer this question truthfully,"The Wolff-Chaikoff effect is a phenomenon where excess iodine can inhibit the activity of thyroperoxidase, an enzyme involved in the synthesis of thyroid hormones."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this is probably related to her menopausal status. as chatbot.  thus, she needs to have a gone check and evaluated for hormonal replacement therapy. this presents as the urge to pass urine frequently, vaginal itching and vaginal discharge. also, you need to get your urine culture and prostatic fluid examined for trachomas vaginal is and treated. usually, the docs will treat the males with flagyl"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi young man/ lady. thanks for asking the question. as a young person with hypertension, you must be investigated for secondary causes of hypertension thoroughly. i hope your doctor(s) are doing it/ done it. you seem to have a lot of protein leaks which needs to be quantified by a 24\u00a0hour urine collection. most common secondary cause of high blood pressure is due to kidney issues and i suspect you will need a kidney biopsy unless it has been already done. you donor have kidney failure yet since creatinine is still 1.09 (?mg/dl), so please donor panic. i am glad that you are rightly concerned about your health. the oxalate crystals are probably nothing to worry about, and renal enervation is reserved for people with resistant essential hypertension (i.e. all secondary causes ruled out and bp not controlled on at least 3 antihypertensives). although you have not given me much information of the tests carried out till date, i suspect you have not been investigated completely. you can get back to me with the results of all tests done till date either here or on my website (docrambhat.com) and i will be able to advice you further. best wishes. rb"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello & welcome, if you can see the root of baby or deciduous tootchatdoctoring out of the gingival, then that particular tooth is close to shedding or exfoliation. if gingival is inflamed, there might be slight infection in it that can be treated with the use of antibiotics & painkillers by your dentist only. usually, such naturally exfoliating teeth don't require to be removed by dentist unless creating problems like in the case of your daughter. if the root is pointing out of the gums then it may be hurting opposing tissue along with the gum. so, best advise here will be not to wait for 4 days. just approach another dentist & get that tooth extracted as soon as possible before it creates severe discomfort or injures surrounding tissue. simply removal of the deciduous tooth will suffice in this condition. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","you may get some of your hormone checked such as thyroid profile and testosterone levels with guidance of your local clinician. if there is any abnormality in your hormones level it would be treated accordingly. if you have been masturbating for long then you may try abstinence from masturbation. besides, now it is impossible for you to grow beyond your present height, but you may try wearing high heel boots which match up with your personality, and make you feel confident."
Answer this question truthfully,Butorphanol is used for the relief of severe pain such as migraines and labor pain.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. since he is not improving with painkillers, i think he is having herd (castro esophageal reflux disease) associated pain. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. so central chest pain under sternum can be due to herd only. ask him to follow these steps. 1. avoid hot and spicy food. 2. avoid large meals, instead take frequent small meals. 3. avoid stress and anxiety. 4. start proton pump inhibitor. 5. go for walk after meals. 6. keep 2 - 3 pillows under head in the bed."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. here are some possibilities. first she is complaining about pain after getting up from bed. so it might be muscular pain because of improper sleep posture. simple analgesic taken for it. second pain present while breathing, so if associated with cough and fever chances of early pneumonia has to be ruled out. cbc and chest x-ray helpful in rule out it. third it can be acute bronchitis in which also chest pain can occur. so with proper sleep posture first rule out muscular pain and if still pain present other infective or inflammatory cause has to be ruled out. physical examination for esp. auscultation with stethoscope needed. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for sharing your concern, your question is not so clear to me but whatever you have mentioned from that i feel your dentist told about sinus... we have 2 maxillary sinuses on either side of the nose...normally it shows black color in radiograph... if some pathology is there in it can give a white color...don't be panic... i think you will get your answer after consulting with your doctor... wish you good health....."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for using chatbot, for newly married couple o.c.pills are the best contraceptive. consult gynecologist to check weather you are fit for using pills or not. if taken properly under supervision of gynecologist there are no hormonal havoc or any side effect...iud is not indicated for female who doesn't have even single child. it is advisable only after first child. i will suggest you to not go for iud. if you are not ready to take pills go for norplant rod implantation . in these they put small thing under skin of your forearm which prevents ovulation. it needs just minor surgical procedure under local anesthesia its perfectly safe.hope this helps you. chatbot. ."
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,"Ventilator-associated pneumonia in critically ill patients with COVID-19 infection, a narrative review"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. any cancer is serious. shoulder cancer is also serious condition, if not treated it will spread in other parts of body. treatment depends on type and stage of shoulder cancer. surgical removal followed by chemotherapy is the treatment of choice for most of the shoulder cancer. but it depends on many factors. consult your oncologist and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hithis is anxiety induced nervous disorder, due to which you get tingling, burning, pain sensation in the particular nerve distribution areas or the whole body. please check out for your sugar, thyroid, vitamin b12, calcium levels. you can take simple painkillers or paracetamol to get relieved of the pain. please divert yourself in some different interests, to reduce the anxiety. visiting a psychiatry specialist will help you further. all the best take care"
Answer this question truthfully,The paraventricular nuclei of the hypothalamus secrete Thyrotropin-releasing hormone (TRH).
Answer this question truthfully,"Call your health care provider if:
You have bleeding or bruising of an unknown cause Bleeding does not stop after usual treatments"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. after going through your description, i could understand that the tissues worrying are nothing but ectopic breast tissue under maxillae that get cyclical changes under hormonal influence like normal breast tissue/glands!they are, that time, congested and form some small cysts; return to normal when period is over...therefore, not to worry about this and see your clinician for some tests like usg/fnac for confirmation. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. i will be happy to answer your questions. wishing you good health."
Please summerize the given abstract to a title,Complete blood count alterations in COVID-19 patients: A narrative review
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. i think that you may have hurt your neck muscles and ribs. a possibility of rib fracture can not be rule out. so i would recommend you following.1. get chest x-ray and cervical spine x-ray to confirm the diagnosis.2. if there is any rib fracture than you need to take rest, painkillers and ointment like voting gel local application.3. if there is some injury in neck than you might need rest with cervical collar.4. in both condition x-ray is a must for diagnosis. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
Please summerize the given abstract to a title,Systematic Review: Clinical Symptoms and Laboratory and Radiology Findings in Children with COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, choosing a desensitizing toothpaste depend on your degree of tooth wearing and the amount of sensitivity. you should start with a very basic one like plain resident, apply for 10-15 minutes, do it for two times daily for at least 1 week. if you did not feel relief from that then you should visit your dentist as he will examine the tooth and then prescribe you what is needed, as without proper examination just experimenting with anything is not done. hope it will help outrank you"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. the lymph node can be due to bacterial infection if it is single. in such conditions, i advise following"
Please summerize the given abstract to a title,COVID-19 asociada a nistagmo
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatbot, read your query, as you have hole in gum it can be due to the eruption of wisdom tooth or due to your wisdom tooth is carious that why it turned black causing gingival inflammation secondary to personal abscess or this can be pregnancy induced gingivitis also. for this i will suggest you to consult dentist and go for oral examination, and as you are pregnant dental treatment is possible in second trimester of pregnancy. in meantime you can do warm saline rinses, maintain proper oral hygiene by brushing and do regular mouthwash. hope it will help you. wishing you good health. regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello led prakash. thanks for sharing your query here. topicals in the form of proposal ointment can be used if involvement is up to a certain percentage of body area by psoriasis. beyond a specific limit, you will need oral /injectable therapy which unfortunately has the potential if side effects, if not monitored closely. for a chronic condition like psoriasis, treatment regimen is modified according to the severity of disease, which might be different in different times of the year. so, a close follow-up with your dermatologist is important for optimum result and achieving a remission. for the methotrexate that you are using, side effects like nausea and vomiting may be dose-dependent. therefore, several physicians consider adjusting the dose or modifying the mode of intake to eliminate the problem. the total dose of methotrexate can be divided & taken over 2 days every week; or you may take it at bedtime, if taking during the day causes nausea; it can also be taken after food, instead of before. still if nausea persists, you may consider switching over to injectable methotrexate once a week. several other chatbot. i would advise you to discuss these with your dermatologist and continue the therapy. hope the is helpfultake care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for posting here. removal of the tooth is the only solution.maybe you can go to the dental school or government hospitals nearby for a low budget treatment. you did not mention where you stay. further postponement of the treatment will only spread the infection and worsen it. pain can also worsen and radiate to the jaw, neck and head. gargle with warm saline thrice daily. do not overuse antibiotics as this will cause stomach upset. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.are you talking about liver enzymes here? if so, noted increase in levels and hepatitis ruled-out. are you an alcoholic beverage chatbot?  other things (such as infective and obstructive pathologies) must also be ruled-out. a consult with a doctor, preferably a gastroenterologist or a general surgeon, is best for physical examination and clinical evaluation. your doctor may be sending you to the radiologist for abdominal ultrasound and/or ct-scan for further investigation. other diagnostics (such as bilirubin, blood count, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. hope this helps. good day!!~"
Answer this question truthfully,Mycophenolate mofetil use is associated with hypertension.
Please summerize the given abstract to a title,"Geographic potential of the world’s largest hornet, Vespa mandarinia Smith (Hymenoptera: Vespidae), worldwide and particularly in North America"
Please summerize the given abstract to a title,Comparing Resident Procedures in Rural Versus Urban Emergency Departments
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as per your complaint red mark on tongue after tongue piercing which does not bother you can be due to a broken blood vessel while it can also be due to causes like a hematoma formation. nothing to worry as it does not seem to be anything serious. in case if it would be infected then it would have caused lump formation, swelling and pain. i would suggest you to consult an oral physician and get evaluated and in case if there is infection you will be advised antiseptic ointments for relief. as of now you should start doing warm saline gargles and take a soft diet. avoid injuring the area of piercing. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient since you have pain and swelling on left foot after twisting injury and not getting better possibility of fracture needs to be ruled out.  i would advise x-ray of left foot anteroposterior and oblique views. visit radiology center nearby you and get it.  if report shows fracture you need to consult expert orthopedic surgeon nearby you and get yourself examined.  if there is no fracture diagnosis is sprain and treatment is application of cr\u00eape bandage for 3 weeks and rest and elevation.  take tab diclofenac plus serratiopeptodase combination twice a day for pain and swelling relief. all the best.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question. here as all report are normal there are less chance of serious respiratory or heart condition. here are few possibilities. first it can be because of low potassium.hypokalemia can lead to muscle ache with muscular weakness. second it can be because of viral infection. symptomatic management done for it. thirdly it can be because of musculoskeletal pain as improper sleep posture or heavy weight-bearing. if still problem continue then pulmonary function test done to rule out early bronchitis like obstructive cause or restrictive diseases. i hope my suggestion will help you.
Please summerize the given abstract to a title,Barriers and determinants of postpartum family planning uptake among postpartum women in Western Ethiopia: a facility-based cross-sectional study
Answer this question truthfully,Haptoglobin molecules are responsible for returning some of the hemoglobin in the blood due to intravascular hemolysis to the spleen.
"If you are a doctor, please answer the medical questions based on the patient's description.","dizzy is a difficult problem. you will need to discuss the complaint with a doctor. the important information that he or she will need is what you mean by dizzy and if the ear can be tied to it. this is a common question in the office. to some people dizzy is a room spinning. to others, it is the sensation of light headdress prior to passing out. the sensations have different causes. dizzy like a room is spinning or imbalance may point to the ear as a source of difficulty. therefore, the other question will be any change in hearing, ringing or unusual sounds in the ear. if alcohol makes it worse. don't chatbot."
Answer this question truthfully,The presence of hypotonic hyponatremia and very high creatinine levels indicates renal failure.
Please summerize the given abstract to a title,Impact of COVID‐19 Pandemic on the Mental Health of Students From 2 Semi‐Rural High Schools in Georgia*
Answer this question truthfully,"Thiazide diuretics can cause metabolic alkalosis, which is an acid-base disturbance characterized by an increase in blood pH and bicarbonate levels. Thiazide diuretics work by inhibiting the reabsorption of sodium and chloride ions in the distal convoluted tubule of the kidneys, leading to increased excretion of these ions in the urine. This can result in a decrease in blood chloride levels, which can trigger the kidneys to excrete bicarbonate ions to maintain electroneutrality, leading to an increase in blood bicarbonate levels and metabolic alkalosis. Other causes of metabolic alkalosis include vomiting, excessive ingestion of antacids, and certain genetic disorders. Treatment typically involves addressing the underlying cause and managing any associated electrolyte imbalances."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...thanks for sharing your problem here in this forum... the nipple area sometime have these hairs...the root of the hair known as hair follicle.theses physical sometime get infected and this is known as folliculitis...in your case it is most probably this folliculitis...i will advise you to start some antibiotic like co amoxiclave and take some anti-inflammatory like ibuprofen.if there is pus accumulation in it then this need to be chatbot. .and you should see a surgeon... if no pus then antibiotic will work... one thing more from my experience is that you apply belladonna on it...this also reduce the inflammation ...hope you will be fine soon. if any question you can ask again...thanks
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, eating the paper per se is not harmful to you neither for your baby. however, it all depends up on which paper you are eating. any newspaper, postal envelops, advertisement bills, etc. are handled by many people, are lying at any place and hence are not hygienic to eat. moreover, as you have mentioned, some inks contain heavy metals and is not good for the brain development of the fetus. otherwise, plain clean paper is not harmful; in fact some ice-creams do contain blotting paper in it. moreover, you have to go to the root cause of this craving. anemia and calcium deficiencies do cause such cravings which should not be labeled as pica. the cause of resistant anemia could be worms which can cause such weird liking towards the items. please get your stools examined from the laboratory and if indicated take anti-worm treatment with the advice of your obstetrician. please keep in mind, though the paper per se may not be harmful to either of you, the cause for such craving could be serious. do not neglect it. i hope you got the message."
Answer this question truthfully,Multiple sclerosis is characterized grossly by gray-appearing plaques in the white matter.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. welcome to chatbot. i am chatbot. i have read your query in detail. furthermore, i understand your concern. you seem to be suffering from jaundice. i would advise you to get following tests done"
Please summerize the given abstract to a title,The laparoscopic approach to paraesophageal hernia repair.
Please summerize the given abstract to a title,"Routes of transmission of influenza A H1N1, SARS CoV, and norovirus in air cabin: Comparative analyses"
Please summerize the given abstract to a title,"SARS-CoV-2: tracing the origin, tracking the evolution"
Please summerize the given abstract to a title,Prenatal alcohol and cannabis exposure can have opposing and region-specific effects on parvalbumin interneuron numbers in the hippocampus
"If you are a doctor, please answer the medical questions based on the patient's description.",hi ms. lee chan;welcome to chatbot to know that fallopian tubes of a female is blocked there are 2 methods
Answer this question truthfully,"Enteroinvasive E. coli is a type of bacteria, and its clinical manifestations are similar to those caused by shigella."
Answer this question truthfully,"Epidemiology and demgraphics of HSP:  
The incidence of HSP is approximately 6-20 cases per 100,000 individuals.
The prevalence of HSP is more in children of 4-6 years age group.
HSP usually affects Caucasians than any other ethnic groups.
Males are more commonly affected by HSP than females. The Male to female ratio is approximately 1.5-2:1."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i am also from india. i want to advice you to take some antidepressants first to get some better feeling after consulting your doctor. you deserve help no matter what. i advise counselling as counselling will focus on your immediate difficulties and help you with problem-solving skills. you must see a counselled once a week at very short period. along with counselling psychotherapy, cognitive behavioral therapies also have good impact to treat you. you are very brave and that's great to hear that you are searching for treatment by yourself as you want to be normal soon.don't be panic for anything think about your future and your family as there is a lot in front of you. and we in our india we have lots and lots of places to visit. you can always spend some time with your loved ones to get your mind some relaxation. all the best for your life and may god bless you with his love. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. in my opinion you are having pleurisy (inflammation of pleura). chest pain on coughing, sneezing or deep inhalation is characteristic feature of pleurisy. causes for pleurisy are1. pleural effusion. 2. pneumonia3. tb4.  pneumothorax5. pulmonary contusions 6. rib fracture etc. so get done chest x-ray to rule out above-mentioned causes. if chest x-ray is normal than no need to worry much.  it will be only muscular pain. so take good painkiller and muscle relaxant."
Answer this question truthfully,"Alzheimer / MCI
Roalf et al. Comparative accuracies of two common screening instruments for classification of Alzheimer's disease, mild cognitive impairment, and healthy aging. Alzheimer's & Dementia Volume 9, Issue 5, Pages 529-537, September 2013. Gagnon et al. Correcting the MoCA for Education: Effect on Sensitivity. Can J neurol Sci. 2013; 40: 678-683. Alagiakrishnan K et al. Montreal cognitive assessment is superior to standardized mini-mental status exam in detecting mild cognitive impairment in the middle-aged and elderly patients with type 2 diabetes mellitus. Biomed Res Int. 2013;2013:186106. Wang et al. Montreal Cognitive Assessment and Mini-Mental State Examination performance in patients with mild-to-moderate dementia with Lewy bodies, Alzheimer's disease, and normal participants in Taiwan. Int Psychogeriatr. 2013 Aug 7:1-10. Epub ahead of print Fujiwara et al. Physical and Sociopsychological Characteristics of Older Community Residents With Mild Cognitive Impairment as Assessed by the Japanese Version of the Montreal Cognitive Assessment. J Geriatr Psychiatry Neurol. 2013 Aug 6. Epub ahead of print. Jiang et al. The association between mild cognitive impairment and doing housework. Aging Ment Health. 2013 Aug 6. Ladas et al. Eye Blink Rate as a biological marker of Mild Cognitive Impairment. Int J Psychophysiol. 2013 Aug 1. Dong et al. Comparison of the Montreal Cognitive Assessment and the Mini-Mental State Examination in detecting multi-domain mild cognitive impairment in a Chinese sub-sample drawn from a population-based study. Int Psychogeriatr. 2013 Jul 22:1-8. Epub ahead of print Niu et al. Non-high-density lipoprotein cholesterol and other risk factors of mild cognitive impairment among Chinese type 2 diabetic patients. J Diabetes Complications. 2013 Sep-Oct;27(5):443-6. Epub 2013 Jul 9. Ismail et al. Canadian academy of geriatric psychiatry survey of brief cognitive screening instruments. Can Geriatr J. 2013 Jun 3;16(2):54-60. Gluhm, S et al. Cognitive Performance on the Mini-Mental State Examination and the Montreal Cognitive Assessment Across the Healthy Adult Lifespan. Cognitive & Behavioral Neurology: March 2013 - Volume 26 - Issue 1 - p 1–5 Freitas S. et al. Montreal Cognitive Assessment: validation study for mild cognitive impairment and Alzheimer disease. Alzheimer Dis Assoc Disord. 2013 Jan;27(1) 37-43. Larner et al. Comparing diagnostic accuracy of cognitive screening instruments: a weighted comparison approach. Dement Geriatr Cogn Dis Extra. 2013 Jan;3(1):60-5. Boiko et al. Possibilities of medical correction of moderate cognitive impairment. Article in Russian Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(2):28-32. Salma S. Soleman Hernandez et al. Apathy, cognitive function and motor function in Alzheimer's disease. Dement Neuropsychol 2012 December;6(4):236-243. Parunyou Julayanont, Melanie Brousseau, Michael Borrie, Howard Chertkow, Natalie Phillips, Ziad Nasreddine. Montreal Cognitive Assessment Memory Index Score, MoCA-MIS, As a Predictor of Mild Cognitive Impairment Conversion to Alzheimer's Disease. Abstract presented at AAIC Conference, Vancouver 2012. Freitas S. et al. (2012). Montreal Cognitive Assessment (MoCA): Validation study for Mild Cognitive Impairment and Alzheimer's disease. Alzheimer Disease and Associated Disorders, doi: 10.1097/WAD.0b013e3182420bfe. David R. Roalf et al. Comparative accuracies of two common screening instruments for classification of Alzheimer's disease, mild cognitive impairment, and healthy aging. Alzheimer's & Dementia Journal (2012) 1-9 Article in press. Published online 26 Michal Lifshitz et al. Validation of the Hebrew Version of the MoCA Test as a Screening Instrument for the Early Detection of Mild Cognitive Impairment in Elderly Individuals. J Geriatr Psychiatry Neurol 2012 25:155. Magierska J. et al. Clinical application of the Polish adaptation of the Montreal Cognitive Assessment (MoCA) test in screening for cognitive impairment. Neurologia i neurochirurgia polska 2012, 46(2):130-139 Kriscinda A. Whitney, Brad Mossbarger, Steven M. Herman, Summer L. Ibarra. Is the Montreal Cognitive Assessment Superior to the Mini-Mental State Examination in Detecting Subtle Cognitive Impairment Among Middle-Aged Outpatient U.S. Military Veterans? Archives of Clinical Neuropsychology Advance Access published July 4, 2012. doi:10.1093/arclin/acs060. Markwick A, Zamboni G, de Jager CA. Profiles of cognitive subtest impairment in the Montreal Cognitive Assessment (MoCA) in a research cohort with normal Mini-Mental State Examination (MMSE) scores. J Clin Exp Neuropsychol. 2012 Aug;34(7):750-7. Epub 2012 Apr 3. Larner A.J.. Screening utility of the Montreal Cognitive Assessment (MoCA): in place of -or as well as - the MMSE? International psychogeriatrics; 2012 Mar;24(3):391-6. Zhao S. et al. A clinical memory battery for screening for amnestic mild cognitive impairment in an elderly chinese population. Journal of clinical neuroscience, 18(6), 774-9, 2011. Elsevier Ltd. Olson R, et al. Prospective comparison of two cognitive screening tests: diagnostic accuracy and correlation with community integration and quality of life. Journal of neuro-oncology, 105, 337-344, 2011. Catherine C. Price et al. Clock Drawing in the Montreal Cognitive Assessment: Recommendations for Dementia Assessment. Dementia and Geriatric Cognitive Disorders 2011;31:179-187. H. Chertkow, N. Phillips, Z. Nasreddine, V. Whitehead. Severity of mild cognitive impairment does not predict progression. Presented at the ADI Toronto, March 29, 2011. Anne M. Damian et al. The Montreal Cognitive Assessment and the Mini-Mental State Examination as Screening Instruments for Cognitive Impairment: Item Analyses and Threshold Scores. Dementia and Geriatric Cognitive Disorders, 2011;31:126-131. Mitchell A. J., Malladi S. Screening and case finding tools for the detection of dementia. Part 1: evidence-based meta-analysis of multidomain tests. The American Journal of Geriatric psychiatry, 18(9), 759-82, 2010. Thissen AJ et al. Applicability and validity of the Dutch version of the Montreal Cognitive Assessment (MoCA-d) in diagnosing MCI.Gerontol Geriatr 2010 Dec;41(6):231-40. Defranceso M. et al. Conversion from MCI (Mild Cognitive Impairment) to Alzheimer's disease: diagnostic options and predictors). Neuropsychiatr;2010;24(2):88-98. Cuttini C. et al. Initiation in Dementia: Are we detecting it? Department of Medicine, division of Geriatrics, Queen's University,Kingston, Ontario, Canada. Abstract presented at the Canadian Conference on Dementia, Toronto, Oct. 1-3, 2010. Michael Lerch et al. Could the Montreal Cognitive Assessment (MoCA) be the new ""gold standard"" in cognitive evaluation in geriatric patients: a clinical comparison. The Journal of the Alzheimer's Association, Vol. 6, Issue 4, Supplement page S494, July 2010. Kaynak Selekler et al. Power of discrimination of Montreal Cognitive Assessment (MoCA) Scale in Turkish Patients with Mild Cognitive Impairment and Alzheimer's Disease. Turkish Journal of Geriatrics 2010;13(3) 166-171. Fujiwara Y. et al. Brief screening tool for mild cognitive impairment in older Japanese: Validation of the Japanese version of the Montreal Cognitive Assessment. Geriatr Gerontol. Int. 2010;10:225-232. Guo Qi-Hao et al. Application study of quick cognitive screening test in identifying mild cognitive impairment. Neuroscience Bulletin, February 2010, 26(1):47:54. Walter Wittich, Natalie Phillips, Ziad Nasreddine, Howard Chertkow. Sensitivity and specificity of the Montreal Cognitive Assessment modified for individuals who are visually impaired. Journal of Visual Impairment & Blindness, June 2010, 104(6), 360-368. Luis CA et al. Cross validation of the Montreal Cognitive Assessment in community dwelling older adults residing in the Southeastern US. International Journal of Geriatric Psychiatry, Online issue, October 21st, 2008, published 2009;24: 197-201. Ging-Yuek R. Hsiung et al. A Pilot Study on Computerized Cognitive Training in Mild Cognitive Impairment. 5th Canadian Conference on Dementia in Toronto, Oct. 1-3, 2009. The Canadian Journal of Geriatrics, Volume 12, Issue 3, Sept. 2009, page 124. Defrancesco M. et al. Association of Mild Cognitive Impairment (MCI) and depression. Neuropsychiatr;2009;23(3):144-50. Dekkers M. et al. Awareness in patients with mild cognitive impairment (MCI. Tijdschr Gerontol Geriatr;2009 Feb;40(1):17-23. A. Garcia et al. Apathy in Dementia: Are we detecting it? 5th Canadian Conference on Dementia in Toronto, Oct. 1-3, 2009. The Canadian Journal of Geriatrics, Volume 12, Issue 3, Sept. 2009, page 121. Lisa Sweet, phd et al. The Montreal Cognitive Assessment (MoCA) in Geriatric Rehabilitation: Psychometric Properties and Association with Rehabilitation Outcomes. 5th Canadian Conference on Dementia in Toronto, Oct. 1-3, 2009. The Canadian Journal of Geriatrics, Volume 12, Issue 3, Sept. 2009, page 113. Benjamin Lam et al. Validation of the Montreal Cognitive Assessment against Detailed Neuropsychological Measures. 5th Canadian Conference on Dementia in Toronto, Oct. 1-3, 2009. The Canadian Journal of Geriatrics, Volume 12, Issue 3, Sept. 2009, page 138. Hemrungrojn S et al. The cognitive domains from Thai-Montreal cognitive assessment test to discriminate between amnestic MCI and mild AD from normal aging. Presented at the International Psychogeriatric Association Conference, Sept. 2009, Montreal, Quebec, Canada. Koski L. et al. Measuring Cognition in a Geriatric Outpatient Clinic: Rasch Analysis of the Montreal Cognitive Assessment. Journal of Geriatric Psychiatry and Neurology, Volume 22, Number 3, Sept. 2009, page 151-160. Rahman, Tomader Taha Abdel; El Gaafary, Maha Mohamed. Montreal Cognitive Assessment Arabic version: Reliability and validity prevalence of mild cognitive impairment among elderly attending geriatric clubs in Cairo. Geriatrics and Gerontology International, Volume 9, Number 1, March 2009, pp. 54-61 (8). JL Richard et al. Use of the MoCA in Patients Presenting to a Memory Disorders Clinic. Am J Geriatr Psychiatry 2009; 17:A112. Liu-Ambrose T.Y. et al. Increased Risk of Falling in Older Mild Cognitive Impairment. Physical Therapy, 88(12), 1482-91, 2008. Jun-Young Lee et al. Brief Screening for Mild Cognitive Impairment in Elderly Outpatient Clinic: Validation of the Korean Version of the Montreal Cognitive Assessment. J Geriatr Psychiatry Neurol, June 2008, 21;2:104-110. Nestor SM et al. The Montreal Cognitive Assessment: a retrospective pilot study measuring longitudinal cognitive change in people with mild cognitive impairment. Presented at the Annual Meeting of the Canadian Geriatrics Society, Montreal, Canada. Canadian J of Geriatrics, Volume 11, Issue 1, March 2008, p63. Smith M et al. Case finding of people with cognitive impairment using screening clinics during Alzheimer awareness month. Presented at the Annual Meeting of the Canadian Geriatrics Society, Montreal, Canada. Canadian J of Geriatrics, Volume 11, Issue 1, March 2008, p37. Tobinick et al. Rapid cognitive improvement in Alzheimer's disease following perispinal etanercept administration. Journal of Neuroinflammation, January 2008, 5:2 (e-publication). Rolf Sebaldt et al. Detection of Cognitive Impairment and Dementia Using the Animal Fluency Test: The Decide Study, The Canadian Journal of Neurological Sciences, Volume 36, Issue 5, Sept. 2009, page 599. Song S et al. Executive impairment and MoCA performance in mild cognitive impairment and Alzheimer's disease. Presented at the International Neuropsychological Society Annual Meeting. Buenos Aires, Argentina. July 2-5, 2008, p. 258. Wen HB et al. The application of Montreal cognitive assessment in urban Chinese residents of Beijing. Zhonghua Nei Ke Za Zhi. 2008 Jan;47(1):36-9. Chinese. Shiroky et al. Can you have dementia with an MMSE score of 30. Am J of Alzheimers Dis Other Demen Oct-Nov 2007;22:5;406-415. Smith T et al. The Montreal Cognitive Assessment: validity and utility in a memory clinic setting. Can J Psychiatry, 2007 May; 52(5):329-32. J. Reban. Montrealsky kognitivni test/MoCA/: prinos k diagnostice predemenci, Ceska Geriatricka, Revue 2006 (4):224-229. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment (MoCA): A Brief Screening Tool For Mild Cognitive Impairment. Journal of the American Geriatrics Society 53:695-699, 2005. Nasreddine ZS et al. The Montreal Cognitive Assessment (MoCA): a Brief Cognitive Screening Tool for Detection of Mild Cognitive Impairment. Neurology, Volume 62, Number 7 S(5) April 2004, A132. Presented at the American Academy of Neurology Meeting, San Francisco, May 2004. Nasreddine ZS et al. The Montreal Cognitive Assessment (MoCA): a Brief Cognitive Screening Tool for Detection of Mild Cognitive Iimpairment. Presented at the 8th International Montreal/Springfield Symposium on Advances in Alzheimer Therapy. http://www.siumed.edu/cme/AlzBrochure04.pdf, p.90, April 14-17, 2004. Nasreddine ZS et al. Sensitivity and Specificity of The Montreal Cognitive Assessment (MoCA) for Detection of Mild Cognitive Deficits. Can J Neurol Sci., Volume 30, Number 2, Supplement 2/May 2003, p.30. Presented at Canadian Congress of Neurological Sciences Meeting, Quebec City, Quebec, June 2003.
Frontotemporal
Freitas S. et al. Montreal Cognitive Assessment (MoCA): Validation study for Frontotemporal Dementia. J Geriatr Psychiatry Neurol. 2012 Sep;25(3):146-54.
HIV
Overton et al. The Alzheimer's disease-8 and Montreal Cognitive Assessment as screening tools for neurocognitive impairment in HIV-infected persons. J Neurovirol. 2013 Feb;19(1):109-16. Vance et al. Assessing and Treating Forgetfulness and Cognitive Problems in Adults with HIV. Journal of the Association of nurses in aids care Vol. 24, No. 1S, January/February 2013. Chartier, M. et al. The Montreal Cognitive Assessment (MoCA): A pilot study of a brief screening tool for mild and moderate cognitive impairment in HIV-positive Veterans. Poster presentation at the American Conference for the Treatment of HIV. (2011, April). Meera Oza. Brain injury and lower cognitive function are common in people with HIV (CROI 2011). The AIDS Beacon. Koski L. et al. Computerized testing augments pencil-and-paper tasks in measuring HIV-associated mild cognitive impairment. HIV Med. 2011 Mar 13. doi: 10.1111/j.1468-1293.2010.00910.x. (Epub ahead of print).
Huntington
Ondrej Bezdicek et al. Validity of the Montreal Cognitive Assessment in the Detection of Cognitive Dysfunction in Huntington's Disease. Neuropsychology: Adult, 20:1, 33-40, 2013. Videnovic A. et al. The Montreal Cognitive Assessment as a screening tool for cognitive dysfunction in Huntington's disease. Movement Disorders, 2010: 25(3):401-4. Mickes Laura et al. A Comparison of Two Brief Screening Measures of Cognitive Impairment in Huntington's Disease. Movement Disorders, Volume 25, Issue 13, pages 2229-2233, Oct. 2010. Lessig S. et al. Usefulness of Two Brief Cognitive Screening Measures in Huntington's Disease. Poster. Neurotherapeutics, Volume 7, Number 1, 2010, page 139.
Lewy Body
Wang et al. Montreal Cognitive Assessment and Mini-Mental State Examination performance in patients with mild-to-moderate dementia with Lewy bodies,
Alzheimer's disease, and normal participants in Taiwan. Int Psychogeriatr. 2013 Aug 7:1-10. Epub ahead of print Multiple Sclerosis
Dagenais E. et al. Value of the MoCA Test as a Screening Instrument in Multiple Sclerosis. Can J Neurol Sci. May 2013; 40:(3):410-5. Lauren Krupp et al. The Montreal Cognitive Assessment (MoCA) as a Screening Tool for Cognitive Functioning in Multiple Sclérosis (MS). Neurology, Volume 76, Number 9, March 1, 2011. Abstract P06.082. K. Waspe et al. Evaluation of Modified Montreal Cognitive assessment in multiple sclerosis: a pilot study. Multiple Sclerosis, 2008;14(supp 1) p. S29. Presented at ECTRIMS meeting, Montreal, Sept. 2008.
Neuropsychology
Freitas S. et al. (2012). Construct validity of the Montreal Cognitive Assessment (MoCA). Journal of International Neuropsychology Society, 18,242-250. doi:10.1017/S1355617711001573.
Parkinson
Arun Aggarwal et al. Cognitive Screening Tool in Parkinson's Disease: Mini Mental State Examination (MMSE) Versus Montreal Cognitive Assessment (MoCA). Doi:10.4172/scientificreports.279. Roser Ribosa et al. Comparative Accuracy of the PD-CRS, Mattis DRS, MoCA and SCOPA-COG for Screening Mild Cognitive Impairment in Parkinson's Disease. Neurology, Volume 76, Number 9, March 1, 2011. Abstract P06.088. Melissa J. et al. Validating the Montreal Cognitive Assessment for the Diagnosis of Mild Cognitive Impairment in Parkinson's Disease. Neurology, Volume 76, Number 9, March 1, 2011. Abstract P07.084. J.C. Dalrymple-Alford et al. The MoCA: Well-suited screen for cognitive impairment in Parkinson disease. Neurology 2010;75;1717. Chou K.L. et al. A recommended scale for cognitive screening in clinical trials of Parkinson's disease. Movement disorders, 25(15), 2501-7, 2010. Hanna-Pladdy B. et al. Utility of the NeuroTrax computerized Battery for Cognitive Screening in Parkinson's Disease: Comparison with the MMSE and the MoCA. International Journal of Neuroscience, August 2010;120(8):538-43. Meike Kasten et al. Validity of the MoCA and MMSE in the detection of MCI and Dementia in Parkinson's disease. Neurology 2010 75;479-479. Sarah H. et al. Pilot study of a three-step diagnostic pathway for young and old patients with Parkinson's disease dementia: screen, test and then diagnose. International Journal of Geriatric Psychiatry 2010;25:258-265. Luo Xia-Guang et al. Cognitive Deterioration Rates in Patients with Parkinson's Disease from Northeastern China. Dementia and Geriatric Cognitive Disorders 2010;30:64-70. Melzer T R et al. Cognition and the limbic system in early Parkinson's disease: A DTI investigation. Abstract, NeuroImage 2009, 47 (Suppl. 1): S115. Hoops S et al. Validity of the MoCA and MMSE in the detection of MCI and dementia in Parkinson disease. Neurology 2009, November 24; 73(21):1738-1745. Sarra et al. Montreal Cognitive Assessment Performance in Patients with Parkinson's Disease with ""Normal"" Global Cognition According to Mini-Mental State Examination Score. J Am Geriatr Soc, Volume 57, Number 2, February 2009, pp. 304-308(5). Gill DJ et al. The Montreal Cognitive Assessment as a screening tool for cognitive impairment in Parkinson's disease. Mov Disorders, Volume 23, Number 7, 2008, pp. 1043-1046. Lessig S et al. Examination of the Montreal Cognitive Assessment (MoCA) and MMSE in Parkinson's disease (PD). Abstract T-82. Presented at American Neurological Association Meeting, Salt Lake City, Utah, Sept. 24th, 2008. Zadikoff C et al. A comparison of the Mini-Mental state exam to the Montreal Cognitive Assessment in identifying cognitive deficits in Parkinson's disease. Mov Disorders, 2008 January 30;23(2):297-9.
Pulmonary disease
Villeneuve S. et al. Mild Cognitive Impairment in Moderate to Severe chronic obstructive pulmonary disease (COPD): A preliminary study. Chest 2012, 142(6):1516-1523. doi: 10.1378/chest.11-3035
REM
Gagnon JF. et al. The Montreal Cognitive Assessment: A Screening Tool for Mild Cognitive Impairment in REM Sleep Behavior Disorder. Movement Disorders 2010, May 15;25(7):936-40.
Schizophrenia
Fisekovic et al. Correlation between moca and mmse for the assessment of cognition in schizophrenia. Acta Inform Med. 2012 Sep;20(3):186-9.
Sleep Apnea
Wang WH et al. Relationship between brain-derived neurotrophic factor and cognitive function of obstructive sleep apnea/hypopnea syndrome patients. Asian Pac J Trop Med. 2012 Nov;5(11):906-10. doi: 10.1016/S1995-7645(12)60169-2. Chen R. et al. Neurocognitive impairment in Chinese patients with obstructive sleep apnoea hypopnoea syndrome. REspirology, 16(5), 842-848, 2011.
Sport Medicine
Debert CT et al. Montreal cognitive assessment (MoCA): baseline evaluation of cognition in the athletic population. Abstracts from the 4th International Conference on Concussion in Sport (Zurich, 2012) Br J Sports Med 2013;47:e1 doi:10.1136/bjsports-2012-092101.12.
Stroke Rehabilitation
Aggarwal A, Kean E. Comparison of the Folstein Mini Mental State Examination (MMSE) to the Montreal Cognitive Assessment (MoCA) as a Cognitive Screening Tool in an Inpatient Rehabilitation Setting. Neuroscience & Medicine, 2010, 1, 39-42.
Substance Disorders
Rojo-Mota et al. Neurocognitive screening in substance addicts: the Montreal Cognitive Assessment. Rev Neurol. 2013 Feb 1;56(3):129-36. Article in Spanish Copersino ML et al. Rapid cognitive screening of patients with substance abuse disorders. Experimental and Clinical Psychopharmacology 17(5):337-344, 2009.
Trauma
De Guise et al. The Montreal Cognitive Assessment in Persons with Traumatic Brain Injury. Applied Neuropsychology. Adult. Published online: 22 Aug 2013 Wong et al. Validity of the Montreal Cognitive Assessment for traumatic brain injury patients with intracranial haemorrhage. Brain Inj. 2013;27(4):394-8.. Epub 2013 Mar 8.
Tumors
Olson R et al. Prospective comparison of the prognostic utility of the Mini Mental State Examination and the Montreal Cognitive Assessment in patients with brain metastases. Support Care Cancer, published online October 19th, 2010. Olson R et al. Investigation of cognitive screening measures in patients with brain tumors: diagnostic accuracy & correlation with quality of life. 2009 American Society of Clinical Oncology Annual Meeting. Orlando, Florida. May 29-June 2, 2009. Abstract ID:e13000. Olson R et al. Comparison of the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (M0CA) to a Comprehensive Neuropsychological Assessment in Patients with Brain Tumors. 11 th World Congress of Psycho-Oncology. Vienna, Austria. June 21-25, 2009. Abstract P3.7.17. Olson R et al. Comparison of Two Cognitive Screening Measures, the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA), in Patients with Brain Tumors. Canadian Association of Psychosocial Oncology, 2009 Conference. Vancouver, British Columbia. April 1-4, 2009. Abstract ID:P245. Olson RA et al. Feasibility study of the Montreal Cognitive Assessment (MoCA) in patients with brain metastases. Supportive Care in Cancer. March 12, 2008, 16:1273-1278.
Vascular
Zhang et al. Electroencephalogram Analysis: An Early Diagnostic Method for Assessing Cognitive Impairment After Cerebral Hemorrhage. Clin EEG Neurosci. 2013 Sep 4. Epub ahead of print Dong et al. Cognitive screening improves the predictive value of stroke severity scores for functional outcome 3–6 months after mild stroke and transient ischaemic attack: an observational study. 2 September 2013. BMJ Open 2013;3:e003105 doi:10.1136/bmjopen-2013-003105. Salvadori et al. Predictive value of MoCA in the acute phase of stroke on the diagnosis of mid-term cognitive impairment. J Neurol. 2013 Sep;260(9):2220-7. Bocti et al. Vascular Cognitive Impairment: Most Useful Subtests of the Montreal Cognitive Assessment in Minor Stroke and Transient Ischemic Attack. Dement Geriatr Cogn Disord 2013;36:154–162. Ihara et al. Suitability of the Montreal Cognitive Assessment versus the Mini-Mental State Examination in Detecting Vascular Cognitive Impairment. J Stroke Cerebrovasc Dis. 2013 Aug;22(6):737-41. Cumming et al. Montreal Cognitive Assessment and Mini-Mental State Examination are both valid cognitive tools in stroke. Acta Neurol Scand. 2013 Aug;128(2):122-9. Sikaroodi et al. Cognitive impairments in patients with cerebrovascular risk factors: A comparison of Mini Mental Status Exam and Montreal Cognitive Assessment. Clin Neurol Neurosurg. 2013 Aug;115(8):1276-80. Koski et al. Validity and Applications of the Montreal Cognitive Assessment for the Assessment of Vascular Cognitive Impairment. Cerebrovasc Dis. 2013 Jul 30;36(1):6-18. Epub ahead of print Wu et al. The effects of educational background on Montreal Cognitive Assessment screening for vascular cognitive impairment, no dementia, caused by ischemic stroke. J Clin Neurosci. 2013 Jul 24. Epub ahead of print Harkness et al. Cognitive function and self-care management in older patients with heart failure. Eur J Cardiovasc Nurs. 2013 Jun 3. Epub ahead of print Pasi et al. Factors predicting the Montreal cognitive assessment (MoCA) applicability and performances in a stroke unit. J Neurol. 2013 Jun;260(6):1518-26. Hwang et al. Effects of falls experience on cognitive functions and physical activities in community-dwelling individuals with chronic stroke. Int J Rehabil Res. 2013 Jun;36(2):134-9. Marzolini et al. The effects of an aerobic and resistance exercise training program on cognition following stroke. Neurorehabil Neural Repair. 2013 Jun;27(5):392-402. Shopin et al. Cognitive Assessment in Proximity to Acute Ischemic Stroke/Transient Ischemic Attack: Comparison of the Montreal Cognitive Assessment Test and MindStreams Computerized Cognitive Assessment Battery. Dement Geriatr Cogn Disord. 2013;36(1-2):36-42. 13 May 23. Cheng et al. Effects of carotid artery stenting on cognitive function in patients with mild cognitive impairment and carotid stenosis. Exp Ther Med. 2013 Apr;5(4):1019-1024. Zhang et al. Relationship between cerebral microbleeds and cognitive function in lacunar infarct. J Int Med Res. 2013 Apr;41(2):347-55. Wong et al. Comparison of montreal cognitive assessment and mini-mental state examination in evaluating cognitive domain deficit following aneurysmal subarachnoid haemorrhage. PLoS One. 2013;8(4). Epub 2013 Apr 3. Zhao et al. Executive dysfunction in patients with cerebral hypoperfusion after cerebral angiostenosis/occlusion. Neurol Med Chir (Tokyo). 2013;53(3):141-7. Ball et al. Mild cognitive impairment in high-risk patients with chronic atrial fibrillation: a forgotten component of clinical management? Heart. 2013 Apr;99(8):542-7. Mai et al. Screening for cognitive impairment in a stroke prevention clinic using the MoCA. Can J Neurol Sci. 2013 Mar;40(2):192-7. Tu et al. Reliability, validity, and optimal cutoff score of the montreal cognitive assessment (changsha version) in ischemic cerebrovascular disease patients of hunan province, China. Dement Geriatr Cogn Dis Extra. 2013 Feb 16;3(1):25-36. Tan et al. Clinical research of early intervention of modified shuyu pill in vascular cognitive impairment no dementia. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2013 Jan;33(1):27-30. Article in Chinese. Ihara et al. Association of Physical Activity with the Visuospatial/Executive Functions of the Montreal Cognitive Assessment in Patients with Vascular Cognitive Impairment. J Stroke Cerebrovasc Dis. 2012 Nov 12. pii: S1052-3057(12)00339-4. Masafumi Ihara et al. Association of Physical Activity with the Visuospatial / Executive Functions of the Montreal Cognitive Assessment in Patients with Vascular Cognitive Impairment. doi:10.1016/ j. strokecerebrovasdis.2012.10.007. Freitas S, Simoes MR, Alves L, Vicente M, Santana I. Montreal Cognitive Assessment (MoCA): Validation Study for Vascular Dementia. J Int Neuropsychol Soc. 2012 Nov;18(6):1031-40. Sarah T. Pendlebury et al. Telephone Assessment of Cognition After Transient Ischemic Attack and Stroke: Modified Telephone Interview of Cognitive Status and Telephone Montreal Cognitive Assessment Versus Face-to-Face Montreal Cognitive Assessment and Neuropsychological Battery. Stroke, published online November 8, 2012. doi:10.1161/STROKEAHA.112.673384. Fu GX, Miao Y, Yan H, Zhong Y. Common carotid flow velocity is associated with cognition in older adults. Can J Neurol Sci. 2012 Jul;39(4):502-7. Jan Cameron et al. Screening for mild cognitive impairment in patients with heart failure: Montreal Cognitive Assessment versus Mini Mental State Exam. Eur J Cardiovasc Nurs published online 18 April 2012. Mirena Valkova, Boyko Stamenov, Dora Peychinska. Screening for poststroke cognitive impairment via Mini-Mental State Examination and Montreal Cognitive Assessment Scale. Journal of IMAB-Annual Proceeding 2012, vol. 18, book 3. Guo-Xiang et al. Common Carotid Flow Velocity is Associated with Cognition in Older Adults. Can J Neurol Sci. 2012;39:502-507. Baracchini C. et al. Carotid endarterectomy protects elderly patients from cognitive decline: A prospective study. Surgery, September, 1-8, 2011. Elsevier Inc. MacKenzie G. et al. Detecting cognitive impairment in clients with mild stroke or transient ischemic attack attending a stroke prevention clinic. Can J Neurosci Nurs. 2011;33(1):47-50. Cumming T.B., Bernhardt J. and Linden T. The Montreal Cognitive Assessment: short cognitive evaluation in a large stroke trial. Stroke, 42(9), 2642-4, 2011. Toglia J, Fitzgerald K et al. The Mini-Mental State Examination and Montreal Cognitive Assessment in persons with mild subacute stroke: relationship to functional outcome. Archives of physical medicine and rehabilitation, 92(5), 792-8, 2011. Elsevier Inc. Martinic-Popovic et al. Cognitive performance in asymptomatic patients with advanced carotid disease. Cognitive and behavioral neurology, 24(3), 145-51, 2011. Athilingam P. et al. Montreal Cognitive Assessment and Mini-Mental Satus Examination compared as cognitive screening tools in heart failure. Heart & lung, 40(6), 521-9, 2011. Elsevier Inc. Olivier Godefroy et al. Is the Montreal Cognitive Assessment Superior to the Mini-Mental State Examination to detect Poststroke Cognitive Impairment?: A Study with neuropsychological evaluation. Stroke 2011;42:00-00. Published online Apr 7, 2011. Martinic Popovic, A. Lovrencic-Huzjan, A. M. Simundic, V. Demarin. Mild cognitive impairment in patients with carotid disease. Presented at the ADI Toronto, March 29, 2011. You J-song, Chen R-Zhao et al. The Chinese (Cantonese) Montreal Cognitive Assessment in Patients with Subcortical Ischemic Vascular Dementia. Dementia and Geriatric Cognitive Disorders Extra, 1(1), 276-282, 2011. Weiner Myron Frederick, Hynan L.S., Rossetti H. et al. The relationship of Montreal Cognitive Assessment scores to framingham coronary and stroke risk scores. Open Journal of Psychiatry, 01(02), 49-55, 2011. Harkness K et al. Screening for Cognitive Deficits Using the Montreal Cognitive Assessment Tool in Outpatients ≥65 Years of Age With Heart Failure. Am J. Cardiol. 2011, Feb 9. Abstract. S. N. McLennan et al. Validity of the Montreal Cognitive Assessment (MoCA) as a Screening Test for Mild Cognitive Impairment (MCI) in a Cardiovascular Population. Journal of Geriatric Psychiatry and Neurology 2011 Mar;24(1):33-8. Ira H. Bernstein et al. Psychometric Evaluation of the Montreal Cognitive Assessment (MoCA) in Three Diverse Samples. The Clinical Neuropsychologist 2010, 1-8, iFirst. Cameron J. et al. Does cognitive impairment predict poor self-care in patients with heart failure? European Journal of Health failure 2010, 12, 508-515. Pendlebury S.T. et al. Underestimation of Cognitive Impairment by Mini-Mental State Examination Versus the Montreal Cognitive Assessment in Patients with Transient Ischemic Attack and Stroke. A Population-Based Study. Stroke Journal of the American Heart Association, 41(6):1290-1293, June 2010. Dong Y et al. The Montreal Cognitive Assessment (MoCA) is superior to the Mini-Mental State Examination (MMSE) for the detection of vascular cognitive impairment after acute stroke. J Neurol Sci;2010 Dec 15;299(1-2):15-8. Pendlebury S et al. Impairment on Montreal Cognitive Assessment in transient ischaemic attack and stroke patients with normal Mini-Mental State Examination score is clinically relevant. Journal Neurol Neurosurg. Psychiatry 2010 81:e68 Abstract. McLennan SN et al. Cognitive Impairment Predicts Functional Capacity in Dementia-Free Patients With Cardiovascular Disease. J Cardiovasc Nurs. 2010 September/October;25(5):390-397 Abstract. Martinic-Popovic et al. Assessment of subtle cognitive impairment in stroke-free patients with carotid disease. Acta clinica Croatica, 48, 231-240, 2009. Wong A. et al. The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in Patients with Cerebral Small Vessel Disease, Dement Geriatr Cognitive Disorders, August 2009;28:81-87. Rolf Sebaldt et al. Detection of Cognitive Impairment and Dementia Using the Animal Fluency Test: The Decide Study, The Canadian Journal of Neurological Sciences, Volume 36, Issue 5, Sept. 2009, page 599. Wong A et al. The Validity, Reliability and Utility of the Cantonese Montreal Cognitive Assessment (MoCA) in Chinese Patients with Confluent White Matter Lesions. Hong Kong Med J, Volume 14, Number 6, Supplement 6, December 2008. Boulanger JM et al. A prospective cognitive evaluation in post stroke/TIA patients using the Montreal Cognitive Assessment test (MoCA). Presented at Nice, France. European Stroke Conference, May 2008. Ponrathi Athilingam. The Montreal Cognitive Assessment (MoCA): An appropriate tool to assess subtle cognitive changes in people with heart failure? Section: ""Innovations in Nursing Practice with Older Adults"". Presented at the ENRS 20th scientific conference. Philadelphia, March 27th, 2008. Martinic Popovic I. et al. Mild cognitive impairment in symptomatic and asymptomatic cerebrovascular disease. Journal of the Neurological Sciences, Volume 257, Issues 1-2, 15 June 2007, pages 185-193. J Malcolm O Arnold et al. Canadian Cardiovascular Society Consensus Conference recommendations on heart failure update 2007: Prevention, management during intercurrent illness or actue decompensation, and use of biomarkers. Can J Cardiol, Volume 23, Number 1, January 2007. Martinic-Popovic I. et al. Early detection of mild cognitive impairment in patients with cerebrovascular disease. Acta Clin Croat 2006; 45:77-85. Hachinski et al. National Institute of Neurological Disorders and Stroke-Canadian Stroke Network vascular cognitive impairment harmonization standards. Stroke. 2006, Sept.:37(9):2220-41.
Teaching
Guy Lacombe, Pierre-Michel Roy, Ziad Nasreddine, Tamas Fülop. Teaching medical students to evaluate cognition using MoCA. Abstract presented at AAIC Conference, Paris, July 2011.
Visual Impairment
Walter Wittich, Natalie Phillips, Ziad Nasreddine, Howard Chertkow. Sensitivity and specificity of the Montreal Cognitive Assessment modified for individuals who are visually impaired. Journal of Visual Impairment & Blindness, June 2010, 104(6), 360-368.
Other
Phabphal K., Kanjanasatien J. Montreal Cognitive Assessment in cryptogenic epilepsy patients with normal Mini-Mental State Examination scores. Epileptic disorders, 13(4), 375-81., 2011. Adhikari T. et al. Cognitive dysfunction in SLE: development of a screening tool. Lupus, 20, 1142-6, 2011. Irak-Dersu I et al. Effect of dilating drops on cognitive function. Presented at 35th annual North American Neuro-ophthalmology meeting, February 24, 2009, Lake Tahoe, Nevada. Irak-Dersu I et al. The Effect of Mydriatic Eye Drops on Cognitive Function in Claucoma Patients. Presented at 19th annual American Glaucoma Society meeting, March 6, 2009, San Diego, CA.
Normative Data
Kenny et al. Normative values of cognitive and physical function in older adults: findings from the Irish Longitudinal Study on Ageing. J Am Geriatr Soc. 2013 May;61 Suppl 2:S279-90. Ziad S. Nasreddine, Heidi Rossetti, Natalie Phillips, et al. Normative data for the Montreal Cognitive Assessment
(MoCA) in a population-based sample. Neurology 2012;78;765
Rossetti H.C., et al. Normative data for the Montreal Cognitive Assessment (MoCA) in a population-based sample. Neurology, 77(13), 1272-5, 2011.
Low education
Johns, EK et al. The effect of education on performance on the Montreal Cognitive Assessment (MoCA): Normative data from the community. The Canadian Journal of Geriatrics, 11, 32-73. (Poster presented at the 28th annual meeting of the Canadian Geriatrics Society, Montreal, Quebec, April 2008. Johns, EK et al. The Montreal Cognitive Assessment: Normative data in the community. Journal of the International Neuropsychological Society, 14 (Suppl.1), i-292. (Poster presented at the 36th annual meeting of the International Neuropsychological Society, Waikoloa, Hawaii, February 2008).
Young adults
Ratchford TL et al. Normative Data for the Montreal Cognitive Assessment (MoCA) in Young Adults. P05.128. Presented at the American Academy of Neurology Meeting. April 2008. Neurology 70, March 11, 2008 (Suppl 1) A283.
Reviews
Lilly, Pfizer/JNJ/Elan's mild-to-moderate Alzheimer's failures may spur use of more sensitive cognitive screening tools for early disease - experts. BioPharm Insight, published 2012-12-28. Ziad S. Nasreddine, Gao Jing. The MoCA-Development and use in China for detection of cognition impairment. Chin J. Neurol, Feb. 2012, Vol. 45, No. 2. Ronald C. Petersen. Mild Cognitive Impairment. N Engl J Med 2011;364:2227-34. Zahinoor Ismail et al. Brief cognitive screening instruments: an update. Int J Geriatr Psychiatry 2010;25: 111-120. Bredje A. Appels, MSc and Erick Scherder, Phd. the Diagnostic Accuracy of Dementia-Screening Instruments With an Administration Time of 10 to 45 Minutes for *Use in Secondary Care: A Systematic Review. American Journal of Alzheimer's Disease & Other Dementias 2010, 25(4) 301-316. Manuel Montero-Odasso, Susan W. Muir. Simplifying detection of mild cognitive impairment subtypes. Journal of the American Geriatrics Society, May 2010-Vol.58, no. 5. Guo Qi-Hao et al. Application study of quick cognitive screening test in identifying mild cognitive impairment. Neuroscience Bulletin, February 2010, 26(1):47:54. Lonie Jane A. et al. Screening for mild cognitive impairment: a systematic review. International Journal of Geriatric Psychiatry 2009; 24: 902-915. Shiroky et al. Can you have dementia with an MMSE score of 30. Am J of Alzheimers Dis & Other Demen, Oct.-Nov. 2007;22:5; 406-415. Chertkow H, Nasreddine Z, et al. Mild cognitive impairment and cognitive impairment, no dementia: Part A, concept and diagnosis Alzheimer's & Dementia: The Journal of the Alzheimer's Association October 2007 (Vol. 3, Issue 4, pages 266-282). Howe E. Initial screening of patients for Alzheimer's disease and minimal cognitive impairment. Psychiatry, Volume 4 (7), July 2007, 24-27. Gauthier et al. Mild cognitive impairment. Lancet. 2006 April 15;367(9518):1262-70, Review. Hachinski et al. National Institute of Neurological Disorders and Stroke-Canadian Stroke Network vascular cognitive impairment harmonization standards. Stroke 2006, Sept.;37(9):2220-41. Allan L et al. Mild Cognitive Impairment: An Opportunity to Identify Patients at High Risk for Progression to Alzheimer's Disease. Clin Ther 2006;28:991-1001. Olson R., Parkinson M., McKenzie M. Selection Bias Introduced by Neuropsychological Assessments. Canadian Journal of Neurological Sciences, 2010;37:264-268.
Alternate forms
Ana S. Costa, Bruno Fimm, Paul Friesen, Herve Soundjock, Claudia Rottschy, Therese Gross, Frank Eitner, Arno Reich, Jorg B.Schulz, Ziad S. Nasreddine, Kathrin Reetz. Alternate-Form Reliability of the Montreal Cognitive Assessment Screening Test in a Clinical Setting. Dement Geriatr Cogn Disord 2012;33:379-384. Howard Chertkow, Ziad Nasreddine, Natalie A. Phillips et al. The Montreal Cognitive Assessment (MoCA): Validation of Alternate Forms and New Recommendations for Education Corrections. Abstract presented at AAIC Conference Paris, July 2011.
Arabic
Rahman et al. Montreal Cognitive Assessment Arabic version: Reliability and validity prevalence of mild cognitive impairment among elderly attending geriatric clubs in Cairo. Geriatrics and Gerontology International, Vol. 9, number 1, March 2009, pp. 54-61 (8).
Chinese
Dong et al. Comparison of the Montreal Cognitive Assessment and the Mini-Mental State Examination in detecting multi-domain mild cognitive impairment in a Chinese sub-sample drawn from a population-based study. Int Psychogeriatr. 2013 Jul 22:1-8. Epub ahead of print Niu et al. Non-high-density lipoprotein cholesterol and other risk factors of mild cognitive impairment among Chinese type 2 diabetic patients. J Diabetes Complications. 2013 Sep-Oct;27(5):443-6. Epub 2013 Jul 9. Wang et al. The relationship between cognitive impairment and cerebral blood flow changes after transient ischaemic attack. Neurol Res. 2013 Jul;35(6):580-5. Zavoreo et al. Cognitive decline and cerebral vasoreactivity in asymptomatic patients with severe internal carotid artery stenosis. Acta Neurol Belg. 2013 Apr 6 Cheng et al. Effects of carotid artery stenting on cognitive function in patients with mild cognitive impairment and carotid stenosis. Exp Ther Med. 2013 Apr;5(4):1019-1024. Wong et al. Comparison of montreal cognitive assessment and mini-mental state examination in evaluating cognitive domain deficit following aneurysmal subarachnoid haemorrhage. PLoS One. 2013;8(4). Epub 2013 Apr 3. Zhang et al. Relationship between cerebral microbleeds and cognitive function in lacunar infarct. J Int Med Res. 2013 Apr;41(2):347-55. Wong et al. Validity of the Montreal Cognitive Assessment for traumatic brain injury patients with intracranial haemorrhage. Brain Inj. 2013;27(4):394-8.. Epub 2013 Mar 8. Tu et al. Reliability, validity, and optimal cutoff score of the montreal cognitive assessment (changsha version) in ischemic cerebrovascular disease patients of hunan province, China. Dement Geriatr Cogn Dis Extra. 2013 Feb 16;3(1):25-36. Tan et al. Clinical research of early intervention of modified shuyu pill in vascular cognitive impairment no dementia. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2013 Jan;33(1):27-30. Article in Chinese. Zhao et al. Executive dysfunction in patients with cerebral hypoperfusion after cerebral angiostenosis/occlusion. Neurol Med Chir (Tokyo). 2013;53(3):141-7. Hu JB et al. Cross-cultural difference and validation of the Chinese version of Montreal Cognitive Assessment in older adults residing in Eastern China: *Preliminary findings. Arch Gerontol Geriatr. 2013 Jan-Feb;56(1):38-43. doi: 10.1016/j.archger.2012.05.008 Epub 2012 Jun 13. Chia-Fen Tsai, Wei-Ju Lee, Shuu-Jiun Wang, Ben-Chang Shia, Ziad Nasreddine and Jong-Ling Fuh. Psychometrics of the Montreal Cognitive Assessment (MoCA) and its subscales: validation of the Taiwanese version of the MoCA and an item response theory analysis. International Psychogeriatrics (2012), 24:4, 651-658. Adrian Wong et al. The Validity, Reliability and Clinical Utility of the Hong Kong Montreal Cognitive Assessment (HK-MoCA) in patients with cerebral small vessel disease, Dement Geriatr Cogn Disord, Aug. 2009;28-81-87. Wong A et al. The Validity, Reliability and Utility of the Cantonese Montreal Cognitive Assessment (MoCA) in Chinese Patients with Confluent White Matter Lesions. Hong Kong Med J, Volume 14, Number 6, Supplement 6, December 2008. Wen HB et al. The application of Montreal cognitive assessment in urban Chinese residents of Beijing. Zhonghua Nei Ke Za Zhi. 2008. Jan;47(1):36-9. Chinese.
Croatian
Martinic-Popovic I. et al. Early detection of mild cognitive impairment in patients with cerebrovascular disease. Acta Clin Croat 2006;45-77-85.
Czech
J.Reban. Montrealsky kognitivni test/MoCA/: prinos k diagnostice predemenci, Ceska Geriatricka Revue 2006 (4): 224-229.
Dutch
Thissen AJ et al. Applicability and validity of the Dutch version of the Montreal Cognitive Assessment (MoCA-d) in diagnosing MCI. Gerontol Geriatr. 2010 Dec;41(6):231-40. Janneke Thissen et al. Validity of the Montreal Cognitive Assessment Dutch Version (MoCA-D), presented at the international Psychogeriatric Association Conference, Sept. 2009, Montreal, Quebec, Canada.
English
Costa A, Fimm B, Friesen P, Soundjock H, Rottschy C, Gross T, Eitner F, Reich A, Schulz JB, Nasreddine ZS, Reetz K. Alternate-form Reliability of the Montreal Cognitive Assessment (MoCA) screening test in a clinical setting. Demen Geriatr Cogn Disord 2012;33(6):379-84. Luis CA et al. Cross validation of the Montreal Cognitive Assessment in community dwelling older adults residing in the Southeastern US. International Journal of Geriatric Psychiatry, Online issue, October 21st, 2008, published 2009;24: 197-201. Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment (MoCA): A brief screening tool for mild cognitive impairment. J Am Geriatr. Soc. 53:695-699, 2005.
French
Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment (MoCA): A brief screening tool for mild cognitive impairment. J Am Geriatr. Soc. 53:695-699, 2005.
Hebrew
Michal Lifshitz et al. Validation of the Hebrew Version of the MoCA Test as a Screening Instrument for the Early Detection of Mild Cognitive Impairment in Elderly Individuals. Journal of Geriatric Psychiatry and Neurology 2012 25(3) 155-161.
Italian
Pasi et al. Factors predicting the Montreal cognitive assessment (MoCA) applicability and performances in a stroke unit. J Neurol. 2013 Jun;260(6):1518-26.
Japanese
Fujiwara et al. Physical and Sociopsychological Characteristics of Older Community Residents With Mild Cognitive Impairment as Assessed by the Japanese Version of the Montreal Cognitive Assessment. J Geriatr Psychiatry Neurol. 2013 Aug 6. Epub ahead of print. Kenji Narazakia, Yu Nofujib et al. Normative Data for the Montreal Cognitive Assessment in a Japanese Community-Dwelling Older Population. Neuroepidemiology 2013;40:23-29. Ihara et al. Association of Physical Activity with the Visuospatial/Executive Functions of the Montreal Cognitive Assessment in Patients with Vascular Cognitive Impairment. J Stroke Cerebrovasc Dis. 2012 Nov 12. pii: S1052-3057(12)00339-4. Fujiwara Y. et al. Brief screening tool for mild cognitive impairment in older Japanese: Validation of the Japanese version of the Montreal Cognitive Assessment. Geriatr Gerontol Int. 2010;10:225-232.
Korean
Hwang et al. Effects of falls experience on cognitive functions and physical activities in community-dwelling individuals with chronic stroke. Int J Rehabil
Res. 2013 Jun;36(2):134-9.
Jun-Young Lee et al. Brief Screening for Mild Cognitive Impairment in Elderly Outpatient Clinic: Validation of the Korean Version of Montreal Cognitive Assessment 2008; J Geriatr Psychiatry Neurol, June 2008, 21;2:104-110.
Korean-K2
Kang YW et al. Reliability Validity, and Normative Study of the Korean-Montreal Cognitive Assessment (K-MoCA) as an Instrument for screening of Vascular Cognitive Impairment (VCI). The Korean Journal of Clinical Psychology. 2009;28:549-562.
Persian
Sikaroodi et al. Cognitive impairments in patients with cerebrovascular risk factors: A comparison of Mini Mental Status Exam and Montreal Cognitive Assessment. Clin Neurol Neurosurg. 2013 Aug;115(8):1276-80.
Polish
Magierska J et al. Clinical application of the Polish adaptation of the Montreal Cognitive Assessment (MoCA) test in screening for cognitive impairment. Neurologia i neurochirurgia polska 2012, 46(2):130-139. Joanna Magierska, Radoslaw Magierski, Tomasz Sobow, Iwona Kloszewska. The Polish adaptation of the Montreal Cognitive Assessment (MoCA) and preliminary results of its clinical utility in the screening for cognitive impairment. Presented at ICAD Conference Poster 2008, Chicago.
Portuguese
Freitas S. et al. (2012). Construct validity of the Montreal Cognitive Assessment (MoCA). Journal of International Neuropsychology Society, 18,242-250. doi:10.1017/S1355617711001573. Freitas S. et al. (2012). Montreal Cognitive Assessment (MoCA): Validation study for Mild Cognitive Impairment and Alzheimer's disease. Alzheimer Disease and Associated Disorders, doi: 10.1097/WAD.0b013e3182420bfe. Freitas S. Simoes M.R, Alves L. & Santana (2012). Montreal Cognitive Assessment (MoCA): Influence of sociodemographic and health variables. Archives of Clinical Neuropsychology, 27, 165-175. doi:10.1093/arclin/acr116. Freitas S. et al. (2011). Montreal Cognitive Assessment (MoCA): Normative study for the Portuguese population. Journal of Clinical and Experimental Neuropsychology, 33(9), 989-996. doi:10.1080/13803395.2011.589374 Duro D et al. Validation studies of the Portuguese experimental version of the Montreal Cognitive Assessment (MoCA): confirmatory factor analysis. J Neurol. 2010 May;257(5):728-34. Freitas S, Santana I, Simoes, M.R. (2010). The sensitivity of the Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) to cognitive decline: A longitudinal study. Alzheimer's & Dementia, 6(4), S353-S354 Abstract. Freitas S, et al. (2010). Estudos de adaptacao do Montreal Cognitive Assessment (MoCA) para a populacao portuguesa. Avaliacao Psicologica, 9(3), 345-357.
Portuguese (Brazil)
Bertolucci PH et al. Brazilian Portuguese version for the Montreal Cognitive Assessment (MoCA) and the preliminary results. Presented at Alzheimer's Association International Conference on Alzheimer's Disease. Alzheimer's and Dementia, Volume 4, Issue 4, Supplement 1, July 2008, Page T686. Bertolucci PH et al. Brazilian Portuguese version for the Montreal Cognitive Assessment (MoCA) and the preliminary results. Presented at Alzheimer's Association International Conference on Alzheimer's Disease. Alzheimer's and Dementia, Vol. 4, Issue 4 Supplement 1, July 2008, page T686. Claudia M. Memoria et al. Brief screening for mild cognitive impairment: validation of the Brazilian version of the Montreal Cognitive Assessment. Int J Geriatr Psychiatry, 2013 Jan;28(1) 34-40.
Russian
Boiko et al. Possibilities of medical correction of moderate cognitive impairment. Article in Russian Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(2):28-32.
Sinhalese
Karunaratne S. et al. Validation of the Sinhala version of the Montreal Cognitive Assessment in screening for dementia. Ceylon Medical Journal, 56(4), 147-153, 2011.
Spanish
Gomez F et al. Applicability of the MoCA-S test in populations with little education in Colombia. Int J Geriatr Psychiatry 2012, Sep 20. doi: 10.1002/gps.3885.
Thai
Tangwongchai S et al. The Validity of Thai version of the Montreal Cognitive Assessment (MoCA-T), Presented at the International Psychogeriatric Association Conference, Sept. 2009, Montreal, Quebec, Canada.
Turkish
Selekler K. & Cangoz B. (October 2009). Predictive Validity Study of MoCA on Turkish Patients with MCI and Alzheimer Dementia. (Poster). 19th World Congress of Neurology (WCN 2009), Bangkok, Thailand. Kaynak Selekler et al. Power of discrimination of Montreal Cognitive Assessment (MoCA) Scale in Turkish Patients with Mild Cognitive Impairment and Alzheimer's Disease. Turkish Journal of Geriatrics 2010;13(3) 166-171."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern, you did not mention the underlying cause of your wheezing is it due to accident did your lung injured?  i think the best way is to treat the underlying cause to rid out of this problem, any way still you can try the inhaler and the best choice is \""albuterol\"" along with the breathing exercise, hope this information helps you best luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should not start the treatment at present. you should definitely get done repeat blood pressure monitoring before starting any antihypertensive chatbot.  you had high blood pressure 12 months ago. so this is very long duration, and you had only mild elevation. so you might have normal blood pressure at present. so better not to take this antihypertensive"
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour findings may indicate urinary tract infection(uti). you need proper clinical examination and routine investigations. investigations include routine hologram, random blood sugar, renal function test, ultrasound of abdomen and scrotum, urine culture/sensitivity. you may need to take antibiotics based on reports. chatbot. ultrasound of scrotum is important due to swollen feeling of testis. it can assess many conditions in testis. proper treatment depend upon findings. get well soon. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this is not uncommon. please do not feel embarrassed. sometimes, its simply fat deposition and not gynecomastia. therefore, examination by the doctor is needed. the common causes of gynecomastia are some medicines, low testosterone level, liver disease and high prolactin hormone. please check for those problems. if no cause is found, sometimes surgery is needed for the cure. hope i have answered your question. let me know if i can assist you further."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Coronavirus Contact Tracing: Evaluating The Potential Of Using Bluetooth Received Signal Strength For Proximity Detection
Please answer with one of the option in the bracket,B: Dopamine
Please summerize the given abstract to a title,App coronavirus-SUS: An evalution using the ergonomic criteria of usability
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. in my opinion you are having angina due to either1. coronary blockage2. coronary spasm. t wave abnormality means blood supply to the heart is reduced and caused ischemia in heart. but your t wave abnormalities are relieved on discharge which suggest reversible obstruction or coronary spasm. you are also having chest pain after discharge, which suggest you need further investigation to diagnose properly. so better to consult cardiologist and get done1. 2d echo2. coronary angiography to rule out coronary spasm and blockage. you may have non-critical narrowing of coronary arteries. so consult cardiologist and discuss all these."
Please summerize the given abstract to a title,COVID-19 monetary transfer in El Salvador: determining factors/ Transferência de renda em El Salvador diante da COVID-19: fatores determinantes/ Transferencia monetaria en El Salvador ante la COVID-19: factores determinantes
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. i can understand your concern.  chronic cough is commonly seen in bronchitis and lung infection. get a chest x-ray done if it is normal, no need to worry about lung infection. possibility of bronchitis is more. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. he may need inhaled bronchodilators and inhaled corticosteroid (ics)don't worry, he will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using health acre magic for posting your query. keeping quite is not a right solution. any problem can be solved only by having a proper talk. you can stay silent when he is very angry but one's things settle down, you should discuss what actually went wrong. if you feel that your marriage is so troubled then in that case you should talk to him and convince him to seek a marriage counselor or marital therapist. that would help you both. other than this you should take care of your health. get evaluated for depression and if there is any seek treatment for the same. hope i am able to solve your concerns. if you need a detailed answer, i would be more than happy to help you."
Answer this question truthfully,The recommended post-exposure prophylaxis for hepatitis B exposure in individuals who are unvaccinated or have an incomplete vaccination series is to receive both immunoglobulin (Ig) and the full vaccine series.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is -1. do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. if still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for your query. i am so sorry to hear about these panic attacks that have taken a great toll of your life. i hope we get to find a long-lasting solution to this. the best thing to do in this context is to get consulted by a psychiatrist. after careful interview, clinical exam and investigation, you would be proposed a treatment plan that satisfies your needs and greatly improves your quality of life. it would also be the duty of your doctor to monitor your response to treatment and modify the chatbot.  from this, you clearly understand why it is necessary to seek help from the experts. based on these, i strongly recommend that you seek the help of a psychiatrist. i hope you find this helpful. i wish you well. thanks for using our services and feel free to request for more information."
Answer this question truthfully,"Pulmonary hypertension is the most common cause of excessive pulmonic regurgitation. Other possible causes include tetralogy of Fallot, infective endocarditis, and congenital absence of the pulmonary valve, carcinoid syndrome."
Please summerize the given abstract to a title,Machine learning-based decision tree classifier for the diagnosis of progressive supranuclear palsy and corticobasal degeneration.
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. it is very common that gall bladder is getting removed as a reason of pains, and it turns that it was not the reason. what are you suffering from is probably peptic ulcer (it causes pain after 1-2 hour of meal, loss of weight, but does not cause diarrhea). however, some other conditions should be checked. as you are after gall bladder removal, sometimes it happens that some small stone gets into the bile ducts and gives a lot of pain. upper gi endoscopy is a good idea as it will rule peptic ulcer and stomach cancer out. but before it is advisable to have fool blood work with liver tests (ast, alt and ggtp), pancreas tests(amylase), urinalysis and abdominal ultrasound. after this tests upper gi endoscopy should be performed and if ggtp elevated, during this test ercp should be done as well. if you find all this tests negative, stool tests and colonoscopy should be performed as well. such symptoms may be also present when partial intestines' obstruction appears due to colon cancer. hope this will help. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, according to the history provided by you, it seems some kind of pigmentation spot has appeared which is nothing to worry about, this kind of pigmentation appears due to number of factors, like vitamin deficiencies, oral medication, etc.i would recommend maintain your oral hygiene as you are, use an antibacterial mouth wash(twice/day)message you gums with your finger for at least a minute, take oral antioxidant capsules for a month(1capsule/day), i wish you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, faceclin gel has clindamycin phosphate and nicotinamide as active ingredients. clindamycin phosphate is an antibiotic with activity against propionibacterium acres, the acne causing bacteria and is nicotinamide is anti-inflammatory in nature. support has retinoid which is a topical retinoid and this regimen is effective for mild moderate acne. if you have more number of inflammatory lesions and pustules, an oral antibiotic like azithromycin or doxycycline can also be added. side effects of retinoid include burning sensation, redness and chatbot.  you can apply a moisturizer to your treatment like neutrogena oil free moisturizer or acne moist cream. if there is a lot of irritation or"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. vulvar cancer is treated by surgery and if required the chemotherapy and radiation therapy is used. surgery defines the cancer free margins and chemotherapy and radiation therapy is given to treat and micro invasion of cancer cells in the region. many doctors use silver nitrate on vagina and vulva to treat any healing or scar tissue areas chemically. this causes the cells on the vulva to be cleared after applying the silver nitrate and is a usual practice by some doctors. please have a discussion with your doctor the next time. please do not worry"
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Differentially expressed immune response genes in COVID-19 patients based on disease severity
Please answer with one of the option in the bracket,A: Destruction of upper and lower motor neurons
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, based on symptoms and mri reports, you are suffering from small vessel disease of brain (lacuna infarcts). mri brain is mildly abnormal. sensory symptoms which you are having can be due to brain lesion, it can also be due to spondylitic changes with fusion of cervical vertebra. you need to be clinically evaluated by neurologist and treatment to be planned. you require aspirin, statins and neuralgic chatbot. meantime blood sugar, thyroid profile and lipid profile also needed and treatment accordingly planned. also nerve conduction study to rule out neuropathy. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your problem description. you are really courageous and self-reliant, that you are looking after your husband who is suffering from alzheimer s disease. surely you will get its worth from the creator. random crying feeling is associated with minute depression. don't be alarmed. you are stressed, over and above distressed. crying is quite normal for people who are distressed. therefore, just ignore this. concentrate on your daily routine, husbands welfare, your family welfare etc., god is with you always. hope this answers your query. available for further clarification. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, tricort has a lot of side effects. injections can occasionally cause some thinning or changes in the color of the skin at the injection site, with stronger preparations. indentation of skin around injection site can occur. triamcinolone in given for alopecia errata is in very low dose 3\u00a0mg/ml and if given carefully(intraluminal by dermatologist) very less or no side effect occurs. in my opinion go for it. hope this is helpful. thanks"
Answer this question truthfully,"Cephalosporins belong to the β-lactam class of antibiotics. This class of antibiotics works by disrupting the cell wall synthesis of bacteria, leading to cell death. β-lactam antibiotics include penicillins, cephalosporins, and carbapenems, and are commonly used to treat bacterial infections such as pneumonia, skin infections, urinary tract infections, and sepsis. However, some bacteria have developed resistance to β-lactam antibiotics through various mechanisms, such as producing enzymes that inactivate the drug or changing the structure of their cell walls to prevent the drug from binding. Healthcare providers may need to use alternative antibiotics or higher doses of β-lactams to treat infections caused by resistant bacteria."
Answer this question truthfully,"Speculum examinations should be avoided in prepubertal girls due to the narrow vaginal introitus and sensitive hymenal tissue, which are caused by low estrogen levels."
Answer this question truthfully,"Many studies have demonstrated that an environment with constant and extreme stress is the cause of psychogenic dwarfism for children. Stress releases hormones in the children's bodies such as epinephrine and norepinephrine, engaging what is known as the ""fight or flight"" response, decreaseing the production of growth hormone (GH), resulting in dyspepsia of nutrients and further affecting growth and development."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, bronchitis is a condition in which the bronchial tubes connecting airway to the lungs become inflamed. various agents like viral infection and bacterial infections may lead to mild inflammation of the bronchial tubes. the patients will have symptoms like edema of the airway, productive cough and breathing difficulty. for patients with bronchitis following measures are advised.1. bronchodilators -i n the form of inhalers or pills.2. corticosteroids- steroids should be given in the form of aerosol sprays. they reduce inflammation and swelling of the lung tissue.3. antibiotics like tab augmenting, 625 mg, in case of bronchitis due to a respiratory infection.4. oxygen therapy is advised where breathing is very difficult. the aforementioned measures will help to improve your husbands condition. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it can take 2 to 3 weeks for a person to regain their normal level of energy after an infection, so you still have a little while to go. it would be best to take rest breaks to allow your body to continue healing and do not push too hard. the pains are not indicative of pleurisy-this is inflammation of the lining of the lung, and it normally presents with chest pain that is worse on taking a deep breath, coughing or laughing. the pains are likely related to muscle strain. i hope this helps"
Answer this question truthfully,"Common risk factors in the development of hepatic hemangioma are: 
Age Female gender Oral contraceptive pills Estrogen based medication Pregnancy"
Answer this question truthfully,"There are two major types of bone marrow transplantation. Autologous bone marrow transplantation involves isolation of HSC from a patient, storage of the stem cells in a freezer, medical treatment of the patient that destroys stem cells remaining in the body, and return of the patient's own stored stem cells to their body. Autologous transplants have the advantage of a lower risk of graft rejection, infection and graft-versus-host disease. Allogeneic bone marrow transplantation involves two people, one is the (normal) donor and one is the (patient) recipient. Allogeneic HSC donors must have a tissue (HLA) type that matches the recipient and, in addition, the recipient requires immunosuppressive medications. Allogeneic transplant donors may be related (usually a sibling) or unrelated volunteers.
A major limitation of allogeneic bone marrow transplantation is a shortage of donors. To avoid rejection of the transplanted stem cells or severe graft-versus-host disease, the donor should have the same human leukocyte antigens (HLA) as the recipient. About 25 to 30 percent of potential HSCT recipients have an HLA-identical sibling. For other recipients, registries of volunteer unrelated donors can be quickly searched in order to find a potential HLA match. If an exact match cannot be found, a partially matched donor can be used. However, the use of mismatched donors may increase the risk of graft rejection or severe graft-versus-host disease.
A compatible donor is found by doing additional HLA-testing from the blood of potential donors. The HLA genes fall in two categories (Type I and Type II). In general, mismatches of the Type-I genes (i.e. HLA-A, HLA-B, or HLA-C) increase the risk of graft rejection. A mismatch of an HLA Type II gene (i.e. HLA-DR, or HLA-DQB1) increases the risk of graft-versus-host disease. In addition a genetic mismatch as small as a single DNA base pair is significant so perfect matches require knowledge of the exact DNA sequence of these genes for both donor and recipient. Leading transplant centers currently perform testing for all five of these HLA genes before declaring that a donor and recipient are HLA-identical.
Race and ethnicity are known to play a major role in donor recruitment drives, as members of the same ethnic group are more likely to have matching genes, including the genes for HLA. 
In the case of a bone marrow transplant, the HSC are removed from a large bone of the donor, typically the pelvis, through a large needle that reaches the center of the bone. The technique is referred to as a bone marrow harvest and is performed under general anesthesia because hundreds of insertions of the needle are required to obtain sufficient material.
Peripheral blood stem cells are now the most common source of stem cells for HSCT. They are collected from the blood through a process known as apheresis. The donor's blood is withdrawn through a sterile needle in one arm and passed through a machine that removes white blood cells. The red blood cells are returned to the donor. The peripheral stem cell yield is boosted with daily subcutaneous injections of Granulocyte-colony stimulating factor.
Umbilical cord blood is obtained when a mother donates her infant's umbilical cord and placenta after birth. Cord blood has a higher concentration of HSC than is normally found in adult blood. However, the small quantity of blood obtained from an umbilical cord (typically about 50 mL) makes it more suitable for transplantation into small children than into adults. Newer techniques using ex-vivo expansion of cord blood units or the use of two cord blood units from different donors are being explored to allow cord blood transplants to be used in adults.
Unlike other organs, bone marrow cells can be frozen for prolonged time periods (cryopreserved) without damaging too many cells. This is necessary for autologous HSC because the cells must be harvested months in advance of the transplant treatment. In the case of allogeneic transplants fresh HSC are preferred in order to avoid cell loss that might occur during the freezing and thawing process. Allogeneic cord blood is stored frozen at a cord blood bank because it is only obtainable at the time of childbirth. To cryopreserve HSC a preservative, DMSO, must be added and the cells must be cooled very slowly in a control rate freezer to prevent osmotic cellular injury during ice crystal formation. HSC may be stored for years in a cryofreezer which typically utilizes liquid nitrogen because it is non-toxic and it is very cold (boiling point -196°C.)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if your doctor believes that this is true infection then an angiogram would help to guide treatment. previous exposure to antibiotics, recent hospitalization and other factors may increase the chances for resistant pathogens, which means that commonly used antibiotics won't probably work. so what you've got to do is to check whether an angiogram has been done and let your doctor decide for the best treatment option. it would be too risky to suggest any treatment right now without the angiogram as it is very likely to fail... i hope you find my comments helpful! kind regards!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori appreciate your concern but let me tell you that the clinical sign and symptoms are great matter if you are asymptomatic then such finding of ultrasonography has nothing to do unless you have some serious problem more over your renal profile you said is also normal then you need not worry about it in chronic renal disease such findings are part of disease, that does not cause the routine disturbances, have a nice day."
Please summerize the given abstract to a title,An Economic Comparison of Influenza Vaccines Recommended for Use in Eligible Adults under 65 Years in the United Kingdom
Answer this question truthfully,"According to the American Academy of Pediatrics, screening tests recommended for neonatal jaundice include blood typing, clinical assessment of jaundice in the newborns, assessment of the total serum bilirubin level, measuring the level of G6PD enzyme. Also, it is recommended for all hospitals to provide information to the parents on jaundice and its consequences."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this can be a form of an intestinal infection causing all these symptoms together. you may need an antibiotic for intestinal infection along with metronidazole and antispasmodic tablets to reduce the pain in abdomen. then observe whether reduction in intestinal symptoms are improving on back pain and belching. if yes continue the treatment for 5 days everything will be alright. if other symptoms are not improving, one has to find the local cause for back pain."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot virtual clinic. i studied your query in all the details put forth by you. i understood your health concerns about the cause of itchy painful lump on your shin. you should not worry about such a lump as its non-cancerous. but you need to consult er surgeon and to fix its cause by physical and lab investigations from many other causes of such a lump. in your case with the facts put up by you, it seems to be due to-either popped up perforator with hematoma, as it gets itchy sometimes, under the skin. any stressful movements with varicose veins with incompetent perforators would cause such a lump or it could be due to bug bite with infection with boil. so don't worry but be on the watch and consult er surgeon if it grows and becomes more painful.-as the with very small duration, i would suggest you to consult an er surgeon and get the physical examination and his second opinion on it. this would help you to plan treatment with your er surgeon. hope this reply would satisfy your query and worry with itf you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to chatbot. welcome for any further query in this regard to chatbot. have a good day. with chatbot. n.m.s. genl-cvts, senior surgical specialist"
Answer this question truthfully,"Patients with borderline personality disorder often have a history of childhood trauma, including physical, sexual, and emotional abuse."
Answer this question truthfully,"The enzyme that utilizes NADPH in the fatty acid synthesis pathway is called fatty acid synthase.

Fatty acid synthase is a multi-enzyme complex that is responsible for the synthesis of long-chain fatty acids from acetyl-CoA and malonyl-CoA. During the synthesis process, NADPH is used as a reducing agent to add hydrogen atoms to the growing fatty acid chain.

NADPH is a crucial cofactor in fatty acid synthesis, as it provides the reducing power necessary to add hydrogen atoms to the fatty acid chain. Without NADPH, the synthesis of fatty acids would not be possible."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","lithium in the form of creams may not cause such serious side effects. i would suggest you to take an ecg/echo to evaluate your cardiac status. lithium may cause cardiac side effects rarely but only on overdose. lithium induced bradycardia can occur as a rare and serious side effect. lithium overdose can be associated with cardiac toxicity, especially in those with underlying heart disease. simple ecg disorders to dysrhythmias, cardiomyopathy and even acute myocardial infarction may occur. hope i have answered your query. let me know if i can assist you further. regards chatbot."
Answer this question truthfully,"Congenital stenosis of vena cava is a congenital anomaly in which the superior vena cava or inferior vena cava has an aberrant interruption or coarctation.
In some cases, it can be asymptomatic."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear serve understand your concerns went through your details. usually sperm is never milky white. it has to be yellowish white or shadowy white. the brownish color could be due to the presence of blood in the semen. do not panic. that is normal. if this reoccurs, do consult a doctor in person. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,"“I Have Nowhere to Go”: A Multiple-Case Study of Transgender and Gender Diverse Youth, Their Families, and Healthcare Experiences"
Please summerize the given abstract to a title,Effect of an antiviral drug control in host COVID-19 kinetics
Please summerize the given abstract to a title,Small Millets for Enduring Food Security Amidst Pandemics
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot! i have read your question, and it says that you have constant severe anxiety symptoms, almost similar to panic attacks for some days now. you have not mentioned if you even underwent treatment for your anxiety? if not, then it is the result of untreated anxiety disorder which has now flared up. i can say from my clinical experience that with medicine these will become much better and finally stop, but you should continue the treatment for some time after that. when i have such a patient, i usually find good response with paroxetine/ venlafaxine, along with mizoram. for sleep, as it is usually disturbed, i prefer collided. with this combination, there is improvement in few days only, and it continues till patients is almost completely at ease. i prefer to increase the medicine slowly, seeing the response. so, please meet a psychiatrist, as this is completely manageable. hope the reply is useful for feel free to ask more questions or clarification if you need"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... welcome to chatbot . i have gone through your query and can understand your concerns... as per your complaint a swelling over the gum of the tooth that has a crown over it seems to be most probably due to re-infection in the crowned tooth and in case of the tooth is root canal treated before crown placement then it is a treatment failure. if it is not root canal treated the tooth may need root canal treatment. if the tooth is not infected then the bump can be due to gum infection leading to formation of gum boil or a gum abscess. there is a possibility that diagnosis is missed in x ray so a repetition of x ray can help. if there is tooth infection root canal treatment or a re treatment if tooth is already treated needs to be done after removing the crown followed by antibiotics and painkillers will relieve. in case of gum infection scaling following by antibiotics and topical application of gum paint will relieve. hope this information helps. thanks and regards. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, silvadene cream can be used on the skin aspect of the penis but not on the glans or the mucosal aspect of the penis. but, it can lead to some skin staining, so it is best to avoid it. the bleeding must be due to the carlo which is causing the blood to ooze easily due to decrease in clotting capability. i suggest just keep the area clean and chatbot.  you can then consult a dermatologist for best advice. take care,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have habit of clenching this causes trauma to periodontal ligaments.  i will suggest you that you consult dentist and go for oral examination if pain is due to dislodge filling then go for restoration if it is due to periodontal problem then go for scaling and curettage.  do warm saline gargle two - three times a day. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, your husband seems to be suffering from what is commonly known as sleepwalking and sleep eating.  technically they are called somnambulism and are a group of sleep disorders known as parasomnias.  it would help to develop a good sleep hygiene and avoid any habits associated with loss of sleep at night and daytime sleeping.  good sleep hygiene handout at this website is helpful - http"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. the history suggests that it can be infected cyst or an abscess or infective collection under the nipple.2. if the antibiotic course has not helped - then needs further evaluation.3. an ultrasound will be best to assess the pathology - it will help in analyzing the nature of the lump, its source and its extensions. at the same time axillary tenderness also can be assessed.4. axillary tenderness will be probably musculoskeletal pain radiating or a lymph nodal enlargement due to localized infection. 5. in this case of infective collection the treatment of choice will be - small incision and chatbot.  good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. even though a personal physical examination would confirm it, from your history this seems to be an inflamed sebaceous cyst not uncommon in the skin of the scrotum. if i were your doctor, i would advise you not to fiddle with it which caused the cyst to get infected and painful, prescribe you with a broad spectrum antibiotic, and an anti-inflammatory with a proton pump inhibitor which should be able to control the infection and the pain symptomatically. once the infection gets controlled, i would advise you to consult a general surgeon for a surgical removal (a minor operation under local anesthetic) of the cyst for a complete cure and prevent recurrent infections. this should permanently solve the problem. however, if the infection does not get controlled at this stage, and an abscess forms, i would advise you for a simple incision and chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
Please summerize the given abstract to a title,Reacting to crises: The COVID-19 impact on biostatistics/epidemiology
Answer this question truthfully,"Cure rates are high with the proper medicine. Patients should get treated before damage to the immune system occurs. Cutaneous leishmaniasis may lead to disfigurement. Death is usually caused by complications (such as other infections), rather than from the disease itself. Death often occurs within 2 years."
Please summerize the given abstract to a title,"The General Surgery Residency Applicant Perspective: Virtual Interviews Limit Current Resident and Faculty Exposure, But Save Money"
Please answer with one of the option in the bracket,E: Treat boyfriend with rifampin
Answer this question truthfully,The initial treatment for hemolytic uremic syndrome (HUS) is plasmapheresis.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. its infective cause in the subcutaneous plane / under skin with collection within.2. first thing you have to do is - do not touch or press or scratch the lumps / lesions, in that way you are only complicating the condition.3.meanwhile you maintain local hygiene, clean the area with the antiseptic liquid, avoid clothing that can cause irritation to that area, use soft clothing until it heels.4. if possible a course of antibiotic would help. if you can see your gp that will be fine.5. if things not getting better, than needs examine and treatment accordingly. good luck. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i carefully passed through your question and would explain that your blood pressure values are within the normal ranges. so, there is nothing to worry about! anyway, considering your family history and blood pressure problems during pregnancy, i would recommend periodically scheduled follow-ups every year with cardiac ultrasound, resting ecg and blood lab tests. monitoring your blood pressure time after time is very helpful to detect possible blood pressure fluctuations. but, for the moment you have no reason to worry about! hope to have been helpful to you! kind regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it sounds like a lipoma in your anterior abdominal wall. it is usually harmless and nothing to worry about. you can have it examined by your gp or a surgeon who can advise you as to what it is and the further course of management. it is difficult to tell what it is without examination. though it sounds like a lipoma(swelling containing fat cells). do not worry and get it checked up to be sure. take care, chatbot."
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,African Swine Fever Virus MGF360-12L Inhibits Type I Interferon Production by Blocking the Interaction of Importin α and NF-κB Signaling Pathway
I have been researching Lewy Body Disease and have a few questions.1) Is this disease hereditary2) Does alcoholism play a role in the beginning process of this disease3) What are the initial symptoms of the diseaseAny information you could forward would be greatly appreciated.,"Lewy body dementia is one of the most common forms of progressive dementia. People affected by this condition may experience a variety of symptoms such as changes in alertness and attention; hallucinations; problems with movement and posture; muscle stiffness; confusion; and/or memory loss. Although the exact cause of Lewy body dementia is poorly understood, symptoms are thought to result when clumps of a protein called alpha-synuclein (""Lewy bodies"") accumulate in the brain. Lewy body dementia usually occurs sporadically in people with no family history of the condition. Rarely, more than one family member may be affected.  Studies of these families suggest that there may be a genetic component to the condition in some cases. Some of these cases appear to be due to single gene mutations that follow an autosomal dominant pattern of inheritance. Other familial cases do not follow a specific pattern of inheritance and likely are associated with the effects of multiple genes in combination with lifestyle and environmental factors. Most cases of Lewy body dementia are not thought to be inherited. There is currently no cure for Lewy body dementia; however, medications may be available to help manage the associated symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot it seems that you are having symptoms of mixed anxiety and depression. hollowness in chest is seen in anxiety. you are having feeling that you need someone to love, emotional pain. many times you just want to break down and cry. these are the symptoms of mild depression. treatment is available in form of medicines like ssri (fluoxetine, paroxetine, sertraline) or sari (duloxetine, venlafaxine), you can consult any good psychiatrist for that. psychological methods like cognitive therapy and behavior therapy are also very beneficial. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your long history of neck problems and the last car accident seems to damaged your neck bones considerably. as you have not mentioned any serious neck injury or fracture diagnosed after the accident it can be assumed that this would have caused a ligamentous strain on an already bad neck. its possible you have severe disc degeneration which can cause these crunching and popping and also block supply to the brain through blood vessels that pass close to these bony projections around the discs. you will need and mri plus a test to check the blood flow in these arteries. if there is a severe block then surgery may be required."
Answer this question truthfully,"The illness usually lasts 4 to 7 days, and most persons recover without treatment. However, in some persons, the diarrhea may be so severe that the patient needs to be hospitalized. In these patients, the Salmonella infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics.
Persons with diarrhea usually recover completely, although it may be several months before their bowel habits are entirely normal. A small number of persons with Salmonella develop pain in their joints, irritation of the eyes, and painful urination. This is called Reiter's syndrome. It can last for months or years, and can lead to chronic arthritis which is difficult to treat. Antibiotic treatment does not make a difference in whether or not the person develops arthritis. Other possible complication is typhoid fever, a more serious disease caused by a certain strain of Salmonella, however, it is not common in the United States, frequently occurring in developing countries."
Please summerize the given abstract to a title,Dear White People.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatdoctorif uterus was removed, years back, then i do not think that on laparoscopy, there would be any active lesion of endometriosis. your doctor wants to rule out any ovarian, tubal or peritoneal pathology. this pathology could be due to chronic pelvic inflammatory disease, or due to scar formation after rupture of any endometriosis cysts, or as a long term complication of hysterectomy itself. after removal of uterus, ovaries stops functioning gradually. your cyclic pains and mood swings could be due to changes in hormonal level.ibs is a diagnosis of exclusion. intestinal symptoms can happen due to scar adhesions on intestine or over momentum. there can be thousands of problems, and it is highly possible that your doctor do not find anything wrong. so i would advise you to not worry too much. once you know your specific diagnosis then you can explore it in depth. best wishes chatbot."
Answer this question truthfully,"People with sickle cell trait may develop splenic infarction in the setting of physiologic stressors such as dehydration, air travel, and sepsis. Sickle cell trait is a genetic condition in which a person has one copy of the sickle cell gene and one copy of a normal hemoglobin gene. While individuals with sickle cell trait do not typically experience the symptoms of sickle cell disease, they are still at risk for certain complications, such as splenic infarction. This occurs when sickled red blood cells block blood flow to the spleen, leading to tissue damage and potentially life-threatening complications."
Please summerize the given abstract to a title,Bacterial co‐infections with SARS‐CoV‐2
Please summerize the given abstract to a title,Occupational Infections among Dental Health Workers in Germany—14-Year Time Trends
Please summerize the given abstract to a title,Geographic Distribution of Disaster-Specific Emergency Department Use After Hurricane Sandy in New York City
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service.  i read your query and here is my answer. is it associated with fever? at what times the cough is more? if you have fever or flu like symptoms and your chest is clear on auscultation or x-ray chest, then it is most likely bronchitis for which you will need to take antibiotics.  but if there is only cough which occurs at nighttime in bed, then it is most likely due to herd, for which you will need to raise bed end, keep a gap of at least 2 hours between meal and going to bed and may need medication. hope i answered your query.  feel free to ask more if you have any doubt. thanks."
Answer this question truthfully,Growth hormone is synthesized in the somatotrophs of the anterior lobe of the pituitary gland.
Please summerize the given abstract to a title,Loss of Reproductive Ability due to Late Application of Young Refugee with Choriocarcinoma During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your explanation is not so clear for me. as you explain, you are under treatment for extrapulmonary tuberculosis (tb). which means that your lungs are clear. it means to me that it has done a lymph nodal biopsy and the result has been tuberculosis (tb). the symptoms of tb are several, but the most common are sweats, a nonfebrile fever, anorexia, chronic cough for pulmonary tuberculosis, weight loss. the duration of treatment varies from six months to a one-year maximum, but it's your treating doctor who decides for this. if you are taking correctly the treatment, you will be cured completely, do not worry. no smoking, no alcohol. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"When a person is standing, pulmonary blood flow is lowest at the apex (top) of the lungs."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... you have not mentioned which gastric problem you have .... you could have referred chest pain .... treat you gastritis or ulcer like condition by strong antacid chatbot. ...for two weeks..... restrict gastric irritants like .../excess spicy /excess tea and coffee / smoking and alcohol / non veg etc.... if your ribs tender to touch it could be costochondirtis for which broken like anti-inflammatory
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. abruptly stopping next will lead to with chatbot.  it should be stopped gradually. regarding the duration of treatment it depends on the past history and severity of the episode. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"Maple Syrup Urine Disease is a rare genetic disorder that affects the body's ability to break down certain amino acids in protein. The condition is named after the characteristic sweet odor of the urine, which smells like maple syrup or burnt sugar. Common symptoms of Maple Syrup Urine Disease include vomiting, poor feeding, and developmental delays. If left untreated, the condition can lead to seizures, coma, and even death. Treatment for Maple Syrup Urine Disease typically involves a strict low-protein diet and close monitoring by a healthcare professional."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint it seems that the area on elbow that had a punctured wound seems to have got infected and swelling and hot sensitivity seems to be due to inflammation caused due to infection. i would suggest you to consult a general physician and get evaluated and in case if there is infection he can advise you a course of antibiotics like augmenting, anti-inflammatory painkiller like ibuprofen or naproxen. you can also be advised to apply a combination of steroid ointment and triple antibiotic ointment over it. do not scratch the area if there is itching as it can cause irritation and increased inflammation. do col compress over it as it will reduce inflammation. keep the area free of moisture and clean. avoid further traumatic injury to the elbow. hope this information helps. thanks and regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, pid means pelvic inflammatory disease, and it could be the inflammation of the fallopian tube along with the uterus and also the inside of the abdominal cavity. infection causes inflammation and when it heals with the help of antibiotics or on its own it leaves behind scarring or in this case adhesions which may occur between the different organs present in the lower pelvic region. these adhesions cause pain whenever the organs are moved due to having sex or any manipulation of the external genital organ. the bleeding post sex need s to be evaluated with the help of a pap smear exam to rule out any cervical pathology. you may visit your gun and get yourself evaluated with the help of an ultrasound to rule out any other pathology. if there are adhesions they need to be freed which can usually be done microscopically or by open surgery if required. do get yourself evaluated. take care."
Please summerize the given abstract to a title,Point-of-Care Diagnoses and Assays Based on Lateral Flow Test
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your medical history carefully and understood your concerns. the burning itching sensation on your lower pelvic stomach area with bumps sometimes is suggestive of a possible allergic reaction (to perhaps insect bites) or fungal infection of pelvis (jock itch). a photo of the affected area will help determine the right diagnosis. apart keeping good hygiene locally, and applying jock itch medicine, lotions and medicine for itching; you need to take oral anti-itching meds (antihistamines). if it won't improve at the end of the week, should consult with dermatologist as you might need prescription meds. wish fast recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your clinical history and query, my opinion is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for contacting chatbot... noted here you are having high blood pressure and taking chatbot. so first your blood pressure needs to get controlled. you have not mentioned it... if it is very high sodium nitroprusside given to control it... if hypertension is long term and not under control then heart failure like cause searched for... it can lead dizziness as brain not getting enough oxygenated blood. if you have tremor or slurred speech stroke look for. ct scan useful for it. for cardiac causes ecg or echo useful. if no cardiac causes present then it could be simple hypoglycemia or inadequate sleep etc. can because. leg elevation needed... rule out anemia also... if it is continuous deteriorating then ct scan needed. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chronic chest pain with chest pressure is seen in heart and lung diseases. heart diseases can sometimes miss on ecg. so better to get done 2d echo and stress test. if both are normal then no need to worry about heart diseases. bronchitis can also cause similar symptoms. so consult pulmonologist and get done clinical examination of respiratory system, put (pulmonary function test) and chest x-ray. pft is needed to rule out bronchitis. chest x-ray is needed to rule out other lung related diseases. so better to first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the symptoms as mentioned in your post can be attributed to"
Please summerize the given abstract to a title,Challenges posed to the psychoanalytic clinic (and its future) in the context of the COVID-19 pandemic: reflections on clinical experience/ Desafios colocados para a clínica psicanalítica (e seu futuro) no contexto da pandemia de COVID-19. Reflexões a partir de uma experiência clínica/ Desafíos planteados a la clínica psicoanalítica (y su futuro) en el contexto de la pandemia de COVID-19: reflexiones desde una experiencia clínica/ Les défis posés à la clinique psychanalytique (et son avenir) dans le contexte de la pandémie de COVID-19: réflexions à partir dune expérience clinique
Please summerize the given abstract to a title,Managing the Oral Health of Cancer Patients During the COVID-19 Pandemic: Perspective of a Dental Clinic in a Cancer Center
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of this nerve root there can be pain in your back. i will advise you to do mri spinor these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am sorry to know about your friends condition. swelling in the kidney (called as hy chatbot.  it usually denotes some block in urine flow, in your friends case, it could have been due to a stone blocking the kidney at the ureter (the tube connecting kidney and bladder). the symptoms of chills and fever, suggest a kidney infection. she needs to consult a urologist urgently. she needs to be started on intravenous antibiotics after taking urine culture test ad checking blood parameters. after a ct (computed nomogram) biography or plain ct, based on the size, location of stone and her general condition, stone removal procedure will be planned. small stones can be removed through natural urinary passage. please get back to me with the ct report. i hope have answered your query. please feel free to ask any further clarification. wish your friend a speedy recovery, warm regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. itching around glans penis is presenting symptom of diabetes. get your blood sugar level test on empty stomach and 2 hours after lunch to rule out the same. consult qualified urologist with reports for clinical examination i person. he would be the best judge to decide about further treatment. maintaning proper personal hygiene by cleaning your genitals with warm water twice daily is equal important to resolve the issue. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. yes, 450 is very high risk and should be reduced.2. there are hereditary disorders with elevated levels of triglycerides. however, at present you are having obesity related hypertriglyceridemia. it's not genetic. evaluation for metabolic syn chatbot. 3. need at least 20 kg weight reduction. regular aerobic exercises is also necessary. at this level, if you are not able to reduce, you can go for ldl apheresis for immediate reduction and future maintenance. medications like vibrates and statins could help, however, at these levels ldl apheresis is necessary. hope it helps. any further queries, happy to help again."
Answer this question truthfully,There is no role for primary prevention in amyloidosis.
Answer this question truthfully,Cranial nerve VII is known as the facial nerve.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"The presence of childhood onset motor and vocal tics lasting for at least one year is suggestive of Tourette's syndrome. Tourette's syndrome is a neurological disorder that is characterized by repetitive, involuntary movements and vocalizations called tics. These tics can range in severity and frequency, and can have a significant impact on a person's daily functioning and quality of life. While the exact causes of Tourette's syndrome are not fully understood, there are a variety of treatment options available, including medications, behavioral therapy, and supportive therapies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there. firstly my dear, your history is incomplete for a definitive opinion to be given. how long ago did this cyst appear i.e. when did it start? is it long-standing? how many days since it began to form an abscess? who visualized it & started you on the antibiotics? what antibiotics were they? what report are you waiting for from your gynecologist? are you a diabetic by any chance or any other medical conditions in the recent past? what medications if any are you on? have you been having regular pap smears being done? can you upload photographs of the area on this site? all this will help us give you a clear & more informed diagnosis & management scheme. off the cuff, i don't think you have anything to worry about, so relax.it appears like an infection of one of the many glands in that area most likely a catholics cyst. i suggest wait for the gone opinion & perhaps all that is needed is a simple excision. i don't foresee any cancer of the region given your history & description hitherto.  am happy you are feeling much better & hope this suggestion has calmed you further. godspeed & take care.all the best for a long fruitful life!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this chronic kidney disease that your mother has and the need of frequent dialysis. increasing the interval of her dialysis sessions would just make things worse by causing a sharp rise in the creatinine levels again. the best way forward is to strongly consider her for renal transplant as this is the single and most effective treatment of this condition. dialysis does help in the short run but very unlikely to be an excellent method for long term purposes. i think her diet is too restrictive, and the doctors should consider increasing her daily calories. i hope this helps. furthermore, i wish her well."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concerned not worry chance of pregnancy is less. you did sex in safe period of cycle (22nd and 16th both are safe period)i pill also highly effective in preventing the pregnancy. i pill contain high progesterone.little bleeding was a progesterone with chatbot. i pill also cause delay in period by the 1-2 week as it cause prolongation of second phase of the cycle. so delayed period could be due to i pill. wait for the periodmeanwhile avoid stress, take healthy diet,"
Answer this question truthfully,"Most of the laboratory workup for dilated cardiomyopathy is usually targeted towards detecting the cause. 
Thyroid function tests Comprehensive metabolic panel Workup for anemia (CBC and iron studies) Urine toxicology screening Some drugs as cocaine and amphetamine increase the risk of dilated cardiomyopathy Genetic screening Usually reserved as the last step. May identify genetic /inherited causes of dilated cardiomyopathy.
Other laboratory investigations may target the severity of the condition or its effect on the cardiac function.
Cardiac biomarkers (troponin and CK-MB) Brain natriuretic peptide (BNP)
Other biomarkers currently under investigation include:
Uric acid (persistently elevated) Osteopontin Serum carbohydrate antigen-125 (Ca-125)  Pro-inflammatory cytokines (as tumor necrosis factor -α and interleukin-6)  Soluble ST2 (sST2): A cytokine released by cardiac fibroblasts and vascular endothelial cells upon biomechanical stress A recent study found that sST2 can predict the risk of heart failure in dilated cardiomyopathy.  Growth and differentiation factor-15 (GDF-15) Showed a negative correlation with left ventricular ejection fraction and a positive correlation with NYHA heart failure class.  Serum immunoglobulin free light chain (FLC) κ and λ Associated with the risk of heart failure and mortality in dilated cardiomyopathy patients."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"Cushing, fybromyaglia, Chronic fatigue my main concern is no treatment and the musclar distrophy effecting my heart, legs feet, shoulders, arms, etc.","Treatments for fibromyalgia include medications and self-care to minimize symptoms and improve general health. Medications can help reduce the pain of fibromyalgia and improve sleep. Common choices are over-the-counter pain relievers such as acetaminophen or ibuprofen. Your doctor might suggest a prescription pain reliever or anti-seizure drugs to reduce pain, antidepressants that may help with the pain and fatigue, muscle relaxants to help with sleep.  Different therapies can help reduce the effect that fibromyalgia has on your body and your life.  A physical therapist can teach you exercises that will improve your strength, flexibility and stamina.  An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body. Talking with a counselor can help strengthen your belief in your abilities and teach you strategies for dealing with stressful situations."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, i understand your concern. regarding your symptoms you could have early symptoms of lyme disease. lyme disease has early signs and symptoms and later signs and symptoms. the early once appear within a month and include rash on the place where you have been bitten and flu like symptoms. so if you've been bitten and experience signs and symptoms of lyme disease, contact your doctor immediately. treatment for lyme disease is most effective if begun early. however, diagnosis can be confirmed by elisa for egg against cordelia and can be confirmed by a western blot test. thank you."
Please summerize the given abstract to a title,CONQUEST Quality Standards: For the Collaboration on Quality Improvement Initiative for Achieving Excellence in Standards of COPD Care
Answer this question truthfully,Symmetric aching in a belt-like distribution is characteristic of musculoskeletal (MSK) back pain.
Answer this question truthfully,The inactivated influenza vaccine results in humoral (antibody) response to the hemagglutinin antigen.
Please summerize the given abstract to a title,A Phenomenological Study of COVID-19's Impact on U.S. Nursing Personnel
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, what i understand from the history is that you have got motor weakness and pain in hand. i suspect this to be a spinal nerve root entrapment in the cervical spine region. taking an mri scan of the cervical spine will help us to understand the soft tissue changes in the cervical spine and allows guiding you with proper set of exercises for strengthening the upper limb and the neck muscles.  also, i will advise you to use soft cervical collar to avoid any kind of entrapment happening. in my clinical practice for a 12 years most of the people with nerve root entrapment have complained with reduction in the hand motor functions and pain in the hand region. most of the patients respond well to soft collar hot water fomentation and neck exercises. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,A major complication of thoracic aneurysm is dilation of the aortic valve root resulting in aortic regurgitation (insufficiency).
Answer this question truthfully,The minimum fragment necessary for biologic activity of gastrin is the C-terminal tetrapeptide.
Please summerize the given abstract to a title,Investigation of Nasal/Oropharyngeal Microbial Community of COVID-19 Patients by 16S rDNA Sequencing
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot i have gone through your query and understand your concern. she may be having frozen shoulder, vitamin and mineral deficiencies specially vitamin d3 deficiency. she needs investigation by blood sugar fasting, t3,t4 and tsh and vitamin d3 deficiency. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that your antihypertensive therapy does not seem to be effective in controlling your blood pressure values.  for this reason, i recommend consulting with your attending physician as soon as possible and discussing the possibility of increasing the doses or adding new antihypertensive chatbot.  it is also important performing some blood lab tests in order to exclude any possible metabolic disorders (complete blood count, pcr, esr, kidney and liver function tests, blood electrolytes, thyroid hormone levels).  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","the prognosis depends on how long the cpr was given and after what time the doctors were able to restart the circulation of blood and what are the vitals post cpr (considering an already weak heart).  the more time it took to restart the circulation the worse the prognosis. the reason for comma after cpr can be many, the most important being hypoxic damage to the brain (damage due to lack of oxygen) if that is the case the prognosis is not good. giving at least 48 hours post cpr will give us clear idea about the recovery and chance of reversibility of coma. do send me more details for a more objective evaluation.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, usually, pain can arise due to vascular insufficiency. but then if the pain is on one side, and we would like to know the nature of pain - like sharp shooting, numbing, tingling etc. you didn't mention the age of your daughter which would have provided more insights into history. well, this pain can even be trigeminal nerve inflammation as during the inflammation of such nerve it is difficult to bear the pain. having met up to a neurologist and a proper physical examination should do help us for diagnosis. also, one thing more was missing from the history was done your daughter undergo any dental procedure recently?  hope i have answered your query. let me know if i can assist you further.  jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. there are many causes of large rbc. b12 or folic acid deficiency is common cause. alcoholism or liver disease may lead to large rbc. go for complete liver function test. many people have large rbc without any known causes. you should also check your sugar level. consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear, we understand your concerns went through your details. your doctor said you are perfect and there is no health issues. you don't need to get your prostrate checked. the frequent urge to urinate after specifically intercourse, is due to inflammation of the urethral opening and glans. this is a common phenomenon. why are you so worried about it? please go slow with sexual intercourse. penetrate only if you and your partner are ready for the intercourse. get the genital organs properly lubricated. for the time being, wash your penis glans with warm water many times a day. you will be alright. if you require more of my help in this aspect, please use this url. http"
Please summerize the given abstract to a title,Two-Port Fetoscopic Repair of Myelomeningocele in Fetal Lambs.
Answer this question truthfully,"Apocrine glands are a type of gland found in the skin that release membrane-bound vesicles containing the secretory product. These glands are found in areas such as the armpits, groin, and nipples. When the gland is stimulated, the vesicles containing the secretory product are released into the duct of the gland and then onto the surface of the skin. The secretory product of apocrine glands is often a mixture of proteins, lipids, and other substances, and can be involved in a variety of functions such as thermoregulation and pheromone production."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are taking adverse, albuterol puff with oxygen, it is a very good asthma treatment what your doctor is giving. you have also dm'd and htn with your age 72 years. if your doctor is giving oxygen then you might also have chronic bronchitis and there is no alternative to oxygen when you are having breathing difficulty even at slight exertion. there are other potent steroids inhalers available in market with antiallergic chatbot. you can discuss it with your pulmonologist."
Please summerize the given abstract to a title,Viral Filtration Efficiency of Fabric Masks Compared with Surgical and N95 Masks
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the injury you sustained can lead to quite a lot of pain even though your x-ray was normal. this is due to soft tissue injury and hematoma which is a collection of blood that spreads in the surrounding tissues. this will cause a lumpiness to develop in the area which can be very sensitive. it will return to normal, but this may take a few weeks. in the meantime, take paracetamol and ibuprofen for the pain and swelling. you may benefit from sitting on a padded support under your tailbone. avoid activities which make the pain worse. i wish you a speedy recovery.  chatbot."
Please summerize the given abstract to a title,"Race, power, and policy: understanding state anti-eviction policies during COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi & welcome. i appreciate your concern for your beloved wives result. positive cmv egg result indicates past or recent cmv infection. she may transmit cmv to the growing fetus through blood and tissue products. a non-reactive cytomegalovirus (cmv) igm results suggest that the patient is not experiencing a recent infection. however, a negative result does not rule out primary cmv infection. the cmv igm and egg results should not be used alone to diagnose cmv infection. results should be considered in conjunction with her clinical presentation & history and other laboratory findings.  in cases of suspected disease, the testing should be repeated in 10 to 14 days. hope to have answered your query."
Please summerize the given abstract to a title,A systematic literature review on AAOIFI standards
Please summerize the given abstract to a title,Broad-Spectrum Antiviral Activity of the Amphibian Antimicrobial Peptide Temporin L and Its Analogs
Answer this question truthfully,Chronic pancreatitis is the type of pancreatitis that is characterized by atrophy and dystrophic calcification of pancreatic parenchyma on imaging.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. these symptoms are seen when there is a nerve compression or indenting on the chord.2. but your symptoms are not that severe, a simple back exercise will help to get relief from the pain.3. try for few weeks on daily basis, lie on a flat bet and maintain position always.4.if it does not work, get an x-ray to see the bony pathology. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query. based on the facts that you have posted it appears that your five years old daughter has uti and has been taking antibiotics since one week, the high colored urine she is passing could be due to medication that she is taking or due to concentrated urine due to less water intake. there is nothing to be worried about. please continue taking antibiotics and give her more water to keep her urine dilute.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, possibilities include"
Please summerize the given abstract to a title,Risk factors for psychological distress in electroencephalography technicians during the COVID-19 pandemic: A national-level cross-sectional survey in Japan
Please answer with one of the option in the bracket,A: Heroin
Please summerize the given abstract to a title,[Mental Health Status and Its Influencing Factors among College Students during the Epidemic of Coronavirus Disease 2019:A Multi-center Cross-sectional Study]
Please summerize the given abstract to a title,The use of respirators and its impact on the COVID-19 pandemic in Europe between 1 June and 14 October 2020
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, alcohol worsens psoriasis. moreover, you are on accretion which causes burden to your liver for excretion. that is why liver function tests are monitored when you are on accretion. alcohol will add the burden to liver. i would not recommend you to take alcohol. why should you spoil the psoriasis control just or 1 day of chatbot.  wish you good health and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history. as per the history it looks to me that post wreck injury the bodies protective mechanism has started and to safeguard the joint, the muscles have gone into spam and contracture for time being. i will advise you to wait till the cast is removed post which with physical therapy your son will regain the full elbow functionality. this is a common reaction and there is nothing to worry. regards jay in chatbot."
Answer this question truthfully,"Fluoroquinolones are a class of antibiotics that are avoided during pregnancy due to their potential to cause cartilage damage. Fluoroquinolones are a type of antibiotic that are commonly used to treat bacterial infections. However, these antibiotics are generally not recommended for use during pregnancy due to concerns about their potential effects on the developing fetus. Studies have suggested that fluoroquinolones can cause damage to the cartilage in developing joints, which can lead to permanent joint problems. As a result, other antibiotics are typically recommended for pregnant women who require treatment for bacterial infections."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient you have a condition called superficial phlebitis which is a rare complication of an iv line placement. steroid injection is generally not recommended in such cases. the treatment is1) aspirin 75\u00a0mg once a day to prevent further and deep clot formation2) ibuprofen 800\u00a0mg twice a day for the pain and swelling3) heparin gel at the area4) arista injection to break the clot# please be advised that point 1 cannot be taken with points 3 or 4 as it can lead to internal bleedinggenerally arista is given followed by aspirin after 2 weeks5) hot fomentation and/ or compression bandages hope it helps
"If you are a doctor, please answer the medical questions based on the patient's description.","helloyour report may suggest almost normal findings.got is marginally raised. its normal range is 7-40 u/l. it is a non-specific finding, and it increases in many conditions.sgpt is normal. its normal range is 5 -50 u/l. it is specific for liver injury. your symptoms may be due to recent fever. you will be alright with time.however, you need proper clinical correlation. get well soon. take care chatbot."
Answer this question truthfully,"Leukoplakia is primarily managed with biopsy. A biopsy involves taking a small sample of tissue from the affected area and examining it under a microscope to look for signs of abnormal cells or cancerous growth. Depending on the results of the biopsy, further treatment may be necessary, such as surgical removal of the affected tissue or close monitoring to detect any changes over time. It is important to manage Leukoplakia properly, as it can be a precursor to oral cancer in some cases."
Please summerize the given abstract to a title,Coping by the healthcare workers during COVID-19 pandemic in developing countries - A review
Please summerize the given abstract to a title,Pyrethroid-linked resistance allelic mutations by molecular analysis in wild human head louse (Phthiraptera: Pediculidae) populations from schoolgirls of South Iran
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot for your medical questions. i am sorry to hear about your wife who has seizures. most of the time we do not know the cause. sometimes the cause is a prior injury to the brain like a concussion. but most of the time whenever find the answer to the cassette treatment is to take anti-seizure medications. your neurologist will choose one that will control her seizures. this may take several days to a week to get adequate blood levels. once her levels are stable then she should be controlled and able to have a normal life. she still needs to keep regular visits with her doctors and have regular blood work. hope i answered your question. please feel free to contact us again for you medical concerns and questions
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some benign cyst like catholic cyst or some tumor.  you should go for per specular examination.  if needed go for excision biopsy and histopathological examination. then you should take further treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Neurofibromatosis type 1 (NF1) is the neurocutaneous disorder that is associated with cafe-au-lait spots, cutaneous neurofibromas, and Lisch nodules. NF1 is a genetic disorder that affects the nervous system and causes tumors to grow on nerves. Cafe-au-lait spots are light brown skin patches that are often the first sign of NF1 and can appear anywhere on the body. Cutaneous neurofibromas are small, benign tumors that can grow on or under the skin. Lisch nodules are small, harmless nodules that can appear on the iris of the eye. Other symptoms of NF1 can include learning disabilities, scoliosis, and high blood pressure."
Please answer with one of the option in the bracket,B: 5-hydroxytryptamine type 1 (5-HT1) receptors
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. your current may occur due to following in given hierarchy"
Answer this question truthfully,The order of the following variables in zone 1 of the lung is PA > Pa > Pv.
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient your father has got rapidly spreading cellulitis possibly with abscess formation. he needs urgent attention as swelling is rapidly increasing. take him urgently to hospital and get him admitted.  he needs course of intravenous antibiotics and ultrasound of local part to rule out abscess formation. if abscess is seen under ultrasound incision and chatbot.  do not take more time and shift him to hospital. all the best.
Please summerize the given abstract to a title,Multi-institutional Collaborative Surgery Education Didactics: Virtual Adaptations During a Global Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. i studied your problem in depth and i understood your concerns. treatment for the lump on the back of the head-in my opinion your husband has not on right side of back of head, due to the boil, which is causing a lot of headache. the infection in it is causing raised bp and or gastritis leading to nausea he has. treatment suggested would be-treat the infected knot on the back of the head, by antibiotics under er surgeon. tab antacid (proton pump inhibitors)for to control nausea. this would resolve the issues you had. for this you need to consult er surgeon ugly. this advice is based on the facts from the history you give and needs further clinical check. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. hope this would relieve your problem. welcome for any more query in this regard to chatbot. write good resume and click thanks if you feel satisfied with my advice. have a good day. chatbot. n."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"The presence of headache, fever, and focal neurological deficits or seizures following an episode of otitis media is suggestive of a brain abscess. A brain abscess is a rare but serious condition that occurs when pus collects in the brain, usually as a result of an infection that has spread from another part of the body, such as the ear or sinuses. Symptoms of a brain abscess can include headache, fever, and neurological deficits such as weakness or seizures. Diagnosis typically involves imaging studies such as MRI or CT scans, and treatment may involve antibiotics and surgical drainage of the abscess. Early diagnosis and treatment are important to prevent serious complications such as brain damage or meningitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, welcome to chatbot, thanks for your question. it is highly unlikely that the sweeping in your left little finger is caused form your cervical spine. cervical spine compression would cause pain or numbness or burning sensation or weakness in your fingers. but never compression in cervical spine has not been associated with swelling in fingers. i would suggest you to be seen and be examined by an orthopedic surgeon or hand surgeon to get yourselves evaluated for other cases of finger swelling. hope this answers your question. all the best. thank you. with best regards.  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. anxiety is a state of mind. it is not a disease but a disorder. anxiety is fear of a subject or object non-existing. simply said, it is a fear of the fear. many researches and researchers confirm that medicines alone cannot cure mental disorders. lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. psychotherapy can help you to change your lifestyle and thinking patterns. yoga and meditation help you to streamline your metabolism and neurological balance. please consult a psychologist for further information. if you require more of my help in this aspect, please post a direct question to me in this url. http"
Please summerize the given abstract to a title,Wichtigste Impfungen bei Patienten mit rheumatologischen Erkrankungen und warum
Please summerize the given abstract to a title,"'Distant socializing,' not 'social distancing' as a public health strategy for COVID-19"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello against muscle cramps are very common in females my advice for youtube plenty of water, fluid intake will dilute toxins. physiotherapy with ultrasound and tens will help you, yes you can do exercises like swimming, riding stationary bicycle, but do not overexert yourself. take potassium rich diet. hot and cold fomentation to leg. you need to continue you medication for a couple of month to see effects. add tab methylcobal 1500 once day. nerve compression can be seen on mri which may lead to leg pain. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take carhop i have answered your query. i will be available to answer followup queries. if you are satisfied with the answer, please give your review at the end of the discussion."
Please answer the letter of option truthfully,A
Answer this question truthfully,"Mammographic calcifications can be associated with several benign conditions, including sclerosing adenosis (fibrocystic change) and fat necrosis. Sclerosing adenosis is a condition in which the glandular tissue of the breast becomes more dense and fibrous, which can sometimes lead to the formation of small, calcified areas. Fat necrosis, on the other hand, is a condition in which the fatty tissue of the breast becomes damaged or dies, often as a result of injury or trauma. This can also sometimes lead to the formation of calcifications that may appear on a mammogram. While these conditions are generally benign and do not require treatment, the appearance of calcifications on a mammogram may sometimes warrant further investigation to rule out the possibility of breast cancer."
Answer this question truthfully,The transpulmonary pressure across the lungs is calculated as the alveolar pressure minus the intrapleural pressure.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. you may have some inguinal lymph node enlargement.  it may be due to tuberculosis with supra added abscess formation.  or it may be some other inflamed lesion.  you should go for fine needle aspiration cytology and culture of that material.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Although no studies have been conducted to determine how common this disorder is, it is thought to be about as common as learning and reading disorders.
This disorder appears by itself or along with other learning disabilities, such as:
Developmental coordination disorder Expressive language disorder Mathematics disorder Reading disorder"
Please summerize the given abstract to a title,"Challenges for malaria surveillance during the COVID-19 emergency response in Nampula, Mozambique, January - May 2020"
Answer this question truthfully,Athletes are a demographic that are at risk for Tinea (ringworm) infections.
Please summerize the given abstract to a title,An innovative and authentic way of learning how to consult remotely in response to the COVID-19 pandemic
Please summerize the given abstract to a title,Patients’ perceptions regarding multidrug-resistant tuberculosis and barriers to seeking care in a priority city in Brazil during COVID-19 pandemic: A qualitative study
Please summerize the given abstract to a title,Impact of COVID-19 on the indigenous population of Brazil: A geo-epidemiological study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatbot. allergy, cold, running nose, blocked gustation tube and serous otis media are all due to allergy response. so only augmenting won't help. you can try out antihistamine like levocetrizine, nasal spray(alone twice daily for both nostrils), enzymes like lysogenic plus and montelukast (i prefer singular 5 mg) once daily after discussion with your doctor and this will help him along with steam inhalation and chewing gum(to open gustation tube). get back with the result after a week of using this for discussion on next line of management. hope i answered your question. consult your doctor for further examination and management. feel free to ask me if you have any further queries. wish you good health. take care. regards"
Answer this question truthfully,Eyelid tenderness Increased tearing Painful swelling on the eyelid Sensitivity to light
Answer this question truthfully,What is an example of a drug category listed in the Beers Criteria that can increase the risk of anti-cholinergic activity? An example is antihistamines and GI antispasmodics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. paracetamol (cronin) syrup 15 mg/kg body weight every 4-6 hourly depending on the gravity of fever. tepid sponging along with medicine 3-4 times daily help in reducing fever quickly. if it is viral fever it subsides within 3-4 days.otherwise she needs pediatricians consultation for diagnosis and treatment. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
Please summerize the given abstract to a title,Elevated Humoral Immune Response to SARS-CoV-2 at High Altitudes Revealed by an Anti-RBD “In-House” ELISA
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Answer this question truthfully,"In the DORV, the aorta and the pulmonary artery are related to the morphologic RV. There are three essential gross morphologic features that allow the many variants to be distinguished:
The most common combination is the side-by-side relationship of the great arteries, with the aorta directly to the right and with the VSD in the subaortic location.
The LV blood selectively enters the aorta because of the proximity of the VSD to the aorta.
In the absence of pulmonic stenosis, the physiologic consequences are similar to those of an isolated VSD.
A low pulmonary vascular resistance PVR permits RV blood to flow almost exclusively into the pulmonary trunk and permits a substantial portion of the left ventricular blood to enter the pulmonary circulation.
Aortic O2 saturation is normal, and pulmonary artery (PA) blood flow is increased.
The Taussig-Bing anomaly involves the same great vessel relationship, but there is a subpulmonic VSD.  
LV blood selectively enters the pulmonary trunk because of the proximity of the subpulmonic VSD to the pulmonary artery (PA).
Accounts for approximately 8% of cases."
Answer this question truthfully,"Complications may develop among patients who develop Legionnaires' disease. Complications may include: 
Empyema Emphysema Lung failure Acute kidney injury Endocarditis Peripheral neuropathy Severe sepsis, septic shock, and multiorgan failure
In contrast, Pontiac fever is not usually associated with any complications."
Answer this question truthfully,The IVC perforates the diaphragm at the level of T8.
what is acute diverticulitis,"Diverticula are small, bulging pouches that can form in the lining of your digestive system. They are found most often in the lower part of the large intestine. Usually diverticula seldom cause problems; however, if one or more of the pouches become inflamed or infected, they can cause sever pain, fever, nausea, and a marked changed in your bowel habits. This is known as diverticulitis. Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Severe or recurring diverticulitis may require surgery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. yes you should visit er. as per your history and presentation of symptoms there is probability of heart disease. you need to do stress test as soon as possible, if it suggests insufficiency then angiography may be required. you can do blood markers like trophy, and climb. if all reports are normal then there can be nerve compression in spine, so you may need mri spine. till time take cardio protective medication like beta blockers consulting your doctor and take complete bed rest. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care"
Please summerize the given abstract to a title,A Pencil-Lead Immunosensor for the Rapid Electrochemical Measurement of Anti-Diphtheria Toxin Antibodies
Please summerize the given abstract to a title,Population Bottlenecks and Intra-host Evolution During Human-to-Human Transmission of SARS-CoV-2
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query regarding treatment for back pain & headache. i can understand your concern. dear, your age 50 has nothing to do with your pains . it seems that your problem may be due to your inadequate posture, inactive lifestyle, and faulty food habits. and in turn, your weakened immunity pain can occur due to many reasons, is often caused by an over exertion, in wrong posture , weakening & over-stretching of the muscles between the shoulder blades. this is often as a result of spending too long, too often with your head in the position akin to reading a book that is on your lap. every day, we are bombarded with toxins in our environment and in our food which is why detoxification is such a critical process in your body. if the detox process is hindered, toxins will build up in your body eventually causing acidity and toxemia. these are the root causes of nearly all diseases. i would like to suggest you to avoid processed foods carbs, sugar, fried, fast foods, tea, coffee, alcohol and smoking, sleeplessness stress and constipation. all produce biochemical and metabolic conditions in your body that will decrease your immunity, so avoiding is definitely first step in the right direction to detoxing the body, boosting the immune system . there is another prominent factor is, gas in our body which causes pains and other symptoms as vomiting etc. to alley pains, modification in your lifestyle, food habits, is necessary -include healthy diet as fiber, vitamins minerals, cheese, milk, supplements full of antioxidants, in natural form --fruit, green veges, lemon juice with water and salt and pepper before meals, ginger, garlic, aloe vera 30 ml, amla, turmeric powder a level spoon + almond oil a spoon with hot milk, at bedtime, with required work out ---- there is no better option than physical exercise. walking, yoga - random is the best exercise to begin with, also gives you well shaped body & sound mind and increases your immunity giving resistance from diseases. albove regimen helps gain resistance from nearly all health problems assuring you disease free life take homeopathic nun com 30 a dose in the evening and chamomile 30 / 1 dose at bedtime. always remember, if pain is severe or incapacitating, please see your doctor / professional hope this helps solves your query. take care. all the best. get well london hesitate to come back in case of any further query."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome thanks for consulting chatbot, i have gone through your query, as you have mentioned that you have bad teeth, plaque on teeth, for this you should do proper brushing twice daily do chlorhexidine mouthwash twice daily to prevent bad breath and go to dentist for oral prophylaxis as you have mentioned that you have plaque on your lips for this you should go for local examination to dentist for proper diagnosis, maybe it can be traumatic keratitis, or and white lesion that you are thinking of plaque or if it is plaque go for scaling and root planning hope this will help you.  wish you good healthregards"
Please summerize the given abstract to a title,A close-up on COVID-19 and cardiovascular diseases
Please summerize the given abstract to a title,Diarrhées et infection à VIH
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, disorientation is also apparent in your query as you are not able to convey your problem clearly. sometimes person has derealization and depersonalization in which such symptoms can develop. for that you can meet psychiatrist for evaluation of cause of this phenomenon. anxiety, depression, vitamin/other nutrient deficiency and hormonal imbalance can also present with such symptoms.  i hope this information has been both informative and helpful for you. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. i have few questions for you -1. has your son stopped bed-wetting at certain age and again started having it2. if so at what age he stopped and when did it started he had never stopped bed-wetting form birth...you can try some behavioral changes which i can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. if it's a recurrence after attaining nighttime control, i suggest you see your pediatrician to rule out pathological causes like urinary infections or voiding dysfunction. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Answer this question truthfully,Congenital GnRH deficiency presents with decreased secretion of FSH and LH hormones.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
Please summerize the given abstract to a title,"Prevalence and contributory factors of anxiety and depression among pregnant women in the post-pandemic era of COVID-19 in Shenzhen, China."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand that you have been dealing with problem of acne for a long time. key is in maintenance, acne can be due to multiple causes and be of various type. if you do not have active pimples now but have marks opt for retinoid acid 0.025% at night, and do not forget to use a sunscreen in the daytime suitable for your skin type such as uncross aqua gel or an solar. as a procedure you can opt for chemical peels or monotherapy targeted to reducing skin pigmentation. have vitamin c rich fruits and meet a cosmetologist who can explain you further about these procedures and assess your skin. take disregards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","1. side effects are very few-vomiting, gastric upset, diarrhea, headache etc. and are rare and mild.2. dose- 2 tablets daily3. duration 3 months because sperm production needs 3 months.4. utility- whether it is effective in improving sperm count or not is not clearly known. in some men it works and in some men it fails. its unpredictable. but even ugh it dies nit work, even with zero sperm count we can treat patients and give hi baby. pls read-"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatdoctorcontinues hairball in a boy of your age most probably points towards an chatbot. . it is a genetically determined multifactorial disorder characterized by the gradual conversion of thick terminal hairs to thin hairs and finally baldness... as male hormones play a major role in its onset,i personally feel that you should tackle it both by lifestyle modification and medications... as per your query, i would like to talk about the natural health practices"
Answer this question truthfully,Fatal cardiac arrhythmia is the most common cause of death in tricyclic antidepressant overdose cases.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint swelling and tenderness at the site of wisdom tooth extraction that too after one and a half week can be either due to infection at the site of extraction, any left out root piece that is getting flared up and painful while it can also be due to formation of chatbot. . i would suggest you to consult your treating physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis and treatment will be done accordingly. as of now do cool compresses over swelling, take ibuprofen for pain and do warm saline gargles. take a soft diet. hope this information helps. thanks and regards."
Please summerize the given abstract to a title,High-Throughput Monoclonal Antibody Discovery from Phage Libraries: Challenging the Current Preclinical Pipeline to Keep the Pace with the Increasing mAb Demand
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. it could be any viral erythematous illness. but as you quote them as itchy blisters - the possibilities are hand foot mouth disease/ chicken pox/ any other trivial viral exanthem. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctorabdominal pain that you are having could be nonspecific if all the test turned unremarkable, sometimes emotional stress could be the reason for this, if i would be your treating physician then i would treat this case with the following medicines, if this fails to respond then this can be further investigated and mri gastrostomy would be advisable,1) tab clinician with chlordiazepoxide three times in day take care and have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear- i reviewed your concern and will give you my advice. you might have scar tissue from prior surgery. other possibility is endometriosis, which can cause pain with radiation to the back. due to the fact that you have the pain around the ovulation time, other possibility is an ovarian cyst. the best way to find out is to have a pelvic ultrasound. i hope that my advice has been helpful chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the spine as you know is a set of small blocks of bones arranged one on top of the other to form a pillar support for the body. now these blocks of bones and connected to each other by spongy cushions called discs between them. at the posterior part of the pillar and behind the discs we have the spinal cord running down from the neck to the tail region. in your report, the disc at l4-5 (lower back) is showing some degenerative changes. further there is a slight increase in the posterior transition of the disc at that level. at l5-s1 level, the disc might have got fragmented due to degenerative process. for you, it means that if the pain is severe and unbearable, please let your doctor know, and they will guide you towards a pain free future. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, ccq is a very good chatbot.  it helps in increasing the size and number of eggs. it increases the chances of pregnancy. when egg size will reach 17 or 18 mm, you will get one injection for rupture, and then you have to be in contact with your husband for next 2 to 3 days. you should also take progesterone after that for 2 weeks. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, aliment (olanzapine) is an atypical antipsychotic medication prescribed to treat a variety of mental disorders such as schizophrenia, depression, and bipolar disorders. its common side effects include postural hypotension, weight gain, sleepiness, abnormal muscle movements, increase in body fat and cholesterol, chatbot.  if limit is stopped suddenly symptoms like sweating, unable to sleep, tremor, anxiety or nausea and vomiting might occur.  so, its dose should be gradually reduced before stopping the treatment. hope i have answered your query. let me know if i can assist you further. take care"
Please summerize the given abstract to a title,Bio-alcohol induced self-assembly of heterojunctioned TiO2/WO3 composites into a hierarchical yolk-shell structure for photocatalysis.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are mostly having muscular spasm related pain. you are having intermittent pain and this is characteristic of muscle spasm. calcium and magnesium deficiency can cause intermittent muscle spasm. so first get done calcium and magnesium levels. if deficiency then you need supplements. also avoid heavyweight lifting and strenuous exercise. avoid movements causing pain. avoid bad postures in sleep. take muscle relaxant when chest pain occur. application of warm water pad on affected areas is also beneficial. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query in my opinion it is muscular pain as pain occurred after gym. rest and analgesics(diclofenac/ ibuprofen) is its treatment. sometimes vitamin d deficiency can cause this so serum vitamin d test is advised if it is lower than vitamin d supplementation will be required. avoid long continuous standing. sit in a straight posture. eat milk, fruits and green leafy vegetables daily. you need to do mri to rule out other causes. i give local triamcinolone injection to my such patients. consulting with your treating doctor is advised. i think your query answered."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting in chatbot. i understand your concern. there are multiple causes of high blood pressure, and they need to be investigated thoroughly before changing medications. i can help you understand the type of medications you are taking and how they are treating you. mainly you will need to have about two medications for hypertension to be started now and then change it two weekly if it is uncontrolled. till then, you can start taking increased amount of green tea daily, avoid alcohol or smoking etc., reduce your stress levels and get your fresh investigations done especially rats and share with me so that i can help you and also state the type of medicines you have used so far. i hope you will understand the importance of medicines and investigations for me to decide for you. get well soon and don't miss the medicines your doctor advised you until you are advised not to take."
Please summerize the given abstract to a title,"Permeability of abortion care in the Netherlands: a qualitative analysis of women’s experiences, health professional perspectives, and the internet resource of Women on Web"
Answer this question truthfully,Ceftriaxone is the drug of choice for treating gonorrhea.
Answer this question truthfully,"When viewed under a microscope, Aspergillus hyphae have acute (<45°) angle branching and are divided into segments by septations. This gives the hyphae a distinctive appearance that can be used to identify the fungus. Aspergillus is a type of opportunistic fungus that can cause infections in humans, particularly in people with weakened immune systems. It is commonly found in soil, water, and decaying plant matter, and can be spread through the air by spores. In humans, Aspergillus infections can cause a range of symptoms, depending on the type of infection and the location of the fungus in the body. Treatment typically involves antifungal medication and supportive care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. understand your concern.i advised that don't start new pack because it can more delay in your period or missed period. look pills have failure rate 0.5-1%, so first you wait or do upt test & confirm you are not pregnant.in earlier stage, in some women spills delay periods, so don't worry, may b its just side effects & you got your periods in 3-4 days. if after that it's not solved, then consult your doctor & do usg or hormonal test in absence of pregnancy period can be induced by using higher dose of progesterone like me chatbot. do regular exercise and reduce weight. in pcs, reduce 10 % weight help in regularize the period. you can also start metformin and spironolactone to regularise the period in pcs after consulting the gynecologist.hope this may guide you. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello it is not clear why methadone has been prescribed to you. muscle relaxants are prescribed when there is painful muscle spasm due to sprains or arthritis in spine when muscle stiffness and pain are predominating symptoms. if you are getting weakness i legs, you may lower the dose or stop it and rely more on heat, physical therapy and local application of muscle relaxant gels to neck or back whenever it's paining with muscle spasm or stiffness. if very necessary, soma(carisoprodol) is an alternative. consult an orthopedic doctor for prescription best wishes"
Answer this question truthfully,"Doxorubicin is an anti-neoplastic agent that is known to be associated with dilated cardiomyopathy. This condition is characterized by the enlargement and weakening of the heart muscle, which can lead to heart failure and other complications. Doxorubicin is a medication that is commonly used to treat various types of cancer, including breast cancer and lymphoma, and it works by interfering with the DNA of cancer cells, preventing them from dividing and growing. While doxorubicin can be an effective medication for the treatment of these conditions, it can also cause side effects such as dilated cardiomyopathy. Patients taking doxorubicin should be monitored for signs of this condition, which may include shortness of breath, fatigue, and swelling of the legs and ankles. If dilated cardiomyopathy is suspected, treatment should be initiated promptly to prevent complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, ive never read anywhere about acute renal failure caused by tokamak! it can cause liguria sometimes which means a lower urine volume, which under certain circumstances may aggravate renal function and lead to acute renal failure (for example"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query.  the information given is very less. there's no mention what are symptoms, no details on blood glucose levels & hbac1% and present treatment. however, to control neuropathic pain strict blood glucose control is very essential. plus either gabapentin or pregabalin needs to be taken. plus methylcobalamine, folic acid & linoleic acid combination like mego - xl once a day for about a month should be taken. this will help in pain relief. thanks"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatdoctoryou are concerned that you may have transmitted a viral illness to your partner. to transmit an illness to someone you must have been ill too. if you have been well for the past 2 -4 weeks then you could not have transmitted to him any illnesses. but be aware that anytime that you are kissing or intimate with anyone there is always a chance of transmitting a virus illness like a cold or flu. this is all part of the human condition and should not alarm you in any way. hope this answers your question. please contact us again with your medical concerns and questions
Please summerize the given abstract to a title,Rapid Spread and Control of Multidrug-Resistant Gram-Negative Bacteria in COVID-19 Patient Care Units
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, are you delayed in menstruation this month? your symptoms are similar to that of an early pregnancy. but just by looking at symptoms cant confirm pregnancy. taking a pregnancy test would confirm whether you are pregnant or not.  if you are not pregnant according to your symptoms urinary tract infection is also a possibility. but you need to do a urine full report to say definitely. if ufr is positive you need antibiotics.  if pregnancy test comes as positive it is better to do an ultrasound scan to confirm the site of pregnancy. sometimes sided pain is associated with tubal pregnancies. hope this helps. thank you."
Please summerize the given abstract to a title,The association of estimated cardiorespiratory fitness with COVID-19 incidence and mortality: A cohort study
Please summerize the given abstract to a title,Psychological impacts of COVID-19 pandemic on the university students in Egypt
Answer this question truthfully,"The recommended treatment for chlamydia in a pregnant woman who tested positive during her prenatal visit is oral azithromycin, given as a single dose of 1 gram. Azithromycin is an antibiotic that is effective against chlamydia and is generally considered safe for use during pregnancy. It is important to follow the recommended dosage and administration instructions provided by the healthcare provider to ensure the infection is properly treated. It is also important to ensure that sexual partners are tested and treated for chlamydia to prevent reinfection. Pregnant women should be routinely screened for chlamydia during prenatal care to prevent complications such as preterm labor and neonatal infections."
Answer this question truthfully,"Ménétrier disease is characterized by excess mucus production with resultant protein loss, leading to edema."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. sqeezing pain with increasing pain on inspiration with breathlessness is seen 1. pneumonia2. pleural effusion3. tuberculosis4. pulmonary contusion5. pneumothorax. so please get done chest x-ray and consult pulmonologist to rule out above causes. if chest x-ray is normal than it must be related to stress and anxiety. so avoid stress and be relaxed and keep calm.
Answer this question truthfully,"Ichthyosis vulgaris can be a nuisance, but it rarely affects your overall health. The condition usually disappears during adulthood, but may return years later."
Please summerize the given abstract to a title,"The experience of individuals placed in quarantine: A systematic review, meta-summary, and meta-synthesis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, please get a check-up with your treating doctor. the pain may be due to some other reason. a clinical check-up and investigations may be needed to find out the cause and treatment to be taken accordingly. tuberculosis may relapse, but it can only be diagnosed with appropriate tests and the treatment to be taken as per schedule. hope your wife is not having tuberculosis again and be well soon with treatment."
Answer this question truthfully,"Protease inhibitors are the class of HAART drugs that have been associated with an increased risk of hyperglycemia due to insulin resistance. HAART stands for highly active antiretroviral therapy, which is a combination of medications used to treat HIV infection. Protease inhibitors are a type of antiretroviral drug that work by blocking the activity of the HIV protease enzyme, which is necessary for the virus to produce mature infectious particles. However, protease inhibitors can also cause metabolic side effects, including insulin resistance and hyperglycemia, which can increase the risk of diabetes and other complications. Patients taking protease inhibitors should be monitored closely for changes in their blood glucose levels and may need to make lifestyle changes or take additional medications to manage their blood sugar levels."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. there are so many medicines in ayurveda, homeopathy and even in apathy. but without diet and exercise management it will not work. you have to be manage you diet pattern. avoid oily, fatty foods. make regular habits of diet for lunch and dinner or take frequent small diet. eat more fruit juices, vegetable soups and high fiber diet. do regular exercise (aerobics). yoga will be helpful. remember this....there is no any shortcut to reduce weight. consult a good dietitian for better planning."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query as advised by a good number of users the best treatment for constipation is a high fiber diet with adequate fluids should be able to take care of the same yet for your information a supplement with a good taste is available in form of natural hope this helps am available for any followup queries there are no further doubts, do accept my reply and rate it get well soon"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, kidney stones may lead to pain in the abdomen and vomiting. where is the exact location of the kidney stones?? if he is having pain at right lower abdomen also consider possibility of appendicitis or cholecystitis or right ureteric calculi. get an ultrasound abdomen or ureteroscopy. use painkiller or anti-emetic medication. if symptoms not improved, please consult your urologist he will examine and treat you accordingly. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"Evaluating, Filtering and Clustering Genetic Disease Cohorts Based on Human Phenotype Ontology Data with Cohort Analyzer"
Answer this question truthfully,"In LymphoPlasmacytic Lymphoma, monoclonal plasma cells secrete IgM."
Please summerize the given abstract to a title,How One Healthcare Organization Is Creating a True System
Answer this question truthfully,"Call your health care provider if your baby or young child displays signs of hearing loss, such as not reacting to loud noises, not making or mimicking noises, or not speaking at the expected age.
If your child has a cochlear implant, call your health care provider immediately if your child develops a fever, stiff neck, headache, or an ear infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, probably it will be a fungal infection known as tina tricolor. other possibilities are eczema and rarely eczema. it would be better if you attach a picture in the follow-up query. as of now you can apply antifungal ointments like clotrimazole to look for any improvement. if the lesion persist, better to consult a dermatologist and get evaluated. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, are you suffering from itching at night? itching more at webspaces associated any boils or pustules. any of the family members suffering from same problem then it may be a scabies. otherwise, it may be an allergic skin reaction to some allergen.  that allergen you have to identify and avoid its exposure. use antibiotics and anti histamines for itching. if symptoms not improved please consult your dermatologist he will examine and do skin biopsy then treat you accordingly. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Microbleed patterns in critical illness and COVID-19
Answer this question truthfully,"OCPD has some of the same symptoms as obsessive-compulsive disorder (OCD). However, people with OCD have unwanted thoughts, while people with OCPD believe that their thoughts are correct.
People with both OCPD and OCD tend to be high achievers and feel a sense of urgency about their actions. They may become very upset if other people interfere with their rigid routines. They may not be able to express their anger directly. Instead, people with OCPD experience feelings that they consider more appropriate, like anxiety or frustration.
A person with this personality disorder has symptoms of perfectionism that usually begin in early adulthood. This perfectionism may interfere with the person's ability to complete tasks, because their standards are so rigid.
People with this disorder may emotionally withdraw when they are not able to control a situation. This can interfere with their ability to solve problems and form close relationships.
Some of the other signs of obsessive-compulsive personality disorder include:
Excess devotion to work Inability to throw things away, even when the objects have no value Lack of flexibility Lack of generosity Not wanting to allow other people to do things Not willing to show affection Preoccupation with details, rules, and lists"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you may give her both medications. her fever will rise and fall as the medications do their job, but then naturally wear off. cronin will usually last about 4-6 hours and metal will usually last about 6-8 hours. they are metabolized by the body differently, so you can give one, and if her fever returns before the next dose is allowed, then you can give the other.  please write down what times you give each medication to be safe and to be sure that you don't give the same one too frequently, and before it is due. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion there are rare chances of pregnancy. usualy there is scope for pregnancy when semen is ejaculated inside the vagina during the fertile period. there is very rare chance when then semen outside the vagina resulting in pregnancy. byt anyway confirmation is done by a urine pregnancy test. the test needs to be done a week after missed period if at all the period is missed. the first sign of pregnancy is missed period. other signs of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period in case of pregnancyanyway overall the chance of pregnancy is very rare. so avoid stress and wait and check for the period. hope this helps. best regards..."
Please summerize the given abstract to a title,Privacy preserved spatio-temporal trajectory publication of Covid-19 patients
Please summerize the given abstract to a title,In-silico screening for anti-Zika virus phytochemicals
Answer this question truthfully,The likely diagnosis for the patient's condition is ovarian torsion.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read your history carefully and understood your problem. the commonest reason for the typical pain you have explained can be due to costo-chon chatbot.  in this condition the lower ribs get inflamed, remain dormant till the site is instigated - which in your case is due to bending. once the pressure on it released the tenderness will go down. noticing protrusion is very difficult in morbidly obese people. so we have to get help of ultrasonography or ct scan or an mri-mri will be the best as it will help diagnose the costco"
Answer this question truthfully,"A post-term pregnancy (> 41 weeks) with oligohydramnios is typically managed with induction of labor or delivery. Oligohydramnios is a condition in which there is too little amniotic fluid surrounding the fetus, which can increase the risk of complications during labor and delivery. Post-term pregnancy, or a pregnancy that lasts longer than 41 weeks, can also increase the risk of complications, such as stillbirth. Therefore, it is often recommended to induce labor or deliver the baby in order to reduce these risks."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,Specificity Enhancement of Deoxyribonucleic Acid Polymerization for Sensitive Nucleic Acid Detection
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your son has rash on face, hands and legs for more than a month, as you said. there may be itching also. and the rash may be papulovesicular and there may be eczematisation. treatment is given, but with poor response, right? i feel that your son may be having atomic dermatitis. there may be itchy reddish and edematous plaque and patches on face and extremities. you consult dermatologist to have firm diagnosis. atomic dermatitis may be caused by many allergens. suspected allergens should be avoided. cows milk, eggs,fish, nuts...etc. should be avoided. contact allergens like house dust, housedust mites, perfume,grass, pollens.etc. may be kept in mind. antihistaminics, steroid in tampering dose, application of steroid cream or tacrolimus point.etc. may be considered. i hope you got my answer. thanks."
Please answer with one of the option in the bracket,B: Magnetic resonance imaging (MRI) of the head
Answer this question truthfully,"Pulmonary contusion should be considered as a potential diagnosis in a patient with flail chest, uncontrollable pain, and deteriorating blood gases following blunt trauma."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting on chatbot. first let me clarify the following"
Please answer with one of the option in the bracket,B: Arginine
Answer this question truthfully,"Systematic desensitization therapy, a form of behavioral therapy, is used to treat specific phobias."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum.  thanks for choosing chatbot. f.  left sided abdominal pain usually suggests, renal colic due to urinary tract infection, or kidney stones, abnormalities in depending colon, rectum, rarely pancreatitis or worms in the intestine. colon abnormalities can be confirmed by colonoscopy.  i advise you to consult a gastroenterologist for diagnosis and treatment.  wishing for a quick recovery.  best regards."
Please answer the letter of option truthfully,D
Answer this question truthfully,"Blood is a specialized biological fluid consisting of red blood cells (also called RBCs or erythrocytes), white blood cells (also called leukocytes) and platelets (also called thrombocytes) suspended in a complex fluid medium known as blood plasma.
By far the most abundant cells in blood are red blood cells. These contain hemoglobin which gives blood its red color. The iron -containing heme portion of Hemoglobin facilitates hemoglobin-bound transportation of oxygen and carbon dioxide by selectively binding to these respiratory gasses and greatly increasing their solubility in blood. White blood cells help to resist infections, and platelets are important in the clotting of blood.
Blood is circulated around the body through blood vessels by the pumping action of the heart. Blood is pumped from the strong left ventricle of the heart through arteries to peripheral tissues and returns to the right atrium of the heart through veins, blood then enters the right ventricle and is pumped through the pulmonary artery to the lungs and returns to the left atrium through the pulmonary veins, blood then enters the left ventricle to be circulated again. Arterial blood carries oxygen from inhaled air in the lungs to all of the cells of the body, and venous blood carries carbon dioxide, produced as a waste product of metabolism by cells, to the lungs to be exhaled.
Medical terms related to blood often begin with hemo- or hemato- (BE: haemo- and haemato-) from the Greek word "" haima "" for ""blood."" Anatomically, blood is considered a connective tissue from both its origin in the bones and its function.
(D50) Iron deficiency anaemia (D50.0) Iron deficiency anaemia secondary to blood loss (chronic) (D50.1) Sideropenic dysphagia Kelly-Paterson syndrome Plummer-Vinson syndrome (D50.8) Other iron deficiency anaemias (D50.9) Iron deficiency anaemia, unspecified
(D51) Vitamin B12 deficiency anaemia (D51.0) Vitamin B12 deficiency anaemia due to intrinsic factor deficiency Pernicious anemia (D51.1) Vitamin B 12 deficiency anaemia due to selective vitamin B 12 malabsorption with proteinuria Megaloblastic hereditary anaemia (D51.2) Transcobalamin II deficiency (D51.3) Other dietary vitamin B 12 deficiency anaemia (D51.8) Other vitamin B 12 deficiency anaemias (D51.9) Vitamin B 12 deficiency anaemia, unspecified
(D52) Folate deficiency anaemia (D52.0) Dietary folate deficiency anaemia Nutritional megaloblastic anaemia (D52.1) Drug-induced folate deficiency anaemia (D52.8) Other folate deficiency anaemias (D52.9) Folate deficiency anaemia, unspecified
(D53) Other nutritional anaemias (D53.0) Protein deficiency anaemia (D53.1) Other megaloblastic anaemias, not elsewhere classified (D53.2) Scorbutic anaemia (D53.8) Other specified nutritional anaemias (D53.9) Nutritional anaemia, unspecified
(D55) Anaemia due to enzyme disorders (D55.0) Anaemia due to glucose-6-phosphate dehydrogenase (G6PD) deficiency Favism G6PD deficiency anaemia (D55.1) Anaemia due to other disorders of glutathione metabolism (D55.2) Anaemia due to disorders of glycolytic enzymes (D55.3) Anaemia due to disorders of nucleotide metabolism (D55.8) Other anaemias due to enzyme disorders (D55.9) Anaemia due to enzyme disorder, unspecified
(D56) Thalassaemia (D56.0) Alpha thalassaemia (D56.1) Beta thalassaemia (D56.2) Delta-beta thalassaemia (D56.3) Thalassaemia trait (D56.4) Hereditary persistence of fetal haemoglobin (HPFH) (D56.8) Other thalassaemias (D56.9) Thalassaemia, unspecified
(D57) Sickle-cell disorders (D57.0) Sickle-cell anaemia with crisis (D57.1) Sickle-cell anaemia without crisis (D57.2) Double heterozygous sickling disorders (D57.3) Sickle-cell trait (D57.8) Other sickle-cell disorders
(D58) Other hereditary haemolytic anaemias (D58.0) Hereditary spherocytosis (D58.1) Hereditary elliptocytosis (D58.2) Other haemoglobinopathies (D58.8) Other specified hereditary haemolytic anaemias Stomatocytosis
(D59) Acquired haemolytic anaemia (D59.0) Drug-induced autoimmune haemolytic anaemia (D59.1) Other autoimmune haemolytic anaemias Warm autoimmune hemolytic anemia (D59.2) Drug-induced nonautoimmune haemolytic anaemia (D59.3) Haemolytic-uraemic syndrome (D59.4) Other nonautoimmune haemolytic anaemias Microangiopathic hemolytic anemia (D59.5) Paroxysmal nocturnal haemoglobinuria (Marchiafava-Micheli) (D59.6) Haemoglobinuria due to haemolysis from other external causes (D59.8) Other acquired haemolytic anaemias (D59.9) Acquired haemolytic anaemia, unspecified
(D60) Acquired pure red cell aplasia (erythroblastopenia) (D61) Other aplastic anaemias (D61.0) Constitutional aplastic anaemia Fanconi anemia (D62) Acute posthaemorrhagic anaemia (D63) Anaemia in chronic diseases classified elsewhere
(D64) Other anaemias (D64.0) Hereditary sideroblastic anaemia (D64.1) Secondary sideroblastic anaemia due to disease (D64.2) Secondary sideroblastic anaemia due to drugs and toxins (D64.3) Other sideroblastic anaemias (D64.4) Congenital dyserythropoietic anaemia (D64.8) Other specified anaemias (D64.9) Anaemia, unspecified
(D65) Disseminated intravascular coagulation (defibrination syndrome)
(D66) Hereditary factor VIII deficiency Haemophilia A
(D67) Hereditary factor IX deficiency Christmas disease
(D68) Other coagulation defects (D68.0) Von Willebrand's disease (D68.1) Hereditary factor XI deficiency Haemophilia C (D68.2) Hereditary deficiency of other clotting factors (D68.3) Haemorrhagic disorder due to circulating anticoagulants (D68.4) Acquired coagulation factor deficiency (D68.8) Other specified coagulation defects (D68.9) Coagulation defect, unspecified
(D69) Purpura and other haemorrhagic conditions (D69.0) Allergic purpura anaphylactoid purpura Henoch-Schönlein purpura (D69.1) Qualitative platelet defects Bernard-Soulier syndrome (giant platelet) Glanzmann's disease Grey platelet syndrome Thromboasthenia (haemorrhagic)(hereditary) Thrombocytopathy (D69.2) Other nonthrombocytopenic purpura (D69.3) Idiopathic thrombocytopenic purpura (D69.4) Other primary thrombocytopenia (D69.5) Secondary thrombocytopenia (D69.6) Thrombocytopenia, unspecified (D69.8) Other specified haemorrhagic conditions (D69.9) Haemorrhagic condition, unspecified
(D70) Agranulocytosis Neutropenia (D71) Functional disorders of polymorphonuclear neutrophils
(D72) Other disorders of white blood cells (D72.1) Eosinophilia (D72.8) Other specified disorders of white blood cells Leukocytosis Lymphocytosis (symptomatic) Lymphopenia Monocytosis (symptomatic) Plasmacytosis
(D73) Diseases of spleen (D73.0) Hyposplenism (D73.1) Hypersplenism (D73.2) Chronic congestive splenomegaly (D73.3) Abscess of spleen (D73.4) Cyst of spleen (D73.5) Infarction of spleen (D73.8) Other diseases of spleen (D73.9) Disease of spleen, unspecified
(D74) Methaemoglobinaemia
(D75) Other diseases of blood and blood-forming organs (D75.0) Familial erythrocytosis (D75.1) Secondary polycythaemia (D75.2) Essential thrombocytosis (D75.8) Other specified diseases of blood and blood-forming organs Basophilia (D75.9) Disease of blood and blood-forming organs, unspecified
(D76) Certain diseases involving lymphoreticular tissue and reticulohistiocytic system (D76.0) Langerhans' cell histiocytosis, not elsewhere classified Eosinophilic granuloma Hand-Schüller-Christian disease Histiocytosis X (chronic) (D76.1) Haemophagocytic lymphohistiocytosis Familial haemophagocytic reticulosis (D76.2) Haemophagocytic syndrome, infection-associated (D76.3) Other histiocytosis syndromes Reticulohistiocytoma (giant-cell) Sinus histiocytosis with massive lymphadenopathy Xanthogranuloma
(D77) Other disorders of blood and blood-forming organs in diseases classified elsewhere
(D80) Immunodeficiency with predominantly antibody defects (D80.0) Hereditary hypogammaglobulinaemia Autosomal recessive agammaglobulinaemia (Swiss type) X-linked agammaglobulinaemia (Bruton) (with growth hormone deficiency) (D80.1) Nonfamilial hypogammaglobulinaemia Agammaglobulinaemia with immunoglobulin-bearing B-lymphocytes Common variable agammaglobulinaemia (CVAgamma) Hypogammaglobulinaemia NOS (D80.2) Selective deficiency of immunoglobulin A (IgA) (D80.3) Selective deficiency of immunoglobulin G (IgG) subclasses (D80.4) Selective deficiency of immunoglobulin M (IgM) (D80.5) Immunodeficiency with increased immunoglobulin M (IgM) (D80.6) Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinaemia (D80.7) Transient hypogammaglobulinaemia of infancy (D80.8) Other immunodeficiencies with predominantly antibody defects Kappa light chain deficiency (D80.8) Immunodeficiency with predominantly antibody defects, unspecified
(D81) Combined immunodeficiencies (D81.0) Severe combined immunodeficiency (SCID) with reticular dysgenesis (D81.1) Severe combined immunodeficiency (SCID) with low T-cell and B-cell numbers (D81.2) Severe combined immunodeficiency (SCID) with low or normal B-cell numbers (D81.3) Adenosine deaminase deficiency (ADA) (D81.4) Nezelof's syndrome (D81.5) Purine nucleoside phosphorylase deficiency (PNP) (D81.6) Major histocompatibility complex class I deficiency Bare lymphocyte syndrome (D81.7) Major histocompatibility complex class II deficiency (D81.8) Other combined immunodeficiencies Biotin-dependent carboxylase deficiency (D81.9) Combined immunodeficiency, unspecified Severe combined immunodeficiency disorder (SCID) NOS
(D82) Immunodeficiency associated with other major defects (D82.0) Wiskott-Aldrich syndrome Immunodeficiency with thrombocytopenia and eczema (D82.1) Di George's syndrome (D82.2) Immunodeficiency with short-limbed stature (D82.3) Immunodeficiency following hereditary defective response to Epstein-Barr virus X-linked lymphoproliferative disease (D82.4) Hyperimmunoglobulin E syndrome (IgE) (D83) Common variable immunodeficiency
(D84) Other immunodeficiencies (D84.0) Lymphocyte function antigen-1 (LFA-1) defect (D84.1) Defects in the complement system C1 esterase inhibitor deficiency (C1-INH) (D84.8) Other specified immunodeficiencies (D84.9) Immunodeficiency, unspecified
(D86) Sarcoidosis (D86.0) Sarcoidosis of lung (D86.1) Sarcoidosis of lymph nodes (D86.2) Sarcoidosis of lung with sarcoidosis of lymph nodes (D86.3) Sarcoidosis of skin (D86.8) Sarcoidosis of other and combined sites (D89) Other disorders involving the immune mechanism, not elsewhere classified (D89.0) Polyclonal hypergammaglobulinaemia Benign hypergammaglobulinaemic purpura Polyclonal gammopathy NOS (D89.1) Cryoglobulinaemia (D89.2) Hypergammaglobulinaemia, unspecified (D89.8) Other specified disorders involving the immune mechanism, not elsewhere classified (D89.9) Disorder involving the immune mechanism, unspecified"
"If you are a doctor, please answer the medical questions based on the patient's description.",``hello and thanks posting your query on chatdoctoryour urinalysis report indicates that there is presence of pus cells and epithelial cells in urine. levels of leukocyte esterase is raised in urine which indicates presence of esterase positive bacteria in urine. you should get a urine culture done and start antibiotics according to the culture report. rest of the findings are within normal limits. thanks and take care
Answer this question truthfully,"Some treatment options for central diabetes insipidus include hydration and desmopressin, which is an ADH analog."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern looking to the history given here i would like to say you that if you are a male person then the chances of prostate enlargement is likely and for that you need to confirm this, as such you have not mentioned your gender here, so if you are female person then urinary tract infection and other gynecological problem need to be differentiated, hope this information helps you, take care and have a nice day."
Answer this question truthfully,"Individuals with DiGeorge syndrome have decreased levels of calcium in their blood. This is because the parathyroid glands, which are responsible for regulating calcium levels in the blood, may be underdeveloped or absent in individuals with DiGeorge syndrome. Calcium is an important mineral that plays a key role in many bodily functions, including muscle and nerve function, bone health, and blood clotting. Therefore, monitoring calcium levels is an important aspect of managing and treating DiGeorge syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, these symptoms are definitely a matter of concern. by your history and description, possibility of pneumonia or bronchitis is more. so if you are not improving with routine medicines forward upper respiratory tract infection (uri), you will be definitely need chest x-ray to rule out pneumonia and pft (pulmonary function test) to rule out bronchitis. this is the reason why he called you for follow up and plan for chest x-ray if not improving in symptoms. so don't worry, if you are not having feeling good or symptoms worsen then immediately consult him. you may need higher antibiotic and inhaled treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"The likely diagnosis is cystic fibrosis. This is a genetic disorder that affects the respiratory, digestive, and reproductive systems. Cystic fibrosis can cause symptoms such as failure to thrive, pancreatic insufficiency, and recurrent respiratory infections. The condition is caused by a mutation in the CFTR gene, which affects the production of mucus, sweat, and digestive juices. In cystic fibrosis, the mucus becomes thick and sticky, which can lead to blockages in the lungs and digestive system. Treatment for cystic fibrosis may include medications to thin mucus and improve lung function, as well as pancreatic enzyme supplements to aid digestion. It is important to seek medical attention if a child is experiencing symptoms of cystic fibrosis in order to manage the condition and prevent potential complications."
Please summerize the given abstract to a title,Sustainable Production Management Model for Small and Medium Enterprises in Some South-Central EU Countries
Please summerize the given abstract to a title,"Clinical Characteristics, Preventive Care and Attitude to Telemedicine among Patients with Diabetic Retinopathy: A Cross-Sectional Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient. as you have not mentioned the autoimmune disease you have or the medications you are taking i am afraid i will not be able to narrow down the exact pathology. however, i can safely say that the pain is not due to kidney stones as the pain radiates downwards not upwardstherefore i suggest you show yourself to your doctor and try and explore a possibility of a vascular pathology will however advise you to get a platelet profile done complete with inr and pt. again i am sorry i could not be of much help, but i do not have enough information to make a correct diagnosis"
Answer this question truthfully,"The conversion of HMG-CoA via the enzyme HMG-CoA lyase during ketogenesis results in the production of acetoacetate. Ketogenesis is a metabolic process that occurs primarily in the liver and involves the synthesis of ketone bodies, including acetoacetate, beta-hydroxybutyrate, and acetone. Ketone bodies are produced when there is a shortage of glucose, such as during fasting or a low-carbohydrate diet, and can serve as an alternative source of energy for the body, particularly the brain. The regulation of ketogenesis is complex and involves several enzymes and hormones, including insulin and glucagon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your explanation, it is pearly penile pa pules. they are not contagious or harmful. they are not related to any sexual activity either. furthermore, they go away on their own just give some time, no worries.  do take care of your hygiene & avoid food that causes you allergy. wear cotton clothes for a couple of days. if it worries you then you can get circumcised as ppp commonly occurs in uncircumcised people.  however, if you are comfortable there is no need for it. other ways to get rid of them are cry or laser surgery.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. a fluid filled blister on the gum below the tooth that has a silver filling can be due to periapical infection causing abscess formation.however, it can also be due to gum infection leading to gum boil formation. pain is none to minimal in cases where the fluid or pus chatbot. . but to rule out the exact cause consult an oral physician and get evaluated and an x-ray should be done. if there is tooth infection then root canal treatment can be done followed by antibiotics and painkillers. if there is gum infection then localized cleaning can be done followed by antibiotics and gum paint massage. hope this helps. regards."
Answer this question truthfully,Gastroesophageal reflux disease (GERD) may damage the enamel of teeth.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query. some more info is needed before cause could be told-as after the natural sex there is no reason-to get the anal lump. however, the lump which is there might be old -anal problem-mostly old anal fissure with a tag covering it ./or could be sentinel pile indicating its chronic presence. it needs simple excision of the sentinel pile under local. if its with anal fissure-which any surgeon could tell you, then-anal stretching under anesthesia. thnks again. wellcome again. hope you are satisfied with the answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as mentioned by you, about the swollen or lump area, and also examined by doctor where he said it's nothing to worry.of course i agree to you that how come something comes up like this and is painful. and also how come the swelling is persisting. what i would suggest is to undergo an x-ray and check as it may reveal something with it. maybe a fluid accumulation. also, later on an mri will guide to see what soft tissues are involved in that area leading to swelling. until we get a picture of the soft tissue abnormality it will be really tough for anyone to examine and comment. as diagnostic holds the strong ground for assistance. i wish you get an mri done, so we can come to know what sort of soft tissue is involved a muscular or a lung tissue. with the grace of god i wish you a speedy recoveryregardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. the renal pelvis is the part of the kidney where urine pools before it is sent (via small tubes called the ureters) to the bladder for urination.  the baby does normally urinate inside you when the baby is healthy. prominent renal pelvis can indicate slow flow of the ureters to the bladder, or narrowing of the urethra (the tube that leads out of the bladder).  it can also be normal and can go away over time. so normally, if found at 19 weeks, you would be followed by ultrasound about every month to check the kidneys.  if the renal pelvises still look prominent when the baby is full term, the pediatrician will need to evaluate the baby after birth to make sure it can urinate properly. but again, most cases like this scene at the anatomy ultrasound go away by the end of pregnancy. either way, the condition does not affect the pregnancy and delivery at all. i hope i was able to adequately answer your question today and that this information is reassuring to you.  best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of gallbladder polyps. are you experiencing any sign or symptom which may be related to it (abdominal pain, nausea, vomiting, etc.)? if the symptoms are bothersome, persistent, or increasing in frequency of occurrence, it is best to consult with a doctor with urgency, preferably a general surgeon, for physical examination and clinical evaluation. diagnostics (such as repeat ultrasound, blood count, liver function tests, etc.) and management (medical and surgical) will be directed accordingly. it is also important to remember that gallbladder polyps have the risk for malignancy transformation, hence, a followup/consult with a doctor is of significance. cholecystectomy (surgical removal of the gallbladder) is the definitive treatment, which could be done laparoscopically (gold standard) or through open technique. low fat diet is also recommended. hope this helps. good day!!~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. there are numerous causes and conditions that produce pain in the knee joint. one of the commonest conditions that affects your age people is patellofemoral arthritis (wear & tear in the cartilage of the kneecap & thigh-bone)a detailed clinical examination & a few investigations are needed to establish a correct diagnosis of your problem. the general recommendations for anterior knee pain are as follows -- avoid any activities that increase the pain such as climbing stairs and deep knee bending movements.- use over-the-counter pain relievers such as acetaminophen, ibuprofen as & when needed-weight loss alone will often fix the problem if you are substantially overweight.- specific exercises can strengthen the muscles that support your knees and control limb alignment, such as your qua chatbot. i suggest you to consult an orthopedic surgeon for further management do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,"In the steady state, intracellular osmolarity is equal to extracellular osmolarity."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i guess your concern is about getting pregnant after spotting of taking duphastone and in spite of having fibroid. right my straight forward answer is - yes. there are chances of getting pregnant. firstly, i want to tell you that in case of fibroid usually there is excessive or prolong bleeding during menses as you had. for that your treating doctor gave you duphastone for 17 days to regulate the menses, which is usually given. spotting usually occurs after this medication. its no big deal. secondly, let us discuss you fibroid. fibroid have a role in infertility but its depends on its size, number, its position in uterus. you didn't give information regarding this, so it's difficult for me to comment on this. with above information you can try out my suggestions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. yes, you are right, this is really sign of weakened immune system especially in your age and this is really serious issue which require intensive measures. fever is sign that infection persist despite antibiotics, and you need to repeat cat scan and see if abscesses resolved or not. if not, then you may need surgical chatbot.  at same time you should evaluate itunes system to see if there is some specific immune disorder. i hope i have answered your query. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your question and understand your concerns. yes, this is the only option. cysts are in most cases benign and sometimes these may cause pain and nausea. but we always recommend surgical removal as laparoscopic cholecystectomy since in future such cysts may become malignant and then this is problematic. surgery is simple and routine today, so you should not be concerned-wish you good health. kindly regards"
Please answer with one of the option in the bracket,D: Diaphoresis
Answer this question truthfully,Scapular fusion: surgical fusion of the scapula to the thorax. Scapular bracing: a scapular brace helps stabilize the shoulder and correct glenohumeral positioning.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as read in your history about the large bubble like swelling just below the knee cap, i ask the first question - is the area painful? if it is painfuller than a thorough assessment is advised. post which the proper measured will be taken according to the assessment. also, if the area is non-painful than you do not have to worry, as it can be just a soft tissue of the skin to provide some sort of fluid accumulation as you were a soccer player. also, you can try doing hot water fermentation and see, if the area where the swelling is present gets resolved. in case if it not, then the or tho may ask for an x-ray or mri and then see if the fluid accumulation is high, he may plan to chatbot. regards jay in"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it is extremely common to have bleeding in early pregnancy. we attribute it to implantation bleeding in most cases. unfortunately, you have found that it is also a sign of a miscarriage. while miscarriages are common, it is way more common to have a healthy pregnancy. so, do not assume that it is a sign of another miscarriage. the best thing to do is to call your doctor. it would easily be evaluated with a blood test to measure chatbot levels (which should be rising predictably) and with an ultrasound (to make sure the pregnancy is normal, and in the uterus). the least likely cause of bleeding in early pregnancy is an ectopic pregnancy (pregnancy in the tube). it is important to rule out in this process. please call your doctor to be evaluated. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for posting your query.  hemorrhagic cystitis occurs due to infection of urine, stones in bladder or due to side effect of certain chatbot.  whatever the cause is its easily treatable.  but you need to get tested to see what is causing it. i advise you to get urine culture sensitivity, ultrasound abdomen pelvis scan done and revert. any clarifications or queries feel free to ask. happy to help you. regards"
Answer this question truthfully,β-blockers may cause bradycardia as a direct adverse effect.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...by what you quote it looks like impetigo or pyoderma or a skin and underlying soft tissue infection. it requires antibiotic and a direct look at the lesion. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi narmada, onset of acne in adult age usually points towards a hormonal derangement. to get the same confirmed a hormonal work up and a pelvic ultrasound needs to be done. usually adult onset acne does not respond to topical therapy alone. a course of oral anti acne medicines like azithromycin, isotretinoin needs to be taken along with hormonal pills. the same can only be prescribed after a thorough consultation with dermatologist. in the meanwhile you can start with these1) continue using salicylic acid face wash2) as your skin has become sensitive, use a mild moisturizer and sunscreen. you may use acne moist moisturizer and sun cote sunscreen3) use benzoyl peroxide 2.5 percent(bengal ac gel) in daytime and darlene gel in night. apply these medicines only over acne lesions and do not rub the medicine. too much rubbing or excess application can irritate the skin. chances of irritation of skin are quite high with benzoyl peroxide 5 percent. so i would not advise you to use it without a proper skin analysis.4) get your comedones extracted regularly. hope that answers your query. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot pica is a preventable disease so don't worry. it may be due to some nutritional deficiency in the body like zinc or iron etc. it causes anemia and anemia leads to pica. so it is some type of vicious cycle. it may be due to some mental problems personally or in family. if any complication due to pica, should be treated first. after that, psycho social analysis is very important to rule out mental issues. psycho therapy and behavior therapy with simple medication will help you a lot. for low hemoglobin dietary changes are most important. take green leafy veg in diet and also veg juices. use cereals with iron fortified. if you are non veg, eat red meat. take lemon or orange juice or buttermilk half hour later after lunch and dinner. it will increase your iron absorption and thereby hemoglobin. if severe weakness and anemia. take daily 1 tablet of iron and folic acid for 3 months. hope you will be happy with this. have healthy life ahead.... take care..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the problems of urinary incontinence, constipation and painful/poor ejaculations are all inter-linked. this is because the nerve supply for these (sacral nerves) are the same, and are located in the lower part of spinal cord. it is possible that they were mildly damaged by tethered cord or the surgery for correcting it. please discuss these with your neurosurgeon. please get back if you require any additional information. best wishes, chatbot. ly/"
Please summerize the given abstract to a title,Crisis and Coercive Pleas
Please summerize the given abstract to a title,"Homeopathy for COVID-19 in primary care: A randomized, double-blind, placebo-controlled trial (COVID-simile study)"
Please summerize the given abstract to a title,Deep Learning-Based Automated Echocardiographic Quantification of Left Ventricular Ejection Fraction: A Point-of-Care Solution.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds u in good health. i have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, you should eventually get back to normal. take multi vitamin and calcium supplements do consult a gynecologist if symptoms worsened back to me for any follow-up queries anytime. chatbot. .(mbbs, ms,mch)"
Answer this question truthfully,"A partial hydatidiform mole is a rare type of gestational trophoblastic disease that occurs during pregnancy when the fertilized egg develops into an abnormal mass of cells instead of a normal embryo. It is associated with mildly increased levels of hCG, a hormone that is produced by the placenta during pregnancy. This is because the abnormal placental tissue in a partial hydatidiform mole continues to produce hCG even when the pregnancy is not viable. This can lead to a variety of complications during pregnancy, including vaginal bleeding, excessive nausea and vomiting, and the development of a molar pregnancy. Treatment for a partial hydatidiform mole typically involves surgical removal of the abnormal tissue and close monitoring for any signs of persistent disease or recurrence."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos you mentioned that your son is having fever and hives for 4 days. he was advised prednisolone (steroid) and once, he took, he develops hives (rashes) and also fever. since, still fever and hives present, so i recommend, stop prednisolone because it may mask the clinical features of fever (what is the main reason of fever, is not known). as far as concerned about rashes and hives, may be due to allergy so montelukast+fexofenadine will provide instant relief. for fever get in blood for cbc, malarial parasites. i recommend you consult a physician (2nd one) and get his opinion. good luck."
Answer this question truthfully,"There is no specific treatment, cure, or vaccine for Bourbon virus infection. Early diagnosis, hospitalization, and supportive therapy are fundamentals of treatment.
Surgical intervention is not recommended for the management of Bourbon virus infection.
There is no vaccine or drug to prevent Bourbon virus disease. Therefore, preventing bites from ticks and other insects is the best way to prevent infection. 
Secondary preventive measures for Bourbon virus infection are similar to primary prevention."
Answer this question truthfully,(Please add relevant physical examination)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of rashes on arms and legs which is very common as dirt and moisture get trapped by your clothing and the friction that comes from sitting can cause pimple. need not worry. i would suggest you to keep this area clean and chatbot.  you should apply warm compresses with soaked towel and apply vitamin c serum at night. wear loose clothes. if condition doesn't get better than consult dermatologist for proper examination. doctor will examine physically along with blood test and sample for lab test and start treatment accordingly. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... since there is a fall and significant swelling. if i were, i would have got an x-ray done for my ankle and check.after getting confirmed that everything is ok...then would suggest you. to continue icing frequently for 15 mins once in every 2 hours.make sure your body temperature gets back to normal.before icing the place again. to wear an ankle support...or keep it compressed by a compression bandage...keep it elevated...take rest... numbness and chillness what you experience could be due to swelling even pain while bearing weight can be attributed to the same... nothing to worry... things will get alright hope this is helpful for you...kindly revert in case you need any further clarification...."
Answer this question truthfully,Osteoblasts are bone-forming cells that differentiate from mesenchymal stem cells in the periosteum.
Please summerize the given abstract to a title,Long-term effects of malnutrition on severity of COVID-19
Please summerize the given abstract to a title,"Climate change, activism, and supporting the mental health of children and young people: Perspectives from Western Australia."
"If you are a doctor, please answer the medical questions based on the patient's description.","rat rabies has been reported, but it is extremely rare. it is not necessary to take rabies prophylaxis in bite cases by house rats. however, rabies prophylaxis can be taken when bitten by wild rats. one dose of the rabies vaccine is administered on days 0, 3, 7, 14 and 30 intramuscularly into the deltoid region. mostly your doctor must have given tetanus vaccine if it was single dose. you can confirm from your doctor. if rat was domestic then there is no need to take rabies prophylaxis. only wound care is need"
Please summerize the given abstract to a title,Ecological Economics Beyond Markets
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your daughter is suffering from abdominal pain and fever which seems to be due to viral or bacterial infection. it could be due to food intolerance at times. need not worry. i would suggest you to visit general physician once and get it examined. you should get blood tests done and start treatment after proper diagnosis. do tepid sponging as well to lower down fever. take diet rich in fresh juices and fruits.  chatbot.  take multivitamins to booster immunity of body. abdominal pain could be due to excessive suffering from fever, and it could be due to stomach cramping. you should take a muscle relaxant as well. hope your concern has been resolved. get well soon. best wishes,"
Please summerize the given abstract to a title,Multidisciplinary Tumor Board Smart Virtual Assistant in Locally Advanced Cervical Cancer: A Proof of Concept
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernpregnancy is not possible when sex was done on the last day of the period. last day of period is completely safe period. during this time ovum is not released, so no fertilization will occur. to become pregnant, penetrative sexual intercourse in unsafe period of the cycle is required. period started is just menstrual blood. hope this may help noncontact chatbot for further health query best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are having chronic cough (cough for more than 2 weeks). lung infection and bronchitis are common causes for such chronic cough. so better to consult pulmonologist and get done1. clinical examination of respiratory system 2. chest x-ray 3. put (pulmonary function test). chest x-ray is needed to rule out lung infection. pft is must for the diagnosis of bronchitis. you may need antibiotics, antihistamines, inhaled bronchodilators and inhaled corticosteroid (ics) according to the diagnosis. don't worry, you will be alright. but first diagnose yourself and then start appropriate treatment. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i had gone through your query and understand your concern. if i were the treating physician, i would look for few more information like>time when fever rises>pattern of rising temperature, highest temperature recorded>rash >travel history>respiratory symptoms>signs of organ enlargement and >any other local or systemic positive findings etc. then i might have suggested some laboratory investigations specially blood for culture and sensitivity. since your wife has been suffering for almost 3 weeks, my opinion is that"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. erectile dysfunction (ed), sometimes referred to as impotence, is the inability of a man to achieve or maintain an erection hard enough for sexual intercourse. reason for ed could be physical or psychological. many organic conditions such as diabetics, prostrate troubles, heart conditions can cause ed. you said your tests are ok. if it is satisfactory, the next reason could be psychological. counseling and psychotherapy (talk therapy and cbt) are found effective for ed. talk to a psychologist. please understand masturbation in moderation is not harmful for your health. but in excess it is always harmful because it spends a lot of energy. physical activities like exercise and games, entertaining activities, education, career, interaction with friends and family help you abstain from the masturbation. anxiety about masturbation is also unhealthy. you may consult a psychologist for further counseling and advise. if you require more of my help in this aspect, please use this url. http"
Bad Breath I have very bad breath and at times it can make myself and others sick.  I need some advice as to what I need to do.,"Bad breath could be caused by poor oral hygiene, dental and  gastroesophageal diseases, infections, smoking, alcoholism, and certain foods."
Answer this question truthfully,The underlying cause of anemia in renal failure is low EPO (erythropoietin) levels.
Please answer with one of the option in the bracket,B: Inhibition of arabinogalactan synthesis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for asking on chatbot! i understand your concern. your symptoms may have been caused by a low blood pressure related to deny chatbot.  if you have not had any symptoms since that period, there is nothing to worry about. i recommend you to take plenty of water and juices and avoid staying under extreme weather conditions for a long time. if you have symptoms like fatigue or fainting, i recommend you to consult with your gp and perform an ecg and an ambulatory 24-hour blood pressure monitoring. a head up tilt test would be necessary to exclude orthostatic hypotension. hope to have been helpful! greetings!"
Answer this question truthfully,The trachea is a good landmark to localize the esophagus (located posteriorly) and the great vessels (located anteriorly) on a CT of the thorax.
Answer this question truthfully,"Duration of heparin treatment: A long duration of heparin expsosure, such as 2 weeks, is associated with the greatest risk.  Type of heparin: Unfractionated heparin (UFH) has a greater risk than low molecular weight heparin (LMWH. Bovine heparin carries a higher risk for HIT than porcine heparin.  Type of patient: Surgical patients are at higher risk than medical; cardiac surgical patients have the highest risk of all.  This is though to be related to differences in basal level of circulating platelet factor 4 (PF4) and platelet activation in these various populations. The incidence of HIT in cardiac surgery or orthopedic surgery patients is 1-5%.  Sex: Females have a higher risk than males. The odds ratio (OR) is 2.4:1.  This is thought to be related to higher predilection for autoimmune tendencies in females compared to males. Race: African Americans are more prone to HIT than Caucasians.  PF4 optical density (OD): The degree of elevation of the OD valve of the PF4 IgG is directly correlated with the risk for HIT. For patients with a Pf4 IgG OD of < 0.4, the risk of HIT is typically < 5%. No follow up testing is required. For patients with a PF4 IgG OD of > 1.0, the risk of HIT is signicantly higher (3.4-6-fold increase risk of thrombosis), requiring follow up testing with a functional assay such as the 14C-serotonin release assay or the heparin-induced platelet aggregation assay.  Genetic polymorphisms: Polymorphisms in the crystallized fragment (Fc) gamma receptor have been suggested to play in role in the risk for HIT. It is presumed that high affinity receptors result in stronger IgG binding to platelet membranes, allowing for the release of procoagulants. There is no increase in risk of HIT with genetic risk factors for thrombosis such as factor V Leiden, prothrombin gene mutation, methylenetetrahydrofolate reductase (MTHFR) polymorphism and platelet-receptor polymorphisms.
Type of heparin: Use of low molecular weight heparin such as enoxaparin carries a lower risk for HIT. Porcine heparin carries a lower risk for HIT compared to bovine heparin.  Type of patient: Pediatric or obstetric patients have a lower risk for HIT than medical or surgical patients. Obstetrics patients have a 0.1-1% risk of developing HIT, as compared to 1-5% risk in surgical patients.  PF4 optical density: A low PF4 IgG OD of less than 0.4 suggests a very low risk for HIT."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello service, thanks for your query. always wash your face with antiseptic soap. do not put your hand on to your face which would lead to ugly scarring of your pimples. itching denotes that it is associated with infection, you might need to start with a course of antibiotics. always wash your face once you are back to home from outside. reduce fats in your diet and supplement it with lots of fruits and vegetables.  chatbot.  hope i have answered your query. i will be available for your follow-up queries if any. wishing you good health."
Answer this question truthfully,"You will lie on a table and place your feet in stirrups. The health care provider will insert an instrument (called a speculum) into the vagina and open it slightly to see inside the vaginal canal. Cells are gently scraped from the cervix area, and sent to a lab for examination."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, for arthritis you may use calcium once a day and tablet cartilage twice a day. for nephrotic diabetes patients may reduce the protein and salt consumption. use nsaid like ibuprofen, naproxen to reduce urine output. thiamine diuretics may useful to reduce the urine output. if no improvement please consult with your physician he will examine and treat you accordingly. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, how are you? my name is chatbot.  i am a liver specialist and i hope to answer your question today. i am sorry that your son is suffering from the symptoms. but unfortunately you have not provided enough information so that i can guide you. please do write back with your sons age, his symptoms, where you are located, the medical test reports, the ct report and the biopsy report. by the sound of it, he seems to be suffering from a metabolic cause of liver failure. please do get back to me with the reports at xxxx, so i can guide you further do hope your son starts to feel better"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. no, not advised to run along with pain.2. visit your gp get an x-ray lumbar spine done, and depending on findings you may have to get mri done (which will help to find out your disc and nerve status).3. after that depending on the findings, you may have to do some simple exercise on daily basis which will relieve from the pain.4. do not simply bare the pain or take painkillers, please evaluate the cause and get treatment accordingly. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have one through your problem. when all the tests of the couple are normal and still they are unable to conceive naturally, then the condition is known as unexplained infertility. it is responsible for approximately 30-40% cases of infertility. in such cases, the stepwise treatment protocol is followed, the next step is taken when the previous one fails"
"If you are a doctor, please answer the medical questions based on the patient's description.","your story prompts me to do something for you. sildenafin does have bad effects if used indiscriminately which you have observed now. numbness and erectile inability of penis can be ad chatbot. the whole idea is to strengthen corpora caverns and penile blood vessels. if these fill properly, the erect penis will be as stout as of a young person. then comes the role of sexual act having broadly four stages in an intercourse cycle viz. foreplay, intro mission, orgasm and resolution. the technical perfection is your own and your partners experience. to sustain the act for long, some herbal aphrodisiacs, known to nourish seven elements including semen (as per ayurveda principles), play an important role. white paths can be ad"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your chest pain is associated with movements, so possibility of musculoskeletal pain is more. but better to get done chest x-ray first to rule out lung related causes because your pain is also associated with cough. if chest x-ray is normal then no need to worry about lung diseases. musculoskeletal pain is more likely in your case. so avoid movements causing pain. avoid bad postures in sleep. avoid heavyweight lifting and strenuous exercise. take painkiller and muscle relaxant chatbot.  apply warm water pad on affected areas. don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as by reading your history i can understand that the backache is bothering you too much. as in my clinical experience i see cases with such abnormalities of spine. i personally have recommended people not tonunderfo surgery to the importance of the muscles and the bony factors. performing regular exercises will surely help you proceed further. the reason to avoid the surgery is also the recurrent post surgical pain. as the spine will be more of the instable. usually, post laminectomy, discectomy, etc. any spinal surgeries the pain persists in the future. since it is more of a joint play understanding here that the physics of the spine is designed to bear the sheer stress and load onto it. also, once the muscles are stronger with the following exercises the levels are under control. exercise includes - core stability, pelvic floor strengthening, spine muscle strengthening, hip muscles strengthening, and later over all body conditioning. looking forward to the other matter here is why the pain arises, it is the understanding of the just bony deformity, or it is more of the physics of mechanism involved. to head further i recommend my patients to use the hard wooden surface to sleep in nights, which the body in momentum and the recurrence of pain is much less. practicing regular exercises post learning from a physical therapist helps in longer run. surgery is a memory relief of pain, but post the surgery the pain and aches are more due to instability of the spine, which i have personally experienced in my clinical practice. also, the best job of an orthopedic surgeon is to safeguard the joint and not to allow it to damage more. a good surgeon will never advise for the surgery as the original joint has its own importance which no good surgeon will have a mind to lose. i will recommend undergoing a good number of weeks of physical therapy where you will learn various ways to exercise and safeguard the spine for future and avoid surgeries. in my clinical practice i have this same attitude of teaching more of the physical exercises then looking for the surgery. as exercise is the natural form of safeguarding the spine and surgery is the artificial. so choice is left up to you. in my opinion learning the best way to exercise is better than undergoing the knife.regards. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. mucus production is normal physiological response to any injury to the lung. injury can be due to anything like1. organism (infection)2. inflammation3. allergy4. foreign body etc. so we have to identify the cause first. if allergy is the cause for this than complete avoidance of allergen is needed. anti-allergic chatbot.  so i vice you to first consult pulmonologist and discuss these.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, it appears to an acidity and gastritis. do you also have upper abdominal pain, nausea, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated?  you should avoid fatty, oily and spicy diet. have some walk after having food instead of taking rest. have multiple small meals instead of heavy meals. have regular sleep habits and avoid stress. lots of green leafy vegetables, fruits. avoid smoking and alcohol if any. you can get prescribed tab pan dsr 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. if not adequately relieved, then you should add syr sacral o or genus two teaspoon three times a day for a week. hope this helps you."
Please answer with one of the option in the bracket,C: Spasticity of bilateral lower extremities
Please summerize the given abstract to a title,The CREST-2 experience with the evolving challenges of COVID-19: A clinical trial in a pandemic
Answer this question truthfully,Sleep terror disorder is associated with children.
Please summerize the given abstract to a title,Essential epidemiological mechanisms underpinning the transmission dynamics of seasonal influenza
Answer this question truthfully,The recommended treatment for sepsis in a patient with sickle cell disease is ceftriaxone.
Answer this question truthfully,ACE inhibitors can cause an increase in bradykinin activity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. no, if your vaginosis is cured you never has swollen clitoris. in my advice your infection is not cured yet. you can take metronidazole and clindamycin tablet under your doctors' guidance. if you have taken it in your current therapy, you can only substitute it. i advise you to wear cotton undergarments. because synthetics material increase chance of resistance. also keep hygiene because it will cure you earlier. please wash your hands before and after hand wash. i will be happy to answer your further concern on bit.ly/ chatbot. thank you, chatdoctorinfectious diseases specialist, chatdoctor."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Thymidine is the nucleoside that is made with thymine. Thymine is one of the four nitrogenous bases that make up DNA, along with adenine, guanine, and cytosine. A nucleoside is formed when a sugar molecule is attached to the nitrogenous base, and in the case of thymine, the resulting nucleoside is thymidine. Thymidine is an important component of DNA and plays a crucial role in DNA replication and cell division. It can also be used as a marker in scientific research to measure the rate of cell proliferation."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot forum. the reasons for persistent cough, without findings in the lungs might, uveitis a growth at the end of the throat, by touching the pharynx cause severe cough. for this type of cough you need to use cough suppressants like dexametarphane, codeine, etc which are present in some cough syrups.  best thing to get relief immediately is darling with luke warm salt water 2 or 3 times a day. avoid taking fruits, juices, ice creams, ice water to chatbot.  i advise you to consult an e.n.t.surgeon who is the doctor concerned with the causes in the pharynx.  wishing for a quick and comfortable relief, and thanks for calling."
Please summerize the given abstract to a title,The Influence of Robot-Assisted Learning System on Health Literacy and Learning Perception
Answer this question truthfully,Endometrial carcinoma must be ruled out in all postmenopausal women with uterine bleeding.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you are having old fracture at arm and feeling pain then you should be cautious. if lifting of weight is causing pain then i will advise you to have an x-ray of affected part to know the reason behind pain. this can be due to incomplete union or stress fracture. till then, you should avoid bearing weight on affected arm. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,PMU82 Increasing Importance of Digital CME in a Post COVID-19 World
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot you are suffering from severe oligo-astheno-teratozoospermia that is all important sperm parameters(count, motility, morphology) are depressed. hope you have got semen analysis done from standardized laboratory. get yourself examined by fertility specialist/urologist. get your hormone levels (fsh & testosterone) done. in the meantime you can start taking antioxidants tablets which helps to improve sperm parameters. try to lose weight if you are overweight, include citrus fruits and green vegetables in your diet. chances of pregnancy will be low if you try naturally. gui may help. if condition doesn't improve ivf/csi is last resort. all the best"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friendthanx for sharing your concern. also nice to know that you have started taking care of your teeth. now four years is a long span of time, you haven't used your retainer all this time. now if you try to fit old retainer, presently it might not help, plus it can cause damage too on continuous usage. therefore donor worry take it to your dentist explain your problem to them and i m sure with minor adjustments it can be used again, condition being your teeth have not shifted much. if you want you can get fixed type retainer also. you can inquire this from your dentist and get it fixed.than"
Please summerize the given abstract to a title,Microscopic findings in EUS-guided fine needle (SharkCore) biopsies with type 1 and type 2 autoimmune pancreatitis.
Answer this question truthfully,Activating α2 adrenergic receptors on pancreatic islet cells causes decreased insulin release.
Please summerize the given abstract to a title,COVID-19 Diagnosis from Cough Acoustics using ConvNets and Data Augmentation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. from the history and type of lesion, it is suggestive of infection. chances of fungal infection is more than bacterial. for the lesion, you can use triple action ointment like locate gm for local application. maintain proper hygiene of the area and wear loose clothes. do consider positive feedback as a credit to my work. let me know if you have any further questions. you can contact me on my page http"
Answer this question truthfully,The type of anemia that can result from the use of cytarabine is Megaloblastic (macrocytic) anemia.
Please answer with one of the option in the bracket,E: Elevated blood pressure
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to our site. i am chatbot, md. read your query. that is a very significant question and i appreciate your problem. i will try my best to answer your query think you should have an mri of the back as soon as possible. there may be a severe disc displacement in your case that may be causing the pain and the nerve symptoms like the tingling and the numbness that you are developing. if it is too severe, surgery may be recommended, and if it is less severe, a physiotherapy with mild muscle relaxants and milder painkillers may help you. as for the small lump, i would suggest an ultrasound of the area to know more hope this helps you. inform the reports mentioned above/if any other, so i can be of help further. i have given you the answer to the maximum considering the information provided. the results of the tests could further enhance my answer to you. please do understand that some details could be extracted from a detailed history and examination. please feel free to ask another query. i would be glad to help you. looking forward to your return query with the details asked so that i can help you further. (if the answer has helped you, please indicate this)best of luck."
Answer this question truthfully,NSAIDs tend to accumulate at the renal papillae of the kidney.
Answer this question truthfully,"C3a, C4a, and C5a are the complement proteins that can activate mast cells as anaphylatoxins."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. if you do not have any ulcerative wound in your mouth or lumps in the neck region then there is no risk of cancer at present. a throbbing pain in the throat and jaw can be due to many reasons including sore throat due to infection. you have taken a good decision to quit smoking, but please do not start even one cigarette as it is an addiction, and you will get into the habit again. most people have craving for smoking after few months, but you should avoid any smoking from now. for sore throat you can do gargling and this will help you to soothe the throat and get comfort. please do salt water gargle twice daily for a week, and you should be feeling better. in case you want to completely confirm the absence of lymph nodes and thyroid problems then do an ultrasound scan of neck. please do not worry."
"If you are a doctor, please answer the medical questions based on the patient's description.",please do following tests
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! welcome to chatbot. com. i have read your query in detail and do understand your concern. daily shedding of up to 100 hairs is normal. excessive hair fall can be due to physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. take a nutritious and protein rich diet(pulses, milk products, eggs). use of hair supplements containing biotin will be of help. avoid routine application of gels or frequent blow chatbot.  use a sulfate free shampoo for your hair twice a week. a hair growth lotion or serum can be prescribed to you depending on the cause and severity of your hair fall. minoxidil lotion can be applied over the affected area twice daily hope this helps! good luck!"
Please summerize the given abstract to a title,Abdominal Expansion versus Abdominal Drawing-In Strategy on Thickness and Electromyography of Lumbar Stabilizers in People with Nonspecific Low Back Pain: A Cross-Sectional Study
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.",no in my advice just stop mi;ok and diary products for 3 monthsavoid greedy and oily food no coconut mustard groundnut and soda misapply olive and use olive for cookingshampoo should be milk and nuts fresno creams and ointments containing milk and outsware water intakeapply clinic age morning eveninghistocalamine in betweenafter one month apply retinoid acid at night and clinic a morning do 3 months and postie little chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there is no documented evidence that supports such idea. however, in advanced liver disease yes it is possible to have low sperms and infertility but not in a case like yours. hepatitis a can be spread via semen and sex, so you have to take care of that problem too. take necessary precautions. eat healthy, chatbot. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Survey of Intravitreal Injection Techniques Among Retina Specialists in Mexico
Answer this question truthfully,Right-sided colorectal carcinoma usually grows as a raised (exophytic) mass.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern regarding the backache. since you have mentioned that you have as chronically suffered backache for about 26 years it has to be related with any defect in the spine with nerve compression or due to diabetic neuropathy or lack of nutrients like calamine. this occurs mostly due to our lifestyle habits like usage of computers, watching a lot of tv, bending while reading.1) you can use analgesics like paracetamol/tylenol to relieve from pain.2) do not use analgesics excessively. it is harmful to our body when in excess.3) you need to keep an erect straight posture of your back and neck.4) do stretching exercises, when you wake up lie on your chest then using two hand lift yourself up, in an arc like position and then lie down slowly. repeat his at least ten times daily. this will surely relieve back pain. you can watch online videos for such exercises.5) take tablet neurons once daily, analgesics only if you have severe pain.6) if your problem aggravates you need to get yourself physically examined and investigated through radiological methods like x-ray followed by mri only if suggested by an orthopedic. since you have chronic pain, it is most probable that you have undertaken radiological examinations. so i request you to send your reports next time so that we can plan a better treatment method. hope these suggestions help you. contact for further follow up. thanks with best regards,"
Please answer with one of the option in the bracket,C: Cross-linking of IgE on mast cells
Please summerize the given abstract to a title,A longitudinal investigation of the impact of emotional reactivity and COVID-19 stress exposure on substance use during the pandemic
Answer this question truthfully,"The natural history of hypertrophic cardiomyopathy is quite variable. Signs and symptoms range from none, to atrial fibrillation, heart failure, embolic stroke and sudden cardiac death. Signs and symptoms are quite variable from individual to individual but are also quite variable within a given family (all of whom carry the same mutation). The disease is quite variable in the timing of its appearance and may appear anywhere from infancy to late in adult life. About 25% of HCM patients achieve normal longevity. The myosin-binding proteins C genetic variant carries a good prognosis. The presence of ventricular fibrillation / ventricular tachycardia carries the poorest prognosis. The severity of the outflow gradient is also related to prognosis. Athletes should be screened for HOCM based upon a family history of sudden cardiac death and a murmur on physical examination. Electrocardiograms and echocardiograms are not cost-effective screening tools in this population with a low pre-test probability of disease."
Answer this question truthfully,"A protein kinase inhibitor is a type of enzyme inhibitor which specifically blocks the action of protein kinase.
Kinase inhibitors such as dasatinib are sometimes used in the treatment of cancer. Many of the kinase inhibitors used in treating cancer are inhibitors of tyrosine kinase."
Please summerize the given abstract to a title,"Control Strategies for COVID-19 Epidemic with Vaccination, Shield Immunity and Quarantine: A Metric Temporal Logic Approach"
Answer this question truthfully,"Follicle stimulating hormone, gonadotropin releasing hormone (GnRH), and estradiol have been purified in the laboratory. Chemical analogues of estradiol and progesterone have also been synthesized. Recall that GnRH is an upstream inducer of both FSH and LH secretion.
Generally, administered FSH or GnRH can induce ovulation by rapidly accelerating the pace of folliculogenesis, allowing for conception.
Ovulation induction is a promising assisted reproductive technology for patients with conditions such as polycystic ovary syndrome (PCOS) and oligomenorrhea.
Medications that are commonly prescribed to induce ovulation include Clomid, Gonal-F/Follistim AQ, Metformin, Bravelle, Menopur and Repronex.
All ovulation-inducing medications carry the risk of side effects. A recent study has raised the possibility of a link between ovulation-inducing agents and an increased risk of ovarian carcinoma. 
Contraception can be achieved by suppressing the ovulation.
The majority of hormonal contraceptives and conception boosters focus on the ovulatory phase of the menstrual cycle because it is the most important determinant of fertility. Hormone therapy can positively or negatively interfere with ovulation and can give a sense of cycle control to the woman.
Estradiol and progesterone, taken in various forms including combined oral contraceptive pills, mimics the hormonal levels of the menstrual cycle and engage in negative feedback of folliculogenesis and ovulation."
Answer this question truthfully,"The compound that binds free phosphate in the gastrointestinal tract is called sevelamer. Its function is to prevent the absorption of phosphate in the gut, which can help to lower levels of phosphate in the blood. Sevelamer is commonly used as a medication to treat hyperphosphatemia, which is a condition that can occur in patients with chronic kidney disease or other disorders that affect phosphate metabolism. By binding to phosphate in the gut, sevelamer can help to reduce the risk of complications associated with high levels of phosphate in the blood, such as bone disease and cardiovascular disease."
Answer this question truthfully,Digoxin can lead to an increase in the PR interval.
Please summerize the given abstract to a title,Cloth Face Coverings for Use as Facemasks During the Coronavirus (SARS-CoV-2) Pandemic: What Science and Experience Have Taught Us
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. from the given symptoms (i remind you that the symptoms you are providing could be biased and may not be properly observed) this behavioral problem seems to be borderline personality disorder. borderline personality disorder (bpd) is a serious mental illness marked by unstable moods, behavior, and relationships. most people who have bpd suffer from problems with regulating emotions and thoughts, impulsive and reckless behavior and unstable relationships with other people. best treatment includes psychiatric intervention and psychotherapy. please consult a psychiatrist for further advice. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
Please summerize the given abstract to a title,Comorbidities in rheumatic diseases need special consideration during the COVID-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for sharing your health concern with us. i have gone through your query and here are the answers. 1. there is no 100% safe procedure. every method has its own side effects. yet, copper-t is considered to have lesser side effects and more efficacy. 2. some people experience heavier bleeding with the iud, especially during the initial months. if this persists, the iud should be removed and an alternative method of contraception is chosen. 3. weight gain is not a problem as it is not hormonal. likewise, there is no in chatbot.  4. if you are asking for other ways of birth control, there are several options available. you can get details from your health care provider. 5. there is no medication in the iud. hence, adjustment should be immediate. hope this helps."
Please summerize the given abstract to a title,Vrobotator: a Virtual Robot Facilitator of Small Group Discussions for K-12
Answer this question truthfully,"The recommended approach for managing infants with laryngomalacia is reassurance.

Laryngomalacia is a common condition in infants where the soft tissues of the larynx (voice box) collapse during breathing, causing noisy or difficult breathing. Most cases of laryngomalacia are mild and do not require any specific treatment. In such cases, the recommended approach is reassurance, which involves monitoring the infant's breathing and growth, and providing support and education to the parents. Infants with more severe laryngomalacia may require additional interventions such as feeding modifications, medications, or surgery. However, in most cases, reassurance is the mainstay of management for infants with laryngomalacia."
Please summerize the given abstract to a title,Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
"If you are a doctor, please answer the medical questions based on the patient's description.","hello your symptoms and ultrasound findings may suggest polycystic ovarian disease(pod).pod has typical appearance in usg, and it is indicated by increase ovarian size, hyperechoic stoma and necklace appearance of cysts arranged in periphery.pod should be confirmed by clinical correlation and biochemical markers like hormonal assay for pod.pod is a curable disease, and mostly it is treated by medicines. surgical intervention is required in very few cases. hope i have answered your query. take care chatbot."
Answer this question truthfully,The treatment for incompetent cervix that leads to repeated second-trimester pregnancy losses is cerclage at 14 weeks.
Answer this question truthfully,"Actinomycosis is usually caused by an anaerobic bacteria called Actinomyces israelii, which is a common and normally not disease-causing (nonpathogenic) organism found in the nose and throat. Because of the bacteria's normal location in the nose and throat, actinomycosis most commonly appears in the face and neck. However, the infection can sometimes occur in the chest (pulmonary actinomycosis), abdomen, pelvis, or other areas of the body. The infection is not contagious. Symptoms occur when the bacteria enters the facial tissues after trauma, surgery, or infection. A common triggering causes is dental abscess or oral surgery. The infection has also been seen in certain women who have had an intrauterine device (IUD) to prevent pregnancy. Once in the tissue, it forms an abscess, producing a hard, red to reddish-purple lump, often on the jaw, from which comes the condition's common name, ""lumpy jaw."" Eventually, the abscess breaks through the skin surface to produce a draining sinus tract."
Answer this question truthfully,"The gastric glands of the stomach contain the mucous cells, chief cells, and parietal cells."
Please summerize the given abstract to a title,COVID-19 and inflammatory bowel disease: A pathophysiological assessment
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would like to tell you that because you were chronic alcoholic, and you had gall bladder problem, your liver could be damaged somewhat and that reflects as high sgpt and got. but now you have stopped chatbot.  in initial 3 months or so, you can have somewhat high liver enzyme levels, so i would recommend you to repeat the liver enzyme tests after 3 months of treatment and if it remains still on the higher side, then i would suggest you to go for ultrasound to find out the extent of injury and discuss with your physician.  so don't worry, take enough precautions like stop"
Answer this question truthfully,HSV conjunctivitis is usually unilateral and often presents with a vesicular rash.
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you should immediately consult gynecologist for your continuous bleeding in periods. as this can cause blood loss and anemia. due to anemia many symptoms can occur like1. low bp2. high pulse rate3. shortness of breath4. headache5. weakness etc. so better to consult gynecologist. also get done chest x-ray to rule out lung infection as lung infection can also cause hypotension and shortness of breath.
Answer this question truthfully,The likely diagnosis for the patient's condition is Wilson disease.
Please summerize the given abstract to a title,"Decolonising 'man', resituating pandemic: an intervention in the pathogenesis of colonial capitalism"
Answer this question truthfully,"No, Salmonella bacteria cannot ferment lactose."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. the cost of wisdom tooth extraction depends on the experience of the dentist, the location of the dentist, the type of dental insurance you have, the extent of the procedure, and other factors. wisdom tooth extraction can range in price from $150 to $350 per tooth. the cost range does not include fees associated with sedation, x-rays, possible oral surgery necessities, or the location of the wisdom tooth. for example, extraction costs for impacted wisdom teeth are significantly higher than for erupted wisdom teeth. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","dear sir/madam have gone through your query and read your symptoms. in my opinion, the symptoms seem more of a disc disease in the cervical region rather than ms, as ms involves whole body, get an mri done of the cervical spine and see the problem. meanwhile, do not use a pillow, under your head, keep a rolled towel under your neck, or can use contoured cervical pillows. i hope that answers your query. if you want any more clarification, contact me back."
Please summerize the given abstract to a title,A Potential Canary in the Coal Mine: A Critical Policy Analysis of the Illinois LSAMP During the COVID-19 Pandemic
Please summerize the given abstract to a title,COVID-19 vaccines in adult cancer patients with solid tumors undergoing active treatment: seropositivity and safety. A prospective observational study in Italy
Please summerize the given abstract to a title,How to safely and sustainably reorganise a large general radiography service facing the COVID-19 pandemic
Answer this question truthfully,"People with mild anemia may have no symptoms or very mild symptoms. More typical symptoms of vitamin B12 deficiency anemia include:
Diarrhea or constipation Fatigue, lack of energy, or light-headedness when standing up or with exertion Loss of appetite Pale skin Problems concentrating Shortness of breath, mostly during exercise Swollen, red tongue or bleeding gums Nerve damage caused by vitamin B12 deficiency that has been present for a longer time may cause:
Confusion or change in mental status (dementia) in severe or advanced cases Depression Loss of balance Numbness and tingling of hands and feet"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. the date mentioned is not applicable, as april is a long time back. if you mean august it becomes more logical. the greenish and yellow discharge mentioned in the query suggests infection in the extracted socket. i would advise you to not keep the gauze for the long period as mentioned in the query. this will make the food eaten to get lodged in the place consequently leading to infection. continue with the salt water gargling. if the pain or swelling increases, consult your dentist. antibiotics like amoxicillin 500\u00a0mg and metro lag will be required on prescription. hope this was useful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. almost and eldest both contain progesterone, which supports gestation during pregnancy and prevent uterine action, and as relationship was approached after follicular study, thus can be used safely till prescribed [month].2. eldest soft gelatin capsules are available in strengths of 100 mg and 200 mg. eldest is for oral, vaginal, and rectal use3. eldest should not be taken with food and should be taken at bedtime. 4. before using progesterone capsules please inform your doctor all the medicines that you take, including no prescription medications, over the counter medicines and herbal remedies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, fatty liver is usually asymptomatic in most of patent. recurrent boil like superficial skin infection can occur because of underlying cause like diabetes or immunosuppression by chatbot.  for fatty liver lifestyle modification needed with fruits more and less fatty foods. avoid alcohol if habit of it. you should consult physician first examination and accordingly work up done. hope i have answered your query. let me know if i can assist you further."
Please answer the letter of option truthfully,C
I am suffering from Kartagener's syndrome and wanted information from you or from Dr. . for this syndrome. (About fertility) and if possible other symptoms. Thank you.,"There is currently no cure for Kartagener syndrome. Antibiotics may be prescribed to treat respiratory, sinus, and middle ear infections and may be given on a long-term basis in people with chronic or frequent infections.  For lung disease, airway clearance therapy, similar to that used in cystic fibrosis, can loosen thick, sticky mucus so it can be cleared away. In people with severe lung disease, lung transplantation may be an option."
Please summerize the given abstract to a title,Long Non-coding RNAs in Pulmonary Neuroendocrine Neoplasms.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the pus cells of more than 5 in urine suggests urinary tract infection (uti). plenty of epithelial cells is not significant. if at all there are persistent of pus cells i suggest you to get urine culture and sensitivity test done to know the accurate diagnosis and treatment of uti. nothing to worry.uti is routinely seen in pregnancy due to alteration of hormones. take adequate fluids up to 3 liters per day, cranberry juice to prevent uti. with adequate treatment it will subside. hope this helps. best regards...."
Answer this question truthfully,There are no established measures for the secondary prevention of IgA nephropathy.
Please summerize the given abstract to a title,Mitochondrial aconitase binds to the 3' untranslated region of the mouse hepatitis virus genome.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. you are too young to conceive and continue the pregnancy. there are so many risk and complication in young age (age should be more than 18 yrs). sex 4 days after period is quite safe. you can't be pregnant during this time (first 7 days after period) as these days are non-fertile. to be pregnant, you need to involve in unprotected sex during fertile period (d12-d18) of regular cycle. in this time, chance is quite high. hope, it helps for your information. good luck."
Answer this question truthfully,"Acute urinary tract obstruction may present with sharp flank pain radiating to the groin, hematuria, and nausea/vomiting."
Please summerize the given abstract to a title,Experience with UV-C Air Disinfection in Some Russian Hospitals†
Please summerize the given abstract to a title,COVID-19 Pandemic Is a Call to Search for Alternative Protein Sources as Food and Feed: A Review of Possibilities
Please summerize the given abstract to a title,Effective inhibition of MERS-CoV infection by resveratrol
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query.* left side chest pain is what we are always afraid of as heart issues can give such symptom.however, if the pain has appeared suddenly with shortness of breath and some radiation to the arm, pneumothorax is possible. this condition can appear with no reason. sometimes sudden cough or sudden lift of heavy object can cause it. it is more possible if you smoke or have chronic lungs' disease like asthma or bronchitis. if nothing like that is present, strained muscle is the most probable reason. strained muscle usually appears only when the chest is moving, and should be completely gone when lying down and not breathing. if the pain is sharp and well localized, more intense when breathing, rib nerve issue is the most probable reason. in both cases, rest and anti-inflammatory medicines like diclofenac should help. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Answer this question truthfully,"Leishmania braziliensis infects vertebrates, which include animals with a backbone such as mammals, birds, reptiles, and fish. This parasitic protozoan is transmitted to the vertebrate host through the bite of infected female sandflies. Once inside the host, the parasite can cause a range of clinical manifestations, from mild skin lesions to severe forms of cutaneous or mucocutaneous leishmaniasis. The identification of the specific vertebrate host species for Leishmania braziliensis may vary depending on the geographic location and the ecological context of the transmission cycle."
Please summerize the given abstract to a title,Native RNA Purification Method for Small RNA Molecules Based on Asymmetrical Flow Field-Flow Fractionation
Please summerize the given abstract to a title,Pandemic Care Through Collaboration: Lessons From a COVID-19 Field Hospital
Please summerize the given abstract to a title,Effect of COVID-19 pandemic on the lifestyle and glycemic control in patients with type 1 diabetes: A retrospective cohort study
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concern. as per your complaint a quarter sized lump a few inches below the injection site can be due to allergic reaction to the medication injected while it can also be unrelated to the injection and can be due to any bug bite or insect bite. i would suggest you to take anti-allergics like ben chatbot. . in case if it does not resolve in a week consult an allergist and get evaluated and treatment can be planned accordingly. hope this information helps. thanks and regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. the history is suggestive of peripheral neuropathy you need to visit a neurologist and undergo clinical examination of reflexesexamination of sensory system nerve conduction studies after that we can treat and try to cure you at the earliest hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
Please summerize the given abstract to a title,Association between prenatal or postpartum exposure to tobacco smoking and allergic rhinitis in the offspring: An updated meta-analysis of nine cohort studies
"If you are a doctor, please answer the medical questions based on the patient's description.","hallow dear, decapeptyl is a gonadotropin-releasing hormone agonist (grh agonist). by causing constant stimulation of the pituitary, it decreases pituitary secretion of gonadotropin luteinizing hormone (lh) and follicle stimulating hormone (fsh). lh is a hormone which causes the egg release from the follicle in the ovary. what you need at this stage is a stimulation for ovulation which is given by chatbot injections. now what you can do is monitor the ovulation by ultrasonography every day. utilize the day when you find the egg released; it may happen any day now. please understand that the life of ovum after ovulation is 24 hours while the sperms are active for 72 hours. therefore, you can have your intercourse daily from today onwards in the hope of ovulation in next 24-48 hours. if this cycle you do not conceive, please observe the following instructions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot. based upon your reports and general condition please have av fistula done and keep it for future use she may require hemodialysis in future so rather going for central line it's better to have avf done beforehand but till then you have symptomatic treatment with lasix, calcium, folic acid and erythropoietin injection of hemoglobin is high. thanks chatbot."
Answer this question truthfully,"Myocytes in DMD (Duchenne muscular dystrophy), BMD (Becker muscular dystrophy), and Myotonic Dystrophy may display nuclei at the center of the cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you are going in correct way. chances of conception are 25% per ovulatory cycle. better option is to induce ovulation with some tablets which your doctor will prescribe. it's better to have relation at least on alternate days or three times in week, irrespective of follicle size for better chances of conception. also, ultrasound doesn't detect all follicular ruptures. it's very rare for follicle not to rupture after foreign injection so no need to worry about follicular rupture. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, as you had poor concentration for years (maybe due to adhd) but it is not clear for late treatment seeking. adhd patients frequently had anxiety and depressive symptoms which increases their problem of concentration further. same i am suspecting in your case for late treatment seeking. for assessment and treatment of adhd and associated complication, you can visit specialist like psychiatrist.  i hope this information has been both informative and helpful for you. wish you good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Thymus is the site of maturation of T cells. This makes thymus the primary center responsible for adaptive immunity.
The exact pathogenesis of the primary tumor development is not completely understood.
Primary tumors of thymus are relatively rare. Thymoma is the most common type of primary tumor of thymus. Thymoma is histologically comprised of abnormally conditioned T cells. The mingling of these abnormal T cells into the circulation is believed to be involved in the causality of the associated autoimmune disorders."
Answer this question truthfully,"Intrathecal administration of amphotericin B can result in seizures and other central nervous system (CNS) side effects. This medication is typically used to treat fungal infections that affect the CNS, such as meningitis. However, it can also cause a range of adverse reactions, including headaches, fever, chills, muscle pain, and vision changes. It is important to closely monitor patients who receive intrathecal amphotericin B and to provide appropriate supportive care to manage any potential side effects."
Please answer with one of the option in the bracket,E: Positive anti-streptococcal serology
Please summerize the given abstract to a title,Nuclear and Mitochondrial SSU rRNA Genes Reveal Hidden Diversity of Haptophrya Endosymbionts in Freshwater Planarians and Challenge Their Traditional Classification in Astomatia
Please answer with one of the option in the bracket,B: Heart murmur
Answer this question truthfully,Schistosoma mansoni and japonicum tend to inhabit the mesenteric veins.
Please summerize the given abstract to a title,"Teenage births and pregnancies in South Africa, 2017 - 2021 - a reflection of a troubled country: Analysis of public sector data."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern and would explain that your symptoms could be related to anxiety or any other metabolic disorder.  i don't think that stopping smoking is related to this clinical situation.  for this reason, i recommend performing some tests in order to investigate for other secondary causes"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. pain in the abdominal area while coughing indicates inflammation in the abdominal cavity. some of such cases needs surgery. that is why you should not wait with it and visit er. frequent urinating indicates urinary tract infection, but this might be also coexisting issue. lower left area is where vertices can be located and in case of its inflammation or perforation such symptoms can be present. abdominal ultrasound, blood work, crp level, abdominal x-ray and urinalysis should be done. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mr pradeep, thanks for writing in. there is a possibility that your cancer is now not sensitive to hormone therapy anymore. i would suggest imaging studies to rule out any evidence of recurrence of the tumor (like mri pelvis, ct thorax and bone scans). further treatment in the case of visible disease on scans or persistently rising psa, may include other hormonal agents or chemotherapy if need be. best wishes,"
Please summerize the given abstract to a title,COVID-19: Mandatory institutional isolation v. voluntary home self-isolation.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting in chatbot. i understand your concern. repeated yeast infection of vagina in a virgin could be due to poor genital hygiene. kindly do the following to overcome the same.  1. cleanse the area with mild antiseptic solution like salon twice daily. 2. apply antifungal vaginal pessary or cream containing medication like fluconazole or fluconazole. 3. wear loose fitting undergarments preferably made of cotton. maintain good personal hygiene. gradually, you should be able to overcome the symptoms and be back to normal. hope the information provided would be helpful. all the best.  chatbot. s., mbbs., md."
Please answer with one of the option in the bracket,B: TNF-α
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot you have asked an interesting question chronic renal failure requiring hd, means both the kidneys have esd (end stage renal disease). it is very good to be positive about future and in your case intermittent hemodialysis is the way to remove waste products from blood, take your treatment regularly. you should discuss with your nephrologist first about a kidney transplant from related donor which is more acceptable and reality in the treatment of esd. yes possibly autologous mesenchymal stem cells harvested from body itself becomes possible in near future, even if it helps in reducing the rejection of transplanted kidney. right now also very good result with the chatbot. be hope full good luck to you"
Answer this question truthfully,High endothelial venules (HEV) in the lymph node paracortex are the site through which T and B cells enter from the blood.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",his had gone through your query.it seems like urinary track infection or local infection around genitalia. chances of fungal infections are more in area around penis. bacterial infection cause burning sensation in urine. urine examination will give more idea about infection. local examination is necessary to diagnose fungal infection. consult physician and dermatologist for better assistance. chatbot. medicines like antifungal and antibiotic can help but require proper consultation before taking any medicines. still if you have query then feel free to ask. get well soon. thank you.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. your symptoms suggest towards erasmus(inability to open the jaw post extraction). it also shows, there is infection developed at the extracted site. sometimes deeper tissue injury also cause erasmus. therefore, i would suggest you to revisit your dentist and get the clinical examination done for the same. a new course of antibiotics and analgesics should be started, and also keep a note that you keep chewing, chewing gums in your mouth. maintain good oral hygiene, by rinsing with antiseptic mouth washes. hope it helps. thanks. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,this sore hard lump is not leading to your death. this lump seems to be boiled with infection and needs to be reviewed and consulted by your er surgeon. so consultation with er surgeon would fix solution to your intriguing lump problem at the site. this would resolve your query. write excellent review if you feel that this reply has helped you a lot. welcome for any further query in this regard to chatbot and to me. have a good day. chatbot. n."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...these stool and urine tests are completely normal. i feel that your kid might be having a viral diarrhea. it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. there is no need to use antibiotics unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. i suggest you use zinc supplements (z&d chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should rule out heart (heart failure, coronary artery disease) and lung (bronchitis) related diseases first because chest pain, breathlessness and wheezing are common symptoms in these diseases. so consult doctor and get done 1. ecg, 2d echo and stress test (trade mill test) to rule out heart diseases. 2. chest x-ray and pft (pulmonary function test) to rule out lung diseases. you may need cardiac supportive chatbot.  don't worry, you will be alright with all these. first diagnose yourself and then start appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. if there is pain present in the same tooth after the root canal treatment also, it means that either the rct is incomplete or it has not been done properly. i think you should visit another dentist to get a complete examination of the tooth done with x-ray, as without x-ray it can not be diagnosed properly. and if needed get it retreated. hope it will help you."
Answer this question truthfully,The likely diagnosis for the patient's condition is Müllerian agenesis (Mayer-Rokitanksy-Küster-Hauser syndrome).
Please summerize the given abstract to a title,Requisição administrativa em situação de calamidade pública: por uma fila única emergencial de leitos de Unidade de Terapia Intensiva
"If you are a doctor, please answer the medical questions based on the patient's description.","i thank for asking question. i appreciate your concern.first there is no permanent cure of liver cirrhosis except liver transplantation. but we can prevent its complication. here are few suggestions for you. aspirin, ibuprofen, some antibiotic can damage liver, so taken only after consulting doctor. take low salt diet which will help in reducing blood pressure and preventing ascites. if fluid accumulate in belly means asciis, diuretic can be taken. to treat varietal bleeding endoscopy treatment or balloon lemonade done. beta blocker especially useful in preventing varietal bleeding. to prevent asciis limit your protein in diet. take enough rest and avoid stress. regularly visit your doctor. if varietal bleed occur immediately refer to doctor. with this suggestion he will be in less trouble. i hope these will help you. wish you good health. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. as you are having an infected tooth, you are having pus accumulation known as abscess in the gum related to that particular tooth. if you press that swelling, only blood and pus is going to come out as swelling is made up of that only (blood and pus) because of the infection chatbot.  you can finish the antibiotic course and do not need to rush to the dentist right away. however, as the source of infection is tooth, the swelling and pain will not completely and permanently resolve until the tooth that is the source of infection is removed. thus, you do need to visit the dentist for the treatment of tooth either by root canal treatment or by extraction of that tooth depending on the spread of infection. i hope this information helps you. thank you for choosing chatbot. i wish you feel better soon. best,"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Blockchain as privacy and security solution for smart environments: A Survey
Answer this question truthfully,"The causes of paranoid personality disorder are unknown. The disorder appears to be more common in families with psychotic disorders such as schizophrenia and delusional disorder, which suggests genes may be involved. However, environmental factors may play a role, as well.
The condition appears to be more common in men."
Please summerize the given abstract to a title,Considering Interim Interventions to Control COVID-19 Associated Morbidity and Mortality—Perspectives
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, since how many years or months, you are having a lump in the armpit? is the lump soft or hard? most of the time soft lump is usually lipoma (a benign fat tumor). presence of pus in it usually indicates sebaceous cyst which got infected. i advise you to consult a general surgeon and go for simple excision of the lump along with a course of antibiotics. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Nonsteroidal anti-inflammatory drugs (NSAIDs) or immunosuppressants
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern.  you may have lump or it may be ribbed. just go for ct scan to know the origin of lump and amy connection with rib or not. if needed go for fnac of that lump. then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","diverticulitis is a condition that can reoccur, and must be treated each time it happens. diverticulosis is a common condition where there are a lot of \""outpourings\"" along the large intestine-kind of like a bunch of little appendixes. when one of these gets inflamed or plugged up, it can cause an infection that requires antibiotics. you can reduce the recurrence of infections by avoiding foods like nuts and seeds that can get caught in the pouches and create infections. you also want to avoid constipation as that can make the situation worse.  chatbot.  hope this helps."
Answer this question truthfully,"Anti-müllerian hormone, secreted by the Sertoli cells, is also known as müllerian inhibitory factor."
Please summerize the given abstract to a title,"SARS-CoV-2: Pathogenesis, Molecular Targets and Experimental Models"
Please summerize the given abstract to a title,Repositionnement de la chlorpromazine dans le traitement du COVID-19: étude reCoVery
how common is cystic fibrosis,"Cystic Fibrosis is a disease that causes the build up of mucus, mainly in the lungs and digestive tract. It is one of the most common chronic lung diseases in children and young adults."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have blood in sputum (hemoptysis). it is commonly seen in tuberculosis, lung cancer or other lung disorder. you should go for ct scan of chest. if you have any mass lesion in lung then you should go for fine needle aspiration cytology or biopsy of that mass lesion. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,What enzyme is deficient in Gaucher disease? The enzyme glucocerebrosidase (β-glucosidase) is deficient in Gaucher disease.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query, you have developed an allergic reaction to any product which she is using, try to find out that. it cannot be an infection as you are getting spontaneous cure. apply a mild steroid lotion like hy chatbot. this will give you some relief. please meet a dermatologist for exact diagnosis. let me know if you have any other doubt. you can ask a direct question to me on this forum, following the below link.https"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious disease specialist, answering your concern. you should continue with the antibiotic prescribed after surgery. for pain and fever you can take the combination of the tab diclofenac and paracetamol. please maintain hygiene by means of regular cleaning and chatbot.  this simple measure can help you a lot in healing. please apply betadine and polypoid on the site at the time"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query. thanks for using chatbot.first please measure bp when he feels dizziness and uneasiness. if it is due to low bp then you may need to change the medicine,20 mg is as such quite low dose however we can decide only after you measure bp. if you are very sure that symptoms appear only due to telmikind you may report to your treating doctor to change the medicine. my best wishes chatbot."
Answer this question truthfully,"Healthy patients in preterm labor at less than 34 weeks should receive tocolytics to postpone delivery. Tocolytics are medications that can help delay delivery by temporarily stopping or slowing contractions of the uterus. This can give healthcare providers time to administer corticosteroids to the mother, which can help improve the baby's lung function and reduce the risk of complications associated with preterm birth. It can also allow for the transfer of the mother to a facility with a neonatal intensive care unit (NICU) if necessary. However, tocolytics are not always effective and may have side effects, so their use should be carefully considered on a case-by-case basis. In addition, preterm labor requires close monitoring and management by healthcare providers to ensure the best possible outcomes for both the mother and baby."
Please summerize the given abstract to a title,Digital Health Literacy and Health-Related Well-Being Amid the COVID-19 Pandemic: The Role of Socioeconomic Status Among University Students in Hong Kong and Macao.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello are getting only symptomatic treatment for gall bladder calculus. definitive treatment in this condition is surgical removal of gall bladder. gall bladder calculus may cause infection, obstruction,cancer in long term. so, it should be removed surgically. surgery is commonly done microscopically. recovery is fast by this procedure. you should consult your surgeon. get well soon. take care chatbot."
Answer this question truthfully,"Patients with Buerger's disease may experience symptoms as the following:
Pain and weakness in the legs and feet or arms and hands Swelling in your feet and hands Fingers and toes that turn pale when exposed to cold (Raynaud's phenomenon) Skin ulcers
Diseases with similar symptoms:
Atherosclerosis Raynaud phenomenon Frostbite Scleroderma Systemic lupus erythematosus"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is a serious matter in a child who is just 9 years old. the reason for the green stool is obviously an infection. this comes in a child from the infection of the nose, sinuses and throat this infection directly causes enteritis to give symptoms of pain in abdomen and nausea, vomiting, colored stool etc. the best way is to get her on an antibiotic after investigations are sent away. i would advise"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, this is normal to have mild degree of breathing difficulty after general anesthesia. general anesthesia actually cause passive atelectasis (partial collapse) of lower lobes. so you need to do chest physiotherapy and deep breathing exercises. this will expand your lungs and atelectasis will be cleared. if you still feel similar breathing difficulty after 2-3 days of chest physiotherapy than consult pulmonologist to rule out bronchitis. you may need inhaled bronchodilators and inhaled corticosteroid (ics). hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloincreased bilirubin may be due to hepatitis. it is important to know other parameters like sgpt, alkaline phosphatase level.ast is non-specific, and it increases in many conditions. you may need few investigations like routine hologram, viral markers, ultrasound of abdomen and urine re/me. you should avoid fatty food. you may need to take few more medicines after full investigations. get well soon. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","from the history it appears to me that it is more likely a skin tag only... in medical term we call it as sentinel pile. the reason for such tag in anal region could be either due to a fissure (ulcer) in anus or a fibrosis (healed) hemorrhoids. there is nothing much to worry about such lesions. wash your anal region thoroughly after passing stools because if the skin tag gets stained with stool it can cause some itching. if it's still causing persistent problem you can get it excised but most of the time it will not cause any problem. about cancer, since already a doctor has done a rectal examination and found its normal the possibility of cancer is unlikely.i hope i have answered you queries.have a good day."
Answer this question truthfully,"Assuming the ""knee-chest"" position opens flow of CSF fluid to relieve headaches. It is not related to ependymoma."
"If you are a doctor, please answer the medical questions based on the patient's description.",cellophane you for asking in chatdoctorthis situation may occur mostly in normal persons. as you explain that you feel a kind of discomfort in your chest better to do
Please summerize the given abstract to a title,"Potential of Curatella Amaricana L. against Sars-cov2: Bioavailability, Molecular Similarity and Molecular Docking between Secondary Metabolites and Protease Type 3-chymotrypsin (3clpro)"
Please summerize the given abstract to a title,El tutor de formación sanitaria especializada en España (parte I): Regulación y reconocimiento de su labor
Please answer with one of the option in the bracket,A: Increase in length constant
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for your thereafter going through your query i think you are having extreme fatigue throughout your whole body, pain throughout your body. in my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin d. you have already tested negative for diabetics. i will suggest you to got following test to see cause .1. serum vitamin d 2. serum vitamin b12 3. t3,t4,tsh.  furthermore, i empirically treat my such patients by"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and welcome. thanks for sharing your concern. please do not be worried if you are sure that the redness is due to erupting teeth. give her warm water with a pinch of salt to gargle twice daily after breakfast and dinner. this should solve the problem. in case there is any irritation or pain then she can apply colonel on the affected area for a week. this should help. please let me know for further doubts. thanks. take care.
Answer this question truthfully,"DRESS syndrome may be suspected in a patient who presents with a morbilliform rash and eosinophilia 8 weeks after starting allopurinol. DRESS syndrome, also known as drug reaction with eosinophilia and systemic symptoms, is a severe drug reaction that can occur after exposure to certain medications, including allopurinol. Symptoms of DRESS syndrome can include a morbilliform rash, fever, eosinophilia, lymphadenopathy, and organ involvement such as hepatitis. Treatment for DRESS syndrome typically involves stopping the offending medication and providing supportive care, such as antihistamines and corticosteroids, to manage symptoms. Early recognition and management of DRESS syndrome is crucial to prevent serious complications and improve outcomes."
Answer this question truthfully,Newborns usually have right-axis deviation.
Answer this question truthfully,"Diabetic ketoacidosis is a serious complication of diabetes that can lead to high levels of acid in the blood. One of the key treatments for this condition is the administration of IV fluids, which can help to restore electrolyte balance and prevent dehydration. In patients with diabetic ketoacidosis, it is important to monitor serum potassium levels, as these can become depleted as a result of the condition. Potassium should be added to the IV fluids of a patient with diabetic ketoacidosis once serum K+ falls below 5.2 mEq/L. This can help to prevent further depletion of potassium and ensure that the patient receives the appropriate amount of electrolytes to support their recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for posting on chatbot. complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. the other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. you can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. many options are available in chemical peels depending on the requirement and skin type. (glycol peel, retinol peel, cocktail peel etc.)also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. also, at home you can try using cream containing comic acid, betray chatbot. always use broad spectrum sunscreen before going out in sun. use a plain moisturizer like detail dam on daily basis for healthy and hy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, i am chatbot first, though there are several procedures by which you can identify the day of ovulation, in several instances that fails.  from your gynecological history, it can be said that you normally ovulate in between 12-16 days from the day of first menstrual bleeding.  so, my advice is tried between 8th september to 18th september. try minimum once a day.  and one more thing, counting the day of first bleeding as day one, just try from day 10 to day 20."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. there are many causes for upper abdominal pain. as you are waiting for surgery, it is essential to identify the cause for upper abdominal pain. causes are indigestion, peptic ulcer, gastroesophageal reflux disease, cholecystitis. most probably it could be due to indigestion or gastric ulcer. proton pump inhibitors like pantoprazole and antacid syrups are helpful. antibiotics may be used if h.pylori is suspected. but if it is associated with vomiting, belching, dark colored stools need a investigation. usual investigations are upper gi endoscopy, h. pylori test, occult blood in stools. etc. consult a gastroenterologist. hope this helps. take care. chatbot."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query.it's hard to say not being able to see it. if the lump is hard and in the vein area, your forearm is larger than the other one (swollen), veins thrombosis can be the reason. if the lump is soft and a bit tender, present close to the wrist, ganglion cyst is a possibility. veins thrombosis is a serious diagnosis and can not be left alone. that is why it would be reasonable to consult general surgeon. hope this will help. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i will suggest you to do a thyroid profile for your obesity and mild edema. tell me name of chatbot. long-standing hypertension may also lead to edema feet (echocardiography needed). an uncontrolled blood pressure also causes swelling in feet. a thyroid profile will also help you to have a look in the cause of obesity and edema feet.  powerful painkillers may damage kidney in long run causing edema feet. progesterone has side effect of fluid retention and weight gain. recommended for you to control bp. reduce weight. and need a workup for unexplained high pulse rate. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. as your pain is occurring only during certain positions and is not present at rest, the most probable reason could be a strained muscle. the general guidelines of management are as follows -* avoid activities which puts additional strain on the involved muscles* ice packing to alleviate the acute pain* once the acute pain subsides, moist heat fomentation is to be done to relax the muscles* physiotherapy to stretch and strengthen the back muscles* occasional analgesics & muscle relaxants as needed. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. phenytoin is having chatbot.  so both will interact with each other and decrease their therapeutic levels. and hence desired anti-epileptic and anti coagulant effect can not be achieved. so possibility of seizure attack and recurrence of pulmonary embolism is high. so in my opinion, you should continue warfarin. better to start newer anti-epileptic"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. our heart rate increases with exercise. this is normal for every one. depending on persons' height, weight, target heart rate (thr) is decided by tmt machine. if we achieve thr without getting breathless or rising bp or abnormal ecg then out tmt is good. but if we fail to achieve thr due to breathlessness or accelerated hypertension or ecg changes means our tmt is not good, and we need angiography to rule out coronary artery disease (cad). since your tmt was stopped due to breathlessness and hence thr was not achieved, possibility of cad is more in your case. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,D: Unbalanced translocation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, with this much history, i feel that most probably the rash on both extremities may be allergic contact dermatitis. it may be called atomic dermatitis. constitution of your daughter might be atomic. you consult dermatologist and have firm diagnosis. i would recommend as follows.- antihistamines- steroids in tampering dose- application of mild steroid cream or tacrolimus point- avoidance of contact of suspected allergens hope this would help you. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  you may have tonsillitis or upper respiratory tract infection. you should take a course of antibiotics like azithromycin, amoxiclav or levofloxacin.  consul tent surgeon once for examination.  for fever paracetamol should be taken.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Takayasu arteritis is a form of large-vessel vasculitis.
Please summerize the given abstract to a title,Blockchain-Based Image Copyright Protection System using JPEG Resistant Digital Signature
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the mri report of yours shows that there is disc protrusion and compression over the nerve roots. your symptoms are explained by this compression. the treatment options include medications, surgery and physiotherapy. physiotherapy is necessary in all patients. if there are no definite deficits (like sensory loss or weakness) then trial of medications with bed rest can help most of the patients. if medications are not helping or if there are deficits, then surgery is recommended. you neurologist/ neurosurgeon/ spine surgeon can guide you on this. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your mother is suffering from dementia. dementia is the term used where a person has decline in cognitive function(e.g. memory) that impairs with activity of daily living. most common causes of dementia are alzheimer and vascular dementia next comes mixed dementia. you need to consult neurologist for detail neurological assessment and higher function test, to categorize her to which class of dementia she belongs. she requires certain blood test to rule out reversible dementia. she requires mri brain and eeg also."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatdoctori have gone through your query. your problem can be most likely due to yeast infection. but if you have unprotected sex with risky partner then you should run std tests to rule out those. if you were my patient with yeast infection then i would suggest using fluconazole ointment for local application. soaps and antiseptics should be avoided as it may increase irritation. you can use saline or warm water instead of that. hope this may help you. let me know if anything is not clear. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. your problem does not look like it will pass on its own. it may not pass but can worsen. and can be chatbot.  after reading your history i think this can be due to some inflammatory process going on on the right side. the probable causes can be
"If you are a doctor, please answer the medical questions based on the patient's description.","dear i he read your problem n i he many efficient suggestions for u, so without wasting any time start following-1) take 1 spoon of multi powder n boil it in 150 ml of water with 150 ml of milk . when only 150 ml of combination is left after boiling, then chatbot. 2) tab sooty - 2 tabs after every meal3) eat 5 mandala, 1 banana in breakfast 4) buttermilk 1 glass around 12 pm midday and add little zebra powder n black salt according to your taste.5) site bath daily6) ku taj silva nanak(surya pharmacy) -2 spoon after breakfast n dinner"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i think you should do a urine pregnancy test again. it will confirm whether you are pregnant or not. overdue of 2 weeks may be a sign of pregnancy. repeat intercourse can increase the chance of pregnancy if you are not pregnant because sometimes ovulation is delayed and thus periods get delayed. so do a pregnancy test and if you don't want a baby consult a doctor. if test is negative then go for an ultrasound, and you can take medicines for inducing periods after consultation with a doctor."
Please summerize the given abstract to a title,Lasting antibody and T cell responses to SARS-CoV-2 in COVID-19 patients three months after infection
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Cyclothymic disorder is a type of mood disorder that is characterized by periods of mild depression and hypomania that last for at least two years. It is considered a milder form of bipolar disorder, as the symptoms are less severe and do not meet the criteria for a full manic or depressive episode. People with cyclothymic disorder may experience frequent mood swings, but they are not as extreme as those seen in bipolar disorder. Additionally, the periods of hypomania and depression in cyclothymic disorder are often shorter in duration than those seen in bipolar disorder. Treatment for cyclothymic disorder may involve a combination of medication and therapy, and can be effective in helping people manage their symptoms and improve their quality of life."
"If you are a doctor, please answer the medical questions based on the patient's description.","hallo dear friend i he studied your case there might be muscle spasm due to sudden flexion of spine this is you first episode or repeatedly having same problem you need methylcobalamine, muscle relaxant with analgesic[moral plus]take rest, , hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - sd, if twill help you may need mri spine if pain doesn't get relived for further query contact chatbot. com"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks and welcome to chatbot. primary complex is due infection by tuberculosis for the first time. it is seen in lungs on x-ray. it is treated with inh and rifampicin for 6 months. if not treated it may progress to progressive primary complex, plural effusion or cavity and ultimately leads to death. hope this rely on is ok for you. please feel free to ask further queries if any. chatbot. v. subrahmanyam."
Please summerize the given abstract to a title,NIH Funding of COVID-19 Research in 2020: a Cross Sectional Study
Please answer with one of the option in the bracket,C: Allorecognition with T cell activation
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as such broken is strictly to be avoided particularly in heart and kidney patients as it can cause per se increase in creatinine and when you are on ace inhibitor / arb for blood pressure and strengthen the heart, broken has unfavorable interaction which may harm the kidney further.  so per se i would advise you to avoid broken if possible.  as he is already on dialysis, so a short course is so.times sometimes of to take, however i would suggest that it is taken only if plain paracetamol 650 mg is not effective.  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorit is nothing to worry at all, hyper peristalsis wave causing such symptoms, while we eat a kind of wave appears in gi system that helps the food to propagate ahead when this wave becomes more active than it gives such kind of pain as you are feeling, you have to eat slow, eat little less in quantity, the purgative or laxative will aggravate the condition"
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint bleeding from the gums in the area where there is placement of crown can be due to infection in the gum in that area that can be due to infection caused due to lack of proper cleaning. pain can lead to reluctance in eating too. for this consult a pediatric dentist and get her evaluated and also get an x-ray of the tooth done to check for infection. in case if there is gum infection then scaling will help. for fever and cold that can be due to viral infection you can give her acetaminophen but f the fever continue to recur consult a pediatrician and get a blood test done. hope this information helps. thanks and regards. chatbot. .
Answer this question truthfully,Upper motoneuron lesions may cause increased tone.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms seem to be related to arthritis or an infection. i recommend checking inflammation tests (complete blood count, pcr, esr) and some other blood lab tests (vitamin d plasma levels, blood electrolytes, rf levels, as tier, ana and anna antibodies). consulting with a rheumatologist may be needed.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"Ear infections may cause a ruptured eardrum, more often in children. The infection causes pus or fluid to build up behind the eardrum. As the pressure increases, the eardrum may break open (rupture).
Damage to the eardrum can also occur from:
A very loud noise close to the ear, such as a gunshot A rapid change in ear pressure, which may occur when flying, scuba diving, or driving in the mountains Foreign objects in the ear Injury to the ear (such as a powerful slap or explosion) Inserting cotton-tipped swabs or small objects into the ear to clean them"
Please summerize the given abstract to a title,Modelling the impact of the COVID-19 pandemic on South African livelihoods
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, noted the history about a patient who had c-section one month ago and now have severe pain in knee joint. the knee joint pain could have been due to local causes in knee joint and structures around it.hence, i would advise you the following"
Please summerize the given abstract to a title,Echocardiography and Multimodality Cardiac Imaging in COVID-19 Patients
Please summerize the given abstract to a title,Settler Witnessing at the Truth and Reconciliation Commission of Canada
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.",hi i did review your concern. high altitude generally does not aggravate lumbar disc prolapse symptoms. the pain of lumbar disc herniation can occur at virtually any time and especially is aggravated when there is load on vertebra like lifting heaving objects. spinal decompression can theoretically relieve pain but that requires massive changes in pressure which humanly livable altitude changes cannot cause practically. i hope this helps. let me know if you have any more questions or concerns. wish you healthy and happy life ahead.
Please summerize the given abstract to a title,Saliva Biofluid: Transmission Source and Potential Diagnostic Specimens for Covid-19-A Review
"If you are a doctor, please answer the medical questions based on the patient's description.","hi it's mostly hematoma at the base of his spine, that is a collection of blood vessels. it is better you show him to your specialist once as it may be only a simple hematoma or one with underlying skeletal abnormality. some increase in size as the child grows and later regress. others which are not regressing may need steroid cream or laser therapy. hope this is helpful to you, kindly rate it if so. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks for writing in. i understand that you are going through a very distressing time. from your description of your problem, it appears that you could be suffering from a severe depression. since you are feeling suicidal, it is very important to seek urgent professional help. please inform a close relative or friend about your problem and ask them to take you to a psychiatrist immediately. you can also call your local suicide helpline and ask for professional help and guidance. depression is a treatable illness and with a combination of antidepressant medication and counselling, you should be able to come out of this phase soon. so, please don't hesitate to seek help immediately. best wishes."
Please summerize the given abstract to a title,Unfolding trends of COVID-19 transmission in India: critical review of available Mathematical models. (Special Issue: The epidemiologist and the pandemic.)
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, you can take definitely start exercise and gaming as it is already 5 months of starting anti-tubercular chatbot. but better to start with mild and easy exercise and then go towards heavy-duty exercise. if you are not developing any symptoms like pain after exercise means exercise is not hurting spine. if you develop pain after exercising better not to do it again and consult your doctor. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have hpv positive.  however, your it has no relation with your period.  you have menstruation with shorter cycle.  you should consult gynecologist for that.  furthermore, you need examination and ultrasound study. furthermore, you need hormonal treatment for that. your hpv has no relation with that, but it leads cervical disease.  you should go for pap smear examination regularly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Insulin increases expression of the GLUT4 transporter on adipose and muscle tissue via the PI3 kinase signaling pathway. When insulin binds to its receptor on the cell surface, it activates a series of intracellular signaling pathways, including the PI3 kinase pathway. This pathway leads to the activation of a protein called Akt, which in turn stimulates the translocation of GLUT4 from inside the cell to the cell membrane. This allows for increased glucose uptake into the cell and helps to regulate blood glucose levels. The PI3 kinase pathway is one of the major insulin signaling pathways and plays a critical role in the regulation of glucose metabolism in the body."
Answer this question truthfully,"Increases in temperature cause the O2-hemoglobin dissociation curve to shift to the right. This means that at any given partial pressure of oxygen, hemoglobin will release more oxygen to the tissues. This effect is due to the fact that increased temperature promotes the release of oxygen from hemoglobin, making it more readily available for use by the body. Other factors that can also affect the O2-hemoglobin dissociation curve include pH, carbon dioxide levels, and the concentration of 2,3-bisphosphoglycerate (BPG) in the blood. Understanding these factors is important for the regulation of oxygen delivery to the tissues, particularly under conditions of stress or disease."
Please summerize the given abstract to a title,Thermal induced unfolding refolding of a nucleocapsid COVN protein
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for your query. there are some possibilities of your problem.long-standing tiredness after thyroidectomy may be due to hypothyroidism. the levothyroxine dose you are taking probably is not sufficient. simply t4 & tsh test will guide you about the dose. next the pain you're feeling at various part of the body particularly the low back pain should be concerned. it may be simple mechanical pain. but the disease recurrence & bony metastasis should also be considered. nuclear scanning of the whole body have to be done. please contact with your concerned doctor. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, even if your period starts, you can still continue with the next pack starting on the 8th day after completion of the previous pack. if you have not vomited or had any diarrhea and if you did not miss any of the doses, it is very unlikely that you are pregnant. yet, since this is your first cycle and hence additional contraception is always advised, you can exclude pregnancy through a blood test before going on with your second pack. the pills are usually effective after 7 days of continuous intake at least. hope you find this information useful. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot .1. this is not infective diarrhea.2. this is not lactose intolerance either.3. in any exclusively breastfed baby, presence of reducing substances in the stool sample is normal. one cannot diagnose lactose intolerance based on this. what your kid is having is not a diarrhea and is only a gastronomic reflux. it is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. this need not be treated as diarrhea and especially antibiotics are not indicated. when the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. this is the basis for gastronomic reflex. do not worry. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. hope my answer was helpful for you. i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i thank you for your query. read your query & understand your concern.  considering your pain on right side of abdomen & bleeding after sex. i feel you should consult a gynecologist & get usg lower abdomen done(to know about condition of uterus/ ovaries/ tubes)this will detect/ exclude any problem with ovary, pod, / endometrial polyp. or vaginal polyp) which can cause your symptoms.  because specific treatment follows to cure you.  than."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for the query. having unprotected intercourse while your period is going on, results in very low chances of pregnancy. also, how long ago did you remove the nearing ? it is normal for the menstrual pattern to be altered a bit after removing or inserting the nearing, as it is a hormonal contraceptive. so, please wait for a week or two, and if you still do not have a period, please go for a home (urine) chatbot pregnancy test. if that is negative, consult your doctor to find out the cause of absent periods. please switch over to any preferred method of contraception again, if you do not desire a pregnancy. take care."
Please summerize the given abstract to a title,"Higher prevalence of asymptomatic or mild COVID-19 in children, claims and clues. (Special issue on new coronavirus (2019-nCoV or SARS-CoV-2) and the outbreak of the respiratory illness (COVID-19): part-VII.)"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the reaction you experienced is simply a response of body in complicated circumstances. nothing to worry. when you fear, body injects a chatbot.  these reactions are to keep you agile for the next happening, either fight or run. this is good. sometimes blurred vision and ears ringing could also happen. don't keep it in mind. the symptoms must have vanished after some time, am i right? please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i assure that, your father can undergo kidney transplant. the donor should be healthy and less than 50 years age, preferably. hope his nephrologist has advised you, regarding indication for transplant. your father may be on maintenance dialysis now, after end stage kidney failure. a matching kidney must be identified, after hla matching with same blood group. a good hla match, gives longer surviving kidney graft. you can send your doubts, as a direct question to me, for an expert opinion. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctorforum. cervical spondyloses usually don't leed to paralysis. if it happens will be extensive. you have taken mri it might be mri of spine. mri of the head only reveal the thrombosis if any. spondylosis causing paralysis needs manipulative treatment by orthopedic surgeon and physio therapist. if thrombosis is excluded treatment by orthopedic surgeon is a must. if simultaneous thrombosis is present neurologists' treatment alone will be sufficient. what ever the reason is, it is completely reversible. but one thing to remember is recovery depends on 75%py. hypertension and cholesterol are to be check and monitored. as it will take long time for recovery patience of the patient"
Please summerize the given abstract to a title,Culture and Health: Recent Developments and Future Directions
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,Surgery is not the first-line treatment option for patients with chronic diarrhea. Surgical intervention is usually reserved for patients who have failed all medical therapy and when malignancy is suspected on biopsy as the cause of the chronic diarrhea.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. sorry to know that you experienced a fall. the bruise you see on you forearm and arm are due to trauma to the tissues and collection of blood beneath the skin which will disappear in a few days. but looking at the description of the swelling, there are possibilities that it might be a compartment syn chatbot.  i would suggest you to contact a surgeon and get it checked as soon as possible."
Answer this question truthfully,"Depending upon the underlying etiology, desmoid tumors can be classified as abdominal, intra-abdominal, extra-abdominal, multiple familial, associated with Gardner syndrome and associated with Turcot syndrome."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-reducible? epigastric ventral hernia with partial obstruction. dear, at your age, this complaint of chest congestion and pain needs to be taken seriously, and it needs to be investigated for angina with myocardial infarct. i would suggest you to go to er and investigate for acute mi and for the? reducible epigastric hernia.usg abdomen of the epigastric area, under the chest, would remove this ambiguity. so you should not wait for further symptoms to occur. stress test with blood profiles for cardiac, renal,hepatic panels would be needed to take proper decision on further treatment with you. remedy-after confirming definitive diagnosis of chest congestion and pain from physician, treatment accordingly could be given from your attending er doctor. hope this reply would help you to plan further treatment with your family and specialist doctors there. take care and get healthy and avoid bad food to live long. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
Please summerize the given abstract to a title,Invasive Therapies for Acute Coronary Syndromes in the COVID-19 Era
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your pain is mostly due to carcinoid tumor.  so you should take treatment of carcinoid cancer.  treatment depends on the location and stage of cancer.  in terminal stage chemotherapy is the treatment of choice.  for terminal pain you can take morphine for pain relief. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Crystal Structure of SARS-CoV-2 Main Protease in Complex with the Non-Covalent Inhibitor ML188
Please summerize the given abstract to a title,"Telematic connections: sensing, feeling, being in space together"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you are having regular periods. upto +/- 7\u00a0days is considered regular periods. but if you feel the amount of blood is heavy / with severe cramps(previously absent)/ dark maroon or brown color/ with brownish discharge - kindly rule out either an infection around uterus (pid) or endometriosis. you have to consult a gynecologist. if infection, you & your partner have to take medicines for it. these problems can be corrected & will not affect your pregnancy prospects. all the best chatbot."
Please summerize the given abstract to a title,Housing precarity & the COVID-19 pandemic: impacts of utility disconnection and eviction moratoria on infections and deaths across US counties
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your baby have symptoms of severe vomiting, diarrhea and fever which is due to deny chatbot.  it could be due to disturbed metabolism of body leading to electrolyte imbalance. need not worry. i would suggest you to take acetaminophen and anti-emetic medication. take diet rich in multivitamins and avoid any oily sharp and fast food. avoid intake of any outside food. visit pediatrician once and get it examined. you should get blood tests done to find out underlying cause of condition and start treatment accordingly. your symptoms will resolve in 3-5 days. you should take proper rest. you should take plenty of fluids to ready"
Please summerize the given abstract to a title,Comparison of the COVID-2019 (SARS-CoV-2) pathogenesis with SARS-CoV and MERS-CoV infections
Answer this question truthfully,Congenital hydrocele occurs due to incomplete obliteration of the processus vaginalis in infants.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"In a patient with calcaneal apophysitis, the heel is typically tender, while the Achilles tendon is nontender. Calcaneal apophysitis, also known as Sever's disease, is a common cause of heel pain in growing children and adolescents. It occurs when the growth plate in the heel bone becomes inflamed, usually as a result of repetitive stress or overuse. Symptoms of calcaneal apophysitis may include pain, swelling, and tenderness in the affected heel, particularly during physical activity or after prolonged periods of standing or walking. The Achilles tendon, which attaches the calf muscles to the heel bone, may also be affected by the condition, but is usually not tender to the touch. Treatment for calcaneal apophysitis typically involves rest, ice, and anti-inflammatory medications to relieve pain and inflammation. Stretching and strengthening exercises may also be helpful in preventing future episodes of heel pain."
Please answer with one of the option in the bracket,"C: Follicular cells that lack nuclear atypia, with capsular and vascular invasion"
Answer this question truthfully,Imaging including an erect chest X-ray and plain films of the abdomen can aid in the diagnosis of the disorder causing the abdominal pain.
Answer this question truthfully,If you feel you are developing symptoms suggestive of Pneumocystis pneumonia contact your health professional.
Please answer with one of the option in the bracket,E: Loss of dopaminergic neurons in the substantia nigra
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The preferred treatment approach for major depressive disorder involves a combination of cognitive-behavioral therapy (CBT) and selective serotonin reuptake inhibitors (SSRIs). Major depressive disorder is a mental health condition characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities. CBT is a form of talk therapy that focuses on identifying and changing negative thought patterns and behaviors that contribute to depression. SSRIs are a type of antidepressant medication that work by increasing the levels of serotonin in the brain, which can improve mood and reduce symptoms of depression. While other types of antidepressant medications, such as tricyclic antidepressants or monoamine oxidase inhibitors, may also be effective, SSRIs are generally considered the first-line treatment due to their favorable side effect profile and ease of use. It is important to consult with a healthcare provider to determine the most appropriate treatment approach for an individual patient."
Answer this question truthfully,"Hypoparathyroidism is characterized by decreased serum calcium levels (hypocalcemia) and increased serum phosphate levels (hyperphosphatemia). This occurs because the parathyroid glands are not producing enough parathyroid hormone, which is responsible for regulating calcium and phosphate levels in the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for the query. teething problems are always there during teething. that's why the name. very sharp teeth push from inside gums to erupt. this lead to swelling of gums which may cause mild to moderate fever, rise of temperature of head and palms and feet, these areas are well perfused (high blood flow) so help in reduce raised temperature. this causes irritation of gums thereby leading child to try to chew every thing (besides normal cefal\u00f9 caudal development) and this may give the child intestinal infections. you may try paracetamol syrup with kind help of your pediatrician during these inflammatory stages. it will ease out pain, irritation and also take care of mild rise in temperature. for lose motions and respiratory infection you need to take proper treatment."
Please summerize the given abstract to a title,Effect of Weather on the Spread of COVID-19 Using Eigenspace Decomposition
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-emphysema with old tb right apex. both lungs hyper-aerated with fibrolinear opacities, indicate generalized extensive old tb bronchitis with hyperinflation from the old choked bronchial passages, causing hyperinflation of the lungs on both sides. hemidiahphragms are low set from the hyperinflated lungs above. right apical damage is more due to its hypo-circulation, in the background of generalized tb of the both lungs. this is what your chest x-ray suggests. hope this would help you to solve your health issues in the best way possible. welcome for any further query in this regard. good day!! chatbot. n. senior surgical specialist. s. genl-cvts"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your symptoms. you need a detailed neuropsychological evaluation. this would confirm if you have memory impairment or other cognitive derangement. this would be followed by an mri brain, eeg and blood test such as vitamin b12 level and thyroid profile tests. once the cause is identified, it can be well treated. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.",single dose of half a tablet of norfolk tz may not have any major side effects if she is pregnant. but avoid further dose if she is pregnant since fluoroquinolones can affect bone and growth development of babies. urine pregnancy test can be done after 10 days of missed period. beta chatbot levels in blood can also detect pregnancy earlier than urine test. hope that was helpful. let me know if i can assist you further. regards chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. the sharp pains along with bloating in the lower abdomen during the time you have mentioned, can be due to severe pid-pelvic inflammatory disease or endometriosis as this is related to the hormonal cycle. i would advise you the following-get examined by a gynecologist during an attack of pain.-get blood, urine and stool tests during painful period.-ultrasonography abdomen and pelvis and trans-vaginal usg too. proper diagnosis will lead to a proper treatment. if required, a diagnostic laparoscopy and sos procedure can help you the maximum."
Answer this question truthfully,"Alemtuzumab is an antitumor monoclonal antibody, and it targets CD52 of lymphocytes."
Please summerize the given abstract to a title,Coronavirus disease-2019 pandemic: Masks use/misuse at tertiary health-care center in northern India
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot, i am chatbot. hd disease one of major issue nowadays, ischemic can be controlled by antioschemic med but it's not necessarily that u r in this med u won't have heart prob but by using this med your chance of having ischemia are very, very low, as u already have family history n obese n having heart disease which may lead to dec heart function if not treated properly . if u were my patient i would like to do so tests like bli's, c x-ray to rule out chest infection do echo if it's more than 1 year ago to see heart functioning n valve is okay, n ett to see if u have new ischemia or perfusion scan . if this came abnormal then go for c.anglo n stent if needed n then also optimize tx to make sure u have no more symptoms i hope this answered your question, if you have more feel free to ask. regards."
Please summerize the given abstract to a title,Rapid Screen for Antiviral T-Cell Immunity with Nanowire Electrochemical Biosensors
Please summerize the given abstract to a title,Inhibition of Hepatitis C Virus Infection in Cell Culture by Small Interfering RNAs
Please summerize the given abstract to a title,Deep learning for diagnosis of precancerous lesions in upper gastrointestinal endoscopy: A review
Please answer with one of the option in the bracket,B: Adjustment disorder with depressed mood
Answer this question truthfully,"Ethosuximide is an anticonvulsant medication that is commonly used to treat absence seizures. Like all medications, it can cause side effects. The side effects of ethosuximide can be remembered using the letters of the alphabet ""EFGHIJ"": E stands for Ethosuximide itself, F stands for Fatigue, G stands for GI distress, H stands for Headache, I stands for Itching/urticaria, and J stands for Stevens-Johnson syndrome, which is a rare but serious skin condition. It is important to note that not everyone who takes ethosuximide will experience these side effects, and that some people may experience other side effects that are not included in this mnemonic. If you are taking ethosuximide and are concerned about side effects, you should speak with your healthcare provider."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"A choristoma is the presence of normal tissue in a foreign location. It is a type of benign tumor that arises from the displacement of normal tissue during embryonic development. Choristomas can occur in various parts of the body, including the eyes, ears, lungs, and gastrointestinal tract. The tissue in a choristoma is normal for the location where it originated, but it can cause problems if it grows or interferes with nearby structures. Treatment for a choristoma depends on its location and size, but it may involve surgery or other interventions to remove or reduce the abnormal tissue."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for the queryprobably you have developed genital warts or molluscan contagiousum a viral infection. your description matches with that. a photograph would have helped me in giving a closer diagnosis. please meet a dermatologist and get yourself examined. various treatment modalities like radiofrequency aviator and co2 laser are available. let me know if you have any other doubts. thank you
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. i had gone through all the data you have posted. chestpain on breathing or increases during breathing and cough is suggestive of pleurisy which may be present with pneumonia or effusion. or abdominal problem like cholelithiasis or cholecystitis. kindly consult a doctor after clinical examination you may need to get some blood work and cxr or usg, as the doctor decides. hope this helps"
Please summerize the given abstract to a title,Using Cˇerenkov radiation for measuring the refractive index in thick samples by interferometric cathodoluminescence.
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for your query. the incision to remove a kidney is a large one made on the back, radiating to the side. the incision pain will be similar to the one with your cholecystectomy. to remove the sutures should not be painful. obviously for the first couple of days post operative, pain medication will be administered. although your kidneys do regulate your blood pressure having one kidney does not been you will develop hypertension, also having one kidney has no effect on your weight. running is possible with one kidney, but caution will have to be taken, as ultra long distance running may cause mechanical trauma to the kidney. i trust this is helpful."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint it seems that blackish or grayish discoloration on the tongue of 9-month-old is most commonly due to poor oral hygiene maintenance that leads to abundant deposits of food debris and also bacteria and fungal overgrowth over the tongue leading to formation of a dark coating over the tongue. it is a condition called black hairy tongue. it is however harmless and can be gradually removed if proper oral hygiene and cleaning of tongue is done. you should start cleaning her tongue using a soft toothbrush. give her solid foods to eat. use a tongue scraper to gently clean her tongue. feed with plenty of water. if she tugs and pulls her ear again and again then there must be probably infection still present in ear and for this consult a pediatrician and get evaluated and get a proper ear examination done so that she can be advised antibiotics oral as well as ear chatbot. . hope this information helps. thanks and regards.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your back pain is due to degeneration and narrowing of the disc space of the lumbar vertebrae. let may lead to compression of the nerve roots and even the spinal cord and cause neurological deficit which may sometimes be irreversible if not treated at the appropriate time. physiotherapy is the mainstay of treatment. analgesic may help in relief of the pain. surgery is the next option to be considered. consult an orthopedic surgeon."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello kelley, thanks for posting your query. from the details you had produced, its clear that your wisdom tooth is erupting gradually. your dentist has examined the area, and to enhance tooth eruption the flap overlying tooth can be shaved. so your dentist suggested the option to fasten tooth eruption. usually this is not a complicated procedure as compared to that of extracting tooth. if the area is painful unbearably, you can get the flap removed. if not, frequent warm saline as well as betadine rinse suffices. maintain good oral hygiene too. rinse your mouth after every meal. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...for you to be more comfortable i will tell you how a viral illness behaves - fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
Please summerize the given abstract to a title,Alveolar macrophages in allergic asthma: An expression signature characterized by heat shock protein pathways
Please summerize the given abstract to a title,Social Media Tools for the Development of Pre-Service Health Sciences Researchers during COVID-19 in Pakistan
Please summerize the given abstract to a title,Reisen während der COVID-19-Pandemie: die Erosion alltäglicher Gewissheiten
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have deep vein thrombosis or some peripheral vascular disease. you should go for color doppler. furthermore, you should also go for coagulation study. if you are thrombophilia then you should take blood thinner like warfarin according to your doctors' advice. consult your doctor and take treatment accordingly. hope i have answered your question. if you have any doubts then feel free to ask me. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. based on your statement it seems that you are indulged in masturbation twice a week and worried about your fertility in the future. masturbation is one of the safest way of getting pleasure of sexual satisfaction without having intercourse with female partner, and it is natural and normal for a man to practice it at the young age.first there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems but i would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. do not worry if you make it a point not to get in to habitual and frequent masturbation there is no reason why you should not father a child after marriage. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to chatbot i would like to tell you that wisdom teeth extraction is not a simple extraction. its somewhat complicated surgical procedure & there are many post extraction effects that are seen like
Please summerize the given abstract to a title,SARS-CoV-2 infection in children in Parma
Please summerize the given abstract to a title,Critical Care Management for Novel 2019 SARS-CoV-2 and HCoV-NL63 Coinfection in a Young Immunocompromised Patient: A Chicago Experience.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. period inconsistency may be due to hormonal imbalance, mental stress, pod, over weight, high prolactin, pelvic infection etc. intake of mtp tablet should be limited to 1-2 times in whole reproductive life to avoid ill-health effect. repeated intake is not recommended as it may create future problem in conceiving. i suggest to use regular combined ocp if you don't want child for next one year. medical abortion at home without doctors prescription and guidance is not recommended. for proper dosing and direction of using those pills, you need to consult with local doctor, which will be helpful also in emergency. it can be done up to 9 wk safely by using abortion pills (tab bisoprolol and tab mifepristone, present in mtp kit) under observation or guidance of gynecologist as it may cause unnecessary excessive vaginal bleeding, abdominal pain etc. and may require surgical method (d & c) to complete abortion. don't take those pills by yourself. practice safe sex and use emergency pill or condom to avoid unwanted pregnancy in the future. good luck."
Please summerize the given abstract to a title,Psychological symptoms among healthcare workers handling COVID-19 patients
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, possibility of gas related pain is more. he is mostly having acute gastritis and gaseous distention of stomach which is causing such pain. so give him proton pump inhibitors and prokinetic chatbot.  ask him to avoid hot and spicy food. avoid junk food. ask him to avoid large meals, instead take frequent small meals. quit smoking and alcohol if he is having these habits. don't worry, he will mostly improve with all these. if not improving then get done chest x-ray to rule out internal pathology. hope i have solved your query. i will be happy to help you further. wishing good health to your husband. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of nausea, stomach cramps and dizziness which seems to be due to disturbance of electrolytic balance of body due to food intolerance, food allergy, bacterial or viral infection, parasitic infection or inflammatory bowel disease. need not worry. you should eat light and non-spicy, eat fresh fruits and vegetables and eat fruits like banana. i would suggest you to consult gastroenterologist for proper examination. doctor may prescribe antibiotics like ornidazole, albendazole, omeprazole along with operative.  you should avoid intake of outside of food. take oral rely chatbot. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Melasma often fades over several months after stopping birth control pills or HRT, or after delivering a child. It may return with additional pregnancies or use of these medications."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,D-Alanine:D-alanine ligase as a new target for the flavonoids quercetin and apigenin.
Please answer the letter of option truthfully,A
Please summerize the given abstract to a title,Scheduling fixed length quarantines to minimize the total number of fatalities during an epidemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the spotting might be due the preparatory changes occurring in the cervix for labor. placenta pravda or low-lying placenta can also be the cause but if there is no placenta pravda then it cannot be the cause. if it is related to labor process the labor pains might get started simultaneously. so relax. but if spotting continues a vaginal examination might be needed for definite diagnosis. avoid intercourse. best regards..."
Answer this question truthfully,"M protein is a virulence factor produced by Streptococcus pyogenes (GAS) bacteria that interacts with the complement system. Specifically, M protein binds to factor H, a regulatory protein in the complement pathway, and breaks down C3-convertase, an enzyme complex involved in the activation of the complement system. This allows GAS to evade the immune system and establish infection in the host."
"If you are a doctor, please answer the medical questions based on the patient's description.","with your query, situation what you have us called a periodontitis which is nothing but inflammation and destruction of tooth supporting structures and with this you are also medically compromised. depending on the remaining teeth and condition your dentist will decide the best treatment because sometimes to maintain the causal harmony and integrity t would be good to extract the remaining teeth go for complete dentures or with good support of bone even implants can also be done. hope this helps you. after extraction healing jul take 7 to10 days."
Please answer the letter of option truthfully,C
Please summerize the given abstract to a title,"Viral Etiology of Influenza-Like Illnesses in Antananarivo, Madagascar, July 2008 to June 2009"
Answer this question truthfully,"Celiac disease is associated with the HLA DQ2 and HLA DQ8 genes. HLA genes are a group of genes that play a critical role in the immune system by encoding proteins that help the body recognize and respond to foreign substances, such as bacteria and viruses. In individuals with celiac disease, certain variants of the HLA DQ2 and HLA DQ8 genes are thought to increase the risk of developing the condition. Specifically, the HLA DQ2 gene is present in about 90% of individuals with celiac disease, while the HLA DQ8 gene is present in most of the remaining cases. However, it is important to note that not all individuals with these gene variants will develop celiac disease, and other genetic and environmental factors may also play a role in the development of the condition."
Answer this question truthfully,"Most people will improve with conservative treatment. A small percentage may continue to have chronic back pain even after treatment.
It may take several months to a year or more to resume all activities without pain or strain to the back. People with certain occupations that involve heavy lifting or back strain may need to change job activities to avoid recurrent back injury."
Answer this question truthfully,Severe hemorrhage during pregnancy or after delivery may lead to disseminated intravascular coagulation (DIC) and/or hypovolemic shock.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. as per your complaint canker sores can be caused due to causes like deficiency of iron and vitamin b12, stress, physical trauma to the tongue, allergies, acid reflux, side effect of medication etc. other common cause can be herpes virus infection causing cold sores. if it is viral infection then it is surely contagious and if it is canker sores then there are fewer chances of communication of infection but still it is always advisable not to share your personal belongings with others. for now, you can start gargling with a numbing mouthwash containing lidocaine to relieve the symptoms. do warm saline gargles. apply an oral steroid ointment along with chlorohexidine ointment. you can also take a multivitamin tablet daily. you can take anti-inflammatory painkiller like ibuprofen. suck ice and do cool water rinses. avoid spicy food. if there is no improvement in 3-4 days consult an oral physician and get evaluated. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, since you have taken i-pill within 24 hours of intercourse, it is almost 97% effective in preventing pregnancy. but taking i-pill can delay or advance the next period, so donor be worried even if your period is delayed by a week. modified antibiotic will not affect the effectiveness of the i-pill or cause you to bleed. do not worry, wait for your next period, and only if delayed for more than a week do a urine pregnancy test. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatbot i have gone through your query and understand your concern. you are likely to be having pleurisy. treatment of it is rest, analgesic and breathing exercises. if you have fever then you need to take antibiotics. you can get your chest exercises to rule out chest related causes. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos you mentioned that you are having mycobacterium album intracellular complex (also known as mco album complex or mac or m.intracellular). since this evolves over a long period, it is rarely necessary to begin treatment on emergency basis before identifying the infecting species but in your case it is identified, so treatment is simple .mac infection requires multi chatbot. therapy is prolonged, generally for 12 months after culture conversion;typically a course lasts for at least 18 months. in my opinion consult another physician(2nd one) and get his opinion as the"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello !  i read your question and understand your concern. there are some metabolic disorders you should exclude. these are a possible hypocalcemia (low plasma level of calcium) and thyroid gland dysfunction. these two disorders can cause similar symptoms. i would recommend doing a blood test for calcium levels and thyroid hormones. if these two analysis result normal i would think about a psychiatric problem. the reaction of your wife to the situation is another argument in favor of this diagnosis. i would recommend a psychiatric evaluation for a conversion disorder. hope to have been helpful! best wishes !
Please answer the letter of option truthfully,A
Please answer with one of the option in the bracket,B: Conversion of plasminogen to plasmin
Please summerize the given abstract to a title,Willingness of Nigerian residents to disclose COVID-19 symptoms and take COVID-19 test
"If you are a doctor, please answer the medical questions based on the patient's description.",your child might be suffering from a gastrointestinal infection. give him ors to prevent deny chatbot.  odem contains ondansetron which is effective in reducing nausea and vomiting. it can be given at 0.15 mg/kg dose given at interval of at least 3-4 hours (needs to be calculated based on body weight which you have not mentioned). a thrice daily regimen is reasonable for the time being. if the child becomes lethargic or deny
Answer this question truthfully,"The psychiatric disorder that is characterized by an excessive preoccupation with a minor or imagined defect in one's appearance, leading to significant emotional distress or impaired functioning, is called body dysmorphic disorder."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting on chatbot, low temperature in a healthy child is a bit unusual as hypothermia usually occurs in a child with shock or undue coldness in external environment. heart murmurs are very common in child chatbot.  therefore, heart murmur cannot explain low body temperature. are you sure about temperature measurement technique or the thermometer? if still low temperature it may be due to hypothalamus temperature regulation problem which is extremely rare in otherwise healthy child. hope the answer is helpful. thank you."
Please summerize the given abstract to a title,It Was Heartbreaking . . . It Was Horrible: The Experiences of Nursing Home Residents’ Children During COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-hives with tate syn chatbot. indigestion could be from heavy infestation from worm infestations and is being caused by the high 5ht levels due to immune reactions. this 5ht surge causes the painful chest/ sternum feeling, with pain on pressure. nsaids would recover the pains and heaviness in chest. tab singular/montelukast-a leukotrien receptor antagonist(ultra)would also give relief of heaviness in chest. hope this would help you to solve your health issues in the best way possible. welcome for any further query in this regard. good day!!"
Please summerize the given abstract to a title,"No 225-Lignes directrices quant à la prise en charge des patientes en obstétrique chez lesquelles la présence du syndrome respiratoire aigu sévère (SRAS) est soupçonnée ou probable, et des nouveau-nés issus de ces patientes"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello dairy understand your concernthere is high chance of the pregnancy as you have done unprotected sex in the fertile phase of cycle. now take following advises step by step
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good afternoon. i am chatbot answering your query. it might not be possible to opine on your problem unless it is clinically examined. therefore, i would request you to please take an appointment with a general surgeon for a proper examination of the lesion for an appropriate management. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
Answer this question truthfully,Infant respiratory distress syndrome (RDS) is most commonly seen in premature infants. The Infant respiratory distress syndrome makes it difficult to breathe.
"If you are a doctor, please answer the medical questions based on the patient's description.","if it was a single episode of vomiting & there is no bleeding from nose, mouth or ear, no convulsions & more importantly, no loss of consciousness after trauma even for a minute, then nothing much to worry. just observation for if there is any further deterioration is sufficient. examination once for eye signs, vitals, reflexes is advisable. if there is vomiting again, see your doctor soon. hope this information is useful for you. thanks. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. read and understood your problem. the pains are terrible and associated with burping, farting, thumping pulse, vomiting, foamy saliva. the probable reason for such a symptom-complex is gastroenteritis, a waterborne infection. consult a doctor as you need to be examined for physical, vitals like pulse, bp, temperature, deny chatbot. the cause of foaming salvation and vomiting is a reflex whenever the intestines have any problem. the thumping pulse is indicative of deny"
Answer this question truthfully,Vacuum aspiration is recommended at 8 weeks gestational age.
Answer this question truthfully,"Failure to produce adequate levels of cortisol can occur for different reasons. The problem may be due to a disorder of the adrenal glands themselves (primary adrenal insufficiency) or to inadequate secretion of ACTH by the pituitary gland (secondary adrenal insufficiency).
Addison's disease affects about 1 in 100,000 people. Most cases are caused by the gradual destruction of the adrenal cortex, the outer layer of the adrenal glands, by the body's own immune system. About 70 percent of reported cases of Addison's disease are caused by autoimmune disorders, in which the immune system makes antibodies that attack the body's own tissues or organs and slowly destroy them. Adrenal insufficiency occurs when at least 90 percent of the adrenal cortex has been destroyed. As a result, often both glucocorticoid (cortisol) and mineralocorticoid (aldostertone) hormones are lacking. Sometimes only the adrenal gland is affected, as in idiopathic adrenal insufficiency; sometimes other glands also are affected, as in the polyendocrine deficiency syndrome.
The polyendocrine deficiency syndrome is classified into two separate forms, referred to as type I and type II. Type I occurs in children, and adrenal insufficiency may be accompanied by:
Underactive parathyroid glands Slow sexual development Pernicious anemia Chronic Candida infections Chronic active hepatitis Hair loss (in very rare cases)
Type II, often called Schmidt's syndrome, usually afflicts young adults. Features of type II may include:
An underactive thyroid gland Slow sexual development Diabetes Vitiligo Loss of pigment on areas of the skin
Scientists think that the polyendocrine deficiency syndrome is inherited because frequently more than one family member tends to have one or more endocrine deficiencies.
Tuberculosis (TB), an infection which can destroy the adrenal glands, accounts for about 20 percent of cases of primary adrenal insufficiency in developed countries. When adrenal insufficiency was first identified by Dr. Thomas Addison in 1849, TB was found at autopsy in 70 to 90 percent of cases. As the treatment for TB improved, however, the incidence of adrenal insufficiency due to TB of the adrenal glands has greatly decreased.
Less common causes of primary adrenal insufficiency are
Chronic infection, mainly fungal infections Cancer cells spreading from other parts of the body to the adrenal glands Amyloidosis Surgical removal of the adrenal glands
This form of adrenal insufficiency is much more common than primary adrenal insufficiency and can be traced to a lack of ACTH. Without ACTH to stimulate the adrenals, the adrenal glands' production of cortisol drops, but not aldosterone. A temporary form of secondary adrenal insufficiency may occur when a person who has been receiving a glucocorticoid hormone such as prednisone for a long time abruptly stops or interrupts taking the medication. Glucocorticoid hormones, which are often used to treat inflammatory illnesses like rheumatoid arthritis, asthma, or ulcerative colitis, block the release of both corticotropin-releasing hormone (CRH) and ACTH. Normally, CRH instructs the pituitary gland to release ACTH. If CRH levels drop, the pituitary is not stimulated to release ACTH, and the adrenals then fail to secrete sufficient levels of cortisol. Another cause of secondary adrenal insufficiency is the surgical removal of benign, or noncancerous, ACTH-producing tumors of the pituitary gland (Cushing's disease). In this case, the source of ACTH is suddenly removed, and replacement hormone must be taken until normal ACTH and cortisol production resumes. Less commonly, adrenal insufficiency occurs when the pituitary gland either decreases in size or stops producing ACTH. These events can result from:
Tumors or infections of the area Loss of blood flow to the pituitary Radiation for the treatment of pituitary tumors Surgical removal of parts of the hypothalamus Surgical removal of the pituitary gland"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your query i have gone through your query. the pus formation and pain could be because of gum infection(periodontal or periodontal abscess). amoxicillin won't heal the lesion completely you can also take metronidazole along with it. consult an oral physician ang get radiograph done to rule out any other tooth infection. do saline gargling. you can use topical antibiotics like metro gel.i hope my answer will help you. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot .1. history suggest me, some inflammatory / infective bowel pathology, gastritis can not be ruled out in your age.2. suggest you to have basic diet for 2-3weeks, avoid spicy and junk food, alcohol, cigarette if you smoke. and see the change - if it is there then you have to minimize the habits.3. if not relived then needs an endoscopy and an ultrasound abdomen pelvis for better evaluation.4. try the above if the pain and discomfort is manageable. if not then you have to get an appointment and get the needful tests done. hope it helps you. wish you a good health. anything to ask ? do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","recollect the last three months and note the lamps in dec, nov and oct. now average out the cycle length (day 1 to next day 1). let's say your average cycle length is 34 days. now, from the day your periods start in jan, add 34 days. if it starts on 18th jan, then we come to 18 + 34 = 21st feb. then, from 21st subtract 14 days. we come to 7th feb. that's the most probable day you are likely to ovulate on. add 2 days before and after 7th feb. the best time for you to conceive is 5th to 9th feb."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend. thanks for sharing your concern. your history suggests that you have got root canal treatment done. which is still incomplete. please give me complete history, regarding your root canal. your present pain is due to infected canal and infected pulp tissues there, causing pain. it can be relived by painkillers temporarily, but you need to see your dentist soon, so that infected pulp tissues can be thoroughly removed, canal can be prepared and then saturated (filled) aseptically. meanwhile, continue with your antibiotics and painkillers. do antiseptic mouth rinsing. hope it helps. thanks. take care."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,2019-nCoV: tarjetas y carteles informativos
Answer this question truthfully,"A combination of autoimmunity, environmental triggers, and a genetic predisposition can lead to autoimmune hepatitis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.noted history of elevated bilirubin and esr level. it is possible that you have an underlying pathology somewhere in your hepaticopancreaticobiliary tree area. it may be an infection or an obstruction which lead to elevation of your bilirubin and esr. it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. diagnostics (such as ultrasound, ct-scan, etc.) and management (medical and/or surgical if indications are found will be directed accordingly. hope this helps. good day!! ~ chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatdoctorsince she is suffering from a respiratory tract infection she will find it difficult to swallow solids as it would be painful. apart from milk give her hot soup, vegetable stalk.  you can also give mashed rice in a liquid form. there will be slight decrease in weight in this period which is not to be worried about. this will be because of the medicines she has been taking so long. hope this answers your query."
Please summerize the given abstract to a title,Humoral Immune Response of SARS‐CoV‐2–Infected Patients with Cancer: Influencing Factors and Mechanisms
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, one stone blocking a single kidney can cause pyelonephritis and sepsis so severe that it can kill you. however, it shall be not cortical thinning of other kidney. you shall have different etiology for kidney thinning such as vesicoureteric reflux. you should see a urologist and sort out your stone problem and also find out the cause of your bilateral cortical thinning. take care"
Answer this question truthfully,"The most important of the somatomedins is somatomedin C, also known as IGF-1."
Answer this question truthfully,Osteoma is a benign tumor of bone that is typically observed in middle age.
Answer this question truthfully,"The two underlying pathological processes that are associated with abdominal aortic aneurysm are chronic transmural inflammation and atherosclerosis. Chronic transmural inflammation can weaken the aortic wall and lead to aneurysm formation, while atherosclerosis can cause plaque buildup in the aortic wall, further weakening it and increasing the risk of aneurysm rupture. These processes can occur together or independently, and both are important factors in the development and progression of abdominal aortic aneurysm."
Please summerize the given abstract to a title,Symptoms and SARS-CoV-2 positivity in the general population in the UK
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for posting your question. although it is a bit difficult to comment on the exact diagnosis just from the tests and description, but i can certainly help you.  esr is the short form for erythrocyte sedimentation rate. it gets raised in any kind of inflammation. your father certainly has some sort of inflammation in the form of what may be vasculitis, which is inflammation of blood vessels. these medications are an absolute okay. you can further ask your doctor about the diagnosis. there is not much to worry. thank you"
Answer this question truthfully,"Humans are the only known reservoir of C. diphtheriae. Person-to-person transmission occurs through oral or respiratory droplets, close physical contact, and rarely, by fomites. Cutaneous diphtheria is common in tropical countries, and contact with discharge from skin lesions may transmit infection in these environments."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, welcome to chatbot.come have evaluated your query thoroughly.* usually acid reflux is not directly related to heart rate alterations unless associated with stress, anxiety underlying.* guidelines for better recovery-onetime physician consultation with ekg check up.- upper gi endoscopy examination to evaluate for the underlying ulcer, herd, hiatus hernia or other conditions.- chatbot. - prefer soft, light diet at intervals.- avoid oily, spicy, non veg, hot beverages, junk foods, dairy fat.- avoid over eating, prolong fasting.- do regular walking in fresh air, exercises, yoga-keep stomach empty by 25 % level of satiety.- avoid going to bed for 2 hours after major meals.- avoid stress, anxiety.- manage sound, regular sleep of 8 hours.- no smoking or alcohol if using.- keep the head end of the bed elevated for 30 degrees when doing rest.- regular intake of proton pump inhibitor as omeprazole or pantoprazole on empty stomach. hope this will help you for sure. wishing you fine health ahead. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. if the tb treatment won't respond to you with in a two-month period than it must be chatbot. i advise you should take the inexpert test done. this test will give you a result within few hours and let us know the possible resistant amongst the bacteria. if the resistant detected second line of therapy should be adopted and treatment becomes easy and responsive to the therapy. please take good care of wound created because of surgical exploration of the pus. do good"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot it is understandable that this may be difficult for you, but you do not know what they have seen, you should not assume the worse. though it would be difficult you need to think clearly so that you can ask you doctor all the necessary questions. it may be best to write them down prior to the visit so that in your anxiety you do not forget anything. you should ask about what was seen and its significance. ask how it will impact on your present treatment and prognosis. i hope this helps"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, collection of fluid around the heart (pericardial effusion) can be because of lots of causes like infection, tb, malignancy, connective tissue disorders. if it is mild and is not causing problems like breathing difficult we manage it conservatively that is by medicines aiming at treating of course. if it is more in amount and is causing breathing difficulty, we remove it by putting a needle (pericardiocentesis) and chatbot.  if needle could not go there & fluid is essential to be removed, we can remove it by surgery (making a cardiac window). if your doctor has advised for medical treatment, the fluid must be less, and they must be treating the cause. so wait and repeat echo as per your doctor to see if what is the change in fluid amount. hope i have answered your query. if you have any further query, i'll be happy to help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query on chatbot ...* brief answer"
Please summerize the given abstract to a title,COVID-19: opportunity to improve crisis responses to homelessness?
Please summerize the given abstract to a title,Evaluating the Appropriateness of Antibiotic Treatment of Tonsillitis during COVID-19 in the North Wale Primary Healthcare Setting
Please answer with one of the option in the bracket,D: Mechanical thrombectomy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thanks you for your query. i am chatbot and i will try to help you as much as i can with my answer. this is suggestive of reinfection if you are female or prostate hyperplasia if you are male. you need to do monoculture and basic urine an analysis to rule this out as well as kidney ultrasound. also, you should chatbot.  if there is no improvement you may need urinary catheter. i hope i have answered you query. if you have any further questions you can contact us. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. many women experience skin changes during pregnancy. in addition, moles or other spots on the body can either enlarge or develop, and they go away once the pregnancy is over. however, in your specific case, the fact that you are overweight gives me the impression that these bumps you describe are actually not bumps at all... instead, they are superficial veins called vulgar (or capillary) curiosities (you can look that up on google and look at the images) very close to the skin surface that are bulging out more now because of the hormones of pregnancy and the pressure while standing on your vulva due to your obesity. you may later develop varicose veins in your legs which are also caused by the same risk factors.  you might have just likely ruptured or scraped off the end of the vein which is what appears as a purple bump on your vulva, which is why it bled. feel free to discuss this with your home healthcare provider and see what he/she thinks as well. i hope i was able to adequately answer your question today, and that my advice was helpful. good luck and best wishes for the rest of the pregnancy,"
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. your problem can be due to fungal infection called tina tricolor. if you send a picture of that then it will be more helpful to identify. for such case in my patient i usually advise fluconazole tablet orally weekly once for 1 month along with terminating or ketoconazole lotion for local application. ketoconazole soap or powder also can be used. hope this may help you. let me know if anything is not clear. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear vent, it sounds like your father is suffering from degenerative cervical disc disease. this basically means that because of wear and tear, the cervical discs at many levels in your fathers spine are causing some compression on the nerves and spinal cord. i would advise you to consult a neurosurgeon who will examine him and decide if a surgical option will be advisable keeping his age, general health, clinical examination findings and the mri scan findings in mind.  hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you can get the iud removed soon after your period. it can be removed with more ease if it is done during a period, since the softer cervix makes pulling the iud out easier. most often, the removal is smooth and there is no bleeding or spotting. with chatbot.  in case there is some trauma to the soft parts while removal, or if instrumentation is needed, some amount or spotting or bleeding can be seen. hope this helps."
Answer this question truthfully,"The classic symptoms of celiac disease in children include abdominal distention, steatorrhea, and failure to thrive. Celiac disease is an autoimmune disorder that is triggered by exposure to gluten, a protein found in wheat, barley, and rye. When individuals with celiac disease consume gluten, it triggers an immune response that damages the lining of the small intestine. In children, this damage can lead to a range of symptoms, including abdominal bloating and discomfort, diarrhea, fatty stools (steatorrhea), and poor growth and development (failure to thrive). Other symptoms may include fatigue, irritability, and delayed puberty. However, it is important to note that not all children with celiac disease will present with these classic symptoms, and some may have more subtle or atypical symptoms. A diagnosis of celiac disease is typically confirmed through blood tests and a biopsy of the small intestine."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your health concern with us. well, with the description of your clinical picture, it is more likely that you are experiencing some hormone imbalance and pregnancy is a remote possibility. this is because you had intercourse just around your menstrual period which is considered the safe period, even if you had some breakthrough ovulation due to irregular pill use. i would ask you to get a proper clinical evaluation, get a sonogram of the pelvis and a blood test for pregnancy to help plan further management. hope your query has been answered. wish you good health."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. it is hard so say what it is without further diagnostic tests. you should do gastrostomy and see is there ulcer of gastritis. if you don't vomit excessively or vomit blood, this is not something serious. it can be just temporary stomach irritation which is commonly seen. there are also certain medicines which can be used for such symptoms, but the exact diagnosis should be established first. thanks for the query. wish you good health. regards"
Please answer the letter of option truthfully,B
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of your daughter. as you see and understand the anatomy of the ankle and the biochemic of the ankle you will notice that the muscles supporting the ankle joint are actually having origin in the leg bone that is the tibia and the fibula. any injury occurring like sprain of ankle, fracture of ankle, crush injury of ankle, etc. will straight away give pain in the muscles of the leg due to pull of the muscle. the muscles in the leg region will become fatigue and also will be in pain called as the referred pain. by a thorough clinical examination and x-ray or mri we can understand the possible soft tissue injury and also understand the pathomechanics of the joint and muscle. treatment will be directed towards the chatbot. in my clinical practice we perform a thorough clinical examination and understand the pathomechanics, post which treatment is initiated, and the results found are good. regards jay in"
Please answer with one of the option in the bracket,A: Clear cell renal cell carcinoma
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, dark bruise on the leg with chronic pain is commonly due to thrombocytopenia (idiopathic thrombocytopenia purpura / heparin induced thrombocytopenia). she can take acetaminophen (tylenol), one sos when required for relieve from pain. she can apply ointment thrombophob or thrombophob gel locally on the area affected to reduce the dark bruise. however, other medical conditions that may cause similar symptoms are superficial thrombophlebitis (inflammation / swelling of a vein due to a blood clot), hematoma, deep vein thrombosis, varicose vein complications, etc. you are suggested to visit er, get your mother clinically examined by a gp, get blood & imaging tests done at the earliest. she may be referred to a hematologist or immunologist. her treatment will depend on the severity of the pathology detected. let the disease detected & get her treated. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"There is no screening tool for detecting fetal cardiac rhabdomyoma, it is found during the routine prenatal ultrasound."
Answer this question truthfully,"Aplastic anemia must be differentiated based on different laboratory findings including mean cell volume (MCV), reticulocytosis, and hemolysis.
To review the differential diagnosis of anemia, see below table.
To review the differential diagnosis of microcytic anemia, click here.
To review the differential diagnosis of normocytic anemia, click here.
To review the differential diagnosis of macrocytic anemia, click here.
To review the differential diagnosis of hypochromic anemia, click here.
To review the differential diagnosis of normochromic anemia, click here.
To review the differential diagnosis of anisochromic anemia, click here.
To review the differential diagnosis of hemolytic anemia, click here.
To review the differential diagnosis of anemia with intrinsic hemolysis, click here.
To review the differential diagnosis of anemia with extrinsic hemolysis, click here.
To review the differential diagnosis of anemia with low reticulocytosis, click here.
To review the differential diagnosis of anemia with normal reticulocytosis, click here.
To review the differential diagnosis of anemia with high reticulocytosis, click here.

Disease Genetics Clinical manifestation Lab findings History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Iron studies Specific finding on blood smear Serum iron Serum Tfr level Transferrin or TIBC Ferritin Transferrin saturation Iron deficiency anemia  − Menorrhagia GI loss GI surgery Pregnancy Koilonychia Pica Glossitis Cheilosis Dysphagia − − Hypochromic Microcytic ↑ Nl or ↓ Nl Nl ↓ ↑ ↑ ↓ ↓↓↓ Central pallor Iron deficiency anemia (early phase)  − Pica Glossitis Cheilosis Fatigue Headache Koilonychia Conjunctival pallor Dry skin − − Normochromic Normocytic ↑ ↓ Nl Nl ↓ ↑ ↑ ↓ ↓ Pencil cells Elliptocytosis Hypochromasia Lead poisoning  − House painted with chipped paint Burtonian lines Basophilic stippling Wrist drop Foot drop Wrist drop Foot drop Burtonian lines − − Hypochromic Microcytic Nl Nl or ↓ Nl Nl Nl to ↓ Nl Nl Nl to ↓ − RBCs retain aggregates of rRNA Basophilic stippling Sideroblastic anemia  Defect in ALA synthase gene Autosomal dominant Autosomal recessive X-linked Alcohol abuse Isoniazid use Chloramphenicol use Idiopathic Seborrheic dermatitis Glossy Tongue Tingling Patient present with symptoms of Vitamin B6, copper deficiency symptoms − − Hypochromic Microcytic Nl Nl or ↓ Nl Nl ↑ Nl Nl to ↓ ↑ − Ringed sideroblasts Disease Genetics History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Serum iron Serum Tfr level IBC Ferritin Transferrin saturation Specific finding on blood smear Anemia of chronic disease  − Rheumatoid arthritis SLE Neoplasm Chronic kidney disease Headache Shortness of breath − − − Hypochromic Microcytic Nl Nl or ↓ Nl ↑ ↓ Nl ↓ ↑ − NA Thalassemia  α-thalassemia α - globin gene deletions Cis deletions Trans deletions β-thalassemia Point mutation in splice sites and promoter sequences Associated with parvovirus B19 α-thalassemia Hydrops fetalis β-thalassemia Skeletal deformities Chipmunk facies Hepatomegaly Splenomegaly − − Hypochromic Microcytic Nl Thalassemia trait: Nl or ↓ Thalassemia Syndromes: ↑ Nl Nl Nl to ↑ Nl Nl ↑ Nl to ↑ Target cells Anisopoikilocytosis G6pd deficiency  Defect in G6PD enzyme X-Linked recessive History of using Sulfa drugs Antimalarials Fava Beans Infections Back pain Hemoglobinuria Back pain + Intrinsic Normochromic Normocytic ↑ ↑ but usually causes resolution within 4-7 days ↓ ↓ Nl to ↑ Nl ↑ ↑ ↑ RBC with Heinz bodies Bite cells Blister cells Pyruvate kinase deficiency  Mutation in the PKLR and PKM gene Autosomal recessive Gallstones Hydrops fetalis Neonatal hyperbilirubinemia Iron overload Perinatal complications Skin ulcers Splenomegaly + Intrinsic Normochromic Normocytic ↑ ↑ ↓ Nl ↑ Nl Nl ↑ − Prickle cells Polychromatophilic erythrocytes Disease Genetics History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Serum iron Serum Tfr level IBC Ferritin Transferrin saturation Specific finding on blood smear Sickle cell anemia  Hbs point mutation causes a single amino acid replacement in β chain High altitude Low Oxygen Acidosis African-American race Parvovirus B19 infection Painful crisis Dactylitis Priapism Acute chest syndrome Avascular Necrosis Stroke Autosplenectomy Salmonella osteomyelitis Dactylitis Priapism + Intrinsic Normochromic Normocytic ↑ ↑ ↓ Nl or moderately ↑ Nl Nl Nl or moderately ↑ ↓ Nl Increased erythropoiesis Howell-Jolly bodies Anisocytosis HbC disease  Glutamic acid–to-lysine mutation in β-globin Gallstone Joint pains Increased risk of infections Splenomegaly Cholelithiasis Avascular necrosis of the femoral head + Intrinsic Normochromic Normocytic ↑ ↑ ↓ Nl Nl Nl Nl ↓ − Hemoglobin crystals inside RBCs Target cells Paroxysmal nocturnal hemoglobinuria   PIGA gene mutations Impaired synthesis of GPI anchor for decay-accelerating factor Associated with aplastic anemia Thrombosis Fatigue Chest pain Dyspnea on exertion Headache Chronic hemolysis Hepatomegaly Ascites Papilledema Skin nodules + Intrinsic Normochromic Normocytic ↑ ↑ ↓ Nl ↓ Nl ↑ ↓ − NA Hereditary spherocytosis  Mutations in Ankyrin, Band 3, Protein 4.2, and spectrin Associated with parvovirus B19 Cholelithiasis Megaloblastic crisis Aplastic crisis Splenomegaly + Intrinsic Normochromic Normocytic ↑ ↑ ↓ Nl ↓ Nl ↑ Nl − Small, round RBCs with less surface area and no central pallor Disease Genetics History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Serum iron Serum Tfr level IBC Ferritin Transferrin saturation Specific finding on blood smear Microangiopathic hemolytic anemia   − Associated with DIC TTP HUS SLE HELLP syndrome Hypertensive emergency Purpura Confusion Aphasia Diplopia Numbness of an arm or hand Jaundice Pale conjunctiva + Extrinsic Normochromic Normocytic ↑ ↑ ↓ Nl ↓ Nl − ↑ − Helmet cells Macroangiopathic hemolytic anemia  Autoimmune Associated with Prosthetic heart valves Aortic stenosis Pallor Fatigue Signs of anemia Complications of hemolysis Decreased vascular volume + Extrinsic Normochromic Normocytic ↑ ↑ ↓ Nl ↓ Nl − − − Spherocytes or schistocytes Autoimmune hemolytic anemia  − Associated with: SLE CLL Mycoplasma pneumonia Painful blue fingers and toes on exposure to cold temperature Chest pain Chills Dizziness Tachycardia Headache Fatigue Painful, blue fingers and toes with cold weather + Extrinsic Normochromic Normocytic ↑ ↑ ↓ Nl ↓ Nl − − − RBC agglutination Aplastic anemia  Constitutive expression of Tbet Mutations in the perforin gene Mutations in SAP gene Exposure to Radiation Drugs like Benzene, chloramphenicol, alkylating agents Viral infections like EBV, HIV, Hepatitis Fanconi anemia Idiopathic like Immune mediated, primary stem cell defect Symptoms based on underlying condition Short stature Cafe-au-lait spots Thumb defects Radial defects − − Normochromic Normocytic ↑ ↓ Nl Nl ↓ ↓ Nl ↑ ↓ Pancytopenia Fatty infiltration Disease Genetics History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Serum iron Serum Tfr level IBC Ferritin Transferrin saturation Specific finding on blood smear Folate deficiency  Impaired DNA synthesis Alcohol consumption History of using drugs like methotrexate, trimethoprim, and phenytoin Low socioeconomic groups with poor nutrition Older people Pregnant and lactating women No neurological symptoms vs B12 deficiency Odynophagia Angular stomatitis Glossitis Signs of heart failure Anencephaly and spina bifida − − Anisochromic Macrocytic ↑ ↓ Nl Nl ↑ ↑ ↓ ↑ ↑ RBC macrocytosis Hypersegmented neutrophils Pancytopenia in severe cases Vitamin B12 deficiency  Impaired DNA synthesis Pernicious anemia Crohn's disease Gastrectomy Veganism Diphyllobothrium latum infection Psychosis Insomnia Depression Cognitive slowing Restless leg syndrome Neurological deficit Myelopathy Memory loss with reduced attention span Nystagmus Positive romberg sign Positive Lhermitte's sign − − Anisochromic Macrocytic ↑ ↓ Nl Nl ↑ ↑ ↓ ↑ ↑ Senile neutrophil Anisocytosis Ovalocytes Orotic aciduria  Autosomal recessive Deficiency of enzyme UMPS Episodic vomiting Rhabdomyolysis Coma Gastrointestinal manifestation Neurological manifestation − − Anisochromic Macrocytic ↑ ↓ Nl Nl ↑ ↑ ↓ ↑ ↑ NA Fanconi anemia  Autosomal recessive X-linked recessive History of anemia at age 16 Hypopigmentation Cafe-au-lait patches Radial ray anomaly Significant for bilateral short thumbs − − Anisochromic Macrocytic ↑ ↓ Nl Nl ↑ ↑ ↓ ↑ ↑ Nl appearing WBC, RBC and Platelets But the number is greatly reduced Disease Genetics History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Serum iron Serum Tfr level IBC Ferritin Transferrin saturation Specific finding on blood smear Diamond-Blackfan anemia  Mutations in: RPL5 RPL11 RPL35A RPS7 RPS10 RPS17 RPS19 RPS24 RPS26 Associated with myelodysplastic syndrome Increased risk of AML Pale skin Sleepiness Heart murmurs Triphalangeal thumbs Short stature Microcephaly Hypertelorism Ptosis Micrognathia − − Anisochromic Macrocytic Nl ↓ Nl Nl ↑ ↑ ↓ ↑ ↑ NA Infections  − Associated with Malaria Babesia Fever Fever Signs of shock Headache + Extrinsic Normochromic Normocytic ↑ ↑ ↓ Nl Nl Nl − − − Trophozoite Maltese crosses Chronic kidney disease  − Pericarditis Encephalopathy Rectal incontinence Decreased libido Restless leg syndrome Polyuria Hematuria Edema Hypertension − − Normochromic Normocytic ↑ Nl/↑ Nl ↑ ↓ − ↓ ↑ ↓ Nl Liver disease  − Hepatitis Binge drinking Gall bladder disease Jaundice Abdominal pain Itchy skin Ascites Right upper quadrant pain Hepatomegaly Swelling in the legs Ankle swelling − − Anisochromic Macrocytic ↑ ↑ Nl Nl ↑ ↑ ↓ ↑ ↑ Round macrocytes Target macrocytes Alcoholism  − History of increased alcohol intake Folic acid deficiency Memory impairment Nausea Sweating Truncal obesity Asterixis Encephalopathy Spider angiomas Hematemesis Gynecomastia − − Anisochromic Macrocytic ↑ ↑ Nl Nl ↑ ↑ ↓ ↑ ↑ Oval macrocytes Hypersegmented neutrophils Disease Genetics History Symptoms Signs Hemolysis Intrinsic/ Extrinsic Hb concentration MCV RDW Reticulocytosis Haptoglobin levels Hepcidin Serum iron Serum Tfr level IBC Ferritin Transferrin saturation Specific finding on blood smear"
Answer this question truthfully,Shigella spp. is a type of bacteria that invades the Peyer's patches by utilizing M cells. These specialized epithelial cells transport antigens and microorganisms from the intestinal lumen to the underlying lymphoid tissue.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatdoctorin hair follicle test, cocaine, marijuana, opiates (codeine, morphine & 6-monacteyl morphine), methamphetamine (methamphetamine/amphetamine & ecstasy), and phencyclidine (pcp). these five chatbot. environmental contaminants are the big problem for hair testing. microscopic amounts of smoke and powders cling to the hair shaft and wind up as a trace amount on a false-positive hair test. to make matters worse, contaminants cling to dark, coarse hair much more readily-making african-americans, latinos and asians significantly more susceptible to a false-positive result. according to one report, people with dark hair are 10 to 50 times more likely to test positive for"
Please summerize the given abstract to a title,Substantial impact of post-vaccination contacts on cumulative infections during viral epidemics.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there.... in case of recent history of cold...you might experience similar symptoms seen with sinusitis and pharyngitis... if you don't have any symptoms pertaining to your upper respiratory tract then the reason could be attributed to the root canal treatment performed.....throbbing kind of pain is usually associated with infections...root canal failure can be attributed to various reasons...improper filling of the root canals, any left over accessory canal, filling beyond the root apex...dead space in the root canal will all lead to accumulation of the microorganisms and would trigger pain.... a radiograph needs to be taken to assess the aptness of the root canal... consult your dental surgeon for clinical evaluation and management..."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, extol is tab. oxcarbazepine. it is not a safe medicine when trying for & during pregnancy. for the sake of baby you better meet a neurologist & change the medicine to a safer one. there are safer ones available in the market. once you take this & get pregnant baby stands a risk of irreversible anomalies. as you have time change it now & continue during pregnancy. you may need to change the dosages of any medicine in pregnancy. all the best & happy married life in advance chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the sudden pain in stomach caused a vasovagal attack associated with fainting. you did the right thing by sitting, better would have been to lie down .the cramps and pain as described may be due to some urinary stone, may be due to infection.please consult surgeon and get a clinical examination. investigations to be done as advised .a urine examination, u s g of abdomen.plain x-ray abdomen will be helpful for the pain at present you can take some anti spasmodic like dicyclomine tablets like demonic tab. but proper treatment to take after a diagnosis is made hope you be all right soon."
Please summerize the given abstract to a title,Death and contagious infectious diseases: Impact of the COVID-19 virus on stock market returns
Answer this question truthfully,"The femoral triangle of Scarpa is an anatomical region of the upper inner human thigh.
It is bounded by:
the inguinal ligament superiorly the sartorius muscle laterally the adductor longus muscle medially Its floor is formed by the iliopsoas and pectineus. Its roof is formed by the fascia lata.
The left femoral triangle The right femoral triangle The bifurcation of the femoral artery generally lies distal to the middle third of the femoral head, and the site of arterial puncture should lie above this (click to enlarge)"
Answer this question truthfully,Prognosis of cystic nephroma is generally excellent.
Answer this question truthfully,"Isotonic solutions such as normal saline or lactated Ringer's (LR) are recommended for the initial resuscitation of an infant with severe hypovolemic hypernatremia. Hypovolemic hypernatremia is a condition that occurs when there is a loss of both water and electrolytes from the body, resulting in a high concentration of sodium in the blood. Infants are particularly vulnerable to this condition due to their relatively high body water content and increased risk of dehydration. Isotonic solutions, which have the same concentration of solutes as the blood, are recommended for initial resuscitation as they can help restore intravascular volume without causing further electrolyte imbalances. However, the choice of fluid and the rate of administration should be tailored to the individual patient's needs and closely monitored to avoid complications."
Answer this question truthfully,"The cause of ankylosing spondylitis is unknown, but genes seem to play a role.
The disease most often begins between ages 20 and 40 but may begin before age 10. It affects more males than females. Risk factors include:
Family history of ankylosing spondylitis Male gender"
Please answer with one of the option in the bracket,D: Hepatorenal syndrome
Answer this question truthfully,"Detection of Howell-Jolly bodies in peripheral blood smear, is diagnostic of asplenia, Pitted erythrocytes in blood smear increases, Presence of target cells in the peripheral blood smear, Thrombocytosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. your problem is really disabling. but as being psychiatrist i would like to rule anxiety disorder or phobia in your case. do not get offended as i want to help you only. if your problem is occurring in closed spaces like bathroom, closed room, crowded places and bus, with associated anxiety with other symptoms like excessive sweating, tremor or palpitation then we need to look for agoraphobia or claustrophobia in your case. hope this will help you. wishing you good health. www.99doctor.com"
"If you are a doctor, please answer the medical questions based on the patient's description.","oxycodone hcl and ibuprofen, both for pain together should be avoided in my opinion. excess of mid tablets or vitamins are not going to help. to my own patients i would say them to gradually reduced swiss moods and oxycodone etc. and slowly increase deep breathing, meditation and taking pure ayurvedic mental tablets only. it's by himalaya vo. for back pain, slow incremental daily doses of turmeric powder from 1/2 tsp to 1.5 tsp, over a month, mixed in warm milk or warm water be preferred. light massage of rumply liniment is very helpful too. hope it helps you a lot."
Answer this question truthfully,The channel proteins found in gap junctions are called connexons.
Please summerize the given abstract to a title,Avoiding disruption of timely surgical management of genitourinary cancers during the early phase of COVID‐19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for putting your faith in chatbot. i would rather appreciate you for a more concise and detailed note of your history. however, i would have preferred to know the bilirubin levels though, as well as any associated symptoms like itching, decreased appetite or vomiting you experience along with increased levels of bilirubin as jaundice is a symptom which is basically the rise of the yellowish pigments (bilirubin in your body) which are normally converted by liver in soluble forms and excreted into your gut to be excreted out of your body with the stools. the first such incidence of its rise which you experienced in your neonatal life which resolved itself is a type called physiological jaundice, and it is not considered to be a disease, so you need not worry about that, but the second incidence in your adolescence might be because of acute hepatitis which in the majority of cases is viral. but its recurrence is a bigger concern for me as it needs a detailed evaluation to rule out any other cause of chronic liver disease. though such higher levels of alt are usually present in hepatitis a or e which resolves by itself between 1-2 weeks approximately. your ggt levels indicate around 5 times of the normal levels of your age group which is suggestive of intrahepatic homeostasis or inflammatory hepatitis again favoring an acute inflammatory cause which is likely viral mostly and is water born disease with self remission. if these levels were as high as 10-30 times we would have suspected any obstruction of bilirubin outflow (aka biliary tract diseases) which are unlikely in your case. also, that there are some diseases which interfere in conversion of insoluble bilirubin into soluble ones or in the excretion inside liver cells due to enzyme deficiencies, which when present or detected in adolescence or afterwards is gilbert's disease in most of the cases which needs monitoring only along with symptomatic care with no long term treatment need. if i were your physician i would have ordered viral sexologies for hepatitis, along with an ultrasound for liver size and structure as well as outflow tracts from liver and their patency, along with an albumin globulin ratios. i would also have been interested to know synthetic functions of your liver by monitoring inr to see for any need of vitamin k supplementation. the ideal treatment is rest, fluids, hy chatbot.  also, that if you were experiencing and symptoms of itching, decreased intake, severe vomiting or"
Please summerize the given abstract to a title,Review of appendiceal onlay flap in the management of complex ureteric strictures in six patients.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend catalyst therapy is not my branch of education being a practitioner of modern medicine. these alternate therapies are available and many a time they do work as well, but in absence of any scientific trials and large scale evaluation studies, it will be unworthy of me to offer you any opinion on the matter. you may contact the therapist and get the details.semi facial spasm to have many reasons and our conventional ways of treatments include botox injections to relieve the spasm, what medications and treatment options you have exercised i don't know, but it would be worthwhile if you could explore the possibility of botox therapy with your neurologist"
Please answer with one of the option in the bracket,D: Bone marrow biopsy
Answer this question truthfully,"Achilles tendon ruptures usually occur in the hypovascular watershed area located 2-6 cm above the calcaneal insertion. This area is particularly vulnerable to injury due to its poor blood supply, which can impair the healing process and increase the risk of complications."
Please summerize the given abstract to a title,Genotoxic Evaluation of Fe(3)O(4) Nanoparticles in Different Three Barley (Hordeum vulgare L.) Genotypes to Explore the Stress-Resistant Molecules
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. from the information it appears that your husband is suffering from bipolar disorder (mood disorder). in bipolar disorder patient has both manic and depression episode. in manic episode common symptoms are"
Please answer with one of the option in the bracket,B: Ulnar nerve
Please summerize the given abstract to a title,"Orishas against the Virus: Afro-cuban Cults, Cyberspace and the Covid-19 Pandemic"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. the first sign is missed period. any brown discharge or spotting before the expected period date might be due to period. anyway if the period is missed consider testing by a urine pregnancy test after a week of missed period for accurate results.however, it is too early to feel any pregnancy symptoms, and mostly it might be period. best regards...."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service.  i have reviewed your query and here is my advice.  has your daughter had these musculoskeletal abnormalities since birth? congenital means present since birth.  myopathy involves diseases of the muscles.  because her difficulties involve both bone and muscle i feel she ought to be evaluated by a pediatric orthopedic surgeon.  hope i have answered your query.  let me know if i can assist you further.  arnold edd, md, flap"
Answer this question truthfully,"The prognosis and treatment options depend on the following:
The stage of the cancer (the size of the tumor and whether it is in the breast only or has spread to lymph nodes or other places in the body) The type of breast cancer Estrogen receptor and progesterone receptor levels in the tumor tissue Human epidermal growth factor type 2 receptor (HER2/neu) levels in the tumor tissue Whether the tumor tissue is triple negative (cells that do not have estrogen receptors, progesterone receptors, or high levels of HER2/neu) How fast the tumor is growing How likely the tumor is to recur (come back) A woman’s age, general health, and menopausal status (whether a woman is still having menstrual periods) Whether the cancer has just been diagnosed or has recurred (come back)
The Nottingham prognostic index (NPI) is used to determine prognosis following surgery for breast cancer. Its value is calculated using three pathological criteria: the size of the lesion; the number of involved lymph nodes; and the grade of the tumor. 
The index is calculated using the formula:
NPI = 0.2 x S + N + G
Where:
S is the size of the index lesion in centimetres N is the node status: 0 nodes = 1, 1-4 nodes = 2, >4 nodes = 3 G is the grade of tumour: Grade I =1, Grade II =2, Grade III =3
Estimated five year survival rates: 
stage I: ~87% stage II: ~75% stage III: ~46% stage IV: ~13%
AJCC clinical prognosis categorization
The 8th revision of AJCC staging system for breast cancer has been extensively modified. Rather than classic TNM system, other characteristics of tumors such as pathologic grade, the presence of ER, PR, hormone receptors as well as presence of certain genetic mutations such as HER2 has been integrated into the latest revision. Among multi gene panels only RS score (Oncotype DX) has been integrated into AJCC 8th edition of breast cancer staging system. It is recommended solely for the pathologic groupings of the patients whom surgery is the initial treatment for them. For more information please refer to the staging section of this chapter. Patients has been assigned to clinical prognosis stages with respect to the above-mentioned criteria.
Approach to determine the prognostic stage group of the patients according to the AJCC staging recommendations for breast cancer (8th edition)
Adopted and modified from AJCC 8th Edition staging system."
"If you are a doctor, please answer the medical questions based on the patient's description.","pigmentation on cheeks in females or plasma, is idiopathic, most of the time. however, there are well known causes like pregnancy, oral contraceptive pills, certain painkillers. sun protection is an essential part of the management of any pigmentation over face. therefore, a good sunscreen should have broad spectrum uv a coverage in addition to uv b coverage, in order to be able to prevent tanning, and it needs to be applied in sufficient quantity and every 2-3 hourly. i don't see sunscreen in your treatment. a sunscreen with minimum 30 spf would be adequate. it should mention both uv b and uv a coverage. therefore, it is important to select the right sunscreen for desired effects it should be applied in the following quantity"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"As per the information provided, Azoles inhibit the conversion of lanosterol to ergosterol."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello understand your concerns need to ask you certain questions first. what treatment you took previously for c.difficile infection? what exactly are the symptoms you are experiencing now? c.difficile infection are generally treated by chatbot. if it is just diarrhea, it may be a mild infection, it will resolve by discontinuing antibiotics which you are already taking for other health ailment. probiotics can be used to aid regrowth of normal intestinal flora. if symptoms persists beyond 2\u00a0days after stopping antibiotics, then a course of metro is given as mentioned above. if you have already done with this course and here is recurrence with diarrhea, fever,abdominal pain, a second line treatment with vancomycin"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of headache and stomach pain which is a type of viral infection which seems to be due to acute gastroenteritis. need not worry. i would suggest you to take a course of an antibiotic and metronidazole and probiotic. maintain hy chatbot.  give curd in diet. you should take probiotics such as lactobacillus as well. visit pediatrician once and get it examined. you should go for blood tests as well and start treatment after proper examination. you should give ibuprofen to child along with proton pump inhibitors as well.  start giving oral rely"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello ! i read your question and understand your concern. i would first recommend a lumbar ct scan to examine better the disks in this region. if i were your doctor i would recommend holding a lumbar brace, have a lot of physiotherapy, take acetaminophen and ibuprofen three times daily for 10 days. i would advise you to avoid standing in sitting position for long periods, as it can aggravate the problem. if the pain is disabling most of the time you may need to consult a surgeon. hope to have been helpful. best wishes"
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you are known hypertensive and facing problem of erectile dysfunction since last 3 weeks which you think it to be due to olin trio. your problem of ed seems to be due to primarily due to hypertension and due to performance anxiety not due to olin trio. please get your serum testosterone levels in blood checked and consult qualified urologist for evaluation and further treatment. taking sildenafil (viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. chatbot. .
Answer this question truthfully,"No, the administration of HCO3- for tricyclic antidepressant toxicity does not accelerate drug metabolism. Instead, it only overcomes the Na channel-blocking activity of the drug. Tricyclic antidepressants can block sodium channels in the heart, which can lead to cardiac toxicity and arrhythmias. HCO3- can help to overcome this by increasing the pH of the blood, which can reduce the binding of the drug to sodium channels and increase the availability of sodium ions. This can help to restore normal cardiac function and prevent further toxicity. However, HCO3- does not affect the metabolism of the drug itself, and it does not accelerate the elimination of the drug from the body. Other treatments, such as activated charcoal or hemodialysis, may be necessary to remove the drug from the body more quickly."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Generation of a Novel Mesothelin-Targeted Oncolytic Herpes Virus and Implemented Strategies for Manufacturing
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to ask a doctor service. i have reviewed your query and here is my advice.  fever and cough can be due to viral infection, while it can also be due to bronchitis. for now, you can take cough suppressant containing dextromethorphan and along with it, you can take a combination of levocetrizine and montelukast.  take acetaminophen to reduce fever.  also, chatbot.  if there is no improvement consult an emergency room and get evaluated.  hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thankyou for query. brief answer.get a swab test done first. detailed answer... since ring worm can occur using infected towels or sharing clothes with infected person. but as your baby is also discharging, so get a swab test done to differentiate between chlamydia or fungal infection and treat accordingly. for ring worm you may apply statin powder and cortisone cream 2 times a day daily for few days and follow accordingly. hopefully my answer is helpful. chatbot."
Answer this question truthfully,"The recommended treatment for pyelonephritis caused by Proteus mirabilis may depend on the severity of the infection and the patient's medical history, but a common treatment option is the use of fluoroquinolone antibiotics. These medications are effective against many types of bacteria, including Proteus mirabilis, and can help clear the infection and prevent complications. Other treatment options may include other types of antibiotics or supportive care to manage symptoms and promote healing. It is important to seek medical attention if symptoms of pyelonephritis, such as fever, pain in the back or side, and nausea or vomiting, are present."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i am sorry to hear that you are experiencing discomfort. you are describing an infection. a spreading infection is serious and needs attention. this can be detrimental to your overall health. you can take anti-inflammatory medication and rinse the area with warm saltwater. if you apply light pressure and have a pocket of pus release that can reduce pressure. rinse the area well. do not try to chew in the area. you may have a dental clinic in your area or a dental school that would provide care. your next consideration is to visit an emergency room in a hospital. antibiotics given by prescription will help control the spread of infection. you will still be referred to a dentist or oral surgeon for an extraction. please seek attention soon."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. since you are thyroid cancer survivor, possibility of lung metastasis is there. cancer patients are immunocompromised. so opportunistic infections are common. and lung is the most common organ for such infection. and upper lobe lesions are common in tuberculosis. so tuberculosis should also be ruled out. in my opinion, you should consult pulmonologist and get done 1. ct thorax. it is much superior to chest x-ray in diagnosis of metastatic lung nodule. 2. sputum for afb (acid fast bacilli-bacteria causing tuberculosis). 3. bronchoscopic evaluation for confirmation of cancer and infection. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Evaluation of Distance Learning from the Perspective of University Students - A Case Study
Answer this question truthfully,The likely diagnosis for the patient's condition is cardiac sarcoidosis.
Please answer with one of the option in the bracket,B: Asthma
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your nausea and vomiting are due to your cancer.  cancer produce this kind of substance and ultimately leads to all complications.  you should take treatment of your cancer. condensation will help you in nausea and vomiting treatment.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Limited Secondary Transmission of the Novel Coronavirus (SARS-CoV-2) by Asymptomatic and Mild COVID-19 Patients in Bhutan
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query and an elucidated history. bone loss on the x-ray and painful lump at a spot you say go in favor of either a chronic osteomyelitis ot a cancer of the underlying tissue. urgent evaluation by clinical examination. ct scan and most important fnac- fine needle aspiration cytology will help to come to the final conclusion and treatment will depend upon the reports. need of surgery is certain and do not make this late further. the role of the implant can be decided by ct scan only.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, memory problems, nervous problems etc. are never due to masturbation. masturbation is normal natural and safe. it becomes unhealthy and tiresome only if you masturbate more than three times a week frequently for many weeks. restrict yourself from doing so and you will be alright. do not worry too much about it because worry creates anxiety and anxiety could trigger memory problems. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some enlarged lymph node or some soft tissue mass.  if it remains same size and you don't have any symptoms then no need to worry. just be relaxed.  if you want to remove it then excision biopsy can be done.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"The treatment of bladder cancer depends on how deep the tumor invades into the bladder wall. Superficial tumors (those not entering the muscle layer) can be ""shaved off"" using an electrocautery device attached to a cystoscope. Immunotherapy in the form of BCG instillation is also used to treat and prevent the recurrence of superficial tumors.  BCG immunotherapy is effective in up to 2/3 of the cases at this stage. Instillations of chemotherapy into the bladder can also be used to treat superficial disease.
Untreated, superficial tumors may gradually begin to infiltrate the muscular wall of the bladder. Tumors that infiltrate the bladder require more radical surgery where part or all of the bladder is removed (a cystectomy) and the urinary stream is diverted. In some cases, skilled surgeons can create a substitute bladder (a neobladder) from a segment of intestinal tissue, but this largely depends upon patient preference, age of patient, renal function, and the site of the disease.
A combination of radiation and chemotherapy can also be used to treat invasive disease. It has not yet been determined how the effectiveness of this form of treatment compares to that of radical ablative surgery.
There is weak observational evidence from one very small study (84) to suggest that the concurrent use of statins is associated with failure of BCG immunotherapy."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for asking on chatbot. first it is important to document what type of anemia you have. it could be microcytic, normocytic or microcytic depending upon the underlying cause. then we have to find out the cause of anemia. is it because of a deficient intake or iron, b12 or folic acid. is it because of malabsorption or simply increased blood loss. once the cause becomes clear it is easy to treat it by countering the underlying cause. hope it helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have headache.  their are so many causes of headache.  thalassemia has no relation with your headache.  you should search for other cause.  neurogenic or psychogenic headache may be the cause.  find out the cause and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot.  as a urologist, i can understand your anxiety. the stent does cause pain in some people, when it moves. some people are more sensitive to this pain and need treatment for this. also, chatbot. some people have stone fragments passing down alongside the stent. this is the cause for the pain and burning sensation, while passing urine. gradually, pain reduces and after stent removal, will disappear completely. if you've any doubts, send it as a direct question to me."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatdoctorviral fever is generally associated with generalized weakness, body aches, malaise, etc. therefore, feeling of weak during or post infections, esp. of viral origin is common. adequate nutrition with enough calories, proteins and fluids will help the body to fight organisms and restore the strength quickly. a judicious and as required use of analgesics like diclofenac chatbot.  in case, the condition of your child appears to be critical a consultation of a local general physician is always helpful and safe. with a good supportive care the symptoms should recover by a week. welcome for further suggestions."
Please answer with one of the option in the bracket,C: Phospholipase C
Answer this question truthfully,Tinea capitis in children is treated with oral griseofulvin or oral terbinafine.
Answer this question truthfully,"Oxytocin is a hormone that plays a crucial role in lactation. When a baby suckles at the breast, nerve impulses from the nipple stimulate the release of oxytocin from the pituitary gland. Oxytocin then causes contraction of myoepithelial cells in the breast, which surround the mammary alveoli where milk is produced and stored. This contraction forces the milk stored in the alveoli into the ducts for ejection, allowing the baby to access the milk. Therefore, oxytocin is an important hormone that helps to facilitate the release of milk during breastfeeding."
Answer this question truthfully,"Clinical data has suggested that the development of kidney cancer is related to several factors.
Genetic and hereditary risk factors
Von Hippel-Lindau disease Hereditary papillary renal cell carcinoma Hereditary leiomyomatosis and renal cell carcinoma Birt-Hogg-Dube syndrome Hereditary renal oncocytoma
Lifestyle-related and job-related risk factors
Smoking: Tobacco use increases the risk of developing renal cell carcinoma. Obesity: Clinical surveys demonstrate that kidney cancer has a close relationship with people who are very overweight. Workplace exposures: Clinical studies have suggested that workplace exposure to certain substances such as asbestos, cadmium, some herbicides, benzene, and organic solvents, particularly trichloroethylene, may increase the risk for kidney cancer.
Drugs: Some studies have suggested that phenacetin (non-prescription pain reliever) and diuretics (medicines uesd to treat hypertension or heart failure by causing the kidneys to remove salt and fluid from the body) may be linked to kidney cancer. Advanced kidney disease: People with advanced kidney disease, especially those needing dialysis, have a higher risk of kidney cancer. The reasons may be the accumulation of the metabolic toxin. A family history of kidney cancer Hypertension Gender: Men have about twice the risk of developing kidney cancer than women. Race: Epidemical data shows that African Americans have a slightly higher rate of kidney cancer than other races."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. your mri says stenosis which leads to compression of exiting nerve root which later on supply lower limb [leg]. due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. mri shows disc compressing on nerve root then surgical decompression is permanent solution. yes you may again need surgery. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, road traffic accidents cause profuse loss of blood. the loss of blood in fracture of femur is even more profuse since it isa very vascular compartment. repeated blood transfusions may be required, however, there is nothing to worry. the healing of the fracture site requires formation of blood clot and thereafter callus formation.dark-colored urine is probably due to myoglobin in urine. crush injuries cause myoglobin from the muscles to be sequestered and is excreted in urine. the excreted myoglobin in urine can be toxic to the kidney tubules. however, creatinine levels are within normal limits indicating that kidneys are functioning normally, and no damage has occurred.don't worry about fall in hemoglobin levels. thanks and take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. the pain caused by ovary and itching in the anus are rather unrelated. however, close to the ovary there is a large intestine, and maybe this is what causes the pain. anus itching can appear with hemorrhoids, rectal fissure or pin worms. lower left abdominal pain can be caused by urinary tract infection (usually frequent urinating and pain while urinating appears), diverticulitis. as hemorrhoids and diverticulitis ca both appear because of constipation, it should be considered (if you have had constipation). fresh blood in stool (on the surface of it) is characteristic for hemorrhoids. pinworms usually give itching in the morning. i suggest you to visit your doctor and rule out mentioned conditions. abdominal ultrasound, blood work, rectal examination should be performed. if pin worms seems probable, adhesive tape should collect larva and should be checked with microscope. hope this will help. regards."
Please summerize the given abstract to a title,Evaluation of national responses to COVID-19 pandemic based on Pareto optimality
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i can understand your concern. you are right in your assumption that you have developed an allergic reaction to some substance that you are not aware about. you should start taking antihistamine such as levocetrizine 5 mg (exocet) or loratadine 10 mg (forfeits) once a day for about 5-7 days. this will reduce the swelling and will make the red bumps disappear. after about 10 days to 2 weeks time, go for a blood test for allergy. this test will show what substance you are allergic to so that you can avoid exposure to it in the future. if the antihistamines do not help, then it is not an allergic reaction, and you should see either a dermatologist or a dentist for examination of your lips and further investigations to diagnose and treat the condition. i hope this information helps you. thank you for choosing chatbot. i wish you feel better soon. best,"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. in my opinion you should not worry about cancer. as blood cancer show count in lakhs usually more than 1 lakh. and you are having clear-cut infection in lung and urine. this is the reason for your fever and 16000 count. you may have chronic resistant infection in lung and urine which is not sensitive to routine antibiotics.  so get done urine culture and sputum culture with sensitivity to guide antibiotic therapy. so no need to worry about leukemia or any other cancer. be relax and calm. treat infections and you will be alright.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your description suggests that you have a colonial sinus which is also probably infected. you must be having the swelling for some time now. it must be hurting even when you put water on it. i suggest you get examined by a surgeon. for the infection you will require a course of antibiotics. once the infection subsides you should keep the area clean and after a few weeks of no infection you should get it removed by a surgeon. operation will cure you of the problem. it is a small operation, and you need not worry.  take care and do let me know if you need any more advice. you can leave a specialist query for the same. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi!welcome to chatbot. all swellings need not be cancerous. get a thorough check-up by a surgeon preferably to ascertain-type of swelling etc. an ultrasound will let you know whether solid-or cyst(fluid). if fluid most likely infection or inflammation. biopsy can be diagnostic and therapeutic if fluid aspiration can be done in same sitting. commonest swellings are lymph nodes from oral, scalp,ear infection. take care. and let us know what you did."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have history of trauma.  so there is high chance of injuries.  fracture causes pain, swelling, inflammation, restriction in movement etc. you should go for x-ray of injured part.  it will give you exact idea whether you have fracture or not.  then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. the dull pain in the sternum area could be due to gastritis. and the abdominal hardness and weight loss could be due to your exercise. another possibility is that of a cancer on the abdomen, that can present with all these features, but that will depend upon your age. if it is on the higher side (>45yrs) then chances are more. so, i would suggest that you get an ultrasound scan of your abdomen to help reach a diagnosis. if it comes normal, then its mostly gastritis, and for that you need to take antacids."
Please summerize the given abstract to a title,Effects of anchoring sutures at diverting ileostomy after rectal cancer surgery on peritoneal adhesion at following ileostomy reversal.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello misunderstand your concernaccording to your history you missed only one pill at four different time means no decreased in efficacy of pill. you have to wait for pill free week. no need to take new pack. start new pack from the next first day of period. please take on same time every day and make habit to take pill regularly by putting reminder in the mobile, so you will not miss the pill. there is no chance of pregnancy. but if no period or period delayed by 10-12 days then go for pregnancy test to diagnose pregnancy. hope this will help you best regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking. based on your query, my opinion is as follows.1. an x-ray is necessary to rule out any fracture.2. it does not appear to be a fracture, but it needs to be stabilized to avoid any further tear if it has already happened.3. take nsaid painkillers, and also you can apply local painkiller spray. if the pain does not disappear in a day, meet your doctor to get an x-ray done. hope it helps. any further queries, happy to help again."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. looking at the description about the problems you are facing, it appears that you might have developed mucosal damage after you had anal sex. the problems you are facing must be due to anal fissures or fistula-in-ano. kindly don't neglect the symptoms. you need to get examined by a surgeon in this regard. most likely, there aren't any medications to treat such disorders. you need to undergo surgical procedure, by means of cryosurgery. hope the information provided would be of help. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your concern on chatbot! i appreciate your concern towards the high alt (sgpt) level. age, gender, problem for which alt is advised, and its duration, alcohol intake if any are not mentioned. normal adult range for alt"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having tachycardia (high pulse rate) and normal blood pressure. you are also young, so possibility of heart disease is very, very less. but better to get done screening for heart diseases by ecg. if ecg is normal then no need to worry about heart diseases. sometimes stress can also cause tachycardia and chest pain. so avoid stress and tension, be relaxed and calm. if you are having poor eating habit like junk food then gastritis can also cause chest pain. so avoid junk food and take antacid like proton pump inhibitor. don't worry, you will be alright. heart diseases are less likely in your case. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"A putamen hemorrhage, which can occur as a result of a rupture of a Charcot-Bouchard microaneurysm on vessels supplying the putamen, can cause a range of neurological symptoms. Some common manifestations of a putamen hemorrhage include contralateral hemiparesis, which is weakness on one side of the body, and contralateral hemisensory loss, which is a loss of sensation on one side of the body. Other symptoms may include gaze deviation towards the side of the bleed, which can indicate damage to the frontal eye fields, and other cognitive and motor deficits. The specific parts of the brain that may be affected by a putamen hemorrhage include the internal capsule, genu, thalamus, and frontal eye fields. Treatment for a putamen hemorrhage typically involves supportive care and management of any associated complications, such as cerebral edema or seizures."
what medications are prescribed for brucellosis,"Brucellosis is a bacterial infection that spreads from animals to people - most often via unpasteurized milk, cheese and other dairy products.  The infection can usually be treated successfully with antibiotics. Treatment takes several weeks to months, however, and relapses are common."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. it can be rotator cuff injury which may need mri for confirmation. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain, you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. you may need to take rest for early healing. also check your it b12 and it d3 in your blood. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take disregards chatbot."
Answer this question truthfully,"How long it takes you to recover depends on the type of hysterectomy. Recovery may take anywhere from 2 to 6 weeks. Average recovery times are:
Abdominal hysterectomy: 4 - 6 weeks Vaginal hysterectomy: 3 - 4 weeks Robot-assisted hysterectomy: 2 - 4 weeks
A hysterectomy will cause menopause if you also have your ovaries removed. Removal of the ovaries can also lead to a decreased sex drive. Your doctor may recommend estrogen replacement therapy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for posting here. stolin gum paint helps improve your gum health. you did not mention if you got scaling done. i suggest you to get it done. you can apply stolen gum paint twice daily on the gums on the outer side and inner side. leave it for 5 minutes. rinse it off. also use doxy-1 in the night for 3 days. do not take milk after the tablet. take it on plain stomach. also, rinse warm saline gargle thrice daily. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for contacting me at \""ask a doctor\"". i will try to answer your question to the best of my ability. the treatment for plantar fasciitis involves stretching the calf area, applying ice, taking several medications such as ibuprofen.  seeing a physical therapist can also help.  bone spurs are very common and in themselves do not usually cause pain.  most of the pain from plantar fasciitis comes from the soft tissues. sometimes for severe plantar fasciitis i will prescribe a night splint. surgery is almost never indicated for this condition. as regards the neck issue, it sounds as though this might be soft tissue in origin, particularly if your x-rays are negative.  you could be experiencing mild muscle spasm or a simple strain of the soft tissues in the cervical region.  it might be a good idea to pay a visit to a physical therapist who can teach you some stretches and some exercises to do at home. if your neck feels stiffer than simple applications of heat will help. i hope this information is useful for you. please do not hesitate to message us back if you have any further questions. best wishes, a chatbot."
Please summerize the given abstract to a title,Conventional risk prediction models fail to accurately predict mortality risk among patients with coronavirus disease 2019 in intensive care units: a difficult time to assess clinical severity and quality of care
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he may have some infected sebaceous cyst, abscess, tuberculosis or other inflammatory lesion.  he should go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then he should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. irregular intake of birth control pill & unprotected sex close to your fertile period or ovulation day (occurs 14 days prior to due date) are quite risky for being pregnant. in this case, i suggest you to undergo one home pregnancy test if you miss your next period. above clinical features are quite relevant with possible pregnancy. common symptoms of pregnancy"
Please summerize the given abstract to a title,The Slovenian Community in Croatia during the covid-19 pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for your query. firstly there is a simple way to know if you are pregnant. take a home urine pregnancy test first thing in the morning tomorrow. if not pregnant, please consult an infertility specialist. investigate yourself for ovulation disturbances and delayed periods. rule out pcs in your case. have complete basic hormonal profile done, your partners' semen analysis done and your fallopian tube patency assessed. maintain a healthy bmi, a positive outlook and take regular folic acid tablets. take care."
Answer this question truthfully,"The percentage of ovarian endometrioid tumors that are associated with an independent endometrial carcinoma is 15%. Endometrioid tumors are a type of ovarian cancer that are characterized by cells that resemble the lining of the uterus. Endometrial carcinoma, on the other hand, is a type of cancer that affects the lining of the uterus. While these two types of cancer are distinct, they can sometimes occur together. In cases where an ovarian endometrioid tumor is associated with an independent endometrial carcinoma, it is important for doctors to determine the extent of the cancer and develop an appropriate treatment plan. Treatment may involve surgery, chemotherapy, radiation therapy, or a combination of these approaches, depending on the stage and location of the cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it seems your kid is having viral diarrhea. once it starts it will take 5-7 days to completely get better. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.  there is no need to use antibiotics (like nor met) unless there is blood in the motion. antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. i suggest you use zinc supplements (z&d chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient your symptoms indicate diagnosis of cervical radiculopathy. this happens due to cervical disc prolapse. nerve roots compression at cervical level leads to sharp articular pain in upper limb. this needs to be investigated with 1) x-ray of cervical spine anteroposterior and lateral views 2) mri of cervical spine. x-ray will give idea about overall alignment of cervical spine. mri is more sensitive and specific for diagnosis of spinal cord pathology and nerve roots compression. please get it done from radiology center nearby you.  meanwhile, start tab regain x 75 one at bedtime. you need to consult neurophyysician with mri report. further treatment van be done based on mri report. all the best."
Please summerize the given abstract to a title,Deciphering Common Long QT Syndrome Using CRISPR/Cas9 in Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes
Answer this question truthfully,One adverse effect associated with selective α1 adrenergic antagonists is 1st-dose orthostatic hypotension. This effect typically occurs after the first dose of the medication.
Please answer with one of the option in the bracket,"B: To increase the diagnostic accuracy of this result, the levels of free beta-hCG and pregnancy-associated plasma protein A (PAPP-A) should be determined."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, sometimes white blood cells in a children urine are normal. it depends on the count. the fact that there was no growth in the urine sample means there was no bacterial infection. white blood cells are also released when there is inflammation - serious or not. it would unusual that this would indicate psoriasis. i would retest her urine a few times and see if it resolves or is of a minimal level. mostly, without other symptoms, i don't want you to worry. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Complement levels at admission as a reflection of coronavirus disease 2019 (COVID‐19) severity state
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, one should always try to achieve ones constitutive skin color as how much hard one tries a person with dusky complexion cannot become fairer by applying creams. do not apply creams containing hy chatbot.  just to have a good skin tone, use a good sunscreen with spf more than 40 in between 10 am to 4 pm and repeat it every three to four hours if out in sun. one can use mild skin creams containing comic acid, licorice, albumin, vitamin c, vitamin b3 and vitamin b5 on daily basis to improve ones skin tone. also, few sessions of chemical peels can be taken to exfoliate the skin and improve the skin tone. similarly, monotherapy with vitamin c and glutathione can improve the skin color to certain extent. however, as a doctor i would always promote a skin regime to have a healthy glowing even toned skin rather than striving for a fairer skin. take care."
Answer this question truthfully,"The dermatologic symptoms of cirrhosis include jaundice, spider angiomas, palmar erythema, and petechiae/purpura."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, so sorry to hear that. sometimes, anxiety and tension do lead to such feelings, and it tends to be short term. i would suggest you relax, take a deep breath and concentrate on your work. once you feel comfortable and/or your work gets over, kindly take an appointment with your gp for a routine check up (ekg, physical examination, etc.). however, if the chest pain is still present or is severe, you must visit an er. let me know if you have any further query or have other associated symptoms."
Answer this question truthfully,Call your health care provider if you have a lump in your neck.
Answer this question truthfully,Patients who have ampicillin resistant Haemophilus Influenzae should be given a 3rd generation cephalosporin.
Answer this question truthfully,Escherichia coli (E. coli) is the most common microorganism responsible for causing urinary tract infections (UTIs).
Answer this question truthfully,"The mainstay of treatment for pseudohypoparathyroidism is oral calcium and 1 alpha-hydroxylated vitamin D analogs, such as calcitriol. Other forms of Vitamin D cannot be used as parathyroid hormone resistance in the proximal tubule decreases the efficiency of production of 1,25(OH)2 vitamin D from 25-hydroxyvitamin D. Intravenous calcium is recommended for all patients who develop severe symptomatic hypocalcemia.
Surgical resection of enlarged parathyroid glands is usually reserved for patients that develop tertiary hyperparathyroidism in pseudohypoparathyroidism 1b. Rarely, excision of extraskeletal osteomas is done to relieve associated pressure symptoms in patients.
Effective measures for the primary prevention of pseudohypoparathyroidism include genetic counseling in inherited cases. Secondary prevention of measures in pseudohypoparathyroidism includes regular serum and urinary calcium measurements monitoring."
Please answer with one of the option in the bracket,E: Synovial hypertrophy and pannus formation
Please summerize the given abstract to a title,Detection of SARS-CoV-2 by Real-Time PCR under challenging pre-analytical conditions reveals independence of swab media and cooling chain
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot! regarding your concern, i would explain that your symptoms (chest pain and tightness when exercising or bending) are not typical of any cardiac disorder. they can be explained by gastroesophageal reflux. regarding your heart rate values, they seem to be within the normal ranges. anyway, i would recommend performing some blood lab tests to exclude other secondary causes that may lead to a higher heart rate"
Please answer with one of the option in the bracket,B: Histamine
Please summerize the given abstract to a title,The effect of graduated compression stockings on long-term outcomes after stroke: the CLOTS trials 1 and 2.
Answer this question truthfully,"Orthomyxoviruses are negative-sense RNA viruses, meaning their genetic material is RNA that is complementary to the mRNA strand and needs to be transcribed into a positive-sense RNA before protein synthesis can occur."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i just read through your question. appendicitis can start as generalized abdominal pain that, over time, localizes to the right lower part of the abdomen. it is typically accompanied by fever and vomiting. from the time of the onset of symptoms until the appendix ruptures is approximately 36-48 hours. so if the symptoms have been going on for longer than this, it is not appendicitis and another diagnosis should be considered."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i understand your concern.  -a painful pea sized lump on side wall of umbilicus, may be a painful/ inflamed lymph node, that has arisen because of injury/infection.  - a simple lipoma (which is usually painless) being irritated /infected by itching, massaging, pressing, pricking-may turn painful.  - the painful lump can be beginning of an umbilical hernia. here the lump grows on stress/coughing etc. a course of antibiotics & anti-inflammatory chatbot.  but if it does not subside/increases in size/ affected by coughing, you should consult a surgeon for exclusion/treatment of hernia.  thanks."
Please summerize the given abstract to a title,"Évaluation médico-économique de l’éducation thérapeutique par une plateforme interactive communautaire, dialyse et transplantation rénale, PIC-R"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would explain that it is important performing some tests in order to investigate for some metabolic disorders which can mimic this clinical scenario.  in this regard, i would recommend performing these tests"
Answer this question truthfully,Corticosteroid injections are generally avoided in insertional tendinopathy because they may cause tendon rupture.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thanks for posting at chatbot. as per your description, he has got blockages in all the three arteries of the heart. in this case a bypass surgery is advice. but as he is 84, the risks and benefits of the surgery must be weighed. also, other things that matter are associated health issues like diabetes, blood pressure, kidney issues etc. the decision for bypass surgery also depends on where exactly the arteries are blocked i.e. very close from their origin or distal from their origin. another important factor is his expectations and his desire. i don't know him personally, but you must ask him what he wants to pursue, what type of activities he expects himself to do. i would not advise a bypass surgery for him at this age. it is putting him at more trauma and discomfort. one approach can be angioplasty to stent only those arteries which are more critically blocked and can cause a life threat. rest can be left upon medical management. second approach will be a trial of medical management. he may remain asymptomatic with medications and can go around with his daily activities. i need to watch his angiography pictures to comment more. information can be availed all over the internet with a simple search, but those searches do not take into account his age, his personal preference and many other factors. wishing him good healthregards"
Please summerize the given abstract to a title,91 Great ormond street hospital SUMMER SCHOOL 2020 – embracing the #digitallife in conferencing
Answer this question truthfully,The valence of an antibody refers to the number of sites available to bind epitopes.
Answer this question truthfully,"One possible complication of benign prostatic hyperplasia is hydronephrosis, due to backup of fluid into the kidney."
Please summerize the given abstract to a title,Food Security Interventions among Refugees around the Globe: A Scoping Review
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain is more likely because your pain is associated with movements and lifting things. but better to rule out heart diseases first because your pain is on left sided of chest. so get done ecg, 2d echo and stress test (trade mill test). if all these are normal then no need to worry about heart diseases. avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. avoid sudden jerky movements of chest. take simple painkiller like paracetamol or ibuprofen. apply warm water pad on affected areas of chest. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Dissecting VEGF-induced acute versus chronic vascular hyperpermeability: Essential roles of dimethylarginine dimethylaminohydrolase-1
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. i understand your concern, the transmission of herpes during hemorrhoid surgery seems not to be possible because-strict aseptic precautions are taken during surgery. the possibility of getting it through some person who was infected (while nursing) or operation stress has triggered acute exacerbation already existing infection of is the possibility (. actually hemorrhoid surgery removes a source of viral abide in body) please know that herpes infection can not be completely cured. it can take one out of acute exacerbation of symptoms. so only keeping control on disease symptoms with expert advise & regular check up/avoiding acute exacerbation/ & prevent transmission to others is all we can do. home care for herpes lesion- - maintain good health & resistance by healthy lifestyle, keep a cold / lukewarm cloth on the lesion, take bath with lukewarm water, keep the lesion chatbot.  -over the counter nsaid like ibuprofen would help in managing the pain/ discomfort - an experts advise for prescribing anti viral"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good afternoon. i am chatbot answering your query. from the history of holding your child and going to the bathroom simultaneously, it seems to be a minor stretching and tear of part of your abdominal muscles, which might have caused this awful pain. as it went away later on taking rest, i would not consider it to be of any serious nature. however, if it recurs again, i would advise you for an anti-inflammatory chatbot."
Answer this question truthfully,"The likely diagnosis for the patient's laboratory findings is primary hyperparathyroidism. Primary hyperparathyroidism is a condition that occurs when there is an overproduction of parathyroid hormone (PTH) by one or more of the parathyroid glands. This can lead to elevated levels of calcium in the blood (hypercalcemia), which can be detected by an elevated serum PTH/Ca2+ ratio. In addition, the normal urine Ca2+/Cr clearance ratio (> 0.02) suggests that the kidneys are able to effectively clear calcium from the urine, which is consistent with primary hyperparathyroidism. Diagnosis may involve imaging studies, such as ultrasound or sestamibi scan, to locate the overactive parathyroid gland. Treatment may involve surgical removal of the affected gland or glands, as well as medications to manage calcium levels in the blood."
Answer this question truthfully,The diagnosis of sickle cell disease can be confirmed with hemoglobin electrophoresis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. acne is a hormonal disorder. when untreated or improperly treated acne can cause pigmentation and ugly scars on face.  you should apply antibiotic like clindamycin in morning for 2 hours.  darlene should be applied at nighttime.  washing your face with himalaya need face wash would be helpful. oral chatbot.  please visit a good dermatologist or physician for proper examination and treatment with prescription"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for consulting with chatbot. as you are mentioning that many of your teeth are missing and now the rest are decayed or broken, it looks that you might be having a defect in enamel of dentin of the tooth, these are the component of tooth structure. in this case just treating the decayed teeth is not the solution, you have to get an opg done of your jaw, which will show the cause of this, then get the rest teeth restored with topical fluoride application on the teeth and then at the end get a full mouth rehabilitation, means get crowns on the remaining teeth. hope it will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot, i would keep a possibility of acute urticaria or shingles first after going through your description. it might present as skin welts/swellings which can be seen commonly on hands and legs, but it can also be distributed all over the body. itching is subjective in individuals which could be mild to severe. urticaria or allergic hives can occur due to various causes like, infections (bacterial, viral, fungal) or certain chatbot. in a few cases, no underlying cause is found and are known as idiopathic urticaria. you can continue with oral antihistamine like ben"
Answer this question truthfully,"Common symptoms of glucagonoma include:    
Necrolytic migratory erythema (NME) is a classical symptom observed in patients with glucagonoma and is present in 80% of cases. Associated NME is characterized by the spread of erythematous blisters and swelling across areas subject to greater friction and pressure, including the lower abdomen, buttocks, perineum, and groin. Weight loss Glucose intolerance
Less common symptoms of glucagonoma include:   
Cheilosis Intraabdominal hemorrhage Venous thrombosis Stomatitis Diarrhea Polyuria Polydipsia Polyphagia Blurred vision Neuropsychiatric manifestations include depression, dementia, psychosis, and agitation Dilated cardiomyopathy
Some patients do not present with hormonal symptoms but present with metastatic symptoms in other organs and mainly the liver. These symptoms include jaundice, edema, and abdominal pain. There is usually high level of substances such as chromogranins, enolase, pancreatic polypeptide, and ghrelin in patients with metastases.
Some tumors can develop additional syndromes subsequently due to secretion of more than one hormone."
Answer this question truthfully,"The pancreas was first identified by Herophilus (335-280 BC), a Greek anatomist and surgeon. Only a few hundred years later, Ruphos, another Greek anatomist, gave the pancreas its name. The term ""pancreas"" is derived from the Greek pan, ""all"", and kreas, ""flesh"", probably referring to the organ's homogeneous appearance."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,A: Cell-mediated immune responses
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there after going through the medical history provided by you of your father i would like to suggest that at the age of 85yrs, after going through bypass surgery being on peritoneal dialysis with such a low heart rate and low bp i would recommend you to take him to a multi-specialty hospital as he is in a need of icu care. he requires a holistic approach of treatment and cardiac medications need to be started back with dose titrations. icu care is recommended for him according to the condition described by you. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...there are no specific dietary restrictions for a kid who is suffering from pneumonia. as the kid is 16 months old, and is having pneumonia i suggest giving good proteinaceous diet. add 1-3 eggs per day. other home-made food options will be - 1. deal and rice well cooked and made into a oatmeal along with ghee2. boiled apple or banana and mashed into a paste.3. any made cereal oatmeal preparation with additional ghee added. regards -"
Answer this question truthfully,"Patients with Salmonellosis typically present with acute bloody or non-bloody diarrhea, abdominal pain, nausea, vomiting and fever.  A detailed clinical history should include recent food ingestion, recent travel, and contact with family members and friends with similar symptoms."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. i have gone through your query and can understand your concern. as per the symptoms mild fever and exhausted feeling post complicated tooth extraction can be due to the bodies reaction towards stress. there can also be infection progressing into blood stream from the extraction site leading to bacteria and septicemia leading to fever. nothing to worry as the symptoms will subside soon. as of now you can take a combination of anti-inflammatory painkillers like ibuprofen and tylenol. tylenol will help in resolving fever. take a soft and nutritious diet, chatbot. . hope this information helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear. understand your concern.don't worry, you can't b pregnant, its just because of side effect of copper t.copper t has 0.5 -1 % failure rate but least chance to pregnant, so don't worry. copper t has some side effects like bleeding (spotting or irregular or heavy bleeding)& cramps, allergy,vaginal discharge, cuts & injury within uterus, nausea,backache, ectopic pregnancy, pelvic inflammatory disease .etc...just calm, dont be panic. or if you have more confusion than do upt & confirm pregnancy. hope this will guide you. contact chatbot for further questions best regards. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",the antibiotics taken for long time can decrease immunity and suddenly allergy curtis is your acute allergic sinusitis occurring with long course of antibiotics get x-ray pns waters view and consul tent doctor for allergic sinusitis at moment take metronidazole 200 mg bd for 5 day sit will clear stomach and sinuses both take fexofenadine 120 mg beta flunarazine 5 mg night spy antacid 1 sf tdsentiemetic for vmitingaddmefanic acid tab for fever and pain continue 3 wk except metro will be fine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, thanks for asking us, you are having most likely viral hepatitis, you have not mentioned type. i don't know if is tested or not hepatitis a & e are infective and are self limiting diseases, but hepatitis b & c can be chronic also, so it is better to test and know which type of hepatitis. if your bilirubin and liver enzymes are reducing which indicate recovery is taking place. diet in hepatitis if there are no vomiting than normal nutritious diet should be taken, few suggestion are taken care of water it should be safe boiled and cooled is simple, whole grain cereals, brown rice, vegetables, (potatoes in moderation homemade vegetable soup)beans, all kinds, fresh fruit in moderation lemonade made with fresh lemons, homemade vegetable soup. this is a great healthy chatbot.  i add a banana and 1/2 cup unsweetened apple juice. there is no need to take a lot of sugarcane juice or anguilla it is simple sugar puts a lot of load on liver. please continue treatment as per your doctor and hope you will recover soon. take care. good luck."
Please summerize the given abstract to a title,The Influence of Telemedicine Care on the Management of Behavioral and Psychological Symptoms in Dementia (BPSD) Risk Factors Induced or Exacerbated During the COVID-19 Pandemic
Answer this question truthfully,"Laboratory tests for Ewing's sarcoma include complete blood count, erythrocyte sedimentation rate, serum alkaline phosphatase, and lactate dehydrogenase."
Answer this question truthfully,Patients with presbyopia often need reading glasses (magnifiers).
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot ... see you are having pharyngitis ...means inflammation or infection of pharyngeal wall... group b streptococci is gram positive bacteria that can lead sore throat.... because of pharyngitis you have difficulty in swallowing.... so you can take amoxyclav antibiotic for it... salt water gargles done... if inflammation more short term steroid used. more water.... avoid excess spicy and fried food.... avoid smoking and alcohol.... if no benefit then throat swab taken and send for culture....accordingly, then treated.... if prolonged lymphadenopathy with hepatosplenomegaly present then infectious mononucleosis suspected and ps with serological investigation needed for it... hope your concern solved...... take care... chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. though it is difficult to diagnose your problem from the given description, i presume that you are stressed and anxious. you are disappointed due to some life events which you never expected to happen. such a disappointment makes you lazy, intolerant, mildly depressed, tired, sleepy, low self-esteem and low self-confidence. i agree that your condition is a bit complicated, but i sincerely think that this condition is common and hun chatbot.  understanding life and learning how to enjoy life are the keys. you can learn these by observing your experiences, elders, surroundings etc. you can also visit a psychological counselor for further advice. if you feel that i can be of help to you, feel free to post a direct question to me and am obliged to serve your cause. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. the diagnosis is obvious. this is due to muscle strain or a sprain and the first thing to follow is to avoid lifting such things which cause you this. get an examination done by the orthopedic surgeon to ascertain that there are no other causes like problem with the spine or unequal muscle imbalance in the back. take anti-inflammatory and muscle relaxant medicines and rubrafacient liniments to sooth the muscles.
Please summerize the given abstract to a title,"Crafting Policy for Contested Commons: Insights from Japan’s Approach to the Outer Space, Cyberspace, and Maritime Domains"
Answer this question truthfully,"Cholera toxin is a type of toxin produced by the bacterium Vibrio cholerae. When ingested, the toxin permanently activates Gs proteins in the mucosal cells of the gastrointestinal system. This activation leads to the secretion of chloride ions into the intestinal lumen, which in turn causes water to follow. The resulting ""rice water"" diarrhea is a hallmark symptom of cholera and can lead to severe dehydration and electrolyte imbalances if left untreated. Treatment for cholera typically involves rehydration therapy, which can include oral or intravenous fluids and electrolytes, as well as antibiotics to help clear the infection."
Please answer the letter of option truthfully,C
Answer this question truthfully,Hydrogen peroxide (H2O2) and iodine are commonly used disinfectants with sporocidal activity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if you have very severe symptoms as you mentioned you definitely need surgery in terms of discectomy and fusion, however till then start taking gabapentin with nortriptyline, take muscle relaxants, do not lift any weight, give hot fomentation and do isometric neck exercises after these evaluations will be needed how much you get relieved for planning for surgery if required. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"Yes, research suggests that Hyper-IgM syndrome can lead to a decrease in neutrophil count."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. imbalance in the leg after a tb can be serious it requires a ct and mri of the spine to rule out any lesion in the area. tb won't be treated with the penicillin. tb requires a combination of various chatbot.  so if your doctor has given you a penicillin than it will not be tb, and it can be different infection. but till you undergo the investigation i would suggest you to take the vitamin b complex"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot, i had gone through the case and found that it might be due to formation of clot in carotid artery which effect the circulation of blood to brain and causing these symptoms. so immediate go for carotid doppler test to find the exact size and location of clot. take proper conspiring dose after diagnosis to dissolve it. hope my answer will be effective for you. thanks, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, sinus infection is secondary to repeated common cold attacks getting secondary infection, if person has low resistance.  so, allergy being one of the instigating factor in repeated colds, may be blamed for sinusitis.  yes one can be allergic to fabric/quilt dust fibers -inhaled & manifested as allergic rhinitis (common cold)allergy.  you need to- - get allergy testing, followed by avoiding allergens/ a desensitization treatment for removing allergy.  - have a nutritive diet, exercises,respiratory exercises, vitamin,iron, supplements( if advised by your doctor) thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctordear i can understand your anxiety due to you your mothers troubling multiple pains.  give her homeopathic chamomile 200 3 doses at 15 mins gap for her immediate pains . eat a well-balanced diet rich in antioxidants and immune-strengthening nutrients and learn about the connection between diet and fibromyalgia. while some foods help promote a healthy immune system and support healthy body functioning, always avoid the v\u0101yu -- gas producing ingredients fine flour , cakes & cookies like cold chatbot.  take a lot of garlic, ginger, bitter gourd and its juice onion oranges apple, raw coconut pulp in your meals' lemon before meals thrice a day with a pinch of salt and black pepper a level spoon of turmeric with a cup of hot milk after dinner before bedtime walk 20 min , panama - deep breathing, stretching exercises, yoga give relaxation & help get rid of the pains of body further extend health though out. the above regimen help strengthen your inner system increases level of antioxidants in our system. you take your mom to have an mri and ascertain the cause of lump and paint does not appear to be cancer. cant say unless the result of test does hope this helps solve your query a bit and do give info about the result. at"
Please summerize the given abstract to a title,No-wait two-stage flowshop problem with multi-task flexibility of the first machine
Answer this question truthfully,"The recommended next step for a stable patient with β-hCG < 1500 and an indeterminate transvaginal ultrasound result is to repeat the serum β-hCG test in 2 days. If the result is > 1500, then a repeat transvaginal ultrasound should be performed."
Please summerize the given abstract to a title,Effectiveness and safety of intravenous tocilizumab to treat COVID-19-associated hyperinflammatory syndrome: Covizumab-6 observational cohort()
Answer this question truthfully,"One symptom associated with bacterial endocarditis is anemia of chronic disease, which occurs as a result of increased release of hepcidin."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and history. you had undergone loop electrosurgical excision procedure (keep) for abnormal cervical cell changes. it is possible that you needed an extensive cauterization and might have temporary nervous problem related to local excision, age related problems of hormonal changes that have caused loss of libido. you can always discuss this in detail with your gynecologist when you will have the next visit. it is possible that the large abdomen can be due to fat deposition bloating can be due to stress and anxiety. if you discussed all these points together, it will help for a proper diagnosis and treatment"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there ~ the popping sound that you hear is possibly the same mechanism as when you pop your knuckles.  yes, there are joints in your rib cage too.  if you feel like stress may be adding to it, i suggest that you try relaxation and deep breathing exercises, as an alternative to cigarettes.  it may also be helpful to get a chest x-ray just to clear any doubts about any rib-cage problems.  if you are still not satisfied, please consult a doctor.  take care and have a stress-free day."
Answer this question truthfully,Staphylococcus aureus is the most common cause of septic arthritis in adults.
Answer this question truthfully,"Acute tubular necrosis may be caused by myoglobinuria, which can occur with crush injuries."
"If you are a doctor, please answer the medical questions based on the patient's description.","cannot say in your particular case. the hallmark of buprenorphine is that it has a maximum effect that is not increased with increasing the amount that you take, while other narcotics keep going up. although buprenorphine is strong in the effect per milligram, the maximal effect it can do is less than with any other narcotic. if someone is on a lot of them, then the buprenorphine will not be able to achieve the effect of other narcotics. it will more or less fail. thc works on pain by a different method. if you don't have narcotic receptors, thc still works. it does not increase the risk of narcotic overdose except by making peoples judgement be worse, and then they do silly things."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,TNFα-Induced LDL Cholesterol Accumulation Involve Elevated LDLR Cell Surface Levels and SR-B1 Downregulation in Human Arterial Endothelial Cells
Answer this question truthfully,"A pure sensory stroke is a type of stroke that results in sudden-onset contralateral loss involving all sensory modalities, including touch, temperature, and pain. It is typically caused by a lacunar stroke, which occurs when a small blood vessel in the brain is blocked, leading to damage in the surrounding area. In the case of a pure sensory stroke, the posterolateral thalamus is the part of the brain that is typically affected by a lacunar stroke, resulting in the loss of sensory function on the opposite side of the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, this pink patch could be due to some sort of allergic rash or petechial due to fluid extravasation from capillaries. but it needs to be inspected by naked eye of an expert to arrive at a certain conclusion. however, you can take antihistamines like cetirizine or loratadine available over the counter to get rid of it. you should see some local doctor or dermatologist who will inspect the lesion and prescribe appropriate treatment."
Answer this question truthfully,Ventricular pressure is a measure of blood pressure within the ventricles of the heart.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. as far i understand, there might be an infection in the gums surrounding the tooth called peritonitis. qua chatbot.  it will reduce the infection and reduce the pain. you have to apply it over the gums and leave it for two minutes and later wash it. but it is temporary relief. consult an oral physician and get the cause treated. i hope my answer will help you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. you wait for few more days and go for urine test or go for blood test for pregnancy now. if the result comes as negative, consult gynecologist once and get tested for prolactin levels. if the levels are elevated take treatment for that. after that you track the ovulation and plan unprotected intercourse around that time which will increase the possibility of pregnancy. for more details you can ask me through"
Please summerize the given abstract to a title,"Targeting Future Pandemics, a Case for De Novo Purine Synthesis and Basic Research"
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,High frequency of endoluminal thrombus in patients with ischaemic stroke following SARS-CoV-2 infection.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the pain at lateral side of left mid-abdomen can arise from- - muscle pain, due to heavy work-outs/exertion.  -the underlying organs - enlarged spleen, intestinal colic, left kidney problem, left sided spinal problem.  you need to consult your doctor for physical assessment to judge & have investigations as per need, for diagnosis & treatment.  avoid massage/fomentation. nsaids will help in case of muscle pain. other conditions to be treated under doctors guidance only.  thanks."
Please summerize the given abstract to a title,Labor outcomes and inpatient medical rehabilitation of patients with the novel coronavirus infection covid-19 (Data of the of the obstetric department of the filatov city clinical hospital no.15)
Please summerize the given abstract to a title,Comparing Traditional and Neural Approaches for Detecting Health-Related Misinformation
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for your query. thanks for sharing the information and i can understand your concern. mri findings do suggest that there is leukodystrophy which is responsible for the developmental delay. however, the findings will not affect the management of the developmental delay for which you need to pursue with a developmental/physical therapist. mri does not reveal any treatable cause for the delay. i hope i have answered your query to your satisfaction. wishing your daughter all the best. rajiv k khandelwalhttp"
Please summerize the given abstract to a title,"Timely estimation of National Admission, readmission, and observation-stay rates in medicare patients with acute myocardial infarction, heart failure, or pneumonia using near real-time claims data"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your daughter have symptoms of frequent fever and shivering which seems to be due to poor immunity of body which making your child susceptible to infections. well this is something you should be concerned about as it could be due to underlying systemic pathology. need not worry. i would suggest you to visit pediatrician once and get it examined. you should go for complete blood count and urinalysis done to detect level of infection and find out any systemic pathology. start treatment after proper diagnosis. till then take ibuprofen/ acetaminophen.  chatbot.  you should do tepid sponging if fever is of high intensity. take diet rich in multivitamins. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Myeloperoxidase deficiency is a condition in which there is a decreased ability of neutrophils to kill microorganisms. It is associated with an increased risk for Candida infection, although most patients are asymptomatic."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. i have gone through your query and i can understand your concerns. you can make rough idea about your fertilization date by looking at your first trimester scan. the approximate gestational age is written in the scan, you can subtract the age in weeks from the scan date, and thus you will get the conceiving date. keep in mind this not 100 percent accurate, a five to seven days correction is expected. hope i have answered your query. thanks"
Please summerize the given abstract to a title,MicroRNA-28-3p inhibits angiotensin-converting enzyme 2 ectodomain shedding in 293T cells treated with the spike protein of severe acute respiratory syndrome coronavirus 2 by targeting A disintegrin and metalloproteinase 17
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as this must be related to the inflammation of the origin of the muscles of the calf and landed this into does. doing hot water fermentation and allowing the knee to be rested over a pillow should be of advice. having paracetamol will help reduce this pain. in 2-3 days of the time, you should have complete normalcy of muscle. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
Answer this question truthfully,Adverse effects associated with pseudoephedrine include CNS stimulation and anxiety (mood altering).
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are taking cyclone. this is oral steroid. oral steroids are known to cause immunosuppression. so possibility of infection is high in your case. so traveling in crowded area, visiting hospitals etc. should be avoided to prevent infection. eat healthy food like fruits, vegetables, start multivitamin and antioxidants tablet to improve your immunity. yes, you should definitely do yoga and panama. both are good for health. better to enroll yourself in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. these will improve your lung functions. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Safety of Biological Therapy in Children With Inflammatory Bowel Disease.
Please summerize the given abstract to a title,Vector control in Zika-affected communities: Local views on community engagement and public health ethics during outbreaks
"If you are a doctor, please answer the medical questions based on the patient's description.","as per information provided by you - your uncle has renal failure requiring dialysis, kidneys appear normal on ultrasound and his anna is positive. he might benefit by doing a kidney biopsy as it will give the answer to the severity of damage and whether it is reversible. if it is reversible then the treatment has to be started within days or the damage may become permanent. please consult a nephrologist at the earliest, as with delay it may become irreversible."
"If you are a doctor, please answer the medical questions based on the patient's description.","most common cause of upper gi bleed is peptic ulcer followed by varices. also u have history of alcohol use and still tenderness is the in your stomach. all these giving clue towards peptic ulcer. but you have to rule out other causes also. so better, go for an upper gi flexible endoscopy after the consultation of a gastroenterologist. simultaneously avoid alcohol, avoid spicy and oily foods take food in time. frequent small meals and good amount of water"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i can understand your concern regarding your wives symptoms. dementia is a condition where a person cognitive functions like memory, attention, judgement, etc. starts getting impaired. dementia can be due to multiple causes including alzheimer's disease. in addition to memory, a person suffering from dementia can have symptoms of hallucinations and delusions as well. in fact, in some types of dementia, such symptoms may predominate the picture. you wife suspecting that people are trying to harm her is suggestive of her developing paranoid delusions. i would suggest you seek a neurological consultation for evaluation of the cause of dementia. in addition, a psychiatric consultation can be sought for evaluation of behavioral symptoms. she would need a brain scan to rule out any other cause of dementia. treatment with medications like donepezil or meantime would be required for her memory symptoms. in addition, treatment with anti-psychotic chatbot.  hope this information was helpful. best wishes."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello and thank you for your questions. first cavities are caused by bacterial infections in your teeth.  the bacteria produce acids that eat away at the outer surface of your teeth (enamel) and then spread to the inside of your teeth.  cavities are prevented by
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. after stopping the pills usually with chatbot.  you may be having breakthrough bleeding prior to that. possibly this bleeding will subside soon and no need to worry. if the bleeding continues for one more week, better to consult gynecologist once and take tablets to control the bleeding. as you are having problems with pills, you can choose other alternatives like demo injections or intrauterine devices. if you do not want to use hormones related methods, you can go for barrier method or natural methods. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query you had a flank pain on left side and your c. t scan has revealed multiple cysts in both the kidneys. normally they are congenital in origin and benign in nature and do not require any treatment. however since they are reported to be conspicuous and hemorrhagic you need to get investigated further to establish diagnosis. please consult qualified urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) contrast c. t scan of abdomen 2) mri 3) renal function tests. further treatment will depend upon result of these tests and final diagnosis. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for the query to chatbot. dear, your sons lump is non-painful.hence, it seems to be either a supernumerary nipple with pubertal breast changes(polynesia)with white discharge on squeezing. though this discharge may vanish as your son grows. but would need a plastic mastectomy for cosmetic confidence for your son, which would increase his self-confidence while growing another possibility of such a lump is of sebaceous cyst, which will discharge white substance. there are other possibilities of such a lump but are theoretical and which your doctor would rule out after clinical examination.hence, for your information the discharge doesn't seem to be pus discharge as it's not painful on squeezing. your mother-in-law is right in her thinking, as in my opinion, in either of the possibilities as explained above, you need to show it to your doctor and consult for the confirmation of the possibilities and needful treatment.don't worry and go ahead as suggested to resolve the lump issue of your son. hope this would give you confidence to plan treatment with your doctor on your next visit, which you should plan definitely. feel free to ask any further query in this regard to chatbot and to me. write excellent review if you feel satisfied with this reply, which would help my rating for the benefit of the other patients. wishing early and fast recovery for your son. chatbot. n. senior surgical consultant. s. genl-cvts."
Please summerize the given abstract to a title,"Ontario adults’ health behaviors, mental health, and overall well-being during the COVID-19 pandemic"
Answer this question truthfully,"The name of the viral enzyme that monophosphorylates Acyclovir/Famciclovir/Valacyclovir, thereby activating it, is Thymidine kinase."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, i can understand your concern. you should know that, both senior and hector, are being given, to control the hyperparathyroidism, usually seen in people on dialysis. you should be considering a kidney transplant, which is the best option. check he, creatinine,sodium, potassium,calcium phosphorus and uric acid. your symptoms are likely, due to high creatinine, with elevated calcium. ensure your salt, protein and fluids are strictly as advised. don't change any medication on your own. you can contact me, with a direct question. chatbot.  manga."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for posting query at chatbot. usually alt or ast values higher than \""two times the upper normal limit\"", is considered abnormal (in some countries, alt or ast values of more than 100 are considered abnormal). \""herb and hepa should be ruled out\"". hepa is a self limited disease in most cases. value of ast or alt greater than 85 or above maybe investigated further. alcohol ingestion and obesity are common causes of fatty liver disease. advice"
Please summerize the given abstract to a title,"Zoonotic Diseases: Etiology, Impact, and Control"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of stress and anxiety related symptoms is more likely. but since you are having strong family history of heart diseases, better to first get done ecg and 2d echo. if these are normal then no need to worry about heart diseases. avoid stress and tension, be relaxed and calm. consult psychiatrist and get done counselling sessions. try to identify stressor in your life and start working on its solution. you may need anxiolytic chatbot.  don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","your daughter seems to have quite a severe form of pollen allergy, normally called hay fever ---it appears that there is quite a lot of discomfort --inspire of montelukast medication in addition to symptomatic decongestants ---at this point the main idea is to take her away from the allergen --pollen --sometimes when this irritating agent can be given in small doses may desensitize. the plan of management includes --keeping away from pollen, decongestants, creams, she may need steroids short courses to help her during acute discomfort or pain. the good news is her airways seem to be free and no cough"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this trivial mr on echo is a normal finding. doing an angiography depends on the symptoms of the patient and associated ecg changes. your husband has many risks factors for heart disease like male gender, smoker, hypertension and high cholesterol. if he has symptoms like chest heaviness on exertion or has ecg changes than angiography is advised. alternative to it is a stress echo or ct coronary angiography. if any of them shows problem than also he has to undergo angiography. as per me if he is not having any acute heart event than its better to do stress echo first. hope it was helpful. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the query. handling of used needle should be done with utmost care (it is considered under universal precautions). used needles should never be recapped (which causes the maximum number of pricks). ideally used needles should be disposed by needle cutters, but these are not always available at home. i would also like to know how deep your prick was (i.e. did you bleed yourself?). immediately after the prick, you should wash your hands properly with a soap. (do not put the punctured finger in your mouth). if your father-in-law is suffering from any disease which can be transmitted by blood and blood products (hematological transmission), like hepatitis b, hepatitis c and hiv, then the need for concern arises. in that case i would advise you to consult your physician. i don't think it will be a need for concern if he is suffering from urinary tract infection. however, in the future, please use a proper handcar to handle these sharp objects. hope that helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pain in the ear and neck could be because of the tooth extraction, if you had kept your mouth open for long time while extracting the tooth. it can cause protective co contraction of the neck and muscles of mastication. nothing to worry, it will subside in a week time. the dizziness is not related to the tooth, for this you need to consult a general physician. the nausea feeling could be secondary to the medicines what you have taken after extraction particularly antibiotics and analgesics. you can take tablet period for the nausea feeling. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,E: Inhibition of NMDA receptors
Please summerize the given abstract to a title,"Antibody response to SARS‐Co‐V‐2, diagnostic and therapeutic implications"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for posting your question at chatbot. the amount of alcohol consumption which you have taken is not directly linked with rise of bp as told by you. but as you having hypertension or increase in bp at younger age, i advise you to rule out secondary causes of hypertension. you should get your usg pub, renal doppler and urine for metanephrines level. you can continue with tab. metoprolol 25 mg in your case as it will help to control your heart rate also. avoid stress, do some yoga and morning walk daily and keep yourself calm. no need to worry at present but keep a check on your blood pressure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, i would like to inform you that swelling following extraction of wisdom tooth is quite common, and it usually subsides in 3 -5 days. but a bruise can be from local anesthesia which also subsides on its own. kindly continue with the education as prescribes by your dentist, also apply cold compresses on the cheek over the swelling, perform warm saline rinses (3-4) times/day. i will advise you to see your dentist for a follow-up check-up. do not worry, you will be fine. see your dentist soon, i hope i answered your query, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","bellflower back pain may be due to many reasons like musculoskeletal causes, pelvic pathology, genitourinary causes etc. kidney stones may cause pain, infection,hematuria(blood in urine)etc. you are rightly advised for ultrasound and urine culture and sensitivity. you need proper clinical examination and routine investigations. investigations include routine hologram, renal function test, urine re/me, ultrasound of abdomen. ultrasound of abdomen is important in diagnosis and treatment. it can exclude many causes. it is important to exclude urinary tract infection(uti)in your case. proper treatment depend upon findings. you should chatbot. get well soon. take care"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"Once mast cells are sensitized by IgE antibodies on their surface, they burst open when exposed to appropriate antigens."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello i am sorry about your mother. she shot herself in last month and your father has witnessed it. it was a married life of 34 years. so it's natural to have such of grief reaction. grief reaction like low mood, crying spells, not accepting incident, de realization etc. is considered as normal to some extent. but you have mentioned that he replays the incident in his head, he is losing his mind. this is not normal. try to talk with him and explore if there is any suicidal intention. closely watch him and give warm supportive care. it has been about 40 days of your mothers' death, so such levels of grief are not acceptable. he may develop post traumatic stress disorder. i advise you to take him to a psychiatrist asap for immediate control of his symptoms.  you have mentioned that you are also feeling low to some extent. but if this is not affecting your occupational and social life then its acceptable. try to help your father, he needs help from you. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, kidney stones usually do not cause any pain in thigh. please find out from your treating physician, the exact cause of your pain. taking steroid injections without a proper diagnosis can be harmful. since you are passing more urine, you should check your blood sugar level to rule out diabetes. please check if your doctor has prescribed any diuretic (chatbot.  this can also make you pass a lot of urine and have"
Please summerize the given abstract to a title,"COVID-19 is associated with clinically significant weight loss and risk of malnutrition, independent of hospitalisation: A post-hoc analysis of a prospective cohort study"
Answer this question truthfully,"Brown-Sequard syndrome typically presents with ipsi-lateral upper motoneuron signs below the level of the lesion, which are caused by damage to the corticospinal tract."
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, if this is the seizure like symptoms since last couple of years, so it must have been investigated for underlying cause, and if not then it needs to be investigated and most advisable tests are ct brain and eeg, it is for to rule out the grand mal seizure if these are unremarkable then it could be hysteria only, your age and gender are missing here else something more could have been thought, hope this information helps, take care and have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for this query. i am so sorry to hear about this condition that your child has been diagnosed f. i understand this is no good news to him and his loved ones. i honestly hope we get to find a solution that would help him get out of this. there is no single best doctor that can ad chatbot.  it would need coordinated services of various specialist including orthopedic surgeons, oncologist, radiation specialist, etc. my best suggestion is to get him in contact with an oncologist who would coordinate his care and direct him to see the other specialists as need arises. see the doctor you already know at einstein, and it would make a good start as to how to move forward. i hope this helps. i wish your son the best of possible outcomes. furthermore, i encourage you and his loved ones to stand by him as he battles his way out of this. also, feel free to ask us more questions if need be. thanks so much for using our services."
Please summerize the given abstract to a title,Viral infections in outpatients with medically attended acute respiratory illness during the 2012–2013 influenza season
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, he is mostly having bronchitis. bronchitis is inflammation of airways. it is common after thoracic surgeries especially lung surgeries. it is because of handling of lungs with instruments during surgery. furthermore, it is usually short-lived and recovered with steroid and inhaled bronchodilators (formoterol or albuterol). so continue with prednisone and inhalers. he will mostly improve with all these in 1-2 months. hope i have solved your query. i will be happy to help you further. wishing good health to your son. thanks."
Answer this question truthfully,"Seek immediate medical help if you have any of the following symptoms:
Can't take a deep breath Decreased feeling (sensation) Difficulty breathing Difficulty swallowing Fainting Loss of movement"
Please summerize the given abstract to a title,Municipal 5G bans during the Covid-19 pandemic: the case of Italy
Please summerize the given abstract to a title,Unsupervised Clustering of COVID-19 Chest X-Ray Images with a Self-Organizing Feature Map
Answer this question truthfully,The abbreviation RTK stands for Receptor Tyrosine Kinase.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for sharing your health concerns with chatbot!  in such cases of traumatic needle puncture or hematoma formation, generally i advise followings"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yes, it is safe to take ciplar-la 40 for the control of bp. ciplar-la (propranolol) is a non-selective beta-blockers commonly prescribed to treat anxiety, tremors, migraine, heart-related chest pain (angina), and high blood pressure. generally, it is well tolerated by most of the patients however it may cause fatigue, decreased heart beats, cold and clammy extremities, and difficulty in breathing in patients with asthma. hope i have answered your query. let me know if i can assist you further. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i think your follicles size is not growing normally.  it should reach a size more than 17 to 18 mm for rupturing and releasing the egg.  so, you need to take some other medicines like camphene or some injections for growth of your follicles. track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. you can attempt gui for 4 more months. take progesterone for next 2 weeks after gui. do a urine pregnancy test at home after that.  discuss with your doctor regarding this.  hope i have answered your question. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. your mri says foraminal protrusion causes foraminal stenosis which leads to compression of exiting nerve root which later on supply lower limb. due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. you may consult physiotherapist for further guidance. he may start tens, or ultrasound which is helpful in your case. i will advise checking your it b12 and it d3 level. as mri shows disc compressing on nerve root then surgical decompression is permanent solution. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. take care."
Please summerize the given abstract to a title,CpG DNA facilitate the inactivated transmissible gastroenteritis virus in enhancing the local and systemic immune response of pigs via oral administration
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, the pain could be radiating from the teeth...the swollen gums and the swelling on the palate could be because of the gum infection or periodontitis or periodontal abscess...consult your oral physician and get it checked...you might have to take some radiographs to rule out the pathologies associated with the respective teeth. if it is just gum infection get your teeth cleaned...if it is tooth infection get it restored. i hope my answer will help you.take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. it is possible that a very socially embarrassing or traumatic event can trigger a social anxiety. now, it is good that you have been able to recognize your symptoms early and have sought help. it is important not to avoid social situations or eating outside due to this fear or anxiety, since this avoidance will only end up reinforcing the fear. i would suggest that whenever you get such anxious thoughts, you can practice relaxation techniques like deep breathing or try to distract your mind from such thoughts. if you learn to counter the anxiety using these techniques, without avoiding or escaping from such situations, then soon the fear and anxious thoughts will subside. in case the problem is persistent or worsening, please seek professional help from a psychiatrist. wish you all the best."
Please summerize the given abstract to a title,Repurposing of Anticancer Drugs Expands Possibilities for Antiviral and Anti-Inflammatory Discovery in COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to compression of cervical nerve root there can be tingling numbness in your finger and pain.  i will advise you to mri cervical spine for better diagnosis. you can take neurotrophic like pregabalin consulting your doctor. till time, avoid lifting weights, sit with support to back. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise you vitamin b12 supplement. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
Please summerize the given abstract to a title,"The Role of Compassion and Ethics in Decision Making Regarding Access to Applied Behavior Analysis Services During the COVID-19 Crisis: A Response to Cox, Plavnick, and Brodhead"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, bromine would not be expected to affect a pregnancy test. while it would be unlikely to get pregnant after your procedure, it would not be impossible. however, since you are mostly having negative tests, i would suspect you are not pregnant. if you are, the tests should be more consistently positive as time goes on, so i would check again in a week, and if you are still getting negative then, it would reliably rule out pregnancy. hope i have answered your query. let me know if i can assist you further. take care. all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear anjanyou will have to increase the immunity of your body to the allergens that cause repeated attacks of rhynorrhoea. herbal medicines are very good at it. i would suggest you to start with swamla [dhoopteshwar] 1tsf bd. mahalakshami villas ras sworn yuk at one od and hot milk with half teaspoon of hard chatbot.  this will increase your immunity for diseases related to urt. if there is acute attack of cold you can have one tablet of a flu cil forte bd for five days with hot water. avoid irritant fast food and cold things including curd.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your daughters situation and problem. no need to worry about heart related diseases because her ecg is normal. possibility of musculoskeletal pain is more. but better to get done chest x-ray to rule out pleurisy. she is having chest pain on deep breathing. this is seen in pleurisy (inflammation of pleura). so get done chest x-ray. i'd this is normal than no need to worry about pleurisy. musculoskeletal pain is more likely in her case. so ask her to avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. avoid bad postures in sleep. give her painkiller and muscle relaxant chatbot.  apply warm water pad on affected areas. don't worry, she will be alright. hope i have solved your query. wishing good health to your daughter. thanks."
Please summerize the given abstract to a title,Quantifying road traffic impact on air quality in urban areas: a Covid19-induced lockdown analysis in Italy()
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for consulting i chatbot. i figured your concern. it seems that your baby has pylorospasm or pilorostenosis, for excluding this you should visit children surgeon, he will do examination. continue thick cereal feeding, but i understand it is really difficult to give thickened food.  for gain weight and normalizing of digestion take please enzymes and probiotic-babylac, b complex with lysine 2 ml 1 time 1 month. for prophylaxis of rickets take ergocalciferol and calcium.  what to expectpylorospasm will be held. pylorostenosis needs surgery, they often wait till 1 year when baby will gain 10 kg, but it is not obligatory.  hope i answered your query. if you have any further questions i will be happy to help.  wishing you and your baby good health!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot based on the history provided, you had an abscess which is a localized collection of pus. this is usually associated with a painful lump that discharges pus and blood. most of the pus should have left the collection area but in some cases, small pockets remain that result in recollection. if possible, it would be best to be seen by your doctor so that the area can be explored gently in the office to make sure no more pus is present. antibiotics are also suggested. if exploration is not an option at this time, you can consider cleaning the area with an antiseptic and applying a bandage with a topical antibiotic along with magnesium sulfate paste. magnesium sulfate paste encourages foreign material to discharge. cleaning and application should be done twice daily. i hope this helps"
Answer this question truthfully,"Women aged 30-65 should receive cervical cancer screenings that only involve cytology every 3 years. Cytology, also known as a Pap smear, is a test that examines cells from the cervix for abnormal changes that may indicate cancer or pre-cancerous conditions. The frequency of screening may vary based on individual risk factors and medical history, so it is important for women to discuss their screening schedule with their healthcare provider. In some cases, a combination of cytology and human papillomavirus (HPV) testing may be recommended for more comprehensive screening."
Answer this question truthfully,"Primary prevention of Waldenstrom's macroglobulinemia depends on avoiding the type of modifiable risk factor causing the disease such as hepatitis C, HIV, rickettsiosis, hay fever, human T-lymphotrophic virus type 1 infection, epstein-Barr virus infection, environmental factors, history of helicobacter pylori infection, history of immunosuppressant drug therapy after an organ transplant, diet rich in meat and fat and history of past treatment for hodgkin lymphoma."
"If you are a doctor, please answer the medical questions based on the patient's description.","if the symptoms are bilateral as u have stated in you case, they may be related to some motor nerve compression in the lower back regionhowever these mostly accompany by lower backache, difficulty to walk long distances in a single sprint. if all these symptoms, are present you should investigate them with lumbar and sacral spine x-rays. if not, simple physiotherapy of knee, hip and lower back shall help if continued for at least 3 weeks. take care"
Answer this question truthfully,"Ordinarily, the measles virus does not cause brain damage, but an abnormal immune response to measles or, possibly, certain mutant forms of the virus may cause severe illness and death. This leads to brain inflammation (swelling and irritation) that may last for years.
SSPE has been reported in all parts of the world, but in western countries it is considered a rare disease.
Fewer than 10 cases per year are reported in the United States, a dramatic decrease that followed the nationwide measles immunization program. However, in some countries like India, over 20 cases of SSPE per million people are reported each year."
Please answer with one of the option in the bracket,E: Restrictive lung disease
Answer this question truthfully,Microbial resistance persists through generations in innate immunity.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot i would keep a possibility of fungal infection of the groin folds (tina courts) along with bacterial folliculitis of the lower abdomen and buttocks. groin folds are a common site for fungal infection specially in hot and humid weather in summer, which is conducive for fungus growth. if i was the treating doctor i would suggest you an otc topical antifungal cream e.g. clotrimazole cream, to be applied twice daily in the groin folds. an otc antihistamine e.g. cetirizine 10 mg once daily would provide symptomatic relief from itching. moreover, the perineal and pubic region is rich in resident bacterial flora. sweating and humidity together with friction and rubbing provide a portal of entry into the skin, through the hair follicles, thus giving rise to folliculitis. for the folliculitis, i would suggest an empirical course of an oral antibiotic for a week. my choice of oral antibiotic would have been either"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, regarding the problem of erectile dysfunction, it is due to decreased blood supply to the penis. though medications like calls & viagra increase blood flow to penis & maintains erection, it can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey. connections between erectile dysfunction & excess use of porn has been reported in many studies. for those affected, recovery takes place by 6-12 weeks & mainly involves avoiding the causative factor, that is watching porn. avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. avoid smoking & alcohol. despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar and other local causes that impair blood flow to the genital organ. one more thing...avoid consuming any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. wishing you a healthy life. take care."
Answer this question truthfully,ISR is found in 5% to 10% of patients undergoing PCI.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on the fact that you have posted a small lump that you have on scrotal sac is sebaceous cyst as you have rightly thought for. the scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. normally they fade away without treatment however they need to be treated if increase in size or get infected. consult qualified general surgeon for clinical examination to confirm the diagnosis evaluation and further treatment. if needed he may suggest getting it excised in toto (completely along with the sac). chatbot.
Please summerize the given abstract to a title,Scientific Due Diligence [in Times of Need for Reliable Information].
Please summerize the given abstract to a title,Antibody-Mediated Internalization of Infectious HIV-1 Virions Differs among Antibody Isotypes and Subclasses
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds u in good health. i have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, you should eventually get back to normal. take multi vitamin and calcium supplements do consult a gynecologist if symptoms worsened back to me for any follow-up queries anytime. chatbot. .(mbbs, ms,mch)"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thx to contact us. if i am your treating doctor i would like to advice you that yes it is possible to have such a symptom with this sterilized device. ideally it should be cleaned and then sterilized with glutaraldehyde to make it sterile. for the current problem you should start broad spectrum antibiotic. you should think for tablet wifi and ciprofloxacin eye chatbot.  if you have anything else to ask please contact me. than. chatbot; infectious disease specialist"
Answer this question truthfully,"Central post-stroke pain (thalamic pain) syndrome is the syndrome that can present after a stroke with initial parethesias followed by abnormal, unpleasant sense of touch and hypersensitivity to pain on the contralateral side."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query. i have gone through your query. the lump can be because of the inflammatory swelling secondary to trauma. the other possible cause can be because of the fractured bone. nothing to be panic, consult a general physician and get it evaluated. you need to get a radiograph done to confirm the diagnosis. meanwhile you can take analgesics like diclofenac and anti-inflammatory chatbot. i hope i have answered your query. take care."
Please answer with one of the option in the bracket,B: Discharge the patient with reassurance
Answer this question truthfully,"Scientists and researchers are challenged with developing containment, treatment, and vaccine strategies for these diseases. Another goal is to develop immunologic and molecular tools for more rapid disease diagnosis, and to study how the viruses are transmitted and exactly how the disease affects the body (pathogenesis). A third goal is to understand the ecology of these viruses and their hosts in order to offer preventive public health advice for avoiding infection."
"If you are a doctor, please answer the medical questions based on the patient's description.","flushing and rashes can happen after the use of opiate medications.  the medications given to you for anesthesia may have included an opiate as well, so it is difficult to determine what would be to blame for your symptoms.  i would recommend stopping the oxycontin and see if tylenol and ibuprofen alone would keep your pain under good enough control. for future procedures, you could consider asking for a different pain medication for your recovery period that could include a different opiate to see if you can tolerate it without developing a rash."
Please summerize the given abstract to a title,“pySewage”: a hybrid approach to predict the number of SARS-CoV-2-infected people from wastewater in Brazil
"If you are a doctor, please answer the medical questions based on the patient's description.","your symptoms are typical of gastroesophageal reflux disease (herd). in this problem, there is laxity of the junction between our food pipe and the stomach, that leads to acid refluxing up in to the food pipe from the stomach. the diagnosis is usually made from clinical symptom and an endoscopy. most patients get good relief in symptoms from medications"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i understand your concern. i am chatbot, infectious diseases specialist, answering your query. in my opinion you should take treatment as son as possible on the following ground.1) prolonged open wound can increases chance of infection.2) it is naturally that damaged nerve if taken care at earliest has more chance of recovery. more the time will be less the chance of recovery. please start the antibiotics like definite, painkiller like diclofenac and serratopeptidase at earliest. you can decide the strategy of treatment thereafter. i will be happy to answer your further concern, you can ask me on bit.ly/ chatbot.  thank you. chatdoctorinfectious diseases specialist."
Please summerize the given abstract to a title,Clinical Characteristics and Viral RNA Detection in Children With Coronavirus Disease 2019 in the Republic of Korea
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query and i can understand your concern.yes, you should be concerned i had gone through your symptoms, according to me you are having boil/carbuncle. it usually starts with chatbot. for specific treatment meet your nearest physician, get done pus culture and antibiotic sensitivity test for specific identification of the organism for causing infection and its sensitivity towards antibioticempirically you can take antibiotics for the infection to get reduce, tab augmenting 650\u00a0mg bd for 5 days and tab paracetamol 500\u00a0mg can be taken if you are having overthink youtube care"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and thank you for your question. for a sore tongue that has been sore for three years but does not have any physical markings i would suggest that the tongue may not be the source of the pain.  you may be experiencing what is called referred pain.  in other words you feel the pain in your tongue, but it may be originating in another part of your body, like an ulcer in your stomach, or a tumor in your jaw (these are just examples not me stating you have these).  your tongue pain may be caused by glossies, inflammation in the tongue as well.  causes of this include vitamin b12 deficiency, progress syn chatbot.  since you are chronically taking prilosec, this may be due to a vitamin b12 deficiency.  according to one study i read when used over a long period of time, such as three years or more, prilosec can cause a vitamin b-12 deficiency. signs of a b-12 deficiency include a sore tongue, unusual and unexplained weakness and numbness and tingling in the hands and feet. i hope this helps you in your discovery of your problem.  i recommend taking a multi-b vitamin and see if the issue subsides in a few weeks. best wishes and good health"
Answer this question truthfully,"Progesterone is the sex steroid that prevents endometrial hyperplasia.

Endometrial hyperplasia is a condition in which the lining of the uterus (the endometrium) becomes thicker than normal. This can be caused by an imbalance of female sex hormones, particularly estrogen and progesterone.

Progesterone is a hormone that is produced by the ovaries and plays an important role in the menstrual cycle and pregnancy. One of its functions is to help regulate the growth of the endometrium. During the menstrual cycle, progesterone levels rise after ovulation and help prepare the endometrium for implantation of a fertilized egg. If fertilization does not occur, progesterone levels drop and the endometrium is shed during menstruation.

In addition to its role in the menstrual cycle, progesterone also helps prevent endometrial hyperplasia. This is because it counteracts the effects of estrogen on the endometrium, helping to keep its growth in check. Women who are at risk for endometrial hyperplasia, such as those with polycystic ovary syndrome (PCOS) or who are taking estrogen replacement therapy, may be prescribed progesterone to help prevent this condition."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there ~ it is unclear from your history as to what the condition might be.  i am thinking that if the pain is coming from your abdomen, and you are having regular bowel movements and urination as well as all sexual functions are normal, you might need to get an ultrasound of your abdomen and pelvis done.  i strongly suggest that you visit with a surgeon to have yourself checked out and have some labs run on you.  furthermore, i hope this helps to relieve your anxiety. take care and have a lovely day !"
Answer this question truthfully,"The likely diagnosis for the patient's condition is uremic encephalopathy. Uremic encephalopathy is a neurological disorder that occurs as a result of kidney failure, leading to the accumulation of toxic waste products in the blood, including urea and creatinine. Symptoms of uremic encephalopathy may include lethargy, confusion, asterixis (flapping tremor), seizures, and coma. The laboratory findings of elevated BUN and creatine kinase, along with decreased albumin, are consistent with kidney failure. Treatment for uremic encephalopathy involves addressing the underlying cause of kidney failure, such as dialysis or kidney transplant, as well as managing symptoms and preventing complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. your brother was disappointed when he was at class 9. but that does not mean that disappointment can make things worse at the age of 24. he could be having some sort of behavior disorder or conduct disorder which needs to be treated with the help of cognitive behavioral therapy. please consult a psychologist for further information. if you require more of my help in this aspect, please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe the needed psychotherapy techniques which should help you cure your condition further. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome and thank you for asking on chatbot! i passed carefully through your question and would explain that your symptoms are not typical of any cardiac disorders. but, it is necessary to investigate for the possible causes. for this reason, i would recommend consulting with your attending physician for a physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and concern for your mother. she has already undergone hemithyroidectomy and operation +rt + ct for cancer of the breast. the causes of pain in the left lower abdomen can be due to colitis, secondaries of the cancer in the abdomen. i would advise ct scan of the abdomen and colonoscopy to find out the actual reasons so that further treatment can be planned . the cause of the pain behind the right ear can be again a lymph node due to secondary of the cancer or a muscle spam . clinical examination and fnac will help to get a right diagnosis."
Please answer with one of the option in the bracket,C: Clindamycin plus doxycycline with irrigation and debridement
Please summerize the given abstract to a title,Genome-Wide Analysis of Codon Usage Patterns of SARS-CoV-2 Virus Reveals Global Heterogeneity of COVID-19
Please summerize the given abstract to a title,Operating Room Protocols and Infection Control
Answer this question truthfully,An increased flow caught by intracranial doppler after 20 weeks of pregnancy is indicative of fetal anemia.
Answer this question truthfully,"No, hearing loss and tinnitus are not typical symptoms of central vertigo. Central vertigo is caused by a problem in the central nervous system, such as the brainstem or cerebellum, and is more likely to present with symptoms such as dizziness, nausea, vomiting, and difficulty with balance and coordination. In contrast, peripheral vertigo, which is caused by a problem in the inner ear, is more likely to present with symptoms such as rapid onset of vertigo, nystagmus (involuntary eye movements), hearing loss, and tinnitus."
Please answer with one of the option in the bracket,E: Cleavage of the forebrain
Please summerize the given abstract to a title,Early Cytokine Removal in Critical COVID-19 Patients with Extracorporeal Therapies (HA-380 plus High Volume Hemofiltration) May Prevent Progression of Acute Respiratory Distress Syndrome: Case Report
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, first go for complete panel allergen test to get the list of all allergic substances and then try to avoid exposure to them, if on few substances are found allergic then you can go for desensitization and for that you have to meet an immunologist. actually in changing weather condition our body is not able to produce adequate amount of antibodies, and thus we get ill, so it is advisable to avoid exposure to extreme of weather, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chatdoctor is hormone. it can cause gastritis, chest pressure, chest tightness, bloating etc. so possibility of chatbot related side effects is more likely. so take pantoprazole tablet on empty stomach twice daily. you will mostly improve with this. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern.  he had lung cancer and taken chemotherapy. chemotherapy causes decrease in blood count.  it is immune suppression chatbot.  it leads to decrease in the immunity and person is prone to infection.  so it can lead to septicemia.  it is very common side effect of chemotherapy. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Blockchain technology in the smart city: a bibliometric review
"If you are a doctor, please answer the medical questions based on the patient's description.","hii can understand your concern for your symptoms, masturbation can be the last cause of your erectile dysfunction .if masturbation is the cause 90% of male will have erection issue .so erection issue of yours can be due to -varicocele -fear of failure - having one episode of ed once may make you feel you will end up with ed-smoking or alcohol-stress i hope i have answered your query. if you have further doubts, i would be happy to help you. happy day"
Please summerize the given abstract to a title,Unexpected reduction in ozone levels in a mid-size city during COVID-19 lockdown
Answer this question truthfully,Low dietary calcium is associated with a higher risk of calcium oxalate stones.
"If you are a doctor, please answer the medical questions based on the patient's description.","**1. bee venom acupuncture [bva] is a kind of herbal acupuncture, but most claims have not been proved to the scientific standards of evidence-based medicine and are anecdotal in nature, thus prior to opting for this therapy you must seek opinion of orthopedic surgeon.ps.  due to paucity and methodological flaws in the existing clinical studies, it is premature to chatbot.  however, the effectiveness of bva for arthritis is likely to be a promising area of future research"
Please answer with one of the option in the bracket,E: Translocation of chromosomes 12 and 21
Please answer with one of the option in the bracket,D: Left-sided cerebellar tumor
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. skin conditions are best diagnosed only after seeing directly. i suggest you to upload photographs of the same on this website, so that i can guide you scientifically.  hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... usually fatty liver lead no serious complication .... still it can be treated by taking lifestyle measures.... take low fat diet... fruits taken more.... avoid alcohol chatbot. ... use less oil in cooking... sunflower or olive oil like good oil can be used in less quantity... regular 30 minute active exercise done... green leafy veg helpful like ....-bitter gourd -arugula -chicory-spinach etc.... beet roots, carrots, lemon juice, indian gooseberry are good for liver. non veg fried food less. refined food avoided. as far as"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. as such there are no medicines for the osceola or lump secondary to bony growth. it has to be treated surgically. if you have pain then you can take painkillers like diclofenac. get the osceola removed surgically by consulting an oral and maxillofacial surgeon. regarding the sinus problem, which is reported in ct you have to consult a ent surgeon. i hope my answer will help you. take care"
Please summerize the given abstract to a title,A case of the rapid course of the novel coronavirus infection (Covid-19) in a pregnant woman
"If you are a doctor, please answer the medical questions based on the patient's description.","hello control asthma your boyfriend must use combined inhaled corticosteroid and long acting beta 2 agonist 2 puffs twice daily. also use a short-acting beta 2 agonists on sos' basis. also take a 7-day course of oral prednisolone if there is an exacerbation of asthma. try to avoid cold, dust etc. i don't understand what your doctor try to mean by red spot in lung. consult a pulmonologist immediately."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. i have noted your nephews symptoms and diagnosis. the fitness for flying depends on the severity of injury, ct scan findings and patients clinical condition. the fact that your nephew did not require surgery suggests that the injury is not severe. if his clinical condition is good, he would be fit to fly. it would be useful if you can upload a copy of his ct scan report here. i hope my answer helps. please get back if you have any follow-up queries or if you require any additional information. wishing you good health, chatbot. ly/"
Answer this question truthfully,"TMP-SMX are contraindicated in the 1st trimester of pregnancy, due to their effects on folate metabolism."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern, you have not mentioned your husbands age and the clinical complain about what he has been gone for ct scan here the given report need to be correlated with the clinical complaints, just on the basis of given report it can be said that such findings are seen in old age patients and with the patient who had history of tia (transient ischemic attack) due to hypertension, hope this information helps you, have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i suppose you are having pain in flank region as you have not specified correctly. i would suggest you to get a usg scan of abdomen to look for presence of kidney stone. if at all its present, the size of the stone, number of stone(s), site of the stone all this information we can get and which can help for proper diagnosis and treatment for the same.  regarding the question about blood in urine, if stone is present and if it's eroding the wall of kidney, ureter or bladder it can cause blood in urine. so to get answers to all this question i would suggest you to get a usg scan of abdomen and follow as per the report. thank you"
Answer this question truthfully,
Please summerize the given abstract to a title,Comparison of Clinical Characteristics Among COVID-19 and Non-COVID-19 Pediatric Pneumonias: A Multicenter Cross-Sectional Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if by allergic reaction you mean skin rashes, breathlessness-you need an oral or injectable antiallergic with an experts care.  if the chemicals in opalescence whitney has only irritated the mucus membrane of mouth which is red & inflamed sensitive- -please stop using it immediately.  - you can apply a soothing agent like boroglycerine (or other brand suggested by the treating chatbot.  - hens forward be careful & inform any treating"
Please summerize the given abstract to a title,Estimation of incubation period distribution of COVID-19 using disease onset forward time: a novel cross-sectional and forward follow-up study
Answer this question truthfully,"The transmission of Ebola can be limited by implementing preventive measures in both endemic and nonendemic areas which include isolation of infected patients; using gloves/masks/gowns and other standard barrier precautions; routine hand-washing; careful handling, disposal and/or maintenance of sharp objects; proper waste management and proper handling of human remains after death."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your symptoms could be related to anxiety. cardiac arrhythmia cannot be excluded either.  for this reason, i would recommend performing an ambulatory 24-48 hours ecg monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  some blood lab tests are needed too (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalance).  if all the above tests result normal, you should consider anxiety as the main cause underlying your complaints.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","**1.  mph [male pattern baldness/an chatbot. 2. if recurrence is an issue, as a routine, consult a trichologist for your hair loss to rule out any other pathology, who will make sure that you are not affected with any fungal infection of the scalp [eczema/psoriasis or seborrhea dermatitis]3.  if a close family member has the disease, medicines are not much effective. [could be the reason for foliage [minoxidil]4. initially we have to start with immunomodulator [malayan nikita] treatment and later restore to non-surgical hair replacement [if you believe hair loss is psychologically traumatic and some people may have a poorer outcome with conservative line of treatment-walnut/biotin oil]ps. vb7-forte contains multivitamin especially biotin which is helpful in stopping hair loss. 5. instructions which you can incorporate are"
Please summerize the given abstract to a title,Air quality assessment among populous sites of major metropolitan cities in India during COVID-19 pandemic confinement
Answer this question truthfully,The further breakdown of heme within macrophages that have consumed RBCs produces iron and protoporphyrin.
Answer this question truthfully,"Both 1st and 2nd generations of H1 histamine receptor antagonists are used to treat allergies. First-generation H1 antagonists, such as diphenhydramine and chlorpheniramine, are effective in treating allergies but can cause drowsiness and other side effects due to their ability to cross the blood-brain barrier. Second-generation H1 antagonists, such as loratadine and cetirizine, are less likely to cause drowsiness and have fewer side effects because they have a reduced ability to cross the blood-brain barrier. These medications work by blocking the action of histamine, a chemical released by the body in response to an allergen, and reducing the symptoms of allergies such as itching, sneezing, and runny nose. The choice of medication depends on the severity of symptoms and the individual's response to treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot.  i understand your concerns and i will try to help you as much as i can. recovery after pancreatitis depends on severity of inflammation and may range from 1 to 6 weeks. in case of acute noncomplicated pancreatitis it usually takes 2 weeks till symptom subside. in cases of necrotic pancreatitis it may take much longer and even surgery may be required. if she is treated with pipe and morphine then it may be more severe case of pancreatitis, and it may take 4 weeks for treatment. i hope i have answered you query. kindly regards. wish you a good health."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. you are known to have urethral stricture and getting reddish brown discharge from penis. there is always an inflammation of urethra proximal to stricture. this inflamed urethra secretes serous fluid which is passed out through urethral opening. you need to consult qualified urologist and get appropriate treatment for urethral stricture.(either optical internal ureterotomy via or open surgeryurothroplasty) chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have gone through your query. xiaflex was previously used for the treatment of dupuytrens contracture. now it has been approved for use in parodies disease. main action of this medicine that it dismantles the fibrous tissue which led to bending of penis. the chatbot. there are 4 cycles of treatment with it. 2 injections are given in each cycle and later on penile remodeling is done, if required. it can correct up to 30 degrees of curvature. final decision should be made by treating doctor. do consider positive feedback as a credit to my work. let me know if you have any further questions."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. your problem is most likely strain to back muscles. but if you have a radiating pain towards leg then you should have a physical examination by orthopedic to rule out any trauma to spine or intervertebral disc. for muscle strain i treat with nsaids like diclofenac muscle relaxants like thiocolchicoside and advice rest from hard physical exertion for 3 to 5 days. initially can apply ice packs. after 3 to 4 days you can apply hot water bags. hope this may help you. let me know if you have any further queries.
Answer this question truthfully,"During kidney filtration, the major anion that is reabsorbed in the late PCT of the nephron is chloride ion (Cl-). The PCT is the first segment of the renal tubule and plays a crucial role in reabsorbing ions, nutrients, and water from the glomerular filtrate back into the bloodstream. Chloride ions are negatively charged electrolytes that are important for maintaining the body's acid-base balance and fluid balance. In the late PCT, chloride ions are reabsorbed passively along with sodium ions and water, due to the presence of ion channels and transporters in the tubular epithelial cells. The reabsorption of chloride ions in the PCT is regulated by various hormones and factors, such as aldosterone, antidiuretic hormone (ADH), and bicarbonate ions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. in normal healthy couples, it can sometimes even take up to a year to conceive. 80% of couples will conceive within one year if having regular unprotected intercourse (at least 2 to 3 days per week). it is best not to time the efforts of intercourse around ovulation unless you have accurately documented the ovulation date, with an ovulation predictor kit or with hormone levels checked at the doctor's office. the best way to try to conceive in the beginning is to have sex every other day from the time your period finishes until you start to feel premenstrual symptoms. premenstrual symptoms are caused by the same hormones as produced by pregnancy, so when you start to feel bloating, breast tenderness, nausea, or other pregnancy symptoms you do not need to continue to try to conceive that cycle, as you either already ovulated or are already pregnant. there are nearly 6 million sperm in every ejaculate from a man, so as long as some sperm is ejaculated inside the vagina, there is a possibility of conceiving. many women have sperm leak out after intercourse, however the ability of sperm to swim within the vagina ensures that a man with a normal sperm count has at least thousands of sperm that reach the egg if ovulation has been taking place. so in summary, many couples do not conceive within two months of beginning to try. i encourage you and your husband to have patience. in the meantime, the best way to prepare for healthy pregnancy is to get adequate rest, eat a healthy diet, avoid alcohol consumption, and take a prenatal vitamin or folic acid supplement which can help prevent birth defects. i hope i was able to adequately answer your question today, and that my advice was helpful. best wishes,"
Please summerize the given abstract to a title,The Impact of the SARS-CoV-2 Pandemic on Substance Use in the US
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the black discoloration of the teeth could be because of the stains or decay. consult an oral physician and get yourself examined to rule out these things. if it is stains then get your teeth cleaned once. if it is decayed teeth then get the teeth restored. when it is in the initial stage you get it restored otherwise it will get infected and results in pain swelling and other complications. i hope my answer will help you, take care."
Answer this question truthfully,"Blood flow is the flow of blood in the cardiovascular system. The discovery that blood flows is attributed to William Harvey. The flow in healthy vessels is generally laminar, however in diseased (e.g. atherosclerotic) arteries the flow may be transitional or turbulent."
Please summerize the given abstract to a title,Multiscale Partial Correlation Clustering of Stock Market Returns
Answer this question truthfully,You should not eat or drink anything except water for 9 - 12 hours before having your blood drawn.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. i am chatbot. k and i am pleased to assist you. gallstones that does not cause any symptom usually do not require any treatment. only in case of symptomatic gallstones' gallbladder has to be removed. the only definitive treatment for gallstones is surgery. udiliv may not help much. so if you have symptomatic gallstones go for surgery.otherwise, no need for any intervention. just check your blood glucose and cholesterol levels as high levels are risk factors for gallstones. reduce weight if you are obese. obesity is another risk factor for gallstones. i hope that answers your question."
Answer this question truthfully,"There are no specific chest x ray findings associated with brucellosis. If focal pulmonary complications occur, findings on chest x-ray include bronchopneumonia, empyema, hilar and paratracheal lymphadenopathy, interstitial pneumonitis, lung nodules or pleural effusions."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello...... thanks for your query. i understand your concern with a myriad of symptoms in various body systems. however, many of your symptoms seem to have a psychogenic origin i.e. either depressive/anxiety-related. hence, i would suggest you undergo a thorough psychiatric evaluation first and foremost. for your information \""irritable bowel syn chatbot.  hope you found the information useful. regards"
Answer this question truthfully,"Diets that are high in processed meat and low in fiber are considered risk factors for colorectal carcinoma. Processed meats, such as bacon, sausage, and deli meats, have been linked to an increased risk of colorectal cancer, possibly due to the preservatives and additives used in processing. On the other hand, a diet that is high in fiber, especially from fruits, vegetables, and whole grains, has been shown to lower the risk of colorectal cancer. Other dietary factors that may affect the risk of colorectal cancer include a high intake of red meat, a diet that is high in fat and low in calcium and vitamin D, and excessive alcohol consumption. It is important to maintain a balanced diet and to talk to your healthcare provider about appropriate screening and prevention strategies for colorectal cancer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as you have pain, aches, dizziness etc. i will advise you to perform regular exercises as this will help the body to improve the metabolism, immune system, blood carrying oxygen capacity, etc. post breast cancer the body is pretty week and needs a self effort to fight improve the adl. in my clinical practice i see cases with similar complains post mastectomy and with physical therapy they respond well to their overall health condition.regards jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi john thanks for posting on chatbot john it just takes some men longer for their facial and body hair to fill out, but it eventually does for most people. although some males are just hairier than others and the amount of hair you have is not an absolute indicator of testosterone levels. the basic cause is genetics in most of the cases. you can look at the men folk on your maternal and paternal sides of the family to get an idea of what your genetic traits are, as they relate to hair, you inherit these genes predominately from your mothers side. although if you are very concerned about your testosterone levels you can visit any doctor and get s. testosterone levels tested by a simple blood test. if the levels are abnormal or low, which is very unlikely, do visit an endocrinologist for the further management. but once your beard/mustache fills in, and you have to shave every day, you may wish it was back how it is now! god bless"
Please summerize the given abstract to a title,A newly identified linear epitope on non-RBD region of SARS-CoV-2 spike protein improves the serological detection rate of COVID-19 patients
Answer this question truthfully,The most common cause of nephrotic syndrome in preadolescent children (< 10 years old) is minimal change disease.
Answer this question truthfully,"Anopheles mosquitoes are known to carry Plasmodium spp., which are the parasites that cause malaria. These sporozoites are typically found in the mosquito's saliva, which is injected into the human host during a blood meal. Malaria is a serious and sometimes fatal disease that is transmitted to humans through the bites of infected mosquitoes. The anopheles mosquito is the primary vector for malaria transmission in many parts of the world, particularly in sub-Saharan Africa."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, the lump formation after injury is due to accumulation of fluid & blood, and it is called hematoma. the blood cells accumulated are eventually broken down and absorbed in the body. but this is a slow process & takes times to disappear completely. till that time, symptomatic relief is obtained by analgesics, ice compression & adequate rest. if symptoms still persist, kindly consult an orthopedic for proper clinical examination.x-ray of the ankle joint will be helpful to rule out any fracture or other pathological causes. wishing you a good health. take care."
Please answer with one of the option in the bracket,C: Erythrocyte sedimentation rate
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. i understand your distress and anxiety in anticipation of the fact that your son would be leaving you soon. most parents go through this phase of feeling lonely and dejected when their child chatbot.  however, you should understand and try to accept this as part of life and move on. i would suggest that you keep yourself engaged, for example, you can try a new hobby or learn something new. try to engage in relaxing activities like listening to music, meditation, etc. even if you don't have any friends so far, you can start making new friends. start meeting neighbors, relatives, etc. and share your feelings and i'm sure they will be understanding and supportive. you can also try joining in some local groups, for example, a social service group or a recreational group, so that you can find some motivation and purpose. don't worry, this phase will only a temporary one, and you will be able to overcome your problems soon. wish you all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. even though it is too early to comment on this post-operative pain in your abdomen, if i were your doctor, i would advise you for a review ultrasound abdomen to rule out any leftover stone in the common bile duct as there were multiple gall stones as per your history. also, the condition of the pancreas could be known from the ultrasound report. i would also advise for some routine blood tests for you like cbc, lft, and also a serum amylase and lipase estimation. further management depends on the reports of the investigations. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. wishing you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query, the features what you are giving suggests it is an inflamed parotid gland duct opening, it can be because of the bacterial infection or secondary to a stone. or the white patch could be a frictional keratitis or leukoplakia but there won't be any secretions from the patches. so it could be from the duct. consult your physician and take some radiographs like puffed cheek pa to rule out any stones. i hope my answer will help you, take care."
Please answer with one of the option in the bracket,A: Portal vein thrombosis
Please summerize the given abstract to a title,SARS-CoV-2 and miRNA-like inhibition power
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. if it is just going to toilet 3 times in the morning, nothing much to worry. but you say there are undigested vegetables and tiredness, lack of enthusiasm, you need a treatment. the present treatment you mentioned is one of the best regimens, you can slowly with chatbot.  well, if your doctors have diagnosed this as a case of an ibs, there is no specific treatment. yet to add"
Answer this question truthfully,"Pinealoma is a type of brain tumor that may cause precocious puberty in males due to the production of β-hCG. This hormone can cause the early onset of puberty and its associated physical changes, such as growth spurts, development of body hair, and voice changes. Pinealoma can also cause other symptoms, depending on its location and size in the brain."
Answer this question truthfully,"Double-contrast Barium enema may be helpful in the diagnosis of familial adenomatous polyposis. Findings on an x-ray suggestive of familial adenomatous polyposis include:  
Multiple pedunculated outgrowth Basal indentation Lobulation Irregular surface contour"
Answer this question truthfully,Immunocompromised individuals (e.g. HIV) and pregnant individuals are at risk of Toxoplasma gondii infection.
Answer this question truthfully,"The appearance of the Chickenpox rash is described as ""dew drops on a rose""."
Answer this question truthfully,Autosomal dominant polycystic kidney disease (PKD) is the renal pathology that is associated with berry aneurysms.
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the concern. congratulations on becoming a proud father of a beautiful daughter. today is daughters day, and you are blessed at this time your only concern shall be her health, development, feeding habits and timely immunization. as far as color is concerned she will keep changing every day, week, month and years to come. when she will need education, physical activity lots of love and encouragement irrespective of her color. concentrate your energies in providing this and developing her in to a beautiful person at heart, this will make her most beautiful and loving and caring daughter in the world."
Please summerize the given abstract to a title,Validation of an online version of the Trier Social Stress Test in a study of adolescents.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot. as per you query it seems that there is infection in the gum in the area of tooth number 13 and 14. there can also be pocket formation in the gum associated with the respective teeth leading to chatbot. . pocket formation occurs when the attachment of the gum to the tooth is lost due to deepening of infection and bacteria into the gums' crevice causing formation of pockets and the area become painful, sore and there can be tingling due to infection. i would therefore suggest you to consult an oral physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis and treatment can be done accordingly. you can be advised deep scaling and curettage of the area followed by gum paint application. as of now do warm saline gargles and antiseptic mouthwash gargles. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query. it seems that you have muscle twitches or articulations. these are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. you might consult your doctor who can order 1. a few blood tests including thyroid function tests, 2. serum electrolytes including serum calcium and potassium levels. 3. serum b12 levels in case the above tests are normal further testing can be done including - nerve conduction studies, electromyography, etc. these tests might help to diagnose any underlying neurological issues. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
williams sydrome conditon.    i need to send me more information about Williams Syndrome and some tips how to educate people with this disorder.I hope having news from you soon!!thank you,Williams syndrome (Prevention): There is no known way to prevent the genetic problem that causes Williams syndrome. Prenatal testing is available for couples with a family history of Williams syndrome who wish to conceive.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. based on the report of semen analysis of your husband that you have posted i would like to make comments in comparison to who standards as detailed below .1) color is normal 2) viscosity is slightly viscous which is abnormal and may be due to clumping of the sperms together .3)liquefaction time is 3 hours. normal liquefaction time is 30 to 45 minutes. high liquefaction time suggests clumping of the sperms mostly due to infection which hampers free mobility of sperms 4)total sperm count of 38 millions (in 3 ml of semen) is also very low which in your case should be 120 millions .5)presence of 8-10 pus cells strongly suggests infection either in seminal vesicles or prostate and needs to be treated with antibiotics. other important parameters of semen like percentage of motility of sperms and morphology of the sperms are not mentioned in your report hence can not be commented on. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dairy understand your concernomeprazole on long term use damage the liver and cause increase in the liver enzyme, alt. omeprazole is extensively metabolized by the hepatic p450 system and cause damage to the heart like hepatic necrosis. the mild and asymptomatic elevations in serum aminotransferase that have been observed during omeprazole therapy are usually transient and may resolve even without dose modification.  clinically apparent liver injury due to omeprazole, however, generally calls for prompt with chatbot.  severe injury due to omeprazole is uncommon and most cases resolve promptly upon with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. yes you may take closer. this will increase chances of multiple ovulation thus increasing the chances of conception. it is taken 100\u00a0mg daily once for 5 days starting from day 2. it is taken under guidance of your gynecologist. with this i suggest you to go for follicular study to know the size of follicle and when to plan intercourse. this may be tried for 3 - 4 cycles before proceeding further. hope i have answered your query. regards chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear patient angioplasty procedure will not lead to back pain and both conditions are not related directly. what is your age ? it should be mentioned as reasons for pain vary in different age groups.  medicine for heart will not lead to increased back pain. i would like to do x-ray of lumbosacral spine anteroposterior and lateral views to rule out back injury. meanwhile, start tab attract twice a day with tab moral 4 mg twice a day for pain relief. tab antacid should be taken with them to prevent gastritis. if x-ray shows abnormal findings please consult orthopedic surgeon nearby your area."
Please summerize the given abstract to a title,Loss of Function Mutations in the IFNAR2 in COVID-19 Severe Infection Susceptibility
Please summerize the given abstract to a title,Natural dynamical reduction of the three-body problem
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, urine should not come out during or after masturbation. however, if you do it soon enough after the first time your semen can get very thinned out so that only seminal fluid comes out which might look a little like urine. so i would think that this is the case with you. since you did it fast enough, only seminal fluid would have come out, and you would have felt it is urine. so do not worry and avoid such frequent masturbation in the future. take care, chatbot."
Answer this question truthfully,"Common risk factors for the development of vestibular schwaomas include:
Childhood exposure to low-dose radiation for benign conditions of the head and neck Radiofrequency exposure from the use of mobile phones Excessive noise exposure"
Answer this question truthfully,A murmur due to aortic regurgitation (AR) is typically loudest at the left sternal border of the chest.
Answer this question truthfully,What is the result of failed vertical fusion of the paramesonephric ducts within the urogenital sinus? A transverse vaginal septum.
"If you are a doctor, please answer the medical questions based on the patient's description.","howell come to chatdoctori really appreciate your concern, let me tell you something that \""minoxidil\"" may not be use in this age group of 12 years, but underlying cause of hair fall need to be found out and in my opinion this could be pedicurists or fungal infection so rule out this and if found something like this then try to treat this but \""monoxide is questionable, hope this information helps, take care and have a nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for using chatbot. fibers are plant product not absorbed by our intestine, they absorb water and form bulk to soften the stool. but the quantity to be taken differs from person to person, at the same time you need to chatbot. the main side effect of taking fiber is gas formation, which if it does not pass causes trouble, in form of colic, making the individual uncomfortable. the remedy i use with my patients in my clinic is start with low dose, educating them about"
Please summerize the given abstract to a title,"Degradation of glucocorticoids in water by a synergistic system of peroxymonosulfate, microbubble and dielectric barrier discharges"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of seasonal (winter) bronchitis is more likely. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). oral combination of levocetrizine and montelukast is also beneficial during winter months. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Neuroimaging Patterns in Patients with COVID-19-Associated Neurological Complications: A Review
Answer this question truthfully,"Tolerance is a phenomenon in which the body becomes less responsive to a drug over time, requiring higher doses to achieve the same effect. Benzodiazepines can cause tolerance by downregulating GABAA receptors, which reduces the number of receptors available for benzodiazepines to bind to. This results in a decrease in the efficacy of the drug, and may lead to the development of tolerance and dependence with chronic use. Tolerance to benzodiazepines can also develop through other mechanisms, such as changes in the expression or function of other neurotransmitter systems in the brain."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,Chondroma is the name of the cartilage tumor that arises in the medulla of the small bones in the hands and feet.
Answer this question truthfully,"Vesicoureteral reflux is the renal pathology that predisposes to recurrent UTIs, hypertension, and chronic pyelonephritis."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, usually, severe aortic valve stenosis need another mechanical reparation, or a less severe or mild but symptomatic.open-heart surgery is made routinely but in special centers can be done a mini-invasive procedure called tar, which is less traumatic and need to be done by experienced doctors. open-heart surgery in a good heart has less morbidity. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, understanding your concern. as per your query you have symptoms of severe hair loss which is mainly due to nutritional deficiency, underlying systemic infection, improper cleanliness and could be due to hormonal changes. need not worry. i would suggest you to avoid application of excessive and hard shampoo on scalp and take supplements containing zinc, selenium, iron, calcium and also multivitamin tablets daily. apply minoxidil 2% on hair follicles and take a nutritious diet and plenty of fluids. if symptoms keeps on persisting consult dermatologist once and get evaluated and start treatment accordingly. hope your concern has been resolved. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it may be pedicurists wapitis... consult the dermatologist for the perfect diagnosis and proper treatment. i would recommend you to take tab. ivermectin 12 mg weekly for few weeks. and apply permethrin 1% lotion on the whole scalp at night. cleanse the scalp in the morning with alone liq. diluted in water. repeat the procedure for few weeks till the clearance of lice. improve hygiene and immunity. hope this helps. chatbot."
Answer this question truthfully,"Acetylcholinesterase inhibitors may be used to treat post-operative and neurogenic ileus, which are conditions in which the normal movement of the intestines is disrupted. This can lead to symptoms such as abdominal pain, bloating, and constipation. By increasing the activity of acetylcholine, these medications can help to stimulate intestinal contractions and improve bowel function. Acetylcholinesterase inhibitors may also be used to treat other conditions, such as myasthenia gravis and Alzheimer's disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. well, there is obviously ago incompatibility, so you can not be donor unless in extreme cases. second, it is not reasonable to have liver transplant if there is no clear diagnosis established. this may be curable disease of course, so transplantation would be unnecessary in this case. you should do more detailed tests to find cause if liver failure. i hope i have answered your query. i wish you a nice day."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for posting your query. do you have fever/ vomiting along with mentioned symptoms? with the available described symptoms, there could be possibility of hunger pains more, but appendicitis must be ruled out. relief of abdominal pain after eating suggests the diagnosis. you should consult with internal medicine specialist/ general surgeon and should go for thorough check up. you should also go for ultrasound imaging, x-ray abdomen, serum amylase and urine routine microscopy. you should also go for endoscopy to rule out gastric ulcers. gastric ulcers get relief after taking meals. meanwhile, you should also take proton pump inhibitors along with antacids. treatment depends on exact diagnosis. if ultrasound imaging is found to be normal then you should take normal healthy diet. take care,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for choosing chatbot for posting your query. i have gone through your question in detail and i can understand what you are going through. fatigue could be a symptom of depression. the first line is the use of escitalopram 10 mg per day for depression. hope i am able to answer your concerns. if you have any further query, i would be glad to help you. in future if you wish to contact me directly, you can use the below-mentioned link"
Answer this question truthfully,"PTLD, or post-transplant lymphoproliferative disorder, is a rare but serious complication that can occur in individuals who have undergone organ transplantation. While PTLD can occur at any age, it is most commonly seen in children. This may be due in part to the fact that children who undergo organ transplantation are more likely to have a weakened immune system and may be more susceptible to developing PTLD. However, it is important to note that PTLD can occur in individuals of any age who have undergone organ transplantation, and that early detection and treatment are critical for improving outcomes."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please summerize the given abstract to a title,"Knowledge, Attitude, and Practices Among the General Population During the Later Stage of the COVID-19 Pandemic in Malaysia: A Cross-Sectional Study"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. the typical symptoms of over masturbation includes chronic fatigue, weak erection, thinning hair, and depression.4t plus tablet is an ayurvedic preparation and can reverse symptoms due to over masturbation. first you must stop doing masturbation more than 2 to 3 times a week and not more than once daily. this can cause low sperm concentration and that is why there is erectile dysfunction and your semen is not coming out as before. masturbating so many times can cause depletion of sperm concentration."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the concern. according to history he is a heavy smoker with stomach problem and 2 times vomiting having blood. so it might be some intestinal and also lung infection.  moreover, he had white spots on palate with sore throat additionally he had history of herpes infection before 2 weeks but had taken acyclovir. but still he might have oral herpes may be due to low immunity (smoker + lung and intestinal infection) but i think he should immediately consult the treating physician as he got multiple infection in body and must be thoroughly investigated.  take care"
Please summerize the given abstract to a title,Tips and Tools for Teaching Organic Synthesis Online
Please summerize the given abstract to a title,Neuropathology of COVID-19 (neuro-COVID): clinicopathological update.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dan, sometimes if while eating something sharp gets lodged in gums or palate hurting/injuring that area it causes blanching of the tissues resulting in a white bump. the area you have mentioned already has a small bump anatomical called incisive papilla from where nerves and vessels pass. so an injury may have chatbot.  this condition is reversible and is not dangerous at all. as your dentist has ruled out cancer, access and a blocked duct then you should just wait and watch the area for any changes. if you do smoke then please stop till you are sure that the area has reverted to normal. if any changes occur i strongly recommend you to re visit your dentist. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","when one is reading medical literature or psychiatric conditions sometimes reader feels that he or she is also suffering from that disorder. borderline personality disorder is conceptualized in various ways by different theorists. icd and dsm do have specific criteria. in my opinion, if you are not feeling considerable mental distress or problems in work, family or social sphere, there is no need to worry. if you are facing difficulties or have significant mental distress, then you should consult a psychiatrist. you should feel free to tell him what you have read and how you feel it applies to you. the psychiatrist will evaluate your condition and suggest interventions. i hope this answers your question."
"If you are a doctor, please answer the medical questions based on the patient's description.","1st of all acidosis diagnosis is based on what, that is important...whether it is only made from ct or biopsy also has been taken...if biopsied, then it is confirmatory.if it is acidosis, then prognosis depends on stage of the disease which is based on x-ray chest...if stage 4- then already disease has been progressed much, then there would not be much recovery...but in early stages prognosis is good with steroids & if not responding, then with other chatbot."
Please summerize the given abstract to a title,Comparison of risk factors for seropositivity to feline immunodeficiency virus and feline leukemia virus among cats: a case-case study
"If you are a doctor, please answer the medical questions based on the patient's description.","his understand your concern and appreciate your positive outlook. effexor is venlafaxine, and it is antidepressant.150 mg is not high dose, and it is usual dose to treat depression. it helps to recover from depression within 6 months of period if she did not improve then need to re-evaluate diagnosis. anger, crying etc. are the symptoms that shows psychological illness. consult psychiatrist for better evaluation. say thank you if you are helped. happy to help you further. thank you."
Please answer the letter of option truthfully,B
"If you are a doctor, please answer the medical questions based on the patient's description.","the mentioned blood pressure is high in both context, systolic and diastolic.  at this pressure lifestyle modifications like salt restriction and exercise will not be able to normalize it, though not imminent danger, however i will request you to consult your doctor at earliest, so he can start a medication for the same. i will recommend you to start medication first once the pressure is controlled, and you change the necessary lifestyle modifications we can title down the dose.  also, don't be anxious, as anxiety will push it up further disregards"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. cannabis is centrally acting (acts on brain) abusive substance. it causes depression of brain centers including respiratory center. respiratory is main part who regulates breathing. so when someone takes cannabis, his breathing becomes slow. this is therefore reason why copd patients feel good after taking cannabis. but this is life-threatening in long term use. long term cannabis intake can cause respiratory depression (no breathing) and ultimately death. it is also habit-forming agent. so better not to use cannabis in copd patients. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Improvement of Severe COVID-19 in an Elderly Man by Sequential Use of Antiviral Drugs
Answer this question truthfully,Spasms/hypertonicity in an infant of a poorly-immunized mother with poor umbilical stump management is suggestive of neonatal tetanus.
Answer this question truthfully,"The enzyme tyrosinase plays a critical role in the production of melanin, a pigment that gives color to the skin, hair, and eyes. Specifically, tyrosinase catalyzes the conversion of the molecule dihydroxyphenylalanine (DOPA) to dopaquinone, which then undergoes further reactions to produce melanin. This process is essential for protecting the skin from the harmful effects of UV radiation and is also responsible for the coloration of various tissues in the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has fluid filled lump near elbow.  it can be some benign cyst, ganglion cyst, bursitis or other cystic lesion.  he should go for ultrasound study first.  if needed go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,A: Water soluble vitamin deficiency
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for using chatbot. the difference in color of the tablets may be because the manufacturer of the generic is different.  both should be standardized and should be equally efficacious.  long term definitive management of gall stone related pain would be removal of the gallbladder (cholecystectomy).  please seek referral to a general surgeon.  in the interim seek immediate medical attention for pain that is not relieved or worse than usual, fever and inability to tolerate oral foods entirely as this may be sign of cholecystitis which is when the gallbladder is infected and inflamed.  this would require immediate medical evaluation and more urgent surgical intervention. take care and be well"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. i have seen the details given.  a blood glucose level of 257 mg after food is a clear sign of having diabetes. the criteria to diagnose is fbg 126 mg and above, pp 200 mg and above and hba1c% 6.5 and above. therefore, you need to initiate treatment for diabetes forthwith. do not delay. many persons do not get any specific symptoms when diabetes develops. that is one of the reasons why it is unrecognized for quite some time. along with starting treatment with oral antidiabetics (like metformin + a lipton), you will have to also adapt modified lifestyle, meaning taking restricted diet, avoiding sweets, junk foods, colas, pastries, bakery items, alcohol and even smoking. plus exercise daily for at least 1 hour. my suggestion is pleased your personal physician or a ideologist and start the treatment. take care. also get your eyes checked for ruling out diabetic retinopathy. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, that kind of mass can cause irregular rapid breathing. in my opinion, your 4-month-old baby is having developing mass in neck. it is now mostly compressing spinal cord or part of brain. so it causes pressure effect and rapid irregular breathing. so i advise you to consult pediatric neurosurgeon as soon as possible. this kind of pressure effect is lethal and life-threatening. so don't wait at home. consult doctor immediately. hope i have solved your query. i will be happy to help you further. wishing good health to your child. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. i went through your history. i would like to know more about your symptoms like - does it itch? do you have any other allergy problems or medical conditions? do you have to take any regular medications? since how long you are having rashes? from your given history, i would like to make following suggestions to you"
Answer this question truthfully,"Korsakoff syndrome is a potential complication of Wernicke encephalopathy. Wernicke encephalopathy is a neurological disorder caused by thiamine deficiency, which can result in confusion, ataxia, and ophthalmoplegia. If left untreated, Wernicke encephalopathy can progress to Korsakoff syndrome, which is characterized by severe memory impairment, confabulation, and personality changes. Korsakoff syndrome is named after the Russian neuropsychiatrist Sergei Korsakoff, who first described the condition in the late 19th century."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised. as the pain is in the sternal region over right side, it could be costco chatbot.  for which and x-ray will be advised. after which a simple medication is advised with breathing exercises. also, the due any lung pathology, the pain may arise for which you need to get assessed. as found gall bladder surgery in the past, a thorough assessment of the scar is needed. after assessment one can plan an ultrasound of abdomen, but it is pretty uncommon to have any remissions post the surgery, still an assessment is guided. the treatment for either of it will be simple medication and some breathing exercises as post gall bladder surgery muscles of respiration becomes weak and needs surgery"
Please answer with one of the option in the bracket,E: Increased sodium concentration in sweat
"If you are a doctor, please answer the medical questions based on the patient's description.","i do not know where you are but if you have an option of giving the stalin as a breathing treatment rather than syrup that would be better.  advent is known to cause diarrhea.  it is a good antibiotic however, and you can lessen the diarrhea by giving probiotics (lactobacillus).  for now do not worry about milk but try to get your child to chatbot.  you need to keep up with his increased need for fluids from the illness as well as with the extra fluid losses from the diarrhea.  he would benefit from a small amount of mashed banana (not baby food, but real banana mashed up) to help slow the diarrhea and replace potassium lost in the diarrhea. you can help with the cough by giving him warm water with honey to sip and by cool humidified air if possible.  if you have cough"
Please summerize the given abstract to a title,Integrating Metacognitive Regulation into the Online Classroom Using Student-Developed Learning Plans
Please summerize the given abstract to a title,The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2020
Please summerize the given abstract to a title,Designing of low-cost spectrometer for sensor application
Please summerize the given abstract to a title,Critical observations on and suggested ways forward for healthcare communication during COVID-19: pEACH position paper
"know more about My Daughter have Distal renal tubular acidosis. we are from Mexico, and we ae woundering if can send to us more infomation. maybe you can reccommend to us a association???? i don?t know","SLC4A1-associated distal renal tubular acidosis can have different patterns of inheritance. In most cases, an affected person inherits the mutation from one affected parent. Other cases result from new mutations in the gene and occur in people with no history of the disorder in their family."
Answer this question truthfully,"The four drug classes that are commonly used in the treatment of primary hypertension are thiazide diuretics, ACE inhibitors, angiotensin receptor blockers (ARBs), and calcium channel blockers."
Please summerize the given abstract to a title,Het dal tussen de coronapieken
Please summerize the given abstract to a title,"Obstacles, Challenges, and Benefits of Online Group Psychotherapy"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. periosteal reaction only does not indicate cancer. however, it should be correlated with other radiological findings and clinical findings also. send me your complete report so that i can help you further. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"The most common surgical treatment for normal pressure hydrocephalus is ventriculoperitoneal (VP) shunting. Normal pressure hydrocephalus is a condition in which excess cerebrospinal fluid (CSF) accumulates in the brain's ventricles, causing symptoms such as gait disturbance, cognitive impairment, and urinary incontinence. VP shunting is a surgical procedure that involves placing a thin tube, called a shunt, into the brain's ventricles to divert excess CSF to the abdomen, where it can be absorbed into the bloodstream. This helps to relieve the pressure on the brain and improve the patient's symptoms. VP shunting is generally considered safe and effective, although it does carry some risks, such as infection, blockage, and malfunction of the shunt. It is important to discuss the risks and benefits of VP shunting with a healthcare provider to determine if it is the right treatment option for you or a loved one with normal pressure hydrocephalus."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read and understood your history of pain in abdomen cramps all over the body, depression, twitching, anxiety, changing hear rates, alternating constipation and diarrhea, altered color of the stools is all indicate that you may be suffering from cancer of the gastrointestinal tract may be with involvement of liver and bile ducts too. diabetes on the insulin would have enhanced the problems and given secondary infections. i would advise"
Answer this question truthfully,"The E7 protein from HPV binds to and inhibits the retinoblastoma (Rb) tumor suppressor gene, specifically p105-Rb."
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","usually the stretch marks occur when 1. the size of the body organ beneath the skin enlarges rapidly or 2. suddenly looses size after being large for some time. as you correctly thought of, these things commonly occur in or after pregnancy. but in your case as you already said you've never been pregnant, but one breast is larger than other there must be some tissue or mass under the skin need to get the breast examination done by a surgeon or a gynecologist"
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Call your health care provider if symptoms of medulloblastoma develop. If you experience either of the following symptoms, seeking urgent medical care as soon as possible:
Severe headache Severe vomiting Ataxia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, thanks for asking. as you mentioned, it appears to be related to the side effects. it usually happens with the first few doses. in is not uncommon with circle that people experience such symptoms. in most of the time it will disappear after several days to several weeks. if the symptoms are still present after a few days, you can tell your doctor and ask him to combine it with an antianxiety medication since it is common to do it at the beginning. rarely, but important to know, it might be related to reaction of your brain to this medication. so if your sleep decreases to just several hours, and it persists over time with this medication, you should inform your doctor to evaluate again your situation. i wish you the best health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of post infectious bronchitis is more likely. bronchitis causes bronchospasm and this in turn causes chest tightness, breathing difficulty, coughing, mucus expectoration etc. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer with one of the option in the bracket,E: Right main coronary artery occlusion
Answer this question truthfully,Surgery is not the first-line treatment option for patients with lymphadenopathy. It depends upon the underlying diagnosis. Surgery is usually reserved for patients with either:  Malignancy Biopsy required for staging
Please summerize the given abstract to a title,"Two SARS-CoV-2 Genome Sequences of Isolates from Rural U.S. Patients Harboring the D614G Mutation, Obtained Using Nanopore Sequencing"
"If you are a doctor, please answer the medical questions based on the patient's description.","headaches are not caused by spinal issues. they are a brain problem. however, there can be feedback from the upper cervical cord (c1-3)and discs that can push on it. typically, a mild disc bulge does not cause this. if the headaches are short lasting and only on one side, this can be occipital neuralgia which can be caused by cervical problem. typically tingling on top of the head with headaches is something called alloying which is the sensation of pain where there shouldn't be. this occurs after about 60 minutes after an onset of migraine. of course, this can also be cervicogenic headache. talk to a pain specialist who could do cervical trigger point injections and/or greater occipital nerve blocks which could provide some temporary relief followed by physical therapy."
Answer this question truthfully,"In some cases, a drug can cause the immune system to mistakenly think your own red blood cells are dangerous, foreign substances. Antibodies then develop against the red blood cells. The antibodies attach to red blood cells and cause them to break down too early.
Drugs that can cause this type of hemolytic anemia include:
Cephalosporins (a class of antibiotics) is the most common cause Dapsone Levodopa Levofloxacin Methyldopa Nitrofurantoin Nonsteroidal anti-inflammatory drugs (NSAIDs) Penicillin and its derivatives Phenazopyridine (pyridium) Quinidine
There are other, rarer causes of drug-induced hemolytic anemia. This includes hemolytic anemia associated with glucose-6 phosphate dehydrogenase (G6PD) deficiency. In this case, the breakdown of red blood cells is due to a certain type of stress in the cell, rather than the body's immune system.
Drug-induced hemolytic anemia is rare in children."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your query, i think you are suffering from metastasis or multiple myeloma with rare possibility of tuberculosis. you can go for ct guided needle biopsy. treatment consist of pain relief by strong analgesic(such as attract three times a day after meals) omeprazole 20 mg before meals prevent acidity caused by analgesics. specific treatment will be after biopsy report. i think your query answered. welcome to any follow-up query."
Answer this question truthfully,"Kussmaul sign is a medical sign characterized by an increase in jugular venous pressure during inspiration. It is often seen in patients with certain heart and lung conditions, such as constrictive pericarditis or pulmonary hypertension. The sign is named after Adolph Kussmaul, a German physician who first described it in the late 19th century. Kussmaul sign is an important diagnostic tool for clinicians in identifying underlying cardiovascular and respiratory conditions."
Answer this question truthfully,The concentration of [TF]urea increases in the cortical and outer medullary collecting ducts when ADH is present.
Please summerize the given abstract to a title,The impact of the Health Crisis on the psychological feeling of patients during the second wave of Covid-19 in Geriatric wards
Please summerize the given abstract to a title,Metabolic biomarker profiling for identification of susceptibility to severe pneumonia and COVID-19 in the general population
"If you are a doctor, please answer the medical questions based on the patient's description.","red inflamed nipple in child may be due to many reasons like skin eczema, bacterial infection or simple hormonal changes. it is better you immediately take her to a pediatrician who will examine physically to decide the diagnosis. you need to put cotton clothes on her, maintain proper body hygiene and avoid things that are causing allergy symptoms in her, and maintain her nutritional diet. this condition seems alarming but most of the time it is not dangerous, and you need to be calm to take proper action for your child."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, yellowish discoloring of skin, sclera and urine indicate jaundice. you should get fully evaluated by checking for bilirubin in your blood also check for viral hepatitis and take treatment accordingly. your gp can guide you with the blood test, but you may also need an opinion from a hepatologist depending on findings of the blood results. get these done, done before embarking on the pregnancy. hope this helps. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you have recently undergone surgery for hernia repair, and you are getting pain in the lower abdomen after sex. since, there is still inflammation in inguinal region at the site of surgery, it is normal and natural to get pain in lower abdomen.  take anti-inflammatory medication like diclofenac twice daily for two weeks and refrain from having sexual activities till it gets healed up completely. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i have been through your question and understand your concern. the cervical disc protrusions are common findings in the mri and generally benign. if you do not have any walking problems or handling the objects, then you should not worry. it would be better if you schedule a neurological consult to evaluate for any motor or sensory deficit (caused by the protrusion). otherwise, you should not be worried about. hope this helps. please feel free using mhc again."
"If you are a doctor, please answer the medical questions based on the patient's description.","well, let us not try to \""fix\"" anything! she is a human, not a leaky facet. having said that, it appears that she has a virus that has affected her chest/respiratory system as well as her skin, and the gut. you should keep treating her symptomatically. give her paracetamol for fever, ben chatbot.  allow her to decide her activity level. neither force her to move nor to sleep. encourage her to play and do interesting things to avoid getting her from being bored and tired. i hope this helps. best wishes and praying for her speedy recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. if i am your doctor i suggest you that pcr is gold standard test for tb, its negativity suggest that your daughter is negative for the tb. though some false negative results are there for pcr, but you should not ignore the test. i suspect the meningitis in your daughter has some different etiological diagnosis. kindly say for different etiological diagnosis. if you have to ask me anything you can contact me. chatbot. infectious disease specialist. thank you."
Please summerize the given abstract to a title,Machine learning-based CT radiomics method for predicting hospital stay in patients with pneumonia associated with SARS-CoV-2 infection: a multicenter study
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for writing fall you had might have caused some injury on the flank side which may cause pain. it is not necessarily from the kidneys. if you don't have any blood in the urine or any other problem in passing urine it may not be a kidney problem. although my concern is whether you had a rib fracture because of the fall as the pain is increasing when you cough or breathe. x-ray might be of help. even if it is a rib problem all it needs is a rest and immobilization. you may write back with your queries. tx
Answer this question truthfully,"The exact pathogenesis of acute diarrhea is different for infectious and non- infectious causes. Diarrhea is a condition of altered intestinal water and electrolyte transport. The pathophysiology of acute diarrhea includes osmotic, secretory, inflammatory types, and diarrhea due to altered motility. 
Stool osmotic gap in cases of osmotic diarrhea is characterized by osmotic gap >125 mOsm/kg. In case of osmotic diarrhea, fasting leads to cessation of diarrhea.
Acute diarrhea due to an osmotic causes includes osmotic laxatives such as lactose intolerance, antacids, fructose, lactulose, laxatives and high concentration of magnesium, phosphate, and sorbitol, which induce a secretory state.   Maldigestion syndromes such as disaccharidase deficiency may also result in chronic osmotic diarrhea.
Secretory diarrhea results from disordered electrolyte transport and is the result of alteration of the absorptive role of the gut and increased secretory capacity. In secretory diarrheas, stool osmotic gap is <50 mOsm/kg and fasting does not lead to diarrhea cessation.
Bacterial infection of the intestine leads to activation of epithelial ion channels with increased secretion of anions. Invasion of the epithelium by various pathogens lead to exotoxin production and enhancement of enterocyte secretion by cytotoxins or intracellular signalling. Cytokines activate the release of inflammatory mediators such as platelet activating factor and prostaglandins which stimulate secretion.
Disruption of the normal colonic epithelial barrier by microorganisms is mainly responsible for inflammatory diarrhea. This disruption may lead to exudative, secretory, or malabsorptive components of inflammatory diarrhea.
Inflammatory causes of diarrhea might present with features that suggest malabsorption or rectal bleeding. The nature of the malabsorption depends on the regions affected (e.g., proximal vs. distal small bowel), and rectal bleeding is usually a manifestation of colonic or rectal ulcerations. 
Both rapid and slow transit time are associated with motility disorders causing diarrhea.
Rapid transit time delivers fluid secreted during digestion to the distal small bowel or colon. This prevents reabsorption of normally secreted fluid in the small bowel, overwhelming the reabsorptive capacity of the colon. Slow transit time results in bacterial overgrowth with bile acid deconjugation, poor micelle formation, and steatorrhea. Delayed transit time may lead to symptoms such as steatorrhea, usually up to 14 g per day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctorregarding your hair fall, it is normal after pregnancy and childbirth, since you don't have any other medical condition. your hair will take a while to grow well, as the hair growth slows as you age as well. you can start on a supplement like bootee or collinear. do check if your hemoglobin and iron levels are back to normal after delivery or if you need iron supplements. take the capsules daily for at least 3 months. apply recite or tress go solution to the scalp at night. use anaphase shampoo regularly. take care of your diet and rest well. these measures will help your hair growth but will take a couple of months to show results. hope this helps."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot forum, i would like you to know that burns from hot chatbot. do not worry, it will heal on its own within 3-5 days. until then avoid hot and spicy food as it might irritate the area. you can get an over the counter topical medicament for oral burns and apply it 30 mins before meal or 30 mins after meal. i hope this answer was useful.i wish you good health, thank you."
Please summerize the given abstract to a title,Feature Shift Detection: Localizing Which Features Have Shifted via Conditional Distribution Tests
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the symptoms provided by you are only general in nature, it is difficult to make a diagnosis on their basis. it could be an intestinal infection, renal colic etc., bad taste may be due to prolonged stress etc. so, it is better if you see your physician and get yourself examined clinically and by investigations. hear-say is not applicable in medical science, every case is a different case so do not find similarities in others or on net. only a skilled medico can help you. wish you a speedy recovery to health"
Please summerize the given abstract to a title,Cytomegalovirus-Induced Coombs-Positive Hemolysis or Drug-Induced Hemolysis in an Immunocompetent Young Adult
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot. if you have history of trauma, heavyweight lift, bad sleep posture, or any unaccustomed activity first possibility here is muscle strain or tear. second also chance of costco chatbot. if you have fever then x-ray done for rule out pneumonitis like condition or pleuritic ... if history of smoking interstitial lung diseases or emphysema like resp obstructive condition ruled out by x-ray or pulmonary function test. rest done. for pain analgesic taken. take care..."
Please summerize the given abstract to a title,"Mental well-being during COVID-19 pandemic: the role of fear, social isolation and psychological resilience"
Please summerize the given abstract to a title,Nosocomial Intravascular Catheter Infections with Extended‐spectrum Beta‐lactamase‐producing Escherichia coli in Calves after Strain Introduction from a Commercial Herd
Please summerize the given abstract to a title,Dampak pandemi COVID-19 terhadap motif dan tren penelusuran informasi kartu prakerja di Indonesia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, your period came on 17th of may and unprotected sex on 22 may as only 3 days after period is usually safe period, but you took emergency contraceptive pill it is not advisable to take double dose it can cause hormonal imbalance. you took hormone pill in early phase hence you had with chatbot.  emergency contraceptive pills are hormone tablets and can cause irregular period. if there is any doubt it is better to visit a gynecologist and get examined and if necessary get ultrasonography of abdomen to be sure anything is not missed. please practice safe sex as it prevents both unwanted pregnancy and sexually transmitted diseases. hope this helps you. take care. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome, the pain and swelling is usually associated post wisdom teeth extraction. the lump arose at the extraction socket area may be due to-traumatic extraction. tearing of gingival flap during extraction. chatbot. alveolar bone which is fractured. i would suggest you to do frequent warm saline gargle. maintain good oral hygiene. please do not irritate the area using fingers/toothpicks.please avoid frequent spitting. application of cold packs can be done. hope this helps."
Please summerize the given abstract to a title,CRISPR immunity: a case study for justified somatic genetic modification?
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, your brothers symptoms are suggestive of psychosis, most probably schizophrenia. he needs medicine either he agrees or by putting it in his food.or by giving him injectable antipsychotics forcefully once a week. he will definitely get better with treatment.you might feel his improvement in few days of giving medicine. if he is accepting food/ liquid from your home, the medicine can be added in his food. you should ask his doctor to write such liquid formulations. please donor be disheartened, and also boost confidence of your father. i can understand that your father is very stressed, but please tell him that with medicine your brother will get back to life and work too. it is quite usual in psychiatry that patient doesn't accept treatment, so for some time medicines are given smartly or many times force fully. wish you good luck."
Please summerize the given abstract to a title,Olfactory and Gustatory Dysfunction in Covid-19: An Observational Study in a Tertiary Care Institute of Western Rajasthan
Please answer with one of the option in the bracket,D: Extracellular amyloid forming parenchymal plaques
Please summerize the given abstract to a title,Research on Classification of COVID-19 Chest X-Ray Image Modal Feature Fusion Based on Deep Learning
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,"Abdominal pain Chest pain Irritability Nervousness Pallor Palpitations Rapid heart rate Severe headache Sweating Weight loss
Other symptoms that can occur with this disease:
Hand tremor High blood pressure Sleeping difficulty
Symptom attacks may occur at unpredictable intervals and usually last 15 to 20 minutes. The attacks may increase in frequency, length, and severity as the tumor grows."
Answer this question truthfully,The hereditary form of renal cell carcinoma typically occurs in younger adults.
Answer this question truthfully,"Some potential clues in a vignette that an infant's APGAR score may be slightly abnormal include acrocyanosis, which refers to a bluish discoloration of the hands and feet due to poor oxygenation; a heart rate below 100 beats per minute, which may indicate cardiovascular or respiratory problems; and irregular respirations, which may suggest that the infant is having difficulty breathing. The APGAR score is a quick assessment tool used to evaluate the physical condition of a newborn immediately after birth. It measures five factors: appearance, pulse, grimace, activity, and respiration. Each factor is scored on a scale of 0 to 2, with a maximum score of 10. A score of 7 or above is considered normal, while a score of 4 to 6 may indicate that the infant requires some assistance or monitoring, and a score of 3 or below may indicate that the infant is in critical condition and requires immediate medical attention."
Please summerize the given abstract to a title,Prediction of Online Psychological Help-Seeking Behavior During the COVID-19 Pandemic: An Interpretable Machine Learning Method
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. the most common cause of fever in this case could be viral fever. however, as one week is approaching, we should consider other infections such as typhoid, urinary tract infection, respiratory tract infection, etc. a blood culture would be useful. a course of empire antibiotics may be necessary (in addition to amoxicillin, as it has not helped). please discuss these with your pediatrician. best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for using chatbot.improbable diagnosis
Please answer with one of the option in the bracket,C: CT angiography
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. your history and symptoms suggest that you may have piles.  you should avoid spicy food.  take high fiber diet.  avoid constipation.  you can apply lignin jet over it to receive pain.  if needed go for surgery for piles. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, if your child is active, and likes sport, the bruising is due to trauma he might have experienced during playing. ankle is the most vulnerable place to get this trauma especially if he likes football. now, every time you notice the bruising, apply cold compresses to prevent further problems. if you are still worried, can run a complete blood count, ers tests to see if there is anything wrong in his blood. hope this helps.  chatbot."
Answer this question truthfully,"Candidal esophagitis is a fungal infection caused by Candida albicans that affects the lining of the esophagus, which extends from the mouth to the stomach. It is an AIDS-defining illness, meaning that it is a sign that a person has progressed to AIDS, the most advanced stage of HIV infection."
Please answer with one of the option in the bracket,A: Delusions about her brother
Answer this question truthfully,"Before taking phenylephrine:
tell your doctor and pharmacist if you are allergic to phenylephrine or any other medications. do not take phenylephrine if you are taking monoamine oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate), or have stopped taking them within the past 2 weeks. tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. You should know that phenylephrine may in used in combination with other medications to treat colds, allergies, and sinus headaches. Be sure to read the information provided for the patient when taking combination products to be sure that you are not taking additional medications that contain the same ingredient. tell your doctor if you have or have ever had high blood pressure, diabetes, trouble urinating because of an enlarged prostate gland, or thyroid or heart disease. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking phenylephrine, call your doctor. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking phenylephrine."
Answer this question truthfully,"Patients taking drugs that are excreted via the renal tubular basolateral OAT channels (such as Penicillin, Cephalosporins, and Methotrexate) should be monitored carefully while taking Probenecid."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having herd (castro esophageal reflux disease). it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. try to follow these steps for better symptomatic relief. 1. avoid hot and spicy food. 2. avoid large meals, instead take frequent small meals. 3. avoid stress and anxiety. 4. start proton pump inhibitor and anti-emetic combination. 5. go for walk after meals. 6. keep 2 - 3 pillows under head in the bed. 7. avoid smoking and alcohol if you have habit. 8. lose weight if you are obese."
Please summerize the given abstract to a title,A sharp increase in the number of COVID-19 cases and case fatality rates after lifting the lockdown in Kurdistan region of Iraq
Please summerize the given abstract to a title,Techniques and modeling of polyphenol extraction from food: a review
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Is crowd support a significant factor in home advantage on the highest level of competition in football?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi danish ! i am chatbot, a general surgeon. it would have been of more help if you could provide me with the reports of investigations done so far including that of an mri if done. the symptoms of your mother goes more in favor of a prolapsed inter vertebral disc with some amount of pressure to the nerve roots due to which the pain in the left leg is persisting. after discussing with the treating orthopedic surgeons, you can plan for an mri scan for your mother and its report will decide further course of action. i wish your mother an early recovery."
Answer this question truthfully,An ultrasound of the right upper quadrant (RUQ) is the imaging modality that is recommended for the evaluation of patients with suspected gallstone pancreatitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. teenage years are years of great physical change, emotional turmoil. we do tend to feel isolated, at times unable to share, vent out feelings & find a sense of connect especially with elders. hence, these emotional outbursts can often occur & may become disabling. simple advice is created a support group of dedicated friends, family members to whom you feel close. secondly consult a psychologist/psychiatrist where you can discuss your troubled areas of life, learn mindfulness techniques, cognitive behavior therapy sessions etc. which teach a person to learn to live in present, achieve greater mental stability, greater control over emotions. lastly, too many times depressive illness in youngsters presents itself as increased irritability, crying spells, rebellious behaviors etc. hence a psychiatric assessment & treatment if required shall help you get back to normal life soon. good luck"
Please summerize the given abstract to a title,COVID-19 and Dengue infection in Bangladesh: a case of coinfection where hemoptysis as first presentation (preprint)
Please summerize the given abstract to a title,Closing an Intractable Tracheoesophageal Fistula Caused by a Tracheoesophageal Shunt Using a Myocutaneous Flap and a Hinged Flap With Skin Graft in a Two-Step Procedure
Please summerize the given abstract to a title,Respiratory Syncytial Virus Outbreak in the Basic Military Training Camp of the Republic of Korea Air Force
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in my opinion, you have a collar bone boil with the infection for which your doctor started antibiotics. ct and x-ray chest bothered you much, and you started worrying about the possibility of cancerous lumps in your collarbone area. by no means, this lump or collar formation is cancerous and is due to the infected boil on the collar bone area. so just forget it as antibiotics would take care of it. cold and congestion are part of the seasonal illness and should not worry you much. so keep cool. consult your emergency room, surgeon and physician, if need be, who would treat it accordingly. so don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. hope i have answered your query. let me know if i can assist you further."
what is the cause of ocd,"The known risk factors of developing obsessive-compulsive disorder  are having parents or other family members with the disorder, traumatic or stressful life events, and having other mental health disorders, such as anxiety disorders, depression, substance abuse or tic disorders."
Please summerize the given abstract to a title,Lower Bounds for Semi-adaptive Data Structures via Corruption
Please summerize the given abstract to a title,Navigating complexity: The importance of design-based research for faculty development
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.",sharp stabbing heart pain that gives up to left arm and then down the arm ...madam ot is typical presentation of angina .but u did not told your other heart issues ...as it may n\u00e9 related to them ...just donor ignore it ...visit your doctor at the earliest and request for ecg chest x-ray stress echocardiography etc ...i would say to insist for these tests ...till you visit doctor ...please be calm and donor take any undue physical or mental exertion...best of luck
"If you are a doctor, please answer the medical questions based on the patient's description.","i have read and understood your query hope this will be helpful of all you should not have taken tablets for abortion without consulting doctors your baby is weak but viable what you need to do is to decide whether you want a baby or not. if you want an abortion you should meet your ob/gone doctor and discuss it properly but if you are ready to have a baby, right now you need to take care of you, eat healthy and more, take proper rest and avoid stress. also start taking supplements containing folic acid and multi vitamins. i will be very glad to know if you find it usefulthankyouregards chatbot."
Answer this question truthfully,"The health care provider may palpate your abdomen to feel for a pseudocyst, which feels like a mass in the middle or left upper abdomen.
Tests that may help diagnose pancreatic pseudocyst include:
Abdominal CT scan Abdominal MRI Abdominal ultrasound"
Please answer with one of the option in the bracket,C: Aldosteronoma
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Autocuidado na perspectiva de trabalhadoras sexuais para enfretamento e prevenção à pandemia do SARS-CoV-2 (preprint)/ pt
"If you are a doctor, please answer the medical questions based on the patient's description.","hellos the baby of di george syn chatbot.  the respiratory infection is a common problem. if he is restless and has poor oral acceptance with some breathing problem, consult your pediatrician to rule out any respiratory infection.this baby have increased chance of congenital heart defect. an echocardiography should also be done to rule out any heart disease if there are clinical signs.  regards"
Answer this question truthfully,"One histological feature that is observed after an ischemic stroke is the presence of a glial scar, which appears after 2 weeks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, since you are on a chatbot diet and are now experiencing discomfort, it can be due to it. side effects include restlessness, fatigue, depression, irritability, etc. stop chatbot diet for a while and switch on to normal diet. but keep your treating doctor informed. other causes of chest tightness can be angina, acid reflux, asthma, etc. you are suggested to get clinically examined by a gp. you will have to get blood and imaging tests done. take ppi's for relief. you can take acetaminophen, one sos when pained. your treatment will depend on the pathology detected and the clinical condition. take care. hope i have answered your question. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","i read your question and i understand your concern. i don't think your doctors are wrong though, if there has been nerve damage from the injection it will need some time for the nerve to heal itself, can be a matter of weeks, it's not a question of healing it through medication. perhaps an eng could be done to assess the degree of damage to the nerve, but that wouldn't change the outcome, just could make a better prediction on the chances of full recovery. i hope to have been of help"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorone thing you should bear in your mind and that is any pathology if it does not treat in time then consequences would be graved, you have this problem since last six years and nothing bad happened up till now this means it may not be pathological but could be functional problem and that must be treated accordingly, if i would be your doctor then would suggest you to control your self it is much better to go in hand of psychiatrist, be free from anxiety obsession delusion everything will be fine soon have nice day"
Answer this question truthfully,San Joaquin Valley fever is a buzzword for Coccidioidomycosis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatbot. i have gone through your query. you are most likely having a rotator cuff tear. these are four muscles which support the shoulder joint. without their support the joint is very weak. these muscles are supraspinatus, infraspinatus, tears minor and subscapularis muscles. in your case supraspinatus muscle is injured in full thickness tear. it has a function of abducting(away from the body) the arm against shoulder. if the tear is mild then conservative treatment, rest and physiotherapy will work. if full thickness tear then arthroscopic or open surgical repair should be considered. hope this may help you. let me know if anything is not clear. thanks."
Please summerize the given abstract to a title,Face(book)ing the Truth: Initial Lessons Learned using Facebook Advertisements for the Chatbot-delivered Elena plus Care for COVID-19 Intervention
Please summerize the given abstract to a title,Psychological characteristics of parents in a Paediatric Outpatient during the SARS-CoV-2 Epidemic.
Please summerize the given abstract to a title,Classification of unlabeled online media
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it will help to know your age and gynecological history in the past. it is known that even with normal test reports, some people might have symptoms like anxiety, night sweats and headaches. furthermore, it can even be that you are normal and having a slight mental stress related anxiety and that is causing a perception of night sweats. this might also be confused with flushing in some people. it will help to get a slightly more detailed medical examination keeping your symptoms in mind. the chatbot.  this might need imaging investigations and specific hormone levels in blood. treatment is based on the cause and persons with unexplained night sweats should seek medical care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, there! joint pain is common when virus is in the blood flow, it's called viral intoxication possible to get rheumatism diseases after flu/bacterial tonsillitis. to figure it out you need blood tests - c-reactive protein (crp), rheumatoid factor (rf), anti-cyclic citrullinated peptide antibody (anti-ccp), protein biomarker 14-3-3eta.it's possible to have co-disseases that arise or relapse don't want to frighten you, hope this helps!"
how do i stop using rasagiline,"Do not stop taking rasagiline without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop taking rasagiline, you may experience withdrawal symptoms such as a fever; muscle stiffness; unsteadiness, wobbliness, or lack of coordination; or changes in consciousness. Tell your doctor if you experience any of these symptoms when your dose of rasagiline is decreased."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot.first, you didn't mention the exact extent of the defect in quality of semen. is it only a low count or associated with poor motility. are there any signs of infection in reproductive tract and morphological abnormalities. what are examination finding? whether there was varicocele, epididymitis etc. according to the defect nature the treatment may likely to vary. if it is infectious cause then the course may be 10-14 days is enough, if it is associated with spermatogenesis (production of semen), then the course must be anything between 75-90 days or longer may be essential to restore a normalcy. varicocele needs surgical intervention. so more details about your defect and exact nature of medicine, will help to answer your questions.  chatbot. murugan"
"If you are a doctor, please answer the medical questions based on the patient's description.","hii.welcome to chatbot.i understand your problem.my opinion is that,1.avoid stress.2.have a sound sleep of about 8 hours a day.3.avoid alcohol, smoking.4.don't masturbate more than twice a week.5.take healthy and nutritious foods. avoid junk foods.6.lincoln gel application on the penis before intercourse may help you in achieving good erection. thank you. hope my answer would have helped you. feel free to ask any doubts."
"If you are a doctor, please answer the medical questions based on the patient's description.","helloincreased sgpt may indicate liver injury. it may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. you may need few investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. i suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. it helps in regeneration of liver cells. further treatment depend upon investigation reports. get well soon. take care chatbot."
Answer this question truthfully,"Hodgkin lymphoma may present with eosinophilia, which is an increase in the number of eosinophils, a type of white blood cell, in the blood. This may occur due to the production of IL-5, a cytokine that stimulates the production and activation of eosinophils, by Reed-Sternberg cells, which are the abnormal cells found in Hodgkin lymphoma. This is especially true for the mixed cellularity subtype of Hodgkin lymphoma, which is characterized by a high number of Reed-Sternberg cells. The exact mechanisms underlying the relationship between Hodgkin lymphoma and eosinophilia are not fully understood, but it is thought that IL-5 production by Reed-Sternberg cells may contribute to the recruitment and activation of eosinophils in the affected tissues. Diagnosis of Hodgkin lymphoma usually involves a combination of imaging tests, such as CT scans or PET scans, and biopsy of the affected tissue. Treatment options may include chemotherapy, radiation therapy, and/or stem cell transplantation, depending on the stage and severity of the disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thanks for writing. i can understand your concern about delaying the ejaculation (orgasm). you reported that your partner was not satisfied, and you ejaculated. this sometimes happens when one starts engaging sexual activity with partner. there is no fixed time or number of sex strokes of vaginal containment which is considered normal. basic key is both of the partners should be satisfied. it does not matter 2 minutes or twenty minutes. you can use start stop method, double condom, female on top with active role and keels exercise to delay the ejaculations. medicines are usually not required for you. kindly have a consultation with psychiatrist near your area. good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you are wondering if one can consume alcohol when suffering from fibromyalgia. well alcohol does allow people to switch off from their problems, but this can come with a price. alcohol abuse can lead to many negative consequences of making the symptoms of their fibromyalgia worse, there are much better alternatives than alcohol for managing the symptoms such as relaxation techniques. even physical therapy is also very beneficial. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"Urethral cancer is rare.  The annual incidence rates in the Surveillance, Epidemiology, and End Results database over the period from 1973 to 2002 in the United States for men and for women were 4.3 and 1.5 per million, respectively, with downward trends over the three decades. The incidence was twice as high in African Americans as in whites (5 million vs. 2.5 per million).
Men are more commonly affected with urethral cancer than women.
Urethral cancer usually affects African American individuals."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi...it is just a boggy swelling what you are describing. it occurs because of the trivial injury he had during the fall. nothing to worry. it will get absorbed by itself in matter to 7-10 days. it is definitely not a cyst. at this point i will suggest you the danger signs when you need to worry after a head injury. be rest assured. danger signs of head injury include -1. vomiting continuously2. seizures3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. c. sleep apnea is a disease where patient feels cessation of breath during sleep. so when anyone who feel pauses of breath, surely he will feel anxiety and this will produce hypertension and anxiety. hypertension is a curable disease so don't take it as unusual. sleep aeneas attacks occurs 5- 30 times in an hour. if low breathing than we call it hypopnea. pl get on polysomnogram (sleep study) to find out exact nature of apnea. stomach pain is due to acute gastritis so consult a physician and have treatment according to condition. regards"
Answer this question truthfully,"A selective α1A,D antagonist is a type of medication that is commonly used to treat benign prostatic hyperplasia (BPH), with tamsulosin being a commonly prescribed example. These medications work by relaxing the smooth muscle in the prostate and bladder neck, which can improve urinary flow and reduce symptoms such as urinary urgency, frequency, and incontinence. While α1A,D antagonists can be effective for many individuals with BPH, it is important to discuss all of the potential benefits and risks of this medication with a healthcare provider before starting treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. thanks for your query. your history of pain in the top right side of the pain and the bloating and gurgling indicate that you may have subacute intestinal obstruction. i would advise you the following
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for asking in chatbot forum in short
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Please summerize the given abstract to a title,Efficient Context-Sensitive CFI Enforcement Through a Hardware Monitor
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for contacting chatbot... your sun having jaundice ... bilirubin level high.... other investigation normal. you have not mentioned your liver enzymes study report.... the cause has to be decided. mostly viral hepatitis will be there. investigate with ,....-anti had -bag -anti hcv if viral marker negative usg done for gall stone or other bile duct problem... second if still cause not clear then peripheral smear examination done with relic count to detect hemolytic anemia. for that if needed specific investigation needed according to ps study. for jaundice take low fat diet. fruit juice more like apple juice, sugar can juice etc. vegetable soup and green leafy veg more. avoid alcohol.... fried food less. you can consult this with gastroenterologist consult him for further work up. take care."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,"Intestinal (jejunoileal) atresia is a congenital condition that is characterized by a blockage or absence of a portion of the intestine. It is often due to maternal cocaine or tobacco use during pregnancy, which can cause vasoconstriction (narrowing of blood vessels) in the fetal intestine. This can lead to necrosis (death) or resorption (absorption) of the affected portion of the intestine, resulting in the development of atresia. The effects of intestinal atresia on the fetal intestine can be serious and may require surgical intervention to remove the blockage and repair the affected portion of the intestine. It is important for pregnant women to avoid cocaine and tobacco use to minimize the risk of developing this condition in their unborn child."
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry much. you have obsessive thoughts, which is normal for obsessive personality. you have to learn to ignore such thoughts. ignore them and they vanish in due course. if you start fearing obsessive thoughts, they come back and haunt you again and again. let the thoughts come and go. don't mind. they will not harm you unless you fear them. you might need psychotherapy and other cognitive behavioral therapies. i can help you through telephone. please do contact me through customer care of www.chatdoctor .com for a telephonic consultation session. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.ca 125 is elevated not only in ovarian cancers but also in other cancers like endometrial cancer, fallopian tub cancer, breast cancer etc. it is also raised in non-cancerous conditions like endometriosis, several diseases of the ovary like ovarian cyst etc. as per literature, only 3% of females with raised ca125 levels have ovarian cancer. but, you should be further evaluated. hope the swelling in the ovary is a benign one, not cancerous. all the best. i can follow if you post the ct reports too. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. 1. it can be the thickened chord, epididymis which you are feeling like third testis or mass lesion.2. the superficial lesions you have mentioned are possibly hair follicle infection.3. this case ultrasound scrotum will help to evaluate the status of the testis and third structure can be delineated the source, and where it is extending.4. treatment in this case will be a course of antibiotic treatment.5. for the superficial lesions, do not disturb, press, scratch the lesion - maintain hygiene and clean with antiseptic liquid that will help. good luck. hope i have answered your query.anything to ask do not hesitate. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thank you for asking at chatbot. i went through your history and understand your question. recurrent episodes of wheezing usually suggest asthma, be it allergic or non-allergic. there are so many types of asthma. as you have allergic reactions only related to cat exposure, it seems you are allergic to cat allergens (proteins from cat saliva, dander or urine which cause allergy). so avoiding contact with cat as well as avoiding visiting places with cat will be a way of preventing reactions. however, if it is not possible to avoid these, i would suggest you to consult an allergist-immunologist who may suggest allergy testing and immunotherapy which gradually \""trains\"" immune-system to react differently to cat proteins. he may also suggest you spirometry with post-bronchodilatation reversibility test to see whether you have asthma and how your lungs function. hope this will be helpful to you. wish you best of the health. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, suggestive of side effects of creator. there is no documented harmful interactions between these two medications when taken together. however, based on the history given you seem to be suffering from the side effects of cholesterol lowering medication creator. i would advise you to consult your treating doctor to prescribe an alternate effective, but a safer medicine like colesevalam or ezetimibe to treat high cholesterol. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Objective Sensory Testing Methods Reveal a Higher Prevalence of Olfactory Loss in COVID-19-Positive Patients Compared to Subjective Methods: A Systematic Review and Meta-Analysis
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Answer this question truthfully,Neisseria meningitidis is the gram-negative bacterium that is commonly treated with penicillin G or ceftriaxone in cases of meningitis.
Please summerize the given abstract to a title,"Seroprevalence of Toxoplasma gondii and concurrent Bartonella spp., feline immunodeficiency virus, and feline leukemia virus infections in cats from Grenada, West Indies."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. thanks for your query. in your case you have not mentioned the duration of the pain, still considering it as an acute problem we will try to provide a solution to your problem. in your case straight leg raising test should be performed to rule out sciatic pain due to herniated disc which is likely to be the cause of the pain.further, x-ray of pelvis and lower vertebrae should be taken to rule out the cause the underlying problem. the pain be treated conservatively with diclofenac, paracetamol and gabapentin. consult an orthopedist and take further suggestions. wish you a good health. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com i am chatbot. mariano into bruno mascaras. i have gone through your query with diligence and would like you to know that i am here to help you. the fall can injure temporal bone and disturb the vestibular apparatus. this can cause dizziness and other symptoms you have told hope you found the answer helpful. if you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. i will be happy to answer your questions. in the future, for continuity of care, i encourage you to contact me directly in chatbot at http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. your ultrasound abdomen reports suggest that you have 2-3 very small kidney stones. no, any other problems in kidney, ureter or bladder.  you should chatbot.  if you don't have any symptoms then no treatment is required right now. because stones are very small.  if you have pain then diclofenac sodium is used for pain relief.  follow-up ultrasound is required. then you should plan accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Cardiac CT scanning with angiography (CTA) can be useful to:
Diagnose heart failure: by calculating the biventricular volume and ejection fraction with good correlation to echocardiography. Assessing the regional wall motion (with cine-loop formatting).  Excluding ischemia as a cause for DCM (Cardiac CTA has a 98% diagnostic sensitivity and 97% specificity in excluding ischemic cardiomyopathy). Also, Myocardial perfusion analysis of the coronary arteries is also beneficial. 
Differential diagnosis of DCM from hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, and left ventricular noncompaction."
Answer this question truthfully,"Calcitonin promotes calcium excretion by the kidney. Calcitonin is a hormone that is produced by the thyroid gland and is involved in the regulation of calcium and phosphate levels in the body. When blood calcium levels are high, calcitonin is released and acts on the kidneys to increase the excretion of calcium into the urine. This helps to lower blood calcium levels and maintain the balance of calcium in the body. The mechanism by which calcitonin promotes calcium excretion in the kidney involves inhibiting the reabsorption of calcium by the renal tubules. Therefore, calcitonin plays an important role in the regulation of calcium homeostasis in the body."
Please answer with one of the option in the bracket,A: Complete blood count
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot .1. tube legation generally does not give the above symptoms.2. reason for bled need to be seen.3. if you are my patient i would ask for an ultrasound pelvis none to see the status of your uterus and ovaries to rule out many causes. (mass/inflammations/bulky ovaries)4. yes there is something wrong and get medical help as soon as possible. anything to ask ? do not hesitate. thank you.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Please answer with one of the option in the bracket,"A: Gram-negative, lactose-fermenting rods in pink colonies"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. your child is 6 month old and is passing stools 5 to 6 times per day, and the stool is watery. a 6-month child can pass stools 5 to 6 times per day or may pass stool once in a day, both these things are normal. but the stools should not be watery and should not bother the child. since, your child has watery stools on taking formula milk, it seems that your child has probably some allergy to that formula milk. in my opinion, you should change the formula milk to some other brand, it will solve your problem. if after changing formula milk, the problem persists then we have to think of cow milk allergy and start the child on lactose free milk. i hope this will help you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have noticed your penis to be soft in flaccid state. please note that length and softness of the penis in flaccid state has no significance at all. it is hardness of penis on erection that is important for sexual satisfaction of both the partners. the length of penis of 5 inches on erection is enough to have enjoyable sex. chatbot."
Answer this question truthfully,"Pyruvate can be converted into oxaloacetate through a process known as carboxylation, which is catalyzed by the enzyme pyruvate carboxylase. This process plays an important role in the metabolism of glucose and other carbohydrates, as oxaloacetate can be used to produce energy or to synthesize other important molecules in the body."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi .... chatbot. , thanks for choosing chatbot., white spots due to meet called ...chemical leukoderma., it has very good treatment.,1) apply clobetasol cream on white spots and exposure to., sun for 5 mts.,2) tab.... methoxasalen morning 2 tabs at 9 am and exposure sun after ., 2 hrs.(apply above cream., )3) tab dexamethasone 0.5 mg 2 times per week for 6 weeks ., will get very good result...ok...good luck.,"
Answer this question truthfully,"Ebola hemorrhagic fever (Ebola fever) is caused by a virus belonging to the family called Filoviridae. Scientists have identified four types of the Ebola virus. Three have been reported to cause disease in humans: Ebola-Zaire virus, Ebola-Sudan virus, and Ebola-Ivory Coast virus. The human disease has so far been limited to parts of Africa. A very small number of people in the United States, who were infected with the fourth type of the virus, known as Ebola Reston, did not develop any signs of disease. The disease can be passed to humans from infected animals and animal materials. Ebola can also be spread between humans, by close contact with infected bodily fluids, or through infected needles at the hospital. A person infected with Ebola is contagious from the moment he/she begins to show symptoms."
what treatment do you use to cure chickenpox,"To help ease the symptoms of an uncomplicated case of chickenpox, follow these self-care measures. Don't scratch Scratching can cause scarring, slow healing and increase the risk that the sores will become infected. If your child can't stop scratching: - Put gloves on his or her hands, especially at night - Trim his or her fingernails Relieve the itch and other symptoms ... For relief, try: - A cool bath with added baking soda, uncooked oatmeal or colloidal oatmeal - a finely ground oatmeal that is made for soaking. - Calamine lotion dabbed on the spots. - A soft, bland diet if chickenpox sores develop in the mouth. - Antihistamines such as diphenhydramine (Benadryl, others) for itching. Check with your doctor to make sure your child can safely take antihistamines. - Acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, Children's Motrin, others) for a mild fever."
Please summerize the given abstract to a title,The impact of tourism on the conservation and IAQ of cultural heritage: The case of the Monastery of Jerónimos (Portugal)
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot! after reading your question it comes out that you are having some giddiness and lightheaded less from past 3-6 months, but it is not affecting your life. had i been at your place i think i would meet a general physician or medicine specialist?  to me, it appears to be either some blood pressure problem or may be a case of cervical spondylosis. getting your routine tests and bp checked will rule put some usual causes. you are right in finding for its cause as even though this is not disturbing you life, but this is a symptom, and it should not be there. anyway, it looks to be only some minor problem, so donor worry a lot, see a doctor. only after examining you one can pinpoint the reason. hope the reply is usefulness free to ask more questions"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear i went through your query.1-by the facts placed by your query, i feel it to be- multiple lumps due to multiple folliculitis / boils on your arm and abdominal areas.2-it could be due to infection of the follicles with abscess formations.3-in my opinion it's not webers-christians disease-as it supportive with multiple abscesses.4-plz check your blood sugar and consult to your er / family doctor/ 5-hope this would solve your query,6-thanks for your query to the chatbot. 7-you are welcome for any further treatments if required.8-i would love to help you out of your lumps. . thnks. wellcome."
Answer this question truthfully,The strongest risk factor that predicts suicide is a prior suicide attempt.
Please summerize the given abstract to a title,"Inactivation Activities of Ozonated Water, Slightly Acidic Electrolyzed Water and Ethanol against SARS-CoV-2"
Please summerize the given abstract to a title,Raptor research during the COVID-19 pandemic provides invaluable opportunities for conservation biology
Answer this question truthfully,"The potential side-effects of PDE-5 inhibitors include headache, flushing, dyspepsia (indigestion or upset stomach), and cyanopia (blue-tinted vision). Dyspepsia is a common side-effect of PDE-5 inhibitors, which can cause symptoms such as bloating, nausea, and abdominal pain. Cyanopia, on the other hand, is a rare side-effect that can cause objects to appear blue-tinted or have a blueish hue. It is important to note that while these side-effects are possible, not everyone who takes PDE-5 inhibitors will experience them."
Answer this question truthfully,"The enzyme responsible for converting pregnenolone to 17-hydroxypregnenolone is 17α-hydroxylase. Pregnenolone is a steroid hormone that serves as a precursor for several other hormones, including 17-hydroxypregnenolone. The conversion of pregnenolone to 17-hydroxypregnenolone occurs via a series of enzymatic reactions, with 17α-hydroxylase playing a key role in the process. This enzyme catalyzes the addition of a hydroxyl group (-OH) to the 17th carbon of the pregnenolone molecule, forming 17-hydroxypregnenolone. This reaction is an important step in the biosynthesis of several other hormones, including cortisol and androgens."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi.... fever and cough or usually symptoms of viral illness rather than malaria. the main symptoms of malaria will be very high grade fever with chills and rigors. cough is usually not a prominent symptom in malaria. i suggest you go ahead with a blood smear examination for malarial parasite and if it is positive go ahead with treatment of malaria. usually for cough and fever malaria chatbot. regards -
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. as per you query you have cut on gum, which is not healed yet. well i would suggest you to consult oral surgeon for proper examination. doctor will examine physically and examine with the help of probe. doctor will wash it with hy chatbot.  after the procedure doctor will put you on antibiotics along with anti-inflammatory. for now do warm saline rinses, maintain proper oral hygiene and apply colonel if there is difficulty while eating food. understanding your concern. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","cellophane you for contacting chatbot. there could be two possibilities in your case. first, bacterial infection of the belly button area.  second, incisional hernia. for first case, clean the area with spirit and apply poly fax plus ointment thrice a day for a week. for second, you need to visit hospital where doctors will confirm it by examining it. hope this answers your question. if you have additional questions or follow-up questions then please do not hesitate in writing to us. wishing you good health."
Please summerize the given abstract to a title,Ang II-Induced Hypertension Exacerbates the Pathogenesis of Tuberculosis
Please summerize the given abstract to a title,Early prone positioning therapy for patients with mild COVID-19 disease
Is optic atrophy ginetic and what cause it?,"There are many causes of optic nerve atrophy. The most common problem,  most often in older adults, is poor blood flow.(ischemic optic neuropathy.) The optic nerve can also be damaged by shock, toxins, radiation, and trauma. Eye diseases, such as glaucoma, can also cause a form of optic nerve atrophy. The condition can also be caused by diseases of the brain and central nervous system such as brain tumor, cranial arteritis, multiple sclerosis, and stroke. There are also rare forms of hereditary optic nerve atrophy that affect children and young adults."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, welcome to chatdoctorloosing more than 100 strands of hairs means yes there is something wrong and need to be fixed... first of don't take too much of stress as it would not going to help but worsen the condition... recall if you have any illness or any stressful event in last 3-4 months,,,if yes then this is halogen effluvium...it occurs when some stress causes hair roots to be pushed prematurely into the resting state and then shedding....this is a self repairable condition and reverts in another 6-12 months...first increase your protein intake, vegetable and fruits rich in all the minerals and vitamin,,,you may also take hair vitamin supplement like tab collinear once a day after food... give frequent massage to your hairs with warm olive and coconut oil with tips of fingers,,,this will increase the circulation of scalp... apply minoxidil 2% lotion twice a day over the affected area... hope this would help."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear mister, symptoms and diagnosis you've mentioned are very serious. each of this diagnosis can cause abdominal pain, and it needs to be treated. first you need to stop chatbot.  blood vomiting is extremely serious symptom and gastrostomy must be done to evaluate this. i don't want to scare you, but you rally need to do complete work up. there is no some home-treatment.  wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for using chatbot in that case, she could try fluoxetine. paroxetine is not safer in pregnancy. it could lead to teratogenic effect. fluoxetine is approved and safer during pregnancy. try to avoid any benzodiazepine during pregnancy due to their sedative effect on fetus. beside chatbot.  rest, you can discuss with your psychiatrist. in case, you need further help, you can ask. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for asking the query, according to your history in the accident one tooth is abused and three are chipped off, in this condition i would suggest you to get the x-ray done which will decide the treatment plan.  if your teeth are dead or non-vital, and if the x-ray shows a good bone support you can complete the root canal for the chipped tooth and get a post and core build up for your tooth, and if the tooth is infected at roots get the chipped pieces removed and replaced in position by a prosthetic bridge taking support from abutment tooth or an implant. these are all treatment options for you, consult your dentist and discuss this. hope this helps out. regards."
Answer this question truthfully,"In a person with cirrhosis, the thyroid hormone levels are typically low total T3/T4 and ↔ free T3/T4 and TSH. This is because the liver plays a crucial role in the metabolism of thyroid hormones, and cirrhosis can impair this function. As a result, people with cirrhosis may experience thyroid dysfunction, which can cause a range of symptoms such as fatigue, weight gain, and depression. Treatment for thyroid dysfunction in cirrhosis may involve medications or other interventions to help manage the symptoms and improve overall health."
"If you are a doctor, please answer the medical questions based on the patient's description.","well hello her, reading about your mother i understand she had a lot of pre-existing problems which left her body very weak. as her age is not mentioned here, i'm assuming she must be an elderly lady. i'm really sorry for your loss and i know that there may be a thousand questions racing through your mind.  let's look at them systematically. she was a diagnosed schizophrenic from an early age and on treatment which has its own long term side effects. a necessary evil cos schizophrenia should be treated and it's a long term thing, so side effects could not be avoided. she was a heavy smoker which affected her lungs and heart leading to development of heart failure and copd which are themselves life-threatening when present as independent entities in any patient. they were both present at the same time in your mothers case. one need not have a cancer. these two themselves are fatal problems leading to rapid decline in one's health. copd is the condition where the lungs are damaged mostly due to smoking as was in this case and are not able to meet the needs of the body resulting in frequent infections and also cardiac failure. smoking in itself is a major cause of heart failure as it causes degenerative changes in the heart and blood vessels. your mother was already suffering from two life-threatening conditions and this along with the c-diff diarrhea proved fatal. diarrhea in itself if not treated promptly proves fatal. so in this case we are seeing three independently life-threatening conditions coming together unfortunately, proving fatal in the end. so attributing your mothers death only to the c-diff diarrhea would not be appropriate. hope you got your answers. take care."
Please summerize the given abstract to a title,Why we should be more careful using hydroxychloroquine in influenza season during COVID-19 pandemic?
Answer this question truthfully,"The type of vaccine used for Bordetella pertussis in infants and children is an acellular vaccine, also known as DTaP."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir i think your mom is elderly lady & she had been undergone surgery for some fracture in hip very long back, so my advice is to get done fresh x-ray to know the present status of fracture & implant, to know any arthritic changes, osteoporosis condition. she needs people physiotherapy under supervision with supplementation with calcium, protein to increase bone strength. give mild painkiller like attract. kindly let me know how she feels after doing this. thanks."
Please summerize the given abstract to a title,HIV-1 Protease and Reverse Transcriptase Inhibitory Activities of Curcuma aeruginosa Roxb. Rhizome Extracts and the Phytochemical Profile Analysis: In Vitro and In Silico Screening
Please answer with one of the option in the bracket,A: Mood stabilizer
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you should consider whether your child is having asthma symptoms instead of bronchitis. they are hard to tell the difference sometimes, but different medications are used. these two diagnoses also can be inter-related. cough at night is a subtle sign of asthma and may respond to medications like albuterol or steroids. asthma tends to cause recurrent episodes of coughing or trouble breathing, and can be triggered by colds.  bronchitis is a general term for a viral infection, like a cold, that has gone a bit deeper in the chest. this is not so often recurrent. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Challenge and opportunity: Making sense of the ‘first lockdown’ experience of families with young children and health and social care practitioners in Southend-on-Sea (the United Kingdom)
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. .  in my opinion, i don't won't you to be worried and for many patients i suggest icing it for the first 48 hours, nsaids painkiller like advil when needed, massaging it with topical gels, elevation your left leg on a pillow and avoid bending will be effective for such cases. for the numbness actually its quiet rare but happens when trauma or the swelling affect the nerve supplying this area which will subside when swelling decreases. otherwise, i recommend x-rays to exclude minor fissures or fracture on your shin-bone. please click thank you and consider a 5-star rating with some positive feedback if the information was helpful. hope the above information helps you, any further clarifications feel free to ask."
"If you are a doctor, please answer the medical questions based on the patient's description.","vi pin your problem seems unrelated to any dental complains it is rather due to some gastric trouble that you may be experiencing, and vomiting is always preceded by increase in salivation so that is why you are feeling the increase in salivation. though the local for increase in salivation in bouts could have been enlarged salivary glands but since you have vomiting as well i would suggest you to go for a proper gastero-enteral examination."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. breast cancer if detected early, can have excellent prognosis with near normal life. so first thing to be done is staging of breast cancer in your patient. if patient is having stage 1-2 disease than surgical resection of tumor with unblock resection of axillary lymph nodes are needed. if patient is having stage 3-4 disease than chemotherapy, radiotherapy, hormonal therapy and debunking surgery are the option. so in india, i advise you to consult tata memorial cancer hospital, bombay for management of breast cancer. hope i have solved your query. i will be happy to help you further. wishing good health to your relative. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank-you for providing the brief history of you. as mentioned in the history by you, you landed on the side of the foot, then getting a musculoskeletal assessment will be good on a safer note. usually, at this position there is a sprain of the ligaments. which takes about 2-3 weeks to recover. also, the pain will come down in 2-3 days, but the ligament healing will take some time. besides, if the foot gets swollen or painful after 72 hours of injury then an x-ray is advised. usually, by doing hot eater fermentation and slow ankle toe movements the feet is better. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. as a urologist, let me assure you, that not all kidney tubular cysts need surgery.  there's no natural remedy for this. surgery is indicated only if, you're very symptomatic. if you can send the scan and report to me, i can give you an expert opinion. if at all, surgery is indicated, it's done by laparoscopy, and person is discharged next day.  so, don't worry at all. wish you well. chatbot."
Please summerize the given abstract to a title,Sleeping through a pandemic: impact of COVID-19 related restrictions on narcolepsy and idiopathic hypersomnia
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. this is called evening colic and is quite common in this age group. this happens when the baby sucks at the breast very fast and in eagerness to chatbot.  unless the air comes out like burping or flatus this discomfort will be there and next time check if she is sucking too fast and gulping in air too. you will be more convinced. usually i don't advice any medicines for this as they give only temporary relief. the two best ways to relieve this distress is - 1. do not put the kid in lying position after feeding till the baby burps out the swallowed air.2. if the baby is still crying - put in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi vishal. usually the results with this treatment for an intestinal infection starts with the first dose. you should take these medicines for 7 days without break and after food. in addition, take probiotics, multivitamins for early recovery. as this is a part of the waterborne disease, chatbot.  nothing from outside at all. if required you can get electoral powder 1 pouch in a liter of water to fulfill the requirements of fluid and electrolytes. to avoid weakness."
Please summerize the given abstract to a title,A Covid 19: QR Code based Health Monitoring System
"If you are a doctor, please answer the medical questions based on the patient's description.",thank you for posting query at chatbot. presentation of fatty liver. lipid profile results and ldl/ cholesterol levels probably not tested. lipid profile test - do it asap.meanwhile
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your low iron level is directly related to your excessive menstrual bleeding. however it has no any relation with bipolar disorder. you have excessive blood loss which leads to loss of iron ultimately leads to iron deficiency anemia. so consult gynecologist and search for the cars of heavy bleeding. once it is stopped your iron level will increase gradually. and also take iron reach food like jagger, chatbot.  also consult psychiatrist for bipolar disorder. but it has no relation with your low iron level. thanks for using chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi welcome to chatdoctori have gone through your query and can understand your concern. pelvic pain can be a sign that there is a problem with one of the organs in your pelvic area, such as the uterus, ovaries, fallopian tubes, cervix or vagina. it could also be a symptom of infection, or a problem with the urinary tract, lower intestines, rectum, muscle or bone. so there can be many causes concerned with your problem. you might have to undergo a lot of medical tests to find the cause of the pain. the treatment will depend on the cause, how bad the pain is and how often it occurs. another prominent cause of your pain also can be imbalance of (v\u0101yu atv gas, in your body, which is responsible your pains and inflammation. proper regular physical activity, walk , meditation, grandam - deep breathing, yoga - back bending exercises to relieve your back pain, to boost your blood circulation and detox your system under guidance of trained guide and balanced diet, including, all essential nutrients as fiber, vitamins, minrals and antioxidants ginger, garlic, amla, aloe vera, nuts, turmeric powder a spoon in a cup of hot milk at bedtime, coconut water , all in natural form help, eradicate v\u0101yu atv (gas) alley pains and inflammation and give resistance from diseases. avoid food that is high in saturated or trans-fats like fried, fast foods, refined sugars and fine floor products, tea, coffee, alcohol, sleeplessness, dehydration, constipation.worry, stress all induce toxins in your body and cause you sufferings. it is advisable to consult your doctor before following any regime hope this helps solves your query. take care, all the best.don't hesitate to get back if you have any further query"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello sheryl, thank you for your query. people diagnosed with pcs will face difficulty in conceiving, but it is not impossible. you need to consult a proper infertility specialist. diet and weight loss with regular exercise is the backbone of therapy for pcs. moreover, just taking metformin might not help you conceive. you might require the help of medications which help you ovulate. also, you should not waste further time, but consult a fertility specialist for adequate treatment. since you are 32, do not waste more timetable care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if your elderly parent is having problems with the glaucoma medication, his/her ophthalmologist is the only one who can decide in changing medications and their dose according to the current health situation of the patient. if you are worried about the price, you can discuss with your parent doctor about the possibility of disbursement. according to my knowledge and my practice, many countries do apply insurance policies in treating patients with various diagnosis, including glaucoma. in fact, i have many patients taking glaucoma medications without paying anything because of such insurance policies. talk to your family doctor to see how these stuff work in your local place. hope it helped!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, after going through your grandmother history, her hepatitis is already more than 1 month, her bilirubin is showing increasing trend, although the liver enzymes are decreasing. if it is viral hepatitis viral markers needs to be done to confirm which type is this. there are hepatitis a & e which are infective and b & c are parenteral that is from blood. these two can go in to chronic hepatitis. prognosis depends on type usually a & e are self limiting diseases. swelling may be due to hypoproteinemia. only supportive therapy is required. please consult a gastroenterologist and continue the treatment. take care. good luck. chatbot. d."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. joint pains is not an established complication or side effect of jeanette. there are numerous causes for joint pains occurring in multiple joints. a detailed clinical examination and appropriate blood investigations are needed to establish a correct diagnosis. i suggest you to consult an orthopedic surgeon for a detailed evaluation and further management. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question. tami flu which is an antiviral chatbot.  swine flu will be diagnosed by throat swab and should be taken for 7\u00a0days. if you have influenza symptoms definitely you can repeat tami flu if not no need to take tami flu. upper respiratory tract infections usually bacterial in origin most commonly but also viral also. i suggest you if you have influenza symptoms (fever, sore throat, fatigue, cough) then you take tami flu otherwise you need to take other antibiotics. i hope i was able to add"
"If you are a doctor, please answer the medical questions based on the patient's description.","dearwelcome to chatdoctorwe understand your concerns went through your details. i am sorry to say, your grandson do not need any medical treatment, but needs corrective behavior. i suggest you to consult a psychologist who can provide your grandson with values and health counseling. as far as heart burn is concerned, physical exercises and right food will be enough. if you require more of my help in this aspect, please use this url. http"
Answer this question truthfully,"If fertilization occurs in the female reproductive system, syncytiotrophoblasts of the placenta begin secreting human chorionic gonadotropin (hCG) to maintain the corpus luteum. The corpus luteum is a temporary endocrine structure that forms in the ovary after ovulation and produces progesterone to prepare the uterus for implantation of a fertilized egg. If fertilization occurs, the developing embryo produces hCG, which signals the syncytiotrophoblasts of the placenta to continue producing progesterone and maintain the corpus luteum. This is important for the survival of the embryo and the maintenance of pregnancy. Measuring hCG levels in the blood or urine is a common way to confirm pregnancy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for posting here. i have gone through your description. before jumping to the idea of surgery, we must ascertain whether he really needs surgery or not. a hole in the heart should be evaluated by a 2d echo. it will show us where the hole is located, its size and severity. the need for surgery can be decided on basis of that. also since you mentioned the lungs are weak, we need to document as to how weak. he must undergo a pft or pulmonary function test to establish the baseline lung function. it will give us an idea as to how severe the lung is compromised and treatment can be given accordingly. since he has had no symptoms of hole in heart or cardiac defects, there is no need for surgery at this point. regards"
Answer this question truthfully,Cluster headache sufferers typically experience very severe headaches of a piercing quality near one eye or temple that last for fifteen minutes to three hours with some lasting days (rarely more than three days). The headaches are typically unilateral and rarely change sides during the same cycle (see episodic). Cluster headaches have a characteristic circadian periodicity and usually present with autonomic symptoms.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this type of symptoms can be presentation celiac disease. celiac disease is a gluten sensitive osteopathy in which there is permanent intestinal intolerance to dietary wheat gliding. it can present as chronic diarrhea, abdominal distention whenever the child is given wheat into diet. the problem usually starts after 6 months of age when food items are introduced to child. you should do blood test like complete blood count fecal fat excretion. anti endomysial antibodies should also be tested. if the result is positive, then strict gluten-free diet should be given to child. rice and maize are non-toxic and act as sweet substitute. i hope this will help you. take care."
Please summerize the given abstract to a title,COVID-19 Pandemic Challenges and Lessons Learned by Pharmacy Educators Around the Globe.
"If you are a doctor, please answer the medical questions based on the patient's description.","dear user, thank you for your question, sorry for what you and your baby had to go through. brain is a very plastic organ, with proper care your baby might pick up developmental pace close enough to his peers, nevertheless it's important to keep your expectations realistic. caring for your baby with love and affection is the most important help you can provide now. it's very important to ad chatbot.  refer to a neuropediatrician for proper monitoring of your children case, hope that was helpful. best regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for asking in chatbot. alteration in period cycle, heavy bleeding or minimal flow after a depot proverb shot are common. depending upon the individual, progesterone in the depot preparation can result in either too much or too little flow.  also, the menstrual cycle will be erratic and that's why it is not suitable in young girls. progesterone can also result in mood swings. premenstrual tension may the reason for your emotional outburst. however, the failure rate of progesterone depot is minimal, and it is very effective in preventing the conception. but if the flow is too heavy, then you should consult a gynecologist. i hope this is useful to you."
Please summerize the given abstract to a title,Development and Student Perception of Virtual Reality for Implant Surgery
Answer this question truthfully,"High-potency antipsychotics, such as haldol, are often administered as an intramuscular injection for the treatment of acute agitation or psychosis. This method of administration allows for a rapid onset of action, making it an effective treatment option for individuals who are experiencing severe symptoms. However, it is important to note that the use of high-potency antipsychotics should be carefully monitored, as they can have significant side effects and may not be appropriate for all individuals. Treatment for mental health conditions should always be tailored to the individual's specific needs and circumstances."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","your father does have enlarged prostate which is causing mild to moderate urinary retention which means they when ever he passes urine some amount of urine stays in the bladder due to enlarged prostate and that stasis of urine in the bladder causes urinary tract infection as urine is excellent media for bacterial growth would advise you to get his pmrv done which post micturition residual volume on which he will get ultrasound scan with full bladder, and then he will be asked to empty his bladder and again scan would be done to see how much urine stays within the bladder if it is more than or around 100ml that's significant. i would advise you to get his urinary tract infection treated by antibiotic and after that start him on tamsulosin 0.4\u00a0mg once a the before going to bed this will help him to empty his bladder completely avoiding any further infections."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for the query, i am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. considering he is a pd patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. a combination of these two pathologies non their own could be very detrimental. cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. i strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. thanks and best regards, bain le, md."
Answer this question truthfully,Ocular albinism is inherited in an X-linked recessive fashion.
Please summerize the given abstract to a title,Immunogenicity and Reactogenicity of SARS-CoV-2 Vaccines in Patients With Cancer: The CANVAX Cohort Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hiit is good to know that you want to help somebody. but question is how much and how to help? his problems are related to alcohol abuse and may be depression after losing his wife, resulting in increase of alcohol consumption which in turn will worsen the depression. the first and foremost he needs is hospitalization in a de addiction unit. psy nurse may not be the appropriate help, but a psychiatry hospitalization should really help good luck chatbot."
Answer this question truthfully,"Patients with septic abortion typically have fever, abdominal pain, uterine tenderness, and a foul-smelling vaginal discharge."
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for asking on chatbot. newborn brains are in the process of development especially in preterm. the inner lining of the brain is very thin. as the development of the brain progresses, a substance called myelin is formed and acts as an insulator of the nerve fibers and helps them in functioning. but in preterm sometime bleeding may occur below the thin lining and as there is resorption of the blood, the blood debris often block the chatbot."
Please summerize the given abstract to a title,Everyday flexibility and functional milestones in anorexia nervosa: survey results from a mixed community sample
Answer this question truthfully,"Pelvic inflammatory disease can result in fallopian tubal scarring, which is a major risk factor for ectopic pregnancies and infertility. Pelvic inflammatory disease (PID) is an infection of the female reproductive system that can be caused by a variety of bacteria, including those that are sexually transmitted. When left untreated, PID can cause inflammation and scarring of the fallopian tubes, which can interfere with the normal movement of eggs from the ovaries to the uterus. This can increase the risk of ectopic pregnancies, which occur when a fertilized egg implants outside of the uterus, as well as infertility, which can result from blocked or damaged fallopian tubes. Early diagnosis and treatment of PID is important to prevent these complications and preserve fertility."
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.",hi. it seems that you do have carpal tunnel syn chatbot. you will need a test called emg to confirm this. also do you have neck shoulder pains or pains which radiate from the neck down to the hand. this can happen in case of cervical discs. if not then its cts and surgery to release the pressure off the nerve will give you good relief. this is day surgery and can even be done under local anesthesia
Answer this question truthfully,"Tertiary syphilis is a late stage of syphilis that can cause serious damage to various organs and tissues in the body. One of the ways it can affect the body is by destroying the vasa vasorum, which are the small blood vessels that supply the vessel wall of the aorta. This can lead to complications such as aortic aneurysm or dissection, which can be life-threatening if not treated promptly."
Answer this question truthfully,"Before administering fentanyl:
tell your doctor and pharmacist if you are allergic to fentanyl, morphine, codeine (or medications that contain codeine such as Tylenol with Codeine), hydrocodone (e.g., Vicodin), hydromorphone (e.g., Dilaudid), oxycodone (e.g., Percocet), oxymorphone (Numorphan), or any other drugs. tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially antidepressants; cough, cold, and allergy medications; MAO inhibitors phenelzine (Nardil) or tranylcypromine (Parnate); other pain relievers; sedatives; sleeping pills; tranquilizers; and vitamins. tell your doctor if you have or have ever had liver or kidney disease, a history of alcohol abuse, lung or thyroid disease, heart disease, prostatic hypertrophy, or urinary problems. tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking fentanyl, call your doctor. you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you. remember that alcohol can add to the drowsiness caused by this drug."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, birth control pills can cause hypertension. so keep check on your blood pressure. since your chest pain is aggravated by movements, possibility of musculoskeletal pain is more likely. so avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. apply warm water pad on affected areas. take simple painkiller like paracetamol or ibuprofen.don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, people with asthma are prone to have chatbot. avoid allergens that can increase this like cosmetics. avoid dust smoke. wash your face regularly with a mild face wash.in case of allergy contact the physician regarding the same. continue your medication as per advise. do not self-medicate.in case if the allergy worsen call the emergency number.i hope i have answered your query. take care and contact chatbot in case of further query"
Please answer with one of the option in the bracket,"A: pH: increased, HCO3- : decreased, Pco2: decreased"
Answer this question truthfully,A collapsed lung may appear as a completely opacified hemithorax on a chest X-ray.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of herd (gastroesophageal reflux disease) is more likely. gerd is due to laxity of gastroesophageal sphincter. because of this, the acid of the stomach tends to come up in the esophagus and cause burping, chest pain, breathing difficulty etc. so avoid hot and spicy food. avoid junk food. avoid large meals, instead take frequent small meals. avoid stress and tension, be relaxed and calm. lose weight if you are obese. take pantoprazole and levosulperide combination on empty stomach twice daily. quit smoking and alcohol if you have these habits. don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello reddy. your semen analysis report shows a lower sperm count and semen volume. probably the motility is also low (low quality semen in the report). this may be due to several causes. i believe the test was done as part of work-up for infertility. you need to be seen by a urologist who will perform an examination and suggest some further tests. remember, the cut-off of 20 million sperms/ml for fertility is not absolute, just a guideline to help in treatment. your partner will also need to be evaluated by a gynecologist. good luck."
Please summerize the given abstract to a title,"Cover Image, Volume 94, Number 1, January 2022"
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have done your semen analysis which revealed low sperm count (oligospermia). following general measure will help you to increase sperm count 1) practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) take high protein diet rich in vegetables and fruits and vitamin a, c,d, e.and zinc3)take anti oxidants like almonds 5-6 every day.4) avoid alcohol and smoking. you can try chatbot. that may also help to increase sperm count"
Answer this question truthfully,Patients with recurrent vasovagal syncope may try physical counterpressure maneuvers during the prodromal phase to abort or delay the syncopal episode.
Answer this question truthfully,"Ovarian cancer is the gynecological cancer that presents with bloating, lower abdominal pain/pressure, and urinary frequency/urgency. Ovarian cancer is a type of cancer that begins in the ovaries, which are the female reproductive organs that produce eggs. The symptoms of ovarian cancer can be vague and may be mistaken for other conditions, but persistent bloating, lower abdominal pain or pressure, and urinary frequency or urgency are common signs. Other symptoms may include difficulty eating or feeling full quickly, fatigue, and back pain. Women who experience these symptoms for more than a few weeks should consult with their healthcare provider for further evaluation."
Please summerize the given abstract to a title,Evaluation of the effect of melatonin in patients with COVID-19-induced pneumonia admitted to the Intensive Care Unit: A structured summary of a study protocol for a randomized controlled trial
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot! i understand your concern and would recommend consulting with a neurologist for a careful physical exam and some tests
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. you are having chest pain and breathing difficulty since long (3 months). new symptom is fluttering sensations. so we should definitely rule out heart diseases (arrhythmia - rhythm disturbances in heart) first. so get done blood pressure monitoring, ecg, 2d echo, stress test and holder monitoring (24 hours continuous recording of ecg). if all these are normal then no need to worry about arrhythmia or other heart diseases. sometimes muscular twitching can also cause similar symptoms. so apply warm water pad on affected areas. take muscle relaxant chatbot.  don't worry, you will be alright with all these. but first rule out heart diseases. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Characteristics of Renal Function in Patients Diagnosed With COVID-19: An Observational Study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. he has eosinophilic.  his b12 level is normal.  don't worry about that. there are many causes of eosinophilic.  asthma, allergy, hypersensitivity, parasitic infection etc. you should go for allergy test. svoid the allergic substance.  anti histamininic chatbot. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,Measuring the levels of parathyroid hormone (PTH) is the most useful initial laboratory test to determine the underlying etiology of hypercalcemia.
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. burning in penis can be due to infection of urethra (urethritis) may be due to unprotected sex. please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. please take broad spectrum antibiotics like reflexive along with urinary antiseptic like nitrofurantoin and anti-inflammatory chatbot. later on switch on to appropriate antibiotics as per culture report. get the prescription of medicines from your family physician. ensure to
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. you are right. ptsd and adhd are disorders which are caused due to change in neural signal structure. prolonged exposure to stress props brain to emit signals which triggers stress buster hormones. continuous stress means continuous presence of these hormones in the body. body metabolism changes whole. when the stress creating situation stops, body cannot tolerate the absence of those hormones and with chatbot.  adhd is more of a pure hormonal or genetic origin. the reflexes are bad or so aggressive. anger is prominent and easy. don't worry psychotherapy and relaxation techniques can be used to cure your wife. please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for your question on chatbot. i can understand your concern. erythromycin is caroline group of antibiotic. and it can cause allergic skin reaction. so his rashes can be due to erythromycin induced skin allergy. another possibility is viral rashes. viral infection also cause similar kind of rashes on skin. he is also having bronchitis and viral infection is the most common cause for bronchitis. so viral infection can be the cause for bronchitis and skin rashes. so better to consult dermatologist and get done clinical examination of rashes. also discuss possibility of viral infection and erythromycin related rashes. hope i have solved your query. wishing good health to your son. thanks.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, your symptoms are suggestive of pneumonia more. pneumonia (lower respiratory tract infection) is common after upper respiratory tract infection (uri). worsening cough, chest congestion, rattling sound from chest, weakness, loss of appetite etc. are characteristic symptoms of pneumonia. so better to consult pulmonologist and get done clinical examination of respiratory system and chest x-ray (with abdominal shield). you should definitely start higher antibiotics to recover faster as you are pregnant. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please answer the letter of option truthfully,B
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, chest pain has a lot of causes. commenting on few1) cardiac pain- it is generally diffused & never localized & increases with exertion.2) chest pain due to underlying lung disease - it is localized, stabbing type & increase with inspiration.3) muscle pain- it can be localized or diffuse & decreases with painkillers. no effect of exertion.4) chest pain due to gastritis - it occurs generally in middle part of chest or upper abdomen. no effect of exertion. increase after taking food. hope this clears your doubtthanks chatbot."
Please answer with one of the option in the bracket,E: Penciclovir cream
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. your doctor is right to some extent that diabetics are prone for fungal infection, but more commonly yeast infection. moreover, diabetes as such causes an immunocompromised state which predisposes them to opportunistic infections like dermatophyte infection or ringworm infection. dermatophytes usually spread by contact and is more common in areas where there is increased sweating. symptoms of hiatus hernia are not related to diabetes nor ringworm infection. increased pressure in the abdomen such as from obesity, coughing, or straining during bowel movements may play a role in causing hiatus hernia. i hope i have cleared your doubts. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, hit hanks for using chatbot.come have evaluated your query thoroughly.* as you are on highest doses of painkillers possible, still i would suggest for your case - preference of semi reclining position - intravenous or oral bronchodilators, corticosteroids - deep breathing exercises, meditations - positive thoughts - no smoking if doing hope this clears your query. welcome for further questions. regards."
Please answer with one of the option in the bracket,A: Amoxicillin-clavulanate
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot .com.  i had gone through your question i can understand your concern.  if you are having sudden sharp pain starting from a particular place by touching it. your pain must be sudden, sharp, and last within seconds.  if above characteristics are present then there are chances of trigeminal neuralgia.  you must locate the particular place of your face (trigger zone), if you feel there is one, when you touch it the pain shoots and lasts for some seconds. you need to visit a neurologist or oral medicine and radiology expert to confirm same clinically.  if it is clinically established you need to take medication like clonazepam for at least 4-5 months but don't start medication of your own. hope my answer will help you. regards chatbot."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The potential for addiction differs between short-acting and long-acting benzodiazepines, with short-acting benzodiazepines having a higher potential for addiction than long-acting ones. Benzodiazepines are a class of medications commonly used to treat anxiety, insomnia, and other conditions. While they can be effective in managing these symptoms, they also carry a risk of dependence and addiction. Short-acting benzodiazepines, which are rapidly metabolized by the body, can produce a more intense and immediate high, making them more likely to be abused. Long-acting benzodiazepines, on the other hand, are metabolized more slowly and produce a more gradual and sustained effect, making them less likely to be abused. It is important to use benzodiazepines only as directed by a healthcare provider and to be aware of the risk of addiction associated with these medications."
Answer this question truthfully,"Common physical examination findings of renal papillary necrosis include fever, costovertebral angle tenderness, and hematuria."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures"
Answer this question truthfully,"The para-aortic lymph node cluster is responsible for draining the testes and ovaries. The para-aortic lymph nodes are located alongside the aorta, which is the main artery that runs down the back of the abdomen. The lymphatic vessels from the testes and ovaries drain into the para-aortic lymphatic vessels, which then drain into the para-aortic lymph nodes. The para-aortic lymph nodes are an important site for the detection and spread of cancer cells from the testes or ovaries."
Answer this question truthfully,"The purpose of conjugating some killed vaccines to a protein is to elicit a stronger immune response, such as immunologic memory."
Answer this question truthfully,"Air swallowing (a nervous habit) Constipation Gastroesophageal reflux Irritable bowel syndrome Lactose intolerance and other food intolerances Overeating Small bowel bacterial overgrowth Weight gain
More serious causes of abdominal distension or bloating are:
Ascites which is fluid that accumulates in the belly. Tumors Celiac disease, which is a condition caused by an allergy to a component of food called gluten. Dumping syndrome, which is a syndrome causing gastrointestinal side effects due to a tumor. Ovarian cancer When the pancreas is not able to make enzymes needed for digestion (pancreatic insufficiency)"
Please summerize the given abstract to a title,The Prognostic Value of Cardiac Biomarkers and Echocardiography in Critical COVID-19
Answer this question truthfully,Legionnaires' disease is an acute respiratory infection caused by Legionella bacteria.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for consulting us. pain described by you is most probably neurologic. have you had similar problems in the past? causes could be diabetes, viral and vascular including stroke. multiple sclerosis if you are caucasian. cervical spondylosis is a possibility. my advice is to get a physician review urgently.meanwhile, you can get painkillers for pain. hope it is useful for you. feel free to contact"
Answer this question truthfully,"Analgesic nephropathy involves damage within the internal structures of the kidney. It is caused by long-term use of analgesics, especially over-the-counter (OTC) medications that contain phenacetin or acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen.
About 6 or more pills per day for 3 years increases the risk some for this problem. This frequently occurs as a result of self-medicating, often for some type of chronic pain.
Analgesic nephropathy occurs in about 4 out of 100,000 people, mostly women over 30. The rate has decreased significantly since phenacetin is no longer widely available in OTC preparations."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. if you have regularly been taking birth control pills then pregnancy is unlikely. it seems from your query that you are taking pills for 28 days of these 21 are active and 7 inactive pills. periods usually start after 3-4 days of beginning of the inactive pills. i suggest that you check your pack of pills to see if they are 21 or 28. if it is a 21 days pack you need to stop pills for 7 days. you must repeat the pregnancy test after 7 -10 days. if it is negative, and you use a 28 days pack, i suggest that you continue your pack for this month and see if the periods come during the inactive pills, if they do not come other causes of need to be ruled out. check to see if you have been experiencing too much stress or have lost or gained weight. also check to see if you have any discharge from the nipples as all these can cause absence of periods. there are certain other causes that need to be evaluated like thyroid problems or ovarian lumps. for this you will need to see a gynecologist. the weight gain may be due to the pills. the belly lump needs to be checked if it is due to fat deposition or due to an enlarged ovary. your doctor will help you with this. once again i think that the chances of pregnancy are low but if you continue to have absent periods, get yourself examined. hope you find this useful, thanks for using chatbot."
Answer this question truthfully,The lesions in Entamoeba histolytica infection typically present as flask-shaped.
Please summerize the given abstract to a title,"Hepatic and Gastrointestinal manifestations in COVID-19 Patients and Its Relation to Disease Severity, single-center experience"
Please summerize the given abstract to a title,Development and Validation of CoV19-OM Intensive Care Unit Score: An Early ICU Identification for Laboratory-Confirmed SARS-CoV-2 Patients from a Retrospective Cohort Study in Oman
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. no, it is not advisable to conceive during any cancer of the body. pregnancy causes extreme stress to the body. and this can flare up cancer and can cause spread to distal organs. the treatment, you are taking is also teratogenic. and hence it can damage and deform growing fetus. so better not to get pregnant. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you describe symptoms of an infection not fully treated and going through different stages. realize that the source of the infection has not been eliminated since you have not removed or treated the tooth. you may be developing a resistant infection. infections spread and can cause a generalized swelling or pool into an area with a pocket of pus. this may need to be chatbot.  lymph nodes can become swollen with dental infections present. infections flare up and calm down with antibiotics and anti-inflammatory medications, but you risk a more serious, long term infection being more difficult to control. stay on the anti-inflammatory medication motrin. make an appointment with your dentist before the condition gets worse. once you treat the tooth, i expect your dental health to improve, since this is most likely related to the accessed tooth. consider having a dental exam and cleaning for an overall evaluation of your dental health. i understand your concern with cost and not having dental insurance, but dental conditions untreated tend to get worse. this means additional dental treatment and more costs. many dental offices offer payment plans or work with health credit cards that offer a payment plans with a period of no interest. thank you for your inquiry. i hope you seek treatment and feel better soon. please ask any additional questions and i will be glad to offer assistance."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,Congenital cystic disease of liver Cysts caused by Echinococcus
"If you are a doctor, please answer the medical questions based on the patient's description.","i would highly recommend seeing an emergency room doctor as opposed to an urgent care doctor.  er docs are much more experienced in electrocution injuries.  you need to have an ekg and some blood work.  you should also see a neurologist as soon as possible to do some baseline evaluations and neurological assessments.  pain could become very intense in the days to come....nonetheless, i would highly advise you not to take chatbot.  just my recommendation.  please rate this a 5 star rated encounter and write me at"
Answer this question truthfully,The typical range of urine Na+ in postrenal azotemia is greater than 40 mEq/L.
"about thalassemia treatment sir,my friend is suffering from thalassemia ,in that majorly red blood anemia,white blood anemia and the blood is comming out from mouth when she got cough .her condition is very severe .in her body the red ,white blood cells are abscent .so that blood transfusion is doing for every 16-20days.then in the recent days the blood also comming out from mouth please tell me where can i get the treatment for this disease .we can travel around the world for treatment please reply me as soon as possible. thank you sir.","Treatment for sickle beta thalassemia  may include  regular blood transfusions for people at risk for stroke and other specific health problems, such as pulmonary hypertension. Hydroxyurea, a drug approved by the U.S. Food and Drug Administration for the treatment of sickle cell disease, can decrease the frequency and severity of pain episodes; reduce the need of blood transfusions; and increase life span."
"If you are a doctor, please answer the medical questions based on the patient's description.","by 1 and half year a child should be able to walk alone or crawls upstairs or should be able to ask objects by pointing and should follow simple commands so with your history it can be global developmental delay(gdd) but before i label it gdd baby should have delay in 2 or more skills that includes language motor or social development. if your baby is truly gdd a proper diet is required with regular physical therapy, speech therapy and pediatric psychologist opinion with these i would like you to do routine investigation just to rule out any underlying disease"
"If you are a doctor, please answer the medical questions based on the patient's description.","anytime one is going way up on ones exercise, it would be good to get a check-up. there are age related decreases in exercise. they are smaller than deconditioning which really lowers how much exercise one can do but can be built back up in under a season. key point is muscle fatigue is from more acid building up in muscles than what can be taken away"
Answer this question truthfully,"The symptoms of schizoaffective disorder are different in each person. Often, people with schizoaffective disorder seek treatment for p roblems with mood, daily function, or abnormal thoughts.
Psychosis and mood problems may occur at the same time, or by themselves. The course of the disorder may involve cycles of severe symptoms followed by improvement.
The symptoms of schizoaffective disorder can include:
Changes in appetite and energy Disorganized speech that is not logical False beliefs (delusions), such as thinking someone is trying to harm you (paranoia) or thinking that special messages are hidden in common places (delusions of reference) Lack of concern with hygiene or grooming Mood that is either too good, or depressed or irritable Problems sleeping Problems with concentration Sadness or hopelessness Seeing or hearing things that aren't there (hallucinations) Social isolation Speaking so quickly that others cannot interrupt you"
Answer this question truthfully,"The cause determines whether amnesia comes on slowly or suddenly, and whether it is temporary or permanent.
Normal aging may lead to trouble learning new material or requiring a longer time to remember learned material. However, it does not lead to dramatic memory loss unless diseases are involved.
Memory loss can be seen with impaired concentration, such as with depression. It can be hard to tell the difference."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello welcome to ask a doctor service. i have reviewed your query and here is my advice. your main concern is regarding abnormal semen report. kindly mention your sperm count and motility also to guide you further. few abnormal sperm can be seen in semen. the total count and motility also has to be checked. kindly attach your report to guide you for your next plan of management. hope i have answered your query. let me know if i can assist you further.
Answer this question truthfully,"If you are concerned that your child may have tongue tie, have your health care provider examine it during a routine well-baby examination."
Please answer with one of the option in the bracket,C: Fibrinogen
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, recurrent melanoma has to be treated by surgery and radiation only. proper margin clearance is required after each surgery. along with treatment, the cause of recurrent melanomas has to be found out. most probably the recurrent melanomas are associated with certain genetic syn chatbot. thus consult your treating doctor to investigate for genetic disorder associated with the recurrent melanomas. thanks and take care"
Answer this question truthfully,"The mainstay of therapy for Aortoilliac disease is surgical.  Cilastazol a phosphodiesterase inhibitor can be used for symptomatic relief of Peripheral Arterial Disease.
Surgical revascularization is the mainstay of therapy for aortoilliac disease.  Open repair: Aortofemoral bypass with or without endarterectomy can be used in the treatment of aortoilliac disease.   Endovascular Surgery: Stent placement is another treatment option for aortoilliac disease.  
Effective measures for the primary prevention of Peripheral arterial disease including aortoilliac disease include:  Smoking cessation Control of hyperlipidemia, Hypertension, Diabetes Mellitus Low fat diet Increase exercise"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, i have gone through your question and understand your concerns. unprotected intercourse can lead to pregnancy. however, since you are on oral contraceptive pills, chances of conception are almost nil. if your periods are delayed, i suggest you to get a urine pregnancy test to rule out any pregnancy. if negative, then you can safely wait for the periods. hope you found the answer helpful. wishing you good health. regards chatbot."
Answer this question truthfully,The mean systemic pressure is equal to the right atrial pressure when the venous return is zero.
Answer this question truthfully,"The fever usually drops in 10 days, and swollen lymph glands and spleen heal in 4 weeks. Fatigue usually goes away within a few weeks, but may linger for 2 to 3 months."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for asking question. here are few possibilities.1. it could be simple musculoskeletal pain. take simple analgesic for that. hot compression for 5 to 10 minute can be helpful. during sleep take adequate posture. avoid heavy weight lifting.2.second if you have viral flu like symptoms like headache, cough, fever, cold then muscular pain can occur. symptomatic management done for it.3. if still pain increasing then respiratory causes has to be ruled out. chest x-ray helpful. sometimes bronchitis like disease may present if cough and fever present. pulmonary function test helpful for that. i hope my suggestion will help you. wish you good health. chatbot."
Answer this question truthfully,The magnitude of blood flow (Q) is directly proportional to the size of the pressure difference between blood vessels.
Answer this question truthfully,"The factors that predict an increased risk of hemorrhagic conversion include a history of multiple strokes, proximal MCA occlusions, greater than 1/3 MCA territory stroke, greater than 6 hours since onset (delayed recanalization), and absent collateral flow."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, ovulation induction with closed and austen for progesterone support is useful if there is a diagnosed pcs. at 41, you need to be thoroughly evaluated for all causes of infertility and targeted treatment given. time is of essence to you as ovarian function ca rapidly deteriorate after 40. also, one tube is already absent so if any damage or block is identified in the other tube, ivf would be a better option. hope this helps. regards."
Please summerize the given abstract to a title,SARS-CoV-2 Community Transmission disproportionately affects Latinx population during Shelter-in-Place in San Francisco
Please summerize the given abstract to a title,"Early childhood and lockdown: The challenge of building a virtual mutual support network between children, families and school for sustainable education and increasing their well‐being"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. acquired hemolytic anemia needs some investigation to search the cause.  you may have cold antibodies or warm antibodies.  treatment is immunosuppressive chatbot.  you should continue steroids.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hilow blood pressure can cause generalized weakness, myalgic, nausea, giddiness, black-outs, cool feet and hands due to inadequate blood supply. many cardiac problems also lead to sudden hypotension, vasovagal, syncopal attacks, if present since longer duration should be evaluated. postural variation & severe infections can also lead to hypotension. good intake of fluids and nutrition will correct the hypotension many a times. for the sake of blood donation you require mean arterial pressure between 70--110 mm of hg. all the best, take care."
Answer this question truthfully,"Dysplastic kidney is characterized by a cystic kidney with abnormal tissue, especially cartilage."
Answer this question truthfully,"The Aβ amyloid in Alzheimer's patients may deposit around vessels, causing amyloid angiopathy."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for query. i feel very sorry for suffering from your brother who is already crippled. the pain in penis and while urinating is due to presence of stent and is common due to irritation of trig one of the bladder in addition to foreign body reaction to stent. normally it fades away once the stent is removed. as regards the second planned surgery in few weeks time it will not be so difficult like first surgery as ureter is widely dilate due to stent making it very simple and easy to fragment the residual stone (if any).in the meanwhile continue giving him appropriate antibiotics and ensure he chatbot. as regards, he's getting recurrence of stone you need to get stone analysis done to know the composition of the stone so that certain dietary measures can be taken to prevent recurrence of stone."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. skin color i genetically determined. asian skin is type iv skin which contains fair amount of melanin and is prone to tan quickly as compared to caucasians/ people in the west who have very less melanin. skin type cannot be changed but regular use of a broad spectrum sunscreen gel, which offers protection against both uvb and uva, can be used to prevent sun induced tanning. a cream containing one or more of the following ingredients e.g. comic acid, glycolic acid, abuts, magnesium absorbed phosphate etc. can be use once daily at night to lighten up the tan and impart even tone to the complexion. hope this helps you regards"
Please summerize the given abstract to a title,Planned online language education versus crisis‐prompted online language teaching: Lessons for the future
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and, the fore skin and the surrounding structures can get injured during aggressive violent sexual activity. as you have mentioned that your penis got injured and bled during sexual activity, you will have to wait till it completely heals. refrain from sexual activity or any other activity which will put direct strain on the penis. allow sufficient time for the injury to heal. look for any evidence of hematoma formation on the external genitalia. if the problem is very troublesome, consult your doctor preferably a surgeon. thanks and take care chatbot."
Please summerize the given abstract to a title,"The Effect of Covid-19 Pandemic on Hotel Employees, Hotel Occopancy Rates and Hotel Tax Income in Jakarta, Indonesia"
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,"""Nudes? Shouldn't I charge for these?"": Exploring What Motivates Content Creation on OnlyFans"
Please summerize the given abstract to a title,A critical analysis and review of Lancet COVID-19 hydroxychloroquine study
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot, the interpretation of blood report is as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there,any infection in pregnancy needs to be treated promptly a lot of women do not take medication thinking it may adversely affect the baby, but it is very important to get the infection treated. the cephalic is an antibiotic useful in respiratory tract infection and is safe in pregnancy. moreover, the first 12 weeks is a very crucial time and after this period it is generally safe to take medications. do complete the course of this antibiotic. the gestating is a medication which is helpful in cough and also relaxes the womb so do use it. hope this helps. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. high sgpt is indicator of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. so the next step is to look for certain liver damage and most common cause is fatty liver disease. it should be confirmed by ultrasound. other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases. to verify exact cause, us, bilirubin levels and tumor markers should be additional done. then appropriate treatment can be started. i hope i have answered you query. if you have any further questions you can contact us in every time. kindly regards. wish you a good health."
Please summerize the given abstract to a title,"COVID-19 pandemic: the implications of the natural history, challenges of diagnosis and management for care in sub-Saharan Africa"
Please answer with one of the option in the bracket,E: Platelet-derived growth factor
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, and i hope i can help you today. pregnancy symptoms can vary widely between women, and all the symptoms you describe-nausea, bloating, breast tenderness and feeling weak can also be caused by the hormone imbalance that caused you to miss your period. but you can trust the pregnancy test to be reliable if you took it at least 14 days from possible conception. a delayed cycle can occur from sudden weight loss or gain, traveling or a change in schedule, or even stress. worrying about pregnancy can even make you stressed enough to miss a period. all your symptoms will resolve once you do get your menstrual cycle again. i suggest you wait until your next period would be due and if you do not get one then i suggest consulting with a gun doctor to investigate your irregular cycles. but i can reassure you that if your pregnancy test is negative, whatever symptoms you have been not caused by pregnancy. i hope i was able to answer your question today and that this information was reassuring. best wishes,"
Please summerize the given abstract to a title,Educating Minoritized Students in the United States During COVID-19: How Technology Can be Both the Problem and the Solution
Please summerize the given abstract to a title,The coronavirus response: Boxed in by models
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a causative relationship
Please summerize the given abstract to a title,Socio-Economic Determinants of Health Literacy in High School Students: A Cross-Sectional Study
"If you are a doctor, please answer the medical questions based on the patient's description.","dear concerned., thanks for writing to us. you may be having exacerbations and remissions of chronic sinusitis due to repeated infections and also aggravated by your smoking habit. do you also have loss of weight/ loss of weight and evening rise in temperature? pls investigate with routine blood counts/blood chemistry/urinalysis/sputum for microscopy and routine/afb test for sputum /pap smear test of sputum sample. in addition, radiological tests for paranasal sinuses such as x-ray pns and ct as required. consult an ent surgeon for endoscopic lavage of the sample and analysis for its pathology for a definitive diagnosis and institution of therapy. taking empirical treatment without proper investigations will only lead to postponement of definitive diagnosis. so please follow the above protocol. wishing you a quick recovery., best regards., chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. but, honestly speaking stage4 liver cancer is incurable and there is no definite treatment for cure. so i advise you not to take brazil nuts. it will not help you further. instead of all these, you should start palliative treatment in the form of1. pain treatment like centrally acting painkillers (opioids)2. nutritional support in the form of supplemental iron, vitamins, calories, carbohy chatbot. 3. consult psychiatrist and discuss end of life issues. these will help you more."
"If you are a doctor, please answer the medical questions based on the patient's description.",tithe regular contraceptive pill contains two hormones estrogen and progesterone. the estrogen is the hormone which can cause embolism and is to be totally avoided by your girlfriend. progesterone is safer for her. there are progesterone only pill available which provide regular contraception. plan b is an emergency contraceptive which is taken after unsafe sex. it basically contains higher doses of progesterone. as it does not contain estrogen it can be taken by her. the safest contraception for her would be cu t which would also give her regular contraception. thanks
Please summerize the given abstract to a title,"Hydrogen, a Novel Therapeutic Molecule, Regulates Oxidative Stress, Inflammation, and Apoptosis"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there, typhoid recurs due to exposure to a contaminated source of water or due to eating non-vegetarian food like eggs, fish meat that is not prepared hygienically. you can have yogurt and noodles but preferably homemade. also, as you will have bouts of lethargy and tiredness-coconut water, bananas are beneficial to get rid of the tiredness. you can also have a diet that includes plenty of fresh fruits and greens and take care of your protein intake. buttermilk, curd, whey protein can be added to your diet. avoid oily or heavy food as it will make you more lethargic. precautions that you can take is always chatbot.  either boiled or filtered. if travelling carry your own water bottle or"
Please summerize the given abstract to a title,Gaussian Process Nowcasting: Application to COVID-19 Mortality Reporting
Answer this question truthfully,"A febrile nonhemolytic transfusion reaction is the type of blood transfusion reaction that presents with symptoms such as fever, headaches, chills, and flushing."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. welcome to chatbot . i have gone through your query and can understand your concerns. as per your complaint in case if you have a cracked filling, then it can cause the food and water to enter deep into the tooth via the cracked spaces, and it can lead to secondary infection in the tooth that can progress further and can even infect the nerves. as you already have throbbing and difficulty in chewing, it should be taken care of to prevent further damage to the tooth. as of now the only thing that you can do until you consult your dentist is to avoid chewing from the side where the tooth has a fractured filling as well as you should also keep the area clean by gargling after meals and brushing the area properly to avoid food accumulation. but get the tooth treated soon to prevent progression of decay. hope this information helps. thanks and regards. chatbot."
Answer this question truthfully,"The recommended medication for Taenia saginata infection is praziquantel, which is an anthelmintic drug that is effective against tapeworm infections."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion you are having uncontrolled herd (gastroesophageal reflux disease) mostly. since your extensive pulmonary work up is normal, no need to worry much for pulmonary causes. uncontrolled acid reflux can cause chronic cough and breathlessness due to micro aspirations. and following lifestyle modifications along with chatbot.  so avoid stress and anxiety. avoid hot and spicy food. avoid large meals, instead take frequent small meals. go for walk after meals. keep 2 - 3 pillows under head in bed to prevent reflux. avoid alcohol and smoking, if you have these habits. lose weight if you are obese. don't worry, you will be alright."
Please summerize the given abstract to a title,Modification in induction immunosuppression regimens to safely perform kidney transplants amid the COVID-19 pandemic: A single-center retrospective study
Answer this question truthfully,"Blood pressure control is very important if you are at risk for aortic regurgitation. Treating strep infections promptly to prevent rheumatic fever, which can lead to aortic insufficiency. Aortic insufficiency caused by other conditions often cannot be prevented but some of the complications can be. Notify your health care provider or dentist about any history of heart valve disease before treatment for any condition. Any dental work, including cleaning, and any invasive procedure can introduce bacteria into the bloodstream. This bacteria can infect a weakened valve, causing endocarditis. Follow the provider's treatment recommendations for conditions that may cause valve disease. Notify the provider if there is a family history of congenital heart disease."
"If you are a doctor, please answer the medical questions based on the patient's description.","god evening. is the fever associated with chills and rigor? is she having diarrhea? any complaints of cold and cough. if any of the complaints are associated with your mothers' fever. i would advise her to get complete blood picture, blood culture and sensitivity, tidal test and qbc for malaria. these tests will help in coming to diagnosis of the disease of your mother. with that you can proceed further. i hope i cleared your doubts. i wish your mother speedy recovery nd good health.  rate my answer."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you told you have got chronic pain because of your fractured pelvis. medications can do help you, but some procedures will help you greater than you might think.  i am an anesthesiologist basically, and i do epidural infiltrations and many autonomic blocks basically.  in your locality anesthesiologist may be definitely there since they are running all surgeries required. kindly ask them about the procedure and get it done. it will give you 6 months of relief.  at least a fentanyl patch will help you more and can be asked for dosage.  hope i have answered your query. let me know if i can assist you further. take care chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! your symptoms could be related to a tia (transient ischemic attack). other possible causes would be low fasting glucose (hypoglycemia), low blood pressure or a seizure. for this reason, i would recommend consulting with your doctor for a physical exam and some tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","by following these methods one can bring their raised tsh to normal1.sleeping before 10 pm waking by 5.30 am2.not much working with mobile, laptop and other electronic gadgets3. a big no to the outside food, junk food, fizzy chatbot. regular exercises preferably early morning excercise5.cutting salt6.early dinner by 7 pm7.practicing pranyama8 balanced diet9.stress-free keep g oneself happy and content"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Gangrene happens when a body part loses its blood supply. This may happen from injury, an infection, or other causes."
Please answer with one of the option in the bracket,D: Positive direct Coombs test
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. i think you are mentioning inguinal hernia here and have done ct for the same for the diagnosis. kindly wait till the reports come as it may help understand the soft tissues better. inguinal hernia may lead to symptom of having pain in the knee, since due to hernia there will be pain in the groin region and the muscles of the front of thigh arise from the basis and go down the thigh-bone called femur. and due to the inflammation at the inguinal region there will be excess load happening at the knee joint leading to gait disturbances and pain. as you are already under the pain medication i will advise you to undergo physical therapy like therapeutic ultrasound therapy and tens therapy which will help reduce the pain in the location of inguinal area as well as the referred pain in the knee joint too. once the pain come under control there will be little of stretching and strengthening of the muscles to avoid the hernia localized and referred pain as well. in my clinical practice, physical therapy is helpful for patients with inguinal hernia for pain which is localized and even referred. regardsjay in chatbot."
Please summerize the given abstract to a title,"Evolution Scenarios and Mitigation Strategies for COVID-19 in Peru, from the Complexity Approach and Agent-Based Modeling"
Please summerize the given abstract to a title,A Study on Mediclaim Processing in Connected Healthcare System
Please answer with one of the option in the bracket,"D: Basal cell hyperplasia, proliferation of subepidermal vasculature, and keratinization"
Answer this question truthfully,"The likely diagnosis in this case is premature adrenarche. This is a condition in which the adrenal glands start producing hormones that are responsible for the development of pubic hair, body odor, and acne earlier than usual. Premature adrenarche is more common in girls than in boys and is often associated with obesity. A normal bone age indicates that the child's growth and development are on track. The underlying cause of premature adrenarche is not fully understood, but it is thought to involve genetic and environmental factors. Treatment may not be necessary, as the condition often resolves on its own, but in some cases, medications may be prescribed to manage symptoms."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for asking question on chatbot. torticolles usually present from birth due spasm of the sternocleidomastoid muscle.sometimes there may be a stern mastoid tumor in the muscle responsible for tortillas or wry neck. physiotherapy may help. better consult pediatric surgeon soon. hope this answer will serve your purposeless feel free to ask any more queries if requiredtake care chatbot. v. subrahmanyam md;disassociate professor of pediatrics"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. since, headache is occurring when child comes to home from school, he could be suffering from tension headache, weak eyesight or refractive error, or the child has got common cold. in my opinion, you should give ibuprofen syrup 15 mg/kg for headache and get the eyes examined by an ophthalmologist for refractive error. revert with above reports. i hope this will help you. take care."
Please answer with one of the option in the bracket,A: DNA is not unwound
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. headache in kids need to be considered serious only when the below symptoms are there - 1. vomiting continuously2. seizures/ fits3. watery of bloody discharge from ears and nose4. unconsciousness5. altered sensorial or behavior. without the above red flag symptoms, just feeling low energy levels points out towards migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. i have a few questions for you -1. how long has the headache been there?2. does it always occur on forehead or keeps changing?3. is it associated with blurring of eyes or double vision or giddiness?4. is there any family history of migraine or single side headache?5. is he very angry when he gets headache and does the ache get better after a good sleep?6. does he vomit when there is headache? kindly get back to me with the answers to above questions and also mention his weight so that i can suggest you the formulations which are good. but as of now - you can give oral paracetamol in the dose of 15\u00a0mg/kg/dose(max ceiling dose 500\u00a0mg) every 4-6th hourly. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
Please summerize the given abstract to a title,Establishing a remote clinical advice service during the COVID-19 pandemic
Please summerize the given abstract to a title,Effects of Life Events and Social Isolation on Stroke and Coronary Heart Disease
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you seem to have developed an urticaria skin reaction. it can be due to any oral antibiotics that you are on. even any new topically used agent can be the cause. you need to stop using any possible offenders immediately. take oral antihistamines to relieve the itching and to reverse the allergic skin response. you can use topical calamine lotion for symptomatic relief. if inspire of above measures, the rash persists or increases, then you might need treatment in the form of oral steroids. you should see a nearby dermatologist in that case. hope it helps, chatbot."
Answer this question truthfully,"Acute inflammations of the gastrointestinal tract (esophagitis, gastritis, ulcerations) Clinically manifest osteomalacia Certain malformations and malfunctions of the esophagus (strictures, achalasia) Inability to stand, walk, or sit for 30 minutes after oral administration Renal impairment with a creatinine clearance below 30ml/min Hypersensitivity to alendronate or another ingredient Hypocalcemia Pregnancy and breastfeeding Patients below 18 yrs. of age, because no clinical data exists"
"If you are a doctor, please answer the medical questions based on the patient's description.","hii am an ayurvedic doctor according to our system autoimmune systems can be treated by immune modulator chatbot. in ayurveda immunity can be related to vydhikshamatwam or ball of patients. which means the capacity of body to prevent body from different diseases or the strength of the body to resist the disease against it to become worsen. based on this idea we can give relief to you. if ayurveda doctors available at your area you can visit him or else you can use some medicines if you give correct feed back about you through mail, christyjoseph1@gmail.com"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, what your kid is having is not diarrhea and is only gastronomic reflux. it is quite common for babies of this age group to pass a small amount of diarrhea or loose stools soon after feeds.  this need not be treated as diarrhea and especially antibiotics are not indicated. when the baby takes milk, the stomach expands - then when it is contracting it sets off a waveform which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. this is the basis for gastronomic reflex. do not worry. unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. you need not worry. hope i have answered your query. let me know if i can assist you further. take care chatbot."
Answer this question truthfully,"Iodine and iodophors work by halogenation of DNA, RNA, and proteins. This means that they introduce iodine atoms into these molecules, which can disrupt their structure and function. In the case of DNA and RNA, iodine can cause mutations or breaks in the strands, which can interfere with gene expression and replication. Similarly, iodine can modify the structure of proteins, which can affect their activity and stability. This halogenation effect is what makes iodine and iodophors effective as antiseptics and disinfectants, as they can kill or inactivate a wide range of microorganisms, including bacteria, viruses, fungi, and protozoa."
Answer this question truthfully,The Hawthorne Effect is a type of measurement bias where the participants change their behavior in response to awareness of being observed.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query to chatbot. forum. alanine aminotransferase or a l t or s g p t is primarily found in the liver.however, this value of a l t is not so specific, but one important point is ratio of ast & alt as, in most acute hepatocellular disorders, the a l t is higher than or equal to the as t. an ast"
Answer this question truthfully,"The internal iliac lymph node cluster is responsible for draining the lymphatic vessels from the bladder. The internal iliac lymph nodes are located in the pelvis, near the internal iliac artery. The lymphatic vessels from the bladder drain into the internal iliac lymphatic vessels, which then drain into the internal iliac lymph nodes. The internal iliac lymph nodes are an important site for the detection and spread of cancer cells from the bladder."
Please summerize the given abstract to a title,Coronavirus disease 2019: challenges of managing a rapidly emerging infection
Answer this question truthfully,"No, the kidney does not normally reabsorb creatinine. Creatinine is a waste product that is produced by the muscles and excreted by the kidneys. It is filtered out of the blood by the glomeruli, which are tiny blood vessels in the kidneys, and then excreted in the urine. Because creatinine is not normally reabsorbed by the kidneys, it is a useful marker for kidney function. If the kidneys are not functioning properly, creatinine levels in the blood will increase, indicating that the kidneys are not effectively filtering waste products from the blood."
Please summerize the given abstract to a title,Burden of pertussis in South Korea: Implications for adults
"If you are a doctor, please answer the medical questions based on the patient's description.","hi kristin, it could be a fungal infection of skin known as satyriasis tricolor. it is usually asymptomatic and is usually localized over chest and back. at times face, neck or arms could be involved too. to treat the same you may apply ketoconazole shampoo over the affected area for 10 minutes and then wash off. you may also apply any antifungal cream like clotrimazole, terminating etc. to treat it. as dermatology is a visual field, it is always better to get a definite diagnosis prior to starting the treatment. hope that answers your query. take care."
Please summerize the given abstract to a title,"Insomnia is associated with worry, cognitive avoidance and low academic engagement in Argentinian university students during the COVID-19 social isolation"
Please summerize the given abstract to a title,Nota editorial de los editores invitados
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you had a pain full lump in the middle of buttocks, and waist. difficult to sit.  it is a boil, needs to be treated, if in the beginning they can be cured with medicines, if left un treated they may still grow and become painful, and incision and chatbot. if still un attended they will open by itself, and to be treated with antibiotics, proteolytic, and painkillers.  so i advise you to consult a surgeon for treatment.  thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. in my opinion you are having congestive cardiac failure (ccf). uncontrolled hypertension can cause ccf. and the most common cause for ccf is coronary artery disease.  so when patient is diagnosed with ccf on 2d echo, we need to rule out coronary artery disease first. and to rule out coronary artery disease, cardiac catheterization and angiography is must. and if blocks are detected than coronary intervention should be done. so don't let it be as it is. consult cardiologist and get done angiography and start treatment accordingly."
Please summerize the given abstract to a title,Climate Change and the Practice of Medicine: Essentials for Resident Education.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. yes, honey been sting in very painful and can cause severe skin inflammation and ulceration. it is not safe for anyone irrespective of having cancer or not. so better to avoid honey been at home. honey is good for immunity. but there is no need to produce it at home. you can buy from outside. by this you can avoid risk of honey been sting. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Cortical thickness is not associated with current depression in a clinical treatment study.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... i feel by what you quote he should be having a - hand foot mouth disease. this is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. it is a self-limiting disorder and itching can be really worrisome. i suggest you use any over the counter antihistamine if you have one with you now. you can use hy chatbot.  this can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. regards -
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatbot if you had gone through the partial neurectomy and now having some symptoms regarding the kidney then it has to be treated accordingly initially, means symptomatic treatment, if the symptoms goes away with symptomatic medicine then fine but if it does not respond to it then it has to be investigated and then the treatment should be planned in accordance with the reports you can have word with your neurosurgeon hope this will help you in taking decision have nice day."
Please answer with one of the option in the bracket,"C: ↓ Serum TSH, ↑ Total T4, ↑ Free T4, ↓ I131 Uptake"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, treatment may include the following"
Answer this question truthfully,"As with any congenital heart disease, patients with a family history of pulmonary valve stenosis are at highest risk."
Please summerize the given abstract to a title,[Neuropsychiatric recovery after COVID-19 - an observational cohort-study].
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the medication you are taking is correct, but you should have started with seroflo125mg first .but since you have started you continue the same, after you finish this inhaler you use aeroflot 125\u00a0mg once if it is sufficient you can continue this for treatment. however you keep going to you regular physician and keep him informed. you can use stalin for acute attacks. also when you use aeroflot kindly gargle and rinse your mouth after using the inhaler.i also suggest you get yourself tested for allergy, it is called skin prick test you will know what you are allergic to, then if possible you can avoid the allergen, or you can start treatment called immunotherapy. this is currently the best treatment available and your symptoms will easily reduce by 80-90 percent kindly visit you rent specialist he will guide you further and immunologist he will do skin prick test and immunotherapy thank you chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. treatment of plastic anemia is very difficult.  you can give external red cell concentrate and platelets as symptomatic maintenance therapy.  however, it will not cure the disease. permanent treatment is only bone marrow transplantation. for that you have to search hla matched donor. it is the only permanent treatment available.  it is very costly. so plan out accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please answer with one of the option in the bracket,A: 1/4
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case and i think you are having sub acromial bursitis. in this condition there is fluid accumulation in the shoulder and this can cause such pain. for confirmation, you need to get mri of the shoulder.it is good that you are not doing any hard work, but you need physiotherapy and hot water fomentation. also, some time there is injection of steroid needed. i hope this answer will be useful for you. let me know if there is any other followup questions. thanks"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the very first thing is not to see porn anymore. thus, you will not fantasize such bad things. furthermore, try to stay occupied with work, thus, you won't have to think over masturbating. next, get engaged. you will get better while sharing your things with another partner. if no improvement, should talk with a psychologist/sexologist to run psycho-therapy s\u00e9ances to get improved. hope it helped! chatbot."
Answer this question truthfully,The Warthin-Starry stain is a type of stain used to visualize Bartonella henselae.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. after going through your fathers' problem. my opinion is that your father may be suffering from pancreatitis. its pain appears in abdomen and referred to back. for backache visit orthopedic and for pancreatitis visit gastroenterologist. please have mri of spine done, serum amylase done. ask your father to avoid forward bending, lifting weight. apply hot fomentation to back. hope your query get solved. welcome for further queries."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read and understood your history. you have explained this nicely. you have a problem of gastroenteritis, the intestinal component is so much that you are loosing precious fluids and electrolytes through the loose stools. this may help the periods to extend as your hormones go into imbalance. i would advise you the following"
Please summerize the given abstract to a title,Pulmonary and pleural metastasis mimicking COVID-19 infection in stage IV ovarian cancer: a case report.
Please summerize the given abstract to a title,Safety and Efficacy of Intermittent High-Dose Liposomal Amphotericin B Antifungal Prophylaxis in Haemato-Oncology: An Eight-Year Single-Centre Experience and Review of the Literature
"If you are a doctor, please answer the medical questions based on the patient's description.",his you seem to be developing an allergic reaction because of the various home remedies that you are using. you should surely avoid using all of these since they are further increasing the irritation even further. you should just clean the affected area with plain water twice a day. you may need to use a topical steroid cream over the affected area twice a day. some oral antihistamines along will help in decreasing the allergy. do not apply any oil over it now. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","you are suffering from allergic rhinitis for which origin is not the answer. you should take flonase or donate nasal spray, montage and an antiallergic like levocetrizine or allegra. furthermore, you may have to take them for at least 6 to 8 weeks. in any case these medicines have very little side effects and at times patients have to take them regularly for much longer periods to remain symptom free."
Answer this question truthfully,Thayer-Martin media is a selective media that only grows Neisseria. It contains various nutrients and antibiotics that inhibit the growth of other microorganisms and promote the growth of Neisseria.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot ! i have gone through your question and understand your concerns. it appears like your suffering with generalized anxiety disorder. also, you added that you're taking medication for anxiety. in my opinion, i feel that the dose that your actually using may not be sufficient. i suggest you to 1) escalate the dose of the chatbot.  most commonly, anxiolytic are prescribed. it includes ssris or tcas. benzodiazepines too can be used to stop the attack.2) counselling techniques like cognitive behavioral therapy, systemic desensitization and biofeedback are also useful.3) daily practicing stress relieving techniques like"
Please summerize the given abstract to a title,Estimation of undetected symptomatic and asymptomatic cases of COVID-19 infection and prediction of its spread in the USA
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for using chatbot, i am sorry that you feel unwell the presence of blood in the mucus can happen in viral upper respiratory tract infections because the nasal passages are usually all inflamed from the virus. since viral illnesses are one of the most common causes of an acute asthmatic attack, you should consider increasing the amount of the preventer that you use, and you may want to consider using your reliever in case the shortness of breath is an indication of an acute asthmatic event. in terms of the fever and chills, you can consider using paracetamol, use of tepid/ room temperature baths to cool your body, fan therapy. resist the urge to bundle up, when persons get chills they tend to bundle up, this will only increase your temperature. in light of your history of asthma and the shortness of breath that you are currently experiencing, it would be best if you seek medical attention as soon as you can. i hope this information is helpful, and i hope that you feel better soon"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome on chatbot ! you should know that this is a progressive disorder, leading to cognitive impairment and also behavioral changes. the main cure is blood thinners to help prevent future stroke. i would also recommend starting donepezil, which can help improve your memory problems. if you become aggressive or depressive starting an anti-psychotic or antidepressant would be helpful! hope you will find this answer helpful! wishing all the best,"
Please answer with one of the option in the bracket,D: Cordocentesis
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This no relationship.
Answer this question truthfully,"The blood supply of the spleen arises from the foregut region of the embryonic gut. Specifically, the splenic artery, which is the main arterial supply to the spleen, arises from the celiac trunk, a major branch of the abdominal aorta that supplies blood to the foregut. During embryonic development, the foregut is the anterior portion of the primitive gut tube, which eventually gives rise to the upper gastrointestinal tract, including the esophagus, stomach, and duodenum. The development of the splenic artery, like that of other blood vessels, is regulated by a complex interplay of genes and signaling pathways that ultimately determine the fate of the cells and tissues that arise from the foregut."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you probably have chronic hepatitis b. the laboratory data you've provided are not sufficient to judge that. the hepatitis is considered chronic when the bag is present for more than 6 months. other markers can be used though to determine the diagnosis indirectly. regarding treatment of chronic hepatitis, it depends on whether it is active or not. the serum transaminase and viral load (havana) are crucial information to decide treatment initiation. your diet has nothing to do with the outcome, so since you've no symptoms or obvious disease activity, there is no dietary change that you should try. you can contact me again, if you'd like more information about your condition or would like to discuss the results you're awaiting. i'll be glad to help! kind regards!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, regarding your concern, i would agree with all your therapy, which will help reduce the progression of small vessel disease. a close monitoring of your blood pressure values, blood glucose and a healthy diet will help reduce the progression of the disease too. there is no specific treatment besides reducing the risk factors like smoking, diabetes, obesity, high blood pressure etc. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, arthrotec has two ingredients diclofenac and bisoprolol. the bisoprolol is to protect the stomach from ulcers. the diclofenac is an anti-inflammatory medication like advil and can be hard on the kidneys. it really depends upon the amount of pain that you are in. if you are in enough pain to require an anti-inflammatory every day, this is not a bad choice since it will not cause an ulcer. if you are not in too much pain then i would avoid it. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello max, i have gone through your query and understand your concern towards your stress and anxiety symptoms can assure you that there is nothing to worry.... it is understandable from the symptoms you described could be panic attacks related to anxiety disorder can suggest you deep breathing techniques i.e...take inspiration very slowly....hold your breath for 5 seconds and then release or expire slowly with your mouth.... you can follow this for 30 minutes daily suggest you to take benzodiazepines i.e. clonazepam tablets during the attack to relieve your anxietythese deep breathing techniques helps you prevent further attacks hope this information would be helpfulness free to ask any further questionsthank you"
Please summerize the given abstract to a title,Activation of a novel α2A AR-spinophilin-cofilin axis determines the effect of α2 adrenergic drugs on fear memory reconsolidation.
Please summerize the given abstract to a title,Technological advancement in the era of COVID-19
Answer this question truthfully,"The appearance of the electrocardiogram in the setting of PEA varies, but several common patterns exist. There may be a normal sinus rhythm or sinus tachycardia, with discernible P waves and QRS complexes. Sometimes there is a bradycardia, with or without P waves, and often there is a wide QRS complex.  The presence of a QRS interval > 0.20 seconds is associated with a poorer prognosis. The EKG should be carefully evaluated for signs of Hyperkalemia, ST segment elevation MI, hypothermia, QRS interval prolongation suggests tricyclic antidepressant overdose"
Answer this question truthfully,"Clomiphene is a medication that is commonly used to treat infertility in women. It works by blocking the action of estrogen in the body, which can help to stimulate the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary gland. In particular, clomiphene acts as an antagonist at estrogen receptors in the hypothalamus, which can help to increase the production of FSH and LH and promote ovulation. By blocking the action of estrogen, clomiphene can help to restore hormonal balance in women who are experiencing fertility issues due to irregular ovulation or other hormonal imbalances. Overall, clomiphene can be an effective treatment option for women who are struggling to conceive and are looking for ways to improve their chances of getting pregnant."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hanks for posting your query.  there are few causes for swelling of face. most common among them is kidney problems, loss of proteins in urine, thyroid disease, a chatbot.  associated with breathing difficulty it might be due to kidney or heart problem.  i advise you to get these tests done and revert"
Answer this question truthfully,"The blood-brain barrier is a specialized system of capillary endothelial cells that prevents circulating blood substances (e.g. bacteria, drugs) from reaching the cerebrospinal fluid (CSF) and central nervous system (CNS)."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. constant pain at the operative site always indicates infection unless proved otherwise. so a detailed examination and appropriate investigations are necessary to establish a diagnosis of infection. regarding plantar fasciitis - use of soft heeled footwear, self massaging the involved area, reducing the body weight & use of analgesic anti-inflammatory medications will help. intractable pain due to plantar fasciitis can be effectively dealt with a local steroid injection at times. hope this information is helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have lump in chest wall.  you should go for ultrasound abdomen. then if needed go for biopsy of that lump. it can be soft tissue tumor like lipoma or neurofibroma or some other mass. biopsy will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,The preoptic nucleus of the hypothalamus is responsible for releasing the hormone GnRH.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, there are no benefits except psychological help that some form of treatment is given of eec.  all the studies to prove any efficacy has been found to be negative and so as a cardiologist i would not recommend eec (its like quack treatment) . rather continue medications and consider angioplasty (non-invasive means) for the same. the avg cost of eec which may constitute 5 to 6 sittings is 12 - 15 thousands. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern.first no need to worry about heart or lung related chest pain because you're all reports are normal. sometimes musculoskeletal pain can be the cause. so avoid movements causing pain. avoid heavyweight lifting and strenuous exercise. avoid sudden jerky movements of chest. apply warm water pad on affected areas. take painkiller and muscle relaxant chatbot.  don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Please summerize the given abstract to a title,Early detection of acute rhinovirus infections by a rapid reverse transcription-PCR assay.
"If you are a doctor, please answer the medical questions based on the patient's description.","if a lady is not accepting you for long term relationship, not necessarily that you are at fault.  but there may be something negative with her because of which she does not want a long term relationship mere having sex is not the key and beginning of a relationship focus on other things other than sex, show loyalty, honesty etc. if you reject girls too often, may be some problem with you and consult a psychiatrist"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,"2030 Agenda, health and food systems in times of syndemics: from vulnerabilities to necessary changes"
Answer this question truthfully,"Interstitial nephritis is likely present in a patient who was given a penicillin drug and has increased BUN/creatinine, eosinophils in urine, and sterile pyuria."
Please summerize the given abstract to a title,"Development and Validation of a Rapid, Single-Step Reverse Transcriptase Loop-Mediated Isothermal Amplification (RT-LAMP) System Potentially to Be Used for Reliable and High-Throughput Screening of COVID-19"
Please summerize the given abstract to a title,Standardization of critical care management of non-critically ill patients with COVID-19
Answer this question truthfully,Abstaining from sexual activity is the only way to prevent a sexually transmitted infection. There is no vaccine for LGV. Limit number of sexual partners. Using a barrier method of contraception (male or female condom) may help prevent transmission of C. trachomatis.
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us, i have studied your case with diligence. as per your history pattern there can be persistent tear in ankle ligament leading crunching sound or capsular tightness. i will advise doing mri ankle for soft tissue involvement. till time, you can continue physiotherapy exercises and also use supportive splint or brace. physiotherapy like ultrasound and tens will help in early healing. walk with support to avoid further damage. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health."
Please summerize the given abstract to a title,"SARS-CoV-2 proteins regulate inflammatory, thrombotic and diabetic responses in human arterial fibroblasts"
Answer this question truthfully,"Choriocarcinoma that arises from gestation has a very good response to chemotherapy. Choriocarcinoma is a rare and aggressive cancer that develops from the cells that would normally form the placenta during pregnancy. It can occur in both men and women, but it is most commonly associated with gestational trophoblastic disease, which is a group of conditions that can occur during pregnancy. Choriocarcinomas that arise from gestation are often highly sensitive to chemotherapy, which means that they can be effectively treated with chemotherapy drugs. Other factors that can affect the response to chemotherapy include the stage and location of the tumor, as well as the overall health of the patient."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot the breathing problem could be related to your anxiety which can contribute to all symptoms, but this could not be the only cause. it would be wise to follow what ever advice was offered in such a situation to make you feel better. you need to stop smoking as it can cause severe problems other than copd. prevent hyperventilating which can make you dizzy and faint. get on the oxygen for some relief. you need to be on proper treatment for your anxiety dear, from your psychiatrist. it is of utmost importance."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi... thank you for consulting in chatbot. fever of few days without any localizing signs could as well a viral illness. usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. if the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. once viral fever comes it will there for 4-7 days. so do not worry about duration if the kid is active. paracetamol can be given in the dose of 15\u00a0mg/kg/dose (maximum ceiling dose of 500\u00a0mg) every 4-6th hourly that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope my answer was helpful for you.  i am happy to help any time. further clarifications and consultations on chatbot are welcome. if you do not have any clarifications, you can close the discussion and rate the answer. wish your kid good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, we should definitely rule out bronchitis (inflammation of airways) in your case. bronchitis is common after rhinitis and sinusitis and cause breathlessness. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",hello have normal findings. left testis normally hangs lower than right testis. it is normally found in every male. scrotal skin appears also changes with changing conditions and emotions. i presume that you have been properly examined by a clinician. it is good that there is no sign of infection or hernia. if your doubt persists then you can go for ultrasound of scrotum. ultrasound can detect abnormality. take care chatbot.
Please summerize the given abstract to a title,"1H, 13C and 15N Backbone chemical shift assignments of the n-terminal and central intrinsically disordered domains of SARS-CoV-2 nucleoprotein"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. welcome to chatbot, the history of dog bite on the cheek following which it was sutured. usually dog bite wound shouldn't be sutured if it is to be sutured it should be done only after administration of rabies immunoglobulin around the wound. the history clearly suggest that wound is healing normally, and the healing will be completed in few days. proper and adequate treatment should be taken for the dog bite with antirabies vaccine and antirabies serum. thank you."
Please summerize the given abstract to a title,Picornavirus uncoating intermediate captured in atomic detail
Please answer the letter of option truthfully,B
Answer this question truthfully,"Granulosa cell tumor is the name of the tumor that produces estrogen and can cause peripheral precocious puberty.

Granulosa cell tumors are a type of ovarian tumor that can produce estrogen. In children, these tumors can cause peripheral precocious puberty, which is the early onset of puberty before the age of 8 in girls and 9 in boys.

Peripheral precocious puberty can cause physical changes such as breast development, pubic hair growth, and menstrual bleeding in girls, and testicular and penile growth in boys. It can also lead to accelerated growth and bone maturation, which can result in short stature as an adult.

Treatment for granulosa cell tumors typically involves surgery to remove the tumor, followed by chemotherapy or radiation therapy if necessary. Hormone therapy may also be used to manage the effects of excess estrogen production."
Please summerize the given abstract to a title,How has the practice of physical activity changed during the covid-19 quarantine? a preliminary survey
Please answer the letter of option truthfully,A
Answer this question truthfully,The blood concentration levels of amino acids and fatty acids are typically increased in patients with diabetes mellitus.
Please answer with one of the option in the bracket,A: Hemolytic anemia
Please summerize the given abstract to a title,The socio-economic impact of COVID-19 on the petroleum sector in Egypt: a descriptive analysis
Answer this question truthfully,"Myocardial infarction is often caused by the rupture of an atherosclerotic plaque, which leads to thrombosis and complete occlusion of a coronary artery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your complaint thrush is a fungal infection, and it can reoccur if the previous infection has not yet subsided, and also if the child is being given antibiotics for some infection. also, frequent urination and chatbot. i would suggest you first consult a pediatric dentist, and get evaluated, and he can do microscopy of the scraping from the tongue done to confirm that it is thrush. in case if it is thrush, then you have to continue applying antifungal mouth paint like candid mouth paint and along with it gives plenty of probiotics like yogurt and garlic. feed with plenty of fluids. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"T-wave alternans predicts arrhythmia, sudden cardiac death, or cardiovascular or total mortality in these patient groups:
Congenital heart disease  Congestive heart failure   Dilated cardiomyopathy  Diabetes  Ischemic and nonischemic cardiomyopathy        Left ventricular dysfunction      Long QT syndrome   Myocardial ischemia and infarction           Non-STEMI acute coronary syndrome  Patients with ICDs during anger  See also:  Patients with acute coronary syndrome during percutaneous coronary intervention  Patients with STEMI during percutaneous coronary intervention  Vasospastic angina 
T-wave alternans is associated with ventricular arrhythmias in these patient groups:
Brugada syndrome  Coronary artery disease   Medical therapy/Proarrhythmia  including Amiodarone,     Antibiotics,  Cancer therapy agents  Sleep apnea  
T-wave alternans has also been observed in these conditions
Alcoholic cardiomyopathy    Epileptic seizure   Hypocalcemia   Hypokalemia  Hypomagnesemia    ICD shocks  Myocardial scar  Pulmonary embolism   Quinidine  Renal failure"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for posting query at chatbot. usually alt or ast values higher than \""two times the upper normal limit\"", is considered abnormal (in some countries, alt or ast values of more than 100 are considered abnormal). value of ast or alt greater than 85 or above maybe investigated further. alcohol ingestion and obesity are common causes of fatty liver disease. however, you may have tests to rule out hepatitis b and c infection. you have high cholestroladvice"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the backache & the abdominal stretch can be after effect of the operation (? total abdominal hysterectomy with both sides ovaries).  * the backache can be due to osteoporosis following the ovarian removal. it can be managed by calcium, vitamin d replacement along with hormonal replacement if recommended by your doctor.  - considering your age, x-ray spine will help to assess diagnose possibility of lumber spondylitis.  depending on the indication for your operation, your doctor may suggest mri to exclude certain other possibilities * when you climb the stairs, or lift /push a buggy, the abdominal muscles naturally get tight. the pain you feel is due to weakness of abdominal muscles /stretching of the scar.  this will reduce over few more months. you can start light abdominal exercises to strengthen your abdominal muscles. painkillers will give you temporary relief.  thank you."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this message finds you in good health. i have gone through your query in detail and understand your concern. repeated spine surgeries won't give you 100 % relief.some nerve inflammation will still remain.use a lumbosacral corset with frame to avoid weight and pressure on the nerve.analgesics and local hot fomentation will help.get a fresh mri done hope your query has been answerednothing to worry about, you should eventually get back to normal. get back to me for any follow-up queries anytime. kind chatbot. .(mbbs, ms,mch)"
Please summerize the given abstract to a title,"SARS-CoV-2 Seroprevalence Survey in Grocery Store Workers—Minnesota, 2020–2021"
Please summerize the given abstract to a title,Infectious disease survey of lesser prairie chickens in north Texas.
Please summerize the given abstract to a title,Evaluation of individual and ensemble probabilistic forecasts of COVID-19 mortality in the US
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear. i have gone through your question. i can understand your concern. but warfarin generally doesn't affect the hemoglobin level much.  so don't worry about that. you may have low he due to some other conditions.  so consult your doctor and investigate that.  then take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,State-of-the-art evidence of traditional Chinese medicine for treating coronavirus disease 2019
"If you are a doctor, please answer the medical questions based on the patient's description.","hithank you for providing the brief history of you as you been coughing from 2 months and the medicine prescribed is not working i will advise you to take a chest x-ray or a ct scan. also taking a sputum culture should help understand what sort of infection it is and why the chatbot. besides, kindly take steam inhalation or nebulizer by which the cough can be reduced, as the steam passing in and out of the lungs will help loosen the secretion as well. perform regular breathing exercises as the lung is the main organ of the body which supplies fuel to the body. so performing breathing exercises will help improve the overall body condition and all make the respiratory muscles stronger. in my clinical practice chronic cases are assessed thoroughly and then proper planning of the treatment helps them in 5-7 days of time. regardsjay in"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the gap can be closed with the help of braces or tooth color composite restorations. consult an oral physician and get yourself examined to decide whether it has to go for orthodontic treatment or restoration. if the gap is minimal then it can be restored with tooth color restoration. if there are other teeth are also affected then it as to be treated with orthodontic treatment. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query, based on the facts that you have posted it appears that you have done your semen analysis which revealed dead sperms. it is difficult to make comment as you have not posted complete report of your semen analysis.however, this is in no way related to your habit of frequent masturbation, regular sex, or nocturnal emission. please consult qualified urologist for complete evaluation to detect cause of your erectile dysfunction and further treatment. chatbot."
Please summerize the given abstract to a title,Mobile Phone Addiction as an Emerging Behavioral Form of Addiction Among Adolescents in India
Please answer with one of the option in the bracket,C: Manometry
Please summerize the given abstract to a title,Development of a new Ultra-High-Performance liquid Chromatography-Tandem mass spectrometry (UHPLC-MS/MS) method for the determination of digoxin and digitoxin in plasma: Comparison with a clinical immunoassay.
Please summerize the given abstract to a title,"COVID19 infection in health care professionals: risks, work-safety and psychological issues"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Characteristics of the complement system gene expression deficiency in patients with symptomatic pulmonary embolism
Please summerize the given abstract to a title,Policy-Aware Data Lakes: A Flexible Approach to Achieve Legal Interoperability for Global Research Collaborations
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. a thorough musculoskeletal assessment is advised as you were a smoker and the cheeks are in now, you need to keep patience firstly as this will take a slow process for muscle to regain its original shape. performing facial massage will reduce the tightness in the cheek muscle and later performing simple exercises will help regain the bulk of the muscle back. for facial muscle exercises you can learn from a physical therapist and even understand how the facial massage is performed. regardsjay in chatbot."
Answer this question truthfully,Ventricular fibrillation is the most common cause of sudden cardiac death within 2 days of acute MI.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for writing to us at chatbot. i would keep a possibility of infantile seborrhea dermatitis, which can present as greasy adherent scales, erythema on the scalp and is usually associated with hair loss. this condition is quite common in infants. if i was the treating doctor i would have asked you to use a 5 % certified based shampoo, daily or on alternate days. cetrimide is antiseborrheic and antiseptic. in my patients, i usually also ask to use a moderately potent topical steroid e.g. fluticasone propionate 0.05%, twice daily, for faster resolution of the dermatitis. this is a prescription product and i would suggest that you seek an appointment with a dermatologist before trying it. regarding the hair loss, it is completely reversible, and you need not worry about that. regards"
Answer this question truthfully,"Turner's syndrome must be differentiated from other diseases that cause latency in secondary sexual characteristics development, such as constitutional delay of puberty, hypopituitarism, delayed puberty, and chromosomal abnormalities. Chromosomal abnormality is Noonan's syndrome."
Please answer with one of the option in the bracket,C: Ilioinguinal nerve
Please summerize the given abstract to a title,Inhibition of SARS-CoV-2 in Vero cell cultures by peptide-conjugated morpholino-oligomers
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please summerize the given abstract to a title,Transient benign paroxysmal movement disorders in infancy./ Trastornos paroxísticos del movimiento de carácter benigno y transitorio en la infancia
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, and thanks for posting your query here. it seems you are suffering from vertigo particularly positional vertigo. there are many causes of vertigo like ear problems and brain problems. but it may just be a benign form in your case. but i would suggest you to still see your doctor to rule out the other causes of vertigo.also, please get at least an ecg done to rule out any arrhythmias. i hope this information would be of help to outranks and all the best."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, unprotected sex during period is very much safe. taking emergency pill within first 24 hrs gives protection more than 95%. though it depends on ovulation time. emergency pill can delay your period for 1-2 week or more. you need to check your pregnancy status by one blood test for beta-chatdoctor. please consult with your doctor regarding this. take healthy diet, avoid stress, maintain genital hygiene, practice safe sex and use regular contraceptive pill instead of emergency pill. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, please relax and 20 % of normal people without any disease process can have positive ana. if you have infections or thyroid problems you can have false pos. if you do have systemic symptoms which your rheumatologist will figure out and will do further test then you will be started on appropriate medication. please don't worry. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the history indicates that you had a fall and that too over the hip i suspect it to be nerve entrapment in the lumbar spine. taking up an mri should be good. as numbness and tingling pain is indicative of nerve entrapment. once you take an mri please provide the reports. for then, doing exercises for the core, spine stability and lower limb strengthening should give you results. in my clinical experience of 12 years, most cases of fall reported are suspected to have disc injury. they respond well to exercise program. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history. one thing is for sure. no lymph node in this position ever shown to be cancer. so first forget about cancer. it is not due to cancer. let us see them what it can be. as you say this all started in 2009 - enlarging since last one month; this can be a sebaceous cyst or a lipoma or a lymph node too. you can test this by fnac = fine needle aspiration cytology. and... it is better to get this removed (excised) for 2 reasons.1> your get rid of the disease and 2> you get the histopathological diagnosis-makes you tension-free that it is not a cancer. well - another misconception- eustachian tube blockage will cause problem of the ears only. sinusitis can be a reason for this and the headache. the best way to get a proper diagnosis is consulted an ent surgeon who would do a proper history, clinical examination, investigations as per these findings alone can lead to a proper diagnosis. this is most important to lead to a proper management/ treatment."
Please summerize the given abstract to a title,Co Budeme Dělat Zítra? Pokusíme Se Přežít! Vzdělávání Doma V Době Koronavirové Pandemie Z Perspektivy Matek
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatbot. thanks for your query. it is very unlikely that the fall and head injury you had when you were a 6 month-old baby is related to your current problems. falls are very common during childhood days, and it is improbable that this is causing your depression or interfering with your memory. genetic factors (dna) is one of the factors which can be causative for a wide range of psychological issues. but again, this is not the only factor, as other environmental factors such as stress, early life experiences, etc. also play a significant role. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, prolific is for correction of ovulation by causing maturation of grain follicles. not the progesterone levels, but ovulation is essential for conception. i feel you need to get your ovulation study along with ovulation hormone estimation followed by specific advise by a gynecologist for positive results you want. hope i have answered your query. let me know if i can assist you further. take care"
Please answer the letter of option truthfully,B
Answer this question truthfully,"http://www.nlm.nih.gov/medlineplus/ency/article/000536.htm
Template:WH Template:WS"
Answer this question truthfully,"The articular surface of adjoining bones is made of hyaline cartilage (type II collagen), surrounded by a joint capsule."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have studied your case. due to cervical stenosis pain may remain persistent to compression of nerve root there can be tingling numbness in your arm and pain.also, there can be large disc bulge which is compressing over spinal cord. for these symptoms analgesic and neurotrophic medication can be started. till time, avoid lifting weights. you can consult physiotherapist for help. physiotherapy like ultrasound and inferential therapy will give quick relief. i will advise checking your it b12 and it d3 level. if nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. consult spine surgeon for further help. hope this answers your query. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. wishing you good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot, understanding your concern. as per your query you have lymph nodes in neck with muscle pain . the symptoms you mention in query are pointing towards a condition like sore throat, swollen lymph nodes, regional lymphadenopathy or tonsillitis. sometimes when body is suffering from infection its immunity gets lower, which make it susceptible for other infections like viral infection. the white tongue you mention in query is due to oral thrush which is a fungal infection probable occur due to lower immunity. you mention that you have already consulted a doctor. it will take around a week or two to normalize with prescribed medicine also white tongue will also go away as condition gets better. avoid hot and spice food and maintain proper oral hygiene. also apply warm compresses to external neck. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,"The first line treatment for anorexia is usually focused on immediate weight gain, especially with those who have particularly serious conditions that require hospitalization. In particularly serious cases, this may be done as an involuntary hospital treatment under mental health law, where such legislation exists. In the majority of cases, however, people with anorexia are treated as outpatients, with input from physicians, psychiatrists, clinical psychologists and other mental health professionals.
A recent clinical review has suggested that psychotherapy is an effective form of treatment and can lead to restoration of weight, return of menses among female patients, and improved psychological and social functioning when compared to simple support or education programmes.  However, this review also noted that there are only a small number of randomised controlled trials on which to base this recommendation, and no specific type of psychotherapy seems to show any overall advantage when compared to other types. Family therapy has also been found to be an effective treatment for adolescents with anorexia  and in particular, a method developed at the Maudsley Hospital is widely used and found to maintain improvement over time. 
It is important to note that many recovering underweight people often harbour a hateful dislike for those who they feel to be robbing them of their treasured emaciation. Often when well-meaning friends or relatives compliment the recoveree on how much healthier they look, the recoveree's mind replaces ""healthy"" with ""fat"".
Drug treatments, such as SSRI or other antidepressant medication, have not been found to be generally effective for either treating anorexia,  or preventing relapse  although it has also been noted that there is a lack of adequate research in this area. It is common, however, for antidepressants to be prescribed, often with the intent of trying to treat the associated anxiety and depression.
Supplementation with 14mg/day of zinc is recommended as routine treatment for anorexia nervosa due to a study showing a doubling of weight regain after treatment with zinc was begun. The mechanism of action is hypothesized to be an increased effectiveness of neurotransmission in various parts of the brain, including the amygdala, after adequate zinc intake begins resulting in increased appetite. 
There are various non-profit and community groups that offer support and advice to people who have anorexia, or are the carer of someone who does. Several are listed in the links below and may provide useful information for those wanting more information or help on treatment and medical care."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot! i have gone through your question carefully, and it looks like that your relative has some neurological problem, most probably a seizure. from my clinical experience, i would advise that she should get an mri brain and eeg done to check the problem. she needs to see a neurologist and till then it will be advisable that she is supervised continuously as she may have a fall in dangerous situations and might get hurt. also, she should not chatbot.  only after proper scans and examination one can pinpoint the diagnosis. hope the reply helps you with your worries. feel free to ask more questions regarding this."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, you may be having a lymph node enlargement due to local inflammation. that means the lymph node enlargement may be due to the inflammation caused due to sunburn also. this enlargement usually subsides when the inflammation decreases. i would suggest you to consult your physician if the lymph node enlargement does not come down. wishing you a speedy recovery. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,"What is the 'public' in public education? Mapping past, present and future educational imaginaries of Europe and beyond"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for posting your query on chatbot ...* brief answer"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi heath symptoms you describe most likely suggests cellulitis, a skin infection that can rapidly spread as well as form an abscess, a localized collection of pus. the affected area is usually swollen, red, warm to touch, and painful. this infection typically occurs after the skin is broken from localized injury to the skin, the bacteria penetrates the area and the infection spreads, it is more common if you are diabetic or if you have swollen legs from any other cause. if you are already on antibiotics, i advise that you visit your doctor as soon as possible as you may require a change of antibiotics, usually a penicillin based chatbot.  if the infection is severe, you will require iv antibiotics. in the time being, clean the area thoroughly and keep it"
Please summerize the given abstract to a title,News in Nanocrystals Seminar: Self-Assembly of Early Career Researchers toward Globally Accessible Nanoscience.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi friend, welcome to chatbot take care - a vicious cycle of pain and analgesics may end up in addiction... anesthesia is generally avoided in the procedure.  the doctor needs to monitor the patients' response to assess the success, to avoid injury and so on. you may try ct scan - it can often clarify the situation. keep following up - with gastroenterologist wishing speedy recovery god bless good luck"
Please summerize the given abstract to a title,"Hostile media perception affects news bias, but not news sharing intentions"
Please summerize the given abstract to a title,Early impact of COVID-19 pandemic on paediatric surgical practice in Nigeria: A national survey of paediatric surgeons
Please answer with one of the option in the bracket,A: Both copies of the gene encoding the target are non-functional in tumors
Please summerize the given abstract to a title,Systematic investigation into generalization of COVID-19 CT deep learning models with Gabor ensemble for lung involvement scoring
"If you are a doctor, please answer the medical questions based on the patient's description.",you need to understand the human body metabolic activity as it will be of always a different in nature. kindly focus on doing regular free exercises under a recommended physical therapist which will help u a lot. u already said something about long transplant so need to be slow as the balance between the all systems needs to be performed by slow exercise. too much of medication will not solve your problems.
Answer this question truthfully,"The likely diagnosis in a patient 2 months post-MI that presents with CHF and persistent ST elevations/deep Q waves on ECG could be ventricular aneurysm. A ventricular aneurysm is a complication of myocardial infarction (MI) that occurs when a portion of the ventricular wall becomes thin and bulges out, creating a sac-like structure that can interfere with the heart's normal function. The persistent ST elevations and deep Q waves on ECG can be indicative of the presence of a ventricular aneurysm. Diagnosis is often based on imaging studies such as echocardiography or cardiac MRI. Treatment may involve medications to manage heart failure symptoms, antiplatelet therapy to prevent further cardiac events, and surgery to remove or repair the aneurysm if necessary. Prompt diagnosis and management are essential to prevent further complications such as arrhythmias or rupture of the aneurysm."
Answer this question truthfully,"Granulomatosis with polyangiitis is a rare autoimmune disease that can affect various organs, including the kidneys. Some of the kidney-related symptoms that may be present in individuals with this condition include hematuria, which is the presence of blood in the urine, as well as red cell casts, which are clusters of red blood cells that can be seen under a microscope. Another symptom that may occur in the kidneys is rapidly progressive glomerulonephritis (RPGN), which is a type of kidney disease that can lead to kidney failure if left untreated. Other symptoms that may occur in the kidneys include proteinuria, which is the presence of excess protein in the urine, and decreased urine output. It is important to note that these symptoms can also be caused by other conditions, so a proper diagnosis by a healthcare professional is necessary. Treatment for Granulomatosis with polyangiitis typically involves immunosuppressive medications to control inflammation and prevent organ damage."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! welcome to chatbot. this can be due to inflammation of bowel or can also be due to a stone in urinary tract. do you have fever, any urinary complaints? in my clinic, many patients with similar complaints have been successfully treated, to whom i advise ultrasound abdomen & pelvis, x-ray pub, urine routine, cbc & renal function tests. as you have mentioned that pain is cramps & intermittent, more likely it's a stone which causes obstruction to urine outflow. smooth muscles in ureter contract excessively to overcome this obstruction & so is the pain. for temporary pain relief smooth muscle relaxants like chatbot. definitive treatment is done according to the diagnosis. hope this helps. wish you a good health. thanks. regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to this forum. can understand your concerns.- symptoms of rabies aerophobia and hy chatbot.  it can lead to altered sensorial, meningitis and even death of patient. - once the disease occur then it cannot be treated. there is no treatment for rabies till now.- you should get the child vaccinated for anti rabies vaccine because even if it is a scratch there are chances of spread of rabies virus. and once the disease occur then there is no treatment for it and no one can help the patient in any way. i hope this will help you. wishing your child good health. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello and welcome to chatdoctori have read your query hope this will helprecurrent uti is a common problem especially in females. you should have a urine culture sensitivity test and abdominal ultrasound. as your parents are diabetic you should be investigated for diabetes. as diabetes is commonly associated with recurrent uti.meanwhile, keep on using cranberry juice and once reports are available to discuss with your physician to prescribe you appropriate antibiotic according to the c/s report for at least 2 weeks. i hope i have answered your queryregards chatbot."
Please summerize the given abstract to a title,Quantifying the impact of public health protection measures on the spread of SARS-CoV-2
Please summerize the given abstract to a title,Multiple vitamin K-dependent coagulation zymogens promote adenovirus-mediated gene delivery to hepatocytes.
Answer this question truthfully,Aortic regurgitation and mitral valve prolapse.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, alpina, i am sorry to see this report. she is only 68 years young and seems to have major problem. gallbladder cancer is not that common at her age, but can occur. from the description of ct findings, she may have primary cancer of the gallbladder which is causing blockage of the main channel that carries the bile from the liver to the gallbladder and also portion of the channel inside the liver. bile from the gallbladders usually released into the duodenum. there seems to be a mass effect with pressure on the duodenum and also the part of the colon that is close to the liver. it is very difficult to say whether this is operable without additional studies which might include, endoscopy, ercp, mrcp, ct-guided biopsy etc. she needs to be seen by a top specialist, may be at a university hospital setting where all these are available. i wish her well."
Answer this question truthfully,"No, they are not. Standard drug screens usually test for common drugs of abuse, such as marijuana, cocaine, amphetamines, and opioids like morphine and heroin. However, semisynthetic and synthetic opioids, such as oxycodone, fentanyl, and methadone, may not be detected by standard drug screens. These drugs require specialized testing, which is usually more expensive and time-consuming than standard drug screens. It is important to note that many drug testing programs have begun to incorporate testing for these types of opioids due to the current opioid epidemic."
Answer this question truthfully,"The most common teeth to become impacted are the wisdom teeth (the third set of molars). They are the last teeth to emerge, usually between the ages of 17 and 21."
Please summerize the given abstract to a title,274 Thrombotic complications in patients with COVID-19 requiring hospitalisation: a single centre prospective service evaluation
Please summerize the given abstract to a title,Tear-Based Vibrational Spectroscopy Applied to Amyotrophic Lateral Sclerosis
"If you are a doctor, please answer the medical questions based on the patient's description.","hello thank you for trusting chatbot dear if you feel in ball in rib came why don't you have got it done ultrasound scan?? usually the medicine that gave before colonoscopy can induce bowel movements, so they may be painful don't worry. possible causes may be cholecystitis, lipomas, enlarged tip of rib, rt colon swelling etc. please consult your doctor and get one ultrasound scan of abdomen and get treated accordingly."
Please summerize the given abstract to a title,Disrupting the brave new world: COVID-19 effects on organisations' sustainability efforts
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your description. i suggest you not to worry much. from the given details, i can surely suggest that you should not over read google. you are not getting you a chatbot.  please do not over read into these simple symptoms. concentrate on your studies or career. these symptoms are not connected with autism. if you still require my services on this aspect, you may post a direct query to me on this portal. please include as many details as possible. i shall provide psychotherapy treatment tailor made for you which should help you good. hope this answers your query. available for further clarifications. good luck."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot forum.  as you describe both of you are perfect in the tests of gynecologist, you need not have this treatment. but if 3 years passed after the marriage, most of the doctors use this treatment.  mention is a purified combination of follicle stimulating hormone and luteinizing hormone. to induce ovulation and enable pregnancy in women.  in women, chatbot is used together with other hormones called follicle stimulating hormone (fsh) and luteinizing hormone (lh) in the treatment of infertility.  so there is every possibility of getting pregnant. it needs per vaginal ultrasound scanning at the time of expected ovulation, to see there is maturation of the follicles, and ovulation.  if you don't get pregnant in the first time, you may become pregnant you will become pregnant in the second cycle. so never get confused, or get anxiety, as they may spoil the process.  wishing for a quick and complete recovery. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi noted all his details don't worry hiccups can be because of slight irritation of the diaphragm (not inflation)a cabg surgery requires opening of the chest wall our body is a closed system, so if any new changes to the body environment is there, body will take some time to cope with it and get adapted to incomplete bed rest after cabg and limited mobilization can also be a cause as gastritis hiccups abnormal abdominal moments once as he will start to ambulate these problems will settle down thanks"
Answer this question truthfully,"Hormone sensitive lipase is an enzyme that plays a key role in the breakdown of stored fat in the body. It is regulated via positive feedback by two hormones, epinephrine and cortisol. Epinephrine, also known as adrenaline, is produced by the adrenal glands and is released into the bloodstream in response to stress or exercise. It stimulates the breakdown of stored fat in adipose tissue, which is then released into the bloodstream to be used as energy by the body. Cortisol, which is also produced by the adrenal glands, is a stress hormone that helps regulate blood sugar levels and suppress inflammation. It also stimulates the breakdown of stored fat, particularly in response to prolonged stress or fasting. The positive feedback loop between these two hormones and hormone sensitive lipase helps to ensure that the body has a constant supply of energy during times of stress or physical activity."
Please answer with one of the option in the bracket,D: Low blood solubility
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your question on chatdoctori do understand your pain and discomforts per your history is concerned to check your fasting blood sugar and hemoglobin % and add vitamin b-12 injection twice a week for one month then once a month. do a clinical examination and also do an mri scan to ruled out major pathological disorders.\"" after\"" getting report you may consult with any neurologist. hope that helps"
Answer this question truthfully,"In cases of unilateral sensorineural hearing loss, the Rinne test typically demonstrates air conduction being greater than bone conduction. The Rinne test is a hearing test that involves comparing air conduction (sound waves transmitted through the air to the ear) to bone conduction (sound waves transmitted through the skull to the inner ear). In cases of sensorineural hearing loss, the inner ear or auditory nerve is damaged, so the Rinne test will show that air conduction is greater than bone conduction in the affected ear. This is because the damaged inner ear or nerve is less able to transmit sound waves to the brain via bone conduction. The Rinne test is a useful tool for diagnosing hearing loss and can help to determine the type and location of the hearing loss."
"If you are a doctor, please answer the medical questions based on the patient's description.","if your vertigo is associated with the room spinning (or a sensation of movement even though you are still), and there are no other symptoms associated with this, like weakness, numbness, difficulty hearing, etc., then a trial of meclizine (start with 12.5 mg by mouth twice a day) may be helpful. a scopolamine patch from your physician may also help. if you are having symptoms of vertigo only when you move your head, i recommend going to see your doctor (or an ear nose throat specialist) to have them perform dix-hallpike maneuvers, as you may be suffering from bppd. (benign paroxysmal positional vertigo). if you are lightheaded when standing up but the room doesn't spin and there is no sensation of abnormal movement, you most likely are suffering from orthostatic hypotension and at this point i would recommend trying to stay well hy chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is a complex one without all the tests done. if you are hypertensive or have a heart problem, you could be in heart failure which presents with swelling of the legs and short breath. the other cause could be lymphedema which causes elephantiasis. you need to get a proper diagnosis from the hospital, and we can then work around that. i hope i can help when you have all the relevant information."
Please summerize the given abstract to a title,Effect of vitamin D on oxidative stress and serum inflammatory factors in the patients with type 2 diabetes
"If you are a doctor, please answer the medical questions based on the patient's description.",hii would like to start answering your query by telling you that thankfully you don't have any form of oral cancer. the white discharge oozing out of your gums is just pus from the periodontal pockets due to gum disease. you can wait to get back to your country for the treatment which would include opg x-ray to see the condition of alveolar bone some other dental examinations. meanwhile you can go to any local dentist and ask him to do scaling that is dental cleaning. if periodontitis is not severe then scaling can even fix your problem. take care
Please summerize the given abstract to a title,New evaluation methods of read mapping by 17 aligners on simulated and empirical NGS data: an updated comparison of DNA- and RNA-Seq data from Illumina and Ion Torrent technologies
Answer this question truthfully,Penicillamine and trientine are classified as copper chelators.
Answer this question truthfully,Cognitive behavioral therapy is typically offered as a second-line treatment option for conversion disorder.
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot good seminal vesicle is part of every male genital system. if he is missing a testis, it could be descended, means it is somewhere inside the abdomen. does he have any swelling in the groin area, just above the thigh, as those are one of the regions the other testis must be hidden but most of the time it is not functional and must be removed to prevent risk of cancer in that? consult with your surgeon regarding this issue."
Answer this question truthfully,The treatment for postpartum urinary retention causing overflow incontinence is urethral catheterization.
Please summerize the given abstract to a title,The elusive cyclotriphosphazene molecule and its Dewar benzene-type valence isomer (P3N3).
Please summerize the given abstract to a title,Sequence analysis of strains of avian infectious bronchitis coronavirus isolated during the 1960s in the U.K.
Please summerize the given abstract to a title,"Misinformation, Fears and Adherence to Preventive Measures during the Early Phase of COVID-19 Pandemic: A Cross-Sectional Study in Poland"
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctori really appreciate your concern if there is something seen near the site of wound and does not have any swelling reddening or pus collection then nothing to worry, only thing is to rule out the possibility of some part of stick remained inside meanwhile try \""provide\"" ointment this would be helpful if this does not resolve then need to be examined clinically, take care and have nice day."
Answer this question truthfully,"Odynophagia is symptom. History of patient having odynophagia will help in narrowing down the cause of odynophagia. Odynophagia evaluation involves a detailed history, and a thorough review of symptoms that can differentiate esophageal from oropharyngeal odynophagia and help predict the specific etiology of odynophagia. How a patient describes his or her difficulty and its timing, associated symptoms, and other characterizations may specifically denote the anatomic level of swallowing dysfunction. Following are important aspects of history which need to be addressed.
Evaluation and management of odynophagia needs following Initial steps:    
Confirming the presence of a swallowing dysfunction. Defining its anatomic level (oropharyngeal vs esophageal) Mechanism (inflammatory vs mechanical) Underlying specific etiology; and ascertaining the integrity of oropharyngeal swallow and the degree of risk or presence of silent or overt aspiration. Subsequent assessment must determine the patients abilities and impairments and the degree to which these impairments can be improved.       
Hesitation to swallow Difficult or painful swallowing Constant feeling of a lump in the throat Inability to recognize food and taste it Food sticking in the throat Regurgitation through the throat or nose Chest pain or discomfort when swallowing Difficulty swallowing solid foods Excessive throat clearing ""Gurgly"" sounding voice after eating Hoarse voice or recurrent sore throat Coughing during or after swallowing Necessity to ""wash down"" solid foods Recurrent episodes of pneumonia Frequent heartburn Food or stomach acid backing up into your throat (acid reflux) Unexpected weight loss
Low interest in feeding or meals Tension in the body while feeding Refusal to eat foods that have certain textures Lengthy feeding or eating times (30 minutes or longer) Food or liquid leaking from the mouth Coughing or gagging when eating or nursing Spitting up or vomiting during feeding or meals Strained breathing while eating and drinking Failure to thrive"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query. read the history about your daughter and understood it. the most probable cause of pain in a child of 3, which increases after food and in the morning before she eats are"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. cough indicates that your asthma is not under control. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft is needed for the diagnosis of bronchitis. it will also tell you about severity of the disease and treatment of bronchitis is based on severity only. you may need inhaled bronchodilators and inhaled corticosteroid (ics). don't worry, you will be alright. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,Meropenem is the Carbapenem that is resistant to renal dehydropeptidase I.
Answer this question truthfully,Vitelline cyst (enterocyst) is the congenital anomaly that is caused by cystic dilation of the vitelline duct.
Please summerize the given abstract to a title,MDMA related neuro-inflammation and adenosine receptors
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, its unfortunate that your child has been diagnosed with cerebral palsy.  cerebral palsy is a common term but has many subtypes in it. we need to know about what type of cerebral palsy that your child has, such as spastic type or hypotonic or choreoathetoid type and any associated problems like developmental delay, seizures etc. we need to assess the child clinically to decide on further management. there is treatment for cerebral palsy but no definite cure. some require physiotherapy alone and some may require medications along with physiotherapy.  many child chatbot.  i would suggest you to get a pediatric neurologist opinion, who can guide on further management. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. once diagnosed, appendicitis should have been treated by appendectomy. i can understand your problem as you are out of your country. you can certainly take antibiotics, metronidazole, antispasmodics when needed, get back to your country as soon as possible. it would be better to get operated asap. or as an interval appendectomy after one and half months. till you reach your country-take liquids only, do not move around much. inform your family members doctor in your country."
Please answer the letter of option truthfully,A
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it is very important to detect cancer early when it is still curable. however, none of the tests you have mentioned is for cancer. unfortunately, the answer to your cancer is not that simple. cancer is a disease that can be presented in various types and can arise in any body part. depending upon the type of cancer, there are different tests available for early detection, however, there is no one test, that can detect all types of cancer with certainty. for example, for breast cancer - tests like mammography (special types of x-rays of breasts) can help in detection. for lung cancer - tests like ct scan can help. for prostate cancer - blood test like psa can give clues. for head and neck cancer - a simple examination by a doctor can help in detection. thus, for every cancer, we have a different test for its detection. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, if she does not have earache or any discharge, this need not be an ear infection. tinnitus is probably unrelated and can be caused by other conditions like impacted wax. we can evaluate this if it persists after fever. without any other symptoms associated, we can take this as viral infection and just give paracetamol 3 times a day for 3 days. if fever is not subsiding by then, or she develops earache or ear discharge, kindly get her examined with your pediatrician. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Analysis of Feasibility and Acceptability of an E-Learning Module in Anatomy.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. best treatment for bronchitis is inhaled treatment in the form of inhaled bronchodilator and inhaled corticosteroids (ics). since you are not taking these inhaled chatbot.  so better to consult pulmonologist and get done pft (pulmonary function test). pft will tell you about severity of bronchitis and treatment is based on severity only. your cough and burning will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (budesonide or fluticasone). don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctori have gone through your question, and it seems that your daughter has suffered a severe musculoskeletal injury most likely a fracture. you should immediately take her to an orthopedic surgeon for proper clinical examination and management accordingly. they may advise you for the x-ray leg to look for injury or fracture. i would recommend you to splint the part by a board to help in transportation to hospital. you may give her acetaminophen or ibuprofen tablet for pain relief. hopefully this will help you. i would be happy to help you out in any future health related questions. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much. the pill should start acting within two hours of your taking it. forget about the side effects. the medicine was prescribed to you because you needed it. if you stat asking the credentials of the doctor, you should have done it before going to the doctor. don't worry. you should be alright within a week or so. consume the medicine as is prescribed by your doctor. he knows you better. please post a direct question to me in this website. make sure that you include every minute details possible. i shall prescribe some psychotherapy techniques which should help you cure your condition. hope this answers your query. available for further clarifications. good luck."
Please answer with one of the option in the bracket,D: Kallmann syndrome
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your situation and problem. you are having blunt chest trauma. any following are the complications of blunt chest trauma which can lead to soreness, pain on breathing and unwell feeling in chest.1. rib fracture.2. pulmonary contusions.3. pneumothorax4. muscular injury. so chest x-ray is needed to rule out all these. if chest x-ray is normal then no need to worry much, you are having muscular injury only. so try to follow these steps for better symptomatic relief.1. avoid heavyweight lifting.2. avoid strenuous exercise.3. avoid movements causing pain. avoid bad postures in sleep.4. start painkiller and muscle relaxant.5. apply warm water pad on affected site.don't worry, you will be alright."
Answer this question truthfully,Hürthle cell metaplasia and lymphoid aggregates with germinal centers in the thyroid is seen in Hashimoto thyroiditis.
Please summerize the given abstract to a title,Managing the Gate Assignment Problem in the Hub Airport with Satellite Halls: A Transfer Demand-Oriented Approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for your query.*** it seems that you have muscle twitches or articulations. these are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. you might consult your doctor who can order 1. a few blood tests including thyroid function tests, 2. serum electrolytes including serum calcium and potassium levels. 3. serum b12 levels in case the above tests are normal further testing can be done including - nerve conduction studies, electromyography, etc. these tests might help to diagnose any underlying neurological issues. i do hope that you have found something helpful, and i will be glad to answer any further query. take care"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the chatdoctorit seems that your baby is showing allergic reaction. the allergen could be any new feed introduced recently, airborne allergen, insects or others. i would recommend you the following to help her out"
Please summerize the given abstract to a title,Geographical tracking and mapping of coronavirus disease COVID-19/severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic and associated events around the world: how 21st century GIS technologies are supporting the global fight against outbreaks and epidemics
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that you might be having gastro-acid reflux giving this problem. in the evening as 5-6 hours passed after lunch there might be acid secretion might cause this type of pain. there might be having some chronic amoebic infection can give rise this problem. on colonoscopy examination this cannot be seen. go for one course of ofloxacilin, tinidazole medicine for 3-5 days. take omeprazole type of tablet. ok and take care."
Answer this question truthfully,Juxtamedullary nephrons have glomeruli located near the corticomedullary border and have a relatively long loop of Henle.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. it is important to clinically examine the lump and do imaging investigations if required. this is to enable a precise diagnosis and treatment. a ct scan or mri scan will usually tell the extent and location of the lump. if it is confined to the scalp then it can be a benign cystic lesion or bony out growth. these lumps usually do not extend in to the bone. most likely it can be an epidermis or desmond cyst or sebaceous cyst. these are benign harmless swellings. rarely these can extend in to the brain, and it can only be known by doing imaging investigations. please consult a neurologist."
Please answer with one of the option in the bracket,E: Selective M3 muscarinic receptor agonist
Please summerize the given abstract to a title,Learning in lockdown: Using the COVID‐19 crisis to teach children about food and climate change
Please answer with one of the option in the bracket,A: Cleaving DNA to relieve supercoils
"If you are a doctor, please answer the medical questions based on the patient's description.","normally pancreatic cancer is a very deadly kind of cancer and has a very dismal outcome in the absence of curative surgery. by your description, i assume that the cancer has not spread to any other part of the body, but has involved the entire pancreas. the response to radiotherapy and chemotherapy is also not very encouraging as it has not caused any decrease in size of the tumor. this is called stable disease. even now, surgery cannot be done. the only option left with you is tab erlotinib which is a kind of targeted therapy used for pancreatic cancer. the outcome is not favorable and the probable survival is from 3-6 months."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,thanks for your query to chatbot. dear i read your query and reviewed it with context to your query facts. i understood your health concerns and feel concerned about them. based on the facts of your query, you seem to suffer from-untreated multiple rib fractures. if not treated it could cause non-union as the ribs are not fixed by remedy-get x-ray chest app and oblique to fix the rib fractures. consult the surgeon / chest surgeon. assess the case for physical damage. who, would plan the scraping -to fix the multiple fractured rib segments x 3 -6 weeks for hairline rib fractures and 6-12 weeks for displaced rib fractures. narcotic painkillers-like tramadol+paracetamol-like ultracet-1 tab so's pain-x 3 -6 tabs maximum if kidney functions are normal, with alkalizers and plenty of fluids. if need be nerve blocks at the painful spots and at post-costo-chon chatbot. usually-pain is relieved by 3- 6 weeks. if it persists still displaced fracture needs intercostal nerve blocks so's with narcotic +paracetamol. vit d3 +calcium to aid fast healing with alien"
Answer this question truthfully,"The prognosis of chronic lymphocytic leukemia depends on:
The stage of chronic lymphocytic leukemia, whether lymphocytes are spread throughout the bone marrow, whether the chronic lymphocytic leukemia progresses to lymphoma or prolymphocytic leukemia.
Treatment response: Whether the chronic lymphocytic leukemia patient gets better with treatment or has come back.
The patient's general health."
Answer this question truthfully,"Medical therapy of toxic megacolon include stablizing the patient, decompression and medications. Medications for toxic megacolon include corticosteroids, immunosuppresants and antibiotics.
The mainstay of treatment for toxic megacolon is medical therapy. Surgery is usually reserved for patients with either failed medical therapy, progressive toxicity or dilation and signs of perforation.
There are no established measures for the primary prevention of toxic megacolon.
There are no established measures for the secondary prevention of toxic megacolon."
Answer this question truthfully,"Pregabalin is commonly used to treat a variety of medical conditions, including neuropathic pain, epilepsy, and generalized anxiety disorder (as a second-line treatment). It is also approved for the treatment of fibromyalgia. In the case of generalized anxiety disorder and fibromyalgia, pregabalin is thought to work by reducing the activity of certain neurotransmitters in the brain, which can help to alleviate symptoms such as pain, anxiety, and sleep disturbances. However, as with any medication, it is important to discuss the risks and benefits of pregabalin with a healthcare provider before starting treatment."
Answer this question truthfully,"Once inside the adipocyte, fatty acids are reconverted into triglycerides."
Please summerize the given abstract to a title,Examining the Moderating Effect of Perceived Benefits of Maintaining Social Distance on E-learning Quality During COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for your question. one of the reasons for persistent pain is pseudoarthrosis or nonunion at the attempted fusion site. stenosis is narrowing of the spinal canal that predisposes to paralysis. if that is the case documented on your mri you will need to see a spine surgeon as surgery is indicated in that scenario. a ct scan of the cervical spine can diagnose the nonunion. it can be effectively treated with surgery which is a last option if pain is the only complaint, and it is not effectively controlled with pain management modalities."
Please summerize the given abstract to a title,Capturing the Experiences and Challenges of Emerging Adults in College During the COVID-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi adn welcome. nothing should be done. these are only mild chronic kinda changes due to aging. there is no need to be worried if your urea and creatinine levels are normal and you don't have any symptoms. those 2 cysts are small and it shouldn't cause any problems. you should just do annual check up by ultrasounds for its size following and if it shows rapid grow or signs of malignancy it should be surgically removed. from this, it seems like to be simple, benign cortical cyst.  wish you good health."
Please summerize the given abstract to a title,How to avoid microaspiration? A key element for the prevention of ventilator-associated pneumonia in intubated ICU patients.
Answer this question truthfully,"The most reliable and predictive sign of opioid intoxication is a decreased respiratory rate. Opioids are central nervous system depressants that can cause respiratory depression, which is a potentially life-threatening complication of opioid use. As such, monitoring respiratory rate is an important part of assessing for opioid intoxication. A decrease in respiratory rate is a reliable and predictive sign of opioid intoxication because it is a direct effect of the drug on the respiratory system. Other signs of opioid intoxication may include pinpoint pupils, sedation, confusion, and decreased level of consciousness, but these can be less reliable and may also be present in other conditions. Therefore, a decreased respiratory rate is considered the most important sign to monitor when assessing for opioid intoxication."
"If you are a doctor, please answer the medical questions based on the patient's description.","fibroid uterus and hypothyroidism are the issues related to hormones. all hormones in the body are controlled by each other and abnormality in one hormone might cause or might be associated with problems of other hormones chatbot.  moreover, depression and anxiety can be a consequence of norepinephrine abnormality or cortisol or norepinephrinebecause you have plethora of conditions, it would be a good idea to ask your doctor to check for a"
Please summerize the given abstract to a title,Dysphagic disorder in a cohort of COVID-19 patients: evaluation and evolution
Answer this question truthfully,"The ethical principle of non-maleficence is encompassed by the idea of ""do no harm."""
Please summerize the given abstract to a title,A comprehensive interdisciplinary view at the Return to Sport after COVID-19 infection
Answer this question truthfully,"As per the information provided, atrial septal defect (ASD) results in a left-to-right shunt."
Answer this question truthfully,Call your health care provider if you develop symptoms of typhus. This serious disorder can require emergency care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i have read & understood your concern.  severe cough at this stage of pregnancy needs to be controlled before your delivery. you should get investigations like blood tlc/ dlc to judge presence of infection/ allergy. an x-ray chest & sputum culture should be done if your consultant thinks it's necessary.  this would be followed by specific medication according to treating doctors advise.(antibiotics/ anti-allergic/ bronco dilator medication as per need & cough syrup.)  you should avoid sour/ cold & fried, spicy food.  chatbot.  vapor inhalation & hot saline gargles help.  thanks."
Answer this question truthfully,"Traquair credited Virchow for the earliest mention of pyomyositis, however it was first described by Scriba in 1885 as a disease endemic to the tropics, hence the term tropical myositis.   Levin et al. reported the first case from a temperate region in 1971."
Answer this question truthfully,"Subacute sclerosing panencephalitis (SSPE) is a rare, progressive, and usually fatal neurological disorder that occurs as a result of persistent infection of the brain by the measles virus. The virus causes inflammation and damage to the brain, leading to symptoms such as seizures, dementia, and loss of motor function. SSPE typically develops several years after a person has had measles, and is more common in individuals who contracted the virus at a young age. There is currently no cure for SSPE, and treatment is mainly focused on managing the symptoms."
Answer this question truthfully,"Cytidine is the nucleoside that is made with cytosine. Cytosine is one of the four nitrogenous bases that make up RNA and DNA, along with adenine, guanine, and thymine (in DNA) or uracil (in RNA). A nucleoside is formed when a sugar molecule is attached to the nitrogenous base, and in the case of cytosine, the resulting nucleoside is cytidine. Cytidine is an important component of RNA and plays a crucial role in protein synthesis, gene expression, and cell signaling. It can also be used in scientific research as a marker to measure the rate of cell proliferation or to study the effects of certain drugs on cell metabolism."
Please summerize the given abstract to a title,Risk Factors for SARS-CoV-2 Infection Severity in Abu Dhabi
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot, as you are bitten by a partially immunized dog and taken three doses of antirabies vaccine on days 0, 3 and 7 along with tetanus injection. as the dog is healthy after 12 days of bite, it suggests that dog is healthy and has not developed any symptoms of rabies. i would suggest you to take one more dose on day 21/28, so that you can convert your post exposure prophylaxis into pre exposure prophylaxis. thank you."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you are mostly having herd (gastroesophageal reflux disease). it is due to laxity of gastroesophageal sphincter. hiatus hernia is the most common cause herd. due to herd, acid of the stomach tends to come up in the esophagus and cause the symptoms of chest pain, stomach pain etc. along with chatbot.  1. avoid stress and tension. 2. avoid hot and spicy food. avoid junk food. 3. avoid large meals, instead take frequent small meals. 4. go for walking after meals. 5. quit smoking and alcohol if you have these habits. you will mostly improve with all these. but if you still have symptoms of chest pain and stomach pain then you may need surgical correction of hiatus hernia. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i don't know which implant was put during the surgery so can't tell you whether mri can be done or not. two types of implant are used in surgeries.1. titanium implants2. stainless steel implants those persons which have stainless steel implants in their body cant go for mri. however, those which have titanium implants can go for mri, there is no harm. usually, in replacement surgeries, titanium implants are used. but before going to mri scan you have to confirm it either from the hospital or the operating surgeon if he has a record. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,The importance of the minimum dosage necessary for UVC decontamination of N95 respirators during the COVID‐19 pandemic
Answer this question truthfully,"The exact cause of chronic fatigue syndrome (CFS) is unknown.
Some theories suggest CFS may be due to:
Epstein-Barr virus or human herpes virus-6 (HHV-6); however, no specific virus has been identified as the cause Inflammation in the nervous system, because of a faulty immune system response
The following may also play a role in the development of CFS:
Age Previous illnesses Stress Genetics Environmental factors
CFS most commonly occurs in women ages 30 to 50."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, we should definitely rule out brain pathology like stroke or tia (transient ischemic attack). so consult doctor and get done blood pressure monitoring, clinical examination and mri brain. if all these are normal then no need to worry much. avoid stress and tension, be relaxed and calm. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Villous atrophy in Giardia lamblia may lead to deficiencies in epithelial brush border enzymes such as lactase.
"If you are a doctor, please answer the medical questions based on the patient's description.",welcome to chatbot i have gone through your query and understand your concern. you are having neuropathy both hands. it may be due to compression of your nerves in cervical spine region due to compression of nerve roots. you have not mentioned your age to judge the cause of disease. you may need your mri of cervical spine to see compression. other causes of neuropathy such as thyroid disease and diabetes should be ruled out by proper investigation. you can discuss with your doctor about it. hope your query get answered. if you have any clarification then don't hesitate to write to us. i will be happy to help you. wishing you a good health. take care.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi & welcome. i can understand your concern. high level of alt is suggestive of some problems with the liver or gall bladder. you need to do some more lab investigations like liver function tests, abdominal ultrasound scan to rule out the above conditions.meanwhile, avoid smoking and alcohol (if you are habitual), avoid fatty and spicy foods, take small meals, increase the intake of fruits and vegetables, chatbot. hope these measures will help you in lowering the high alt levels. best regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query at chatbot! i am infectious disease specialist! i went through your query! medicine for scabies is application of permethrin overnight after a scrub bath to whole body except on face. all family members need treatment. kindly describe the lesions in detail to make a diagnosis. happy to take more queries! you can also write a review for me. if you would like some more information, i will be happy to provide. you can take a follow-up query. take care!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi sir...about your fears of herpes you should know that genital herpes have symptoms doe snot match that symptoms you mentioned...genital herpes appear as blisters in the genital area...may be itching and mild fever, fatigue, and muscle pain ...genital herpes make urination painful.and you will not feel relaxing when peeing....diagnosis of herpes depend mainly on clinical manifestation .sometime we require laboratory tests for that...but you don't need that......so briefly you should not fear of that ......wish you healthy long life.....thanks for contacting us"
"If you are a doctor, please answer the medical questions based on the patient's description.",hello ! i read your question and understand your concern. i am really sorry about your complicated medical situation. i would recommend an antidepressant or an antiepileptic agent in your situation. duloxetine or nortriptyline would be a good choice of an antidepressant for most of your problems. nortriptyline is very helpful with the urine incontinence too. another chatbot.  because your liver problems we should start very slowly these
Please summerize the given abstract to a title,Family engagement in nurturing students’ resilience during remote learning in COVID-19 pandemic
Answer this question truthfully,"WAGR syndrome is a rare genetic disorder that is characterized by a combination of four different features: 1) Wilms tumor, a type of kidney cancer that typically affects children; 2) aniridia, which is the absence of the iris in the eye; 3) genital abnormalities, which may include underdeveloped or malformed reproductive organs; and 4) retardation, which may manifest as either mental or motor delays or both. The condition is caused by a deletion of genetic material on chromosome 11, and may be diagnosed through genetic testing or a combination of clinical features. Treatment for WAGR syndrome may involve surgery, chemotherapy, or radiation for the Wilms tumor, as well as supportive care and therapies to address the other symptoms associated with the condition."
Answer this question truthfully,"Enteral nutrition, often through a nasojejunal (NJ) tube, is typically provided in pancreatitis patients if they are unable to eat for an extended period of time."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! thanks for sharing you acute health problem with chatbot! when a post-op patient approaches me about symptoms of food indigestion and vomiting, i would advise x-ray/usg of the abdomen to exclude any tumor/inflammation in the lower gut or kind of illus. i also need to assess your bp and other physical status to know the degree of deny chatbot. overall, it is an emergency condition. the patient needs vital assessments and requirement of any iv fluids. possibly complicated case of colon ulcers... please consult some general surgeon in your locality. hope you got your answer; in case you have any more queries do not hesitate to write to us. wish you early recovery regards,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi edwin, how are you? my name is chatbot.  thanks for writing to chatbot and i hope to answer your question today.  i am so sorry that you have to undergo this anguish of a borderline bag result. i understand form your history that the test was done 3\u00a0years ago. was any repeat testing done? were you advised vaccination against hepatitis b? and were you advised any other blood tests? if not then i think the time has come for you to get re-tested. i would start with the bag test itself and if that is negative, that would be the end of it. but if again it turns out to be positive or borderline, then i would advise you to further get tested for bag, anti hbc ag antibody, and head. these tests will help put your mind to rest. the most definitive test would be to get a hepatitis b viral dna level checked, but i would not do it unless i have done all the other tests. hope this helps you and hope you get to feel better. please do not hesitate to write back for clarifications. have a great day."
Please answer the letter of option truthfully,B
Please summerize the given abstract to a title,Cognitive Consequences of Social Isolation During COVID-19: side effects and treatments
Answer this question truthfully,One function of secretin in the pancreas is to increase secretion of pancreatic HCO3-.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi hope this msg finds u in good health. i have gone through your complaints and understand your concern. u might be having plantar fasciitis or a bony spur under your heel that might be causing pain and inflammation. i suggest u get a x-ray done to find out what's wrong. nothing to worry about. hope your question has been answered. if u have any follow-up queries, feel free to consult me anytime. thanks take care god bless"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. diverticulitis wouldn't actually cause bleeding per rectum. this isn't something usually. most common are rectal lesions such as hemorrhoids, fisurae, angiodislypasie or polyps, and less common but possible are malignancies. if bleeding happens again colonoscopy or biography should be performed. prednisolon has many side effects, its dosage should be adjusted if these side effects are intensive. hiatal hernia causes swallowing difficulties especially when tablets are taken. also, it may cause stomach damage due to raised acid secretion. it can be surgically repaired if necessary. do gastrostomy at least 1 in 3-4 year to evaluate it.wish you good health."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a directly correlative relationship
Answer this question truthfully,The amino acid that is present in large quantities in the glycoprotein thyroglobulin (TG) is tyrosine.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for the query. if you didn't mention for which cause you started using cigarette. if you are using for contraceptive purpose you can continue the pill and take anti-fibrinolytics etc. to control the bleeding. if you are using for any menstrual abnormality or fibroid etc., you once consult your doctor and discuss your problem. if she recommends additional dose of hormones you can use that or if she advises to change the pills you can choose some other treatment option. for more details you can ask me through"
Answer this question truthfully,"Put the following code in:
This will generate your references in small font, in two columns, with links to the original article and abstract. It will return text that looks like this:"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. although it needs a personal physical examination to diagnose the condition, to me, it looks like a benign cyst like a ganglion which is common in the wrist specially with a history of trauma. this might be getting inflamed in between resulting in the pain or discomfort for you. ganglion is a harmless condition, but if it creates too much pain and discomfort, it needs to be surgically removed. for this, i would advise you to take appointment with an orthopedic surgeon for a clinical assessment and any related investigation. till then, you could go for an anti-inflammatory chatbot. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. thanks for asking a query at chatbot. what your husband has is what we call it post-cholecystectomy pain. the possible causes are - peptic ulcer, retained stone in the common bile duct, long retained cystic duct or rarely sphincter odd dysfunction (sod). but may of these possibilities would have been considered by your physician. if not done i would recommend - lft (liver function test), ultrasound of the abdomen and upper gi endoscopy. i would also suggest antispasmodics for pain relief. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, vitiligo is an autoimmune disease causing white patches on the skin. white patches occur due to the loss of melanin in the skin. there is no complete cure for vitiligo. do not worry. the progression of the disease can be retarded to a certain extent by local application of immunosuppressant ointment and uv treatment. i would suggest you to continue treatment. please consult your dermatologist for appropriate treatment. reduce consumption of seafood and sour food such as curd, tomato and tamarind. always use sunscreen before stepping out. hope i have answered your query. let me know if i can assist you further. take care"
Answer this question truthfully,The likely diagnosis for the patient's condition is pelvic inflammatory disease.
Please summerize the given abstract to a title,Simulation-based training programme and preparedness testing for COVID-19 using system integration methodology
Answer this question truthfully,The finding that differentiates familial hypocalciuric hypercalcemia from primary hyperparathyroidism is low 24 hour urinary Ca2+ excretion.
Please summerize the given abstract to a title,An international football match experienced from within a 'working quarantine' – a photographic journey
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, well come to chatbot, i can understand your concern about of daughter but nothing to worry; she will be all right after taking some care. you are doing right that is giving her maximum liquid intake, but you should also give medicine like liq. cyclops 5 ml. 3 times in a day at 8 hours of interval for a day or two if she doesn't an allergic to this type of medicine. by that time you should also go to ophthalmologist to check her eyes vision to rule out cause of headache. you should also do a u.s.g.-abd. report to rule out cause of her abdominal pain. u can share all investigation on chatbot so we can diagnose of her abdominal pain and headed also. have a happy time for your daughter. plz. share your experience on chatbot about my answer. thanks. chatbot."
Please answer with one of the option in the bracket,B: Technetium-99 labelled erythrocyte scintigraphy
Answer this question truthfully,"Laboring patients who are at high risk of uterine rupture require urgent laparotomy and delivery. Uterine rupture is a rare but serious complication of childbirth that can occur in women who have had previous uterine surgery or who have other risk factors. If uterine rupture is suspected, it is important to act quickly to prevent harm to both the mother and baby. A laparotomy is a surgical procedure in which the abdomen is opened to allow access to the uterus. This procedure may be necessary to deliver the baby and repair any damage to the uterus. In some cases, a cesarean delivery may also be necessary to ensure the safe delivery of the baby. Prompt recognition and management of uterine rupture is essential to minimize the risk of complications and ensure the best possible outcome for both mother and baby."
Please answer with one of the option in the bracket,C: Decreased diffusing capacity
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, we do manifest so but yours sounds like a urinary infection which may or may not be due to kidney stones. you should see a surgeon or a urologist. you will need to get a urine re and a culture test done as also an ultrasound of kidneys, ureters and bladder. these investigations will help clinch the problem and then accordingly treatment can be started. it should be done as the more you wait, the deeper the infection will be. as it is, urinary infections are difficult to treat, so i suggest you see a doctor at the earliest. take care, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome, yeast is a fungus that normally lives in the vagina in small numbers. a vaginal yeast infection means that too many yeast cells are growing in the vagina camera.gif. these infections are very common. although they can bother you a lot, they are not usually serious. and treatment is simple. yeast can grow too much and cause symptoms. a yeast infection causes itching or soreness in the vagina and sometimes causes pain or burning when you urinate or have sex. some women also have a thick, clumpy, white discharge that has no odor and looks a little like cottage cheese. these symptoms are more likely to occur during the week before your menstrual period. you can treat yourself at home with medicines you can buy without a prescription. you can use an antifungal cream, or a suppository that you put into your vagina, or antifungal tablets that you swallow. if your symptoms are mild, you may want to wait to see if they clear up on their own. take care."
Answer this question truthfully,"In congestive heart failure, the left ventricular end-diastolic volume diagnostic parameter typically increases. This is because the heart is not pumping efficiently, which can cause blood to back up in the left ventricle and increase the volume of blood in the chamber during diastole. The left ventricular end-diastolic volume is a measure of the amount of blood in the left ventricle at the end of diastole, and an increase in this value can indicate heart failure. Other diagnostic parameters that may be affected in congestive heart failure include ejection fraction, cardiac output, and pulmonary artery pressure. It is important to seek medical advice for the appropriate diagnosis and management of heart failure, as the condition can have serious implications for overall health and well-being."
Please summerize the given abstract to a title,Wellbeing of a selection of seafarers in Eastern Adriatic Sea during the COVID-19 pandemic 2020.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. this is called a gastrointestinal reflex. this indicates you contracted an intestinal infection particularly at a junction of small intestine with the large intestine and appendix. you may please go for the blood tests routine and particularly of the typhoid. another possibility of appendicitis has to be excluded by an ultrasound examination of whole abdomen. start antibiotic treatment along with metronidazole under the directives of the doctor. continue for minimum of 5 days, see the results ; if typhoid is positive, insist for 21 days therapy. if appendicitis- ask if surgery is required now or after a gap with medical management."
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to the websitefrom your description, you could be suffering from a cyst in your skin (of the labium). most of these are harmless, but if it is worries you consult a local doctor and get it removed. a very simple procedure is usually sufficient. then the pathology report can help you be sure what it is. hope that helps. you can also follow up with a well lit picture of the problem site for more information on the same."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. i understand from your query that your wife is having scaly patches suggestive of psoriasis on her legs. she could apply a cream containing dexamethasone propionate twice a day on the patches for 2 weeks. once the patches subside, she could apply a moisturizer in the morning and a cream containing calcitriol at bedtime to prevent them from recurring. please do consult a dermatologist as psoriasis is a chronic problem and needs regular follow up. pain while walking could suggest psoriasis joint involvement. dexamethasone is a steroid and should not be used for more than 2 weeks without a doctors' supervision. hope this helps you. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the most probable cause of your distension of your abdomen can be intestinal obstruction, secondary to some pathology like tuberculosis, gastrointestinal cancer or chronic tubal pregnancy. you have to undergo the following tests"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot. anteroseptal infarct seen on ecg or ekg = electrocardiogram means that you did have a heart attack = the heart muscle was damaged by a clogged coronary artery and this is what causes the changes seen by the doctors on the ecg recording. these changes are quite specific and characteristic, and it is not likely that other medical conditions like indigestion would have produced them. also, since these changes were seen on several occasions, this makes an anteromedial infarct quite certain. after an infarct the damaged area of the heart muscle undergoes scarring, and it may also result in thickening of that area as seen on the echocardiogram. some patients, especially diabetics, do not have symptoms like chest pain when they are having their heart attacks, so it is possible to just see the ekg changes of an \""old mi\"" old myocardial infarction on an ekg while the patient does not even know that they had a heart attack.typically, an acute heart attack causes severe chest pain, shortness of breath and makes one very ill and treatment in the hospital is required, where blood tests are done to confirm a diagnosis of so-called acute mi. hope this helps you understand this issue. wishing you best of health."
Please summerize the given abstract to a title,Quantifying human mobility behavior changes in response to non-pharmaceutical interventions during the COVID-19 outbreak in the United States
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for using chatbot. this may be due to chemical induced reaction or due to bite of any water organism or due to some allergy. since severe rash all over body, he should take anti-allergic chatbot.  also ask him to take antibiotic to prevent any infection. cream with steroids will also help for fast recovery. the new normal cells(skin) will take 20 to 40 days for regenerate. don't let him go to same place again till the cause is diagnosed. consult your doctor for further management. wish you good health. regards"
Please summerize the given abstract to a title,Altitude as a protective factor from COVID-19
how is gonorrhea diagnosed,"To test for gonorrhea, your doctor will take a sample of cells from your urine, throat, or vagina, if female. This cell sample will indicate if the bacteria is present. There are also home test kits available for women."
Answer this question truthfully,"The pathogen that is responsible for acute diarrhea and presents with myalgias, malaise, and nausea/vomiting is called Viral gastroenteritis."
Please summerize the given abstract to a title,Are cystic fibrosis mutation carriers a potentially highly vulnerable group to COVID-19?
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i am chatbot. . in my opinion i think it iis ok and safe as percent is a kind of naproxen, researchers found that 500 mg of naproxen alone was as good as treating low back pain with 5 mg oxycodone and 325 mg acetaminophen (percent) plus naproxen, or a muscle relaxant like 5 mg of cyclobenzaprine (april) plus naproxen.  so i think it is safe to use it with your kind of pain when needed, use an arm sling, hot massages with topical gels will be effective for you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thank you for your contact to chatbot. i read and understand your concern. i am chatbot answering your concern. cystic aroma is very notorious for the infection. i advise you should do culture and sensitivity from the discharge. and once the report is received you can take the treatment accordingly. conpleteing the treatment makes you free from the infection. good hygiene maintenance is utmost important for the housing of the surgical site. please do regular chatbot.  it plays good part in treatment. upi can use detail and betadine followed by polypoid ointment application. wear a cotton undergarment as it is helpful in treating the infection. please avoid excessive sweating over the part. i will be happy to answer your further concern on bit.ly/"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi ! good evening. i am chatbot answering your query. from your history, it seems to be a hematoma initially due to the trauma, which now got inflamed, and if not treated might turn into an abscess. if i were your doctor, i would advise you for an anti-inflammatory along with a proton pump inhibitor along with a broad spectrum antibiotic, which might relieve the inflammation and some kind of pressure bandage might be needed to get it absorbed gradually. if not, you might have to get it assessed by a general surgeon in your area. i hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. please do not hesitate to ask in case of any further doubts. thanks for choosing chatbot to clear doubts on your health problems. i wish you an early recovery. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank you for asking chatdoctori have gone through your query. your problem is most likely photodermatitis. it usually occurs in sun exposed parts. it is better to show a dermatologist and rule out that. avoiding sun exposure is the best remedy. you can wear full sleeve shirts to avoid sun exposure. sunscreen application is also helpful in some. rashes are usually treated by corticosteroid creams or ointments and antihistamines like levocetirizine. limit the amount of limes, celery, carrots, and figs in your diet, because these contain natural morales (sun sensitizers). avoid natural fruit-based skin lotions and cosmetics, because they may contain sensitizers as well. hope this may help you. let me know if you have any further query."
Please summerize the given abstract to a title,"Host Genetics: It Is Not Just the Virus, Stupid"
Answer this question truthfully,"Opioid withdrawal is characterized by symptoms such as nausea, vomiting, abdominal cramping, diarrhea, and muscle aches."
Please summerize the given abstract to a title,Correction to: Oral cancer patients
Please summerize the given abstract to a title,Autoimmmune hepatitis
Please summerize the given abstract to a title,"Variations in Spike Glycoprotein Gene of MERS-CoV, South Korea, 2015"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as the mechanism of injury is direct to the side of the leg, this should be a muscle trauma. icing will help reduce pain and swelling.  don't do too often as it will desensitize the part which isn't good. some sort of pain is good because it indicates there is injury and healing is happening. also, try to keep the leg elevated over a pillow and try applying the cr\u00eape bandage.  wait and see if any other symptoms like skin discoloration happen. if it does then we can think of x-ray to rule out any kind of fracture. hope i have answered your query. let me know if i can assist you further. take care jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question, i am chatbot, your daughter might have an afoul condition which is an inflammation of the buccal mucosa following an infection. this is generally due to herpes simplex virus in most cases. the soreness of the buccal mucosa goes away as the infection resolves and your daughter is already on antibiotics. it will be a couple of days again before the soreness goes away. however, i would advise on frequent mouth washes with zestril solution, or bicarbonate solution every six hours. continue with the antibiotics and add a paracetamol strop dose for weight measurement four times daily and consult your physician if the fever persists. good luck"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for providing the brief history of you. as you have pain in the adductor region it could be a spasm of the muscle for which a thorough clinical assessment is advised.also, the test for venous insufficiency is performed and is negative then nothing to look into the worry factor with venous hemodynamics. also, this kind of pain can be due to pinched nerve in the lumbar spine as due to which the symptoms can arise. an mri of lumbar spine will help assist further the soft tissue statues and help us to plan the treatment. also undergoing physical therapy will help to improve the strength in the muscles and also will improve the flexibility. in my clinical practice such cases respond well to physical therapy. regardsjay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your daughter have symptoms of nose bleeds which leads to accumulation of reddish collection of mucus in nose which could be because of nasal infection such as polyp formation in nose and allergic rhinitis or rhinosinusitis. need not worry. you should avoid touching or picking nose. you should use mist humidifiers in room. i would suggest you to start with antihistamine medication levocetirizine + montelukast combination at night to decrease it. give her diet rich in multivitamins along with vitamin c pellet to booster immunity. . visit pediatrician once and get it examined. start treatment after complete examination. get paranasal sinus x-ray done and start treatment accordingly. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your history, it may be due to muscle strain or nerve compression.  for pain, you can take tablet acetaminophen. apply diclofenac gel or ointment locally. heating pads will also help. in case of not getting relief, you may require mri back after consultation.  do regular blood pressure monitoring. do regular physiotherapy. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, see at your age it is normal to masturbate once in a while, and it does not cause any kind of weakness. just take good balanced diet and fresh fruits and some chatbot. also take up some kind of exercises may be some out door sport will help you, and you are under weight then protein powder with milk twice a day may be taken. if there is some kind of disease in body then you must visit a physician to have medical check up and if required appropriate investigations and any treatment if needed may be given. at you age you must focus on your studies and carrier instead of such activities. just take care good luck"
Please summerize the given abstract to a title,Covid-19 pandemic: Current scenario and public risk perception in Pakistan
Please summerize the given abstract to a title,Totally laparoscopic total gastrectomy using intracorporeally hand-sewn esophagojejunostomy.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi! good evening. i am chatbot answering your query. clostridium difficile is a potentially dangerous organism which might affect the intestinal mucosa giving rise to diarrhea ending in septicemia if not taken care of. all the risk factors were there with your mother (old age with lowered immunity, immobility, and possible usage of broad spectrum antibiotics post surgery for the hip resulting in the death of other normally occurring bacteria in the intestines which prevent the growth of cl diff) and so the growth of the clostridium difficile was without any resistance, and it could not be controlled wth the medications. i hope i have answered your query. in case of any doubt, please do not hesitate to ask. thanks for using the chatbot forum for the query on health. good luck."
Answer this question truthfully,"The recommended first-line therapy for patients with obesity hypoventilation syndrome is nocturnal positive-pressure ventilation. Obesity hypoventilation syndrome is a condition in which individuals who are obese have difficulty breathing, particularly during sleep. Nocturnal positive-pressure ventilation involves the use of a machine that delivers air pressure through a mask worn over the nose or mouth during sleep. This therapy can help to improve breathing and reduce symptoms such as daytime sleepiness and fatigue. Other treatments for obesity hypoventilation syndrome may include weight loss, medications to improve breathing, and supplemental oxygen therapy. It is important to work closely with a healthcare provider to determine the most appropriate treatment plan for obesity hypoventilation syndrome."
Please answer with one of the option in the bracket,C: Hypokalemia
Please summerize the given abstract to a title,Lymphocyte proliferation responses of pigs inoculated with transmissible gastroenteritis virus or porcine respiratory coronavirus.
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. i suggest you not to worry much.  panic attacks always happen due to underlying anxiety. therefore, you must add chatbot.  please understand anxiety and related problems. once you understand your anxiety, you will be able to keep yourself away from panic creating situations. therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. start slowly, progress gradually, attain neatly. your anxiety is regarding your health and your joints. even intolerable joint pain could be caused by your health anxiety. please talk to your psychologist / psychiatrist. psychotherapy techniques should suit your requirement. if you require more of my help in this aspect, please post a direct question to me in this url. http"
"I am a current Gastroparesis fighter with a GJ feeding tube. I am also one of the admins for a GP support group and an advocacy group. I have become a volunteer advocater. I would appreciate any info you can share about Gastroparesis, Feeding tubes, and even TPN. Thanks","Gastroparesis symptoms may sometimes be controlled by the following changes in the diet: eating six small meals a day instead of three large ones; chewing food well; drinking noncarbonated liquids with a meal; avoiding high-fat and fibrous foods; and walking or sitting for 2 hours after a meal, instead of lying down. Your doctor may recommend one of the following medications: metoclopramide (reglan), which stimulates stomach muscle contractions to help with gastric emptying and reduces nausea and vomiting; botulinum toxin (Botox) injections into pylorus that might keep it open and help gastric emptying. If nausea and vomiting do not improve with dietary changes or medications, your doctor might suggest Gastric Electrical Stimulation using an implanted device that stimulated stomach muscles. If none of the above work, your doctor might recommend surgically placing a feeding tube through the abdominal wall directly into a part of the small intestine called the jejunum (jejunostomy.) A temporary treatment for the difficult periods of gastroparesis may involve parenteral nutrition which delivers intravenous liquid food mixture  supplied through a special tube in the chest vein."
Answer this question truthfully,"Beckwith-Wiedemann syndrome is associated with hypoglycemia, which is a condition characterized by abnormally low blood sugar levels. This is because the syndrome can cause an overgrowth of the pancreas, leading to excessive insulin production and subsequent hypoglycemia. Infants with Beckwith-Wiedemann syndrome may require close monitoring of their blood sugar levels and may need to receive glucose supplementation to prevent hypoglycemia-related complications."
Please summerize the given abstract to a title,Serious imported infections: A focus on Chromobacterium violaceum.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in to us. it is important to know the size of the exophytic cyst in your right kidney. very often, a cyst or two may be seen in the elderly, and they measure up to 3 cm in size. beyond 3 cm size, it is important to know the appearance and internal contents of the cyst. exophytic cysts usually do not cause any difficulty when small. only if they are more than 8 - 10 cm in diameter and are causing significant pressure effects, then a surgical treatment can be thought of. medicines do not treat kidney cysts in any way. the grade i prostatomegaly must be discussed with symptoms of any urinary retention. you can also get psa levels done for better analysis. medicines are given to treat grade i prostate enlargement and this helps most people. please avoid chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome being hair transplant surgeon i explain everything about hair transplant 1. you have an chatbot. 2. i think you would be ideal person to get hair transplant as you would be in end stage of baldness (more than 6 year of hair loss) and younger age person responds better with hair transplant3. although i have not seen your photos but as you said your front area is totally bald so i think your would be required around 2500 graft.4. charge of graft is variable 25-40 rupees per graft in delhi(may vary city to city). so it could be around 60 to 1 lakh around."
Answer this question truthfully,"An abdominal mass that crosses the midline in a child is a concerning symptom that can be suggestive of neuroblastoma, a type of cancer that develops from immature nerve cells. It is important to seek medical attention promptly if such symptoms occur."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. chronic smokers are more prone for bronchitis (inflammation of airways). bronchitis causes bronchospasm and this in turn causes cough, chest tightness breathlessness etc. so consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. he will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). he should quit smoking as soon as possible. hope i have solved your query. i will be happy to help you further. wishing good health to your father. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there thank you for your question. if your friend developed the bruises without being hurt, it is important for him to visit his doctor. this suggests a bleeding disorder. if he bleeds easily from his gums when brushing his teeth, it is also suggestive of a bleeding problem. the doctor will run a blood test to check his bleeding profile i.e. whether his blood has enough platelets to clot. other blood tests might also be done based on the results. if the bruises are on the skin that was exposed to cleaning chemicals, he could be experiencing chemical burns or contact dermatitis. this is easily treated with topical antiseptic creams (silver sulfadiazine) for burns and anti histamine (allergen) with topical steroids for contact dermatitis. if this is the cause, he should wear gloves when cleaning so that he does not expose himself to the chemicals. if in doubt, and bruises are developing spontaneously anywhere on the body, i recommend visiting the doctor for the blood tests i mentioned above. thank you. keep well."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for the query. it can be just a muscular pain or pain due to contusion that have developed following the fall. nothing much to worry as it will resolve in few days. as of now you can take analgesics like acetaminophen or diclofenac for pain relief. apply warm compresses and take bed rest. if pain persists, you can go for an x-ray spine to look for thin fracture or displacement of spine. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,C: Actinic keratosis
Please summerize the given abstract to a title,Epidemic Threshold in Continuous-Time Evolving Networks
Answer this question truthfully,The pelvic splanchnic nerves (S2-S4) provide innervation to the regions of the hindgut.
Please summerize the given abstract to a title,"Examining the Beliefs and Perceptions Associated to the COVID-19 Virus in the Wouri Division, Littoral Region of Cameroon"
"If you are a doctor, please answer the medical questions based on the patient's description.","welcome to chatbot. my dear friend, blood thinning is due to warfarin.  warfarin act as anticoagulant and prevent clotting formation in blood after making blood thin. doctor regularly check i.n.r to check proper thinning of blood whatever is required regarding patient heart condition. actually blood thinning meaning is that it will take more time to clot than earlier. blood thickening means that it will clot faster than earlier. than for query."
Answer this question truthfully,"Tonic contractions of GI smooth muscle are a type of muscle contraction that maintains a constant level of contraction without regular periods of relaxation. These contractions are important for maintaining muscle tone and regulating the movement of food through the digestive tract. In contrast, phasic contractions are characterized by regular periods of contraction and relaxation, and are responsible for moving food through the digestive tract in a coordinated manner. Both types of contractions are necessary for proper digestion and bowel function."
Please answer the letter of option truthfully,D
Please summerize the given abstract to a title,The rise of SARS-CoV-2 variant B.1.1.7 in Israel intensifies the role of surveillance and vaccination in elderly
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for writing in chatbot i had gone through your query and understood your concerns. your doctor gave correct treatment it cures neuropathic pain and also induces sleep hope this guides you. if you have additional questions or follow-up queries then please do not hesitate in writing to us. i will be happy to answer your queries. if you do not have any clarifications, you can please close the discussion. thank you. wishing you good health"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. thank you for your query. i am chatbot, i understand your concerns and i will try to help you as much as i can. premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. it happens with minimal sexual stimulation and before the person wishes. most cases of premature ejaculation do not have a clear cause. with sexual experience and age, men often learn to delay orgasm. premature ejaculation may occur with a new partner. it may happen only in certain sexual situations or if it has been a long time since the last ejaculation. psychological factors such as anxiety, guilt, or depression can also cause it. in some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. in many cases premature ejaculation gets better on its own over time. treatment may not be needed. practicing relaxation techniques or using distraction methods may help you delay ejaculation. for some men, stopping or cutting down on the use of alcohol, tobacco, or illegal chatbot. i hope i have answered you query. if you have any further questions you can contact us in every time."
Answer this question truthfully,Farsightedness is greater difficulty seeing near objects than distant objects.
"If you are a doctor, please answer the medical questions based on the patient's description.",hi... thank you for consulting in chatbot. greetings from chennai. by what you quote i feel what your kid could be having viral associated wheeze or multi triggered wheeze. i have a few questions for you -questions
Answer this question truthfully,"Acute mesenteric ischemia is a condition that is characterized by a lack of blood flow to the small intestine, which can lead to tissue damage and necrosis. One of the main symptoms of acute mesenteric ischemia is severe abdominal pain, which may be out of proportion to the physical findings on examination. Other symptoms may include nausea, vomiting, diarrhea, and fever. If left untreated, acute mesenteric ischemia can lead to serious complications such as intestinal infarction, sepsis, and death. Treatment for acute mesenteric ischemia typically involves restoring blood flow to the affected area through surgery or other interventions, as well as supportive care to manage symptoms and prevent complications."
Please summerize the given abstract to a title,"Vaccines and allergic reactions: The past, the current COVID‐19 pandemic, and future perspectives"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi day, its true that ya mini being contraceptive will prolong your conception, but it will prolong conception only till it is being taken. as you have finished (stopped) taking it, it won't prolong conception further. it's not correct to take unfasten & camphene blindly with monitoring ovulation, at least in first cycle. it's better to consult infertility specialist who can do ovulation induction properly to increase chances of conception. wish you good health & quick pregnancy."
Please answer with one of the option in the bracket,D: Increased activity of adenylate cyclase
Please summerize the given abstract to a title,Potential Mechanisms of Cardiac Injury and Common Pathways of Inflammation in Patients With COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. your symptoms, shortness of breath, chest pain, redness of the body, nausea etc. are seen with asthma. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will not only diagnose asthma but also tell you about severity of the disease and treatment is based on severity only. if pft is normal then consult psychiatrist to rule out stress and anxiety. don't worry, you will be alright with appropriate treatment. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Yes, systemic signs such as fever and chills are typically present in acute pyelonephritis. Acute pyelonephritis is a bacterial infection of the kidneys and upper urinary tract that can cause a range of symptoms, including pain in the flank or lower back, frequent urination, and painful urination. In addition to these local symptoms, many people with acute pyelonephritis also experience systemic signs such as fever, chills, and fatigue. These symptoms are a sign that the body is mounting an immune response to the infection and trying to fight off the bacteria. If left untreated, acute pyelonephritis can lead to more serious complications, such as sepsis or kidney damage, so it is important to seek medical attention if you experience these symptoms."
Answer this question truthfully,"Sarcomatoid carcinoma of the lung is a rare lung malignancy with aggressive characteristics. The prevalence of sarcomatoid carcinoma of the lung is approximately 0.4 cases per 100,000 individuals worldwide. The average age of patients being diagnosed is between 65 to 75 years, male to female ratio 4:1. The 3-year and 5-year survival rates for patients with sarcomatoid cancer of lung are 35.8% and 28.7%."
Answer this question truthfully,β-lactams and sulfa drugs are two drug classes that are most commonly associated with serum sickness.
Please summerize the given abstract to a title,Knowledge and health behavior about vitamin d during epidemic covid-19 among female university students
Please summerize the given abstract to a title,Clinical controversies in anticoagulation monitoring and antithrombin supplementation for ECMO
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, you need to know that after getting frequent injuries at the same joint. the structures around the joint become weak. it needs to be strengthened. since you mentioned you are gymnastics person you may have more laxity in the joint. why don't you just try some specialized session with a physical therapist who can help you to the best and assess the grade of laxity in your ankle joint. as the laxity does not come down it is always intended to reinsure same place. maybe you can try for time being taping of the ankle joint. which can help you."
Answer this question truthfully,"Pulmonary embolism is most often clinically silent, meaning that it may not present any symptoms. A pulmonary embolism occurs when a blood clot travels to the lungs and blocks one of the pulmonary arteries. When symptoms do occur, they may include sudden onset of shortness of breath, chest pain, rapid heart rate, and coughing up blood. However, these symptoms are not always specific to pulmonary embolism and may be indicative of other conditions as well. Risk factors for pulmonary embolism include immobility, surgery, cancer, pregnancy, and certain medical conditions that increase the risk of blood clots. Treatment for pulmonary embolism typically involves anticoagulant medications to prevent further blood clots from forming and to dissolve existing clots. In severe cases, surgery or catheter-based procedures may be necessary to remove the clot."
Answer this question truthfully,"Horseshoe kidney is a congenital abnormality in which the two kidneys are fused together at the lower end, forming a U-shape. While the structure of the kidney is abnormal in horseshoe kidney, kidney function can be normal in many cases. However, in some cases, horseshoe kidney can be associated with other abnormalities that can affect kidney function, such as obstruction of the urinary tract or recurrent kidney stones. Therefore, the answer to the question depends on the individual case and whether there are any associated abnormalities that affect kidney function."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your question and would explain that your symptoms are not typical of any cardiac disorders. in my opinion anxiety could mimic all this clinical situation. anyway, before coming to this conclusion, i would recommend checking thyroid hormone levels in order to exclude possible thyroid gland dysfunction. an ambulatory 24-48 hours ecg monitoring would help exclude any possible cardiac arrhythmia. if all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query you have symptoms of fever along with nausea and indigestion which is because you are suffering from viral infection leading to electrolyte imbalance in body this is known as acute gastroenteritis. need not worry. i would suggest you to visit gastroenterologist once and get complete examination done. you should go for blood and sputum tests. you should take antipyretic for fever relief such as cal pol, paracetamol or adolf suppositories acetaminophen. furthermore, you should take plenty of fluids. furthermore, you should take oral rely chatbot.  furthermore, you should avoid intake of fried, oily and fast food. furthermore, you should take small and frequent meals rather taking large meals at a time. furthermore, you should take antiemetic along with antacid if condition worsens. hope your concern has been resolved. get well soon. best wishes,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, neuroendocrine carcinomas in the lung are designated as either small cell or large cell carcinomas and out of the two small cells, carcinoma of the lung is commoner, and the treatment is chemotherapy. prognosis depends on the stage of the disease. if it is in early stage prognosis will be good. for more details and better management, please consult a medical oncologist. hope i have answered your query. let me know if i can assist you further."
Please answer with one of the option in the bracket,B: Methadone
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for posting your query to chatbot. as i understand you are worried about your blood report. i am not getting any finding related to your infection in this report . i wanted to know how did you know that you are having staphylococcus infection, which specimen you have tested. if you have diagnosed with staph infection you need to take antibiotic as per your sensitivity report. further if you are allergic to penicillin you can take erythromycin, clindamycin, ciprofloxacin etc. as per your sensitivity report under the guidance of your clinician."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, actually, there can be some capabilities between echocardiograms, there can be interoperator and intraoperative variability. and small differences are acceptable.  according to your results, there is difference of 2 mm, it is ok. the important thing is the aorta didn't dilated since the last exam.also, you should consider that your aorta is not dilated as much to undergo an operation. 40 mm is not that dangerous and there is a need only for follow up. hope i could help nourishing you good health in case of further questions don't hesitate to ask"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please summerize the given abstract to a title,Perspectivas da Educação Popular em Saúde e de seu Grupo Temático na Associação Brasileira de Saúde Coletiva (ABRASCO)/ Perspectives of Popular Education in Health and its Thematic Group at the Brazilian Association of Public Health (ABRASCO)
Answer this question truthfully,"In chronic renal failure, the combination of elevated PTH and decreased 1,25-(OH)2D3 produces renal osteodystrophy, in which there is increased bone resorption and osteomalacia."
"If you are a doctor, please answer the medical questions based on the patient's description.","respected user, warm welcome to chatbot.come have evaluated your query thoroughly.* the probable reason is allergic bronchitis.* suggestions for better recovery-gargles with salted lukewarm water added peppermint oil 3 times a day.- otc molecules as lesson pearls and mini od can help.- avoid exposure to pollen, dust particles.- refrain from smoking, alcohol. hope this will help you for sure. welcome for any further guidance. regards dear take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for asking question in chatbot. here infection mostly seems to be tine alike fungal infection. wear clean cotton cloths. clean affected area with warm water and soap and chatbot. especially clean the area between skin folds and between toes. change slacks daily. clean towel used. apply clotrimazole containing cream over affected area. itraconazole tablet can be used. i hope this will mostly help you.don't worry...
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in my opinion, along with females, males are also suffering from these disorders. these particularly seen in models who are very conscious about their diet and weight. but reducing weight by these methods is very risky for health. instead of that, please concentrate on exercise, yoga, and meditations. i will suggest you to give these suggestions to your participants. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of brain cancer is very, very rare in your case because of your age. brain tumors are common in child chatbot.  so at your age of 19 years, no need to worry about brain tumor. possibility of benign tumors like lipoma or sebaceous cyst or desmond cyst is more in your case. so better to get done clinical examination of swelling and ultrasound examination of swelling for the diagnosis. you may need surgical removal of the swelling. usually brain tumor causes constant headache, vomiting, difficulty in vision, unconsciousness etc. all these are absent in your case, so don't worry about brain tumor. you are mostly having benign skin tumor. hope i have solved your query. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, your cycles should have become regular by now. that you are still experiencing irregularity calls for evaluation. i would ask you to see a specialist for a proper assessment of your condition and advice. you may need to exclude/confirm pregnancy through a blood test and a trans-vaginal sonogram, get a complete hormonal profile if pregnancy has been excluded and receive hormonal therapy if needed. also, maintain a healthy weight and do some regular daily exercise. hope you find this information useful. take care."
Answer this question truthfully,"The Heart in Gynecologic Tumors The Heart in Head and Neck Tumors The heart in leukemias The Heart in Lung Cancers The Heart in Lymphomas The Heart in Multiple Myeloma The Heart in Osteosarcomas The Heart in Peritoneal and Mesothelial Tumors The Heart in Primary Myocardial Tumors The Heart in Skin Cancers The Heart in Thyroid and Parathyroid Cancers The Heart in Tumors that Originated from Vascular Structure The Heart in Urinary System Tumors The Heart in Central and Peripheral Nervous System Cancers The Heart in Gastrointestinal, Hepatobilier & Pancreatic Tumors
Template:WikiDoc Sources"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, have you noted how fast is your pulse rate during the episodes, how long the episodes persist. before you treating empirically we need to confirm the diagnosis. first try to measure your heart or pulse during episodes and also blood pressure. if possible ecg during episodes will be very beneficial. then of this not possible then get a holder attached if your episodes are frequent. last option is electrophysiologist studies which will diagnose and treat the condition.however, if you are not breastfeeding the infant then i would have prescribed tab collar la 20 mg to my patient in clinic. also try to cough hard, pour cold water on face or blow hard against closed nostril and mouth during the episodes."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. as per your query your child have symptoms of loose stools and abdominal pain. well there can be many reasons for symptoms you mention in query like food poisoning, gastroenteritis, food allergies, lactose intolerance, irritable bowel syn chatbot.  need not worry. i would suggest you to avoid taking dairy product, food like broccoli, take antacid after every meal or eat light and non-spicy. consult gastroenterologist for proper examination. doctor may order stool test along with ultrasound and take history. doctor may prescribe omeprazole, ornidazole and anti-inflammatory. hope your concern has been resolved. get well soon. best wishes,"
Answer this question truthfully,Severe hypomagnesemia is the typical cause of hypocalcemia in an alcoholic patient.
"If you are a doctor, please answer the medical questions based on the patient's description.","hellothanks for your query.slight bleeding / spotting off and on is the most common and annoying side effect of the demo shot, as you have rightly observed. as you have already taken the shot, do not use any other method right now. you are bound to it until february. do use a backup method like condoms during the first month of the demo shot, as the hormones stabilize, and it starts to work. also, yes, return to fertility and normal cycles does take a while longer on the demo. it would be wise to switch to another method if this bothers too. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",hit hank you for asking chatbot. i have gone through your query. it is not good to masturbate too much. it has a psychological impact that you might decrease interest over girl and prefer masturbation. and it also gives a prominent appearance of vein on penis. you can limit it by making you involve in activities like exercises or involve in games like volley ball badminton etc. hope this may help outlet me know if you have any further query.
Please summerize the given abstract to a title,Avaliação de dois sistemas aquapônicos com a halófita Sarcocornia ambigua (Michx.) Alonso & Crespo para recirculação de água da piscicultura marinha intensiva
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thank you so much for trusting us with your health query. i am so sorry to hear about this testicular pain. there are a number of different reasons why you may have this pain which include infections, varicocele, mechanical pain, etc. however, the information you have provided is not enough to pinpoint the cause. i will suggest that you get examined to pick up more clues to direct investigations on the exact cause of this. depending on findings, you shall be provided with measures and treatment options to help overcome this. i hope you find this helpful. thank you so much for using our services, and please feel free to for more information or clarifications if need be. i wish you the best of health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, i have understood your concern. i will suggest you the best possible treatment options. 1 will suggest you to get mornings first sample of urine tested for pregnancy. in case of doubt blood beta chatbot test and usg will be of help. if pregnancy test results are negative, then please seek prescription support from your treating doctor for getting progesterone tablets for with chatbot.  he will guide you further about the doses and with"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, it can be due to upper respiratory tract infection like pharyngitis or laryngitis or sinusitis, may be acute bronchitis, pleurisy you can go for routine blood and x-ray chest with sputum (if still coming) examination, it will be helpful to make clear diagnosis. you should take antibiotics (quinolones or accolades group) with analgesics and anti-inflammatory, antihistamines in combination with mast cell stabilizers to combat chatbot. don't worry about stomach ache and fatigue, it will subside with the infection. you need to see pulmonologist for further advise. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot circle contains escitalopram which is an ssri i.e. antidepressant.  it can also be used in depression with anxiety. i advise you to continue circle as told by your doctor as it takes 10-14 days to have a full effect, and you should take the chatbot.  you can take herbal remedies like palms and passion flower but discuss all the stuff with your treating doctor. you can also undertake psychotherapy/counselling sessions and relaxation exercises. hope it helps good luckregards"
Answer this question truthfully,"During a physical examination, healthcare providers may use a stethoscope to listen to a patient's breath sounds. When a patient has pleural effusion, the buildup of fluid in the chest cavity can decrease breath sounds. This means that the healthcare provider may hear less air moving in and out of the patient's lungs than they would in a healthy individual. Decreased breath sounds can be a sign of many different conditions, so it is important for healthcare providers to consider other symptoms and diagnostic tests before making a final diagnosis. If a patient is experiencing symptoms of pleural effusion, such as chest pain, shortness of breath, or coughing, it is important to seek medical attention right away."
Please answer with one of the option in the bracket,E: Suppression
"If you are a doctor, please answer the medical questions based on the patient's description.","dear friend, thank you for choosing chatbot. really small polyps won't cause much pain.pl. describe pain in details. type, quality, aggravating factors, relieving factors.  also lymph nodes are usually enlarged in infections, less commonly other causes, pl. get the nodes examined physically by a well qualified doctor, get complete blood panel(which is normal here), sos an ln biopsy. is it on one side or both? but usually we try a course of antibiotics before biopsy. have you had one? pl. ask your doctor about a weeks antibiotics. run pain really is not clear without a good description. then we can decide further. i hope to have answered your query satisfactorily. take care, and please keep me informed of your progress. good luck ! may i request you to rate your experience here before you close. thank you."
Answer this question truthfully,"The likely diagnosis for this patient is a corneal abrasion. A corneal abrasion is a scratch or scrape on the surface of the cornea, the clear, dome-shaped surface that covers the front of the eye. Symptoms of a corneal abrasion can include severe eye pain, a sensation of a foreign body in the eye, and sensitivity to light. A corneal staining defect on fluorescein examination is a characteristic finding in cases of corneal abrasion. Treatment for a corneal abrasion may involve antibiotic eye drops or ointment to prevent infection, as well as pain medication to manage discomfort. Most corneal abrasions heal within a few days to a week, but larger or deeper abrasions may take longer to heal and can cause more serious complications."
"If you are a doctor, please answer the medical questions based on the patient's description.","your doctors are doing the best but allopathic science has its limits here. to my own such patients, i recommend giving some naturals like curcumin, marcos powders and sugar candy powder mixed together equally. these have the blood cleaning, anti-allergic action with anti-infective action on intestines. works to balance vat pitta vitiation (ayurveda principle) which causes allergies/ rashes. deworming by herbals is another tool to be added to regime. beauty is that these are all harmless with no side effects. no interaction with other chatbot.  for the time being hard"
Answer this question truthfully,"Vancomycin is the recommended medication for treating MRSA, a type of bacteria that is resistant to many antibiotics, including methicillin. Vancomycin is an antibiotic that is effective against MRSA and is typically given intravenously in a hospital setting. However, some strains of MRSA have developed resistance to vancomycin, and alternative antibiotics may be necessary in these cases. Treatment for MRSA may also involve draining any abscesses or infected wounds and practicing good hygiene to prevent the spread of the bacteria. In addition, individuals who are at high risk for MRSA, such as hospital patients and healthcare workers, may be screened for the bacteria and given preventative antibiotics if necessary."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Answer this question truthfully,"Prognosis of Parkinsonism depends on the underlying cause. Outcomes of Parkinsonism caused by brain tumors are poorer than other causes. If the disorder is caused by medications, it may be reversible."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear,good morning from india. thanks for your query to chatbot virtual clinic.-i studied your query in depth. i understood your concerns.-in my opinion-you may be suffering from -mostly from-armpit boil due to the incomplete treatment or could be due to diabetes mellitus.-from the facts given-you mostly have -chronic with acute abscess.-you need to consult your surgeon-and get fbs/pps done to rule out the diabetes issue with you-which could be causing it.-you should definitely be concerned of this issue.hence, i advise you to take care as advised.-this would help to recover fast.-not to worry about its recurrence and it's definitely not a cancer for sure. hope this would help you to recover fast. wellcome to chatbot again for any more queries. have a good day."
how nicotine effects the brain,"Nicotine produces physical and mood-altering effects in your brain that are temporarily pleasing. These effects make you want to use tobacco and lead to dependence. At the same time, stopping tobacco use causes withdrawal symptoms, including irritability and anxiety. Nicotine is very addictive when delivered by inhaling tobacco smoke into the lungs, which quickly releases nicotine into the blood allowing it to get into the brain within seconds of taking a puff. In the brain nicotine increases the release of brain chemicals called neurotransmitters, which help regulate mood and behavior. Dopamine, one of these neurotransmitters, is released in the ""reward center"" of the brain and causes improved mood and feelings of pleasure. Experiencing these effects from nicotine is what makes tobacco so addictive. Nicotine dependence involves behavioral (routines, habits, feelings) as well as physical factors."
Please summerize the given abstract to a title,Quantitative measurement of IgG to SARS‐CoV‐2 antigens using monoclonal antibody‐based enzyme‐linked immunosorbent assays
"If you are a doctor, please answer the medical questions based on the patient's description.","since you have persistent numbness and tingling over the feet, and you recovered from an acute sciatica, it's better to avoid exercising now. you can start spine extension exercises after the pain and everything is gone for at least 3 weeks. the l5-s1 paracentral disc extrusion could be irritating the nerve root exiting there and supplying the outer border of the sole and back of the leg and thigh. do you also feel weakness in plantar flexing/dorsiflexing the ankle and great toe?"
Answer this question truthfully,The likely diagnosis for the patient's condition is osteoarthritis.
Please summerize the given abstract to a title,Respiratory droplet generation and dispersal during nasoendoscopy and upper respiratory swab testing
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, the pain which you have described can be due to a residual irritation of the area after the earlier sore throat. you need to do the regular warm saline gargles 3-4times/day for a couple of days so that the tissue is healthy again. if the pain persists that means the infection is still present and further antibiotic course has to be taken along with mild painkillers under the guidance of your attending doctor. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot thank you for your query. i don't see why is this bothering you so much. patients who die from cancer always die from some particular reason. usually this is cardiorespiratory failure and in these cases fluid accumulates in respiratory tract including nose and mouth. there is nothing strange in it. your sister need psychological help and i understand your concerns, and i am sure she'll feel better after sometime. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the decayed tooth can be filled with either silver amalgam(stainless steel color) or composite material(tooth color) if the decay is not involving the pulp. out of these two silver amalgam has better strength than composite but appearance wise composite gives exact tooth color. if it is front tooth go for composite, if it is back tooth then go for silver amalgam.  the cost of the filling varies from 500 to 650 rupees. if the decay is involving pulp then it has to go for root canal treatment."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to the same, i have read your question, it looks like the body is undergoing reactions into some kind of toxin or an enzyme released by the thing that bit you, the effect of various toxins can be different and without knowing about the exact toxin it is difficult to conclude anything. i suggest you to consult the nearest general physician first and if the problem persists consult a dermatologist also. arthritis is generally not caused due to bites, so we can rule that out, taking prescribed medication will help you to recover very soon. wishing you a good health and a speedy recovery, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for using chatbot. read your query. the signs and symptoms you have presented suggests reinfection in the root canal treated tooth. i would advise you to visit your endodontist and get an x-ray done to evaluate the status of the abscess. go ahead with the re-treatment of the tooth if there are favorable conditions. antibiotics may be required with prescription from the dentist. do salt water gargling. hope this was useful. thanks and regards.
Please answer with one of the option in the bracket,B: Cognitive behavioral therapy
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, from history it seems that there might be having some local skin infection like dermatitis or yeast infection. due to lack of personal local hygiene this problem might be there. clean the part gently without giving more pressure and apply triple action cream. take cetirizine or levi cetirizine for itching. in absence of itching there will be speedy healing. take plenty of water. avoid constipation. clean local part with running tap water thoroughly. ok and take care."
Please summerize the given abstract to a title,Macroeconomic Policies for Recovery in Europe and in Italy
Please summerize the given abstract to a title,"MERS-CoV in Camels but Not Camel Handlers, Sudan, 2015 and 2017"
Please summerize the given abstract to a title,Antiviral effect of high-dose ivermectin in adults with COVID-19: A proof-of-concept randomized trial
Answer this question truthfully,"Neonatal hypoglycemia may be asymptomatic, but it can present with poor feeding, jitteriness, tremors, seizures, and lethargy."
Please summerize the given abstract to a title,Cardiac Surgery in Canada During the COVID-19 Pandemic: A Guidance Statement From the Canadian Society of Cardiac Surgeons
Answer this question truthfully,"Collection of blood specimens, lymph node aspirates from buboes, sputum samples, and tracheal swabs are needed before the administration of antibiotics. Additionally, cerebrospinal fluid (CSF) collection is required in cases suspected to have meningeal complications of plague. 
Blood should be sent for analysis, culture, and peripheral smear.
If clinically stable, at least 3 samples for culture within 45 minutes should be collected before antibiotic administration. Serological diagnosis using passive hemagglutination test (PHA) using Y. pestis F1 antigen. If samples are retrieved within 3-4 weeks of symptoms onset, serological confirmation is highly sensitive.
The use of rapid detection tests, such as ELISA and PCR assays to detect F1 antigen are not routinely used yet. However, they may be helpful to confirm cases of suspected plague when gold standard confirmatory tests are not available.   
Bubo aspiration, using a small sterile syringe containing 1 mL sterile saline, is performed by insertion of the needle into the central part of the bubo. If original aspiration fails, injection of the sterile saline inside the syringe may be performed and then aspirated. The aspirate is then used as follows 

2 slide preparations for routine staining, using Giemsa (or Wayson) method and for gram stain 2 slide preparations for direct fluorescent antibody (FA) testing
Aspirate should also be used for culture using sheep blood agar, brain-heart infusion (BHI) broth, and MacConkey agar.
All aspirates and specimens from CSF, tracheal swab, and sputum also need to be tested using gram stain, Giemsa stain, and FA testing."
Please summerize the given abstract to a title,Spatial Dimension of Transport Exclusion Related to Statutory Trade Restriction—The Use of ITS Tools in Studies of Sustainable Urban Development
Please summerize the given abstract to a title,Emergency Blood Transfusion for Trauma and Perioperative Resuscitation: Standard of Care
Answer this question truthfully,"Fentanyl skin patches may cause side effects. Tell your doctor if any of these symptoms or those listed in SPECIAL PRECAUTIONS are severe or do not go away:
headache mood changes nervousness depression difficulty falling asleep or staying asleep shaking hands that you cannot control pain, burning, tingling, or numbness in the hands or feet dry mouth hiccups stomach pain indigestion gas back pain difficulty urinating itching skin irritation, redness, itching, swelling, or blisters at the area where the patch is worn flu-like symptoms sore throat
If you experience any of these symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:
heartbeat that is slower or faster than normal chest pain rash seizure
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online at http://www.fda.gov/MedWatch/report.htm or by phone 1-800-332-1088."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, anemia in child could be due to many reasons comma and because i should be found out so that proper treatment can be given. you should do complete blood count with peripheral smear, iron studies, ferritin level, hemoglobin electrophoresis. this test will tell us what is the cause of anemia in your child. if you are giving iron syrup for 1 year and is still the hemoglobin is only 8 then it means that you are not getting proper treatment of the diagnosis of child is not correct. you should do the about test and review with above reports for proper diagnosis and advised. take care."
Please summerize the given abstract to a title,Assessing the effectiveness of technology in destination marketing during the COVID-19 pandemic
Answer this question truthfully,"Neurofibroma may be classified into following subtypes:  
Types of neurofibromas Characteristics/Description Cutaneous / Dermal / Localized /Sporadic neurofibroma (90%) Most common type Circumscribed but not encapsulated Permeative growth in nerve quickly proceeds to diffuse infiltration of surrounding soft tissue Occurs as lumps or bumps on skin Painless Slowly growing Often in dermis and subcutaneous ≤2-5 cm in diameter Arise from small cutaneous nerves Overrun axons may be identified within May contain fat Starts in teenage years or young adults and rarely starts in childhood Increases in size and number over the years Clearly defined borders hence, can be removed if necessary Number of skin tumors in each patient varies tremendously Mostly solitary and sporadic, not associated with NF1 Malignant transformation very rare Localized Intraneural neurofibroma Second-most common type Segmental, fusiform nerve enlargement Residual axons traverse through lesion Neurofilament immunohistochemistry and Bielshowsky stain show axons within center of lesion Often contains coarse, refractile collagen Malignant change infrequent Subcutaneous neurofibroma Common Present underneath the skin Can be single tumors or chains They are often a form of plexiform neurofibromas Diffuse neurofibroma (superficial) Superficial Uncommon Feels soft and squishy Most common in head (scalp) and neck region or trunk (often protruding out, like a “ love handle ”) Ill defined margins, can't tell where tumor stops Runs through the full skin thickness (from the surface all the way down to the base of the skin (subcutaneous fascia / fat) Doesn't go deeper than fascia Nondestructive, envelops normal structures (e.g., fat cells and adenexal structures) Uniform matrix of fine, fibrillary collagen Shorter, rounder Schwann cells Clusters of pseudo-meissnerian body -like structures may be seen Usually seen in early childhood and young adults Usually associated with diffuse hyperpigmentation, so looks like a very large squishy café au lait spot Solitary lesions and not related to any inherited condition (rarely associated with NF1) Rare malignant change Intramuscular neurofibroma Common Usually isolated tumors in the muscle Growths along very small nerves Causes pain sometimes Can be removed (leaves a scar behind) Sometimes can occur as plexiform neurofibromas in form of chains or networks Plexiform neurofibroma (deep) Deep Associated with NF1 Diffuse involvement along a large nerve and its branches Mostly internal / intraneural Can also involve small nerves and superficial skin Have more connective tissue / extracellular matrix than cutaneous neurofibromas, that separates the nerve fibers Gross enlargement of the nerve with nodular tumor development results in the gross pathologic appearance referred to as “bag of worms” Generally believed to be present at birth (congenital) Disfiguring Affects function due to sheer size as well as neurovascular compromise Upto 5% risk of malignant transformation Plexiform neurofibroma exhibits following features on T2-weighted MRI: Target sign (low signal intensity centrally with a ring of high signal intensity peripherally) Fascicular sign May appear as a larger and more infiltrating mass with lobulated borders with inhomogeneous enhancement Pigmented neurofibroma Neurofibroma with melanin -bearing pigmented cells, usually only appreciated microscopically Not considered a true subtype No increased risk of malignan t transformation
Plexiform neurofibromas can be further subclassified into following:
Types of neurofibromas Characteristics/Description Diffuse Plexiform neurofibroma It extends through the skin into fascia and muscle Lacks clear margins Has “little fingers ” that invade muscle or other tissue May not be easy to see in infants May have a large café au lait spot “above” it Nodular Plexiform neurofibroma Usually involves nerves coming off the spinal cord or off of larger nerves (such as sciatic nerve) Usually enlarges or thickens the nerve Looks like little clusters of tumors along the nerve"
"If you are a doctor, please answer the medical questions based on the patient's description.","history to hear you suffered from lyme disease. it is a disease transmitted by the black-legged tick. symptoms are as you described. tretment of lyme disease is with antibiotics like doxycycline, cefuroxime or amoxicillin for 10 to 21 days. in a small percentage of cases, the symptoms can last for over 6 months. this condition is known as post-treatment lyme disease syn chatbot. so persistence of symptoms does not mean that you still have the active disease. you will progressively get over it. just rest well and eat healthy. hope my answer helps to reassure you best regards"
Please summerize the given abstract to a title,Pregnancy outcomes among symptomatic and asymptomatic women infected with COVID-19 in the west of Iran: a case-control study
"If you are a doctor, please answer the medical questions based on the patient's description.","hit hank for asking to chatdoctorburning sensation near right coastal area indicates many pathologies, but you said that the mri and ct has detected some lesions, the exact nature of these lesions not stated here, your symptoms and the suspicious pathologies does not correlate, other serology test are require to confirm the diagnosis, the problem must lies in stomach or in your stress area, functional condition,,, multifocal tachycardia needs further studies, it is not given anything here that on basis it is multifocal arterial tachycardia, have nice day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. read your history and understood your problem. when all the tests are abnormal, and you still have pain on the right side of the abdomen, this is most probably ibs- irritable bowel syn chatbot.  since you have talked about pale stool, the probable causes can be"
"If you are a doctor, please answer the medical questions based on the patient's description.","caliectasis means dilatation of calyx which is a cup-shaped structure at the apex of which the stone is formed. if the ct scan was positive that only caliectasis was seen without any stones, it means the stone has been completely cleared from the kidney and has passed on its way down the ureter into the bladder. if there has been a minor obstruction of the ureter due to the gravel, it could cause dilatation of the calyxes, which usually resolves with intake of fluids alone."
Answer this question truthfully,Mycophenolate mofetil can result in myelo-suppression (-cytopenias).
"If you are a doctor, please answer the medical questions based on the patient's description.",hello! welcome on chatbot ! your symptoms could be related to different possible causes
Please summerize the given abstract to a title,Evaluation of At-home Bleaching Times on Effectiveness and Sensitivity with 10% Hydrogen Peroxide: A Randomized Controlled Double-blind Clinical Trial
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. she may have some vascular tumor like hematoma or myogenic granuloma.  she should go for complete excision of lump.  then go for histopathological examination. consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Troubling Silences: Reflecting on Findings from an Integrative Review on Access to PrEP
Please summerize the given abstract to a title,Caffeine Supplementation Strategies Among Endurance Athletes
Please summerize the given abstract to a title,Key Positions in the Contemporary Scientific Realism/Antirealism Debate
Answer this question truthfully,"Carbon dioxide is an end product in organisms that obtain energy from breaking down sugars, fats and amino acids with oxygen as part of their metabolism, in a process known as cellular respiration. This includes all plants, animals, many fungi and some bacteria. In higher animals, the carbon dioxide travels in the blood from the body's tissues to the lungs where it is exhaled. In plants using photosynthesis, carbon dioxide is absorbed from the atmosphere.
Plants remove carbon dioxide from the atmosphere by photosynthesis, also called carbon assimilation, which uses light energy to produce organic plant materials by combining carbon dioxide and water. Free oxygen is released as gas from the decomposition of water molecules, while the hydrogen is split into its protons and electrons and used to generate chemical energy via photophosphorylation. This energy is required for the fixation of carbon dioxide in the Calvin cycle to form sugars. These sugars can then be used for growth within the plant through respiration.
Even when vented, carbon dioxide must be introduced into greenhouses to maintain plant growth, as the concentration of carbon dioxide can fall during daylight hours to as low as 200 ppm (a limit of C3 carbon fixation photosynthesis). Plants can potentially grow up to 50 percent faster in concentrations of 1,000 ppm CO 2 when compared with ambient conditions. 
Plants also emit CO 2 during respiration, so it is only during growth stages that plants are net absorbers. For example a growing forest will absorb many tons of CO 2 each year, however a mature forest will produce as much CO 2 from respiration and decomposition of dead specimens (e.g. fallen branches) as used in biosynthesis in growing plants.  Regardless of this, mature forests are still valuable carbon sinks, helping maintain balance in the Earth's atmosphere. Additionally, and crucially to life on earth, phytoplankton photosynthesis absorbs dissolved CO 2 in the upper ocean and thereby promotes the absorption of CO 2 from the atmosphere. 
Carbon dioxide content in fresh air varies between 0.03% (300 ppm) and 0.06% (600 ppm), depending on the location (see graphical map of CO 2 in real-time).
A person's exhaled breath is approximately 4.5% carbon dioxide by volume.
Adaptation to increased levels of CO 2 occurs in normal men. Continuous inhalation of CO 2 can be tolerated at three percent inspired concentrations for at least one month and four percent inspired concentrations for over a week. It was suggested that 2.0 percent inspired concentrations could be used for closed air spaces (ex. Submarine) since the adaptation is physiological and reversible. Decrement in performance or in normal physical activity does not happen at this level.  
It is dangerous when inhaled in high concentrations (greater than 5% by volume, or 50,000 ppm). The current threshold limit value (TLV) or maximum level that is considered safe for healthy adults for an eight-hour work day is 0.5% (5,000 ppm). The maximum safe level for infants, children, the elderly and individuals with cardio-pulmonary health issues is significantly less.
These figures are valid for pure carbon dioxide. In indoor spaces occupied by people the carbon dioxide concentration will reach higher levels than in pure outdoor air. Concentrations higher than 1,000 ppm will cause discomfort in more than 20% of occupants, and the discomfort will increase with increasing CO 2 concentration. The discomfort will be caused by various gases coming from human respiration and perspiration, and not by CO 2 itself. At 2,000 ppm the majority of occupants will feel a significant degree of discomfort, and many will develop nausea and headaches. The CO 2 concentration between 300 and 2,500 ppm is used as an indicator of indoor air quality.
Acute carbon dioxide toxicity is sometimes known as by the names given to it by miners: blackdamp (also called choke damp or stythe). Miners would try to alert themselves to dangerous levels of carbon dioxide in a mine shaft by bringing a caged canary with them as they worked. The canary would inevitably die before CO 2 reached levels toxic to people. Carbon dioxide caused a great loss of life at Lake Nyos in Cameroon in 1986, when an upwelling of CO 2 -laden lake water quickly blanketed a large surrounding populated area.  The heavier carbon dioxide forced out the life-sustaining oxygen near the surface, killing nearly two thousand people.
Carbon dioxide ppm levels (CDPL) are a surrogate for measuring indoor pollutants that may cause occupants to grow drowsy, get headaches, or function at lower activity levels. To eliminate most Indoor Air Quality complaints, total indoor CDPL must be reduced to below 600. NIOSH considers that indoor air concentrations that exceed 1,000 are a marker suggesting inadequate ventilation. ASHRAE recommends they not exceed 1,000 inside a space. OSHA limits concentrations in the workplace to 5,000 for prolonged periods. The U.S. National Institute for Occupational Safety and Health limits brief exposures (up to ten minutes) to 30,000 and considers CDPL exceeding 40,000 as "" immediately dangerous to life and health."" People who breathe 50,000 for more than half an hour show signs of acute hypercapnia, while breathing 70,000 – 100,000 can produce unconsciousness in only a few minutes. Accordingly, carbon dioxide, either as a gas or as dry ice, should be handled only in well-ventilated areas.
Template:Seealso
CO 2 is carried in blood in three different ways. (The exact percentages vary depending whether it is arterial or venous blood).
Most of it (about 70% – 80%) is converted to bicarbonate ions HCO 3 − by the enzyme carbonic anhydrase in the red blood cells,  by the reaction CO 2 + H 2 O → H 2 CO 3 → H + + HCO 3 −.
5% – 10% is dissolved in the plasma 
5% – 10% is bound to hemoglobin as carbamino compounds 
The CO 2 bound to hemoglobin does not bind to the same site as oxygen. Instead, it combines with the N-terminal groups on the four globin chains. However, because of allosteric effects on the hemoglobin molecule, the binding of CO 2 decreases the amount of oxygen that is bound for a given partial pressure of oxygen.
Hemoglobin, the main oxygen-carrying molecule in red blood cells, can carry both oxygen and carbon dioxide, although in quite different ways. The decreased binding to carbon dioxide in the blood due to increased oxygen levels is known as the Haldane Effect, and is important in the transport of carbon dioxide from the tissues to the lungs. Conversely, a rise in the partial pressure of CO 2 or a lower pH will cause offloading of oxygen from hemoglobin. This is known as the Bohr Effect.
Carbon dioxide may be one of the mediators of local autoregulation of blood supply. If its levels are high, the capillaries expand to allow a greater blood flow to that tissue.
Bicarbonate ions are crucial for regulating blood pH. A person's breathing rate influences the level of CO 2 in their blood. Breathing that is too slow or shallow can cause respiratory acidosis, while breathing that is too rapid may lead to hyperventilation, which may cause respiratory alkalosis.
Although the body requires oxygen for metabolism, low oxygen levels do not stimulate breathing. Rather, breathing is stimulated by higher carbon dioxide levels. As a result, breathing low-pressure air or a gas mixture with no oxygen at all (such as pure nitrogen) may lead to loss of consciousness. This is especially perilous for high-altitude fighter pilots. It is also why flight attendants instruct passengers, in case of loss of cabin pressure, to apply the oxygen mask to themselves first before helping others — otherwise one risks going unconscious without being aware of the imminent peril. 
According to a study by the United States Department of Agriculture, an average person's respiration generates approximately 450 liters (roughly 900 grams) of carbon dioxide per day."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the combination of losartan and amlodipine is presently considered one of the most effective antihypertensive and has minimum side effects. also, it has been able to control your blood pressure well as per the reading you have mentioned. as you have essential hypertension, in high probability you would require lifelong medication to not just control the blood pressure but prevent any heart, kidney or brain related complications because of high blood pressure. the above medication is well tolerated with negligible side effects in an individual. the list is available on free net source. neither losartan nor amlodipine would affect your sex life. so do continue the medication, decrease salt in your diet, stay active and continue monitoring of risk factors and co morbidity. wishing you good health. regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. steroids like cyclone are one of the best and final resort treatment in myasthenia. the response to such chatbot.  i suggest continuing on the same medication and wait for some time so that their steady concentration is achieved and show effective response. do not go for any other medications as the treatment she is on are right and suitable to the severity. wish you good health."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for asking at chatbot. i went through your history and would like to make suggestions for you as follows"
"If you are a doctor, please answer the medical questions based on the patient's description.",thanks for contacting chatbot with your health care concerns am sorry to hear that you have noticed several small non-painful lumps on your penis. these lumps are most likely small sebaceous cysts and are very common and completely benign. you have nothing to be concerned about here. these lumps are small oil glands under the skin that create small lumps or cysts. these are never an indication of any other diseases or do they change into anything worrisome. i can reassure you that you are healthy and normal. the itching maybe minor yeast infections which can occur and is called tina courts or jock itch. you can use an over the counter antifungal spray like inaction to help reduce the itch. i hope this answers your question. please contact chatbot again with any of your health care concerns
Please answer with one of the option in the bracket,C: Fluphenazine
Answer this question truthfully,REM sleep is characterized by increased brain O2 use and variable pulse and blood pressure.
Answer this question truthfully,"The recommended management approach for a patient with type 2 diabetes, hypertension, and newly diagnosed atrial flutter is anticoagulation. Atrial flutter is a type of abnormal heart rhythm that can increase the risk of blood clots and stroke, especially in patients with other cardiovascular risk factors such as diabetes and hypertension. Anticoagulation therapy, such as with medications like warfarin or newer oral anticoagulants, can help reduce the risk of blood clots and stroke by preventing the formation of clots in the blood. The specific management approach will depend on various factors, such as the patient's age, overall health, and other medical conditions. In addition to anticoagulation, other treatments may be necessary to manage the underlying conditions that contribute to the development of atrial flutter, such as medications to control blood pressure or blood sugar levels. It is important for patients with atrial flutter to receive appropriate medical care and follow-up to prevent complications and improve their overall health outcomes."
Answer this question truthfully,"Mammary glands are classified as apocrine glands. Apocrine glands are a type of exocrine gland that release their secretions by pinching off a portion of the cell membrane, along with the secretory product, to form a vesicle that is then released into the duct system of the gland. Mammary glands are a type of apocrine gland that produce milk during lactation, which is then transported through the ducts of the gland to the nipple for breastfeeding. While mammary glands are unique to female mammals, both males and females have apocrine glands in other parts of the body, such as the armpits and groin."
"Question: Is this describing a (1) directly correlative relationship, (2) conditionally causative relationship, (3) causative relationship, or (0) no relationship.",This is a conditionally causative relationship
"If you are a doctor, please answer the medical questions based on the patient's description.","hi thanks for your question. lymh nodes are normally present in body and get enlarge in two conditions.1. if there is infection in the vicinity of lymph node and 2.in lymphoma that is cancer of lymph node. most common cause is infection in their vicinity. since your super curricular lymph node are engaged most probably you have infection somewhere in your sinuses, throat and even ear. the best way to get you out from tension is gone for fnac (fine needle aspiration cytology) of enlarged lymph nodes to know the cause of enlargement of lymph nodes. hope this answers your question."
Please answer with one of the option in the bracket,D: Leukemoid reaction
Please summerize the given abstract to a title,Investigating the drivers of the spatio-temporal heterogeneity in COVID-19 hospital incidence—Belgium as a study case
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i'm glad to help u in your query. at first if it is motion sickness you would be feeling dizzy when you move your head suddenly as when getting up all of a sudden from sitting posture. if so then no problem. otherwise, just check if your thyroid levels are under control. and also check your blood pressure regularly. and if everything is under control i suggest you to better meet a neurologist and get mri brain done once to rule out any pc stroke. hope i have answered your query. let me know if i can assist you further."
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient all these symptoms are explained by malarial fever. but since he is in the united kingdom other possibilities of viral and bacterial infection should be considered according to epidemiological conditions.  have they done check for malarial and dengue fever? if not done ask for it and get it done asap. ask for injection alternate 1gm intravenous twice a day.  if possible ask for ct scan of head.  since he is uk nothing more can be done as rules are different and protocols are different. hope for the best.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. the most important thing is to get an exact diagnosis by means of a clinical/ physical examination by a doctor, ultrasonography and blood tests for liver function tests, amylase, lipase, wbc, and x-ray of the chest as per the symptoms you have put down above.  once a proper diagnosis is made, you can go ahead with a definitive treatment too.  this is most probably due to"
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,D: Bone marrow transplantation
"If you are a doctor, please answer the medical questions based on the patient's description.","your brothers' computer game addiction may be associated with his motivation for immediate high achievement and inability to cope with failures. aversion towards studies may be a reason. habituation, compulsive behavior, adjustment problems poor communication and relationship building skills may also be pushing him towards these games where he ia ll by himself in a visual world of his own ample number of behavior modification techniques are available to treat this condition. so consult a clinical psychologist at the earliest to have appropriate psychological assessment done to understand the cause and provide effective remedies r. manoj clinical psychologistrmanojcp@gmail.com"
Answer this question truthfully,"Clostridium botulinum spore inhalation has a particularly high incidence in California, Pennsylvania, and Utah. These states have been identified as having a higher incidence of botulism cases, which can be caused by ingestion of contaminated food or inhalation of the spores. The spores can be found in soil and dust, and can become airborne during activities such as plowing fields or construction work. It is important to note that while botulism is rare, it can be a serious and potentially life-threatening condition, and appropriate precautions should be taken to prevent exposure to the spores."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, allergies do not usually cause swollen lymph nodes, but infections. you are either prone for recurrent sore throat, tonsillitis etc. that causes the lymph nodes to swell up. rhinosinusitis (bacterial) can be very troublesome and difficult to treat, and a ct scan is the best modality of investigation in this setting. penicillin can decrease lymph node swelling in infections, but not recommended for sinusitis or for hair loss. if recurrent lymph node enlargement and hair loss is a feature, suggest you get the following tests done and seen by a physician or rheumatologist if any of them are abnormal"
Answer this question truthfully,Ureaplasma is diagnosed using special culture media for Mycoplasma and/or PCR.    Other diagnostic studies are usually not indicated.
Please answer with one of the option in the bracket,B: Gliadin-dependent hypersensitivity
Please summerize the given abstract to a title,Kommunikation des Evangeliums und Populäre Religion. Annäherung an ein Spannungsverhältnis am Beispiel des YouTube-Kanals „Jana glaubt“
Answer this question truthfully,"Safe work and play practices, proper lifting techniques, and weight control may help prevent back injury in some people.
Some health care providers recommend the use of back braces to help support the spine. Such braces can help prevent injuries in people whose work requires them to lift heavy objects. However, overuse of these devices can weaken the abdominal and back muscles, making the problem worse."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query. thalassemia is a large group of blood disorders & the severity varies widely. it is difficult to comment on sports performance without knowings details of illness, but in general lower than normal he is likely to affect oxygen carrying capacity of blood to tissues & therefore likely to affect sports performance. also, important to know that mental toughness & morale also play a significant role in sport performance. how a person is mentally coping with the condition is also important. for other answers need to know the precise type of thalassemia(alpha or beta; minor, intermedia or major) & the sickle cell disease (trait vs disease). hope you found the information useful."
Answer this question truthfully,"The pathogenesis of prostatitis is not completely understood. An infection ascending from the urethra, chemical damage caused by the reflux of urine through the ejaculatory ducts and prostatic ducts and autoimmune involvement are a few possible theories related to the pathogenesis of various types of prostatitis.   Chronic prostatitis/chronic pelvic pain syndrome is thought to be caused by an abnormality in the hypothalamic-pituitary-adrenal axis and hormonal derangements involving the adrenocortical hormone. These changes can stem from variable response to stress, neurogenic inflammation, and myofascial pain syndrome. On microscopic examination, neutrophils or lymphocytes can be seen inside the prostatic gland, among the cells of the epithelium or inside the stromal component of the gland."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, welcome to chatbot, prednisolone can not be stopped suddenly, otherwise it can cause with chatbot.  you can taper off its doses and get off with help of your doctors' guidance. if tapering of dose is not possible, or it increases your problem then take help of homeopathic treatment. with homeopatchatdoctoredicine you can taper off prednisolone safely and after that even homeopatchatdoctoredicines also can stop. homeopathic treatment is based on total understanding of patient on physical and mental level. and that's why detail history of patient is needed for proper homeopathic treatment. so consult to good classical homeopath nearby you or contact us. have a better health."
Please summerize the given abstract to a title,Patients' and clinicians' perceptions of oral anticoagulants in atrial fibrillation: a systematic narrative review and meta-analysis
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dear you have lump on calf muscle.  it can be ganglion cyst or some soft tissue tumor.  you should go for ultrasound study to know exact location and origin of lump.  if needed go for fine needle aspiration cytology or biopsy of that lump. it will give you exact diagnosis. then you should take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,Atypical Endovascular Cells in SARS-CoV-2 Pneumonia.
Answer this question truthfully,Medical therapy is the primary mode of treatment for impetigo. Surgery is not usually required. Biopsy may sometimes be required if there is recurrence of lesions and the diagnosis of impetigo is not confimed.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello. i read your question carefully, and i understand your concern. although rare, they may be connected. in late stage congestive heart failures (chf), due to heart pump failure, every organ system suffers from not enough blood delivered by the failing heart. my opinion is that it is a slight symptom, in this big picture. i recommend a diet with restricted salt and taking all the chf medications regularly. i hope i was helpful. good day"
"If you are a doctor, please answer the medical questions based on the patient's description.","degree understand your concerns went through your details. please do not self diagnose of self treat. ringworm is a fungal skin infection caused by a fungus. ringworm occurs when a particular type of fungus grows and develops on the top layer of your skin. the fungus infection thrives in warm, moist areas such as, under the foreskin of your penis. the infection is a common fungal skin disorder, affects people of all ages. although its name suggests otherwise, it is caused by a fungus, not a worm. ringworm is contagious. ringworm can be treated with antifungal creams and ointment. but before that, you should consult a skin specialist to confirm that the problem is related to ring worm. consult a dermatologist. if you require more of my help in this aspect, please use this url. http"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and concerns for your daughter. hemorrhagic cyst must have bled and caused the fibrosis causing chronic abdominal pain. in addition, the perforation of the intestine must have given to peritonitis and infection and fibrosis. the cause of the pain is very much obvious as your daughter needed 12 more surgeries. understood that you have been to cleveland clinic and university of michigan without any answers. the hemorrhagic cyst in fact would have been endometriosis and hormonal treatment may help her. another possibility can be found by doing enterocolitis and pinpoint the cause under fluoroscopic control. it is better be seen by a gynecologist as everyone would have missed on endometriosis."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. possibility of musculoskeletal pain due to excessive coughing is more likely. coughing causes strain on ribs and intercostal muscles. so apply warm water pad on affected areas of chest. take painkiller and muscle relaxant chatbot.  avoid movements causing pain. don't worry, you will be alright with all these. pain will definitely subside. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,"Propionyl-CoA carboxylase is an enzyme that plays a crucial role in the metabolism of certain amino acids and fatty acids. To function properly, it requires three essential components: ATP, biotin, and CO2. ATP is a molecule that provides energy for cellular processes, while biotin is a B-vitamin that serves as a cofactor for the enzyme. CO2 is also required as a substrate for the enzyme to catalyze the conversion of propionyl-CoA to methylmalonyl-CoA. Deficiencies in any of these components can lead to metabolic disorders such as propionic acidemia and biotinidase deficiency."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, i am so sorry to hear about your condition. it looks like you are currently in decompensated stage of liver cirrhosis (\""hard liver\""). you are suffering from classical features of portal hypertension (fluid build up in the belly) and other symptoms of liver failure (poor appetite, weight loss, excessive sleepiness, etc.). the best available treatment for someone at your stage is a liver transplant. it will completely get rid of the fluid build up although regaining your strength and appetite may take a while. but transplant cannot be offered to everyone and depends most on your current performance status (physical fitness, age, other co-morbid conditions like diabetes, heart problems etc.). if it turns out that you are not a transplant candidate, and i presume medications have failed to control the fluid build up, then one of the options to be considered is tips. although it will not reverse the liver failure, it will prevent fluid build up in your belly. ad chatbot. i suggest you don't give up and explore all therapeutic options available. please do not hesitate to contact me for any clarifications needed - rxsuresh@gmail.com"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your mothers situation and problem. yes, a mole can develop into cancer in seven months time. skin cancers like malignant melanoma, squamous cell carcinoma etc. can present as cancerous mole on skin. usually prognosis is excellent if early detection and surgical removal of mole is done. so better to get done staging of this cancer. and if it is localized cancer than surgical removal with negative margins is curative. seven months duration is sufficient for spread of tumor. if she has undergone biopsy earlier than early detection was possible. so first get done staging of her cancer and then decide treatment strategy. hope i have solved your query. wishing good health to your mother. thanks."
Please summerize the given abstract to a title,How Did the Covid-19 Pandemic Impact Cancer Prevention and Treatment? Examining Nationally Representative Survey Data
Please summerize the given abstract to a title,Development of Mouse Hepatitis Virus and SARS-CoV Infectious cDNA Constructs
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot. poking pain in the chest is not typical for heart disease. poking pain can be more related to the stress you are going through. chest pain from cardiac origin is usually dull constant pain or heaviness/discomfort in the chest. i recommend you to lower your stress by meditation. it may sound as a normal advice, but meditation can do wonders. you can start with 10-15 mins per day and increase it up to half an hour a day. it keeps your heart rate under control, lowers stress, cleans the lungs and many more such beneficial effects. wishing you good healthregards"
Please summerize the given abstract to a title,Recognizing the Impact of Covid-19 on the Poor Alters Attitudes Towards Poverty and Inequality
Answer this question truthfully,"Thionamides are a class of medications used to treat hyperthyroidism, a condition in which the thyroid gland produces too much thyroid hormone. Two examples of thionamides are propylthiouracil and methimazole. Both medications work by inhibiting the production of thyroid hormone in the body, which can help to alleviate the symptoms of hyperthyroidism. However, they may have different risks and benefits, and the choice of medication may depend on factors such as the patient's age, the severity of the condition, and whether the patient is pregnant."
Answer this question truthfully,"Despite the FDA issuing an approvable letter in February 2006 for the obesity indication and a non-approvable letter for smoking cessation, the drug did not enter the market in the United States in 2006. The French pharma firm Sanofi-Aventis disclosed that a complete response to the FDA's approvable letter was submitted on October 26, 2006, triggering a Class I (two-month) or Class II (six-month) review process. On June 13, 2007, FDA's Endocrine and Metabolic Drugs Advisory Committee (EMDAC) concluded that the French manufacturer Sanofi-Aventis failed to demonstrate the safety of rimonabant and voted against recommending the anti-obesity treatment for approval.  Subsequently, Sanofi-Aventis announced that it was withdrawing the new drug application (NDA) for rimonabant and that it would resubmit an application at some point in the future.
On 21 June 2006, the European Commission approved the sale of rimonabant in the then 25-member European Union. Sanofi announced that the first country in which Acomplia will be sold is the United Kingdom. Sales began in July 2006. Sanofi also announced that it projects that the drug will be sold shortly thereafter in Denmark, Ireland, Germany, Finland and Norway. It is expected in Belgium  and Sweden in 2007. Ordinary obesity will, according to official medical recommendations, not be enough to acquire the prescription in Sweden; there are additional requirements concerning abnormal blood lipid levels. 
The EU's approval was not a blanket approval, nor did it approve Acomplia for non-obesity related problems such as smoking cessation, although off-label use of the drug is still possible. The approval is in combination with diet and exercise for the treatment of obese patients (BMI greater than or equal to 30), or overweight patients (BMI greater than 27) with associated risk factors, such as type 2 diabetes or dyslipidaemia."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. heart murmurs are sound coming from heart due to turbulent flow of blood. normally blood flow in the heart don't make any sound. but when there is turbulence in the flow of blood (mostly due to valvular diseases), murmur is heard. since you are having aortic insufficiency (aortic regurgitation), this is the likely cause or your murmur. grade 4 murmur is suggestive of severe valvular defect. so better to consult cardiologist and get done expert 2d echo to know the severity of aortic regurgitation. if it is severe then you will need surgical repair of this aortic valve. don't worry, you will be alright. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi.... your kids height and weight of normal for this age. i take this opportunity to tell you certain scientific facts and relieve your distress - 1. an active is a well kid even if she/ he is not eating well. 2. development of a kid is as important as, or i would say even more important than growth alone.3. as the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. as parents, we need to be more patient and feed than less quantity but more liquors per day.4. this age rather than the quantity of the food i suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. i suggest you not to use appetite stimulants on long run as they may cause chatbot. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. by your history and description, possibility of herd (gastroesophageal reflux disease) is more. it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause chest tightness, pressure, burping, nausea etc. along with chatbot.  1. avoid stress and tension. 2. avoid hot and spicy food. avoid junk food. 3. avoid large meals, instead take frequent small meals. 4. go for walk after meals. 5. keep 2-3 pillows under head in the bed to prevent reflux. 6. lose weight if you are obese. 7. quit smoking and alcohol if you have these habits. don't worry, you will be alright with all these lifestyle modifications. hope i have solved your query. wish you good health. thanks."
Answer this question truthfully,"Microscopically dermatofibroma is characterized by:   
Localized nodular proliferation of spindle -shaped fibrous cells in a mixture of histocytoid cells inside the dermis Spiculated margin of cells “Storiform” pattern which defines as whorls of elongated nuclei Collagen bundles that usually seen inside and between the fascicles of spindled fibrous cells ""Grenz zone"" which is an unaffected layer that separates the overlying epidermis from the dermis Epidermal hyperplasia"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, when there is union of sperm and mature ovum conception is possible. at ovulation mature ovum is ready for the unions and broken condom allows sperm entry in vagina and uterine cavity to meet the ovum. so yes, you do have possibility of conception. it can be confirmed by blood test around menstrual date or by urine pregnancy test after 8 days of delay in period.  hope i have answered your query. let me know if i can assist you further. thanks,"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i would be happy to help you with your question.  in patients with irregular cycles that is related to either absent or irregular ovulation, it is not uncommon to have to use progesterone to induce a cycle, and closed to induce ovulation.  the usual method is as follows"
Answer this question truthfully,"Lichen planus is the inflammatory dermatitis that presents as pruritic, planar, polygonal, purple papules."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. from the details provided, your child has a hypoplastic right kidney with reduced perfusion and function. this is most likely due to developmental abnormality and nothing much can be done now. factors you should take care"
Answer this question truthfully,"gp41 is a transmembrane protein that plays a critical role in the HIV infection process. It is responsible for mediating the fusion of the viral membrane with the host cell membrane, which allows the virus to enter the cell and initiate infection. Specifically, gp41 forms a complex with another HIV protein called gp120, which binds to receptors on the surface of host cells. This interaction triggers a conformational change in gp41 that allows it to insert into the host cell membrane and bring the viral and host membranes into close proximity. This ultimately leads to the formation of a pore-like structure that allows the viral genome to enter the host cell and initiate viral replication. Additionally, gp41 can also mediate the formation of syncytia, which are large, multinucleated cells that can form when infected cells fuse with uninfected cells."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, this sounds like a reaction to pollen and changing weather. but in general, we don't consider babies to have true seasonal allergies until they are a bit older. you have to live through a few seasons of pollen before you can have a true immune allergy response. but, pollen is an irritating molecule and babies little noses and little eyes can get irritated and make mucous just upon exposure to varying levels of pollen (or dust, or animal dander, smoke). if there is no fever or cough then she probably doesn't have a cold. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Immunosuppressive/Immunomodulatory Therapies in Dermatology and COVID-19
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot, concussion (shear-force impact) is described as some violent or abrupt force applied to brain, according to the classic definition, no structural brain damage occurs in concussion.  the clinical presentation might be retrograde amnesia, the second part of your question - anesthesia can commonly cause convulsion, how-ever it depends on type, technique dose.,but no structural brain damage occurs.  kindly, dont use any medicine or herbal product without consultation to your doctor, finally, if you are asymptomatic no need to worry!  regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for your query. the fact that your pain is occurring with movements indicates a muscle strain. any strained muscle when stretched gives severe pain. i advise you to follow the below-mentioned guidelines -* give adequate rest to the involved muscle group and avoid any movement that causes pain* ice packing once in every 2 hours over the affected area* moist heat application to relax the muscles* local application of muscle relaxant gel* analgesic medications as needed do hope that you have found something helpful, and i will be glad to answer any further query. take care"
Please summerize the given abstract to a title,Psychiatric genomics research during the COVID‐19 pandemic: A survey of Psychiatric Genomics Consortium researchers
Please summerize the given abstract to a title,Use of remdesivir for patients with Covid-19: a review article.
"If you are a doctor, please answer the medical questions based on the patient's description.",there does not seem to be any reason to get worried about. the amount of bleeding that one goes through during a menstrual cycle is a very subjective thing and the important criterion is to have regular menstruation as far as the issue of conceiving is concerned that the bleeding is less than what you generally encounter is no reason to worry about the potential to conceive. at the end i would also like to add that there are certain medications that can be offered to you after primary examination which may help increase the menstrual flow.
Answer this question truthfully,The two most important initial steps in managing flail chest are pain control and administration of supplemental oxygen.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi dear, welcome to chatbot. understanding your concern. lip bite is very common kind of thing and there is no need to be panic about it. the area will take around week to heal but as you having recurrence it's due to frequent licking of your lips which leads to formation of cracks in skin and eventually fungal infection there.  it could be due to riboflavin deficiency as well. i would suggest you to"
Answer this question truthfully,"Neuroleptic malignant syndrome (NMS) is considered the most serious adverse effect associated with the use of antipsychotics. Antipsychotics are a class of medications used to treat psychotic disorders such as schizophrenia and bipolar disorder, as well as other conditions such as nausea and vomiting. While they can be effective in treating these conditions, they can also cause side effects such as weight gain, sedation, and movement disorders. In rare cases, antipsychotics can also cause NMS, a potentially life-threatening condition characterized by fever, muscle rigidity, and altered mental status. It is important to seek medical attention immediately if you experience any of these symptoms while taking antipsychotics or any other medication. Your doctor may need to adjust your medication or switch you to a different one to prevent further complications."
Please summerize the given abstract to a title,Therapeutic Alliance in COVID-19 Era Remote Psychotherapy Delivered to Physically Ill Patients With Disturbed Body Image
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, the most common causes of recurrence of leukoplakia is repeated trauma in the region, either by tobacco, brushes or from sharp edges of tooth/traumatic occlusion.its good your lesion is curing now. since 9 months have been passed and some white lesion still exists. i will advise you to consult an oral medicine specialist and get your occlusion checked and remove if any irregularities are noted there. even if it doesn't regress then you can also go for excisional biopsy of the lesion which will remove the lesion completely.you should stop all adverse habits. antioxidents will help you in treating the lesion. get national and healthy diet full of raw fruits and veggies rich in antioxidants.take care."
Please summerize the given abstract to a title,Trend of pneumonia diagnosis in emergency departments as a COVID-19 surveillance system: a time series study
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, this condition is due to a particularly malfunctioning clothing factor, for in some people, which is called factor five (v) leiden. this clotting factor has been seen to run in families and predisposes these patients to develop uncontrolled bleeding in the brain leading to stroke. there are 12 main clotting factors in body involved in blood clotting, to prevent you from losing blood. however, this factor v, called v leiden is an abnormal type that instead causes one to blood. it shall be valuable to run this test too. thanks and stay well. luchuo, md."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a strong advice
Please answer the letter of option truthfully,D
Answer this question truthfully,Increased bilirubin Renal failure may be present
Answer this question truthfully,"The pia mater is derived from neural crest cells, which are a group of cells that arise from the dorsal aspect of the neural tube during early embryonic development. The neural crest cells migrate to various parts of the body and contribute to the formation of a wide variety of structures, including the meninges that surround the brain and spinal cord. The pia mater is the innermost layer of the meninges and is in direct contact with the surface of the brain and spinal cord. It provides physical support and protection to the nervous tissue, as well as helping to regulate the exchange of nutrients and waste products between the nervous tissue and the blood. The development of the neural crest cells is regulated by a complex interplay of genes and signaling pathways, which ultimately determine the fate of these cells and the structures that they give rise to."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello you have intense anxiety after car accident. you have symptoms like fear on seeing a cop, or when some helicopter flies over house or when someone knocks on door. you are not able to control that anxiety and fear. most likely these are the symptoms of anxiety. other possibility is ptsd or post-traumatic stress disorder. after severe accident some individuals develop fear and anxiety associated with nightmares and hyperarousal. i would advise you to visit a psychiatrist for expert treatment. medicines like fluoxetine, escitalopram, sertraline etc. are used in anxiety. these medicines help in depressive symptoms also. you can also try non-pharmacological treatment as relaxation exercise, yoga, meditation, behavior therapy etc. thanks"
Answer this question truthfully,The notochord plays a crucial role in embryonic development by inducing the overlying ectoderm to form the neural plate (neuroectoderm).
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing in. since you have had d and c done to remove two polyps just 4 days ago, the surgical wound needs tme to heal. at the same moment you must take your antibiotics and painkillers for some time. i am sure the wound will heal fast, and you can continue playing football. as for the colectomy 4 years back, it's not of much significant in your present situation. hope this helps."
Please summerize the given abstract to a title,Can Distributed Nuclear Power Address Energy Resilience and Energy Poverty?
Please answer with one of the option in the bracket,C: Membranous nephropathy
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, thanks for your question on chatbot. i can understand your situation and problem. in my opinion you should first rule out cardiac cause for your symptoms. so get done ecg. if ecg is normal than it is mostly herd (gastroesophageal reflux disease). it is due to laxity of gastroesophageal sphincter. because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. but better to consult gastroenterologist and get done upper gis copy to diagnose this. you should also rule out h.pylori infection. as this can also cause similar symptoms. try to follow these steps for better symptomatic relief.1. avoid hot and spicy food. avoid large meals.2. avoid stress and anxiety.3. take proton pump inhibitor.4. go for walk after meals 5. keep 2-3 pillows under head in bed to prevent redux."
Answer this question truthfully,"Call your health care provider if you have symptoms of chlamydia.
Because many people with chlamydia may not have symptoms, sexually active adults should be screened periodically for the infection."
Answer this question truthfully,"Some of the rules for constructing a good program of Exposure Therapy are:
The subject should have a final goal which should represent non-phobic behavior. This might be (for example) to hold a large snake and rub it against their cheek for several minutes. They should also have in mind a series of intermediate steps such that once they have partially habituated to one step the next is close enough to it that they can readily move on. Such a sequence is called a hierarchy. It may be explicit, in the form of a list of increasingly challenging tasks, or implicit, in the form of a set of principles for escalating the exposure. The therapist will decide which of these will be more useful for the subject. (A useful way of constructing such a hierarchy is the Method of Factors. At every stage the subjects self-exposure should be completely voluntary - a criterion that may be derived from the theory of cognitive dissonance. One important corollary of this principle is that, at every moment, the subject must have an easy way of terminating the exposure. By choosing not to escape - and therefore practising a competing response - the subject thereby weakens the arousal-escape connection. The arousal experienced at any point should be the maximum that the subject is prepared to accept (this is the main difference between Exposure Therapy and Systematic desensitization). It's useful if at each stage the subject asks themselves ""is there anything more I could do?"" By considering which factors they can manipulate they should be able to keep moving smoothly up their hierarchy. Research by Marks and Rachmann citation needed demonstrated that optimum results are obtained with daily practice lasting at least an hour; and that the daily session should be ended by allowing the level of arousal to fall off to around half its peak value. For this reason it's useful for the subject to keep a note of their arousal level on a 0-8 scale (where 0=no arousal and 8=intolerable arousal). Before this fall-off phase the level of arousal should be maintained at an uncomfortable but tolerable level."
Please summerize the given abstract to a title,Effectiveness of inactivated SARS-CoV-2 vaccines against the Delta variant infection in Guangzhou: a test-negative case–control real-world study
Answer this question truthfully,"Not all goiters cause signs and symptoms. When symptoms do occur they may include:
A visible swelling at the base of your neck, the size may range from a single small nodule to large neck lump. A tight feeling in your throat Cough Hoarseness Difficulty swallowing Shortness of breath Fatigue Increased appetite Nervousness Restlessness Weight loss Muscle cramps"
Answer this question truthfully,"The recommended therapy for patients over the age of 75 with clinically significant atherosclerotic disease is a moderate-intensity statin.

Atherosclerotic disease is a condition in which plaque builds up in the arteries, leading to a narrowing of the blood vessels and an increased risk of heart attack and stroke. In patients over the age of 75 who have clinically significant atherosclerotic disease, the recommended therapy is a moderate-intensity statin. Statins are a type of medication that help to lower cholesterol levels in the blood, which can help to reduce the risk of heart attack and stroke. Moderate-intensity statins are typically prescribed for patients with atherosclerotic disease who are over the age of 75, as they are effective at reducing cholesterol levels while also minimizing the risk of side effects. It is important for patients with atherosclerotic disease to work closely with their healthcare provider to develop a treatment plan that is tailored to their individual needs and medical history."
Answer this question truthfully,Osgood-Schlatter Disease is an overuse injury caused by inflammation of the apophysis located on the Tibial Tuberosity.
Please summerize the given abstract to a title,In search of drugs to alleviate suppression of the host's innate immune responses against SARS-CoV-2 using a molecular modeling approach
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thank you for your contact to chatbot. i understand your concern. if i am your doctor i suggest you that, you can wait for tomorrow there is no harm in waiting rill tomorrow, but you can't wait more than that. til tomorrow you can start with any of the antibiotic ointment present at home. also maintain hygiene by cleaning and chatbot. i will be happy to answer your further concerned can contact me. chatbot. infectious disease specialist. thank you."
Please summerize the given abstract to a title,Existence of SARS-CoV-2 RNA on ambient particulate matter samples: A nationwide study in Turkey
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatbot. please do not worry as you have taken the pills for a very short time. long term use of pills means at least 4-5 years. also, if you are attempting pregnancy, the fertile period for women with regular 28 days cycle is between day 12-18 of the cycle counting from the first day of the last period. try sexual contact on alternate days during this period for best results. also, ovulation detecting kits may be used to see the actual days of ovulation and contact during those days increases chances of pregnancy. if you are not able to conceive in 8-9 months of regular unprotected contact a visit to a doctor may be needed to look for any problem with conception. hope this was helpful. do not worry, the pills are not going to have any effect on your reproductive potential. thanks for using chatbot. have a good day. chatdoctor bagdeconsultant ob gy."
"If you are a doctor, please answer the medical questions based on the patient's description.",first there is no relation between it b12 deficiency and oral cancers. you might have had it b12 deficiency and oral ulcer co incidentally. good that your oral ulcer is healing. if it doesn't heal or increasing in size you need to get it biopsied. but remember all oral ulcers are not cancers. we do biopsy to be on safer side. there are many causes of oral ulcers including the common authors ulcer to lichen plans
Please summerize the given abstract to a title,Reviewing lessons learnt of SARS in Singapore during planning for influenza pandemic.
Please summerize the given abstract to a title,[Prevalence of burnout syndrome in nursing staff in a large hospital in south of Brazil].
Answer this question truthfully,"In organophosphate poisoning, atropine is given first and pralidoxime is given second."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and welcome to chatdoctorfrom your description it does seem like an allergic reaction. the causes maybe various-food items, dust, pollen, outdoor plants, any recent outdoor activity, new cosmetics or jewelry(earrings), also could be due to sun exposure which may have aggravated an allergy. did you take any new medication? in any case keep a note of whether it is increasing and if there are any factors which cause it to increase. does anyone around have similar complaints? take a course of antihistamines like fexofenadine daily for a week. if the rash is severe apply a light layer of fluticasone cream at night for a week and stop. during the day you can use a soothing lotion with calamine/aloe vera for the face. use a gentle cleanser. if it persists inspire of treatment consult your dermatologist. also, you can do tests for allergy sensitivity if required. do remember, if you are allergic to something, you must be careful to avoid it, as any re exposure will cause a reaction again. so keep a track of such events. hope this helps."
Answer this question truthfully,"The intestinal cestode that is most commonly associated with anaphylaxis is Echinococcus granulosus. Surgeons administer epinephrine prior to surgical removal of the parasite because the surgical manipulation of the cyst can lead to the release of antigens, which can trigger a severe allergic reaction. Echinococcus granulosus is a tapeworm that is typically found in dogs and other canids, and it is transmitted to humans through the ingestion of contaminated food or water. The parasite can cause the formation of cysts in various organs, including the liver and lungs, which can lead to serious health complications if left untreated. Surgical removal of the cysts is typically required, but it is important to take precautions to prevent the release of antigens and subsequent anaphylaxis during the procedure."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, in view of your previous history of unhealthy pregnancies, the chance of hormone defects as a possible cause should be considered. thus, you have a possible need for progesterone supplementation. vaginal supplements are better than oral medication in order to avoid side effects. your doctor is the better judge on the need of the dose. regular follow up with a clinical exam and sonogram should be helpful. please take a healthy diet, adequate rest and avoid stress. hope this helps."
Answer this question truthfully,Operative vaginal delivery is typically indicated when there is a protracted second stage of labor.
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. yes, you are right. clindamycin can affect esophageal mucosa and cause esophagitis. but incidence of this side effect is very rare. in my opinion you are having chatbot.  due to this the acid of the stomach tends to come up and cause the symptoms. better to consult gastroenterologist and get done upper gis copy to rule out esophagitis. try to follow these steps for better symptomatic relief. 1. avoid hot and spicy food. 2. avoid large meals, instead take frequent small meals. 3. avoid stress and anxiety. 4. start proton pump inhibitor. 5. go for walk after meals. 6. keep 2 - 3 pillows under head in the bed. 7. avoid smoking and alcohol if you have this habit s."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi i think you are having the pain of ovulation. it generally occurs in mid-cycle.  so now pregnancy is a little doubtful, because you got your periods 10 days back. what you can do is to be in contact with your husband for next 2 to 3 days. this will increase chances of your pregnancy. the first sign of pregnancy is not getting your periods on time. irregular periods can cause problems in getting pregnant as it indicates that ovulation is not occurring regularly. so a thyroid profile and prolactin levels should be checked.also, an ultrasound can be done to see for follicles count. hope i have answered your question. if you have any other query i will be happy to help."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. i have read your query understood your concern. yes there are medicines which can cause multiple ova to mature can result in multiple fetuses in a single pregnancy.... which of course depends on luck. no one can predict number of fetuses formed during fertilization.  again one can find the efforts needed to nourish 3 babies during pregnancy also look after the same after birth practically more stressful than having three separate pregnancies give birth to 3 babies.  apart from this maternal problems like raised blood pressure/anemia/digestive problems possibility of premature underweight babies in triplets is also common.  considering all these things... if you still want to have multiple fetuses out of one pregnancy... consult be under care of a fertility specialist.  thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello dear, i understand your concern. in my opinion the progesterone insufficiency can be one of the causes for infertility. the progesterone supplements can be taken in the form of tablets. a natural micronized progesterone can be taken one daily from 15th day onwards for 14 days. there are no creams available. avoid stress as it causes hormonal imbalance and delays fertility further. progesterone insufficiency is one of the treatable causes of infertility. best regards..."
Please summerize the given abstract to a title,Japanese travel behavior trends and change under COVID-19 state-of-emergency declaration: Nationwide observation by mobile phone location data
"If you are a doctor, please answer the medical questions based on the patient's description.","dear member, thanks for writing to chatbot. if you have been trying for more than 2 years then both of you need investigationsyour husband needs to undergo semen analysis, and you will need basic hologram, thyroid profile, an ultrasound on day 11, 13, 15 to check whether you are ovulating. if everything is normal then your doctor may prescribe you chatbot. write back with reports of above investigation. thanks"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, steroids may cause many sides effects. taking supplement of testosterone may cause negative feed back on pituitary lead to decreed size of testis. steroid supplement may cause peptic ulcer disease, cushing syn chatbot. until examination is done it is difficult to say what it is. please get it done ultrasound scrotum, semen analysis, serum testosterone levels and testicular biopsy. please consult with your physician/endocrinologist he will examine with above reports and treat you accordingly. take care. hope i have answered your question. let me know if i can assist you further."
Please summerize the given abstract to a title,Globalisation in the time of COVID-19: repositioning Africa to meet the immediate and remote challenges
Answer this question truthfully,"Recommendations for acute management of sustained VT DC cardiovertion (Class I, Level of Evidence B): ❑ DC cardioversion is recommended as the first-line therapy for hemodynamically not-tolerated sustained monomorphic ventricular tachycardia DC cardiovertion (Class I, Level of Evidence C): ❑ DC cardioversion is recommended as the first-line treatment for patients presenting with tolerated sustained monomorphic VT when anesthetic / sedation risk is low Supraventricular tachycardia (Class IIa, Level of Evidence C) ❑ In patients presenting with a regular hemodynamically tolerated wide QRS complex tachycardia suspected for supraventricular tachycardia, administration of adenosine or vagal maneuvers should be considered Procainamide (Class IIa, Level of Evidence B) ❑In patients presenting with a hemodynamically tolerated sustained monomorphic VT and presence of structural heart disease, intravenous procainamide should be considered Flecainide, ajmaline, sotalol (Class IIb, Level of Evidence B) ❑In patients presenting with a hemodynamically tolerated sustained monomorphic VT in the absence of significant structural heart disease, flecainide, ajmaline, or sotalol may be considered Verapamil (Class III, Level of Evidence B) ❑Intravenous verapamil is not recommended in wide QRS complex tachycardia of unknown mechanism"
Answer this question truthfully,"Perioral dermatitis, a condition related to acne vulgaris, consists of red papules that may appear microvesicular that typically effect the nasolabial folds, perioral area or perioccular area. It usually affects women between the ages of 20 and 45."
Answer this question truthfully,Nasal decongestants are anti-allergy drugs that may cause a false positive for amphetamines on a standard urine drug screen.
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...dear xxxxx..., thanks for choosing chatbot., red colored itchy blotches are due to ..., irritation of chemicals..., no doubt u can get these lesions due apply of ..., thrombophob ointment....ok., this is called ....irritant dermatitis....,1) apply calamine lotion on affected part morning times.,2) tab . levocetrizine daily nighttimes.,3) apply dexamethasone and gentamicin combination nighttimes.,4) tab ofloxacin 200 mg 2 times daily for 3 days.,5) take plenty of oral fluids and vegetables with fresh fruits.,"
Please answer the letter of option truthfully,D
"If you are a doctor, please answer the medical questions based on the patient's description.","hi there, welcome to chatbot, i understand your concern regarding getting exposed to toxic mold but based on the details mentioned in your query i am suspecting paranoia about fungal exposure. most common fungi which grow on foodstuff are saprophytic fungi like oomycetes and aspergilli. most common symptom of inhalation of fungal spores is usually allergic asthma or respiratory symptoms like sneezing, wheeze and cough. the symptoms you mention indicate some kind of neurological weakness which needs to be examined and thoroughly investigated. coming to your migraine, stress is the most common factor which triggers migraine. i suggest you quit worrying about fungal exposure and get the muscle twitching and spasms examined by a neurologist. thanks."
Please summerize the given abstract to a title,Food Supply of the Population in the Conditions of the Global Response to the Covid-19 Pandemic
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you have invasive ductal and lobular carcinoma.  you should take chemotherapy according to stage.  your estrogen and progesterone receptor is positive. you should take treatment against them.  consult your doctor and take treatment accordingly. hope i have answered your question, if you have doubt then i will be happy to answer. thanks for using chatbot. wish you a very good health."
Please summerize the given abstract to a title,SARS-COV-2 (Covid-19) and Male Fertility: where are we?
"If you are a doctor, please answer the medical questions based on the patient's description.","thank you for the query. tuberculosis or colon cancer are not transmitted by needle pricks. tuberculosis (caused by mycobacterium tuberculosis) spreads by aerosol transmission, when an individual sneezes, coughs or spits. transmission occurs from subjects suffering from active tuberculosis, with open tuberculosis (with the mycobacterium in the sputum). colon cancer is a malignancy, and non-contagious disease. disease which can commonly spread by needle pricks are hepatitis b, hepatitis c and hiv. hope that helps you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, by what you quote i feel that your kid might be having a viral sore throat or a streptococcal infection. i suggest you see your pediatrician and get a rapid streptococcal antigen test done. if it is positive then she will require antibiotics. if it is negative then it might be a viral illness and doesn't require antibiotics at all. cough and cold are viral 95% of the times in child chatbot.  for cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. paracetamol can be given that too only if fever is more than 100f. i suggest not using combination medicines for fever, especially with paracetamol. hope i have answered your query. let me know if i can assist you further."
Please summerize the given abstract to a title,Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia.
"If you are a doctor, please answer the medical questions based on the patient's description.",dear patient you gave history of high velocity trauma to your lower back with possibility of vertebral spasm and an occult fracture. there is need of further investigation in form of digital radiograph of lumbosacral spine anteroposterior and lateral views. swelling on your lower back must be hematoma due to bruising. start taking diclofenac plus serratiopeptodase combination twice a day and do take bed rest for 3 days. avoid lifting heavy weight and forward bending. provide cold compress over the swelling. all this will surely relieve you of pain.
Please summerize the given abstract to a title,Efficient sample pooling strategies for COVID-19 data gathering
Answer this question truthfully,"β-lactamase is an enzyme produced by some bacteria that can break down β-lactam antibiotics, including penicillin. Staphylococcus aureus is a type of bacteria that produces β-lactamase, making it resistant to penicillin and other β-lactam antibiotics. This resistance can make infections caused by Staphylococcus aureus difficult to treat, as these antibiotics are commonly used to treat bacterial infections. To combat this resistance, other types of antibiotics, such as vancomycin, may be used. However, there are also strains of Staphylococcus aureus that are resistant to multiple antibiotics, making treatment even more challenging."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for consulting chatdoctorread your query, as you have pain in tooth, and you are under root canal treatment but still you feel pain in tooth on chewing don't worry pain can be due to infection is still present in tooth, for pain i will suggest you to take one precaution is avoided chewing from side of act treating tooth until root canal treatment is completed, and do luke warm saline rinses, in meantime for pain you can take medication like novato lb, and analgesic like petrol dt. hope this will help you."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi...there is no specific reason why some kids throw up some specific formula feeds. but if your kid is growing well on breastfeeds, as it is 6 months now, i suggest, you continue breastfeeds for milk requirement and start solid feeds like rice based feeds. other home-made food options will be - 1. deal and rice well cooked and made into a oatmeal along with ghee2. boiled apple or banana and mashed into a paste.3. any made cereal oatmeal preparation with additional ghee added. remember certain principles like -1. add one food material / cereal or fruit per week. this will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. add vegetables and fruits made into a paste surely to avoid constipation.3. do not add too much sugar as it may cause diarrhea. regards -"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. swelling and rotten teeth as you have described in your query suggests abscess in relation to the decayed teeth. all teeth decayed will not necessarily go for extraction, only after you get it checked you can have an idea on the treatment plan to be undergone. i would advise you to take your brother to the dentist for a check-up and get the decayed teeth filled or have root canal treatment done after having a radiograph done. for the pain, he can have ibuprofen (if he is not allergic to any medicines) and may also require antibiotics like amoxicillin after prescription from dentist. as there are decayed teeth, leading to inability to eat properly will also affect his food habits and will cause related digestive problems do not apply hot bag externally. hope this was helpful. thanks and regards."
"If you are a doctor, please answer the medical questions based on the patient's description.","dear-thanks for using our service and understand your situation. it is very hard to decide undergoing back surgery. we always recommend the patient to start with physical therapy, anti-inflammatories, pain medication, epidural block and the last option, surgery. you need to get at least 2 opinions of the benefits vs the risks of surgery. if your pain is severe and not responding to non-invasive surgery and your medical specialist recommend surgery, you should consider that, because you are young and the recovery is better at your age. i hope that my advice has been helpful. chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as i see the history it sounds to me of lumbar radiculopathy. there will be a nerve root entrapment in the lumbar spine leading to symptoms. doing mckenzie maneuver will help centralize the pain and reduce the symptoms. use hot water fermentation for diluting the pain. you can find about mckenzie maneuver online. it's widely available. post this does core stability, lumbar spinal muscle strengthening exercises and lower limb strengthening for good posture and to avoid any pathology. in my clinical practice of over 12 years, most cases with lumbar radiculopathy are better helped with conservative management. hope i have answered your query. let me know if i can assist you further. jay in chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello... i may help u with your problems. from your symptoms, i feel u may be suffering from a spinal cord issue. the first approach here is to undergo an mri of spinal cord, deciding whether u have a compression pathology or a non-compression pathology... further course of management is decided based on the mri findings. i would like to know your age, mri findings and other tests that have been done. i advise you to avoid ibuprofen, since long term ingestion of it might lead to kidney issues. on the contrary, medicines for neuropathic pain seem more suitable for your symptoms... i prefer combination of gabapentin 400\u00a0mg and nortriptyline 10\u00a0mg once at nighttime... add on tab flirting 100\u00a0mg twice a day on that for added relief. but still, these might not be your final prescription. it is always advisable to visit a neurologist in person and get a clinical examination done, to arrive to a specific diagnosis. hope i could resolve your concern to some extent.revert if needed for further doubts. all the best!"
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, thanks for writing to us. you are suffering from irregular period with red brown spotting & clots now. there are several reasons to be ruled out like early implantation bleeding (due to irregular taking ocp with unprotected sex), mental stress, thyroid problem, hormonal imbalance, emotional upset, wt gain/ loss etc. in this case, i suggest doing one home pregnancy test or blood test for beta-chatdoctor to exclude pregnancy. usg lower abdomen, lh/fsh, thyroid profile etc. may be needed to rule out underlying pathology if pregnancy test is negative. after that, you should consult with your gynecologist. avoid stress, control body wt, take healthy diet, practice safe sex with condom or ocp in regular manner, maintain personal hygiene and sleep properly. be well and take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your query, i have gone through your query. the pigmentation over the gums towards the teeth can be because of normal physiological pigmentation. the other possible cause can be smoking induced smokers melanesia. the normal color of the ungava is coral pink, but it can vary from dark brown to brownish black from individual to individual. there is nothing to be panic. if your concerned about the aesthetics, then you can for laser treatment. i hope my answer will help you, take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for your query and an elucidated history...your symptoms of sweating, severe weakness followed by uncontrollable loose stools indicate that you are suffering severe form of gastroenteritis. although you have visited the er, i think you need to be given intravenous fluids, intravenous antibiotics and supportive therapy. i would advise you to take a course of antibiotics, metronidazole, probiotics and supportive therapy. you also need the following investigations"
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thank you for posting your query. neurocysticercosis (ncc) is a fully treatable condition and the infection gets healed with albendazole. in your case, brain scan has been done, which has confirmed that the brain infection has healed. ncc is not like epilepsy. in epilepsy, one has to continue medicines for long time, sometimes even lifelong. but in ncc, once the infection has completely healed, one can stop the anti-epileptic medications. so, i would recommend that you follow your doctors advice and gradually taper and stop valerie acid. in very rare cases, fits may occur later, when we can always re-start valerie acid.  best wishes, chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi. thanks for the query. you should have posted the long form of rsl as it is not found on internet search. understood, that you are suffering from depression and domain caused you pain in abdomen. his is one of the side effects of domain. i would advise you to visit your doctor and get an alternative medicine for your depression and at the same time find out any other reason for you pain in abdomen."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello welcome to chatbot. i can understand your concern. as i don't know your age, , i guess you as a middle age, not in menopausal age, i guess you are having fibroadenoma. this is simple mass and firm in consistency, and it slips when you try to hold and squeeze. permanent treatment is removal by surgery. please take an appointment with gynecologist for further treatment. if you are menopausal age, you should confirm whether it is not a malignant swelling. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.",you have chronic halogen effluvium with acute episode superimposed since 2 month due to crash dieting and irregular dietary intake. i would advise you to take regular nutritious diet with proteins and micronutrients wit lots of fruit and vegetables. also do take iron and calcium supplements. you cause sodium laureth sulfate shampoo with conditioner for gentle cleansing andwashyour hair every other day. donor use harsh treatments like hot combing and straightening. you can also use minoxidil 2% lotion locally at bedtime. haircut has no impact on hair fall which needs to be treated
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, warm booting from 1 month in a 10-year-old child can be due to acute gastroenteritis, intestinal obstruction, acute gastritis. in acute gastroenteritis there is associated history of fever, pain abdomen and vomiting. it is also associated with loose motions. in case of intestinal obstruction there may be history of vomiting sometimes, and pain abdomen sometimes. in acute gastritis there is history of regurgitation of food, burning sensation at sternum after taking food. child should be examined by a doctor so that we may not miss any important finding. and x-ray abdomen and ultrasound abdomen should be done to find out intestinal obstruction. you can give antiemetic syrup like syrup ondansetron 0.1 milligram per kg if vomiting occurs. however, an examination by doctor is a must, and i suggest you to get the child examined by a doctor as soon as possible. take care."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i read carefully your query and understand your concern. the symptoms seem to be related to side effects of the use of vitamin d. i suggest using a gastric protector in the morning before breakfast such as omeprazole 20 mg per day. i also suggest eating a healthy diet and take vitamin d supplements with food to minimize the side effects. hope my answer was helpful. if you have further queries feel free to contact me again. kind regards!  chatbot."
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for using chatbot. read your query. as your doctors says, the ulcers in the mouth can be stress ulcers more aggravated by the fever and other causes. i would advise you to * apply mucosal/ denote on all the ulcers two to three times a day. if you have more pain, take a paracetamol (fever can be due to this also).*avoid spicy food.*reduce the stress level.*visit your dentist as soon as possible and rule out the condition of the wisdom tooth and do what is necessary treatment for it.*use betadine mouth wash for a while. hope this was useful. thanks and regards"
"If you are a doctor, please answer the medical questions based on the patient's description.","thanks for your question on chatbot. i can understand your concern. in my opinion, you should definitely rule out bronchitis. bronchitis is inflammation of airways. it causes production of thick mucus from lungs. so get done pft (pulmonary function test). if pft is normal then no need to worry about bronchitis and this symptom. be relax and calm. don't worry, you will be alright. do warm water gargles and steam inhalation 4-5 times a day. hope i have solved your query. i will be happy to help you further. wish you good health. thanks."
Answer this question truthfully,Thiazolidinediones use can cause fluid retention and thus peripheral edema as a possible side effect in the extremities.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello there! as they say prevention is better than cure. first the best thing to do is to prevent the infection of australia antigen which is a particle of hepatitis b virus detected in the blood of an infected person. hepatitis is transmitted via blood or blood products, body fluids and from mother to child. infection can be prevented by taking hepatitis vaccination which is freely available.  a person infected with hepatitis b and australia antigen positive may not be symptomatic and aggressive treatment is not required except for having a healthy lifestyle. if symptomatic then treatment is accorded as per the symptoms and immunoglobulins are also used. if you are not vaccinated by now then get your blood bag test done and if negative then get vaccinated at your earliest to prevent the risk of getting infected. take care!"
Please answer with one of the option in the bracket,B: Impaired activation of factor VII
"If you are a doctor, please answer the medical questions based on the patient's description.","hi and thanks for your question, as a female in reproductive age, with menstruation, the hemoglobin level of 11.3 is almost normal and should not warrant any worries. however, a change hemoglobin level can actually only be measured after 3 months, which represents the life cycle of a red blood cells. it's thus recommended for treatment of anemia to take the treatment at least 2 months for appreciable changes to be seen and monitored. in your case, you need not really worry. thanks and best regards, luchuo, md."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, as per your query, your daughter has symptoms of purple discoloration on gum which can be a rupture of small blood vessels can cause blood accumulation below the soft tissues leading to formations of red to purple bruises. need not worry much if it is painless as it will resolve on its own and in case if it spreads or there is a pain in the area you should consult a dentist to get ruled out for infection in the gums or teeth. maintain complete oral hygiene by brushing and flossing. give child diet rich in multivitamins and citrus fruits. avoid intake of sticky substances. hope i have answered your query. let me know if i can assist you further."
Answer this question truthfully,"In invasive pulmonary aspergillosis, the ""halo sign"" refers to nodular lesions with surrounding ground-glass opacities."
"If you are a doctor, please answer the medical questions based on the patient's description.",hi thanks for your query. i have gone through your query and understand your concern. it seems that you are having hematoma due to injury. it will gradually resolve. you can take analgesic such as ibuprofen for pain relief. elevation of limb is helpful in resolving the pain. local application of tomophobe gel without rubbing is useful in resolving it gradually. you can discuss with your doctor about it. wishing you a good health. take care.
Answer this question truthfully,"Call your health care provider if:
You develop symptoms of pericarditis after a heart attack You have been diagnosed with pericarditis and symptoms continue or come back, despite treatment"
Please answer with one of the option in the bracket,A: Cavernous nerve
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, dairy have gone through your question. i can understand your concern. you may have some gastrointestinal bleeding. you may have peptic ulcer or some other pathology. furthermore, you should go for endoscopy. consult your doctor and take treatment accordingly. hope i have answered your question, if you have any doubts then contact me at bit.ly/ chatbot. thanks for using chatbot. wish you a very good health."
Answer this question truthfully,"Individuals with a double Y chromosome (XYY) typically appear normal, but may be taller than average. XYY is a genetic condition that occurs in males when they inherit an extra Y chromosome, resulting in a karyotype of 47,XYY. Although XYY individuals may be taller than average, the difference in height is usually not significant and does not cause any health problems. XYY syndrome is generally not associated with any major physical or intellectual abnormalities, but some studies have suggested a slightly increased risk of behavioral and learning difficulties. However, the vast majority of XYY individuals lead normal and healthy lives."
"If you are a doctor, please answer the medical questions based on the patient's description.",hellothanks for query. severe pain in back radiating anteriorly strongly suggests presence of stone either in kidney or ureter which needs to get investigated. please consult qualified urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) urine routine and culture.2) ultrasound scanning of abdomen and pelvis.in the meanwhile take broad spectrum antibiotics like definite along with urinary antiseptic like nitrofurantoin twice daily and urine alkalizer thrice daily with painkillers like diclofenac. further treatment will be decided by him based on clinical findings.result of these test and final diagnosis. chatbot.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello! thank you for the query. no it is not a normal thing. bump filled with pus is usually a sign of local skin infection. if it's close to the hair, follicle inflammation is most possible.  it may happen to every person and usually does not cause any further problems. however, if after chatbot.  sometimes hard healing bumps can be a symptom of elevated blood sugar level. in a meanwhile please keep it clean. hope this will help. regards."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is a weak advice
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hellowelcome to chatbot as per your problem with male infertility and your semen analysis reports also attached with this query.1. you have 28 million/cc total count which is very few to get conception.2. active motile is also less than 25% only., thus you have useful sperms are only 7 million/cc and this is very few to get conception.3. also, your semen shows pus cells increased which is a bad sigh about healthy sperms. now in this condition it's hard to have a pregnancy with this semen report. i like to advise you to start ayurveda medicines for the correction of this condition. and ayurveda medicines give you best results. please start the following medicines for three months and then update with new one report for further advise too.1. rushy tablet 2 tabs twice a day2. leta tab 2 tabs twice a day.3. tab. prahjasthapan 2 tabs twice a day4. savanna supra showman tab 1 pill once a day with honey.5. barda tab two tabs twice a day. avoid spicy and fermented food avoid bakery item avoid to try for conception till report will normalavoid watermelon take milk, milk products, chatbot. . for advance treatment you can consult online too."
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, i have gone through your query and understand your concern. you are suffering from exercise induced urticaria or cholinergic urticaria. this is the allergic reaction to physical exertion or sweat. exercise induced urticaria is caused by your body having an allergic response to exercise. cholinergic urticaria is caused by sweating that results from a rise in your body temperature. exercising in hot weather makes you more susceptible to cholinergic urticaria. both exercise induced urticaria or cholinergic urticaria both needs attention, and you should consult allergy and asthma specialist now. you should stop exercising because it may aggravate the allergy and lead to life-threatening conditions like difficulty in breathing (as you already have asthma, exercise is not advisable till you consult the specialist). both conditions well respond to antihistamines like cetirizine. if you have cholinergic urticaria, rapid cooling in a cold shower can help relieve symptoms. if you have an allergic reaction to exercise or sweating, always take your medications as prescribed to avoid hives. you may need to avoid vigorous-intensity exercises or follow an approved exercise routine after discussion with allergy specialist. for cholinergic urticaria and heat rash, preventing sweating is the best way to prevent hives. exercise in an air-conditioned area and wear lightweight clothing. avoid ointments and lotions that can block the pores and make you prone to heat rash. hope this helps. please write back for further queries. wishing you good health."
Answer this question truthfully,"Cushing’s syndrome occurs when the body’s tissues are exposed to high levels of cortisol for too long. Many people develop Cushing’s syndrome because they take glucocorticoids—steroid hormones that are chemically similar to naturally produced cortisol—such as prednisone for asthma, rheumatoid arthritis, lupus, and other inflammatory diseases. Glucocorticoids are also used to suppress the immune system after transplantation to keep the body from rejecting the new organ or tissue. Other people develop Cushing’s syndrome because their bodies produce too much cortisol. Normally, the production of cortisol follows a precise chain of events. First, the hypothalamus, a part of the brain about the size of a small sugar cube, sends corticotropin-releasing hormone (CRH) to the pituitary gland. CRH causes the pituitary to secrete adrenocorticotropin hormone (ACTH), which stimulates the adrenal glands. When the adrenals, which are located just above the kidneys, receive the ACTH, they respond by releasing cortisol into the bloodstream.
These benign, or noncancerous, tumors of the pituitary gland secrete extra ACTH. Most people with the disorder have a single adenoma. This form of the syndrome, known as Cushing’s disease, affects women five times more often than men.
Some benign or, more often, cancerous tumors that arise outside the pituitary can produce ACTH. This condition is known as ectopic ACTH syndrome. Lung tumors cause more than half of these cases, and men are affected three times more often than women.
In rare cases, an abnormality of the adrenal glands, most often an adrenal tumor, causes Cushing’s syndrome. Adrenal tumors are four to five times more common in women than men, and the average age of onset is about 40. Most of these cases involve noncancerous tumors of adrenal tissue called adrenal adenomas, which release excess cortisol into the blood. Adrenocortical carcinomas—adrenal cancers—are the least common cause of Cushing’s syndrome. With adrenocortical carcinomas, cancer cells secrete excess levels of several adrenocortical hormones, including cortisol and adrenal androgens, a type of male hormone. Adrenocortical carcinomas usually cause very high hormone levels and rapid development of symptoms.
Most cases of Cushing’s syndrome are not inherited. Rarely, however, Cushing’s syndrome results from an inherited tendency to develop tumors of one or more endocrine glands. Endocrine glands release hormones into the bloodstream. With primary pigmented micronodular adrenal disease, children or young adults develop small cortisol-producing tumors of the adrenal glands. With multiple endocrine neoplasia type 1 (MEN1), hormone-secreting tumors of the parathyroid glands, pancreas, and pituitary develop; Cushing’s syndrome in MEN1 may be due to pituitary, ectopic, or adrenal tumors."
Answer this question truthfully,The eye pathology commonly associated with galactokinase deficiency is cataracts.
"If you are a doctor, please answer the medical questions based on the patient's description.","acute vertigo which occurs in supine position may be due to benign paroxysmal positional vertigo. characteristically it occurs in one particular position, last for few seconds and associated with severe vertigo or nauseating feeling. in my opinion you need to visit a neurologist who will do dix-hallpike test and if required will do an repays maneuver. for treatment brandt-doroff exercises and some medications may be given. in some patients it recovers by its own. praying for your early recovery."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, welcome to chatbot. please accept my condolences. polycythemia could be due to exposure to high altitude in your fathers case where low oxygenation stimulates erythropoietin production causing increase in rbc count. many cancers also predispose to polycythemia like liver cancer. associated conditions along with polycythemia play an important role here. many patients suffering from polycythemia present with abdominal pain and generalized fatigue. these patients are also prone to develop clots easily hence predisposed to sudden stroke and heart attacks. i hope i have helped you with this. thanks."
"If you are a doctor, please answer the medical questions based on the patient's description.",i believe that a neurological examination by a qualified neurologist is in your best interest.  although it is a very low likely possibility something such as a meningitis process may be a consideration for the symptoms you present.  on the other hand you may also have some type of obstructive process of the sinus chatbot.  a set of frontal facial or sinus films (ct scan) should easily show any type of congestive or infectious process.
Answer this question truthfully,"Animals or pets can be a source of dermatophytes and, therefore, Tinea infection, especially in younger individuals. Dermatophytes are a type of fungus that can infect the skin, hair, and nails of humans and animals. Tinea is the medical term for a group of fungal skin infections that are caused by dermatophytes. These infections can be spread through direct contact with infected animals or their contaminated bedding, grooming tools, or other objects. Younger individuals, such as children, are more vulnerable to Tinea infections due to their developing immune systems and increased exposure to animals and pets. It is important to practice good hygiene and to seek medical treatment if a Tinea infection is suspected, as untreated infections can lead to complications and further spread of the fungus."
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Answer this question truthfully,"The prevention for hospital-acquired pneumonia (HAP) includes education of health-care workers about the epidemiology and infection-control procedures, and involve the workers in the implementation of interventions to prevent HAP by using performance-improvement tools and technique. Disinfection and maintenance of equipment and devices, as well as preventive measures of person to person transmission, are part of the preventive recommendations given by the CDC for HAP.
Click here for detailed information in the prevention of hospital-acquired pneumonia"
Answer this question truthfully,Iron deficiency anemia in males (especially those over 50 years old) and postmenopausal females should raise suspicion of colorectal carcinoma.
Please answer the letter of option truthfully,C
"If you are a doctor, please answer the medical questions based on the patient's description.","hashimoto thyroiditis is an inflammatory disease of thyroid which can lead to hypothyroidism. i had good results with thyroxine, anti inflammatory chatbot. you can use them and observe. if the swelling of the thyroid is too big, then surgery has to be done. please do not stop medicines for seizures, unless your physician has asked to do so. please consult physician/neurologist and take his opinion. it has no relation to hashimoto. wish you good health"
Please summerize the given abstract to a title,Impact of the lockdown period due to the COVID-19 pandemic in patients with inflammatory bowel disease
Please summerize the given abstract to a title,Percutaneous cholecystostomy instead of laparoscopy to treat acute cholecystitis during the COVID-19 pandemic period: single center experience
Answer this question truthfully,The mnemonic used to remember the main clinical features of antidepressant discontinuation syndrome is FINISH.
"Question: is this a 2) strong advice, 1) weak advice 0) no advice?",This is no advice
Please answer with one of the option in the bracket,D: Elevated serum alkaline phosphatase
Please summerize the given abstract to a title,Considerations for remote delivery of behavioral economic interventions for substance use disorder during COVID-19 and beyond
Answer this question truthfully,"The probable diagnosis is presbycusis, which is age-related hearing loss. Presbycusis is a common condition in older adults and is characterized by a gradual loss of hearing, particularly in the high-frequency range. Symptoms of presbycusis may include difficulty hearing in noisy or crowded environments, as well as a ringing or buzzing sound in the ears (tinnitus). Presbycusis is often caused by changes in the inner ear that occur with aging, such as damage to the hair cells or changes in the blood supply to the ear. Treatment for presbycusis may include hearing aids, cochlear implants, or other assistive devices to improve hearing. It is important to seek medical attention promptly if experiencing symptoms of presbycusis to ensure appropriate diagnosis and management."
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing in. if your doctor has examined you and found that it is not due to bladder, prostate or urethra infection then certain causes like allergy to soap and hygiene factors need to be assessed. rough masturbation or sex can also cause such a pain. your doctor is also right in discussing that lower back pain and arthritis can cause such a condition. reactive arthritis, formerly called raters syn chatbot."
Please summerize the given abstract to a title,Mitochondrial Sirtuin-3 (SIRT3) Prevents Doxorubicin-Induced Dilated Cardiomyopathy by Modulating Protein Acetylation and Oxidative Stress
Answer this question truthfully,Coxsackie B is associated with hepatitis.
"If you are a doctor, please answer the medical questions based on the patient's description.","hello, pregnancy is only possible, if unprotected sexual intercourse is done around ovulation time in regular cycle with ejaculation. in your case, you did sex 3 wk after last abortion without ejaculation. so chance of pregnancy is almost nil (pre prostatic fluid/pre-cum, released before actual ejaculation, has slight chance). you also not take those pills completely. do a usg pelvis to rule out underlying pathology if any and confirm whether it is abortion bleeding or with chatbot. consult with your gynecologist and take advice accordingly. practice safe sex in future and use pills completely on scheduled time to avoid unnecessary vaginal bleeding. be well."
Answer this question truthfully,"The outcome can vary. If the condition is not treated, most patients will need a liver transplant to prevent death from this condition. About a quarter of patients who've had the disease for 10 years will experience liver failure. Doctors can now use a statistical model to predict the best time to do the transplant."
Please answer with one of the option in the bracket,A: Normal cerebrum
Please answer with one of the option in the bracket,C: Terbinafine
"If you are a doctor, please answer the medical questions based on the patient's description.","hi, thanks for writing to chatbot. your kid seems to be harboring some infection from the investigation reports. what are the associated complaints other than fever? was the temperature monitored at any time? does she have any cough? does she have any burning urination or frequency of urination? is there any history of sore throat? does she have any chills or rigors? please reply in detail. you may contact me with further details on the following url...........http"